Dental practice
Quillan Creek Family Dentistry · Dental practice · Milwaukee, WI
Lena Ostrowski manages Quillan Creek Family Dentistry, a four-chair office in Milwaukee, and she uses this to book hygiene recalls and keep each patient's treatment plan moving from proposed to scheduled to done, so chairs stay full and nobody drops out of recall.
HealthcareSchedulingBookings5 tables · 7 views · 2 forms · 2 dimension sets · 1 booking page · 1 dashboard · 1 document · 1 notification · 2 stage rule sets · 1 row action · 1 agent
Use this templateFront desk board
AppointmentsCastellano, Bruno — Crown prep
Ibarra, Soledad — Extraction
Montoya, Rafael — Filling
Asante, Kwame — Hygiene recall
Volkov, Dmitri — Hygiene recall
Pettibone, Harold — Crown prep
Villalobos, Esperanza — Filling
Greer, Isaiah — Filling
Marchand, Odette — Filling
Pillai, Anjana — Hygiene recall
Marchand, Odette — Hygiene recall
Ibarra, Soledad — Crown prep
Barragan, Luis — Crown prep
Brandvold, Connor — Filling
Petrov, Nikolai — Filling
Pillai, Anjana — Extraction
Whitaker, Jamal — Crown prep
Greer, Isaiah — Hygiene recall
Volkov, Dmitri — Filling
Castellano, Bruno — Hygiene recall
Asante, Kwame — Filling
Tables
Appointments
36 sample rows · 12 columnsEvery chair-time on the schedule: who is coming, with whom, for which procedures and what the visit is worth.
| Appointment | Patient | Provider | Chair | Visit type | Visit time | Length (minutes) |
|---|---|---|---|---|---|---|
| Barragan, Luis — Crown prep | Luis Barragan | Dr. Samira Qureshi | Sep 29, 1:00 PM | 90 | ||
| Okonkwo, Dara — Hygiene recall | Dara Okonkwo | Renee Tolliver | Sep 30, 1:00 PM | 60 | ||
| Brandvold, Connor — Filling | Connor Brandvold | Dr. Marcus Lindeman | Oct 1, 1:00 PM | 45 | ||
| Fairweather, Imogen — Hygiene recall | Imogen Fairweather | Bao Nguyen | Oct 2, 1:00 PM | 60 | ||
| Takahashi, Mei — Hygiene recall | Mei Takahashi | Renee Tolliver | Oct 5, 1:00 PM | 60 | ||
| Petrov, Nikolai — Filling | Nikolai Petrov | Dr. Marcus Lindeman | Oct 6, 1:00 PM | 45 | ||
| Aldridge, Tamsin — Perio maintenance | Tamsin Aldridge | Renee Tolliver | Oct 6, 2:00 PM | 60 | ||
| Pillai, Anjana — Extraction | Anjana Pillai | Dr. Samira Qureshi | Oct 7, 1:00 PM | 45 | ||
| Pettibone, Harold — Hygiene recall | Harold Pettibone | Bao Nguyen | Oct 8, 1:00 PM | 60 | ||
| Whitaker, Jamal — Crown prep | Jamal Whitaker | Dr. Marcus Lindeman | Oct 9, 1:00 PM | 90 | ||
| Greer, Isaiah — Hygiene recall | Isaiah Greer | Bao Nguyen | Oct 9, 2:00 PM | 60 | ||
| Farouk, Yasmin — Hygiene recall | Yasmin Farouk | Renee Tolliver | Oct 12, 1:00 PM | 60 |
Patients
24 sample rows · 10 columnsThe office's patients: chart number, plan, health flags and when each is due for a cleaning.
| Patient | Chart number | Date of birth | Mobile | Dental plan | Member ID | Allergies |
|---|---|---|---|---|---|---|
| Anjana Pillai | QC-4256 | Oct 11, 1984 | (414) 555-0121 | DDW-6195530 | Ibuprofen — stomach upset | |
| Annabel Sutcliffe | QC-4360 | Jul 1, 1961 | (414) 555-0129 | DDW-8806143 | None reported | |
| Bruno Castellano | QC-4269 | Apr 19, 1948 | (414) 555-0122 | AET-1127640 | Aspirin — bleeding risk | |
| Connor Brandvold | QC-4191 | Jul 30, 2003 | (414) 555-0116 | — | None reported | |
| Dara Okonkwo | QC-4113 | Apr 12, 1987 | (414) 555-0110 | DDW-4471820 | None reported | |
| Dmitri Volkov | QC-4373 | Mar 24, 1996 | (414) 555-0130 | — | None reported | |
| Elliott Nakagawa | QC-4412 | Oct 4, 2001 | (414) 555-0133 | — | None reported | |
| Esperanza Villalobos | QC-4204 | Dec 5, 1976 | (414) 555-0117 | CGD-6612093 | Sulfa drugs — rash | |
| Greta Lindahl | QC-4334 | Feb 13, 1955 | (414) 555-0127 | DDW-1409352 | Penicillin — rash | |
| Hana Kobayashi | QC-4386 | Dec 17, 1985 | (414) 555-0131 | MLD-9917204 | None reported | |
| Harold Pettibone | QC-4165 | Jun 9, 1951 | (414) 555-0114 | DDW-3318475 | Codeine — nausea | |
| Imogen Fairweather | QC-4126 | Sep 3, 1972 | (414) 555-0111 | CGD-2209814 | Penicillin — rash |
Procedures
12 sample rows · 5 columnsThe office fee schedule: the codes the front desk bills and how long each takes in the chair.
| Procedure | Procedure code | Category | Office fee | Typical chair time (minutes) |
|---|---|---|---|---|
| Periodic oral evaluation | D0120 | $62 | 20 | |
| Limited oral evaluation, problem-focused | D0140 | $78 | 20 | |
| Comprehensive oral evaluation | D0150 | $98 | 40 | |
| Bitewing radiographs, four images | D0274 | $74 | 15 | |
| Adult prophylaxis (cleaning) | D1110 | $118 | 45 | |
| Topical fluoride varnish | D1206 | $42 | 10 | |
| Resin filling, one surface, back tooth | D2391 | $192 | 45 | |
| Porcelain crown | D2740 | $1,285 | 90 | |
| Core buildup for crown | D2950 | $330 | 30 | |
| Periodontal maintenance | D4910 | $168 | 60 | |
| Extraction, erupted tooth | D7140 | $205 | 30 | |
| Palliative treatment of dental pain | D9110 | $112 | 30 |
Treatment plan
29 sample rows · 8 columnsWork the dentist has proposed for a patient, from proposed to accepted to scheduled to done.
| Treatment | Patient | Procedure | Tooth number | Plan status | Proposed | Patient portion |
|---|---|---|---|---|---|---|
| Barragan — crown, tooth 19 | Luis Barragan | Porcelain crown | 19 | Sep 13, 2026 | $642.50 | |
| Barragan — buildup, tooth 19 | Luis Barragan | Core buildup for crown | 19 | Sep 13, 2026 | $165 | |
| Brandvold — filling, tooth 14 | Connor Brandvold | Resin filling, one surface, back tooth | 14 | Sep 20, 2026 | $192 | |
| Petrov — filling, tooth 30 | Nikolai Petrov | Resin filling, one surface, back tooth | 30 | Sep 20, 2026 | $38.40 | |
| Pillai — extraction, tooth 17 | Anjana Pillai | Extraction, erupted tooth | 17 | Sep 27, 2026 | $41 | |
| Whitaker — crown, tooth 9 | Jamal Whitaker | Porcelain crown | 9 | Sep 6, 2026 | $642.50 | |
| Sutcliffe — filling, tooth 3 | Annabel Sutcliffe | Resin filling, one surface, back tooth | 3 | Sep 27, 2026 | $38.40 | |
| Pettibone — crown, tooth 30 | Harold Pettibone | Porcelain crown | 30 | Sep 27, 2026 | $642.50 | |
| Villalobos — filling, tooth 12 | Esperanza Villalobos | Resin filling, one surface, back tooth | 12 | Oct 4, 2026 | $38.40 | |
| Greer — filling, tooth 19 | Isaiah Greer | Resin filling, one surface, back tooth | 19 | Oct 4, 2026 | $192 | |
| Castellano — crown, tooth 14 | Bruno Castellano | Porcelain crown | 14 | Sep 20, 2026 | $642.50 | |
| Ibarra — extraction, tooth 32 | Soledad Ibarra | Extraction, erupted tooth | 32 | Oct 4, 2026 | $41 |
Also included
- Front desk board
- Treatment plan board
- Visit reminder textTexts a patient two days before a visit so the chair is not wasted.
- Mark no-show
- Treatment estimateThe estimate that goes home with a patient after the dentist proposes work, showing what insurance leaves for the patient to pay.
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