Dentree
NDC Package 76170-101-50

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Dentree is adults and children 6 years of age and olderBrushless: shake the container before pumping 2-3 times on a toothbrush to brush the teeth or into mouth for close-mouthed, gurgle the foam inside the mouth for about 30 seconds. Marketed by E-soup Co., Ltd., this product is identified by NDC 76170-101 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
76170-101-50
Package Description
50 mL in 1 BOTTLE, PUMP
Product Code
11-Digit Billing Format
76170010150
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dentree
Dosage Form
-
Usage Information
Adults and children 6 years of age and olderBrushless: shake the container before pumping 2-3 times on a toothbrush to brush the teeth or into mouth for close-mouthed, gurgle the foam inside the mouth for about 30 seconds. Rinse off the residue with clean water several times to achieve the intended cleanliness.With Brush: after gurgle the foam inside the mouth for about 30 seconds, you may use toothbrush to clean before rinse.Children under 6 years oldask a dentist or physician

Regulatory & Marketing

Labeler Name
E-soup Co., Ltd.
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
04-01-2012
Listing Expiration
12-31-2021
Exclude Flag
I
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 76170-101-50 identifies a specific commercial package of 50 ml in 1 bottle, pump of Dentree, labeled by E-soup Co., Ltd.. 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 E-soup Co., Ltd. on April 01, 2012. The current certification is valid through December 31, 2021.

How is this E-soup Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76170010150. 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)
76170-101-50
11-Digit CMS (5-4-2)
76170-0101-50

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