| Parent File | Name | Number | Package | 
|---|---|---|---|
| 3P BILL(#9002274.4) | Dental | 9002274.4033 | Third Party Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | DENTAL (ADA CODE) | 0;1 | POINTER TO ADA CODE FILE (#9999999.31) | ADA CODE(#9999999.31) 
 | 
| .02 | REVENUE CODE | 0;2 | POINTER TO REVENUE CODES FILE (#9999999.72) | REVENUE CODES(#9999999.72) 
 | 
| .03 | DENTAL (CPT CODE) | 0;3 | POINTER TO CPT FILE (#81) | CPT(#81) 
 | 
| .04 | CORRESPONDING DIAGNOSIS | 0;4 | FREE TEXT | 
 | 
| .05 | OPERATIVE SITE | 0;5 | POINTER TO DENTAL OPERATIVE SITE FILE (#9002010.03) | DENTAL OPERATIVE SITE(#9002010.03) 
 | 
| .06 | SURFACE | 0;6 | FREE TEXT | 
 | 
| .07 | DATE of SERVICE | 0;7 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .08 | CHARGE | 0;8 | NUMBER | ************************REQUIRED FIELD************************ 
 | 
| .09 | UNITS | 0;9 | NUMBER | 
 | 
| .11 | AREA OF ORAL CAVITY | 0;11 | SET | 
 
 | 
| .12 | TOOTH SYSTEM | 0;12 | SET | 
 
 | 
| .17 | DATA SOURCE | 0;17 | FREE TEXT | 
 | 
| .18 | SERVICE LINE PROVIDER | P;0 | POINTER Multiple #9002274.403318 | 9002274.403318 | 
| .23 | PRINT ORDER | 0;23 | NUMBER | 
 | 
| 21 | LINE ITEM CONTROL NUMBER | 2;1 | FREE TEXT | 
 |