Claim total
$1,794.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-12-12
- Stop
- 2024-12-12
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Nikia Mills
Record id
063478ae-8114-83fa-3af8-2db437170ee5