Claim total
$1,176.26
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-11-04
- Stop
- 2024-11-04
The parties
- Patient
- patient Milton Young Bradtke
- Provider
- provider Vina Durgan
- Care site
- care site HENNEPIN COUNTY
Record id
12d4702a-cee1-947a-7324-5f56fca6f424