DentaFHIR — Dental Practice Management

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Full Name: De-identified
Date of Birth: ••••-••-••
Gender: female
Phone: ••••••••81
Email: ••••@••••
Address: De-identified location

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Conditions

Procedures

110

Visits

Invoices

X-rays

Diagnosed Conditions

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Condition	ICD-10-AM	SNOMED CT Ref.	Status	Onset	Notes
Dental caries	—	80967001	resolved	2025-12-02	recementation 46
Dental caries	—	80967001	resolved	2025-07-03	recmentation 48 . adv new crown if needed
Dental caries	—	80967001	resolved	2025-04-30	crown prep pfm lower ant 4 to 5 unit
Dental pulp necrosis	—	234946006	resolved	2025-04-18	obt wih 32 33 41 42
Dental pulp necrosis	—	234946006	resolved	2025-04-09	a/o 32 33 41 42, bmp 20.04 till apex .... 20.04 long file for 33
Dental caries	—	80967001	resolved	2024-12-09	recementation 46
Dental caries	—	80967001	resolved	2024-07-09	crown cem 13 & 14
Dental caries	—	80967001	resolved	2024-07-02	crown prep 13 & 14
Dental pulp necrosis	—	234946006	resolved	2024-06-11	obt done with 13 & 14
Dental pulp necrosis	—	234946006	resolved	2024-06-06	a/o 13 20-04 & 14 buccal 20-04 & pal 25k fie
Necrosis of dental pulp	K04.1	234946006	resolved	2024-03-09	dtech 14 as temp due to dislogmed filling in 14 and upcoming ramzan- Adv 14 13 rct and cap
Dental caries	—	80967001	resolved	2024-01-30	crown cem 21 & 22
Dental caries	—	80967001	resolved	2024-01-25	crown prep pfm 21 & 22 a2 inciscal- Middle and cevical a3
Dental pulp necrosis	—	234946006	resolved	2024-01-15	obt 21 & 22
Dental pulp necrosis	—	234946006	resolved	2024-01-10	a/o with 21 & 22-bmp 30-04 ill apex
Dental pulp necrosis	—	234946006	resolved	2024-01-06	a/o 21 & 22 25-04 done
Dental caries	—	80967001	resolved	2023-03-30	12 & 16 & 43 cap cementation done
Dental caries	—	80967001	resolved	2023-03-22	tooth prep done with 12 & 43 & 16 impression recorded & d3 shade 12 & 43 pfm 16 metal
Necrosis of dental pulp	K04.1	234946006	resolved	2023-03-21	16 obt done 20-04 all three canals
Necrosis of dental pulp	K04.1	234946006	resolved	2023-03-18	16 & bmp 20-04 all 3 canal & hypo done
Dental pulp necrosis	—	234946006	resolved	2023-03-15	12 & 43 obt done 16 ao done
Dental pulp necrosis	—	234946006	resolved	2023-03-13	12 & hypo done
Dental pulp necrosis	—	234946006	resolved	2023-03-10	12 & 43 ao and bmp done with 25-04 & hypo done
Dental caries	—	80967001	resolved	2023-01-12	44 cap cementation done
Dental caries	—	80967001	resolved	2023-01-03	34 cap cementation done
Dental pulp necrosis	—	234946006	resolved	2022-12-30	44 obt done
Dental caries	—	80967001	resolved	2022-12-30	crown prep metal 44 & 34
Dental pulp necrosis	—	234946006	resolved	2022-12-27	a/o 44 30-04
Dental pulp necrosis	—	234946006	resolved	2022-12-19	34 obt done
Dental pulp necrosis	—	234946006	resolved	2022-12-14	a/o 34 30-04 till paex & hypo done
Necrosis of dental pulp	K04.1	234946006	resolved	2022-08-04	rct with 16 if needed
Dental pulp necrosis	—	234946006	resolved	2022-03-28	type ix 16 payment- Adv rc if needed
Dental caries	—	80967001	resolved	2022-02-17	type ix 16
Dental caries	—	80967001	resolved	2021-09-07	crown cem 26 metal
Dental caries	—	80967001	resolved	2021-08-30	crown prep metal 26
Dental pulp necrosis	—	234946006	resolved	2021-08-16	obt 26
Necrosis of dental pulp	K04.1	234946006	resolved	2021-08-11	a/o 26 & all canals 20-04 till ape & hypo done
Dental caries	—	80967001	resolved	2021-08-09	crown cut and removed 26
Dental pulp necrosis	—	234946006	resolved	2021-08-09	a/o 26
Dental caries	—	80967001	resolved	2020-02-29	crown cem 15
Dental caries	—	80967001	resolved	2020-02-25	crown prep metal 15
Dental pulp necrosis	—	234946006	resolved	2020-02-17	obt 15
Dental pulp necrosis	—	234946006	resolved	2020-02-15	a/o 15 25-04 bmp done till apex
Dental caries	—	80967001	resolved	2019-09-12	crown cem 24 with gingivectomy
Necrosis of dental pulp	K04.1	234946006	resolved	2019-08-27	crown prep metal 34 of rct done somewhere else
Dental pulp necrosis	—	234946006	resolved	2019-04-17	OBT 24
Necrosis of dental pulp	K04.1	234946006	resolved	2019-04-13	a/o 24 - Buccal 20 sep at apex- Bmp done both canals f1
Dental caries	—	80967001	resolved	2019-04-06	type ix rest 13 mesial-
Dental caries	—	80967001	resolved	2019-03-04	crown cem 23
Dental caries	—	80967001	resolved	2019-02-27	crown prep pfm 23
Dental pulp necrosis	—	234946006	resolved	2018-12-27	obt 23
Dental pulp necrosis	—	234946006	resolved	2018-12-19	a/o 23 f1 full lenght- Bmp done
Dental pulp necrosis	—	234946006	resolved	2018-07-04	obt 45
Dental caries	—	80967001	resolved	2018-07-04	crown prep metal 45 naved
Dental pulp necrosis	—	234946006	resolved	2018-06-30	a/o 45
Dental caries	—	80967001	resolved	2017-11-14	ext 28 - 27 crown disloged with enmass # crown of rc treatte- Pt told 27 cannot be put back
Dental caries	—	80967001	resolved	2017-08-30	recementation 36 & 37 & 38
Dental caries	—	80967001	resolved	2017-08-26	36 & 37 & 38 crown removed - Infectionbelw- Recalled agfter 3 day for recementation
Dental caries	—	80967001	resolved	2016-08-23	crown cem metal apna lab
Dental caries	—	80967001	resolved	2016-08-13	crown prep metal
Dental pulp necrosis	—	234946006	resolved	2016-08-01	obt 25
Dental caries, unspecified	K02.9	80967001	resolved	2016-07-27	adv rct 25 rvg done- Proximal caries detected@2900
Dental pulp necrosis	—	234946006	resolved	2016-07-27	a/o 25 f1
Dental caries	—	80967001	resolved	2016-03-26	crown cut and removed 17
Dental caries, unspecified	K02.9	80967001	resolved	2011-01-15	composite filling 1213
Dental caries	—	80967001	resolved	2010-07-26	recementation 16 & 17
Dental caries	—	80967001	resolved	2010-07-08	crorwn cementation temporary with IRM
Dental caries	—	80967001	resolved	2010-07-06	crown prep metal 36 & 37 & 38
Necrosis of dental pulp	K04.1	234946006	resolved	2010-06-23	obturation 36
Dental pulp necrosis	—	234946006	resolved	2010-06-09	bmp same Mb 16m & ml 17mm & dis 185mm
Dental pulp necrosis	—	234946006	resolved	2010-06-07	bmp same length Okay
Dental pulp necrosis	—	234946006	resolved	2010-06-04	A/o 36 mesial 18mm 25 distal 20mm 30
Dental pulp necrosis	—	234946006	resolved	2010-03-15	opd c/o pain in three quadrants 1 & 3 & 4
Dental caries	—	80967001	resolved	2009-11-04	crown cementation
Dental caries	—	80967001	resolved	2009-10-30	crown prep 27 metal
Necrosis of dental pulp	K04.1	234946006	resolved	2009-10-16	obturation 27
Dental pulp necrosis	—	234946006	resolved	2009-10-13	bmp okay

Dental Procedures

Add Procedure

Procedure	SNOMED CT AU	CDT Code	Tooth	Date	Status	Notes
Tooth extraction	424451000	D7140 Extraction, erupted tooth or exposed root	##48	2026-03-03	completed	extn done with 48
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	—	2026-03-03	completed	rs 1300 balance
Crown of tooth	424311000	—	##46	2025-12-02	completed	recementation 46
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##48	2025-07-03	completed	recmentation 48 . adv new crown if needed
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	—	2025-05-03	completed	metal trial
Crown of tooth	424311000	—	—	2025-04-30	completed	crown prep pfm lower ant 4 to 5 unit
Root canal treatment	234780006	—	##32, #33, #41, #42	2025-04-18	completed	obt wih 32 33 41 42
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##32, #33	2025-04-12	completed	CaOH dressing with 32 33
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##32, #33, #41, #42	2025-04-09	completed	a/o 32 33 41 42, bmp 20.04 till apex .... 20.04 long file for 33
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	—	2025-04-09	completed	New Treatment Started
Tooth extraction	424451000	D7140 Extraction, erupted tooth or exposed root	##41	2025-04-09	completed	extn with 41
Root canal treatment	234780006	—	—	2025-04-09	completed	4 rct with 4 fillings and 1 extn
Crown of tooth	424311000	—	##46	2024-12-09	completed	recementation 46
Crown of tooth	424311000	—	##13, #14	2024-07-09	completed	crown cem 13 & 14
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##13, #14	2024-07-02	completed	crown prep 13 & 14
Root canal treatment	234780006	—	##13, #14	2024-06-11	completed	obt done with 13 & 14
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##13, #14	2024-06-06	completed	a/o 13 20-04 & 14 buccal 20-04 & pal 25k fie
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##14, #13	2024-03-09	completed	dtech 14 as temp due to dislogmed filling in 14 and upcoming ramzan- Adv 14 13 rct and cap
Crown of tooth	424311000	—	##21, #22	2024-01-30	completed	crown cem 21 & 22
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##21, #22	2024-01-25	completed	crown prep pfm 21 & 22 a2 inciscal- Middle and cevical a3
Root canal treatment	234780006	—	##21, #22	2024-01-15	completed	obt 21 & 22
Root canal treatment	234780006	—	##21, #22	2024-01-10	completed	a/o with 21 & 22-bmp 30-04 ill apex
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##21, #22	2024-01-06	completed	a/o 21 & 22 25-04 done
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##12, #16, #43	2023-03-30	completed	12 & 16 & 43 cap cementation done
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##12, #43, #16	2023-03-22	completed	tooth prep done with 12 & 43 & 16 impression recorded & d3 shade 12 & 43 pfm 16 metal
Root canal treatment	234780006	—	##16	2023-03-21	completed	16 obt done 20-04 all three canals
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##12, #43, #16	2023-03-21	completed	d tech done in 12 & 43 & 16-
Root canal treatment	234780006	—	##16	2023-03-18	completed	16 & bmp 20-04 all 3 canal & hypo done
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##12, #43, #16	2023-03-15	completed	12 & 43 obt done 16 ao done
Root canal treatment	234780006	—	##16	2023-03-15	completed	a/o 16 & bmp 10k all 3 canals
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##12	2023-03-13	completed	12 & hypo done
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##12, #43	2023-03-10	completed	12 & 43 ao and bmp done with 25-04 & hypo done
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##46	2023-01-16	completed	crrown cem 46
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##44	2023-01-12	completed	44 cap cementation done
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##46	2023-01-12	completed	crown prep metL 46
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##34	2023-01-03	completed	34 cap cementation done
Root canal treatment	234780006	—	##44	2022-12-30	completed	44 obt done
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##44, #34	2022-12-30	completed	crown prep metal 44 & 34
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##44	2022-12-27	completed	a/o 44 30-04
Root canal treatment	234780006	—	##34	2022-12-19	completed	34 obt done
Root canal treatment	234780006	—	##34	2022-12-19	completed	rct + crown 34
Root canal treatment	234780006	—	##34	2022-12-14	completed	a/o 34 30-04 till paex & hypo done
Root canal treatment	234780006	—	##16	2022-08-04	completed	rct with 16 if needed
Root canal treatment	234780006	D3330 Endodontic therapy, molar tooth	##16	2022-03-28	completed	type ix 16 payment- Adv rc if needed
Dental filling	180534004	D2940 Protective restoration (GIC)	##16	2022-02-17	completed	type ix 16
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##11	2021-10-12	completed	11 brakcetc changed
Crown of tooth	424311000	—	##26	2021-09-07	completed	crown cem 26 metal
Crown of tooth	424311000	—	##26	2021-08-30	completed	crown prep metal 26
Root canal treatment	234780006	—	##26	2021-08-16	completed	obt 26
Root canal treatment	234780006	—	##26	2021-08-11	completed	a/o 26 & all canals 20-04 till ape & hypo done
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##26	2021-08-09	completed	crown cut and removed 26
Root canal treatment	234780006	D3330 Endodontic therapy, molar tooth	##26	2021-08-09	completed	a/o 26
Crown of tooth	424311000	—	##15	2020-02-29	completed	crown cem 15
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##15	2020-02-25	completed	crown prep metal 15
Root canal treatment	234780006	—	##15	2020-02-17	completed	obt 15
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##15	2020-02-15	completed	a/o 15 25-04 bmp done till apex
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##24	2019-09-12	completed	crown cem 24 with gingivectomy
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##34	2019-08-27	completed	crown prep metal 34 of rct done somewhere else
Root canal treatment	234780006	—	##24	2019-04-17	completed	OBT 24
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##24	2019-04-13	completed	a/o 24 - Buccal 20 sep at apex- Bmp done both canals f1
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##14, #15	2019-04-08	completed	comppsite 14 mesial & 15 mesial
Dental filling	180534004	D2940 Protective restoration (GIC)	##13	2019-04-06	completed	type ix rest 13 mesial-
Dental filling	180534004	D2940 Protective restoration (GIC)	##14	2019-04-06	completed	type ix class 2 14 mesial- Sandwich tech to be done
Crown of tooth	424311000	—	##23	2019-03-04	completed	crown cem 23
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##23	2019-02-27	completed	crown prep pfm 23
Root canal treatment	234780006	—	##23	2018-12-27	completed	obt 23
Root canal treatment	234780006	D3310 Endodontic therapy, anterior tooth	##23	2018-12-19	completed	a/o 23 f1 full lenght- Bmp done
Root canal treatment	234780006	—	##45	2018-07-04	completed	obt 45
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##45	2018-07-04	completed	crown prep metal 45 naved
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##45	2018-06-30	completed	a/o 45
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##28, #27	2017-11-14	completed	ext 28 - 27 crown disloged with enmass # crown of rc treatte- Pt told 27 cannot be put back
Crown of tooth	424311000	—	##36, #37, #38	2017-08-30	completed	recementation 36 & 37 & 38
Crown of tooth	424311000	—	##36, #37, #38	2017-08-30	completed	crown cem 36 & 37 & 38
Crown of tooth	424311000	—	##36, #37, #38	2017-08-26	completed	36 & 37 & 38 crown removed - Infectionbelw- Recalled agfter 3 day for recementation
Crown of tooth	424311000	—	—	2016-08-23	completed	crown cem metal apna lab
Crown of tooth	424311000	—	—	2016-08-13	completed	crown prep metal
Root canal treatment	234780006	—	##25	2016-08-01	completed	obt 25
Root canal treatment	234780006	D3320 Endodontic therapy, premolar tooth	##25	2016-07-27	completed	adv rct 25 rvg done- Proximal caries detected@2900
Dental consultation and report	103697008	D0140 Limited oral evaluation	##28	2016-07-27	completed	adv ext 28
Root canal treatment	234780006	—	##25	2016-07-27	completed	a/o 25 f1
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##17	2016-03-26	completed	crown cut and removed 17
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##17	2016-03-26	completed	ext 17
Dental consultation and report	103697008	D0140 Limited oral evaluation	##18	2016-03-26	completed	adv ext 18
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	—	2011-01-17	completed	payment
Dental filling	180534004	—	—	2011-01-15	completed	composite filling 1213
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##16, #17	2010-07-26	completed	recementation 16 & 17
Dental filling	180534004	—	—	2010-07-08	completed	crorwn cementation temporary with IRM
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##36, #37, #38	2010-07-06	completed	crown prep metal 36 & 37 & 38
Root canal treatment	234780006	D3330 Endodontic therapy, molar tooth	##36	2010-06-23	completed	obturation 36
Root canal treatment	234780006	—	—	2010-06-09	completed	bmp same Mb 16m & ml 17mm & dis 185mm
Root canal treatment	234780006	—	—	2010-06-07	completed	bmp same length Okay
Root canal treatment	234780006	D3330 Endodontic therapy, molar tooth	##36, #25	2010-06-04	completed	A/o 36 mesial 18mm 25 distal 20mm 30
Root canal treatment	234780006	—	—	2010-03-15	completed	opd c/o pain in three quadrants 1 & 3 & 4
Crown of tooth	424311000	—	—	2009-11-04	completed	crown cementation
Crown of tooth	424311000	D2750 Crown, porcelain fused to high noble metal	##27	2009-10-30	completed	crown prep 27 metal
Root canal treatment	234780006	D3330 Endodontic therapy, molar tooth	##27	2009-10-16	completed	obturation 27
Root canal treatment	234780006	—	—	2009-10-13	completed	bmp okay
Dental procedure (other)	74964007	D9999 Unspecified adjunctive procedure, by report	##27, #25, #35	2009-10-07	completed	Access 27 mesial 15mm 25 & distal 16mm 30 & palatal 185 35

Appointment History

Book Appointment

Date & Time	Status	Clinical Notes
2026-03-09 20:39	fulfilled	Dental visit — Dr Riyaz
2026-03-03 14:01	fulfilled	rs 1300 balance — Dr Riyaz
2026-03-03 13:47	fulfilled	extn done with 48 — Dr Riyaz
2025-12-02 12:46	fulfilled	Dental visit
2025-12-02 12:13	fulfilled	recementation 46
2025-07-03 13:08	fulfilled	recmentation 48 . adv new crown if needed — Dr Riyaz
2025-05-03 14:04	fulfilled	metal trial — Dr Riyaz
2025-04-30 13:36	fulfilled	crown prep pfm lower ant 4 to 5 unit — Dr Riyaz
2025-04-18 12:20	fulfilled	obt wih 32 33 41 42 — Dr Riyaz
2025-04-12 13:48	fulfilled	CaOH dressing with 32 33 — Dr Riyaz
2025-04-09 15:08	fulfilled	New Treatment Started — NULL
2025-04-09 15:08	fulfilled	extn with 41 — Dr Riyaz
2025-04-09 15:08	fulfilled	4 rct with 4 fillings and 1 extn — Dr Riyaz
2025-04-09 15:06	fulfilled	a/o 32 33 41 42, bmp 20.04 till apex .... 20.04 long file for 33
2024-12-09 13:14	fulfilled	recementation 46 — NULL
2024-07-09 12:56	fulfilled	crown cem 13 & 14 — NULL
2024-07-02 12:59	fulfilled	crown prep 13 & 14 — NULL
2024-06-11 13:49	fulfilled	obt done with 13 & 14 — NULL
2024-06-06 11:55	fulfilled	a/o 13 20-04 & 14 buccal 20-04 & pal 25k fie — NULL
2024-03-09 13:43	fulfilled	Dental visit — NULL
2024-03-09 13:01	fulfilled	dtech 14 as temp due to dislogmed filling in 14 and upcoming ramzan- Adv 14 13 rct and cap — NULL
2024-01-30 12:32	fulfilled	crown cem 21 & 22 — NULL
2024-01-25 12:56	fulfilled	crown prep pfm 21 & 22 a2 inciscal- Middle and cevical a3 — NULL
2024-01-15 14:30	fulfilled	obt 21 & 22 — NULL
2024-01-10 13:49	fulfilled	a/o with 21 & 22-bmp 30-04 ill apex — NULL
2024-01-06 12:41	fulfilled	a/o 21 & 22 25-04 done — NULL
2023-03-30 13:14	fulfilled	12 & 16 & 43 cap cementation done — NULL
2023-03-22 12:46	fulfilled	tooth prep done with 12 & 43 & 16 impression recorded & d3 shade 12 & 43 pfm 16 metal — NULL
2023-03-21 13:17	fulfilled	d tech done in 12 & 43 & 16- — NULL
2023-03-21 12:51	fulfilled	16 obt done 20-04 all three canals — NULL
2023-03-18 14:09	fulfilled	16 & bmp 20-04 all 3 canal & hypo done — NULL
2023-03-15 14:47	fulfilled	a/o 16 & bmp 10k all 3 canals — NULL
2023-03-15 14:26	fulfilled	12 & 43 obt done 16 ao done — NULL
2023-03-13 13:31	fulfilled	12 & hypo done — NULL
2023-03-10 13:44	fulfilled	12 & 43 ao and bmp done with 25-04 & hypo done — NULL
2023-03-10 13:08	fulfilled	Dental visit — NULL
2023-01-16 15:15	fulfilled	crrown cem 46 — NULL
2023-01-12 14:53	fulfilled	crown prep metL 46 — NULL
2023-01-12 14:53	fulfilled	Dental visit — NULL
2023-01-12 14:53	fulfilled	Dental visit — NULL
2023-01-12 13:19	fulfilled	44 cap cementation done — NULL
2023-01-03 13:38	fulfilled	34 cap cementation done — NULL
2022-12-30 15:18	fulfilled	crown prep metal 44 & 34 — NULL
2022-12-30 12:26	fulfilled	44 obt done — NULL
2022-12-27 15:05	fulfilled	a/o 44 30-04 — NULL
2022-12-19 14:59	fulfilled	rct + crown 34 — NULL
2022-12-19 14:12	fulfilled	34 obt done — NULL
2022-12-14 13:14	fulfilled	a/o 34 30-04 till paex & hypo done — NULL
2022-08-04 13:58	fulfilled	rct with 16 if needed — NULL
2022-03-28 15:52	fulfilled	type ix 16 payment- Adv rc if needed — NULL
2022-02-17 15:52	fulfilled	type ix 16 — NULL
2021-10-12 12:32	fulfilled	11 brakcetc changed — NULL
2021-09-07 13:40	fulfilled	crown cem 26 metal — NULL
2021-08-30 12:38	fulfilled	crown prep metal 26 — NULL
2021-08-16 16:56	fulfilled	Dental visit — NULL
2021-08-16 14:15	fulfilled	obt 26 — NULL
2021-08-11 14:39	fulfilled	Dental visit — NULL
2021-08-11 14:35	fulfilled	a/o 26 & all canals 20-04 till ape & hypo done — NULL
2021-08-09 17:04	fulfilled	a/o 26 — NULL
2021-08-09 17:04	fulfilled	crown cut and removed 26 — NULL
2020-02-29 18:36	fulfilled	crown cem 15 — NULL
2020-02-25 13:46	fulfilled	crown prep metal 15 — NULL
2020-02-17 14:06	fulfilled	obt 15 — NULL
2020-02-15 20:00	fulfilled	Dental visit — NULL
2020-02-15 13:36	fulfilled	a/o 15 25-04 bmp done till apex — NULL
2019-09-12 12:08	fulfilled	crown cem 24 with gingivectomy — NULL
2019-08-27 13:56	fulfilled	crown prep metal 34 of rct done somewhere else — NULL
2019-04-17 14:31	fulfilled	OBT 24 — NULL
2019-04-13 13:58	fulfilled	a/o 24 - Buccal 20 sep at apex- Bmp done both canals f1 — NULL
2019-04-08 14:50	fulfilled	comppsite 14 mesial & 15 mesial — NULL
2019-04-06 14:52	fulfilled	Dental visit — NULL
2019-04-06 14:52	fulfilled	Dental visit — NULL
2019-04-06 14:52	fulfilled	Dental visit — NULL
2019-04-06 14:30	fulfilled	type ix class 2 14 mesial- Sandwich tech to be done — NULL
2019-04-06 14:30	fulfilled	type ix rest 13 mesial- — NULL
2019-03-04 12:58	fulfilled	crown cem 23 — NULL
2019-02-27 14:17	fulfilled	crown prep pfm 23 — NULL
2018-12-27 14:45	fulfilled	obt 23 — NULL
2018-12-19 13:43	fulfilled	a/o 23 f1 full lenght- Bmp done — NULL
2018-07-04 13:20	fulfilled	crown prep metal 45 naved — NULL
2018-07-04 13:20	fulfilled	obt 45 — NULL
2018-06-30 12:12	fulfilled	a/o 45 — NULL
2017-11-14 10:41	fulfilled	ext 28 - 27 crown disloged with enmass # crown of rc treatte- Pt told 27 cannot be put back — NULL
2017-08-30 13:20	fulfilled	crown cem 36 & 37 & 38 — NULL
2017-08-30 13:20	fulfilled	recementation 36 & 37 & 38 — NULL
2017-08-26 18:59	fulfilled	36 & 37 & 38 crown removed - Infectionbelw- Recalled agfter 3 day for recementation — NULL
2016-08-23 13:07	fulfilled	crown cem metal apna lab — NULL
2016-08-13 20:26	fulfilled	crown prep metal — NULL
2016-08-01 11:50	fulfilled	obt 25 — NULL
2016-07-27 18:36	fulfilled	a/o 25 f1 — NULL
2016-07-27 18:08	fulfilled	adv ext 28 — NULL
2016-07-27 17:56	fulfilled	adv rct 25 rvg done- Proximal caries detected@2900 — NULL
2016-03-26 11:13	fulfilled	adv ext 18 — NULL
2016-03-26 11:13	fulfilled	ext 17 — NULL
2016-03-26 10:41	fulfilled	crown cut and removed 17 — NULL
2011-01-17 17:15	fulfilled	payment — NULL
2011-01-15 14:05	fulfilled	composite filling 1213 — NULL
2010-07-26 19:02	fulfilled	recementation 16 & 17 — NULL
2010-07-08 12:48	fulfilled	crorwn cementation temporary with IRM — NULL
2010-07-06 13:01	fulfilled	crown prep metal 36 & 37 & 38 — NULL
2010-06-23 20:37	fulfilled	obturation 36 — NULL
2010-06-09 20:10	fulfilled	bmp same Mb 16m & ml 17mm & dis 185mm — NULL
2010-06-07 11:35	fulfilled	bmp same length Okay — NULL
2010-06-04 20:33	fulfilled	A/o 36 mesial 18mm 25 distal 20mm 30 — NULL
2010-03-15 21:09	fulfilled	opd c/o pain in three quadrants 1 & 3 & 4 — NULL
2009-11-04 12:49	fulfilled	crown cementation — NULL
2009-10-30 17:54	fulfilled	crown prep 27 metal — NULL
2009-10-16 19:01	fulfilled	obturation 27 — NULL
2009-10-13 19:04	fulfilled	bmp okay — NULL
2009-10-07 18:56	fulfilled	Access 27 mesial 15mm 25 & distal 16mm 30 & palatal 185 35 — NULL

Dental Radiographs FHIR: DocumentReference · LOINC 24641-7

FHIR Bundle

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Invoices FHIR R4 Invoice · INR

FHIR Bundle

⁢₹104,100

Charged

₹110,100

Paid

₹84,400

Outstanding

Date	Procedure	Charged (₹)	Paid (₹)	Balance (₹)	Mode	Status
2026-03-09	Dental procedure	0	1,300	-1,300	—	cancelled
2026-03-03	Dental procedure (other)	1,500	200	1,300	—	issued
2025-12-02	Crown of tooth	300	300	0	—	balanced
2025-07-03	Crown of tooth	300	300	0	cash	balanced
2025-05-03	Dental procedure (other)	0	9,000	-9,000	cash	cancelled
2025-04-30	Crown of tooth	0	5,000	-5,000	—	cancelled
2025-04-18	Root canal treatment	0	4,000	-4,000	cash	cancelled
2025-04-12	Dental procedure (other)	0	5,000	-5,000	cash	cancelled
2025-04-09	Dental procedure (other)	0	1,000	-1,000	cash	cancelled
2025-04-09	Dental procedure (other)	28,000	0	28,000	—	issued
2025-04-09	Dental procedure (other)	18,000	0	18,000	—	issued
2024-12-09	Crown of tooth	200	200	0	—	balanced
2024-07-09	Crown of tooth	0	6,000	-6,000	—	cancelled
2024-07-02	Crown of tooth	0	3,000	-3,000	—	cancelled
2024-06-06	Root canal treatment	0	3,000	-3,000	—	cancelled
2024-03-09	Root canal treatment	400	400	0	—	balanced
2024-01-30	Crown of tooth	0	3,000	-3,000	—	cancelled
2024-01-25	Crown of tooth	0	3,000	-3,000	—	cancelled
2024-01-10	Root canal treatment	0	4,000	-4,000	—	cancelled
2024-01-06	Root canal treatment	12,000	2,000	10,000	—	issued
2023-03-18	Root canal treatment	0	16,000	-16,000	—	cancelled
2023-01-16	Dental procedure (other)	0	1,200	-1,200	—	cancelled
2023-01-12	Crown of tooth	0	2,500	-2,500	—	cancelled
2023-01-12	Crown of tooth	1,200	0	1,200	—	issued
2023-01-12	Crown of tooth	6,700	0	6,700	—	issued
2023-01-03	Crown of tooth	0	2,000	-2,000	—	cancelled
2022-12-30	Crown of tooth	0	2,000	-2,000	—	cancelled
2022-12-19	Root canal treatment	4,000	2,000	2,000	—	issued
2022-03-28	Root canal treatment	800	300	500	—	issued
2022-02-17	Dental filling	0	500	-500	—	cancelled
2021-09-07	Crown of tooth	0	1,000	-1,000	—	cancelled
2021-08-30	Crown of tooth	0	1,000	-1,000	—	cancelled
2021-08-16	Root canal treatment	0	1,000	-1,000	—	cancelled
2021-08-11	Root canal treatment	0	2,000	-2,000	—	cancelled
2021-08-09	Crown of tooth	3,500	0	3,500	—	issued
2021-08-09	Crown of tooth	1,000	0	1,000	—	issued
2020-02-29	Crown of tooth	0	1,000	-1,000	—	cancelled
2020-02-25	Crown of tooth	0	500	-500	—	cancelled
2020-02-17	Root canal treatment	0	500	-500	—	cancelled
2020-02-15	Root canal treatment	0	1,000	-1,000	—	cancelled
2019-09-12	Crown of tooth	1,500	1,500	0	—	balanced
2019-08-27	Root canal treatment	1,000	1,000	0	—	balanced
2019-04-17	Root canal treatment	0	1,000	-1,000	—	cancelled
2019-04-13	Root canal treatment	2,000	1,000	1,000	—	issued
2019-04-08	Dental procedure (other)	900	1,500	-600	—	balanced
2019-04-06	Dental filling	800	0	800	—	issued
2019-04-06	Dental filling	0	1,000	-1,000	—	cancelled
2019-04-06	Dental filling	800	0	800	—	issued
2019-03-04	Crown of tooth	0	2,000	-2,000	—	cancelled
2019-02-27	Crown of tooth	3,000	1,000	2,000	—	issued
2018-12-27	Root canal treatment	0	1,000	-1,000	—	cancelled
2018-12-19	Root canal treatment	2,000	1,000	1,000	—	issued
2018-07-04	Crown of tooth	0	1,000	-1,000	—	cancelled
2018-06-30	Root canal treatment	3,000	1,000	2,000	—	issued
2017-11-14	Crown of tooth	1,000	1,000	0	—	balanced
2017-08-30	Crown of tooth	400	400	0	—	balanced
2017-08-26	Crown of tooth	100	100	0	—	balanced
2016-08-23	Crown of tooth	0	500	-500	—	cancelled
2016-08-13	Crown of tooth	0	700	-700	—	cancelled
2016-08-01	Root canal treatment	0	500	-500	—	cancelled
2016-07-27	Dental consultation and report	2,700	1,000	1,700	—	issued
2016-03-26	Crown of tooth	300	300	0	—	balanced
2016-03-26	Crown of tooth	400	400	0	—	balanced
2011-01-17	Dental procedure (other)	0	400	-400	—	cancelled
2011-01-15	Dental filling	800	200	600	—	issued
2010-07-26	Crown of tooth	100	100	0	—	balanced
2010-07-08	Dental filling	0	900	-900	—	cancelled
2010-07-06	Crown of tooth	1,800	900	900	—	issued
2010-06-23	Root canal treatment	0	200	-200	—	cancelled
2010-06-09	Root canal treatment	0	200	-200	—	cancelled
2010-06-04	Root canal treatment	1,500	1,000	500	—	issued
2010-03-15	Root canal treatment	100	100	0	—	balanced
2009-11-04	Crown of tooth	0	400	-400	—	cancelled
2009-10-30	Crown of tooth	800	400	400	—	issued
2009-10-16	Root canal treatment	0	300	-300	—	cancelled
2009-10-13	Root canal treatment	0	200	-200	—	cancelled
2009-10-07	Dental procedure (other)	1,200	700	500	—	issued

De-identified Patient

Diagnosed Conditions

Dental Procedures

Appointment History

Dental Radiographs FHIR: DocumentReference · LOINC 24641-7

Invoices FHIR R4 Invoice · INR

FHIR R4 Resource JSON

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