No Nama Barang Satuan Harga Satuan Jumlah

1 Sarung tangan nonsteril 1 psg Rp 2,500.00

2 Sarung tangan steril no 6,5 1 psg Rp 7,000.00
3 APD (masker N95, alkohol, tissue, gown, pouch, dll ) 1 Rp 10,000.00
4 Betadin obat kumur 5 ml Rp 1,000.00
5 Cutton roll 1 Rp 500.00
6 Cutton pallete 1 Rp 500.00
7 Kassa tampon 1 Rp 500.00
8 Dental bip 1 Rp 1,000.00
9 Dental suction saliva ejector 1 Rp 500.00
10 Spuit 3 cc 1 Rp 2,000.00
11 Caviwipe/Clinicare 1 Rp 1,500.00

Exo simple, Exo kompleks, Ekstraksi CE, Estraksi infil, Hecting, Aff hecting, dll
1 Topical anestesi 30 ml Rp 120,000.00 v
2 Chlor Ethyl spray 1 spray Rp 2,000.00
3 Pehacain 1 Rp 4,000.00
4 Carpul orabloc 1 Rp 22,500.00
5 Needle 1 Rp 5,000.00
6 Bisturi 11 / 15 1 Rp 5,000.00
7 Benang monovit 3/0 1
8 Benang monovit 4/0 1
9 Benang novosyn 3/0 1 Rp 54,000.00
10 Benang novosyn 4/0 1 Rp 88,500.00

Tumpatan sementara, Tumpatan RK class, Devitalisasi pulpa, dll

1 Etsa gel 3 ml Rp 40,000.00 v
2 Bonding (Single bond Universal Adhesive 3M) 5 ml Rp 1,049,000.00 v
3 Microbrush 100 pcs Rp 20,625.00 v
4 Komposit 3M filtex Z350XT A3 4 gr Rp 637,000.00 v
5 Komposit 3M filtex Z250 A2 Warna 4 gr Rp 457,800.00 v
6 Komposit 3M filtex Z250XT A3 3 gr Rp 255,000.00 v
7 NaCl (irigasi) 3 ml Rp 500.00
8 NaOCl (irigasi ) 3 ml Rp 500.00
9 Aquadest (irigasi) 3 ml Rp 500.00
10 EDTA 17% 3 ml Rp 5,000.00
11 Cavit (tambal sementara) 30 gr Rp 67,750.00 v
12 Devitalisasi (pemati saraf) 3 gr Rp 502,000.00 v
13 Eugenol 10 ml Rp 46,000.00 v
 14 Cresopen 5 ml Rp 255,000.00 v
16 Matrix proximal anterior 7 mm 12 pcs Rp 180,000.00 v
17 Minyak handpiece 550 ml Rp 41,100.00 v
18 Mixing paper 50 lmb Rp 27,500.00 v
19 CHKM 10 ml Rp 90,000.00 v
20 GIC 15 g/8ml Rp 405,000.00 v

Obturasi, Scalling gigi, Pemasangan gigi palsu, Bleaching gigi, dll

1 Calplus (Obturasi) 2 gr Rp 77,500.00 v

2 Pasta GC Tooth Mousse 40 gr Rp 76,125.00 v
3 Pumice scalling 250 gr Rp 50,000.00 v
4 Oco scalling 15 ml Rp 130,000.00 v
5 Gigi palsu (dari Queen Dental Lab) 1 LAB
6 Alginat (cetak gigi) 454 gr Rp 57,166.00 v
7 Gips (pengisi cetakan) 1 kg Rp 51,000.00 v
8 Bleaching set 1 Rp 507,166.67
9 Kikir gigi grinding strip Horico 6 mm 12 pcs Rp 128,500.00 v
10 Bor soflex 3M Extra Thin Polishing Veneer 30 pcs Rp 220,000.00 v
11 Pasta Hydcal/Calcium Hydroxide 13 gr Rp 260,510.00 v

Total harga
Harga