Most Recent Prophy Date
Pre-op Images
before original protected treatment was completed
Post-op Images
after original protected treatment was completed
Failure or Damage Images
showing claim eligible issue(s) with original protected treatment
Clinical Notes
Must include all entries from date of original diagnosis through the date claim is submitted
Patient Ledger
Must include all entries from date of original diagnosis through the date claim is submitted and show teeth numbers, procedure codes, and fees