DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
1121 |
09/20/2022 |
Paid |
$2,957.50 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
181 |
09/20/2022 |
Paid |
$1,690.33 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
191 |
09/20/2022 |
Paid |
$482.83 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
171 |
09/20/2022 |
Paid |
$494.62 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
161 |
09/20/2022 |
Paid |
$2,620.63 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
151 |
09/20/2022 |
Paid |
$814.24 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
141 |
09/20/2022 |
Paid |
$2,931.26 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
1101 |
09/20/2022 |
Paid |
$1,155.00 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
111 |
09/20/2022 |
Paid |
$851.42 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
131 |
09/20/2022 |
Paid |
$620.72 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
1111 |
09/20/2022 |
Paid |
$696.11 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
121 |
09/20/2022 |
Paid |
$2,931.26 |