Dental Claim Form - Area of the Oral Cavity

This is the code that is to be entered in Item 25 of the dental claim form.

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

This is now the HIPAA standard, to be used instead of the historical "UR, UL, LR, LL" designations.