011 examination examination Pulp testing per Pulp testing per 15 061 appointment appointment Panoramic radiograph – Panoramic radiograph – 120 037 per exposure per exposure Intraoral periapical or Intraoral periapical or 30 bitewing radiograph – per bitewing radiograph – per 022 exposure exposure Adhesive restoration Adhesive restoration 275 three surfaces anterior three surfaces anterior 523 tooth direct tooth direct Adhesive restoration four Adhesive restoration four 350 surfaces anterior tooth surfaces anterior tooth 524 direct direct Desensitising procedure – Desensitising procedure – 100 165 per appointment per appointment 411 Direct pulp capping Direct pulp capping 50 Topical application of Topical application of 80 remineralisation and/or remineralisation and/or cariostatic agents one cariostatic agents one 121 treatment treatment
FILLINGS CODES posterior teeth
Comprehensive oral Comprehensive oral 70
011 examination examination Pulp testing per Pulp testing per 15 061 appointment appointment Panoramic radiograph – Panoramic radiograph – 120 037 per exposure per exposure Intraoral periapical or Intraoral periapical or 30 bitewing radiograph – per bitewing radiograph – per 022 exposure exposure Adhesive restoration Adhesive restoration 275 three surfaces posterior three surfaces posterior 533 tooth direct tooth direct 534 Adhesive restoration four Adhesive restoration four 350 surfaces posterior tooth surfaces posterior tooth direct direct Desensitising procedure – Desensitising procedure – 100 165 per appointment per appointment 411 Direct pulp capping Direct pulp capping 50
Codes for scaling
111 Removal of plaque and/or stain Removal of plaque and/or stain 80
Removal of calculus – first Removal of calculus – first 125 114 appointment appointment Treatment of acute periodontal Treatment of acute periodontal 150 213 infection – per appointment infection – per appointment 392 Drainage of abscess Drainage of abscess 100 Panoramic radiograph – per Panoramic radiograph – per 120 037 exposure exposure 011 Comprehensive oral examination Comprehensive oral examination 70
EXTRACTION FOR PEDO
Removal of a tooth or Removal of a tooth or 160
311 part(s) thereof part(s) thereof Intraoral periapical or Intraoral periapical or 30 bitewing radiograph – per bitewing radiograph – per 022 exposure exposure 911 Palliative care Palliative care 100
EXTRACTION FOR ADULTS
Intraoral periapical or Intraoral periapical or 30
bitewing radiograph – per bitewing radiograph – per 022 exposure exposure 911 Palliative care Palliative care 100 Surgical removal of a Surgical removal of a 950 tooth or tooth fragment tooth or tooth fragment requiring both removal of requiring both removal of 324 bone and tooth division bone and tooth division 341 Removal of hyperplastic Removal of hyperplastic 650 tissue tissue
For ROOT CANAL TREATMENT
Intraoral periapical or Intraoral periapical or 30
bitewing radiograph – per bitewing radiograph – per 022 exposure exposure Panoramic radiograph – Panoramic radiograph – 120 037 per exposure per exposure Comprehensive oral Comprehensive oral 70 011 examination examination Extirpation of pulp or Extirpation of pulp or 150 debridement of root debridement of root canal(s) – emergency or canal(s) – emergency or 419 palliative palliative
911 PALLITIVE CARE PALLITIVE CARE 100
061 PULP TASTING PULP TASTING 15
Complete chemo- Complete chemo- 250
mechanical preparation of mechanical preparation of 415 root canal one canal root canal one canal Root canal obturation – Root canal obturation – 125 417 one canal one canal 392 Drainage of abscess Drainage of abscess 100 Adhesive restoration Adhesive restoration 240 three surfaces posterior three surfaces posterior 533 tooth direct tooth direct Provisional Provisional 50 (intermediate/temporary) (intermediate/temporary) 572 restoration – per tooth restoration – per tooth Comprehensive oral Comprehensive oral 011 examination examination Full crown non-metallic 613 indirect 1200.0 Diagnostic model – per 071 model 100.0 231 Gingivectomy – per tooth 200.0 Intraoral periapical or bitewing radiograph – per 022 exposure 30.0 Panoramic radiograph – 037 per exposure 120.0 Post and core for crown 625 indirect 150.0 Provisional crown – per 631 tooth 100.0 Recementing crown or 651 veneer 50.0 Recementing bridge or 652 splint – per abutment 50.0 655 Removal of crown 50.0 Removal of bridge or 656 splint 120.0