Claim for Bo Gino Murazik — 2018-11-26

Patient

patient Bo Gino Murazik

Visit

visit Encounter for check up

Serviced

2018-11-26illness from the same day

Status

Closedlast billed 2018-11-26 · type 2

Diagnoses

diagnosis concept Gingivitiscode 66383009

Billed for

procedure concept periodic oral evaluation, established patientcode D0120

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full