DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/21/2016 |
Paid |
$195,410.67 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/21/2016 |
Paid |
$13,369.11 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/21/2016 |
Paid |
$66,753.19 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
03/21/2016 |
Paid |
$32,695.44 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
03/21/2016 |
Paid |
$300.17 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
03/21/2016 |
Paid |
$115.45 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/21/2016 |
Paid |
$19,995.94 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
03/21/2016 |
Paid |
$40,569.13 |
DO 5800 16031409513 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
03/21/2016 |
Paid |
$13,969.45 |