View Notes (ptid: 4683)
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Id:
179
Hide:
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No
Date:
Patient:
Wang, YingBin (DOB: 08/21/1962)
Pat Id:
Service Dates:
Creator:
Need:
Pan DDS
Angela
Nancy
Nancy2
Mike
Jessica
Amy
Karen
Kali
Other
Everyone
Due:
Cat:
Claim
Eligibility
EOB
Ins Appeal
Knowledge
Lab
Memo
Pt. Fee$
TAR
- Others
Status:
Open
Review
Follow Up
Hold
Complete
Title:
Note:
1. only cover for natural tooth intial replacement of removed while this policy inforce. 2. 2. #18 over charged, 1500 - 240 reduced = 1260.
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