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Treatment
Date of visit
Total [Payments]: 12,450
2251 Date of visit01/06/2024 C/C & Rx plansBridge fixed 12 13 14 15 Treatments Prescription Payment4,000.00 Balance Follow up date LabLewis lab
2242 Date of visit27/05/2024 C/C & Rx plans TreatmentsImpression made for bridge Prescription Payment5,000.00 Balance Follow up date LabLewis
2225 Date of visit22/05/2024 C/C & Rx plans TreatmentsOld bridge removed Prescription Payment1,000.00 Balance Follow up date Lab
1774 Date of visit06/11/2023 C/C & Rx plans Treatments46 DO class 2 composite filling no rd Deep cavity Prescription Payment1,200.00 Balance Follow up date Lab
1769 Date of visit31/10/2023 C/C & Rx plans Treatments36 class 1 composite filling 46 DO class 2 tf Prescription Payment1,250.00 Balance Follow up date Lab
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