|
n/a
|
Services-medical/surgical |
1010 |
10/17/2011 |
Paid |
$42.50 |
|
n/a
|
Services-medical/surgical |
105 |
10/17/2011 |
Paid |
$165.60 |
|
n/a
|
Services-medical/surgical |
103 |
10/17/2011 |
Paid |
$123.80 |
|
n/a
|
Services-medical/surgical |
104 |
10/17/2011 |
Paid |
$43.65 |
|
n/a
|
Services-medical/surgical |
109 |
10/17/2011 |
Paid |
$211.45 |
|
n/a
|
Services-medical/surgical |
106 |
10/17/2011 |
Paid |
$123.80 |
|
n/a
|
Services-medical/surgical |
101 |
10/17/2011 |
Paid |
$201.60 |
|
n/a
|
Services-medical/surgical |
107 |
10/17/2011 |
Paid |
$298.18 |
|
n/a
|
Services-medical/surgical |
102 |
10/17/2011 |
Paid |
$35.03 |
|
n/a
|
Services-medical/surgical |
108 |
10/17/2011 |
Paid |
$151.49 |