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Total [Payments]: 4,200
2758 Date of visit20/01/2025 C/C & Rx plans Treatments47 class 1 with buccal extension Cention forte Prescription Payment1,000.00 Balance Follow up date Lab
2040 Date of visit04/03/2024 C/C & Rx plans Treatments14 DO composite fillings Prescription Payment1,200.00 Balance Follow up date Lab
1319 Date of visit10/05/2023 C/C & Rx plans Treatments27 and 25 class 1 composite filling Prescription Payment2,000.00 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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