Claim total
$95.51
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2023-04-20
- Stop
- 2023-04-21
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
003012ce-f819-e17b-52ae-ac578fccf749