|
n/a
|
Services-medical/surgical |
108 |
01/11/2013 |
Paid |
$106.85 |
|
n/a
|
Services-medical/surgical |
1010 |
01/11/2013 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
101 |
01/11/2013 |
Paid |
$175.69 |
|
n/a
|
Services-medical/surgical |
109 |
01/11/2013 |
Paid |
$51.87 |
|
n/a
|
Services-medical/surgical |
105 |
01/11/2013 |
Paid |
$28.00 |
|
n/a
|
Services-medical/surgical |
104 |
01/11/2013 |
Paid |
$83.53 |
|
n/a
|
Services-medical/surgical |
106 |
01/11/2013 |
Paid |
$67.97 |
|
n/a
|
Services-medical/surgical |
107 |
01/11/2013 |
Paid |
$65.45 |
|
n/a
|
Services-medical/surgical |
102 |
01/11/2013 |
Paid |
$68.91 |
|
n/a
|
Services-medical/surgical |
103 |
01/11/2013 |
Paid |
$70.05 |