Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-02-02
- Stop
- 1989-02-02
The parties
- Patient
- patient Dean Larhonda Hickle
- Provider
- provider Dixie Huels
- Payer
- payer No insurance
Record id
0d9b1928-215c-a673-2852-bd89660594bf