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Amalgam 1 Surface Perm
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EFTA00599985.pdf
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te Patient Description Charges Credits Balance 11/24/2010 Previous Balance 0.00 11/22/2010 FMS with Bite wings 175.00 175.00 11/22/2010 Amalgam 1 Surface Perm. 325.00 500.00 11/22/2010 Amalgam 3 Surface Perm. 375.00 875.00 12/13/2010 Comp. W. Etch 1 Surface 275.00 1,150.00 12/13/2010 Comp. W. Et
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