Patient Payments - Provider

Tee Johnson

tee.johnson@coxiant.com

Account
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Total payment received this month

$215,000

Number of payments made this month

20

Min Amount:
Max Amount:

Payment Date	Patient Name	Bill Number / Invoice Number	Amount Paid	Expenses	Net Amount	Options
Payment Date	Patient Name	Bill Number / Invoice Number	Amount Paid	Expenses	Net Amount	Options
December 11, 2020	Tiger Nixon	457868657	$ 4,500	1.5%	$ 4,446
September 14, 2020	Michael Silva	457869865	$ 6,500	1.5%	$ 6,425
September 19, 2020	Cedric Kelly	457861065	$ 2,500	2.5%	$ 2,460
September 21, 2020	Rhona Davidson	457968865	$ 4,500	2.0%	$ 4,460
September 25, 2020	Sonya Frost	457866955	$ 92,500	1.45%	$ 92,485
September 30, 2020	Herrod Chandler	457860525	$ 500	2.0%	$ 480
October 02, 2020	Brielle Williamson	457898365	$ 4,500	1.85%	$ 4,468