| Parent File | Name | Number | Package | 
|---|---|---|---|
| 399.0304 | TOOTH INFORMATION | 399.30491 | Integrated Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | TOOTH CODE | 0;1 | POINTER TO X12 278 DENTAL NUMBERING SYSTEM FILE (#356.022) | X12 278 DENTAL NUMBERING SYSTEM(#356.022)
  | 
| .02 | TOOTH SURFACE (1) | 0;2 | SET | 
 
  | 
| .03 | TOOTH SURFACE (2) | 0;3 | SET | 
 
  | 
| .04 | TOOTH SURFACE (3) | 0;4 | SET | 
 
  | 
| .05 | TOOTH SURFACE (4) | 0;5 | SET | 
 
  | 
| .06 | TOOTH SURFACE (5) | 0;6 | SET | 
 
  | 
| .07 | DENTAL TREATMENT PLAN ENTRY | 0;7 | NUMBER | 
  |