Crown: root canal treated molar
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D2740 crown · tooth #31 · 03/22/2026
Ready to submitNarrative Every sentence checked against the chart
Tooth needs full coverage to prevent fracture. Root canal treatment (D3330) on #31 was completed 02/06/2026. Periapical radiograph of #31 taken 11/22/2025. Treatment: D2740 crown on tooth #31, date of service 03/22/2026.
Claim note
Crown #31: narrative and radiograph attached
Would strengthen the claim
- Document the extent of the damage (e.g., % of the crown missing, cusps involved, size of the existing restoration).
- Attach an intraoral photo; photos make fracture and decay findings easier for reviewers to accept.
Attachments
| Item | Status | Detail |
|---|---|---|
| Radiograph | In Open Dental | Periapical radiograph of #31 taken 11/22/2025. Source: Open Dental Imaging: "PA 31 pre-op" (X-Rays), DocNum 11201. |
Documentation checks
| Check | Status | Detail |
|---|---|---|
| Radiograph of tooth #31 within 12 months | Met | Periapical radiograph of #31 taken 11/22/2025 (3.9 months before the date of service). |
| Clinical reason for the crown documented | Met | Root canal treatment (D3330) on #31 was completed 02/06/2026. |
| Extent of tooth structure loss documented | Not documented | No note describes how much tooth structure on tooth #31 is missing or undermined. |
| Replacement interval (5+ years since prior crown) | N/A | No prior crown on tooth #31 in the chart. |
| Initial/replacement flag matches chart history | Met | Flagged as initial placement; no prior crown on tooth #31 in the chart. |
| Intraoral photo | Not documented | No intraoral photo of tooth #31 in Open Dental Imaging. |
Evidence used (5 facts)
| ID | Fact | Where it comes from |
|---|---|---|
| C1 | D2740 crown on tooth #31, date of service 03/22/2026. | Procedure D2740 (ProcNum 11001) |
| C2 | Periapical radiograph of #31 taken 11/22/2025. | Open Dental Imaging: "PA 31 pre-op" (X-Rays), DocNum 11201 |
| C3 | Recorded as the initial crown placement on #31. | Procedure D2740: Prosthesis = Initial |
| C4 | Root canal treatment (D3330) on #31 was completed 02/06/2026. | Procedure D3330 completed 02/06/2026 (ProcNum 11002) |
| N1 | Tooth needs full coverage to prevent fracture."tooth needs full coverage to prevent fracture" | Clinical note: D2740 #31 on 03/22/2026 (this procedure) |
Draft → check → revise loop (1 iteration)
Iteration 1: no issues
Clinical notes read (1, names redacted)
D2740 #31 on 03/22/2026 (this procedure)
RCT completed on #31 last month; tooth needs full coverage to prevent fracture. Discussed tx options; pt elected e.max crown. Local anesthetic administered. Prepped #31, final impression taken, temp cemented w/ TempBond.