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68 Cards in this Set

  • Front
  • Back
D0120
periodic oral evaluation
D0140
limited oral evaluation
D0150
comprehensive oral evaluation-new or established patient
D0160
detailed and extensive oral evaluation-problem focused, by report
D0170
re-evaluation-limited, problem focused (established patient, not post-op
D0120
intraoral-complete series
D0220
intraoral-periapical, first film
D0230
intraoral-periapical each additional
D0240
intraoral-occlusal film
D0250
extraoral-first film
D0260
extraoral-each additional film
D0270
bitewing-single film
D0272
bitewings-two films
D0290
posterior-anterior or lateral skull and facial bone survey film
D0310
sialography
D0320
temporomandibular joint arthrogram, including injection
D0322
tomographic survey
D0330
panoramic film
D0340
cephalometric film
D0350
oral/facial images (intra and extra oral
D0470
diagnostic casts
D0502
other oral pathology procedures by report
D0999
unspecified diagnostic procedure, by report
D1110
prophylaxis-adult
D1120
prophylaxis-child
D1201
topical application of fluoride (including prophylaxis)-child
D1203
topical application of fluoride (prophylaxis not included)-child
D1204
topical application of fluoride (prophylaxis not included)-adult
D1205
topical application of fluoride (including prophylaxis)-adult
D1351
sealant-per tooth
D1510
space maintainer-fixed unilateral
D1515
space maintainer-fixed bilateral
D1520
space maintainer-removable unilateral
D1525
space maintainer-removable bilateral
D1550
recementation of space maintainer
D2140
amalgam-one surface, primary or permanent
D2150
amalgam-two surface, primary or permanent
D2160
amalgam-three surface, primary or permanent
D2161
amalgam-four or more surfaces, primary or permanent
D2330
resin based composite-one surface, anterior
D2331
resin based composite-two surface, anterior
D2332
resin based composite-three surface, anterior
D2335
resin based composite-four or more surface, anterior
D2390
resin based composite crown, anterior
D2391
resin based composite-one surface, posterior
D2392
resin based composite-two surface, posterior
D2393
resin based composite-three surface, posterior
D2394
resin based composite-four or more surface, posterior
D2710
crown-resin (indirect)
D2721
crown-resin with predominantly base metal
D2740
crown-porcelain fused/ceramic substrate
D2751
crown-porcelain fused to predominantly base metal
D2781
crown-3/4 cast predominantly base metal
D2783
crown-3/4 porcelain/ceramic
D2791
crown-full cast predominantly base metal
D2910
recement inlay
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
D2940
sedative filling
D2951
pin retention-per tooth, in addition to restoration
D2952
cast post and core in addition to crown
D2954
prefabricated post and core in addition to crown
D2970
temporary crown (fractured tooth)
D2980
crown repair, by report
D2999
unspecified restorative procedure, by report