|
Prothèses (TP autorisé) |
|||||||||||||||
|
prothèses (de 1 à 13 dts dès 50 ans; 14 dts dès 60 ans) |
0 |
||||||||||||||
|
dents |
max.sup. . |
mandibul . |
0.7517 |
Hon. |
B.I.M. |
CoP. |
R.S. |
CoP. |
|||||||
|
1 |
307 |
73 |
1 |
1 |
307 |
75 |
3 |
3 |
376 |
||||||
|
2 |
307 |
77 |
5 |
5 |
307 |
79 |
0 |
0 |
376 |
||||||
|
3 |
307 |
81 |
2 |
2 |
307 |
83 |
4 |
4 |
376 |
282.65 |
268.52 |
14.13 |
211.99 |
70.66 |
|
|
4 |
307 |
85 |
6 |
6 |
307 |
87 |
1 |
1 |
376 |
||||||
|
5 |
307 |
89 |
3 |
3 |
307 |
91 |
5 |
5 |
376 |
||||||
|
6 |
307 |
93 |
0 |
0 |
307 |
95 |
2 |
2 |
412 |
309.71 |
294.23 |
15.48 |
232.29 |
77.42 |
|
|
7 |
307 |
97 |
4 |
4 |
307 |
99 |
6 |
6 |
412 |
||||||
|
8 |
308 |
01 |
1 |
1 |
308 |
03 |
3 |
3 |
453 |
340.53 |
323.51 |
17.02 |
255.40 |
85.13 |
|
|
9 |
308 |
05 |
5 |
5 |
308 |
07 |
0 |
0 |
453 |
||||||
|
10 |
308 |
09 |
2 |
2 |
308 |
11 |
4 |
4 |
526 |
395.41 |
375.64 |
19.77 |
296.56 |
98.85 |
|
|
11 |
308 |
13 |
6 |
6 |
308 |
15 |
1 |
1 |
526 |
||||||
|
12 |
306 |
83 |
2 |
2 |
306 |
85 |
4 |
4 |
600 |
||||||
|
13 |
306 |
87 |
6 |
6 |
306 |
89 |
1 |
1 |
600 |
451.03 |
428.48 |
22.55 |
338.28 |
112.75 |
|
|
14 |
306 |
91 |
3 |
3 |
306 |
93 |
5 |
5 |
600 |
||||||
|
2 complets |
902.06 |
856.96 |
45.10 |
676.56 |
225.50 |
||||||||||
|
renouvellement anticipé, sur autorisation du CTD |
308 33 5 |
||||||||||||||
|
rebasage |
|||||||||||||||
|
1- 5 dts |
308 |
31 |
3 |
3 |
112.8 |
84.80 |
80.56 |
4.24 |
63.60 |
21.20 |
K9 010702: problème d'arrondi +1c |
||||
|
6 - 7 dts |
308 |
31 |
3 |
3 |
123.6 |
92.91 |
88.27 |
4.64 |
69.69 |
23.22 |
|||||
|
8 - 9 dts |
308 |
31 |
3 |
3 |
135.9 |
102.16 |
97.06 |
5.10 |
76.62 |
25.54 |
|||||
|
10 - 11 dts |
308 |
31 |
3 |
3 |
157.8 |
118.62 |
112.69 |
5.93 |
88.97 |
29.65 |
|||||
|
12 - 13 dts |
307 |
15 |
6 |
6 |
180 |
135.31 |
128.55 |
6.76 |
101.49 |
33.82 |
|||||
|
14 dents |
306 |
95 |
0 |
0 |
180 |
135.31 |
128.55 |
6.76 |
101.49 |
33.82 |
|||||
|
2 complets |
270.62 |
257.10 |
13.52 |
202.98 |
67.64 |
||||||||||
|
3° rebasage en moins de 7 ans, sur aut. CTD |
308 35 0 |
||||||||||||||
|
réparation (1 par année civile) |
0 |
||||||||||||||
|
1 à 11 dts |
308 |
29 |
1 |
1 |
61.5 |
||||||||||
|
12 à 13 dts |
306 |
99 |
4 |
4 |
61.5 |
46.23 |
46.23 |
0.00 |
34.68 |
11.55 |
|||||
|
14 dents |
307 |
17 |
1 |
1 |
61.5 |
||||||||||
|
adjonctions (pas prévu pour 12 ou 13 dents) |
0 |
||||||||||||||
|
1° dent |
308 |
25 |
4 |
4 |
85 |
63.90 |
63.90 |
0.00 |
47.93 |
15.97 |
|||||
|
par dt suppl. |
308 |
27 |
6 |
6 |
24.5 |
18.42 |
18.42 |
0.00 |
13.82 |
4.60 |
|||||
|
6.43 |
3 |
02 |
3 |
3 |
02 |
1.5 |
7 |
6 |
4.5 |
6 |
4.5 |
48.4 |
|||
|
prothesen (RDB toegelaten) |
|||||||||||||||
|
prothesen (van 1 tot 13 td vanaf 50 jaar; 14 td vanaf 60 jaar) |
|||||||||||||||
|
tand. |
bovenk. |
onderk. |
27.0905 |
Hon. |
RVT |
PB |
andere |
PB |
|||||||
|
1 |
307 |
73 |
1 |
1 |
307 |
75 |
3 |
3 |
376 |
||||||
|
2 |
307 |
77 |
5 |
5 |
307 |
79 |
0 |
0 |
376 |
||||||
|
3 |
307 |
81 |
2 |
2 |
307 |
83 |
4 |
4 |
376 |
282.65 |
268.52 |
14.13 |
211.99 |
70.66 |
|
|
4 |
307 |
85 |
6 |
6 |
307 |
87 |
1 |
1 |
376 |
||||||
|
5 |
307 |
89 |
3 |
3 |
307 |
91 |
5 |
5 |
376 |
||||||
|
6 |
307 |
93 |
0 |
0 |
307 |
95 |
2 |
2 |
412 |
309.71 |
294.23 |
15.48 |
232.29 |
77.42 |
|
|
7 |
307 |
97 |
4 |
4 |
307 |
99 |
6 |
6 |
412 |
||||||
|
8 |
308 |
01 |
1 |
1 |
308 |
03 |
3 |
3 |
453 |
340.53 |
323.51 |
17.02 |
255.40 |
85.13 |
|
|
9 |
308 |
05 |
5 |
5 |
308 |
07 |
0 |
0 |
453 |
||||||
|
10 |
308 |
09 |
2 |
2 |
308 |
11 |
4 |
4 |
526 |
395.41 |
375.64 |
19.77 |
296.56 |
98.85 |
|
|
11 |
308 |
13 |
6 |
6 |
308 |
15 |
1 |
1 |
526 |
||||||
|
12 |
306 |
83 |
2 |
2 |
306 |
85 |
4 |
4 |
600 |
||||||
|
13 |
306 |
87 |
6 |
6 |
306 |
89 |
1 |
1 |
600 |
451.03 |
428.48 |
22.55 |
338.28 |
112.75 |
|
|
14 |
306 |
91 |
3 |
3 |
306 |
93 |
5 |
5 |
600 |
||||||
|
2 x 14 |
902.06 |
856.96 |
45.10 |
676.56 |
225.50 |
||||||||||
|
geanticipeerde vernieuwing, met aut. TTC |
308 33 5 |
||||||||||||||
|
rebasing |
|||||||||||||||
|
1- 5 td |
308 |
31 |
3 |
3 |
112.8 |
84.80 |
80.56 |
4.24 |
63.60 |
21.20 |
|||||
|
6 - 7 td |
308 |
31 |
3 |
3 |
123.6 |
92.91 |
88.27 |
4.64 |
69.69 |
23.22 |
|||||
|
8 - 9 td |
308 |
31 |
3 |
3 |
135.9 |
102.16 |
97.06 |
5.10 |
76.62 |
25.54 |
|||||
|
10 - 11 td |
308 |
31 |
3 |
3 |
157.8 |
118.62 |
112.69 |
5.93 |
88.97 |
29.65 |
|||||
|
12 - 13 td |
307 |
15 |
6 |
6 |
180 |
135.31 |
128.55 |
6.76 |
101.49 |
33.82 |
|||||
|
14 tanden |
306 |
95 |
0 |
0 |
180 |
135.31 |
128.55 |
6.76 |
101.49 |
33.82 |
|||||
|
2 x 14 |
270.62 |
257.10 |
13.52 |
202.98 |
67.64 |
||||||||||
|
3° rebasing in minder dan 7 jaar, met aut. TTC |
308 35 0 |
||||||||||||||
|
herstelling ( 1 per kalenderjaar) |
0 |
||||||||||||||
|
1 - 11 td |
308 |
29 |
1 |
1 |
61.5 |
||||||||||
|
12 - 13 td |
306 |
99 |
4 |
4 |
61.5 |
46.23 |
46.23 |
0.00 |
34.68 |
11.55 |
|||||
|
14 tanden |
307 |
17 |
1 |
1 |
61.5 |
||||||||||
|
bijvoegen (niet voor 12 of 13 tanden) |
0 |
||||||||||||||
|
1° tand |
308 |
25 |
4 |
4 |
85 |
63.90 |
63.90 |
0.00 |
47.93 |
15.97 |
|||||
|
per bijkom.td |
308 |
27 |
6 |
6 |
24.5 |
18.42 |
18.42 |
0.00 |
13.82 |
4.60 |
|||||