DO 1500 12112103792 |
n/a
|
Medical Services (Non-Physician) |
173 |
11/28/2012 |
Paid |
$81.00 |
DO 1500 12112103792 |
n/a
|
Medical Services (Non-Physician) |
171 |
11/28/2012 |
Paid |
$162.00 |
DO 1500 12112103792 |
n/a
|
Medical Services (Non-Physician) |
174 |
11/28/2012 |
Paid |
$448.00 |
DO 1500 12112103792 |
n/a
|
Medical Services (Non-Physician) |
172 |
11/28/2012 |
Paid |
$3,024.00 |
DO 1500 12112103793 |
n/a
|
Medical Services (Non-Physician) |
161 |
11/28/2012 |
Paid |
$112.00 |
DO 1500 12112103793 |
n/a
|
Medical Services (Non-Physician) |
162 |
11/28/2012 |
Paid |
$1,792.00 |
DO 1500 12112103795 |
n/a
|
Medical Services (Non-Physician) |
151 |
11/28/2012 |
Paid |
$896.00 |
DO 1500 12112103796 |
n/a
|
Medical Services (Non-Physician) |
141 |
11/28/2012 |
Paid |
$1,344.00 |
DO 1500 12112103796 |
n/a
|
Medical Services (Non-Physician) |
142 |
11/28/2012 |
Paid |
$112.00 |
DO 1500 12112103797 |
n/a
|
Medical Services (Non-Physician) |
131 |
11/28/2012 |
Paid |
$1,904.00 |
DO 1500 12112103798 |
n/a
|
Medical Services (Non-Physician) |
122 |
11/28/2012 |
Paid |
$162.00 |
DO 1500 12112103798 |
n/a
|
Medical Services (Non-Physician) |
123 |
11/28/2012 |
Paid |
$112.00 |
DO 1500 12112103798 |
n/a
|
Medical Services (Non-Physician) |
121 |
11/28/2012 |
Paid |
$2,240.00 |
DO 1500 12112103799 |
n/a
|
Medical Services (Non-Physician) |
111 |
11/28/2012 |
Paid |
$2,128.00 |
DO 1500 12112103799 |
n/a
|
Medical Services (Non-Physician) |
113 |
11/28/2012 |
Paid |
$224.00 |
DO 1500 12112103799 |
n/a
|
Medical Services (Non-Physician) |
112 |
11/28/2012 |
Paid |
$112.00 |
DO 1500 12112103800 |
n/a
|
Medical Services (Non-Physician) |
182 |
11/28/2012 |
Paid |
$112.00 |
DO 1500 12112103800 |
n/a
|
Medical Services (Non-Physician) |
181 |
11/28/2012 |
Paid |
$1,344.00 |