How to read a dental treatment plan
Most plan lines follow the same pattern: which tooth, which surfaces, what procedure, sometimes followed by a code and a fee. "#30 MOD comp" means a tooth-colored (composite) filling on three surfaces of tooth 30, the lower right first molar.
- The tooth. A number (1–32) or a letter (A–T), often after "#". Some lines name an area instead, such as UR (upper right).
- The surfaces. Capital letters like MOD or DO. They appear for work on part of a tooth, such as fillings.
- The procedure. Shorthand like comp, PFM, RCT or SRP. The tool above explains more than 80 of these.
If a word still makes no sense, ask the office before treatment starts.
Tooth numbers in the US vs other countries
US offices use the Universal system, which the ADA uses on its claim form. Adult teeth are numbered 1 to 32: tooth 1 is the upper right wisdom tooth, the numbers run across the upper jaw to 16, then drop to the lower left wisdom tooth (17) and run back to 32. Baby teeth are lettered A to T in the same order.
International charts often use FDI (ISO 3950), the system the World Health Organization uses in its oral health surveys. Each tooth gets two digits: the quarter of the mouth (1–4 for adult teeth, 5–8 for baby teeth), then the position counting back from the middle (1–8 for adult teeth, 1–5 for baby teeth).
| Tooth | Universal | FDI | Palmer |
|---|---|---|---|
| Upper right wisdom tooth | 1 | 18 | 8┘ (UR8) |
| Upper left first molar | 14 | 26 | └6 (UL6) |
| Lower left first molar | 19 | 36 | ┌6 (LL6) |
| Lower right first molar | 30 | 46 | 6┐ (LR6) |
Watch out for numbers that exist in both systems. Tooth 14 is the upper left first molar in Universal, but the upper right first premolar in FDI. The same goes for 11 to 18, 21 to 28, 31 and 32, so the decoder warns you when a number could mean another tooth. Numbers like 36 or 46 can only be FDI, and in Universal, 51 to 82 mark extra (supernumerary) teeth. The Tooth Number Chart shows every tooth in all three systems.
Plans also name quadrants, the four quarters of the mouth: UR (upper right), UL (upper left), LL (lower left) and LR (lower right). "SRP UR UL" means a deep cleaning of the upper right and upper left quarters.
What MOD, DO and other surface letters mean
The ADA claim form gives each surface of a tooth a one-letter code:
| Letter | Surface | Where it is |
|---|---|---|
| M | Mesial | The side facing the middle of the arch, toward your front teeth |
| D | Distal | The side toward the back of the mouth |
| O | Occlusal | The chewing surface of a back tooth |
| I | Incisal | The biting edge of a front tooth |
| B | Buccal | The cheek side of a back tooth |
| F | Facial (labial) | The outer side, toward the lips or cheeks |
| L | Lingual | The tongue side |
The letters are written together with no spaces. MOD is a filling that covers the mesial, occlusal and distal surfaces: one side, the top and the other side of a back tooth. DO covers the back side and the chewing surface, and MO the front side and the chewing surface. On a front tooth, MI or DI includes a corner of the biting edge. The order of the letters doesn't change the meaning. To see how long fillings usually last, try How Long Does Dental Work Last?
What dental procedure codes are
A capital D followed by four digits is a CDT code, from the American Dental Association's Code on Dental Procedures and Nomenclature. Federal HIPAA rules name it as the standard code set for dental services, so it appears on claims and many estimates. Each code has a short official name, and some have longer descriptions.
The ADA owns the copyright to that wording, so this page doesn't list codes or their descriptions. The tool spots anything shaped like a code, and the office can tell you what it stands for.
Black's cavity classes (Class I to VI)
"Class II" on a plan usually refers to G.V. Black's classification, a system over 100 years old that sorts cavities and fillings by where they are on the tooth. Newer systems exist, but dental teams still learn it.
| Class | Where |
|---|---|
| I | Pits and grooves, mainly the chewing surface of back teeth |
| II | A side of a back tooth (premolar or molar) |
| III | A side of a front tooth, not including the biting corner |
| IV | A side of a front tooth, including the biting corner |
| V | Near the gumline, on the cheek, lip or tongue side of any tooth |
| VI | The biting edge of a front tooth or the tip of a cusp (added to Black's five classes later) |
So "#14 Class II amalgam" is a silver filling on a side of tooth 14, and an MOD or DO filling on a back tooth is usually called a Class II filling. Orthodontists also use Class I, II and III, but to describe how the upper and lower teeth meet.
How this tool works
- It splits your text into lines and words. Prices, dates, percentages and code-like patterns are set aside first, so "245.00" is never read as a tooth.
- Tooth numbers are read in the system you choose (Universal unless you switch). A number that only exists in the other system is read in that system, and the tool says so. Palmer codes like UR6, baby tooth letters, lists ("#1, #16") and ranges ("#2-5") work too.
- Surfaces are groups of the letters M, O, D, B, L, F and I, with no letter repeated. A single letter next to a tooth number is read as a surface, while "ext K" is read as baby tooth K.
- Abbreviations are matched against our glossary, longest phrase first, so "comp exam" is an exam and "comp" alone is a composite filling. Each definition was checked against the sources below.
- Anything else is shown as "not recognized" rather than guessed.
Limits: offices write shorthand in their own ways, and some abbreviations have two meanings ("max" can mean the upper jaw or your annual maximum). It can't tell you whether a treatment is right for you or what it will cost. For costs, try the Dental Insurance Calculator. For treatment day, see How long will I be numb? and When can I eat after dental work?
Privacy: the text you paste stays in your browser. It isn't sent anywhere or saved. A copied link carries only the decoded tooth numbers, surface letters and glossary terms, never your text.
Frequently asked questions
What does MOD mean on a dental treatment plan?
What do UR, UL, LR and LL mean?
What do 4BWX and FMX mean?
Is tooth 14 the same tooth everywhere?
What is a dental procedure code like a D with four numbers?
What is a Class II filling?
Sources
- American Dental Association. Glossary of Dental Terms (administrative and clinical terms). Accessed October 26, 2026.
- American Dental Association. ADA Dental Claim Form Completion Instructions, Version 2024 (items 26–28: tooth system, tooth numbers, tooth surfaces). 2023. Accessed October 26, 2026.
- American Dental Association. ADA Dental Claim Form (tooth designation systems). Accessed October 26, 2026.
- World Health Organization. Oral health surveys: basic methods, 5th edition (tooth notation after ISO 3950). 2013. Accessed October 26, 2026.
- American Dental Association. The Code on Dental Procedures and Nomenclature (CDT Code). Accessed October 26, 2026.
- Legal Information Institute, Cornell Law School. 45 CFR § 162.1002 – Medical data code sets. Accessed October 26, 2026.
- Centers for Medicare & Medicaid Services (Medicare Learning Network). American Dental Association: Current Dental Terminology (license terms for CMS use). Accessed October 26, 2026.
- American Association of Endodontists. Glossary of Endodontic Terms, Tenth Edition. 2020. Accessed October 26, 2026.
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- Gloucestershire Hospitals NHS Foundation Trust (Oral and Maxillofacial). Advice for patients having a tooth removed (GHPI0792_03_25). content reviewed March 2025. Accessed October 26, 2026.
- Cleveland Clinic. Wisdom Teeth Removal: Procedure & Recovery. last updated August 11, 2026. Accessed October 26, 2026.
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Last reviewed by the Dental Health Time editorial team, against the sources above. How we review.