Charged
$254.96
$254.96 paid
The claim
- Patient
- patient Xuan Collier
- Serviced
- 2020-06-21illness from 2020-06-07
- Status
- Closedlast billed 2020-06-21 · type 2
- Billed for
- procedure concept topical application of fluoride, excluding varnishcode D1208
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
002d4429-df26-5797-403f-73c157337996