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How to Obtain Bleaching Gel Refill Syringes
- Determine how many syringes to give (the code for one syringe is D9972-1 and the code for four syringes is D9972-4).
- Add to treatment plan.
- In forms, add "SDM Tooth Care Products Form".
- Select 10% or 15% carbamide peroxide.
- Have form approved by faculty.
- "Running man" form to finance group.
- Walk patient to finance window, where they will pay for refill.
- Have finance window "running man" to dispensary.
- Pick up syringe(s) at dispensary and give to patient.