Claim total
$910.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-04-23
- Stop
- 1994-04-23
The parties
- Patient
- patient Devon Dwight Leuschke
- Provider
- provider Donald Ferry
- Care site
- care site WRIGHT MEDICAL CARE PLLC
- Payer
- payer No insurance
Record id
346c747a-f14d-f67f-55e1-ac03c5ef4409