Smile Centrum Price List
Life for Smile – Smile for Life
You don’t have to pay for initial and preventative check-ups. We have contracts with all health insurance companies.
Anaesthesia
| Procedure | Details | Price |
|---|---|---|
| KCAN – Consultation – general anaesthesia | 850 Kč | |
| CAN1 / CAN2 / CAN3 – General anaesthesia for children (minor procedures): up to 1 hour / up to 2 hours / each additional started hour (includes treatment of all primary teeth) | 15000 / 29500 / 5000 Kč | |
| CAND / CAN3 – General anaesthesia for adults (does not include the cost of dental treatment): up to 1 hour / each additional started hour | 10000 / 5000 Kč | |
X-ray – Examination
| Procedure | Details | Price |
|---|---|---|
| Evaluation of OPG and X-ray | Covered by Health Insurance | |
| Intraoral X-ray (for self-payers) – Taking + Evaluation | 250 Kč | |
| OPG image (for self-payers) – Taking + Evaluation | 890 Kč | |
| CBCT scan quadrant | 1190 Kč | |
| CBCT scan 1 jaw | 1490 Kč | |
| CBCT scan | 1790 Kč | |
Administrative Fees
| Procedure | Details | Price |
|---|---|---|
| Administrative Fee / Medical Record Extract | 550 Kč | |
| Missed or Uncanceled Appointment (per 30 minutes) | 950 Kč | |
| Initial Examination including Panoramic X-ray | Covered by Health Insurance | |
| Preventive Check-up 2x per year | Covered by Health Insurance | |
| Initial Examination for uninsured patients / no health insurance claim | 1950 Kč | |
| Emergency Fee for uninsured patients / no health insurance claim | 950 Kč | |
X-ray – Examinations
| Procedure | Details | Price |
|---|---|---|
| Evaluation of OPG and X-ray Images | Covered by Health Insurance | |
| Intraoral X-ray (for private patients) – Taking + Evaluation | 250 Kč | |
| OPG Image (for private patients) – Taking + Evaluation | 890 Kč | |
| CBCT Scan Quadrant | 1190 Kč | |
| CBCT Scan 1 Jaw | 1490 Kč | |
| CBCT Scan Full Mouth | 1790 Kč | |
Administrative Fees
| Procedure | Details | Price |
|---|---|---|
| Administrative Fee / Medical Record Extract | 550 Kč | |
| Missed or Cancelled Appointment (per 30 minutes) | 950 Kč | |
| Initial Examination including Panoramic X-ray | Covered by Health Insurance | |
| Preventive Check-up (twice a year) | Covered by Health Insurance | |
| Initial Examination for Uninsured Patients / No Health Insurance Coverage | 1950 Kč | |
| Emergency Fee for Uninsured Patients / No Health Insurance Coverage | 950 Kč | |
X-ray – Examination
| Procedure | Details | Price |
|---|---|---|
| Evaluation of OPG and X-ray | Covered by Health Insurance | |
| Intraoral X-ray (for private patients) – Taking + Evaluation | 250 Kč | |
| OPG X-ray (for private patients) – Taking + Evaluation | 890 Kč | |
| CBCT scan quadrant | 1190 Kč | |
| CBCT scan 1 jaw | 1490 Kč | |
| CBCT scan | 1790 Kč | |
Administrative Fees
| Procedure | Details | Price |
|---|---|---|
| Administrative Fee / Medical Record Extract | 550 Kč | |
| Missed or Cancelled Appointment (per 30 minutes) | 950 Kč | |
| Initial Examination including Panoramic X-ray | Covered by Health Insurance | |
| Preventive Check-up 2x per year | Covered by Health Insurance | |
| Initial Examination for Uninsured Patients / Not Covered by Health Insurance | 1950 Kč | |
| Emergency Fee for Uninsured Patients / Not Covered by Health Insurance | 950 Kč | |
X-ray – Examination
| Procedure | Details | Price |
|---|---|---|
| Evaluation of OPG and X-ray | Covered by Health Insurance | |
| Intraoral X-ray (for self-payers) – Taking + Evaluation | 250 Kč | |
| OPG X-ray (for self-payers) – Taking + Evaluation | 890 Kč | |
| CBCT Quadrant Scan | 1190 Kč | |
| CBCT One Jaw Scan | 1490 Kč | |
| CBCT Scan | 1790 Kč | |
Administrative fees
| Procedure | Details | Price |
|---|---|---|
| Administrative Fee / Medical Record Extract | 550 Kč | |
| Missed or Uncanceled Appointment (per 30 minutes) | 950 Kč | |
| Initial Examination including Panoramic X-ray | Covered by Health Insurance | |
| Preventive Check-up 2x per year | Covered by Health Insurance | |
| Initial Examination for Uninsured Patients / No Health Insurance Claim | 1950 Kč | |
| Emergency Fee for Uninsured Patients / No Health Insurance Claim | 950 Kč | |
Tooth Fillings
| Procedure | Details | Price |
|---|---|---|
| Internal bleaching 1 tooth | 2990 Kč | |
| Maintenance splint-retention 1 tooth | 1990 Kč | |
| Temporary filling self-polymerizing / photopolymerizing | 490 / 690 Kč | |
| Filling correction and polishing | 1690 Kč | |
| Dental treatment with rubber dam | 390 Kč | |
| Gingival retraction | 290 Kč | |
| Embedding composite post with glass fibers | 1290 Kč | |
| Tooth sealing – prevention of tooth decay | 1490 Kč | |
| Glass ionomer filling / Capsule glass ionomer filling Equia Forte (2 capsules per 1 tooth = 1.5 prices) | 1490 / 2190 Kč | |
| Composite white aesthetic filling 1 surface | 3390 Kč | |
| Composite white aesthetic filling 2 surfaces | 3990 Kč | |
| Composite white aesthetic filling 3 surfaces | 4290 Kč | |
| Tooth reconstruction with photocomposite | 4990 Kč | |
| High aesthetic direct tooth reconstruction | 5990 Kč | |
Administrative Fees
Administrative Fees
| Cena | |
|
550 Kč |
|
|
hrazeno ZP |
|
|
hrazeno ZP |
|
|
1950 Kč |
|
|
Pohotovostní poplatek nepojištěného pacienta / bez nároku ZP |
950 Kč |
Anaesthesia
Anaesthesia
| Cena | Příspěvek od pojišťovny v případě nároku | Cena po úhradě pojišťovnou | |
|
hrazeno ZP |
-390 | 0/190 | |
|
1500 Kč |
|||
|
Analgosedace 1 hodina / 2 hodiny |
9900 / 18900 Kč |
||
|
850 Kč |
|||
|
15000 / 29500 / 5000 Kč |
|||
|
10000 / 5000 Kč |
Tooth Fillings
Tooth Fillings
| Cena | Příspěvek od pojišťovny v případě nároku | Cena po úhradě pojišťovnou | |
|
1490 Kč |
|||
|
3390 Kč |
-900 | 2490 | |
|
3990 Kč |
-900 | 3090 | |
|
4290 Kč |
-900 | 3390 | |
| Výplň kompozitní bílá estetická 4 plošky (Příspěvek od pojišťovny v případě nároku) | 4590 Kč | -900 | 3690 |
| Výplň kompozitní bílá estetická 5 plošky (Příspěvek od pojišťovny v případě nároku) / přimá rekonstrukce zubu (Příspěvek od pojišťovny v případě nároku) | 4990 Kč | -900 | 4090 |
| Vysokoetetická přimá rekonstrukce zubu (Příspěvek od pojišťovny v případě nároku) | 5990 Kč | -900 | 5090 |
|
Rekonstrukce zubu fotokompozitem |
4990 Kč |
||
|
5990 Kč |
Endodontics – Root Canal Treatment
Endodontics – Root Canal Treatment
| Cena | Příspěvek od pojišťovny v případě nároku | Cena po úhradě pojišťovnou | |
|
1790 Kč |
|||
|
1890 Kč |
-1300 | 590 | |
|
690 Kč |
|||
|
1490 / 2990 Kč |
|||
|
1990 / 2990 Kč |
|||
|
2390 Kč |
X-ray – Examination
X-ray – Examination
| Cena | Příspěvek od pojišťovny v případě nároku | Cena po úhradě pojišťovnou | |
|
250 Kč |
-250 | 0 | |
|
890 Kč |
-890 | 0 | |
|
1190 Kč |
|||
|
1490 Kč |
|||
|
1790 Kč |
Orthodontics
Orthodontics
| Cena | |
|
od 27900 Kč |
|
|
od 28990 Kč |
|
|
od 17900 Kč |
|
|
od 8990 Kč |
Prosthodontics
Prosthodontics
| Cena | |
|
1190 / 1490 / 1890 Kč |
|
|
9900 Kč |
|
|
11900 Kč |
|
|
13900 Kč |
|
|
15900 Kč |
|
|
19000 Kč |
|
|
12900 Kč |
|
|
16900 Kč |
|
|
2490 Kč |
Removable Prostheses
Removable Prostheses
| Cena | |
|
8900 Kč |
|
|
14900 Kč |
|
|
12900 Kč |
|
|
33000 Kč |
|
|
od 62000 Kč |
|
|
1790 Kč |
|
|
2690 Kč |
Surgery and Implants
Surgery and Implants
| Cena | |
|
Gelaspon, Alveogil / Parasorb |
790 / 1490 Kč |
|
2790 Kč |
|
|
1890 / 1190 Kč |
|
|
1150 Kč |
|
| Zavedení značkového implantátu Neobiotech KLASIC | 17900 Kč |
| Zavedeni značkového implantátu Osstem STANDART | 18900 Kč |
| Zavedeni značkového implantátu Neodent OPTIMAL | 19900 Kč |
| Zavedeni značkového implantátu Ankylos PREMIUM | 22900 Kč |
| Zavedeni značkového implantátu Thommen PREMIUM | 22900 Kč |
| Zavedení značkového implantátu Straumann EXKLUZIV | 25900 Kč |
|
1900 / 4900 Kč |
|
|
1990 Kč |
Dental Hygiene and Teeth Whitening
Dental Hygiene and Teeth Whitening
| Cena | |
|
1990 Kč |
|
|
3990 Kč |
|
|
1500 Kč |
|
|
3800 Kč |
|
|
4900 Kč |
|
|
In-Office Whitening |
7900 Kč |
|
11900 Kč |
|
| Détská dentální hygiena 2-8 let (do 30 min.) / 8-16 let | 1490 / 1590 Kč |
| Opakovaná dentálni hygiena (= do 6 més. od posledni návštévy a do 30 min.) | 1790 Kč |
| Adaptační návštěva | 950 Kč |
For emergency treatment during working hours, the patient pays only for the procedures performed, not any additional fees.
For emergency treatment during working hours, the patient pays only for the procedures performed, not any additional fees.
Health Insurance Companies
Health Insurance Companies
Price List FAQ
On this dental practice website, we have prepared answers to the most frequently asked questions from our patients. If you cannot find what you are looking for here, please do not hesitate to contact us.
Price List FAQ
On this dental practice website, we have prepared answers to the most frequently asked questions from our patients. If you cannot find what you are looking for here, please do not hesitate to contact us.
Payment for treatment is also possible through gift or benefit programs:
Payment via Edenred and Benefit Plus benefits is only possible by card, not with vouchers, and only at the branches of Vysocany, Vinohrady, SC Letnany, Pocernice and Eliška.
Payment for treatment is also possible through gift or benefit programs:
Payment via Edenred and Benefit Plus benefits is only possible by card, not with vouchers, and only at the branches of Vysocany, Vinohrady, SC Letnany, Pocernice and Eliška.
