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"D0120" "Periodic Oral Evaluation" "PerEx" "/X/"

0
"D0140" "Limited Oral Evaluation-Problem Focused" "LimEx" "/X/"
0
"D0150" "Comprehensive Oral Evaluation" "CmpEx" "/X/"
0
"D0160" "Detailed and Extensive oral Evaluation-Problem Focused, By Report"
"DetailedEval" "/X/"
0
"D0170" "Re-evaluation - Limited, Problem Focused" "ReEval" "/X/"
0
"D0180" "Comprehensive Periodontal Examination (New or Established Client)"
"CompPerioEval" "/X/"
0
"D0210" "Intraoral - Full Mouth X-rays (Including Bitewings)" "FMX" "/X/"
0
"D0220" "Intraoral - 1 Periapical X-ray, First Film" "PA" "/X/"
0
"D0230" "Intraoral - Additional Periapical X-ray" "PA+" "/X/"
0
"D0240" "Intraoral - Occlusal X-ray" "OcclusalX" "/X/"
0
"D0250" "Extraoral - First Film" "ExtraOr1" "/X/"
0
"D0260" "Extraoral - Each Additional Film" "ExtraOrX+" "/X/"
0
"D0270" "1 Bitewing X-ray" "1BW" "/X/"
0
"D0272" "2 Bitewing X-rays" "2BW" "/X/"
0
"D0274" "4 Bitewing X-rays" "4BW" "/X/"
0
"D0277" "Vertical Bitewings - 7 To 8 Films" "VertBW7-8" "/X/"
0
"D0290" "A-P or Lateral Skull & Facial X-ray" "SurvXray" "/X/"
0
"D0310" "Sialography" "Sialo" "/X/"
0
"D0320" "TMJ Joint Arthrogram, including injection" "TMJArthrIninj" "/X/"
0
"D0321" "Other TMJ Films, By Report" "OtherTMJX" "/X/"
0
"D0330" "Panoramic X-ray" "Pano" "/X/"
0
"D0340" "Cephalometric Film" "Cephalo" "/X/"
0
"D0350" "Oral/Facial Images (Included Intra and Extraoral Images)" "OralFac
image" "/X/" 0
"D0415" "Microscopic Examination" "MicroEx" "/X/"
0
"D0425" "Caries susceptibility tests" "CariesTest" "/X/"
0
"D0460" "Pulp Vitality Test" "PulpVital" "/X/"
0
"D0470" "Diagnostic Casts" "DiagnCast" "/X/"
0
"D0472" "Accession of Tissue, Gross Examination, Preparation and Transmission of
Written Report" "AccessTissGrEx" "/X/"
0
"D0473" "Accession of Tissue, Gross and Microscopic Examination, Preparation and
Transmission of Written Report" "AccessTissGrMicrEx" "/X/"
0
"D0474" "Accession of Tissue, Gross Examination, Including Assessment of Surgica
l Margins for Presence of Disease, Preparation and Transmission of Written Repor
t" "AccessTissGrExInSurg" "/X/"
0
"D0480" "Processing and Interpretation of Cytologic Smears, Including Preparatio
n and Transmission of Written Report" "ProInterOytoSm" "/X/"
0
"D0502" "Other Oral Pathology Procedures, By Report" "OtherPath" "/X/"
0
"D0999" "Unspecified Diagnostic Procedure, By Report" "UnspecDiagn" "/X/"
0
"D1110" "Cleaning-Adult (Transitional or Permanent Teeth)" "Pro" "/X/"
0
"D1120" "Cleaning-Child (Primary or Transitional Teeth)" "ProChild"
"/X/" 0
"D1201" "Topical Fluoride Including Prophy-Child" "ProFloChild" "/X/"
0
"D1203" "Fluoride Topical Excluding Prophy-Child" "FloChild" "/X/"
0
"D1204" "Fluoride Topical Excluding Prophy-Adult" "Flo" "/X/"
0
"D1205" "Topical Fluoride Including Prophy-Adult" "ProFlo" "/X/"
0
"D1310" "Nutritional Counseling for Control of Dental Disease" "NutriCnsl"
"/X/" 0
"D1320" "Tobacco Counseling" "TobacoCnsl" "/X/"
0
"D1330" "Oral Hygiene Instruction" "OralHygIn" "/X/"
0
"D1351" "Sealant (per tooth)" "Seal" "/X/"
0
"D1510" "Space Maintainer-Fixed-Unilateral" "BandLoop" "/X/"
0
"D1515" "Space Maintainer-Fixed-Bilateral" "SpMFxBi" "/X/"
0
"D1520" "Space Maintainer-Removable-Unilateral" "SpMRemUni" "/X/"
0
"D1525" "Space Maintainer-Removable-Bilateral" "SpMRemBil" "/X/"
0
"D1550" "Recementation of Space Maintainer" "Recement" "/X/"
0
"D2140" "Amalgam-One Surface, Primary or Permanent" "A1" "/X/"
0
"D2150" "Amalgam-Two Surfaces, Primary or Permanent" "A2" "/X/"
0
"D2160" "Amalgam-Three Surfaces, Primary or Permanent" "A3" "/X/"
0
"D2161" "Amalgam-Four or More Surfaces, Primary or Permanent" "A4" "/X/"
0
"D2330" "Composite 1 Surface-Anterior" "C1" "/X/"
0
"D2331" "Composite 2 Surfaces-Anterior" "C2" "/X/"
0
"D2332" "Composite 3 Surfaces-Anterior" "C3" "/X/"
0
"D2335" "Composite 4 Or More Surfaces-Anterior" "C4" "/X/"
0
"D2390" "Composite Resin Crown-Anterior" "CresCn" "/X/"
0
"D2391" "Composite 1 Surface-Posterior" "C1(P)" "/X/"
0
"D2392" "Composite 2 Surfaces-Posterior" "C2(P)" "/X/"
0
"D2393" "Composite 3 Surfaces-Posterior" "C3(P)" "/X/"
0
"D2394" "Composite 4 Or More Surfaces-Posterior" "C4(P)" "/X/"
0
"D2410" "Gold Foil 1 Surface" "GoldFoil1" "/X/"
0
"D2420" "Gold Foil 2 Surfaces" "GoldFoil2" "/X/"
0
"D2430" "Gold Foil 3 Surfaces" "GoldFoil3" "/X/"
0
"D2510" "Inlay-Metallic-1 Surface" "InlayMet1" "/X/"
0
"D2520" "Inlay-Metallic-2 Surfaces" "InlayMet2" "/X/"
0
"D2530" "Inlay-Metallic-3 Surfaces" "InlayMet3" "/X/"
0
"D2542" "Onlay-Metallic-2 Surfaces" "OnlayMet2" "/X/"
0
"D2543" "Onlay-Metallic-3 Surfaces" "OnlayMet3" "/X/"
0
"D2544" "Onlay-Metallic-4 or More Surfaces" "OnlayMet4" "/X/"
0
"D2610" "Inlay-Porcelain/Ceramic-1 Surface" "CerInlay1" "/X/"
0
"D2620" "Inlay-Porcelain/Ceramic-2 Surfaces" "Cerinlay2" "/X/"
0
"D2630" "Inlay-Porcelain/Ceramic-3 Surfaces" "Cerinlay3" "/X/"
0
"D2642" "Onlay-Porcelain/Ceramic-2 Surfaces" "CerOnlay2" "/X/"
0
"D2643" "Onlay-Porcelain/Ceramic-3 Surfaces" "CerOnlay3" "/X/"
0
"D2644" "Onlay-Porcelain/Ceramic-4 or More Surfaces" "Ceronlay4" "/X/"
0
"D2650" "Inlay-Composite/Resin-1 Surface" "InCRs1Lb" "/X/"
0
"D2651" "Inlay-Composite/Resin-2 Surfaces" "InCRs2Lb" "/X/"
0
"D2652" "Inlay-Composite/Resin-3 Surfaces" "InCRs3Lb" "/X/"
0
"D2662" "Onlay-Composite/Resin-2 Surfaces" "OnCRs2S" "/X/"
0
"D2663" "Onlay-Composite/Resin-3 Surfaces" "OnCRs3S" "/X/"
0
"D2664" "Onlay-Composite/Resin-4 or More Surfaces" "OnCRs4+S" "/X/"
0
"D2710" "Crown-Resin-Indirect (Fiber, Porcelain, or Ceramic Reinforced Polymer)"
"CrnRsLb" "/X/"
0
"D2720" "Crown-Resin with High Noble Metal" "CrnRsHN" "/X/"
0
"D2721" "Crown-Resin with Predominantly Base Metal" "CrnRsBm" "/X/"
0
"D2722" "Crown-Resin with Noble Metal" "CrnRsNm" "/X/"
0
"D2740" "Crown-All Porcelain/Ceramic" "AllCerCrn" "/X/"
0
"D2750" "Crown-Porcelain Fused to High Noble Metal" "PFM" "/X/"
0
"D2751" "Crown-Porcelain Fused to Predominantly Base Metal" "CrnPrFBm"
"/X/" 0
"D2752" "Crown-Porcelain Fused to Noble Metal" "CrnPrFNm" "/X/"
0
"D2780" "Crown-3/4 Cast High Noble Metal" "3/4HiNobl" "/X/"
0
"D2781" "Crown-3/4 Cast Predominantly Base Metal" "3/4BaseM" "/X/"
0
"D2782" "Crown-3/4 Cast Noble Metal" "3/4Noble" "/X/"
0
"D2783" "Crown-3/4 Porcelain/Ceramic" "3/4Porc" "/X/"
0
"D2790" "Crown-Full Cast High Noble Metal" "FGCrn" "/X/"
0
"D2791" "Crown-Full Cast Predominantly Base Metal" "CrnFlcBm" "/X/"
0
"D2792" "Crown-Full Cast Noble Metal" "CrnFlcNm" "/X/"
0
"D2799" "Provisional Crown (Interim Restoration Of At Least 6 Months)" "ProvisC
n" "/X/" 0
"D2910" "Recement Inlay" "RecemInly" "/X/"
0
"D2920" "Recement Crown" "RecemCn" "/X/"
0
"D2930" "Prefabricated Stainless Steel Crown-Primary Tooth" "SSCPri"
"/X/" 0
"D2931" "Prefabricated Stainless Steel Crown-Permanent Tooth" "SSCPer"
"/X/" 0
"D2932" "Prefabricated Resin Crown" "PrFbRsCrn" "/X/"
0
"D2933" "Prefabricated Stainless Steel Crown with Resin Window" "PrFbScRsW"
"/X/" 0
"D2940" "Sedative Filling" "SedFill" "/X/"
0
"D2950" "Crore Build Up, Including Any Pins " "BU" "/X/"
0
"D2951" "Pin Retention-Per Tooth, In Addition to Restoration" "Pin" "/X/"
0
"D2952" "Cast Post and Core in Addition to Crown" "CastP&C" "/X/"
0
"D2953" "Each Additional Cast Post - Same Tooth" "AdditCastPost" "/X/"
0
"D2954" "Prefabricated Post and Core in Addition to Crown" "P&C" "/X/"
0
"D2955" "Post Removal (not in conjunction with endodontic therapy)" "PostRem
ov" "/X/" 0
"D2957" "Each Additional Prefabricated Post - Same Tooth" "AdditPost"
"/X/" 0
"D2960" "Labial Veneer (resin laminate)-Chairside" "CmpVnr" "/X/"
0
"D2961" "Labial Veneer (resin laminate)-Laboratory" "CmpVnrLb" "/X/"
0
"D2962" "Labial Veneer (porcelain laminate)-Laboratory" "PorcVnr" "/X/"
0
"D2970" "Temporary Crown (fractured tooth)" "TempCrn" "/X/"
0
"D2980" "Crown Repair, by Report" "CrnRepair" "/X/"
0
"D2999" "Unspecified Restorative Procedure, by Report" "UnspecRestor" "/X/"
0
"D3110" "Pulp Cap - Direct (excluding final restoration)" "PulpCap"
"/X/" 0
"D3120" "Pulp Cap - Indirect (excluding final restoration)" "PulpCapIn"
"/X/" 0
"D3220" "Therapeutic Pulpotomy (excluding final restoration)" "Pulpotomy"
"/X/" 0
"D3221" "Pulpal Debridement-Primary and Permanent Teeth " "PulpDebr"
"/X/" 0
"D3230" "Root Canal, (resorbable filling) - Anterior, Primary Tooth (excluding f
inal restoration)" "PulpThA/Pr" "/X/"
0
"D3240" "Root Canal, (resorbable filling) - Posterior, Primary Tooth (excluding
final restoration)" "PulpThP/Pr" "/X/"
0
"D3310" "Root Canal, Anterior" "RCTAnt" "/X/"
0
"D3320" "Root Canal, Bicuspid" "RCTPre" "/X/"
0
"D3330" "Root Canal, Molar" "RCTMol" "/X/"
0
"D3331" "Treatment of Root Canal Obstruction; Non-Surgical Access" "RCObstr
" "/X/" 0
"D3332" "Incomplete Endodontic Therapy; Inoperable or Fractured Tooth" "IncmpRC
T" "/X/" 0
"D3233" "Internal Root Repair of Perforation Defects (Not Iatrogenic by Provider
Filing Claim)" "InternRRepair" "/X/"
0
"D3346" "Retreatment-Anterior" "RCT-RAnt" "/X/"
0
"D3347" "Retreatment-Bicuspid" "RCT-RBi" "/X/"
0
"D3348" "Retreatment-Molar" "RCT-RMol" "/X/"
0
"D3351" "Apexification/Recalcification-Initial Visit" "Apexif" "/X/"
0
"D3352" "Apexification/Recalcification-Interim Visit" "ApxRclIn" "/X/"
0
"D3353" "Apexification/Recalcification-Final Visit" "ApxRcFin" "/X/"
0
"D3410" "Apicoectomy/Periradicular Surgery-Anterior" "ApctPrSrA" "/X/"
0
"D3421" "Apicoectomy/Periradicular Surgery-Bicuspid (first root)" "ApctPr+
th" "/X/" 0
"D3425" "Apicoectomy/Periradicular Surgery-Molar (first root)" "ApctPrMol"
"/X/" 0
"D3426" "Apicoectomy/Periradicular Surgery (each additional root)" "ApctPr+
th" "/X/" 0
"D3430" "Retrograde Filling-Per Root" "RetroFill" "/X/"
0
"D3450" "Root Amputation-Per Root" "RtAmp" "/X/"
0
"D3460" "Endodontic Endosseous Implant" "EndoEdsIm" "/X/"
0
"D3470" "Intentional Replantation (Including Necessary Splinting)" "IntRplI
Sp" "/X/" 0
"D3910" "Surgical Procedure for Isolation of Tooth with Rubber Dam" "SurgIs/
RD" "/X/" 0
"D3920" "Hemisection (including any root removal, not root canal)" "Hemi"
"/X/" 0
"D3950" "Canal Preparation For Post" "CanPrepPt" "/X/"
0
"D3999" "Unspecified Endodontic Procedure, by Report" "UnspecEndo" "/X/"
0
"D4210" "Gingivectomy/plasty-Four or More Contiguous Teeth or Bounded Teeth Spac
es" "GingivQdr" "/X/"
0
"D4211" "Gingivectomy/plasty-One to Three Teeth, per Quadrant" "Gingiv"
"/X/" 0
"D4240" "Gingival Flap Procedure, Including Root Planing-Four or More Contiguous
Teeth or Bounded Teeth Spaces" "GnFlInRtp4+" "/X/"
0
"D4241" "Gingival Flap Procedure, Including Root Planing-One to Three Teeth, per
Quadrant" "GnFlInRtp1-3" "/X/"
0
"D4245" "Apically Positioned Flap" "ApicFlap" "/X/"
0
"D4249" "Crown Lengthening-Hard Tissue" "CrnLength" "/X/"
0
"D4250" "Mucogingival Surgery-per Quadrant" "MucGinSrQ" "/X/"
0
"D4260" "Osseous Surgery-Four or More Contiguous Teeth or Bounded Teeth Spaces"
"OssSurgQ" "/X/"
0
"D4261" "Osseous Surgery-One to Three Teeth, per Quadrant" "OssSurg1-2"
"/X/" 0
"D4263" "Bone Replacement Graft-First Site in Quadrant" "BnRpGr1st" "/X/"
0
"D4264" "Bone Replacement Graft-Each Additional Site in Quadrant" "BnRpGrE
a1+" "/X/" 0
"D4265" "Biologic Materials to Aid in Soft and Osseous Tissue Regeneration"
"BioMatSftOTissReg" "/X/"
0
"D4266" "Guided Tissue Regeneration-Resorbable Barrier, Per Site" "TissRgP
er" "/X/" 0
"D4267" "Guided Tissue Regeneration-Non-resorbable Barrier, Per Site, Per Tooth"
"TissRgNr" "/X/"
0
"D4268" "Surgical Revision Procedure, Per Tooth" "SurgRevis" "/X/"
0
"D4270" "Pedicle Soft Tissue Graft Procedure" "PedSfTsGr" "/X/"
0
"D4271" "Free Soft Tissue Graft Procedure" "FrSfTsGr" "/X/"
0
"D4273" "Subepithelial Connective Tissue Graft" "SubTsGr" "/X/"
0
"D4274" "Distal or Proximal Wedge Procedure" "DistPxWg" "/X/"
0
"D4275" "Soft Tissue Allograft" "SfTsAll" "/X/"
0
"D4276" "Combined Connective Tissue and Double Pedicle Graft" "ComConTissDPGr"
"/X/" 0
"D4320" "Provisional Splint-Intracoronal" "ProSplIn" "/X/"
0
"D4321" "Provisional Splint-Extracoronal" "ProSplEx" "/X/"
0
"D4341" "Periodontal Scaling and Root Planing-Four or More Contiguous Teeth or B
ounded Teeth Spaces" "SRP" "/X/"
0
"D4342" "Periodontal Scaling and Root Planing-One to Three Teeth, per Quadrant"
"SRP1-3" "/X/"
0
"D4355" "Full Mouth Debridement to Enable Comprehensive Periodontal Evaluation a
nd Diagnosis" "FMDebride" "/X/"
0
"D4381" "Localized Delivery of Chemotherapeutic Agents Via A Controlled Release
Vehicle" "Arestin" "/X/"
0
"D4910" "Periodontal Maintenance, Following Active Therapy (Surgical or Non-Surg
ical)" "PerioMaint" "/X/"
0
"D4920" "Unscheduled Dressing Change (Other Than Treating Dentist)" "UnscDrC
hg" "/X/" 0
"D4999" "Unspecified Periodontal Procedure, by Report" "UnspecPerio" "/X/"
0
"D5110" "Complete Upper Denture" "MaxDent" "/X/"
0
"D5120" "Complete Lower Denture" "MandDent" "/X/"
0
"D5130" "Immediate-Complete Upper Denture" "MaxImmDent" "/X/"
0
"D5140" "Immediate-Complete Lower Denture" "MandImmDent" "/X/"
0
"D5211" "Upper Partial Denture - Resin" "PermMaxFlip" "/X/"
0
"D5212" "Lower Partial Denture - Resin" "PermMandFlip" "/X/"
0
"D5213" "Upper Partial Denture - Cast Metal With Resin Denture Base" "MaxRPD"
"/X/" 0
"D5214" "Lower Partial Denture - Cast Metal With Resin Denture Base" "MandRPD
" "/X/" 0
"D5281" "Removable Unilateral Partial Denture - One Piece Cast Metal" "RmvUniP
Dn" "/X/" 0
"D5410" "Adjust Complete Upper Denture" "AdjCmDnMax" "/X/"
0
"D5411" "Adjust Complete Lower Denture" "AdjCmDnMand" "/X/"
0
"D5421" "Adjust Partial Denture Upper" "AdjPrDnMax" "/X/"
0
"D5422" "Adjust Partial Denture Lower" "AdjPrDnMand" "/X/"
0
"D5510" "Repair Broken Complete Denture Base" "RepairDent" "/X/"
0
"D5520" "Replace Missing or Broken Teeth-Complete Denture (each tooth)" "RplThCm
Dn" "/X/" 0
"D5610" "Partial Denture Repair, Resin Base" "ReprRPDRsBs" "/X/"
0
"D5620" "Partial Denture Repair, Cast Framework" "ReprFlip" "/X/"
0
"D5630" "Partial Denture Repair or Replace Broken Clasp" "ReprClasp"
"/X/" 0
"D5640" "Partial Denture Replace Broken Teeth, Per Tooth" "ReplBrkTth"
"/X/" 0
"D5650" "Add Tooth To Existing Partial Denture" "AddTooth" "/X/"
0
"D5660" "Add Clasp To Existing Partial Denture" "AddClasp" "/X/"
0
"D5670" "Replace All Teeth and Acrylic on Cast Metal Framework (Maxillary)"
"ReTh&AcryMaxRPD" "/X/"
0
"D5671" "Replace All Teeth and Acrylic on Cast Metal Framework (Mandibular)"
"ReTh&AcryMandRPD" "/X/"
0
"D5710" "Rebase Complete Upper Denture" "RebsComMaxDn" "/X/"
0
"D5711" "Rebase Complete Lower Denture" "RebsComMandDn" "/X/"
0
"D5720" "Rebase Upper Partial Denture" "RebsRPDMaxDn" "/X/"
0
"D5721" "Rebase Lower Partial Denture" "RebsRPDMandDn" "/X/"
0
"D5730" "Reline Complete Upper Denture (chairside)" "RelMaxDntChair"
"/X/" 0
"D5731" "Reline Complete Lower Denture (chairside)" "RelMandDntChair"
"/X/" 0
"D5740" "Reline Upper Partial Denture (chairside)" "RelMaxRPDChair"
"/X/" 0
"D5741" "Reline Lower Partial Denture (chairside)" "RelMandRPDChair"
"/X/" 0
"D5750" "Reline Complete Upper Denture (lab)" "RelMaxDnLab" "/X/"
0
"D5751" "Reline Complete Lower Denture (lab)" "RelMandDnLab" "/X/"
0
"D5760" "Reline Upper Partial Denture (lab)" "RelMaxRPDLab" "/X/"
0
"D5761" "Reline Lower Partial Denture (lab)" "RelMandRPDLab" "/X/"
0
"D5810" "Interim Complete Denture Upper" "TempCompMaxDn" "/X/"
0
"D5811" "Interim Complete Denture Lower" "TempCompMandDn" "/X/"
0
"D5820" "Interim Partial Denture Upper" "TempMaxFlip" "/X/"
0
"D5821" "Interim Partial Denture Lower" "TempMandFlip" "/X/"
0
"D5850" "Tissue Conditioning, Upper" "TisConMax" "/X/"
0
"D5851" "Tissue Conditioning, Lower" "TisConMand" "/X/"
0
"D5860" "Overdenture-Complete, by Report" "OverDent" "/X/"
0
"D5861" "Overdenture-Partial, by Report" "OverDentRPD" "/X/"
0
"D5862" "Precision Attachment, by Report" "DentAttach" "/X/"
0
"D5867" "Replacement of Replaceable Part of Semi-Precision Attachment (Male or F
emale Component)" "ReplDnAttach" "/X/"
0
"D5875" "Modification of Removable Prosthesis Following Implant Surgery"
"ModRmvProAftImpSurg" "/X/"
0
"D5899" "Unspecified Removable Prosthodontic Procedure, by Report" "UnspecD
ent" "/X/" 0
"D5911" "Facial Moulage (sectional)" "SecFacMoul" "/X/"
0
"D5912" "Facial Moulage (complete)" "CompFacMoul" "/X/"
0
"D5913" "Nasal Prosthesis" "NasPros" "/X/"
0
"D5914" "Auricular Prosthesis" "AurPros" "/X/"
0
"D5915" "Orbital Prosthesis" "OrbPros" "/X/"
0
"D5916" "Ocular Prosthesis" "OcuPros" "/X/"
0
"D5919" "Facial Prosthesis" "FacPros" "/X/"
0
"D5922" "Nasal Septal Prosthesis" "NasSepPros" "/X/"
0
"D5923" "Ocular Prosthesis, Interim" "TempOcuPros" "/X/"
0
"D5924" "Cranial Prosthesis" "CranPros" "/X/"
0
"D5925" "Facial Augmentation Implant Prosthesis" "FacAugImp" "/X/"
0
"D5926" "Nasal Prosthesis, Replacement" "NasProsRep" "/X/"
0
"D5927" "Auricular Prosthesis, Replacement" "AurProsRep" "/X/"
0
"D5928" "Orbital Prosthesis, Replacement" "OrbProsRep" "/X/"
0
"D5929" "Facial Prosthesis, Replacement" "FacProsRep" "/X/"
0
"D5931" "Obturator Prosthesis, Surgical" "ObtProsSur" "/X/"
0
"D5932" "Obturator Prosthesis, Definitive" "ObtProsDef" "/X/"
0
"D5933" "Obturator Prosthesis, Modification" "ObtProsMod" "/X/"
0
"D5934" "Mandibular Resection Prosthesis with Guide Flange" "MandResFla"
"/X/" 0
"D5935" "Mandibular Resection Prosthesis without Guide Flange" "MandRec"
"/X/" 0
"D5936" "Obturator Prosthesis, Interim" "ObtProsInt" "/X/"
0
"D5937" "Trismus Appliance (not for TMD treatment)" "TrisAppli" "/X/"
0
"D5951" "Feeding Aid" "FeedAid" "/X/"
0
"D5952" "Speech Aid Prosthesis, Pediatric" "SpchAidPd" "/X/"
0
"D5953" "Speech Aid Prosthesis, Adult" "SpchAidAd" "/X/"
0
"D5954" "Palatal Augmentation Prosthesis" "PalAugPros" "/X/"
0
"D5955" "Palatal Lift Prosthesis, Definitive" "PiLftProsDf" "/X/"
0
"D5958" "Palatal Lift Prosthesis, Interim" "PiLftProsIn" "/X/"
0
"D5959" "Palatal Lift Prosthesis, Modification" "PiLftProsMod" "/X/"
0
"D5960" "Speech Aid Prosthesis, Modification" "SpchAdProsMod" "/X/"
0
"D5982" "Surgical Stent" "SurgStent" "/X/"
0
"D5983" "Radiation Carrier" "RadtnCarr" "/X/"
0
"D5984" "Radiation Shield" "RadtnShld" "/X/"
0
"D5985" "Radiation Cone Locator" "RadtnCnLc" "/X/"
0
"D5986" "Fluoride Gel Carrier" "FlrGelCarr" "/X/"
0
"D5987" "Commissure Splint" "CommSplnt" "/X/"
0
"D5988" "Surgical Splint" "SurgSplnt" "/X/"
0
"D5999" "Unspecified Maxillofacial Prosthesis, by Report" "UnspecMaxPros"
"/X/" 0
"D6010" "Surgical Placement of Implant Body: € Endosteal Implant" "SurgImpEnd"
"/X/" 0
"D6020" "Abutment Placement or Substitution: € Endosteal Implant" "PlaceAbut"
"/X/" 0
"D6040" "Surgical Placement Eposteal Implant" "SurgEpoImp" "/X/"
0
"D6050" "Surgical Placement Transosteal Implant" "SurgTranImp" "/X/"
0
"D6053" "Implant/Abutment Supported Removable Denture for Completely Edentulous
Arch" "ImpAvRmvDnCpEdA" "/X/"
0
"D6054" "Implant/Abutment Supported Removable Denture for Partially Edentulous A
rch" "ImpAbRmvDnPartEdA" "/X/"
0
"D6055" "Dental Implant Supported Connecting Bar" "ImpConBr" "/X/"
0
"D6056" "Prefabricated Abutment" "PrefabAbut" "/X/"
0
"D6057" "Custom Abutment (e.g. UCLA abutment)" "CustAbut" "/X/"
0
"D6058" "Abutment Supported Porcelain/Ceramic Crown" "AbPorCerCn" "/X/"
0
"D6059" "Abutment Supported Porcelain Fused to Metal Crown, High Noble Metal"
"AbPFMCnHNM" "/X/"
0
"D6060" "Abutment Supported Porcelain Fused to Metal Crown, Predominantly Base M
etal" "AbPFMCnBasM" "/X/"
0
"D6061" "Abutment Supported Porcelain Fused to Metal Crown, Noble Metal"
"AbPFMCnNM" "/X/"
0
"D6062" "Abutment Supported Cast Metal Crown, High Noble Metal" "AbCasMCnHNM"
"/X/" 0
"D6063" "Abutment Supported Cast Metal Crown, Predominantly Base Metal" "AbCasMC
nBasM" "/X/" 0
"D6064" "Abutment Supported Cast Metal Crown, Noble Metal" "AbCasMCnNM"
"/X/" 0
"D6065" "Implant Supported Porcelain/Ceramic Crown" "ImpPorCerCn" "/X/"
0
"D6066" "Implant Supported Porcelain Fused to Metal Crown (Titanium, Titanium Al
loy, High Noble Metal)" "ImpPFMCrn" "/X/"
0
"D6067" "Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Met
al)" "ImpMCn" "/X/"
0
"D6068" "Abutment Supported Retainer for Porcelain/Ceramic Fixed Partial Denture
" "AbCasMCnBasM" "/X/"
0
"D6069" "Abutment Supported Retainer for Porcelain Fused to Metal Fixed Partial
Denture, High Noble Metal" "AbRPFMFxRPDHNM" "/X/"
0
"D6070" "Abutment Supported Retainer for Porcelain Fused to Metal Fixed Partial
Denture, Predominantly Base Metal" "AbRPFMFxRPDBasM" "/X/"
0
"D6071" "Abutment Supported Retainer for Porcelain Fused to Metal Fixed Partial
Denture, Noble Metal" "AbRPFMFxRPDNM" "/X/"
0
"D6072" "Abutment Supported Retainer for Cast Metal Fixed Partial Denture, High
Noble Metal" "AbRtCasMFxRPDHNM" "/X/"
0
"D6073" "Abutment Supported Retainer for Cast Metal Fixed Partial Denture, Predo
minantly Base Metal" "AbRCasMFxRPDBasM" "/X/"
0
"D6074" "Abutment Supported Retainer for Cast Metal Fixed Partial Denture, Noble
Metal" "AbRCasMFxRPDNM" "/X/"
0
"D6075" "Implant Supported Retainer for Ceramic Fixed Partial Denture" "ImpRCer
FxRPD" "/X/" 0
"D6076" "Implant Supported Retainer for Porcelain Fused to Metal Fixed Partial D
enture (Titanium, Titanium Alloy, or High Noble Metal)" "ImpRPFMFxRPD" "/X/"
0
"D6077" "Implant Supported Retainer for Cast Metal Fixed Partial Denture (Titani
um, Titanium Alloy, or High Noble Metal)" "ImpRCasMFxRPD" "/X/"
0
"D6078" "Implant/Abutment Supported Fixed Denture for Completely Edentulous Arch
" "ImpAbFxDnCpEden" "/X/"
0
"D6079" "Implant/Abutment Supported Fixed Denture for Partially Edentulous Arch"
"ImpAbFxDnPartEden" "/X/"
0
"D6080" "Implant Maintenance Procedures" "ImplMaint" "/X/"
0
"D6090" "Repair Implant Supported Prosthesis, by Report" "RepairProsth"
"/X/" 0
"D6095" "Repair Implant Abutment, By Report" "RepairAbut" "/X/"
0
"D6100" "Implant Removal, by Report" "ImpRmv" "/X/"
0
"D6199" "Unspecified Implant Procedure, by Report" "Unspeclmpl" "/X/"
0
"D6210" "Pontic-Cast High Noble Metal" "PontCast" "/X/"
0
"D6211" "Pontic-Cast Predominantly Base Metal" "PontCastBasM" "/X/"
0
"D6212" "Pontic-Cast Noble Metal" "PontCastNM" "/X/"
0
"D6240" "Pontic-Porcelain Fused to High Noble Metal" "Bridge" "/X/"
0
"D6241" "Pontic-Porcelain Fused to Predominantly Base Metal" "BridgePontic"
"/X/" 0
"D6242" "Pontic-Porcelain Fused to Noble Metal" "PontPFNM" "/X/"
0
"D6245" "Pontic-Porcelain/Ceramic" "PorcPontic" "/X/"
0
"D6250" "Pontic-Resin with High Noble Metal" "PntcRsHNM" "/X/"
0
"D6251" "Pontic-Resin with Predominantly Base Metal" "PntcRsRdB" "/X/"
0
"D6252" "Pontic-Resin with Noble Metal" "PntcRsNM" "/X/"
0
"D6253" "Pontic-Provisional (6 months or more)" "ProvisPontic" "/X/"
0
"D6545" "Bridge retainer-Cast Metal for Resin Bonded Bridge" "MaryBridge"
"/X/" 0
"D6548" "Bridge retainer-Porcelain/Ceramic for Resin Bonded Bridge" "PorcRet
" "/X/" 0
"D6600" "Bridge retainer-Inlay-Porcelain/Ceramic-2 Surfaces" "BrdgRetInPor2S"
"/X/" 0
"D6601" "Bridge retainer-Inlay-Porcelain/Ceramic-3 or More Surfaces" "BrdgRet
InPor3+S" "/X/"
0
"D6602" "Bridge retainer-Inlay-Cast High Noble Metal-2 Surfaces" "BrdgRet
InCasHNM2S" "/X/"
0
"D6603" "Bridge retainer-Inlay-Cast High Noble Metal-3 or More Surfaces"
"BrdgRetInCasHNM3+S" "/X/"
0
"D6604" "Bridge retainer-Inlay-Cast Predominantly Base Metal-2 Surfaces"
"BrdgRetInCasHNM2S" "/X/"
0
"D6605" "Bridge retainer-Inlay-Cast Predominantly Base Metal-3 or More Surfaces"
"BrdgRetInCasBsM3+S" "/X/"
0
"D6606" "Bridge retainer-Inlay-Cast Noble Metal-2 Surfaces" "BrdgRetInCasNM2
S" "/X/" 0
"D6607" "Bridge retainer-Inlay-Cast Noble Metal-3 or More Surfaces" "BrdgRet
InCasNM3+S" "/X/"
0
"D6608" "Bridge retainer-Onlay-Porcelain/Ceramic-2 Surfaces" "BrdgRetOnPor2S"
"/X/" 0
"D6609" "Bridge retainer-Onlay-Porcelain/Ceramic-3 or More Surfaces" "BrdgRet
OnPor3+S" "/X/"
0
"D6610" "Bridge retainer-Onlay-Cast High Noble Metal-2 Surfaces" "BrdgRet
OnCasHNM2S" "/X/"
0
"D6611" "Bridge retainer-Onlay-Cast High Noble Metal-3 or More Surfaces"
"BrdgRetOnCasHNM3+S" "/X/"
0
"D6612" "Bridge retainer-Onlay-Cast Predominantly Base Metal-2 Surfaces"
"BrdgRetOnCasBsM2S" "/X/"
0
"D6613" "Bridge retainer-Onlay-Cast Predominantly Base Metal-3 or More Surfaces"
"BrdgRetOnCasBsM3+S" "/X/"
0
"D6614" "Bridge retainer-Onlay-Cast Noble Metal-2 Surfaces" "BrdgRetOnCasNM2
S" "/X/" 0
"D6615" "Bridge retainer-Onlay-Cast Noble Metal-3 or More Surfaces" "BrdgRet
RsHNM" "/X/" 0
"D6720" "Bridge retainer-Resin with High Noble Metal" "RtCrnRsHN" "/X/"
0
"D6721" "Bridge retainer-Resin with Predominantly Base Metal" "RtCrnRsBM"
"/X/" 0
"D6722" "Bridge retainer-Resin with Noble Metal" "RtCrnRsNM" "/X/"
0
"D6740" "Bridge retainer-Porcelain/Ceramic" "CrnPorBr" "/X/"
0
"D6750" "Bridge retainer-Porcelain Fused to High Noble Metal" "BrdgRetPorFHNM"
"/X/" 0
"D6751" "Bridge retainer-Porcelain Fused to Predominantly Base Metal" "Bridge(
end)" "/X/" 0
"D6752" "Bridge retainer-Porcelain Fused to Noble Metal" "RtCrnPrFN"
"/X/" 0
"D6780" "Bridge retainer-3/4 Cast High Noble Metal" "RtCrn3/4" "/X/"
0
"D6781" "Bridge retainer-3/4 Cast Predominantly Base Metal" "3/4Base"
"/X/" 0
"D6782" "Bridge retainer-3/4 Cast Noble Metal" "3/4CrnNob" "/X/"
0
"D6783" "Bridge retainer-3/4 Porcelain/Ceramic" "3/4Porc" "/X/"
0
"D6790" "Bridge retainer-Full Cast High Noble Metal" "RtCrnFCHN" "/X/"
0
"D6791" "Bridge retainer-Full Cast Predominantly Base Metal" "RtFCastBasM"
"/X/" 0
"D6792" "Bridge retainer-Full Cast Noble Metal" "RtFCastNM" "/X/"
0
"D6793" "Bridge retainer-Provisional (6 Months or More)" "ProvisRt"
"/X/" 0
"D6920" "Connector Bar" "Bar" "/X/"
0
"D6930" "Recement Bridge" "RecemBrdg" "/X/"
0
"D6940" "Stress Breaker" "StressBrk" "/X/"
0
"D6950" "Precision Attachment" "PrecAttach" "/X/"
0
"D6970" "Cast Post and Core in Addition to Bridge retainer" "CstPtCr+B"
"/X/" 0
"D6971" "Cast Post as Part of Bridge retainer" "CstPtBrdgeRet" "/X/"
0
"D6972" "Prefabricated Post and Core in Addition to Bridge retainer" "PrfbPtC
r+B" "/X/" 0
"D6973" "Core Build-up for Bridge retainer, Including Any Pins" "CrBURtIP"
"/X/" 0
"D6975" "Coping-Metal" "Coping" "/X/"
0
"D6976" "Each Additional Cast Post - Same Tooth" "CastPtAdd" "/X/"
0
"D6977" "Each Additional Prefabricated Post - Same Tooth" "PreFbPtAdd"
"/X/" 0
"D6980" "Bridge Repair, by Report" "BrdgRepair" "/X/"
0
"D6985" "Pediatric Bridge (Primarily for Esthetic Reasons)" "PedoBrdg"
"/X/" 0
"D6999" "Unspecified Fixed Prosthodontic Procedure, by Report" "UnspFxProsth"
"/X/" 0
"D7111" "Extraction, Primary Tooth-Coronal Remnants" "E-Prim" "/X/"
0
"D7140" "Extraction, Erupted Tooth or Exposed Root" "E" "/X/"
0
"D7210" "Extraction, Surgical" "E-Surg" "/X/"
0
"D7220" "Extraction Impacted Tooth-Soft Tissue" "E-SoftTiss" "/X/"
0
"D7230" "Extraction Impacted Tooth-Partial Bony" "E-PartBony" "/X/"
0
"D7240" "Extraction Impacted Tooth-Complete Bony" "E-CompBony" "/X/"
0
"D7241" "Extraction Impacted Tooth-Complete Bony, Complications" "E-Bonyw
Complic" "/X/"
0
"D7250" "Surgical Removal of Residual Roots" "SurgRmvResidR" "/X/"
0
"D7260" "Oral Antral Fistula Closure" "OrAntFistClos" "/X/"
0
"D7261" "Primary Closure of a Sinus Perforation" "PrimClosSinusPerfor"
"/X/" 0
"D7270" "Tooth Reimplantation and/or Stabilization of Accidentally Evulsed or Di
splaced Tooth" "ToothReimplant/Stabili" "/X/"
0
"D7272" "Tooth Transplantation" "ToothTransplant" "/X/"
0
"D7280" "Surgical Access of Unerupted Tooth (may include, but not limited to pla
cement of attachment for eruption)" "SurgAccessUnerupt" "/X/"
0
"D7281" "Surgical Exposure of Tooth to Aid Eruption" "SurgExposAidErupt"
"/X/" 0
"D7282" "Mobilization of Erupted or Malpositioned Tooth to Aid Eruption"
"MobErup/MalposAidErup" "/X/"
0
"D7285" "Biopsy of Oral Tissue-Hard (bone, tooth)" "BiopsyOralTissH"
"/X/" 0
"D7286" "Biopsy of Oral Tissue-Soft (all others)" "BiopsySoft" "/X/"
0
"D7287" "Cytology Sample Collection" "OytologySampCol" "/X/"
0
"D7290" "Surgical Repositioning of Teeth" "SurgReposition" "/X/"
0
"D7291" "Transseptal Fiberotomy, By Report" "TransFibero" "/X/"
0
"D7310" "Alveoloplasty in Conjunction with Extractions-per Quadrant" "Alveolo
-w/E" "/X/" 0
"D7320" "Alveoloplasty not in Conjunction with Extractions-per Quadrant"
"Alveolo-w/oE" "/X/"
0
"D7340" "Vestibuloplasty-Ridge Extension (Secondary Epithelialization)"
"/X/" 0
"D7350" "Vestibuloplasty-Ridge Extension (Grafts, Muscles, Etc.)"
"/X/" 0
"D7410" "Excision of Benign Lesion Diameter Up To 1.25 cm" "/X/"
0
"D7411" "Excision of Benign Lesion Diameter Greater Than 1.25 cm"
"/X/" 0
"D7412" "Excision of Benign Lesion, Complicated" "/X/"
0
"D7413" "Excision of Malignant Lesion Diameter Up To 1.25 cm" "/X/"
0
"D7414" "Excision of Malignant Lesion Diameter Greater Than 1.25 cm"
"/X/" 0
"D7415" "Excision of Malignant Lesion, Complicated" "/X/"
0
"D7465" "Destruction of Lesion(s) by Physical or Chemical Methods, by Report"
"/X/" 0
"D7440" "Excision of Malignant Tumor-Lesion Diameter up to 1.25 cm"
"/X/" 0
"D7441" "Excision of Malignant Tumor-Lesion Diameter Greater than 1.25 cm"
"/X/" 0
"D7450" "Removal of Benign Odontogenic Cyst/Tumor-Lesion Diameter up to 1.25 cm"
"/X/" 0
"D7451" "Removal of Benign Odontogenic Cyst/Tumor-Lesion Diameter Greater than 1
.25 cm" "/X/"
0
"D7460" "Removal of Benign Nonodontogenic Cyst/Tumor-Lesion Diameter up to 1.25
cm" "/X/"
0
"D7461" "Removal of Benign Nonodontogenic Cyst/Tumor-Lesion Diameter Greater tha
n 1.25 cm" "/X/"
0
"D7471" "Removal of Lateral Exostosis-Maxilla or Mandible" "/X/"
0
"D7472" "Removal of Torus Palatinus" "/X/"
0
"D7473" "Removal of Torus Mandibularis" "/X/"
0
"D7485" "Surgical Reduction of Osseous Tuberosity" "/X/"
0
"D7490" "Radical Resection of Mandible with Bone Graft" "/X/"
0
"D7510" "Incision And Drainage Of Abscess-Intraoral Soft Tissue" "Inc&Dra
in" "/X/" 0
"D7520" "Incision And Drainage Of Abscess-Extraoral Soft Tissue"
"/X/" 0
"D7530" "Removal of Foreign Body, Skin, or Subcutaneous Alveolar Tissue"
"/X/" 0
"D7540" "Removal of Reaction-Producing Foreign Bodies-Musculoskeletal System"
"/X/" 0
"D7550" "Partial Ostectomy/Sequestrectomy for Removal of Non-Vital Bone"
"/X/" 0
"D7560" "Maxillary Sinusotomy for Removal of Tooth Fragment or Foreign Body"
"/X/" 0
"D7610" "Maxilla-Open Reduction (teeth immobilized if present)" "/X/"
0
"D7620" "Maxilla-Closed Reduction (teeth immobilized if present)"
"/X/" 0
"D7630" "Mandible-Open Reduction (teeth immobilized if present)"
"/X/" 0
"D7640" "Mandible-Closed Reduction (teeth immobilized if present)"
"/X/" 0
"D7650" "Malar and/or Zygomatic Arch-Open Reduction" "/X/"
0
"D7660" "Malar and/or Zygomatic Arch-Closed Reduction" "/X/"
0
"D7670" "Alveolus-Closed Reduction, May Include Stabilization of Teeth"
"/X/" 0
"D7671" "Alveolus-Open Reduction, May Include Stabilization of Teeth"
"/X/" 0
"D7680" "Facial Bones-Complicated Reduction with Fixation, Multiple Surgical App
roaches" "/X/"
0
"D7710" "Maxilla-Open Reduction" "MaxOpReduc" "/X/"
0
"D7720" "Maxilla-Closed Reduction" "MaxClosReduc" "/X/"
0
"D7730" "Mandible-Open Reduction" "MandOpReduc" "/X/"
0
"D7740" "Mandible-Closed Reduction" "MandClosReduc" "/X/"
0
"D7750" "Malar and/or Zygomatic Arch-Open Reduction" "/X/"
0
"D7760" "Malar and/or Zygomatic Arch-Closed Reduction" "/X/"
0
"D7770" "Alveolus-Open Reduction Stabilization of Teeth" "/X/"
0
"D7771" "Alveolus-Closed Reduction Stabilization of Teeth" "/X/"
0
"D7780" "Facial Bones-Complicated Reduction with Fixation, Multiple Surgical App
roaches" "/X/"
0
"D7810" "Open Reduction of Dislocation" "/X/"
0
"D7820" "Closed Reduction of Dislocation" "/X/"
0
"D7830" "Manipulation Under Anesthesia" "/X/"
0
"D7840" "Condylectomy" "/X/"
0
"D7850" "Surgical Discectomy; With/Without Implant" "/X/"
0
"D7852" "Disc Repair" "/X/"
0
"D7854" "Synovectomy" "/X/"
0
"D7856" "Myotomy" "/X/"
0
"D7858" "Joint Reconstruction" "/X/"
0
"D7860" "Arthrotomy" "/X/"
0
"D7865" "Arthroplasty" "/X/"
0
"D7870" "Arthrocentesis" "/X/"
0
"D7871" "Non-Arthroscopic Lysis and Lavage" "/X/"
0
"D7872" "Arthroscopy-Diagnosis, With or Without Biopsy" "/X/"
0
"D7873" "Arthroscopy-Surgical: Lavage and Lysis of Adhesions" "/X/"
0
"D7874" "Arthroscopy-Surgical: Disc Repositioning and Stabilization"
"/X/" 0
"D7875" "Arthroscopy-Surgical: Synovectomy" "/X/"
0
"D7876" "Arthroscopy-Surgical: Discectomy" "/X/"
0
"D7877" "Arthroscopy-Surgical: Debridement" "/X/"
0
"D7880" "Occlusal Orthotic Device, by Report" "/X/"
0
"D7899" "Unspecified TMD Therapy, by Report" "/X/"
0
"D7910" "Suture of Recent Small Wounds Up To 5 cm" "/X/"
0
"D7911" "Complicated Suture-Up To 5 cm" "/X/"
0
"D7912" "Complicated Suture-Greater Than 5 cm" "/X/"
0
"D7920" "Skin Graft (identify defect covered, location, and type of graft)"
"/X/" 0
"D7940" "Osteoplasty-for Orthognathic Deformities" "/X/"
0
"D7941" "Osteotomy-Mandibular Rami" "/X/"
0
"D7943" "Osteotomy-Mandibular Rami, With Bone Graft" "/X/"
0
"D7944" "Osteotomy-Segmented or Subapical-per Sextant or Quadrant"
"/X/" 0
"D7945" "Osteotomy-Body of Mandible" "/X/"
0
"D7946" "LeFort I (maxilla-total)" "/X/"
0
"D7947" "LeFort I (maxilla-segmented)" "/X/"
0
"D7948" "LeFort II or LeFort III-Without Bone Graft" "/X/"
0
"D7949" "LeFort II or LeFort III-With Bone Graft" "/X/"
0
"D7950" "Graft of the Mandible-Autogenous or Nonautogenous" "GrMandAug/NonAu
g" "/X/" 0
"D7955" "Repair of Maxillofacial Soft and Hard Tissue Defect" "RepairMaxSft/Hd
Tiss" "/X/" 0
"D7960" "Frenulectomy (frenectomy or frenotomy)-Separate Procedure" "Frenule
ctomy" "/X/" 0
"D7970" "Excision of Hyperplastic Tissue-per Arch" "ExcisTissue" "/X/"
0
"D7971" "Excision of Pericoronal Gingiva" "ExciPericoronalging" "/X/"
0
"D7972" "Surgical Reduction of Fibrous Tuberosity" "SurgRedFibTub" "/X/"
0
"D7980" "Sialolithotomy" "Sailolithotomy" "/X/"
0
"D7981" "Excision of Salivary Gland, by Report" "ExcisSalGl" "/X/"
0
"D7982" "Sialodochoplasty" "Sialodochoplasty" "/X/"
0
"D7983" "Closure of Salivary Fistula" "ClosSalFist" "/X/"
0
"D7990" "Emergency Tracheotomy" "EmerTrach" "/X/"
0
"D7991" "Coronoidectomy" "Coronoidectomy" "/X/"
0
"D7993" "Implant-Facial Bones" "ImplantFB" "/X/"
0
"D7994" "Implant-Other Than Facial Bones" "ImplantOth" "/X/"
0
"D7995" "Synthetic Graft - Mandible or Facial Bones, by Report" "SynthGr"
"/X/" 0
"D7996" "Implant - Mandible for Augmentation Purposes (Excluding Alveolar Ridge)
, by Report" "ImplantMandAugmen" "/X/"
0
"D7997" "Appliance Removal (Not By Dentist Who Placed Appliance)" "ApplRem
ov" "/X/" 0
"D7999" "Unspecified Oral Surgery Procedure, by Report" "UnspOralSurg" "/X/"
0
"D8010" "Limited Orthodontic Treatment of the Primary Dentition" "LimOrth
oPri" "/X/" 0
"D8020" "Limited Orthodontic Treatment of the Transitional Dentition" "LimOrth
oTxPriDent" "/X/"
0
"D8030" "Limited Orthodontic Treatment of the Adolescent Dentition" "LimOrth
oTxAdolDent" "/X/"
0
"D8040" "Limited Orthodontic Treatment of the Adult Dentition" "LimOrthoAdlt"
"/X/" 0
"D8050" "Interceptive Orthodontic Treatment of the Primary Dentition" "InterOr
thoTxPriDent" "/X/"
0
"D8060" "Interceptive Orthodontic Treatment of the Transitional Dentition"
"IntercOrthoTxTransDent" "/X/"
0
"D8070" "Comprehensive Orthodontic Treatment of the Transitional Dentition"
"CompOrthoTxTransDent" "/X/"
0
"D8080" "Comprehensive Orthodontic Treatment of the Adolescent Dentition"
"ComOrthoTxAdolDent" "/X/"
0
"D8090" "Comprehensive Orthodontic Treatment of the Adult Dentition" "CompOrt
hoAdlt" "/X/" 0
"D8210" "Removable Appliance Therapy" "RemHabitAppl" "/X/"
0
"D8220" "Fixed Appliance Therapy" "FxApplTh" "/X/"
0
"D8660" "Pre-Orthodontic Treatment Visit" "PreOrthoTx" "/X/"
0
"D8670" "Periodic Orthodontic Treatment Visit (As Part of Contract)" "OrthoAd
j" "/X/" 0
"D8680" "Orthodontic Retention (Removal of Appliances, Construction and Placemen
t of Retainer(s))" "OrthoRetent" "/X/"
0
"D8690" "Orthodontic Treatment (Alternative Billing to a Contract Fee)" "OrthoTx
" "/X/" 0
"D8691" "Repair of Orthodontic Appliance" "RepairOrthoAppl" "/X/"
0
"D8692" "Replacement of Lost or Broken Retainer" "RepBrkRet" "/X/"
0
"D8999" "Unspecified Orthodontic Procedure, by Report" "UnspecOrtho" "/X/"
0
"D9110" "Palliative (Emergency) Treatment of Dental Pain - Minor Procedure"
"Palliative" "/X/"
0
"D9210" "Local Anesthesia, Not in Conjunction With Operative or Surgical Procedu
res" "LocAnesthW/oSurgPro" "/X/"
0
"D9211" "Regional Block Anesthesia" "RegBlkAnesth" "/X/"
0
"D9212" "Trigeminal Division Block Anesthesia" "TriDivBlkAnesth" "/X/"
0
"D9215" "Local Anesthesia" "LocalAnesth" "/X/"
0
"D9220" "Deep Sedation/General Anesthesia-First 30 Minutes" "GeneralAnes/1st
30min" "/X/" 0
"D9221" "Deep Sedation/General Anesthesia-Each Additional 15 Minutes" "General
Anes/add15min" "/X/"
0
"D9230" "Analgesia, Anxiolysis (Nitrous Oxide)" "NitrousOxide" "/X/"
0
"D9241" "Intravenous Conscious Sedation/Analgesia - First 30 Minutes" "Analges
ia/1st30min" "/X/"
0
"D9242" "Intravenous Conscious Sedation/Analgesia - Each Additional 15 Minutes"
"Analgesia/add15min" "/X/"
0
"D9248" "Non-Intravenous Conscious Sedation" "NonIntraConsSed" "/X/"
0
"D9310" "Consultation (Other Than Treating Dentist)" "Consult" "/X/"
0
"D9410" "House/Extended Care Facility Call" "HouseCall" "/X/"
0
"D9420" "Hospital Call" "HospCall" "/X/"
0
"D9430" "Office Visit, During Office Hours, Observation Only" "Observation"
"/X/" 0
"D9440" "After Hours Office Visit" "AfHrsOV" "/X/"
0
"D9450" "Case Presentation (Not on Same Day as Evaluation)" "CasePresent"
"/X/" 0
"D9610" "Therapeutic Drug Injection, by Report" "TherDrugInj" "/X/"
0
"D9630" "Other Drugs and/or Medicaments, by Report" "Odrug/Med" "/X/"
0
"D9910" "Application of Desensitizing Medicament" "Desens" "/X/"
0
"D9911" "Application of Desensitizing Resin for Cervical and/or Root Surface, Pe
r Tooth" "DesensRes" "/X/"
0
"D9920" "Behavior Management, by Report" "Behav" "/X/"
0
"D9930" "Treatment of Complications (Post-Surgical)-Unusual Circumstances, by Re
port" "TxCompl" "/X/"
0
"D9940" "Bite Guard, by Report" "BiteGuard" "/X/"
0
"D9941" "Athletic Mouthguard" "AthGuard" "/X/"
0
"D9950" "Occlusal Analysis-Mounted Case" "OcclAnalyMntCase" "/X/"
0
"D9951" "Occlusal Adjustment-Limited" "OcclAdjLim" "/X/"
0
"D9952" "Occlusal Adjustment-Complete" "OcclAdjCp" "/X/"
0
"D9970" "Enamel Microabrasion (Removal of Discolored Surface Enamel Defects)"
"EnamMicroab" "/X/"
0
"D9971" "Odontoplasty 1-2 Teeth" "Shaping" "/X/"
0
"D9972" "External Bleaching - Per Arch" "WhiteU&L" "/X/"
0
"D9973" "External Bleaching - Per Tooth" "WhiteTooth" "/X/"
0
"D9974" "Internal Bleaching - Per Tooth" "InternalWhite" "/X/"
0
"D9972Z" "InhouseWhitening" "InHouWhit" "/X/"
0
"D9999" "Unspecified Adjunctive Procedure, by Report" "UnspecAdjunct" "/X/"
0
"N4101" "Post Op-misc" "PostOp" "/X/"
0
"N4102" "Denture Adjust" "DentAdj" "/X/"
0
"N4103" "Bite Record" "BiteRec" "/X/"
0
"N4104" "Adjust Partial" "AdjPart" "/X/"
0
"N4106" "Cast P&C Seat" "CstPCSeat" "/X/"
0
"N4108" "Veneer Seat" "VenSeat" "/X/"
0
"N4109" "Alginates" "Alg" "/X/"
0
"N4111" "Inlay Seat" "InlaSeat" "/X/"
0
"N4112" "Onlay Seat" "OnlaSeat" "/X/"
0
"N4113" "Fit Bands" "FitBands" "/X/"
0
"N4115" "Soft reline" "SoftLine" "/X/"
0
"N4116" "NEXT APPOINTMENT" "Next" "/X/"
0
"N4117" "Note" "Note" "/X/"
0
"N4118" "PFM Seat" "PFMSeat" "/X/"
0
"N4119" "All Cer Crn Seat" "CrCrnSeat" "/X/"
0
"N4120" "Denture Deliver" "DentDeliv" "/X/"
0
"N4121" "RPD Deliver" "RPDDeliv" "/X/"
0
"N4122" "Repair Deliver" "ReprDeliv" "/X/"
0
"N4123" "Whitening Deliver" "WhitDeliv" "/X/"
0
"N4124" "Bitegaurd Deliver" "BitguaDeli" "/X/"
0
"N4125" "Flipper Deliver" "FlipDeliv" "/X/"
0
"N4126" "Retainer Deliver" "RetaDeliv" "/X/"
0