DJB2160202... | DJBELK5B11... | 3 | | Q503: Dentistry Services | ($7,923.30) | 2005 | 5803213 |
DJB2160202... | DJBELK5B11... | 0 | | Q503: Dentistry Services | $7,923.30 | 2005 | 5897710 |
DJB2010405... | DJBALM5B13... | 0 | | Q999: Other Medical Services | $771.75 | 2005 | 6542905 |
DJB2010405... | DJBALM5B13... | 0 | | Q999: Other Medical Services | $771.75 | 2005 | 6570657 |
DJB2010405... | DJBALM5B13... | 1 | | Q999: Other Medical Services | ($771.75) | 2005 | 6678893 |
DJB2010405... | DJBALM5B13... | 0 | | Q999: Other Medical Services | $857.50 | 2005 | 6759098 |
DJB2010405... | DJBALM5B13... | 1 | | Q999: Other Medical Services | ($857.50) | 2005 | 6778727 |
DJB2010405... | DJBALM5B13... | 1 | | Q999: Other Medical Services | ($686.00) | 2005 | 6897827 |
DJB2010405... | DJBALM5B13... | 0 | | Q999: Other Medical Services | $686.00 | 2005 | 6915157 |
DJB2010405... | DJBALM5B13... | 1 | | Q999: Other Medical Services | ($857.50) | 2005 | 7042957 |
DJB2010405... | DJBALM5B13... | 0 | | Q999: Other Medical Services | $857.50 | 2005 | 7102264 |
DJB2010405... | DJBALM5B13... | 1 | | Q999: Other Medical Services | ($771.75) | 2005 | 7181786 |
| DJBELK5B11... | 0 | | Q201: General Health Care Services | $4,042.50 | 2005 | 7502479 |
| DJB2160202... | 0 | | Q503: Dentistry Services | $0.00 | 2005 | 7999878 |
| DJB2010405... | 0 | | Q999: Other Medical Services | $137,280.00 | 2005 | 8041004 |