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Total [Payments]: 1,500
2940 Date of visit03/04/2025 C/C & Rx plans Treatments45- composite core build up RCT done elsewhere Prescription Payment1,500.00 Balance Follow up date Lab
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      Import log entries for this record.

      CSV file must be formatted with comma as separator, double quote as enclosure, and UTF-8 encoded. Entries with an id that matches an existing entry will overwrite that entry. Entries with no id or with an id that does not match an existing entry will be added as a new entry.

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