0056 | | | | Q503: Dentistry Services | $313.00 | 2004 | 3260190 |
0094 | | | | Q503: Dentistry Services | $345.00 | 2004 | 3265028 |
0099 | | | | Q503: Dentistry Services | $1,625.00 | 2004 | 3265068 |
0103 | | | | Q503: Dentistry Services | $705.00 | 2004 | 3312745 |
0072 | | | | Q503: Dentistry Services | $960.00 | 2004 | 3385845 |
0104 | | | | Q503: Dentistry Services | $423.00 | 2004 | 3385874 |
0036 | | | | Q503: Dentistry Services | $1,377.00 | 2004 | 3432206 |
0073 | | | | Q503: Dentistry Services | $800.00 | 2004 | 3432224 |
0063 | | | | Q503: Dentistry Services | $1,388.00 | 2004 | 3432238 |
0012 | | | | Q503: Dentistry Services | $1,301.00 | 2004 | 3477247 |
0037 | | | | Q503: Dentistry Services | $940.00 | 2004 | 3480887 |
0058 | | | | Q503: Dentistry Services | $1,323.00 | 2004 | 3480906 |
0085 | | | | Q503: Dentistry Services | $1,215.00 | 2004 | 3529802 |
0043 | | | | Q503: Dentistry Services | $485.00 | 2004 | 3529807 |
0086 | | | | Q503: Dentistry Services | $160.00 | 2004 | 3577282 |
0044 | | | | Q503: Dentistry Services | $1,047.00 | 2004 | 3577292 |
0087 | | | | Q503: Dentistry Services | $555.00 | 2004 | 3600344 |
0045 | | | | Q503: Dentistry Services | $1,200.00 | 2004 | 3600380 |
0100 | | | | Q503: Dentistry Services | $500.00 | 2004 | 3642805 |
0011 | | | | Q503: Dentistry Services | $2,700.00 | 2004 | 3645122 |
0101 | | | | Q503: Dentistry Services | $1,070.00 | 2004 | 3690138 |
0059 | | | | Q503: Dentistry Services | $855.00 | 2004 | 3812003 |
0064 | | | | Q503: Dentistry Services | $890.00 | 2004 | 3833680 |
0025 | | | | Q503: Dentistry Services | $1,667.00 | 2004 | 3833692 |
0060 | | | | Q503: Dentistry Services | $1,394.00 | 2004 | 3833695 |
0061 | | | | Q503: Dentistry Services | $1,545.00 | 2004 | 3910038 |
0018 | | | | Q503: Dentistry Services | $854.00 | 2004 | 3910049 |
0026 | | | | Q503: Dentistry Services | $438.00 | 2004 | 3910099 |
0021 | | | | Q503: Dentistry Services | $1,025.00 | 2004 | 3928617 |
0062 | | | | Q503: Dentistry Services | $1,065.00 | 2004 | 3928628 |
0029 | | | | Q503: Dentistry Services | $623.00 | 2004 | 3929025 |
0016 | | | | Q503: Dentistry Services | $734.00 | 2004 | 4005212 |
0040 | | | | Q503: Dentistry Services | $1,735.00 | 2004 | 4005221 |
0030 | | | | Q503: Dentistry Services | $505.00 | 2004 | 4005254 |
0031 | | | | Q503: Dentistry Services | $380.00 | 2004 | 4050714 |
0041 | | | | Q503: Dentistry Services | $290.00 | 2004 | 4050737 |
0017 | | | | Q503: Dentistry Services | $928.00 | 2004 | 4050751 |
0098 | | | | Q503: Dentistry Services | $988.00 | 2004 | 4072859 |
0095 | | | | Q503: Dentistry Services | $985.00 | 2004 | 4072894 |
0053 | | | | Q503: Dentistry Services | $1,089.00 | 2004 | 4072901 |
0023 | | | | Q503: Dentistry Services | $855.00 | 2004 | 4139496 |
0038 | | | | Q503: Dentistry Services | $690.00 | 2004 | 4139520 |
0024 | | | | Q503: Dentistry Services | $1,860.00 | 2004 | 4164612 |
0091 | | | | Q503: Dentistry Services | $575.00 | 2004 | 4164633 |
0070 | | | | Q503: Dentistry Services | $1,699.00 | 2004 | 4213710 |
0092 | | | | Q503: Dentistry Services | $1,285.00 | 2004 | 4213715 |
0013 | | | | Q507: Gynecology Services | $1,300.00 | 2004 | 4215986 |
0074 | | | | Q503: Dentistry Services | $1,130.00 | 2004 | 4261561 |
0052 | | | | Q503: Dentistry Services | $1,280.00 | 2004 | 4261566 |
0065 | | | | Q503: Dentistry Services | $180.00 | 2004 | 4307953 |
0105 | | | | Q503: Dentistry Services | $1,110.00 | 2004 | 4307989 |
0106 | | | | Q503: Dentistry Services | $1,418.00 | 2004 | 4355617 |
0077 | | | | Q503: Dentistry Services | $285.00 | 2004 | 4355696 |
0027 | | | | Q503: Dentistry Services | $298.00 | 2004 | 4403885 |
0042 | | | | Q503: Dentistry Services | $655.00 | 2004 | 4403899 |
0081 | | | | Q503: Dentistry Services | $700.00 | 2004 | 4451278 |
0093 | | | | Q503: Dentistry Services | $540.00 | 2004 | 4451311 |
0054 | | | | Q503: Dentistry Services | $855.00 | 2004 | 4451313 |
0084 | | | | Q503: Dentistry Services | $1,285.00 | 2004 | 4504642 |
0057 | | | | Q503: Dentistry Services | $890.00 | 2004 | 4504679 |
0046 | | | | Q503: Dentistry Services | $1,510.00 | 2004 | 4504694 |
0039 | | | | Q503: Dentistry Services | $513.00 | 2004 | 4559275 |
0066 | | | | Q503: Dentistry Services | $1,214.00 | 2004 | 4559276 |
0047 | | | | Q503: Dentistry Services | $1,235.00 | 2004 | 4559355 |
0075 | | | | Q503: Dentistry Services | $377.00 | 2004 | 4593178 |
0049 | | | | Q503: Dentistry Services | $1,265.00 | 2004 | 4593216 |
0107 | | | | Q503: Dentistry Services | $2,474.00 | 2004 | 4593252 |
0034 | | | | Q503: Dentistry Services | $984.00 | 2004 | 4659658 |
0055 | | | | Q503: Dentistry Services | $920.00 | 2004 | 4659680 |
0067 | | | | Q503: Dentistry Services | $1,200.00 | 2004 | 4659765 |
0088 | | | | Q503: Dentistry Services | $1,960.00 | 2004 | 4688547 |
0078 | | | | Q503: Dentistry Services | $983.00 | 2004 | 4688600 |
0068 | | | | Q503: Dentistry Services | $926.00 | 2004 | 4688655 |
0079 | | | | Q503: Dentistry Services | $285.00 | 2004 | 4740599 |
0048 | | | | Q503: Dentistry Services | $1,055.00 | 2004 | 4740648 |
0102 | | | | Q503: Dentistry Services | $880.00 | 2004 | 4783965 |
0082 | | | | Q503: Dentistry Services | $996.00 | 2004 | 4836954 |
0096 | | | | Q503: Dentistry Services | $776.00 | 2004 | 4837000 |
0071 | | | | Q503: Dentistry Services | $946.00 | 2004 | 4896208 |
0083 | | | | Q503: Dentistry Services | $962.00 | 2004 | 4896216 |
0097 | | | | Q503: Dentistry Services | $860.00 | 2004 | 4896241 |
0035 | | | | Q503: Dentistry Services | $1,455.00 | 2004 | 4945703 |
0069 | | | | Q503: Dentistry Services | $1,396.00 | 2004 | 4945726 |
0076 | | | | Q503: Dentistry Services | $673.00 | 2004 | 4945730 |
0028 | | | | Q503: Dentistry Services | $965.00 | 2004 | 4993866 |
0050 | | | | Q503: Dentistry Services | $823.00 | 2004 | 4993873 |
0080 | | | | Q503: Dentistry Services | $745.00 | 2004 | 5021721 |
0051 | | | | Q503: Dentistry Services | $890.00 | 2004 | 5021739 |
0089 | | | | Q503: Dentistry Services | $255.00 | 2004 | 5073917 |
0032 | | | | Q503: Dentistry Services | $605.00 | 2004 | 5073977 |
0014 | | | | Q503: Dentistry Services | $1,050.00 | 2004 | 5118788 |
0090 | | | | Q503: Dentistry Services | $1,480.00 | 2004 | 5144560 |
0015 | | | | Q503: Dentistry Services | $445.00 | 2004 | 5144573 |
0033 | | | | Q503: Dentistry Services | $1,014.00 | 2004 | 5144660 |