Claim total
$294.74
base $93.39 · payer covered $244.74
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1998-02-25
- Stop
- 1998-02-25
The parties
- Provider
- provider Amber Yost
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-e4bb-d3507138523d