
Patient: Marcus T. — Comprehensive Orthodontic & Restorative Treatment Plan
Full clinical examination, digital X-rays, CBCT scan, periodontal charting, and AI-assisted diagnostic imaging analysis to establish baseline treatment priorities.
Deep cleaning, scaling & root planing, caries excavation, and placement of temporary restorations. Addresses all acute concerns before proceeding to restorative phase.
Orthodontic alignment with Invisalign, progressive bracket adjustments, bite correction procedures, and mid-course AI monitoring. Currently in week 7 of 12.
Permanent crown placements, porcelain veneers, final composite restorations, and occlusal equilibration. All restorations fabricated using CAD/CAM digital workflow.
Custom Vivera retainer delivery, 3-month recall hygiene appointments, annual bite & alignment radiographic checks, and AI-powered video monitoring for remote compliance tracking.
| Procedure | Phase | Est. Fee | Insurance | Patient Share |
|---|---|---|---|---|
Full-Mouth X-Rays (FMX) D0210 | Phase 1 | $285.00 | $57.00 | |
Comprehensive Periodontal Eval D0180 | Phase 1 | $175.00 | $35.00 | |
Scaling & Root Planing (SRP) D4341 | Phase 1 | $890.00 | $267.00 | |
Composite Resin Filling — Molar D2392 | Phase 2 | $340.00 | $136.00 | |
Porcelain Crown — Premolar D2740 | Phase 2 | $1,450.00 | $725.00 | |
Dental Implant (Implant + Abutment) D6010 | Phase 3 | $3,200.00 | $3,200.00 |
Next steps for Treatment Plan #TP-2024-0891 — Rivera, Maria
Book the next phase sessions. Select an available time slot for Phase 2 — Crown Preparation.
Deliver the full treatment summary, cost estimate, and consent forms to Maria Rivera via secure patient portal message.
Escalate to Dr. Chen for clinical sign-off on the revised treatment protocol and medication plan.
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