Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1962-01-14
- Stop
- 1962-01-14
The parties
- Patient
- patient Johnie Otis Swaniawski
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
Record id
20266be5-d73a-d9b0-a75b-ee9a8994b712