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Crown: fracture/decay documented, recent PA

Claim 1000 · Acme Dental Mutual · Date of service 06/18/2026 · Source: synthetic case crown-01-complete · Generated 2026-10-12 07:06 UTC

Prepare in Open Dental

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

  • Open Dental API call
    PUT /procedurelogs/1001
{
  "ClaimNote": "Crown #4: narrative and radiograph attached"
}
  • Open Dental API call
    POST /documents/Upload
{
  "PatNum": 1000,
  "rawBase64": "<PDF, 1356 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 1000",
  "ImgType": "Document",
  "ToothNumbers": "4"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 1000,
  "TrackingDefNum": 1,
  "Note": "ClaimClear: notes and narrative prepared"
}

Preview the narrative PDF

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D2740 crown · tooth #4 · 06/18/2026

Ready to submit

Narrative Every sentence checked against the chart

Lingual cusp of #4 fractured, patient reports it broke while eating. Periapical radiograph of #4 taken 03/28/2026. Treatment: D2740 crown on tooth #4, date of service 06/18/2026.
178 characters

Claim note

Crown #4: narrative and radiograph attached

Would strengthen the claim

Attachments

ItemStatusDetail
RadiographIn Open DentalPeriapical radiograph of #4 taken 03/28/2026. Source: Open Dental Imaging: "Periapical 4" (Radiographs), DocNum 1201.

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

CheckStatusDetail
Radiograph of tooth #4 within 12 monthsMetPeriapical radiograph of #4 taken 03/28/2026 (2.7 months before the date of service).
Clinical reason for the crown documentedMetLingual cusp of #4 fractured, patient reports it broke while eating.
Extent of tooth structure loss documented (recommended)MetLingual cusp of #4 fractured, patient reports it broke while eating.
Replacement interval (5+ years since prior crown)N/ANo prior crown on tooth #4 in the chart.
Initial/replacement flag matches chart historyMetFlagged as initial placement; no prior crown on tooth #4 in the chart.
Intraoral photo (recommended)Not documentedNo intraoral photo of tooth #4 in Open Dental Imaging.
Evidence used (5 facts)
IDFactWhere it comes from
C1D2740 crown on tooth #4, date of service 06/18/2026.Procedure D2740 (ProcNum 1001)
C2Periapical radiograph of #4 taken 03/28/2026.Open Dental Imaging: "Periapical 4" (Radiographs), DocNum 1201
C3Recorded as the initial crown placement on #4.Procedure D2740: Prosthesis = Initial
N1Lingual cusp of #4 fractured, patient reports it broke while eating.
"lingual cusp of #4 fractured, pt reports it broke while eating"
Clinical note: D2740 #4 on 06/18/2026 (this procedure)
N2Lingual cusp of #4 fractured, patient reports it broke while eating.
"lingual cusp of #4 fractured, pt reports it broke while eating"
Clinical note: D2740 #4 on 06/18/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D2740 #4 on 06/18/2026 (this procedure)

lingual cusp of #4 fractured, pt reports it broke while eating. buccal and lingual cusps undermined. Discussed tx options; pt elected e.max crown. Local anesthetic administered. Prepped #4, final impression taken, temp cemented w/ TempBond.

Engine: extractor heuristic, narrator template, reviewer none.