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Claim

Claim for Tawanna Nedra Kuhlman — 2021-10-10

One bill, raised by a visit or a prescription.

Neighborhood Provenance
Charged
$121.86
$121.86 paid

The claim

Patient
patient Tawanna Nedra Kuhlman
Visit
visit Encounter for check up
Serviced
2021-10-10illness from the same day
Status
Closedlast billed 2021-10-10 · type 2
Billed for
procedure concept intraoral, periapical each additional radiographic imagecode D0230procedure concept periodic oral evaluation, established patient · D0120

Settlement

Coverage
payer UnitedHealthcare no secondary insurer
Outstanding
Nothing outstandingsettled in full
Record id 00508659-1210-a7fa-a8c6-00809d99a823