I

GENERAL DENTAL PRACTITIONERS

Code

Procedure description

Rc

MP

Fee

Clinical oral evaluation

8101

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

304.08

8102

Comprehensive consultation

396.93

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

120.07

Radiographs/Diagnostic imaging

8107

Intra-oral radiographs, per film

116.20

8108

Maximum for 8107

872.54

8113

Occlusal radiographs

180.73

8115

Extra-oral radiograph, per film

(i.e. panoramic, cephalometric, PA)

477.63

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

130.36

+L

8119

Study model - mounted on a movable condyle articulator

335.16

+L

8121

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

130.36

8122

Bacteriological studies for determination of pathologic agents

123.00

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)