Claim total
$388.80
base $93.39 · payer covered $388.80
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2022-04-27
- Stop
- 2022-04-27
The parties
- Patient
- patient Christel Torp
- Provider
- provider Heriberto Smitham
Record id
00edd987-99b7-13d9-1463-749c5795b099