SRP 4+ teeth: complete (phrasing variant)
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D4341 periodontal scaling and root planing, four or more teeth per quadrant · the lower right quadrant · 08/06/2026
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Perio diagnosis: localized Stage II periodontitis. Lower right quadrant on the 06/16/2026 charting: 4 teeth with probing depths of 4 mm or more (#28: 4 mm, #29: 6 mm, #30: 5 mm, #31: 6 mm). Bleeding on probing at 8 sites. Full-mouth periodontal charting was recorded 06/16/2026. Radiographs show horizontal bone loss in the LR posterior sextant. Moderate calculus and bleeding on probing throughout LR quadrant. Full-mouth series of radiographs taken 06/29/2026. Treatment: D4341 periodontal scaling and root planing, four or more teeth per quadrant on the lower right quadrant, date of service 08/06/2026.
Claim note
SRP LR: perio chart, radiographs, narrative attached
Attachments
| Item | Status | Detail |
|---|---|---|
| Periodontal chart | In Open Dental | Full-mouth periodontal charting was recorded 06/16/2026. Source: Perio Chart exam dated 06/16/2026 (PerioExamNum 26301). |
| Radiograph | In Open Dental | Full-mouth series of radiographs taken 06/29/2026. Source: Open Dental Imaging: "FMX" (X-Rays), DocNum 26201. |
Documentation checks
| Check | Status | Detail |
|---|---|---|
| Periodontal charting within 12 months | Met | Full-mouth periodontal charting was recorded 06/16/2026. |
| 4+ teeth in the quadrant with pockets of 4 mm or more | Met | Lower right quadrant on the 06/16/2026 charting: 4 teeth with probing depths of 4 mm or more (#28: 4 mm, #29: 6 mm, #30: 5 mm, #31: 6 mm). Bleeding on probing at 8 sites. |
| Radiograph of the lower right quadrant within 24 months | Met | Full-mouth series of radiographs taken 06/29/2026 (1.2 months before the date of service). |
| Periodontal diagnosis documented | Met | Perio diagnosis: localized Stage II periodontitis. |
| Radiographic bone loss documented | Met | Radiographs show horizontal bone loss in the LR posterior sextant. |
Evidence used (8 facts)
| ID | Fact | Where it comes from |
|---|---|---|
| C1 | D4341 periodontal scaling and root planing, four or more teeth per quadrant on the lower right quadrant, date of service 08/06/2026. | Procedure D4341 (ProcNum 26001) |
| C2 | Full-mouth series of radiographs taken 06/29/2026. | Open Dental Imaging: "FMX" (X-Rays), DocNum 26201 |
| C3 | Full-mouth periodontal charting was recorded 06/16/2026. | Perio Chart exam dated 06/16/2026 (PerioExamNum 26301) |
| C4 | Lower right quadrant on the 06/16/2026 charting: 4 teeth with probing depths of 4 mm or more (#28: 4 mm, #29: 6 mm, #30: 5 mm, #31: 6 mm). Bleeding on probing at 8 sites. | Perio Chart exam dated 06/16/2026, LR quadrant |
| N1 | Perio diagnosis: localized Stage II periodontitis."Perio dx: localized Stage II periodontitis" | Clinical note: D4341 LR on 08/06/2026 (this procedure) |
| N2 | Radiographs show horizontal bone loss in the LR posterior sextant."Radiographs show horizontal bone loss in the LR posterior sextant" | Clinical note: D4341 LR on 08/06/2026 (this procedure) |
| N3 | Moderate calculus and bleeding on probing throughout LR quadrant."Moderate calculus and BOP throughout LR quadrant" | Clinical note: D4341 LR on 08/06/2026 (this procedure) |
| N4 | Moderate calculus and bleeding on probing throughout LR quadrant."Moderate calculus and BOP throughout LR quadrant" | Clinical note: D4341 LR on 08/06/2026 (this procedure) |
Draft → check → revise loop (1 iteration)
Iteration 1: no issues
Clinical notes read (1, names redacted)
D4341 LR on 08/06/2026 (this procedure)
Perio dx: localized Stage II periodontitis. Radiographs show horizontal bone loss in the LR posterior sextant. Moderate calculus and BOP throughout LR quadrant. Scaling and root planing LR quad, 2 carpules lidocaine. Pt tolerated well.