PAYMENT - CASH
PAYMENT - CHECK
PAYMENT - INSURANCE
COLLECTION AGCY PAYT
MISC. ADJUSTMENT
ADJUST EARLIER ENTRY
BALANCE FORWARD
RESET COMPLETION
RESET RECALL
INITIAL ORAL EXAM
PERIODIC ORAL EXAM
F.M.S. X-RAYS
FIRST P.A. X-RAY
EA ADDIT P.A.
1ST BITEWING
2 BITEWINGS
2ND BITEWING
ADULT PROPHY
CHILD PROPHY
ACIDULATED FLUORIDE
OCCLUSAL SEAL/QUAD
SEALANT - PER TOOTH
B
AMALGAM - 1 SURF DEC
D
AMALGAM - 2 SURF DEC
AMALGAM - 3 SURF DEC
AMALGAM - 4 SURF DEC
1 SURFACE AMALGAM
P
2 SURFACE AMALGAM
3 SURFACE AMALGAM
4 SURF. AMALGAM
COMPOSITE -1 SURFACE
COMPOSITE - 2 SURF.
COMPOSITE - 3 SURF.
CLASS IV COMPOSITE
A.E 1 SURF COMPOSITE
A.E 2 SURF COMPOSITE
A.E 3 SURF COMPOSITE
PORC ON METAL CROWN
CAST CROWN
POST AND CORE
ROOT CANAL - 1 CANAL
ROOT CANAL - 2 CANAL
ROOT CANAL - 3 CANAL
BC GING CUR. QUAD
GING CURETTAGE QUAD.
PERIO SCALING 12+
PERIO SCALING QUAD
COMPLETE UPPER DENTR
COMPLETE LOWER DENTR
IMMEDIATE MAX. DENTR
IMMEDIATE LOWER DTR
LOWER CHR/CO PARTIAL
UPPER CHR/CO PARTIAL
PORC TO METAL PONTIC
PORC ON METAL CR. AB
SINGLE TOOTH EXT
DEC. TOOTH EXT.
SURGICAL EXTRACTION
PORC LAMINATE VENEER
3/4 CR. PORCELAIN
PALLIATIVE TREATMENT
DENTAL TREATMENT
CREDIT CARD PAYMENT
MONEY-ORDER PAYMENT
MEDICAID PAYMENT