I

GENERAL DENTAL PRACTITIONERS

Code

Procedure description

Rc

MP

Fee

Clinical oral evaluation

8101

Full mouth examination, charting and treatment planning (see Rule 001)

331.15

8102

Comprehensive consultation

432.27

A comprehensive consultation shall include treatment planning at a separate appointment where a diagnosis is made with the help of study models, full -mouth x -rays and other relevant diagnostic aids. Following on such a consultation, the patient must be supplied with a comprehensive written treatment plan which must also be recorded on the patient's file and which must include the following:

8104

Examination or consultation for a specific problem not requiring a full mouth examination, charting and treatment planning

130.75

Radiographs/Diagnostic imaging

8107

Intra-oral radiographs, per film

126.54

8108

Maximum for 8107

950.21

8113

Occlusal radiographs

196.82

8115

Extra-oral radiograph, per film

(i.e. panoramic, cephalometric, PA)

520.15

The fee is chargeable to a maximum of two films per treatment plan

Tests and laboratory examinations

8117

Study model - unmounted or mounted on a hinge articulator

141.96

+L

8119

Study model - mounted on a movable condyle articulator

365.00

+L

8121

Photograph (for diagnostic, treatment or dento-legal purposes) per photograph

141.96

8122

Bacteriological studies for determination of pathologic agents

133.95

May include, but is not limited to tests for susceptability to periodontal disease.

If requested, a periodontal risk assessment must be made available at no charge

(The use of this code is limited to general dental practitioners and specialist in community dentistry)