Claim total
$1,321.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2003-09-02
- Stop
- 2003-09-02
The parties
- Patient
- patient Thaddeus Erwin Dare
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer No insurance
Record id
0ba5681c-e6fe-3184-03e5-a1bda0e44d00