Good morning, Dr. Karras

Tuesday · May 26, 2026 · Toledo — Main

Today's production

$14,820

vs. $11,400 last Tue

Appointments

18 / 22

81% chair utilization

Outstanding A/R

$68,440

$12,310 over 60 days

Recall due — 14 days

31 not yet contacted

Today's huddle

Open schedule →

Time	Patient	Provider	Type	Status	Flags

Inbox

View all →

MR

Maria Reyes

8:42 AM

Tooth still aching after the build-up last Friday…
JT

Jamal Thompson

8:15 AM

Refill request: amoxicillin 500mg
PA

Priya Anand

7:58 AM

Treatment plan accepted via SmileConnect
CH

Change Healthcare

7:30 AM

ERA 835 received · 12 claims reconciled

Pending claims

3 rejected · 5 awaiting attachment

Work queue →

Lab cases due

1 overdue · 3 due this week

Open cases →

Forms outstanding

Medical hx refresh · HIPAA

View →

Schedule

Tuesday · May 26, 2026 · Toledo — Main

Hygiene

Restorative

New patient

Surgical / Endo

Patients

4,127 active · 23 added this week

Name	DOB / Age	Provider	Last visit	Next appt	Balance	Flags

Maria Reyes

Allergy: Penicillin BP: monitor Balance $182.50

DOB 04/12/1986 (40) MRN 003821 Insurance: Delta Dental PPO · Aetna 2° Provider: Dr. Karras · Hyg. Lopez

Active treatment

D2750Crown — porcelain fused to noble metal · #14

In progress

D2392Resin composite · 2 surfaces · #19 MO

Planned

D4910Periodontal maintenance

Recall due Jun 14

Medical alerts

Allergy: Penicillin — hives (2014)
Hypertension — Lisinopril 10mg daily
Former smoker · quit 2019

Recent visits

May 19, 2026 · Build-up #14 · Dr. Karras

Core build-up placed. Crown impression scheduled.
Feb 14, 2026 · Prophylaxis · Hyg. Lopez

Light calculus generalized. BOP 12%. FMX taken.
Aug 02, 2025 · Recall exam · Dr. Karras

No new caries. Watch #19 occlusal stain.

Insurance snapshot

Carrier: Delta Dental PPO
Annual max: $2,000
Used YTD: $418
Remaining: $1,582
Deductible: $50 / $50 met
Last 270 check: 2026-05-12

Contact & demographics

Legal name: Reyes, Maria Elena
Preferred name: Maria
DOB / Age: 04/12/1986 · 40
Sex / Pronouns: Female · she/her
Mobile: (419) 555-0142
Email: maria.reyes@example.com
Address: 284 Birchwood Ln · Toledo, OH 43615
Preferred contact: SMS · Email · Portal
Preferred language: English

Household

Carlos Reyes (spouse)Linked
Sofia Reyes (age 8)Dependent
Diego Reyes (age 5)Dependent

Odontogram

Numbering

Palette:

Click a tooth to apply the selected condition. Conditions persist for this session.

Periodontal exam — May 19, 2026

BOP 14% · 4 sites >5mm · CAL avg 1.8mm

Bleeding on probing

Pocket ≥ 5mm

Suppuration

Plaque / calculus

Treatment plan — Phase 1 (Periodontal & Restorative)

Presented · awaiting signature

CDT	Procedure	Tooth / Surf.	Fee	Ins. est.	Patient	Status
Totals			—	—	—

Insurance estimates use Delta Dental PPO contracted schedule. Real-time eligibility checked 2026-05-12.

Imaging — Full Mouth Series · Feb 14, 2026

Imaging viewer placeholder. Production viewer renders DICOM via cornerstone.js with measurement and markup tools.

Prescriptions

Date	Medication	Sig	Provider	Status
2026-05-19	Ibuprofen 800mg	1 tab PO q8h prn pain · #15	Dr. Karras	Transmitted
2025-08-02	Chlorhexidine 0.12%	15 mL rinse BID · #1 bottle	Dr. Karras	Transmitted
2025-08-02	Clindamycin 300mg	1 cap PO QID · #28 · 0 refills	Dr. Karras	Allergy alt (PCN)

Surescripts adapter ready. OARRS prescriber check required for Schedule II–IV.

Clinical note · May 19, 2026

Signed · D. Karras DDS · 16:42

Subjective: Patient reports cold sensitivity on upper left, intermittent. Denies spontaneous pain. No swelling.
Objective: #14 — large existing MOD amalgam, fracture line distobuccal cusp. Cold test (+) brief. Percussion (–). Probing WNL. PA: no periapical pathology.
Assessment: Fractured cusp #14 with reversible pulpitis. Restorability favorable.
Plan: Core build-up placed today (D2950). PFM crown #14 scheduled. Patient verbalized understanding of risks/alts. Topical 20% benzo · 2 carp lido 2% w/ 1:100k epi infiltration · field isolated · caries removed · Vitrebond liner · core build-up with Fluorocore · prep complete · digital impression sent (3M Trios) · temporary crown placed · occlusion verified.

Patient ledger

Date	Description	Charge	Credit	Balance

Required & submitted forms

Medical historyCurrent · 2026-02-14
HIPAA acknowledgmentSigned · 2024-08-02
Financial policySigned · 2024-08-02
Pre-op consent — crownSent · awaiting

Messages

Maria Reyes8:42a

Tooth still aching after the build-up last Friday…
Jamal Thompson8:15a

Refill request: amoxicillin 500mg
Priya Anand7:58a

Treatment plan accepted via SmileConnect
Akron — front deskMon

Lab case for #30 didn't arrive yet

Maria Reyes

SMS · via Twilio · TCPA: opted-in 2024-08

Tooth still aching after the build-up last Friday. Should I be worried?

8:42 AM

Some sensitivity is expected for 5–7 days. If sharp pain when biting or swelling, please call. Want me to add an evaluation slot?

8:45 AM · Dr. Karras

Billing & Ledger

A/R 0–30

$28,140

A/R 31–60

$17,990

A/R 61–90

$10,000

A/R 90+

$12,310

Payments today

Time	Patient	Method	Allocated to	Amount
08:14	Priya Anand	Card · Stripe	D2392 #19 MO	$118.00
09:30	Carlos Reyes	Check #1421	Account credit	$300.00
10:02	Jamal Thompson	Card · Stripe	D1110 + D0274	$76.00
11:48	Delta Dental ERA	EFT	12 claims	$4,712.40

Insurance & Claims

Claim #	Patient	Carrier	DOS	CDT codes	Billed	Status	Age

Reports

Production by provider

Producer · period · location

Collections & A/R aging

30/60/90/120 buckets

Schedule utilization

Chair time · no-show rate

Recall effectiveness

Due · contacted · scheduled · completed

New patient sources

Referral attribution

Claim denial by carrier

Reason codes · time-to-pay

Lab Cases

Patient	Procedure	Lab	Sent	Due	Status	Seat appt

Recalls

Auto-due reminders fire at 30 / 14 / 7 / 1 day pre-due via SMS, email, and SmileConnect.

Due this week

Due in 14 days

Overdue 30+

Recall rate (90d)

68%

Forms

Templates

Medical history (v4)
Required for new patients · refresh every 12 months
HIPAA acknowledgment (v2)
Required for new patients · once
Financial policy (v3)
Required for new patients · once
Pre-op consent — extraction
Sent per procedure · expires 30 days
Pre-op consent — crown / build-up
Sent per procedure · expires 30 days

Telehealth

Upcoming video visits

When	Patient	Provider	Reason	Room
Today · 2:30 PM	Priya Anand	Dr. Karras	Post-op follow-up
Wed · 11:00 AM	Carlos Reyes	Hyg. Lopez	OHI & consult

Twilio Video · recording off by default · consent recorded per session.

Settings

Practice profile

Tenant: Cornerstone Dental — Northwest Ohio LLC
Group NPI: 1750xxxxxx
Tax ID: xx-xxxxxxx
Ohio Dental Board lic.: OH-D-•••12
Timezone: America/New_York

Locations

Toledo — Main8 ops · M–F 8a–5p
Akron — North5 ops · M–Th 8a–5p
Cincinnati — Tri-State6 ops · T–Sa 8a–5p

Integrations

StripeConnected
Twilio (SMS & Video)Connected
Surescripts e-RxCert in progress
Change Healthcare EDIConnected
OARRSManual lookup

Access tiers

Consistent with all Cornerstone systems.

General UserDay-to-day workflows
Supervisor UserCo-sign, overrides
Command UserCross-location ops
Administrator UserFull system admin

Audit Log

Append-only · written by Cloud Functions only · retained 7+ years.

Timestamp (UTC)	User	Action	Entity	IP