| SEQUENCE NUMBER | YEAR MONTH | SCREENING/COMPLETE EXAM | ADMIN PROCEDURE | X-RAYS EXTRAORAL # | X-RAYS INTRAORAL # | PROPHY NATURAL DENTITION | PROPHY DENTURE | OPERATING ROOM | NEOPLASM CONFIRMED MALIGNANT # | NEOPLASM REMOVED # | BIOPSY/SMEAR # | EXTRACT NUMBER | FRACTURE # | PATIENT CATEGORY | OTHER SIGNIF. SURG. (CTV) | SURFACES RESTORED # | ROOT CANAL THERAPY # | PERIDONTAL QUADS (SURGICAL) # | PERIO QUADS (ROOT PLANE) # | PATIENT ED (CTV) | SPOT CHECK EXAM | INDIVIDUAL CROWNS # | FACILITY | POST & CORES # | FIXED PARTIALS (ABUT) # | FIXED PARTIALS (PONT ONLY) # | REMOVABLE PARTIALS # | COMPLETE DENTURES # | PROSTHETIC REPAIR # | SPLINT AND SPEC. PROCESS (CTV) | EXTRACTIONS # | SURGICAL EXTRACTIONS # | OTHER SIG TREATMENT (CTV) | PATIENT NO. - DFN | DIVISION (STATION DIVISION) | COMPLETIONS/TERMINATIONS | INTERDISCIPLINARY CONSULT | EVALUATIONS | PRE AUTHORIZATION/2ND OPINION | SPOT CHECK DISCREPANCY | MOVEMENT FILE # | TREATING SPECIALTY | PRIMARY CARE TEAM | PRIMARY CARE PROVIDER | SSN | TIME | MASTER PATIENT INDEX | DSS DEPARTMENT | PROVIDER NPI | PC PROVIDER NPI | PC PROVIDER PERSON CLASS | ASSOCIATE PC PROVIDER | ASSOC. PC PROV. PERSON CLASS | ASSOCIATE PC PROVIDER NPI | DOM,PRRTP AND SAARTP INDICATOR | NAME | OBSERVATION PATIENT INDICATOR | ENCOUNTER NUMBER | PRODUCTION DIVISION CODE | IN OUT PATIENT INDICATOR | DAY | PROVIDER |
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