Claim for Maria Dibbert — 2024-01-15

Patient

patient Maria Dibbert

Visit

visit Encounter for check up

Serviced

2024-01-15illness from the same day

Status

Closedlast billed 2024-01-15 · type 2

Diagnoses

diagnosis concept Acute apical periodontitis of pulpal origincode K04.4

Billed for

procedure concept extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicatedcode D7210

Coverage

payer Medicare no secondary insurer

Outstanding

Nothing outstandingsettled in full