Claim for Caitlyn Elli Kuhlman — 2018-11-27

Patient

patient Caitlyn Elli Kuhlman

Visit

visit Encounter for check up

Serviced

2018-11-27illness from the same day

Status

Closedlast billed 2018-11-28 · type 2

Diagnoses

diagnosis concept Gingivitiscode 66383009

Billed for

procedure concept intraoral, periapical first radiographic imagecode D0220procedure concept topical application of fluoride, excluding varnish · D1208

Coverage

Self-pay no insurer on this claim

Outstanding

Nothing outstandingsettled in full