Claim total
$1,115.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-12-21
- Stop
- 2002-12-21
The parties
- Patient
- patient Alexa Hettinger
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
Record id
274413e8-c95f-c321-f83c-a39180ad6963