I

GENERAL DENTAL PRACTITIONERS

Code

Procedure description

Rc

Fee

MP

Clinical oral evaluation

8101

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

270.64

8102

Comprehensive consultation

353.27

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

106.86

Radiographs/Diagnostic imaging

8107

Intra-oral radiographs, per film

103.42

8108

Maximum for 8107

776.57

8113

Occlusal radiographs

160.86

8115

Extra-oral radiograph, per film

(i.e. panoramic, cephalometric, PA)

425.10

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

116.02

+L

8119

Study model - mounted on a movable condyle articulator

298.30

+L

8121

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

116.02

8122

Bacteriological studies for determination of pathologic agents

109.47

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)