DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
111 |
09/07/2017 |
Paid |
$770.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
171 |
09/07/2017 |
Paid |
$210.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
181 |
09/07/2017 |
Paid |
$70.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
141 |
09/07/2017 |
Paid |
$70.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
151 |
09/07/2017 |
Paid |
$70.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
131 |
09/07/2017 |
Paid |
$70.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
191 |
09/07/2017 |
Paid |
$70.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
121 |
09/07/2017 |
Paid |
$280.00 |
DO 1500 16102601903 |
MA 1100 NA140000170
|
Medical Services (Non-Physician) |
161 |
09/07/2017 |
Paid |
$140.00 |