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ADA Code |
[A ] Procedures |
 |
5650 |
ADD TOOTH TO EXISTING PARTIAL DENTURE |
|
5411 |
ADJUST COMPLETE DENTURE - MANDIBULAR |
|
5410 |
ADJUST COMPLETE DENTURE - MAXILLARY |
|
5422 |
ADJUST PARTIAL DENTURE - MANDIBULAR |
|
5421 |
ADJUST PARTIAL DENTURE - MAXILLARY |
|
7320 |
ALVEOLOPLASTY NOT IN CONJUNC W/EXTRACTIONS-QUAD |
|
7310 |
ALVEOLPLASTY CONJUNC W/EXTRACTIONS- PER QUADRANT |
|
2161 |
AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT |
|
2140 |
AMALGAM-ONE SURFACE PRIMARY OR PERMANENT |
|
2160 |
AMALGAM-THREE SURFACES PRIMARY OR PERMANENT |
|
2150 |
AMALGAM-TWO SURFACES PRIMARY OR PERMANENT |
|
9230 |
ANALGESIA ANXIOLYSIS INHALATION OF NITROUS OXIDE |
|
3310 |
ANTERIOR |
|
3410 |
APICOECTOMY/PERIRADICULAR SURGERY - ANTERIOR |
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ADA Code |
[B ] Procedures |
|
3320 |
BICUSPID |
|
270 |
BITEWING - SINGLE FILM |
|
274 |
BITEWINGS - FOUR FILMS |
|
272 |
BITEWINGS - TWO FILMS |
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| |
ADA Code |
[ C ] Procedures |
|
9450 |
CASE PRESENTATION DETAILED&EXTENSIVE TX PLANNING |
|
2952 |
CAST POST AND CORE IN ADDITION TO CROWN |
|
150 |
COMP ORAL EVALUATION - NEW/ESTABLISHED PATIENT |
|
180 |
COMP PERIODONTAL EVALUATION - NEW/EST PATIENT |
|
5120 |
COMPLETE DENTURE - MANDIBULAR |
|
5110 |
COMPLETE DENTURE - MAXILLARY |
|
9310 |
CONSULTATION |
|
2950 |
CORE BUILDUP INCLUDING ANY PINS |
|
2790 |
CROWN - FULL CAST HIGH NOBLE METAL |
|
2792 |
CROWN - FULL CAST NOBLE METAL |
|
2791 |
CROWN - FULL CAST PREDOMINANTLY BASE METAL |
|
2751 |
CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL |
|
6751 |
CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL |
|
2750 |
CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL |
|
2752 |
CROWN - PORCELAIN FUSED TO NOBLE METAL |
|
6752 |
CROWN - PORCELAIN FUSED TO NOBLE METAL |
|
2740 |
CROWN - PORCELAIN/CERAMIC SUBSTRATE |
|
6790 |
CROWN FULL CAST HIGH NOBLE METAL-DENTURE |
|
6792 |
CROWN FULL CAST NOBLE METAL-DENTURE |
|
6791 |
CROWN FULL CAST PREDOMINANTLY BASE METAL-DENTURE |
|
6750 |
CROWN PORCELAIN FUSED TO HI NOBLE METAL-DENTURE |
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| |
ADA Code |
[D ] Procedures |
|
470 |
DIAGNOSTIC CASTS |
|
160 |
DTL&EXT ORAL EVALUATION - PROBLEM FOCUSED REPORT |
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| |
ADA Code |
[ E ] Procedures |
|
2953 |
EACH ADDITIONAL CAST POST - SAME TOOTH |
|
7111 |
EXTRACTION CORONAL REMNANTS DECIDUOUS TOOTH |
|
7140 |
EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT |
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| |
ADA Code |
[ F ] Procedures |
|
4355 |
FULL MOUTH DEBRID ENABLE COMP EVALUATION&DX |
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Back to Top |
| |
ADA Code |
[ G ] Procedures |
|
4211 |
GINGIVECT/PLSTY 1-3 CNTIG/BOUND TEETH SPACE-QUAD |
|
4210 |
GINGIVECT/PLSTY 4 CNTIG/BOUND TEETH SPACES-QUAD |
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Back to Top |
| |
ADA Code |
[ I ] Procedures |
|
5140 |
IMMEDIATE DENTURE - MANDIBULAR |
|
5130 |
IMMEDIATE DENTURE - MAXILLARY |
|
7510 |
INCISION & DRAINAGE ABSCESS-INTRAORAL SOFT TISS |
|
2510 |
INLAY - METALLIC - ONE SURFACE |
|
2530 |
INLAY - METALLIC - THREE OR MORE SURFACES |
|
2520 |
INLAY - METALLIC - TWO SURFACES |
|
210 |
INTRAORAL-COMPLETE SERIES |
|
230 |
INTRAORAL-PERIAPICAL-EACH ADDITIONAL FILM |
|
220 |
INTRAORAL-PERIAPICAL-FIRST FILM |
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| |
ADA Code |
[ L ] Procedures |
|
2962 |
LABIAL VENEER - LABORATORY |
|
140 |
LIMITED ORAL EVALUATION - PROBLEM FOCUSED |
|
4381 |
LOC DEL ANTIMICROBL AGTS CREVICULR TISS TOOTH BR |
|
9215 |
LOCAL ANESTHESIA |
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Back to Top |
| |
ADA Code |
[ M ] Procedures |
|
5214 |
MAND PART DENTUR- CAST METL FRMEWRK W/RSN BASE |
|
5212 |
MANDIBULAR PARTIAL DENTURE - RESIN BASE |
|
5213 |
MAX PART DENTUR-CAST METL FRMEWRK W/RSN BASE |
|
5211 |
MAXILLARY PARTIAL DENTURE - RESIN BASE |
|
3330 |
MOLAR |
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Back to Top |
| |
ADA Code |
[ O ] Procedures |
|
9952 |
OCCLUSAL ADJUSTMENT - COMPLETE |
|
9951 |
OCCLUSAL ADJUSTMENT - LIMITED |
|
9430 |
OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED |
|
9440 |
OFFICE VISIT-AFTER REGULARLY SCHEDULED HOURS |
|
1330 |
ORAL HYGIENE INSTRUCTIONS |
| |
Back to Top |
| |
ADA Code |
[ P ] Procedures |
|
330 |
PANORAMIC FILM |
|
120 |
PERIODIC ORAL EXAMINATION |
|
4910 |
PERIODONTAL MAINTENANCE |
|
2951 |
PIN RETENTION - PER TOOTH ADDITION RESTORATION |
|
6210 |
PONTIC - CAST HIGH NOBLE METAL |
|
6212 |
PONTIC - CAST NOBLE METAL |
|
6211 |
PONTIC - CAST PREDOMINANTLY BASE METAL |
|
6240 |
PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL |
|
6242 |
PONTIC - PORCELAIN FUSED TO NOBLE METAL |
|
6241 |
PONTIC - PORCELN FUSED PREDOMINANTLY BASE METAL |
|
4342 |
PRDONTAL SCALING&ROOT PLANING 1-3 TEETH-QUAD |
|
4341 |
PRDONTAL SCALING&ROOT PLANING 4/MORE TEETH-QUAD |
|
2930 |
PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH |
|
2954 |
PREFABRICATED POST AND CORE IN ADDITION TO CROWN |
|
1110 |
PROPHYLAXIS - ADULT |
|
1120 |
PROPHYLAXIS - CHILD |
|
460 |
PULP VITALITY TESTS |
|
3221 |
PULPAL DEBRIDEMENT PRIMARY AND PERMANENT TEETH |
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| |
ADA Code |
[ R ] Procedures |
|
2920 |
RECEMENT CROWN |
|
6930 |
RECEMENT FIXED PARTIAL DENTURE |
|
2910 |
RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION |
|
1550 |
RECEMENTATION OF SPACE MAINTAINER |
|
5731 |
RELINE COMPLETE MANDIBULAR DENTURE |
|
5751 |
RELINE COMPLETE MANDIBULAR DENTURE |
|
5730 |
RELINE COMPLETE MAXILLARY DENTURE |
|
5750 |
RELINE COMPLETE MAXILLARY DENTURE |
|
5741 |
RELINE MANDIBULAR PARTIAL DENTURE |
|
5761 |
RELINE MANDIBULAR PARTIAL DENTURE |
|
5740 |
RELINE MAXILLARY PARTIAL DENTURE |
|
5760 |
RELINE MAXILLARY PARTIAL DENTURE |
|
7240 |
REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY |
|
7230 |
REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY |
|
7220 |
REMOVAL OF IMPACTED TOOTH - SOFT TISSUE |
|
5510 |
REPAIR BROKEN COMPLETE DENTURE BASE |
|
5630 |
REPAIR OR REPLACE BROKEN CLASP |
|
5610 |
REPAIR RESIN DENTURE BASE |
|
5640 |
REPLACE BROKEN TEETH - PER TOOTH |
|
5520 |
REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE |
|
2394 |
RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR |
|
2330 |
RESIN-BASED COMPOSITE - ONE SURFACE ANTERIOR |
|
2391 |
RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR |
|
2332 |
RESIN-BASED COMPOSITE - THREE SURFACES ANTERIOR |
|
2393 |
RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR |
|
2331 |
RESIN-BASED COMPOSITE - TWO SURFACES ANTERIOR |
|
2392 |
RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR |
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Back to Top |
| |
ADA Code |
[ S ] Procedures |
|
1351 |
SEALANT - PER TOOTH |
|
2940 |
SEDATIVE FILLING |
|
1515 |
SPACE MAINTAINER - FIXED-BILATERAL |
|
1510 |
SPACE MAINTAINER - FIXED-UNILATERAL |
|
1525 |
SPACE MAINTAINER - REMOVABLE-BILATERAL |
|
1520 |
SPACE MAINTAINER - REMOVABLE-UNILATERAL |
|
7210 |
SURG REMV ERUPTED TOOTH RQR ELEV FLP&REMV BONE |
|
7250 |
SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS |
| |
Back to Top |
| |
ADA Code |
[ T ] Procedures |
|
5851 |
TISSUE CONDITIONING MANDIBULAR |
|
5850 |
TISSUE CONDITIONING MAXILLARY |
|
1201 |
TOPICAL APPLICATION OF FLUORIDE - CHILD |
|
1203 |
TOPICAL APPLICATION OF FLUORIDE - CHILD |
|
3220 |
TX PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC |
| |
Back to Top |
| |
ADA Code |
[ U ] Procedures |
|
9999 |
UNSPECIFIED ADJUNCTIVE PROC BY REPORT (04/2005) |
|
2999 |
UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT |
