Claim total
$166.01
base $93.39 · payer covered $166.01
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2026-05-23
- Stop
- 2026-05-24
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-9311-c33a3fd26e20