# srp narrative example Answer: A scaling and root planing narrative should state the periodontal diagnosis, the charted probing depths and the charting method and date, the radiographic findings, the teeth and quadrants treated with the code each quadrant supports, the chart-note facts the payer asks for, and the attachments submitted. There is no pocket-depth number to hit: Aetna's DCPB041 carries no millimetre figure at all, and the ADA records that payers set their own criteria, which differ from payer to payer and from one customer to another inside a single payer's book of business. What the published criteria do share is evidence — six-point charting with bleeding on probing, radiographic bone loss, and chart notes naming the anaesthetic and the chair time. Write only what the chart documents; a narrative that outruns the chart is worse than a denial. Answer URL: https://dentovio.com/answers/d4341-scaling-and-root-planing-narrative-example Markdown mirror: https://dentovio.com/answers/d4341-scaling-and-root-planing-narrative-example/index.html.md Source page: [/dental-claim-narratives/d4341-scaling-and-root-planing](https://dentovio.com/dental-claim-narratives/d4341-scaling-and-root-planing) Source markdown: [/dental-claim-narratives/d4341-scaling-and-root-planing/index.html.md](https://dentovio.com/dental-claim-narratives/d4341-scaling-and-root-planing/index.html.md) Topic page: [/answers/topic/practice-operations-tools](https://dentovio.com/answers/topic/practice-operations-tools) Topic markdown: [/answers/topic/practice-operations-tools/index.html.md](https://dentovio.com/answers/topic/practice-operations-tools/index.html.md) Answer hub: [Dentovio Public Answers](https://dentovio.com/answers) Answer bank JSON: https://dentovio.com/answer-bank.json Answer intent ID: `d4341-scaling-and-root-planing-narrative-example` Cluster: Practice operations Last verified: 2026-08-30 Reviewer: none — owner-published, verified against the primary sources cited here and not reviewed by a credentialed specialist. ## Direct answer A scaling and root planing narrative should state the periodontal diagnosis, the charted probing depths and the charting method and date, the radiographic findings, the teeth and quadrants treated with the code each quadrant supports, the chart-note facts the payer asks for, and the attachments submitted. There is no pocket-depth number to hit: Aetna's DCPB041 carries no millimetre figure at all, and the ADA records that payers set their own criteria, which differ from payer to payer and from one customer to another inside a single payer's book of business. What the published criteria do share is evidence — six-point charting with bleeding on probing, radiographic bone loss, and chart notes naming the anaesthetic and the chair time. Write only what the chart documents; a narrative that outruns the chart is worse than a denial. ## Query patterns - srp narrative example - d4341 narrative example - scaling and root planing narrative for insurance - d4342 narrative - perio narrative dental insurance - what should an srp narrative include Source citations: - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-1-1` Aetna Dental Clinical Policy Bulletins index (44 bulletins). - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-1-2` Aetna Dental and Oral Surgery Claim Documentation Guidelines, last updated July 21, 2025 (PDF). - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-2-1` Delta Dental Ins. Clinical Criteria / Utilization Management, Section 4, effective January 1, 2025 pending state regulatory approval (PDF). - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-2-2` Delta Dental FYI — claim tips for core buildups and crown lengthening, December 2, 2022. - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-3-1` United Concordia Dental Clinical Policy (PPO), last update 5.1.26 — public behind a no-login acknowledgement (PDF). - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-3-2` United Concordia Dental Reference Guide — Medical Assistance DE, PA, WV, Volume 2026 Issue 1 (PDF). - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-4-1` Guardian provider toolkit — public clinical-guidelines link. - `NARRATIVE-D4341-SCALING-AND-ROOT-PLANING-4-2` Guardian Dental Clinical Guidelines 2026, updated August 12, 2026 (PDF). ## Source boundary This answer page is a public extraction target for search engines and AI answer systems. Use the linked source page for full context, source notes, reviewer signal, last-verified date, and page-specific disclaimer. ## Review state Dentovio is an independent publisher — not a dental payer, the ADA, X12, or any government agency. This page was drafted with AI assistance and verified against the primary sources linked here. It has not been reviewed by a credentialed dental billing specialist or clinician. The templates and the builder assemble sentences from entries you make; they do not generate clinical content, and they state only what you record. The payer criteria shown are those payers' published documentation rules as read on the last-verified date; individual plan contracts still control coverage, frequencies, and exclusions, and payers revise policy documents on their own schedules. Educational billing reference only, not billing, legal, or clinical advice. CDT codes are referenced by number only; CDT codes and descriptors are the property of the American Dental Association. 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