Claim total
$142.42
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2019-03-28
- Stop
- 2019-03-28
The parties
- Patient
- patient Rudolph Bud Batz
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
02c734eb-6a05-b133-96b7-04ea15766d3b