Claim for Bo Gino Murazik — 2026-01-05

Patient

patient Bo Gino Murazik

Visit

visit Encounter for check up

Serviced

2026-01-05illness from 2025-12-22

Status

Closedlast billed 2026-01-05 · type 2

Billed for

procedure concept intraoral, comprehensive series of radiographic imagescode D0210procedure concept periodic oral evaluation, established patient · D0120

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full