Claim for Salvador Hernán Marrero — 2021-10-28

Patient

patient Salvador Hernán Marrero

Visit

visit Encounter for check up

Serviced

2021-10-28illness from the same day

Status

Closedlast billed 2021-10-28 · type 2

Billed for

procedure concept comprehensive oral evaluation, new or established patientcode D0150

Coverage

payer Medicaid no secondary insurer

Outstanding

Nothing outstandingsettled in full