| Name | Description | Type | Additional information |
|---|---|---|---|
| MedicalProcedureID | CompositeMedicalProcedureIdentifier |
None. |
|
| ServiceLineAmount | decimal number |
None. |
|
| OralCavityDesignation | OralCavityDesignation |
None. |
|
| ProsthesisCrownOrInlayCode | ProsthesisCrownOrInlayCode |
None. |
|
| ServiceUnitCount | integer |
None. |
|
| Description | string |
None. |