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Total [Payments]: 3,600
932 Date of visit11/12/2022 C/C & Rx plans Treatments14 MO Class 2 composite filling close to pulp indirect pulp caping with mta and gc liner done under rd Prescription Payment1,199.82 Balance Follow up date Lab
280 Date of visit20/02/2022 C/C & Rx plans Treatments16 and 15 class 2 filling done Prescription Payment2,400.00 Balance Follow up date Lab
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