Claim total
$1,595.44
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1971-12-05
- Stop
- 1971-12-05
The parties
- Provider
- provider Dirk D'Amore
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
348090a3-706c-487e-d564-0dc735d7eb3b