Date
re: claim # 123456789
J. Doe, 4184369178887
DENTAL CONSULTANT: Please review this claim, with consideration to the following additional information.
Patient has fixed bridge 18-X-20 replacing missing 19. Tooth 18 has recurrent distal caries under abutment crown. Patient is missing 1, 2, 14, 16, 17, 19, 30, 31, 32.
Rather than allowing a new fixed bridge, you are allowing alternative treatment of removable partial denture.
This still does not address the original problem, which is recurrent caries on #18. Even with a removable partial denture, a new crown would still be needed on 18.
Also, she is missing #2, so making a removable partial denture to replace lower right molars would not be indicated unless you plan to cover removable partial denture on the upper arch as well.
Please call me personally if you still feel it is appropriate to reduce her benefits to a single removable prosthesis rather than a fixed 3-unit bridge.
Respectfully,
Randy Otterholt, D.D.S.
