| 3090319991... | 0 | | Q999: Other Medical Services | $0.00 | 2000 | 23660 |
| 3090319991... | 12 | | Q999: Other Medical Services | $41,000.00 | 2000 | 203444 |
| 3090319991... | 19 | | Q999: Other Medical Services | ($1,000.00) | 2001 | 1077029 |
| 3090319991... | 16 | | Q999: Other Medical Services | $42,000.00 | 2001 | 1125251 |
| 3090319991... | 18 | | Q999: Other Medical Services | ($5,000.00) | 2001 | 1170249 |
| 3090319991... | 20 | | Q999: Other Medical Services | $43,000.00 | 2002 | 1873862 |
| 3090320030... | 2A | | Q503: Dentistry Services | ($4,701.00) | 2003 | 2076512 |
J30903C011 | 3090320030... | 2 | | Q503: Dentistry Services | ($4,701.00) | 2003 | 2161971 |
J30903C011 | 3090320030... | 0 | | Q503: Dentistry Services | $28,907.00 | 2003 | 2191978 |
| J30903C011 | 0 | | Q503: Dentistry Services | $0.00 | 2003 | 2644792 |
J30903C011 | DJBMIA4B11... | 6 | | Q503: Dentistry Services | $7,678.92 | 2004 | 4056778 |
J30903C011 | DJBMIA4B11... | 0 | | Q503: Dentistry Services | $29,196.08 | 2004 | 4098924 |
J30903C011 | DJBMIA4B11... | 0 | | Q503: Dentistry Services | $14,801.90 | 2004 | 4145601 |