CGHS Rates for Prosthodontics & Orthodontics in India

Prosthodontics and orthodontics are specialized branches of dentistry focused on restoring function and aesthetics to your smile. Prosthodontics involves the replacement of missing teeth and associated structures using devices like dentures and bridges. Orthodontics addresses the diagnosis and correction of misaligned teeth and jaws, particularly in developing dentitions.

For beneficiaries of the Central Government Health Scheme (CGHS), a specific schedule of rates is approved for these procedures when availed at empanelled hospitals. This page provides details on the CGHS coverage for treatments ranging from interceptive orthodontics for children to complex maxillofacial prostheses for patients who have lost facial structures. The rates vary by procedure and hospital tier — see the table above for the specific amounts applicable to NABH and non-NABH accredited facilities across different cities.

CGHS Prosthodontics & Orthodontics Rates (effective 13 October 2025)

Dental codes carry no separate super-speciality rate.

• Interceptive Orthodontic Treatment of the Primary Dentition/Transition Dentition, Non-NABH — Rs 5,950
• Interceptive Orthodontic Treatment of the Primary Dentition/Transition Dentition, NABH — Rs 7,000
• Limited Orthodontic Treatment of the Primary Dentition, Non-NABH — Rs 4,250
• Limited Orthodontic Treatment of the Primary Dentition, NABH — Rs 5,000
• Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown, Non-NABH — Rs 1,700
• Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown, NABH — Rs 2,000
• Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown with Ceramic facing Removable Partial Denture - Flexible Per Arch, Non-NABH — Rs 6,375
• Bridge/ Fixed Partial denture (per missing/ extracted tooth) metal crown with Ceramic facing Removable Partial Denture - Flexible Per Arch, NABH — Rs 7,500
• Removable Partial Denture - Cast Metal (additional Per tooth), Non-NABH — Rs 255
• Removable Partial Denture - Cast Metal (additional Per tooth), NABH — Rs 300
• Removable Partial Denture - Tooth Addition (per tooth), Non-NABH — Rs 255
• Removable Partial Denture - Tooth Addition (per tooth), NABH — Rs 300
• Add Clasp to existing Partial Denture, Non-NABH — Rs 425
• Add Clasp to existing Partial Denture, NABH — Rs 500
• Add Tooth to existing Partial Denture, Non-NABH — Rs 340
• Add Tooth to existing Partial Denture, NABH — Rs 400
• Space Maintainers - Fixed, Non-NABH — Rs 3,400
• Space Maintainers - Fixed, NABH — Rs 4,000
• Minor Treatment to Control Habits-Removable Appliance Therapy, Non-NABH — Rs 2,125
• Minor Treatment to Control Habits-Removable Appliance Therapy, NABH — Rs 2,500
• Minor Treatment to Control Habits-Fixed Appliance Therapy, Non-NABH — Rs 3,400
• Minor Treatment to Control Habits-Fixed Appliance Therapy, NABH — Rs 4,000
• Feeding appliance for Cleft Palate, Non-NABH — Rs 4,250
• Feeding appliance for Cleft Palate, NABH — Rs 5,000
• Expansion plate, Non-NABH — Rs 5,525
• Expansion plate, NABH — Rs 6,500
• Maxillofacial Prosthesis -Sal/auricular/orbital/Nasal/Palatal/facial lost/ Speech Aid, Non-NABH — Rs 5,950
• Maxillofacial Prosthesis -Sal/auricular/orbital/Nasal/Palatal/facial lost/ Speech Aid, NABH — Rs 7,000
• Obturator Prosthesis - Surgical/Definitive/Modification, Non-NABH — Rs 4,250
• Obturator Prosthesis - Surgical/Definitive/Modification, NABH — Rs 5,000

Rates shown are as per the CGHS approved package rates (Office Memorandum F.No.5-16/CGHS(HQ)/HEC/2024(PartI) dated 03.10.2025, effective 2025-10-13) (2025 (effective 13.10.2025)) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Who this covers

This rate schedule applies to CGHS beneficiaries who have been advised to undergo specific prosthodontic or orthodontic procedures by a qualified dental specialist. The coverage is intended for individuals with various dental and facial needs, including:

Patients requiring replacement of missing teeth with either a fixed bridge or a removable partial denture.

Children in their primary or mixed dentition phase who need interceptive or limited orthodontic treatment to guide jaw growth and prevent more complex issues.

Children who need space maintainers to hold the place for a permanent tooth after a baby tooth is lost prematurely.

Individuals who require habit-breaking appliances (either fixed or removable) to correct habits like thumb sucking or tongue thrusting.

Infants with a cleft palate who need a special feeding appliance to assist with nursing.

Patients who have lost parts of their face (such as an eye, ear, or nose) due to surgery, trauma, or congenital defects and require a maxillofacial prosthesis.

Individuals needing an obturator prosthesis to close a defect in the roof of the mouth (palate), which may be required after certain surgeries.

What CGHS covers vs. what you pay separately

The CGHS package rates are designed to cover the cost of the main procedure, which generally includes the dentist's fees, hospital charges for the duration specified, and standard materials required for the treatment. For example, the rate for a bridge or denture includes the fabrication and fitting of the standard appliance.

However, it is important to understand that certain items may not be part of the package and could be billed separately. These often include specialized consumables, higher-grade materials for crowns or dentures that a patient may opt for, or specific medications prescribed during or after the treatment. The cost of these non-covered items must be paid by the patient directly to the hospital.

Before beginning treatment, it is advisable to have a detailed discussion with the hospital's billing department to get a clear breakdown of what is included in the approved CGHS package and what potential out-of-pocket expenses you might incur.

How to use this at a CGHS-empanelled hospital

To avail of these dental treatments under CGHS at an empanelled facility, beneficiaries should follow a standard process:

1. First, obtain a referral for the specific procedure from a dental specialist at a CGHS Wellness Centre or another government hospital.

2. Present your CGHS card along with the referral letter at the designated CGHS counter of the empanelled hospital. The hospital will use this documentation to seek pre-authorization for the treatment.

3. Before the procedure begins, confirm the exact procedure name and code with the hospital staff. This helps ensure that the billing aligns with the approved CGHS rates and prevents any confusion later.

4. Note that the applicable rate is determined by the hospital's accreditation status. Hospitals with NABH (National Accreditation Board for Hospitals & Healthcare Providers) accreditation are entitled to higher rates than non-NABH facilities. This is not a choice for the patient but is based on the empanelment status of the hospital you visit.

Frequently Asked Questions

What is the difference between a fixed partial denture (bridge) and a removable partial denture?

A fixed partial denture, also known as a bridge, is permanently attached to the teeth adjacent to a gap and cannot be taken out by the patient. A removable partial denture is an appliance that can be removed for cleaning. CGHS provides separate rates for different types of both fixed and removable dentures.

Is interceptive orthodontic treatment the same as getting full braces?

No, they are different. Interceptive orthodontics is an early, limited treatment for young children to address developing alignment problems, often using appliances like space maintainers or habit-breakers. Comprehensive orthodontic treatment (braces) is a more extensive process to align all teeth. The CGHS rates on this page pertain to interceptive and limited treatments.

Does CGHS cover the cost of repairing or modifying my existing denture?

Yes, the CGHS rate list includes specific codes and approved rates for modifications to existing partial dentures, such as adding a new tooth or a clasp to the appliance. You can find the relevant procedure in the rate table.

What is a maxillofacial prosthesis?

A maxillofacial prosthesis is a custom-made artificial device used to replace a part of the head, neck, or face that is missing due to surgery, injury, or a birth defect. CGHS has approved rates for various prostheses, including those for the eye (orbital), ear (auricular), and nose (nasal).

Is prior authorization required for these dental procedures under CGHS?

Yes, for most non-emergency specialized dental procedures, you must first get a referral from a CGHS Wellness Centre or a government specialist. The empanelled hospital will then use this referral to obtain the necessary credit authorization from CGHS before starting the treatment.

Related

• How to apply for a CGHS card
• CGHS rate list for common procedures
• CGHS vs Ayushman Bharat: what's the difference

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.