Variable    Format      Q#/Freq        Description/Label
 
BASEID      $BSIDFMT                   Unique SP Identification Number                   
                         11,943        LOW-HIGH          BASEID Count                            
 
SURVEYYR    SVYRFMT                    Survey year                                       
                         11,943                    2022  2022                                    
 
VERSION     VERSFMT                    Version Number                                    
                         11,943                       1  Version 1                               
 
EVNTNUM     $EVNTNUM                   Unique event identifier                           
                         11,769        001-999           Survey-reported event                   
                            174        U001-U999         Event created from survey-reported event
 
OREVTYPE    $EVNTTYP                   Original reported event type                      
                         11,943        DU                Dental                                  
 
CLAIMID     CLAIMID                    Claim this survey is matched to                   
                         11,915                       .  Missing                                 
                             28        Range of values   Claim ID                                
 
D_BEGYY     EVYY                       Event begin year                                  
                         11,943        Range of values   Year                                    
 
D_BEGMM     EVMM                       Event begin month                                 
                            186                       D  Don't Know                              
                              1                       R  Refused                                 
                         11,756        01-12             Month                                   
 
D_BEGDD     EVDD                       Event begin day                                   
                          3,275                       D  Don't Know                              
                            881                       .  Inapplicable                            
                             32                       N  Not ascertained                         
                             11                       R  Refused                                 
                          7,744        01-31             Day of month                            
 
SOURCE      SRCE                       Source of event: Survey, claim, or both?          
                         11,915                       1  Survey only                             
                             28                       3  Both survey & claims                    
 
SITCODE     $SITCODE                   Community or facility setting?                    
                         11,922        C                 Community                               
                             10        D                 Deemed community                        
                              2        F                 Facility                                
                              5        H                 Hospice                                 
                              4        I                 Inpatient                               
 
AMTTOT      MONYFMT                    Total payment                                     
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPATOT     IMPFLAG                    Imputation flag:  Amt total payment               
                          5,318                       0  Not Imputed                             
                          6,625                       1  Imputed by hotdeck                      
 
AMTCOV      MONYFMT                    Portion of total pay cov by Medicare              
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
AMTNCOV     MONYFMT                    Portion of total pay not cov by Medicare          
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
AMTCARE     MONYFMT                    Amount paid by Medicare FFS                       
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSCARE    IMPFLAG                    Imputation flag: SOP Medicare FFS                 
                         11,943                       0  Not Imputed                             
 
IMPACARE    IMPFLAG                    Imputation flag: Amt Medicare FFS                 
                         11,943                       0  Not Imputed                             
 
AMTCAID     MONYFMT                    Amount paid by Medicaid                           
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSCAID    IMPFLAG                    Imputation flag: SOP Medicaid                     
                         11,755                       0  Not Imputed                             
                            188                       1  Imputed by hotdeck                      
 
IMPACAID    IMPFLAG                    Imputation flag: Amt Medicaid                     
                         11,686                       0  Not Imputed                             
                            257                       1  Imputed by hotdeck                      
 
AMTMADV     MONYFMT                    Amount paid by Medicare MCO/HMO                   
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSMADV    IMPFLAG                    Imputation flag: SOP Medicare MCO/HMO             
                          9,655                       0  Not Imputed                             
                          2,288                       1  Imputed by hotdeck                      
 
IMPAMADV    IMPFLAG                    Imputation flag: Amt Medicare MCO/HMO             
                          9,201                       0  Not Imputed                             
                          2,742                       1  Imputed by hotdeck                      
 
AMTHMOP     MONYFMT                    Amount paid by Private MCO/HMO                    
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSHMOP    IMPFLAG                    Imputation flag: SOP Private MCO/HMO              
                         11,566                       0  Not Imputed                             
                            377                       1  Imputed by hotdeck                      
 
IMPAHMOP    IMPFLAG                    Imputation flag: Amt Private MCO/HMO              
                         11,456                       0  Not Imputed                             
                            487                       1  Imputed by hotdeck                      
 
AMTPRVE     MONYFMT                    Amount paid by priv ins(employer spons)           
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVE    IMPFLAG                    Imputation flag: SOP priv ins-employer            
                         11,822                       0  Not Imputed                             
                            121                       1  Imputed by hotdeck                      
 
IMPAPRVE    IMPFLAG                    Imputation flag: Amt priv ins-employer            
                         11,356                       0  Not Imputed                             
                            587                       1  Imputed by hotdeck                      
 
AMTPRVI     MONYFMT                    Amount paid by priv ins (indiv purch)             
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVI    IMPFLAG                    Imputation flag: SOP priv ins-indiv pur           
                         11,872                       0  Not Imputed                             
                             71                       1  Imputed by hotdeck                      
 
IMPAPRVI    IMPFLAG                    Imputation flag: Amt priv ins-indiv pur           
                         11,668                       0  Not Imputed                             
                            275                       1  Imputed by hotdeck                      
 
AMTPRVU     MONYFMT                    Amount paid by priv ins (unknown purch)           
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSPRVU    IMPFLAG                    Imputaiton flag: SOP priv ins-unknown             
                         11,943                       0  Not Imputed                             
 
IMPAPRVU    IMPFLAG                    Imputation flag: Amt priv ins-unknown             
                         11,943                       0  Not Imputed                             
 
AMTOOP      MONYFMT                    Amount paid by person/family                      
                         11,943        Range of values   Amount as $$$$$$.CC                     
 
IMPSOOP     IMPFLAG                    Imputation flag: SOP paid by person               
                         10,815                       0  Not Imputed                             
                          1,128                       1  Imputed by hotdeck                      
 
IMPAOOP     IMPFLAG                    Imputation flag: Amt paid by person               
                         10,107                       0  Not Imputed                             
                          1,836                       1  Imputed by hotdeck                      
 
AMTDISC     MONYFMT                    Amount of uncollected liabilities                 
                         11,943        Range of values   Amount as $$$$$$.CC                     
         Notes:  This includes sequestration reduction
 
IMPSDISC    IMPFLAG                    Imputation flag: SOP of uncoll liab               
                         11,681                       0  Not Imputed                             
                            262                       1  Imputed by hotdeck                      
 
IMPADISC    IMPFLAG                    Imputation flag: Amt of uncoll liab               
                         11,548                       0  Not Imputed                             
                            395                       1  Imputed by hotdeck                      
 
AMTOTH      MONYFMT                    Amt paid by other sources (includes VA)           
                         11,943        Range of values   Amount as $$$$$$.CC                     
         Notes:  This field also includes VA payments
 
IMPSOTH     IMPFLAG                    Imputation flag: SOP other sources                
                         11,943                       0  Not Imputed                             
 
IMPAOTH     IMPFLAG                    Imputation flag: Amt other sources                
                         11,897                       0  Not Imputed                             
                             46                       1  Imputed by hotdeck                      
 
DVEXAM      IND1FMT                    SP had dental exam                                
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,581                       0  Not indicated                           
                          6,073                       1  Indicated                               
 
DVCLEAN     IND1FMT                    SP had cleaning                                   
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                          5,519                       0  Not indicated                           
                          6,135                       1  Indicated                               
 
DVXRAYS     IND1FMT                    SP had dental xray                                
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                          8,358                       0  Not indicated                           
                          3,296                       1  Indicated                               
 
DVFLURID    IND1FMT                    SP had fluoride treatment                         
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,316                       0  Not indicated                           
                            338                       1  Indicated                               
 
DVSEALNT    IND1FMT                    SP had sealant                                    
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,604                       0  Not indicated                           
                             50                       1  Indicated                               
 
DVFILLNG    IND1FMT                    SP had fillings                                   
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,733                       0  Not indicated                           
                            921                       1  Indicated                               
 
DVINLAYS    IND1FMT                    SP had inlays                                     
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,646                       0  Not indicated                           
                              8                       1  Indicated                               
 
DVCROWN     IND1FMT                    SP had crown                                      
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,390                       0  Not indicated                           
                          1,264                       1  Indicated                               
 
DVRTCNAL    IND1FMT                    SP had root canal                                 
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,353                       0  Not indicated                           
                            301                       1  Indicated                               
 
DVPERIOD    IND1FMT                    SP had periodontal procedure                      
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,538                       0  Not indicated                           
                            116                       1  Indicated                               
 
DVRECALL    IND1FMT                    SP had periodontal recall visit                   
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,576                       0  Not indicated                           
                             78                       1  Indicated                               
 
DVEXTRAC    IND1FMT                    SP had extraction                                 
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         10,965                       0  Not indicated                           
                            689                       1  Indicated                               
 
DVIMPLNT    IND1FMT                    SP had implants                                   
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,280                       0  Not indicated                           
                            374                       1  Indicated                               
 
DVABSESS    IND1FMT                    SP had abscess or infection treatment             
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,587                       0  Not indicated                           
                             67                       1  Indicated                               
 
DVSURG      IND1FMT                    SP had oral surgery                               
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,600                       0  Not indicated                           
                             54                       1  Indicated                               
 
DVBRIDGE    IND1FMT                    SP had bridges                                    
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,417                       0  Not indicated                           
                            237                       1  Indicated                               
 
DVDENTRS    IND1FMT                    SP had dentures                                   
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,163                       0  Not indicated                           
                            491                       1  Indicated                               
 
DVREPAIR    IND1FMT                    SP had bridge/denture repair                      
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,465                       0  Not indicated                           
                            189                       1  Indicated                               
 
DVORTHO     IND1FMT                    SP had orthodontia                                
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,565                       0  Not indicated                           
                             89                       1  Indicated                               
 
DVBONDNG    IND1FMT                    SP had bonding/whiten/bleach                      
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,620                       0  Not indicated                           
                             34                       1  Indicated                               
 
DVTMJ       IND1FMT                    SP had treatment for TMD/TMJ                      
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,637                       0  Not indicated                           
                             17                       1  Indicated                               
 
DVOTHER     IND1FMT                    SP had other dental service                       
                             66                       D  Don't know                              
                            174                       .  Inapplicable/Missing                    
                             47                       N  Not ascertained                         
                              2                       R  Refused                                 
                         11,099                       0  Not indicated                           
                            555                       1  Indicated                               
 
MCOHMO      HMO                        Event provided by an MCO/HMO?                     
                          4,542                       0  Event not provided by MCO/HMO           
                          7,401                       1  Event provided by MCO/HMO               
 
