Claim total
$206.36
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2017-08-09
- Stop
- 2017-08-09
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
0291d14d-46f7-a76b-44de-518808653c74