Charged
$93.39
$93.39 paid
The claim
- Patient
- patient Emery Herbert Steuber
- Serviced
- 1967-01-26illness from the same day
- Status
- Closedlast billed 1967-01-26 · type 2
- Diagnoses
- diagnosis concept Chronic periodontitiscode 5689008diagnosis concept Dental caries · 80967001
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
003012ce-f819-e17b-b864-f4e95acbb8d0