Claim for Salvador Hernán Marrero — 2022-06-02

Patient

patient Salvador Hernán Marrero

Visit

visit Encounter for check up

Serviced

2022-06-02illness from the same day

Status

Closedlast billed 2022-06-02 · type 2

Diagnoses

diagnosis concept Gingivitiscode 66383009diagnosis concept Dental caries · 80967001

Billed for

procedure concept inhalation of nitrous oxide/analgesia anxiolysiscode D9230procedure concept resinbased composite, one surface posterior · D2391

Coverage

payer Medicaid no secondary insurer

Outstanding

Nothing outstandingsettled in full