Implant: extraction on file, pano, rationale
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D6010 surgical placement of an endosteal implant body · tooth #14 · 08/01/2026
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Tooth #14 is charted as missing. Tooth #14 was extracted 10/24/2025 (D7140). #14 non-restorable due to vertical root fracture. Implant placed #14 to restore chewing function. Panoramic radiograph taken 07/08/2026. Treatment: D6010 surgical placement of an endosteal implant body on tooth #14, date of service 08/01/2026.
Claim note
Implant #14: narrative and radiograph attached
Attachments
| Item | Status | Detail |
|---|---|---|
| Radiograph | In Open Dental | Panoramic radiograph taken 07/08/2026. Source: Open Dental Imaging: "Pano" (X-Rays), DocNum 27201. |
Documentation checks
| Check | Status | Detail |
|---|---|---|
| Radiograph of tooth #14 within 12 months | Met | Panoramic radiograph taken 07/08/2026 (0.8 months before the date of service). |
| Tooth documented as missing | Met | Tooth #14 was extracted 10/24/2025 (D7140). |
| Date the tooth was lost or extracted | Met | Tooth #14 was extracted 10/24/2025 (D7140). |
| Reason an implant is indicated documented | Met | Implant placed #14 to restore chewing function. |
Evidence used (6 facts)
| ID | Fact | Where it comes from |
|---|---|---|
| C1 | D6010 surgical placement of an endosteal implant body on tooth #14, date of service 08/01/2026. | Procedure D6010 (ProcNum 27001) |
| C2 | Panoramic radiograph taken 07/08/2026. | Open Dental Imaging: "Pano" (X-Rays), DocNum 27201 |
| C3 | Tooth #14 was extracted 10/24/2025 (D7140). | Procedure D7140 completed 10/24/2025 (ProcNum 27002) |
| C4 | Tooth #14 is charted as missing. | Chart: tooth #14 marked Missing |
| N1 | #14 non-restorable due to vertical root fracture."#14 non-restorable due to vertical root fracture" | Clinical note: D7140 #14 on 10/24/2025 (earlier visit, same tooth) |
| N2 | Implant placed #14 to restore chewing function."Implant placed #14 to restore chewing function" | Clinical note: D6010 #14 on 08/01/2026 (this procedure) |
Draft → check → revise loop (1 iteration)
Iteration 1: no issues
Clinical notes read (2, names redacted)
D6010 #14 on 08/01/2026 (this procedure)
Implant placed #14 to restore chewing function. Pt does not want a removable partial. Placed 4.5x10mm implant, good primary stability, healing abutment placed.
D7140 #14 on 10/24/2025 (earlier visit, same tooth)
#14 non-restorable due to vertical root fracture; extracted.