Claim total
$135.13
base $93.39 · payer covered $135.13
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 1996-10-18
- Stop
- 1996-10-18
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Antonietta Purdy
Record id
062f00f9-5db0-55c4-063b-b1eaa4bc7be2