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Treatment
Date of visit
Total [Payments]: 10,200
2541 Date of visit01/10/2024 C/C & Rx plans Treatments47 DO class 2 composite filling Prescription Payment1,300.00 Balance Follow up date Lab
1713 Date of visit10/10/2023 C/C & Rx plans Treatments17 MO class 2 composite filling contact ok No RD Prescription Payment1,300.00 Balance Follow up date Lab
663 Date of visit19/08/2022 C/C & Rx plans Treatments47 mo class 2 composite filling under rd Prescription Payment1,200.00 Balance Follow up date Lab
640 Date of visit11/08/2022 C/C & Rx plansDC 25 and 26 class 2 Treatments25 DO class 2 26 MO class 2 Composite filling under rd Tight contact achieved Prescription Payment2,400.00 Balance Follow up date Lab
613 Date of visit01/08/2022 C/C & Rx plans Treatments37 MO 36 MOD Class 2 composite filling Xray Prescription Payment2,500.00 Balance Follow up date Lab
616 Date of visit24/07/2022 C/C & Rx plans Treatments46 mod class 2 filling Prescription Payment1,500.00 Balance Follow up date Lab
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