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 template

Front desk board

Appointments
Booked9
Castellano, Bruno — Crown prepBruno CastellanoDr. Marcus Lindeman
Ibarra, Soledad — ExtractionSoledad IbarraDr. Samira Qureshi
Montoya, Rafael — FillingRafael MontoyaDr. Marcus Lindeman
Asante, Kwame — Hygiene recallKwame AsanteRenee Tolliver
Volkov, Dmitri — Hygiene recallDmitri VolkovBao Nguyen
4 more
Confirmed5
Pettibone, Harold — Crown prepHarold PettiboneDr. Samira Qureshi
Villalobos, Esperanza — FillingEsperanza VillalobosDr. Marcus Lindeman
Greer, Isaiah — FillingIsaiah GreerDr. Samira Qureshi
Marchand, Odette — FillingOdette MarchandDr. Samira Qureshi
Pillai, Anjana — Hygiene recallAnjana PillaiRenee Tolliver
Checked in2
Marchand, Odette — Hygiene recallOdette MarchandRenee Tolliver
Ibarra, Soledad — Crown prepSoledad IbarraDr. Samira Qureshi
Completed16
Barragan, Luis — Crown prepLuis BarraganDr. Samira Qureshi
Brandvold, Connor — FillingConnor BrandvoldDr. Marcus Lindeman
Petrov, Nikolai — FillingNikolai PetrovDr. Marcus Lindeman
Pillai, Anjana — ExtractionAnjana PillaiDr. Samira Qureshi
Whitaker, Jamal — Crown prepJamal WhitakerDr. Marcus Lindeman
11 more
No-show2
Greer, Isaiah — Hygiene recallIsaiah GreerBao Nguyen
Volkov, Dmitri — FillingDmitri VolkovDr. Marcus Lindeman
Cancelled2
Castellano, Bruno — Hygiene recallBruno CastellanoRenee Tolliver
Asante, Kwame — FillingKwame AsanteDr. Marcus Lindeman

Tables

Appointments

36 sample rows · 12 columns

Every chair-time on the schedule: who is coming, with whom, for which procedures and what the visit is worth.

AppointmentPatientProviderChairVisit typeVisit timeLength (minutes)
Barragan, Luis — Crown prepLuis BarraganDr. Samira QureshiChair 1Crown prepSep 29, 1:00 PM90
Okonkwo, Dara — Hygiene recallDara OkonkwoRenee TolliverChair 3Hygiene recallSep 30, 1:00 PM60
Brandvold, Connor — FillingConnor BrandvoldDr. Marcus LindemanChair 2FillingOct 1, 1:00 PM45
Fairweather, Imogen — Hygiene recallImogen FairweatherBao NguyenChair 4Hygiene recallOct 2, 1:00 PM60
Takahashi, Mei — Hygiene recallMei TakahashiRenee TolliverChair 3Hygiene recallOct 5, 1:00 PM60
Petrov, Nikolai — FillingNikolai PetrovDr. Marcus LindemanChair 2FillingOct 6, 1:00 PM45
Aldridge, Tamsin — Perio maintenanceTamsin AldridgeRenee TolliverChair 3Perio maintenanceOct 6, 2:00 PM60
Pillai, Anjana — ExtractionAnjana PillaiDr. Samira QureshiChair 1ExtractionOct 7, 1:00 PM45
Pettibone, Harold — Hygiene recallHarold PettiboneBao NguyenChair 4Hygiene recallOct 8, 1:00 PM60
Whitaker, Jamal — Crown prepJamal WhitakerDr. Marcus LindemanChair 2Crown prepOct 9, 1:00 PM90
Greer, Isaiah — Hygiene recallIsaiah GreerBao NguyenChair 4Hygiene recallOct 9, 2:00 PM60
Farouk, Yasmin — Hygiene recallYasmin FaroukRenee TolliverChair 3Hygiene recallOct 12, 1:00 PM60

24 more rows

Patients

24 sample rows · 10 columns

The office's patients: chart number, plan, health flags and when each is due for a cleaning.

PatientChart numberDate of birthMobileDental planMember IDAllergies
Anjana PillaiQC-4256Oct 11, 1984(414) 555-0121Delta Dental PPODDW-6195530Ibuprofen — stomach upset
Annabel SutcliffeQC-4360Jul 1, 1961(414) 555-0129Delta Dental PPODDW-8806143None reported
Bruno CastellanoQC-4269Apr 19, 1948(414) 555-0122Aetna DentalAET-1127640Aspirin — bleeding risk
Connor BrandvoldQC-4191Jul 30, 2003(414) 555-0116Self-pay—None reported
Dara OkonkwoQC-4113Apr 12, 1987(414) 555-0110Delta Dental PPODDW-4471820None reported
Dmitri VolkovQC-4373Mar 24, 1996(414) 555-0130Self-pay—None reported
Elliott NakagawaQC-4412Oct 4, 2001(414) 555-0133Self-pay—None reported
Esperanza VillalobosQC-4204Dec 5, 1976(414) 555-0117Cigna DentalCGD-6612093Sulfa drugs — rash
Greta LindahlQC-4334Feb 13, 1955(414) 555-0127Delta Dental PPODDW-1409352Penicillin — rash
Hana KobayashiQC-4386Dec 17, 1985(414) 555-0131MetLife DentalMLD-9917204None reported
Harold PettiboneQC-4165Jun 9, 1951(414) 555-0114Delta Dental PPODDW-3318475Codeine — nausea
Imogen FairweatherQC-4126Sep 3, 1972(414) 555-0111Cigna DentalCGD-2209814Penicillin — rash

12 more rows

Procedures

12 sample rows · 5 columns

The office fee schedule: the codes the front desk bills and how long each takes in the chair.

ProcedureProcedure codeCategoryOffice feeTypical chair time (minutes)
Periodic oral evaluationD0120Diagnostic$6220
Limited oral evaluation, problem-focusedD0140Diagnostic$7820
Comprehensive oral evaluationD0150Diagnostic$9840
Bitewing radiographs, four imagesD0274Diagnostic$7415
Adult prophylaxis (cleaning)D1110Preventive$11845
Topical fluoride varnishD1206Preventive$4210
Resin filling, one surface, back toothD2391Restorative$19245
Porcelain crownD2740Restorative$1,28590
Core buildup for crownD2950Restorative$33030
Periodontal maintenanceD4910Periodontics$16860
Extraction, erupted toothD7140Oral surgery$20530
Palliative treatment of dental painD9110Emergency$11230

Treatment plan

29 sample rows · 8 columns

Work the dentist has proposed for a patient, from proposed to accepted to scheduled to done.

TreatmentPatientProcedureTooth numberPlan statusProposedPatient portion
Barragan — crown, tooth 19Luis BarraganPorcelain crown19CompletedSep 13, 2026$642.50
Barragan — buildup, tooth 19Luis BarraganCore buildup for crown19CompletedSep 13, 2026$165
Brandvold — filling, tooth 14Connor BrandvoldResin filling, one surface, back tooth14CompletedSep 20, 2026$192
Petrov — filling, tooth 30Nikolai PetrovResin filling, one surface, back tooth30CompletedSep 20, 2026$38.40
Pillai — extraction, tooth 17Anjana PillaiExtraction, erupted tooth17CompletedSep 27, 2026$41
Whitaker — crown, tooth 9Jamal WhitakerPorcelain crown9CompletedSep 6, 2026$642.50
Sutcliffe — filling, tooth 3Annabel SutcliffeResin filling, one surface, back tooth3CompletedSep 27, 2026$38.40
Pettibone — crown, tooth 30Harold PettibonePorcelain crown30ScheduledSep 27, 2026$642.50
Villalobos — filling, tooth 12Esperanza VillalobosResin filling, one surface, back tooth12ScheduledOct 4, 2026$38.40
Greer — filling, tooth 19Isaiah GreerResin filling, one surface, back tooth19ScheduledOct 4, 2026$192
Castellano — crown, tooth 14Bruno CastellanoPorcelain crown14ScheduledSep 20, 2026$642.50
Ibarra — extraction, tooth 32Soledad IbarraExtraction, erupted tooth32ScheduledOct 4, 2026$41

17 more rows

Also included

  • Front desk boardStage rules
  • Treatment plan boardStage rules
  • Visit reminder textNotificationTexts a patient two days before a visit so the chair is not wasted.
  • Mark no-showRow action
  • Treatment estimateDocumentThe estimate that goes home with a patient after the dentist proposes work, showing what insurance leaves for the patient to pay.