| Type of service | Fee in PLN |
| Preliminary examination - check-up of oral cavity | 0-40 |
| Commencement of treatment, single visit | 50 |
| Adjustment visit | 50-100 |
| Composite or copolymer filling | 100-200 |
| Filling in front teeth | 200-350 |
| Tooth reconstruction or superstructure | 160-250 |
| Facing of discoloured tooth with composite | 160-250 |
| Pulp extirpation or amputation | 50 |
| Root canal treatment (1 root) - per visit | 30 |
| Treatment of bacterial infection - additionally per canal | 20 |
| Root canal filling - per canal | 90-200 |
| Removal of dental calculus | 90-150 |
| Tooth sand-blasting - upper or lower jaw | 60 |
| Treatment of mucous membrane diseases | 50 |
| Maintenance treatment in advanced periodontal disease | 60-100 |
| Dental fluoride varnishing - per tooth | 5 |
| Contact fluoridation (gel + tray) of upper or lower jaw | 40 |
| Contact fluoridation (gel + tray) of both jaws | 70 |
| Tooth whitening (depends on the method) | 900-1000 |
| Relaxation splint | 400 |
| Laser - stimulation irradiation | 15-100 |
| Removal of tooth sensitivity (depends on preparation, one tooth) | 10-40 |
| Treatment using cofferdam | 30-50 |
