Charged
$362.22
$362.22 paid
The claim
- Patient
- patient Caitlyn Elli Kuhlman
- Serviced
- 2020-06-23illness from the same day
- Status
- Closedlast billed 2020-06-23 · type 2
- Diagnoses
- diagnosis concept Gingivitiscode 66383009
- 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-c17c-be004455f0ae