Claim total
$216.74
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2024-04-16
- Stop
- 2024-04-16
The parties
- Patient
- patient Iona Emmerich
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
03622442-8577-b4cb-169f-c5a4bb2730f8