41
TYPE OF
ENCOUNTER
PATIENT AGE AND DENTAL DEVELOPMENTAL STAGE
1
Child with
Primary
Dentition
(prior to
eruption of first
permanent tooth)
Child with
Transitional
Dentition
(after
eruption of first
permanent
tooth)
Adolescent
with
Permanent
Dentition
(prior to
eruption of
third molars)
Adult,
Dentate or
Partially
Edentulous
Adult,
Edentulous
New Patient*
being evaluated for
oral diseases
Individualized
radiographic
exam consisting
of selected
periapical/occlusal
views and/or
posterior
bitewings if
proximal surfaces
cannot be
visualized or
probed. Patients
without evidence
of disease and
with open
proximal contacts
may not require a
radiographic
Individualized
radiographic
exam
consisting of
posterior
bitewings with
panoramic
exam or
posterior
bitewings and
selected
periapical
images.
Individualized radiographic
exam consisting of posterior
bitewings with panoramic
exam or posterior bitewings
and selected periapical
images. A full mouth intraoral
radiographic exam is
preferred when the patient
has clinical evidence of
generalized oral disease or a
history of extensive dental
treatment.
Individualized
radiographic
exam, based
on clinical signs
and symptoms.
Recall Patient*
with clinical caries or
at increased risk for
caries**
Posterior bitewing exam at 6-12 month intervals if
proximal surfaces cannot be examined visually or with
a probe
Posterior
bitewing
exam at 6-
18 month
intervals
Not applicable
Recall Patient*
with no clinical caries
and not at increased
risk for caries**
Posterior bitewing exam at 12-24
month intervals if proximal surfaces
cannot be examined visually or with
a probe
Posterior
bitewing exam
at 18-36
month
intervals
Posterior
bitewing
exam at 24-
36 month
intervals
Not applicable
Recall Patient*
with periodontal
disease
Clinical judgment as to the need for and type of radiographic images
for the evaluation of periodontal disease. Imaging may consist of, but
is not limited to, selected bitewing and/or periapical images of areas
where periodontal disease (other than nonspecific gingivitis) can be
demonstrated clinically.
Not applicable
Patient (New and
Recall)
for monitoring
of dentofacial growth
and development,
and/or assessment of
dental/skeletal
relationships
Clinical judgment as to need for and
type of radiographic images for
evaluation and/or monitoring of
dentofacial growth and development
or assessment of dental and skeletal
relationships
Clinical
judgment as to
need for and
type of
radiographic
images for
evaluation
and/or
monitoring of
dentofacial
growth and
development,
or assessment
of dental and
skeletal
relationships.
Panoramic or
periapical
Usually not indicated for
monitoring of growth and
development. Clinical
judgment as to the need for
and type of radiographic
image for evaluation of dental
and skeletal relationships.
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