Charged
$75.35
$75.35 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2015-03-18illness from the same day
- Status
- Closedlast billed 2015-03-18 · type 2
- Billed for
- procedure concept fluoride gel carriercode D5986
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-571d-d94f1fb9f079