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Treatment
Date of visit
Total [Payments]: 23,300
2254 Date of visit04/06/2024 C/C & Rx plans TreatmentsMOD 46 DO 45 Prescription Payment2,400.00 Balance Follow up date Lab
2118 Date of visit06/04/2024 C/C & Rx plans Treatments16 class 2 composite filling repair Prescription Payment800.00 Balance Follow up date Lab
2109 Date of visit23/03/2024 C/C & Rx plans TreatmentsComposite filling on 36 DO class 2 Prescription Payment1,200.00 Balance Follow up date Lab
1989 Date of visit16/02/2024 C/C & Rx plans Treatments15 MO class 2 14 repair Prescription Payment1,000.00 Balance Follow up date Lab
1954 Date of visit05/02/2024 C/C & Rx plans Treatments23 obturation bioceramic sealer maarc Prescription Payment1,500.00 Balance Follow up date Lab
1943 Date of visit23/01/2024 C/C & Rx plans Treatments23 acess and bmp Prescription Payment2,000.00 Balance Follow up date Lab
504 Date of visit20/06/2022 C/C & Rx plansdc 23 non symptomatic Treatmentscaries removed , pulp exposure mta with gic filling done Prescription Payment1,000.00 Balance Follow up date Lab
505 Date of visit24/05/2022 C/C & Rx plans Treatmentsclass 2 fillings on 24 and 25 Prescription Payment2,000.00 Balance Follow up date Lab
497 Date of visit22/05/2022 C/C & Rx plans Treatmentsobturation done 16 Prescription Payment1,500.00 Balance Follow up date Lab
234 Date of visit02/02/2022 C/C & Rx plans TreatmentsAccess opened 16 Pre endo and BMP done Prescription Payment3,500.00 Balance1,500.00 Follow up date Lab
169 Date of visit31/12/2021 C/C & Rx plans Treatments25 RCT Do class 2 composite filling Adseal sealer 26 MTA with tf Prescription Payment4,000.00 Balance Follow up date Lab
114 Date of visit08/12/2021 C/C & Rx plans TreatmentsClass 2 DO 44, MO 45 composite filling done Contact not tight Prescription Payment2,400.00 Balance Follow up date Lab
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