Charged
$229.83
$229.83 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2017-06-06illness from the same day
- Status
- Closedlast billed 2017-06-06 · type 2
- Billed for
- procedure concept topical application of fluoride varnishcode D1206
Settlement
- Coverage
- Self-pay no insurer on this claim
- Outstanding
- Nothing outstandingsettled in full
Record id
0037332a-29d1-a298-82b4-66bfaf64fca2