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SRP 4+ teeth: complete (phrasing variant)

Claim 26000 · Harborview Dental Plan · Date of service 08/06/2026 · Source: synthetic case srp-08-complete · Generated 2026-10-12 07:00 UTC

Prepare in Open Dental

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

  • Open Dental API call
    PUT /procedurelogs/26001
    {
      "ClaimNote": "SRP LR: perio chart, radiographs, narrative attached"
    }
  • Open Dental API call
    POST /documents/Upload
    {
      "PatNum": 26000,
      "rawBase64": "<PDF, 2148 bytes>",
      "extension": ".pdf",
      "Description": "ClaimClear narrative - claim 26000",
      "ImgType": "Document"
    }
  • Open Dental API call
    POST /claimtrackings
    {
      "ClaimNum": 26000,
      "TrackingDefNum": 1,
      "Note": "ClaimClear: notes and narrative prepared"
    }

Preview the narrative PDF

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D4341 periodontal scaling and root planing, four or more teeth per quadrant · the lower right quadrant · 08/06/2026

Ready to submit

Narrative Every sentence checked against the chart

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.
606 characters

Claim note

SRP LR: perio chart, radiographs, narrative attached

Attachments

ItemStatusDetail
Periodontal chartIn Open DentalFull-mouth periodontal charting was recorded 06/16/2026. Source: Perio Chart exam dated 06/16/2026 (PerioExamNum 26301).
RadiographIn Open DentalFull-mouth series of radiographs taken 06/29/2026. Source: Open Dental Imaging: "FMX" (X-Rays), DocNum 26201.

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

CheckStatusDetail
Periodontal charting within 12 monthsMetFull-mouth periodontal charting was recorded 06/16/2026.
4+ teeth in the quadrant with pockets of 4 mm or moreMetLower 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 monthsMetFull-mouth series of radiographs taken 06/29/2026 (1.2 months before the date of service).
Periodontal diagnosis documented (recommended)MetPerio diagnosis: localized Stage II periodontitis.
Radiographic bone loss documented (recommended)MetRadiographs show horizontal bone loss in the LR posterior sextant.
Evidence used (8 facts)
IDFactWhere it comes from
C1D4341 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)
C2Full-mouth series of radiographs taken 06/29/2026.Open Dental Imaging: "FMX" (X-Rays), DocNum 26201
C3Full-mouth periodontal charting was recorded 06/16/2026.Perio Chart exam dated 06/16/2026 (PerioExamNum 26301)
C4Lower 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
N1Perio diagnosis: localized Stage II periodontitis.
"Perio dx: localized Stage II periodontitis"
Clinical note: D4341 LR on 08/06/2026 (this procedure)
N2Radiographs 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)
N3Moderate 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)
N4Moderate 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.

Engine: extractor heuristic, narrator template, reviewer none.