Appendix M: Tooth Identification
The following tables provide valid value requirements for DC047 – Tooth Number, DC048 – Dental Quadrant, and DC049 – Tooth Surface. This information was sourced from Appendix K – External Code Sources, Dental Provider Specialty Codes, Tooth Surface, Tooth Number, and Dental Quadrant Definitions.
Page Contents
Tooth Number or Letter Identification
The Tooth Numbering System tables support DC047 – Tooth Number or Letter Identification.
| Permanent Tooth Number System | |
|---|---|
01 = 3rd Molar (wisdom tooth) - Upper Right | 17 = 3rd Molar (wisdom tooth) - Lower Left |
02 = 2nd Molar (12-year molar) - Upper Right | 18 = 2nd Molar (12-year molar) - Lower Left |
03 = 1st Molar (6-year molar) - Upper Right | 19 = 1st Molar (6-year molar) - Lower Left |
04 = 2nd Bicuspid (2nd premolar) - Upper Right | 20 = 2nd Bicuspid (2nd premolar) - Lower Left |
05 = 1st Bicuspid (1st premolar) - Upper Right | 21 = 1st Bicuspid (1st premolar) - Lower Left |
06 = Cuspid (canine/eye tooth) - Upper Right | 22 = Cuspid (canine/eye tooth) - Lower Left |
07 = Lateral incisor - Upper Right | 23 = Lateral incisor - Lower Left |
08 = Central incisor - Upper Right | 24 = Central incisor - Lower Left |
09 = Central incisor - Upper Left | 25 = Central incisor - Lower Right |
10 = Lateral incisor - Upper Left | 26 = Lateral incisor - Lower Right |
11 = Cuspid (canine/eye tooth) - Upper Left | 27 = Cuspid (canine/eye tooth) - Lower Right |
12 = 1st Bicuspid (1st premolar) - Upper Left | 28 = 1st Bicuspid (1st premolar) - Lower Right |
13 = 2nd Bicuspid (2nd premolar) - Upper Left | 29 = 2nd Bicuspid (2nd premolar) - Lower Right |
14 = 1st Molar (6-year molar) - Upper Left | 30 = 1st Molar (6-year molar) - Lower Right |
15 = 2nd Molar (12-year molar) - Upper Left | 31 = 2nd Molar (12-year molar) - Lower Right |
16 = 3rd Molar (wisdom tooth) - Upper Left | 32 = 3rd Molar (wisdom tooth) - Lower Right |
| Primary Tooth Numbering System | |
|---|---|
A = 2nd Molar - Upper Right | K = 2nd Molar - Lower Left |
B = 1st Molar - Upper Right | L = 1st Molar - Lower Left |
C = Cuspid - Upper Right | M = Cuspid - Lower Left |
D = Lateral Incisor - Upper Right | N = Lateral Incisor - Lower Left |
E = Central Incisor - Upper Right | O = Central Incisor - Lower Left |
F = Central Incisor - Upper Left | P = Central Incisor - Lower Right |
G = Lateral Incisor - Upper Left | Q = Lateral Incisor - Lower Right |
H = Cuspid - Upper Left | R = Cuspid - Lower Right |
I = 1st Molar - Upper Left | S = 1st Molar - Lower Right |
J = 2nd Molar - Upper Left | T = 2nd Molar - Lower Right |
Universal Tooth Numbering System by Quadrant
| Permanent Dentition | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Upper Right | Upper Left | ||||||||||||||
| 01 | 02 | 03 | 04 | 05 | 06 | 07 | 08 | 09 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
| 32 | 31 | 30 | 29 | 28 | 27 | 26 | 25 | 24 | 23 | 22 | 21 | 20 | 19 | 18 | 17 |
| Lower Right | Lower Left | ||||||||||||||
| Primary Dentition | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Upper Right | Upper Left | ||||||||||||||
| A | B | C | D | E | F | G | H | I | J | ||||||
| T | S | R | Q | P | O | N | M | L | K | ||||||
| Lower Right | Lower Left | ||||||||||||||
Dental Quadrants
The Dental Quadrant table supports DC048 – Dental Quadrants.
| Value | Definition |
|---|---|
00 | Entire Oral Cavity |
01 | Maxillary Arch |
02 | Mandibular Arch |
10 | Upper Right Quadrant |
20 | Upper Left Quadrant |
30 | Lower Left Quadrant |
40 | Lower Right Quadrant |
LA | Lower Anterior |
UR | Upper Right Quadrant |
UL | Upper Left Quadrant |
LR | Lower Right Quadrant |
LL | Lower Left Quadrant |
BR | Bottom Right Quadrant |
TR | Top Right Quadrant |
TL | Top Left Quadrant |
BL | Bottom Left Quadrant |
Tooth Surface
The Tooth Surface table supports DC049 – Tooth Surface.
| Value | Definition |
|---|---|
B | Buccal |
D | Distal |
F | Facial (or Labial) |
I | Incisal |
L | Lingual |
M | Mesial |
O | Occlusal |