Average dental charges 2015

The information contained in Table 1 – 'Average dental charges for privately insured services in 2015' has been collected by the Department of Health, and publicly released to help consumers make more informed decisions when purchasing services and encourage greater competition in the private health industry.

In 2015-16, private health insurers paid $2.5 billion for dental services of the $4.7 billion they paid for all general treatment services. Insurers pay more benefits for dental services than any other type of general treatment, amounting to 52.5%, followed by optical at 17.2%. While consumers are aware of gaps between dental charges and the amount paid by their health insurer, there is little information available about average dental charges.

Guide to Dental Services Reported

Table 1 contains a list of 21 common dental services by the Australian Dental Association (ADA) code and the average charge within each state/territory based on consumers place of residence. It is important to note that charges within each state/territory will vary depending on location. (eg. major city, inner regional or remote). 

A description of each item can be found in Table 2 – 'Description of ADA Code'. Table 2 segments each ADA code into the following categories of dentistry:

  • Diagnostic
  • Preventative
  • Oral Surgery
  • Restorative
  • Crowns

This list of dental services may be expanded in the future, depending on data availability and consumer demands.

Origin of Data

De-identified data was provided by private health insurers to the Department of Health for the following dental services provided to privately insured patients in 2015, which was obtained as part of the claiming process.

Table 1 - Average dental charges for privately insured services during 2015

ADA CodeNSW/ACTNTQLDSATASVICWANational Average
011$59.10$68.89$58.25$56.60$61.88$58.79$59.91$58.97
012$55.54$62.50$52.63$52.54$60.00$53.63$55.95$54.40
013$49.31$57.47$46.22$49.14$49.13$47.75$49.17$48.41
014$65.60$76.25$62.00$62.52$64.79$65.68$63.58$64.39
022$41.52$45.90$41.00$43.68$43.17$42.56$44.24$42.25
071$63.42$58.92$56.91$60.68$64.70$60.64$62.53$61.33
111$59.35$73.67$56.86$60.06$56.81$55.88$63.53$58.32
114$107.30$127.11$104.82$107.67$107.83$107.48$108.49$107.13
121$34.81$31.50$31.12$32.28$32.22$33.52$33.86$33.46
161$53.54$63.45$52.87$45.46$47.89$52.26$57.24$52.82
311$171.65$174.67$164.89$145.95$174.54$158.89$157.18$163.45
521$141.24$148.42$134.01$126.43$151.22$135.95$131.60$136.30
522$173.91$179.91$161.92$152.70$181.62$163.24$159.22$165.30
523$199.97$213.70$189.75$176.58$206.09$186.88$185.17$191.19
531$148.10$159.45$143.86$134.95$157.76$143.19$145.13$144.93
532$191.13$198.33$179.60$171.75$195.00$180.53$184.76$183.99
533$219.92$238.05$211.72$208.31$223.38$210.36$218.10$215.02
534$244.31$291.62$240.29$226.79$252.74$231.77$241.46$239.04
575$33.75$34.02$32.13$30.76$34.18$33.56$34.27$33.03
577$34.62$35.95$34.64$30.98$34.55$32.40$40.24$34.20
615$1,463.79$1,497.80$1498.51$1,475.25$1,540.98$1,503.65$1,428.35$1,471.69
The above table was informed by data provided by private health insurers to the Department of Health which was part of the claiming process.

Table 2 - ADA code descriptions

ADA CodeDescriptionCategory
011Comprehensive oral examinationDiagnostic
012Periodic oral examination
013Oral examination – limited
014Consultation
022Intraoral periapical or bitewing radiograph - per exposure
071Diagnostic model – per model
111Removal of plaque and/or stain.Preventative
114Removal of calculus - first visit
121Topical application of remineralising and/or cariostatic agents, one treatment
161Fissure sealing - per tooth
311Removal of a tooth or part(s) thereofOral Surgery
521Adhesive restoration – one surface – anterior tooth – directRestorative
522Adhesive restoration – two surfaces – anterior tooth – direct
523Adhesive restoration – three surfaces – anterior tooth – direct
531Adhesive restoration – one surface – posterior tooth – direct
532Adhesive restoration – two surfaces – posterior tooth – direct
533Adhesive restoration – three surfaces – posterior tooth – direct
534Adhesive restoration – four surfaces – posterior tooth – direct
575Pin retention – per pin
577Cusp capping – per cusp
615Full crown - veneered – indirectCrowns