Code	What it covers
D1110	Adult cleaning (prophylaxis)
D1120	Child cleaning (prophylaxis)
D1206	Fluoride varnish application
D1208	Topical fluoride (gel or foam, not varnish)
D1351	Dental sealant (per tooth)
D1352	Preventive resin restoration (PRR)
D1354	Silver diamine fluoride (caries arrest)
D1510	Space maintainer — fixed, unilateral