Germany
Also known as: Deutschland, Federal Republic of Germany
Implant treatment in Germany is billed under the GOZ, a federal fee regulation that fixes a point count for every dental item and a point value in law, while statutory health insurance excludes implants altogether apart from a short list of severe cases.
DE · prices quoted in EUR
How implant treatment is priced and regulated
| Official fee schedule | The Gebührenordnung für Zahnärzte (GOZ) of 22 October 1987, last amended 5 December 2011, governs what a dentist may charge a private payer. Annex 1, section K "Implantologische Leistungen", numbers the implant items 9000 to 9170 and assigns each a point count — 9010 "Implantatinsertion, je Implantat" 1,545 points; 9040 uncovering an implant and fitting abutment parts 626 points; 9000 implant-related analysis and measurement of the jaw, per jaw, 884 points; 9100 alveolar ridge augmentation 2,694 points; 9110 internal sinus lift 1,500 points; 9120 external sinus lift 3,000 points. A crown on an implant is item 2200 "Versorgung eines Zahnes oder Implantats durch eine Vollkrone (Tangentialpräparation)", 1,322 points. Section 5(1) fixes the point value at 5.62421 cents and the fee at one to three-and-a-half times the resulting Gebührensatz; section 5(2) states that the 2.3-times rate represents a service of average difficulty and time expenditure.Verified spec[1][2]Section 2(1) allows a dentist and payer to agree a different fee level in writing before treatment, which is how charges above the 3.5-times ceiling arise; the point count and the point value themselves may not be varied by agreement. |
|---|---|
| Public funding for implants | Statutory health insurance does not pay for implants. Section 28(2) sentence 9 SGB V places implantological services outside insured dental treatment and forbids the sickness funds from even subsidising them, unless one of the rare exception indications set by the Gemeinsamer Bundesausschuss applies. Section B.VII of the G-BA Behandlungsrichtlinie lists those cases: larger jaw or facial defects caused by tumour surgery, jaw inflammation, surgery for large cysts or osteopathies, congenital malformations such as cleft lip and palate or ectodermal dysplasia, or accidents; permanently severe xerostomia, particularly during tumour treatment; generalised genetic absence of teeth; and muscular dysfunction of the mouth and face that cannot be voluntarily controlled. Even then implants are covered only where conventional prosthetic treatment without them is not possible. Outside those cases the implant is paid for privately, but the crown or denture carried on it still attracts the finding-related fixed subsidy for the corresponding standard restoration, because section 55(5) SGB V pays that subsidy even when the patient chooses a different form of treatment.Verified spec[3][4][5][6]For finding 2.1, a single-tooth gap bounded by teeth, the amounts published by the GKV-Spitzenverband from 1 January 2026 are a total of EUR 921.60, of which the fund pays EUR 552.96 at the base 60 per cent, EUR 645.12 at 70 per cent after five years of recorded check-ups, EUR 691.20 at 75 per cent after ten, and the full EUR 921.60 in hardship cases. That is a subsidy towards the restoration, not towards the implant. |
| Regulator and public register | Practising dentistry in Germany on a permanent basis requires an Approbation als Zahnarzt under section 1 of the Gesetz über die Ausübung der Zahnheilkunde. Registration and professional supervision sit with the seventeen regional Zahnärztekammern rather than with a single national body; each chamber runs its own dentist search, and the Bundeszahnärztekammer publishes the index of them at bzaek.de.Verified spec[7][10]There is no single national public register of dentists comparable to the UK's GDC register, so checking a named German dentist means using the chamber for the relevant federal state. |
| Published figure | Regulated professional fee, EUR, as at 22 July 2026 — implant placement (GOZ 9010, per implant) EUR 86.89 at the single rate, EUR 199.86 at 2.3 times, EUR 304.13 at the 3.5-times ceiling; uncovering the implant and fitting the abutment (9040) EUR 35.21 / EUR 80.98 / EUR 123.23; implant-related analysis and measurement per jaw (9000) EUR 49.72 / EUR 114.35 / EUR 174.01; full crown on an implant (2200) EUR 74.35 / EUR 171.01 / EUR 260.23; alveolar ridge augmentation (9100) EUR 151.52 / EUR 348.49 / EUR 530.31; external sinus lift (9120) EUR 168.73 / EUR 388.07 / EUR 590.54.DerivedThese are the dentist's fees and nothing more. The general provisions to section K state that the implant itself, its component parts and single-use implant drills are chargeable separately, laboratory work is passed through at actual cost under section 9, and augmentation items are added where the bone requires them. A German private quotation for one implant and a crown is therefore the sum of several schedule items plus materials, not a single schedule figure — and it is not comparable with a package price quoted elsewhere. |
| Tax on treatment | Dental treatment is exempt from VAT under section 4 no. 14(a) of the Umsatzsteuergesetz. The exemption expressly does not extend to the supply or repair of dentures and orthodontic appliances that the dentist has made in their own practice; those fall under the reduced rate of 7 per cent set by section 12(2) no. 6, against a standard rate of 19 per cent.Verified spec[8][9] |
What actually drives the price here
Three things move a German quotation, and only one of them is the schedule. The first is the multiplier: the same item can be billed at anything from 1.0 to 3.5, a spread of more than three to one on the professional fee, and above 3.5 by written agreement under section 2. The second is what sits outside the schedule entirely — the implant and its parts, the drills, and the laboratory work for the crown, all charged at cost or at list price, which is where the choice of implant system and of a domestic or overseas laboratory shows up. The third is whether the bone needs building first: the augmentation items are among the largest in section K, and a case that needs an external sinus lift carries a fee several times that of the placement itself. Because the point value has not moved since the 2012 amendment, the regulated component has quietly become the smaller part of many invoices, which is why comparing two German quotes means comparing the multipliers and the material lines, not the item numbers.
What to ask for, wherever you are treated
A quote you can compare is itemised. Ask for each of these in writing before you commit — the answers matter more than the headline figure, and a clinic that will not put them in writing has told you something useful.
- — The implant system by name, so the components can be sourced later
- — Fixture, abutment and crown priced separately
- — Whether a CBCT scan and the surgical guide are included
- — What a bone graft or sinus lift would add, if one turns out to be needed
- — The guarantee terms in full, including what voids them
- — Who provides follow-up care, and what a corrective visit would cost
Sources
Numbers match the citations beside each claim above.
Primary sources
- [1]Gebührenordnung für Zahnärzte (GOZ) — full text, including § 5 Bemessung der Gebühren — Bundesministerium der Justiz / Bundesamt für Justiz, 1987. Accessed 2026-07-22.
- [2]GOZ Anlage 1 — Gebührenverzeichnis für zahnärztliche Leistungen, Abschnitt K Implantologische Leistungen — Bundesministerium der Justiz / Bundesamt für Justiz, 2011. Accessed 2026-07-22.
- [3]Sozialgesetzbuch (SGB) Fünftes Buch — § 28 Ärztliche und zahnärztliche Behandlung — Bundesministerium der Justiz / Bundesamt für Justiz. Accessed 2026-07-22.
- [4]Behandlungsrichtlinie — Richtlinie für eine ausreichende, zweckmäßige und wirtschaftliche vertragszahnärztliche Versorgung, Abschnitt B.VII Ausnahmeindikationen für implantologische Leistungen — Gemeinsamer Bundesausschuss (G-BA), 2021. Accessed 2026-07-22.
- [5]Sozialgesetzbuch (SGB) Fünftes Buch — § 55 Leistungsanspruch (befundbezogene Festzuschüsse bei Zahnersatz) — Bundesministerium der Justiz / Bundesamt für Justiz. Accessed 2026-07-22.
- [6]Festzuschussbeträge ab 01.01.2026 — befundbezogene Festzuschüsse für Zahnersatz — GKV-Spitzenverband, 2026. Accessed 2026-07-22.
- [7]Gesetz über die Ausübung der Zahnheilkunde (ZHG) — § 1 Approbation als Zahnarzt — Bundesministerium der Justiz / Bundesamt für Justiz. Accessed 2026-07-22.
- [8]Umsatzsteuergesetz — § 4 Steuerbefreiungen bei Lieferungen und sonstigen Leistungen (Nr. 14 Heilbehandlungen) — Bundesministerium der Justiz / Bundesamt für Justiz. Accessed 2026-07-22.
- [9]Umsatzsteuergesetz — § 12 Steuersätze (Abs. 2 Nr. 6 zahntechnische Leistungen) — Bundesministerium der Justiz / Bundesamt für Justiz. Accessed 2026-07-22.
Additional references
- [10]Zahnarztsuche — index of the dentist registers kept by the regional Zahnärztekammern — Bundeszahnärztekammer (BZÄK). Accessed 2026-07-22.