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SRP LL: shorthand perio note, 4BWX radiographs

Claim 33000 · Summit Smile Insurance · Date of service 06/18/2026 · Source: synthetic case hand-03-srp-shorthand · Generated 2026-10-12 07:11 UTC

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  • Open Dental API call
    PUT /procedurelogs/33001
{
  "ClaimNote": "SRP LL: perio chart, radiographs, narrative attached"
}
  • Open Dental API call
    POST /documents/Upload
{
  "PatNum": 33000,
  "rawBase64": "<PDF, 2103 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 33000",
  "ImgType": "Document"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 33000,
  "TrackingDefNum": 1,
  "Note": "ClaimClear: notes and narrative prepared"
}

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D4341 periodontal scaling and root planing, four or more teeth per quadrant · the lower left quadrant · 06/18/2026

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Narrative Every sentence checked against the chart

Perio diagnosis: Stage III Grade B periodontitis, generalized. Lower left quadrant on the 06/04/2026 charting: 4 teeth with probing depths of 4 mm or more (#18: 6 mm, #19: 5 mm, #20: 5 mm, #21: 4 mm). Bleeding on probing at 5 sites. Full-mouth periodontal charting was recorded 06/04/2026. Rads show 30-40% horiz bone loss lower posterior. Heavy subg calc LL, bleeding on probing+ throughout. Bitewing radiographs taken 02/11/2026. Treatment: D4341 periodontal scaling and root planing, four or more teeth per quadrant on the lower left quadrant, date of service 06/18/2026.
574 characters

Claim note

SRP LL: perio chart, radiographs, narrative attached

Attachments

ItemStatusDetail
Periodontal chartIn Open DentalFull-mouth periodontal charting was recorded 06/04/2026. Source: Perio Chart exam dated 06/04/2026 (PerioExamNum 33301).
RadiographIn Open DentalBitewing radiographs taken 02/11/2026. Source: Open Dental Imaging: "4BWX" (X-Rays), DocNum 33201.

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

CheckStatusDetail
Periodontal charting within 12 monthsMetFull-mouth periodontal charting was recorded 06/04/2026.
4+ teeth in the quadrant with pockets of 4 mm or moreMetLower left quadrant on the 06/04/2026 charting: 4 teeth with probing depths of 4 mm or more (#18: 6 mm, #19: 5 mm, #20: 5 mm, #21: 4 mm). Bleeding on probing at 5 sites.
Radiograph of the lower left quadrant within 24 monthsMetBitewing radiographs taken 02/11/2026 (4.2 months before the date of service).
Periodontal diagnosis documented (recommended)MetPerio diagnosis: Stage III Grade B periodontitis, generalized.
Radiographic bone loss documented (recommended)MetRads show 30-40% horiz bone loss lower posterior.
Evidence used (7 facts)
IDFactWhere it comes from
C1D4341 periodontal scaling and root planing, four or more teeth per quadrant on the lower left quadrant, date of service 06/18/2026.Procedure D4341 (ProcNum 33001)
C2Bitewing radiographs taken 02/11/2026.Open Dental Imaging: "4BWX" (X-Rays), DocNum 33201
C3Full-mouth periodontal charting was recorded 06/04/2026.Perio Chart exam dated 06/04/2026 (PerioExamNum 33301)
C4Lower left quadrant on the 06/04/2026 charting: 4 teeth with probing depths of 4 mm or more (#18: 6 mm, #19: 5 mm, #20: 5 mm, #21: 4 mm). Bleeding on probing at 5 sites.Perio Chart exam dated 06/04/2026, LL quadrant
N1Perio diagnosis: Stage III Grade B periodontitis, generalized.
"Perio dx: Stage III Grade B periodontitis, generalized"
Clinical note: D4341 LL on 06/18/2026 (this procedure)
N2Rads show 30-40% horiz bone loss lower posterior.
"Rads show 30-40% horiz bone loss lower posterior"
Clinical note: D4341 LL on 06/18/2026 (this procedure)
N3Heavy subg calc LL, bleeding on probing+ throughout.
"Heavy subg calc LL, BOP+ throughout"
Clinical note: D4341 LL on 06/18/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D4341 LL on 06/18/2026 (this procedure)

Perio dx: Stage III Grade B periodontitis, generalized. Heavy subg calc LL, BOP+ throughout. Rads show 30-40% horiz bone loss lower posterior. SRP LL w/ 2 carps 4% artic, pt tolerated well.

Engine: extractor heuristic, narrator template, reviewer none.