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    Joanna Dieron Medical Expenses: I. Preliminary Lab Test Receipt No. Amount

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    anne_jtd
    The document outlines Joanna Dieron's medical expenses over four sections. Section I details preliminary lab tests totaling $1,906. Section II details the costs of Joanna's first round of chemotherapy totaling $24,398. Section III outlines the second round of chemotherapy totaling $14,792.25. Section IV lists the expenses for the third round of chemotherapy totaling $10,345.25. In total, Joanna's medical expenses amounted to $49,535.50. The note section indicates that the remaining five cycles of chemotherapy and radiation will be charged to US insurances for $47,000 total.

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    Joanna Dieron Medical Expenses: I. Preliminary Lab Test Receipt No. Amount

    Uploaded by

    anne_jtd
    13 views3 pages
    The document outlines Joanna Dieron's medical expenses over four sections. Section I details preliminary lab tests totaling $1,906. Section II details the costs of Joanna's first round of chemotherapy totaling $24,398. Section III outlines the second round of chemotherapy totaling $14,792.25. Section IV lists the expenses for the third round of chemotherapy totaling $10,345.25. In total, Joanna's medical expenses amounted to $49,535.50. The note section indicates that the remaining five cycles of chemotherapy and radiation will be charged to US insurances for $47,000 total.

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    Medical Expenses3

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    The document outlines Joanna Dieron's medical expenses over four sections. Section I details preliminary lab tests totaling $1,906. Section II details the costs of Joanna's first round of chemotherapy totaling $24,398. Section III outlines the second round of chemotherapy totaling $14,792.25. Section IV lists the expenses for the third round of chemotherapy totaling $10,345.25. In total, Joanna's medical expenses amounted to $49,535.50. The note section indicates that the remaining five cycles of chemotherapy and radiation will be charged to US insurances for $47,000 total.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    13 views3 pages

    Joanna Dieron Medical Expenses: I. Preliminary Lab Test Receipt No. Amount

    Uploaded by

    anne_jtd
    The document outlines Joanna Dieron's medical expenses over four sections. Section I details preliminary lab tests totaling $1,906. Section II details the costs of Joanna's first round of chemotherapy totaling $24,398. Section III outlines the second round of chemotherapy totaling $14,792.25. Section IV lists the expenses for the third round of chemotherapy totaling $10,345.25. In total, Joanna's medical expenses amounted to $49,535.50. The note section indicates that the remaining five cycles of chemotherapy and radiation will be charged to US insurances for $47,000 total.

    Copyright:

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    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 3

    Joanna Dieron Medical Expenses

    I. Preliminary Lab Test Receipt No. Amount


    Chest Xray 300.00
    EKG 450.00
    See Humana Receipt
    CBC 250.00
    Liver Ultrasound 906.00
    Total 1,906.00

    II. First Chemotheraphy Receipt No. Amount


    Neuquinon 10mg tablet No. 38459 1,056.00
    Alanine aminotranferase (SGPT) 287.00
    No. 351453
    CBC & Platelate 168.00
    FAC 5,769.00
    No. 1265
    Doctors FEE 1,500.00
    2D Echo Readers Fee No. 2433 850.00
    2d echo w/Dopplers No. 351650 1,700.00
    NKTI Her2Neu Lab test 11,500.00
    No. 2712667
    Doctors FEE 1,400.00
    Follow Up CBC No. 352920 168.00
    Total 24,398.00

    III. Second Chemotheraphy Receipt No. Amount


    Follow up Chest XRAY No. 353936 330.00
    FAC 5,819.00
    No.1315
    Doctors FEE 1,500.00
    Butterfly Sutures
    Syringe 05CC
    No. 354970 815.05
    Syringe 20CC
    Needle G. 19
    CBC & Platelets No. 724383 285.00
    Mercury Drug Medicines for Nausea No. 760452 112.00
    Follow up CBC No. 725317 285.00
    Macroleuco WBC Blood shot No. 1334 4,500.00
    Mercury Drug Medicines Vitamins No. 369837 1,146.20
    Total 14,792.25

    IV. Third Chemotheraphy Receipt No. Amount


    Butterfly Sutures
    Syringe 05CC
    No. 339232 607.25
    Needle G. 19
    CBC & Platelets
    FAC 5,819.00
    No. 1451
    Doctors Fee 1,500.00
    Neuquinon 10mg tablet No. 282905 1,473.50
    Mercury Drug Medicines for Nausea No. 782918 112.50
    Follow up CBC No. 729088 315.00
    Ciproxl Antibiotics 500mg No.180854 518.00
    Total 10,345.25
    TOTAL EXPENSES 49,535.50
    Note : The Following 5 cycles of Chemotheraphy & Radiation will be charge to US Insurance
    Rolando Dieron 20,000.00
    Tito Frank & Fe Tieck 27,000.00
    TOTAL MONEY 47,000.00
    o US Insurance
    Thru Remittance
    Thru Western Union

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