XLS《治疗费》

"骨劈开","每牙","600",,

"0.950000610351562" "外院干槽症换药","每牙","30",,

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"0.950000610351562" "明细单中未涵盖项目由医生填写" "项目名称","单位","标准","数量","项目名称","单位","标准","数量" "患者性名:病历号:合计: "医生签名:日期: ,,

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, "本机构选择9.5折方案" "北京和平街口腔门诊部修复收费明细单" "项目名称",,

"单位","价格","数量","项目名称",,

"单位","价格","数量" "诊疗费",,

"每次","12",,

"进口表麻",,

"每支","5", "消毒费",,

"每次","10",,

"碧兰麻药",,

"每支","15",,

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, "一次性气枪头",,

"每次","1",,

"注射费",,

"每次","10",,

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, "牙片",,

"每张","15" "项目名称",,

"单位","价格","数量","项目名称",,

"单位","价格","数量" "印模材","手动硅橡胶印模","单颌","50",,

"聚合瓷",,

"每牙","1000", ,"机混硅橡胶印模","单颌","150",,

"美容蜡型",,

"每牙","60", ,"藻酸盐印模","单颌","15",,

"拆冠基价",,

"每牙","100", "粘接材","玻璃子粘接","每牙","20",,

"拆桩基价",,

"每牙","500", ,"树脂粘接","每牙","50",,

"拆除不良修复体基价",,

"每个","50", "排龈","排龈线排龈","每牙","25",,

"拆除过程中车针损耗",,

"每支","21", ,"排龈膏排龈","每牙","150",,

"磁性附着体",,

"每根","2200", "临时冠","普通临时冠","每牙","50",,

"胶链义齿",,

"基价","400", ,"烤塑临时冠","每牙","150",,

"弹性义齿",,

"基价","480", "桩核","镍铬合金桩核","每牙","180",,

"树脂牙","普通牙","每牙","50", ,"钴铬合金桩核","每牙","360",,

,"进口牙","每牙","80", ,"金合金桩核","每牙","1800",,

"咬牙合垫",,

"全口","500", ,"普通纤维桩核","每牙","450",,

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"半口","300", ,"进口纤维桩核","每牙","710",,

"支架义齿","钴铬小支架","基价","650", ,"瓷桩桩核","每牙","2200",,

,"钴铬大支架","基价","750", "金属冠","镍铬合金金属冠","每牙","380",,

,"纯钛小支架","基价","3000", ,"钴铬合金金属冠","每牙","600",,

,"纯钛大支架","基价","3500",,

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, ,"金合金金属冠","每牙","2800",,

"总义齿","胶链义齿","全口","950",,

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, "烤瓷冠","镍铬合金烤瓷冠","每牙","680",,

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"半口","550", ,"钴铬合金烤瓷冠","每牙","1100",,

,"钴铬义齿","全口","2000", ,"生物白金烤瓷冠","每牙","1700",,

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"半口","1000", ,"金沉积烤瓷冠","每牙","2200",,

,"纯钛义齿","全口","8000", ,"金铂合金烤瓷冠前牙","每牙","2200",,

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"半口","4000", ,"金铂合金烤瓷冠后牙","每牙","2800",,

"加金属网",,

"单颌","100", ,"铸瓷烤瓷冠","每牙","2200",,

"加金属杆",,

"单颌","100", ,"普通二氧化锆烤瓷冠","每牙","4500",,

"义齿修理",,

"每次","60", ,"精品二氧化锆烤瓷冠","每牙","6000",,

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"明细单中未涵盖项目由医生填写" "项目名称",,

"单位","价格","数量","项目名称",,

"单位","价格","数量" "患者性名:病历号:合计: "医生签名:日期: