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
AppointmentsBooked9
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 moreConfirmed5
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 moreNo-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 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 | Chair 1 | Crown prep | Sep 15, 1:00 PM | 90 |
| Okonkwo, Dara — Hygiene recall | Dara Okonkwo | Renee Tolliver | Chair 3 | Hygiene recall | Sep 16, 1:00 PM | 60 |
| Brandvold, Connor — Filling | Connor Brandvold | Dr. Marcus Lindeman | Chair 2 | Filling | Sep 17, 1:00 PM | 45 |
| Fairweather, Imogen — Hygiene recall | Imogen Fairweather | Bao Nguyen | Chair 4 | Hygiene recall | Sep 18, 1:00 PM | 60 |
| Takahashi, Mei — Hygiene recall | Mei Takahashi | Renee Tolliver | Chair 3 | Hygiene recall | Sep 21, 1:00 PM | 60 |
| Petrov, Nikolai — Filling | Nikolai Petrov | Dr. Marcus Lindeman | Chair 2 | Filling | Sep 22, 1:00 PM | 45 |
| Aldridge, Tamsin — Perio maintenance | Tamsin Aldridge | Renee Tolliver | Chair 3 | Perio maintenance | Sep 22, 2:00 PM | 60 |
| Pillai, Anjana — Extraction | Anjana Pillai | Dr. Samira Qureshi | Chair 1 | Extraction | Sep 23, 1:00 PM | 45 |
| Pettibone, Harold — Hygiene recall | Harold Pettibone | Bao Nguyen | Chair 4 | Hygiene recall | Sep 24, 1:00 PM | 60 |
| Whitaker, Jamal — Crown prep | Jamal Whitaker | Dr. Marcus Lindeman | Chair 2 | Crown prep | Sep 25, 1:00 PM | 90 |
| Greer, Isaiah — Hygiene recall | Isaiah Greer | Bao Nguyen | Chair 4 | Hygiene recall | Sep 25, 2:00 PM | 60 |
| Farouk, Yasmin — Hygiene recall | Yasmin Farouk | Renee Tolliver | Chair 3 | Hygiene recall | Sep 28, 1:00 PM | 60 |
24 more rows
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 | Delta Dental PPO | DDW-6195530 | Ibuprofen — stomach upset |
| Annabel Sutcliffe | QC-4360 | Jul 1, 1961 | (414) 555-0129 | Delta Dental PPO | DDW-8806143 | None reported |
| Bruno Castellano | QC-4269 | Apr 19, 1948 | (414) 555-0122 | Aetna Dental | AET-1127640 | Aspirin — bleeding risk |
| Connor Brandvold | QC-4191 | Jul 30, 2003 | (414) 555-0116 | Self-pay | — | None reported |
| Dara Okonkwo | QC-4113 | Apr 12, 1987 | (414) 555-0110 | Delta Dental PPO | DDW-4471820 | None reported |
| Dmitri Volkov | QC-4373 | Mar 24, 1996 | (414) 555-0130 | Self-pay | — | None reported |
| Elliott Nakagawa | QC-4412 | Oct 4, 2001 | (414) 555-0133 | Self-pay | — | None reported |
| Esperanza Villalobos | QC-4204 | Dec 5, 1976 | (414) 555-0117 | Cigna Dental | CGD-6612093 | Sulfa drugs — rash |
| Greta Lindahl | QC-4334 | Feb 13, 1955 | (414) 555-0127 | Delta Dental PPO | DDW-1409352 | Penicillin — rash |
| Hana Kobayashi | QC-4386 | Dec 17, 1985 | (414) 555-0131 | MetLife Dental | MLD-9917204 | None reported |
| Harold Pettibone | QC-4165 | Jun 9, 1951 | (414) 555-0114 | Delta Dental PPO | DDW-3318475 | Codeine — nausea |
| Imogen Fairweather | QC-4126 | Sep 3, 1972 | (414) 555-0111 | Cigna Dental | CGD-2209814 | Penicillin — rash |
12 more rows
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 | Diagnostic | $62 | 20 |
| Limited oral evaluation, problem-focused | D0140 | Diagnostic | $78 | 20 |
| Comprehensive oral evaluation | D0150 | Diagnostic | $98 | 40 |
| Bitewing radiographs, four images | D0274 | Diagnostic | $74 | 15 |
| Adult prophylaxis (cleaning) | D1110 | Preventive | $118 | 45 |
| Topical fluoride varnish | D1206 | Preventive | $42 | 10 |
| Resin filling, one surface, back tooth | D2391 | Restorative | $192 | 45 |
| Porcelain crown | D2740 | Restorative | $1,285 | 90 |
| Core buildup for crown | D2950 | Restorative | $330 | 30 |
| Periodontal maintenance | D4910 | Periodontics | $168 | 60 |
| Extraction, erupted tooth | D7140 | Oral surgery | $205 | 30 |
| Palliative treatment of dental pain | D9110 | Emergency | $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 | Completed | Aug 31, 2026 | $642.50 |
| Barragan — buildup, tooth 19 | Luis Barragan | Core buildup for crown | 19 | Completed | Aug 31, 2026 | $165 |
| Brandvold — filling, tooth 14 | Connor Brandvold | Resin filling, one surface, back tooth | 14 | Completed | Sep 7, 2026 | $192 |
| Petrov — filling, tooth 30 | Nikolai Petrov | Resin filling, one surface, back tooth | 30 | Completed | Sep 7, 2026 | $38.40 |
| Pillai — extraction, tooth 17 | Anjana Pillai | Extraction, erupted tooth | 17 | Completed | Sep 14, 2026 | $41 |
| Whitaker — crown, tooth 9 | Jamal Whitaker | Porcelain crown | 9 | Completed | Aug 24, 2026 | $642.50 |
| Sutcliffe — filling, tooth 3 | Annabel Sutcliffe | Resin filling, one surface, back tooth | 3 | Completed | Sep 14, 2026 | $38.40 |
| Pettibone — crown, tooth 30 | Harold Pettibone | Porcelain crown | 30 | Scheduled | Sep 14, 2026 | $642.50 |
| Villalobos — filling, tooth 12 | Esperanza Villalobos | Resin filling, one surface, back tooth | 12 | Scheduled | Sep 21, 2026 | $38.40 |
| Greer — filling, tooth 19 | Isaiah Greer | Resin filling, one surface, back tooth | 19 | Scheduled | Sep 21, 2026 | $192 |
| Castellano — crown, tooth 14 | Bruno Castellano | Porcelain crown | 14 | Scheduled | Sep 7, 2026 | $642.50 |
| Ibarra — extraction, tooth 32 | Soledad Ibarra | Extraction, erupted tooth | 32 | Scheduled | Sep 21, 2026 | $41 |
17 more rows
Forms and booking
New patient registration
FormNew patient registrationWhere a new patient gives the chart details, plan and health history ahead of the first visit, so the desk has it ready.
What is your full legal name? *
What is your date of birth?
What mobile number should we text appointment reminders to?
Which dental plan do you have?Delta Dental PPOCigna DentalMetLife DentalAetna DentalSelf-payChoose Self-pay if you do not have dental insurance.
What is the member ID on your card?Leave blank if you are paying yourself.
Do you have any allergies to medicines or latex?Tell us what happens, such as hives or swelling.
Send to Quillan CreekRequest an appointment
FormRequest an appointmentThe request form on the practice website for someone who prefers to ask rather than pick a time.
What is your full name? *The patient's name and the visit.
What kind of visit do you need? *Hygiene recallNew patient examPerio maintenanceFillingCrown prepExtractionEmergency visit
When would you like to come in to see us? *Date and start time, office time.
Is anything bothering you right now?For swelling, fever or heavy bleeding, call us.
Request a visitBook a visit at Quillan Creek
Booking pageBook a visit at Quillan Creek60 minutes
- Monday08:00 – 12:00
- Tuesday08:00 – 12:00
- Wednesday08:00 – 12:00
- Thursday08:00 – 12:00
- Monday13:00 – 16:00
- Tuesday13:00 – 16:00
- Wednesday13:00 – 16:00
- Thursday13:00 – 16:00
- Friday08:00 – 12:00
Your details
What is your full name? *The patient's name and the visit.
What kind of visit do you need? *Hygiene recallNew patient examPerio maintenanceFillingCrown prepExtractionEmergency visit
Is anything bothering you right now?For swelling, fever or heavy bleeding, call us.
BookDashboards
Chairs and treatment
AppointmentsVisits by status
- Completed16
- No-show2
- Cancelled2
- Checked in2
- Confirmed5
- Booked9
Chair minutes by visit type
- Crown prep450
- Filling405
- Extraction90
- Hygiene recall840
- New patient exam180
- Emergency visit30
- Perio maintenance120
Treatment portions by plan status
- Completed0
- No-show0
- Cancelled0
- Checked in0
- Confirmed0
- Booked0
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.
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