12/2/2023 | 30064000 | 4412323 GS80 2SP REG 500 ECON (DENTAL SILVER AMALGAM FILLING) 30 | XXXXXXXXXX | 18 | NOS | 3557.43 | AUSTRALIA | PATPARGANJ ICD |
12/2/2023 | 30064000 | 4412303 GS80 2SP REG 50 ECON (DENTAL SILVER AMALGAM FILLING) 30 | XXXXXXXXXX | 480 | NOS | 11102.88 | AUSTRALIA | PATPARGANJ ICD |
12/2/2023 | 30064000 | 4411303 GS80 1SP REG 50 ECON (DENTAL SILVER AMALGAM FILLING) 30 | XXXXXXXXXX | 300 | NOS | 4774.04 | AUSTRALIA | PATPARGANJ ICD |
12/2/2023 | 30064000 | 4411323 GS80 1SP REG 500 ECON (DENTAL SILVER AMALGAM FILLING) 30 | XXXXXXXXXX | 12 | NOS | 1924.4 | AUSTRALIA | PATPARGANJ ICD |
5/8/2023 | 30064000 | 4411323 GS80 1SP REG 500 ECON (DENTAL SILVER AMALGAM FILLING) | XXXXXXXXXX | 12 | NOS | 1947.74 | AUSTRALIA | PATPARGANJ ICD |
5/8/2023 | 30064000 | 4411303 GS80 1SP REG 50 ECON (DENTAL SILVER AMALGAM FILLING) | XXXXXXXXXX | 150 | NOS | 2415.97 | AUSTRALIA | PATPARGANJ ICD |
5/8/2023 | 30064000 | 4412323 GS80 2SP REG 500 ECON (DENTAL SILVER AMALGAM FILLING) | XXXXXXXXXX | 12 | NOS | 2400.38 | AUSTRALIA | PATPARGANJ ICD |
5/8/2023 | 30064000 | 4002101 PERMITE 2SP ECT 50 (DENTAL SILVER AMALGAM FILLING) | XXXXXXXXXX | 100 | NOS | 3013.47 | AUSTRALIA | PATPARGANJ ICD |
5/8/2023 | 30064000 | 4412303 GS80 2SP REG 50 ECON (DENTAL SILVER AMALGAM FILLING) | XXXXXXXXXX | 300 | NOS | 7023.46 | AUSTRALIA | PATPARGANJ ICD |