Charged
$126.33
$126.33 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Serviced
- 2023-10-01illness from the same day
- Status
- Closedlast billed 2023-10-01 · type 2
- Diagnoses
- diagnosis concept Gingivitiscode 66383009
- Billed for
- procedure concept topical application of fluoride varnishcode D1206
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-ac07-b213b5f9bdca