Charged
$788.25
$788.25 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Serviced
- 2025-11-02illness from the same day
- Status
- Closedlast billed 2025-11-02 · type 2
- Diagnoses
- diagnosis concept Gingivitiscode 66383009diagnosis concept Tooth eruption disorder · 234949000
- Billed for
- procedure concept removal of impacted tooth, completely bonycode D7240
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-90f6-222aa8dfe349