Charged
$207.69
$207.69 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 2022-04-14illness from the same day
- Status
- Closedlast billed 2022-04-15 · type 2
- Billed for
- procedure concept topical application of fluoride varnishcode D1206
Settlement
- Coverage
- payer Blue Cross Blue Shield no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003012ce-f819-e17b-3869-4f20337af1d5