Claim total
$129.33
base $93.39 · payer covered $79.33
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2019-02-09
- Stop
- 2019-02-09
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-3eee-7bb75e8e1957