Charged
$138.05
$138.05 paid
The claim
- Patient
- patient Nona Samara Gleichner
- Serviced
- 2018-11-21illness from the same day
- Status
- Closedlast billed 2018-11-21 · type 2
- Billed for
- procedure concept resinbased composite, two surfaces posteriorcode D2392
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-09f5-7f232f98998f