Claim for Caitlyn Elli Kuhlman — 2014-05-20

Patient

patient Caitlyn Elli Kuhlman

Visit

visit Encounter for check up

Serviced

2014-05-20illness from the same day

Status

Closedlast billed 2014-05-21 · type 2

Billed for

procedure concept sealant, per toothcode D1351procedure concept bitewings, four radiographic images · D0274

Coverage

Self-pay no insurer on this claim

Outstanding

Nothing outstandingsettled in full