eClaim
Dental items requiring tooth ID
| Item Number | Treatment Type/Description |
| Essential Dental |
| *161 | Fissure sealing – per tooth |
| General Dental |
| *116 | Enamel micro abrasion |
| *511 | Metallic restoration - one surface |
| *512 | Metallic restoration - two surface |
| *513 | Metallic restoration - three surface |
| *514 | Metallic restoration - four surface |
| *515 | Metallic restoration - five surface |
| *521 | Adhesive restoration - 1 surface |
| *522 | Adhesive restoration - 2 surface |
| *523 | Adhesive restoration - 3 surface |
| *524 | Adhesive restoration - 4 surface |
| *525 | Adhesive restoration - 5 surface |
| *531 | Adhesive restoration - 1 surface - posterior tooth |
| *532 | Adhesive restoration - 2 surface - posterior tooth |
| *533 | Adhesive restoration - 3 surface - posterior tooth |
| *534 | Adhesive restoration - 4 surface - posterior tooth |
| *535 | Adhesive restoration - 5 surface - posterior tooth |
| General Dental plus |
| *171 | Odontoplasty - per tooth |
| *572 | Temporary restoration |
| *574 | Temporary restoration using metal band |
| *575 | Pin retention – per pin |
| Surgical Dental |
| *311 | Removal of a tooth or part(s) thereof |
| *314 | Sectional removal of a tooth |
| *322 | Surgical removal of tooth |
| *323 | Surgical removal of tooth |
| *324 | Surgical removal of tooth |