| 851 |
Kuretase tanpa narkose (Rawat Jalan) |
Rp3.397.500 |
Prosedur Bedah |
| 852 |
Tindakan Deepening Sulcus (Rawat Jalan) |
Rp1.999.000 |
Prosedur Bedah |
| 853 |
Penutupan Oroantral Fistula (Rawat Jalan) |
Rp1.755.000 |
Prosedur Bedah |
| 854 |
Reposisi dengan Anastesi Lokal |
Rp3.397.500 |
Prosedur Bedah |
| 855 |
Jacket crown 1 gigi Acrylic |
Rp645.000 |
Prosedur Bedah |
| 856 |
Alveolektomi per regio (Rawat Inap) |
Rp125.000 |
Prosedur Bedah |
| 857 |
Jahit Luka 6-10 (Rawat Inap) |
Rp255.000 |
Prosedur Bedah |
| 858 |
Debridemant |
Rp178.000 |
Prosedur Bedah |
| 859 |
Perawatan Luka / Medikasi Besar (IGD) |
Rp180.000 |
Keperawatan |
| 860 |
Orthodonti Lepas 1 Screw (Rawat Inap) |
Rp195.000 |
Prosedur Non Bedah |
