Claim total
$180.13
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2021-04-08
- Stop
- 2021-04-09
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
003012ce-f819-e17b-9673-ea538a7edbf3