1. Medical examination

Laboratory request

Laboratory
test/diagnostic
Students Staff and
their dependents
Outsiders
Urinalysis 35.00 40.00 50.00
Stool Exam/Fecalysis 35.00 40.00 50.00
Complete Blood Count 95.00 110.00 120.00
Platelet Count 50.00 65.00 75.00
Bleeding & Clotting Time 50.00 65.00 75.00
Hemoglobin/ Hematocrit* 40.00 60.00 70.00
WBC & Differential Count 55.00 70.00 80.00
FBS/RBS 75.00 95.00 115.00
 

 

2. Dental services

Cases/Treatment Students Staff & their siblings Requesting parties outside of VSU

Extraction:

  1. Temporary tooth w/o injection

  2. Temporary tooth w/ injection

  3. Permanent tooth simple

  4. Permanent tooth w/ bur sectioning

  5. Permanent tooth with gelfoam


-


-


75.00


100.00


150.00


50.00


60.00


100.00


150.00


200.00


70.00


75.00


150.00


200.00


300.00

Restorative Fillings:
AMALGAM

     

Class I incipient cavity

60.00

120.00

150.00

Class I deep cavity

70.00

150.00

170.00

Class II ideal case

70.00

150.00

180.00

Class II deep case

80.00

170.00

200.00

MOD

100.00

200.00

250.00

Light Cure:

  1. Class III incipient cavity
    (1 side only)

  2. Class III incipient cavity
    (2 sides)

  3. Class IV
    (1 side only)

  4. Class I


120.00

140.00


140.00


120.00


175.00

20.00


250.00


250.00


250.00

275.00


275.00


300.00

Prophilaxis:

     

Supragingival calculus

150.00

200.00

250.00

Subgingival calculus

150.00

200.00

250.00

Subgingival calculus & stains

150.00

250.00

300.00

Gingivitis curettage & stains

150.00

250.00

350.00

Periodontitis curettage & root planning

150.00

300.00

400.00

Periodontal Treatment (Debacterol)

  1. 1 lesion

  2. 2 lesions

  3. 1 quadrant

  4. 2 quadrants

  5. Multiple lesions

 

100.00

120.00

120.00

150.00

200.00

 

150.00

175.00

200.00

250.00

300.00

 

150.00

200.00

250.00

275.00

300.00