DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
191 |
02/21/2023 |
Paid |
$937.28 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
131 |
02/21/2023 |
Paid |
$716.22 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
111 |
02/21/2023 |
Paid |
$1,767.50 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
151 |
02/21/2023 |
Paid |
$153.20 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
141 |
02/21/2023 |
Paid |
$1,155.00 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
181 |
02/21/2023 |
Paid |
$140.00 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
121 |
02/21/2023 |
Paid |
$6,836.75 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
161 |
02/21/2023 |
Paid |
$1,465.63 |
DO 9100 21102601611 |
n/a
|
Medical Services (Non-Physician) |
171 |
02/21/2023 |
Paid |
$300.24 |