DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
05/17/2016 |
Paid |
$33,388.14 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
05/17/2016 |
Paid |
$15,770.47 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
05/17/2016 |
Paid |
$66,545.38 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
05/17/2016 |
Paid |
$115.45 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
05/17/2016 |
Paid |
$277.08 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
05/17/2016 |
Paid |
$40,569.13 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
05/17/2016 |
Paid |
$13,392.20 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
05/17/2016 |
Paid |
$20,065.21 |
DO 5800 16050912725 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
05/17/2016 |
Paid |
$195,618.48 |