| DJBMCK5B21... | 0 | | Q526: Medical/Psych Consultation Svcs | $1,575.00 | 2005 | 5261178 |
| DJBMCK5B21... | 1 | | Q502: Cardio-Vascular Services | ($1,575.00) | 2005 | 7949851 |
| DJBMCK5B21... | 0 | | Q502: Cardio-Vascular Services | $1,575.00 | 2005 | 8066772 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $275.00 | 2006 | 8706693 |
| DJBMCKFB21... | 1 | | Q522: Radiology Services | ($275.00) | 2006 | 8758922 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $575.00 | 2006 | 9033844 |
| DJBMCKFB21... | 1 | | Q522: Radiology Services | $1,112.00 | 2006 | 9122106 |
| DJBMCKFB21... | 1 | | Q522: Radiology Services | ($250.00) | 2006 | 9276354 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $1,687.00 | 2006 | 9809740 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $315.00 | 2006 | 10093711 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $294.00 | 2006 | 10422665 |
| DJBMCKFB21... | 1 | | Q522: Radiology Services | ($294.00) | 2006 | 10750087 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $294.00 | 2006 | 10785445 |
| DJBMCKFB21... | 1 | | Q522: Radiology Services | ($174.00) | 2006 | 11178872 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $174.00 | 2006 | 11251447 |
| DJBMCKFB21... | 1 | | Q522: Radiology Services | $21.00 | 2006 | 11352903 |
| DJBMCKFB21... | 0 | | Q522: Radiology Services | $250.00 | 2006 | 11803664 |