Templates
Dental chart note templates by CDT code
Sample chart note templates organized by CDT code, with documentation notes for each.
Diagnostic
D0120 – D0350Oral evaluations, radiographs, and diagnostic imaging used to assess and document patient status.
Preventive
D1110 – D1354Prophylaxis, fluoride, sealants, and silver diamine fluoride — services that prevent disease and protect existing tooth structure.
Restorative
D2140 – D2954Direct and indirect restorations — amalgam, composite, onlays, crowns, and core/post buildups.
Endodontics
D3110 – D3348Pulpal therapy and root canal treatment, including pulp caps, pulpotomies, primary RCT, and retreatments.
Periodontics
D4210 – D4910Surgical and non-surgical periodontal therapy — gingivectomy, flap, osseous, grafting, SRP, and perio maintenance.
Prosthodontics — Removable
D5110 – D5866Complete and partial dentures, immediate dentures, adjustments, repairs, relines, and overdentures.
Prosthodontics — Fixed & Implants
D6010 – D6980Implant placement, abutments, implant-supported crowns, fixed bridges, pontics, retainers, and bridge repair.
Oral Surgery
D7111 – D7972Extractions, surgical removal, alveoloplasty, biopsies, I&D, ridge preservation, frenectomy, and soft-tissue procedures.
Orthodontics
D8010 – D8704Limited, interceptive, and comprehensive orthodontic treatment, appliances, periodic visits, and retention.
Adjunctive
D9110 – D9995Palliative care, anesthesia and sedation, consultations, occlusal services, bleaching, and other adjunctive procedures.
Workflow Templates
Non-CDTProcedure and workflow templates without a single CDT code — Invisalign visits, implant follow-ups, scans, retainers, in-office whitening, etc.
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