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SJ
Sarah Johnson
Welcome back, Sarah! 👋
We're here to help you maintain your oral health
📅 Upcoming Appointments
Thursday, February 27, 2025 • 2:00 PM
Regular Checkup & Cleaning
Dr. Emily Chen • Hygienist: Maria Rodriguez
Monday, March 10, 2025 • 10:30 AM
Crown Placement - Tooth #14
Dr. Michael Torres
Wednesday, March 19, 2025 • 1:15 PM
Follow-up Exam
Dr. Emily Chen
🏥 Treatment Plans
Root Canal - Tooth #14
Presented
Root Canal Treatment
$1,200.00
Crown Placement
$1,500.00
Follow-up X-rays
$150.00
Total Treatment Cost
$2,850.00
Insurance Estimate
-$1,710.00
Your Estimated Cost
$1,140.00
Composite Filling - Tooth #3
Accepted
Composite Filling
$250.00
Total Treatment Cost
$250.00
Insurance Estimate
-$150.00
Your Estimated Cost
$100.00
📅 Your Appointments
Upcoming
Thursday, February 27, 2025 • 2:00 PM
Regular Checkup & Cleaning
Dr. Emily Chen • Hygienist: Maria Rodriguez
Monday, March 10, 2025 • 10:30 AM
Crown Placement - Tooth #14
Dr. Michael Torres
Wednesday, March 19, 2025 • 1:15 PM
Follow-up Exam
Dr. Emily Chen
Past Appointments
Wednesday, February 12, 2025 • 3:00 PM
Emergency - Tooth Pain
Dr. Emily Chen
Tuesday, January 28, 2025 • 9:00 AM
Regular Checkup & Cleaning
Dr. Emily Chen
🏥 Treatment Plans
Root Canal - Tooth #14
Presented
Root Canal Treatment
$1,200.00
Crown Placement
$1,500.00
Follow-up X-rays
$150.00
Total Treatment Cost
$2,850.00
Insurance Estimate
-$1,710.00
Your Estimated Cost
$1,140.00
Composite Filling - Tooth #3
Accepted
Composite Filling
$250.00
Total Treatment Cost
$250.00
Insurance Estimate
-$150.00
Your Estimated Cost
$100.00
Wisdom Teeth Extraction - Teeth #1 & #32
Completed
Wisdom Teeth Extraction (2 teeth)
$800.00
Post-op Care
$150.00
Total Treatment Cost
$950.00
Insurance Estimate
-$570.00
Your Cost
$380.00
💳 Billing & Payments
Current Balance Due
$1,240.00
Due by March 31, 2025
Insurance Benefits
$1,820.00
Annual maximum (70% used)
Recent Transactions
| Date | Description | Amount | Balance |
|---|---|---|---|
| Feb 20, 2025 | Crown Placement - Tooth #14 | -$1,500.00 | $1,240.00 |
| Feb 15, 2025 | Insurance Payment (Fillings) | +$600.00 | $2,740.00 |
| Feb 10, 2025 | Patient Payment - Card | +$500.00 | $2,140.00 |
| Feb 5, 2025 | Cleaning & Exam | -$350.00 | $1,640.00 |
| Jan 28, 2025 | Insurance Payment (Cleaning) | +$210.00 | $1,990.00 |
💬 Messages
From Dr. Emily Chen
From Billing Department
From MyDentalPMS
👤 My Information
Personal Information
✏️
Full Name
Sarah Johnson
Date of Birth
March 15, 1990
Gender
Female
Email
[email protected]
Phone
(555) 123-4567
Contact Address
✏️
Street
1234 Maple Drive
City
San Francisco
State/Province
CA
Zip Code
94105
Insurance Information
✏️
Insurance Provider
Blue Cross Blue Shield
Policy Number
BS-123456789
Group Number
GRP-1001
Coverage Type
Individual
Medical History
✏️
Allergies
Penicillin
Current Medications
Lisinopril 10mg daily
Medical Conditions
Hypertension
Health Questionnaire Status
Annual Health Questionnaire
Last completed: January 28, 2025
📄 Documents
Treatment Plan - Root Canal
Feb 20, 2025
Receipt - Payment
Feb 10, 2025
Patient Intake Form
Jan 28, 2025
X-ray Images
Jan 28, 2025
Invoice - Crown Placement
Feb 5, 2025
Medical History Summary
Jan 28, 2025
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Last changed 6 months ago
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