Supernumerary (extra) teeth• Only services covered are extrac�ons• Coding:• Permanent den��on –add ‘50’ 8 becomes 58 … 21 becomes 71• Primary den��on –add an ‘S’ A becomes AS … Q becomes QS

Tooth Surfaces (used for restora�ons)• Mesial –side that comes in contact with adjacent tooth. Mesial faces the front of the mouth• Distal –side that comes in contact with adjacent tooth. Distal faces the back of the mouth• Incisal(anterior) or Occlusal (posterior) –bi�ng surface• Lingual –side that is facing the tongue• Facial (anterior) or Buccal (posterior) –side that is facing the cheek/lips

Anterior vs Posterior (blue lines)Anterior -6,7,8,9,10,11,22,23,24,25,26,27, C,D,E,F,G,H,M,N,O,P,Q,RPosterior –1,2,3,4,5,12,13,14,15,16,17,18,19,20,21,28,29,30,31,32,A,B,I,J,K

Tribal AffairsProviderOne Billing Quick Reference Sheet

Dental Tooth, Arch, Quad Numbering

A

BC

DE F

GH

I

J

K

L

MNOPQ

R

S

T

UPPER

LOWER

Quad 10 Quad 20

Arch 01

Quad 40 Quad 30

Arch 02