Charged
$117.42
$117.42 paid
The claim
- Patient
- patient Adam Jones
- Serviced
- 2023-05-22illness from 2023-05-08
- Status
- Closedlast billed 2023-05-22 · type 2
- Billed for
- procedure concept periodic oral evaluation, established patientcode D0120
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00229130-e769-8779-af8d-19ce4aea5e64