TMPPM 2008 > Texas Medicaid Services > Dental > Tooth Identification (TID) and Surface Identification (SID) Systems

   
 

19.14.1 Supernumerary Tooth Identification

Each identified permanent tooth and each identified primary tooth has its own identifiable supernumerary number. This developed system can be found in the CDT published by the ADA.

The TID for each identified supernumerary tooth will be used for paper and electronic claims and can only be billed with the following procedure codes:

For primary teeth only: D7111.

For both primary and permanent teeth the following codes are billable: D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7285, D7286, and D7510.

Permanent Teeth Upper Arch

Tooth #

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Super #

51

52

53

54

55

56

57

58

59

60

61

62

63

64

65

66

Permanent Teeth Lower Arch

Tooth #

32

31

30

29

28

27

26

25

24

23

22

21

20

19

18

17

Super #

82

81

80

79

78

77

76

75

74

73

72

71

70

69

68

67

Primary Teeth Upper Arch

Tooth #

A

B

C

D

E

F

G

H

I

J

Super #

AS

BS

CS

DS

ES

FS

GS

HS

IS

JS

Primary Teeth Lower Arch

Tooth #

T

S

R

Q

P

O

N

M

L

K

Super #

TS

SS

RS

QS

PS

OS

NS

MS

LS

KS


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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