Claim total
$102.23
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2017-06-10
- Stop
- 2017-06-10
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Amber Yost
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-d936-b7054d944402