DO 5800 11101200875 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
133 |
10/19/2011 |
Paid |
$23,645.70 |
DO 5800 11101200875 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
131 |
10/19/2011 |
Paid |
$234,165.75 |
DO 5800 11101200875 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
132 |
10/19/2011 |
Paid |
$44,969.60 |
DO 5800 11101200877 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
121 |
10/19/2011 |
Paid |
$98,313.60 |
DO 5800 11101200877 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
122 |
10/19/2011 |
Paid |
$18,550.84 |
DO 5800 11101200877 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
123 |
10/19/2011 |
Paid |
$21,886.48 |