Charged
$94.03
$94.03 paid
The claim
- Patient
- patient Tawanna Nedra Kuhlman
- Serviced
- 2024-10-27illness from the same day
- Status
- Closedlast billed 2024-10-27 · type 2
- Billed for
- procedure concept periodic oral evaluation, established patientcode D0120
Settlement
- Coverage
- payer UnitedHealthcare no secondary insurer
- Outstanding
- Nothing outstandingsettled in full
Record id
00508659-1210-a7fa-fb29-d4e963811fe6