Claim for Nona Samara Gleichner — 2026-08-19

Patient

patient Nona Samara Gleichner

Visit

visit Encounter for check up

Serviced

2026-08-19illness from the same day

Status

Closedlast billed 2026-08-19 · type 2

Diagnoses

diagnosis concept Gingivitiscode 66383009

Billed for

procedure concept extraction, erupted tooth or exposed root (elevation and/or forceps removal)code D7140

Coverage

payer Humana no secondary insurer

Outstanding

Nothing outstandingsettled in full