Ortho Super Mint Fluoride Mouthwash Liquid
NDC Package 83729-110-16

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

Package Information

Ortho Super Mint Fluoride Mouthwash (anticavity mouthwash) liquids is uSEFluoride mouthwash. This formulation utilizes a liquid delivery system. Marketed by Supermouth, Llc., this product is identified by NDC 83729-110 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
83729-110-16
Package Description
473 mL in 1 BOTTLE
Product Code
83729-110
11-Digit Billing Format
83729011016

Clinical Specifications

Proprietary Name
Ortho Super Mint Fluoride Mouthwash
Non-Proprietary Name
Anticavity Mouthwash
Substance Name
Sodium Fluoride
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Dental - Administration to a tooth or teeth.
Active Ingredient(s)
SODIUM FLUORIDE .002 mg/10mL
Usage Information
USEFluoride mouthwash

Regulatory & Marketing

Labeler Name
Supermouth, Llc.
Product Type
Human Otc Drug
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-21-2023
Listing Expiration
12-31-2026
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 83729-110-16 identifies a specific commercial package of 473 ml in 1 bottle of Ortho Super Mint Fluoride Mouthwash, a human over the counter drug labeled by Supermouth, Llc.. This liquid is formulated for dental use and contains 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 Supermouth, Llc. on February 21, 2023. The current certification is valid through December 31, 2026.

How is this Supermouth, Llc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83729011016. 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)
83729-110-16
11-Digit CMS (5-4-2)
83729-0110-16

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