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Date of visit
Total [Payments]: 8,300
2814 Date of visit06/02/2025 C/C & Rx plans Treatments37- class 1 filling cention forte Prescription Payment1,000.00 Balance Follow up date Lab
2799 Date of visit04/02/2025 C/C & Rx plans Treatments47- class 1 with buccal extension composite filling Prescription Payment1,000.00 Balance Follow up date Lab
2459 Date of visit26/08/2024 C/C & Rx plans Treatments25- Obturation bioceramic sealer Prescription Payment2,000.00 Balance Follow up date Lab
2460 Date of visit22/08/2024 C/C & Rx plans Treatments15- Preendo acess nd bmp Prescription Payment2,000.00 Balance Follow up date Lab
2407 Date of visit11/08/2024 C/C & Rx plans TreatmentsMO class 2 composite filling 16 Indirect pulp capping theracal class 1 composite filling 14 Prescription Payment2,300.00 Balance Follow up date Lab
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      Import log entries for this record.

      CSV file must be formatted with comma as separator, double quote as enclosure, and UTF-8 encoded. Entries with an id that matches an existing entry will overwrite that entry. Entries with no id or with an id that does not match an existing entry will be added as a new entry.

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