DO 5800 13121104790 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
12/18/2013 |
Paid |
$18,908.00 |
DO 5800 13121104790 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
12/18/2013 |
Paid |
$27,710.00 |
DO 5800 13121104790 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
12/18/2013 |
Paid |
$106,928.00 |
DO 5800 13121104790 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
12/18/2013 |
Paid |
$264,614.20 |
DO 5800 13121104790 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
12/18/2013 |
Paid |
$51,475.40 |
DO 5800 13121104790 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
12/18/2013 |
Paid |
$35,045.00 |