Claim for Bo Gino Murazik — 2017-11-20

Patient

patient Bo Gino Murazik

Visit

visit Encounter for check up

Serviced

2017-11-20illness from the same day

Status

Closedlast billed 2017-11-20 · type 2

Billed for

procedure concept topical application of fluoride varnishcode D1206procedure concept unspecified adjunctive procedure by report · D9999procedure concept reevaluation, limited problem focused established patient not postoperative visit · D0170procedure concept panoramic radiographic image · D0330

2 more billed codes

procedure concept viral culture · D0416procedure concept periodontal maintenance · D4910

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full