Claim total
$98.68
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2020-09-25
- Stop
- 2020-09-25
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Amber Yost
Record id
00cb11fd-f3f7-0950-b5c2-52daa975644f