Claim total
$303.07
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2017-03-16
- Stop
- 2017-03-16
The parties
- Patient
- patient Rudolph Bud Batz
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
02c734eb-6a05-b133-42ff-21fe61e66bcd