Charged
$127.17
$127.17 paid
The claim
- Patient
- patient Leigh Weston Lubowitz
- Visit
- visit Hospital admission
- Serviced
- 2002-09-24illness from the same day
- Status
- Closedlast billed 2002-09-25 · type 2
- Diagnoses
- diagnosis concept Dental cariescode 80967001
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
0031d341-6ceb-7483-421f-0a93a8530d76