Claim total
$225.12
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1989-03-01
- Stop
- 1989-03-01
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0190d3b1-c50c-bf7b-8136-6e5e5a861369