DO 9100 21102601611
|
Medical Services (Non-Physician) |
111 |
01/19/2022 |
Paid |
$23,155.80 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
121 |
01/19/2022 |
Paid |
$20,779.35 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
131 |
01/19/2022 |
Paid |
$1,503.71 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
141 |
01/19/2022 |
Paid |
$12,837.73 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
151 |
01/19/2022 |
Paid |
$7,515.00 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
161 |
01/19/2022 |
Paid |
$1,467.30 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
171 |
01/19/2022 |
Paid |
$8,233.00 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
181 |
01/19/2022 |
Paid |
$1,210.06 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
191 |
01/19/2022 |
Paid |
$10,802.25 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1101 |
01/19/2022 |
Paid |
$1,468.91 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1111 |
01/19/2022 |
Paid |
$8,797.50 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1121 |
01/19/2022 |
Paid |
$971.25 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1131 |
01/19/2022 |
Paid |
$879.11 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1141 |
01/19/2022 |
Paid |
$8,388.22 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1151 |
01/19/2022 |
Paid |
$4,165.00 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1161 |
01/19/2022 |
Paid |
$1,592.40 |
DO 9100 21102601611
|
Medical Services (Non-Physician) |
1171 |
01/19/2022 |
Paid |
$8,530.00 |