Endodontic therapy — molar note template
A complete, fill-in-the-blank D3330 note written around what insurance reviewers ask for — with the documentation checklist, the denial patterns, and an Open Dental auto-note format built in.
01 · Before you bill it
Know what the payer wants first.
The note should answer every item on the left — and read so that nothing on the right applies.
What documentation D3330 requires
Missing any of these is why the claim pends for records.- Separate pulpal AND periapical diagnoses, each supported by named tests
- Working lengths with reference points, and the canal count found
- A post-obturation radiograph with the fill quality described
- The definitive restoration plan — payers link the crown claim to this line
Why D3330 gets denied
The denial patterns payers actually use for this code.- Diagnosis without testing — "irreversible pulpitis" with no cold test recorded reads as unsupported
- Missing post-obturation film
- Molar code billed on a tooth radiographically showing fewer canals than the code family expects, with no explanation
02 · The template
Copy it, chart with it.
Square brackets are the blanks — replace each one as you chart. Switch the format to turn every blank into an Open Dental auto-note prompt.
MEDICAL HISTORY: Reviewed [date]; changes: [none]. DIAGNOSIS: [Tooth #]: [pulpal diagnosis — e.g., symptomatic irreversible pulpitis]; [periapical diagnosis — e.g., symptomatic apical periodontitis]. TESTING: Cold: [response and duration]. EPT: [reading if used]. Percussion: [+/-]. Palpation: [+/-]. Radiograph: [PA findings]. CONSENT: Prognosis, alternatives (extraction, no treatment), and risks reviewed; patient consents. ANESTHETIC: [Agent(s), volumes, techniques]; rubber dam isolation. ACCESS & CANALS: [Number] canals located: [MB1, MB2, DB, P / as found]. Working lengths by [apex locator], confirmed radiographically: [lengths and reference points]. INSTRUMENTATION: Cleaned and shaped to [size/taper]; irrigation: [NaOCl concentration, EDTA]. OBTURATION: [Warm vertical / lateral condensation], [sealer]; post-obturation film: fill within [0.5 mm] of radiographic apex, [no voids]. RESTORATION PLAN: [Cuspal-coverage restoration within 30 days / buildup completed today]. POST-OP: [Analgesic protocol]; expected soreness discussed; return precautions given.
03 · Common questions
Frequently asked about D3330
Multiple visits — bill when?
Retreatment same code?
More templates
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.
Book a 15-minute demo →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.