Claim total
$221.77
base $93.39 · payer covered $171.77
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1982-05-08
- Stop
- 1982-05-08
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-f809-714606990d41