Claim for Nona Samara Gleichner — 2025-07-30

Patient

patient Nona Samara Gleichner

Visit

visit General examination of patient

Serviced

2025-07-30illness from the same day

Status

Closedlast billed 2025-07-30 · type 1

Diagnoses

diagnosis concept Not in labor forcecode 741062008diagnosis concept Gingivitis · 66383009

Billed for

medication concept Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Percocet]code 1049625

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full