DO 9100 21071510116
|
Medical Services (Non-Physician) |
131 |
10/25/2021 |
Paid |
$3,703.30 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
131 |
10/21/2021 |
Paid |
$2,918.95 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
161 |
10/21/2021 |
Paid |
$2,336.77 |
DO 9100 21021005082
|
Medical Services (Non-Physician) |
111 |
10/12/2021 |
Paid |
$1,007.14 |
DO 9100 21021005082
|
Medical Services (Non-Physician) |
121 |
10/12/2021 |
Paid |
$962.50 |
DO 9100 21021005082
|
Medical Services (Non-Physician) |
111 |
10/05/2021 |
Paid |
$786.48 |
DO 9100 21021005082
|
Medical Services (Non-Physician) |
121 |
10/05/2021 |
Paid |
$1,557.50 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
131 |
10/05/2021 |
Paid |
$2,871.94 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
161 |
10/05/2021 |
Paid |
$3,418.69 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
131 |
10/05/2021 |
Paid |
$4,557.56 |