File DENTAL_PATIENT(220) Data List
| NAME |
PRIMARY PROVIDER |
SECONDARY PROVIDER |
PRIMARY FEE PROVIDER |
SECONDARY FEE PROVIDER |
APPLICATION FOR CARE STATUS |
BITE WING RADIOGRAPH DATE |
PANOGRAPHIC RADIOGRAPH DATE |
OTHER RADIOGRAPH DATE |
EDENTULOUS NO DENTURES |
EDENTULOUS WITH DENTURES |
PATIENT CATEGORY |
FLUORIDE CODE 1 |
FLUORIDE CODE 2 |
OTHER FINDINGS/REMARKS |
TREATMENT PLAN PREPARED DATE |
TREATMENT PLAN |
FLUORIDE MONITOR RUN DATE |
MEDICAL REVIEW DATE |
TREATMENT PLAN # |
FLUORIDE RX DATE |
DENTAL ALERTS |
FLUORIDE MONITOR FLAG |
LAST CLASSIFICATION |
LAST CLASSIFICATION DATE |
TP CHART NUM |
ORAL MALIGNANCY DATE |
PERIAPICAL RADIOGRAPH DATE |