Common use of Schedule of Prices for Special Dental Services Requiring Prior Approval Clause in Contracts

Schedule of Prices for Special Dental Services Requiring Prior Approval. The payments you will receive, per Service provided, for the Services described in clause E5.7 are as follows: Item Code Price (GST excl.) 2023/24 Minor surgical operation or other time-based procedures (first half hour) MSO1 $97.52 Minor surgical operation to other time-based procedures (each additional quarter hour) MSO2 $48.74 Treatment of periodontal disease PDT1 $76.61 Acrylic partial denture DEN3 $765.09 Acrylic partial denture -each extra tooth DEN4 $59.33 Acrylic partial denture -each clasp DEN5 $30.82 Gold Crown (partial or full coverage) CRN4 $970.55 Complex reconstruction in composite resin CRN5 $202.02 Cast post and core PST1 $273.79 Preformed post and core PST2 $113.67 Labial composite veneer VEN2 $135.86 Bite splints SPLT $ 513.41 Denture full upper or lower DEN6 $1,084.50 Denture upper and lower DEN7 $2,397.33 Apexification APX1 $171.91 Root Canal treatment and root fillings in permanent molar teeth (per canal treated) including all necessary radiographs performed during treatment and a mandatory post-operative radiograph for the patient's record. RCT5 $313.35 Payment for these Services will be based on the information reported by you as required by clause E10. These additional Services may only be provided with the prior approval of an Approving Dental Officer. Where the prior approval of an Approving Dental Officer is not sought but an application is made subsequently and not approved, then neither the patient nor we will be liable to pay for those Services.

Appears in 2 contracts

Samples: www.tewhatuora.govt.nz, www.tewhatuora.govt.nz

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Schedule of Prices for Special Dental Services Requiring Prior Approval. The payments you will receive, per Service provided, for the Services described in clause E5.7 are as follows: Item Code Price (GST excl.) 2023/24 Minor surgical operation or other time-based procedures (first half hour) MSO1 $97.52 Minor surgical operation to other time-based procedures (each additional quarter hour) MSO2 $48.74 Treatment of periodontal disease PDT1 $76.61 Acrylic partial denture DEN3 $765.09 Acrylic partial denture -each extra tooth DEN4 $59.33 Acrylic partial denture -each clasp DEN5 $30.82 Gold Crown (partial or full coverage) CRN4 $970.55 Complex reconstruction in composite resin CRN5 $202.02 Cast post and core PST1 $273.79 Preformed post and core PST2 $113.67 Labial composite veneer VEN2 $135.86 Bite splints SPLT $ 513.41 Denture full upper or lower DEN6 $1,084.50 Denture upper and lower DEN7 $2,397.33 Apexification APX1 $171.91 Root Canal treatment and root fillings in permanent molar teeth (per canal treated) including all necessary radiographs performed during treatment and a mandatory post-operative radiograph for the patient's record. RCT5 $313.35 Payment for these Services will be based on the information reported by you as required by clause E10. These additional Services may only be provided with the prior approval of an Approving Dental Officer. Where the prior approval of an Approving Dental Officer is not sought but an application is made subsequently and not approved, then neither the patient nor we will be liable to pay for those Services. PART G: SERVICE AREA COVERED UNDER THIS AGREEMENT G1 Service Area The Services are to be provided in the geographical area of the former <District> District Health Board as described in Schedule 1 of the New Zealand Public Health and Disability Act 2001. The Parties agree that the Provider’s appointment under this Agreement is non-exclusive, and Te Whatu Ora may appoint third parties to provide services or deliverables similar to or the same as the Services or Deliverables at any time or may provide them itself.

Appears in 1 contract

Samples: www.tewhatuora.govt.nz

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Schedule of Prices for Special Dental Services Requiring Prior Approval. The payments you will receive, per Service provided, for the Services described in clause E5.7 are as follows: Item Code Price (GST excl.) 2023/24 Minor surgical operation or other time-based procedures (first half hour) MSO1 $97.52 Minor surgical operation to other time-based procedures (each additional quarter hour) MSO2 $48.74 Treatment of periodontal disease PDT1 $76.61 Acrylic partial denture DEN3 $765.09 Acrylic partial denture -each extra tooth DEN4 $59.33 Acrylic partial denture -each clasp DEN5 $30.82 Gold Crown (partial or full coverage) CRN4 $970.55 Complex reconstruction in composite resin CRN5 $202.02 Cast post and core PST1 $273.79 Preformed post and core PST2 $113.67 Labial composite veneer VEN2 $135.86 Bite splints SPLT $ 513.41 Denture full upper or lower DEN6 $1,084.50 Denture upper and lower DEN7 $2,397.33 Apexification APX1 $171.91 Root Canal treatment and root fillings in permanent molar teeth (per canal treated) including all necessary radiographs performed during treatment and a mandatory post-operative radiograph for the patient's record. RCT5 $313.35 Payment for these Services will be based on the information reported by you as required by clause E10. These additional Services may only be provided with the prior approval of an Approving Dental Officer. Where the prior approval of an Approving Dental Officer is not sought but an application is made subsequently and not approved, then neither the patient nor we will be liable to pay for those Services. G1. SERVICE AREA The Services are to be provided in the geographical area of the former [x] District Health Board as described in Schedule 1 of the New Zealand Public Health and Disability Act 2001. The Parties agree that the Provider’s appointment under this Agreement is non-exclusive, and Te Whatu Ora may appoint third parties to provide services or deliverables similar to or the same as the Services or Deliverables at any time or may provide them itself.

Appears in 1 contract

Samples: Combined Dental Agreement

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