Charged
$190.83
$190.83 paid
The claim
- Patient
- patient Bo Gino Murazik
- Serviced
- 2016-11-14illness from the same day
- Status
- Closedlast billed 2016-11-14 · type 2
- Billed for
- procedure concept resinbased composite, three surfaces posteriorcode D2393
Settlement
- Coverage
- payer Humana no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
003af57f-1886-144b-c3a0-1e919305877f