Dental services fee schedule

View current and past dental service fee schedules.

Shape

Dental service fees effective from 1 July 2022

WorkSafe will pay up to a maximum amount for the following categories of the service.

General Dentist

Diagnostic services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT011G

Initial Examination And Report

$102.49

DT012G

Periodical Oral Examination

$52.01

DT014G

Consultation And Report for a second opinion

$166.03

DT022G

Single Intral Oral Radiograph

$43.30

Preventative services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT114G

Scaling And Cleaning

$96.18

DT117G

Non-Vital Bleaching - Per Tooth (if separate appointments are made)

$185.01

DT121G

Topical Fluoride Treatment

$51.97

DT141G

Oral Hygiene Instruction Where Appropriate Time Is Allocated

$19.28

Adjunctive services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT165G

Desensitising Procedure - Per Visit

$37.16

DT171G

Odontoplasty For Fractured Tooth - Per Tooth

$37.16

Oral surgery

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT311G

Extraction Of Tooth (Per Tooth)

$133.11

DT323G

Surgical Extraction Requiring Bone Removal (Per Tooth)

$257.37

DT377G

Removal Of Soft Tissue

$51.97

DT387G

Replanting Avulsed Tooth And Splinting

$300.31

NB: Multiple operation rule applies to items DT311 and DT323

Endodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT411G

Pulp Capping

$16.39

DT414G

Cvek Pulpotomy

$131.75

DT415G

Extirpation Of Pulp Or Debridement Of Root Canal 1 Canal

$248.52

DT416G

Extirpation Of Pulp Or Debridement Of Root Canal Each Additional Canal

$105.08

DT417G

Root Canal Obturation 1 Canal

$258.88

DT418G

Root Canal Obturation Each Additional Canal

$105.08

DT419G

Emergency Endodontic Procedure Not Exceeding 15 Minutes

$59.26

DT432G

Apicectomy And Apical Seal

$261.85

DT451G

Removal Of Root Filling Per Canal

$100.63

DT455G

Additional Visit For Irrigation And/Or Dressing Of The Root Canal System

$96.18

DT458G

Apexification - Fee Additional To Routine Endodontic Treatment

$149.50

NB: Items for endodontic treatment are inclusive of radiographs taken in the course of treatment.

Restorative services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT511G

Metallic Restoration 1 Surface

$103.67

DT512G

Metallic Restoration 2 Surface

$131.75

DT513G

Metallic Restoration 3 Surface

$161.38

DT514G

Metallic Restoration 4 Surface

$192.33

DT515G

Metallic Restoration 5 Surface

$214.49

DT521G

Adhesive Resin Restoration Anterior Tooth - 1 Surfaces - Direct

$118.44

DT522G

Adhesive Resin Restoration Anterior Tooth - 2 Surfaces - Direct

$140.59

DT523G

Adhesive Resin Restoration Anterior Tooth - 3 Surfaces - Direct

$170.23

DT524G

Adhesive Resin Restoration Anterior Tooth - 4 Surfaces - Direct

$199.68

DT525G

Adhesive Resin Restoration Anterior Tooth - 5 Surfaces - Direct

$288.50

DT526G

Bonded Veneer - Direct

$263.39

DT531G

Adhesive Resin Restoration Posterior Tooth 1 Surfaces - Direct

$133.11

DT532G

Adhesive Resin Restoration Posterior Tooth 2 Surfaces - Direct

$156.79

DT533G

Adhesive Resin Restoration Posterior Tooth 3 Surfaces - Direct

$192.33

DT534G

Adhesive Resin Restoration Posterior Tooth 4 Surfaces - Direct

$221.93

DT535G

Adhesive Resin Restoration Posterior Tooth 5 Surfaces - Direct

$288.50

DT542G

Metallic Inlay Or Onlay Two Surface Cavity

$683.38

DT543G

Metallic Inlay Or Onlay Three Surface Cavity

$803.03

DT556G

Bonded Veneer - Indirect

$887.28

DT572G

Temporary Restoration Emergency Or Interim Treatment Only

$106.57

DT575G

Pin Retention (Per Unit - Pin)

$32.73

DT597G

Post - Direct Preformed

$106.57

Crown and bridgework

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT613G

Full Crown - Indirect - Non Metallic

$1,366.42

DT615G

Full Crown - Indirect - Metal Base Veneered

$1,465.58

DT618G

Full Crown - Indirect - Metallic

$1,366.42

DT625G

Cast Core For Crown Including Post

$340.22

DT627G

Preliminary Restoration For Crown

$211.59

DT632G

Provisional Bridge Pontic - Per Pontic

$220.45

DT643G

Bridge Pontic - Indirect - Per Pontic

$1,421.93

DT649G

Bridge - Indirect - Bonded To Abutment - Per Pontic

$1,465.65

Implant procedures

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT661AG

Expendable Implant Hardware

As at retail

DT661G

Implant Based Crown - Veneered - Includes Abutment

$2,188.62

DT666G

Prosthesis With Metal Frame Attached To Implants - Per Implant

$1,586.81

DT669G

Removal And Reattachment Of Prosthesis Fixed To Implants - Per Implant

$176.03

DT672G

Implant Based Crown - Veneered - Includes Abutment

$2,188.62

DT679G

Surgical Implant Guide

$244.07

Prosthodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT711G

Full Upper Denture

$1,044.78

DT712G

Full Lower Denture

$1,044.78

DT719G

Full Upper & Lower Denture

$1,848.61

DT721AG

One Tooth - Partial Denture - Acrylic Base - Upper

$347.57

DT721BG

Two Teeth

$402.36

DT721CG

Three Teeth

$477.71

DT721DG

Four Teeth

$545.89

DT721EG

Five To Nine Teeth

$673.02

DT721FG

Ten Or More Teeth

$775.00

DT722AG

One Tooth - Partial Denture - Acrylic Base - Lower

$347.57

DT722BG

Two Teeth

$402.36

DT722CG

Three Teeth

$477.71

DT722DG

Four Teeth

$545.89

DT722EG

Five To Nine Teeth

$673.02

DT722FG

Ten Or More Teeth

$775.00

DT727AG

One Tooth Or Two Teeth - Partial Denture - Chrome Cobalt Including Rests & Retainers - Upper

$1,301.40

DT727BG

Three Or Four Teeth

$1,330.96

DT727CG

Five To Nine Teeth

$1,375.37

DT727DG

Ten Or More Teeth

$1,419.68

DT728AG

One Tooth Or Two Teeth - Partial Denture - Chrome Cobalt Including Rests & Retainers - Lower

$1,301.40

DT728BG

Three Or Four Teeth

$1,330.96

DT728CG

Five To Nine Teeth

$1,375.37

DT728DG

Ten Or More Teeth

$1,419.68

DT731G

Each Retainer

$44.40

DT732G

Occlusal Rest (Not Part Of Retainer)

$17.87

DT736G

Immediate Tooth Replacement

$9.03

DT743G

Relining - Full Denture - Processed

$334.32

DT744G

Relining - Partial Denture - Processed

$245.63

DT768G

Adding Tooth To Partial Denture To Replace Extracted Tooth

$170.23

Orthodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT821G

Active Removable Appliance Therapy - One Arch

$798.64

Temporomandibular joint therapy

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT963G

Full Clinical Assessment Of Case Including Joint And Muscle Palpation, Occlusal Analysis With Study Models And Report.

$254.49

DT965G

Occlusal Splint Including Initial Programming

$573.90

DT966G

Routine Adjustment Of Splint - Per Visit (Maximum Of Six Visits)

$96.18

Dentist Specialist

Diagnostic services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT011S

Initial Examination And Report

$131.75

DT012S

Periodical Oral Examination

$76.95

DT014S

Consultation And Report for a second opinion

$244.07

DT022S

Single Intral Oral Radiograph

$44.40

DT036S

Cephalometric Radiograph

$115.47

DT037S

Panoramic Radiograph (e.g. OPG)

$125.81

DT061S

Pulp Vitality Testing - Per Visit - Maximum 3 Visits Per Year

$20.78

DT071S

Diagnostic Model - Per Model

$82.96

DT072S

Photographic Records (for WorkSafe)

$29.62

Preventative services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT114S

Scaling and Cleaning

$96.18

DT117S

Non-Vital Bleaching - Per Tooth (if separate appointments are made)

$230.84

DT121S

Topical Fluoride Treatment

$51.97

DT141S

Oral Hygiene Instruction Where Appropriate Time Is Allocated

$19.28

Adjunctive services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT165S

Desensitising Procedure - Per Visit

$37.16

DT171S

Odontoplasty For Fractured Tooth - Per Tooth

$37.16

Periodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT222S

Root Planing And Subgingival Curettage (Per Segment)

$294.13

DT232S

Periodontal Flap Surgery (Per Tooth or Implant)

$360.86

DT235S

Gingival Connective Tissue Graft

$801.66

DT236A

Expendable GTR Material

$815.02

DT236S

Guided Tissue Regeneration (Per Tooth Or Implant)

$801.66

DT238S

Crown Lengthening - Including Alveolar Bone Removal (Per Tooth)

$591.59

DT242S

Osseous Surgery (Per Tooth or Implant)

$360.86

DT243S

Osseous Graft (Per Tooth or Implant)

$801.66

NB: Multiple operation rule applies.

Oral surgery

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT311S

Extraction Of Tooth (Per Tooth)

$170.23

DT323S

Surgical Extraction Requiring Bone Removal (Per Tooth)

$313.54

DT377S

Removal Of Soft Tissue

$51.97

DT387S

Replanting Avulsed Tooth And Splinting

$433.36

NB: Multiple operation rule applies to items DT311S and DT323S.

Endodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT411S

Pulp Capping

$20.78

DT414S

Cvek Pulpotomy

$196.82

DT415S

Extirpation Of Pulp Or Debridement Of Root Canal 1 Canal

$362.42

DT416S

Extirpation Of Pulp Or Debridement Of Root Canal Each Additional Canal

$149.50

DT417S

Root Canal Obturation 1 Canal

$371.24

DT418S

Root Canal Obturation Each Additional Canal

$149.50

DT419S

Emergency Endodontic Procedure Not Exceeding 15 Minutes

$74.05

DT432S

Apicectomy And Apical Seal

$362.42

DT451S

Removal Of Root Filling Per Canal

$143.50

DT455S

Additional Visit For Irrigation And/Or Dressing Of The Root Canal System

$115.47

DT458S

Apexification - Fee Additional To Routine Endodontic Treatment

$239.67

NB: Items for endodontic treatment are Inclusive of radiographs taken in the course of treatment.

Restorative services

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT511S

Metallic Restoration 1 Surface

$146.61

DT512S

Metallic Restoration 2 Surface

$189.48

DT513S

Metallic Restoration 3 Surface

$239.67

DT514S

Metallic Restoration 4 Surface

$266.24

DT515S

Metallic Restoration 5 Surface

$288.50

DT521S

Adhesive Resin Restoration Anterior Tooth - 1 Surfaces - Direct

$155.39

DT522S

Adhesive Resin Restoration Anterior Tooth - 2 Surfaces - Direct

$199.68

DT523S

Adhesive Resin Restoration Anterior Tooth - 3 Surfaces - Direct

$244.07

DT524S

Adhesive Resin Restoration Anterior Tooth - 4 Surfaces - Direct

$273.72

DT525S

Adhesive Resin Restoration Anterior Tooth - 5 Surfaces - Direct

$340.22

DT526S

Bonded Veneer - Direct

$350.42

DT531S

Adhesive Resin Restoration Posterior Tooth 1 Surfaces - Direct

$162.76

DT532S

Adhesive Resin Restoration Posterior Tooth 2 Surfaces - Direct

$192.33

DT533S

Adhesive Resin Restoration Posterior Tooth 3 Surfaces - Direct

$251.57

DT534S

Adhesive Resin Restoration Posterior Tooth 4 Surfaces - Direct

$281.00

DT535S

Adhesive Resin Restoration Posterior Tooth 5 Surfaces - Direct

$340.22

DT542S

Metallic Inlay Or Onlay Two Surface Cavity

$825.29

DT543S

Metallic Inlay Or Onlay Three Surface Cavity

$1,011.54

DT556S

Bonded Veneer - Indirect

$1,212.03

DT572S

Temporary Restoration Emergency Or Interim Treatment Only

$131.75

DT575S

Pin Retention (Per Unit - Pin)

$32.73

DT597S

Post - Direct Preformed

$131.75

Crown and bridgework

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT613S

Full Crown - Indirect - Non Metallic

$1,820.52

DT615S

Full Crown - Indirect - Metal Base Veneered

$1,916.67

DT618S

Full Crown - Indirect - Metallic

$1,820.52

DT625S

Cast Core For Crown Including Post

$547.25

DT627S

Preliminary Restoration For Crown

$301.80

DT632S

Provisional Bridge Pontic - Per Pontic

$276.63

DT643S

Bridge Pontic - Indirect - Per Pontic

$1,721.61

DT649S

Bridge - Indirect - Bonded To Abutment - Per Pontic

$1,774.55

Implant procedures

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT661AS

Expendable Implant Hardware

As at retail

DT661S

Implant Based Crown - Veneered - Includes Abutment

$2,676.61

DT666S

Prosthesis With Metal Frame Attached To Implants - Per Implant

$1,863.38

DT669S

Removal And Reattachment Of Prosthesis Fixed To Implants - Per Implant

$176.03

DT672S

Implant Based Crown - Veneered - Includes Abutment

$2,676.61

DT679S

Surgical Implant Guide

$244.07

DT684S

Osseo-Integration Procedure - Intraoral Implantation Of Titanium Fixture

$1,064.82

DT688S

Osseo-Integration Procedure - One Stage

$1,187.53

DT691S

Osseo-Integration Procedure - Fixation Of Transcutaneous Abutment

$402.36

NB: Multiple operation rule applies to Items DT684S, DT688S and DT691S.

Prosthodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT711S

Full Upper Denture

$1,459.70

DT712S

Full Lower Denture

$1,459.70

DT719S

Full Upper & Lower Denture

$2,716.58

DT721AS

One Tooth - Partial Denture - Acrylic Base - Upper

$428.91

DT721BS

Two Teeth

$557.64

DT721CS

Three Teeth

$668.54

DT721DS

Four Teeth

$742.44

DT721ES

Five To Nine Teeth

$891.86

DT721FS

Ten Or More Teeth

$1,020.36

DT722AS

One Tooth - Partial Denture - Acrylic Base - Lower

$428.91

DT722BS

Two Teeth

$557.59

DT722CS

Three Teeth

$668.57

DT722DS

Four Teeth

$742.44

DT722ES

Five To Nine Teeth

$891.86

DT722FS

Ten Or More Teeth

$1,020.39

DT727AS

One Tooth Or Two Teeth - Partial Denture - Chrome Cobalt Including Rests & Retainers - Upper

$1,501.03

DT727BS

Three Or Four Teeth

$1,617.86

DT727CS

Five To Nine Teeth

$1,678.50

DT727DS

Ten Or More Teeth

$1,745.12

DT728AS

One Tooth Or Two Teeth - Partial Denture - Chrome Cobalt Including Rests & Retainers - Lower

$1,501.03

DT728BS

Three Or Four Teeth

$1,617.86

DT728CS

Five To Nine Teeth

$1,678.50

DT728DS

Ten Or More Teeth

$1,745.12

DT731S

Each Retainer

$44.40

DT732S

Occlusal Rest (Not Part Of Retainer)

$17.87

DT736S

Immediate Tooth Replacement

$9.03

DT743S

Relining - Full Denture - Processed

$414.11

DT744S

Relining - Partial Denture - Processed

$301.80

DT768S

Adding Tooth To Partial Denture To Replace Extracted Tooth

$170.23

Orthodontics

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT821S

Active Removable Appliance Therapy - One Arch

$1,138.79

DT831S

Full Arch Banding - One Arch

$4,150.91

DT846S

Orthodontic Extrusion Of Tooth

$942.08

DT881S

Full Course Of Fixed Appliance Orthodontic Treatment

$6,471.00

Temporomandibular joint therapy

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
Maximum payment rate
(Click to clear sorting)

DT963S

Full Clinical Assessment Of Case Including Joint And Muscle Palpation, Occlusal Analysis With Study Models And Report.

$313.54

DT965S

Occlusal Splint Including Initial Programming

$677.40

DT966S

Routine Adjustment Of Splint - Per Visit (Maximum Of Six Visits)

$122.92

Multiple operations

WorkSafe will apply the multiple-operation rule where two or more procedures are performed on the one occassion. In accordance with this rule WorkSafe will pay 100% of the WorkSafe fee for the most expensive item, 50% of the WorkSafe fee for the second most expensive item, and 25% of the WorkSafe fee thereafter.

Download current and past fee schedules

Related information