Claim total
$564.85
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2017-06-19
- Stop
- 2017-06-19
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Amber Yost
Record id
017647b2-914f-2bdf-639d-517eb9203f20