Claim total
$151.92
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2001-08-15
- Stop
- 2001-08-15
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0291d14d-46f7-a76b-cf5e-c6942c059b5e