Monetary amount

SV302 is a submitted charge amount.

Code identifying the type of facility where services were performed; the first and second positions of the Uniform Bill Type code or the Place of Service code from the Electronic Media Claims National Standard Format

SV303 is the place of service code representing the location where the dental treatment was rendered.

Code specifying the placement status for the dental work

Numeric value of quantity

SV306 is the number of procedures.

A free-form description to clarify the related data elements and their content

SV307 is the reason for replacement.

Code indicating whether or not co-payment requirements were met on a line by line basis

Code indicating the type of agreement under which the provider is submitting this claim

Code indicating a Yes or No condition or response

SV310 is the predetermination of benefits indicator. A "Y" value indicates that this service is being submitted for predetermination of benefits.