Page 477 - Standard Dental Data Set v1
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11344
11345
11346 11347 11348 11349 11350
11351
11352
11353
11354 11355
11356 11357 11358
11359 11360 11361 11362
SYNONYM ID
SYNONYM TERM
SNODENT ID
LAB0708
LAB0709
DX0999 TX1110 TX1120 TX1206 TX1208 TX1310
TX1320 TX1321
TX1330
TX1351 TX1352
TX1353 TX1354
TX1355 TX1510 TX1516 TX1517
SNODENT TERM
intraoral – bitewing radiographic image – image capture only
intraoral – comprehensive series of radiographic images – image capture only
unspecified diagnostic procedure, by report
prophylaxis - adult prophylaxis - child
topical application of fluoride varnish
topical application of fluoride – excluding varnish
nutritional counseling for control of dental disease
tobacco counseling for the control and prevention of oral disease
counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high- risk substance use
oral hygiene instructions
sealant - per tooth
preventive resin restoration in a moderate to high caries risk patient – permanent tooth
sealant repair – per tooth
interim caries arresting medicament application – per tooth
caries preventive medicament application – per tooth
space maintainer - fixed, unilateral – per quadrant
space maintainer - fixed - bilateral, maxillary
space maintainer - fixed - bilateral, mandibular
CDT ID
CDT TERMI
intraoral – bitewing radiographic image – image capture only
intraoral – comprehensive series of radiographic images – image capture only
unspecified diagnostic procedure, by report
prophylaxis - adult prophylaxis - child
topical application of fluoride varnish
topical application of fluoride – excluding varnish
nutritional counseling for control of dental disease
tobacco counseling for the control and prevention of oral disease
counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high- risk substance use
oral hygiene instructions
sealant - per tooth
preventive resin restoration in a moderate to high caries risk patient – permanent tooth
sealant repair – per tooth
interim caries arresting medicament application – per tooth
caries preventive medicament application – per tooth
space maintainer - fixed, unilateral – per quadrant
space maintainer - fixed - bilateral, maxillary
space maintainer - fixed - bilateral, mandibular
CD-10 TM IDI
238-70-10 237-70-10
233-86-20 233-86-21
233-86-10
CD-10 TM Term
Prophylaxis (Adult/ Permanent)
Prophylaxis (Child/ Primary)
Nutritional counseling for control of dental disease
Tobacco counseling for the control and prevention of oral disease
Oral hygiene instructions
D0708 D0709
D0999 D1110 D1120 D1206 D1208 D1310
D1320 D1321
D1330
D1351 D1352
D1353 D1354
D1355 D1510 D1516 D1517
INSTITUTE OF DENTISTRY 475





















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