Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-06-11
- Stop
- 2020-06-11
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Trent Kozey
Record id
063478ae-8114-83fa-8d4e-b20bc5b847bd