/2013 Recall ral Exam 40.00 40.00 1/4/2013 Adult le & Prophy 180.00 220.00 1/4/2013 Add P X Rays i it 10.00 230.00 1/9/2013 • apical Amalgel 2 Surface Perm. 375.00 605.00 1/29/2013 Porcelal W. Gold Crown 900.00 1,505.00 1/30/2013 Case mplete 0.00 1,505.00 Account Total 1,605.00 J i i Pat