Claim total
$231.59
base $93.39 · payer covered $162.11
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2007-10-08
- Stop
- 2007-10-08
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Josh Stamm
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
05317da0-053c-0c68-402f-379edef303f5