Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | SERVICES-MEDICAL/SURGICAL |
| PAYEE | AUSTIN RADIOLOGICAL ASSN |
| PAYMENT REQUEST | Select a payment request. |
Payment Requests | Select from Below
| PAYMENT REQUEST | DESCRIPTION | CHECK DATE | CHECK STATUS  Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
|---|---|---|---|---|
| PRM 9100 24041022087 | X-RAY SERVICES | 04/11/2024 | Outstanding | $55.80 |
| PRM 9100 24031118062 | X-RAY SERVICES | 03/12/2024 | Paid | $184.80 |
| PRM 9100 24022816781 | X-RAY SERVICES | 03/04/2024 | Paid | $1,182.00 |
| PRM 9100 24022916958 | X-Ray Services (Incl. Dental) | 03/04/2024 | Paid | $258.00 |
| PRM 9100 24030117051 | X-Ray Services (Incl. Dental) | 03/04/2024 | Paid | $34.00 |
| PRM 9100 24022015654 | X-Ray Services (Incl. Dental) | 02/21/2024 | Paid | $36.60 |
| PRM 9100 24021615415 | X-Ray Services (Incl. Dental) | 02/20/2024 | Paid | $2,772.00 |
| PRM 9100 24020714355 | X-Ray Services (Incl. Dental) | 02/08/2024 | Paid | $36.60 |
| PRM 9100 24020714357 | X-Ray Services (Incl. Dental) | 02/08/2024 | Paid | $294.60 |
| PRM 9100 24012412598 | X-Ray Services (Incl. Dental) | 01/25/2024 | Paid | $1,112.40 |
| PRM 9100 24011912097 | X-Ray Services (Incl. Dental) | 01/22/2024 | Paid | $1,483.80 |
| PRM 8300 23120607291 | X-RAY SERVICES | 12/11/2023 | Paid | $390.60 |
| PRM 8300 23120607210 | X-RAY SERVICES | 12/07/2023 | Paid | $4,966.20 |
| PRM 9100 23112706029 | X-Ray Services (Incl. Dental) | 11/30/2023 | Paid | $134.00 |
| PRM 9100 23112705985 | X-Ray Services (Incl. Dental) | 11/29/2023 | Paid | $153.00 |
| PRM 8300 23101201604 | X-RAY SERVICES | 10/16/2023 | Paid | $111.60 |
| PRM 9100 23101101207 | X-Ray Services (Incl. Dental) | 10/12/2023 | Paid | $275.40 |
| PRM 9100 23100200145 | X-Ray Services (Incl. Dental) | 10/05/2023 | Paid | $183.00 |
| PRM 9100 23092035872 | X-Ray Services (Incl. Dental) | 09/25/2023 | Paid | $1,084.20 |
| PRM 9100 23092035827 | X-Ray Services (Incl. Dental) | 09/21/2023 | Paid | $68.00 |
| PRM 9100 23080130091 | X-Ray Services (Incl. Dental) | 08/03/2023 | Paid | $85.00 |
| PRM 9100 23071027618 | X-Ray Services (Incl. Dental) | 07/11/2023 | Paid | $113.00 |
| PRM 9100 23061625173 | X-Ray Services (Incl. Dental) | 06/20/2023 | Paid | $165.60 |
| PRM 9100 23061324880 | X-Ray Services (Incl. Dental) | 06/15/2023 | Paid | $533.40 |
| PRM 9100 23061224787 | X-RAY SERVICES | 06/13/2023 | Paid | $98.00 |
| PRM 9100 23060624295 | X-Ray Services (Incl. Dental) | 06/08/2023 | Paid | $55.80 |
| PRM 9100 23060724406 | X-Ray Services (Incl. Dental) | 06/08/2023 | Paid | $587.40 |
| PRM 9100 23060724410 | X-Ray Services (Incl. Dental) | 06/08/2023 | Paid | $92.40 |
| PRM 9100 23050821404 | X-RAY SERVICES | 05/09/2023 | Paid | $83.30 |
| PRM 8300 23050120682 | X-RAY SERVICES | 05/02/2023 | Paid | $55.80 |
| PRM 9100 23041319072 | X-RAY SERVICES | 04/17/2023 | Paid | $23.80 |
| PRM 8300 23032817242 | X-RAY SERVICES | 03/30/2023 | Paid | $55.80 |
| PRM 9100 23030314661 | X-RAY SERVICES | 03/06/2023 | Paid | $17.85 |
| PRM 9100 23021813373 | X-RAY SERVICES | 02/22/2023 | Paid | $5.95 |
| PRM 9100 23021713325 | X-RAY SERVICES | 02/21/2023 | Paid | $11.90 |
| PRM 8300 23020612073 | X-RAY SERVICES | 02/07/2023 | Paid | $55.80 |
| PRM 8300 23012411018 | X-RAY SERVICES | 01/26/2023 | Paid | $55.80 |
| PRM 9100 22122007969 | X-RAY SERVICES | 12/22/2022 | Paid | $113.05 |
| PRM 9100 22101001172 | X-RAY SERVICES | 10/11/2022 | Paid | $95.20 |
| PRM 9100 22100500647 | X-RAY SERVICES | 10/10/2022 | Paid | $107.10 |
| PRM 9100 22100600800 | X-RAY SERVICES | 10/10/2022 | Paid | $124.95 |
| PRM 8300 22082629938 | X-RAY SERVICES | 08/30/2022 | Paid | $558.00 |
| PRM 9100 22072627208 | X-RAY SERVICES | 07/28/2022 | Paid | $220.15 |
| PRM 8300 22070425094 | X-RAY SERVICES | 07/06/2022 | Paid | $55.80 |
| PRM 9100 22062324112 | X-RAY SERVICES | 06/24/2022 | Paid | $130.90 |
| PRM 9100 22061623579 | X-RAY SERVICES | 06/21/2022 | Paid | $101.15 |
| PRM 8300 22052721922 | X-RAY SERVICES | 05/31/2022 | Paid | $2,566.80 |
| PRM 8300 22052721928 | X-RAY SERVICES | 05/31/2022 | Paid | $2,845.80 |
| PRM 9100 22052521626 | X-RAY SERVICES | 05/26/2022 | Paid | $71.40 |
| PRM 8300 22032215934 | X-RAY SERVICES | 03/24/2022 | Paid | $55.80 |
| PRM 9100 22030113827 | X-RAY SERVICES | 03/03/2022 | Paid | $172.55 |
| PRM 8300 22021612643 | X-RAY SERVICES | 02/22/2022 | Paid | $55.80 |
| PRM 9100 22012710868 | X-RAY SERVICES | 01/31/2022 | Paid | $113.05 |
| PRM 8300 21122107793 | X-RAY SERVICES | 12/27/2021 | Paid | $167.40 |
| PRM 9100 21121407121 | X-RAY SERVICES | 12/16/2021 | Paid | $83.30 |
| PRM 9100 21120706405 | X-RAY SERVICES | 12/09/2021 | Paid | $119.00 |
| PRM 9100 21110303403 | X-RAY SERVICES | 11/08/2021 | Paid | $119.00 |
| PRM 8300 21102102151 | X-RAY SERVICES | 10/25/2021 | Paid | $7,581.00 |
| PRM 9100 21093033886 | X-RAY SERVICES | 10/04/2021 | Paid | $71.40 |
| PRM 9100 21093033889 | X-RAY SERVICES | 10/04/2021 | Paid | $198.60 |
| PRM 9100 21090331098 | X-RAY SERVICES | 09/07/2021 | Paid | $77.35 |
| PRM 9100 21081829602 | X-RAY SERVICES | 08/23/2021 | Paid | $113.05 |
| PRM 9100 21072126838 | X-RAY SERVICES | 07/22/2021 | Paid | $35.70 |
| PRM 8300 21070225058 | X-RAY SERVICES | 07/06/2021 | Paid | $62.40 |
| PRM 9100 21062424293 | X-RAY SERVICES | 06/28/2021 | Paid | $101.15 |
| PRM 9100 21042618391 | X-RAY SERVICES | 04/27/2021 | Paid | $107.10 |
| PRM 9100 21042218158 | X-RAY SERVICES | 04/26/2021 | Paid | $130.90 |
| PRM 9100 21032415445 | X-RAY SERVICES | 03/25/2021 | Paid | $53.55 |
| PRM 8300 21031013925 | X-RAY SERVICES | 03/11/2021 | Paid | $596.60 |
| PRM 9100 21012610250 | X-RAY SERVICES | 01/28/2021 | Paid | $41.65 |
| PRM 9100 21011309152 | X-RAY SERVICES | 01/14/2021 | Paid | $29.75 |
| PRM 8300 20121506757 | X-RAY SERVICES | 12/17/2020 | Paid | $187.20 |
| PRM 9100 20120205423 | X-RAY SERVICES | 12/03/2020 | Paid | $83.30 |
| PRM 8300 20112404935 | X-RAY SERVICES | 11/30/2020 | Paid | $3,494.40 |
| PRM 9100 20102202145 | X-RAY SERVICES | 10/26/2020 | Paid | $95.20 |
| PRM 9100 20100200230 | X-RAY SERVICES | 10/06/2020 | Paid | $124.95 |
| PRM 9100 20082431877 | X-RAY SERVICES | 08/25/2020 | Paid | $160.65 |
| PRM 9100 20071728265 | X-RAY SERVICES | 07/21/2020 | Paid | $113.05 |
| PRM 9100 20061925955 | X-RAY SERVICES | 06/23/2020 | Paid | $178.50 |
| PRM 9100 20052223673 | X-RAY SERVICES | 05/26/2020 | Paid | $124.95 |
| PRM 9100 20042721232 | X-RAY SERVICES | 04/30/2020 | Paid | $279.65 |
| PRM 9100 20033118728 | X-RAY SERVICES | 04/02/2020 | Paid | $428.40 |
| PRM 9100 20031817264 | X-RAY SERVICES | 03/19/2020 | Paid | $249.60 |
| PRM 9100 20030515955 | X-RAY SERVICES | 03/06/2020 | Paid | $255.85 |
| PRM 9100 20020311941 | X-RAY SERVICES | 02/04/2020 | Paid | $113.05 |
| PRM 9100 20010709121 | X-RAY SERVICES | 01/08/2020 | Paid | $119.00 |
| PRM 8300 19123008210 | X-RAY SERVICES | 12/31/2019 | Paid | $62.40 |
| PRM 9100 19121607255 | X-RAY SERVICES | 12/18/2019 | Paid | $95.20 |
| PRM 9100 19110804190 | X-RAY SERVICES | 11/12/2019 | Paid | $222.20 |
| PRM 9100 19102102125 | X-RAY SERVICES | 10/23/2019 | Paid | $639.20 |
| PRM 9100 19102202349 | X-RAY SERVICES | 10/23/2019 | Paid | $172.55 |
| PRM 9100 19101801865 | X-RAY SERVICES | 10/21/2019 | Paid | $130.90 |
| PRM 9100 19101601523 | X-RAY SERVICES | 10/17/2019 | Paid | $159.80 |
| PRM 8300 19101501261 | X-RAY SERVICES | 10/16/2019 | Paid | $7,675.20 |
| PRM 9100 19092333508 | X-RAY SERVICES | 09/25/2019 | Paid | $202.30 |
| PRM 8300 19091132416 | X-RAY SERVICES | 09/13/2019 | Paid | $187.20 |
| PRM 9100 19080729025 | X-RAY SERVICES | 08/08/2019 | Paid | $101.15 |
| PRM 9100 19062625120 | X-RAY SERVICES | 06/27/2019 | Paid | $119.00 |
| PRM 9100 19062024531 | X-RAY SERVICES | 06/21/2019 | Paid | $208.25 |
| PRM 9100 19062024541 | X-RAY SERVICES | 06/21/2019 | Paid | $89.25 |
| PRM 9100 19041217839 | X-RAY SERVICES | 04/15/2019 | Paid | $119.00 |
| PRM 9100 19022813383 | X-RAY SERVICES | 03/01/2019 | Paid | $130.90 |
| PRM 9100 19020410417 | X-RAY SERVICES | 02/05/2019 | Paid | $107.10 |
| PRM 9100 19010407876 | X-RAY SERVICES | 01/07/2019 | Paid | $124.95 |
| PRM 9100 18101702021 | X-RAY SERVICES | 12/06/2018 | Paid | $148.75 |
| PRM 9100 18120405791 | X-RAY SERVICES | 12/05/2018 | Paid | $178.50 |
| PRM 9100 18102202337 | X-RAY SERVICES | 10/23/2018 | Paid | $65.45 |
| PRM 9100 18090430021 | X-RAY SERVICES | 09/05/2018 | Paid | $119.00 |
| PRM 9100 18082329129 | X-RAY SERVICES | 08/24/2018 | Paid | $97.40 |
| PRM 9100 18081728664 | X-RAY SERVICES | 08/20/2018 | Paid | $194.80 |
| PRM 9100 18072026288 | X-RAY SERVICES | 07/23/2018 | Paid | $130.90 |
| PRM 8300 18071225658 | X-RAY SERVICES | 07/13/2018 | Paid | $2,870.40 |
| PRM 9100 18062924516 | X-RAY SERVICES | 07/02/2018 | Paid | $202.30 |
| PRM 8300 18062624029 | X-RAY SERVICES | 06/27/2018 | Paid | $62.40 |
| PRM 9100 18061222834 | X-RAY SERVICES | 06/13/2018 | Paid | $297.50 |
| PRM 9100 18053021883 | X-RAY SERVICES | 05/31/2018 | Paid | $166.60 |
| PRM 9100 18052921748 | X-RAY SERVICES | 05/30/2018 | Paid | $428.40 |
| PRM 9100 18051420436 | X-RAY SERVICES | 05/15/2018 | Paid | $178.50 |
| PRM 8300 18042718962 | X-RAY SERVICES | 04/30/2018 | Paid | $2,059.20 |
| PRM 9100 18042418638 | X-RAY SERVICES | 04/25/2018 | Paid | $148.75 |
| PRM 9100 18042418643 | X-RAY SERVICES | 04/25/2018 | Paid | $124.95 |
| PRM 8300 18041717948 | X-RAY SERVICES | 04/18/2018 | Paid | $3,182.40 |
| PRM 8300 18041117465 | X-RAY SERVICES | 04/12/2018 | Paid | $4,555.20 |
| PRM 9100 18032115677 | X-RAY SERVICES | 03/22/2018 | Paid | $119.00 |
| PRM 9100 18031515093 | X-RAY SERVICES | 03/16/2018 | Paid | $130.90 |
| PRM 9100 17122007452 | X-RAY SERVICES | 12/21/2017 | Paid | $148.75 |
| PRM 9100 17101701941 | X-RAY SERVICES | 10/18/2017 | Paid | $160.65 |
| PRM 9100 17092635105 | X-RAY SERVICES | 09/27/2017 | Paid | $196.35 |
| PRM 8300 17090532628 | X-RAY SERVICES | 09/06/2017 | Paid | $312.00 |
| PRM 9100 17083132340 | X-RAY SERVICES | 09/01/2017 | Paid | $280.25 |
| PRM 8300 17081630902 | X-RAY SERVICES | 08/17/2017 | Paid | $499.20 |
| PRM 9100 17081030339 | X-RAY SERVICES | 08/11/2017 | Paid | $220.15 |
| PRM 9100 17072828997 | X-RAY SERVICES | 07/31/2017 | Paid | $267.75 |
| PRM 8300 17061424984 | X-RAY SERVICES | 06/15/2017 | Paid | $62.40 |
| PRM 9100 17060223853 | X-RAY SERVICES | 06/05/2017 | Paid | $315.35 |
| PRM 9100 17041819647 | X-RAY SERVICES | 04/19/2017 | Paid | $196.35 |
| PRM 9100 17031416120 | X-RAY SERVICES | 03/15/2017 | Paid | $255.85 |
| PRM 8300 17022714461 | X-RAY SERVICES | 02/28/2017 | Paid | $748.80 |
| PRM 8300 17013111688 | X-RAY SERVICES | 02/01/2017 | Paid | $1,497.60 |
| PRM 9100 17013111706 | X-RAY SERVICES | 02/01/2017 | Paid | $416.50 |
| PRM 9100 17012310597 | X-RAY SERVICES | 01/24/2017 | Paid | $255.85 |
| PRM 9100 17011310068 | X-RAY SERVICES | 01/17/2017 | Paid | $202.30 |
| PRM 8300 16121507167 | X-RAY SERVICES | 12/16/2016 | Paid | $124.80 |
| PRM 9100 16101000589 | X-RAY SERVICES | 10/11/2016 | Paid | $303.45 |
| PRM 9100 16090136139 | X-RAY SERVICES | 09/02/2016 | Paid | $315.35 |
| PRM 9100 16081634289 | X-RAY SERVICES | 08/17/2016 | Paid | $464.10 |
| PRM 9100 16062728966 | X-Ray Services (Incl. Dental) | 06/28/2016 | Paid | $280.00 |
| PRM 9100 16052425481 | X-Ray Services (Incl. Dental) | 05/25/2016 | Paid | $235.40 |
| PRM 9100 16042623102 | X-Ray Services (Incl. Dental) | 04/27/2016 | Paid | $225.00 |
| PRM 9100 16032219056 | X-Ray Services (Incl. Dental) | 03/23/2016 | Paid | $190.00 |
| PRM 9100 16031518309 | X-Ray Services (Incl. Dental) | 03/16/2016 | Paid | $515.00 |
| PRM 9100 16012812811 | X-Ray Services (Incl. Dental) | 01/29/2016 | Paid | $215.00 |
| PRM 9100 15121508093 | X-Ray Services (Incl. Dental) | 12/16/2015 | Paid | $205.00 |
| PRM 9100 15111204701 | X-Ray Services (Incl. Dental) | 11/13/2015 | Paid | $280.00 |
| PRM 9100 15090337606 | X-Ray Services (Incl. Dental) | 09/04/2015 | Paid | $315.00 |
| PRM 9100 15090337607 | X-Ray Services (Incl. Dental) | 09/04/2015 | Paid | $208.00 |
| PRM 9100 15081234783 | X-Ray Services (Incl. Dental) | 08/13/2015 | Paid | $260.00 |
| PRM 9100 15070230060 | X-Ray Services (Incl. Dental) | 07/06/2015 | Paid | $315.00 |
| PRM 9100 15052826234 | X-Ray Services (Incl. Dental) | 05/29/2015 | Paid | $260.00 |
| PRM 9100 15042122125 | X-Ray Services (Incl. Dental) | 04/22/2015 | Paid | $210.00 |
| PRM 9100 15033119723 | X-Ray Services (Incl. Dental) | 04/01/2015 | Paid | $155.00 |
| PRM 9100 15022315200 | X-Ray Services (Incl. Dental) | 02/24/2015 | Paid | $495.00 |
| PRM 9100 15020713521 | X-Ray Services (Incl. Dental) | 02/09/2015 | Paid | $385.00 |
| PRM 9100 14102302986 | X-Ray Services (Incl. Dental) | 10/24/2014 | Paid | $270.00 |
| PRM 9100 14102202891 | X-Ray Services (Incl. Dental) | 10/23/2014 | Paid | $265.00 |
| PRM 9100 14101301442 | X-Ray Services (Incl. Dental) | 10/14/2014 | Paid | $642.00 |
| PRM 9100 14100300441 | X-Ray Services (Incl. Dental) | 10/06/2014 | Paid | $220.00 |
| PRM 9100 14081333481 | X-Ray Services (Incl. Dental) | 08/14/2014 | Paid | $430.00 |
| PRM 9100 14070228401 | X-Ray Services (Incl. Dental) | 07/03/2014 | Paid | $431.00 |
| PRM 9100 14052724401 | X-Ray Services (Incl. Dental) | 05/28/2014 | Paid | $416.00 |
| PRM 9100 14050522083 | X-Ray Services (Incl. Dental) | 05/06/2014 | Paid | $360.00 |
| PRM 9100 14033118256 | X-Ray Services (Incl. Dental) | 04/01/2014 | Paid | $365.00 |
| PRM 9100 14022714938 | X-Ray Services (Incl. Dental) | 02/28/2014 | Paid | $385.00 |
| PRM 9100 14011010599 | X-Ray Services (Incl. Dental) | 01/13/2014 | Paid | $275.00 |
| PRM 9100 14010910431 | X-Ray Services (Incl. Dental) | 01/10/2014 | Paid | $431.00 |
| PRM 9100 13110404256 | X-Ray Services (Incl. Dental) | 11/05/2013 | Paid | $390.00 |
| PRM 9100 13101701787 | X-Ray Services (Incl. Dental) | 10/18/2013 | Paid | $355.00 |
| PRM 9100 13101401370 | X-Ray Services (Incl. Dental) | 10/15/2013 | Paid | $440.00 |
| PRM 9100 13090934350 | X-Ray Services (Incl. Dental) | 09/10/2013 | Paid | $439.00 |
| PRM 9100 13062126521 | X-Ray Services (Incl. Dental) | 06/24/2013 | Paid | $463.00 |
| PRM 9100 13053124615 | X-Ray Services (Incl. Dental) | 06/03/2013 | Paid | $265.00 |
| PRM 9100 13052223678 | X-Ray Services (Incl. Dental) | 05/23/2013 | Paid | $922.00 |
| PRM 9100 13032217719 | X-Ray Services (Incl. Dental) | 03/25/2013 | Paid | $215.00 |
| PRM 9100 13010910235 | X-Ray Services (Incl. Dental) | 01/10/2013 | Paid | $725.00 |
| PRM 9100 12121007142 | X-Ray Services (Incl. Dental) | 12/11/2012 | Paid | $803.00 |
| PRM 9100 12121007143 | X-Ray Services (Incl. Dental) | 12/11/2012 | Paid | $388.00 |
| PRM 9100 12100200364 | X-Ray Services (Incl. Dental) | 10/03/2012 | Paid | $394.00 |
| PRM 9100 12082331569 | X-Ray Services (Incl. Dental) | 08/24/2012 | Paid | $536.00 |
| PRM 9100 12080930139 | X-Ray Services (Incl. Dental) | 08/10/2012 | Paid | $315.00 |
| PRM 9100 12062125060 | X-Ray Services (Incl. Dental) | 06/22/2012 | Paid | $415.00 |
| PRM 9100 12060623711 | X-Ray Services (Incl. Dental) | 06/07/2012 | Paid | $300.00 |
| PRM 9100 12050320823 | X-Ray Services (Incl. Dental) | 05/04/2012 | Paid | $200.00 |
| PRM 9100 12040917941 | X-Ray Services (Incl. Dental) | 04/10/2012 | Paid | $364.00 |
| PRM 9100 12030915170 | X-Ray Services (Incl. Dental) | 03/12/2012 | Paid | $305.00 |
| PRM 9100 12020111336 | X-Ray Services (Incl. Dental) | 02/02/2012 | Paid | $255.00 |
| PRM 9100 11121907597 | X-Ray Services (Incl. Dental) | 12/20/2011 | Paid | $400.00 |
| PRM 9100 11120106003 | X-Ray Services (Incl. Dental) | 12/02/2011 | Paid | $715.00 |
| PRM 9100 11091234213 | X-Ray Services (Incl. Dental) | 09/13/2011 | Paid | $255.00 |
| PRM 9100 11082232217 | X-Ray Services (Incl. Dental) | 08/23/2011 | Paid | $475.00 |
| PRM 9100 11071328189 | X-Ray Services (Incl. Dental) | 07/14/2011 | Paid | $765.00 |
| PRM 9100 11061726001 | X-Ray Services (Incl. Dental) | 06/20/2011 | Paid | $315.00 |
| PRM 9100 11040719230 | X-Ray Services (Incl. Dental) | 04/08/2011 | Paid | $425.00 |
| PRM 8300 11040619098 | Professional Medical Services (Including Physician | 04/07/2011 | Paid | $65.00 |
| PRM 9100 11030715768 | X-Ray Services (Incl. Dental) | 03/08/2011 | Paid | $300.00 |
| PRM 9100 11021613764 | X-Ray Services (Incl. Dental) | 02/17/2011 | Paid | $310.00 |
| PRM 9100 11010609838 | X-Ray Services (Incl. Dental) | 01/07/2011 | Paid | $360.00 |
| PRM 9100 10123009136 | X-Ray Services (Incl. Dental) | 01/03/2011 | Paid | $630.00 |
| PRM 9100 10121507955 | X-Ray Services (Incl. Dental) | 12/16/2010 | Paid | $600.00 |
| PRM 9100 10110904590 | X-Ray Services (Incl. Dental) | 11/10/2010 | Paid | $610.00 |
| PRM 8300 10101802075 | Professional Medical Services (Including Physician | 10/19/2010 | Paid | $65.00 |
| PRM 9100 10092338416 | X-Ray Services (Incl. Dental) | 09/24/2010 | Paid | $620.00 |
| PRM 9100 10081634036 | X-Ray Services (Incl. Dental) | 08/17/2010 | Paid | $631.00 |
| PRM 9100 10071630777 | X-Ray Services (Incl. Dental) | 07/19/2010 | Paid | $661.00 |
| PRM 8300 10071430449 | Professional Medical Services (Including Physician | 07/15/2010 | Paid | $35.00 |
| PRM 9100 10070729667 | X-Ray Services (Incl. Dental) | 07/08/2010 | Paid | $515.00 |
| PRM 9100 10062828789 | X-Ray Services (Incl. Dental) | 06/29/2010 | Paid | $4,170.00 |
| PRM 8300 10051123704 | Professional Medical Services (Including Physician | 05/12/2010 | Paid | $35.00 |
| PRM 8300 10042722336 | Professional Medical Services (Including Physician | 04/28/2010 | Paid | $240.00 |
| PRM 8300 10033119857 | Professional Medical Services (Including Physician | 04/01/2010 | Paid | $730.00 |
| PRM 8300 10031017238 | Professional Medical Services (Including Physician | 03/11/2010 | Paid | $1,025.00 |
| PRM 8300 10012211755 | Professional Medical Services (Including Physician | 01/25/2010 | Paid | $245.00 |
| PRM 8300 10010610052 | Professional Medical Services (Including Physician | 01/07/2010 | Paid | $140.00 |
| PRM 8300 09120807319 | Professional Medical Services (Including Physician | 12/09/2009 | Paid | $140.00 |
| PRM 8300 09101902132 | Professional Medical Services (Including Physician | 10/20/2009 | Paid | $1,460.00 |
| PRM 8300 09082041075 | Professional Medical Services (Including Physician | 08/21/2009 | Paid | $1,250.00 |
| PRM 8300 09081440389 | Professional Medical Services (Including Physician | 08/17/2009 | Paid | $175.00 |
| PRM 8300 09061833659 | Professional Medical Services (Including Physician | 06/19/2009 | Paid | $1,255.00 |
| PRM 8300 09060231677 | Professional Medical Services (Including Physician | 06/03/2009 | Paid | $490.00 |
| PRM 8300 09042226982 | Professional Medical Services (Including Physician | 04/23/2009 | Paid | $1,460.00 |
| PRM 9500 09042227041 | Professional Medical Services (Including Physician | 04/23/2009 | Paid | $3,250.00 |
| PRM 9500 09042227042 | Professional Medical Services (Including Physician | 04/23/2009 | Paid | $3,250.00 |
| PRM 8300 09040624679 | Professional Medical Services (Including Physician | 04/07/2009 | Paid | $1,260.00 |
| PRM 8300 09022319084 | Professional Medical Services (Including Physician | 02/24/2009 | Paid | $525.00 |
| PRM 8300 09013015991 | Professional Medical Services (Including Physician | 02/02/2009 | Paid | $555.00 |
| PRM 8300 09010712748 | Professional Medical Services (Including Physician | 01/08/2009 | Paid | $1,525.00 |
| PRM 8300 08122311388 | Professional Medical Services (Including Physician | 12/29/2008 | Paid | $1,845.00 |
| PRM 9500 08120809672 | Professional Medical Services (Including Physician | 12/09/2008 | Paid | $9,750.00 |
| PRM 8300 08101602598 | Professional Medical Services (Including Physician | 10/17/2008 | Paid | $1,985.00 |
| PRM 8300 08101001561 | Professional Medical Services (Including Physician | 10/13/2008 | Paid | $2,030.00 |