Charged
$1,463.73
$1,463.73 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Visit
- visit Well child visit
- Serviced
- 2025-10-26illness from the same day
- Status
- Closedlast billed 2025-10-26 · type 1
- Diagnoses
- diagnosis concept Gingivitiscode 66383009
- Billed for
- procedure concept Medication reconciliationcode 430193006procedure concept Patient referral for dental care · 103697008
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-bf7e-e5a4c3f2d835