← All claims

Crown: replacing a 9+ year old crown

Claim 7000 · Acme Dental Mutual · Date of service 07/20/2026 · Source: synthetic case crown-07-old-replacement · Generated 2026-10-12 07:01 UTC

Prepare in Open Dental

Ready to approve

Ready: approve to put the notes and narrative into Open Dental, then send the claim as usual.

  • Open Dental API call
    PUT /procedurelogs/7001
{
  "ClaimNote": "Crown #31: narrative and radiograph attached"
}
  • Open Dental API call
    POST /documents/Upload
{
  "PatNum": 7000,
  "rawBase64": "<PDF, 1582 bytes>",
  "extension": ".pdf",
  "Description": "ClaimClear narrative - claim 7000",
  "ImgType": "Document",
  "ToothNumbers": "31"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 7000,
  "TrackingDefNum": 1,
  "Note": "ClaimClear: notes and narrative prepared"
}

Preview the narrative PDF

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

D2790 crown · tooth #31 · 07/20/2026

Ready to submit

Narrative Every sentence checked against the chart

Porcelain fractured off the existing crown on #31, exposing the metal substructure. MB and ML cusps undermined. The crown being replaced on #31 was originally placed 06/11/2015 (11 years before this date of service). Periapical radiograph of #31 taken 03/24/2026. Treatment: D2790 crown on tooth #31, date of service 07/20/2026.
328 characters

Claim note

Crown #31: narrative and radiograph attached

Would strengthen the claim

Attachments

ItemStatusDetail
RadiographIn Open DentalPeriapical radiograph of #31 taken 03/24/2026. Source: Open Dental Imaging: "Periapical 31" (X-Rays), DocNum 7201.

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

CheckStatusDetail
Radiograph of tooth #31 within 12 monthsMetPeriapical radiograph of #31 taken 03/24/2026 (3.9 months before the date of service).
Clinical reason for the crown documentedMetPorcelain fractured off the existing crown on #31, exposing the metal substructure.
Extent of tooth structure loss documented (recommended)MetMB and ML cusps undermined.
Replacement interval (5+ years since prior crown)MetPrior crown placed 06/11/2015, 11 years before the date of service.
Initial/replacement flag matches chart historyN/AProcedure is not flagged as an initial placement.
Intraoral photo (recommended)Not documentedNo intraoral photo of tooth #31 in Open Dental Imaging.
Evidence used (5 facts)
IDFactWhere it comes from
C1D2790 crown on tooth #31, date of service 07/20/2026.Procedure D2790 (ProcNum 7001)
C2Periapical radiograph of #31 taken 03/24/2026.Open Dental Imaging: "Periapical 31" (X-Rays), DocNum 7201
C3The crown being replaced on #31 was originally placed 06/11/2015 (11 years before this date of service).Procedure D2790: Prosthesis = Replacement, original date 06/11/2015
N1Porcelain fractured off the existing crown on #31, exposing the metal substructure.
"Porcelain fractured off the existing crown on #31, exposing the metal substructure"
Clinical note: D2790 #31 on 07/20/2026 (this procedure)
N2MB and ML cusps undermined.
"MB and ML cusps undermined"
Clinical note: D2790 #31 on 07/20/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D2790 #31 on 07/20/2026 (this procedure)

Porcelain fractured off the existing crown on #31, exposing the metal substructure. MB and ML cusps undermined. Crown prep #31 for full cast gold crown. Shade A2. Temp placed.

Engine: extractor heuristic, narrator template, reviewer none.