Instructions

1. Ensure that the formula used to derive the answers are retained and visible in their respective cells.
2. Utilize any formula to populate the "DESCRIPTION," "QUANTITY," "80th %" and "FEES" columns under the General tab with
3. Create a new sheet and generate a graph displaying the top 10 codes with the highest Expected Production
4. For the "Annual Production Income" tab, display the Total Production, Total Pt Income, and Total Income in the respective c
5. Once done, save the file with this format: Excel Assessment - [Last Name], [First Name] and Please email this to me at verita

REMINDER: This assessment has a duration of only 15 minutes. If the assessment is submitted after the given duration, it may
ns under the General tab with data sourced from the Procedures tab and the Percentile tab.
ed Production
otal Income in the respective cells, ensuring that the appropriate formulas are shown.
ease email this to me at veritasdentalresources2@gmail.com.

fter the given duration, it may result in an automatic failure.

 Codes Description QUANTITY
D7997 appliance removal (not 4
D0230 intraoral - periapical ea 280
D5212
D2799
D6057
D8010
D2954
D2751
D0120
D2740
D2750
D0180
D7210
D8020
D7997
D5120
D6080
D3330
D5226
D2752
D9944
D2962
D3999
D2790
D6751
D5211
D7881
D7510
D3310
D4212
D4249
D6999
D6740
D8090
D6197
D0383
D3320
D5110
D7953
D2644
D0367
D6010
D7953
D2643
D4263
D4266
D5820
D5821
D6065
D6245
D7140
90th Percentile Fees Expected Production
$470.00 $1,880.00
$10.06 $2,816.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
 CODE DESCRIPTION QUANTITY Fees
D0120 periodic oral evaluation 235 52.70
D0140 limited oral evaluation - 146 60.05
D0150 comprehensive oral eva 654 72.25
D0160 detailed and extensive 2 137.50
D0170 re-evaluation - limited, 7 27.43
D0171 re-evaluation – post-op 1 0.00
D0180 comprehensive periodo 5 121.20
D0210 intraoral - complete seri 227 85.79
D0220 intraoral - periapical firs 209 25.02
D0230 intraoral - periapical ea 280 10.06
D0270 bitewing - single radiog 38 23.34
D0272 bitewings - two radiogr 21 25.62
D0274 bitewings - four radiogr 420 59.63
D0330 panoramic radiographic 289 91.70
D0350 2D oral/facial photogra 24 13.57
D0367 cone beam CT capture 16 419.06
D0380 cone beam CT image c 7 292.86
D0383 cone beam CT image c 47 376.17
D0391 interpretation of diagno 22 108.59
D0417 collection and preparati 16 3.12
D0418 analysis of saliva sampl 16 5.00
D0425 caries susceptibility test 1 27.00
D0431 adjunctive pre-diagnost 1 36.00
D0460 pulp vitality tests 6 35.17
D0470 diagnostic casts 64 84.47
D0601 caries risk assessment 19 15.89
D1110 prophylaxis - adult 586 93.01
D1120 prophylaxis - child 43 61.44
D1201 Prophy & Fluoride-Child 1 0.00
D1206 topical application of flu 1 43.00
D1234 MyoCorrect Therapy 2 6,175.00
D1310 nutritional counseling f 406 48.29
D1330 oral hygiene instruction 1 44.00
D1351 sealant - per tooth 48 35.42
D1352 preventive resin restora 8 165.00
D2300 ICON, resin infiltation f 1 125.00
D2330 resin-based composite - 12 140.58
D2331 resin-based composite - 20 145.60
D2332 resin-based composite - 13 182.69
D2335 resin-based composite - 6 249.83
D2391 resin-based composite - 86 143.66
D2392 resin-based composite - 387 177.67
D2393 resin-based composite - 118 215.11
D2394 resin-based composite - 10 201.80
D2500 Del Onlay 32 0.00
D2630 inlay - porcelain/cerami 1 270.00
D2642 onlay - porcelain/ceram 1 900.00
D2643 onlay - porcelain/ceram 10 982.80
D2644 onlay - porcelain/ceram 24 1,117.96
D2650 inlay - resin-based com 7 96.43
D2651 inlay - resin-based com 18 201.83
D2652 inlay - resin-based com 10 283.30
D2700 Crown Prep 2 500.00
D2702 Del Crown 2 0.00
D2740 crown - porcelain/cera 141 1,031.39
D2750 crown - porcelain fused 18 817.17
D2751 crown - porcelain fused 19 599.05
D2752 crown - porcelain fused 2 599.00
D2790 crown - full cast high n 1 823.00
D2799 interim crown – further 2 350.00
D2910 re-cement or re-bond i 1 42.00
D2920 re-cement or re-bond c 2 64.00
D2940 protective restoration 3 91.33
D2950 core buildup, including 112 214.11
D2952 post and core in additio 12 214.83
D2954 prefabricated post and 1 395.00
D2962 labial veneer (porcelain 16 1,183.38
D3120 pulp cap - indirect (excl 7 73.29
D3221 pulpal debridement, pri 10 92.80
D3310 endodontic therapy, an 8 453.78
D3320 endodontic therapy, pr 12 359.58
D3330 endodontic therapy, mo 15 532.21
D3346 retreatment of previous 1 302.40
D3347 retreatment of previous 1 0.00
D3348 retreatment of previous 3 308.93
D3999 unspecified endodontic 1 600.00
D4212 gingivectomy or gingivo 1 471.00
D4249 clinical crown lengtheni 5 462.00
D4263 bone replacement graft 29 475.31
D4266 guided tissue regenerat 8 432.38
D4341 periodontal scaling and 236 168.16
D4342 periodontal scaling and 115 114.08
D4346 scaling in presence of g 29 101.24
D4355 full mouth debridement 6 115.00
D4381 localized delivery of ant 11 90.00
D4831 Arestin 13 86.54
D4910 periodontal maintenanc 195 113.31
D4921 gingival irrigation – per 44 52.00
D4999 unspecified periodontal 1 130.00
D5110 complete denture - ma 1 2,000.00
D5120 complete denture - ma 1 2,000.00
D5211 maxillary partial dentur 4 575.25
D5212 mandibular partial dent 2 530.50
D5226 mandibular partial dent 1 600.00
D5410 adjust complete dentur 1 0.00
D5820 interim partial denture 9 413.56
D5821 interim partial denture 2 338.50
D5988 surgical splint 1 0.00
D6010 surgical placement of i 9 1,169.78
D6011 surgical access to an im 17 0.00
D6052 Semi-precision attchmt 6 450.00
D6057 custom fabricated abut 1 480.00
D6065 implant supported porc 18 1,848.67
D6080 implant maintenance pr 6 400.00
D6197 Replacement of restora 3 433.33
D6245 pontic - porcelain/cera 6 930.67
D6740 retainer crown - porcel 8 817.00
D6751 retainer crown - porcel 2 599.00
D6930 re-cement or re-bond fi 2 38.00
D6999 unspecified fixed prosth 1 400.00
D7140 extraction, erupted toot 16 146.23
D7210 extraction, erupted toot 70 208.98
D7510 incision and drainage of 1 122.00
D7881 occlusal orthotic device 1 325.00
D7953 bone replacement graft 24 566.83
D7997 appliance removal (not 4 470.00
D8001 Candid Aligners 2 2,500.00
D8010 limited orthodontic trea 3 4,416.67
D8020 limited orthodontic trea 2 3,525.00
D8040 limited orthodontic trea 1 0.00
D8070 comprehensive orthodo 2 3,375.00
D8090 comprehensive orthodo 47 4,805.70
D8210 removable appliance th 1 300.00
D8600 Candid Data Collection 35 104.29
D8601 Vivos Data Collection 15 303.00
D8602 Sleep Image Home Tes 48 243.79
D8603 Sleep Test Review 49 0.00
D8660 pre-orthodontic treatm 2 31.00
D8670 periodic orthodontic tre 22 11.36
D8680 orthodontic retention (r 10 305.00
D8692 Retainer replacemnt-los 1 150.00
D8695 removal of fixed orthod 15 281.93
D8701 repair of fixed retainer, 2 82.50
D8702 repair of fixed retainer, 3 80.00
D8703 replacement of lost or 1 0.00
D8888 Laser & Disinfection 8 85.00
D8999 unspecified orthodontic 7 171.43
D9003 Sleep Appliance 4 399.50
D9007 Deliver Appliance 12 0.00
D9110 palliative (emergency) t 3 49.00
D9120 fixed partial denture se 1 101.00
D9310 consultation - diagnosti 1 173.00
D9430 office visit for observati 82 27.98
D9440 office visit - after regul 1 0.00
D9450 case presentation, detai 1 0.00
D9910 application of desensitiz 583 37.64
D9911 application of desensitiz 3 25.00
D9935 cleaning and inspection 2 0.00
D9938 Deliver NG 9 0.00
D9940 Occlusal guard, by repo 1 450.00
D9944 occlusal guard – hard a 10 408.10
D9948 adjustment of custom s 1 0.00
D9951 occlusal adjustment - li 17 51.41
D9986 missed appointment 211 5.69
D9987 cancelled appointment 2 100.00
Code Desc 40th Percentile 50th Percentile 60th Percentile 70th Percentile 80th Percentile
D0120 periodic or 76 79 82 85 91
D0140 limited ora 112 116 121 125 134
D0145 oral evalua 97 101 105 110 116
D0150 comprehensi 131 138 142 148 159
D0160 detailed an 209 216 225 236 245
D0170 re-evaluati 102 106 109 115 123
D0171 re-evaluati 98 102 105 110 116
D0180 comprehens 140 146 150 157 168
D0190 screening o 113 121 126 131 137
D0191 assessment 108 117 122 127 137
D0210 intraoral - 191 199 201 213 222
D0220 intraoral - 43 46 47 50 51
D0230 intraoral - 36 39 40 42 44
D0240 intraoral - 57 58 60 63 67
D0250 extra-oral 86 91 94 98 106
D0251 extra-oral 97 100 104 109 115
D0270 bitewing - 42 43 46 47 50
D0272 bitewings 66 68 71 74 77
D0273 bitewings - 77 82 84 88 91
D0274 bitewings - 93 97 100 102 108
D0277 vertical bi 137 142 146 150 159
D0310 sialograph 506 516 537 558 591
D0320 temporoman 772 801 826 870 899
D0321 other temp 274 287 303 321 330
D0322 tomographi 641 668 693 734 771
D0330 panoramic 165 171 176 184 193
D0340 2D cephalo 171 176 180 187 191
D0350 2D oral/fac 96 101 105 109 115
D0364 cone beam C 378 417 445 460 489
D0365 cone beam C 420 458 476 501 539
D0366 cone beam C 414 448 469 489 519
D0367 cone beam C 418 458 483 500 529
D0368 cone beam 500 517 532 552 575
D0369 maxillofaci 913 954 974 1008 1035
D0370 maxillofaci 665 691 716 733 756
D0371 sialoendos 689 714 724 740 776
D0372 intraoral t IR IR IR IR IR
D0373 intraoral t IR IR IR IR IR
D0374 intraoral t IR IR IR IR IR
D0801 3D dental sIR IR IR IR IR
D0802 3D dental sIR IR IR IR IR
D0803 3D facial s IR IR IR IR IR
D0804 3D facial s IR IR IR IR IR
D0380 cone beam C 415 438 455 472 496
D0381 cone beam C 467 486 498 524 546
D0382 cone beam C 461 478 495 519 549
D0383 cone beam C 468 494 512 542 563
D0384 cone beam 503 514 538 563 585
D0385 maxillofac 733 749 768 788 838
D0386 maxillofaci 634 649 668 687 717
D0387 intraoral t IR IR IR IR IR
D0388 intraoral t IR IR IR IR IR
D0389 intraoral t IR IR IR IR IR
D0701 panoramic 123 133 151 190 205
D0702 2-D cephal 157 186 201 217 258
D0703 2-D oral/faIR IR IR IR IR
D0705 extra-oral 79 85 97 104 112
D0706 intraoral - 50 60 63 67 82
D0707 intraoral - 46 48 51 57 67
D0708 intraoral - 44 47 52 58 81
D0709 intraoral - 154 182 189 209 228
D0391 interpretat 323 368 393 412 431
D0393 virtual tre 405 421 438 452 487
D0394 digital su 389 399 412 422 435
D0395 fusion of 452 468 477 496 511
D0396 3D printingIR IR IR IR IR
D0411 HbA1c in-ofIR IR IR IR IR
D0412 blood gluco 38 44 64 104 114
D0414 laboratory 285 303 306 313 327
D0415 collection 246 255 266 281 308
D0416 viral cultur 231 239 247 263 270
D0417 collection 259 274 286 296 312
D0418 analysis of 219 225 236 244 261
D0419 assessmentIR IR IR IR IR
D0422 collection 226 239 246 261 279
D0423 genetic tes 289 299 311 322 346
D0425 caries susce 115 120 127 132 142
D0431 adjunctive 88 91 97 102 107
D0460 pulp vitalit 81 84 86 91 97
D0470 diagnostic 170 178 188 199 214
D0600 non-ionizin 104 109 113 120 126
D0601 caries risk 110 114 117 123 127
D0602 caries risk 107 109 113 120 127
D0603 caries risk 108 110 113 121 129
D0604 antigen tesIR IR IR IR IR
D0605 antibody teIR IR IR IR IR
D0606 molecular tIR IR IR IR IR
D0472 accession o 182 190 200 207 236
D0473 accession o 239 245 256 264 289
D0474 accession o 280 289 296 310 323
D0480 accession o 236 242 253 266 275
D0486 laboratory 245 252 258 272 310
D0475 decalcifica 299 312 324 351 369
D0476 special sta 382 399 417 427 445
D0477 special sta 392 401 414 426 455
D0478 immunohist 223 230 239 246 257
D0479 tissue in-s 306 316 330 340 357
D0481 electron m 304 320 336 357 376
D0482 direct imm 156 163 167 174 190
D0483 indirect i 179 188 192 204 221
D0484 consultati 239 244 249 259 277
D0485 consultatio 328 349 399 420 462
D0502 other oral 221 229 237 246 265
D0999 unspecified 207 221 249 271 290
D1110 prophylaxis 133 137 142 148 157
D1120 prophylaxis 99 101 105 109 114
D1206 topical app 55 57 61 65 68
D1208 topical app 51 55 58 61 66
D1301 immunizatiIR IR IR IR IR
D1310 nutritional 89 91 97 101 107
D1320 tobacco cou 102 107 112 117 123
D1321 counseling 93 97 104 110 113
D1330 oral hygien 75 80 83 88 91
D1351 sealant - p 80 82 85 88 91
D1353 sealant rep 81 84 89 93 97
D1352 preventive 149 156 160 166 176
D1354 application 96 106 114 126 140
D1355 caries prev 85 88 99 109 114
D1510 space maint 446 455 469 485 513
D1516 space maint 587 607 626 652 669
D1517 space maint 601 620 641 662 682
D1520 space maint 512 538 550 574 595
D1526 space maint 643 662 683 706 724
D1527 space maint 653 666 683 708 726
D1551 re-cement o 132 138 145 156 166
D1552 re-cement o 134 140 145 159 171
D1553 re-cement o 130 140 150 159 179
D1556 removal of 125 131 139 148 160
D1557 removal of 134 143 157 171 188
D1558 removal of 135 147 159 178 203
D1575 distal shoe 521 541 549 574 588
D1701 Pfizer-BioNIR IR IR IR IR
D1702 Pfizer-Bio IR IR IR IR IR
D1703 Moderna Cov IR IR IR IR IR
D1704 Moderna Co IR IR IR IR IR
D1705 AstraZeneca IR IR IR IR IR
D1706 AstraZenecIR IR IR IR IR
D1707 Janssen CoIR IR IR IR IR
D1708 Pfizer-BioNIR IR IR IR IR
D1709 Pfizer-BioNIR IR IR IR IR
D1710 Moderna Co IR IR IR IR IR
D1711 Moderna Co IR IR IR IR IR
D1712 Janssen CovIR IR IR IR IR
D1713 Pfizer-BioNIR IR IR IR IR
D1714 Pfizer-BioNIR IR IR IR IR
D1781 vaccine adm IR IR IR IR IR
D1782 vaccine adm IR IR IR IR IR
D1783 vaccine adm IR IR IR IR IR
D1999 unspecified 26 57 127 170 184
D2140 amalgam - 209 216 224 236 250
D2150 amalgam - 264 273 285 296 315
D2160 amalgam - 321 330 345 361 384
D2161 amalgam - 380 395 410 432 455
D2330 resin-based 245 256 262 275 289
D2331 resin-based 296 307 318 330 344
D2332 resin-based 364 376 387 401 422
D2335 resin-based 455 472 481 502 527
D2390 resin-base 648 679 703 730 797
D2391 resin-based 265 273 286 295 310
D2392 resin-based 336 349 360 376 394
D2393 resin-based 413 429 444 460 478
D2394 resin-based 488 503 520 541 563
D2410 gold foil - 970 996 1065 1128 1250
D2420 gold foil - 1083 1119 1172 1259 1361
D2430 gold foil - 1217 1253 1326 1411 1464
D2510 inlay - met 1292 1343 1406 1457 1579
D2520 inlay - met 1365 1416 1461 1522 1610
D2530 inlay - met 1426 1489 1544 1593 1708
D2542 onlay - met 1452 1505 1533 1591 1705
D2543 onlay - met 1483 1550 1593 1671 1791
D2544 onlay - met 1575 1617 1650 1736 1846
D2610 inlay - por 1359 1411 1453 1515 1605
D2620 inlay - por 1382 1437 1480 1535 1628
D2630 inlay - por 1441 1491 1536 1593 1655
D2642 onlay - por 1464 1515 1556 1615 1704
D2643 onlay - por 1498 1555 1588 1650 1749
D2644 onlay - por 1574 1610 1653 1727 1830
D2650 inlay - res 1286 1357 1407 1453 1536
D2651 inlay - res 1289 1343 1407 1453 1522
D2652 inlay - res 1335 1376 1424 1476 1562
D2662 onlay - res 1366 1409 1453 1526 1585
D2663 onlay - res 1403 1434 1474 1527 1581
D2664 onlay - res 1460 1480 1530 1580 1650
D2710 crown - res 1313 1394 1437 1499 1557
D2712 crown - 3/4 1419 1470 1513 1565 1629
D2720 crown - res 1518 1552 1589 1666 1811
D2721 crown - re 1440 1483 1525 1568 1671
D2722 crown - res 1466 1495 1559 1593 1675
D2740 crown - po 1620 1650 1704 1768 1834
D2750 crown - por 1609 1653 1707 1775 1851
D2751 crown - po 1509 1567 1605 1659 1720
D2752 crown - por 1549 1589 1647 1709 1819
D2753 crown - por 1622 1680 1708 1779 1873
D2780 crown - 3/4 1589 1637 1692 1744 1870
D2781 crown - 3/ 1522 1560 1612 1650 1707
D2782 crown - 3/4 1527 1577 1622 1653 1707
D2783 crown - 3/ 1605 1649 1673 1735 1831
D2790 crown - ful 1661 1719 1775 1878 1953
D2791 crown - ful 1497 1536 1593 1650 1704
D2792 crown - ful 1564 1600 1650 1704 1791
D2794 crown - tit 1566 1614 1659 1714 1869
D2799 interim cro 626 646 665 683 722
D2989 excavationIR IR IR IR IR
D2990 resin infil 257 269 289 302 328
D2991 applicatio IR IR IR IR IR
D2910 re-cement o 168 175 182 191 204
D2915 re-cement o 170 175 181 188 200
D2920 re-cement 168 175 181 190 205
D2921 reattachmen 378 394 406 420 440
D2929 prefabrica 530 554 571 592 627
D2928 prefabrica 651 678 720 804 852
D2930 prefabricat 384 398 410 427 448
D2931 prefabricat 455 470 491 512 543
D2932 prefabrica 498 516 529 552 580
D2933 prefabricat 497 514 529 559 580
D2934 prefabricat 505 522 538 572 592
D2940 protective 186 191 199 212 222
D2941 interim the 272 287 290 297 307
D2949 restorative 307 319 328 340 352
D2950 core buildu 387 398 412 431 458
D2951 pin retenti 108 112 118 123 134
D2952 post and co 583 604 624 651 685
D2953 each additi 431 450 464 488 508
D2954 prefabricat 476 493 506 532 561
D2957 each additi 285 297 311 323 340
D2955 post remov 402 417 430 446 459
D2960 labial vene 973 1003 1041 1094 1165
D2961 labial vene 1435 1475 1525 1592 1691
D2962 labial vene 1663 1707 1766 1846 1977
D2971 additional 348 377 398 429 485
D2975 coping 837 879 911 938 974
D2976 band stabilIR IR IR IR IR
D2980 crown repai 410 427 436 453 469
D2981 inlay repai 410 426 437 452 460
D2982 onlay repai 426 432 442 458 469
D2983 veneer repa 432 453 465 475 489
D2999 unspecified 343 385 403 434 486
D3110 pulp cap - 124 127 132 137 146
D3120 pulp cap - 123 126 131 137 145
D3220 therapeutic 299 308 324 337 354
D3221 pulpal deb 330 341 354 369 393
D3222 partial pu 418 436 446 462 477
D3230 pulpal ther 388 398 414 434 451
D3240 pulpal ther 427 438 453 472 492
D3310 endodontic 1085 1122 1161 1197 1275
D3320 endodontic 1246 1286 1326 1366 1451
D3330 endodontic 1502 1559 1596 1667 1762
D3331 treatment o 822 897 911 963 1021
D3332 incomplete 629 654 671 692 727
D3333 internal ro 487 514 524 549 582
D3346 retreatment 1274 1311 1348 1404 1493
D3347 retreatment 1448 1490 1523 1584 1659
D3348 retreatment 1705 1755 1806 1868 1969
D3351 apexificatio 520 535 558 583 619
D3352 apexificati 365 381 397 421 452
D3353 apexificati 735 756 785 834 866
D3355 pulpal regen 588 610 634 653 677
D3356 pulpal reg 444 463 480 509 549
D3357 pulpal rege 810 844 874 908 936
D3410 apicoectom 1029 1074 1106 1154 1243
D3421 apicoectomy 1167 1202 1245 1311 1382
D3425 apicoectomy 1312 1366 1416 1470 1530
D3426 apicoectom 598 620 644 673 716
D3471 surgical re 922 1011 1123 1222 1227
D3472 surgical re 953 1062 1139 1186 1275
D3473 surgical re 1014 1072 1146 1225 1328
D3501 surgical ex 876 956 1136 1185 1233
D3502 surgical ex 898 965 1147 1189 1234
D3503 surgical ex 889 953 1115 1176 1221
D3428 bone graft 879 951 1003 1030 1074
D3429 bone graft 859 898 945 995 1081
D3430 retrograde f 410 423 443 462 489
D3431 biologic ma 781 801 835 865 930
D3432 guided tiss 892 914 940 978 1061
D3450 root amputa 709 747 783 819 872
D3460 endodontic 2123 2226 2300 2375 2487
D3470 intentional 1107 1167 1214 1260 1340
D3910 surgical pr 332 344 354 364 396
D3911 intraorificeIR IR IR IR IR
D3920 hemisection 658 679 700 755 797
D3921 decoronati 395 489 521 571 640
D3950 canal prepa 359 374 396 404 439
D3999 unspecifie 425 453 493 516 649
D4210 gingivecto 896 924 967 1002 1049
D4211 gingivectom 467 489 505 535 576
D4212 gingivectom 405 425 442 455 480
D4230 anatomical 1269 1307 1357 1457 1523
D4231 anatomical 875 895 937 982 1045
D4240 gingival fl 1068 1114 1154 1204 1270
D4241 gingival fl 873 920 953 995 1050
D4245 apically po 1138 1192 1246 1289 1336
D4249 clinical cr 1110 1147 1193 1254 1325
D4260 osseous sur 1615 1664 1707 1797 1909
D4261 osseous sur 1305 1344 1381 1429 1494
D4263 bone replac 904 967 990 1021 1070
D4264 bone replac 734 782 819 854 905
D4265 biologic ma 757 797 819 867 911
D4266 guided tiss 925 992 1033 1081 1138
D4267 guided tiss 1127 1208 1275 1310 1374
D4286 removal ofIR IR IR IR IR
D4268 surgical re 1088 1134 1195 1246 1274
D4270 pedicle sof 1264 1296 1361 1431 1521
D4273 autogenous 1566 1605 1650 1712 1780
D4283 autogenous 1238 1370 1432 1507 1591
D4275 non-autogen 1501 1550 1593 1662 1794
D4285 non-autogen 1252 1309 1424 1511 1601
D4274 mesial/dist 950 992 1017 1063 1119
D4276 combined co 1679 1727 1768 1846 1922
D4277 free soft t 1452 1499 1551 1620 1692
D4278 free soft t 1095 1129 1190 1244 1321
D4322 splint - in 710 740 761 778 819
D4323 splint - ex 632 669 683 735 768
D4341 periodontal 368 376 392 403 419
D4342 periodontal 275 285 294 307 323
D4346 scaling in 244 250 258 269 282
D4355 full mouth 265 273 283 296 310
D4381 localized d 114 140 162 179 193
D4910 periodonta 198 205 209 216 226
D4920 unscheduled 143 153 158 164 176
D4921 gingival ir 85 106 120 132 141
D4999 unspecified 171 211 238 287 324
D5110 complete d 2504 2618 2720 2843 2985
D5120 complete d 2505 2618 2732 2845 2988
D5130 immediate 2629 2729 2846 2978 3163
D5140 immediate 2638 2750 2865 2996 3187
D5211 maxillary p 1992 2091 2162 2251 2439
D5212 mandibular 1992 2085 2162 2247 2424
D5213 maxillary p 2578 2688 2788 2897 3085
D5214 mandibular 2589 2697 2792 2902 3104
D5225 maxillary p 2197 2272 2354 2447 2607
D5226 mandibular 2200 2276 2363 2454 2613
D5221 immediate m 2136 2219 2316 2392 2574
D5222 immediate m 2157 2243 2349 2424 2607
D5223 immediate m 2588 2620 2700 2777 2868
D5224 immediate m 2592 2629 2701 2786 2904
D5227 immediate m 2215 2333 2453 2603 2845
D5228 immediate m 2242 2333 2456 2584 2834
D5282 removable u 1480 1542 1609 1739 1862
D5283 removable u 1478 1536 1629 1756 1935
D5284 removable u 1541 1615 1707 1805 1935
D5286 removable u 1539 1648 1754 1815 1935
D5410 adjust comp 131 137 141 146 156
D5411 adjust com 130 134 141 143 156
D5421 adjust part 129 134 140 143 154
D5422 adjust part 130 135 141 143 156
D5511 repair bro 330 341 359 377 396
D5512 repair bro 329 341 354 373 393
D5520 replace mis 282 291 303 316 336
D5611 repair resi 318 333 341 353 370
D5612 repair resi 322 336 346 360 385
D5621 repair cast 410 427 442 454 481
D5622 repair cast 410 429 439 455 481
D5630 repair or r 379 395 407 429 455
D5640 replace bro 285 294 304 321 341
D5650 add tooth t 330 341 357 376 398
D5660 add clasp t 384 398 406 427 453
D5670 replace all 1064 1097 1131 1178 1236
D5671 replace all 1073 1107 1138 1184 1236
D5710 rebase com 854 883 909 949 996
D5711 rebase com 849 876 903 939 984
D5720 rebase maxi 804 835 857 889 940
D5721 rebase man 797 831 856 889 936
D5725 rebase hybrIR IR IR IR IR
D5730 reline comp 536 560 576 607 643
D5731 reline comp 538 555 572 603 636
D5740 reline maxi 522 552 574 598 637
D5741 reline mand 526 553 569 598 636
D5750 reline comp 671 692 714 740 782
D5751 reline comp 671 697 716 744 782
D5760 reline maxi 659 683 707 733 776
D5761 reline mand 659 683 706 731 775
D5810 interim com 1266 1315 1369 1429 1549
D5811 interim co 1274 1336 1389 1449 1588
D5820 interim par 961 1015 1062 1101 1165
D5821 interim par 959 1013 1050 1082 1165
D5765 soft liner 636 677 727 852 920
D5850 tissue cond 296 311 326 338 366
D5851 tissue cond 298 310 324 340 368
D5862 precision a 967 1010 1036 1082 1155
D5863 overdentur 3272 3363 3421 3549 3746
D5864 overdenture 3181 3301 3410 3508 3680
D5865 overdentur 3277 3371 3445 3556 3707
D5866 overdenture 3186 3286 3402 3494 3668
D5867 replacement 518 546 569 600 625
D5875 modificatio 643 671 698 717 748
D5876 add metal s 677 697 749 791 852
D5899 unspecifie 1212 1384 1572 1664 1746
D5992 adjust maxi 245 254 265 273 292
D5993 maintenance 190 219 238 255 281
D5914 auricular p 9977 10264 10475 10850 11360
D5927 auricular pIR IR IR IR IR
D5987 commissure 1491 1587 1634 1686 1740
D5924 cranial proIR IR IR IR IR
D5925 facial augmIR IR IR IR IR
D5912 facial mou 786 809 829 848 879
D5911 facial moul 691 720 749 771 805
D5919 facial pros IR IR IR IR IR
D5929 facial pros IR IR IR IR IR
D5951 feeding aid 1369 1425 1490 1582 1621
D5934 mandibularIR IR IR IR IR
D5935 mandibularIR IR IR IR IR
D5913 nasal prost 9211 9545 9887 10184 10454
D5926 nasal prostIR IR IR IR IR
D5922 nasal septa 1445 3983 5529 7040 8505
D5932 obturator p 7294 7448 7768 8338 8655
D5936 obturator pIR IR IR IR IR
D5933 obturator p 893 924 936 972 1024
D5931 obturator p 5225 5440 5655 6131 6485
D5916 ocular pros 2243 6013 6838 8427 9590
D5923 ocular prosIR IR IR IR IR
D5915 orbital pro 9668 10278 10377 10700 10925
D5928 orbital proIR IR IR IR IR
D5954 palatal au IR IR IR IR IR
D5955 palatal lift IR IR IR IR IR
D5958 palatal lift IR IR IR IR IR
D5959 palatal lift IR IR IR IR IR
D5985 radiation cIR IR IR IR IR
D5984 radiation s 1175 1386 1418 1500 1634
D5953 speech aid IR IR IR IR IR
D5960 speech aid IR IR IR IR IR
D5952 speech aid 3310 3414 3563 3669 3974
D5988 surgical spl 914 959 1012 1072 1124
D5982 surgical st 595 626 654 703 752
D5937 trismus ap 972 1006 1052 1101 1137
D5986 fluoride gel 278 290 304 319 336
D5995 periodontal 498 534 648 697 741
D5996 periodontal 503 551 656 699 735
D5983 radiation c 682 699 784 833 899
D5991 vesiculobu 323 339 357 373 406
D5999 unspecified 1522 1821 2061 2297 2679
D6190 radiographi 555 598 624 675 740
D6010 surgical pl 2618 2726 2819 2955 3021
D6011 surgical ac 849 911 990 1097 1189
D6012 surgical pl 2213 2342 2448 2566 2802
D6013 surgical pl 1724 1797 1894 1979 2168
D6040 surgical pl 9357 9985 10515 11044 11229
D6050 surgical pl 7046 7624 7788 8152 8646
D6100 surgical re 979 1024 1060 1110 1183
D6101 debridement 1040 1112 1189 1252 1328
D6102 debridement 1267 1316 1353 1395 1431
D6103 bone graft 1015 1054 1070 1122 1138
D6104 bone graft 818 931 992 1055 1113
D6105 removal ofIR IR IR IR IR
D6106 guided tissIR IR IR IR IR
D6107 guided tissIR IR IR IR IR
D6055 connecting 4125 4311 4523 4723 4911
D6056 prefabrica 1010 1055 1101 1138 1195
D6057 custom fab 1193 1245 1299 1363 1423
D6051 interim im 735 772 816 871 925
D6191 semi-preci 896 940 1006 1040 1066
D6192 semi-preci 719 840 908 959 1016
D6110 implant /a 4197 4458 4705 5008 5431
D6111 implant /a 4143 4336 4553 4862 5244
D6112 implant /a 3940 4120 4309 4418 4665
D6113 implant /a 3949 4158 4325 4480 4696
D6114 implant /ab 13658 14345 15540 16205 17072
D6115 implant /a 13605 14249 15365 16045 17072
D6116 implant /ab 8456 8909 9328 10095 10898
D6117 implant /ab 8536 9042 9449 9995 11003
D6118 implant/ab 4698 5122 5339 5564 5984
D6119 implant/ab 4669 5122 5471 5691 6131
D6058 abutment s 1907 1953 2026 2091 2172
D6059 abutment s 1935 1992 2050 2137 2260
D6060 abutment s 1803 1878 1955 2016 2090
D6061 abutment s 1845 1933 1992 2050 2129
D6097 abutment s 1935 1992 2082 2136 2247
D6062 abutment s 1931 1992 2052 2145 2220
D6063 abutment s 1845 1921 1992 2049 2128
D6064 abutment s 1867 1930 2000 2068 2141
D6094 abutment s 1921 1980 2029 2119 2209
D6065 implant su 2030 2110 2193 2288 2372
D6066 implant sup 2045 2117 2203 2288 2442
D6082 implant su 2180 2222 2276 2365 2401
D6083 implant sup 2169 2250 2333 2392 2483
D6084 implant sup 2211 2274 2306 2378 2454
D6067 implant sup 2070 2170 2276 2365 2456
D6086 implant su 2244 2276 2299 2355 2412
D6087 implant su 2246 2279 2307 2434 2453
D6088 implant sup 2247 2279 2316 2404 2452
D6068 abutment s 1918 1963 2043 2123 2209
D6069 abutment su 1934 1992 2055 2147 2271
D6070 abutment s 1869 1935 2021 2086 2162
D6071 abutment s 1882 1963 2019 2096 2199
D6195 abutment su 2042 2183 2228 2284 2383
D6072 abutment s 1987 2049 2111 2209 2306
D6073 abutment s 1918 1988 2045 2126 2181
D6074 abutment s 1913 1992 2051 2101 2162
D6194 abutment su 1979 2029 2100 2214 2305
D6075 implant su 2067 2151 2205 2305 2390
D6076 implant sup 2107 2185 2276 2338 2453
D6098 implant sup 2184 2272 2283 2341 2380
D6099 implant sup 2158 2248 2304 2372 2433
D6120 implant sup 2264 2310 2378 2405 2452
D6077 implant sup 2232 2327 2373 2463 2548
D6121 implant sup 2238 2280 2308 2370 2405
D6122 implant sup 2285 2345 2406 2449 2520
D6123 implant sup 2323 2358 2412 2459 2592
D6080 implant ma 407 429 450 477 497
D6081 scaling and 313 341 370 401 436
D6085 interim im 730 771 805 851 896
D6090 repair impl 990 1027 1068 1120 1155
D6091 replacemen 725 767 806 843 880
D6092 re-cement 217 225 230 245 258
D6093 re-cement 269 282 291 305 324
D6095 repair imp 966 1004 1044 1076 1111
D6089 accessing aIR IR IR IR IR
D6096 remove bro 608 681 723 785 857
D6197 replacement 259 285 295 315 332
D6198 remove int 225 307 377 434 572
D6199 unspecified 683 1025 1192 1252 1369
D6205 pontic - in 1366 1418 1473 1541 1655
D6210 pontic - ca 1610 1662 1706 1763 1839
D6211 pontic - ca 1521 1566 1597 1651 1738
D6212 pontic - ca 1533 1587 1616 1666 1795
D6214 pontic - ti 1588 1630 1664 1727 1815
D6240 pontic - po 1593 1650 1706 1761 1844
D6241 pontic - po 1531 1571 1608 1658 1724
D6242 pontic - po 1551 1593 1650 1703 1765
D6243 pontic - po 1645 1678 1733 1791 1951
D6245 pontic - po 1605 1650 1697 1763 1821
D6250 pontic - re 1557 1598 1657 1707 1829
D6251 pontic - re 1529 1568 1621 1662 1731
D6252 pontic - re 1526 1564 1620 1661 1738
D6253 interim pon 903 971 1038 1094 1165
D6545 retainer - 1222 1275 1340 1410 1503
D6548 retainer - 1335 1392 1449 1511 1573
D6549 resin retai 1338 1373 1432 1484 1579
D6600 retainer in 1425 1478 1524 1579 1667
D6601 retainer in 1491 1518 1571 1625 1753
D6602 retainer in 1427 1470 1531 1587 1700
D6603 retainer in 1475 1521 1569 1626 1756
D6604 retainer in 1382 1434 1517 1583 1678
D6605 retainer in 1441 1494 1548 1621 1701
D6606 retainer in 1417 1466 1534 1599 1722
D6607 retainer in 1491 1525 1585 1666 1803
D6624 retainer in 1521 1557 1581 1651 1747
D6608 retainer on 1488 1546 1595 1646 1762
D6609 retainer on 1573 1618 1682 1738 1854
D6610 retainer on 1500 1564 1600 1665 1799
D6611 retainer on 1571 1625 1691 1764 1820
D6612 retainer on 1475 1525 1593 1648 1760
D6613 retainer on 1529 1580 1628 1713 1836
D6614 retainer on 1465 1530 1581 1673 1807
D6615 retainer on 1564 1597 1664 1735 1876
D6634 retainer on 1556 1596 1631 1705 1824
D6710 retainer cr 1443 1488 1543 1609 1682
D6720 retainer cr 1544 1589 1648 1707 1814
D6721 retainer cr 1475 1552 1600 1650 1736
D6722 retainer cr 1533 1583 1625 1664 1785
D6740 retainer cr 1622 1656 1708 1773 1846
D6750 retainer cr 1620 1654 1707 1787 1880
D6751 retainer cr 1529 1574 1620 1661 1796
D6752 retainer cr 1550 1593 1650 1708 1849
D6753 retainer cr 1620 1695 1741 1826 1917
D6780 retainer cr 1565 1605 1651 1731 1830
D6781 retainer c 1513 1559 1618 1664 1774
D6782 retainer cr 1548 1589 1648 1707 1799
D6783 retainer cr 1572 1628 1661 1744 1823
D6784 retainer cr 1615 1648 1729 1761 1873
D6790 retainer cr 1621 1658 1707 1775 1877
D6791 retainer cr 1502 1543 1589 1650 1711
D6792 retainer cr 1554 1592 1645 1703 1796
D6794 retainer cr 1562 1593 1650 1707 1804
D6793 interim ret 740 774 817 870 951
D6920 connector 1498 1532 1581 1640 1725
D6930 re-cement o 250 259 271 285 307
D6940 stress brea 584 598 618 651 686
D6950 precision 896 926 962 1015 1066
D6980 fixed parti 534 558 580 599 619
D6985 pediatric p 1175 1210 1256 1305 1361
D6999 unspecified 636 734 814 929 1086
D7111 extraction, 193 200 206 219 232
D7140 extraction, 275 285 295 310 335
D7210 extraction, 406 421 438 454 480
D7220 removal of 461 476 493 512 541
D7230 removal of 568 591 607 632 653
D7240 removal of 684 711 740 771 793
D7241 removal of 797 829 863 900 922
D7250 removal of 438 453 471 486 511
D7251 coronectomy 645 671 699 728 771
D7260 oroantral f 1641 1744 1818 1979 2209
D7261 primary clo 1090 1124 1162 1208 1315
D7270 tooth reimp 772 801 841 880 925
D7272 tooth trans 990 1038 1074 1131 1197
D7280 exposure o 699 726 758 796 831
D7282 mobilizatio 660 686 707 755 806
D7283 placement o 628 667 691 730 777
D7284 excisional IR IR IR IR IR
D7285 incisional 694 745 774 847 920
D7286 incisional b 496 514 539 566 601
D7287 exfoliative 286 305 320 333 377
D7288 brush biops 296 305 318 332 356
D7290 surgical re 654 689 714 742 785
D7291 transseptal 422 437 455 479 514
D7292 placement o 3863 4054 4205 4333 4507
D7298 removal ofIR IR IR IR IR
D7293 placement 3186 3346 3427 3578 3721
D7299 removal ofIR IR IR IR IR
D7294 placement 2033 2107 2178 2255 2310
D7300 removal ofIR IR IR IR IR
D7295 harvest of 1462 1492 1540 1596 1625
D7296 corticotomy 1440 1473 1527 1588 1613
D7297 corticotomy 1889 1907 1979 2019 2120
D7310 alveoloplas 437 456 471 485 518
D7311 alveoloplas 423 436 454 478 508
D7320 alveoloplas 628 654 683 706 745
D7321 alveoloplas 580 601 620 646 683
D7340 vestibulopl 1758 1830 1910 2042 2192
D7350 vestibulopl 3255 3380 3537 3815 4104
D7410 excision of 584 620 651 676 732
D7411 excision of 876 933 973 1011 1085
D7412 excision of 1373 1466 1517 1597 1720
D7413 excision of 1085 1122 1165 1229 1336
D7414 excision of 1608 1662 1711 1774 1859
D7415 excision of 1764 1827 1882 1970 2135
D7465 destruction 511 562 590 631 664
D7440 excision of 1065 1231 1284 1381 1466
D7441 excision of 1746 2008 2110 2268 2426
D7450 removal of 863 889 929 980 1074
D7451 removal of 1241 1312 1354 1440 1562
D7460 removal of 809 854 888 926 1032
D7461 removal of 1266 1354 1411 1499 1584
D7471 removal of 1038 1076 1130 1190 1279
D7472 removal of 1260 1307 1345 1416 1554
D7473 removal of 1189 1241 1308 1384 1494
D7485 reduction o 1110 1170 1227 1325 1411
D7490 radical res 9960 10560 10853 11306 12409
D7509 marsupializIR IR IR IR IR
D7510 incision an 344 361 376 392 407
D7511 incision an 506 524 552 583 644
D7520 incision an 678 706 739 780 852
D7521 incision an 914 940 986 1017 1128
D7530 removal of 496 512 539 560 576
D7540 removal of 884 917 948 992 1063
D7550 partial os 734 776 815 864 908
D7560 maxillary s 2269 2440 2530 2687 2975
D7610 maxilla - o 5716 6103 6358 6500 6838
D7620 maxilla - c 4549 4789 5033 5150 5493
D7630 mandible - 6034 6237 6549 6852 7451
D7640 mandible - 4501 4721 4949 5127 5445
D7650 malar and/ 4887 4971 5209 5487 5712
D7660 malar and/o 4063 4144 4284 4538 4745
D7670 alveolus - 2090 2259 2314 2471 2634
D7671 alveolus - 2078 2210 2297 2511 2642
D7680 facial bone 8992 9246 9707 10136 11083
D7710 maxilla - o 5866 6109 6460 6659 7356
D7720 maxilla - c 4361 4571 4838 5084 5349
D7730 mandible - 6508 7029 7211 7510 7996
D7740 mandible - 4624 4773 5018 5263 5577
D7750 malar and/ 5588 5877 6025 6237 6897
D7760 malar and/o 7998 8231 8682 9030 9364
D7770 alveolus - 3563 3666 3870 4110 4227
D7771 alveolus, c 2672 2745 2875 3040 3148
D7780 facial bone 11125 11671 12241 12542 13332
D7810 open reduct 5806 6264 6545 6677 7187
D7820 closed redu 899 940 981 1038 1123
D7830 manipulati 1317 1386 1464 1529 1674
D7840 condylect 6936 7510 7797 8055 8518
D7850 surgical di 6829 7245 7472 7845 8358
D7852 disc repair 7767 8166 8435 8723 9268
D7854 synovecto 7448 7621 7845 8173 8665
D7856 myotomy 5218 5437 5623 5710 6438
D7858 joint recon 11743 12388 12999 13761 16169
D7860 arthrotom IR IR IR IR IR
D7865 arthroplast 8916 9205 9474 10145 11899
D7870 arthrocente 827 848 889 930 1010
D7871 non-arthros 1289 1325 1376 1444 1486
D7872 arthroscopy 4805 4842 5038 5248 5388
D7873 arthroscopy 5961 6103 6154 6447 6760
D7874 arthroscopy 7893 7959 8016 8402 8993
D7875 arthroscop 8866 9088 9122 9432 10064
D7876 arthroscopIR IR IR IR IR
D7877 arthroscopIR IR IR IR IR
D7880 occlusal or 1321 1404 1480 1595 1771
D7881 occlusal or 265 275 285 297 313
D7899 unspecifie 572 670 740 793 849
D7910 suture of 402 428 444 467 495
D7911 complicated 710 776 801 865 934
D7912 complicated 1151 1333 1394 1484 1649
D7920 skin graft 3507 3797 3884 4074 4249
D7921 collection 601 626 661 694 736
D7922 placement o 110 114 142 173 198
D7940 osteoplasty 5243 5515 5777 6055 6366
D7939 indexing foIR IR IR IR IR
D7941 osteotomy 11607 12244 12653 13224 13891
D7943 osteotomy - 11040 11609 11921 12484 12973
D7944 osteotomy 9409 9750 10038 10438 10796
D7945 osteotomy 9757 10113 10324 10836 12020
D7946 LeFort I (ma 12300 12528 13082 13705 14909
D7947 LeFort I (m 11764 12168 12767 13392 14186
D7948 LeFort II o 14649 15010 15608 16223 17692
D7949 LeFort II or 17748 18413 19218 20117 21140
D7950 osseous, os 3187 3516 3658 3968 4275
D7951 sinus augme 3716 3955 4172 4326 4525
D7952 sinus augme 2227 2390 2618 2870 3260
D7953 bone replac 786 870 939 1015 1083
D7955 repair of m 4261 4459 4656 4947 5231
D7956 guided tiss 756 825 851 955 1090
D7957 guided tissIR IR IR IR IR
D7961 buccal / la 626 658 687 722 743
D7962 lingual fr 645 660 690 723 747
D7963 frenuloplas 716 740 784 808 885
D7970 excision of 695 724 759 797 848
D7971 excision of 366 390 407 431 464
D7972 surgical re 979 1017 1065 1120 1194
D7979 non - surgi 848 881 917 944 974
D7980 surgical si 1044 1110 1194 1279 1366
D7981 excision ofIR IR IR IR IR
D7982 sialodocho 2240 2387 2477 2585 2765
D7983 closure of s 1997 2156 2253 2373 2614
D7990 emergency 2157 2276 2338 2431 2552
D7991 coronoide 5318 5647 5910 6114 6297
D7993 surgical pl IR IR IR IR IR
D7994 surgical p IR IR IR IR IR
D7995 synthetic gIR IR IR IR IR
D7996 implant-man IR IR IR IR IR
D7997 appliance r 460 476 503 530 567
D7998 intraoral p 3304 3369 3524 3610 3861
D7999 unspecified 671 786 872 934 1000
D8010 limited ort 3192 3408 3586 3766 4156
D8020 limited ort 3502 3622 3919 4082 4508
D8030 limited ort 4008 4268 4510 4666 4944
D8040 limited ort 4400 4605 4812 5116 5446
D8070 comprehensi 6575 6775 6930 7102 7567
D8080 comprehens 6601 6829 7056 7184 7540
D8090 comprehens 6418 6675 6855 7143 7467
D8210 removable 1024 1136 1192 1252 1349
D8220 fixed appli 1249 1328 1366 1436 1509
D8660 pre-orthod 484 537 569 603 657
D8670 periodic or 363 377 404 427 451
D8680 orthodontic 569 626 669 697 740
D8681 removable 285 302 310 320 345
D8695 removal of 306 353 389 450 484
D8696 repair of o 323 329 339 351 374
D8697 repair of o 323 329 339 354 370
D8698 re-cement o 339 355 385 398 421
D8699 re-cement o 339 355 385 395 420
D8701 repair of f 398 421 432 444 460
D8702 repair of f 398 418 430 444 456
D8703 replacement 382 398 427 455 479
D8704 replacement 384 410 438 456 478
D8999 unspecifie 535 562 583 637 740
D9110 palliative 189 196 203 211 226
D9120 fixed parti 303 320 327 340 357
D9130 temporomand 353 370 385 399 411
D9210 local anest 99 104 108 115 123
D9211 regional bl 120 125 131 138 149
D9212 trigeminal 320 331 345 363 394
D9215 local anest 84 89 92 97 104
D9219 evaluation 149 154 159 164 171
D9222 deep sedati 341 357 374 393 399
D9223 deep sedat 330 337 356 373 407
D9230 inhalation 108 114 120 125 140
D9239 intravenous 319 339 368 380 426
D9243 intravenou 264 306 323 361 412
D9248 non-intrav 399 425 448 469 491
D9310 consultatio 175 188 199 209 222
D9311 consultatio 226 246 261 269 289
D9410 house/exten 327 339 347 366 395
D9420 hospital or 405 442 454 486 522
D9430 office visi 110 116 121 129 137
D9440 office visi 250 262 273 285 300
D9450 case prese 215 228 239 250 282
D9610 therapeutic 131 142 148 157 166
D9612 therapeutic 236 250 263 270 292
D9613 infiltratio 255 270 280 289 296
D9630 drugs or m 39 46 55 64 75
D9910 applicatio 81 85 91 97 105
D9911 application 101 107 112 116 122
D9912 pre-visit p 90 108 147 192 215
D9920 behavior m 197 209 217 236 252
D9930 treatment o 171 180 189 197 212
D9932 cleaning a 104 114 122 134 146
D9933 cleaning a 104 114 125 134 146
D9934 cleaning an 102 109 116 126 142
D9935 cleaning an 104 110 114 131 146
D9938 fabricationIR IR IR IR IR
D9939 placement IR IR IR IR IR
D9941 fabrication 336 355 382 398 431
D9942 repair and/ 323 344 360 373 398
D9943 occlusal g 159 172 182 200 215
D9944 occlusal gu 773 810 858 896 967
D9945 occlusal gu 656 701 740 789 851
D9946 occlusal gu 695 731 772 823 881
D9950 occlusion a 473 498 529 553 607
D9951 occlusal ad 248 266 279 295 318
D9952 occlusal a 891 926 966 1006 1062
D9970 enamel mic 272 290 299 318 335
D9971 odontoplast 223 245 256 271 285
D9972 external bl 402 439 470 510 558
D9973 external bl 298 321 341 354 386
D9974 internal bl 388 410 428 445 468
D9975 external bl 314 341 398 435 479
D9961 duplicate/c 64 77 112 145 191
D9985 sales tax IR IR IR IR IR
D9986 missed app 69 76 82 86 93
D9987 cancelled 75 83 85 90 109
D9990 certified tr 112 118 125 134 143
D9991 dental cas 114 121 124 129 143
D9992 dental cas 138 142 171 193 219
D9993 dental cas 116 125 135 151 164
D9994 dental case 98 99 106 109 117
D9997 dental cas 175 182 192 197 208
D9995 teledentist 220 278 328 352 397
D9996 teledentist 114 151 180 192 217
D9999 unspecified 232 249 277 312 351
D9947 custom sleIR IR IR IR IR
D9948 adjustmentIR IR IR IR IR
D9949 repair of 271 285 378 410 501
D9953 reline cust IR IR IR IR IR
D9954 fabricationIR IR IR IR IR
D9955 oral applia IR IR IR IR IR
D9956 administraIR IR IR IR IR
D9957 screening fIR IR IR IR IR
Copyright Notices
This file contains copyrighted material.
ADA CDT COPYRIGHT NOTICE:
CDT Copyright © 2023 American Medical Association. All Rights Reserved.

NDAS Fee Information COPYRIGHT NOTICE:

NDAS Copyright © 2024 Wasserman Medical Publishers. All Rights Reserved.

For full copyright and other important notices see EULA

C:\NDAS 2024 Pricing Program\DISNDAS.txt

Licensed User: Ben Tuinei

Company:
License Number: N24658DV1
Users: 1
90th Percentile 95the Percentile
101 107
148 166
132 150
171 184
264 291
137 149
125 132
182 199
147 155
146 162
239 263
55 59
48 51
72 79
120 137
122 129
53 57
83 88
97 105
116 127
171 186
626 683
967 1017
359 397
825 922
211 228
207 225
137 175
538 561
570 596
557 586
572 651
619 665
1140 1238
805 907
804 908
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
537 553
568 591
565 595
601 626
 625 665
901 942
772 805
IR IR
IR IR
IR IR
234 278
410 472
IR IR
116 132
91 101
100 110
100 118
237 259
472 514
526 553
494 510
559 577
IR IR
IR IR
145 IR
341 368
336 364
289 304
337 355
285 296
IR IR
298 314
370 426
159 181
117 130
106 118
277 313
141 182
142 154
142 159
141 162
IR IR
IR IR
IR IR
292 371
300 372
393 415
297 329
339 344
427 557
463 494
471 488
 271 295
382 394
426 493
222 239
225 238
299 315
578 667
294 321
353 392
167 187
124 137
74 80
73 80
IR IR
117 131
134 142
132 134
104 117
97 107
109 120
189 211
168 179
134 159
563 649
740 790
742 759
635 698
772 849
780 856
197 238
200 255
229 258
179 213
236 285
236 282
643 687
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
220 250
269 291
340 366
412 460
495 549
306 320
370 389
448 478
563 599
874 994
324 348
421 448
508 546
603 632
1451 1605
1493 1661
1568 1720
1698 1926
1766 1941
1849 1992
1770 1897
1847 1967
1992 2128
1658 1818
1709 1854
1768 1928
1758 1956
1816 1970
1930 2052
1607 1747
1616 1782
1681 1852
1656 1880
1656 1878
1707 1930
1705 1805
1804 1881
1900 2046
1720 1878
1787 1986
1952 2090
1969 2106
1871 1992
 1904 1999
2003 2100
2045 2149
1874 1958
1893 1992
1992 2104
2115 2265
1881 2016
1992 2116
1985 2103
825 880
IR IR
360 401
IR IR
228 262
215 239
222 248
478 518
714 765
1058 1146
485 536
603 670
632 665
628 642
621 642
255 285
327 345
374 404
495 516
155 172
756 815
565 592
583 624
370 409
504 546
1321 1485
1804 1970
2133 2210
570 651
1065 1148
IR IR
484 528
513 545
526 561
538 563
585 788
166 175
164 181
 402 431
426 465
530 569
492 514
532 569
1360 1480
1536 1672
1849 1938
1138 1209
783 806
670 714
1616 1747
1779 1918
2087 2276
707 743
497 521
970 1021
732 791
627 671
1069 1107
1429 1530
1548 1650
1638 1813
811 855
1299 1409
1366 1807
1366 1930
1349 1502
1365 1519
1340 1485
1302 1377
1357 1407
561 584
973 1079
1112 1172
955 1025
2540 2706
1464 1564
454 478
IR IR
856 938
738 757
485 508
679 732
1136 1245
627 683
530 575
1609 1727
 1242 1323
1451 1533
1168 1252
1418 1540
1426 1502
2095 2263
1667 1740
1146 1251
997 1050
962 1027
1260 1365
1506 1595
IR IR
1389 1457
1737 1914
1933 2058
1722 1819
1896 1974
1707 1830
1196 1253
2050 2160
1796 1870
1409 1517
899 1003
859 911
451 487
347 382
311 322
349 392
236 257
245 272
191 213
160 187
423 476
3294 3542
3328 3642
3435 3626
3495 3691
2604 2841
2561 2824
3301 3551
3301 3528
2808 3005
2837 3014
2784 2969
2788 2942
3101 3219
3096 3290
 3042 3187
2980 3107
2102 2197
2124 2226
2095 2165
2092 2164
174 200
171 190
171 189
171 189
428 464
429 473
370 427
402 456
426 476
512 529
512 563
479 539
370 412
427 473
478 529
1309 1416
1309 1422
1056 1155
1024 1111
988 1063
989 1063
IR IR
687 760
683 761
697 782
686 756
830 909
826 901
825 871
825 871
1774 2038
1774 2044
1330 1420
1327 1379
1062 1344
407 456
405 458
1252 1373
3922 4185
3863 4097
3938 4246
3861 4111
 699 744
811 860
1027 1525
2080 2359
360 380
336 395
11480 11670
IR IR
2131 2513
IR IR
IR IR
949 999
881 913
IR IR
IR IR
1699 1707
IR IR
IR IR
10805 11163
IR IR
9318 10762
10079 10715
IR IR
1251 IR
6739 7411
10217 10973
IR IR
12491 13604
IR IR
IR IR
IR IR
IR IR
IR IR
IR IR
1901 2174
IR IR
IR IR
4129 4854
1192 1321
854 1022
1189 1222
373 397
833 922
831 939
1147 1416
477 537
3207 3469
860 926
 3220 3392
1412 1768
3017 3146
2519 2899
12134 12893
9211 9501
1318 1457
1427 1509
1549 1641
1235 1325
1212 1259
IR IR
IR IR
IR IR
5452 5824
1310 1381
1544 1628
1024 1249
1301 1470
1210 1622
6080 6693
5975 6534
5238 5630
5247 5709
18496 21050
18268 20822
12880 14273
12519 14722
6765 7135
6568 6896
2306 2442
2391 2603
2195 2371
2230 2366
2424 2559
2401 2609
2232 2338
2226 2365
2285 2447
2604 2815
2684 2845
2557 2652
2669 2793
2614 2701
2738 2845
2593 2718
2596 2805
2615 2717
 2322 2472
2417 2504
2292 2452
2347 2504
2602 2669
2456 2604
2341 2503
2300 2452
2578 2854
2562 2754
2617 2912
2713 2851
2655 2848
2920 5177
2838 3175
2684 2857
2852 2904
2766 3058
569 670
497 526
970 1060
1241 1423
939 996
278 310
353 404
1193 1261
IR IR
916 991
376 406
760 IR
1741 2197
1763 1881
1971 2133
1862 2013
1863 1994
1885 1992
1992 2106
1871 1974
1862 2000
2078 2157
1956 2070
1944 2063
1819 1992
1780 1987
1318 1436
1672 1801
1708 1841
1650 1757
1803 1931
1814 1953
1798 1986
1820 1979
1814 1978
1819 1992
1783 1976
1848 1993
1829 1941
1826 1958
1942 2051
1844 1960
1890 1992
1823 1969
1886 1993
1823 1968
1966 2058
1889 1978
1773 1873
1848 1992
1820 1962
1860 1978
1956 2078
1969 2084
1878 2014
1935 2049
2037 2158
1914 2046
1921 1992
1927 2043
1995 2120
1954 1991
2044 2126
1788 1987
1884 2003
1888 2020
1065 1304
1869 2067
346 392
765 804
1184 1336
681 738
1474 1559
1171 1270
259 290
369 384
512 557
579 648
 694 748
850 909
991 1023
578 631
813 884
2488 2709
1502 1617
995 1085
1357 1433
939 979
872 932
854 901
IR IR
999 1081
646 725
425 445
394 425
838 865
545 610
4616 5118
IR IR
3859 3994
IR IR
2419 2505
IR IR
1737 1823
1678 1707
2217 2296
563 635
539 596
863 926
742 799
2559 2701
4745 5967
797 889
1252 1410
1917 1961
1451 1697
2054 2375
2584 2681
799 860
1745 1948
2813 2992
1117 1206
1717 1832
1236 1359
1805 1929
1407 1511
 1703 1925
1621 1700
1617 1708
13364 14346
IR IR
455 480
698 818
1083 1218
1296 1712
681 730
1143 1233
1048 1085
3350 3546
7385 7691
5800 6358
8068 8638
5700 6256
6222 6663
5111 5437
2870 3256
3414 3652
12544 12976
7685 8385
5575 5886
9497 10045
5882 6289
7782 8098
9754 9928
4596 4637
3362 3427
15583 16809
7695 8288
1259 1323
1838 1872
9394 10161
8842 9539
9808 10501
9446 10104
7353 7512
18175 18888
IR IR
13800 15051
1057 1194
1554 1765
5601 6261
7722 8447
9440 10051
10167 10599
IR IR
IR IR
2152 2522
353 382
1094 1178
563 610
1088 1266
2165 2658
4870 5205
831 895
233 338
6664 7178
IR IR
14790 15353
13610 14283
11340 12071
13836 14759
18158 18871
15251 16324
20186 20745
23077 25714
4539 4741
4721 5041
3813 3932
1238 1352
5298 5839
1296 1393
IR IR
791 843
797 856
961 1114
955 1011
549 627
1320 1369
1021 1030
1445 1707
IR IR
3121 3362
3004 3351
2801 2909
6572 7178
IR IR
IR IR
IR IR
IR IR
605 651
3953 4211
1286 1475
4420 4628
5130 5605
5473 5868
5889 6231
7918 8369
7976 8323
7967 8101
1588 1777
1676 1805
749 892
516 562
814 895
426 547
544 582
414 452
423 451
440 492
444 508
485 529
517 554
516 566
514 567
856 860
252 285
394 431
426 476
140 157
167 178
431 469
114 130
184 219
462 532
439 503
159 171
503 529
486 572
532 572
254 285
315 329
446 475
576 631
171 193
331 362
319 372
179 196
312 336
374 419
91 122
 114 137
138 145
297 IR
283 303
237 275
164 175
163 175
154 175
158 176
IR IR
IR IR
475 512
427 448
272 328
1046 1110
961 1027
967 1033
683 777
352 387
1165 1334
360 376
311 364
643 760
428 498
508 549
535 568
259 287
IR IR
110 114
114 125
158 184
164 217
247 322
191 234
126 143
303 385
426 461
240 280
363 404
IR IR
IR IR
600 IR
IR IR
IR IR
IR IR
IR IR
IR IR
 CODE DESCRIPTION QUANTITY Fees Production
D8090 comprehen 47 $4,805.70 225867.9
D2740 crown - po 141 $1,031.39 145426
D2392 resin-base 387 $177.67 68758.29
D1110 prophylaxis 586 $93.01 54503.86
D0150 comprehens 654 $72.25 47251.5
D4341 periodontal 236 $168.16 39685.76
D6065 implant s 18 $1,848.67 33276.06
D2644 onlay - po 24 $1,117.96 26831.04
D0330 panoramic 289 $91.70 26501.3
D2393 resin-base 118 $215.11 25382.98

Chart Title
250000

200000

150000

100000

50000

0
D8090 D2740 D2392 D1110 D0150 D4341 D6065 D2644 D0330 D2393
 Annual Production and Income
01/15/2023 - 01/15/2024
All Providers
Unearned Pt
Month Production Adjustments Writeoff Total Production Pt Income
Income
Jan 2023 43,129.00 -5,004.60 -290.00 37,834.40 11,426.00 15,234.60
Feb 2023 58,365.00 -5,527.58 -1,624.26 51,213.16 22,217.60 10,616.80
Mar 2023 97,080.00 -6,206.20 -1,261.00 89,612.80 57,873.25 679.80
Apr 2023 60,126.00 -1,923.25 -2,810.00 55,392.75 40,101.70 1,165.21
May 2023 76,532.97 -5,478.40 -2,326.00 68,728.57 48,795.52 10.00
Jun 2023 80,511.93 -5,162.50 -1,688.00 73,661.43 36,542.88 0.00
Jul 2023 90,390.86 -6,238.30 -3,290.00 80,862.56 46,750.01 5,316.00
Aug 2023 91,340.50 -8,297.20 -3,702.00 79,341.30 57,577.55 6,284.40
Sep 2023 90,661.00 -5,138.70 -887.00 84,635.30 49,734.70 0.00
Oct 2023 111,678.00 -6,946.16 -2,493.90 102,237.94 61,256.90 2,505.00
Nov 2023 73,237.00 -1,129.00 -2,784.00 69,324.00 43,560.97 770.00
Dec 2023 92,780.00 -2,400.92 -2,893.00 87,486.08 50,765.48 863.88
Jan 2024 60,324.00 -547.50 -1,533.00 58,243.50 35,548.38 3,011.00

Total Production (Production + Adjustments - Writeoffs): 993,738.11

Total Pt Income (Pt Income + Unearned Pt Income): 608,607.63
Total Income (Total Pt Income + Ins Income): 845,792.43
Ins Income Total Income
6,124.00 32,784.60 37,834.40
9,768.43 42,602.83 938,573.79
18,962.34 77,515.39
17,253.30 58,520.21
20,452.65 69,258.17
14,869.10 51,411.98
15,463.47 67,529.48
24,673.15 88,535.10
23,597.50 73,332.20
20,613.45 84,375.35
23,580.80 67,911.77
26,229.34 77,858.70
15,597.27 54,156.65