Suggested Fee Guide

for Dental Hygienists

January 1, 2023
©2023 Ontario Dental Hygienists’ Association
All rights reserved
 USER GUIDE FOR DENTAL HYGIENISTS
The content, organization and management of dental hygiene care is guided by the principle of accessibility for all Canadians to
comprehensive oral health care and the promotion of oral health as an integral component of general health.

The purpose of this Fee Guide is to provide guidance to dental hygienists practising independently in Ontario in setting the fees
they charge for their professional services. It is a guide only; adherence to the guide is not obligatory. Each dental hygienist will
set their fees to reflect practice realities and local circumstances and requirements. Dental hygienists are expected to follow
their code of ethics and standards of practice when determining the value of a dental hygiene service. Dental hygienists are
responsible for ensuring they adhere to their scope of practice when providing professional services and for fees charged
associated with those services. This Fee Guide does not provide guidance on dental hygiene scope of practice. Questions
regarding scope of practice should be addressed to the College of Dental Hygienists of Ontario.

This Fee Guide uses the CDHA National List of Service Codes© produced by the Canadian Dental Hygienists Association
(CDHA). The CDHA National List of Service Codes© provides a description of the expectations of service for the codes used in
this Fee Guide. The ODHA Fee Guide is not intended for use by dental hygienists employed within traditional dental offices.

Dental Hygiene Claim Form

To protect themselves from copyright infringements, it is important all Ontario dental hygienists who are not members of CDHA
submit insurance claims use the standard dental hygiene claim form attached to this Fee Guide and available on the ODHA
website.

Review

ODHA will periodically review the suggested fees and will submit any suggestions for the coding system to the CDHA so it can
take these under advisement in its own review. Members are encouraged to submit their evidence-based feedback to the
ODHA in writing.

Members and third parties are reminded the suggested fees contained in the Fee Guide were prepared by the Ontario Dental
Hygienists’ Association to provide a guideline of fees considered to be fair and reasonable. The suggested fees are a guideline
only. The suggested fees are not binding on any dental hygienist or third-party billing or paying for dental hygiene services, and
there is no obligation to follow the suggested fees in the Fee Guide.

©2023 Ontario Dental Hygienists’ Association

All rights reserved. No part of this work covered by the publisher’s copyright may be reproduced or copied in any form or by any means
(graphic, electronic or mechanical, including photocopying, recording, recording taping, or information and retrieval systems) without the
written permission of the publishers.

©2023 Ontario Dental Hygienists’ Association

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Page 2 of 11
In this fee guide:
‘+ lab’
▪ an additional laboratory expense may be assessed with the procedure code
▪ the code for laboratory expense is 00991
‘+ exp’
▪ an additional expense such as courier costs may be assessed with the procedure code
▪ the code for an additional expense is 00992
‘c.s.’
▪ the fee is client specific and determined by the individual time and circumstances of the service provided
‘tooth number’
▪ when a service code requires a “tooth number”, the 2-digit International System of tooth numbering is to be used

Code / Service ODHA 2023 suggested fee

00100 Dental hygiene examination/assessment and diagnosis

Primary, complete 00111 $54.02

Mixed, complete 00112 $81.04
Permanent, complete 00113 $113.45
Edentulous, complete 00114 $48.62
Periodontal, complete 00115 $75.63
Case presentation/treatment planning – unusually complicated case – (each unit of time is 15 minutes)
1 unit of time 00116 $43.13
2 units of time 00117 $86.25
3 units of time 00118 $129.38
each additional unit of time >3 00119 $43.13
00120 Limited dental hygiene examination/assessment and diagnosis
Routine reassessment/recall (previous client) 00121 $32.41
Emergency 00123 $37.82 to $75.63
Periodontal, limited, previous client 00124 $37.82 to $75.63
Specific (new or existing client) 00125 $37.82 to $75.63
Limited, new client 00126 $37.82 to $75.63
00130 First dental hygiene visit/orientation
00131 $29.17
00200 Radiographs and photographs (including interpretation for purposes
of dental hygiene diagnosis)
00210 Intraoral bitewing
1 image 00211 $21.68
2 images 00212 $25.07
3 images 00213 $28.46
4 images 00214 $31.85
5 images 00215 $35.24
6 images 00216 $38.62
00220 Intraoral periapical
1 image 00221 $21.68
2 images 00222 $25.07
3 images 00223 $28.46
4 images 00224 $31.85
5 images 00225 $35.24
6 images 00226 $38.62
7 images 00227 $42.01
8 images 00228 $45.40
each additional image >8 00229 $3.39
00230 Intraoral, full mouth series
minimum 14 images 00231 $89.87
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 Code / Service ODHA 2023 suggested fee
00240 Panoramic
1 image 00241 $64.38
00250 Cephalometric
1 image 00251 $59.71
each additional image >1 00259 $20.32
00260 Duplication of radiographs
1 image 00261 $13.55
2 images 00262 $14.63
3 images 00263 $15.71
4 images 00264 $16.82
5 images 00265 $17.90
6 images 00266 $18.98
7 images 00267 $20.06
8 images 00268 $21.15
each additional image >8 00269 $1.08
00270 Photographs for purposes of dental hygiene diagnosis
1 photo 00271 $20.32
2 photos 00272 $24.40
3 photos 00273 $28.46
Video 00278 $21.61
each additional photograph >3 00279 $4.06
00300 Tests/Analysis and laboratory procedures/Interpretation

00310 Caries susceptibility test

Bacteriological test 00311 $27.01 to $45.00 + lab
00320 Periodontal disease activity test
Microbiological test 00321 $27.01 to $42.90 + lab
00330 Oral cancer testing (technical procedure only)
Oral cavity cytological smear 00331 $43.22 + lab + exp
Oral mucosal tissue vital staining 00332 $43.22
Oral mucosal tissue direct fluorescence 00333 $43.22
00340 Non-ionizing scanning procedure (each unit of time is 15 minutes)
1 unit of time 00341 $47.44
2 units of time 00342 $94.85
½ unit of time 00347 $23.72
each additional unit of time >2 00349 $47.44
00400 Study models (for diagnostic purposes)

impression(s) – maxilla and/or mandible 00401 $38.62

fabrication/pouring/preparing casts 00402 $19.31 + lab
00500 Periodontal treatment (each unit of time is 15 minutes)

00510 Debridement
1 unit of time 00511 $63.58
2 units of time 00512 $121.91
3 units of time 00513 $180.25
4 units of time 00514 $238.58
5 units of time 00515 $296.92
6 units of time 00516 $354.94
½ unit of time 00517 $29.70
each additional unit of time >6 00519 $58.33
00520 Root planing
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 Code / Service ODHA 2023 suggested fee
1 unit of time 00521 $63.58
2 units of time 00522 $121.91
3 units of time 00523 $180.25
4 units of time 00524 $238.58
5 units of time 00525 $296.92
6 units of time 00526 $354.94
½ unit of time 00527 $29.70
each additional unit of time >6 00529 $58.33
00530 Stain removal
1 unit of time 00531 $34.26
2 units of time 00532 $68.51
½ unit of time 00537 $17.13
each additional unit of time >2 00539 $34.26
00540 Subgingival periodontal irrigation
1 unit of time 00541 $58.33
½ unit of time 00547 $29.70
each additional unit of time 00549 $58.33
00550 Management of oral mucosal disorders
1 unit of time 00551 $43.13
2 units of time 00552 $86.25
3 units of time 00553 $129.38
4 units of time 00554 $172.52
½ unit of time 00557 $21.57
each additional unit of time >4 00559 $43.13
00560 Management of oral manifestation of systemic disease
1 unit of time 00561 $43.13
2 units of time 00562 $86.25
3 units of time 00563 $129.38
4 units of time 00564 $172.52
½ unit of time 00567 $21.57
each additional unit of time >4 00569 $43.13
00570 Gingival curettage
1 sextant 00571 $58.33
2 sextants 00572 $116.67
3 sextants 00573 $175.00
4 sextants 00574 $233.34
5 sextants 00575 $291.67
6 sextants 00576 $349.69
00580 Chemotherapeutic/Photodisinfection therapy
1 unit of time 00581 $60.08 + exp
½ unit of time 00582 $30.59 + exp
each additional unit of time 00583 $60.08 + exp
00600 Other oral services (each unit of time is 15 minutes)

00601 Sealants – must include tooth number(s)

1st tooth in quadrant 00602 $29.81
each additional tooth in quadrant 00603 $15.10
00605 Application of anticariogenic/antimicrobial agents to hard tissues
1 unit of time 00606 $47.44 + exp
½ unit of time 00607 $23.72 + exp
each additional unit of time 00609 $47.44 + exp
00610 Fluoride applications
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 Code / Service ODHA 2023 suggested fee
Topical varnish in-office
All other in-office fluoride products use code 00616 00611 $29.17
Supervised, self-administered in-office 00612 $19.51
Home - custom maxillary arch 00613 $56.93 + lab + exp
Home - custom mandibular arch 00614 $56.93 + lab + exp
Home - custom combined 00615 $81.31 + lab + exp
Topical fluoride in-office, all products except varnish 00616 $28.09
00620 Finishing restoration
1 unit of time 00621 $36.60
2 units of time 00622 $73.18
3 units of time 00623 $109.78
4 units of time 00624 $146.36
½ unit of time 00627 $18.29
each additional unit of time >4 00629 $36.60
00630 Mouth protectors
Preformed – maxillary arch 00631 $27.11 + exp
Preformed – mandibular arch 00632 $27.11 + exp
Preformed – maxillary & mandibular arches 00633 $40.66 + exp
Custom – maxillary arch 00634 $101.63 + lab + exp
Custom – mandibular arch 00635 $101.63 + lab + exp
Custom – maxillary & mandibular arches 00636 $121.98 + lab + exp
00638 Labeling removable prosthesis
Labeling removable prosthesis 00638 $47.44 + exp
00640 Desensitization
1 unit of time 00641 $47.44
2 units of time 00642 $94.85
½ unit of time 00647 $23.72
each additional unit of time >2 00649 $47.44
00650 Whitening vital teeth in office
1 unit of time 00651 $54.35 + exp
2 units of time 00652 $108.69 + exp
3 units of time 00653 $163.03 + exp
½ unit of time 00657 $27.18 + exp
each additional unit of time >3 00659 $54.35 + exp
00660 Whitening vital teeth at home
Maxillary arch 00661 $162.64 + lab + exp
Mandibular arch 00662 $162.64 + lab + exp
Maxillary and mandibular arches 00663 $237.17 + lab + exp
00665 Placement temporary restorations – must include tooth number(s)
Interim Stabilization Therapy (IST)
– 1st tooth in quadrant 00666 $68.57
each additional tooth same quadrant - all procedures 00667 $35.05
1st tooth – all other temporary restorations 00669 $68.57
00675 Resin infiltration
one surface 00676 c.s.(client specific)
each surface >1 00677 c.s.
00680 Pulp vitality testing
1 unit of time 00681 $44.72
2 units of time 00682 $89.44
3 units of time 00683 $134.17
each additional unit of time >3 00689 $44.72
00690 Denture/removable prosthesis prophylaxis and stain removal
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 Code / Service ODHA 2023 suggested fee
1 unit of time 00691 $54.21
½ unit of time 00697 $27.11
each additional unit of time 00699 $54.21
00700 Pain management (each unit of time is 15 minutes)

00710 Electronic dental anaesthesia

1 unit of time 00711 $44.72
2 units of time 00712 $49.20
3 units of time 00713 $53.67
4 units of time 00714 $58.14
½ unit of time 00717 $37.49
each additional unit of time >4 00719 $4.47
00720 Local anaesthesia
Regional block 00721 $16.26
Trigeminal division block 00722 $16.26
Supraperiosteal infiltration 00723 $16.26
00730 Acupuncture
1 unit of time 00731 c.s.(client specific)
2 units of time 00732 c.s.
3 units of time 00733 c.s.
4 units of time 00734 c.s.
½ unit of time 00737 c.s.
each additional unit of time >4 00739 c.s.
00740 Nitrous oxide, conscious sedation
1 unit of time 00741 c.s.(client specific)
2 units of time 00742 c.s.
3 units of time 00743 c.s.
4 units of time 00744 c.s.
½ unit of time 00747 c.s.
each additional unit of time >4 00749 c.s.
00800 Education and habit modification (each unit of time is 15 minutes)

00810 Counseling for diet related to oral health

1 unit of time 00811 $47.44
2 units of time 00812 $94.85
3 units of time 00813 $142.30
4 units of time 00814 $189.73
½ unit of time 00817 $23.72
each additional unit of time >4 00819 $47.44
00820 Counseling for tobacco use cessation
1 unit of time 00821 $47.44 + exp
2 units of time 00822 $94.85+ exp
3 units of time 00823 $142.30 + exp
4 units of time 00824 $189.73 + exp
½ unit of time 00827 $23.72 + exp
each additional unit of time >4 00829 $47.44 + exp
00830 Counseling for oral self-exam
1 unit of time 00831 $47.44
2 units of time 00832 $94.85
3 units of time 00833 $142.30
4 units of time 00834 $189.73
½ unit of time 00837 $23.72
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 Code / Service ODHA 2023 suggested fee
each additional unit of time >4 00839 $47.44
00840 Instruction in oral self-care
1 unit of time 00841 $47.44
2 units of time 00842 $94.85
3 units of time 00843 $142.30
4 units of time 00844 $189.73
½ unit of time 00847 $23.72
each additional unit of time >4 00849 $47.44
0850 Group presentations (including preparation)
1 unit of time 00851 c.s.(client specific)
2 units of time 00852 c.s.
3 units of time 00853 c.s.
4 units of time 00854 c.s.
½ unit of time 00857 c.s.
each additional unit of time >4 00859 c.s.
00900 Outcome evaluation (each unit of time is 15 minutes)

00910 Evaluation of dental hygiene care

1 unit of time 00911 $47.44
2 units of time 00912 $94.85
½ unit of time 00917 $23.72
each additional unit of time >2 00919 $47.44
Professional communications/Case presentations/Treatment
00920 Planning
1 unit of time 00921 $47.44
2 units of time 00922 $94.85
½ unit of time 00927 $23.72
each additional unit of time >2 00929 $47.44
00950 Mobile services
Home visit 00951 $39.53 to $79.71
Institutional visit 00952 $39.53 to $79.71
Emergency home visit 00953 $59.64 to $111.83
Emergency institutional visit 00954 $59.64 to $111.83
00960 Exceptional client management – (complex/time consuming case)
(each unit of time is 15 minutes)
1 unit of time 00961 $69.17
2 units of time 00962 $138.31
3 units of time 00963 $207.47
4 units of time 00964 $276.63
each additional unit of time >4 00969 $69.17
00970 Consultation with client
1 unit of time 00971 $47.44
2 units of time 00972 $94.85
each additional unit of time >2 00979 $47.44
00980 Missed or cancelled appointment – insufficient notice
Virtual/in-office 00981 c.s.(client specific)
Mobile 00982 c.s.
00990 Laboratory and expense services
+ lab 00991
+ exp 00992
Pandemic PPE - Non-aerosol generating procedure 00993 $8.40 to $13.64
Pandemic PPE – Aerosol generating procedure 00994 $15.74 to $20.98
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 Code / Service ODHA 2023 suggested fee
05000 Orofacial Myofunctional Therapy (OMT)

Exam/assessment/diagnosis 05001 $108.05

Limited exam/assessment/diagnosis 05002 $81.04
Reassessment 05004 $43.22
05010 OMT
1 unit of time 05011 $71.31
2 units of time 05012 $142.62
each additional unit of time >2 05019 $71.31
05090 OMT postage/expense
Postage costs 05090 cs (client specific)
Expense 05091 cs
AUDIO/VIDEO APPOINTMENTS

05000 Audio/Video Orofacial Myofunctional Therapy (OMT)

A/V Limited exam/assessment/diagnosis 05003 $81.04
A/V Reassessment 05005 $43.22
05020 Audio/Video OMT
1 unit of time 05021 $71.31
2 units of time 05022 $142.62
each additional unit of time >2 05029 $71.31
05300 Audio/Video counseling for tobacco use cessation
1 unit of time 05301 $47.44 + exp
2 units of time 05302 $94.85 + exp
3 units of time 05303 $142.30 + exp
4 units of time 05304 $189.73 + exp
½ unit of time 05307 $23.72 + exp
each additional unit of time >4 05309 $47.44 + exp
05310 Audio/Video counseling for oral self-exam
1 unit of time 05311 $47.44
2 units of time 05312 $94.85
3 units of time 05313 $142.30
4 units of time 05314 $189.73
½ unit of time 05317 $23.72
each additional unit of time >4 05319 $47.44
05320 Audio/Video instruction on oral self-care
1 unit of time 05321 $47.44
2 units of time 05322 $94.85
each additional unit of time >2 05329 $47.44
05330 Audio/Video group presentations (including preparation)
1 unit of time 05331 c.s.(client specific)
2 units of time 05332 c.s.
3 units of time 05333 c.s.
4 units of time 05334 c.s.
½ unit of time 05337 c.s.
each additional unit of time >4 05339 c.s.
05340 Audio/Video case presentation/treatment planning
1 unit of time 05341 $47.44
2 units of time 05342 $94.85
3 units of time 05343 $142.30
each additional unit of time >3 05349 $47.44
05350 Audio/Video professional communication/case presentation
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 Code / Service ODHA 2023 suggested fee
1 unit of time 05351 $47.44
2 units of time 05352 $94.85
½ unit of time 05357 $23.72
each additional unit of time >2 05359 $47.44
05360 Audio/Video oral mucosal disorders management
1 unit of time 05361 $43.13
2 units of time 05362 $86.25
3 units of time 05363 $129.38
4 units of time 05364 $172.52
½ unit of time 05367 $21.57
each additional unit of time >4 05369 $43.13
05370 Audio/Video manifestations of systemic disease management
1 unit of time 05371 $43.13
2 units of time 05372 $86.25
3 units of time 05373 $129.38
4 units of time 05374 $172.52
½ unit of time 05377 $21.57
each additional unit of time >4 05379 $43.13
05380 Audio/Video dental hygiene assessment/examination
Emergency 05380 $37.82
Specific 05381 $37.82
05460 Drugs
Prescription, emergency drugs 05461 c.s.(client specific)
Dispensing, non-emergency drugs 05463 c.s.

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