Charged
$777.13
$777.13 paid
The claim
- Patient
- patient Nona Samara Gleichner
- 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
- procedure concept Assessment of health and social care needscode 710824005procedure concept Depression screening · 171207006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0042ca65-dd9d-7221-9e83-b65454e67acb