SRP: no radiographs in 24 months

Claim 24000 · Summit Smile Insurance · Date of service 03/28/2026 · Source: synthetic case srp-06-no-radiograph · Generated 2026-10-12 07:04 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.

To-do list as an Open Dental task

ClaimClear: claim 24000 (date of service 03/28/2026), documentation is missing.

D4341 periodontal scaling and root planing, four or more teeth per quadrant, the lower left quadrant:
- Attach radiographs showing bone levels in the lower left quadrant (full-mouth series or bitewings). If they live in your imaging software, export them.

Open Dental API call

POST /tasks
{
  "TaskListNum": 1,
  "UserNum": 1,
  "Descript": "ClaimClear: claim 24000 (date of service 03/28/2026), documentation is missing.\n\nD4341 periodontal scaling and root planing, four or more teeth per quadrant, the lower left quadrant:\n- Attach radiographs showing bone levels in the lower left quadrant (full-mouth series or bitewings). If they live in your imaging software, export them.",
  "KeyNum": 24000,
  "ObjectType": "Patient"
}

Claim tracking status

ClaimClear: documentation missing, see task

Open Dental API call

POST /claimtrackings
{
  "ClaimNum": 24000,
  "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.

D4341 periodontal scaling and root planing, four or more teeth per quadrant · the lower left quadrant · 03/28/2026

Needs documentation

Do this before submitting

Attach radiographs showing bone levels in the lower left quadrant (full-mouth series or bitewings). If they live in your imaging software, export them.

Narrative Every sentence checked against the chart

Diagnosis: chronic periodontitis, moderate. Lower left quadrant on the 03/14/2026 charting: 4 teeth with probing depths of 4 mm or more (#18: 5 mm, #19: 4 mm, #20: 5 mm, #21: 4 mm). Bleeding on probing at 8 sites. Full-mouth periodontal charting was recorded 03/14/2026. Moderate calculus and bleeding on probing throughout LL quadrant. Treatment: D4341 periodontal scaling and root planing, four or more teeth per quadrant on the lower left quadrant, date of service 03/28/2026.

479 characters

Claim note

SRP LL: perio chart and narrative attached

Attachments

Item	Status	Detail
Periodontal chart	In Open Dental	Full-mouth periodontal charting was recorded 03/14/2026. Source: Perio Chart exam dated 03/14/2026 (PerioExamNum 24301).
Radiograph	Missing	No radiograph of the lower left quadrant was found in Open Dental Imaging or in completed radiograph procedures. A clinical note refers to it ("Generalized horizontal bone loss noted on FMX"); if it exists outside Open Dental, attach it.

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

Check	Status	Detail
Periodontal charting within 12 months	Met	Full-mouth periodontal charting was recorded 03/14/2026.
4+ teeth in the quadrant with pockets of 4 mm or more	Met	Lower left quadrant on the 03/14/2026 charting: 4 teeth with probing depths of 4 mm or more (#18: 5 mm, #19: 4 mm, #20: 5 mm, #21: 4 mm). Bleeding on probing at 8 sites.
Radiograph of the lower left quadrant within 24 months	Missing	No radiograph of the lower left quadrant was found in Open Dental Imaging or in completed radiograph procedures. A clinical note refers to it ("Generalized horizontal bone loss noted on FMX"); if it exists outside Open Dental, attach it.
Periodontal diagnosis documented (recommended)	Met	Diagnosis: chronic periodontitis, moderate.
Radiographic bone loss documented (recommended)	Met	Generalized horizontal bone loss noted on FMX. (Left out of the narrative because it refers to evidence missing from the chart.)

Evidence used (7 facts)

ID	Fact	Where it comes from
C1	D4341 periodontal scaling and root planing, four or more teeth per quadrant on the lower left quadrant, date of service 03/28/2026.	Procedure D4341 (ProcNum 24001)
C2	Full-mouth periodontal charting was recorded 03/14/2026.	Perio Chart exam dated 03/14/2026 (PerioExamNum 24301)
C3	Lower left quadrant on the 03/14/2026 charting: 4 teeth with probing depths of 4 mm or more (#18: 5 mm, #19: 4 mm, #20: 5 mm, #21: 4 mm). Bleeding on probing at 8 sites.	Perio Chart exam dated 03/14/2026, LL quadrant
N1	Diagnosis: chronic periodontitis, moderate. "Diagnosis: chronic periodontitis, moderate"	Clinical note: D4341 LL on 03/28/2026 (this procedure)
N2	Generalized horizontal bone loss noted on FMX. "Generalized horizontal bone loss noted on FMX"	Clinical note: D4341 LL on 03/28/2026 (this procedure)
N3	Moderate calculus and bleeding on probing throughout LL quadrant. "Moderate calculus and BOP throughout LL quadrant"	Clinical note: D4341 LL on 03/28/2026 (this procedure)
N4	Moderate calculus and bleeding on probing throughout LL quadrant. "Moderate calculus and BOP throughout LL quadrant"	Clinical note: D4341 LL on 03/28/2026 (this procedure)

Draft → check → revise loop (1 iteration)

Iteration 1: no issues

Clinical notes read (1, names redacted)

D4341 LL on 03/28/2026 (this procedure)

Diagnosis: chronic periodontitis, moderate. Generalized horizontal bone loss noted on FMX. Moderate calculus and BOP throughout LL quadrant. Scaling and root planing LL quad, 2 carpules lidocaine. Pt tolerated well.

Engine: extractor heuristic, narrator template, reviewer none.