NDC codes

FDA NDC Directory
Product NDC (as listed)83778-012Labeler and product segments. Claims need a package NDC.
Product NDC at billing width83778-0012Add 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
83778-012-01837780012016 mL in 1 BOTTLE (83778-012-01)Marketed from Dec 14, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
TeethWhitening Kit
Generic name (nonproprietary)
teethwhitening kit
Active ingredients
Potassium citrate — 3 g/100mLPhthalimidoperoxycaproic acid — 12 g/100mLTribasic calcium phosphate — 1 g/100mL
Dosage form
Cream
Route
Topical
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Listing expires
Other FDA classes
Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)
Identifiers
Product ID 83778-012_29ae5783-e7c6-a892-e063-6394a90a47e2SPL ID 29ae5783-e7c6-a892-e063-6394a90a47e2SPL set ID 29393313-217a-dc3a-e063-6294a90addb1UNII EE90ONI6FF, 5OEJ6FAL6C, 91D9GV0Z28
Pharmacologic class
Anti-coagulant; Calculi Dissolution Agent

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 HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N483778001201 followed by a unit qualifier and the quantity

Package 83778-0012-01. 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)

1. Dry your teeth and rinse mouthpiece before use 2. Looking in the mirror to recor which stage you are with shadeyuide paper. 3. Twist whitening pen until the gel flows. apply the gel evenly on bath upper and lower..teeth. Each time use about 0.5-0.7ml 4. Put mouthpiece into your mouth and bite it, then press power bltton for 1.5 secondst with blue color, press again to turn red within 5 to start the treatment.(Tips: stad and blue within 5 seconds.)seconds; double press to turn re 5. The led light will turn off automatically after 16 minutes, rinse themouthpiece andmouth with water and compareour teeth with shade guide paperagain to see howmany stages you have improved 6. Don't eat or drink…

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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