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Treatment
Date of visit
Total [Payments]: 10,700
1981 Date of visit10/02/2024 C/C & Rx plans Treatments35 crown fixed Prescription Payment1,000.00 Balance Follow up date LabLewis
1429 Date of visit20/06/2023 C/C & Rx plans Treatments36 obturaion Prescription Payment2,500.00 Balance Follow up date Lab
1428 Date of visit14/06/2023 C/C & Rx plans Treatments36 access and bmp Prescription Payment2,000.00 Balance Follow up date Lab
1315 Date of visit11/05/2023 C/C & Rx plans Treatments36 direct pulp capping with theracal Prescription Payment1,000.00 Balance Follow up date Lab
1276 Date of visit25/04/2023 C/C & Rx plans Treatments35 obturation bioceramic sealer Prescription Payment1,500.00 Balance Follow up date Lab
1168 Date of visit06/03/2023 C/C & Rx plans TreatmentsAcess and bmp 35 Prescription Payment1,500.00 Balance Follow up date Lab
1062 Date of visit24/01/2023 C/C & Rx plans Treatments35 DO class 2 direct pulp capping with theracal and composite filling Prescription Payment1,200.00 Balance Follow up date Lab
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