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Treatment
Date of visit
Total [Payments]: 17,000
3190 Date of visit06/11/2025 C/C & Rx plans Treatments12- class 4 composite filling MOD under rd Prescription Payment1,500.00 Balance Follow up date Lab
3186 Date of visit01/10/2025 C/C & Rx plans Treatments45- DO class 2 composite filling and class 5. Direct pulp capping Prescription Payment1,400.00 Balance Follow up date Lab
2126 Date of visit12/04/2024 C/C & Rx plans TreatmentsMO class 2 composite filling Prescription Payment1,200.00 Balance Follow up date Lab
2168 Date of visit29/03/2024 C/C & Rx plans Treatments25 obturation bio ceramic sealer Prescription Payment2,000.00 Balance Follow up date Lab
2051 Date of visit09/03/2024 C/C & Rx plans Treatments25 pre endo acess and bmp Prescription Payment2,000.00 Balance Follow up date Lab
785 Date of visit04/10/2022 C/C & Rx plans TreatmentsClass 1 composite filling on 46 and 47 Prescription Payment Balance2,000.00 Follow up date Lab
773 Date of visit28/09/2022 C/C & Rx plans TreatmentsClass 1 composite fillings on 36 and 37 Prescription Payment2,000.00 Balance Follow up date Lab
588 Date of visit20/07/2022 C/C & Rx plans TreatmentsClass 5 composite filling on 34 under rd Prescription Payment1,000.00 Balance Follow up date Lab
60 Date of visit12/11/2021 C/C & Rx plans TreatmentsClass V 14 and 15 composite filling Extended a bit inter proximal Prescription Payment2,000.00 Balance Follow up date Lab
54 Date of visit10/11/2021 C/C & Rx plans TreatmentsClass V composite filling 24 under LA Labial pits 23 Neo spectra st Prescription Payment1,500.00 Balance Follow up date Lab
48 Date of visit08/11/2021 C/C & Rx plans Treatments11 class 3 m 12 class 3 m and d 13 class 5 composite fillings done Prescription Payment2,400.00 Balance Follow up date Lab
42 Date of visit05/11/2021 C/C & Rx plans Treatmentsconsultation Prescription Payment Balance Follow up date Lab
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