Professional Documents
Culture Documents
Primary: SPECIALTY RISK SERVICES (SPECI0003) Phone: (916) 294-1859 ID: 549-88-6575
Billing
Date
Prov.
TX Code
TX Description
Patient Total:
Debit
Credit
$16,455.67
Balance
$12,668.67
$3,787.00
$0.00
Provider Totals
KHALID AHMED, M.D.
$3,367.00
$3,367.00
KHALID AHMED
$4,426.67
$4,426.67
$0.00
$3,722.00
$3,647.27
$74.73
$258.00
$258.00
$0.00
$569.00
$0.00
$569.00
$895.00
$895.00
$0.00
$0.00
$74.73
($74.73)
CLIFFORD FELDMAN
$1,870.00
$0.00
$1,870.00
WINDY LITVAK
$1,348.00
$0.00
$1,348.00
$16,455.67
$12,668.67
$3,787.00
Report Totals
$0.00
Printed on:
$0.00
11/17/2011 11:12:43AM
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