Dry Socket
NDC Package 0699-0404-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Dry Socket is a . Marketed by Dentsply Llc, Professional Division, Trading As "sultan Healthcare", this product is identified by NDC 0699-0404.

Identification & Billing

NDC Package Code
0699-0404-01
Package Description
28 g in 1 JAR
Product Code
0699-0404
11-Digit Billing Format
00699040401

Clinical Specifications

Proprietary Name
Dry Socket
Dosage Form
-

Regulatory & Marketing

Labeler Name
Dentsply Llc, Professional Division, Trading As "sultan Healthcare"
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
01-01-1963
End Marketing Date
09-16-2024
Listing Expiration
09-16-2024
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0699-0404-01 identifies a specific commercial package of 28 g in 1 jar of Dry Socket, labeled by Dentsply Llc, Professional Division, Trading As "sultan Healthcare". This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Dentsply Llc, Professional Division, Trading As "sultan Healthcare" on January 01, 1963. The current certification is valid through September 16, 2024.

How is this Dentsply Llc, Professional Division, Trading As "sultan Healthcare" product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00699040401. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0699-0404-01
11-Digit CMS (5-4-2)
00699-0404-01

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.