Patient Info

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Treatment
Date of visit
Total [Payments]: 34,500
2877 Date of visit10/03/2025 C/C & Rx plans Treatments46,45- obturation bioceramic sealer Prescription Payment3,000.00 Balance Follow up date Lab
2844 Date of visit05/03/2025 C/C & Rx plans Treatments46- pre endo acess and bmp Prescription Payment3,000.00 Balance Follow up date Lab
2840 Date of visit22/02/2025 C/C & Rx plans Treatments47-Obturation bio ceramic sealer Prescription Payment1,500.00 Balance Follow up date Lab
2841 Date of visit18/02/2025 C/C & Rx plans Treatments47,45-Pre endo acess and bmp Prescription Payment4,000.00 Balance Follow up date Lab
2842 Date of visit08/02/2025 C/C & Rx plans Treatments16- obturation bio ceramic sealer Prescription Payment4,000.00 Balance Follow up date Lab
2795 Date of visit04/02/2025 C/C & Rx plans Treatments16- acess and bmp Prescription Payment1,500.00 Balance Follow up date Lab
2776 Date of visit30/01/2025 C/C & Rx plans Treatments12,13 impression for crown Dmls Prescription Payment2,500.00 Balance2,000.00 Follow up date LabLewis
2775 Date of visit21/01/2025 C/C & Rx plans Treatments16- class 2 composite filling 15 extraction Prescription Payment1,500.00 Balance Follow up date Lab
2742 Date of visit06/01/2025 C/C & Rx plans Treatments12,13,14- obturation bio ceramic sealer Prescription Payment3,000.00 Balance Follow up date Lab
2728 Date of visit03/01/2025 C/C & Rx plans Treatments11,22 - class 4 composite filling MOD Prescription Payment3,000.00 Balance Follow up date Lab
2722 Date of visit30/12/2024 C/C & Rx plans Treatments13, 14 - Pre endo acess and BMP Prescription Payment5,000.00 Balance Follow up date Lab
2717 Date of visit27/12/2024 C/C & Rx plans Treatments12- Pre endo acess and BMP Prescription Payment2,500.00 Balance Follow up date Lab
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