Variable Format    Q#/Freq            Description/Label
 
BASEID   $BSIDFMT                      Unique SP Identification Number          
                          9,778        LOW-HIGH          BASEID Count                            
 
SURVEYYR SVYRFMT                       Survey year                              
                          9,778                    2020  2020                                    
 
VERSION  VERSFMT                       Version Number                           
                          9,778                       1  Version 1                               
 
EVNTNUM  $EVNTNUM                      Unique event identifier                  
                          9,657        001-999           Survey-reported event                   
                            121        U001-U999         Event created from survey-reported event
 
OREVTYPE $EVNTTYP                      Original reported event type             
                          9,778        DU                Dental                                  
 
CLAIMID  CLAIMID                       Claim this survey is matched to          
                          9,767                       .  Missing                                 
                             11        Range of values   Claim ID                                
 
D_BEGYY  EVYY                          Event begin year                         
                          9,778        Range of values   Year                                    
 
D_BEGMM  EVMM                          Event begin month                        
                            258                       D  Don't Know                              
                              1                       R  Refused                                 
                          9,519        01-12             Month                                   
 
D_BEGDD  EVDD                          Event begin day                          
                          2,738                       D  Don't Know                              
                            938                       .  Inapplicable                            
                              6                       N  Not ascertained                         
                             24                       R  Refused                                 
                          6,072        01-31             Day of month                            
 
SOURCE   SRCE                          Source of event: Survey, claim, or both? 
                          9,767                       1  Survey only                             
                             11                       3  Both survey & claims                    
 
SITCODE  $SITCODE                      Community or facility setting?           
                              2        B                 Both community & facility               
                          9,756        C                 Community                               
                              9        D                 Deemed community                        
                              4        H                 Hospice                                 
                              6        I                 Inpatient                               
                              1        S                 SNF                                     
 
AMTTOT   MONYFMT                       Total payment                            
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT  IMPFLAG                       Imputation flag:  Amt total payment      
                          4,059                       0  Not Imputed                             
                          5,719                       1  Imputed by hotdeck                      
 
AMTCOV   MONYFMT                       Portion of total pay cov by Medicare     
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV  MONYFMT                       Portion of total pay not cov by Medicare 
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE  MONYFMT                       Amount paid by Medicare FFS              
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE IMPFLAG                       Imputation flag: SOP Medicare FFS        
                          9,778                       0  Not Imputed                             
 
IMPACARE IMPFLAG                       Imputation flag: Amt Medicare FFS        
                          9,778                       0  Not Imputed                             
 
AMTCAID  MONYFMT                       Amount paid by Medicaid                  
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID IMPFLAG                       Imputation flag: SOP Medicaid            
                          9,671                       0  Not Imputed                             
                            107                       1  Imputed by hotdeck                      
 
IMPACAID IMPFLAG                       Imputation flag: Amt Medicaid            
                          9,619                       0  Not Imputed                             
                            159                       1  Imputed by hotdeck                      
 
AMTMADV  MONYFMT                       Amount paid by Medicare MCO/HMO          
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV IMPFLAG                       Imputation flag: SOP Medicare MCO/HMO    
                          7,592                       0  Not Imputed                             
                          2,186                       1  Imputed by hotdeck                      
 
IMPAMADV IMPFLAG                       Imputation flag: Amt Medicare MCO/HMO    
                          7,318                       0  Not Imputed                             
                          2,460                       1  Imputed by hotdeck                      
 
AMTHMOP  MONYFMT                       Amount paid by Private MCO/HMO           
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP IMPFLAG                       Imputation flag: SOP Private MCO/HMO     
                          9,394                       0  Not Imputed                             
                            384                       1  Imputed by hotdeck                      
 
IMPAHMOP IMPFLAG                       Imputation flag: Amt Private MCO/HMO     
                          9,280                       0  Not Imputed                             
                            498                       1  Imputed by hotdeck                      
 
AMTPRVE  MONYFMT                       Amount paid by priv ins(employer spons)  
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE IMPFLAG                       Imputation flag: SOP priv ins-employer   
                          9,646                       0  Not Imputed                             
                            132                       1  Imputed by hotdeck                      
 
IMPAPRVE IMPFLAG                       Imputation flag: Amt priv ins-employer   
                          9,344                       0  Not Imputed                             
                            434                       1  Imputed by hotdeck                      
 
AMTPRVI  MONYFMT                       Amount paid by priv ins (indiv purch)    
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI IMPFLAG                       Imputation flag: SOP priv ins-indiv pur  
                          9,692                       0  Not Imputed                             
                             86                       1  Imputed by hotdeck                      
 
IMPAPRVI IMPFLAG                       Imputation flag: Amt priv ins-indiv pur  
                          9,520                       0  Not Imputed                             
                            258                       1  Imputed by hotdeck                      
 
AMTPRVU  MONYFMT                       Amount paid by priv ins (unknown purch)  
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU IMPFLAG                       Imputaiton flag: SOP priv ins-unknown    
                          9,778                       0  Not Imputed                             
 
IMPAPRVU IMPFLAG                       Imputation flag: Amt priv ins-unknown    
                          9,778                       0  Not Imputed                             
 
AMTOOP   MONYFMT                       Amount paid by person/family             
                          9,778        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP  IMPFLAG                       Imputation flag: SOP paid by person      
                          8,312                       0  Not Imputed                             
                          1,466                       1  Imputed by hotdeck                      
 
IMPAOOP  IMPFLAG                       Imputation flag: Amt paid by person      
                          7,686                       0  Not Imputed                             
                          2,092                       1  Imputed by hotdeck                      
 
AMTDISC  MONYFMT                       Amount of uncollected liabilities        
                          9,778        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2013 this includes sequestration reduction
 
IMPSDISC IMPFLAG                       Imputation flag: SOP of uncoll liab      
                          9,523                       0  Not Imputed                             
                            255                       1  Imputed by hotdeck                      
 
IMPADISC IMPFLAG                       Imputation flag: Amt of uncoll liab      
                          9,428                       0  Not Imputed                             
                            350                       1  Imputed by hotdeck                      
 
AMTOTH   MONYFMT                       Amt paid by other sources (includes VA)  
                          9,778        Range of values   Amount as $$$$$$.CC                     
         Notes:  Beginning in 2016, this field also includes VA payments
 
IMPSOTH  IMPFLAG                       Imputation flag: SOP other sources       
                          9,778                       0  Not Imputed                             
 
IMPAOTH  IMPFLAG                       Imputation flag: Amt other sources       
                          9,725                       0  Not Imputed                             
                             53                       1  Imputed by hotdeck                      
 
DVEXAM   IND1FMT                       SP had dental exam                       
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          4,837                       0  Not indicated                           
                          4,686                       1  Indicated                               
 
DVCLEAN  IND1FMT                       SP had cleaning                          
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          4,687                       0  Not indicated                           
                          4,836                       1  Indicated                               
 
DVXRAYS  IND1FMT                       SP had dental xray                       
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          6,902                       0  Not indicated                           
                          2,621                       1  Indicated                               
 
DVFLURID IND1FMT                       SP had fluoride treatment                
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,304                       0  Not indicated                           
                            219                       1  Indicated                               
 
DVSEALNT IND1FMT                       SP had sealant                           
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,496                       0  Not indicated                           
                             27                       1  Indicated                               
 
DVFILLNG IND1FMT                       SP had fillings                          
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          8,633                       0  Not indicated                           
                            890                       1  Indicated                               
 
DVINLAYS IND1FMT                       SP had inlays                            
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,515                       0  Not indicated                           
                              8                       1  Indicated                               
 
DVCROWN  IND1FMT                       SP had crown                             
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          8,468                       0  Not indicated                           
                          1,055                       1  Indicated                               
 
DVRTCNAL IND1FMT                       SP had root canal                        
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,274                       0  Not indicated                           
                            249                       1  Indicated                               
 
DVPERIOD IND1FMT                       SP had periodontal procedure             
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,428                       0  Not indicated                           
                             95                       1  Indicated                               
 
DVRECALL IND1FMT                       SP had periodontal recall visit          
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,445                       0  Not indicated                           
                             78                       1  Indicated                               
 
DVEXTRAC IND1FMT                       SP had extraction                        
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          8,806                       0  Not indicated                           
                            717                       1  Indicated                               
 
DVIMPLNT IND1FMT                       SP had implants                          
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,270                       0  Not indicated                           
                            253                       1  Indicated                               
 
DVABSESS IND1FMT                       SP had abscess or infection treatment    
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,474                       0  Not indicated                           
                             49                       1  Indicated                               
 
DVSURG   IND1FMT                       SP had oral surgery                      
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,471                       0  Not indicated                           
                             52                       1  Indicated                               
 
DVBRIDGE IND1FMT                       SP had bridges                           
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,312                       0  Not indicated                           
                            211                       1  Indicated                               
 
DVDENTRS IND1FMT                       SP had dentures                          
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,093                       0  Not indicated                           
                            430                       1  Indicated                               
 
DVREPAIR IND1FMT                       SP had bridge/denture repair             
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,268                       0  Not indicated                           
                            255                       1  Indicated                               
 
DVORTHO  IND1FMT                       SP had orthodontia                       
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,492                       0  Not indicated                           
                             31                       1  Indicated                               
 
DVBONDNG IND1FMT                       SP had bonding/whiten/bleach             
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,485                       0  Not indicated                           
                             38                       1  Indicated                               
 
DVTMJ    IND1FMT                       SP had treatment for TMD/TMJ             
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,520                       0  Not indicated                           
                              3                       1  Indicated                               
 
DVOTHER  IND1FMT                       SP had other dental service              
                             61                       D  Don't know                              
                            121                       .  Inapplicable/Missing                    
                             70                       N  Not ascertained                         
                              3                       R  Refused                                 
                          9,063                       0  Not indicated                           
                            460                       1  Indicated                               
 
MCOHMO   HMO                           Event provided by an MCO/HMO?            
                          3,916                       0  Event not provided by MCO/HMO           
                          5,862                       1  Event provided by MCO/HMO               
 
