Claim total
$1,599.73
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2007-08-10
- Stop
- 2007-08-10
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
00cb11fd-f3f7-0950-9017-aa4a6aa1c5ff