| 871 |
Biopsi insisi (Rawat Jalan Bedah Mulut) |
Rp250.000 |
Prosedur Bedah |
| 872 |
Sialolithomi (Rawat Inap) |
Rp444.000 |
Prosedur Bedah |
| 873 |
Fiksasi IDW dgn Arch Bar per rahang |
Rp450.000 |
Prosedur Bedah |
| 874 |
Operculektomi |
Rp1.365.000 |
Prosedur Bedah |
| 875 |
Frenectomi (Rawat Inap Spesialis Gigi & Mulut) |
Rp1.365.000 |
Prosedur Bedah |
| 876 |
Replantasi Gigi (Rawat Inap Spesialis Gigi & Mulut) |
Rp585.000 |
Prosedur Bedah |
| 877 |
Odontektomi (Rawat Inap Spesialis Gigi & Mulut) |
Rp548.000 |
Prosedur Bedah |
| 878 |
Gingivektomi (Rawat Inap Spesialis Gigi & Mulut) |
Rp2.999.000 |
Prosedur Bedah |
| 879 |
Deepening sulcus per rahang ( Rawat Jalan Spesialis Gigi & Mulut) |
Rp350.000 |
Prosedur Bedah |
| 880 |
Odontectomy dengan Jahitan (derajat 1) |
Rp1.968.000 |
Prosedur Bedah |
