Claim total
$327.81
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2020-10-23
- Stop
- 2020-10-23
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
0418f551-ced3-e811-e3da-4eece49ee1eb