|
n/a
|
Services-medical/surgical |
104 |
04/28/2011 |
Paid |
$177.97 |
|
n/a
|
Services-medical/surgical |
102 |
04/28/2011 |
Paid |
$120.75 |
|
n/a
|
Services-medical/surgical |
101 |
04/28/2011 |
Paid |
$103.20 |
|
n/a
|
Services-medical/surgical |
106 |
04/28/2011 |
Paid |
$23.42 |
|
n/a
|
Services-medical/surgical |
105 |
04/28/2011 |
Paid |
$23.42 |
|
n/a
|
Services-medical/surgical |
108 |
04/28/2011 |
Paid |
$131.12 |
|
n/a
|
Services-medical/surgical |
107 |
04/28/2011 |
Paid |
$122.38 |
|
n/a
|
Services-medical/surgical |
109 |
04/28/2011 |
Paid |
$62.50 |
|
n/a
|
Services-medical/surgical |
1010 |
04/28/2011 |
Paid |
$22.50 |
|
n/a
|
Services-medical/surgical |
103 |
04/28/2011 |
Paid |
$177.20 |