Claim total
$332.10
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 1993-05-12
- Stop
- 1993-05-12
The parties
- Patient
- patient Christel Torp
- Provider
- provider Heriberto Smitham
Record id
00edd987-99b7-13d9-f4f3-4e31df83b0fd