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consultation
200 S.R 100 S.R
cephalometric X-Ray
400 S.R 300 S.R
in office bleaching
800 S.R 600 S.R
periapical or bitewing radiograph two
50 S.R 37.5 S.R
scaling and polishing
300 S.R 225 S.R
deep scaling and curettage/quadrant
700 S.R 525 S.R
topical fluoride
200 S.R 150 S.R
mouth guard
amalgam filling 1 surface
composite filling 1 surface