Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         11,758        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                         11,758                    2017  2017                                    
 
VERSION  VERSFMT                       Version Number                           
                         11,758                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                         11,626        001-999           Survey-reported event                   
                            132        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                         11,758        DU                Dental                                  
 
CLAIMID  CLAIMID                       Claim this survey is matched to          
                         11,726                       .  Missing                                 
                             32        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                              3                       .  Inapplicable                            
                         11,755        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                            171                       D  Don't Know                              
                              3                       .  Inapplicable                            
                             14                       R  Refused                                 
                         11,570        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                          2,282                       D  Don't Know                              
                            928                       .  Inapplicable                            
                            468                       R  Refused                                 
                          8,080        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: Survey, claim, or both? 
                         11,726                       1  Survey only                             
                             32                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              1        B                 Both community & facility               
                         11,721        C                 Community                               
                             18        D                 Deemed community                        
                             11        H                 Hospice                                 
                              5        I                 Inpatient                               
                              2        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  Amt total payment      
                          6,287                       0  Not Imputed                             
                          5,471                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare                  
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare            
                         11,758                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare            
                         11,758                       0  Not Imputed                             
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                         11,670                       0  Not Imputed                             
                             88                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                         11,587                       0  Not Imputed                             
                            171                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                         10,873                       0  Not Imputed                             
                            885                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                         10,709                       0  Not Imputed                             
                          1,049                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                         11,384                       0  Not Imputed                             
                            374                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Private MCO/HMO     
                         11,263                       0  Not Imputed                             
                            495                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by priv ins(employer spons)  
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                         11,483                       0  Not Imputed                             
                            275                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                         10,937                       0  Not Imputed                             
                            821                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by priv ins (indiv purch)    
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv pur  
                         11,612                       0  Not Imputed                             
                            146                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv pur  
                         11,350                       0  Not Imputed                             
                            408                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by priv ins (unknown purch)  
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputaiton flag: SOP priv ins-unknown    
                         11,758                       0  Not Imputed                             
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                         11,758                       0  Not Imputed                             
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                         11,758        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                         10,406                       0  Not Imputed                             
                          1,352                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by person      
                          8,993                       0  Not Imputed                             
                          2,765                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                         11,758        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                         11,263                       0  Not Imputed                             
                            495                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                         10,985                       0  Not Imputed                             
                            773                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                         11,758        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                         11,756                       0  Not Imputed                             
                              2                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                         11,605                       0  Not Imputed                             
                            153                       1  Imputed by hotdeck                      
 
DVEXAM   IND1FMT                       SP had dental exam?                      
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                          6,455                       0  Not indicated                           
                          5,154                       1  Indicated                               
 
DVCLEAN  IND1FMT                       SP had cleaning?                         
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,838                       0  Not indicated                           
                          5,771                       1  Indicated                               
 
DVXRAYS  IND1FMT                       SP had dental xray?                      
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                          8,749                       0  Not indicated                           
                          2,860                       1  Indicated                               
 
DVFLURID IND1FMT                       SP had fluoride treatment?               
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,291                       0  Not indicated                           
                            318                       1  Indicated                               
 
DVSEALNT IND1FMT                       SP had sealant?                          
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,574                       0  Not indicated                           
                             35                       1  Indicated                               
 
DVFILLNG IND1FMT                       SP had fillings?                         
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,327                       0  Not indicated                           
                          1,282                       1  Indicated                               
 
DVINLAYS IND1FMT                       SP had inlays?                           
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,571                       0  Not indicated                           
                             38                       1  Indicated                               
 
DVCROWN  IND1FMT                       SP had crown?                            
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,474                       0  Not indicated                           
                          1,135                       1  Indicated                               
 
DVRTCNAL IND1FMT                       SP had root canal?                       
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,350                       0  Not indicated                           
                            259                       1  Indicated                               
 
DVPERIOD IND1FMT                       SP had periodontal procedure?            
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,440                       0  Not indicated                           
                            169                       1  Indicated                               
 
DVRECALL IND1FMT                       SP had periodontal recall visit?         
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,470                       0  Not indicated                           
                            139                       1  Indicated                               
 
DVEXTRAC IND1FMT                       SP had extraction?                       
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,776                       0  Not indicated                           
                            833                       1  Indicated                               
 
DVIMPLNT IND1FMT                       SP had implants?                         
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,370                       0  Not indicated                           
                            239                       1  Indicated                               
 
DVABSESS IND1FMT                       SP had abscess or infection treatment?   
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,533                       0  Not indicated                           
                             76                       1  Indicated                               
 
DVSURG   IND1FMT                       SP had oral surgery?                     
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,495                       0  Not indicated                           
                            114                       1  Indicated                               
 
DVBRIDGE IND1FMT                       SP had bridges?                          
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,393                       0  Not indicated                           
                            216                       1  Indicated                               
 
DVDENTRS IND1FMT                       SP had dentures?                         
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,952                       0  Not indicated                           
                            657                       1  Indicated                               
 
DVREPAIR IND1FMT                       SP had bridge/denture repair?            
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,297                       0  Not indicated                           
                            312                       1  Indicated                               
 
DVORTHO  IND1FMT                       SP had orthodontia?                      
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,573                       0  Not indicated                           
                             36                       1  Indicated                               
 
DVBONDNG IND1FMT                       SP had bonding/whiten/bleach?            
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,560                       0  Not indicated                           
                             49                       1  Indicated                               
 
DVTMJ    IND1FMT                       SP had treatment for TMD/TMJ?            
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,584                       0  Not indicated                           
                             25                       1  Indicated                               
 
DVOTHER  IND1FMT                       SP had other dental service?             
                             44                       D  Don't know                              
                              3                       .  Inapplicable/Missing                    
                            100                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,022                       0  Not indicated                           
                            587                       1  Indicated                               
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                          5,378                       0  Event not provided by MCO/HMO           
                          6,380                       1  Event provided by MCO/HMO               
 
