File DENTAL_TREATMENT__AMIS_(221) Data List
| DATE |
STATION.DIVISION |
PROVIDER NUMBER |
DENTAL PROVIDER |
SSN |
X-RAYS INTRAORAL # |
PROPHY NATURAL DENTITION |
PROPHY DENTURE |
NEOPLASM CONFIRMED MALIGNANT # |
NEOPLASM REMOVED # |
BIOPSY/SMEAR # |
FRACTURE # |
OTHER SIGNIF. SURG. (CTV) |
DENTAL PATIENT |
SURFACES RESTORED # |
ROOT CANAL THERAPY # |
PERIODONTAL QUADS (SURGICAL) # |
PERIO QUADS (ROOT PLANE) # |
PATIENT ED. (CTV) |
INDIVIDUAL CROWNS # |
POST & CORES # |
FIXED PARTIALS (ABUT) # |
PATIENT (POINTER) |
FIXED PARTIALS (PONT ONLY) # |
REMOVABLE PARTIALS # |
COMPLETE DENTURES # |
PROSTHETIC REPAIR # |
SPLINTS & SPEC. PROCS. (CTV) |
EXTRACTIONS # |
SURGICAL EXTRACTIONS # |
OTHER SIGNIFICANT TREAT (CTV) |
OPERATING ROOM |
FACTOR (NOT USED) |
PATIENT CATEGORY |
CHANGE/DELETE |
BED SECTION |
SCREENING/COMPLETE EXAM |
INTERDISCIPLINARY CONSULT |
EVALUATION |
PRE AUTH/2ND OPINION EXAM |
SPOT CHECK EXAM |
SPOT CHECK DISCREPANCY # |
RELEASED BY |
DATE RELEASED |
ADMIN PROCEDURE |
COMPLETIONS/TERMINATIONS |
X-RAYS EXTRAORAL # |