DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
02/26/2016 |
Paid |
$195,803.20 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
02/26/2016 |
Paid |
$40,776.94 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
02/26/2016 |
Paid |
$13,692.37 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
02/26/2016 |
Paid |
$32,233.64 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
02/26/2016 |
Paid |
$13,322.93 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
02/26/2016 |
Paid |
$115.45 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
02/26/2016 |
Paid |
$19,995.94 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
02/26/2016 |
Paid |
$66,868.64 |
DO 5800 16021608036 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
02/26/2016 |
Paid |
$277.08 |