|
8 |
7 |
5.43 |
5 |
3 |
7 |
5.43 |
5 |
3 |
48.86 |
CoP. obt 2 |
CoP. obt 3 |
CoP. obt 4 |
||
|
2.4500 |
6.7800 |
7.8800 |
||||||||||||
|
|
||||||||||||||
|
Soins conservateurs (TP interdit ³ 18 ans) |
||||||||||||||
|
obturation, bénéficiaire de moins de 12 ans, ou dt. lait : |
||||||||||||||
|
faces |
dt. lait |
B.I.M. |
R.S. |
CoP. |
dt. déf. |
B.I.M. |
R.S. |
CoP. |
||||||
|
. 1 |
303 81 1 |
35.21 |
32.76 |
2.45 |
303 89 2 |
35.21 |
32.76 |
2.45 |
||||||
|
. 2 |
303 83 3 |
46.95 |
44.50 |
2.45 |
303 91 4 |
46.95 |
44.50 |
2.45 |
||||||
|
. 3 et + |
303 85 5 |
58.69 |
56.24 |
2.45 |
303 93 6 |
58.69 |
56.24 |
2.45 |
||||||
|
cusp.-bord inc |
303 95 1 |
70.43 |
67.98 |
2.45 |
||||||||||
|
cour. complète |
303 97 3 |
82.16 |
79.71 |
2.45 |
||||||||||
|
obturation, bénéficiaire ³ 12 ans : |
||||||||||||||
|
faces |
12-18ans |
B.I.M. |
R.S. |
CoP.. |
³ 18 ans |
B.I.M. |
R.S. |
CoP. |
||||||
|
. 1 |
304 21 6 |
23.48 |
21.03 |
2.45 |
304 37 1 |
23.48 |
17.61 |
5.87 |
||||||
|
. 2 |
304 23 1 |
35.21 |
32.76 |
2.45 |
304 39 3 |
35.21 |
28.43 |
6.78 |
||||||
|
. 3 et + |
304 25 3 |
46.95 |
44.50 |
2.45 |
304 41 5 |
46.95 |
40.17 |
6.78 |
||||||
|
cusp.-bord |
304 27 5 |
58.69 |
56.24 |
2.45 |
304 43 0 |
58.69 |
50.81 |
7.88 |
||||||
|
cour. compl |
304 29 0 |
70.43 |
67.98 |
2.45 |
304 45 2 |
70.43 |
62.55 |
7.88 |
||||||
|
soins endodontiques rx de contrôle comprise - qui ne doit plus être jointe |
||||||||||||||
|
< 18 ans |
B.I.M. |
R.S. |
CoP. |
³ 18 ans |
B.I.M. |
R.S. |
CoP. |
|||||||
|
1 canal |
304 31 2 |
35.21 |
32.76 |
2.45 |
304 49 6 |
35.21 |
28.43 |
6.78 |
35.98 |
2.187% |
||||
|
2 canaux |
304 53 3 |
46.95 |
44.50 |
2.45 |
304 59 2 |
46.95 |
40.17 |
6.78 |
||||||
|
3 canaux |
304 55 5 |
70.43 |
67.98 |
2.45 |
304 61 4 |
70.43 |
63.65 |
6.78 |
||||||
|
4 et + |
304 57 0 |
93.9 |
91.45 |
2.45 |
304 63 6 |
93.90 |
87.12 |
6.78 |
||||||
|
ablation de racine rx de contrôle non comprise - qui ne doit plus être jointe |
||||||||||||||
|
< 18 ans |
B.I.M. |
R.S. |
CoP. |
³ 18 ans |
B.I.M. |
R.S. |
CoP. |
|||||||
|
1 racine |
304 75 4 |
20.53 |
18.08 |
2.45 |
304 71 0 |
20.53 |
15.40 |
5.13 |
||||||
|
plusieurs |
304 77 6 |
27.38 |
24.93 |
2.45 |
304 73 2 |
27.38 |
20.54 |
6.84 |
28.16 |
2.849% |
||||
|
conserverende zorgen (RDB verboden ³18J) |
||||||||||||||
|
vullingen, melktand, of minder dan 12 jaar : |
||||||||||||||
|
vlakken |
melktd. |
RVT |
And. |
PB |
blijv.td. |
RVT |
And. |
PB |
||||||
|
. 1 |
303 81 1 |
35.21 |
32.76 |
2.45 |
303 89 2 |
23.48 |
17.61 |
5.87 |
||||||
|
. 2 |
303 83 3 |
46.95 |
44.50 |
2.45 |
303 91 4 |
35.21 |
28.43 |
6.78 |
||||||
|
. 3+ |
303 85 5 |
58.69 |
56.24 |
2.45 |
303 93 6 |
46.95 |
40.17 |
6.78 |
||||||
|
knobb.-inc. rand |
303 95 1 |
58.69 |
50.81 |
7.88 |
||||||||||
|
kroonopbouw |
303 97 3 |
70.43 |
62.55 |
7.88 |
||||||||||
|
vullingen, blijvende tand, ³ 12 jaar : |
||||||||||||||
|
vlakken |
12-18 j. |
RVT |
And. |
PB |
³ 18 j. |
RVT |
And. |
PB |
||||||
|
. 1 |
304 21 6 |
23.48 |
21.03 |
2.45 |
304 37 1 |
23.48 |
17.61 |
5.87 |
||||||
|
. 2 |
304 23 1 |
35.21 |
32.76 |
2.45 |
304 39 3 |
35.21 |
28.43 |
6.78 |
||||||
|
. 3+ |
304 25 3 |
46.95 |
44.50 |
2.45 |
304 41 5 |
46.95 |
40.17 |
6.78 |
||||||
|
knobb.-inc. rand |
304 27 5 |
58.69 |
56.24 |
2.45 |
304 43 0 |
58.69 |
50.81 |
7.88 |
||||||
|
kroonopbouw |
304 29 0 |
70.43 |
67.98 |
2.45 |
304 45 2 |
70.43 |
62.55 |
7.88 |
||||||
|
endodontie : de inbegrepen controle rx moet niet meer bijgevoegd worden |
||||||||||||||
|
tand met |
< 18 j. |
RVT |
And. |
PB |
³ 18 j. |
RVT |
And. |
PB |
||||||
|
1kanaal |
304 31 2 |
35.21 |
32.76 |
2.45 |
304 49 6 |
35.21 |
28.43 |
6.78 |
||||||
|
2 kanalen |
304 53 3 |
46.95 |
44.50 |
2.45 |
304 59 2 |
46.95 |
40.17 |
6.78 |
||||||
|
3 kanalen |
304 55 5 |
70.43 |
67.98 |
2.45 |
304 61 4 |
70.43 |
63.65 |
6.78 |
||||||
|
4 en meer dan |
304 57 0 |
93.9 |
91.45 |
2.45 |
304 63 6 |
93.9 |
87.12 |
6.78 |
||||||
|
wortelsectie de niet-inbegrepen controle rx moet niet meer bijgevoegd worden |
||||||||||||||
|
< 18 j. |
RVT |
And. |
PB |
³ 18 j. |
RVT |
And. |
PB |
|||||||
|
1 wortel |
304 75 4 |
20.53 |
18.08 |
2.45 |
304 71 0 |
20.53 |
15.4 |
5.13 |
||||||
|
meerdere |
304 77 6 |
27.38 |
24.93 |
2.45 |
304 73 2 |
27.38 |
20.54 |
6.84 |