Direct, (with intra-oral preparation), per implant site

CROWNS, SINGLE UNITS ONLY

(includes temporary protection and local anaesthetic, caries removal, and uncomplicated restoration
prior to crown preparation). Extensive restoration requiring pins or dowels extra.

CROWNS, ACRYLIC/COMPOSITE/COMPOMER,

(with or without Cast or Prefabricated Metal Bases)

Crowns, Acrylic/Composite/Compomer, Indirect

Crown, Acrylic/Composite/Compomer, Indirect

Crown, Acrylic/Composite/Compomer, Indirect, Complicated (restorative, positional and/or esthetic)

Crown, Acrylic/Composite/Compomer, Provisional [Long Term], Indirect (lab fabricated/relined intra-
orally)

Crowns, Acrylic/Composite/Compomer, Direct

Crowns, Acrylic/Composite/Compomer, Direct, Provisional (chairside)

Crowns, Acrylic/Composite/Compomer, Direct, Provisional Implant-supported

Crown, Acrylic/Composite/Compomer/Cast Metal Base, Indirect

Crown, Acrylic/Composite/Compomer/Cast Metal Base, Indirect

Crown, Acrylic/Composite/Compomer Cast Metal Base, Implant-supported

Crown, Acrylic/Composite/Compomer/Cast Metal Base with Cast Post Retention

Crown, Acrylic/Composite/Compomer/ Prefabricated Metal Base, Provisional, Direct

Crown, Acrylic/Composite/Compomer/ Pre-fabricated Metal Base, Provisional, Implant-supported,
Direct

Crown, Acrylic/Composite/Compomer/ Pre-Fabricated Metal Base, Provisional, Indirect

Crown, Acrylic/ Composite/Compomer/Pre-fabricated Metal Base, Provisional, Implant-supported,
Indirect

CROWNS, PORCELAIN/CERAMIC/POLYMER GLASS

Crown, Porcelain/Ceramic/Polymer Glass

Crown, Porcelain/Ceramic/Polymer Glass, Complicated

Crown, Porcelain/Ceramic/Polymer Glass, Implant-supported

Crown, Porcelain/Ceramic/Polymer Glass, with Cast Ceramic Post Retention

Crown, Porcelain/Ceramic/Polymer Glass, Fused to Metal Base

Crown, Porcelain/Ceramic/Polymer Glass, Fused to Metal Base

Crown, Porcelain/Ceramic/Polymer Glass, Fused to Metal Base, Complicated (restorative, positional
and/or aesthetic)

Crown, Porcelain/Ceramic Fused to Metal Base, Implant-supported

Crown, Porcelain/Ceramic Fused to Metal Base with Cast Metal Post Retention

Crown, three quarter, Porcelain/Ceramic/Polymer Glass

Crown, three quarter, Porcelain/Ceramic/Polymer Glass

Crown, three quarter, Porcelain/Ceramic/Polymer Glass, Complicated

CROWNS, CAST METAL

Crown, Cast Metal

Crown, Cast Metal, Complicated (restorative, positional)

Crown, Cast Metal, Implant-supported

Crown, Cast Metal, with Cast Metal Post Retention

Semi-precision Rest (Interlock) (in addition to Cast Metal Crown)

Semi-precision or Precision Attachment RPD Retainer (in addition to Cast Metal Crown)

Crowns, three quarter, Cast Metal

Crowns, three quarter, Cast Metal