Claim for Pok Shane Strosin — 2018-06-06

Patient

patient Pok Shane Strosin

Visit

visit Encounter for check up

Serviced

2018-06-06illness from the same day

Status

Closedlast billed 2018-06-06 · type 2

Billed for

procedure concept extraction, erupted tooth or exposed root (elevation and/or forceps removal)code D7140

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full