Claim total
$121.10
base $93.39 · payer covered $121.10
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 1998-05-08
- Stop
- 1998-05-08
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Antonietta Purdy
Record id
062f00f9-5db0-55c4-0c73-c791645ded04