Claim total
$272.94
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2023-09-29
- Stop
- 2023-09-29
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Amber Yost
Record id
00cb11fd-f3f7-0950-6258-df23b2fd6275