A method, apparatus, system, and computer program product for automatically determining exposure time for an intraoral image. The method includes acquiring a low dose pilot projection image of an object to be imaged, performing a sanity check to ensure that a usable exposure is attainable, estimating a remaining exposure time required for an additional projection image, taking the additional projection image and adding the two images together to generate a final image wherein the dose delivered to the x-ray detector is influenced by patient specific dental anatomy.