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Buildup + crown #14: 'needed for retention' phrasing

Claim 35000 · Acme Dental Mutual · Date of service 04/22/2026 · Source: synthetic case hand-05-buildup-retention · Generated 2026-10-12 07:03 UTC

Prepare in Open Dental

Needs documentation

Not ready: 1 item to fix in the chart before this claim goes out. Re-run ClaimClear afterwards.

  • Open Dental API call
    POST /tasks
{
  "TaskListNum": 1,
  "UserNum": 1,
  "Descript": "ClaimClear: claim 35000 (date of service 04/22/2026), documentation is missing.\n\nD2950 core buildup, tooth #14:\n- Document that the remaining tooth structure of tooth #14 is insufficient to retain the crown without a buildup, and how much is missing.",
  "KeyNum": 35000,
  "ObjectType": "Patient"
}
  • Open Dental API call
    POST /claimtrackings
{
  "ClaimNum": 35000,
  "TrackingDefNum": 2,
  "Note": "ClaimClear: documentation missing, see task"
}

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

D2950 core buildup · tooth #14 · 04/22/2026

Needs documentation

Do this before submitting

Narrative Every sentence checked against the chart

#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries. A crown (D2740) on #14 is recorded for 04/22/2026, the same visit. Bitewing radiographs taken 11/03/2025. Treatment: D2950 core buildup on tooth #14, date of service 04/22/2026.
251 characters

Claim note

Buildup #14: narrative and radiograph attached

Attachments

ItemStatusDetail
RadiographIn Open DentalBitewing radiographs taken 11/03/2025. Source: Open Dental Imaging: "BWX" (X-Rays), DocNum 35201.

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

CheckStatusDetail
Radiograph of tooth #14 within 12 monthsMetBitewing radiographs taken 11/03/2025 (5.6 months before the date of service).
Insufficient remaining structure to retain a crown documentedMissingNo note states that the remaining structure of tooth #14 cannot retain a crown without a buildup.
Extent of tooth structure loss documented (recommended)Met#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries.
Crown on the same toothMetA crown (D2740) on #14 is recorded for 04/22/2026, the same visit.
Evidence used (4 facts)
IDFactWhere it comes from
C1D2950 core buildup on tooth #14, date of service 04/22/2026.Procedure D2950 (ProcNum 35001)
C2Bitewing radiographs taken 11/03/2025.Open Dental Imaging: "BWX" (X-Rays), DocNum 35201
C3A crown (D2740) on #14 is recorded for 04/22/2026, the same visit.Procedure D2740 completed 04/22/2026 (ProcNum 35002)
N1#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries.
"#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries"
Clinical note: D2950 #14 on 04/22/2026 (this procedure)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (2, names redacted)

D2950 #14 on 04/22/2026 (this procedure)

#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries. Removed amalgam + decay, less than 50% tooth structure remaining -> core buildup needed for retention.

D2740 #14 on 04/22/2026 (same visit)

Prepped #14 for e.max crown, temp placed.

Engine: extractor heuristic, narrator template, reviewer none.

D2740 crown · tooth #14 · 04/22/2026

Ready to submit

Narrative Every sentence checked against the chart

#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries. Bitewing radiographs taken 11/03/2025. Treatment: D2740 crown on tooth #14, date of service 04/22/2026.
177 characters

Claim note

Crown #14: narrative and radiograph attached

Would strengthen the claim

Attachments

ItemStatusDetail
RadiographIn Open DentalBitewing radiographs taken 11/03/2025. Source: Open Dental Imaging: "BWX" (X-Rays), DocNum 35201.

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

CheckStatusDetail
Radiograph of tooth #14 within 12 monthsMetBitewing radiographs taken 11/03/2025 (5.6 months before the date of service).
Clinical reason for the crown documentedMet#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries.
Extent of tooth structure loss documented (recommended)Met#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries.
Replacement interval (5+ years since prior crown)N/ANo prior crown on tooth #14 in the chart.
Initial/replacement flag matches chart historyMetFlagged as initial placement; no prior crown on tooth #14 in the chart.
Intraoral photo (recommended)Not documentedNo intraoral photo of tooth #14 in Open Dental Imaging.
Evidence used (5 facts)
IDFactWhere it comes from
C1D2740 crown on tooth #14, date of service 04/22/2026.Procedure D2740 (ProcNum 35002)
C2Bitewing radiographs taken 11/03/2025.Open Dental Imaging: "BWX" (X-Rays), DocNum 35201
C3Recorded as the initial crown placement on #14.Procedure D2740: Prosthesis = Initial
N1#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries.
"#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries"
Clinical note: D2950 #14 on 04/22/2026 (same visit)
N2#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries.
"#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries"
Clinical note: D2950 #14 on 04/22/2026 (same visit)
Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (2, names redacted)

D2740 #14 on 04/22/2026 (this procedure)

Prepped #14 for e.max crown, temp placed.

D2950 #14 on 04/22/2026 (same visit)

#14 large DO amalgam failing, MB & DB cusps undermined, recurrent caries. Removed amalgam + decay, less than 50% tooth structure remaining -> core buildup needed for retention.

Engine: extractor heuristic, narrator template, reviewer none.