Margaret Chen
bitewing
Teeth: 14, 13, 12, 11
Mesial-occlusal caries #14
periapical
Teeth: 3
3mm periapical radiolucency #3
bitewing
Teeth: 19, 20, 21
Fractured lingual cusp #19
panoramic
Overall bone levels within normal limits
Missing #1, #16, #17, #32
Decision-Making Style
Asks detailed questions about materials and longevity
Strategy: Provide data-driven comparisons and peer-reviewed evidence
Risk Perception
Concerned about long-term outcomes, mentions wanting teeth to last
Strategy: Emphasize durability statistics and warranty information
Financial Sensitivity
Asked about insurance coverage twice during exam
Strategy: Lead with insurance optimization, show exact coverage breakdown
Trust Indicators
Has been with practice 8 years, follows recommended hygiene schedule
Strategy: Leverage established relationship; reference successful past treatments
Periapical radiolucency
D3330 — Root canal therapy - molar
3mm periapical lesion. Patient reports intermittent sensitivity to heat. Vitality testing recommended.
$1,100
Ins: $550
Pt: $550
Post-endodontic restoration needed
D2952 — Post and core in addition to crown
Core buildup with post required following RCT before crown placement.
$450
Ins: $225
Pt: $225
Full coverage restoration post-RCT
D2740 — Crown - porcelain/ceramic substrate
Zirconia crown recommended for molar. Existing tooth structure insufficient for onlay.
$1,350
Ins: $675
Pt: $675
Fractured lingual cusp with existing MOD amalgam
D2740 — Crown - porcelain/ceramic substrate
Large amalgam with undermined cusp. High fracture risk. PFM or zirconia crown recommended.
$1,350
Ins: $675
Pt: $675
Distal caries extending subgingivally
D2750 — Crown - porcelain fused to high noble metal
Deep distal caries. Crown lengthening may be needed. Monitor for pulpal involvement.
$1,450
Ins: $725
Pt: $725
Mesial-occlusal caries
D2392 — Resin-based composite - 2 surfaces, posterior
Early interproximal caries detected on bitewing. Recommend restoration before pulp involvement.
$320
Ins: $256
Pt: $64
Incisal edge chipping with wear facets
D2330 — Resin-based composite - 1 surface, anterior
Minor incisal chipping. Composite bonding for aesthetics. Discuss night guard for bruxism.
$250
Ins: $200
Pt: $50
Total Estimate
$6,270
Insurance Covers
$3,306
Patient Portion
$2,964
Urgent / High Priority (5)
Preventive / Elective (2)
Provide data, statistics, and evidence-based rationale