DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
02/19/2013 |
Paid |
$26,243.00 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
02/19/2013 |
Paid |
$30,807.00 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
02/19/2013 |
Paid |
$19,625.20 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
02/19/2013 |
Paid |
$258,518.00 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
02/19/2013 |
Paid |
$107,025.80 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
02/19/2013 |
Paid |
$51,638.40 |