No Nama Bahan

1 cavit
2 CHKM/paramonoklorofenol
3 ZnOe (eugetin)
powder
liquid
4 chresatin
5 Endoseal
powder
liquid
5 GIC
powder
liquid
6 eugenol
7 oco
8 Tricresolformalin
9 devitec
10 topikal anastesi
11 pasta poles
12 paper point/ukuran
13 gutta percha/ukuran
14 gutta percha protaper
15 micro applicator
16 cocoa butter
17 etsa
18 bonding
19 RK Flow /shade
20 RK pasta / shade
21 kalsil LC
22 needle citoject/ ukuran
23 karpul citoject
24 pehacaine
25 spuit 3 ml
26 spuit 1 ml
27 alginat
28 gips stone
29 polibib
30 masker hijab
31 handscoen
32 kapas
33 alkohol 70%
34 saliva ejector
35 cotton roll
36 NaOcl
37 NaCl
37 kalsium hidroksida (dressing)
38 zinc fosfat (lining) elite cement
powder
liquid
39 betadine
40 priodontal pack
41 jarum jahit
42 Benang jahit
43 blade
44 chlorethil
45 benang retraksi
46 GIC luting
powder
liquid
47 seluloid strip
48 Bracket
49 Bonding bracket
50 Fluor (TAF)
51 Karet ortho
52 wire /ukuran
 Merk Harga beli Kenaikan Harga (25%) sediaan 1x pakai Jumlah pakai
3M Rp. 131.000 Rp. 163.750 30 gr 0,3 gr 100
biodinamica Rp. 55.000 Rp. 68.750 20 ml 0,14 ml 150

tehnodent Rp. 396.000 Rp. 495.000 14 gr 0, 14 gr

100
10 ml 0,1 ml
tehnodent Rp. 195.000 Rp. 243.800 15 ml 0,15 ml 100

denspro Rp. 203.500 Rp. 254.400 20 gr 0,25 gr 80

10 ml 0,125 ml

GC Rp. 781.000 Rp. 976.250 15 gr 0,15 gr

7 ml 0,07 ml 100
biodinamica Rp. 165.000 Rp. 206.250 20 gr 0,2 gr 100
oco Rp. 154.000 Rp. 192.500 15 ml 0,3 ml 50
biodinamica Rp. 66.000 Rp. 82.500 10 ml 0,2 ml 50
tehnodent Rp. 260.000 Rp. 325.000 5 gr 0,03 150
precaine Rp. 145.000 Rp. 181.250 30 gr 0,3 gr 100
spectra Rp. 176.000 Rp. 220.000 200 gr 2 gr 100
diadent Rp. 39.600 Rp. 49.500 150 pcs 10 pcs 15
diadent Rp. 39.600 Rp. 49.500 120 pcs 5 pcs 24
denstply Rp. 378.000 Rp. 472.500 60 pcs 4 pcs 15
dochem Rp. 66.000 Rp. 82.500 100 pcs 2 pcs 50
GC Rp. 93.500 Rp. 116.900 10 gr 0,125 gr 80
SDI Rp. 297.000 Rp. 371.250 10 ml 0,1 ml 100
biodinamica Rp. 198.000 Rp. 247.500 5 ml 0,1 ml 50
biodinamica Rp. 220.000 Rp. 275.000 2 gr 0,07 gr 30
Solare Rp. 308.000 Rp. 385.000 4 gr 0,08 gr 50
oco Rp. 561.000 Rp. 701.250 2 gr 0,013 gr 150
olico Rp. 176.000 Rp. 220.000 100 pcs 1 pcs 100
septocaine Rp. 435.000 Rp. 543.750 50 pcs 2 pcs 25
pehacaine Rp. 72.000 Rp. 90.000 20 pcs 2 pcs 10
terumo Rp. 125.000 Rp. 156.250 100 pcs 1 pcs 100
terumo Rp. 350.000 Rp. 437.500 100 pcs 1 pcs 100
Aroma normal set Rp. 96.800 Rp. 121.000 500 gr 50 gr 10
lokal Rp. 33.550 Rp. 41.940 1 000 gr 125 gr 8
dochem Rp. 90.200 Rp. 112.750 120 pcs 1 pcs 120
lokal Rp. 20.900 Rp. 26.125 50 pcs 1 pcs 50
lokal Rp. 48.400 Rp. 60.500 100 pcs 2 pcs 50
bunda Rp. 39.600 Rp. 49.500 500 gr 1 gr 500
lokal Rp. 25.000 Rp. 31.250 300 ml 1 ml 300
 Rp. 66.000 Rp. 82.500 100 pcs 1 pcs 100
prodental Rp. 33.000 Rp. 41.250 200 pcs 2 pcs 100
Rp. 27.500 Rp. 34.400 500 ml 50 ml 10
Rp. 13.000 Rp. 16.250 500 ml 50 ml 10
calcigel Rp. 93.500 Rp. 116.875 3 gr 0,03 ml 100

GC Rp. 165.000 Rp. 206.250 35gr 0,35 gr

100
30gr 0,3 gr
Rp. 65.000 Rp. 81.250 1000 ml 0,1 ml 1000
coe-pack (GC) Rp. 489.500 Rp. 611.875 90 gr 9 gr 10
cut gut Rp. 13.500 Rp. 16.875 10 pcs 1 1
Rp. 12.100 Rp.15.125 150 cm 30 cm 5
Rp. 1.200 Rp. 1.500 1 pcs 1 1
Rp. 160.000 Rp. 200.000 100 ml 1 ml 100
Rp. 128.000 Rp. 160.000 250 cm 5 cm 50

GC Rp. 335.500 Rp. 419.375 15 gr 1 gr

30
10 gr 0,33 gr
Rp. 66.000 Rp. 82.500 12 pcs 1/2 pcs 24
AO Rp.800.000 Rp. 1.000.000 1 set 20 pcs 20
RMO Rp. 850.000 Rp. 1.062.500 4 gr 4 gr 4 gr
clinpro 3M Rp. 530.000 Rp. 662.500 20 pcs 1 pcs 20
AO Rp. 10.000 Rp. 12.500 1 1 1
china Rp. 90.200 Rp. 112.750 10 pcs 2 pcs 5
Harga 1x pakai
Rp. 1.638
Rp. 459

Rp. 4.950

Rp. 2.438

Rp. 3.180

Rp. 9.763
Rp. 2.062
Rp. 3.850
Rp. 1.650
Rp. 2.170
Rp. 1.813
Rp. 2.200
Rp. 3.300
Rp. 2.070
Rp. 31.500
Rp. 1.650
Rp. 1.461
Rp. 3.713
Rp. 4.950
Rp. 9.170
Rp. 7.700
Rp. 46.750
Rp. 2.200
Rp. 21.750
Rp. 9.000
Rp. 1.563
Rp. 4.375
Rp. 12.100
Rp. 5.243
Rp. 940
Rp. 530
Rp. 1.210
Rp. 99
Rp. 105
 Rp. 8.250
Rp. 413
Rp. 3.440
Rp. 1.625
Rp. 1.169

Rp. 2.063

Rp. 81
Rp. 61.188
Rp. 1.688
Rp. 3.025
Rp. 1.500
Rp. 2.000
Rp. 3.200

Rp. 14.000
Rp. 3.440
Rp. 1.000.000
Rp. 265.625
Rp. 33.125
Rp. 12.500
Rp. 22.550
NO NAMA TINDAKAN BAHAN HABIS PAKAI PEMAKAIAN
A KONSERVASI GIGI

1 Tambalan GIC
Kecil Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
Gic 1 sdk fuji
seluloid strip 0,5 pcs
cocoa butter 1 (0,125 gr)

Sedang Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
Gic 1 sdk fuji
cocoa butter 1 (0,125 gr)
seluloid strip 0,5 pcs

Besar Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
Gic 2 sdk fuji
cocoa butter 1 (0,125 gr)
seluloid strip 0,5 pcs

2 Tambalan komposit
Kecil Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
mikro applicator 2
 etsa 1 (0,1 ml)
bonding 1 (0,1 ml)
komposit 1 (0,08 gr)
seluloid strip 0,5 pcs

Sedang Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
mikro applicator 2
etsa 2 (0,2 ml)
bonding 2 (0,2 ml)
komposit 2 (0,016 gr)
seluloid strip 0,5 pcs

Besar Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
mikro applicator 2
etsa 3 (0,3 ml)
bonding 3 (0,3 ml)
seluloid strip 0,5 pcs
komposit 3 (0,024 gr)
3 Fissure sealant Handscoen 2
masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
mikro applicator 2
etsa 1 (0,1 ml)
bonding 1 (0,1 ml)
komposit flow 1 (0,07 gr)
4 Pulp Capping Handscoen 2
Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
calcil 1 (0,013 gr)
 tambalan sementara 1 (0,3 gr)
5 PSA (Perawatan saluran akar)
Mumifikasi Handscoen 2
Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
Devital 1 (0,03 gr)
Naocl 5,25% 50 ml
NaCl 50 ml
alkohol 1 ml

Ganti obat Handscoen 2

Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
CHKM/Paramonoklorofenol 0,14 ml
TKF 0,2 ml
Eugenol 0,2 gr
Chresatin 0,15 ml
Kalsium Hidroksida 0,03 ml
Naocl 5,25% 50 ml
Nacl 50 ml
alkohol 1 ml
paper point 10 pcs

Pengisian saluran akar gigi permanen Handscoen 2

gutapercha (1 saluran) Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
Naocl 5,25% 50 ml
Nacl 50 ml
alkohol 1 ml
gutapercha / ukuran 5 pcs
gutapercha protaper 4 pcs
endoseal 0,25 gr
paper point 10 pcs
semen base 0,35 gr

Pengisian saluran akar gigi decidui Handscoen 2

 Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
Naocl 5,25% 50 ml
Nacl 50 ml
alkohol 1 ml
paper point 10 pcs
ZnOe 0,14 gr
semen base 0,35 gr
6 Bleaching
Paket A (Pola Office) Handscoen 2
Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
whitening,fluor,ongkos kirim 1

Paket B (Whiteness HP Red) Handscoen 2

Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
whitening,fluor,ongkos kirim 1

Paket C (opalboost) Handscoen 2

Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
cutton roll 2
whitening,fluor,ongkos kirim 1
B PERIODONSIA

1 Scalling ringan Handscoen 2

Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
betadine 0,1 ml
pasta poles 2 gr
2 scalling sedang Handscoen 2
 Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
betadine 0,1 ml
pasta poles 2 gr
3 scalling berat Handscoen 2
Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
betadine 0,1 ml
pasta poles 2 gr
4 Gingivectomy Handscoen 2
Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
betadine 0,1 ml
Spuit 3 cc 1
Spuit 1 cc 1
Pehacain 2
periodontal pack 9 gr
Nacl 50 ml
blade 1
5 Frenectomy Handscoen 2
Masker 1
saliva ejector 1
polibib 1
kapas 1 (1 gr)
betadine 0,1 ml
Spuit 3 cc 1
Spuit 1 cc 1
Pehacain 2
periodontal pack 9 gr
Nacl 50 ml
blade 1
cut gut 1
benang jahit 30 cm
C BEDAH MULUT

1 Alveolektomi Handscoen 2
Masker 1
saliva ejector 1
polibib 1
 kapas 1 (1 gr)
betadine 0,1 ml
Spuit 3 cc 1
Spuit 1 cc 1
Pehacain 2
periodontal pack 9 gr
Nacl 50 ml
cut gut 1
benang jahit 30 cm
3 Odontektomi Handscoen 2
Masker 1
saliva ejector 1
polibib 1
Spuit 3 cc 1
Spuit 1 cc 1
Pehacain 2
needle citoject 1
Septocaine 2
kapas 2 (2 gr)
cut gut 1
betadine 0,2 ml
Nacl 50 ml
Precaine 0,3 gr
blade 1
benang jahit 30 cm
4 Ekstraksi Handscoen 2
Masker 1
saliva ejector 1
polibib 1
Spuit 3 cc 1
Spuit 1 cc 1
Pehacain 2
Kapas 2 (2 gr)
Betadine 0,2 ml
Precaine 0,3 gr
Nacl 50 ml
5 Ekstraksi dengan citoject Handscoen 2
Masker 1
saliva ejector 1
polibib 1
Septocaine 2
needle Citoject 1
spuit 3 cc 1
Spuit 1 cc 1
kapas 2 (2 gr)
 Betadine 0,2 ml
Nacl 50 ml
Precaine 0,3 gr
6 Ekstraksi dengan chloretil Handscoen 2
Masker 1
saliva ejector 1
polibib 1
Chloretil 1 ml
Precaine 0,3 gr
kapas 2 (2 gr)
Betadine 0,2 ml
Nacl 50 ml
7 Ekstraksi dengan penyulit Handscoen 2
Masker 1
saliva ejector 1
polibib 1
Spuit 3 cc 1
Spuit 1 cc 1
Pehacain 2
needle citoject 1
Septocaine 2
kapas 2 (2 gr)
cut gut 1
benang jahit 30 cm
betadine 0,2 ml
Nacl 50 ml
Precaine 0,3 gr
blade 1
8 kontrol buka jahitan Handscoen 2
Masker 1
saliva ejector 1
polibib 1
Spuit 3 cc 1
Pehacain 1
kapas 2 (2 gr)
betadine 0,2 ml
Nacl 50 ml
Precaine 0,3 gr

D PROSTHODONSIA

1 Crown (PFM) Handscoen 2

(1 gigi) Masker 1
polibib 1
benang retraksi 10 cm
 semen luting 1 gr
alginat 50 gr
stone 125 gr
benang retraksi 5 cm
LAB AA 1 gigi

2 Bridge (PFM) Handscoen 2

(1 gigi) Masker 1
polibib 1
benang retraksi 10 cm
semen luting 1 gr
alginat 50 gr
stone 125 gr
benang retraksi 5 cm
LAB AA 1 gigi

3 GTSL (akrilik) Handscoen 2

(1 gigi) Masker 1
saliva ejector 1
polibib 1
alginat 50 gr
stone 125 gr
klamer (lab) 2
LAB AA 1 gigi
4 GTSL (akrilik) LAB AA > 1 gigi
(gigi selanjutnya)
5 GTSL (valplast) Handscoen 2
(1 gigi) Masker 1
saliva ejector 1
polibib 1
alginat 50 gr
stone 125 gr
LAB AA 1 gigi
6 GTSL (valplast) LAB AA >1 gigi
(gigi selanjutnya)
7 GTP (akrilik) Handscoen 2
per rahang Masker 1
saliva ejector 1
polibib 1
alginat 50 gr
stone 125 gr
LAB AA
8 GTP (valplast) Handscoen 2
per rahang Masker 1
saliva ejector 1
 polibib 1
alginat 50 gr
stone 125 gr
LAB AA
6 Inlay/onlay Handscoen 2
Masker 1
polibib 1
alginat 50 gr
stone 125 gr
benang retraksi 5 cm
LAB AA 1 gigi
7 REPARASI
Rebase Handscoen 2
Masker 1
polibib 1
alginat 50 gr
stone 125 gr
LAB AA

Reline Handscoen 2
Masker 1
saliva ejector 1
polibib 1
alginat 50 gr
stone 125 gr
LAB AA

E PEDODONSIA

1 Aplikasi fluor Handscoen 2

Masker 1
Saliva Ejector 1
Polibib 1
Pasta polishing 2 gr
Fluor 1 pcs

2 Oral screen Handscoen 2

Masker 1
polibib 1
alginat 50gr
stone 125gr
LAB JT

3 RPE Handscoen 2
Masker 1
 Polibib 1
Alginat 50gr
Stone 125gr
LAB JT

4 SSC Handscoen 2
Masker 1
Polibib 1
Alginat 50gr
Stone 125gr
benang retraksi 5 cm
ssc 1 pcs

6 SM/SR Handscoen 2
Masker 1
Polibib 1
Alginat 50gr
Stone 125gr
LAB JT

7 Twin block Handscoen 2

(RA RB) Masker 1
Polibib 1
Alginat 50 gr
Stone 125 gr
LAB JT

9 Kontrol oral screen, RPE, Twinblock, SM Handscoen 2

Masker 1
Polibib 1

F ORTHODONSIA

1 Ortho cekat Handscoen 2

Masker 1
Polibib 1
Alginat 50 gr
Stone 125 gr
Bracket 1 set (20 pcs)
Bonding Bracket 4 gr
wire 2 pcs

2 Kontrol Ortho cekat Handscoen 2

Masker 1
Saliva ejector 1
 polibib 1
Karet ortho 2

3 kontrol ortho lepas bracket Handscoen 2

(1 buah) Masker 1
Saliva ejector 1
polibib 1
karet ortho 2
bracket 1 pcs
bonding bracket 0,25 gr

4 kontrol ortho ganti wire Handscoen 2

Masker 1
Saliva ejector 1
polibib 1
wire 2
karet ortho 2
 UNIT COST PEMAKAIAN BHP POLI GIGI DAN MULUT RS BAITURRAHIM

UNIT COST JUMLAH COST UNIT JASA DOKTER GIGI UMUM

Rp 605 Rp 1,210 Rp 150,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99 Rp 26,107
Rp 207 Rp 414
Rp 9,763 Rp 9,763
Rp 3,440 Rp 3,440
Rp 1,461 Rp 1,461

Rp 605 Rp 1,210 Rp 170,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99 Rp 26,108
Rp 207 Rp 414
Rp 9,763 Rp 9,763
Rp 1,462 Rp 1,462
Rp 3,440 Rp 3,440

Rp 605 Rp 1,210 Rp 220,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99 Rp 35,871
Rp 207 Rp 414
Rp 9,763 Rp 19,526
Rp 1,462 Rp 1,462
Rp 3,440 Rp 3,440

Rp 605 Rp 1,210 Rp 170,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 207 Rp 414 Rp 32,896
Rp 825 Rp 1,650
 Rp 32,896

Rp 3,713 Rp 3,713
Rp 4,950 Rp 4,950
Rp 7,700 Rp 7,700
Rp 3,440 Rp 3,440

Rp 605 Rp 1,210 Rp 200,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 207 Rp 414 Rp 49,259
Rp 825 Rp 1,650
Rp 3,713 Rp 7,426
Rp 4,950 Rp 9,900
Rp 7,700 Rp 15,400
Rp 3,440 Rp 3,440

Rp 605 Rp 1,210 Rp 250,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 207 Rp 414 Rp 65,622
Rp 825 Rp 1,650
Rp 3,713 Rp 11,139
Rp 4,950 Rp 14,850
Rp 3,440 Rp 3,440
Rp 7,700 Rp 23,100
Rp 605 Rp 1,210 Rp 200,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 30,926
Rp 207 Rp 414
Rp 825 Rp 1,650
Rp 3,713 Rp 3,713
Rp 4,950 Rp 4,950
Rp 9,170 Rp 9,170
Rp 605 Rp 1,210 Rp 200,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 59,831
Rp 99 Rp 99
Rp 207 Rp 414
Rp 46,750 Rp 46,750
 Rp 59,831

Rp 1,638 Rp 1,638

Rp 605 Rp 1,210 Rp 150,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 18,783
Rp 207 Rp 414
Rp 2,170 Rp 2,170
Rp 69 Rp 3,440
Rp 33 Rp 1,625
Rp 105 Rp 105

Rp 605 Rp 1,210 CHKM Rp 150,000

Rp 530 Rp 530 Rp 20,372
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99 TKF
Rp 207 Rp 414 Rp 21,563
Rp 459 Rp 459
Rp 1,650 Rp 1,650 Eugenol
Rp 2,062 Rp 2,062 Rp 21,975
Rp 2,438 Rp 2,438
Rp 1,169 Rp 1,169 chresatin
Rp 69 Rp 3,440 Rp 22,351
Rp 33 Rp 1,625
Rp 105 Rp 105 kalsium hidroksida
Rp 330 Rp 3,300 Rp 21,082

Rp 605 Rp 605 Rp 250,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 207 Rp 414
Rp 69 Rp 3,440
Rp 58,121
Rp 33 Rp 1,625
Rp 105 Rp 105
Rp 414 Rp 2,070
Rp 7,875 Rp 31,500
Rp 3,180 Rp 3,180
Rp 330 Rp 3,300
Rp 2,063 Rp 2,063

Rp 605 Rp 1,210 Rp 250,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 207 Rp 414
Rp 26,926
Rp 69 Rp 3,440
Rp 33 Rp 1,625
Rp 105 Rp 105
Rp 330 Rp 3,300
Rp 4,950 Rp 4,950
Rp 2,063 Rp 2,063

Rp 605 Rp 1,210 Rp 700,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 730,193
Rp 99 Rp 99
Rp 207 Rp 414
Rp 718,750 Rp 718,750

Rp 605 Rp 1,210 Rp 700,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 1,073,443
Rp 99 Rp 99
Rp 207 Rp 414
Rp 1,062,000 Rp 1,062,000

Rp 605 Rp 1,210 Rp 700,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 1,948,943
Rp 99 Rp 99
Rp 207 Rp 414
Rp 1,937,500 Rp 1,937,500

Rp 605 Rp 1,210 Rp 200,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 13,310
Rp 99 Rp 99
Rp 81 Rp 81
Rp 1,100 Rp 2,200
Rp 605 Rp 1,210 Rp 300,000

Rp 13,310
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 13,310
Rp 99 Rp 99
Rp 81 Rp 81
Rp 1,100 Rp 2,200
Rp 605 Rp 1,210 Rp 350,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 13,310
Rp 99 Rp 99
Rp 81 Rp 81
Rp 1,100 Rp 2,200
Rp 605 Rp 1,210 Rp 300,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 81 Rp 81
Rp 90,361
Rp 1,563 Rp 1,563
Rp 4,375 Rp 4,375
Rp 4,500 Rp 9,000
Rp 6,798 Rp 61,188
Rp 33 Rp 1,625
Rp 1,500 Rp 1,500
Rp 605 Rp 1,210 Rp 300,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 99 Rp 99
Rp 81 Rp 81
Rp 1,563 Rp 1,563
Rp 95,074
Rp 4,375 Rp 4,375
Rp 4,500 Rp 9,000
Rp 6,798 Rp 61,188
Rp 33 Rp 1,625
Rp 1,500 Rp 1,500
Rp 1,688 Rp 1,688
Rp 101 Rp 3,025

Rp 605 Rp 1,210 Rp 300,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940

Rp 93,574
Rp 99 Rp 99
Rp 81 Rp 81
Rp 1,563 Rp 1,563 Rp 93,574
Rp 4,375 Rp 4,375
Rp 4,500 Rp 9,000
Rp 6,798 Rp 61,188
Rp 33 Rp 1,625
Rp 1,688 Rp 1,688
Rp 101 Rp 3,025
Rp 605 Rp 1,210 Rp 1,000,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 1,563 Rp 1,563
Rp 4,375 Rp 4,375
Rp 4,500 Rp 9,000
Rp 2,200 Rp 2,200
Rp 59,829
Rp 10,875 Rp 21,750
Rp 99 Rp 198
Rp 1,688 Rp 1,688
Rp 81 Rp 162
Rp 33 Rp 1,625
Rp 1,813 Rp 1,813
Rp 1,500 Rp 1,500
Rp 101 Rp 3,025
Rp 605 Rp 1,210 Ekstraksi anterior
Rp 530 Rp 530 Rp 150,000
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Ekstraksi posterior
Rp 1,563 Rp 1,563 Rp 250,000
Rp 4,375 Rp 4,375 Rp 29,666
Rp 4,500 Rp 9,000
Rp 99 Rp 198
Rp 81 Rp 162
Rp 1,813 Rp 1,813
Rp 33 Rp 1,625
Rp 605 Rp 1,210 Ekstraksi anterior
Rp 530 Rp 530 Rp 200,000
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Ekstraksi posterior
Rp 10,875 Rp 21,750 Rp 250,000
Rp 2,200 Rp 2,200
Rp 44,616
Rp 1,563 Rp 1,563
Rp 4,375 Rp 4,375
Rp 99 Rp 198
 Rp 44,616

Rp 81 Rp 162
Rp 33 Rp 1,625
Rp 1,813 Rp 1,813
Rp 605 Rp 1,210 Rp 150,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 2,000 Rp 2,000 Rp 16,728
Rp 1,813 Rp 1,813
Rp 99 Rp 198
Rp 81 Rp 162
Rp 33 Rp 1,625
Rp 605 Rp 1,210 Rp 400,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 1,563 Rp 1,563
Rp 4,375 Rp 4,375
Rp 4,500 Rp 9,000
Rp 2,200 Rp 2,200
Rp 59,829
Rp 10,875 Rp 21,750
Rp 99 Rp 198
Rp 1,688 Rp 1,688
Rp 101 Rp 3,025
Rp 81 Rp 162
Rp 33 Rp 1,625
Rp 1,813 Rp 1,813
Rp 1,500 Rp 1,500
Rp 605 Rp 1,210 Rp 100,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 1,563 Rp 1,563
Rp 20,791
Rp 4,500 Rp 4,500
Rp 99 Rp 198
Rp 81 Rp 162
Rp 33 Rp 1,625
Rp 1,813 Rp 1,813

Rp 605 Rp 1,210 Rp 1,000,000

Rp 530 Rp 530
Rp 940 Rp 940
Rp 2,625 Rp 26,250
Rp 625,973
Rp 14,000 Rp 14,000 Rp 625,973
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 640 Rp 3,200
Rp 562,500 Rp 562,500

Rp 605 Rp 1,210 Rp 1,000,000

Rp 530 Rp 530
Rp 940 Rp 940
Rp 2,625 Rp 26,250
Rp 14,000 Rp 14,000 Rp 625,973
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 640 Rp 3,200
Rp 562,500 Rp 562,500

Rp 605 Rp 1,210 Rp 200,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940
Rp 203,273
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 25,000 Rp 50,000
Rp 125,000 Rp 125,000
Rp 50,000 Rp 50,000 Rp 50,000 Rp 100,000

Rp 605 Rp 1,210 Rp 500,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 622,023
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 593,750 Rp 593,750
Rp 106,250 Rp 106,250 Rp 106,250 Rp 100,000

Rp 605 Rp 1,210 Rp 1,000,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 778,273
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 750,000 Rp 750,000
Rp 605 Rp 1,210 Rp 1,000,000
Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 1,903,273
Rp 940 Rp 940 Rp 1,903,273
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 1,875,000 Rp 1,875,000
Rp 605 Rp 1,210 Rp 200,000
Rp 530 Rp 530
Rp 940 Rp 940
Rp 242 Rp 12,100 Rp 335,723
Rp 42 Rp 5,243
Rp 640 Rp 3,200
Rp 312,500 Rp 312,500

Rp 605 Rp 1,210 Rp 100,000

Rp 530 Rp 530
Rp 940 Rp 940
Rp 238,773
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 218,750 Rp 218,750

Rp 605 Rp 1,210 Rp 100,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 153,273
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 125,000 Rp 125,000

Rp 605 Rp 1,210 Rp 200,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 46,255
Rp 940 Rp 940
Rp 1,100 Rp 2,200
Rp 33,125 Rp 33,125

Rp 605 Rp 1,210 Rp -
Rp 530 Rp 530
Rp 940 Rp 940
Rp 770,023
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 750,000 Rp 750,000

Rp 605 Rp 1,210 Rp -
Rp 530 Rp 530
Rp 832,523
Rp 940 Rp 940
Rp 832,523
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 812,500 Rp 812,500

Rp 605 Rp 1,210 Rp -
Rp 530 Rp 530
Rp 940 Rp 940
Rp 242 Rp 12,100 Rp 98,223
Rp 42 Rp 5,243
Rp 640 Rp 3,200
Rp 75,000 Rp 75,000

Rp 605 Rp 1,210 Rp -
Rp 530 Rp 530
Rp 940 Rp 940
Rp 332,523
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 312,500 Rp 312,500

Rp 605 Rp 1,210 Rp -
Rp 530 Rp 530
Rp 940 Rp 940
Rp 1,270,023
Rp 242 Rp 12,100
Rp 42 Rp 5,243
Rp 1,250,000 Rp 1,250,000

Rp 605 Rp 1,210 Rp -
Rp 530 Rp 530 Rp 2,680
Rp 940 Rp 940

Rp 605 Rp 1,210 Rp 3,000,000

Rp 530 Rp 530
Rp 940 Rp 940
Rp 242 Rp 12,100
Rp 2,105,073
Rp 42 Rp 5,243
Rp 1,000,000 Rp 1,000,000
Rp 265,625 Rp 1,062,500
Rp 11,275 Rp 22,550

Rp 605 Rp 1,210 Rp 100,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250 Rp 23,430
 Rp 23,430
Rp 940 Rp 940
Rp 12,500 Rp 12,500

Rp 605 Rp 1,210 Rp 100,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 940 Rp 940 Rp 139,833
Rp 12,500 Rp 12,500
Rp 50,000 Rp 50,000
Rp 265,625 Rp 66,403

Rp 605 Rp 1,210 Rp 100,000

Rp 530 Rp 530
Rp 8,250 Rp 8,250
Rp 45,980
Rp 940 Rp 940
Rp 11,275 Rp 22,550
Rp 12,500 Rp 12,500
ULUT RS BAITURRAHIM JAMBI

BILLING PASIEN DOKTER GIGI UMUM JASA DOKTER GIGI SPESIALIS

Rp 180,000 Rp 200,000

Rp 200,000 Rp 250,000

Rp 260,000 Rp 300,000

Rp 203,000 Rp 220,000
Rp 250,000 Rp 250,000

Rp 316,000 Rp 300,000

Rp 231,000 Rp 250,000

Rp 260,000 Rp 250,000
Rp 170,000 Rp 200,000

CHKM Rp 200,000
Rp 171,000

TKF
Rp 172,000

Eugenol
Rp 172,000

chresatin
Rp 173,000

kalsium hidroksida
Rp 172,000

Rp 310,000 Rp 300,000

Rp 280,000 Rp 300,000
Rp 1,431,000 Rp 1,000,000

Rp 1,800,000 Rp 1,000,000

Rp 2,700,000 Rp 1,000,000

Rp 215,000 Rp 250,000

Rp 315,000 Rp 350,000
Rp 365,000 Rp 400,000

Rp 391,000 Rp 400,000

Rp 396,000 Rp 500,000

Rp 394,000 Rp 500,000
Rp 1,060,000 Rp 3,000,000

Ekstraksi anterior Ekstraksi anterior

Rp 180,000 Rp 200,000

Ekstraksi posterior Ekstraski Posterior

Rp 280,000 Rp 300,000

Ekstraksi anterior Ekstraksi anterior

Rp 245,000 Rp 250,000

Ekstraksi posterior Ekstraski posterior

Rp 295,000 Rp 300,000
Rp 167,000 Rp 200,000

Rp 460,000 Rp 600,000

Rp 121,000 Rp 150,000

Rp 1,626,000 Rp 1,300,000
Rp 1,626,000 Rp 1,300,000

Rp 405,000 Rp 300,000

Rp 150,000 Rp 200,000

Rp 1,023,000 Rp 700,000

Rp 207,000 Rp 200,000

Rp 1,780,000 Rp 1,300,000

Rp 2,905,000 Rp 1,300,000
Rp 536,000 Rp 300,000

Rp 340,000 Rp 200,000

Rp 254,000 Rp 200,000

Rp 247,000 Rp 350,000

Rp - Rp 1,500,000

Rp - Rp 1,500,000
Rp - Rp 300,000

Rp - Rp 700,000

Rp - Rp 1,500,000

Rp - Rp 150,000

Rp 5,106,000 Rp 6,000,000

Rp 124,000 Rp 200,000
Rp 240,000 Rp 200,000

Rp 146,000 Rp 200,000
 BILLING PASIEN DOKTER GIGI SPESIALIS ANAK

Rp 230,000

Rp 280,000

Rp 340,000

Rp 253,000
Rp 300,000

Rp 366,000

Rp 281,000

Rp 310,000
Rp 220,000

CHKM
Rp 221,000

TKF
Rp 222,000

Eugenol
Rp 222,000

chresatin
Rp 223,000

kalsium hidrokdisa
Rp 222,000

Rp 360,000

Rp 330,000
Rp 1,731,000

Rp 2,100,000

Rp 3,000,000

Rp 265,000

Rp 365,000
Rp 415,000

Rp 491,000

Rp 596,000

Rp 594,000
Rp 3,060,000

Ekstraksi anterior
Rp 230,000

Ekstraksi posterior
Rp 330,000

Ekstraksi anterior
Rp 295,000

Ekstraksi posterior
Rp 345,000
Rp 217,000

Rp 660,000

Rp 171,000

Rp 1,926,000
Rp 1,926,000

Rp 505,000

Rp 250,000

Rp 1,223,000

Rp 307,000

Rp 2,080,000

Rp 3,205,000
Rp 636,000

Rp 440,000

Rp 354,000

Rp 397,000

Rp 2,271,000

Rp 2,333,000
Rp 399,000

Rp 733,000

Rp 2,771,000

Rp 153,000

Rp 8,106,000

Rp 224,000
Rp 340,000

Rp 246,000