Claim total
$254.02
base $93.39 · payer covered $204.02
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-02-23
- Stop
- 2023-02-23
The parties
- Patient
- patient Daron Cormier
- Provider
- provider Amber Yost
- Payer
- payer Medicaid
Record id
061edbc8-fb70-a6fd-56bb-65d9f543495e