DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
05/18/2015 |
Paid |
$306,987.30 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
05/18/2015 |
Paid |
$31,331.88 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
05/18/2015 |
Paid |
$434.16 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
05/18/2015 |
Paid |
$20,188.44 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
05/18/2015 |
Paid |
$144.72 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
05/18/2015 |
Paid |
$47,034.00 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
05/18/2015 |
Paid |
$110,204.28 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
05/18/2015 |
Paid |
$63,170.28 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
05/18/2015 |
Paid |
$11,360.52 |