NDC codes

FDA NDC Directory
Product NDC (as listed)0135-0572Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00135-0572Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0135-0572-02001350572021 TUBE in 1 CARTON (0135-0572-02) / 96.4 g in 1 TUBEMarketed from Jul 14, 2014
0135-0572-03001350572032 TUBE in 1 CARTON (0135-0572-03) / 96 g in 1 TUBEMarketed from Apr 1, 2024

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Sensodyne Complete Protection Extra FreshSuffix: Extra Fresh
Generic name (nonproprietary)
stannous fluoride
Active ingredients
Stannous fluoride1.1 mg/g
Dosage form
Paste
Route
Dental
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Listing expires
Identifiers
Product ID 0135-0572_78b76a64-361a-41e8-aead-29ac143c0901SPL ID 78b76a64-361a-41e8-aead-29ac143c0901SPL set ID e3cc3146-8aed-4f6b-a252-e379418c2b8dRxCUI 416784UNII 3FTR44B32Q

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400135057202 followed by a unit qualifier and the quantity

Package 00135-0572-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses • aids in the prevention of dental cavities. • helps prevent gingivitis, an early form of gum disease. • helps interfere with harmful effects of plaque associated with gingivitis. • builds increasing protection against painful sensitivity of the teeth to cold, heat, acids, sweets, or contact.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 022

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 022
ProductStrengthForm · routeLabelerProduct NDC
Finafta MultiOralbenzocaineBenzocaine 7.5 mg/100mLSprayOralEfficient Laboratories Inc.58593-782
DenTek Instant Pain Relief Maximum StrengthbenzocaineBenzocaine 200 mg/mLLiquidDental, TopicalDenTek Oral Care, Inc.60630-078
Astra-dent Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalZag Usa Inc71363-102
Pearson Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPearson Dental Supplies INC.43305-0008
Natural Cherry Honey Herb Throat DropsmentholMenthol 2.1 mg/1LozengeOralRicola USA Inc.63667-517
Pearson Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPearson Dental Supplies INC.43305-0009
HurriCaine Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDental, Oral, PeriodontalBeutlich Pharmaceuticals, LLC0283-0622
Astra-dent Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalZag Usa Inc71363-100
Toothachepolyhexamethylene biguanide hydrochloridePolihexanide hydrochloride .25 g/100mLSprayTopicalGuchutang Biotechnology (Longyan) Co., Ltd87083-012
Sore Mouth Cleanserhydrogen peroxideHydrogen peroxide 15 mg/mLMouthwashTopicalMeijer, Inc.41250-750
Pearson Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPearson Dental Supplies INC.43305-0010
Cherry Throat DropsmentholMenthol 1.3 mg/1LozengeOralRicola USA Inc.63667-518
Astra-dent Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalZag Usa Inc71363-101
EcoDent Ultimate Essential Mouthcare Sparkling Clean Mintsodium bicarbonateSodium bicarbonate 25 mg/mLLiquidOralLotus Brands, Inc.76328-223
Parodontax Active Gum Health Daily Mouthwash Breath Freshenercetylpyridinium chlorideCetylpyridinium chloride 70 mg/mLLiquidOralHaleon US Holdings LLC0135-0652
Patterson Dental Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPatterson Dental50227-1014
Natural Lemon Mint Herb Throat DropsmentholMenthol 1.5 mg/1LozengeOralRicola Ag54305-489
Quality Choice Maximum Strength Oral Pain RelievingbenzocaineBenzocaine 20 g/100gGelTopicalChain Drug Marketing Association Inc63868-953
Kaylaanzero waste refill for toothpasteSodium fluoride .37 mg/440mgTablet, ChewableDentalKaylaan LLC82091-116
Patterson Dental Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPatterson Dental50227-1011

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