Production Report
Treatment Details by Provider from 02-Nov-2003 to 30-Nov-2003
AGD-R- AGD Resident Activity
| Provider |
Procedure |
TX# |
RVU |
Amount |
| ROO327-Mel G |
D0120-Periodic oral evaluation |
2 |
0.00 |
60.00 |
|
D0140-Limited oral eval-prob focused |
3 |
0.00 |
135.00 |
|
D0150-Comprehensive oral eval |
16 |
0.00 |
720.00 |
| |
D0210-Intraoral-complete series |
9 |
0.00 |
720.00 |
| |
D0220-Intraoral-periapical 1st film |
3 |
0.00 |
51.00 |
| |
D0274-Bitewing-4 films |
3 |
0.00 |
117.00 |
| |
D0330-Panoramic film |
1 |
0.00 |
75.00 |
|
D1110-Prophy-adult |
3 |
0.00 |
171.00 |
|
D1351-Sealant-per tooth |
2 |
4.00 |
66.00 |
|
D2330-Resin-based comp-1 surf, ant |
8 |
48.00 |
520.00 |
|
D2331-Resin-based comp-2 surf, ant |
10 |
90.00 |
750.00 |
|
D2332-Resin-based comp-3 surf, ant |
2 |
22.00 |
200.00 |
|
D2335-Resin-based comp-4+ surf, ant |
3 |
42.00 |
363.00 |
|
D2391-Resin-based comp-1 surf, post. |
3 |
18.00 |
225.00 |
|
D2392-Resin-based comp-2 surf, post. |
1 |
9.00 |
95.00 |
|
D2393-Resin-based comp-3 surf, post. |
2 |
22.00 |
240.00 |
|
D2759.1-Start Procedure |
2 |
0.00 |
0.00 |
|
D2751.1-Start Procedure |
1 |
0.00 |
0.00 |
|
D2940-Sedative Filling |
1 |
2.00 |
45.00 |
|
D2950-Core buildup-including pins |
1 |
14.00 |
119.00 |
|
D2954-Prefab post and core |
1 |
5.00 |
140.00 |
|
D33191,1-Start Procedure |
1 |
0.00 |
0.00 |
|
D3320.1-Start Procedure |
2 |
0.00 |
0.00 |
|
D3320.2-Complete Procedure |
2 |
0.00 |
0.00 |
|
D3320-Endo therapy-bicuspid |
2 |
0.00 |
750.00 |
|
D4263-Bone repl graft – 1st site/quad |
1 |
0.00 |
90.00 |
|
D4-266-Guided tissue regen-resorb |
1 |
0.00 |
385.00 |
|
D5110.1-Start Procedure |
1 |
0.00 |
0.00 |
|
D5214.1-Start Procedure |
1 |
0.00 |
0.00 |
|
D5630-Repair or replace broken clasp |
1 |
2.00 |
105.00 |
|
D5640-Replace teeth-per tooth |
1 |
0.00 |
70.00 |
|
D6240.1-Start Procedure |
2 |
0.00 |
0.00 |
|
D6750.1-Start Procedure |
2 |
0.00 |
0.00 |
|
D7140-Extraction, eruptd tth/exp rt |
11 |
0.00 |
803.00 |
|
D9430-Office visit-observation only |
1 |
0.00 |
28.00 |
|
D9972-External bleaching-per arch |
2 |
4.00 |
290.00 |
| R00327-Mel G Totals |
108 |
282.00 |
7,333.00 |