|
n/a
|
Services-medical/surgical |
1010 |
10/13/2011 |
Paid |
$76.77 |
|
n/a
|
Services-medical/surgical |
108 |
10/13/2011 |
Paid |
$114.01 |
|
n/a
|
Services-medical/surgical |
102 |
10/13/2011 |
Paid |
$23.77 |
|
n/a
|
Services-medical/surgical |
103 |
10/13/2011 |
Paid |
$241.14 |
|
n/a
|
Services-medical/surgical |
104 |
10/13/2011 |
Paid |
$121.90 |
|
n/a
|
Services-medical/surgical |
105 |
10/13/2011 |
Paid |
$105.80 |
|
n/a
|
Services-medical/surgical |
109 |
10/13/2011 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
107 |
10/13/2011 |
Paid |
$41.93 |
|
n/a
|
Services-medical/surgical |
106 |
10/13/2011 |
Paid |
$188.60 |
|
n/a
|
Services-medical/surgical |
101 |
10/13/2011 |
Paid |
$45.35 |