Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-09-04
- Stop
- 2025-09-04
The parties
- Patient
- patient Son Lesley Hauck
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
01d28099-b492-968b-fb60-f995f1ddc014