Claim for Caitlyn Elli Kuhlman — 2016-08-09

Patient

patient Caitlyn Elli Kuhlman

Visit

visit Encounter for check up

Serviced

2016-08-09illness from the same day

Status

Closedlast billed 2016-08-09 · type 2

Diagnoses

diagnosis concept Gingivitiscode 66383009

Billed for

procedure concept resinbased composite, one surface posteriorcode D2391

Coverage

Self-pay no insurer on this claim

Outstanding

Nothing outstandingsettled in full