Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                         12,010        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                         12,010                    2018  2018                                    
 
VERSION  VERSFMT                       Version Number                           
                         12,010                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                         11,897        001-999           Survey-reported event                   
                            113        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                         12,010        DU                Dental                                  
 
CLAIMID  CLAIMID                       Claim this survey is matched to          
                         11,980                       .  Missing                                 
                             30        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                         12,010        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                            181                       D  Don't Know                              
                         11,829        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                          2,872                       D  Don't Know                              
                            870                       .  Inapplicable                            
                              9                       R  Refused                                 
                          8,259        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: Survey, claim, or both? 
                         11,980                       1  Survey only                             
                             30                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              1        B                 Both community & facility               
                         11,972        C                 Community                               
                             12        D                 Deemed community                        
                              1        F                 Facility                                
                              8        H                 Hospice                                 
                             12        I                 Inpatient                               
                              4        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  Amt total payment      
                          6,187                       0  Not Imputed                             
                          5,823                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                         12,010                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                         12,010                       0  Not Imputed                             
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                         11,907                       0  Not Imputed                             
                            103                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                         11,818                       0  Not Imputed                             
                            192                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                         10,948                       0  Not Imputed                             
                          1,062                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                         10,777                       0  Not Imputed                             
                          1,233                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                         11,644                       0  Not Imputed                             
                            366                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Private MCO/HMO     
                         11,515                       0  Not Imputed                             
                            495                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by priv ins(employer spons)  
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                         11,674                       0  Not Imputed                             
                            336                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                         11,067                       0  Not Imputed                             
                            943                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by priv ins (indiv purch)    
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv pur  
                         11,871                       0  Not Imputed                             
                            139                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv pur  
                         11,637                       0  Not Imputed                             
                            373                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by priv ins (unknown purch)  
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputaiton flag: SOP priv ins-unknown    
                         12,010                       0  Not Imputed                             
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                         12,010                       0  Not Imputed                             
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                         12,010        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                         10,449                       0  Not Imputed                             
                          1,561                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by person      
                          9,094                       0  Not Imputed                             
                          2,916                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                         12,010        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                         11,404                       0  Not Imputed                             
                            606                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                         11,137                       0  Not Imputed                             
                            873                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                         12,010        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                         12,009                       0  Not Imputed                             
                              1                       1  Imputed by hotdeck                      
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                         11,836                       0  Not Imputed                             
                            174                       1  Imputed by hotdeck                      
 
DVEXAM   IND1FMT                       SP had dental exam?                      
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                          6,501                       0  Not indicated                           
                          5,363                       1  Indicated                               
 
DVCLEAN  IND1FMT                       SP had cleaning?                         
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,945                       0  Not indicated                           
                          5,919                       1  Indicated                               
 
DVXRAYS  IND1FMT                       SP had dental xray?                      
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                          8,973                       0  Not indicated                           
                          2,891                       1  Indicated                               
 
DVFLURID IND1FMT                       SP had fluoride treatment?               
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,574                       0  Not indicated                           
                            290                       1  Indicated                               
 
DVSEALNT IND1FMT                       SP had sealant?                          
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,828                       0  Not indicated                           
                             36                       1  Indicated                               
 
DVFILLNG IND1FMT                       SP had fillings?                         
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,719                       0  Not indicated                           
                          1,145                       1  Indicated                               
 
DVINLAYS IND1FMT                       SP had inlays?                           
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,846                       0  Not indicated                           
                             18                       1  Indicated                               
 
DVCROWN  IND1FMT                       SP had crown?                            
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,598                       0  Not indicated                           
                          1,266                       1  Indicated                               
 
DVRTCNAL IND1FMT                       SP had root canal?                       
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,568                       0  Not indicated                           
                            296                       1  Indicated                               
 
DVPERIOD IND1FMT                       SP had periodontal procedure?            
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,691                       0  Not indicated                           
                            173                       1  Indicated                               
 
DVRECALL IND1FMT                       SP had periodontal recall visit?         
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,729                       0  Not indicated                           
                            135                       1  Indicated                               
 
DVEXTRAC IND1FMT                       SP had extraction?                       
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,997                       0  Not indicated                           
                            867                       1  Indicated                               
 
DVIMPLNT IND1FMT                       SP had implants?                         
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,519                       0  Not indicated                           
                            345                       1  Indicated                               
 
DVABSESS IND1FMT                       SP had abscess or infection treatment?   
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,766                       0  Not indicated                           
                             98                       1  Indicated                               
 
DVSURG   IND1FMT                       SP had oral surgery?                     
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,797                       0  Not indicated                           
                             67                       1  Indicated                               
 
DVBRIDGE IND1FMT                       SP had bridges?                          
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,627                       0  Not indicated                           
                            237                       1  Indicated                               
 
DVDENTRS IND1FMT                       SP had dentures?                         
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,246                       0  Not indicated                           
                            618                       1  Indicated                               
 
DVREPAIR IND1FMT                       SP had bridge/denture repair?            
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,571                       0  Not indicated                           
                            293                       1  Indicated                               
 
DVORTHO  IND1FMT                       SP had orthodontia?                      
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,822                       0  Not indicated                           
                             42                       1  Indicated                               
 
DVBONDNG IND1FMT                       SP had bonding/whiten/bleach?            
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,823                       0  Not indicated                           
                             41                       1  Indicated                               
 
DVTMJ    IND1FMT                       SP had treatment for TMD/TMJ?            
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,853                       0  Not indicated                           
                             11                       1  Indicated                               
 
DVOTHER  IND1FMT                       SP had other dental service?             
                             50                       D  Don't know                              
                             94                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,287                       0  Not indicated                           
                            577                       1  Indicated                               
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                          5,209                       0  Event not provided by MCO/HMO           
                          6,801                       1  Event provided by MCO/HMO               
 
