Claim for Bo Gino Murazik — 2021-12-13

Patient

patient Bo Gino Murazik

Visit

visit Encounter for check up

Serviced

2021-12-13illness from the same day

Status

Closedlast billed 2021-12-13 · type 2

Billed for

procedure concept topical application of fluoride, excluding varnishcode D1208

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full