Claim for Bo Gino Murazik — 2016-11-21

Patient

patient Bo Gino Murazik

Visit

visit Encounter for check up

Serviced

2016-11-21illness from the same day

Status

Closedlast billed 2016-11-21 · type 2

Billed for

procedure concept extraction, erupted tooth or exposed root (elevation and/or forceps removal)code D7140

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full