Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | DENTAL HMO PREMIUMS |
| PAYEE | UNITED DENTAL CARE OF TEXAS INC |
| 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 5800 11122908301 | Health/Hospitalization (Including Dental and Vision) | 12/30/2011 | Paid | $13,649.45 |
| PRM 5800 11111604754 | Health/Hospitalization (Including Dental and Vision) | 11/17/2011 | Paid | $13,649.45 |
| PRM 5800 11101901932 | Health/Hospitalization (Including Dental and Vision) | 10/20/2011 | Paid | $13,659.59 |
| PRM 5800 11091934723 | Health/Hospitalization (Including Dental and Vision) | 09/20/2011 | Paid | $13,640.32 |
| PRM 5800 11081731696 | Health/Hospitalization (Including Dental and Vision) | 08/18/2011 | Paid | $13,605.19 |
| PRM 5800 11072028753 | Health/Hospitalization (Including Dental and Vision) | 07/21/2011 | Paid | $13,600.54 |
| PRM 5800 11061725930 | Health/Hospitalization (Including Dental and Vision) | 06/20/2011 | Paid | $13,551.63 |
| PRM 5800 11051722957 | Health/Hospitalization (Including Dental and Vision) | 05/18/2011 | Paid | $13,569.28 |
| PRM 5800 11041920277 | Health/Hospitalization (Including Dental and Vision) | 04/20/2011 | Paid | $13,463.17 |
| PRM 5800 11031716873 | Health/Hospitalization (Including Dental and Vision) | 03/18/2011 | Paid | $13,436.39 |
| PRM 5800 11030215190 | Health/Hospitalization (Including Dental and Vision) | 03/03/2011 | Paid | $13,366.42 |
| PRM 5800 11012111261 | Health/Hospitalization (Including Dental and Vision) | 01/24/2011 | Paid | $13,376.56 |
| PRM 5800 10122008231 | Health/Hospitalization (Including Dental and Vision) | 12/21/2010 | Paid | $13,473.77 |
| PRM 5800 10111805537 | Health/Hospitalization (Including Dental and Vision) | 11/19/2010 | Paid | $13,473.77 |
| PRM 5800 10102703297 | Health/Hospitalization (Including Dental and Vision) | 10/28/2010 | Paid | $13,472.99 |
| PRM 5800 10092338364 | Health/Hospitalization (Including Dental and Visua | 09/24/2010 | Paid | $13,460.83 |
| PRM 5800 10082635102 | Health/Hospitalization (Including Dental and Visua | 08/27/2010 | Paid | $13,446.82 |
| PRM 5800 10072731832 | Health/Hospitalization (Including Dental and Visua | 07/28/2010 | Paid | $13,400.77 |
| PRM 5800 09123009225 | Health/Hospitalization (Including Dental and Visua | 12/31/2009 | Paid | $13,252.08 |