assignment_id service_code Topic Subtopic Long Names 239 D3346 Root Canal Procedure Retreatment 240 D3347 Root Canal Procedure Retreatment 241 D3348 Root Canal Procedure Retreatment 242 D3425 Root Canal Procedure Apicoectomy 243 D3426 Root Canal Procedure Apicoectomy 244 D4241 Periodontal Disease Surgery Flap 246 D4260 n/a n/a n/a 247 D4261 n/a n/a n/a 248 D4270 Periodontal Disease Surgery Free Gingival Graft 249 D4271 Periodontal Disease Surgery Free Gingival Graft 250 D4355 Hygiene Professional Care Full Mouth Debridement Periodontal Disease Procedure 3 Month Recare 255 D5110 Dentures Diagnosis Full Arch Dentures Procedure Full Dentures 256 D5120 Dentures Diagnosis Full Arch Dentures Procedure Full Dentures 263 D3221 Root Canal Diagnosis Pulpitis 264 D4266 Periodontal Disease Surgery Replacing Bone 265 D4267 Periodontal Disease Surgery Replacing Bone 266 D5211 Dentures Procedure Partial Dentures 277 D6012 Implants Diagnosis Single Implant 282 D6065 Implants Diagnosis Single Implant 283 D6066 Implants Diagnosis Single Implant 284 D6067 Implants Diagnosis Single Implant 287 D6710 310 D6940 Oral Conditions General Bruxism TMD Diagnosis Bruxism 311 D6970 Root Canal Procedure Cast Post & Core 312 D6972 Crowns Procedure Post & Core 313 D6973 Crowns Procedure Core Buildup 325 D7241 Extractions Procedure Single Tooth Extractions Post-op Instructions Extraction 326 D7250 Extractions Procedure Single Tooth Extractions Post-op Instructions Extraction 327 D7953 Extractions Procedure Ridge Preservation 330 D8660 335 D9941 Pediatrics Prevention Mouthguards 336 D9970 n/a n/a n/a 337 D0481 n/a n/a n/a 342 D3230 Pediatrics Procedure Pulpectomy 343 D3240 Pediatrics Procedure Pulpectomy 345 D3120 Root Canal Procedure Pulp Capping 1 D0210 Initial Visit X-ray Full Series 2 D0270 Initial Visit X-ray Bitewing Initial Visit X-ray Bitewing Digital 3 D0272 Initial Visit X-ray Bitewing Initial Visit X-ray Bitewing Digital 4 D0274 Initial Visit X-ray Bitewing Initial Visit X-ray Bitewing Digital 5 D0330 Initial Visit X-ray Panoramic Initial Visit X-ray Panoramic Digital 6 D1201 Hygiene Professional Care Fluoride 7 D1203 Hygiene Professional Care Fluoride Pediatrics Procedure Fluoride 8 D1204 Hygiene Professional Care Fluoride 18034.1.Rev001 04.04.2016 1
9 D1205 Hygiene Professional Care Fluoride 10 D1351 Hygiene Professional Care Sealants 11 D1510 Pediatrics Procedure Space Maintainer 12 D1515 Pediatrics Procedure Space Maintainer 13 D1520 Pediatrics Procedure Space Maintainer 14 D1525 Pediatrics Procedure Space Maintainer 15 D2140 Esthetic Dentistry Indirect Resin Problems with Amalgams 16 D2150 Esthetic Dentistry Indirect Resin Problems with Amalgams 17 D2160 Esthetic Dentistry Indirect Resin Problems with Amalgams 18 D2161 Esthetic Dentistry Indirect Resin Problems with Amalgams 19 D2330 Esthetic Dentistry General Bonding 20 D2331 Esthetic Dentistry General Bonding 21 D2332 Esthetic Dentistry General Bonding 22 D2335 Esthetic Dentistry General Bonding 23 D2740 Crowns Alternatives Alternatives Crowns Procedure Porcelain Crowns Esthetic Dentistry All-Porcelain All-Porcelain Crowns Crowns Post-Op Instructions Permanent Crowns 24 D2750 Crowns Alternatives Alternatives Crowns Procedure PFM Crowns Crowns Post-Op Instructions Permanent Crowns 25 D2751 Crowns Alternatives Alternatives Crowns Procedure PFM Crowns 26 D2752 Crowns Alternatives Alternatives Crowns Procedure PFM Crowns 27 D2790 Crowns Alternatives Alternatives Crowns Procedure Gold Crowns Crowns Post-Op Instructions Permanent Crowns 28 D2791 Crowns Alternatives Alternatives Crowns Procedure Gold Crowns 29 D2792 Crowns Alternatives Alternatives Crowns Procedure Gold Crowns 30 D2950 Crowns Procedure Core Buildup 31 D2952 Crowns Procedure Post & Core Root Canal Procedure Post & Core 32 D2954 Crowns Procedure Post & Core Root Canal Procedure Post & Core 33 D2960 Esthetic Dentistry General Veneers 34 D2961 Esthetic Dentistry General Veneers 35 D2962 Esthetic Dentistry General Veneers 36 D2970 Crowns Post-Op Instructions Temporary Crowns 37 D3110 n/a n/a n/a 38 D3310 Post-Op Instructions General Root Canal Root Canal Procedure Single Visit RCT 39 D3320 Crowns Diagnosis After Root Canal Therapy Pediatrics Procedure Pulpectomy Post-Op Instructions General Root Canal Root Canal Procedure Two Visits RCT 40 D3330 Crowns Diagnosis After Root Canal Therapy Post-Op Instructions General Root Canal Root Canal Procedure Two Visits RCT 41 D6720 Bridges Alternatives Alternatives 18034.1.Rev001 04.04.2016 2
42 D6721 Bridges Alternatives Alternatives 43 D6722 Bridges Alternatives Alternatives 44 D6780 Bridges Alternatives Alternatives 45 D6790 Bridges Alternatives Alternatives 46 D6791 Bridges Alternatives Alternatives 47 D6750 Bridges Procedure 3-Unit Bridge Bridges Alternatives Alternatives 48 D6751 Bridges Procedure 3-Unit Bridge Bridges Alternatives Alternatives 49 D6752 Bridges Procedure 3-Unit Bridge Bridges Alternatives Alternatives 50 D6781 51 D6782 52 D2780 Crowns Procedure Gold Crowns 53 D2781 Crowns Procedure Gold Crowns 54 D2782 Crowns Procedure Gold Crowns 55 D6792 Bridges Alternatives Bridges 56 D5130 Dentures Procedure Immediate Dentures 57 D5140 Dentures Procedure Immediate Dentures 58 D5860 Dentures Procedure Overdentures 59 D5861 Dentures Procedure Overdentures 60 D5213 Dentures Diagnosis Partial Arch Dentures Procedure Partial Dentures 61 D5214 Dentures Diagnosis Partial Arch Dentures Procedure Partial Dentures 62 D5862 Dentures Procedure Precision Partial 63 D6740 Esthetic Dentistry All - Porcelain All - Porcelain Bridges 64 D9972 Esthetic Dentistry General Home Whitening 65 D2391 66 D4249 Periodontal Disease Surgery Crown Lengthening Esthetic Dentistry General Esthetic Crown Lengthening 67 D7140 Extractions Alternatives Single Tooth Extractions Procedure Single Tooth 68 D7220 Extractions Alternatives Wisdom Teeth Extractions Diagnosis Wisdom Teeth Extractions Procedure Wisdom Teeth 69 D7230 Extractions Alternatives Wisdom Teeth Extractions Diagnosis Wisdom Teeth Extractions Procedure Wisdom Teeth 70 D7240 Extractions Alternatives Wisdom Teeth Extractions Diagnosis Wisdom Teeth Extractions Procedure Wisdom Teeth 71 D9940 Oral Conditions General Bruxism Pediatrics Prevention Mouthguards TMD Diagnosis Bruxism 72 D1320 Hygiene Habits & Nutrition Smokeless Tobacco Hygiene Habits & Nutrition Smoking & Perio 18034.1.Rev001 04.04.2016 3
73 D1330 Hygiene Homecare Brushing Hygiene Homecare Flossing Hygiene Homecare Superfloss Pediatrics Prevention Brushing Pediatrics Prevention Disclosing Tablets Pediatrics Prevention Flossing 74 D0120 Hygiene Professional Care Importance of Regular Exams Initial Visit Procedure Oral Cancer Exam 75 D0140 Hygiene Professional Care Importance of Regular Exams 76 D0150 Hygiene Professional Care Importance of Regular Exams Initial Visit Office Information Insurance Information Initial Visit Office Information Payment Options Initial Visit Procedure Oral Cancer Exam 77 D1310 Hygiene Habits & Nutrition Nutrition and Health 78 D9630 Hygiene Homecare Oral Irrigator 79 D4341 Hygiene Professional Care Ultrasonic Scaling Periodontal Disease Procedure Arestin Hygiene Professional Care Scaling & Root Planning Periodontal Disease Post-Op Instructions SRP 80 D4342 Hygiene Professional Care Ultrasonic Scaling Periodontal Disease Procedure Arestin Hygiene Professional Care Scaling & Root Planning Periodontal Disease Post-Op Instructions SRP 81 D6058 n/a n/a n/a 82 D6059 n/a n/a n/a 83 D6060 n/a n/a n/a 84 D6061 n/a n/a n/a 85 D6062 n/a n/a n/a 86 D6063 n/a n/a n/a 87 D6079 Implants Diagnosis Partially Edentulous 88 D6078 Implants Diagnosis Fully Edentulous 89 D6053 Implants Diagnosis Fully Edentulous 90 D6054 Implants Diagnosis Partially Edentulous 91 D6010 Implants Diagnosis Single Implant Implants Post - Op Instructions Implant Surgery 92 D6040 Implants Diagnosis Single Implant 93 D6050 Implants Diagnosis Single Implant 94 D9230 Initial Visit Procedure Nitrous Oxide Pediatrics Procedure Nitrous Oxide 95 D9248 Initial Visit Procedure Oral Conscious Sedation Pediatrics Procedure Oral Conscious Sedation 96 D0220 Initial Visit X-Ray Digital X-Ray 97 D0350 Technology Diagnostic Intraoral Camera 98 D8010 Orthodontics Procedure Invisalign Adult 99 D8020 100 D8030 Orthodontics General Adult Braces Care 101 D8040 Orthodontics General Adult Braces Care Orthodontics Procedure Adult Braces Care 102 D8050 103 D8060 104 D8090 Orthodontics General Adult Braces Care Orthodontics Procedure Adult Braces Care 105 D3220 Crowns Diagnosis After Root Canal Therapy Pediatrics Procedure Pulpectomy Post -Op Instructions General Root Canal Root Canal Procedure Two Visits RCT 106 D2930 Pediatrics Procedure Stainless Steel Crowns 107 D4910 Hygiene Professional Care 3 Month Recare 108 D4381 Periodontal Disease Alternatives Medications Periodontal Disease Procedure Arestin 109 D0473 n/a n/a n/a 110 D0474 n/a n/a n/a 111 D4263 Periodontal Disease Surgery Replacing Bone 112 D4264 Periodontal Disease Surgery Replacing Bone 113 D4240 Periodontal Disease Surgery Flap 18034.1.Rev001 04.04.2016 4
114 D4210 Periodontal Disease Surgery Gingivectomy 115 D4211 Periodontal Disease Surgery Gingivectomy 116 D7111 Extractions Post -Op Instructions Extraction 117 D7210 Extractions Procedure Single Tooth Extractions Post -Op Instructions Extraction 118 D2799 Crowns Post -Op Instructions Temporary Crowns 119 D2542 Post-Op Instructions General Permanent Indirect Restorations Procedure Gold Indirect 120 D2543 Post-Op Instructions General Permanent Indirect Restorations Procedure Gold Indirect 121 D2544 Post-Op Instructions General Permanent Indirect Restorations Procedure Gold Indirect 122 D2642 Post-Op Instructions General Permanent Indirect Restorations Procedure Porcelain Indirect 123 D2643 Post-Op Instructions General Permanent Indirect Restorations Procedure Porcelain Indirect 124 D2644 Post-Op Instructions General Permanent Indirect Restorations Procedure Porcelain Indirect 125 D2510 Restorations Procedure Gold Indirect 126 D2520 Restorations Procedure Gold Indirect 127 D2530 Restorations Procedure Gold Indirect 128 D2610 Restorations Procedure Porcelain Indirect 129 D2620 Restorations Procedure Porcelain Indirect 130 D2392 131 D2393 132 D2394 133 D3410 Root Canal Procedure Apicoectomy 134 D3421 Root Canal Procedure Apicoectomy 135 D2953 Root Canal Procedure Post & Core 136 D6783 137 D2783 Crowns Procedure Gold Crowns 138 D6064 n/a n/a n/a 139 D2662 Esthetic Dentistry Indirect Resin Procedure Post-Op Instructions General Permanent Indirect 140 D2663 Esthetic Dentistry Indirect Resin Procedure Post-Op Instructions General Permanent Indirect 141 D2664 Post-Op Instructions General Permanent Indirect 142 D8070 143 D8080 Orthodontics General Adult Braces Care Orthodontics General Braces Care 144 D0145 Pediatrics For Children Kirby-Brushing Pediatrics Diagnosis Lap Exam Pediatrics Prevention Post-Natal Cavity Risk 145 D0160 Hygiene Professional Care Importance of Regular Exams 146 D0170 Hygiene Professional Care Importance of Regular Exams 147 D0180 Oral Conditions General Gingival Recession 152 D0273 Initial Visit X-Ray Bitewing Digital 154 D0277 Initial Visit X-Ray Bitewing Digital 155 D0320 TMD Neuromuscular Neuromuscular and TMD TMD Diagnosis TMD 158 D0460 Oral Conditions General Pulpitis 159 D1120 Hygiene Professional Care Prophylaxis 163 D1550 n/a n/a n/a 164 D1555 n/a n/a n/a 179 D2390 n/a n/a n/a 187 D2630 Restorations Procedure Porcelain Indirect 191 D2650 Esthetic Dentistry Indirect Resin Procedure 192 D2651 Esthetic Dentistry Indirect Resin Procedure 193 D2652 Esthetic Dentistry Indirect Resin Procedure 197 D2710 Crowns Procedure Resin Crowns 207 D0321 TMD Diagnosis TMD 225 D2940 Restorations Procedure Sedative Fillings 18034.1.Rev001 04.04.2016 5
353 D5212 Dentures Procedure Partial Dentures 354 D7951 Hygiene Professional Care Importance of Regular Exams Initial Visit Procedure Oral Cancer Exam Periodontal Disease Surgery Sinus Lift 355 D8680 Orthodontics Alternatives Invisible Braces 356 D6545 Bridges Procedure Maryland Bridge 357 D6548 Bridges Procedure Maryland Bridge 358 D4273 Periodontal Disease Surgery Sub Epithelial Gingival Graft 359 D0360 Initial Visit X-Ray Cone Beam Technology Diagnositic Cone Beam X-Ray 360 D0362 Initial Visit X-Ray Cone Beam Technology Diagnositic Cone Beam X-Ray 361 D0363 Initial Visit X-Ray Cone Beam Technology Diagnositic Cone Beam X-Ray 362 D5410 Dentures Diagnosis Adjust & Reline 363 D5411 Dentures Diagnosis Adjust & Reline 364 D5421 Dentures Diagnosis Adjust & Reline 365 D5422 Dentures Diagnosis Adjust & Reline 366 D1110 Hygiene Professional Care Prophylaxis 367 D9241 Initial Visit Procedure IV Sedation Pediatrics Procedure IV Sedation 368 D9242 Initial Visit Procedure IV Sedation Pediatrics Procedure IV Sedation 369 D6068 Implants Procedure Implant Bridge 370 D6069 Implants Procedure Implant Bridge 371 D6070 Implants Procedure Implant Bridge 372 D6071 Implants Procedure Implant Bridge 373 D6072 Implants Procedure Implant Bridge 374 D6073 Implants Procedure Implant Bridge 375 D6074 Implants Procedure Implant Bridge 376 D9971 Periodontal Disease Diagnosis Gingivitis 377 D1206 Pediatrics Procedure Fluoride 378 D0431 Technology Diagnostic Identafi Technology Diagnostic Velscope 379 D5225 Dentures Procedure Flexible Partial Dentures 380 D5226 Dentures Procedure Flexible Partial Dentures 381 D5993 Hygiene Homecare Cleaning Prosthetics 18034.1.Rev001 04.04.2016 6