Claim for Nona Samara Gleichner — 2018-07-04

Patient

patient Nona Samara Gleichner

Visit

visit Encounter for check up

Serviced

2018-07-04illness from the same day

Status

Closedlast billed 2018-07-04 · type 2

Billed for

procedure concept topical application of fluoride varnishcode D1206

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full