Insurance-Covered Treatment & First-Visit Fee Guide
About Insurance-Covered Treatment
At 歯科ハミール高田88, we provide insurance-covered treatment using national health insurance. Insurance-covered treatment uses materials and treatment methods within the scope set by the government, providing the care you need while keeping your out-of-pocket cost down.
Insurance-covered treatment covers basic dental care such as cavity treatment, periodontal disease treatment, tooth extraction, root canal treatment, and denture fabrication. Please be sure to bring your health insurance card when receiving insurance-covered treatment. If we are unable to confirm your insurance, you will be billed at the full self-pay rate for the time being, with the balance settled later.
First-Visit Fee Guide
Basic First-Visit Fee (at the 30% Co-Payment Rate)
At your first visit, we ask about your symptoms and health, carry out an oral examination, and take X-rays. The first-visit fee covering this basic examination and consultation varies depending on whether it includes only data collection or also a cleaning, but it is roughly 3,000–5,000 yen.
Fees When Treatment Is Included
If emergency care or simple treatment is provided at the first visit, a treatment fee is added on top of the amount above. For example, if cavity treatment or tartar removal is carried out, a fee is added for each procedure.
If emergency care is provided for pain, the fee is roughly 4,000–6,000 yen. The exact fee depends on the treatment, and we will explain it to you before treatment begins.
Fee Guide for Common Insurance-Covered Treatments
Cavity Treatment
A filling (resin filling) for a small cavity costs roughly 1,500–3,000 yen per tooth. The fee varies depending on the size and location of the cavity.
For a larger cavity, treatment to protect the nerve or root canal treatment may be needed, in which case the cost can run to roughly 3,000–5,000 yen.
If a crown is needed, an insurance-covered metal crown costs roughly 3,000–5,000 yen. For a front tooth, a resin-faced crown with a white surface is covered by insurance and costs roughly 5,000–8,000 yen.
Learn more about cavity treatment
Periodontal Disease Treatment
Basic periodontal disease treatment, including tartar removal, costs roughly 3,000–4,000 yen. Depending on how far the periodontal disease has progressed, more specialized treatment may be needed.
Periodontal surgery for severe periodontal disease costs roughly 5,000–10,000 yen.
Learn more about periodontal disease
Root Canal Treatment
Root canal treatment treats the nerve of the tooth and requires several visits. The fee per visit is roughly 1,500–3,500 yen, and treatment is usually completed over about 3 to 5 visits.
Learn more about root canal treatment
Tooth Extraction
A standard extraction costs roughly 1,500–2,500 yen. A difficult extraction, such as a wisdom tooth, can cost roughly 3,000–4,000 yen. (CT imaging is billed separately.)
Learn more about wisdom tooth extraction
Denture Treatment
An insurance-covered partial denture costs roughly 5,000–10,000 yen, depending on the number of teeth and the design. A full denture costs roughly 10,000–20,000 yen.
Learn more about denture treatment
Prevention & Cleaning
Tartar removal and cleaning at a regular checkup cost roughly 2,000–3,000 yen. The fee may vary when this is carried out as periodontal disease treatment, or when there is a large amount of tartar.
Common Questions
What happens if I forget my health insurance card?
If you forget your health insurance card, you will be asked to pay the full self-pay amount for the time being. If you bring your health insurance card within the same month, we will refund the insurance-covered portion.
Do I need to notify you if my insurance card changes?
Yes. If your health insurance card changes, please be sure to show us the new card. Your insurance card may change because of a new job, a change of job, moving, or similar reasons, so please let the front desk know when this happens.
What happens if my insurance card changes partway through the month?
If your insurance card changes partway through the month, we can recalculate your bill using the new card as long as it is still within that same month. Please show us your new insurance card promptly.
What is the difference between insurance-covered and self-pay treatment?
Insurance-covered treatment uses materials and treatment methods within the scope set by the government, keeping patients’ costs low. Self-pay treatment is treatment not covered by insurance, letting you choose materials and treatment methods with superior aesthetics or function. We will suggest the treatment best suited to your wishes and symptoms.
What payment methods are available?
For insurance-covered treatment, you can pay by cash, credit card, or various e-money services. For details on payment methods, please see our payment methods page.
Can I find out an estimate of the treatment cost in advance?
When we explain your treatment at your examination, we’ll also give you a rough idea of the cost. For insurance-covered treatment, the final fee may vary depending on the content of the examination and treatment, but we’ll let you know as much as we can in advance. If you have any questions, just ask our staff.