1984-06-13 Workshop Meeting followed by Special Called City Council Meeting

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• _-_ !"~~ • ' C rxua, nu~ + „~~ - CSI Font 021 Complete Upper Dentures 197 ~ Complete Lower Dentures 197 AFFORDABLE FAMILY Temporary Partial Acrylic 9U DENTAL PROGRAMS Upper Chrome Partial 289 ~® Lower Chrome Partial 289 Repairs to Dentures or Partials 45 DIAGNOSTIC DENTISTRY - Reline Complete Denture Lab 62 EXAMS Reline Partial Denture Lab 62 Clinical Oral Exam (initial) No Charge Tissue Conditioning 30 Periodic~Oral Exam (2 per year) No Charge Adjustment Complete Denture No Charge Emergency Oral Exam No Charge Adjustment Partial Denture No Charge X-Ray Full Mouth No Charge Repair Partial Dentures 45 X-Ray Single No Charge Replace Tooth (partial denture) 15 Replace Tooth (complete denture) 15 Add Tooth Partial Lab Fee unortrE Add Class with Rest Lab Fcc .F.r.uo-a.• Houston PASADEPfA Duplicate Denture Complete Lab Fec X10 Frh,wen~ PY.y. Eru Phenr 669.0717 Phenr 9~~.7l76 178 A~rrr H~ ~ ~~~ Y616 5. Imp W.. sole C70 X421 auAr Ad. Cast Pontlc hr.: ~ ~ Nes Thr A,eadpne Nrs 8ry~horr HapYal Recement Facing Pontic No Charge ~nNr z $ o ~ ~ c SPENCER 3/4 Crown Abutment 178 ~ © ~ s urea z m W ,,,,,,,,, Recement Bridge No Charge iy Y ooMf Z < ~ +os~ir< Replace hmken pontic or aN0A0W~" " 3 ~~ O ~+- y ~ Q~ oouwN repair b;idc il• possible No Charge 6/o sovrl, i.oop VISTA Stress Breaker 75 Precision Attachment 75 OTHER SERVICES - Urthodontic Exam 54 Emergency Pallative Treatment 9 PREVENTIVE DENTISTRY - Nitrous Oxide Analgesia No Charge Stannous Flouridc Treatment _ No Charge Consultation No Charge Acid Flouridc Application No Charge O(Tice Visit No Treatment No Charge Dietary Planning No Charge Regional flock Anesthesia No Charge Home Carc Instruction No Charge Other drugs or medicaments No Charge Space Maintainer -Fixed SO Application of desensitizing medicaments No Charge Space Maintainer -Stainless SO Occlusal Sealants (Complete Mouth) 48 Space Maintainer Remo~•able Acn•lic 50 PERIODONTICS - RESTORATIVE DENTISTRY - Dental Cleaning -Adult 9 Amalgam -1 Surface (Permanent Tooth) 11 Scaling 9 Amalgam --2 Surface (Permanent tooth) 11 Dental Cleaning -Child 9 Amalgam --3 Surface (Permanent tooth) 1 1 Gingi~•al Curettage/Quadrant SO Nu~•afil ~r Acid Etch (for esthetics) ~ 42 Ging~•oplast/Quadrant 90 1 Surface Composite Filling I S Osseous Surgery Flap/Quadrant 90 2 Surface Composite Filling 15 Gingivectomy Per Tooth 40 3 Surface Composite Fillinc - 1. GingivectomylQuadrant (mild pcriodontitus) 90 Porcelain with metal crown 1S8 Flap Procedures Per Quad 90 . Full Crown 178 Non Surgical Sen•ice Periodontal No Charge Stainless Crown 24 Periodontal Plaque Carc No Char@c Temporary Crr~wns No Charge Occlusial Adjustment I_imitcd No CharEc Punt Carc Rcinfi~rcr 42 Pcrindontal Scaling fi Rcxn Plannin{: P:Inial Na CbalEc I:rrrnlcnt Inlay Nu CharEc S~ccial Pcriodontrl A~phancc 7S Itrrcmcnt Crown Nu CharEc ticJati~c Ila.c Nu Charge ORTHODONTICS Scdauvc Fillings Nu Chrrgc Non extraction case, upper ~ lower arch 1280 Amalgam -• I Surface (hahy tooth) I I 4-Bicuspid ext. case, upper fi Io~~•cr arch 1280 Amalgam --2 Surface (haby tooth) 1 I Adults 1 SKO Amalgam --3 Surface (baby tooth) 11 Palatal Expansion 350 Rcsie 1 Surface No CharEc ORAL SURGERY - Resin 2 Surface No Charge Simple Extraction 10 Post or Pin for Crown 42 Simple Extractions Each Additonal 17 ENDODONTICS - Surgical Extraction Partially Erupted 35 Pulp Cap Direct No Charge Soft Tissue Impaction 35 Pulp Cap Indirect No Charge Bony Impaction 65 Reealcification No Charge 1V Sedation 65 Vital Pulpolomy No Charge Root Reco~•cry 3S RCT 1 Canal - 88 Tooth Rcplanation No Charge RCT 2 Canals 108 Surg. Exposure Tooth 65 RCT 3 Canals 128 Incise & Drain Abccss Intraoral IS RCT 4 Canals 148 Simple Suture No CharEc Emergency Procedures Endodontics No Charge Alvcoplasty with extraction of teeth No Charge Frcnulcctomy Nu CharEc ~~ Excision 1lplxr)~lastic 7lssuc Nu Chartc 4-4a