Charged
$640.69
$640.69 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Serviced
- 2023-09-17illness from the same day
- Status
- Closedlast billed 2023-09-17 · type 2
- Diagnoses
- diagnosis concept Medication review duecode 314529007diagnosis concept Gingivitis · 66383009
- Billed for
- procedure concept Patient referral for dental carecode 103697008
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-3bcf-d0de4b6a6858