| No | Primary DI | Version or Model | Catalog Number | Device Description | Product Code | Product Code Name | Device Class | Brand Name |
|---|---|---|---|---|---|---|---|---|
| 1 | D903410MW1 | 410MW | 410MW | Procedure Mask | FXX | Mask, Surgical | Hedy SofMask | |
| 2 | 20686864054690 | SP-8101 | SP-8101 | MEDICOM SAFEWEAR HIPSTER JACKET | OEA | Non-surgical isolation gown | 1 | MEDICOM |
| 3 | 20686864051163 | A454 | A454 | AMD-RITMED KRIMPED GAUZE ROLL 4 1/2 Inch X 4.1 Yard | NAC | Dressing, wound, hydrophilic | AMD-RITMED KRIMPED | |
| 4 | 20686864042574 | 1015-MM250 | 1015-MM250 | DURAFLOR HALO VARNISH 5% FLUORIDE MELONMINT -DOSE | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO | |
| 5 | 20686864041058 | SP-1015V1 | SP-1015V1 | DURAFLOR HALO VARNISH 5% FLUORIDE SAMPLE PACK | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO | |
| 6 | 20686864041041 | SP-1015 | SP-1015 | DURAFLOR HALO VARNISH 5% FLUORIDE SAMPLE PACK | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO | |
| 7 | 20686864031158 | 1015-WB250 | 1015-WB250 | DURAFLOR HALO VARNISH 5% FLUORIDE WILDBERRY -DOSE | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO | |
| 8 | 20686864031141 | 1015-SM250 | 1015-SM250 | DURAFLOR HALO VARNISH 5% FLUORIDE SPEARMINT -DOSE | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO | |
| 9 | 10686864869822 | 4900 | 4900 | SAFEGAUZE HEMOSTAT STERILE 4PLY WHITE | FRO | Dressing, wound, drug | MEDICOM | |
| 10 | 10686864109089 | 2046 | 2046 | SAFEMASK PREMIER ELITE EARLOOP PINK | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 11 | 10686864057687 | 206914 | 206914 | AssureMask Precision Care - Tie-on Surgical Face Masks - Level 1 - White | FXX | Mask, surgical | MEDICOM ASSUREMASK PRECISION CARE | |
| 12 | 10686864057403 | 205616 | 205616 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 3 - PINK | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 13 | 10686864057397 | 205617 | 205617 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 3 - YELLOW | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 14 | 10686864057380 | 205615 | 205615 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 3 - BLUE | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 15 | 10686864057373 | 205614 | 205614 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 3 - WHITE | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 16 | 10686864057366 | 205516 | 205516 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 2 - PINK | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 17 | 10686864057359 | 205517 | 205517 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 2 - YELLOW | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 18 | 10686864057342 | 205515 | 205515 | ASSUREMASK BALANCE - PROCEDURE EARLOOP MASK LEVEL 2 - BLUE | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 19 | 10686864057335 | 205514 | 205514 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK LEVEL 2 - WHITE | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 20 | 10686864057311 | 205417 | 205417 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK LEVEL 1 - YELLOW | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 21 | 10686864057304 | 205416 | 205416 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK LEVEL 1 - PINK | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 22 | 10686864057298 | 205415 | 205415 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 1 - BLUE | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 23 | 10686864057281 | 205414 | 205414 | ASSUREMASK BALANCE - PROCEDURE EARLOOP FACE MASK - LEVEL 1 - WHITE | FXX | Mask, surgical | MEDICOM ASSUREMASK BALANCE | |
| 24 | 10686864057274 | 1007074 | 1007074 | MEDICOM SAFEJET DISPOSABLE AIR/WATER SYRINGE TIPS - White | ECB | Unit, Syringe, Air And/Or Water | MEDICOM SAFEJET | |
| 25 | 10686864057014 | 204216 | 204216 | SAFEMASK PREMIER ELITE PROSHIELD VISOR EARLOOP PINK L3 | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 26 | 10686864057007 | 204215 | 204215 | SAFEMASK PREMIER ELITE PROSHIELD VISOR EARLOOP BLEU L3 | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 27 | 10686864056734 | 2038 | 2038 | SAFEMASK PREMIER Pediatric Procedure Masks Earloop L1/Recommended age: 4 -12 | OXZ | Pediatric/Child Facemask | MEDICOM SAFEMASK PREMIER | |
| 28 | 10686864056437 | A69961-C | A69961-C | RITMED ASSURE WEAR VERSAGOWN FLEXNECK ISOLATION GOWN UNI | OEA | Non-surgical isolation gown | RITMED ASSURE WEAR VERSAGOWN | |
| 29 | 10686864056420 | A69958-C | A69958-C | RITMED ASSURE WEAR VERSAGOWN FLEXNECK IMPERVIOUS OTH Blue UNI | OEA | Non-surgical isolation gown | RITMED ASSURE WEAR VERSAGOWN | |
| 30 | 10686864056215 | A69925 | A69925 | RITMED ASSURE WEAR VERSAGOWN FLEXNECK SMS Thumbloop Yellow Large | OEA | Non-surgical isolation gown | RITMED ASSURE WEAR VERSAGOWN | |
| 31 | 10686864054846 | 2104 | 2104 | MEDICOM NON-WOVEN SPONGES 4PLY 4 x 4 Inch | NAC | Dressing, wound, hydrophilic | MEDICOM | |
| 32 | 10686864054839 | 2102 | 2102 | MEDICOM NON-WOVEN SPONGES 4PLY 2 x 2 Inch | NAC | Dressing, wound, hydrophilic | MEDICOM | |
| 33 | 10686864051173 | A455 | A455 | AMD-RITMED KRIMPED GAUZE ROLL 4 1/2 Inch X 4.1 Yard | NAC | Dressing, wound, hydrophilic | 1 | AMD-RITMED KRIMPED |
| 34 | 10686864048555 | 4554 | 4554 | MEDICOM COTTON DENTAL ROLL 1 1/2 X 3/8 Inch | EFN | COTTON, ROLL | MEDICOM | |
| 35 | 10686864048456 | 4002D | 4002D | AMD-RITMED SOLON PURFYBR MACROPUR SWAB 6 inch | KXG | APPLICATOR, ABSORBENT TIPPED, STERILE | AMD-RITMED SOLON PURFYBR | |
| 36 | 10686864048425 | 4001R | 4001R | AMD-RITMED SOLON PURFYBR MACROPUR SWAB 6 inch | KXG | APPLICATOR, ABSORBENT TIPPED, STERILE | AMD-RITMED SOLON PURFYBR | |
| 37 | 10686864048418 | 4001DS | 4001DS | AMD-RITMED SOLON PURFYBR MACROPUR SWAB 6 inch | KXG | APPLICATOR, ABSORBENT TIPPED, STERILE | 1 | AMD-RITMED SOLON PURFYBR |
| 38 | 10686864048401 | 4001D | 4001D | AMD-RITMED SOLON PURFYBR MACROPUR SWAB 6 inch | KXG | APPLICATOR, ABSORBENT TIPPED, STERILE | AMD-RITMED SOLON PURFYBR | |
| 39 | 10686864047480 | 8035 | 8035 | MEDICOM BEARD COVER WHITE | FYF | CAP, SURGICAL | MEDICOM | |
| 40 | 10686864045158 | 2010 | 2010 | SAFEMASK PREMIER EARLOOP WHITE | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 41 | 10686864042607 | 1015-MM32 | 1015-MM32 | DURAFLOR HALO VARNISH 5% FLUORIDE MELONMINT -DOSE | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO | |
| 42 | 10686864040887 | 9540 | 9540 | STERILIZATION PEELABLE REELS 6IN X 100FT | KCT | Sterilization wrap containers, trays, cassettes & other accessories | 2 | MEDICOM |
| 43 | 10686864040870 | 9530 | 9530 | STERILIZATION PEELABLE REELS 4IN X 100FT | KCT | Sterilization wrap containers, trays, cassettes & other accessories | 2 | MEDICOM |
| 44 | 10686864040863 | 9520 | 9520 | STERILIZATION PEELABLE REELS 3IN X 100FT | KCT | Sterilization wrap containers, trays, cassettes & other accessories | 2 | MEDICOM |
| 45 | 10686864040856 | 9510 | 9510 | STERILIZATION PEELABLE REELS 2IN X 100FT | KCT | Sterilization wrap containers, trays, cassettes & other accessories | 2 | MEDICOM |
| 46 | 10686864040764 | SMPREMIER US-SP | SMPREMIER US-SP | MEDICOM SAFEMASK PREMIER SAMPLE PACK | FXX | Mask, Surgical | MEDICOM SAFEMASK PREMIER | |
| 47 | 10686864027116 | 2040 | 2040 | SAFEMASK PREMIER PLUS EARLOOP BLUE | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 48 | 10686864027055 | 2042 | 2042 | SAFEMASK PREMIER ELITE EARLOOP BLUE | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 49 | 10686864027048 | 2018 | 2018 | SAFEMASK PREMIER EARLOOP TEAL | FXX | Mask, surgical | MEDICOM SAFEMASK PREMIER | |
| 50 | 10686864026676 | 1015-SM32 PK6 | 1015-SM32 PK6 | DURAFLOR HALO VARNISH 5% FLUORIDE SPEARMINT -DOSE | LBH | VARNISH, CAVITY | MEDICOM DURAFLOR HALO |
| No | Primary DI | Version or Model | Catalog Number | Device Description | Brand Name | Organization Name |
|---|---|---|---|---|---|---|
| 1 | D77824512121 | 245-1212 | 245-1212 | SCOTT'S DUAL ARCH TRAYS 100/bag LARGE (BLUE) | SCOTT'S DUAL ARCH TRAYS 100/bag LARGE (BLUE) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 2 | D77824512071 | 245-1207 | 245-1207 | SCOTT'S DUAL ARCH TRAYS 100/bag MEDIUM (WHITE) | SCOTT'S DUAL ARCH TRAYS 100/bag MEDIUM (WHITE) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 3 | D77824512041 | 245-1204 | 245-1204 | SCOTT'S DUAL ARCH TRAYS 100/bag SMALL (YELLOW) | SCOTT'S DUAL ARCH TRAYS 100/bag SMALL (YELLOW) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 4 | D77824512011 | 245-1201 | 245-1201 | SCOTT'S DUAL ARCH TRAYS 100/bag PEDO (GREEN) | SCOTT'S DUAL ARCH TRAYS 100/bag PEDO (GREEN) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 5 | D77824511431 | 245-1143 | 245-1143 | SCOTT'S SINGLE FLUORIDE TRAYS 100/bag (LARGE) | SCOTT'S SINGLE FLUORIDE TRAYS 100/bag (LARGE) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 6 | D77824511351 | 245-1135 | 245-1135 | SCOTT'S SINGLE FLUORIDE TRAYS 100/bag (MEDIUM) | SCOTT'S SINGLE FLUORIDE TRAYS 100/bag (MEDIUM) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 7 | D77824511261 | 245-1126 | 245-1126 | SCOTT'S SINGLE FLUORIDE TRAYS 100/bag (SMALL) | SCOTT'S SINGLE FLUORIDE TRAYS 100/bag (SMALL) | SCOTT'S DENTAL SUPPLY L.L.C. |
| 8 | D773950100561 | 950-10056 | 950-10056 | Health-Tec/DHP Fluoride Trays Dual Arch Large Blue 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 9 | D773950100551 | 950-10055 | 950-10055 | Health-Tec/DHP Fluoride Trays Dual Arch Medium White 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 10 | D773950100541 | 950-10054 | 950-10054 | Health-Tec/DHP Fluoride Trays Dual Arch Small Yellow 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 11 | D773950100531 | 950-10053 | 950-10053 | Health-Tec/DHP Fluoride Trays Dual Arch Child Green 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 12 | D773950100521 | 950-10052 | 950-10052 | Health-Tec/DHP Fluoride Trays Single Arch Large 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 13 | D773950100511 | 950-10051 | 950-10051 | Health-Tec/DHP Fluoride Trays Single Arch Medium 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 14 | D773950100501 | 950-10050 | 950-10050 | Health-Tec/DHP Fluoride Trays Single Arch Small 100/bag | Health-Tec/DHP Fluoride Trays | DENTAL HEALTH PRODUCTS INC |
| 15 | 00310866001463 | 23710 | 23710 | Disposable fluoride trays for administering fluoride gel treatment, large, 100 | Disposable Fluoride Trays Large | PASCAL COMPANY, INC. |
| 16 | 00310866001456 | 23705 | 23705 | Disposable fluoride trays for administering fluoride gel treatment, medium, 100 trays | Disposable Fluoride Tray Medium | PASCAL COMPANY, INC. |
| 17 | 00310866001449 | 23700 | 23700 | Disposable fluoride trays for administering fluoride gel treatment, small 100 trays | Disposable Fluoride Tray Small | PASCAL COMPANY, INC. |
| 18 | 00302732950692 | 295069 | 13226941 | Young Centrays, Anatomically Contoured Fluoride Trays, Large, 50 White Upper Tra Young Centrays, Anatomically Contoured Fluoride Trays, Large, 50 White Upper Trays, 50 Blue Lower Arch Trays, 100ct - 13226941 | Young | YOUNG DENTAL MANUFACTURING I, LLC |
| 19 | 00302732950685 | 295068 | 13226940 | Young Centrays, Anatomically Contoured Fluoride Trays, Medium, 50 White Upper Tr Young Centrays, Anatomically Contoured Fluoride Trays, Medium, 50 White Upper Trays, 50 Blue Lower Arch Trays, 100ct - 13226940 | Young | YOUNG DENTAL MANUFACTURING I, LLC |
| 20 | 00302732950678 | 295067 | 13226939 | Young Centrays, Anatomically Contoured Fluoride Trays, Small, 50 White Upper Tr Young Centrays, Anatomically Contoured Fluoride Trays, Small, 50 White Upper Trays, 50 Blue Lower Arch Trays, 100ct - 13226939 | Young | YOUNG DENTAL MANUFACTURING I, LLC |
| 21 | 00302732950661 | 295066 | 13226938 | Young Centwins, Anatomically Contoured Fluoride Trays - Hinged, Large, 50ct - 13226938 | Young | YOUNG DENTAL MANUFACTURING I, LLC |
| 22 | 00302732950654 | 295065 | 13226937 | Young Centwins, Anatomically Contoured Fluoride Trays - Hinged, Medium, 50ct - 13226937 | Young | YOUNG DENTAL MANUFACTURING I, LLC |
| 23 | 00302732950647 | 295064 | 13226936 | Young Centwins, Anatomically Contoured Fluoride Trays - Hinged, Small, 50ct - 13226936 | Young | YOUNG DENTAL MANUFACTURING I, LLC |
| 24 | 10841396117289 | 16191 | Disposable Fluoride Trays - Blue | Discovery Tray | KERR CORPORATION | |
| 25 | 10841396117272 | 16190 | Disposable Fluoride Trays - Lime | Discovery Tray | KERR CORPORATION | |
| 26 | 10841396117265 | 16189 | Disposable Fluoride Trays - Yellow | Discovery Tray | KERR CORPORATION | |
| 27 | 10841396117258 | 16188 | Disposable Fluoride Trays - Aqua | Discovery Tray | KERR CORPORATION | |
| 28 | 10818207021936 | 205204 | Vista Dual Pedo Fluoride Trays | VISTA DENTAL | ||
| 29 | 10818207021929 | 205203 | Vista Dual Large Fluoride Trays | VISTA DENTAL | ||
| 30 | 10818207021912 | 205202 | Vista Dual Medium Fluoride Trays | VISTA DENTAL | ||
| 31 | 10818207021905 | 205201 | Vista Dual Small Fluoride Trays | VISTA DENTAL | ||
| 32 | 10818207021899 | 205103 | Vista Single Large Fluoride Trays | VISTA DENTAL | ||
| 33 | 10818207021882 | 205102 | Vista Single Medium Fluoride Trays | VISTA DENTAL | ||
| 34 | 10818207021875 | 205101 | Vista Single Small Fluoride Trays | VISTA DENTAL | ||
| 35 | 10732224001354 | YFTHL | Zap™ Dual Arch Fluoride Gel Trays, Hinged, Large | Zap™ Dual Arch Fluoride Gel Trays | CROSSTEX INTERNATIONAL, INC. | |
| 36 | 10732224001347 | YFTHM | Zap™ Dual Arch Fluoride Gel Trays, Hinged, Medium | Zap™ Dual Arch Fluoride Gel Trays | CROSSTEX INTERNATIONAL, INC. | |
| 37 | 10732224001330 | YFTHS | Zap™ Dual Arch Fluoride Gel Trays, Hinged, Small | Zap™ Dual Arch Fluoride Gel Trays | CROSSTEX INTERNATIONAL, INC. | |
| 38 | 10686864047756 | 10030-S | 10030-S | MEDICOM DENTICARE DISPOSABLE FUORIDE GEL TRAY | MEDICOM DENTICARE PRO-TRAY | AMD MEDICOM INC |
| 39 | 10686864047749 | 10030-M | 10030-M | MEDICOM DENTICARE DISPOSABLE FUORIDE GEL TRAY | MEDICOM DENTICARE PRO-TRAY | AMD MEDICOM INC |
| 40 | 10686864047732 | 10030-L | 10030-L | MEDICOM DENTICARE DISPOSABLE FUORIDE GEL TRAY | MEDICOM DENTICARE PRO-TRAY | AMD MEDICOM INC |
| 41 | 10686864047725 | 10029-S | 10029-S | MEDICOM DENTICARE DISPOSABLE FUORIDE GEL TRAY | MEDICOM DENTICARE PRO-TRAY | AMD MEDICOM INC |
| 42 | 10686864047718 | 10029-M | 10029-M | MEDICOM DENTICARE DISPOSABLE FUORIDE GEL TRAY | MEDICOM DENTICARE PRO-TRAY | AMD MEDICOM INC |
| 43 | 10686864047701 | 10029-L | 10029-L | MEDICOM DENTICARE DISPOSABLE FUORIDE GEL TRAY | MEDICOM DENTICARE PRO-TRAY | AMD MEDICOM INC |