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Treatment
Date of visit
Total [Payments]: 5,700
1952 Date of visit03/02/2024 C/C & Rx plans TreatmentsMO class 2 composite filling 26 Theracal Prescription Payment1,000.00 Balance Follow up date Lab
1330 Date of visit07/05/2023 C/C & Rx plans Treatments14 class 2 composite filling Prescription Payment1,200.00 Balance Follow up date Lab
1329 Date of visit06/05/2023 C/C & Rx plans Treatments36 direct pulp capping Prescription Payment Balance Follow up date Lab
503 Date of visit22/05/2022 C/C & Rx plans Treatments28 mo class 2 Prescription Payment1,000.00 Balance Follow up date Lab
195 Date of visit12/01/2022 C/C & Rx plans Treatments27 pfm crown class 2 composite with rct done before Prescription Payment2,500.00 Balance Follow up date Lab
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      Import log entries for this record.

      CSV file must be formatted with comma as separator, double quote as enclosure, and UTF-8 encoded. Entries with an id that matches an existing entry will overwrite that entry. Entries with no id or with an id that does not match an existing entry will be added as a new entry.

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