diff --git a/dental-server/server.js b/dental-server/server.js
index 9748907..c4076df 100644
--- a/dental-server/server.js
+++ b/dental-server/server.js
@@ -1623,6 +1623,53 @@ async function start() {
       fn();
     });
 
+    // GET /api/admin/rx-health — reconciliação banco↔Wasabi por tenant/clínica (read-only).
+    //   sem params: contagens por (tenant_id, clinica_id) + último resultado do cron de storage.
+    //   ?clinica_id=<c>&checkLimit=N: HEAD-check das N imagens recentes da clínica → ausentes.
+    app.get('/api/admin/rx-health', authenticateToken, requireAdmin, async (req, res) => {
+      try {
+        const byClinic = await db.all(
+          `SELECT tenant_id, clinica_id,
+                  MAX(clinic_name) AS clinic_name,
+                  COUNT(*)::int AS image_count,
+                  COUNT(DISTINCT patient_name)::int AS patient_count,
+                  MAX(created_at) AS last_image_at
+           FROM images
+           WHERE enabled = 1
+           GROUP BY tenant_id, clinica_id
+           ORDER BY clinic_name`
+        );
+
+        let missingCheck = null;
+        const clinicaId = req.query.clinica_id;
+        const checkLimit = Math.min(500, parseInt(req.query.checkLimit) || 0);
+        if (clinicaId && checkLimit > 0) {
+          const rows = await db.all(
+            `SELECT id, filename, thumb_filename, clinic_name, client_name, patient_name
+             FROM images WHERE enabled = 1 AND clinica_id = $1 ORDER BY created_at DESC LIMIT $2`,
+            [clinicaId, checkLimit]
+          );
+          let checked = 0, missing = 0; const missingIds = [];
+          for (const row of rows) {
+            checked++;
+            const ok = await storage.fileExists(row.thumb_filename || row.filename, row.clinic_name, row.client_name, row.patient_name);
+            if (!ok) { missing++; if (missingIds.length < 50) missingIds.push(row.id); }
+          }
+          missingCheck = { clinica_id: clinicaId, checked, missing, missingIds };
+        }
+
+        res.json({
+          by_clinic: byClinic,
+          storage_verify_cron: cronState.verifyStorage?.lastResult || null,
+          storage_verify_last_run: cronState.verifyStorage?.lastRun || null,
+          missing_check: missingCheck,
+          generated_at: new Date().toISOString(),
+        });
+      } catch (e) {
+        res.status(500).json({ error: e.message });
+      }
+    });
+
     server.listen(PORT, () => {
       console.log('═══════════════════════════════════════════════════════');
       console.log('🚀 DENTAL IMAGE SERVER STARTED');