| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | 10195291007719 | ALFLRS | RASPBERRY ALGIN FLAV 2 OZ | ELW | Material, Impression | 2 | N/A | |
| 2 | 10195291007702 | ALFLRB | ROOT BEER ALGIN FLAV 2 OZ | ELW | Material, Impression | 2 | N/A | |
| 3 | 10195291008228 | M546-01 | FACEMASK REPLACEMENT PAD | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 4 | 10195291009010 | RCRUR218A-V | ROTH CRMC UR2 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 5 | 10195291002714 | 45-L4-2U-V | Composite Twin ROTH .022 LO4 -17°T 0°A 5PK | DYW | Bracket, Plastic, Orthodontic | 2 | N/A | |
| 6 | 10195291008235 | PFM001 | CHIN CUP FOR PROT. FM | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 7 | 10195291009034 | RCRUR318A-V | ROTH CRMC UR3 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 8 | 10195291009027 | RCRUR222A-V | ROTH CRMC UR2 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 9 | 10195291009003 | RCRUR122A-V | ROTH CRMC UR1 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 10 | 10195291008990 | RCRUR118A-V | ROTH CRMC UR1 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 11 | 10195291009126 | RPFMSM | REVERSE PULL FACE MASK SM | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 12 | 10195291007641 | ALFLGR | GRAPE ALGIN FLAV 2 OZ | ELW | Material, Impression | 2 | N/A | |
| 13 | 10195291009096 | RPFMCUP | CHIN CUP FOR REVERSE PULL FACEMASK | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 14 | 10195291009058 | RCRUR322A-V | ROTH CRMC UR3 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 15 | 10195291009041 | RCRUR319A-V | ROTH CRMC UR3 HK 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 16 | 10195291009119 | RPFMP | CHIN/FOREHEAD PADS-REVERSE PULL FACEMASK | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 17 | 10195291009102 | RPFMLG | REVERSE PULL FACE MASK LG | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 18 | 10195291007726 | ALFLST | STRAWBERRY ALGIN FLAV 2 OZ | ELW | Material, Impression | 2 | N/A | |
| 19 | 10195291009089 | RCRUU423A-V | ROTH CRMC UP4/5 HK 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 20 | 10195291007696 | ALFLPP | PEPPERMINT ALGIN FLAV 2 OZ | ELW | Material, Impression | 2 | N/A | |
| 21 | 10195291007689 | ALFLPN | PINEAPPLE ALGIN FLAV 2 OZ. | ELW | Material, Impression | 2 | N/A | |
| 22 | 10195291009072 | RCRUU419A-V | ROTH CRMC UP4/5 HK 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 23 | 10195291009065 | RCRUR323A-V | ROTH CRMC UR3 HK 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 24 | 10195291008983 | RCRUL323A-V | ROTH CRMC UL3 HK 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 25 | 10195291008976 | RCRUL322A-V | ROTH CRMC UL3 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 26 | 10195291008969 | RCRUL319A-V | ROTH CRMC UL3 HK 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 27 | 10195291008952 | RCRUL318A-V | ROTH CRMC UL3 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 28 | 10195291008945 | RCRUL222A-V | ROTH CRMC UL2 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 29 | 10195291008938 | RCRUL218A-V | ROTH CRMC UL2 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 30 | 10195291008921 | RCRUL122A-V | ROTH CRMC UL1 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 31 | 10195291008914 | RCRUL118A-V | ROTH CRMC UL1 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 32 | 10195291008907 | RCRU422A-V | ROTH CRMC UP4/5 022 -7°T, 0°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 33 | 10195291008891 | RCRU418A-V | ROTH CRMC UP4/5 018 -7°T, 0°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 34 | 10195291008884 | RCRLU523A-V | ROTH CRMC LO5 HK 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 35 | 10195291008877 | RCRLU519A-V | ROTH CRMC LO5 HK 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 36 | 10195291008860 | RCRLU423A-V | ROTH CRMC LO4 HK 022 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 37 | 10195291008853 | RCRLU419A-V | ROTH CRMC LO4 HK 018 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 38 | 10195291008846 | RCRLR323A-V | ROTH CRMC LR3 HK 022 -11°T, 5°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 39 | 10195291008839 | RCRLR322A-V | ROTH CRMC LR3 022 -11°T, 5°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 40 | 10195291008822 | RCRLR319A-V | ROTH CRMC LR3 HK 018 -11°T, 5°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 41 | 10195291008815 | RCRLR318A-V | ROTH CRMC LR3 018 -11°T, 5°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 42 | 10195291008808 | RCRLR122A-V | ROTH CRMC L1/2 022 0°T, 0°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 43 | 10195291008006 | KTRCM1855 | COMP ROTH 5-5 KIT 018 | DYW | Bracket, Plastic, Orthodontic | 2 | N/A | |
| 44 | 10195291007733 | ALFLWM | WATERMELON ALGIN FLAV 2 OZ | ELW | Material, Impression | 2 | N/A | |
| 45 | 10195291009157 | SOF-CCR | SG CHIN CUP W/REG HEADCAP | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 46 | 10195291009140 | SOF-CCJ | SG CHIN CUP W/JR HEADCAP | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 47 | 10195291009133 | SOF-CC | SG CHIN CUP | DZB | Headgear, Extraoral, Orthodontic | 2 | N/A | |
| 48 | 10195291009256 | VCRUR323-V | VENUS ROTH CRMC UR3 HK 022 0°T +11°A 4°M R 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 49 | 10195291009249 | VCRUR222-V | VENUS ROTH CRMC UR2 022 8°T +9°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A | |
| 50 | 10195291009232 | VCRUR218-V | VENUS ROTH CRMC UR2 018 8°T +9°A 5PK | NJM | Bracket, Ceramic, Orthodontic | 2 | N/A |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | D807K133552621 | K133-552-62 | K133-552-62 | ELATION® MB Base Rx 022 UL/5-5 CS-BC HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 2 | D807K133551621 | K133-551-62 | K133-551-62 | ELATION® MB Base Rx 018 UL/5-5 CS-BC HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 3 | D807133652611 | 133-652-61 | 133-652-61 | ELATION® MB Base Rx 022/L5 -22T HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 4 | D807133652601 | 133-652-60 | 133-652-60 | ELATION® MB Base Rx 022/L5 -22T | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 5 | D807133651611 | 133-651-61 | 133-651-61 | ELATION® MB Base Rx 018/L5 -22T HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 6 | D807133651601 | 133-651-60 | 133-651-60 | ELATION® MB Base Rx 018/L5 -22T | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 7 | D807133642611 | 133-642-61 | 133-642-61 | ELATION® MB Base Rx 022/L4 -17T HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 8 | D807133642601 | 133-642-60 | 133-642-60 | ELATION® MB Base Rx 022/L4 -17T | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 9 | D807133641611 | 133-641-61 | 133-641-61 | ELATION® MB Base Rx 018/L4 -17T HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 10 | D807133641601 | 133-641-60 | 133-641-60 | ELATION® MB Base Rx 018/L4 -17T | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 11 | D807133612601 | 133-612-60 | 133-612-60 | ELATION® MB Base Rx 022/L1-2 0T 0A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 12 | D807133611601 | 133-611-60 | 133-611-60 | ELATION® MB Base Rx 018/L1-2 0T 0A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 13 | D807133542611 | 133-542-61 | 133-542-61 | ELATION® MB Base Rx 022/U4-5 -7T HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 14 | D807133542601 | 133-542-60 | 133-542-60 | ELATION® MB Base Rx 022/U4-5 -7T | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 15 | D807133541611 | 133-541-61 | 133-541-61 | ELATION® MB Base Rx 018/U4-5 -7T HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 16 | D807133541601 | 133-541-60 | 133-541-60 | ELATION® MB Base Rx 018/U4-5 -7T | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 17 | D807133432611 | 133-432-61 | 133-432-61 | ELATION® MB Base Rx 022/LL3 -11T 7A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 18 | D807133431611 | 133-431-61 | 133-431-61 | ELATION® MB Base Rx 018/LL3 -11T 7A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 19 | D807133332611 | 133-332-61 | 133-332-61 | ELATION® MB Base Rx 022/LR3 -11T 7A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 20 | D807133331611 | 133-331-61 | 133-331-61 | ELATION® MB Base Rx 018/LR3 -11T 7A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 21 | D807133232611 | 133-232-61 | 133-232-61 | ELATION® MB Base Rx 022/UL3 0T 10A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 22 | D807133231611 | 133-231-61 | 133-231-61 | ELATION® MB Base Rx 018/UL3 0T 10A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 23 | D807133222601 | 133-222-60 | 133-222-60 | ELATION® MB Base Rx 022/UL2 8T 9A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 24 | D807133221601 | 133-221-60 | 133-221-60 | ELATION® MB Base Rx 018/UL2 8T 9A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 25 | D807133212601 | 133-212-60 | 133-212-60 | ELATION® MB Base Rx 022/UL1 12T 5A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 26 | D807133211601 | 133-211-60 | 133-211-60 | ELATION® MB Base Rx 018/UL1 12T 5A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 27 | D807133132611 | 133-132-61 | 133-132-61 | ELATION® MB Base Rx 022/UR3 0T 10A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 28 | D807133131611 | 133-131-61 | 133-131-61 | ELATION® MB Base Rx 018/UR3 0T 10A HK | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 29 | D807133122601 | 133-122-60 | 133-122-60 | ELATION® MB Base Rx 022/UR2 8T 9A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 30 | D807133121601 | 133-121-60 | 133-121-60 | ELATION® MB Base Rx 018/UR2 8T 9A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 31 | D807133112601 | 133-112-60 | 133-112-60 | ELATION® MB Base Rx 022/UR1 12T 5A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 32 | D807133111601 | 133-111-60 | 133-111-60 | ELATION® MB Base Rx 018/UR1 12T 5A | ELATION® MB | DENTSPLY SIRONA ORTHODONTICS INC. |
| 33 | 00817645020146 | 20321 | 20321 | Lucid-Lok™ Universal 4/5 Bicuspid .022 Composite Bracket w/Hook | Lucid-Lok™ | SIX MONTH SMILES |
| 34 | 00817645020139 | 20313 | 20313 | Lucid-Lok™ LR3 Cuspid .022 Composite Bracket w/Hook | Lucid-Lok™ | SIX MONTH SMILES |
| 35 | 00817645020122 | 20312 | 20312 | Lucid-Lok™ LL3 Cuspid .022 Composite Bracket w/Hook | Lucid-Lok™ | SIX MONTH SMILES |
| 36 | 00817645020115 | 20311 | 20311 | Lucid-Lok™ LR1/2 and LL1/2 .022 Composite Bracket | Lucid-Lok™ | SIX MONTH SMILES |
| 37 | 00817645020108 | 20308 | 20308 | Lucid-Lok™ UR3 Cuspid .022 Composite Bracket w/Hook | Lucid-Lok™ | SIX MONTH SMILES |
| 38 | 00817645020092 | 20307 | 20307 | Lucid-Lok™ UL3 Cuspid .022 Composite Bracket w/Hook | Lucid-Lok™ | SIX MONTH SMILES |
| 39 | 00817645020085 | 20306 | 20306 | Lucid-Lok™ UR2 Lateral .022 Composite Bracket | Lucid-Lok™ | SIX MONTH SMILES |
| 40 | 00817645020078 | 20305 | 20305 | Lucid-Lok™ UL2 Lateral .022 Composite Bracket | Lucid-Lok™ | SIX MONTH SMILES |
| 41 | 00817645020061 | 20304 | 20304 | Lucid-Lok™ UR1 Central .022 Composite Bracket | Lucid-Lok™ | SIX MONTH SMILES |
| 42 | 00817645020054 | 20303 | 20303 | Lucid-Lok™ UL1 Central .022 Composite Bracket | Lucid-Lok™ | SIX MONTH SMILES |
| 43 | 00817645020047 | 20302 | 20302 | Lucid-Lok™ .022 Composite Bracket Set w/Metal Molar Tubes | Lucid-Lok™ | SIX MONTH SMILES |
| 44 | 00817645020030 | 20301 | 20301 | Lucid-Lok™ .022 Composite Bracket 5 Set Carousel w/Metal Molar Tubes | Lucid-Lok™ | SIX MONTH SMILES |
| 45 | 00817645020023 | 20320-1 | 20320-1 | Lucid-Lok™ Composite Clearlet (Pack of 10) | Lucid-Lok™ | SIX MONTH SMILES |
| 46 | 00816063020011 | 1011 | Retainer | Invisalign | ALIGN TECHNOLOGY, INC. | |
| 47 | D746FSU2221 | FSU222 | FSU222 | Standard Edgewise Upper Lateral .022” Slot Crystal Clear Composite Bracket | Resolve Ceramic | RAINTREE ESSIX INC. |
| 48 | D746FSU2181 | FSU218 | FSU218 | Standard Edgewise Upper Lateral .018” Slot Crystal Clear Composite Bracket | Resolve Ceramic | RAINTREE ESSIX INC. |
| 49 | D746FSU1221 | FSU122 | FSU122 | Standard Edgewise Upper Central .022” Slot Crystal Clear Composite Bracket | Resolve Ceramic | RAINTREE ESSIX INC. |
| 50 | D746FSU1181 | FSU118 | FSU118 | Standard Edgewise Upper Central .018 Slot Crystal Clear Composite Bracket | Resolve Ceramic | RAINTREE ESSIX INC. |