ADA Dental Item Numbers

The common item numbers used for Dental Implants vary from health fund to health fund, but can include:

661, 663, 664, 665, 666, 668, 669, 671, 672, 673, 678, 679, 684, 688, 689, 691

If gum or bone grafting is required, there are additional dental items numbers such as:

234, 235, 236, 237, 238

Crowns & Bridges

611 — Resin Crown
613 — Full Porcelain or Ceramic Crown
615 — Porcelain Crown with metal base
618 — Full Metal Crown (alloy cost may be additional for Gold)
643 — Ceramic Pontic (to replace a missing tooth)
672 — Ceramic Crown for a Dental Implant

The code 572 is for temporary crowns, but we INCLUDE the temporary in our prices – we do NOT charge extra for it.

Veneers

Porcelain veneers — 583, 582

Composite veneers — 526, 536

Ceramic onlays — 551, 552, 554, 554, 555, 556

Fillings

White coloured fillings in rear teeth — 531, 532, 533, 534, 535

White coloured fillings in front teeth — 521, 522, 523, 524, 525

Metal fillings: (These are no longer carried out in good dental practices in Australia due to the risks of Mercury) — 511, 512, 613, 514, 515

Fissure Sealants: (These are minimally invasive options often used for kids.)

161, 162

Extractions

Simple extractions — 311

Complex extractions — 314, 316, 322, 323, 324

Gum Treatment and Periodontics

213 — Emergency treatment of a periodontal issue
221 — A measurement report on the health of your gums
222 — Root planing for a single tooth, or a couple of teeth
250 — Gum treatment for a quadrant (1/4 of your mouth)
251 — A follow up visit to monitor or complete a course of periodontal treatment

Splints & Guards

151 — Sports Mouthguards
811 — Retainer for post Orthodontic treatment
965 — Occlusal Splint (for teeth grinding issues)

Root Canal Treatment

Root canal treatment is usually undertaken over three visits. Note that the number of items 416 and 418 reflect the number of roots in the tooth being treated.

First Visit
419 — Removal of the nerve

Second Visit
415 — Cleaning out the nerve canal
416 — Each additional canal

Third Visit
417 — Filling the nerve canal
418 — Each additional canal

Retreatment
453 / 455 — additional cleaning of the canals

Where the tooth is sound, we do not charge extra for the final filling. Many dentists do so, which we don’t really think is fair, unless the tooth was broken down initially.

Check Up and Clean

We have an offer where you pay only $235 for a full check up and clean, which may mean Health Fund members have nothing to pay out of pocket.

011 or 012 –—Consultation
022 — Xrays of the teeth
071 — Models of the teeth
072 — Photographic imaging
114 — Dental cleaning
121 — Flouride treatment
221 — Gum measurements

Members of HCF, GMHBA, MyOwn Insurance, Frank Health Insurance, and others can have the following item numbers at their Check Up & Cleans with NO GAP TO PAY twice in any 12 month period — 011, 022, 071, 072, 114, 121, 221

We may use additional codes in some circumstances:

111 — Cleaning for kids
115 — Where an additional cleaning is required
165 — Desensitizing procedure

Dentures

711 — Upper Denture
712 — Lower Denture
719 —Upper & Lower Denture
722 / 722 — Acrylic denture base
727 / 728 — Metal denture base

In addition, the number of teeth (733) and clasps (731) or rests (732) may be charged depending on how many are needed.

X-Rays and CT Scans

022 — Intraoral radiograph (per exposure)
026 — Cone Beam Volumetric Tomography
035 — Xray of temporomandibular joint (TMJ)
037 — OPG Xray / Panoramic radiograph
039 — Computed Tomography of the skull
087 / 088 / 099 / 090 / 091 — Radiographic interpretation/reporting

Teeth Whitening

Home whitening usually uses item 119 (twice).

In chair whitening will either be 118 once, twice, or multiple times – depending on the health fund requirements.

Sometimes desensitising and remineralisation of the teeth is charged (121 / 123 / 165) depending on the patient and their insurance.