Crown: PA billed but image only in bridged imaging software
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D2740 crown · tooth #4 · 08/15/2026
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- This radiograph is billed but not in Open Dental Imaging: export it from your imaging software to attach it.
Narrative Every sentence checked against the chart
#4 has secondary caries around the margins of an old DO composite. More than half of the remaining tooth structure is lost. Periapical radiograph of #4 taken 05/13/2026. Treatment: D2740 crown on tooth #4, date of service 08/15/2026.
Claim note
Crown #4: narrative and radiograph attached
Would strengthen the claim
- Attach an intraoral photo; photos make fracture and decay findings easier for reviewers to accept.
Attachments
| Item | Status | Detail |
|---|---|---|
| Radiograph | Export from imaging | Periapical radiograph of #4 taken 05/13/2026. Source: Procedure D0220 completed 05/13/2026; image not found in Open Dental Imaging, so export it from your imaging software. |
Documentation checks
| Check | Status | Detail |
|---|---|---|
| Radiograph of tooth #4 within 12 months | Met | Periapical radiograph of #4 taken 05/13/2026 (3.1 months before the date of service). |
| Clinical reason for the crown documented | Met | #4 has secondary caries around the margins of an old DO composite. |
| Extent of tooth structure loss documented | Met | More than half of the remaining tooth structure is lost. |
| Replacement interval (5+ years since prior crown) | N/A | No prior crown on tooth #4 in the chart. |
| Initial/replacement flag matches chart history | Met | Flagged as initial placement; no prior crown on tooth #4 in the chart. |
| Intraoral photo | Not documented | No intraoral photo of tooth #4 in Open Dental Imaging. |
Evidence used (5 facts)
| ID | Fact | Where it comes from |
|---|---|---|
| C1 | D2740 crown on tooth #4, date of service 08/15/2026. | Procedure D2740 (ProcNum 10001) |
| C2 | Periapical radiograph of #4 taken 05/13/2026. | Procedure D0220 completed 05/13/2026; image not found in Open Dental Imaging, so export it from your imaging software |
| C3 | Recorded as the initial crown placement on #4. | Procedure D2740: Prosthesis = Initial |
| N1 | #4 has secondary caries around the margins of an old DO composite."#4 has secondary caries around the margins of an old DO composite" | Clinical note: D2740 #4 on 08/15/2026 (this procedure) |
| N2 | More than half of the remaining tooth structure is lost."More than half of the remaining tooth structure is lost" | Clinical note: D2740 #4 on 08/15/2026 (this procedure) |
Draft → check → revise loop (1 iteration)
Iteration 1: no issues
Clinical notes read (1, names redacted)
D2740 #4 on 08/15/2026 (this procedure)
#4 has secondary caries around the margins of an old DO composite. More than half of the remaining tooth structure is lost. Discussed tx options; pt elected e.max crown. Local anesthetic administered. Prepped #4, final impression taken, temp cemented w/ TempBond.