Template library

Dental note templates that survive insurance review.

Complete, copy-and-use chart note templates for the procedures you actually bill, organized by CDT code — each written around the diagnosis, the narrative, and the attachments payers ask for. In the console, every one of these fills itself from the recorded visit.

10 full templates25 CDT codesOpen Dental format built inFree to copy

Diagnostic

D0150Comprehensive examFull template · checklist · denial patterns
D0140Limited problem-focused examIn the Molaris consoleIn console
D0120Periodic examIn the Molaris consoleIn console
D0210Full-mouth radiographsIn the Molaris consoleIn console

Preventive

D1110Adult cleaningFull template · checklist · denial patterns
D1120Child cleaningIn the Molaris consoleIn console
D1206Fluoride varnishIn the Molaris consoleIn console
D1351SealantIn the Molaris consoleIn console

Periodontics

D4341Scaling & root planing, quadrantFull template · checklist · denial patterns
D4346Gingivitis scalingIn the Molaris consoleIn console
D4910Perio maintenanceIn the Molaris consoleIn console

Restorative

Endodontics

D3330Molar root canalFull template · checklist · denial patterns
D3310Anterior root canalIn the Molaris consoleIn console
D3220PulpotomyIn the Molaris consoleIn console

Oral surgery

D7140Extraction, eruptedFull template · checklist · denial patterns
D7210Surgical extractionIn the Molaris consoleIn console
D7953Bone graftIn the Molaris consoleIn console

Implants

D6010Implant placementFull template · checklist · denial patterns
D6058Implant crownIn the Molaris consoleIn console

Adjunctive & emergency

D9110Emergency / palliativeFull template · checklist · denial patterns
D9230Nitrous oxideIn the Molaris consoleIn console
D9310ConsultationIn the Molaris consoleIn console

Or never fill in a blank again.

Molaris listens to the visit and drafts this exact note in your wording — placeholders already filled from what was actually said. You review, you sign, it files to Open Dental.

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Reviewed August 2026. These templates are original Molaris reference samples showing how the scribe structures documentation. They are educational examples, not billing, coding, or legal advice; payer requirements vary by plan and state. CDT codes are maintained by the ADA.