|
n/a
|
Services-medical/surgical |
103 |
04/28/2011 |
Paid |
$104.38 |
|
n/a
|
Services-medical/surgical |
101 |
04/28/2011 |
Paid |
$200.00 |
|
n/a
|
Services-medical/surgical |
107 |
04/28/2011 |
Paid |
$109.03 |
|
n/a
|
Services-medical/surgical |
105 |
04/28/2011 |
Paid |
$104.38 |
|
n/a
|
Services-medical/surgical |
104 |
04/28/2011 |
Paid |
$243.63 |
|
n/a
|
Services-medical/surgical |
109 |
04/28/2011 |
Paid |
$53.18 |
|
n/a
|
Services-medical/surgical |
102 |
04/28/2011 |
Paid |
$104.38 |
|
n/a
|
Services-medical/surgical |
108 |
04/28/2011 |
Paid |
$122.38 |
|
n/a
|
Services-medical/surgical |
1010 |
04/28/2011 |
Paid |
$62.70 |
|
n/a
|
Services-medical/surgical |
106 |
04/28/2011 |
Paid |
$104.37 |