OAR 410-123-1200
Services Not To Be Billed Separately


Services that are not to be billed separately may be included in the Current Dental Terminology (CDT) codebook and may not be listed as combined with another procedure; however, they are considered to be either minimal, included in the examination, part of another service, or included in routine post-op or follow-up care.


The following services do not warrant an additional fee:


Alveolectomy/Alveoloplasty in conjunction with extractions;


Cardiac and other monitoring;


Caries risk assessment and documentation;


Curettage and root planing — per tooth;


Diagnostic casts;


Dietary counseling;


Direct pulp cap;




Dressing change;






Gingival curettage — per tooth;


Gingival irrigation;


Gingivectomy or gingivoplasty to allow for access for restorative procedure, per tooth;


Indirect pulp cap;


Local anesthesia;


Medicated pulp chambers;


Occlusal adjustments;


Occlusal analysis;




Oral hygiene instruction;
Periodontal charting, probing;


Post removal;
Polishing fillings;


Post extraction treatment for alveolaritis (dry socket treatment) if done by the provider of the extraction;


Pulp vitality tests;


Smooth broken tooth;


Special infection control procedures;


Surgical procedure for isolation of tooth with rubber dam;


Surgical splint;


Surgical stent; and


Suture removal.

Source: Rule 410-123-1200 — Services Not To Be Billed Separately, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-123-1200.

Last Updated

Jun. 8, 2021

Rule 410-123-1200’s source at or​.us