DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
12/19/2016 |
Paid |
$13,484.56 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
12/19/2016 |
Paid |
$65,945.04 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
12/19/2016 |
Paid |
$40,384.41 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
12/19/2016 |
Paid |
$20,157.57 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
12/19/2016 |
Paid |
$19,995.94 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
12/19/2016 |
Paid |
$199,197.43 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
12/19/2016 |
Paid |
$115.45 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
12/19/2016 |
Paid |
$277.08 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
12/19/2016 |
Paid |
$35,304.61 |