DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
05/24/2017 |
Paid |
$15,130.08 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
05/24/2017 |
Paid |
$180.12 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
05/24/2017 |
Paid |
$630.42 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
05/24/2017 |
Paid |
$68,925.92 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
05/24/2017 |
Paid |
$22,845.22 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
05/24/2017 |
Paid |
$56,437.60 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
05/24/2017 |
Paid |
$50,673.76 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
05/24/2017 |
Paid |
$270,780.40 |
DO 5800 17051611147 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
05/24/2017 |
Paid |
$30,740.48 |