Laserfiche WebLink
Miscellaneous services <br />D9910 Application of desensitizing medicament <br />D9911 Application of desensitizing resin for cervical and/or root surface, per tooth <br />D9920 Behavior management, by report <br />D9930 Treatment of complications (post-surgical) - unusual circumstances, by report <br />D9940 Occlusal guard, by report <br />D9941 Fabrication of athletic mouthguard <br />D9942 Repair and/or reline of occlusal guard <br />D9950 Occlusion analysis - mounted case <br />D9951 Occlusal adjustment - limited <br />D9952 Occlusal adjustment - complete <br />D9970 Enamel microabrasion' <br />D9971 Odontoplasty 1-2 teeth; includes removal of enamel projections <br />D9972 External bleaching - per arch <br />D9973 External bleaching - per tooth <br />D9974 Internal bleaching - per tooth <br />D9999 Unspecified adjunctive procedure, by report <br />Note: This Appendix represents codes and nomenclature excerpted from the version of Current <br />Dental Terminology (CDT) in effect at the date of this printing. CDT coding and nomenclature are the <br />copyright of the American Dental Association, and have been accepted as the standard for data <br />transmission purposes under federal Administrative Simplification regulations. For the purposes of <br />this Appendix, Delta Dental's administration of Benefits, Limitations and Exclusions under this <br />Contract will at all times be based on the then-current version of CDT whether or not a revised <br />Appendix B is provided. <br />15