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Request ID

Submission

Treatment

Total

Status

Updated

RQ-2026-084

May 12, 2026

Crown Replacement

$1,250

Completed

May 20, 2026

RQ-2026-102

June 05, 2026

Root Canal Therapy

$950

Funding In Progress

June 10, 2026

RQ-2026-115

Aug 14, 2026

Dental Implant

$3,200

More Info Needed

Aug 15, 2026

Request Journey

Submitted

Under Review

Decision

Funding

Confirmed

Completed

Multi-Tooth Implant Restoration

Provider: Metropolitan Dental Center

Estimated Total

$5,840.00

Review Notes

Clinical review of submitted imaging is currently in progress. The treatment plan aligns with established community guidelines for restorative procedures.

Submitted Documents

Estimate.pdf

1.2 MB

PDF

More Information Required

Please upload a clearer image of your X-ray.

Drag files here

Funding Progress

Current Status

Pending Decision

Member portion

$300

We will notify you when funding is confirmed.

Request Details & Status

Provider

Dr. Sarah Miller, DDS

Treatment Type

Crown & Bridge

Estimated Total

$2,750.00

Funding Status: Confirmed
$2,450 Eligible Amount

Member portion at checkout: $300

Great news! Your treatment plan has been eligible for funding. You are now cleared to schedule your visit. Simply pay your fixed member portion at the front desk when checking out.

Recent Activity

FEBRUARY 12, 2026

Funding Confirmed

Community funds have been allocated to your treatment request. Next step: Schedule treatment.

FEBRUARY 10, 2026

Eligible for Review

Review complete. Your request meets all community guidelines for funding support.

FEBRUARY 05, 2026

More Info Needed

Our clinical review team requires clear bite-wing X-rays of the affected area to proceed.

FEBRUARY 03, 2026

Submitted

Treatment plan for Crown & Bridge (ID: 884-29) received and queued for review.

Review Notes

Clinical notes: Patient shows moderate decay on molar 14. Treatment estimate is within standard community reference range for this geolocation.

Documents

Itemized_Estimate_Crown.pdf

XRay_Molar_14_Feb08.jpg

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