Claim for Caitlyn Elli Kuhlman — 2018-06-12

Patient

patient Caitlyn Elli Kuhlman

Visit

visit Encounter for check up

Serviced

2018-06-12illness from the same day

Status

Closedlast billed 2018-06-12 · type 2

Diagnoses

diagnosis concept Gingivitiscode 66383009

Billed for

procedure concept periodic oral evaluation, established patientcode D0120

Coverage

Self-pay no insurer on this claim

Outstanding

Nothing outstandingsettled in full