| DJB20903BP... | DJBMCKFB21... | 0 | | Q201: General Health Care Services | $375.00 | 2006 | 9634370 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $372.00 | 2006 | 9637526 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $327.00 | 2006 | 9720621 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $592.00 | 2006 | 9830693 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $582.00 | 2006 | 9863365 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q201: General Health Care Services | $175.00 | 2006 | 9948314 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $273.00 | 2006 | 10201983 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $1,027.00 | 2006 | 10379729 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q201: General Health Care Services | $175.00 | 2006 | 10414666 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $842.00 | 2006 | 10464636 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q201: General Health Care Services | $550.00 | 2006 | 10503089 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $1,000.00 | 2006 | 10513110 |
| DJB20903BP... | DJBMCKFB21... | 1 | | Q201: General Health Care Services | ($175.00) | 2006 | 10790982 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q201: General Health Care Services | $673.00 | 2006 | 11014624 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q201: General Health Care Services | $565.00 | 2006 | 11196152 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $425.00 | 2006 | 11344792 |
| DJB20903BP... | DJBMCKFB21... | 0 | | Q999: Other Medical Services | $497.00 | 2006 | 11429602 |
| DJB20903BP... | 0 | | AN91: Other Medical (Basic) | $0.00 | 2006 | 11887796 |