Diagnostic
Preventive
Restorative
Perio
MISC
100

D0140

Limited Oral Evaluation (D0140)

An evaluation limited to a specific oral health problem or complaint

100

D1206

Topical Application of Fluoride Varnish (D1206)

100

D2391

Resin-based composite - one surface, posterior (D2391)

Used to restore a carious lesion into the dentin or a deeply eroded area into the dentin. Not a preventive procedure.

100

This procedure is instituted following periodontal therapy and continues at varying intervals, determined by the clinical evaluation of the dentist, for the life of the dentition or any implant replacements.

Periodontal Maintenance (D4910)

100

A removable dental appliance designed to minimize the effects of bruxism 

Occlusal Guard 


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200

Code used for established patients who have been absent from active dental treatment for three or more years

Comprehensive Oral Evaluation (D0150)

200

Removal or plaque, calculus, and stains from the tooth structures and implants in the permanent and transitional dentition. Is is intended to control local irritational factors.

Prophylaxis - Adult (D1110)

200

Refers to building up of coronal structures when there is insufficient retention for a separate extracoronal restorative procedure. Not a filler to eliminate any undercut, box form, or concave irregularity in a preparation. 

Core buildup, including any pins when required (D2950)

200

Needed to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit.

Mouth mouth Debridement (D4355)

to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit.

200

D7210

Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if inficated (D7210)

This procedure includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of socket bone and closure.


300

A radiographic survey of the whole mouth intended to display the crowns and roots of all teeth, periapical areas, interproximal areas, and alveolar bone including edentulous areas.

Comprehensive Series of Radiographic Images 

(FMX - D0210)

300

Mechanically and/or chemically prepared enamel surface sealed to prevent decay

Sealant (D1351)

300

D2740

Crown - Porcelain/Ceramic (D2740)

300

The removal or plaque, calculus, and stains from supra- and sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis. It is indicated for patients who have swollen, inflamed gingiva, generalized suprabony pockets, and moderate to severe bleeding on probing. 

Scaling in the presence of generalized moderate or severe gingival inflammation (D4346)


300

This procedure includes removal of tooth structure, minor smoothing or socket bone, and closure, as necessary.

Extraction - Erupted tooth or exposed root (D7140)

400
Diagnostic code completed same day as a Full Mouth Debridement

Limited Oral Evaluation (D0140

400

D1330

Oral Hygiene Instructions (D1330)

This may include instructions for home care. Examples include tooth brushing technique, flossing, and use of special oral hygiene aids.

400

Direct placement of a restorative material to protect tooth and/or tissue form. This procedure may be used to relieve pain, promote healing, or prevent further deterioration. Not to be used for endodontic access closure, or as a base or liner under restoration.

Protective Restoration (D2940)

400

D4921

Gingival irrigation with a medicinal agent - per quadrant (D4921)

400

FDA approved subgingival delivery devices containing antimicrobial medications are inserted into the periodontal pockets to suppress the pathogenic microbiota. These devices slowly release the pharmacological agents so they can remain at the intended site of action in a therapeutic concentration for a sufficient length of time. 

Arestin - Localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue (D4381)

500

D0190

Screening of a Patient (D0190)

A screening, including state or federally mandated screenings, to determine an individual's need to be seen by a dentist for diagnosis.

500

Conservative treatment of an active, non-symptomatic carious lesion by topical application of a caries arresting or inhibiting medicament and without mechanical removal of sound tooth structure

Application of caries arresting medicament 

(Silver Diamine - D1354)

500

D2954

Prefabricated post and core in addition to crown (D2954)

Core is built around a prefabricated post. This procedure includes the core material. 

500

This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from these surfaces.

Periodontal scaling and root planing 


EXTRA 100 points if you know the difference between D4341 & D4342!

500

D9248

Non-intravenous conscious sedation (D9248)

This includes non-IV minimal and moderate sedation. A medically controlled state of depressed consciousness while maintaining the patient's airway, protective reflexes and the ability to respond to stimulation or verbal commands. It includes non-intravenous administration of sedative and/or analgesic agent(s) and appropriate monitoring.