Claim total
$247.01
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2013-05-14
- Stop
- 2013-05-15
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-3797-3dcba7102a93