Procedure Code
|
Message File
|
Procedure Description
|
'01110'
|
745
|
;Prophylaxis Adult
|
'01201'
|
746
|
;Prophylaxis Child
|
'01351'
|
747
|
;Sealant
|
'01510'
|
748
|
;Space Maintainer-fixed unilateral
|
'01515'
|
749
|
;Space Maintainer-fixed bilateral
|
'01520'
|
750
|
;Space Maintainer-removable unilateral
|
'01525'
|
751
|
;Space Maintainer-removable bilateral
|
'02951'
|
752
|
;Pin retention
|
'05520'
|
753
|
;Replace missing/broken teeth, denture
|
'05610'
|
754
|
;Repair resin saddle or base
|
'05620'
|
755
|
;Repair cast framework
|
'05640'
|
756
|
;Replace broken teeth, per denture
|
'05750'
|
757
|
;Reline complete maxillary denture
|
'05751'
|
758
|
;Reline lower complete denture
|
'05820'
|
759
|
;Transitional Appliance
|
'05821'
|
759
|
;Transitional Appliance
|
'07310'
|
760
|
;Alveoloplasty in conjunction with extractions-per quadrant
|
'07320'
|
761
|
;Alveoloplasty not in conjunction with extractions-per quadrant
|
'07880'
|
762
|
;TMJ
|
'08210'
|
763
|
;Removable appliance therapy
|
'08220'
|
764
|
;Fixed appliance therapy
|
'08660'
|
765
|
;Orthodontic Exam
|
'D1110'
|
745
|
;Prophylaxis Adult
|
'D1201'
|
746
|
;Prophylaxis Child
|
'D1351'
|
747
|
;Sealant
|
'D1510'
|
748
|
;Space Maintainer-fixed unilateral
|
'D1515'
|
749
|
;Space Maintainer-fixed bilateral
|
'D1520'
|
750
|
;Space Maintainer-removable unilateral
|
'D1525'
|
751
|
;Space Maintainer-removable bilateral
|
'D2951'
|
752
|
;Pin retention
|
'D5520'
|
753
|
;Replace missing/broken teeth, denture
|
'D5610'
|
754
|
;Repair resin saddle or base
|
'D5620'
|
755
|
;Repair cast framework
|
'D5640'
|
756
|
;Replace broken teeth, per denture
|
'D5750'
|
757
|
;Reline complete maxillary denture
|
'D5751'
|
758
|
;Reline lower complete denture
|
'D5820'
|
759
|
;Transitional Appliance
|
'D5821'
|
759
|
;Transitional Appliance
|
'D7310'
|
760
|
;Alveoloplasty in conjunction with extractions-per quadrant
|
'D7320'
|
761
|
;Alveoloplasty not in conjunction with extractions-per quadrant
|
'D7880'
|
762
|
;TMJ
|
'D8210'
|
763
|
;Removable appliance therapy
|
'D8220'
|
764
|
;Fixed appliance therapy
|
'D8660'
|
765
|
;Orthodontic Exam
|
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