Claim for Maria Dibbert — 2016-12-05

Patient

patient Maria Dibbert

Visit

visit Encounter for check up

Serviced

2016-12-05illness from the same day

Status

Closedlast billed 2016-12-05 · type 2

Billed for

procedure concept comprehensive oral evaluation, new or established patientcode D0150

Coverage

payer Medicare secondary: payer Blue Cross Blue Shield

Outstanding

Nothing outstandingsettled in full