Claim total
$122.00
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2025-10-25
- Stop
- 2025-10-25
The parties
- Patient
- patient Arlen Schamberger
- Provider
- provider Amber Yost
- Payer
- payer No insurance
Record id
01ee9e96-5701-e5d2-f111-4c18b43efbf2