|
n/a
|
Services-medical/surgical |
108 |
09/19/2012 |
Paid |
$72.60 |
|
n/a
|
Services-medical/surgical |
102 |
09/19/2012 |
Paid |
$109.93 |
|
n/a
|
Services-medical/surgical |
103 |
09/19/2012 |
Paid |
$65.10 |
|
n/a
|
Services-medical/surgical |
106 |
09/19/2012 |
Paid |
$146.27 |
|
n/a
|
Services-medical/surgical |
104 |
09/19/2012 |
Paid |
$95.90 |
|
n/a
|
Services-medical/surgical |
101 |
09/19/2012 |
Paid |
$14.30 |
|
n/a
|
Services-medical/surgical |
107 |
09/19/2012 |
Paid |
$61.25 |
|
n/a
|
Services-medical/surgical |
109 |
09/19/2012 |
Paid |
$81.05 |
|
n/a
|
Services-medical/surgical |
105 |
09/19/2012 |
Paid |
$60.50 |