Charged
$229.68
$229.68 paid
The claim
- Patient
- patient Leigh Weston Lubowitz
- Serviced
- 2022-08-02illness from 2022-07-19
- Status
- Closedlast billed 2022-08-02 · type 2
- Billed for
- procedure concept topical application of fluoride varnishcode D1206
Settlement
- Coverage
- payer Cigna Health no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0031d341-6ceb-7483-3303-36df2bb8fa4b