Buildup + crown: complete (phrasing variant)

Claim 18000 · Summit Smile Insurance · Date of service 09/02/2026 · Source: synthetic case buildup-05-complete · Generated 2026-10-12 07:07 UTC

Prepare in Open Dental

Ready to approve

Ready: approve to put the notes and narrative into Open Dental, then send the claim as usual.

Claim note on D2950 tooth #12
(empty) -> "Buildup #12: narrative and radiograph attached"
Open Dental API call
```
PUT /procedurelogs/18001
{
  "ClaimNote": "Buildup #12: narrative and radiograph attached"
}
```
Claim note on D2740 tooth #12
(empty) -> "Crown #12: narrative and radiograph attached"
Open Dental API call
```
PUT /procedurelogs/18002
{
  "ClaimNote": "Crown #12: narrative and radiograph attached"
}
```

Narrative PDF in the patient's imaging

"ClaimClear narrative - claim 18000" (3 KB), ready to attach to the claim.

Open Dental API call

POST /documents/Upload
{
  "PatNum": 18000,
  "rawBase64": "<PDF, 2095 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 18000",
  "ImgType": "Document",
  "ToothNumbers": "12"
}

Claim tracking status

ClaimClear: notes and narrative prepared

Open Dental API call

POST /claimtrackings
{
  "ClaimNum": 18000,
  "TrackingDefNum": 1,
  "Note": "ClaimClear: notes and narrative prepared"
}

Preview the narrative PDF

ClaimClear never sends claims. After approving, staff attach the narrative PDF and radiographs to the claim in Open Dental and send it as usual.

D2950 core buildup · tooth #12 · 09/02/2026

Ready to submit

Narrative Every sentence checked against the chart

Not enough coronal structure to support the crown, buildup required. Approximately 60% of coronal structure missing after caries removal. A crown (D2740) on #12 is recorded for 09/02/2026, the same visit. Periapical radiograph of #12 taken 06/28/2026. Treatment: D2950 core buildup on tooth #12, date of service 09/02/2026.

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Claim note

Buildup #12: narrative and radiograph attached

Attachments

Item	Status	Detail
Radiograph	In Open Dental	Periapical radiograph of #12 taken 06/28/2026. Source: Open Dental Imaging: "PA 12 pre-op" (X-Rays), DocNum 18201.

Documentation checks (Default (common plan guidelines - verify per carrier))

Check	Status	Detail
Radiograph of tooth #12 within 12 months	Met	Periapical radiograph of #12 taken 06/28/2026 (2.2 months before the date of service).
Insufficient remaining structure to retain a crown documented	Met	Not enough coronal structure to support the crown, buildup required.
Extent of tooth structure loss documented (recommended)	Met	Approximately 60% of coronal structure missing after caries removal.
Crown on the same tooth	Met	A crown (D2740) on #12 is recorded for 09/02/2026, the same visit.

Evidence used (5 facts)

ID	Fact	Where it comes from
C1	D2950 core buildup on tooth #12, date of service 09/02/2026.	Procedure D2950 (ProcNum 18001)
C2	Periapical radiograph of #12 taken 06/28/2026.	Open Dental Imaging: "PA 12 pre-op" (X-Rays), DocNum 18201
C3	A crown (D2740) on #12 is recorded for 09/02/2026, the same visit.	Procedure D2740 completed 09/02/2026 (ProcNum 18002)
N1	Not enough coronal structure to support the crown, buildup required. "Not enough coronal structure to support the crown, buildup required"	Clinical note: D2950 #12 on 09/02/2026 (this procedure)
N2	Approximately 60% of coronal structure missing after caries removal. "Approx 60% of coronal structure missing after caries removal"	Clinical note: D2950 #12 on 09/02/2026 (this procedure)

Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (2, names redacted)

D2950 #12 on 09/02/2026 (this procedure)

Not enough coronal structure to support the crown, buildup required. Approx 60% of coronal structure missing after caries removal.

D2740 #12 on 09/02/2026 (same visit)

Recurrent decay under existing MOD amalgam on #12. Discussed tx options; pt elected zirconia crown. Local anesthetic administered. Prepped #12, final impression taken, temp cemented w/ TempBond.

Engine: extractor heuristic, narrator template, reviewer none.

D2740 crown · tooth #12 · 09/02/2026

Ready to submit

Narrative Every sentence checked against the chart

Recurrent decay under existing MOD amalgam on #12. Approximately 60% of coronal structure missing after caries removal. Periapical radiograph of #12 taken 06/28/2026. Treatment: D2740 crown on tooth #12, date of service 09/02/2026.

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