Claim total
$107.26
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-05-03
- Stop
- 2023-05-03
The parties
- Patient
- patient Christel Torp
- Provider
- provider Heriberto Smitham
Record id
00edd987-99b7-13d9-424d-2bafeea940f5