Periodic oral evaluation Jeff 40.00 09/26/2017 Office Visit Jeff 0.00 09/28/2017 Crown-porcelain/ceramic substr Jeff 2400.00 09/28/2017 Permanent Cement Jeff 0.00 09/28/2017 Office Visit Jeff 0.00 10/03/2017 AMEX Payment - Thank You Jeff -220.00 CURRENT BALANCE OVER 30 DAYS OVER 60 DAYS