Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2019-08-08
- Stop
- 2019-08-08
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-0adb-661677ac213f