Page 452 - Standard Dental
P. 452

 1 SNODENT ID
SNODENT TERM
SYNONYM ID
SYNONYM TERM
SD ID
SD TERM
provisional splinting - intracoronal
provisional splinting - extracoronal
periodontal scaling and root planing - four or more teeth per quadrant
periodontal scaling and root planing - one to three teeth per quadrant
scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation
full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit
localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth
periodontal maintenance
unscheduled dressing change (by someone other than treating dentist or their staff)
gingival irrigation – per quadrant
unspecified periodontal procedure, by report
complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular
CDT ID
CDT TERMI
provisional splinting - intracoronal
provisional splinting - extracoronal
periodontal scaling and root planing - four or more teeth per quadrant
periodontal scaling and root planing - one to three teeth per quadrant
scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation
full mouth debridement to enable a comprehensive oral evaluation and diagnosis on a subsequent visit
localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth
periodontal maintenance
unscheduled dressing change (by someone other than treating dentist or their staff)
gingival irrigation – per quadrant
unspecified periodontal procedure, by report
complete denture - maxillary complete denture - mandibular immediate denture - maxillary immediate denture - mandibular
CD-10 TM IDI
238-73-10 238-73-11
CD-10 TM Term
Provisional splinting - intracoronal
Provisional splinting - extracoronal
10608
10609
10610
10611
10612
10613
10614
10615
10616
10617
10618
10619
10620
10621
10622
TX4320 TX4321 TX4341 TX4342 TX4346
TX4355 TX4381
TX4910 TX4920 TX4921 TX4999 TX5110 TX5120 TX5130 TX5140
D4320 D4321 D4341 D4342 D4346
D4355 D4381
D4910 D4920 D4921 D4999 D5110 D5120 D5130 D5140
236-73-40
localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue - per tooth, by report
450
STANDARD DENTAL
DATA SET
236-73-99 227-74-10 228-74-10 227-74-11 228-74-11
unspecified periodontal procedure, by report
Complete denture - Upper arch
Complete denture - Lower arch
Immediate complete denture - Upper arch
Immediate complete denture - Lower arch






























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