Claim total
$998.20
base $93.83 · payer covered $898.20
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2026-05-23
- Stop
- 2026-05-23
The parties
- Patient
- patient Shalon Arnetta Bosco
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
03f768f4-038d-f7fd-9525-efe56b8676b4