To supply orthodontic information
Numeric value of quantity
DN101 is the estimated number of treatment months.
Numeric value of quantity
DN102 is the number of treatment months remaining.
Code indicating a Yes or No condition or response
DN103 is the orthodontic indicator. A "Y" value indicates that the claim contains services related to treatment for orthodontic purposes. An "N" value indicates that the services for this claim are not for orthodontic purposes.
A free-form description to clarify the related data elements and their content
DN104 is the appliance description.