Supernumerary (extra) teeth • Only services covered are extrac�ons • Coding: • Permanent den��on –add ‘50’ 8 becomes 58 … 21 becomes 71 • Primary den��on –add an ‘S’ A becomes AS … Q becomes QS Tooth Surfaces (used for restora�ons) • Mesial –side that comes in contact with adjacent tooth. Mesial faces the front of the mouth • Distal –side that comes in contact with adjacent tooth. Distal faces the back of the mouth • Incisal(anterior) or Occlusal (posterior) –bi�ng surface • Lingual –side that is facing the tongue • Facial (anterior) or Buccal (posterior) –side that is facing the cheek/lips Anterior vs Posterior (blue lines) Anterior -6,7,8,9,10,11,22,23,24,25,26,27, C,D,E,F,G,H,M,N,O,P,Q,R Posterior –1,2,3,4,5,12,13,14,15,16,17,18,19,20,21,28,29,30,31,32,A,B,I,J,K Tribal Affairs ProviderOne Billing Quick Reference Sheet Dental Tooth, Arch, Quad Numbering A B C D E F G H I J K L M N O P Q R S T UPPER LOWER Quad 10 Quad 20 Arch 01 Quad 40 Quad 30 Arch 02
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Supernumerary (extra) teeth• Only services covered are extrac�ons• Coding:• Permanent den��on –add ‘50’ 8 becomes 58 … 21 becomes 71• Primary den��on –add an ‘S’ A becomes AS … Q becomes QS
Tooth Surfaces (used for restora�ons)• Mesial –side that comes in contact with adjacent tooth. Mesial faces the front of the mouth• Distal –side that comes in contact with adjacent tooth. Distal faces the back of the mouth• Incisal(anterior) or Occlusal (posterior) –bi�ng surface• Lingual –side that is facing the tongue• Facial (anterior) or Buccal (posterior) –side that is facing the cheek/lips
Anterior vs Posterior (blue lines)Anterior -6,7,8,9,10,11,22,23,24,25,26,27, C,D,E,F,G,H,M,N,O,P,Q,RPosterior –1,2,3,4,5,12,13,14,15,16,17,18,19,20,21,28,29,30,31,32,A,B,I,J,K
Tribal AffairsProviderOne Billing Quick Reference Sheet
Dental Tooth, Arch, Quad Numbering
A
BC
DE F
GH
I
J
K
L
MNOPQ
R
S
T
UPPER
LOWER
Quad 10 Quad 20
Arch 01
Quad 40 Quad 30
Arch 02
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