2007 ICD-9-CM Procedure 96.54 Dental scaling, polishing, and debridement Treatment for the prevention of periodontal diseases or other dental diseases by the cleaning of the teeth in the dental office using the procedures of DENTAL SCALING and DENTAL POLISHING. The treatment may include plaque detection, removal of supra- and subgingival plaque and calculus, application of caries-preventing agents, checking of restorations and prostheses and correcting overhanging margins and proximal contours of restorations, and checking for signs of food impaction. 96.54 is a specific code that can be used to specify a procedure 96.54 contains 4 index entries View the full Volume 3 96.* hierarchy 96.54 also known as: Dental prophylaxis Plaque removal Index entries containing 96.54: Debridement dental 96.54 Prophylaxis, dental (scaling) (polishing) 96.54 Removal -- see also Excision plaque, dental 96.54 Scaling and polishing, dental 96.54