|
n/a
|
Services-medical/surgical |
103 |
06/29/2012 |
Paid |
$54.13 |
|
n/a
|
Services-medical/surgical |
101 |
06/29/2012 |
Paid |
$102.25 |
|
n/a
|
Services-medical/surgical |
102 |
06/29/2012 |
Paid |
$36.13 |
|
n/a
|
Services-medical/surgical |
1010 |
06/29/2012 |
Paid |
$52.49 |
|
n/a
|
Services-medical/surgical |
105 |
06/29/2012 |
Paid |
$62.50 |
|
n/a
|
Services-medical/surgical |
109 |
06/29/2012 |
Paid |
$61.35 |
|
n/a
|
Services-medical/surgical |
104 |
06/29/2012 |
Paid |
$105.43 |
|
n/a
|
Services-medical/surgical |
107 |
06/29/2012 |
Paid |
$26.65 |
|
n/a
|
Services-medical/surgical |
108 |
06/29/2012 |
Paid |
$65.17 |
|
n/a
|
Services-medical/surgical |
106 |
06/29/2012 |
Paid |
$49.25 |