Claim total
$1,105.05
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1998-05-22
- Stop
- 1998-05-22
The parties
- Patient
- patient Ross Bill Bradtke
- Provider
- provider Rodrick Willms
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer No insurance
Record id
2a675be2-5a92-6634-5d14-ac50ae3fa92e