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Treatment
Date of visit
Total [Payments]: 10,900
3111 Date of visit12/07/2025 C/C & Rx plans Treatments26- MO class 2 composite filling 27- MO class 2 composite filling Prescription Payment2,600.00 Balance Follow up date Lab
2936 Date of visit03/04/2025 C/C & Rx plans Treatments35- DO class 2 composite filling Prescription Payment1,300.00 Balance Follow up date Lab
2599 Date of visit22/10/2024 C/C & Rx plans Treatments25 MOD class 2 composite filling Prescription Payment1,500.00 Balance Follow up date Lab
2597 Date of visit21/10/2024 C/C & Rx plans Treatments13 class 4 composite filling do Prescription Payment1,000.00 Balance Follow up date Lab
928 Date of visit09/12/2022 C/C & Rx plans Treatments11 and 22 class 3 composite filling under rd neospectra Prescription Payment2,200.00 Balance Follow up date Lab
878 Date of visit09/11/2022 C/C & Rx plans Treatments47 DO class composite filling No rd Prescription Payment1,100.00 Balance Follow up date Lab
178 Date of visit03/01/2022 C/C & Rx plans TreatmentsDo class2 on 45 composite filling Prescription Payment1,200.00 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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