Claim total
$109.60
base $93.39 · payer covered $76.72
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2012-01-11
- Stop
- 2012-01-11
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
0291d14d-46f7-a76b-40b3-0acd574bc170