Claim for Caitlyn Elli Kuhlman — 2016-11-08

Patient

patient Caitlyn Elli Kuhlman

Visit

visit Encounter for check up

Serviced

2016-11-08illness from the same day

Status

Closedlast billed 2016-11-09 · type 2

Billed for

procedure concept limited oral evaluation, problem focusedcode D0140procedure concept prophylaxis, adult · D1110procedure concept bitewings, two radiographic images · D0272procedure concept comprehensive oral evaluation, new or established patient · D0150

1 more billed code

procedure concept panoramic radiographic image · D0330

Coverage

Self-pay no insurer on this claim

Outstanding

Nothing outstandingsettled in full