JS
Patient Name
Johnson, Sarah
DOB / Age
03/15/1987 • 36yo
Allergies
Penicillin
Last Visit
Jan 22, 2025
Insurance
MetaDental PPO
Plan
100/80/50
Tooth Chart
Perio Chart
MAXILLA (Upper) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 MANDIBLE (Lower) 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Legend: Healthy Restoration Decay Crown
PERIODONTAL PROBING DEPTHS (mm)
Tooth MAXILLA MANDIBLE
Measurement Right Left Left Right
Mesial
2
2
3
2
2
2
2
2
2
2
2
3
2
2
2
2
2
4
3
2
2
2
2
2
2
3
2
2
2
2
2
2
Buccal
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
3
•
2
2
2
2
2
2
2
•
2
2
2
2
2
2
Distal
2
2
3
2
2
2
2
2
2
2
2
3
2
2
2
2
2
6
3
2
2
2
2
2
2
5
2
2
2
2
2
2
2
Recession Measurements (mm)
16
0
11
1
26
0
36
0
Voice Dictation
Note Template
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Detected Data
Teeth:
None detected
CDT Codes:
None detected
Conditions:
None detected
Recent Visits
Feb 10, 2026 — Dr. Chen
Prophylaxis and exam, all findings WNL
Nov 15, 2025 — Dr. Chen
Crown delivery #30, occlusion adjusted, patient comfortable
#19 - Lower Left First Molar
Select a tooth to view details
Tooth Surfaces
O B L D
Existing Conditions
✓ MOD Filling (composite)
✓ Stain - moderate
Add Procedure
Procedure History
01/22/2025 by Dr. Smith
D2391
Composite filling - MOD
05/15/2024 by Dr. Smith
D1110
Prophylaxis
Notes
Today's Procedures (2 planned)
2 Complete | 0 In Progress
D1110
Prophylaxis - Adult | Tooth 14, 19, 30
Dr. Lisa Chen, Assistant: Maria Lopez
⏱️ 15m
Complete
D2391
Composite Filling - One Surface | Tooth 19, Surface O
Dr. Lisa Chen, Assistant: Maria Lopez
⏱️ 22m
Complete
Clinical Notes