D0160 Initial Oral Examination – Comprehensive Oral Examination
This is usually the first examination given to a patient. It is a thorough assessment and recording of the intraoral and extraoral tissues. This also includes patients who have not been seen by the Children’s Aid Society for at least 30 months.

D0120 Periodic Oral Examination
This refers to an evaluation on a patient of record who has already had a comprehensive oral examination or previous periodic oral examination within a period of 30 months.

D0140 Problem Examination – Limited Oral Evaluation
This refers to an evaluation limited to a specific oral health problem or complaint. Patients receiving this type of evaluation present with specific problems and/or dental emergencies, trauma, acute infections, and other acute and emergent problems.

D0210 Full Mouth Survey – Intraoral Complete Series
This includes a full series of periapical films AND bitewings. Do not check bitewings when checking full mouth survey on the encounter form.


D1110 Prophylaxis – Adult
A dental prophylaxis performed on the permanent dentition that includes scaling and polishing procedures.

D1120 Prophylaxis – Child
A dental prophylaxis performed on the primary or transitional dentition only that includes scaling and polishing procedures.

D1320 Tobacco Counseling for the Control and Prevention of Oral Disease
Smokeless tobacco has been shown to increase oral cancers. Smoking is a major factor in the incidence of periodontal diseases. Patients who use tobacco should be counseled as to its oral impact and the potential consequences of continued use.

D4910 Periodontal Maintenance
This refers to the scaling of patients who have been previously been treated for periodontal disease and requires a more extensive scaling. This is not to be used for patients who do not exhibit periodontal disease but have extensive calculus.


D2940 Sedative Filling
This refers to a temporary restoration intended to restore a tooth in the event a permanent restoration is unable to be completed. Temporary restorations placed during emergency visits can use the code D9110.


D3220 Pulpotomy – Permanent Tooth
This refers to the surgical removal of a portion of the pulp with the aim of maintaining the vitality of the remaining portion of the pulp. This is not to be used as the first step of root canal therapy.

D3230 Pulpal Therapy-Anterior Primary Tooth
This refers to the use of the filling of the pulp chamber of primary incisors and cuspids excluding the final restoration.

D3230 Pulpal Therapy-Posterior Primary Tooth
This refers to the use of the filling of the pulp chamber of primary molars excluding the final restoration.

PERIODONTI5/30/07strong>D4355 Full Mouth Debridement
This refers to the initial scaling of the entire dentition of a patient with periodontal disease.


D7111 Coronal Remnants – Primary Tooth
This refers to the removal of soft tissue-retained coronal remnants of a primary tooth.

D7250 Surgical Removal of Residual Tooth Roots
This refers to the removing of residual roots through a surgical procedure to include the cutting of soft tissue and bone followed by the suturing of soft tissue.


D9110 Palliative Treatment of Dental Pain – Minor Procedure
This service denotes treatment provided for the alleviation of pain. It will be used for emergency services and includes the following:

  • Temporary restoration
  • Non-invasive procedures related to trauma
  • Counseling related to tooth eruption and oral pathologies
  • Prescription of pharmaceuticals