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Av. Paseo Tijuana # 406 Piso 7 Suite 501, Tijuana, Baja California, Mexico
La Clínica Dental Dra. Glenda Urias es un Centro de Especialidades Dentales donde asumimos un compromiso con cada paciente al brindar un cuidado bucal excepcional con estandares elevados en la calidad en el servicio, los tratamientos y el material utilizado.

jueves, 4 de febrero de 2010

Pacientes: Lista de Códigos Dentales.

Cada tratamiento dental tiene un Código y Descripción, mismos que son utilizados de manera estándar por todos los dentistas y los Seguros Dentales.

A continuación usted conocerá la lista de Códigos Dentales con una breve descripción en Inglés.


CODIGO                     DESCRIPCION 
D0120 PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT
D0140 LIMITED ORAL EVALUATION - PROBLEM FOCUSED
D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE AND COUNSELING WITH PRIMARY CAREGIVER 
D0150 COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT 
D0160 DETAILED & EXTENSIVE ORAL EVALUATION - PROBLEM FOCUSED BY REPORT 
D0170 RE-EVALUATION LIMITED, PROBLEM FOCUSED (ESTABLISHED PATIENT; NOT POST-OPERATIVE VISIT) 
D0180 COMREHENSIVE PERIODONTAL EVALUATION - NEW OR ESTABLISHED PATIENT 
D0210 INTRAORAL- COMPLETE SERIES (FMX) INCLUDING BITEWINGS
D0220 INTRAORAL- PERIAPICAL FIRST FILM 
D0230 INTRAORAL PERIAPICAL- EACH ADDITIONAL FILM      D0240 INTRAORAL- OCCLUSAL FILM 
D0250 EXTRAORAL- FIRST FILM 
D0260 EXTRAORAL - EACH ADDITIONAL FILM 
D0270 BITEWING SINGLE FILM 
D0272 BITEWINGS - 2 FILMS 
D0273 BITEWINGS - THREE FILMS 
D0274 BITEWINGS - 4 FILMS 
D0277 VERTICAL BITEWINGS 7 TO 8 FILMS 
D0290 POSTERIOR-ANTERIOR OR LATERAL SKULL & FACIAL BONE SURVEY FILM
D0310 SIALOGRAPHY
D0320 TEMPOROMANDIBULAR JOINT ARTHOGRAM, INCLUDING INJECTION
D0321 OTHER TEMPOROMANDIBULAR JOINT FILMS, BY REPORT
D0322 TOMOGRAPHIC SURVEY
D0330 PANORAMIC FILM
D0340 CEPHALOMETRIC FILM
D0350 ORAL/FACIAL PHOTOGRAPHIC IMAGES 
D0360 CONE BEAM CT- CRANIOFACIAL DATA CAPTURE 
D0362 CONE BEAM - TWO DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES 
D0363 CONE BEAM - THREE-DIMENSIONAL IMAGE RECONSTRUCTION USING EXISTING DATA, INCLUDES MULTIPLE IMAGES 
D0415 COLLECTION OF MICROORGANISMS FOR CULTURE AND SENSITIVITY 
D0416 VIRAL CULTURE 
D0421 GENETIC TEST FOR SUSCEPTIILITY TO ORAL DISEASES 
D0425 CARIES SUSCEPTIBILITY TESTS 
D0431 ADJUNCTIVE PRE-DIAGNOSIS TEST THAT AIDS IN DETECTION OF MUCOSAL ABNORMALITIES INCLUDING   PREMALIGNANT AND MALIGNANT LESIONS, NOT TO INCLUDE CYTOLOGY OR BIOPSY PROCEDURES 
D0460 PULP VITALITY TEST 
D0470 DIAGNOSTIC CASTS 
D0472 ACCESSION OF TISSUE, GROSS EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT 
D0473 ACCESSION OF TISSUE, GROSS & MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT 
D0474 ACCESSION OF TISSUE, GROSS & MICROSCOPIC EXAMINATION, INCLUDING ASSESSMENT OF SURGICAL MARGINS FOR PRESENCE OF DISEASE, PREPARATION AND TRANSMISSION OF WRITTEN REPORT 
D0480 ACCESION OF EXFOLIATIVE CYTOLOGIC SMEARS, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSION OF WRITTEN REPORT 
D0486 ACCESSION OF BRUSH BIOPSY SAMPLE, MICROSCOPIC EXAMINATION, PREPARATION AND TRANSMISSSION OF WRITTEN REPORT
D0475 DECALCIFICATION PROCEDURE 
D0476 SPECIAL STAINS FOR MICROORGANISMS 
D0477 SPECIAL STAINS, NOT FOR MICROORGANISMS 
D0478 IMMUNOHISTOCHEMICAL STAINS 
D0479 TISSUE IN-SITU HYBRIDIZATION, INCLUDING INTERPRETATION 
D0481 ELECTRON MICROSCOPY - DIAGNOSTIC 
D0482 DIRECT IMMUNOFLUORESCENCE 
D0483 INDIRECT IMMUNOFLUORESCENCE 
D0484 CONSULTATION ON SLIDES PREPARED ELSEWHERE 
D0485 CONSULTATION, INCLUDING PREPARATION OF SLIDES FROM BIOPSY MATERIAL SUPPLIED BY REFERRING SOURCE 
D0502 OTHER ORAL PATHOLOGY PROCEDURES, BY REPORT 
D0999 UNSPECIFIED DIAGNOSTIC PROCEDURE, BY REPORT 
D1110 PROPHYLAXIS - ADULT 
D1120 PROPHYLAXIS -CHILD 
D1203 TOPICAL APPLICATION OF FLUORIDE (PROPHYLAXIS NOT INCLUDED) - CHILD 
D1204 TOPICAL APPLICATION OF FLUORIDE (PROPHYLAXIS NOT INCLUDED) - ADULT 
D1206 TOPICAL FLUORIDE VARNISH; THERAPEUTIC APPLICATION FOR MODERATE TO HIGH CARIES RISK PATIENTS 
D1310 NUTRITIONAL COUNSELING FOR CONTROL DENTAL DISEASE 
D1320 TOBACCO CONSUELING FOR THE CONTROL AND PREVENTION OF ORAL DISEASE 
D1330 ORAL HYGIENE INSTRUCTIONS 
D1351 SEALANT - PER TOOTH       
D1510 SPACE MAINTAINER FIXED, UNILATERAL 
D1515 SPACE MAINTAINER FIXED, BILATERAL 
D1520 SPACE MAINTAINER REMOVALBE, UNILATERAL 
D1525 SPACE MAINTAINER REMOVABLE, BILATERAL
D1550 RE-CEMENTATION OF SPACE MAINTAINER 
D1555 REMOVAL OF FIXED SPACE MANTAINER
D2140 AMALGAM - ONE SURFACE, PRIMARY OR PERMANENT 
D2150 AMALGAM - TWO SURFACES, PRIMARY OR PERMANENT 
D2160 AMALGAM - THREE SURFACES, PRIMARY OR PERMANENT 
D2161 AMALGAM - FOUR OR MORE SURFACES, PRIMARY OR PERMANENT 
D2330 RESIN BASED COMPOSITE   ONE SURFACE, ANTERIOR 
D2331 RESIN BASED COMPOSITE TWO SURFACES, ANTERIOR 
D2332 RESIN BASED COMPOSITE THREE SURFACES, ANTERIOR 
D2335 RESIN BASED COMPOSITE FOUR OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR) 
D2390 RESIN BASED COMPOSITE CROWN, ANTERIOR 
D2391 RESIN BASED COMPOSITE ONE SURFACE, POSTERIOR 
D2392 RESIN BASED COMPOSITE 2 SURFACES, POSTERIOR 
D2393 RESIN BASED COMPOSITE 3 SURFACES, POSTERIOR 
D2394 RESIN BASED COMPOSITE 4 OR MORE SURFACES, POSTERIOR 
D2410 GOLD FOIL - ONE SURFACE 
D2420 GOLD FOIL - TWO SURFACES 
D2430 GOLD FOIL - THREE SURFACES 
D2510 INLAY- METALLIC-ONE SURFACE 
D2520 INLAY - METALLIC-TOW SURFACES 
D2530 INLAY - METALLIC-THREE OR MORE SURFACES 
D2542 ONLAY- METALLIC TWO SURFACES 
D2543 ONLAY - METALLIC THREE SURFACES 
D2544 ONLAY - METALLIC FOUR OR MORE SURFACES 
D2610 INLAY, PORCELAIN/CERAMIC-ONE SURFACE 
D2620 INLAY, PORCELAIN/CERAMIC TWO SURFACES 
D2630 INLAY, PORCELAIN/CERAMIC THREE OR MORE SURFACES 
D2642 ONLAY, PORCELAIN/CERAMIC TWO SURFACES 
D2643 ONLAY, PORCELAIN/CERAMIC THREE SURFACES 
D2644 ONLAY, PORCELAIN/CERAMIC FOUR OR MORE SURFACES 
D2650 INLAY, RESIN BASED COMPOSITE-ONE SURFACE 
D2651 INLAY, RESIN BASED COMPOSITE-TWO SURFACES 
D2652 INLAY, RESIN BASED COMPOSITE- THREE OR MORE SURFACES 
D2662 ONLAY, RESINBASED COMPOSITE TWO SURFACES
D2663 ONLAY, RESINBASED COMPOSITE THREE SURFACES 
D2664 ONLAY, RESINBASED COMPOSITE FOUR OR MORE SURFACES 
D2710 CROWN-RESIN BASED COMPOSITE (INDIRECT) 
D2712 CROWN-3/4 RESIN BASED COMPOSITE (INDIRECT) 
D2720 CROWN RESIN W/HIGH NOBLE METAL 
D2721 CROWN RESIN W/HIGH PREDOMINANTLY BASE METAL 
D2722 CROWN RESIN W/NOBLE METAL 
D2740 CROWN PORCELAIN/CERAMIC SUBSTRATE 
D2750 CROWN PORCELAIN FUSED TO HIGH NOBLE METAL 
D2751 CROWN PROCELAIN FUSED TO PREDOMINANT BASE METAL 
D2752 CROWN PORCELAIN FUSED TO NOBLE METAL 
D2780 CROWN 3/4 CAST HIGH NOBLE METAL
D2781 CROWN 3/4 CAST PREDOMINANTLY BASE METAL 
D2782 CROWN 3/4 CAST NOBLE METAL 
D2783 CROWN 3/4 PORCELAIN/CERAMIC 
D2790 CROWN FULL CAST HIGH NOBLE METAL 
D2791 CROWN FULL CAST PREDOMINANTLY BASE METAL 
D2792 CROWN FULL CAST NOBLE METAL 
D2794 CROWN TITANIUM
D2799 PROVISIONAL CROWN 
D2910 RECEMENT INLAY, ONLAY, OR PARTIAL COVERAGE RESTORATION 
D2915 RECEMENT CAST OR PREFABRICATED POST AND CORE 
D2920 RECEMENT CROWN 
D2930 PREFABRICATED STAINLESS STEEL CROWN-PRIMARY TOOTH 
D2931 PREFABRICATED   STAINLESS STEEL CROWN-PERMANENT TOOTH 
D2932 PREFABRICATED RESIN CROWN 
D2933 PREFABRICATED STAINLESS STEEL CROWN WITH RESIN WINDOW 
D2934 PREFABRICATED ESTHETIC COATED STAINLESS STEEL CROWN - PRIMARY TOOTH 
D2940 SEDATIVE FILLING 
D2950 CORE BUILDUP INCLUDING ANY PINS 
D2951 PIN RETENTION PER TOOTH, IN ADDITION TO RESTORATION
D2952 POST AND CORE, IN ADDITION TO CROWN, INDIRECTLY FABRICATED 
D2953 EACH ADDITIONAL INDIRECTLY FABRICATED POST- SAME TOOTH 
D2954 PREFABRICATED POST AND CORE IN ADDITION TO CROWN 
D2955 POST REMOVAL (NOT IN CONJUNCTION WITH ENDODONTIC THERAPY) 
D2957 EACH ADDITIONSL PREFABRICATED POST-SAME TOOTH 
D2960 LABIAL VENEER (RESIN LAMINATE)-CHAIRSIDE 
D2961 LABIAL VENEER (RESIN LAMINATE) LABORATORY 
D2962 LABIAL VENEER (PORCELAIN-LAMINATE) LABORATORY 
D2970 TEMPORARY CROWN (FRACTURED TOOTH) 
D2971 ADDITIONAL PROCEDURES TO CONSTRUCT NEW CROWN UNDER EXISTING PARTIAL DENTURE FRAMEWORK 
D2975 COPING 
D2980 CROWN REPAIR, BY REPORT 
D2999 UNSPECIFIED RESTORATIVE PROCEDURE, BY REPORT 
D3110 PULP CAP DIREC (EXCLUDING FINAL RESTORATION)
D3120 PULP CAP INDIRECT (EXCLUDING FINAL RESTORATION) 
D3220 THERAPEUTIC PULPOTOMY (EXCLUDING FINAL RESTORATION)- REMOVAL OF PULP CORONAL TO THE DENTINOCEMENTAL JUNCTION AND APPLICATION OF MEDICAMENT 
D3221 PULPAL DEBRIDEMENT, PRIMARY & PERMANENT TEETH 
D3230 PULPAL THERAPY (RESORBABLE FILLING)-ANTERIOR PRIMARY TOOTH (EXCLUDING FINAL RESTORATION) 
D3240 PULPAL THERAPY (RESORBABLE FILLING) POSTERIOR, PRIMARY TOOTH (EXCLUDING FINAL RESTORATION) 
D3310 ENDODONTIC THERAPY ANTERIOR (EXCLUDING FINAL RESTORATION) 
D3320 ENDODONTIC THERAPY BICUSPID (EXCLUDING FINAL RESTORATION) 
D3330 ENDODONTIC THERAPY MOLAR (EXCLUDING FINAL RESTORATION) 
D3331 TREATMENT OF ROOT CANAL OBSTRUCTION; NON-SURGICAL ACCESS 
D3332 INCOMPLETE ENDODONTIC THERAPY; INOPERABLE, UNRESTORABLE OR FRACTURED TOOTH 
D3333 INTERNAL ROOT REPAIR OF PERFORATION DEFECTS 
D3346 RETREATMENT OF PREVIOUS ROOT CANAL THERAPY- ANTERIOR 
D3347 RETREATMENT OF PREVIOUS ROOT CANAL THERAPY- BICUSPID 
D3348 RETREATMENT OF PREVIOUS ROOT CANAL THERAPY- MOLAR 
D3351 APEXIFICATION/RECALCIFICATION-INITIAL VISIT (APICAL CLOSURE/CALCIFIC REPAIR OF PERFORATIONS, ROOT RESORPTION, ETC.) 
D3352 APEXIFICATION/RECALCIFICATION-INTERIM MEDICATION REPLACEMENT (APICAL CLOSURE/CALCIFIC REPAIR OF PERFORATIONS, ROOT RESORPTION, ETC) 
D3353 APEXIFICATION/RECALCIFICATION-FINAL VISIT (INCLUDES COMPLETED ROOT CANAL THERAPY- APICAL CLOSURE/CALCIFIC REPAIR OF PERFORATIONS, ROOT RESOPTION, ETC.) 
D3410 APICOECTOMY/PERIRADICULAR SURGERY-ANTERIOR 
D3421 APICOECTOMY/PERIRADICULAR SURGERY-BICUSPID (FIRST ROOT) 
D3425 APICOECTOMY/PERIRADICULAR SURGERY-MOLAR (FIRST ROOT) 
D3426 APICOECTOMY/PERIRADICULAR SURGERY (EACH ADDITIONAL ROOT) 
D3430 RETROGRADE FILLING -   PER ROOT 
D3450 ROOT AMPUTATION - PER ROOT 
D3460 ENDODONTIC ENDOSSEOUS IMPLANT
D3470 INTENTIONAL REIMPLANTATION (INCLUDING NECESSARY SPLINTING) 
D3910 SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM 
D3920 HEMISECTION (INCLUDING ANY ROOT REMOVAL, NOT INCLUDING ROOT CANAL THERAPY 
D3950 CANAL PREPARATION & FITTING OF PERFORMED DOWEL OR POST 
D3999 UNSPECIFIED ENDO PROCEDURE, BY REPORT 
D4210 GINGIVECTOMY OR GINGIVOPLASTY- FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT 
D4211 GINGIVECTOMY OR GINGIVOPLASTY-ONE TO THREE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT 
D4230 ANATOMICAL CROWN EXPOSURE - FOUR OR MORE CONTIGUOUS TEETH PER QUADRANT 
D4231 ANATOMICAL CROWN EXPOSURE - ONE TO THREE TEETH PER QUADRANT 
D4240 GINVIGAL FLAP PROCEDURE, INCLUDING ROOT PLANING-FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT 
D4241 GINGIVAL FLAP PROCEDURE INCLUDING ROOT PLANING-ONE TO THREE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT 
D4245 APICALLY POSITIONED FLAP 
D4249 CLINICAL CROWN LENGHTENING-HARD TISSUE 
D4260 OSSEOUS SURGERY(INCLUDING FLAP ENTRY AND CLOSURE) FOUR OR MORE CONTIGUOUS TEETH OR BOUNDED TEETH SPACES PER QUADRANT 
D4261 OSSEOUS SURGERY (INCLUDING FLAP ENTRY AND CLOSURE)-ONE TO THREE CONTIGUOUS TEETH OR BOUDED TEETH SPACES PER QUADRANT 
D4263 BONE REPLACE GRAFT- FIRST SITE IN QUADRANT 
D4264 BONE REPLACEMENT GRAFT - EACH ADDITIONAL SITE IN QUADRANT 
D4265 BIOLOGIC MATERIAL TO AID IN SOFT AND OSSEOUS TISSUE REGENERATION 
D4266 GUIDED TISSUE REGENERATION-RESORBABLE BARRIER, PER SITE 
D4267 GUIDED TISSUE REGENERATION-NONRESORBABLE BARRIER, PER SITE (INCLUDES MEMBRANE REMOVAL) 
D4268 SURGICAL REVISION PROCEDURE, PER TOOTH
D4270 PEDICLE SOFT TISSUE GRAFT PROCEDURE 
D4271 FREE SOFT TISSUE GRAFT PROCEDURE (INCLUDING DONOR SITE SURGERY) 
D4273 SUBEPITHELIAL CONNECTIVE TISSUE GARFT PROCEDURES, PER TOOTH 
D4274 DISTAL OR PROXIMAL WEDGE PROCEDURE (WHEN NOT PERFORMED IN CONJUNCTION W/SURGICAL PROCEDURES IN THE SAME ANATOMICAL AREA) 
D4275 SOFT TISSUE ALLOGRAFT 
D4276 COMBINED CONNECTIVE TISSUE & DOUBLE PEDICLE GRAFT, PER TOOTH 
D4320 PROVISIONAL SPLINTING INTRACORONAL 
D4321 PROVISIONAL SPLINTING EXTRACORONAL 
D4341 PERIODONTAL SCALING AND ROOT PLANING FOUR OR MORE TEETH PER QUADRANT 
D4342 PERIODONTAL SCALING & ROOT PLANING-ONE TO THREE TEETH PER QUADRANT
D4355 FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION AND DIAGNOSIS
D4381 LOCALIZED DELIVERY OF ANTIMICROBIAL AGENTS VIA A CONTROLLED RELEASE VEHICLE INTO DISEASED CERVICULAR TISSUE, PER TOOTH, BY REPORT 
D4910 PERIODONTAL MAINTENANCE       
D4920 UNSCHEDULED DRESSING CHANGE (BY SOMEONE OTHER THAN TREATING DENTIST) 
D4999 UNSPECIFIED PERIODONTAL PROCEDURE, BY REPORT 
D5110 COMPLETE DENTURE- MAXILLARY
D5120 COMPLETE DENTURE -MANDIBULAR 
D5130 IMMEDIATE DENTURE -MAXILLARY 
D5140 IMMEDIATE DENTURE -MANDIBULAR 
D5211 MAXILLARY PARTIAL DENTURE- RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, REST & TEETH) 
D5212 MANDIBULAR PARTIAL DENTURE- RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, REST & TEETH) 
D5213 MAXILLARY PARTIAL DENTURE -CAST METAL FRAMEWORK W/RESIN DENTURE BASES (INCLUDING ANY CONVENTIONAL CLASPS, REST AND TEETH) 
D5214 MANDIBULAR PARTIAL DENTURE -CAST METAL FRAMEWORK WITH RESIN DENTURE BASES (INCLUDING ANY CONVENTIONAL CLASPS, REST AND TEETH) 
D5225 MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE (INCLUDING ANY CLASPS, RESTS AND TEEHT) 
D5226 MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE (INCLUDING ANY CLASPS, RESTS AND TEETH)
D5281 REMOVABLE UNILATERAL PARTIAL DENTURE - ONE PIECE CAST METAL (INCLUDING CLASPS AND TEETH) 
D5410 ADJUST COMPLETE DENTURE - MAXILLARY 
D5411 ADJUST COMPLETE DENTURE - MANDIBULAR 
D5421 ADJUST PARTIAL DENTURE - MAXILLARY 
D5422 ADJUST PARTIAL DENTURE - MANDIBULAR 
D5510 REPAIR BROKEN COMPLETE DENTURE BASE 
D5520 REPLACE MISSING OR BROKEN TEETH-COMPLETE DENTURE (EACH TOOTH) 
D5610 REPAIR RESIN DENTURE BASE 
D5620 REPAIR CAST FRAMEWORK 
D5630 REPAIR OR REPLACE BROKEN CLASP 
D5640 PEPLACE BROKEN TEETH - PER TOOTH 
D5650 ADD TOOTH TO EXISTING PARTIAL DENTURE 
D5660 ADD CLASP TO EXISTING PARTIAL DENTURE 
D5670 REPLACE ALL TEETH & ACRYLIC ON CAST METAL FRAMEWORK (MAXILLARY) 
D5671 REPLACE ALL TEETH & ACRYLIC ON CAST METAL FRAMEWORK (MANDIBULAR)
D5710 REBASE COMPLETE MAXILLARY DENTURE 
D5711 REBASE COMPLETE MANDIBULAR DENTURE
D5720 REBASE MAXILLARY PARTIAL DENTURE 
D5721 REBASE MANDIBULAR PARTIAL DENTURE 
D5730 RELINE COMPLETE MAXILLARY DENTURE (CHAIRSIDE) 
D5731 RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE) 
D5740 RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE) 
D5741 RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE) 
D5750 RELINE COMLETE MAXILLARY DENTURE (LABORATORY) 
D5751 RELINE COMLETE MANDIBULAR DENTURE (LABORATORY) 
D5760 RELINE MAXILLARY PARTIAL DENTURE (LABORATORY) 
D5761 RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY) 
D5810 INTERIM COMPLETE DENTURE (MAXILLARY) 
D5811 INTERIM COMPLETE DENTURE (MANDIBULAR) 
D5820 INTERIM PARTIAL DENTURE (MAXILLARY) 
D5821 INTERIM PARTIAL DENTURE (MANDIBULAR) 
D5850 TISSUE CONDITIONING MAXILLARY 
D5851 TISSUE CONDITIONING MANDIBULAR 
D5860 OVERDENTURE - COMPLETE, BY REPORT 
D5861 OVERDENTURE - PARTIAL, BY REPORT 
D5862 PRECISION ATTACHMENT, BY REPORT 
D5867 REPLACEMENT OF REPLACEABLE PART OF SEMI-PRECISION OR PRECISION ATTACHMENT (MALE OR FEMALE COMPONENT) 
D5875 MODIFICATION OF REMOVABLE PROSTHESIS FOLLOWING IMPLANT SURGERY 
D5899 UNSPECIFIED REMOVABLE PROSTHODONTIC PROCEDURE, BY REPORT 
D6010 SURGICAL PLACEMENT OF IMPLANT BODY: EDOSTEAL IMPLANT 
D6012 SURGICAL PLACEMENT OF INTERIM IMPLANT BODY FOR TRANSITIONAL PROSTHESIS: ENDOSTEAL IMPLANT 
D6040 SURGICAL PLACEMENT:EPOSTEAL IMPLANT 
D6050 SURGICAL PLACEMENT:TRANSOSTEAL IMPLANT 
D6053 IMPLANT/ABUTMENT SUPPORTED REMOVABLE DENTURE FOR COMPLETELY EDENTULOUS ARCH 
D6054 IMPLANT/ABUTMENT SUPPORTED REMOVABLE DENTURE FOR PARTIALLY EDENTULOUS ARCH 
D6055 DENTAL IMPLANT SUPPORTED CONNECTIG BAR 
D6056 PREFABRICATED ABUTMENT - INCLUDES PLACEMENT 
D6057 CUSTOM ABUTMENT - INCLUDES PLACEMENT 
D6058 ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN 
D6059 ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (HIGH NOBLE METAL) 
D6060 ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (PREDOMINANTLY BASE METAL) 
D6061 ABUTMENT SUPPORTED PORCELAIN FUSED TO METAL CROWN (NOBLE METAL) 
D6062 ABUTMENT SUPPORTED CAST METAL CROWN (HIGH NOBLE METAL)
D6063 ABUTMENT SUPPORTED CAST METAL CORWN (PREDOMINANTLY BASE METAL) 
D6064ABUTMENT SUPPORTED CAST METAL CROWN (NOBLE METAL) 
D6094 ABUTMENT SUPPORTED CROWN -  (TITANIUM) 
D6065 IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN 
D6066 IMPLANT SUPPORTED PORCELAIN FUSED TO METAL CROWN (Ti, Ti alloy, hign noble metal) 
D6067 IMPLANT SUPPORTED METAL CROWN (Ti, Ti alloy, high noble metal) 
D6068 ABUTMENT SUPPORTED RETAINER FOR PORCELAIN/CERAMIC FPD 
D6069 ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (HIG NOBLE METAL) 
D6070 ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (PREDOMINANTLY BASE METAL) 
D6071 ABUTMENT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD (NOBLE METAL) 
D6072 ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (HIGH NOBLE METAL) 
D6073 ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (PREDOMINANTLY BASE METAL) 
D6074 ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD (NOBLE METAL) 
D6194 ABUTMENT SUPPORTED RETAINER CROWN FOR FPD - (TITANIUM)
D6075 IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD 
D6076 IMPLANT SUPPORTED RETAINER FOR PORCELAIN FUSED TO METAL FPD  (Ti, Ti alloy, or high noble metal) 
D6077 IMPLANT SUPPORTED RETAINER FOR CAST METAL FPD (Ti, Ti alloy, or high noble metal) 
D6078 IMPLANT/ABUTMENT SUPPORTED FIXED DENTURE FOR COMPLETELY EDENTULOUS ARCH 
D6079 IMPLANT/ABUTMENT SUPPORTED FIXED DENTURE FOR PARTIALLY EDENTULOUS ARCH 
D6080 IMPLANT MANTENANCE PROCEDURES, INCLUDING REMOVAL OF PRESTHESIS, CLEANSING OF PRESTHESIS AND ABUTMENTS AND REINSERTION OF PROSTHESIS 
D6090 REPAIR IMPLANT SUPPORTED PROSTHESIS, BY REPORT 
D6091 REPLACEMENT OF SEMI-PRECISION OR PRECISION ATTACHMENT (MALE OR FEMALE COMPONENT)   OF IMPLANT/ABUTMENT SUPPORTED PROSTHESIS, PER ATTACHMENT 
D6092 RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN 
D6093 RECEMENT IMPLANT/ABUTMENT SUPPORTED FIXED PARTIAL DENTURE 
D6095 REPAIR IMPLANT ABUTMENT, BY REPORT 
D6100 IMPLANT REMOVAL, BY REPORT 
D6190 RADIOGRAPHIC/SURGICAL IMPLANT INDEX, BY REPORT 
D6199 UNSPECIFIED IMPLANT PROCEDURE, BY REPORT 
D6205 PONTIC- INDIRECT RESINA BASED COMPOSITE 
D6210 PONTIC -CAST HIGH NOBLE METAL 
D6211 PONTIC -CAST PREDOMINANTLY BASE METAL 
D6212 PONTIC -CAST NOBLE METAL 
D6214 PONTIC –TITANIUM
D6240 PONTIC -PORCELAIN FUSED TO HIGH NOBLE METAL 
D6241 PONTIC -PORCELAIN FUSED TO PREDOMINANTLY BASE METAL 
D6242 PONTIC -PORCELAIN FUSED TO NOBLE METAL 
D6245 PONTIC -PORCELAIN / CERAMIC 
D6250 PONTIC -RESIN WITH HIGH NOBLE METAL 
D6251 PONTIC -RESIN W/PREDOMINATLY METAL 
D6252 PONTIC -RESIN WITH NOBLE METAL 
D6253 PROVISIONAL PONTIC
D6545 RETAINER CAST METALLIC FOR RESIN BONDED FIXED PROSTHESIS 
D6548 RETAINER PORCELAIN/CERAMIC FOR RESIN BONDED FIXED PROSTHESIS 
D6600 INLAY PORCELAIN/CERAMIC 2 SURFACES 
D6601 INLAY PORCELAIN/CERAMIC 3 OR MORE SURFACES 
D6602 INLAY CAST HIGH NOBLE METAL 2 SURFACES 
D6603 INLAY CAST HIGH NOBLE METAL 3 OR MORE SURFACES 
D6604 INLAY CAST PREDOMINANTLY BASE METAL 2 SURFACES 
D6605 INLAY CAST PREDOMINANTLY BASE METAL 3 OR MORE SURFACES 
D6606 INLAY CAST NOBLE METAL 2 SURFACES 
D6607 INLAY CAST NOBLE METAL 3 OR MORE SURFACES D6624 INLAY TITANIUM 
D6608 ONLAY PORCELAIN/CERAMIC 2 SURFACES 
D6609 ONLAY PORCELAIN/CERAMIC 3 OR MORE SURFACES 
D6610 ONLAY CAST HIGH NOBLE METAL 2 SURFACES 
D6611 ONLAY CAST HIGH NOBLE METAL 3 OR MORE SURFACES 
D6612 ONLAY CAST PREDOMINANTLY BASE METAL 2 SURFACES 
D6613 ONLAY CAST PREDOMINANT BASE METAL 3 OR MORE SURFACES 
D6614 ONLAY CAST NOBLE METAL 2 SUFACES 
D6615 ONLAY CAST NOBLE METAL 3 OR MORE SURFACES 
D6634 ONLAY TITANIUM 
D6710 CROWN INIDRECT RESIN BASED COMPOSITE 
D6720 CROWN RESIN WITH HITH NOBLE METAL 
D6721 CROWN RESIN WITH PREDOMINANTLY BASE METAL 
D6722 CROWN RESIN WITH NOBLE METAL 
D6740 CROWN PORCELAIN/CERAMIC 
D6750 CROWN PORCELAIN FUSED TO HIGH NOBLE METAL 
D6751 CROWN PORCELAIN FUSED TO PREDOMINANTLY BASE METAL 
D6752 CROWN PORCELAIN FUSED TO NOBLE METAL 
D6780 CROWN 3/4 CAST HIGH NOBLE METAL 
D6781 CROWN 3/4 CAST PREDOMINANTLY BASE METAL 
D6782 CROWN 3/4 CAST NOBLE METAL 
D6783 CORWN 3/4 PORCELAIN/CERAMIC 
D6790 CROWN FULL CAST HIGH NOBLE METAL 
D6791 CROWN FULL CAST PREDOMINANTLY BASE METAL
D6792 CROWN FULL CAST NOBLE METAL 
D6794 CROWN TITANIUM 
D6793 PROVISIONAL RETAINER CROWN 
D6920 CONNECTOR BAR 
D6930 RECEMENT FIXED PARTIAL DENTURE 
D6940 STRESS BREAKER       
D6950 PRECISION ATTACHMENT 
D6970 POST AND CORE IN ADDITION TO FIXED PARTIAL DENTURE RETAINER, INDIRECTLY FABRICATED 
D6972 PREFABRICATED POST AND CORE IN ADDITION TO FIXED PARTIAL DENTURE RETAINER 
D6973 CORE BUILD UP FOR RETAINER, INCLUDING ANY PINS
D6975 COPING METAL 
D6976 EACH ADDITIONAL INDIRECTLY FABRICATED POST -SAME TOOTH
D6977 EACH ADDITIONAL PREFABRICATED POST -SAME TOOTH 
D6980 FIXED PARTIAL DENTURE REPAIR, BY REPORT 
D6985 PEDIATRIC PARTIAL DENTURE, FIXED 
D6999 UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE, BY REPORT 
D7111 EXTRACTION, CORONAL REMNANTS DECIDUOUS TOOTH 
D7140 EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) 
D7210 SURGICAL REMOVAL OF TOOTH ERUPTED REQUIRING ELEVATION OF MUCOPERIOSTEAL FLAP AND REMOVAL OF BONE AND/OR SECTION OF TOOTH 
D7220 REMOVAL IMPACTED TOOTH SOFT TISSUE 
D7230 REMOVAL IMPACTED TOOTH PARTIALLY BONY 
D7240 REMOVAL IMPACTED TOOTH COMPLETELY BONY 
D7241 REMOVAL IMPACTED TOOTH COMPLETE BONY, WITH UNUSUAL SURGICAL COMPLICATIONS 
D7250 SURGICAL REMOVAL OR RESIDUAL TOOTH ROOTS (CUTTING PROCEDURE) 
D7260 OROANTRAL FISTULA CLOUSURE 
D7261 PRIMARY CLOSURE OF A SINUS PERFORATION 
D7270 TOOTH REIMPLANTATION AND/OR STABLIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH 
D7272 TOOTH TRANSPLANTATION (INCLUDES REIMPLANTATION FROM ONE SITE TO ANOTHER AND SPLINTING AND/OR STABILIZATION) 
D7280 SURGICAL ACCESS OF AN UNERUPTED TOOTH 
D7282 MOBILIZATION OF ERUPTED OR MALPOSITIONED TOOTH TO AID ERUPTION 
D7283 PLACEMENT OF DEVICE TO FACILITATE ERUPTION OF IMPACTED TOOTH 
D7285 BIOPSY OF ORAL TISSUE HARD (BONE, TOOTH) 
D7286 BIOPSY OF ORAL TISSUE - SOFT 
D7287 EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION 
D7288 BRUSH BIOPSY - TRANSEPITHELIAL SAMPLE COLLECTION 
D7290 SURGICAL REPOSITIONING OF TEETH 
D7291 TRANSSEPTAL FIBERETOMY/SUPRA CRESTAL FIBEROTOMY, BY REPORT 
D7292 SURGICAL PLACEMENT: TEMPORARY ANCHORAGE DEVICE [SCREW RETAINED PLATE] REQUIRING SURGICAL FLAP 
D7293 SURGICAL PLACEMENT: TEMPORARY ANCHORAGE DEVICE REQUIRING SURGICAL FLAP 
D7294 SURGICAL PLACEMENT: TEMPORARY ANCHORAGE DEVICE WITHOUT SURGICAL FLAP 
D7310 ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS -FOUR OR MORE TEETH OR TOOTH SPACES, PER QUADRANT 
D7311 ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS - ONE TO THREE TEETH OR TOOTH SPACES, PER QUADRANT 
D7320 ALVEOLOPLASTY NOT IN CONJUNCTION WITH EXTRACTIONS- FOUR OR MORE TEETH OR TOOTH SPACES, PER QUADRANT 
D7321 ALVEOLOPLASTY NOT IN CONJUNCTION WITH EXTRACTIONS - ONE TO THREE TEETH OR TOOTH SPACES, PER QUADRANT 
D7340 VESTIBULOPLASTY RIDGE EXTENSION (SECONDARY EPITHELIALIZATION) 
D7350 VESTIBULOPLASTY RIDGE EXTENSION (INCLUDING SOFT TISSUE GRAFTS, MUSCLE REATTACHMENT, REVISION OF SOFT TISSUE ATTACHMENT AND MANAGEMENT OF HYPERTROPHIED AND HYPERPLASTIC TISSUE) 
D7410 EXCISION OF BENIGN LESION UP TO 1.25 CM D7411 EXCISION OF BENIGN LESION GREATER THAN 1.25 CM D7412EXCISION OF BENIGN LESION, COMPLICATED 
D7413 EXCISION OF MALIGNANT LESION UP TO 1.25 CM 
D7414 EXCISION OF MALIGNANT LESION GREATER THAN 1.25 CM 
D7415 EXCISION OF MALIGNANT LESION, COMPLICATED 
D7465 DESTRUCTION OF LESION(S) BY PHYSICAL OR CHEMICAL METHOD, BY REPORT 
D7440 EXCISION OF MALIGNAN TUMOR- LESION DIAMETER UP TO 1.25 CM 
D7441 EXCISION OF MALIGNAN TUMOR- LESION DIAMETER GRATER THAN 1.25 CM 
D7450 REMOVAL OF BENING ODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM       
D7451 REMOVAL OF BENING ODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM
D7460 REMOVAL OF BENING NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER UP TO 1.25 CM 
D7461 REMOVAL OF BENING NONODONTOGENIC CYST OR TUMOR - LESION DIAMETER GREATER THAN 1.25 CM 
D7471 REMOVAL OF LATERAL EXOSTOSIS (MAXILLA OR MANDIBLE) 
D7472 REMOVAL OF TORUS PALATINUS 
D7473 REMOVAL OF TORUS MANDIBULARIS 
D7485 SURGICAL REDUCTION OF   OSSEOUS TUBEROSITY 
D7490 RADICAL RESECTION OF MAXILLA OR MANDIBLE 
D7510 INCISION AND DRAINAGE OF ABSCESS-INTRAORAL SOFT TISSUE 
D7511 INCISION AND DRAINAGE OF ABSCESS-INTRAORAL SOFT TISSUE- COMPLICATED (INCLUDES DRAINAGE OF MULTIPLE FACIAL SPACES)
D7520 INCISION AND DRAINAGE OF ABSCESS-EXTRAORAL SOFT TISSUE 
D7521 INCISION AND DRAINAGE OF ABSCESS-EXTRAORAL SOFT TISSUE- COMPLICATED (INCLUDES DRAINAGE OF MULTIPLE FACIAL SPACES) 
D7530 REMOVAL FO FOREIGN BODY FROM MUCOSA, SKIN, OR SUBCUTANEOUS ALVEOLAR TISSUE 
D7540 REMOVAL OF REACTION PRODUCING FOREIGN BODIES, MUSCULOSKELETAL SYSTEM 
D7550 PARTIAL OSTECTOMY/SEQUESTRECTOMY FOR REMOVAL OF NON-VITAL BONE 
D7560 MAXILLARY SINUSOTOMY FOR REMOVAL OF TOOTH FRAGMENT OR FOREIGN BODY 
D7610 MAXILLA - OPEN REDUCTION (TEETH IMMOBILIZED IF PRESENT) 
D7620 MAXILLA - CLOSED REDUCTION (TEETH IMMOBILIZED IF PRESENT) 
D7630 MANDIBLE - OPEN REDUCTION (TEETH IMMOBILIZED IF PRESENT) 
D7640 MANDIBLE - CLOSED REDUCTION (TEETH IMMOBILIZED IF PRESENT) 
D7650 MALAR AND/OR ZYGOMATIC ARCH OPEN REDUCTION 
D7660 MALAR AND/OR ZYGOMATIC ARCH CLOSED REDUCTION 
D7670 ALVEOLUS - CLOSED REDUCTION, MAY INCLUDE STABILIZATION OF TEETH 
D7671 ALVEOLUS - OPEN REDUCTION, MAY INCLUDE STABILIZATION OF TEETH 
D7680 FACIAL BONES - COMPLICATED REDUCTION W/FIXATION AND MULTIPLE SURGICAL APPROACHES 
D7710 MAXILA - OPEN REDUCTION 
D7720 MAXILA - CLOSED REDUCTION 
D7730 MANDIBLE - OPEN REDUCTION 
D7740 MANDIBLE - CLOSED REDUCTION 
D7750 MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION 
D7760 MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION 
D7770 ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH 
D7771 ALVEOLUS - CLOSED RECUDTION STABILIZATION OF TEETH 
D7780 FACIAL BONES - COMPLICATED REDUCTION WITH FIXATION & MULTIPLE SURGICAL APPROACHES 
D7810 OPEN REDUCTION OF DISLOCATION 
D7820 CLOSED REDUCTION OF DISLOCATION 
D7830 MANIPULATION UNDER ANESTHESIA 
D7840 CONDYLECTOMY 
D7850 SURGICAL DISCECTOMY WITH/WITHOUT IMPLANT
D7852 DISC REPAIR D7854 SYNOVECTOMY 
D7856 MYOTOMY 
D7858 JOINT RECONSTRUCTION 
D7860 ARTHROTOMY D7865 ARTHROPLASTY 
D7870 ARTHROCENTESIS 
D7871 NON-ARTHROSCOPIC LYSIS AND LAVAGE 
D7872 ARTHROSCOPY DIAGNOSIS WITH OR WITHOUT BIOPSY 
D7873 ARTHROSCOPY SURGICAL:LAVAGE & LYSIS OF ADHESIONS 
D7874 ARTHROSCOPY SURGICAL: DISC REPOSITIONING & STABILIZATION 
D7875 ARTHROSCOPY SURGICAL: SYNOVECTOMY 
D7876 ARTHROSCOPY SURGICAL: DISCECTOMY 
D7877 ARTHROSCOPY SURGICAL: DEBRIDEMENT 
D7880 OCCLUSAL ORTHOTIC DEVICE, BY REPORT 
D7899 USPECIFIED TMD THERAPY, BY REPORT 
D7910 SUTURE OF RECENT SMALL WOUNDS UPT TO 5 CM 
D7911 COMPLICATED SUTURE UP TO 5 CM 
D7912 COMPLICATED SUTURE GREATER THAN 5 CM 
D7920 SKIN GRAFT (IDENTIFY DEFECT COVERED, LOCATION AND TYPE OF GRAFT) 
D7940 OSTEOPLASTY-FOR ORTHOGNATHIC DEFORMITIES 
D7941 OSTEOTOMY - MANDIBULAR RAMI 
D7943 OSTEOTOMY - MANDIBULAR RAMI W/BONE GRAFT; INCLUDES OBTAINING THE GRAFT 
D7944 OSTEOTOMY - SEGMENTED OR SUBAPICAL PER SEXTANT OR QUADRANT 
D7945 OSTEOTOMY - BODY OF MANDIBULE 
D7946 LeFORT I (MAXILA - TOTAL)
D7947 LeFORT I (MAXILA - SEGMENTED) 
D7948 LeFORT II OR LeFORT III (OSTEOPLASTY OF FACIAL BONES FOR MIDFACE HYPOPLASIA OR RETRUSION)-WITHOUT BONE GRAFT 
D7949 LeFORT II OR LeFORT III WITH BONE GRAFT 
D7950 OSSEOUS, OSTEOPERIOSTEAL, OR CARTILAGE GRAFT OF THE MANDIBLE OR MAXILLA - AUTOGENOUS OR NONAUTOGENOUS, BY REPORT 
D7951 SINUS AUGMENTATION WITH BONE OR BONE SUBSTITUTES 
D7953 BONE REPLACEMENT GRAFT FOR RIDGE PRESERVATION - PER SITE 
D7955 REPAIR OF MAXILOFACIAL SOFT AND/OR HARD TISSUE DEFECT
D7960 FRENULECTOMY (FRENECTOMY OR FRENOTOMY)-SEPARATE PROCEDURE 
D7963FRENULOPLASTY 
D7970 EXCISION OF HYPERPLASTIC TISSUE-PER ARCH 
D7971 EXCISION PERICORONAL GINGIVA 
D7972 SURGICAL REDUCTION OF FIBROUS TUBEROSITY 
D7980 SIALOLITHOTOMY 
D7981 EXCISION OF SALIVARY GLAND-BY REPORT 
D7982 SIALODOCHOPLASTY
D7983 CLOSURE OF SALIVARY FISTULA 
D7990 EMERGENCY TRACHEOTOMY 
D7991 CORONOIDECTOMY 
D7995 SYNTHETIC GRAFT-MANDIBLE OR FACIAL BONES, BY REPORT 
D7996 IMPLANT - MANDIBLE FOR AUGMENTATION PURPOSES (EXCLUDING ALVEOLAR RIDGE), BY REPORT
D7997 APPLIANCE REMOVAL (NOT BY DENTIST WHO PLACED APPLIANCE), INCLUDES REMOVAL OF ARCHBAR 
D7998 INTRAORAL PLACEMENT OF A FIXATION DEVICE NOT IN CONJUNCTION WITH A FRACTURE 
D7999 USPECIFIED ORAL SURGERY PROCEDURE, BY REPORT 
D8010 LIMITED ORTHODONTIC TREATMENT OF THE PRIMARY DENTITION 
D8020 LIMITED ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION 
D8030 LIMITED ORTHODONTIC TREATMENT OF THE ADOLESCENT DENTITION 
D8040 LIMITED ORTHODONTIC TREATMENT OF THE ADULT DENTITION
D8050 INTERCEPTIVE ORTHODONTIC TREATMENT OF THE PRIMATY DENTITION 
D8060 INTERCEPTIVE ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION 
D8070 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE TRANSITIONAL DENTITION 
D8080COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADOLESCENT DENTITION 
D8090 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADULT DENTITION 
D8210 REMOVABLE APPLIANCE THERAPY 
D8220 FIXED APPLIANCE THERAPY 
D8660 PRE-ORTHODONTIC TREATMENT VISIT 
D8670 PERIODIC ORTHODONTIC TREATMENT VISIT (AS PART OF CONTRACT) 
D8680 ORTHODONTIC RETENTION (REMOVAL OF APPLIANCES, CONSTRUCTION AND PLACEMENT OF REATAINER(S)) 
D8690 ORTHODONTIC TREATMENT (ALTERNATIVE BILLING TO A CONTRACT FEE)
D8691 REPAIR OF ORTHODONTIC APPLIANCE 
D8692 REPLACEMENT OF LOST OR BROKEN RETAINER
D8693 REBONDING OR RECEMENTING; AND/OR REPAIR, AS REQUIRED, OF FIXED RETAINERS 
D8999 UNSPECIFIED ORTHODONTIC PROCEDURE, BY REPORT 
D9110 PALLIATIVE (EMERGENCY) TREATMENT OF DENTAL PAIN-MINOR PROCEDURE 
D9120 FIXED PARTIAL DENTURE SECTIONING 
D9210 LOCAL ANESTHESIA NOT IN CONJUNTION WITH OPERATIVE OR SURGICAL PROCEDURES 
D9211 REGIONAL BLOCK ANESTHESIA 
D9212 TRIGEMINAL DIVISION BLOCK ANESTHESIA 
D9215 LOCAL ANESTHESIA
D9220 DEEP SEDATION/GENERAL ANESTHESIA  - FIRST 30 MINUTES 
D9221 DEEP SEDATION/GENERAL ANESTHESIA - EACH ADDITIONAL FIRST 15 MINUTES 
D9230 ANALGESIA, ANXIOSIS, INHALATION OF NITROUS OXIDE 
D9241 INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA - FIRST 30 MINUTES 
D9242 INTRAVENOUS CONSCIOUS SEDATION/ANALGESIA -EACH ADDITIONAL 15 MINUTES 
D9248 NON-INTRAVENOUS CONSCIOUS SEDATION 
D9310 CONSULTATION (DIAGNOSTIC SERVICE PROVIDED BY DENTIST OF PHYSICIAN OTHER THAN REQUESTING DENTIST OR PHYSICIAN 
D9410 HOUSE/EXTENDED CARE FACILITY CALL
D9420 HOSPITAL CALL 
D9430 OFFICE VISIT FOR OBSERVATION (DURING REGULARLY SCHEDULED HOURS)-NO OTHER SERVICES PERFORMED 
D9440 OFFICE VISIT- AFTER REGULARLY SCHEDULED HOURS 
D9450 CASE PRESENTATION, DETAILED & EXTENSIVE TREATMENT PLANNING 
D9610 THERAPEUTIC PARENTERAL DRUG, SINGLE ADMINISTRATION 
D9610 THERAPEUTIC PARENTERAL DRUGS, TWO OR MORE ADMINISTRATIONS, DIFFERENT MEDICATIONS 
D9630 OTHER DRUGS &/OR MEDICAMENTS, BY REPORT 
D9910 APPLICATION OF DESENSITIZING MEDICAMENT 
D9911 APPLICATION OF DESENSITIZING RESIN FOR CERVICAL AND/OR ROOT SURFACE, PER TOOTH 
D9920 BEHAVIOR MANAGEMENT, BY REPORT 
D9930 TREATMENT OF COMPLICATIONS (POST-SURGICAL), UNUSUAL CIRCUMSTANCES, BY REPORT 
D9940 OCCLUSAL GUARDS BY REPORT 
D9941 FABRICATION OF ATHLETIC MOUTHGUARD 
D9942 REPAIR AND/OR RELINE OF OCCLUSAL GUARD 
D9950 OCCLUSAL ANALYSIS - MOUNTED CASE 
D9951 OCCLUSAL ADJUSTMENT-LIMITED 
D9952 OCCLUSAL ADJUSTMENT-COMPLETE 
D9970 ENAMEL MICROABRASION 
D9971 ODONTOPLASTY 1 - 2 TEETH; INCLUDES REMOVAL OF ENAMEL PROJECTIONS 
D9972 EXTERNAL BLEACHING (PER ARCH) 
D9973 EXTERNAL BLEACHING (PER TOOTH) 
D9974 INTERNAL BLEACHING (PER TOOTH) 
D9999 BROKEN APPOINTMENT, WITH NO PRIOR NOTIFICATION AT LEAST 24 HRS. BEFORE THE SCHEDULED APPOINTMENT.