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SRP 4+ teeth: recent charting, radiographs, diagnosis

Claim 19000 · Summit Smile Insurance · Date of service 04/24/2026 · Source: synthetic case srp-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/19001
{
  "ClaimNote": "SRP UL: perio chart, radiographs, narrative attached"
}
  • Open Dental API call
    POST /documents/Upload
{
  "PatNum": 19000,
  "rawBase64": "<PDF, 2071 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 19000",
  "ImgType": "Document"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 19000,
  "TrackingDefNum": 1,
  "Note": "ClaimClear: notes and narrative prepared"
}

Preview the narrative PDF

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D4341 periodontal scaling and root planing, four or more teeth per quadrant · the upper left quadrant · 04/24/2026

Ready to submit

Narrative Every sentence checked against the chart

Diagnosis: generalized Stage III Grade B periodontitis. Upper left quadrant on the 03/28/2026 charting: 4 teeth with probing depths of 4 mm or more (#12: 6 mm, #13: 7 mm, #14: 6 mm, #15: 7 mm). Bleeding on probing at 8 sites. Full-mouth periodontal charting was recorded 03/28/2026. Generalized horizontal bone loss noted on FMX. Heavy subgingival calculus UL. Bitewing radiographs taken 03/06/2026. Treatment: D4341 periodontal scaling and root planing, four or more teeth per quadrant on the upper left quadrant, date of service 04/24/2026.
542 characters

Claim note

SRP UL: perio chart, radiographs, narrative attached

Attachments

ItemStatusDetail
Periodontal chartIn Open DentalFull-mouth periodontal charting was recorded 03/28/2026. Source: Perio Chart exam dated 03/28/2026 (PerioExamNum 19301).
RadiographIn Open DentalBitewing radiographs taken 03/06/2026. Source: Open Dental Imaging: "4BWX" (X-Rays), DocNum 19201.

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

CheckStatusDetail
Periodontal charting within 12 monthsMetFull-mouth periodontal charting was recorded 03/28/2026.
4+ teeth in the quadrant with pockets of 4 mm or moreMetUpper left quadrant on the 03/28/2026 charting: 4 teeth with probing depths of 4 mm or more (#12: 6 mm, #13: 7 mm, #14: 6 mm, #15: 7 mm). Bleeding on probing at 8 sites.
Radiograph of the upper left quadrant within 24 monthsMetBitewing radiographs taken 03/06/2026 (1.6 months before the date of service).
Periodontal diagnosis documented (recommended)MetDiagnosis: generalized Stage III Grade B periodontitis.
Radiographic bone loss documented (recommended)MetGeneralized horizontal bone loss noted on FMX.
Evidence used (7 facts)
IDFactWhere it comes from
C1D4341 periodontal scaling and root planing, four or more teeth per quadrant on the upper left quadrant, date of service 04/24/2026.Procedure D4341 (ProcNum 19001)
C2Bitewing radiographs taken 03/06/2026.Open Dental Imaging: "4BWX" (X-Rays), DocNum 19201
C3Full-mouth periodontal charting was recorded 03/28/2026.Perio Chart exam dated 03/28/2026 (PerioExamNum 19301)
C4Upper left quadrant on the 03/28/2026 charting: 4 teeth with probing depths of 4 mm or more (#12: 6 mm, #13: 7 mm, #14: 6 mm, #15: 7 mm). Bleeding on probing at 8 sites.Perio Chart exam dated 03/28/2026, UL quadrant
N1Diagnosis: generalized Stage III Grade B periodontitis.
"Dx: generalized Stage III Grade B periodontitis"
Clinical note: D4341 UL on 04/24/2026 (this procedure)
N2Generalized horizontal bone loss noted on FMX.
"Generalized horizontal bone loss noted on FMX"
Clinical note: D4341 UL on 04/24/2026 (this procedure)
N3Heavy subgingival calculus UL.
"Heavy subgingival calculus UL"
Clinical note: D4341 UL on 04/24/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D4341 UL on 04/24/2026 (this procedure)

Dx: generalized Stage III Grade B periodontitis. Generalized horizontal bone loss noted on FMX. Heavy subgingival calculus UL. SRP UL completed under local anesthesia. OHI given.

Engine: extractor heuristic, narrator template, reviewer none.