status: Final

code: Tooth presence

subject: Anonymous Patient (no stated gender), DoB Unknown

effective: 2026-08-13

performer: Practitioner

bodySite: Permanent mandibular right first molar

component

code: Tooth presence

value: Tooth present

component

Tooth Surface: Surface Codes: O (Occlusal)

Tooth Surface: Surface Codes: M (Mesial)

code: Restoration type

value: Direct filling

component

Tooth Surface: Surface Codes: O (Occlusal)

Tooth Surface: Surface Codes: M (Mesial)

code: Restoration material

value: Composite resin

component

Tooth Surface: Surface Codes: M (Mesial)

code: Restoration status

value: Marginal defect