Charged
$94.97
$94.97 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2016-12-06illness from the same day
- Status
- Closedlast billed 2016-12-06 · type 2
- Billed for
- procedure concept topical application of fluoride, excluding varnishcode D1208
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-2346-1ad128df70de