DO 9100 21071510116
|
Medical Services (Non-Physician) |
111 |
10/25/2021 |
Paid |
$33,359.57 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
121 |
10/25/2021 |
Paid |
$21,667.25 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
111 |
10/21/2021 |
Paid |
$39,064.13 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
121 |
10/21/2021 |
Paid |
$21,183.75 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
141 |
10/21/2021 |
Paid |
$35,477.93 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
151 |
10/21/2021 |
Paid |
$24,379.50 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
111 |
10/05/2021 |
Paid |
$40,268.20 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
121 |
10/05/2021 |
Paid |
$17,555.65 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
141 |
10/05/2021 |
Paid |
$35,384.73 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
151 |
10/05/2021 |
Paid |
$18,345.95 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
111 |
10/05/2021 |
Paid |
$33,460.91 |
DO 9100 21071510116
|
Medical Services (Non-Physician) |
121 |
10/05/2021 |
Paid |
$12,259.45 |