Discovery
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DISCOVERY DATE DOCTOR AMOUNT DATE REFUND AMOUNT DATE 9/16/2008 DIETRICH 426.60 DIRECT 426.60 10/1/2008 9/16/2008 NEWHAM 595.00 YOU 555.90 10/27/2008 10/15/2008 NEWHAM 260.00 YOU 210.90 10/27/2008 10/16/2008 GOTTSCHALK 440.00 YOU 290.90 10/27/2008 10/15/2008 DIETRICH 551.30 DIRECT 551.30 10/29/2008 10/21/2008 DIETRICH 1020.20 DIRECT 1020.20 11/5/2008 11/3/2008 TUFT 203.90 DIRECT 203.90 11/12/2008 11/3/2008 TUFT 552.70 DIRECT 552.70 11/12/2008 11/11/2008 BOTHA 7079.20 YOU 4725.96 11/14/2008 11/11/2008 COLLEN 1812.58 YOU 1812.58 11/16/2008 11/11/2008 CLSURCLIN 14768.21 DIRECT 14768.21 11/26/2008 11/11/2008 DIETRICH 3643.70 DIRECT 3643.70 11/26/2008 11/11/2008 GRAHAM 450.00 11/4/2008 GOTTSCHALK 150.00 9/25/2008 LEVY 330.00 YOU 325.00 11/24/2008 9/17/2008 GIRDWOOD 4652.40 YOU 3466.45 11/28/2008 11/19/2008 NORMAN 930.00 11/19/2008 NORMAN 327.40 10/30/2008 GRAHAM 450.00 YOU 210.90 11/29/2008 11/24/2008 GRAHAM 14373.35 YOU 7912.72 12/13/2008 12/8/2008 GRAHAM 450.00 11/19/2008 NEWHAM 260.00 YOU 220.90 12/26/2008 11/4/2008 GOTTSCHALK 150.00 11/13/2008 MEDLEND 50.00 12/10/2008 GOTTSCHALK 920.00 YOU 470.90 1/24/2009 12/4/2008 GOTTSCHALK 920.00 YOU 470.90 1/24/2009 12/4/2008 GRAHAM 54.06 YOU 54.06 1/24/2009 11/24/2008 GRAHAM 90.10 YOU 90.10 1/24/2009 1/21/2009 NEWHAM 930.00 1/26/2009 12/3/2008 ROSENBERG 512.00 YOU 149.90 1/24/2009 10/14/2008 GIRDWOOD 3640.70 11/13/2008 MEDLEND 50.00 YOU 50.00 1/29/2009 12/30/2008 LEVY 220.00 1/28/2009 YOU 215.00 2/2/2009 10/21/2008 GOTTSCHALK 1135.00 1/28/2009 8/28/2008 MOEHL 200.00 1/28/2009 11/19/2008 NORMAN 930.00 1/26/2009 YOU 930.00 2/6/2009 10/22/2008 MOEHL 200.00 1/29/2009 YOU 200.00 2/6/2009 8/18/2008 NEWHAM 260.00 1/29/2009 1/19/2009 NEWHAM 560.00 2/10/2009 YOU 498.80 2/15/2009 8/18/2008 KOW 406.00 1/28/2009 12/18/2008 NEWHAM 260.00 1/29/2009 YOU 220.90 2/13/2009 10/14/2008 GIRDWOOD 26.40 12/18/2008 DIETRICH 244.70 2/11/2009 NEWHAM 300.00 2/13/2009 YOU 249.40 2/19/2009 21.10.08 GOTTSCHALK 1135.00 19.02.09 21.10.08 GOTTSCHALK 1135.00 24.02.09 24.02.09 NEWHAM 300.00 25.02.09 YOU 249.90 28.02.09
NO REFUND REASON
TREATMENT DATE/ DO NOT PAY FOR SPRAYS
NO PRACTICE NUMBER PART OF R930 CLAIM
UNCLEAR DO NOT PAY FOR SPRAYS DIAGNOSTIC CODE
NO TREATMENT DATE PARTOFCLM 4652.40 TRTDATE
FAXED THEM TWICE TOOLATEPREVINVNOTSENT
TOOLATEIFAXED 15.8NOREPL NOTEVERSENTTOMA
NOT PAID UNCLEAR TOO LATE FOR PAYMENT
NO REFUND REASON
TREATMENT DATE/ DO NOT PAY FOR SPRAYS
NO PRACTICE NUMBER PART OF R930 CLAIM
UNCLEAR DO NOT PAY FOR SPRAYS DIAGNOSTIC CODE
NO TREATMENT DATE PARTOFCLM 4652.40 TRTDATE
FAXED THEM TWICE TOOLATEPREVINVNOTSENT
TOOLATEIFAXED 15.8NOREPL NOTEVERSENTTOMA
NOT PAID UNCLEAR TOO LATE FOR PAYMENT
