Claim total
$94.43
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2025-05-01
- Stop
- 2025-05-02
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
003012ce-f819-e17b-e50a-da4960d62747