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Treatment
Date of visit
Total [Payments]: 12,600
1694 Date of visit06/10/2023 C/C & Rx plans Treatments26 MO class 2 composite filling No rd Exposed pulp Theracal indirect pulp capping Prescription Payment1,200.00 Balance Follow up date Lab
1680 Date of visit30/09/2023 C/C & Rx plans TreatmentsMO class2 16 DO class 2 on 15 Prescription Payment2,400.00 Balance Follow up date Lablewis
1399 Date of visit12/06/2023 C/C & Rx plans Treatmentscrown fixed Prescription Payment4,000.00 Balance Follow up date LabLewis
1344 Date of visit22/05/2023 C/C & Rx plansrct done elsewhere Treatmentscore build up and crown prep gingival trimming pfm Prescription Payment5,000.00 Balance4,000.00 Follow up date LabLewis
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