Claim for Maria Dibbert — 2018-12-17

Patient

patient Maria Dibbert

Visit

visit Encounter for check up

Serviced

2018-12-17illness from the same day

Status

Closedlast billed 2018-12-17 · type 2

Billed for

procedure concept caries risk assessment and documentation, with a finding of high riskcode D0603

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full