ALAT BESAR

NO. NAMA ALAT JUMLAH

1 DENTAL UNIT 1
2 DENTAL CHAIR 1
3 IO CAM 1
4 BLEACHING STANDING 1
5 STERILIZER 1
6 HANDPIECE HIGHSPEED (1 LED, 1 non-LED) 2
7 HANDPIECE LOWSPEED (1 Straight, 1 Angle) 2
8 SCALER BUILD IN 1
9 KOMPRESOR DAN PEREDAM 1
10 MEJA KONSULTASI 1
11 KURSI DOKTER GIGI 1
12 KURSI PASIEN 2
13 KABINET ALAT DAN BAHAN 1
14 KURSI ASISTEN 1
15 WASTAFEL 1

ALAT DIAGNOSTIK
NO. NAMA ALAT JUMLAH
1 KACA MULUT 10
2 SONDE HALFMOON 5
3 EXCAVATOR 5
4 PINSET STANDAR 5
5 SONDE LURUS 5
6 NEIRBEKKEN (BENGKOK GINJAL) 5
7 WADAH COTTON ROLL 1
8 WADAH COTTON PELET 1
9 WADAH TAMPON 1
10 WADAH BUR STAINLESS STEEL 1
11 WADAH KFILE 1

KONSERVASI DAN ENDODONTIK

NO. NAMA ALAT JUMLAH
1 PLASTIS FILLING INSTRUMENT 5
2 CEMENT STOPPER 5
3 CEMENT SPATEL 2
4 AGATE SPATEL 2
5 DAPPEN GLASS 3
6 BURNISHER DOUBLE ENDED (BESAR&2 KEPALA) 5
7 MATRIX UNIVERSAL 5
10 WEDGES 1
11 JARUM EKSTIRPASI/BARBED BROACH 1
12 JARUM REAMER 1
13 JARUM LENTULO 1
14 JARUM K.FILE (15-40 & 45-80) 1
15 JARUM H.FILE (45-80) 1
16 JARUM SPREADER 1
17 BUR PREPARASI :
PITA BIRU CAVITY PREPARATION 1
 PITA BIRU ANTERIOR CROWN PREPARATION 1
PITA BIRU POSTERIOR CROWN PREPARATION 1
PITA KUNING 1
PITA MERAH 1
ENDO ACCESS 3
BUR TULANG HP 556 1
18 GLASS SLAB 1
19 POLISHING KIT 1
20 LIGHT CURING 1
21 SHADE GUIDE VITA 1
22 WADAH KOMPOSIT DLL 1
23 STAND CLEANING SPONGE ENDODONTIC 1
24 TEMPAT ETSA BONDING 5
25 POLISHING DISK 1

PERIODONSIA
NO. NAMA ALAT JUMLAH
1 PERIODONTAL PROBE 1

BEDAH MULUT DAN IKGA

NO. NAMA ALAT JUMLAH
1 TANG ANAK (DESIDUI) MAHKOTA 1
2 TANG ANAK (DESIDUI) RADIX 1
3 TANG DEWASA MAHKOTA 1
4 TANG DEWASA RADIX 1
5 BEIN BESAR SEDANG KECIL (LURUS&BENGKOK) 5
6 CRYER MESIAL DISTAL 2
7 GUNTING OPERASI (Wagner 12 cm) 1
8 NEEDLE HOLDER 1
9 SCALPEL HANDLE 1
10 CITOJECT 1
11 FINGER PROTECTOR 1
12 RASPARATORIUM 1
13 LUKSATOR besar sedang kecil 1

ORTHODONTIA
NO. URAIAN JUMLAH
1 SENDOK CETAK METAL UKURAN 1, 2, 3 1
2 RUBBER BOWL BESAR (UKURAN L) 1
3 SPATULA ALGINAT 1

PROSTHODONTIA
NO. URAIAN JUMLAH
1 SENDOK CETAK FULL EDENTULOUS UKURAN 1, 2, 3 1
2 SENDOK CETAK SEBAGIAN 1
3 LECRON 1

LAIN LAIN
NO. URAIAN JUMLAH
1 BOX KUNING UNTUK JARUM 5
2 BAK SAMPAH INFEKSIUS 1
3 BAK SAMPAH NON INFEKSIUS 1
4 BASKOM BESAR 1
5 LAMPU EMMERGENCY 1
6 REKAM MEDIS 100
7 BUKU RESEP OBAT 1
8 BUKU SURAT KETERANGAN SEHAT/SAKIT 1
9 KARTU BEROBAT 100
10 BUKU KUITANSI 1
11 INFORMED CONSENT 100
12 BUKU ABSEN 1
13 BUKU KEUANGAN 1
14 MODEL GIGI+SIKAT GIGI 1
15 MODEL GIGI MOLAR KARIES 1
16 KALENDER EDUKASI+WADAH PULPEN/KARTU NAMA MEJA 1
17 TROLI BAHAN (RAK TIGA TINGKAT) 1
18 JEPIT POLYBIB 1
19 DISPENSER SABUN CUCI+HANDRUB 2
20 DISPENSER SABUN CUCI ALAT 1

TOTAL ESTIMASI BIAYA KEBUTUHAN ALAT :

Rp 66,815,500
TOTAL ESTIMASI BIAYA KEBUTUHAN BAHAN :
Rp 7,570,000

TOTAL ESTIMASI BIAYA KEBUTUHAN ALAT & BAHAN

Rp 74,385,500
 ALAT BESAR
SATUAN SUPPLIER MEREK HARGA CHECKLIT
pcs
pcs
pcs
pcs
pcs PASIFIC DENTAL - Rp 48,500,000
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
TOTAL Rp 48,500,000
ALAT DIAGNOSTIK
SATUAN SUPPLIER MEREK HARGA CHECKLIT
pcs PASIFIC DENTAL - Rp -
pcs Shopee Denthetic Rp 105,000
pcs Bintang Setia - Rp 125,000
pcs Bintang Setia - Rp 125,000
pcs Shopee Denthetic Rp 105,000
pcs Shopee OneMed Rp 125,000
pcs
pcs
pcs Shopee Gepro Rp 180,000
pcs Shopee Denthetic Rp 50,000
pcs Shopee Denthetic Rp 59,000
TOTAL Rp 815,000
ERVASI DAN ENDODONTIK
SATUAN SUPPLIER MEREK HARGA CHECKLIT
pcs Bintang Setia - Rp 125,000
pcs Bintang Setia - Rp 125,000
pcs Shopee Denthetic Rp 36,000
pcs Shopee Denthetic Rp 9,000
pcs Shopee Denthetic Rp 31,500
pcs Shopee Denthetic Rp 165,000
pcs Shopee Denthetic Rp 32,500
set Shopee Alice Dental Rp 16,500
set Shopee Alice Dental Rp 40,000
set Shopee Denthetic Rp 62,000
set Shopee Denthetic Rp 64,000
set Shopee Denthetic Rp 64,000
set Shopee Denthetic Rp 38,000
set Shopee Denthetic Rp 39,000

set Shopee Denthetic Rp 36,000

 set Shopee Denthetic Rp 36,000
set Shopee Denthetic Rp 36,000
set Shopee Denthetic Rp 36,000
set Shopee Denthetic Rp 36,000
pcs Shopee Denthetic Rp 30,000
pcs Shopee Denthetic Rp 22,500
pcs Cempaka Dental - Rp 20,000
set Shopee Denthetic Rp 65,000
pcs PASIFIC DENTAL - Rp -
pcs Shopee Denthetic Rp 105,000
pcs Shopee Lia Dental Rp 130,000
pcs Shopee Denthetic Rp 37,500
pcs Shopee Denthetic Rp 10,000
set Shopee Denthetic Rp 65,000
TOTAL Rp 1,512,500
PERIODONSIA
SATUAN SUPPLIER MEREK HARGA CHECKLIT
pcs Shopee Denthetic Rp 30,000
TOTAL Rp 30,000
EDAH MULUT DAN IKGA
SATUAN SUPPLIER MEREK HARGA CHECKLIT
set
set Cobra Dental Pola Rp 2,300,000
set
set Cobra Dental Pola Rp 3,500,000
pcs Cobra Dental - Rp 1,000,000
pcs Cobra Dental - Rp 200,000
pcs
pcs
pcs Cobra Dental OneMed Surgical Set Rp 200,000
pcs Cobra Dental Oliver Rp 1,300,000
pcs Shopee Oyodental Rp 120,000
pcs Cobra Dental Schzer Rp 100,000
set Cobra Dental Osung Rp 6,000,000
TOTAL Rp 14,720,000
ORTHODONTIA
SATUAN SUPPLIER MEREK HARGA CHECKLIT
set Cempaka Dental Asco Rp 90,000
pcs Shopee Denthetic Rp 29,000
pcs Shopee Denthetic Rp 7,000
TOTAL Rp 126,000
PROSTHODONTIA
SATUAN SUPPLIER MEREK HARGA CHECKLIT
set Cempaka Dental Asco Rp 90,000
set Cempaka Dental Asco Rp 60,000
pcs Shopee Denthetic Rp 19,500
TOTAL Rp 169,500
LAIN LAIN
SATUAN SUPPLIER MEREK HARGA CHECKLIT
pcs Shopee Olma Official Shop Rp 60,000
pcs Free : Mas haris - Rp -
pcs Free : Mas haris - Rp -
pcs Shopee Bebehome Rp 20,000
pcs Shopee Meval Rp 100,000
pcs Shopee Megafdewi jasa print Rp 50,000
pcs Shopee Megafdewi jasa print Rp 13,000
pcs Shopee Megafdewi jasa print Rp 13,000
pcs Shopee Megafdewi jasa print Rp 42,500
pcs Shopee Megafdewi jasa print Rp 19,000
pcs Shopee Megafdewi jasa print Rp 21,000
pcs Toko Buku Puas Gelatik Kembar Rp 15,000
pcs Toko Buku Puas Gelatik Kembar Rp 15,000
pcs Shopee Denthetic Rp 42,000
pcs Shopee Lia Dental Rp 184,000
pcs Shopee Gepro Rp 198,000
pcs Ada Swalayan - Rp 200,000
pcs Shopee Alice Dental Rp 12,000
pcs Nice So - Rp 39,000
pcs Nice So - Rp 25,000
TOTAL Rp 1,068,500
 BAHAN DIAGNOSTIK
NO. NAMA BAHAN JUMLAH SATUAN
1 ALKOHOL 1 botol besar
2 POVIDONE IODINE 30 ml 2 botol
3 COTTON ROLL 1000 pcs
4 COTTON PELLET 1 pack
5 KAPAS GULUNGAN 1 pack
6 KASSA GULUNGAN/TAMPON 1 pack
7 SALIVA EJECTOR TIPS 1 pack
8 SURGICAL SUCTION TIPS 5 pcs
9 HANDSCOON 1 pcs
10 MASKER 1 pcs
11 GELAS KUMUR 100 pcs
12 POLYBIB 100 pcs

BAHAN KONSERVASI GIGI DAN ENDODONTIK

NO. NAMA BAHAN JUMLAH SATUAN
1 GLASS IONOMER
GC 9 (POSTERIOR RESTORATION) POWDER+LIQUID 1 pack
GC LUTING&LINING POWDER+LIQUID 1 pack
2 RESIN KOMPOSIT
GC SOLARE SCULPT A2, A3, A3.5 4 pcs
3 ZINC PHOSPAT CEMENT 1 pack
4
KALSIUM HYDROXIDE (LIGHT CURE CAVITY LINER) 1 pcs
5 ETSA BONDING UNIVERSAL 1 pcs
6 BAHAN STERILISASI
Eugenol 1 botol
CHKM 1 botol
TKF 1 botol
7 CLORHEXIDINE 2% IRIGASI 1 botol
8 ARTICULATING PAPER 1 pack
9 GUTTAP PERCHA 15-80 1 box
10 PAPER POINT 15-40 1 box
11 PAPER POINT 45-80 1 box
12 MICROBRUSH 1 box
13 CELLULOID STRIP 1 box
14 ENDO IRIGASI NEEDLES 10 pcs
15 MATRIX SECTIONAL 1 set
16 NaOCl/SALINE/CAIRAN INFUS 1 botol
18 CAVIT (CEIVITRON PUTIH) 2 tube
19 OBAT DEVITALISASI NON ARSEN (DEPULPIN) 1 tube
20 CHLOR ETHYL (CE) 1 pcs
21 ENDOSEAL 1 pcs
22 TOPICAL APLIKASI FLUORIDE CLINPRO 3M 1 pack
23 PASAK FIBER 1 set
24 PAPER PAD 1 pack
25 DENTIN CONDITIONER 1 pcs
26 ENDOBLOCK 1 pcs
 BAHAN BEDAH MULUT
NO. NAMA BAHAN JUMLAH SATUAN
1 TOPICAL ANESTESI 1 tube
2 LIDOCAINE MURNI (100 ampule) 1 box
3 SPUIT 1 box
4 PEHACAIN (20 ampule) 1 box
5 SPONGOSTAN (BIOSPONGE) 1 tube
6 BENANG ANABSORBABLE DAN JARUM 5 pcs
7 CARPULE SCANDONEST (Isi 10 pcs) 2 strip
8 SURGICAL KNIFE/BLADE NO.15 5 pcs
9 BUR TULANG 10 pcs
10 1 tube
ALVOGYL
11 JARUM CITOJECT DISPOSABLE 100 pcs

PERIODONSIA
NO. NAMA BAHAN JUMLAH SATUAN
1 OCHO 1 tube
2 GENGIGEL 25 pcs
3 GINGIVAL BARRIER 1 box
4 BAHAN BLEACHING 1 box
5 WIRE (UKURAN 0,3) 1 tube
6 PITA FIBER 1 set
7 BENANG RETRAKSI #00 1 pack
8 BRUSH POLISHING 50 pcs
9 OPTRAGATE 2 pcs

PROSTHODONTIA
NO. NAMA BAHAN JUMLAH SATUAN
1 ALGINAT 1 pcs
2 GIPS BIRU 1 pcs
3 BOX LAB 5x5x5 10 pcs

ORTHODONTIA
NO. NAMA BAHAN JUMLAH SATUAN
1
2

LAIN-LAIN
NO. NAMA BAHAN JUMLAH SATUAN
1 ORTHO KIT
DENTURE BOX 5 pcs
ORTHO KIT 5 pcs
2 PROSTHO KIT
DENTURE BOX 5 pcs
SIKAT GIGI BULU HALUS 5 pcs
3 SOUVENIR PX DEWASA (SIKAT GIGI BULU HALUS) 5 pcs
4 SOUVENIR PX ANAK
KALUNG GIGI 10 pcs
 GANTUNGAN KUNCI BONEKA GIGI 10 pcs
GANTUNGAN KUNCI KACA 25 pcs
GANTUNGAN KUNCI FLOSS 10 pcs
5 FACE SHIELD 2 pcs
6 KACAMATA PASIEN 1 pcs
7 HAND TOWEL TESSA 1 box
8 TISSUE WAJAH PASIEN 2 box
9 GOWN 2 pcs

TOTAL ESTIMASI BIAYA KEBUTUHAN BAHAN :

Rp 7,570,000
IK
SUPPLIER MEREK HARGA CHECKLIT
- - Rp 30,000
Shopee Denthetic Rp 16,000
Shopee Alice Dental Rp 78,000
Bikin sendiri -
Bikin sendiri - Rp 5,000
Shopee Pentalogy Medical Rp 28,000
Shopee Denthetic Rp 39,000
Shopee Denthetic Rp 40,000
Shopee H&H Gloves Rp 39,000
Shopee H&H Gloves Rp 17,000
Shopee Alice Dental Rp 50,000
Shopee Alice Dental Rp 80,000
TOTAL Rp 422,000
N ENDODONTIK
SUPPLIER MEREK HARGA CHECKLIT

Shopee Smilee Dental Rp 447,000

Shopee Smilee Dental Rp 447,000

Shopee Smilee Dental Rp 265,000

Shopee Rp 220,000

Shopee Alice Dental Rp 188,500

Shopee - Rp 450,000

Shopee Alice Dental Rp 40,000

Shopee Afham Dental Rp 80,000
Shopee Alice Dental Rp 84,500
Shopee - Rp 45,000
Cempaka - Rp 5,000
Shopee Alice Dental Rp 109,000
Shopee Alice Dental Rp 54,500
Shopee Alice Dental Rp 54,500
Shopee Denthetic Rp 21,000
Shopee Alice Dental Rp 48,000
Shopee Alice Dental Rp 20,000
Shopee Alice Dental Rp 42,000
Apotek - Rp 20,000
Shopee Alice Dental Rp 130,500
Shopee Alice Dental Rp 198,500
Shopee - Rp 120,000
Shopee Alice Dental Rp 249,500
Shopee - Rp 50,000
Shopee Alice Dental Rp 63,500
Shopee Alice Dental Rp 19,500
Shopee Alice Dental Rp 165,000
Shopee Alice Dental Rp 18,000
TOTAL Rp 3,655,500
LUT
SUPPLIER MEREK HARGA CHECKLIT
Shopee Alice Dental Rp 103,500
Apotek - Rp 160,000
Shopee Alice Dental Rp 150,000
Apotek - Rp 85,000
Shopee Alice Dental Rp 91,500
Shopee Medstuff Rp 20,000
Shopee Dental 09 Rp 470,000
Shopee Rumah Alat Medis Rp 7,500
Shopee OyoDental Rp 200,000
Original Dental
Shopee Supply Surabaya Rp 260,000
Shopee H&H Gloves Rp 85,000
TOTAL Rp 1,632,500

SUPPLIER MEREK HARGA CHECKLIT

Original Dental Rp 145,000
Shopee Supply Surabaya
Shopee Alice Dental Rp 275,000
Shopee Alice Dental Rp 32,500

Shopee Alice Dental Rp 24,000

Shopee Alice Dental Rp 63,500
Shopee Alice Dental Rp 34,000
Shopee Alice Dental Rp 75,000
Shopee Alice Dental Rp 24,500
TOTAL Rp 673,500
A
SUPPLIER MEREK HARGA CHECKLIT
Shopee Alice Dental Rp 62,000
Shopee Alice Dental Rp 14,500
Pinus - Rp 5,000
TOTAL Rp 81,500

SUPPLIER MEREK HARGA CHECKLIT

TOTAL Rp -

SUPPLIER MEREK HARGA CHECKLIT

Shopee Alice Dental Rp 80,000

Shopee Alice Dental Rp 315,000

Shopee Alice Dental Rp 80,000

Shopee Med+ Official Shop Rp 100,000
Shopee Med+ Official Shop Rp 100,000

Shopee Alice Dental Rp 40,000

Shopee Is.craft Rp 35,000
Shopee Gepro Rp 125,000
Shopee Alice Dental Rp 70,000
- - Rp 10,000
Shopee Alice Dental Rp 32,000
- - Rp 20,000
- - Rp 10,000
Shopee Lincurt Rp 88,000
TOTAL Rp 1,105,000
NO. JENIS PERAWATAN TARIF
1 KONSULTASI
Konsultasi tanpa pemeriksaan Rp 30,000
Konsultasi + pemeriksaan Rp 50,000
Konsultasi + pemeriksaan + obat Rp 80,000
2 EKSTRAKSI GIGI ANAK
Chlor Ethyl Rp 80,000
Suntik Rp 100,000
3 EKSTRAKSI GIGI PERMANEN
Ekstraksi gigi mudah (Luksasi) Rp 150,000
Ekstraksi gigi mudah Rp 200,000
Ekstraksi gigi sedang Rp 250,000
Ekstraksi gigi sulit Rp 300,000
Ekstraksi gigi komplikasi Rp 400,000
Ekstra 1 ampule+1 jarum Rp 40,000
4 ODONTEKTOMI
Mudah Rp 500,000
Sedang Rp 700,000
Sulit Rp 900,000
Suturing 1 jahitan Rp 100,000
Suturing 2-4 jahitan Rp 150,000
5 DRY SOCKET Rp 150,000
6 INSISI ABSES Rp 150,000
7 OPERCULECTOMI Rp 250,000
8 TUMPATAN DENGAN GIC
Kecil Rp 150,000
Sedang Rp 180,000
Besar Rp 200,000
9 TUMPATAN RESIN KOMPOSIT KELAS 1 & 5
Kecil Rp 150,000
Sedang Rp 180,000
Besar Rp 200,000
Sandwich Rp 250,000
10 TUMPATAN RESIN KOMPOSIT KELAS 2 & 3
Kecil Rp 150,000
Sedang Rp 200,000
Besar Rp 250,000
11 TUMPATAN RESIN KOMPOSIT KELAS 4
Kecil Rp 200,000
Sedang Rp 250,000
Besar Rp 300,000
12 DEVIT/EUGENOL + TS
Tanpa suntik Rp 100,000
Suntik Rp 130,000
13 DRESSING (CHKM/TKF + TS) Rp 100,000
14 INLAY - ONLAY
Metal Rp 1,000,000
 Porcelain Rp 1,500,000
15 VENEER DIRECT COMPOSITE Rp 350,000
16 VENEER INDIRECT COMPOSITE Rp 1,000,000
17 PERAWATAN SALURAN AKAR DGN ENDOMOTOR
1 akar + TS Medikamen Rp 200,000
2 akar atau lebih + TS Medikamen Rp 250,000
18 PENGISIAN SALURAN AKAR DGN GUTTAP
1 Akar Rp 120,000
2 akar atau lebih Rp 150,000
Pasak Fiber Rp 200,000
19 PERAWATAN GIGI ANAK
Topical Aplikasi Fluor Rp 250,000
Fissure Sealant Rp 200,000
Kecil-Sedang Rp 180,000
Besar Rp 230,000
Obturasi Gigi+Tumpatan Permanen Rp 300,000
Eugenol/CHKM + TS Rp 150,000
Pulpektomi dgn endomotor+TS Rp 150,000
20 SCALING DAN ROOT PLANNING
Ringan Rp 170,000
Sedang Rp 200,000
Berat Rp 250,000
Sangat berat+Stain Rp 300,000
21 BLEACHING Rp 800,000 - Rp 2,000,000
22 KURETASE/GIGI Rp 100,000
23 SPLINTING
Komposit Rp 500,000 - Rp 1,000,000
Kawat/gigi Rp 100,000
Kawat (6 gigi) Rp 500,000
Bahan pita fiber/gigi Rp 200,000
Bahan pita fiber 6 gigi Rp 800,000
24 GINGIVEKTOMI/GIGI Rp 150,000
25 FRENEKTOMI Rp 600,000 - Rp 1,000,000
26 INSISI MUKOKEL Rp 400,000 - Rp 600,000
27 ORTHODONTIC
Behel metal 1 rahang Rp 4,200,000
Behel metal 2 rahang Rp 5,500,000
Behel ceramic 1 rahang Rp 6,500,000
Behel ceramic 2 rahang Rp 2,800,000
Behel saphire 1 rahang Rp 3,500,000
Behel saphire 2 rahang Rp 4,500,000
Kontrol ganti karet Rp 150,000
Kontrol ganti kawat Rp 200,000
Tambah aksesoris (button, stopper) Rp 50,000
Bracket lepas Rp 30,000
Bracket metal hilang/gigi Rp 50,000
Bracket ceramic hilang/gigi Rp 60,000
Bracket saphire hilang/gigi Rp 100,000
 Biaya pindah dokter 2 rahang Rp 1,500,000
Biaya pindah dokter 1 rahang Rp 1,000,000
Retainer akrilik Rp 500,000
Retainer bening Rp 700,000
Lepas behel 1 rahang Rp 250,000
Lepas behel 2 rahang Rp 500,000
Pasang diamond/gigi Rp 150,000
Elastic ortho Rp 50,000
Cabut gigi pro-orthodontics Rp 200,000
28 GIGI PALSU AKRILIK
1 gigi Rp 600,000
Tambahan gigi/gigi Rp 130,000
29 GIGI PALSU VALPLAST
1 gigi Rp 900,000
Tambahan gigi/gigi Rp 150,000
30 GIGI PALSU FRS LUCITONE
1 gigi Rp 1,400,000
Tambahan gigi/gigi Rp 160,000
Reparasi 1 rahang/tambah 1 gigi Rp 500,000
31 GTSL AKRILIK
1 rahang Rp 2,290,000
2 rahang Rp 4,580,000
Reparasi GTSL akrilik Rp 200,000
Rebasing GTSL akrilik Rp 350,000
Tambah gigi akrilik setelah insersi Rp 150,000
Tambah gigi valplast setelah insersi Rp 250,000
32 METAL FRAME
Full frame kombinasi akrilik per rahang Rp 2,500,000
Full frame kombinasi lucitone per rahang Rp 3,500,000
Full bilateral kombinasi akrilik Rp 1,000,000
Full bilateral kombinasi valplast/lucitone Rp 1,500,000
Tambahan per gigi Rp 130,000
33 CROWN AND BRIDGE
PFM per gigi Rp 1,500,000
Mahkota akrilik/gigi Rp 500,000
All porcelain/gigi Rp 2,000,000
Cetak Gigi Rp 200,000