Vecta Plan
Patient ID must contain only numbers
Hotel Information
1. Visit Hotel
No
2. Visit Hotel
No
Transportation Information
1. Visit Transportation
No
Transportation Price
2. Visit Transportation
No
Transportation Price
1. Visit
Sinus Lift
Not Required
Sinus Lift Types
Total Price: 0.00
Bone Grafting
Not Required
Block Grafting
Not Required
Teeth Whitening
Not Required
Temporary Denture
Not Required
Temporary Denture Types
Total Price: 0.00
Gingivectomy
Not Required
Gingivectomy Types
Total Price: 0.00
Deep Cleaning
Not Required
Deep Cleaning Price
Total Price: 0.00
Dental Chart
Treatment Selection
18
17
16
15
14
13
12
11
21
22
23
24
25
26
27
28
48
47
46
45
44
43
42
41
31
32
33
34
35
36
37
38
18
Upper Right Third Molar
17
Upper Right Second Molar
16
Upper Right First Molar
15
Upper Right Second Premolar
14
Upper Right First Premolar
13
Upper Right Canine
12
Upper Right Lateral Incisor
11
Upper Right Central Incisor
21
Upper Left Central Incisor
22
Upper Left Lateral Incisor
23
Upper Left Canine
24
Upper Left First Premolar
25
Upper Left Second Premolar
26
Upper Left First Molar
27
Upper Left Second Molar
28
Upper Left Third Molar
48Lower Right Third Molar
47Lower Right Second Molar
46Lower Right First Molar
45Lower Right Second Premolar
44Lower Right First Premolar
43Lower Right Canine
42Lower Right Lateral Incisor
41Lower Right Central Incisor
31Lower Left Central Incisor
32Lower Left Lateral Incisor
33Lower Left Canine
34Lower Left First Premolar
35Lower Left Second Premolar
36Lower Left First Molar
37Lower Left Second Molar
38Lower Left Third Molar
2. Visit
Not Active
2. Visit Dental Chart
2. Visit Treatment Selection
18
17
16
15
14
13
12
11
21
22
23
24
25
26
27
28
48
47
46
45
44
43
42
41
31
32
33
34
35
36
37
38
18
Upper Right Third Molar
17
Upper Right Second Molar
16
Upper Right First Molar
15
Upper Right Second Premolar
14
Upper Right First Premolar
13
Upper Right Canine
12
Upper Right Lateral Incisor
11
Upper Right Central Incisor
21
Upper Left Central Incisor
22
Upper Left Lateral Incisor
23
Upper Left Canine
24
Upper Left First Premolar
25
Upper Left Second Premolar
26
Upper Left First Molar
27
Upper Left Second Molar
28
Upper Left Third Molar
48Lower Right Third Molar
47Lower Right Second Molar
46Lower Right First Molar
45Lower Right Second Premolar
44Lower Right First Premolar
43Lower Right Canine
42Lower Right Lateral Incisor
41Lower Right Central Incisor
31Lower Left Central Incisor
32Lower Left Lateral Incisor
33Lower Left Canine
34Lower Left First Premolar
35Lower Left Second Premolar
36Lower Left First Molar
37Lower Left Second Molar
38Lower Left Third Molar
1. Visit Treatments
| Tooth | Problem | Treatment | Original Price | Discount | Final Price | Action |
|---|---|---|---|---|---|---|
| Total: | ||||||
2. Visit Treatments
| Tooth | Problem | Treatment | Original Price | Discount | Final Price | Action |
|---|---|---|---|---|---|---|
| Total: | ||||||
Cost Summary
| Item | Price |
|---|---|
| 1. Visit Dental Treatment | 0.00 |
| Total | 0.00 |
Version 22.0.0