Claim total
$228.94
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 1960-04-01
- Stop
- 1960-04-01
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hassie Beer
Record id
062f00f9-5db0-55c4-174e-8f7ad9b063f5