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INV-202609-005165

Diego Fuentes

Issued 15 Sept 2026, due 15 Oct 2026

PaidPatient record
Charges
Charges on invoice INV-202609-005165
ChargeQtyUnitDiscountTaxTotal
ConsultationConsultation1$120.00——$120.00
Subtotal
$120.00
Total
$120.00
Insurance covered
-$120.00
Balance due
$0.00
Payments and refunds

Nothing has been taken on this invoice.