Claim for Emery Herbert Steuber — 2019-03-28

Patient

patient Emery Herbert Steuber

Visit

visit Encounter for check up

Serviced

2019-03-28illness from the same day

Status

Closedlast billed 2019-03-29 · type 2

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 Blue Cross Blue Shield no secondary insurer

Outstanding

Nothing outstandingsettled in full