Pro-sys Paste, Dentifrice
NDC Package 66975-779-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Pro-sys (professional sensitivity, sls free - mint (5000 ppm)) pastes is pRO-SYS Professional is a self-applied dentrifice for prevention of tooth decay, orthodontic decalcification and hypersensitivity. This formulation utilizes a paste, dentifrice delivery system. Marketed by Benco Dental, this product is identified by NDC 66975-779.

Identification & Billing

NDC Package Code
66975-779-01
Package Description
113 g in 1 TUBE
Product Code
11-Digit Billing Format
66975077901
RxNorm Crosswalk
  • RxCUI: 637365 - potassium nitrate 5 % / sodium fluoride 1.1 % Toothpaste
  • RxCUI: 637365 - potassium nitrate 0.05 MG/MG / sodium fluoride 0.011 MG/MG Toothpaste
  • RxCUI: 637365 - K+ nitrate 0.05 MG/MG / Sodium Fluoride 0.011 MG/MG Toothpaste
  • RxCUI: 637365 - Pot nitrate 0.05 MG/MG / Sodium Fluoride 0.011 MG/MG Toothpaste
  • RxCUI: 637365 - potassium nitrate 5 % / sodium fluoride 1.1 % Gel Toothpaste

Clinical Specifications

Proprietary Name
Pro-sys
Non-Proprietary Name
Professional Sensitivity, Sls Free - Mint (5000 Ppm)
Substance Name
Potassium Nitrate; Sodium Fluoride
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.
Usage Information
PRO-SYS Professional is a self-applied dentrifice for prevention of tooth decay, orthodontic decalcification and hypersensitivity.

Regulatory & Marketing

Labeler Name
Benco Dental
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
12-01-2025
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 66975-779-01 identifies a specific commercial package of 113 g in 1 tube of Pro-sys, a human prescription drug labeled by Benco Dental. This paste, dentifrice is formulated for dental use and contains potassium nitrate; sodium fluoride 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 Benco Dental on December 01, 2025. The current certification is valid through December 31, 2027.

How is this Benco Dental product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66975077901. 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)
66975-779-01
11-Digit CMS (5-4-2)
66975-0779-01

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