ATTACHMENT C CDT DATA CODE SAMPLE LIST.xlsx

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R499--Dental Data and Medical Benchmarks
Solicitation number
36C10G23Q0016
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This combined synopsis and solicitation from the Department of Veterans Affairs seeks proposals for dental data and medical benchmarks. The VA requires obtaining current dental terminology codes to develop a dental fee schedule to standardize local dental reimbursement rates. Medical benchmarks are also required to sustain a medical fee schedule. Interested parties must quote fixed prices for the base year and four option years. Proposals are due by January 31, 2022. Award will result in a single-award, firm-fixed price contract.

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Dental Codes for Sampling Dental Code for Sampling

Row Procedure Code-Description

1D1206-TOPICAL FLUORIDE VARNISH
2D1110-DENTAL PROPHYLAXIS ADULT
3D0220-INTRAORAL PERIAPICAL FIRST
4D0230-INTRAORAL PERIAPICAL EA ADD
5D0330-DENTAL PANORAMIC IMAGE
6D0140-LIMIT ORAL EVAL PROBLM FOCUS
7D0150-COMPREHENSVE ORAL EVALUATION
8D0120-PERIODIC ORAL EVALUATION
9D0274-DENTAL BITEWING FOUR IMAGES
10D4910-PERIODONTAL MAINT PROCEDURES
11D7140-EXTRACTION ERUPTED TOOTH/EXR
12D1208-TOPICAL FLUORIDE
13D0210-INTRAORAL FULL IMAGE SERIES
14D7210-SURG REM ERUPTED TOOTH
15D2740-CROWN PORCELAIN/CERAMIC SUBS
16D2950-CORE BUILD-UP INCL ANY PINS
17D4341-PERIODONTAL SCALING & ROOT
18D2391-POST 1 SRFC RESINBASED CMPST
19D2392-POST 2 SRFC RESINBASED CMPST
20D0191-ASSESSMENT OF A PATIENT
21D2330-RESIN ONE SURFACE-ANTERIOR
22D2331-RESIN TWO SURFACES-ANTERIOR
23D4342-PERIODONTAL SCALING 1-3TEETH
24D6010-ENDOSTEAL IMPLANT BODY PLACE
25D2393-POST 3 SRFC RESINBASED CMPST
26D2332-RESIN THREE SURFACES-ANTERIO
27D0460-PULP VITALITY TEST
28D2335-RESIN 4/> SURF OR W INCIS AN
29D0270-DENTAL BITEWING SINGLE IMAGE
30D1354-TOPICAL CARIES ARREST TX
31D9310-DENTAL CONSULTATION
32D6740-RET CROWN PORCELAIN/CERAMIC
33D7250-SURG TOOTH ROOT REMOVAL
34D2750-CROWN PORCELAIN W/ H NOBLE M
35D1310-NUTRI COUNSEL-CONTROL CARIES
36D4355-FULL MOUTH DEBRIDEMENT
37D9944-OCCLUSAL GUARD HARD
38D0470-DIAGNOSTIC CASTS
39D3330-END THXPY MOLAR TOOTH
40D5110-DENTURES COMPLETE MAXILLARY
41D0364-CBCT CAPT/INTERPT PART JAW
42D9223-GENERAL ANESTHESIA EACH 15M
43D0180-COMP PERIODONTAL EVALUATION
44D9243-IV SEDATION EACH 15 MIN
45D0171-RE-EVAL,EST PT,POSTOP VISIT
46D6057-CUSTOM ABUTMENT
47D7953-BONE REPLACEMENT
480042T
490042T
500042T

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