Implant: tooth missing but no extraction date

Claim 28000 · Harborview Dental Plan · Date of service 08/11/2026 · Source: synthetic case implant-02-no-date · Generated 2026-10-12 07:09 UTC

Prepare in Open Dental

Needs documentation

Not ready: 1 item to fix in the chart before this claim goes out. Re-run ClaimClear afterwards.

To-do list as an Open Dental task

ClaimClear: claim 28000 (date of service 08/11/2026), documentation is missing.

D6010 surgical placement of an endosteal implant body, tooth #15:
- Record the extraction date (or when the tooth was lost) in the chart or a clinical note.

Open Dental API call

POST /tasks
{
  "TaskListNum": 1,
  "UserNum": 1,
  "Descript": "ClaimClear: claim 28000 (date of service 08/11/2026), documentation is missing.\n\nD6010 surgical placement of an endosteal implant body, tooth #15:\n- Record the extraction date (or when the tooth was lost) in the chart or a clinical note.",
  "KeyNum": 28000,
  "ObjectType": "Patient"
}

Claim tracking status

ClaimClear: documentation missing, see task

Open Dental API call

POST /claimtrackings
{
  "ClaimNum": 28000,
  "TrackingDefNum": 2,
  "Note": "ClaimClear: documentation missing, see task"
}

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

D6010 surgical placement of an endosteal implant body · tooth #15 · 08/11/2026

Needs documentation

Do this before submitting

Record the extraction date (or when the tooth was lost) in the chart or a clinical note.

Narrative Every sentence checked against the chart

Tooth #15 is charted as missing. Patient reports #15 was lost years ago. Patient elected implant to replace missing #15. Panoramic radiograph taken 04/14/2026. Treatment: D6010 surgical placement of an endosteal implant body on tooth #15, date of service 08/11/2026.

266 characters

Claim note

Implant #15: narrative and radiograph attached

Attachments

Item	Status	Detail
Radiograph	In Open Dental	Panoramic radiograph taken 04/14/2026. Source: Open Dental Imaging: "Pano" (X-Rays), DocNum 28201.

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

Check	Status	Detail
Radiograph of tooth #15 within 12 months	Met	Panoramic radiograph taken 04/14/2026 (3.9 months before the date of service).
Tooth documented as missing	Met	Tooth #15 is charted as missing.
Date the tooth was lost or extracted	Missing	No extraction date for tooth #15 was found. Plans with a missing tooth clause need the date the tooth was lost.
Reason an implant is indicated documented (recommended)	Met	Patient elected implant to replace missing #15.

Evidence used (5 facts)

ID	Fact	Where it comes from
C1	D6010 surgical placement of an endosteal implant body on tooth #15, date of service 08/11/2026.	Procedure D6010 (ProcNum 28001)
C2	Panoramic radiograph taken 04/14/2026.	Open Dental Imaging: "Pano" (X-Rays), DocNum 28201
C3	Tooth #15 is charted as missing.	Chart: tooth #15 marked Missing
N1	Patient reports #15 was lost years ago. "Pt reports #15 was lost years ago"	Clinical note: D6010 #15 on 08/11/2026 (this procedure)
N2	Patient elected implant to replace missing #15. "Pt elected implant to replace missing #15"	Clinical note: D6010 #15 on 08/11/2026 (this procedure)

Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D6010 #15 on 08/11/2026 (this procedure)

Pt reports #15 was lost years ago. Pt elected implant to replace missing #15; adjacent teeth unrestored, pt declined bridge. Placed 4.5x10mm implant, good primary stability, healing abutment placed.

Engine: extractor heuristic, narrator template, reviewer none.