DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
111 |
08/23/2016 |
Paid |
$60.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
131 |
08/23/2016 |
Paid |
$60.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
181 |
08/23/2016 |
Paid |
$60.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
1101 |
08/23/2016 |
Paid |
$120.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
161 |
08/23/2016 |
Paid |
$120.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
171 |
08/23/2016 |
Paid |
$300.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
151 |
08/23/2016 |
Paid |
$478.75 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
191 |
08/23/2016 |
Paid |
$60.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
121 |
08/23/2016 |
Paid |
$120.00 |
DO 1500 16080217336 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
141 |
08/23/2016 |
Paid |
$619.75 |