Dental Codes

Front 1

0120

Back 1

POE

Front 2

0140

Back 2

LOE

Front 3

0150

Back 3

COE/Comp

Front 4

0220

Back 4

First single x-ray

Front 5

0230

Back 5

Additional x-rays

Front 6

0272

Back 6

2 BWx

Front 7

0274

Back 7

4 BWx

Front 8

0330

Back 8

Pano

Front 9

1110

Back 9

Adult prophy

Front 10

1120

Back 10

Child prophy

Front 11

1208

Back 11

FL. TX

Front 12

1351

Back 12

Sealants

Front 13

1510

Back 13

Space maintainer - unilateral

Front 14

1515

Back 14

Space maintainer - bilateral

Front 15

2140

Back 15

1 surface amalgam

Front 16

2150

Back 16

2 surface amalgam

Front 17

2160

Back 17

3 surface amalgam

Front 18

2161

Back 18

4+ surface amalgam

Front 19

2330

Back 19

1 surface composite, anterior

Front 20

2331

Back 20

2 surface composite, anterior

Front 21

2332

Back 21

3 surface composite, anterior

Front 22

2335

Back 22

4+ surface composite, anterior

Front 23

2391

Back 23

1 surface composite, posterior

Front 24

2392

Back 24

2 surface composite, posterior

Front 25

2393

Back 25

3 surface composite, posterior

Front 26

2394

Back 26

4+ surface composite, posterior

Front 27

7250

Back 27

Residual tooth roots/cutting

Front 28

7310

Back 28

Alveoplasty, 4+ teeth with extraction

Front 29

7311

Back 29

Alveoplasty, 1-3 teeth, with extraction

Front 30

7320

Back 30

Alveoplasty, 4+ teeth, with extraction done elsewhere

Front 31

7321

Back 31

Alveoplasty, 1-3 teeth, with extraction done elsewhere

Front 32

7465

Back 32

Destruction of lesion

Front 33

7473

Back 33

Removal of torus

Front 34

7510

Back 34

Incision and drainage of abscess

Front 35

7858

Back 35

TMJ reconstruction

Front 36

7920

Back 36

Skin graft

Front 37

7940

Back 37

Osteoplasty

Front 38

7960

Back 38

Frenectomy

Front 39

5110

Back 39

Maxillary denture

Front 40

5120

Back 40

Mandibular denture

Front 41

5130

Back 41

Immediate maxillary denture

Front 42

5140

Back 42

Immediate mandibular denture

Front 43

5211

Back 43

Maxillary partial - resin base

Front 44

5212

Back 44

Mandibular partial - resin base

Front 45

5225

Back 45

Maxillary partial - flex base

Front 46

5226

Back 46

Mandibular partial - flex base

Front 47

5410

Back 47

Adjust maxillary denture

Front 48

5411

Back 48

Adjust mandibular denture

Front 49

5421

Back 49

Adjust maxillary partial

Front 50

5422

Back 50

Adjust mandibular partial

Front 51

5510

Back 51

Repair broken denture base

Front 52

5520

Back 52

Replace missing/broken teeth on denture

Front 53

5640

Back 53

Replace multiple broken teeth

Front 54

5650

Back 54

Add tooth to existing partial

Front 55

5660

Back 55

Add clasp to existing partial

Front 56

5730

Back 56

Reline maxillary denture - chairside

Front 57

5731

Back 57

Reline mandibular denture - chairside

Front 58

5740

Back 58

Reline maxillary partial - chairside

Front 59

2390

Back 59

Anterior composite crown

Front 60

3920

Back 60

Indirect pulp cap

Front 61

5741

Back 61

Reline mandibular partial - chairside

Front 62

5750

Back 62

Reline maxillary denture - lab

Front 63

5751

Back 63

Reline mandibular denture - lab

Front 64

5760

Back 64

Reline maxillary partial - lab

Front 65

5761

Back 65

Reline mandibular partial - lab

Front 66

5810

Back 66

Interim maxillary denture

Front 67

5811

Back 67

Interim mandibular denture

Front 68

5820

Back 68

Interim maxillary partial

Front 69

5821

Back 69

Interim mandibular partial

Front 70

5952

Back 70

Speech aide - pediatric

Front 71

5953

Back 71

Speech aide - adult

Front 72

7997

Back 72

Appliance removal - not by dentist who placed appliance

Front 73

7999

Back 73

Unspecified oral surgery procedure