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Sarah Jenkins
#P-90210
calendar_today 34 Yrs
female Female
call (555) 123-4567
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Allergy: Penicillin
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Condition: Hypertension
grid_view Odontogram & Charting
Maxilla (Upper Arch)
Mandible (Lower Arch)
Treatment Needed
Existing
Condition
list_alt Procedures List
| Code | Description | Tooth | Surface | Status | Cost | |
|---|---|---|---|---|---|---|
| D2391 | Resin-based composite - posterior - one surface | 14 | MO | Completed | $185.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | Full Mouth | - | Planned | $95.00 | |
| D0274 | Bitewings - four radiographic images | - | - | Proposed | $68.00 |
Tooth #3
Maxillary Right First MolarQuick Actions
Clinical Notes
Today, 10:23 AM • Dr. Smith
Patient reports sensitivity to cold on upper right quadrant. Visual inspection reveals possible decay on #3 MO.
Oct 12, 2023 • Hygienist Doe
Routine prophylaxis completed. Patient instructed on proper flossing technique. Gum health improved.
Visit Summary
Procedures Total
$348.00
Est. Insurance
-$280.00
Patient Due
$68.00