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SRP: quadrant recorded only as a tooth range

Claim 25000 · Bluebird Dental Benefits · Date of service 08/22/2026 · Source: synthetic case srp-07-tooth-range · Generated 2026-10-12 07:08 UTC

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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/25001
{
  "ClaimNote": "SRP UR: perio chart, radiographs, narrative attached"
}
  • Open Dental API call
    POST /documents/Upload
{
  "PatNum": 25000,
  "rawBase64": "<PDF, 2051 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 25000",
  "ImgType": "Document"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 25000,
  "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 right quadrant · 08/22/2026

Ready to submit

Narrative Every sentence checked against the chart

Upper right quadrant on the 08/08/2026 charting: 4 teeth with probing depths of 4 mm or more (#2: 5 mm, #3: 5 mm, #4: 7 mm, #5: 6 mm). Bleeding on probing at 8 sites. Full-mouth periodontal charting was recorded 08/08/2026. Generalized horizontal bone loss noted on FMX. Moderate calculus and bleeding on probing throughout UR quadrant. Bitewing radiographs taken 06/17/2026. Treatment: D4341 periodontal scaling and root planing, four or more teeth per quadrant on the upper right quadrant, date of service 08/22/2026.
519 characters

Claim note

SRP UR: perio chart, radiographs, narrative attached

Would strengthen the claim

Attachments

ItemStatusDetail
Periodontal chartIn Open DentalFull-mouth periodontal charting was recorded 08/08/2026. Source: Perio Chart exam dated 08/08/2026 (PerioExamNum 25301).
RadiographIn Open DentalBitewing radiographs taken 06/17/2026. Source: Open Dental Imaging: "4BWX" (X-Rays), DocNum 25201.

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

CheckStatusDetail
Periodontal charting within 12 monthsMetFull-mouth periodontal charting was recorded 08/08/2026.
4+ teeth in the quadrant with pockets of 4 mm or moreMetUpper right quadrant on the 08/08/2026 charting: 4 teeth with probing depths of 4 mm or more (#2: 5 mm, #3: 5 mm, #4: 7 mm, #5: 6 mm). Bleeding on probing at 8 sites.
Radiograph of the upper right quadrant within 24 monthsMetBitewing radiographs taken 06/17/2026 (2.2 months before the date of service).
Periodontal diagnosis documented (recommended)Not documentedNo note records a periodontal diagnosis (e.g., periodontitis stage and grade).
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 right quadrant, date of service 08/22/2026.Procedure D4341 (ProcNum 25001)
C2Bitewing radiographs taken 06/17/2026.Open Dental Imaging: "4BWX" (X-Rays), DocNum 25201
C3Full-mouth periodontal charting was recorded 08/08/2026.Perio Chart exam dated 08/08/2026 (PerioExamNum 25301)
C4Upper right quadrant on the 08/08/2026 charting: 4 teeth with probing depths of 4 mm or more (#2: 5 mm, #3: 5 mm, #4: 7 mm, #5: 6 mm). Bleeding on probing at 8 sites.Perio Chart exam dated 08/08/2026, UR quadrant
N1Generalized horizontal bone loss noted on FMX.
"Generalized horizontal bone loss noted on FMX"
Clinical note: D4341 on 08/22/2026 (this procedure)
N2Moderate calculus and bleeding on probing throughout UR quadrant.
"Moderate calculus and BOP throughout UR quadrant"
Clinical note: D4341 on 08/22/2026 (this procedure)
N3Moderate calculus and bleeding on probing throughout UR quadrant.
"Moderate calculus and BOP throughout UR quadrant"
Clinical note: D4341 on 08/22/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D4341 on 08/22/2026 (this procedure)

Generalized horizontal bone loss noted on FMX. Moderate calculus and BOP throughout UR quadrant. SRP UR completed under local anesthesia. OHI given.

Engine: extractor heuristic, narrator template, reviewer none.