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Visit

Encounter for check up

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$915.99
base $93.39 · payer covered $880.99

The visit

Class
Ambulatory
Code
185349003
Reason
diagnosis concept Traumatic dislocation of temporomandibular joint81629009
Start
2023-03-27
Stop
2023-03-27

The parties

Patient
patient Sharie Nikia Hegmann
Provider
provider Theo Rutherford
Care site
care site ALLINA HEALTH SYSTEM
Payer
payer Dual Eligible
Record id 00decd7e-554a-447f-cc6f-2f71ab4bcbb5