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D0000
D0000
D0110 - INITIAL ORAL EXAM
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D1000
D0111 - EXAM & PREPRATION
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D2000
D0112 - INITIAL EXAM PERIO
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D2500
D0120 - PERIODIC ORAL EXAM
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D3000
D0125 - ORAL EXAM BY O.S.
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D4000
D0130 - EMERGENCY ORAL EXAM
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D5000
D0120 - LIMITED ORAL EXAM
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D5500
D0150 - COMPREHENSIVE EXAM
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D6000
D0160 - EXTENSIVE ORAL EVALUATION
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D7000
D0210 - COMPLETE SERIES X-RAYS
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D7500
D0220 - PERIAPICAL-FIRST FILM
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D8000
D0222 - PERIAPICAL-TWO FILMS
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D9000
D0223 - PERIAPICAL-THREE FILMS
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D0224 - PERIAPICAL-FOUR FILMS
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D0230 - PERIAPICAL-ADDITIONAL FILM
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D0231 - PERIAPICALS 3 OR MORE
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D0235 - RECALL X-RAYS
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D0240 - OCCLUSAL FILM
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D0250 - EXTRA-ORAL, FIRST FILM
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D0260 - EXTRA-ORAL, ADDITIONAL FILM
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D0270 - BITEWINGS-SINGLE FILM
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D0272 - BITEWINGS-TWO FILMS
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|
D0273 - THREE BITEWING X-RAYS
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D0274 - BITEWINGS-FOUR FILMS
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D0275 - BITEWINGS-EACH ADDITIONAL FILM
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D0280 - BITEWING, ADDITIONAL FILM
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D0290 - POST/ANT LATERAL FILM
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D0310 - SALIOGRAPHY
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D0320 - TMJ ARTHROGRAM AND INJECTION
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D0321 - TMJ FILM
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D0322 - TOMOGRAPHIC SURVEY
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D0330 - PANORAMIC FILM
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D0331 - CEPHALOMETRIC FILM,ORTHO
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D0340 - CEPHALOMETRIC FILM
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D0410 - BACTERIOLOGIC STUDIES
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D0415 - BACTERIOLOGIC STUDIES FOR DETERMINATION OF PATHOLOGY
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D0420 - CARIES SUSCEPTIBILITY TEST
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D0425 - CARIES SUSCEPTIBILITY TESTS
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D0440 - BIOPSY
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D0460 - PULP VITALITY TESTS
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D0470 - DIAGNOSTIC CASTS
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D0471 - DIAGNOSTIC PHOTOGRAPHS
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D0501 - HISTOPATHOLOGIC EXAM
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D0502 - ORAL PATHOLOGY PROCEDURE
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D0999 - UNSPECIFIED DIAGNOSTIC PROCEDURE
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D1000
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D1110 - PROPHYLAXIS-ADULT
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D1111 - ADULT PROPHY AND SCALING
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D1112 - PROPHYLAXIS-CHILD
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D1201 - TOPICAL FLUORIDE & PROPHY-CHILD
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D1202 - TOPICAL FLUORIDE & PROPHY-ADULT
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D1203 - TOPICAL FLUORIDE EXC PROPHY-CHILD
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D1204 - TOPICAL FLUORIDE EXC PROPHY-ADULT
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D1205 - TOPICAL FLUORIDE & PROPHY - ADULT
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D1210 - SODIUM FLUORIDE-4 VISITS
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D1220 - TOPICAL FLUORIDE APPLICATION
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D1230 - TOPICAL FLUORIDE TREATMENT
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D1231 - FLUORIDE TX FOUR VISITS
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D1310 - DIETARY PLANNING
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D1320 - TOBACCO COUNSELING
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D1330 - ORAL HYGIENE INSTRUCTION
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D1350 - FISSURE SEALANTS
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D1351 - SEALANT-PER TOOTH
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D1510 - SPACE MAINTAINER FIXED(UNILATERAL)
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D1511 - SPACE MAINTANER FIXED
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D1515 - SPACE MAINTAINER-FIXED(BILATERAL)
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D1520 - SPACE MAINTAINER-REMOVABLE(UNILATERAL)
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D1525 - SPACE MAINTAINER REMOVABLE(BILATERAL)
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D1526 - SPACE MAINTANER-REMOVABLE
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D1550 - RECEMENT SPACE MAINTAINER
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D1999 - UNSPECIFIED PREVENTIVE PROCEDURE
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D2000
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D2110 - AMALGAM-ONE SURFACE,PRIMARY
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D2120 - AMALGAM-TWO SURFACES,PRIMARY
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D2130 - AMALGAM-THREE SURFACES,PRIMARY
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D2131 - AMALGAM-FOUR SURFACES,PRIMARY
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D2140 - AMALGAM-ONE SURFACE
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D2150 - AMALGAM-TWO SURFACES
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D2160 - AMALGAM-THREE SURFACE
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D2161 - AMALGAM-FOUR OR MORE SURFACES
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D2162 - AMALGAM-FOUR OR MORE SURFACES
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D2170 - PIN RETAIN BUILD-UP
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D2190 - PIN RETENTION
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D2191 - ADDITIONAL PINS
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D2210 - SILICATE CEMENT-PER FILLING
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D2211 - SILICATE CEMENT RESTORATION
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D2310 - ACRYLIC RESTORATION
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D2311 - ACRYLIC-PIN RETAINED
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D2330 - COMPOSITE-ONE SURFACE
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D2331 - COMPOSITE-TWO SURFACES
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D2332 - COMPOSITE-THREE SURFACES
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D2333 - COMPOSITE-FOUR SURFACES
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D2334 - COMPOSITE-FIVE SURFACES
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D2335 - COMPOSITE-INCISAL OR 4 SURFACES
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D2336 - COMPOSITE RESIN CROWN, ANTERIOR - PRIMARY
|
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D2337 - COMPOSITE WITH ULTRA VIOLET ONE SURFACE
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D2338 - COMPOSITE W/ULTRA VIOLET TWO SURFACE
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D2339 - COMPOSITE W/ULTRA VIOLET THREE SURFACE
|
|
D2340 - ACID ETCH
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|
D2380 - RESIN - ONE SURFACE PRIMARY
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D2381 - RESIN - TWO SURFACE PRIMARY
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|
D2382 - RESIN - THREE SURFACE PRIMARY
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|
D2385 - POSTERIOR COMPOSITE - ONE SURFACE
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|
D2386 - POSTERIOR COMPOSITE - TWO SURFACE
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|
D2387 - POSTERIOR COMPOSITE - THREE SURFACE
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|
D2399 - COMPOSITE - MAX PER TOOTH
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D2410 - GOLD FOIL-ONE SURFACE
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D2420 - GOLD FOIL-TWO SURFACES
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D2430 - GOLD FOIL-THREE SURFACES
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|
D2500
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D2510 - GOLD INLAY-ONE SURFACE
Back to Top
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D2520 - GOLD INLAY-TWO SURFACES
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D2530 - GOLD INLAY-THREE SURFACE
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|
D2540 - ONLAY-METAL,PER TOOTH
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D2542 - METALIC ONLAY - 2 SURFACE
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D2543 - ONLAY, METALLIC - THREE SURFACES
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D2544 - ONLAY, METALLIC - FOUR OR MORE SURFACES
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D2610 - INLAY-ONE SURFACE,PORC/CERAMIC
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D2611 - PORCELAIN INLAY
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D2620 - INLAY-TWO SUFACES,PORC/CERAMIC
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D2630 - INLAY-THREE SURFACES,PORC/CERAMIC
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D2642 - ONLAY - PORCELAIN/CERAMIC - TWO SURFACES
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|
D2643 - ONLAY - PORCELAIN/CERAMIC - THREE SURFACES
|
|
D2644 - ONLAY - PORCELAIN/CERAMIC - FOUR OR MORE SURFACES
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D2650 - INLAY - COMPOSITE/RESIN - ONE SURFACE (LAB)
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|
D2651 - INLAY - COMP/RESIN - TWO SURFACES (LAB)
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|
D2652 - INLAY - COMP/RESIN - THREE OR MORE SURFACES (LAB)
|
|
D2660 - POST
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D2662 - ONLAY - COMP/RESIN - TWO SURFACES (LAB)
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D2663 - ONLAY - COMP/RESIN - THREE SURFACES (LAB)
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D2664 - ONLAY - COMP/RESIN - FOUR OR MORE SURFACES (LAB)
|
|
D2690 - FULL CAST CROWN
|
|
D2710 - CROWN-RESIN(LABORATORY)
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|
D2711 - ACRYLIC PRE-FAB CROWN
|
|
D2712 - PLASTIC BONDED CROWN
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D2720 - CROWN-RESIN WITH HIGH NOBLE METAL
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D2721 - CROWN-RESIN WITH BASE METAL
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|
D2722 - CROWN-RESIN WITH NOBLE METAL
|
|
D2740 - CROWN-PORCELAIN/CERAMIC
|
|
D2750 - CROWN-PORCELAIN /METAL
|
|
D2751 - CROWN-PORCELAIN/BASE METAL
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|
D2752 - CROWN-PORCELAIN/NOBLE METAL
|
|
D2790 - CROWN-CAST HIGH NOBLE METAL
|
|
D2791 - CROWN-CAST BASE METAL
|
|
D2792 - CROWN-CAST NOBLE METAL
|
|
D2810 - 3/4 CAST METALLIC CROWN
|
|
D2830 - STAINLESS STEEL CROWN
|
|
D2890 - GOLD DOWEL PIN
|
|
D2891 - CAST POST
|
|
D2892 - CAST PREFABRICATED POST
|
|
D2910 - RECEMENT INLAY
|
|
D2911 - RECEMENT INLAY
|
|
D2920 - RECEMENT CROWN
|
|
D2930 - STAINLESS STEEL CROWN-PRIMARY
|
|
D2931 - STAINLESS STEEL CROWN-PERMANENT
|
|
D2932 - CROWN, TEMPORARY (PREFAB)
|
|
D2933 - ANTERIOR STAINLESS STEEL CROWN
|
|
D2940 - SEDATIVE FILLING
|
|
D2950 - CROWN BUILDUP(INC. PINS)
|
|
D2951 - PIN RETENTION-PER TOOTH
|
|
D2952 - CAST POST AND CORE
|
|
D2953 - CAST POST AS PART OF CROWN
|
|
D2954 - PREFAB POST AND CORE
|
|
D2955 - POST REMOVAL (NOT IN CONJUNCTION WITH ENDO)
|
|
D2960 - LAMINATE VENEER
|
|
D2961 - LABIAL VENEER - LABORATORY
|
|
D2962 - PORCELAIN LAMINATE
|
|
D2970 - TEMPORARY(FRACTURED TOOTH)
|
|
D2971 - TEMPORARY (FRACTURED TOOTH)
|
|
D2980 - CROWN REPAIR
|
|
D2981 - CROWN REPAIR LAB
|
|
D2990 - CAST POST (ADJUSTMENT)
|
|
D2999 - UNSPECIFIED RESTORATIVE PROCEDURE
|
|
D3000
|
|
D3110 - PULP CAP-DIRECT
Back to Top
|
|
D3120 - PULP CAP-INDIRECT
|
|
D3211 - THERAPEUTIC PULPOTOMY
|
|
D3220 - THERAPEUTIC PULPOTOMY
|
|
D3230 - PULPAL THERAPY - ANTERIOR
|
|
D3240 - PULPAL THERAPY - POSTERIOR
|
|
D3311 - ROOT CANAL ONE SPECIALIST
|
|
D3320 - ROOT CANAL THERAPY-TWO
|
|
D3321 - ROOT CANAL TWO SPECIALIST
|
|
D3322 - ENDODONTIC SERVICE
|
|
D3330 - ROOT CANAL THERAPY-THREE
|
|
D3331 - ROOT CANAL THREE SPECIALIST
|
|
D3332 - ENDODONTIC SERVICE
|
|
D3340 - ROOT CANAL THERAPY-FOUR
|
|
D3341 - ROOT CANAL FOUR SPECIALIST
|
|
D3346 - RETREATMENT - ANTERIOR
|
|
D3347 - RETREATMENT - BICUSPID
|
|
D3348 - RETREATMENT - MOLAR
|
|
D3350 - APEXIFICATION
|
|
D3351 - APEXIFICATION - INITIAL VISIT
|
|
D3352 - APEXIFICATION - INTERIM VISIT
|
|
D3353 - APEXIFICATION - FINAL VISIT
|
|
D3410 - APICOECTOMY-FIRST ROOT
|
|
D3411 - APICOECTOMY ADDITIONAL ROOT
|
|
D3412 - APICO-RETREAT
|
|
D3420 - APICOECTOMY W/RCT
|
|
D3421 - APICOECTOMY(INCLUDING FILLING OF ROOT CANAL)
|
|
D3425 - APICOECTOMY - MOLAR
|
|
D3426 - APICOECTOMY - EACH ADDITIONAL ROOT
|
|
D3430 - RETROGRADE AMALGAM-PER ROOT
|
|
D3431 - ADDITIONAL RETROGRADE
|
|
D3440 - APICAL CURETTAGE
|
|
D3450 - ROOT AMPUTATION-PER ROOT
|
|
D3451 - ROOT AMPUTATION, PER ROOT
|
|
D3460 - ENDOSSEOUS IMPLANT
|
|
D3470 - INTENTIONAL REIMPLANTATION
|
|
D3910 - SURGICAL PROC FOR ISOLATION
|
|
D3920 - HEMISECTION
|
|
D3940 - RECALCIFICATION OR REPAIR
|
|
D3950 - CANAL PREP AND FIT OF DOWEL
|
|
D3960 - BLEACHING DISCOLORED TOOTH
|
|
D3961 - BLEACHING TRAY PER ARCH
|
|
D3999 - UNSPECIFIED ENDO PROCEDURE
|
|
D4000
|
|
D4050 - PERIO CHARTING
Back to Top
|
|
D4110 - INITIAL PERIO EXAM
|
|
D4125 - PERIODONTAL SCALING, SEPARATE PROCEDURE
|
|
D4210 - GINGIVECTOMY, PER QUAD
|
|
D4211 - GINGIVECTOMY, PER TOOTH
|
|
D4212 - GINGIVECTOMY, PER TOOTH SPECIALIST
|
|
D4215 - GINGIVECTOMY SPECIALIST
|
|
D4220 - GINGIVAL CURETTAGE
|
|
D4221 - PERIO TREATMENT BY SPECIALIST
|
|
D4222 - SUBGINGIVAL CURETTAGE, EA ADDITIONAL QUAD
|
|
D4223 - GINGIVAL CURETTAGE, FULL MOUTH
|
|
D4225 - GINGIVAL CURETTAGE PER QUAD BY SPECIALIST
|
|
D4240 - GINGIVAL FLAP CURETTAGE
|
|
D4249 - CROWN LENGTHENING
|
|
D4250 - MUCO-GINGIVAL SURGERY PER QUAD
|
|
D4260 - OSSEOUS SURGERY, PER QUAD
|
|
D4261 - OSSEOUS GRAFT-SINGLE SITE
|
|
D4262 - OSSEOUS GRAFT-MULTIPLE SITES
|
|
D4263 - OSSEOUS GRAFT - FIRST SITE IN QUAD
|
|
D4264 - OSSEOUS GRAFT - EACH ADD'L SITE IN QUAD
|
|
D4265 - OSSEOUS SURGERY
|
|
D4266 - TISSUE REGENERATION - RESORBABLE BARRIER
|
|
D4267 - TISSUE REGENERATION - NON-RESORBABLE BARRIER
|
|
D4268 - GUIDED TISSUE REGENERATION
|
|
D4270 - SOFT TISSUE GRAFT-PEDICLE
|
|
D4271 - SOFT TISSUE GRAFT-FREE
|
|
D4272 - VESTIBULOPLASTY
|
|
D4273 - SUBEPITHELIAL CONNECTIVE TISSUE GRAFT
|
|
D4274 - DISTAL OR PROXIMAL WEDGE
|
|
D4320 - PROVISIONAL SPLINT-INTRACORONAL
|
|
D4321 - PROVISIONAL SPLINT
|
|
D4330 - LIMITED OCCLUSAL ADJUSTMENT
|
|
D4331 - COMPLETE OCCLUSAL ADJUSTMENT
|
|
D4340 - ROOT PLANING-ENTIRE MOUTH
|
|
D4341 - ROOT PLANING-PER QUAD
|
|
D4342 - SCALING EACH ADD QUAD SAME DAY
|
|
D4345 - PERIO SCALING
|
|
D4346 - PERIO SCALING, PER QUAD SPECIALIST
|
|
D4355 - FULL MOUTH DEBRIDEMENT
|
|
D4360 - SPECIAL PERIODONTAL APPLIANCE
|
|
D4381 - LOCALIZED CHEMOTHERAPEUTIC AGENTS
|
|
D4499 - SEC. POST OP. VISIT
|
|
D4910 - PERIODONTAL PROPHYLAXIS
|
|
D4911 - SPECIALIST PERIO MAINTENANCE
|
|
D4920 - UNSCHEDULED DRESSING CHANGE
|
|
D4990 - POST-OP THERAPEUTIC EVALUATION
|
|
D4999 - UNSPECIFIED PERIO PROCEDURE
|
|
D5000
|
|
D5110 - COMPLETE UPPER DENTURE
Back to Top
|
|
D5120 - COMPLETE LOWER DENTURE
|
|
D5130 - IMMEDIATE UPPER DENTURE
|
|
D5140 - IMMEDIATE LOWER DENTURE
|
|
D5210 - ACRYLIC DENTURE
|
|
D5211 - UPPER PARTIAL-ACRYLIC BASE
|
|
D5212 - LOWER PARTIAL-ACRYLIC BASE
|
|
D5213 - UPPER PARTIAL-CAST BASE
|
|
D5214 - LOWER PARTIAL-CAST BASE
|
|
D5215 - UPPER PARTIAL-HIGH NOBLE BASE
|
|
D5216 - LOWER PARTIAL-HIGH NOBLE BASE
|
|
D5220 - ACRYLIC BASE PARTIAL
|
|
D5230 - UPPER PARTIAL-BAR/CLASPS
|
|
D5240 - UPPER PARTIAL-GOLD BAR
|
|
D5241 - CAST COBALT/CHROME PARTIAL LOWER DENTURE
|
|
D5250 - LOWER PARTIAL-BAR/CLASPS
|
|
D5260 - LOWER PARTIAL-GOLD BAR
|
|
D5261 - CAST CHROME PARTIAL UPPER DENTURE
|
|
D5280 - UNILATERAL PARTIAL-HIGH NOBLE
|
|
D5281 - UNILATERAL PARTIAL-BASE METAL
|
|
D5282 - PARTIAL DENTURE (ADJUSTMENT)
|
|
D5283 - FULL UPPER DENTURE (ADJUSTMENT)
|
|
D5284 - FULL LOWER DENTURE (ADJUSTMENT)
|
|
D5290 - LOWER PARTIAL
|
|
D5410 - ADJUST COMPLETE UPPER
|
|
D5411 - ADJUST COMPLETE LOWER
|
|
D5420 - DENTURE ADJUSTMENT- PARTIAL
|
|
D5421 - ADJUST PARTIAL UPPER
|
|
D5422 - ADJUST PARTIAL LOWER
|
|
D5500 |
|
D5510 - REPAIR BROKEN DENTURE BASE
Back to Top
|
|
D5520 - REPLACE MISSING/BROKEN TEETH
|
|
D5521 - REPLACE ADDITIONAL TOOTH
|
|
D5530 - REPLACE ADDITIONAL TOOTH
|
|
D5610 - REPAIR BROKEN DENTURE
|
|
D5620 - REPAIR FRAMEWORK
|
|
D5630 - REPLACE BROKEN CLASP WITH NEW
|
|
D5640 - REPLACE BROKEN TOOTH
|
|
D5641 - PATIENT COPAYMENT
|
|
D5650 - ADD TOOTH TO PARTIAL
|
|
D5651 - ADD TOOTH TO PARTIAL, ADDITIONAL
|
|
D5660 - ADD CLASP TO PARTIAL
|
|
D5670 - REPAIR CLASP
|
|
D5680 - REPLACE BROKEN CLASP WITH NEW CLASP
|
|
D5690 - ADDITIONAL CLASP/REST
|
|
D5710 - REBASE COMPLETE UPPER
|
|
D5711 - REBASE COMPLETE LOWER
|
|
D5720 - REBASE UPPER PARTIAL
|
|
D5721 - REBASE LOWER PARTIAL
|
|
D5730 - RELINE UPPER COMPLETE-CHAIR
|
|
D5731 - RELINE LOWER COMPLETE-CHAIR
|
|
D5740 - RELINE UPPER PARTIAL-CHAIR
|
|
D5741 - RELINE LOWER PARTIAL-CHAIR
|
|
D5750 - RELINE UPPER COMPLETE-LAB
|
|
D5751 - RELINE LOWER COMPLETE LAB
|
|
D5760 - RELINE UPPER PARTIAL-LAB
|
|
D5761 - RELINE LOWER PARTIAL-LAB
|
|
D5810 - TEMPORARY COMPLETE UPPER
|
|
D5811 - TEMPORARY COMPLETE LOWER
|
|
D5820 - ACRYLIC FLIPPER
|
|
D5821 - TEMPORARY PARTIAL LOWER
|
|
D5822 - TEMPORARY PARTIAL UPPER
|
|
D5850 - TISSUE CONDITIONING
|
|
D5851 - TISSUE CONDITIONING - LOWER
|
|
D5860 - OVERDENTURE-COMPLETE
|
|
D5861 - OVERDENTURE-PARTIAL
|
|
D5862 - PRECISION ATTACHMENT
|
|
D5899 - UNSPECIFIED REMOVABLE PROCEDURE
|
|
D5911 - FACIAL MOULAGE(SECTIONAL)
|
|
D5912 - FACIAL MOULAGE(COMPLETE)
|
|
D5913 - NASAL PROSTHESIS
|
|
D5914 - AURICULAR PROSTHESIS
|
|
D5915 - ORBITAL PROSTHESIS
|
|
D5916 - OCULAR PROSTHESIS
|
|
D5917 - COMPOSITE FACIAL PROSTHESIS
|
|
D5918 - REPLACEMENT PROSTHESIS
|
|
D5919 - PROSTHETIC DRESSING
|
|
|