Claim total
$102.83
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2024-12-19
- Stop
- 2024-12-19
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
063478ae-8114-83fa-e05c-29317620a52c