Charged
$994.93
$994.93 paid
The claim
- Patient
- patient Salvador Hernán Marrero
- Serviced
- 2018-10-11illness from the same day
- Status
- Closedlast billed 2018-10-11 · type 2
- Billed for
- procedure concept resinbased composite crown anteriorcode D2390
Settlement
- Coverage
- payer Medicaid no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003934f5-fa99-8d07-3662-4e21a191f3e9