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					Item_No
8101
8102
8104
8105
8106
8107
8108
8109
8110
8113
8114
8115
8117

8119

8121

8122
8123
8129
8131
8132
8133
8135
8136
8137
8140
8141
8143
8144
8145
8146
8147
8149
8150
8151
8153
8155
8157
8159
8160
8161

8163
8165
8167
8168
8169
8170
8171
8173
8175
8176
8177
8178
8179
8180
8182
8183
8184
8185
8186
8188
8192
8193
8194
8195
8196
8197
8198
8199
8200
8201
8202
8209
8210
8211
8212
8213
8214
8215
8220
8221
8223
8225
8227
8229
8231
8232
8233
8234
8235
8236
8237
8238
8239
8240
8241
8243
8251
8253
8255
8257
8259
8261
8263
8265
8267
8269
8270
8271
8273

8275
8277
8279
8281
8301
8303
8304
8305
8306
8307
8308
8309
8310
8311
8325
8327
8328
8329
8330
8332
8333
8334
8335
8336
8337
8338
8339
8340
8341
8342
8343
8344
8345
8346
8347
8348
8349
8351
8352
8353
8354
8355
8356
8357
8358
8359
8360
8361
8362
8363
8364
8365
8366
8367
8368
8369
8370
8371
8372
8373
8374
8376
8379
8391
8393
8395
8396
8397
8398
8401
8403
8405
8407
8409
8411
8413
8414
8420
8422
8424
8499
8501
8503
8505
8506
8507
8508
8509
8510
8511
8513
8515
8517
8521
8523
8527
8529
8530
8551
8553
8554
8555
8556
8557
8558
8560

8561
8563
8565
8571
8572
8573
8574
8577
8581
8582
8583
8587
8589
8590
8591
8592
8593
8596
8597
8599
8600
8601
8603
8605
8607
8609
8611
8613
8615
8617
8618
8621
8623
8625
8631
8633
8635
8636
8637
8640
8641
8643
8645
8647
8649
8651
8661
8662
8663
8664
8665
8667
8668
8669
8671
8672
8674
8679
8701
8703
8705
8706
8707
8711
8713
8714
8715
8721
8723
8725
8727
8731
8737
8739
8741
8743
8749
8751
8753
8755
8756
8757
8758
8759
8760
8761
8762
8763
8764
8765
8766
8767
8768
8769
8770
8772
8773
8781
8782
8783
8785
8786
8787
8801
8803
8805
8811
8837
8839
8840
8841
8842
8843
8846
8847
8848
8849
8850
8851
8852
8853
8854
8855
8856
8857
8858
8861
8862
8863
8865
8866
8867
8868
8869
8873
8874
8875
8876
8877
8878
8879
8880
8881
8882
8883
8884
8885
8886
8887
8888
8890
8891
8892
8901
8902
8903
8904
8905
8907
8908
8909
8911
8917
8919
8921
8931
8933
8935
8937
8941
8943
8945
8947
8953
8955
8957
8961
8962
8963
8964
8965
8966
8967
8969
8971
8973
8975
8977
8979
8981
8983
8984
8985
8987
8989
8991
8993
8995
8997
9003
9004
9005
9007
9008
9009
9010
9011
9013
9015
9016
9017
9019
9021
9023
9024
9025
9027
9029
9031
9035
9037
9039
9041
9043
9045
9046
9047
9048
9049
9050
9051
9052
9053
9055
9057
9059
9060
9061
9062
9063
9065
9066
9069
9071
9072
9073
9074
9075
9076
9077
9079
9081
9083
9085
9087
9089
9091
9092
9093
9095
9096
9101
9102
9103
9104
9105
9106
9107
9108
9109
9110
9111
9112
9113
9114
9115
9116
9117
9118
9119
9120
9121
9122
9123
9125
9126
9127
9128
9129
9130
9131
9132
9133
9134
9135
9136
9137
9138
9139
9140
9141
9142
9143
9144
9145
9146
9147
9148
9149
9150
9151
9152
9153
9155
9156
9157
9158
9159
9160
9161
9162
9163
9164
9165
9166
9167
9168
9169
9170
9171
9172
9173
9174
9175
9180
9181
9182
9183
9184
9185
9189
9190
9191
9192
9198
9201
9203
9205
9207
9220
9222
9224
9226
9228
9230
9232
9234
9238
9240
9246
9248
9250
9252
9254
9256
9258
9260
9262
9264
9266
9268
9270
9272
9274
9276
9278
9284
9286
9288
Description
Full mouth examination, charting and treatment planning (see Rule 001)
Comprehensive consultation
Examination or consultation for a specific problem not requiring full mouth examination, charting and treatm
Appointment not kept - per half-hour (By arrangement with patient)
Provision of a written treatment plan and quotation where prior authorisation is required by medical aid fund
Intra-oral radiographs, per film
Maximum for 8107
Infection control, per dentist, per hygienist, per dental assistant, per visit
Provision of sterilised and wrapped instrumentation in consulting rooms The use of this code is limited to h
Occlusal radiographs
Hand-wrist radiograph
Extra-oral radiograph, per film (I.e. panoramic, cephalometric, PA)
Study models - unmounted
Study models - unmounted or mounted on a hinge articulator
Study models - mounted on a movable condyle articulator
Study models - mounted on adjustable articulator
Diagnostic photographs, per photograph
Photographs (for diagnostic, treatment or dento-legal purposes) per photograph
Bacteriological studies for determination of pathological agents May include, but is not limited to tests for su
Caries susceptibility tests Not to be used for carious dentin staining. A caries risk assessment must on req
Additional fee/benefit for emergency treatment rendered outside normal working hours (including emergenc
Palliative [emergency] treatment for dental pain This is typically reported on a "per visit" basis for emergenc
Gross pulpal debridement, primary and permanent teeth. Where Code 8132 is charged, no other endodont
Re-cementing of inlays, crowns or bridges - per abutment
Removal of inlays and crowns (per unit) and bridges (per abutment) or sectioning of a bridge, part of which
Access through a prosthetic crown or inlay to facilitate root canal treatment
Temporary crown placed as an emergency procedure
Fee for treatment at a venue other than the surgery, inclusive of hospital visits, treatment under general ana
Inhalation sedation - first quarter-hour or part-thereof
Inhalation sedation - each additional quarter-hour or part thereof
Intravenous sedation
Local anaesthetic, per visit Item 8145 includes the use of the Wand
Resin bonding for restorations
Use of own monitoring equipment in rooms for procedures performed under intravenous sedation
Nutritional counselling for control of dental disease Counselling on food selection and dietary habits as a pa
Tobacco counselling for the control and prevention of oral disease. Tobacco prevention and cessation serv
Oral hygiene instructions
Follow-up visit for re-evaluation of oral hygiene (if no other preventative treatment is performed during the sa
Polishing only (including removal of plaque) - complete dentition
Re-burnishing and polishing of restorations - complete dentition
Scaling and polishing
Removal of gross calculus This procedure is used when profuse bleeding prevents immediate polishing. W
Topical application of fluoride (prophylaxis excluded) - complete dentition (Excluding scaling and/or polishing
Topical application of fluoride preparations - complete dentition (Excluding scaling and/or polishing)
Fissure sealant, per tooth
Application of fluoride using laboratory processed applicators
Treatment of hypersensitive dentine, per visit
Behaviour management, by report May be reported in addition to treatment provided. Should be reported in
Bite plate for the treatment of TMJ dysfunction, or occlusal guards.
Minor occlusal adjustment
Mouth protectors (By arrangement)
Space maintainer - fixed, per abutment unit
Space maintainer - removable (all-inclusive fee)
Periodontal screening
Oral hygiene instruction for the periodontally compromised patient
Oral hygiene evaluation for the periodontally compromised patient
Plaque removal for the periodontally compromised patient
Scaling and polishing for the periodontally compromised patient
Root planing with or without periodontal curettage, per quadrant
Intra-muscular or sub-cutaneous injection therapy, per injection
Root planing with or without periodontal curettage, per sextant
Gingivectomy-gingivoplasty, per quadrant
Gingivectomy-gingivoplasty, per sextant
Biopsy - intra-oral
Appositioning (i.e., suturing) of soft tissue injuries
Osseo-integrated abutment restoration, per abutment
Placement of a single osseo-integrated implant per jaw
Placement of a second osseo-integrated implant in the same jaw
Placement of a third and subsequent osseo-integrated implant in the same jaw per implant
Cost of implants (By arrangement)
Exposure of a single osseo-integrated implant and placement of a transmucosal element
Exposure of a second osseo-integrated implant and placement of a transmucosal element in the same jaw
Exposure of a third and subsequent osseo-integrated implant in the same jaw, per implant
Single tooth
Each additional tooth in the same quadrant
Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or sec
Removal of unerupted or impacted tooth - first tooth
Removal of unerupted or impacted tooth - second tooth
Removal of unerupted or impacted tooth - each additional tooth
Surgical removal of residual roots (cutting procedure) (includes cutting of soft tissue and bone, removal of t
Surgical removal of residual roots (cutting procedure) each subsequent tooth root (Includes cutting of gingi
Surgical exposure of impacted or unerupted teeth for orthodontic reasons
Use of suture provided by practitioner
Local treatment of post-extraction haemorrhage - initial visit (Excluding treatment of bleeding in the case of
Local treatment of post-extraction haemorrhage - each additional visit
Treatment of septic socket - initial visit
Treatment of septic socket - each additional visit
Apicoectomy including retrograde filling where necessary - incisors and canines
Full upper and lower dentures inclusive of soft bases or metal bases, where applicable
Full upper or lower dentures inclusive of soft base or metal base, where applicable
Partial denture, one tooth
Partial denture, two teeth
Partial denture, three teeth
Partial denture, four teeth
Partial denture, five teeth
Partial denture, six teeth
Partial denture, seven teeth
Partial denture, eight teeth
Partial denture, nine or more teeth
Soft base to new denture (No benefit)
Cast gold clasp or rest per clasp or rest
Wrought gold clasp or rest per clasp or rest
Stainless steel clasp or rest per clasp or rest
Lingual bar or palatal bar
Re-base of denture (laboratory)
Re-model of denture
Reline of denture in selfcuring acrylic (intra-oral)
Tissue conditioner and soft self-cure interim re-line, per denture
Soft base re-line per denture (heat cured)
Repair of denture or other intra-oral appliance
Add clasp to existing partial denture (One or more clasps)
Add tooth to existing partial denture (One or more teeth)
Additional fee/benefit where impression is required for 8679
Additional fee/benefit where one or more impressions are required for 8269, 8270 and 8271
Adjustment of denture (After six months or for a patient of another practitioner)
Gold inlay in denture (By arrangement)
Metal (e.g. chrome cobalt, gold, etc.) base to full denture. (No benefit)
Metal (e.g. chrome cobalt, gold, etc.) base to partial denture, per denture
Direct pulp capping (No benefit)
Indirect pulp capping
Rubber dam, per arch
Apexification of root canal, per visit
Cost of Mineral Trioxide Aggregate
Amputation of pulp (pulpotomy)
Bleaching of vital teeth, per arch, per visit (By arrangement)
Supply of and instruction for home bleaching (self-applied bleaching) applicator (By arrangement)
Supply of bleaching materials (By arrangement)
Follow-up visit for home bleaching, per visit, where no other treatment is performed at the same visit
Bleaching of non-vital teeth, per tooth as a separate procedure
Each additional visit for bleaching of non-vital tooth as a separate procedure
Each additional canal - anteriors and premolars
Each additional canal - anteriors and premolars
Removal of fractured post or instrument and/or bypassing fractured endodontic instrument
Single-canal tooth, per visit
Multi-canal tooth, per visit
Re-preparation of previously obturated canal, per canal
First canal - anteriors and premolars
First canal - molars
Each additional canal - molars
First canal - anteriors and premolars
First canal - molars
Each additional canal - molars
Amalgam - one surface
Amalgam - two surfaces
Amalgam - three surfaces
Amalgam - four or more surfaces
Preformed post retention, per post (See Item 8379)
Restorative material factor. (See above note)
Pin retention for restoration, first pin
Pin retention for restoration, each additional pin
Carving or contouring a plastic restoration to accommodate an existing removable prosthesis
Resin - one surface, anterior
Resin - two surfaces, anterior
Resin - three surfaces, anterior
Resin - four or more surfaces, anterior
Composite veneers (Direct)
Bridge per abutment - only applicable to Maryland type bridges
Preformed metal crown
Inlay, metallic - one surface, anterior
Inlay, metallic - two surfaces, anterior
Inlay, metallic - three surfaces, anterior
Inlay, metallic - one surface, posterior
Inlay, metallic - two surfaces, posterior
Inlay, metallic - three surfaces, posterior
Inlay, metallic - four or more surfaces, posterior
Inlay, metallic - four or more surfaces, anterior
Pin retention as part of cast restoration, irrespective of number of pins
Resin - one surface, posterior
Resin - two surfaces, posterior
Resin - three surfaces, posterior
Resin - four or more surfaces, posterior
Inlay, ceramic/resin - one surface
Inlay, ceramic/resin - two surfaces
Inlay, ceramic/resin - three surfaces
Inlay, ceramic/resin - four or more surfaces
Prefabricated post and core in addition to crown
Cost of posts
Cast post and core - single
Cast post and core - double
Cast post and core - triple
Cast coping
Cast core with pins
Core build-up, including any pins
Cast full crown
Cast three-quarter crown
Acrylic jacket crown. (By arrangement)
Acrylic veneered crown
Porcelain jacket crown
Porcelain veneered crown
Facing replacement
Additional fee for provision of crown within an existing clasp or rest
Sanitary pontic
Posterior pontic
Anterior pontic (including premolars)
The relevant NAMAF services shall apply to general anaesthetics for dental procedures.
Consultation
Occlusal analysis on adjustable articulator
Pantographic recording
Detailed clinical examination, records, radiographic interpretation, diagnosis, treatment planning and case p
Examination, diagnosis and treatment planning
Electrognathographic recording
Electrognathographic recording with computer analysis.
Appointment not kept - per half-hour (By arrangement with patient)
Emergency treatment for relief of pain (where no other item is applicable)
Emergency crown
Recementing of inlay, crown or bridge, per abutment
Re-implantation of an avulsed tooth, including fixation as required
Provisional splinting - extracoronal wire, per sextant
Provisional splinting - extracoronal wire plus resin, per sextant
Provisional splinting - intracoronal wire or pins or cast bar, plus amalgam or resin, per dental unit included in
Provisional crown. Crown utilised as an interim restoration of at least six weeks during restorative treatmen
Preformed metal crown
Major occlusal adjustment
Minor occlusal adjustment
Bonded veneers
One surface
Two surfaces
Three surfaces
Four or more surfaces
Cost of ceramic block
Cost of ceramic block (Applicable to computer generated prosthesis only)
Class I and Class VI
Class V
Class III
One surface
Two surfaces
Three surfaces
Four or more surfaces
Pin retention
Single post
Double post
Triple post
Copings
Cast core with pins
Periodic maintenance of existing implant prosthesis, per abutment
Core build-up, including any pins
Osseo-integrated abutment restoration, per abutment
Prefabricated post and core in addition to crown
Cost of posts
Locks and milled rests
Precision attachments
Cost of implant components (By arrangement)
Cast three-quarter crown
Cast gold crown
Acrylic veneered gold crown
Porcelain jacket crown
Porcelain veneered metal crown
Sanitary pontic
Posterior pontic
Anterior pontic
Per abutment
Resin bonding for restorations (By arrangement)
First visit for treatment of TMJ dysfunction
Follow-up visit for TMJ dysfunction
Bite plate for TMJ dysfunction
Root canal therapy, first canal
Each additional canal
Apexification of root canal, per visit
Re-preparation of previously obturated canal, per canal
Hemisection of a tooth, resection of a root or tunnel preparation (as an isolated procedure)
Removal of fractured post or instrument from root canal
Complete upper and lower dentures without primary complications
Complete upper and lower dentures without major complications
Complete upper and lower dentures with major complications
Complete upper or lower denture without primary complications
Complete upper or lower denture without major complications
Complete upper or lower denture with major complications
Diagnostic dentures (inclusive of tissue conditioning treatment)
Remounting and occlusal adjustment of dentures
Chrome cobalt base or gold base for full denture (extra charge)
Remount of crown or bridge for extensive prosthetics
Re-base, per denture
Soft base, per denture (heat cured)
Tissue conditioner, per denture
Intra-oral reline of complete or partial denture.
Metal (e.g. Chrome cobalt or gold) partial denture
Additional fee/benefit for altered cast technique for partial denture
Additive partial denture
Repairs
Consultation
Detailed clinical examination, records, radiographic interpretation, probing, percussion, diagnosis, treatmen
Periodic re-examination
Appointment not kept - per half-hour (By arrangement with patient)
Periodontal screening
Oral hygiene instruction (The patient must be informed prior to the service being rendered that a fee will be
Oral hygiene evaluation
Full mouth clinical plaque removal
Scaling
Occlusal adjustment per visit
Provisional splinting - extracoronal wire, per sextant
Provisional splinting - extracoronal wire plus resin, per sextant
Provisional splinting - intracoronal wire or pins or cast bar, plus amalgam or resin, per dental unit included in
Periodontal abscess - treatment of acute phase (with or without flap procedure)
Root planing with or without periodontal curettage, per quadrant
Root planing with or without periodontal curettage, per sextant
Gingivectomy-gingivoplasty, per quadrant
Gingivectomy-gingivoplasty, per sextant
Flap operation with root planing and curettage and which may include not more than 3 of the following: bone
As item 8749, per sextant
Flap operation with root planing and curettage and will include more than 3 of the following: bone contouring
As item 8753, per sextant
Flap operation with bone removal to increase the clinical crown length of a single tooth (as an isolated proce
Frenectomy
Surgical exposure of impacted or unerupted teeth for orthodontic reasons
Pedicle flapped graft e.g. lateral sliding double papilla, rotated and similar (as an isolated procedure)
Apicectomy including retrograde filling where necessary - anterior teeth When Code 8760 is part of a flap o
Masticatory mucosal autograft extending across not more than four teeth (isolated procedure)
Masticatory mucosal autograft extending across more than four teeth (isolated procedure)
Wedge resection (as an isolated procedure)
Apicectomy including retrograde filling where necessary, posterior teeth When Code 8764 is part of a flap o
Hemisection of a tooth, resection of a root or tunnel preparation (as an isolated procedure).
Bone regenerative/ repair procedure excluding cost of regenerative material as part of a flap operation as d
Bone regenerative/ repair procedure at a single site
Any other periodontal procedure involving a single tooth
Subsequent removal of membrane used for guided tissue regeneration procedure
Cost of bone regenerative/repair material
Submucosal connective tissue autograft (isolated procedure)
Cost of intrapocket chemotherapeutic agent Used to report intrapocket chemotherapeutic agents provided
Consultation, examination, diagnosis and treatment of oral diseases, pathological conditions of the surround
Consultation, examination, diagnosis and treatment of oral diseases, pathological conditions of the surround
Subsequent consultation for same disease/condition
Biopsy - incisional/excisional (e.g. epulis)
Surgical treatment of soft tissue tumours (e.g. epulis)
Any other procedure connected with the practice of oral medicine
First consultation
Subsequent consultation, retention and/or post-treatment consultation
Appointment not kept - per half-hour (By arrangement with patient)
Tracing and analysis of extra-oral film
Diagnosis and treatment planning
Orthodontic diagnostic setup
Treatment planning for orthognathic surgery
Mild
Moderate
Severe
Removable: Repairs
Removable: Replacement
Fixed: Repair or replacement per unit (As a result of the patient's negligence)
Retainer
First consultation
Subsequent consultation
Bite plate for TMJ dysfunction
Major occlusal adjustment
Minor occlusal adjustment
Consultation and therapy at hospital, nursing home, or residence
Subsequent consultation
Weekly maximum
Functional appliance
Minor fixed appliance
Removable (single)
Removable (per additional)
Maxillary or mandibular arch
Combined maxillary and mandibular arch
Mild
Moderate
Severe
Mild
Mild
Moderate
Moderate
Severe
Severe
Severe plus complications
Severe plus complications
Mild
Mild
Moderate
Moderate
Severe
Severe
Severe plus complications
Severe plus complications
Monthly payment for treatment (Refer to code number of treatment)
Re-negotiated fee for transfer cases (By arrangement)
Re-treatment (By arrangement)
Consultation at consulting rooms
Detailed clinical examination, radiographic interpretation, diagnosis, treatment planning and case presentati
Consultation at hospital, nursing home or house
Subsequent consultation at consulting rooms, hospital, nursing home or house
Weekend visits and night visits between 18h00 - 07h00 the following day
Subsequent consultations, per week, to a maximum of
Removal of roots from maxillary antrum involving Caldwell-Luc and closure of oral antral communication
Closure of oral antral fistula - acute or chronic
Caldwell-Luc procedure
Biopsies - intra-oral
Biopsy of bone - needle
Biopsy of bone - open
Local treatment of post-extraction haemorrhage (excluding treatment of bleeding in the case of blood dyscra
Treatment of haemorrhage in the case of blood dyscrasias, e.g. haemophilia, per week
Treatment of post-extraction septic socket where patient is referred by another registered person
Surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or sec
First tooth
Second tooth
Third tooth
Fourth and subsequent tooth
Surgical removal of residual roots (cutting procedure) (includes cutting of soft tissue and bone, removal of t
Surgical removal of residual tooth roots (cutting procedure) each subsequent tooth root (Includes cutting of
Alveolotomy or alveolectomy - concurrent with or independent of extractions (per jaw)
Auto-transplantation of tooth (See Rule 011 and Notes 2 and 3)
Harvest iliac crest graft
Harvest rib graft
Harvest cranium graft
Peripheral neurectomy
Functional repair of oronasal fistula (local flaps)
Intra-oral approach
Extra-oral approach
Surgical treatment of soft tissue tumours
Surgical treatment of tumours of the jaws
Hemiresection of jaw, with splintage of segments
Major repairs of upper or lower jaw (i.e. by means of bone grafts or prosthesis, with jaw splintage)
Harvesting of autogenous grafts (intra-oral)
Surgical exposure of impacted or unerupted teeth for orthodontic reasons
Corticotomy - first tooth
Corticotomy - adjacent or subsequent tooth
Frenectomy
Reduction of mylohyoid ridges, per side
Torus mandibularis reduction, per side
Torus palatinus reduction
Reduction of hypertrophic tuberosity, per side
Gingivectomy, per jaw
Sulcoplasty/Vestibuloplasty
Repositioning mental foramen and nerve, per side
Lateralization of inferior dental nerve (including bone grafting)
Total alveolar ridge augmentation by bone graft
Total alveolar ridge augmentation by alloplastic material
Alveolar ridge augmentation across 1 to 2 adjacent tooth sites
Alveolar ridge augmentation across 3 or more tooth sites
Sinus lift procedure
Incision and drainage of pyogenic abscesses (intra-oral approach)
Extra-oral approach, e.g. Ludwig's angina
Apicectomy including retrograde root filling where necessary - anterior teeth
Apicectomy including retrograde root filling where necessary - posterior teeth
Decortication, saucerisation and sequestrectomy for osteomyelitis of the mandible
Sequestrectomy - intra-oral, per sextant and/or per ramus
Minor
Major
Dento-alveolar fracture, per sextant
Treatment by closed reduction, with intermaxillary fixation
Treatment of compound fracture, involving eyelet wiring
Treatment by metal cap splintage or Gunning's splints
Treatment by open reduction with restoration of occlusion by splintage
Le Fort I or Guerin fracture
Le Fort II or middle third of face
Le Fort III or craniofacial disjunction or comminuted mid-facial fractures requiring open reduction and splinta
Gillies or temporal elevation
Unstable and/or comminuted zygoma, treatment by open reduction or Caldwell-Luc operation
Requiring multiple osteosynthesis and/ or grafting
Placement of Zygomaticus fixture, per fixture
Operation for the improvement or restoration of occlusal and masticatory function, e.g. bilateral osteotomy,
Removal of internal fixation devices, per site
Anterior segmental osteotomy of mandible (Köle)
Total subapical osteotomy
Genioplasty
Midfacial exposure (for maxillary and nasal augmentation or pyramidal Le Fort II osteotomy)
Coronoidectomy (intra-oral approach)
Maxillary posterior segment osteotomy (Schukardt) - 1 or 2 stage procedure
Maxillary anterior segment osteotomy (Wassmund) - 1 or 2 stage procedure
Le Fort I osteotomy - one piece
Le Fort I osteotomy with inferior repositioning and inter positional grafting
Palatal osteotomy
Le Fort I osteotomy - multiple segments
Le Fort II osteotomy for correction of facial deformities or faciostenosis and post-traumatic deformities
Le Fort III osteotomy for correction of severe congenital deformities, viz. Crouzon's disease and malunited c
Surgical assisted maxillary or mandibular expansion
Functional tongue reduction (partial glossectomy)
Geniohyoidotomy
Functional closure of the secondary oro-nasal fistula and associated structures with bone grafting (complet
Bite plate for TMJ dysfunction
Diagnostic arthroscopy
Condylectomy or coronoidectomy or both (extra-oral approach)
Arthrocentesis TMJ/ Arthrosintese TMG
Intra-articular injection, per injection
Trigger point injection, per injection
Condyle neck osteotomy (Ward/ Kostecka)
Temporomandibular joint arthroplasty
Reduction of temporomandibular joint dislocation without anaesthetic
Reduction of temporomandibular joint dislocation, with anaesthetic
Reduction of temporomandibular joint dislocation, with anaesthetic and immobilisation
Reduction of temporomandibular joint dislocation requiring open reduction
Total joint reconstruction with alloplastic material or bone (includes condylectomy and coronoidectomy)
Removal of salivary calculus
Removal of sublingual salivary gland
Removal of salivary gland (extra-oral)
Surgical obturator - Modified denture
Surgical obturator - continuous base
Surgical obturator - split base
Interim obturator on existing denture
Interim obturator on new denture
Definitive obturator - open/ hollow box
Definitive obturator - silicone glove
Prosthesis with guide flange
Prosthesis without guide flange
Prosthesis - Palatal augmentation
Simple prosthesis.
Complex prosthesis
Carriers - simple
Carriers - complex
Shields - simple
Shields - complex
Cone locators
Chemotherapeutic agent carriers
Passive presurgical prosthesis/ Neonatal feeding aid
Active presurgical orthopaedic appliance - minor
Active presurgical orthopaedic appliance - moderate
Active presurgical orthopaedic appliance - severe
Active presurgical orthopaedic appliance - adjustment
Speech aid/obturator with palatal modification
Speech aid/obturator with velar modification
Speech aid/obturator with pharyngeal modification
Speech aid/obturator adjustment
Speech aid/obturator surgical prosthesis
Palatal lift
Palatal stimulating
Speech bulb
Adjustments
Other (By arrangement)
Auricular prosthesis - simple
Auricular prosthesis - complex
Nasal prosthesis - simple
Nasal prosthesis - complex
Ocular prosthesis - conformer
Ocular prosthesis using modified stock appliance
Ocular prosthesis using custom appliance
Orbital prosthesis - simple (excluding ocular section
Orbital prosthesis - complex (excluding ocular section)
Combination facial prostheses - small (By arrangement)
Combination facial prostheses - medium (By arrangement)
Combination facial prostheses - large (By arrangement)
Combination facial prostheses - complex (By arrangement)
Other body prostheses - simple
Other body prostheses - complex
Surgical facial prostheses - simple
Surgical facial prostheses - complex
Additional prostheses (from mould at time of first prosthesis)
Replacement prosthesis (from original mould)
Cranial prosthesis
Cranial - acrylic, elastomeric, metallic
Facial - simple
Facial - complex
Ocular - custom made
Body - special prosthesis
Splints - simple
Splints - complex
Templates - simple
Templates - complex
Conformers - simple
Conformers - complex
Trismus appliance - simple
Trismus appliance - complex
Orthoses (for paralysed patients
Facial palsy appliances
Oral splints (per commissure)
Dynamic oral retractors (per arm)
Hand splints (By arrangement)
Other (By arrangement)
Attendance in theatre, per hour
Placement of sub-periosteal implant - Preparatory procedure/operation
Placement of sub-periosteal implant prosthesis/ operation
Placement of endosteal implant, per implant
Placement of a single osseo-integrated implant per jaw
Placement of a second osseo-integrated implant in the same jaw
Placement of a third and subsequent osseo-integrated implant in the same jaw, per implant
Cost of implants (Benefit by arrangement)
Exposure of a single osseo-integrated implant and placement of a transmucosal element
Exposure of a second osseo-integrated implant and placement of a transmucosal element in the same jaw
Exposure of a third and subsequent osseo-integrated implant in the same jaw, per implant
Implant removal This procedure involves the surgical removal of an implant, i.e. cutting of soft tissue and bo
Consultation at rooms
Consultation at hospital, nursing home or house
Subsequent consultation
Night consultation
Repair of cleft hard palate (unilateral)
Repair of cleft hard palate (bilateral, one procedure)
Repair of cleft hard palate (bilateral, in two procedures)
Repair of cleft soft palate (without muscle reconstruction)
Repair of soft palatum (with muscle reconstruction)
Repair of submucosal cleft and/or bifid uvula (with muscle reconstruction)
Velopharyngeal reconstruction (uncomplicated)
Velopharyngeal reconstruction (complicated type)
Functional repair of oro-nasal fistula (distant flaps - in a single procedure)
Functional repair of oro-nasal fistula (distant flaps - in two procedures)
Secondary periosteal swivel flaps for bone induction
Lip adhesion
Unilateral cleft lip repair (without muscle reconstruction)
Unilateral cleft lip repair (with muscle reconstruction)
Bilateral cleft lip repair (without muscle reconstruction)
Bilateral cleft lip repair (with muscle reconstruction)
Anterior nasal floor repair (between alveolus)
Partial revision of secondary cleft lip deformity
Total revision of secondary cleft lip deformity (with functional muscle reconstruction)
Abbe-flap (in two stages)
Columella reconstruction
Partial reconstruction of nose due to cleft deformity
Complete reconstruction of the nose due to cleft deformity
Paranasal augmentation for nasal base deviation
Repair anterior table, frontal sinus and/or supraorbital rim
Repair anterior and posterior wall w/ obturation and/or cranialisation of frontal sinus
Repair medial canthal ligament (canthopexy), per side
Musculofascial flap
Musculocranial flap
Buccal fat pad (major repair)
Values
   54     62       64        92       94      98
 136.78      -        -        -        -     -
 257.28      -        -        -        -     -
  73.82      -        -        -        -     -
    -        -        -        -        -     -
 185.63      -        -        -        -     -
  72.73    72.73    71.47    71.47    72.11   -
 569.93   569.93   566.35   566.35   566.35   -
  18.45      -        -        -        -     -
  41.25      -        -        -        -     -
 125.93   125.93   125.62   125.62   125.62   -
 295.28   295.28   292.38   292.38   292.38   -
 295.28   295.28   292.38   292.38   292.38   -
    -      81.42    81.22    81.22    81.22   -
  81.42      -        -        -        -     -
 198.66      -        -        -        -     -
    -     198.66   197.09   197.09   197.09   -
    -      81.42    81.22      -      81.22   -
  81.42      -        -        -        -     -
    -        -        -        -        -     -
    -        -        -        -        -     -
 275.74      -        -        -        -     -
 111.81      -        -        -        -     -
 182.38      -        -        -        -     -
 111.81      -        -        -        -     -
 221.46      -        -        -        -     -
 100.96      -        -        -        -     -
 382.12      -        -        -        -     -
 181.29      -        -     179.76      -     -
  83.59      -        -        -        -     -
  41.25      -        -        -        -     -
  49.94      -        -        -        -     -
  21.71      -        -        -        -     -
    -        -        -        -        -     -
 176.95      -        -        -        -     -
    -        -        -        -        -     -
    -        -        -        -        -     -
 111.81      -        -        -        -     -
  83.59      -        -        -        -     -
 111.81      -        -        -     111.54   -
 111.81      -        -        -        -     -
 220.37      -        -        -     217.66   -
    -        -        -        -        -     -
 111.81      -        -        -        -     -
    -        -        -        -     111.54   -
  72.73      -        -        -      71.47   -
    -        -        -        -     115.87   -
   85.76      -     -   -   84.47   -
     -        -     -   -     -     -
  430.97      -     -   -     -     -
  245.34      -     -   -     -     -
     -        -     -   -     -     -
  209.52      -     -   -     -     -
  264.88      -     -   -     -     -
  135.70      -     -   -     -     -
  169.35      -     -   -     -     -
   91.19      -     -   -     -     -
  127.01      -     -   -     -     -
  238.83      -     -   -     -     -
  447.26      -     -   -     -     -
   49.94      -     -   -     -     -
  354.98      -     -   -     -     -
  584.04      -     -   -     -     -
  464.63      -     -   -     -     -
  284.42      -     -   -     -     -
  550.39      -     -   -     -     -
1,655.50      -     -   -     -     -
1,037.81      -     -   -     -     -
  776.18      -     -   -     -     -
  516.73      -     -   -     -     -
     -        -     -   -     -     -
  384.29      -     -   -     -     -
  288.76      -     -   -     -     -
  193.23      -     -   -     -     -
  111.81   111.81   -   -     -     -
   44.51    44.51   -   -     -     -
  480.91      -     -   -     -     -
  800.07      -     -   -     -     -
  430.97      -     -   -     -     -
  243.17      -     -   -     -     -
  480.91      -     -   -     -     -
  373.44      -     -   -     -     -
  892.34      -     -   -     -     -
     -        -     -   -     -     -
   83.59      -     -   -     -     -
   55.36      -     -   -     -     -
   83.59      -     -   -     -     -
   55.36      -     -   -     -     -
  550.39      -     -   -     -     -
1,802.05      -     -   -     -     -
1,110.54      -     -   -     -     -
  515.65      -     -   -     -     -
  515.65      -     -   -     -     -
  775.10      -     -   -     -     -
  775.10      -     -   -     -     -
  775.10      -     -   -     -     -
1,025.87      -     -   -     -     -
1,025.87   -   -   -      -     -
1,025.87   -   -   -      -     -
1,025.87   -   -   -      -     -
     -     -   -   -      -     -
  103.13   -   -   -      -     -
  103.13   -   -   -      -     -
  107.47   -   -   -      -     -
  125.93   -   -   -      -     -
  421.20   -   -   -      -     -
  674.14   -   -   -      -     -
  264.88   -   -   -      -     -
  176.95   -   -   -      -     -
  613.35   -   -   -      -     -
  143.30   -   -   -      -     -
  103.13   -   -   -      -     -
  103.13   -   -   -      -     -
     -     -   -   -    82.30   -
   83.59   -   -   -      -     -
   83.59   -   -   -    82.30   -
     -     -   -   -      -     -
     -     -   -   -      -     -
1,203.90   -   -   -      -     -
     -     -   -   -      -     -
  149.81   -   -   -      -     -
   86.85   -   -   -      -     -
  149.81   -   -   -      -     -
     -     -   -   -      -     -
  147.64   -   -   -      -     -
     -     -   -   -      -     -
     -     -   -   -      -     -
     -     -   -   -      -     -
     -     -   -   -      -     -
  263.79   -   -   -   260.98   -
  125.93   -   -   -   125.62   -
  209.52   -   -   -      -     -
  257.28   -   -   -      -     -
  147.64   -   -   -      -     -
  111.81   -   -   -      -     -
  155.24   -   -   -      -     -
  166.09   -   -   -      -     -
  504.79   -   -   -      -     -
  696.94   -   -   -      -     -
  209.52   -   -   -      -     -
  776.18   -   -   -      -     -
1,067.12   -   -   -      -     -
  257.28   -   -   -      -     -
  200.83   -   -   -      -     -
  251.85   -   -   -      -     -
  302.87   -   -   -      -     -
  339.78   -   -   -      -     -
  220.37   -   -   -      -     -
     -     -   -   -      -     -
  108.56   -   -   -      -     -
  103.13   -   -   -      -     -
   44.51   -   -   -      -     -
  221.46   -   -   -      -     -
  281.16   -   -   -      -     -
  333.27   -   -   -      -     -
  373.44   -   -   -      -     -
  388.64   -   -   -      -     -
  497.19   -   -   -      -     -
  226.88   -   -   -      -     -
     -     -   -   -      -     -
     -     -   -   -      -     -
     -     -   -   -      -     -
  341.96   -   -   -      -     -
  497.19   -   -   -      -     -
  826.12   -   -   -      -     -
1,000.90   -   -   -      -     -
     -     -   -   -      -     -
  166.09   -   -   -      -     -
  241.00   -   -   -      -     -
  296.36   -   -   -      -     -
  356.07   -   -   -      -     -
  388.64   -   -   -      -     -
  408.18   -   -   -      -     -
  604.66   -   -   -      -     -
  994.38   -   -   -      -     -
1,203.90   -   -   -      -     -
  606.84   -   -   -      -     -
     -     -   -   -      -     -
  256.20   -   -   -      -     -
  408.18   -   -   -      -     -
  591.64   -   -   -      -     -
  167.18   -   -   -      -     -
  408.18   -   -   -      -     -
  497.19   -   -   -      -     -
1,277.72   -   -   -      -     -
1,277.72   -   -   -      -     -
     -     -   -   -      -     -
1,277.72   -   -   -      -     -
1,277.72   -   -   -      -     -
1,277.72   -   -   -      -     -
  249.68   -   -   -      -     -
   72.73   -   -   -      -     -
  620.95   -   -   -      -     -
  826.12   -   -   -      -     -
1,042.15   -   -   -      -     -
     -     -   -   -      -     -
     -     -   -   -   180.30   -
-   -   -   -     370.35   -
-   -   -   -     534.95   -
-   -   -   -     602.09   -
-   -   -   -     370.35   -
-   -   -   -     573.93   -
-   -   -   -     952.95   -
-   -   -   -        -     -
-   -   -   -     225.24   -
-   -   -   -     374.68   -
-   -   -   -     141.86   -
-   -   -   -     385.51   -
-   -   -   -     309.71   -
-   -   -   -     448.32   -
-   -   -   -     141.86   -
-   -   -   -     370.35   -
-   -   -   -     310.79   -
-   -   -   -   1,054.74   -
-   -   -   -     336.78   -
-   -   -   -   1,277.81   -
-   -   -   -     804.59   -
-   -   -   -   1,155.45   -
-   -   -   -   1,797.60   -
-   -   -   -   1,797.60   -
-   -   -   -        -     -
-   -   -   -        -     -
-   -   -   -     965.94   -
-   -   -   -   1,128.37   -
-   -   -   -   1,419.67   -
-   -   -   -     665.98   -
-   -   -   -     965.94   -
-   -   -   -   1,497.64   -
-   -   -   -   1,497.64   -
-   -   -   -     221.99   -
-   -   -   -     374.68   -
-   -   -   -     534.95   -
-   -   -   -     665.98   -
-   -   -   -     309.71   -
-   -   -   -     527.37   -
-   -   -   -     136.44   -
-   -   -   -     493.80   -
-   -   -   -   2,176.62   -
-   -   -   -     560.94   -
-   -   -   -        -     -
-   -   -   -     151.61   -
-   -   -   -     370.35   -
-   -   -   -        -     -
-   -   -   -   1,867.99   -
-   -   -   -   1,867.99   -
-   -   -   -   1,867.99   -
-   -   -   -   1,867.99   -
-   -   -      -     1,867.99   -
-   -   -      -     1,128.37   -
-   -   -      -     1,381.77   -
-   -   -      -     1,492.23   -
-   -   -      -       965.94   -
-   -   -      -          -     -
-   -   -      -       152.69   -
-   -   -      -       115.87   -
-   -   -   560.94     560.94   -
-   -   -      -     1,310.30   -
-   -   -      -       327.03   -
-   -   -      -       217.66   -
-   -   -      -       197.09   -
-   -   -      -       725.54   -
-   -   -      -       385.51   -
-   -   -      -     3,739.23   -
-   -   -      -     4,852.45   -
-   -   -      -     5,972.16   -
-   -   -      -     2,617.35   -
-   -   -      -     2,987.70   -
-   -   -      -     3,359.14   -
-   -   -      -     2,987.70   -
-   -   -      -       429.91   -
-   -   -      -       900.97   -
-   -   -      -       429.91   -
-   -   -      -       603.17   -
-   -   -      -       900.97   -
-   -   -      -       221.99   -
-   -   -      -       331.37   -
-   -   -      -     2,987.70   -
-   -   -      -       113.70   -
-   -   -      -     1,355.78   -
-   -   -      -       151.61   -
-   -   -   179.76        -     -
-   -   -   602.09        -     -
-   -   -   179.76        -     -
-   -   -      -          -     -
-   -   -   179.76        -     -
-   -   -   221.99     221.99   -
-   -   -   106.12     106.12   -
-   -   -   152.69        -     -
-   -   -   307.54        -     -
-   -   -   336.78        -     -
-   -   -   309.71        -     -
-   -   -   448.32        -     -
-   -   -   141.86        -     -
-   -   -   262.06        -     -
-   -   -   602.09        -     -
-   -   -   480.80        -     -
-   -   -   794.84        -     -
  -          -         -       631.33      -     -
  -          -         -     1,807.35      -     -
  -          -         -     1,497.64      -     -
  -          -         -     2,240.51      -     -
  -          -         -     1,816.01      -     -
  -          -         -     1,101.30      -     -
  -          -         -       883.64      -     -
  -          -         -     1,207.43      -     -
  -          -         -       826.25      -     -
  -          -         -       725.54      -     -
  -       904.28       -       898.80      -     -
  -          -         -     1,348.20      -     -
  -          -         -       527.37      -     -
  -          -         -     1,448.91      -     -
  -          -         -       725.54      -     -
  -          -         -       430.99      -     -
  -     1,126.82       -     1,119.71      -     -
  -          -         -       527.37      -     -
  -       530.85       -       527.37      -     -
  -          -         -          -        -     -
  -       911.88       -       905.30      -     -
  -          -         -          -        -     -
  -          -         -       179.76      -     -
  -          -         -       318.37      -     -
  -          -         -       134.28      -     -
  -          -         -       373.60      -     -
  -          -         -       646.49      -     -
  -          -         -       190.59      -     -
  -          -      179.76        -        -     -
  -          -      134.28        -        -     -
  -          -         -          -        -     -
33.65      33.65     33.57      33.57    33.57   -
  -          -      106.12        -        -     -
  -          -      225.24        -        -     -
  -       785.95    780.77        -        -     -
  -          -   12,065.60        -        -     -
  -          -   14,181.57        -        -     -
  -          -   16,156.77        -        -     -
  -          -      152.69        -        -     -
  -          -      527.37        -        -     -
  -          -      225.24        -        -     -
  -          -      527.37        -        -     -
  -          -      254.48        -        -     -
  -          -      134.28        -        -     -
  -          -      560.94        -        -     -
  -          -    1,054.74        -        -     -
  -          -      336.78        -        -     -
  -          -      309.71        -     309.71   -
  -          -      151.61        -     151.61   -
  -          -    1,057.99        -   1,057.99   -
-        -      3,364.55   -   -   -
-        -      2,240.51   -   -   -
-        -      1,869.07   -   -   -
-        -        935.62   -   -   -
-        -      5,974.32   -   -   -
-        -      8,214.83   -   -   -
-        -      6,420.47   -   -   -
-        -      7,918.12   -   -   -
-        -      9,263.07   -   -   -
-        -     11,747.23   -   -   -
-        -     23,019.06   -   -   -
-        -     14,421.97   -   -   -
-        -     26,953.22   -   -   -
-        -     16,815.17   -   -   -
-        -     30,584.16   -   -   -
-        -     18,896.49   -   -   -
-        -     33,934.63   -   -   -
-        -     16,815.17   -   -   -
-        -     28,095.67   -   -   -
-        -     18,896.49   -   -   -
-        -     31,430.98   -   -   -
-        -     21,212.80   -   -   -
-        -     35,005.61   -   -   -
-        -     23,901.62   -   -   -
-        -     38,951.67   -   -   -
-        -           -     -   -   -
-        -           -     -   -   -
-        -           -     -   -   -
-     181.29         -     -   -   -
-     605.75         -     -   -   -
-     201.92         -     -   -   -
-     135.70         -     -   -   -
-     296.36         -     -   -   -
-     339.78         -     -   -   -
-   2,213.48         -     -   -   -
-   1,696.75         -     -   -   -
-     664.37         -     -   -   -
-     376.69         -     -   -   -
-     650.26         -     -   -   -
-   1,067.12         -     -   -   -
-     491.76         -     -   -   -
-   1,696.75         -     -   -   -
-     127.01         -     -   -   -
-     650.26         -     -   -   -
-   1,049.75         -     -   -   -
-     568.84         -     -   -   -
-     321.33         -     -   -   -
-     321.33         -     -   -   -
-     650.26         -     -   -   -
-        -           -     -   -   -
-     889.08   -        -        -     -
-   1,457.92   -        -        -     -
-     536.27   -        -        -     -
-     615.52   -        -        -     -
-     480.91   -        -        -     -
-   1,457.92   -        -        -     -
-   2,028.94   -        -        -     -
-   2,024.59   -        -        -     -
-   3,242.61   -        -        -     -
-     650.26   -        -        -     -
-   3,242.61   -        -        -     -
-   3,406.53   -        -        -     -
-   3,404.36   -        -        -     -
-     282.25   -     279.39      -     -
-   1,215.84   -        -        -     -
-     969.42   -        -        -     -
-     491.76   -        -        -     -
-     889.08   -        -        -     -
-   1,457.92   -        -        -     -
-   1,457.92   -        -        -     -
-   1,457.92   -        -        -     -
-     650.26   -        -        -     -
-   1,297.26   -        -        -     -
-   3,341.39   -        -        -     -
-   2,024.59   -        -        -     -
-   3,263.23   -        -        -     -
-   3,406.53   -        -        -     -
-   2,147.26   -        -        -     -
-     809.84   -     804.59      -     -
-   1,474.21   -   1,465.15      -     -
-   2,213.48   -   2,200.44      -     -
-     415.77   -        -        -     -
-     568.84   -        -        -     -
-     730.59   -        -     725.54   -
-   1,457.92   -        -   1,448.91   -
-   3,002.69   -        -        -     -
-     650.26   -        -        -     -
-     730.59   -        -        -     -
-   1,541.51   -        -        -     -
-     730.59   -        -        -     -
-   1,617.50   -        -        -     -
-   2,272.10   -        -        -     -
-   2,517.44   -        -        -     -
-   3,730.03   -        -        -     -
-   2,277.53   -        -        -     -
-   3,730.03   -        -        -     -
-   5,350.79   -        -        -     -
-   1,617.50   -        -        -     -
-   3,242.61   -        -        -     -
-   4,857.94   -        -        -     -
-    3,207.87   -   -        -     -
-    6,803.29   -   -        -     -
-      620.95   -   -        -     -
-    5,666.69   -   -        -     -
-   10,369.39   -   -        -     -
-    3,242.61   -   -        -     -
-    5,135.85   -   -        -     -
-    2,023.51   -   -        -     -
-    5,666.69   -   -        -     -
-    5,666.69   -   -        -     -
-   10,664.67   -   -        -     -
-   11,972.78   -   -        -     -
-    3,730.03   -   -        -     -
-   13,613.09   -   -        -     -
-   13,623.94   -   -        -     -
-   20,413.12   -   -        -     -
-    3,242.61   -   -        -     -
-    2,431.68   -   -        -     -
-    1,457.92   -   -        -     -
-   10,664.67   -   -        -     -
-      565.58   -   -        -     -
-    1,608.82   -   -        -     -
-    4,044.85   -   -        -     -
-      889.08   -   -        -     -
-      242.08   -   -        -     -
-      191.06   -   -        -     -
-    1,617.50   -   -        -     -
-    4,044.85   -   -        -     -
-      321.33   -   -        -     -
-      650.26   -   -        -     -
-    1,617.50   -   -        -     -
-    4,044.85   -   -        -     -
-   10,800.37   -   -        -     -
-      730.59   -   -        -     -
-    1,800.97   -   -        -     -
-    2,668.34   -   -        -     -
-         -     -   -     221.99   -
-         -     -   -     602.09   -
-         -     -   -     898.80   -
-         -     -   -   1,355.78   -
-         -     -   -   4,184.30   -
-         -     -   -   1,355.78   -
-         -     -   -   2,617.35   -
-         -     -   -   3,214.03   -
-         -     -   -   2,987.70   -
-         -     -   -     602.09   -
-         -     -   -   1,258.32   -
-         -     -   -   1,882.07   -
-         -     -   -   1,355.78   -
-         -     -   -   3,739.23   -
-   -        -     -   1,355.78   -
-   -        -     -   3,739.23   -
-   -        -     -   1,355.78   -
-   -        -     -   1,355.78   -
-   -   1,200.93   -   1,200.93   -
-   -   1,200.93   -   1,200.93   -
-   -   1,773.78   -   1,773.78   -
-   -   2,987.70   -   2,987.70   -
-   -     151.61   -     151.61   -
-   -        -     -     603.17   -
-   -        -     -   1,355.78   -
-   -        -     -   2,987.70   -
-   -        -     -     151.61   -
-   -        -     -   1,200.93   -
-   -        -     -     602.09   -
-   -        -     -   1,355.78   -
-   -        -     -   2,987.70   -
-   -        -     -     151.61   -
-   -        -     -        -     -
-   -        -     -   3,739.23   -
-   -        -     -   4,852.45   -
-   -        -     -   3,739.23   -
-   -        -     -   4,852.45   -
-   -        -     -   1,355.78   -
-   -        -     -   3,361.30   -
-   -        -     -   4,852.45   -
-   -        -     -   3,361.30   -
-   -        -     -   4,852.45   -
-   -        -     -        -     -
-   -        -     -        -     -
-   -        -     -        -     -
-   -        -     -        -     -
-   -        -     -   3,361.30   -
-   -        -     -   4,852.45   -
-   -        -     -   2,617.35   -
-   -        -     -   3,361.30   -
-   -        -     -        -     -
-   -        -     -        -     -
-   -        -     -   1,355.78   -
-   -        -     -   1,637.33   -
-   -        -     -     817.58   -
-   -        -     -   1,637.33   -
-   -        -     -     817.58   -
-   -        -     -   3,637.44   -
-   -        -     -     370.35   -
-   -        -     -   1,355.78   -
-   -        -     -     370.35   -
-   -        -     -   1,355.78   -
-   -        -     -     370.35   -
-   -        -     -   1,355.78   -
-         -     -        -     151.61    -
-         -     -        -   1,355.78    -
-         -     -        -   2,987.70    -
-         -     -        -     898.80    -
-         -     -        -     370.35    -
-         -     -        -     370.35    -
-         -     -        -        -      -
-         -     -        -        -      -
-         -     -        -     498.13    -
-    2,206.97   -        -        -      -
-    2,206.97   -        -        -      -
-    1,107.28   -   1,100.22      -      -
-    1,406.90   -   1,398.02      -      -
-    1,054.09   -   1,047.16      -      -
-      706.71   -     701.71      -      -
-         -     -        -        -      -
-      521.08   -     516.54   516.54    -
-      390.81   -     387.68   387.68    -
-      261.62   -     259.89   259.89    -
-      718.65   -     713.63      -      -
-         -     -        -        -   180.53
-         -     -        -        -   201.07
-         -     -        -        -   135.13
-         -     -        -        -   295.11
-    5,958.71   -        -        -      -
-    7,564.27   -        -        -      -
-   11,269.33   -        -        -      -
-    4,993.64   -        -        -      -
-    7,248.37   -        -        -      -
-    5,396.38   -        -        -      -
-    5,553.79   -        -        -      -
-    5,937.00   -        -        -      -
-    3,396.76   -        -        -      -
-    5,925.06   -        -        -      -
-    2,960.36   -        -        -      -
-    1,108.37   -        -        -      -
-    1,950.77   -        -        -      -
-    2,641.20   -        -        -      -
-    2,722.62   -        -        -      -
-    4,206.60   -        -        -      -
-    1,064.95   -        -        -      -
-    1,064.95   -        -        -      -
-    2,400.20   -        -        -      -
-    2,718.27   -        -        -      -
-    1,605.56   -        -        -      -
-    2,040.88   -        -        -      -
-    3,225.24   -        -        -      -
-    1,605.56   -        -        -      -
-         -     -        -        -      -
-         -     -        -        -      -
-   -   -   -   -   -
-   -   -   -   -   -
-   -   -   -   -   -
-   -   -   -   -   -

				
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posted:9/29/2013
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