Periosciences Sensitive Ao Pro Paste, Dentifrice
NDC Package 53238-002-90

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

Package Information

Periosciences Sensitive Ao Pro (potassium nitrate, sodium monofluorophosphate) pastes is adults and children 12 years of age and older:  Apply at least a 1-inch strip of the product onto a soft bristled toothbrush. This formulation utilizes a paste, dentifrice delivery system. Marketed by Periosciences Llc, this product is identified by NDC 53238-002 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
53238-002-90
Package Description
1 TUBE in 1 CARTON / 90 mL in 1 TUBE
Product Code
53238-002
11-Digit Billing Format
53238000290
RxNorm Crosswalk
  • RxCUI: 1426152 - potassium nitrate 5 % / sodium monofluorophosphate 0.76 % Toothpaste
  • RxCUI: 1426152 - potassium nitrate 0.05 MG/MG / sodium monofluorophosphate 0.0076 MG/MG Toothpaste
  • RxCUI: 1426152 - K+ nitrate 0.05 MG/MG / Sodium monofluorophosphate 0.0076 MG/MG Toothpaste
  • RxCUI: 1426152 - Pot nitrate 0.05 MG/MG / Sodium monofluorophosphate 0.0076 MG/MG Toothpaste
  • RxCUI: 1426152 - potassium nitrate 5 % / sodium monofluorophosphate 0.76 % (fluoride ion 0.13 % ) Toothpaste

Clinical Specifications

Proprietary Name
Periosciences Sensitive Ao Pro
Non-Proprietary Name
Potassium Nitrate, Sodium Monofluorophosphate
Substance Name
Potassium Nitrate; Sodium Monofluorophosphate
Dosage Form
Paste, Dentifrice - A paste formulation intended to clean and/or polish the teeth, and which may contain certain additional agents.
Administration Route
Dental - Administration to a tooth or teeth.
Active Ingredient(s)
Usage Information
Adults and children 12 years of age and older:  Apply at least a 1-inch strip of the product onto a soft bristled toothbrush. Brush teeth thoroughly for at least one minute, preferably after each meal or at least twice a day, or as directed by a dentist or doctor. Make sure to brush all sensitive areas of the teeth.Children under 2 years of age: Ask a dentist or physician

Regulatory & Marketing

Labeler Name
Periosciences Llc
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-27-2013
Listing Expiration
12-31-2027
Exclude Flag
N
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 53238-002-90 identifies a specific commercial package of 1 tube in 1 carton / 90 ml in 1 tube of Periosciences Sensitive Ao Pro, a human over the counter drug labeled by Periosciences Llc. This paste, dentifrice is formulated for dental use and contains potassium nitrate; sodium monofluorophosphate as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Periosciences Llc on May 27, 2013. The current certification is valid through December 31, 2027.

How is this Periosciences Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53238000290. 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 (5-3-2)
53238-002-90
11-Digit CMS (5-4-2)
53238-0002-90

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