Dental Codes

Front 1

D9944

Back 1

OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH

Front 2

D9945

Back 2

SOFT APPLIANCE, FULL ARCH

Front 3

D9946

Back 3

HARD APPLIANCE, PARTIAL ARCH

Front 4

D0330

Back 4

PANORAMIC XRAY

Front 5

D0120

Back 5

RECALL EXAM

Front 6

D0150

Back 6

INITIAL EXAM

Front 7

D0140

Back 7

EMERGENCY EXAM

Front 8

D0210

Back 8

FXM

Front 9

D0220

Back 9

1st PA XRAY

Front 10

D0230

Back 10

ADD'L X-RAYS

Front 11

D0270

Back 11

1 BITEWING

Front 12

D0272

Back 12

2 BITEWINGS

Front 13

D0273

Back 13

3 BITEWINGS

Front 14

D0274

Back 14

4 BITEWINGS

Front 15

D1110

Back 15

PROPHYLAXIS ADULT

Front 16

D1120

Back 16

PROPHYLAXIS CHILD

Front 17

D1208

Back 17

FLUORIDE

Front 18

D1351

Back 18

SEALANT PER TOOTH

Front 19

D2140

Back 19

1 SURFACE AMALGAM

Front 20

D2150

Back 20

2 SURFACE ALMALGAM

Front 21

D2160

Back 21

3 SURFACE AMALGAM

Front 22

D2161

Back 22

4 SURFACE AMALGAM

Front 23

D2391

Back 23

1 SURFACE POSTERIOR COMPOSITE

Front 24

D2392

Back 24

2 SURFACE POSTERIOR COMPOSITE

Front 25

D2393

Back 25

3 POSTERIOR SURFACE COMPOSITE

Front 26

D2394

Back 26

4 SURFACE POSTERIOR COMPOSITE

Front 27

D3330

Back 27

ENDODONTICS

Front 28

D4249

Back 28

CROWN LENGTHENING

Front 29

D4260

Back 29

OSSEUS SURGERY

Front 30

D4341

Back 30

SRP

Front 31

D4342

Back 31

1-3 Teeth SRP

Front 32

D4910

Back 32

PERIO MAINTENANCE

Front 33

D5110

Back 33

FULL UPPER DENTURES

Front 34

D5120

Back 34

FULL LOWER DENTURES

Front 35

D5213

Back 35

PARTIAL UPPER DENTURES

Front 36

D5214

Back 36

PARTIAL LOWER DENTURES

Front 37

D6010

Back 37

IMPLANT

Front 38

D6059

Back 38

IMPLANT CROWN

Front 39

D6056

Back 39

ABUTMENT

Front 40

D6750

Back 40

CROWN HI-NOBLE BRIDGE

Front 41

D7140

Back 41

SIMPLE EXTRACTION

Front 42

D7210

Back 42

SURGICAL EXTRACTION

Front 43

D4381

Back 43

ARESTIN

Front 44

D4265

Back 44

BONE GRAFT

Front 45

D7953

Back 45

BONE GRAFT (FRESH EXTRACTION)

Front 46

2750

Back 46

CROWNS