Table: dental_utilization_by_provider_cy2021 , provider_legal_name like all*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

rendering_npi	provider_legal_name	calendar_year	delivery_system	provider_type	age_group	adv_user_cnt	adv_user_annotation_code	adv_svc_cnt	adv_svc_annotation_code	prev_user_cnt	prev_user_annotation_code	prev_svc_cnt	prev_svc_annotation_code	txmt_user_cnt	txmt_user_annotation_code	txmt_svc_cnt	txmt_svc_annotation_code	exam_user_cnt	exam_user_annotation_code	exam_svc_cnt	exam_svc_annotation_code
1003000175	REYES-VASQUEZ BELINDA	2021	FFS	RENDERING	AGE 21+	1,064	None	2,741	None	None	1	None	2	1,062	None	2,246	None	482	None	482	None
1003004698	GODFREY III, MERLE FRANKLIN,	2021	FFS	RENDERING	AGE 21+	275	None	1,284	None	147	None	463	None	275	None	560	None	245	None	245	None
1003009440	VONTELA REKHA	2021	FFS	RENDERING	AGE 0-20	603	None	7,145	None	576	None	2,429	None	335	None	712	None	568	None	728	None
1003009440	VONTELA REKHA	2021	FFS	RENDERING	AGE 21+	683	None	5,229	None	571	None	1,135	None	305	None	742	None	585	None	585	None
1003010372	LIM KYUNG A	2021	FFS	RENDERING	AGE 0-20	88	None	361	None	62	None	132	None	28	None	49	None	36	None	36	None
1003010372	LIM KYUNG A	2021	FFS	RENDERING	AGE 21+	81	None	331	None	39	None	76	None	41	None	90	None	33	None	33	None
1003011172	KHULLAR, SONIA, DDS	2021	FFS	RENDERING	AGE 0-20	76	None	550	None	64	None	235	None	37	None	75	None	68	None	81	None
1003011172	KHULLAR, SONIA, DDS	2021	FFS	RENDERING	AGE 21+	290	None	1,856	None	162	None	302	None	208	None	951	None	218	None	220	None
1003012170	SHAH, KISHORE K, DDS INC	2021	PHP	RENDERING	AGE 0-20	35	None	378	None	31	None	210	None	None	1	None	2	32	None	64	None
1003012170	SHAH, KISHORE K, DDS INC	2021	PHP	RENDERING	AGE 21+	28	None	232	None	14	None	52	None	11	None	40	None	14	None	28	None
1003012857	HUSSAINY MIRWAIS	2021	FFS	RENDERING	AGE 0-20	55	None	289	None	0	None	0	None	54	None	288	None	None	1	None	1
1003012857	HUSSAINY MIRWAIS	2021	FFS	RENDERING	AGE 21+	85	None	416	None	0	None	0	None	83	None	407	None	None	1	None	1
1003022880	WANG JAMES H	2021	FFS	RENDERING	AGE 0-20	226	None	2,118	None	151	None	470	None	161	None	660	None	209	None	269	None
1003022880	WANG JAMES H	2021	FFS	RENDERING	AGE 21+	191	None	1,535	None	104	None	206	None	159	None	744	None	133	None	133	None
1003028077	PHAM CATHY H	2021	FFS	RENDERING	AGE 0-20	24	None	149	None	22	None	52	None	None	1	None	2	21	None	23	None
1003028077	PHAM CATHY H	2021	FFS	RENDERING	AGE 21+	23	None	147	None	20	None	38	None	None	1	None	2	19	None	19	None
1003031972	NGUYEN DAVE H	2021	FFS	RENDERING	AGE 0-20	79	None	785	None	73	None	99	None	30	None	126	None	68	None	76	None
1003031972	NGUYEN DAVE H	2021	FFS	RENDERING	AGE 21+	161	None	955	None	62	None	62	None	91	None	342	None	112	None	114	None
1003032061	LEE CHARLES C	2021	FFS	RENDERING	AGE 0-20	60	None	356	None	49	None	138	None	31	None	127	None	41	None	41	None
1003032061	LEE CHARLES C	2021	FFS	RENDERING	AGE 21+	196	None	918	None	125	None	241	None	108	None	360	None	133	None	133	None
1003035114	KIM, KWANG SEOB, DDS	2021	FFS	RENDERING	AGE 0-20	336	None	2,061	None	273	None	781	None	149	None	523	None	281	None	321	None
1003035114	KIM, KWANG SEOB, DDS	2021	FFS	RENDERING	AGE 21+	1,009	None	6,190	None	564	None	1,097	None	657	None	2,907	None	706	None	721	None
1003035239	CHEN JING	2021	FFS	RENDERING	AGE 0-20	218	None	1,732	None	197	None	559	None	106	None	348	None	210	None	271	None
1003035239	CHEN JING	2021	FFS	RENDERING	AGE 21+	593	None	5,310	None	426	None	859	None	465	None	2,748	None	479	None	485	None
1003038142	EYRE CLARICE L	2021	FFS	RENDERING	AGE 0-20	422	None	864	None	0	None	0	None	194	None	559	None	None	1	None	1
1003038142	EYRE CLARICE L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1003047531	VEDAMANI, SHAWN R MD	2021	FFS	RENDERING	AGE 0-20	11	None	34	None	0	None	0	None	11	None	34	None	0	None	0	None
1003056409	RASHIDI MARK M	2021	FFS	RENDERING	AGE 0-20	238	None	458	None	0	None	0	None	70	None	189	None	0	None	0	None
1003056409	RASHIDI MARK M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1003056409	RASHIDI MARK M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003056409	RASHIDI MARK M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003063652	VAHIDNIA ARJANG	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003063652	VAHIDNIA ARJANG	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003063652	VAHIDNIA ARJANG	2021	GMC	RENDERING	AGE 0-20	282	None	1,590	None	145	None	163	None	278	None	550	None	41	None	41	None
1003063652	VAHIDNIA ARJANG	2021	GMC	RENDERING	AGE 21+	968	None	5,111	None	539	None	601	None	693	None	904	None	898	None	924	None
1003072828	NAIK APARNA R	2021	FFS	RENDERING	AGE 0-20	114	None	631	None	84	None	157	None	48	None	101	None	82	None	82	None
1003072828	NAIK APARNA R	2021	FFS	RENDERING	AGE 21+	427	None	2,526	None	178	None	181	None	270	None	700	None	212	None	212	None
1003072828	NAIK APARNA R	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1003074923	PILLAI BINDU V	2021	FFS	RENDERING	AGE 0-20	769	None	7,501	None	87	None	179	None	390	None	1,045	None	625	None	633	None
1003074923	PILLAI BINDU V	2021	FFS	RENDERING	AGE 21+	338	None	3,432	None	52	None	88	None	150	None	552	None	273	None	273	None
1003082074	SHIRAZI ARDESTANI, BEHZAD, I	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1003082074	SHIRAZI ARDESTANI, BEHZAD, I	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1003083965	BAUTISTA REYMOND CARBONELL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1003091232	SHELAT BHAVINI H	2021	FFS	RENDERING	AGE 0-20	2,485	None	38,641	None	2,337	None	7,792	None	1,300	None	1,491	None	2,355	None	2,580	None
1003091489	FALABELLA, JULIAN, DDS	2021	FFS	RENDERING	AGE 0-20	145	None	676	None	48	None	114	None	92	None	230	None	72	None	75	None
1003091489	FALABELLA, JULIAN, DDS	2021	FFS	RENDERING	AGE 21+	185	None	552	None	None	1	None	2	159	None	333	None	33	None	33	None
1003097783	SIMANIAN MITRA E	2021	FFS	RENDERING	AGE 0-20	73	None	587	None	58	None	148	None	32	None	117	None	59	None	81	None
1003097783	SIMANIAN MITRA E	2021	FFS	RENDERING	AGE 21+	90	None	333	None	14	None	21	None	35	None	109	None	66	None	66	None
1003097783	SIMANIAN MITRA E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1003097783	SIMANIAN MITRA E	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1003100959	MATCHETT JOHN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003126343	RAMIREZ, JOSE RUBEN DDS	2021	FFS	RENDERING	AGE 0-20	162	None	1,197	None	142	None	380	None	74	None	263	None	156	None	201	None
1003126343	RAMIREZ, JOSE RUBEN DDS	2021	FFS	RENDERING	AGE 21+	135	None	675	None	50	None	100	None	89	None	287	None	103	None	103	None
1003127234	NATARAJAN, SIVA V MD	2021	FFS	RENDERING	AGE 0-20	1,029	None	3,173	None	0	None	0	None	1,029	None	3,173	None	0	None	0	None
1003154808	GUEVARRA, VERONICA CABAL, RD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1003159864	OHRI PRIYAL S	2021	FFS	RENDERING	AGE 0-20	858	None	5,610	None	664	None	1,699	None	530	None	1,257	None	614	None	619	None
1003161969	JOHNSON, MALIEKA T, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003161969	JOHNSON, MALIEKA T, DDS	2021	FFS	RENDERING	AGE 21+	146	None	964	None	69	None	123	None	119	None	540	None	112	None	112	None
1003164799	YALUNG JELSON J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1003212333	KHOSHSAR RAMIN	2021	FFS	RENDERING	AGE 0-20	54	None	399	None	44	None	113	None	25	None	91	None	47	None	61	None
1003212333	KHOSHSAR RAMIN	2021	FFS	RENDERING	AGE 21+	276	None	2,031	None	124	None	232	None	152	None	746	None	218	None	218	None
1003222753	YHIP JANETTE P	2021	FFS	RENDERING	AGE 0-20	53	None	198	None	0	None	0	None	46	None	134	None	0	None	0	None
1003224023	MORETT MARTHA E	2021	FFS	RENDERING	AGE 0-20	34	None	279	None	29	None	110	None	13	None	52	None	27	None	32	None
1003224023	MORETT MARTHA E	2021	FFS	RENDERING	AGE 21+	96	None	488	None	32	None	39	None	57	None	221	None	72	None	72	None
1003235631	LE NICK L	2021	FFS	RENDERING	AGE 0-20	826	None	10,180	None	666	None	1,910	None	357	None	1,437	None	663	None	798	None
1003235631	LE NICK L	2021	FFS	RENDERING	AGE 21+	184	None	1,752	None	113	None	239	None	115	None	572	None	154	None	165	None
1003236886	COMBS JORDAN D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003240680	NAJI PEGAH	2021	FFS	RENDERING	AGE 0-20	327	None	2,546	None	255	None	820	None	125	None	334	None	265	None	283	None
1003240680	NAJI PEGAH	2021	FFS	RENDERING	AGE 21+	293	None	1,291	None	92	None	154	None	160	None	404	None	161	None	161	None
1003240680	NAJI PEGAH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1003253576	METRIKINA MARGARITA	2021	FFS	RENDERING	AGE 0-20	17	None	90	None	14	None	43	None	None	1	None	1	15	None	16	None
1003253576	METRIKINA MARGARITA	2021	FFS	RENDERING	AGE 21+	270	None	2,316	None	177	None	352	None	218	None	1,082	None	219	None	219	None
1003254137	YANG, JOSEPH MD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1003257536	PLEITEZ ERIK I	2021	FFS	RENDERING	AGE 0-20	11	None	54	None	None	1	None	2	None	1	None	1	None	1	None	1
1003257536	PLEITEZ ERIK I	2021	FFS	RENDERING	AGE 21+	58	None	279	None	15	None	16	None	42	None	127	None	38	None	38	None
1003269671	RAFI AMANDA	2021	FFS	RENDERING	AGE 0-20	465	None	6,551	None	432	None	1,928	None	333	None	1,310	None	449	None	613	None
1003269671	RAFI AMANDA	2021	FFS	RENDERING	AGE 21+	369	None	3,222	None	239	None	464	None	275	None	1,566	None	307	None	307	None
1003303140	HUANG LI HONG	2021	FFS	RENDERING	AGE 0-20	2,234	None	17,752	None	1,711	None	4,708	None	1,292	None	2,757	None	1,570	None	1,746	None
1003343708	MOORE YOUNAN ARLENE TEANA ZAKIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1003369075	SHAHHAL SAMI I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003369075	SHAHHAL SAMI I	2021	FFS	RENDERING	AGE 21+	32	None	129	None	None	1	None	1	30	None	122	None	None	1	None	1
1003378365	RAZANI NADIA	2021	FFS	RENDERING	AGE 0-20	1,655	None	9,439	None	1,304	None	3,402	None	881	None	1,850	None	1,219	None	1,289	None
1003378365	RAZANI NADIA	2021	FFS	RENDERING	AGE 21+	122	None	281	None	37	None	41	None	83	None	128	None	0	None	0	None
1003392499	SHERGILL NAVNEET	2021	FFS	RENDERING	AGE 0-20	2,688	None	22,327	None	2,016	None	5,560	None	1,314	None	3,490	None	1,942	None	2,068	None
1003392499	SHERGILL NAVNEET	2021	FFS	RENDERING	AGE 21+	17	None	85	None	None	1	None	1	None	1	None	2	None	1	None	1
1003394313	PARK JONGGOO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1003394313	PARK JONGGOO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003394511	GOLANI RAHUL D	2021	FFS	RENDERING	AGE 0-20	185	None	1,072	None	112	None	275	None	138	None	380	None	73	None	73	None
1003415183	BRUMELL ASHLEY A	2021	FFS	RENDERING	AGE 0-20	231	None	1,466	None	170	None	456	None	96	None	146	None	176	None	176	None
1003415183	BRUMELL ASHLEY A	2021	FFS	RENDERING	AGE 21+	1,079	None	3,525	None	366	None	614	None	1,017	None	1,435	None	604	None	604	None
1003415183	BRUMELL ASHLEY A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1003415183	BRUMELL ASHLEY A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1003415951	PHAM TAMMY L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1003415951	PHAM TAMMY L	2021	GMC	RENDERING	AGE 0-20	267	None	1,480	None	186	None	439	None	93	None	180	None	231	None	258	None
1003415951	PHAM TAMMY L	2021	GMC	RENDERING	AGE 21+	468	None	2,926	None	293	None	581	None	353	None	1,118	None	400	None	400	None
1003415951	PHAM TAMMY L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003424946	NGUYEN TRANG H	2021	FFS	RENDERING	AGE 0-20	265	None	997	None	73	None	156	None	206	None	497	None	105	None	106	None
1003424946	NGUYEN TRANG H	2021	FFS	RENDERING	AGE 21+	305	None	1,334	None	62	None	115	None	277	None	752	None	77	None	79	None
1003462169	FARAG NADA M	2021	FFS	RENDERING	AGE 0-20	511	None	3,151	None	337	None	763	None	199	None	547	None	401	None	423	None
1003462169	FARAG NADA M	2021	FFS	RENDERING	AGE 21+	444	None	1,325	None	66	None	95	None	226	None	436	None	222	None	224	None
1003462169	FARAG NADA M	2021	PHP	RENDERING	AGE 0-20	12	None	38	None	None	1	None	2	None	1	None	2	None	1	None	1
1003462169	FARAG NADA M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1003466137	ZHANG XUYU	2021	FFS	RENDERING	AGE 0-20	12	None	50	None	None	1	None	2	None	1	None	1	None	1	None	1
1003466137	ZHANG XUYU	2021	FFS	RENDERING	AGE 21+	127	None	630	None	32	None	60	None	102	None	260	None	41	None	41	None
1003478223	HANKINS DELANO B	2021	FFS	RENDERING	AGE 0-20	135	None	551	None	72	None	194	None	21	None	40	None	103	None	103	None
1003478223	HANKINS DELANO B	2021	FFS	RENDERING	AGE 21+	270	None	695	None	26	None	44	None	84	None	153	None	140	None	140	None
1003478223	HANKINS DELANO B	2021	PHP	RENDERING	AGE 0-20	41	None	151	None	34	None	78	None	None	1	None	1	34	None	35	None
1003478223	HANKINS DELANO B	2021	PHP	RENDERING	AGE 21+	44	None	109	None	15	None	23	None	11	None	17	None	32	None	33	None
1003803651	DO VINCENT	2021	FFS	RENDERING	AGE 0-20	80	None	950	None	74	None	303	None	51	None	121	None	61	None	80	None
1003803651	DO VINCENT	2021	FFS	RENDERING	AGE 21+	162	None	1,359	None	91	None	179	None	123	None	450	None	111	None	111	None
1003806001	LIU, BARRY RANDALL, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1003807199	BRAZEAL, GEORGE W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1003807199	BRAZEAL, GEORGE W, DDS	2021	FFS	RENDERING	AGE 21+	21	None	101	None	18	None	18	None	12	None	32	None	14	None	14	None
1003820895	LEW EDWARD W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003820895	LEW EDWARD W	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003820895	LEW EDWARD W	2021	PHP	RENDERING	AGE 0-20	49	None	143	None	22	None	34	None	20	None	33	None	25	None	27	None
1003820895	LEW EDWARD W	2021	PHP	RENDERING	AGE 21+	149	None	420	None	32	None	33	None	115	None	264	None	41	None	42	None
1003827494	NGUYEN, DINH HIEP, DMD	2021	FFS	RENDERING	AGE 0-20	18	None	91	None	18	None	18	None	None	1	None	1	18	None	18	None
1003827494	NGUYEN, DINH HIEP, DMD	2021	FFS	RENDERING	AGE 21+	29	None	170	None	24	None	24	None	None	1	None	2	None	1	None	1
1003827551	MEDINA DIANA M	2021	FFS	RENDERING	AGE 0-20	36	None	104	None	0	None	0	None	36	None	104	None	0	None	0	None
1003827551	MEDINA DIANA M	2021	FFS	RENDERING	AGE 21+	89	None	295	None	0	None	0	None	89	None	295	None	0	None	0	None
1003834003	KWON VIVIAN	2021	FFS	RENDERING	AGE 0-20	44	None	267	None	38	None	63	None	16	None	65	None	44	None	44	None
1003834003	KWON VIVIAN	2021	FFS	RENDERING	AGE 21+	117	None	548	None	50	None	53	None	57	None	183	None	107	None	107	None
1003841438	SKUBEN, JANE E, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	396	None	47	None	122	None	29	None	91	None	46	None	57	None
1003841438	SKUBEN, JANE E, DDS	2021	FFS	RENDERING	AGE 21+	86	None	612	None	74	None	146	None	54	None	227	None	73	None	73	None
1003842899	KAISER, KEVIN G MD	2021	FFS	RENDERING	AGE 0-20	21	None	42	None	0	None	0	None	21	None	42	None	0	None	0	None
1003847955	LE JR KHA D	2021	FFS	RENDERING	AGE 0-20	626	None	4,993	None	571	None	1,729	None	258	None	865	None	530	None	695	None
1003847955	LE JR KHA D	2021	FFS	RENDERING	AGE 21+	686	None	4,246	None	436	None	693	None	426	None	1,699	None	420	None	421	None
1003863556	VU, KEVIN DMD	2021	FFS	RENDERING	AGE 0-20	39	None	183	None	33	None	65	None	12	None	26	None	38	None	38	None
1003863556	VU, KEVIN DMD	2021	FFS	RENDERING	AGE 21+	173	None	732	None	83	None	164	None	73	None	190	None	149	None	149	None
1003868068	JOSHI, PRAFULLA A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003868068	JOSHI, PRAFULLA A, DDS	2021	FFS	RENDERING	AGE 21+	57	None	582	None	33	None	66	None	41	None	234	None	38	None	76	None
1003868068	JOSHI, PRAFULLA DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1003868068	JOSHI, PRAFULLA DDS	2021	FFS	RENDERING	AGE 21+	57	None	291	None	33	None	33	None	41	None	117	None	38	None	38	None
1003900705	PHAM KEVIN T	2021	FFS	RENDERING	AGE 0-20	165	None	2,004	None	150	None	567	None	108	None	587	None	150	None	194	None
1003900705	PHAM KEVIN T	2021	FFS	RENDERING	AGE 21+	343	None	3,259	None	220	None	417	None	280	None	1,782	None	241	None	241	None
1003905068	NGUYEN, DUY DUC, DDS INC	2021	FFS	RENDERING	AGE 0-20	314	None	816	None	0	None	0	None	310	None	796	None	None	1	None	1
1003905068	NGUYEN, DUY DUC, DDS INC	2021	FFS	RENDERING	AGE 21+	1,041	None	3,044	None	None	1	None	1	1,032	None	2,969	None	13	None	13	None
1003905068	NGUYEN, DUY DUC, DDS INC	2021	PHP	RENDERING	AGE 0-20	11	None	35	None	0	None	0	None	11	None	35	None	0	None	0	None
1003905068	NGUYEN, DUY DUC, DDS INC	2021	PHP	RENDERING	AGE 21+	46	None	161	None	0	None	0	None	46	None	161	None	0	None	0	None
1003910142	GABBAYPOUR GABRIEL	2021	FFS	RENDERING	AGE 0-20	148	None	730	None	0	None	0	None	111	None	552	None	89	None	89	None
1003910142	GABBAYPOUR GABRIEL	2021	FFS	RENDERING	AGE 21+	188	None	688	None	0	None	0	None	95	None	393	None	148	None	148	None
1003910142	GABBAYPOUR GABRIEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1003910142	GABBAYPOUR GABRIEL	2021	PHP	RENDERING	AGE 21+	39	None	168	None	None	1	None	1	20	None	103	None	29	None	29	None
1003915810	ANGELICI LISA M	2021	FFS	RENDERING	AGE 0-20	67	None	118	None	None	1	None	1	16	None	51	None	None	1	None	1
1003915810	ANGELICI LISA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1003918756	BENBRAHIM, AICHA, DDS	2021	FFS	RENDERING	AGE 0-20	89	None	566	None	73	None	143	None	52	None	173	None	74	None	74	None
1003918756	BENBRAHIM, AICHA, DDS	2021	FFS	RENDERING	AGE 21+	345	None	2,267	None	250	None	251	None	257	None	1,032	None	272	None	272	None
1003932948	LUONG DONALD	2021	FFS	RENDERING	AGE 0-20	48	None	351	None	33	None	78	None	33	None	98	None	41	None	44	None
1003932948	LUONG DONALD	2021	FFS	RENDERING	AGE 21+	165	None	1,022	None	47	None	91	None	120	None	528	None	81	None	81	None
1003933136	PURI SHALABH	2021	FFS	RENDERING	AGE 0-20	86	None	714	None	70	None	297	None	33	None	66	None	67	None	86	None
1003933136	PURI SHALABH	2021	FFS	RENDERING	AGE 21+	248	None	1,643	None	152	None	155	None	170	None	666	None	189	None	191	None
1003934761	CADALSO JR ROBERT T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1003942384	VU, ANH	2021	FFS	RENDERING	AGE 0-20	19	None	304	None	19	None	69	None	None	1	None	2	18	None	26	None
1003942384	VU, ANH	2021	FFS	RENDERING	AGE 21+	28	None	221	None	17	None	17	None	12	None	48	None	26	None	26	None
1003944638	NGO THANH C	2021	FFS	RENDERING	AGE 0-20	578	None	5,269	None	544	None	2,436	None	176	None	386	None	539	None	606	None
1003944638	NGO THANH C	2021	FFS	RENDERING	AGE 21+	1,373	None	7,582	None	907	None	1,810	None	934	None	2,965	None	940	None	940	None
1003946443	IZRAYLEVICH NINA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003946443	IZRAYLEVICH NINA	2021	FFS	RENDERING	AGE 21+	165	None	271	None	None	1	None	1	161	None	249	None	None	1	None	1
1003946443	IZRAYLEVICH, NINA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003946443	IZRAYLEVICH, NINA, DDS	2021	FFS	RENDERING	AGE 21+	165	None	271	None	None	1	None	1	161	None	249	None	None	1	None	1
1003952391	LEE RICHARD	2021	FFS	RENDERING	AGE 0-20	103	None	726	None	94	None	386	None	26	None	66	None	101	None	137	None
1003952391	LEE RICHARD	2021	FFS	RENDERING	AGE 21+	103	None	614	None	40	None	40	None	60	None	177	None	73	None	73	None
1003953126	KHOSHROZEH DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003953282	BINAFARD, BEHZAD DANIEL DDS	2021	FFS	RENDERING	AGE 0-20	325	None	3,089	None	295	None	1,095	None	111	None	398	None	298	None	395	None
1003953282	BINAFARD, BEHZAD DANIEL DDS	2021	FFS	RENDERING	AGE 21+	579	None	3,665	None	371	None	387	None	332	None	1,314	None	454	None	454	None
1003953282	BINAFARD, BEHZAD DANIEL DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1003953282	BINAFARD, BEHZAD DANIEL DDS	2021	PHP	RENDERING	AGE 21+	18	None	80	None	None	1	None	1	None	1	None	2	14	None	14	None
1003953332	NISHIZAKA, SCOTT MICHIO, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003953332	NISHIZAKA, SCOTT MICHIO, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003953860	PANOFF, DANIEL O	2021	FFS	RENDERING	AGE 0-20	565	None	5,846	None	536	None	1,929	None	392	None	1,503	None	523	None	545	None
1003953860	PANOFF, DANIEL O	2021	FFS	RENDERING	AGE 21+	293	None	2,125	None	196	None	362	None	211	None	853	None	254	None	254	None
1003953936	GOPALAN SHANTI	2021	FFS	RENDERING	AGE 0-20	406	None	2,658	None	354	None	1,031	None	161	None	501	None	326	None	405	None
1003953936	GOPALAN SHANTI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1003958489	DUONG VU Q	2021	FFS	RENDERING	AGE 0-20	172	None	2,159	None	164	None	442	None	51	None	117	None	169	None	228	None
1003958489	DUONG VU Q	2021	FFS	RENDERING	AGE 21+	483	None	5,046	None	280	None	557	None	309	None	939	None	377	None	377	None
1003958745	BUENAVENTURA MIRIAM B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003959727	HASHEMIAN SHERVIN T	2021	FFS	RENDERING	AGE 0-20	130	None	947	None	82	None	166	None	23	None	62	None	112	None	118	None
1003959727	HASHEMIAN SHERVIN T	2021	FFS	RENDERING	AGE 21+	140	None	626	None	14	None	17	None	43	None	122	None	86	None	86	None
1003960543	WOOD ALFRED J	2021	FFS	RENDERING	AGE 0-20	807	None	6,719	None	752	None	3,086	None	336	None	1,140	None	787	None	1,182	None
1003960543	WOOD ALFRED J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1003964107	PATEL, ALPHESH K DDS	2021	FFS	RENDERING	AGE 0-20	257	None	4,815	None	221	None	966	None	133	None	548	None	238	None	315	None
1003964107	PATEL, ALPHESH K DDS	2021	FFS	RENDERING	AGE 21+	454	None	4,964	None	110	None	188	None	321	None	1,849	None	354	None	354	None
1003965112	SUMENKO IRINA	2021	FFS	RENDERING	AGE 0-20	13	None	74	None	13	None	34	None	None	1	None	2	None	1	None	1
1003965112	SUMENKO IRINA	2021	FFS	RENDERING	AGE 21+	86	None	539	None	53	None	108	None	56	None	239	None	53	None	54	None
1003965112	SUMENKO IRINA	2021	PHP	RENDERING	AGE 0-20	16	None	73	None	16	None	45	None	None	1	None	1	16	None	18	None
1003965112	SUMENKO IRINA	2021	PHP	RENDERING	AGE 21+	37	None	249	None	31	None	75	None	18	None	92	None	35	None	35	None
1003967548	TRAN CINDY M	2021	FFS	RENDERING	AGE 0-20	2,730	None	33,022	None	2,576	None	8,862	None	644	None	1,896	None	2,591	None	3,428	None
1003967548	TRAN CINDY M	2021	FFS	RENDERING	AGE 21+	569	None	2,931	None	318	None	328	None	186	None	449	None	485	None	487	None
1003973934	KO, STEVEN SUKKYU, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003975566	TURNER KARLA M	2021	PHP	RENDERING	AGE 0-20	14	None	52	None	None	1	None	1	None	1	None	2	None	1	None	1
1003975566	TURNER KARLA M	2021	PHP	RENDERING	AGE 21+	49	None	261	None	None	1	None	1	31	None	103	None	35	None	35	None
1003976994	BLUM MICHAEL P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1003976994	BLUM MICHAEL P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1003982075	CHOY MARIA JESUSA T	2021	FFS	RENDERING	AGE 0-20	227	None	1,484	None	162	None	612	None	91	None	236	None	198	None	227	None
1003982075	CHOY MARIA JESUSA T	2021	FFS	RENDERING	AGE 21+	438	None	1,996	None	122	None	224	None	210	None	825	None	365	None	365	None
1003982075	CHOY MARIA JESUSA T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1003982075	CHOY MARIA JESUSA T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003982638	JUAREZ, ELVIA, A DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1003989294	TON DANIEL	2021	FFS	RENDERING	AGE 0-20	93	None	609	None	80	None	169	None	38	None	112	None	70	None	75	None
1003989294	TON DANIEL	2021	FFS	RENDERING	AGE 21+	389	None	2,816	None	240	None	376	None	294	None	1,196	None	311	None	312	None
1003989427	GUARIN-FORTIN, MARICEL B, DD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1003989427	GUARIN-FORTIN, MARICEL B, DD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1003991910	AHN, TERRY DDS	2021	FFS	RENDERING	AGE 0-20	208	None	2,753	None	180	None	592	None	110	None	279	None	188	None	231	None
1003991910	AHN, TERRY DDS	2021	FFS	RENDERING	AGE 21+	476	None	4,795	None	164	None	176	None	376	None	1,608	None	333	None	333	None
1003992454	DO DAT-MINH	2021	FFS	RENDERING	AGE 0-20	42	None	187	None	30	None	64	None	25	None	39	None	30	None	33	None
1003992454	DO DAT-MINH	2021	FFS	RENDERING	AGE 21+	229	None	1,349	None	116	None	213	None	182	None	626	None	125	None	125	None
1003996067	GAD MAGDY W	2021	PHP	RENDERING	AGE 0-20	14	None	55	None	12	None	20	None	None	1	None	1	None	1	None	1
1003996067	GAD MAGDY W	2021	PHP	RENDERING	AGE 21+	211	None	667	None	139	None	230	None	43	None	95	None	140	None	142	None
1013011642	MYAING, HLA, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	403	None	37	None	130	None	20	None	88	None	42	None	44	None
1013011642	MYAING, HLA, DDS	2021	FFS	RENDERING	AGE 21+	151	None	1,284	None	101	None	211	None	106	None	488	None	116	None	118	None
1013035849	SHIRVANI MICHAEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1013035849	SHIRVANI MICHAEL	2021	FFS	RENDERING	AGE 21+	13	None	33	None	None	1	None	1	None	1	None	2	None	1	None	1
1013037688	NGUYEN JAUBIN D	2021	FFS	RENDERING	AGE 0-20	448	None	4,180	None	361	None	1,323	None	202	None	400	None	355	None	384	None
1013037688	NGUYEN JAUBIN D	2021	FFS	RENDERING	AGE 21+	275	None	2,104	None	143	None	275	None	203	None	580	None	173	None	173	None
1013042688	LOW EVERETT L	2021	FFS	RENDERING	AGE 0-20	27	None	143	None	20	None	49	None	14	None	41	None	19	None	26	None
1013042688	LOW EVERETT L	2021	FFS	RENDERING	AGE 21+	68	None	281	None	26	None	26	None	48	None	119	None	33	None	33	None
1013042894	HACKMAN FRANK H	2021	FFS	RENDERING	AGE 0-20	227	None	1,672	None	192	None	691	None	89	None	166	None	186	None	197	None
1013042894	HACKMAN FRANK H	2021	FFS	RENDERING	AGE 21+	529	None	2,709	None	192	None	306	None	318	None	889	None	325	None	325	None
1013042894	HACKMAN FRANK H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013047539	NGUYEN ROBERT D	2021	FFS	RENDERING	AGE 0-20	101	None	1,540	None	93	None	530	None	39	None	106	None	99	None	129	None
1013047539	NGUYEN ROBERT D	2021	FFS	RENDERING	AGE 21+	288	None	3,681	None	242	None	484	None	155	None	464	None	259	None	259	None
1013057371	ST JOHNS WELL CHILD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1013058346	RIVERA JOSE W	2021	FFS	RENDERING	AGE 0-20	496	None	2,727	None	325	None	859	None	205	None	575	None	360	None	368	None
1013058346	RIVERA JOSE W	2021	FFS	RENDERING	AGE 21+	569	None	2,061	None	98	None	180	None	344	None	893	None	249	None	249	None
1013058346	RIVERA JOSE W	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013058346	RIVERA JOSE W	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013058346	RIVERA JOSE W	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1013064625	ASSATOURIANS GUSTAVO A	2021	FFS	RENDERING	AGE 0-20	1,347	None	10,145	None	645	None	1,497	None	919	None	2,667	None	770	None	836	None
1013064625	ASSATOURIANS GUSTAVO A	2021	FFS	RENDERING	AGE 21+	3,306	None	21,208	None	1,074	None	2,010	None	2,658	None	7,783	None	1,390	None	1,403	None
1013064625	ASSATOURIANS GUSTAVO A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1013069871	OH, MICHAEL M DMD	2021	FFS	RENDERING	AGE 0-20	51	None	376	None	48	None	122	None	24	None	65	None	51	None	65	None
1013069871	OH, MICHAEL M DMD	2021	FFS	RENDERING	AGE 21+	200	None	1,185	None	168	None	288	None	111	None	336	None	184	None	186	None
1013072578	SANDHU KIRAN	2021	FFS	RENDERING	AGE 0-20	1,103	None	11,546	None	1,073	None	4,143	None	548	None	1,334	None	1,062	None	1,483	None
1013072578	SANDHU KIRAN	2021	FFS	RENDERING	AGE 21+	792	None	5,086	None	547	None	1,098	None	454	None	1,295	None	613	None	613	None
1013075159	FORESTER JAMES A	2021	FFS	RENDERING	AGE 0-20	345	None	1,172	None	36	None	65	None	329	None	870	None	None	1	None	1
1013075324	NGUYEN DUNG THI P	2021	FFS	RENDERING	AGE 0-20	92	None	787	None	86	None	406	None	38	None	113	None	89	None	122	None
1013075324	NGUYEN DUNG THI P	2021	FFS	RENDERING	AGE 21+	361	None	2,175	None	207	None	404	None	267	None	991	None	255	None	255	None
1013077049	VANIYANTS, LYUDVIG DDS	2021	FFS	RENDERING	AGE 0-20	37	None	401	None	33	None	55	None	20	None	92	None	32	None	37	None
1013077049	VANIYANTS, LYUDVIG DDS	2021	FFS	RENDERING	AGE 21+	423	None	3,624	None	262	None	264	None	316	None	1,470	None	315	None	316	None
1013077239	BOHANNAN WILLIAM B	2021	FFS	RENDERING	AGE 0-20	34	None	173	None	0	None	0	None	22	None	123	None	27	None	27	None
1013077239	BOHANNAN WILLIAM B	2021	FFS	RENDERING	AGE 21+	42	None	171	None	0	None	0	None	19	None	110	None	31	None	31	None
1013077536	SEN SOUMAVA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1013077536	SEN SOUMAVA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1013077536	SEN SOUMAVA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013077536	SEN SOUMAVA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1013079227	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1013079227	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1013079227	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1013079227	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1013083047	DUONG VICKY A	2021	FFS	RENDERING	AGE 0-20	124	None	1,354	None	101	None	262	None	52	None	164	None	106	None	117	None
1013083047	DUONG VICKY A	2021	FFS	RENDERING	AGE 21+	394	None	2,843	None	179	None	355	None	267	None	832	None	237	None	237	None
1013085208	MANCHANDIA DIMPLE J	2021	FFS	RENDERING	AGE 0-20	14	None	206	None	12	None	38	None	None	1	None	2	11	None	11	None
1013085208	MANCHANDIA DIMPLE J	2021	FFS	RENDERING	AGE 21+	85	None	985	None	52	None	101	None	70	None	541	None	63	None	63	None
1013086784	LOPEZ GRACIELA L	2021	FFS	RENDERING	AGE 0-20	238	None	2,436	None	170	None	510	None	140	None	498	None	189	None	210	None
1013086784	LOPEZ GRACIELA L	2021	FFS	RENDERING	AGE 21+	516	None	3,257	None	166	None	324	None	340	None	1,173	None	350	None	352	None
1013088723	JO PAUL S	2021	FFS	RENDERING	AGE 0-20	17	None	136	None	15	None	47	None	11	None	37	None	11	None	13	None
1013088723	JO PAUL S	2021	FFS	RENDERING	AGE 21+	116	None	662	None	52	None	102	None	94	None	323	None	40	None	40	None
1013092998	LATT TIN	2021	FFS	RENDERING	AGE 0-20	216	None	1,706	None	126	None	413	None	135	None	457	None	129	None	136	None
1013092998	LATT TIN	2021	FFS	RENDERING	AGE 21+	297	None	2,024	None	87	None	143	None	241	None	1,110	None	144	None	144	None
1013092998	LATT TIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1013094135	GORDON, LEONEED	2021	FFS	RENDERING	AGE 0-20	126	None	1,067	None	89	None	258	None	58	None	137	None	83	None	92	None
1013094135	GORDON, LEONEED	2021	FFS	RENDERING	AGE 21+	232	None	1,193	None	22	None	29	None	167	None	510	None	115	None	115	None
1013094135	GORDON, LEONEED	2021	PHP	RENDERING	AGE 0-20	42	None	232	None	25	None	101	None	15	None	34	None	30	None	30	None
1013094135	GORDON, LEONEED	2021	PHP	RENDERING	AGE 21+	37	None	134	None	None	1	None	1	26	None	79	None	11	None	11	None
1013094135	GORDON, LEONEED, DDS	2021	FFS	RENDERING	AGE 0-20	126	None	1,067	None	89	None	258	None	58	None	137	None	83	None	92	None
1013094135	GORDON, LEONEED, DDS	2021	FFS	RENDERING	AGE 21+	232	None	1,193	None	22	None	29	None	167	None	510	None	115	None	115	None
1013094135	GORDON, LEONEED, DDS	2021	PHP	RENDERING	AGE 0-20	42	None	232	None	25	None	101	None	15	None	34	None	30	None	30	None
1013094135	GORDON, LEONEED, DDS	2021	PHP	RENDERING	AGE 21+	37	None	134	None	None	1	None	1	26	None	79	None	11	None	11	None
1013100411	GRANT-PEART VIVIENNE E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013100411	GRANT-PEART VIVIENNE E	2021	PHP	RENDERING	AGE 0-20	104	None	848	None	80	None	344	None	41	None	73	None	97	None	116	None
1013100411	GRANT-PEART VIVIENNE E	2021	PHP	RENDERING	AGE 21+	16	None	51	None	None	1	None	1	None	1	None	2	12	None	12	None
1013101591	SALAMA WASFI F	2021	FFS	RENDERING	AGE 0-20	325	None	1,186	None	40	None	108	None	130	None	280	None	242	None	244	None
1013101591	SALAMA WASFI F	2021	FFS	RENDERING	AGE 21+	1,022	None	2,866	None	31	None	48	None	306	None	536	None	810	None	810	None
1013102029	GUSHANSKY, LARISSA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013102029	GUSHANSKY, LARISSA, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013102706	VOLOSHIN MICHAEL J	2021	FFS	RENDERING	AGE 0-20	305	None	2,960	None	251	None	1,233	None	148	None	379	None	289	None	314	None
1013102706	VOLOSHIN MICHAEL J	2021	FFS	RENDERING	AGE 21+	480	None	3,828	None	345	None	683	None	326	None	1,336	None	395	None	396	None
1013102706	VOLOSHIN MICHAEL J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1013102706	VOLOSHIN MICHAEL J	2021	PHP	RENDERING	AGE 21+	23	None	111	None	18	None	36	None	11	None	29	None	20	None	21	None
1013109867	EFFIOM, UTIBE RUTH DDS	2021	FFS	RENDERING	AGE 0-20	25	None	208	None	24	None	87	None	12	None	29	None	23	None	28	None
1013109867	EFFIOM, UTIBE RUTH DDS	2021	FFS	RENDERING	AGE 21+	221	None	1,757	None	124	None	192	None	195	None	929	None	126	None	126	None
1013109867	EFFIOM, UTIBE RUTH DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013109867	EFFIOM, UTIBE RUTH DDS	2021	PHP	RENDERING	AGE 21+	28	None	253	None	24	None	41	None	21	None	134	None	20	None	20	None
1013114156	ALFONSO ROSSANA T	2021	FFS	RENDERING	AGE 0-20	119	None	1,163	None	110	None	343	None	56	None	215	None	110	None	156	None
1013114156	ALFONSO ROSSANA T	2021	FFS	RENDERING	AGE 21+	394	None	2,862	None	280	None	388	None	261	None	1,017	None	296	None	296	None
1013116102	KANG KEVIN C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1013116102	KANG KEVIN C	2021	FFS	RENDERING	AGE 21+	14	None	111	None	None	1	None	1	None	1	None	2	None	1	None	1
1013118371	FORTIER KEVIN J	2021	FFS	RENDERING	AGE 0-20	45	None	345	None	41	None	110	None	16	None	39	None	43	None	58	None
1013118371	FORTIER KEVIN J	2021	FFS	RENDERING	AGE 21+	83	None	616	None	54	None	92	None	57	None	195	None	69	None	69	None
1013119718	TO MICHELLE P	2021	FFS	RENDERING	AGE 0-20	431	None	4,236	None	360	None	1,239	None	359	None	903	None	384	None	440	None
1013119718	TO MICHELLE P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1013120468	IM EUNICE YUN S	2021	FFS	RENDERING	AGE 0-20	423	None	4,398	None	413	None	1,696	None	261	None	686	None	407	None	589	None
1013120518	NAKANO JONATHAN KIYOMI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013126333	KIM REUBEN H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1013126333	KIM REUBEN H	2021	FFS	RENDERING	AGE 21+	24	None	46	None	None	1	None	2	13	None	18	None	None	1	None	1
1013126622	JHAWAR VIBHA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1013126622	JHAWAR VIBHA	2021	GMC	RENDERING	AGE 0-20	2,641	None	13,649	None	1,401	None	4,612	None	645	None	791	None	1,267	None	1,297	None
1013129618	GHANNAM SALAM A	2021	FFS	RENDERING	AGE 0-20	338	None	2,262	None	328	None	1,367	None	45	None	123	None	326	None	357	None
1013129618	GHANNAM SALAM A	2021	FFS	RENDERING	AGE 21+	492	None	2,364	None	319	None	322	None	307	None	1,149	None	373	None	373	None
1013130970	KANG MIKE M	2021	FFS	RENDERING	AGE 0-20	183	None	1,378	None	150	None	536	None	57	None	199	None	166	None	179	None
1013130970	KANG MIKE M	2021	FFS	RENDERING	AGE 21+	369	None	2,325	None	155	None	299	None	250	None	1,160	None	290	None	290	None
1013131440	LE MICHAEL M	2021	FFS	RENDERING	AGE 21+	23	None	52	None	0	None	0	None	23	None	51	None	0	None	0	None
1013133750	LAM GILBERT B	2021	FFS	RENDERING	AGE 0-20	339	None	3,892	None	292	None	1,166	None	147	None	493	None	308	None	384	None
1013133750	LAM GILBERT B	2021	FFS	RENDERING	AGE 21+	555	None	3,858	None	342	None	669	None	301	None	1,001	None	464	None	466	None
1013134261	BINA SHAHIN I	2021	FFS	RENDERING	AGE 0-20	76	None	222	None	0	None	0	None	74	None	212	None	0	None	0	None
1013134261	BINA SHAHIN I	2021	FFS	RENDERING	AGE 21+	41	None	121	None	0	None	0	None	40	None	117	None	0	None	0	None
1013134261	BINA SHAHIN I	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1013134329	COHEN SEDGH, SOL, DDS INC	2021	PHP	RENDERING	AGE 0-20	20	None	120	None	11	None	39	None	None	1	None	1	11	None	11	None
1013134329	COHEN SEDGH, SOL, DDS INC	2021	PHP	RENDERING	AGE 21+	25	None	100	None	0	None	0	None	None	1	None	1	13	None	13	None
1013134329	SOL COEHN-SEDGH, D.D.S., INC.	2021	PHP	RENDERING	AGE 0-20	20	None	120	None	11	None	39	None	None	1	None	1	11	None	11	None
1013134329	SOL COEHN-SEDGH, D.D.S., INC.	2021	PHP	RENDERING	AGE 21+	25	None	100	None	0	None	0	None	None	1	None	1	13	None	13	None
1013134477	YAZDI KAMRAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013134477	YAZDI KAMRAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1013134477	YAZDI KAMRAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1013134477	YAZDI KAMRAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013134808	SOUTHWEST DENTAL CENTER INC.	2021	PHP	RENDERING	AGE 0-20	52	None	343	None	35	None	189	None	15	None	38	None	40	None	40	None
1013134808	SOUTHWEST DENTAL CENTER INC.	2021	PHP	RENDERING	AGE 21+	50	None	141	None	None	1	None	1	35	None	81	None	21	None	21	None
1013136936	ARANGO, DORA ELIDA DDS	2021	FFS	RENDERING	AGE 0-20	19	None	179	None	18	None	97	None	None	1	None	1	18	None	20	None
1013136936	ARANGO, DORA ELIDA DDS	2021	FFS	RENDERING	AGE 21+	57	None	367	None	30	None	60	None	28	None	83	None	46	None	48	None
1013137116	STEPANIAN MARDIROS	2021	FFS	RENDERING	AGE 0-20	39	None	312	None	27	None	54	None	None	1	None	2	27	None	27	None
1013137116	STEPANIAN MARDIROS	2021	FFS	RENDERING	AGE 21+	85	None	608	None	15	None	27	None	24	None	54	None	60	None	60	None
1013143429	NGUYEN KIM ANH T	2021	FFS	RENDERING	AGE 0-20	94	None	706	None	94	None	303	None	31	None	61	None	93	None	133	None
1013143429	NGUYEN KIM ANH T	2021	FFS	RENDERING	AGE 21+	156	None	1,029	None	100	None	176	None	109	None	368	None	109	None	109	None
1013151927	VU NGOCLE	2021	FFS	RENDERING	AGE 0-20	298	None	4,340	None	259	None	678	None	162	None	651	None	247	None	319	None
1013151927	VU NGOCLE	2021	FFS	RENDERING	AGE 21+	448	None	5,966	None	326	None	378	None	298	None	1,414	None	395	None	395	None
1013156793	REINA OSBALDA D	2021	FFS	RENDERING	AGE 0-20	1,007	None	4,448	None	593	None	1,420	None	502	None	1,084	None	535	None	541	None
1013156793	REINA OSBALDA D	2021	FFS	RENDERING	AGE 21+	863	None	2,717	None	193	None	363	None	490	None	1,236	None	336	None	336	None
1013161660	VOROS MAGDOLNA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1013167378	OBEROI, SNEHLATA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013167683	MARTIN AUDREY M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1013168426	MARZAN MARIA ANITA ALMARIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1013168426	MARZAN MARIA ANITA ALMARIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1013169341	SANDHU PARAMJIT S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1013169341	SANDHU PARAMJIT S	2021	FFS	RENDERING	AGE 21+	35	None	185	None	17	None	28	None	20	None	44	None	25	None	25	None
1013180520	CHOI, CHUN KEUN, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	51	None	None	1	None	1	None	1	None	1	None	1	None	1
1013180520	CHOI, CHUN KEUN, DDS	2021	FFS	RENDERING	AGE 21+	141	None	483	None	93	None	93	None	45	None	111	None	99	None	99	None
1013183383	RETODO, JOHN RICHARD A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1013183383	RETODO, JOHN RICHARD A	2021	FFS	RENDERING	AGE 21+	48	None	481	None	32	None	34	None	35	None	246	None	30	None	30	None
1013190016	SU MICHAEL H	2021	FFS	RENDERING	AGE 0-20	71	None	541	None	60	None	207	None	29	None	93	None	67	None	79	None
1013190016	SU MICHAEL H	2021	FFS	RENDERING	AGE 21+	240	None	1,758	None	181	None	359	None	161	None	588	None	201	None	201	None
1013190172	PARVATHI POKALA DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013190172	POKALA, PARVATHI, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013196039	OSHAGH, MOJDEH DDS	2021	FFS	RENDERING	AGE 0-20	26	None	227	None	23	None	60	None	15	None	47	None	22	None	29	None
1013196039	OSHAGH, MOJDEH DDS	2021	FFS	RENDERING	AGE 21+	301	None	2,045	None	228	None	442	None	195	None	763	None	250	None	251	None
1013209063	CORTEZ PACHECO NORMA E	2021	FFS	RENDERING	AGE 0-20	395	None	2,421	None	270	None	595	None	153	None	440	None	277	None	285	None
1013209063	CORTEZ PACHECO NORMA E	2021	GMC	RENDERING	AGE 0-20	754	None	7,005	None	662	None	2,000	None	452	None	1,176	None	605	None	780	None
1013209063	CORTEZ PACHECO NORMA E	2021	GMC	RENDERING	AGE 21+	40	None	190	None	19	None	35	None	20	None	32	None	20	None	21	None
1013212919	HERSEL EVLYNE	2021	FFS	RENDERING	AGE 0-20	217	None	1,934	None	162	None	608	None	114	None	388	None	186	None	216	None
1013212919	HERSEL EVLYNE	2021	FFS	RENDERING	AGE 21+	327	None	1,553	None	23	None	27	None	191	None	922	None	212	None	214	None
1013212919	HERSEL EVLYNE	2021	PHP	RENDERING	AGE 0-20	117	None	647	None	73	None	144	None	22	None	77	None	102	None	119	None
1013212919	HERSEL EVLYNE	2021	PHP	RENDERING	AGE 21+	116	None	420	None	None	1	None	1	51	None	182	None	92	None	94	None
1013214642	ZAU PAUL D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013214642	ZAU PAUL D	2021	FFS	RENDERING	AGE 21+	37	None	238	None	15	None	15	None	22	None	131	None	31	None	31	None
1013218106	WHITLEY, J, DENTAL CORPORATI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1013223429	NGO TAM T	2021	FFS	RENDERING	AGE 0-20	569	None	1,387	None	None	1	None	1	None	1	None	2	None	1	None	1
1013223429	NGO TAM T	2021	FFS	RENDERING	AGE 21+	2,137	None	4,799	None	None	1	None	1	31	None	48	None	None	1	None	1
1013226240	CANTU DANIEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013226240	CANTU DANIEL	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1013240381	MAXWELL FRANDSEN D	2021	PHP	RENDERING	AGE 0-20	162	None	1,313	None	139	None	538	None	123	None	199	None	103	None	117	None
1013240381	MAXWELL FRANDSEN D	2021	PHP	RENDERING	AGE 21+	274	None	1,380	None	152	None	338	None	217	None	401	None	110	None	113	None
1013246024	FISHMAN SCOTT A	2021	FFS	RENDERING	AGE 0-20	563	None	5,788	None	404	None	1,204	None	281	None	1,766	None	325	None	371	None
1013246024	FISHMAN SCOTT A	2021	PHP	RENDERING	AGE 0-20	27	None	375	None	23	None	69	None	22	None	170	None	21	None	22	None
1013246370	IHLENDORF, KATHLEEN DMD	2021	FFS	RENDERING	AGE 0-20	770	None	6,424	None	527	None	1,401	None	562	None	2,189	None	410	None	422	None
1013258441	MARRE ADAM C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013266766	YAMPOLSKY YAN	2021	FFS	RENDERING	AGE 0-20	1,016	None	12,980	None	980	None	4,355	None	355	None	606	None	910	None	1,048	None
1013266766	YAMPOLSKY YAN	2021	FFS	RENDERING	AGE 21+	1,077	None	10,274	None	623	None	1,217	None	745	None	2,559	None	749	None	749	None
1013266766	YAMPOLSKY YAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1013269000	ALAMIRAD, FARZAN DDS	2021	FFS	RENDERING	AGE 0-20	12	None	77	None	None	1	None	2	None	1	None	2	11	None	12	None
1013269000	ALAMIRAD, FARZAN DDS	2021	FFS	RENDERING	AGE 21+	285	None	2,167	None	77	None	143	None	182	None	876	None	227	None	227	None
1013269000	ALAMIRAD, FARZAN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1013269000	ALAMIRAD, FARZAN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1013280189	REPAKA MRUDULA C	2021	FFS	RENDERING	AGE 0-20	345	None	1,329	None	109	None	293	None	123	None	309	None	254	None	261	None
1013280189	REPAKA MRUDULA C	2021	FFS	RENDERING	AGE 21+	850	None	2,773	None	101	None	191	None	420	None	1,185	None	576	None	577	None
1013293000	HE KENNY	2021	FFS	RENDERING	AGE 0-20	246	None	2,739	None	204	None	777	None	64	None	227	None	225	None	264	None
1013293000	HE KENNY	2021	FFS	RENDERING	AGE 21+	465	None	2,498	None	110	None	111	None	297	None	967	None	308	None	309	None
1013293000	HE KENNY	2021	PHP	RENDERING	AGE 0-20	100	None	1,027	None	78	None	217	None	27	None	72	None	89	None	111	None
1013293000	HE KENNY	2021	PHP	RENDERING	AGE 21+	135	None	708	None	42	None	44	None	60	None	284	None	103	None	104	None
1013299403	DR JEFFREY A SALADIN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013299403	DR. JEFFREY A. SALADIN, DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013299411	DR JEFFREY A SALADIN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1013299411	DR. JEFFREY A SALADIN, DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1013309368	KARIMI KOOHYAR	2021	FFS	RENDERING	AGE 0-20	30	None	202	None	23	None	47	None	None	1	None	2	28	None	28	None
1013309368	KARIMI KOOHYAR	2021	FFS	RENDERING	AGE 21+	80	None	536	None	27	None	50	None	53	None	313	None	53	None	54	None
1013329598	CHAN ALICE	2021	FFS	RENDERING	AGE 0-20	169	None	670	None	122	None	250	None	57	None	124	None	111	None	114	None
1013343102	PARK CHRIS J	2021	FFS	RENDERING	AGE 0-20	110	None	759	None	83	None	285	None	56	None	185	None	92	None	94	None
1013343102	PARK CHRIS J	2021	FFS	RENDERING	AGE 21+	626	None	3,553	None	338	None	651	None	418	None	1,518	None	404	None	404	None
1013349182	CHIU SEEWAN	2021	FFS	RENDERING	AGE 0-20	102	None	713	None	87	None	184	None	33	None	56	None	85	None	100	None
1013349182	CHIU SEEWAN	2021	FFS	RENDERING	AGE 21+	1,285	None	11,048	None	753	None	1,074	None	909	None	2,530	None	934	None	934	None
1013356351	CARE ENDODONTICS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1013391705	DICKTER ROBERT B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1013391705	DICKTER ROBERT B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1013391705	DICKTER ROBERT B	2021	GMC	RENDERING	AGE 0-20	185	None	922	None	129	None	284	None	61	None	118	None	144	None	146	None
1013391705	DICKTER ROBERT B	2021	GMC	RENDERING	AGE 21+	440	None	1,575	None	132	None	149	None	189	None	401	None	285	None	285	None
1013392083	PHIPPS DON	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013402262	DADASHZADEH ARYA T	2021	FFS	RENDERING	AGE 21+	56	None	193	None	18	None	26	None	37	None	75	None	19	None	19	None
1013432632	KIM HAN Y	2021	FFS	RENDERING	AGE 0-20	938	None	6,892	None	817	None	2,499	None	514	None	947	None	839	None	937	None
1013432632	KIM HAN Y	2021	FFS	RENDERING	AGE 21+	1,395	None	6,903	None	700	None	1,370	None	794	None	2,575	None	981	None	983	None
1013482868	TAVAKOLI MARK M	2021	FFS	RENDERING	AGE 0-20	84	None	199	None	None	1	None	1	28	None	35	None	0	None	0	None
1013482868	TAVAKOLI MARK M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1013482868	TAVAKOLI MARK M	2021	GMC	RENDERING	AGE 0-20	1,116	None	4,783	None	503	None	629	None	1,096	None	2,712	None	0	None	0	None
1013492438	KIM SOJEONG	2021	FFS	RENDERING	AGE 0-20	2,293	None	17,610	None	1,778	None	3,988	None	691	None	1,602	None	1,631	None	1,655	None
1013492438	KIM SOJEONG	2021	FFS	RENDERING	AGE 21+	21	None	100	None	11	None	12	None	14	None	33	None	13	None	13	None
1013498211	WON JIHEE	2021	FFS	RENDERING	AGE 0-20	1,716	None	18,058	None	1,011	None	3,739	None	1,629	None	10,695	None	710	None	719	None
1013498211	WON JIHEE	2021	FFS	RENDERING	AGE 21+	159	None	1,021	None	None	1	None	1	132	None	705	None	78	None	78	None
1013507748	ERDENEBILEG DULGUUN R	2021	FFS	RENDERING	AGE 0-20	41	None	193	None	18	None	37	None	25	None	60	None	18	None	18	None
1013507748	ERDENEBILEG DULGUUN R	2021	FFS	RENDERING	AGE 21+	102	None	351	None	None	1	None	2	76	None	199	None	22	None	22	None
1013507748	ERDENEBILEG DULGUUN R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1013510932	ADAMI MEENA	2021	FFS	RENDERING	AGE 0-20	1,282	None	15,168	None	1,048	None	3,743	None	940	None	4,291	None	972	None	1,232	None
1013510932	ADAMI MEENA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1013524800	RAMIN SHANTEL NOGHREY	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1013527365	BARKHO MARYIAM E	2021	FFS	RENDERING	AGE 0-20	91	None	515	None	66	None	183	None	32	None	77	None	83	None	85	None
1013527365	BARKHO MARYIAM E	2021	FFS	RENDERING	AGE 21+	192	None	802	None	58	None	99	None	89	None	274	None	144	None	144	None
1013527365	BARKHO MARYIAM E	2021	PHP	RENDERING	AGE 0-20	15	None	83	None	11	None	33	None	None	1	None	2	11	None	11	None
1013527365	BARKHO MARYIAM E	2021	PHP	RENDERING	AGE 21+	51	None	213	None	17	None	34	None	28	None	97	None	33	None	34	None
1013539824	RARA REISA C	2021	FFS	RENDERING	AGE 0-20	19	None	130	None	14	None	35	None	None	1	None	1	12	None	12	None
1013542976	ST JOHN, SARAH LISABETH, RDH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1013543263	TRAN THU T	2021	FFS	RENDERING	AGE 0-20	79	None	690	None	49	None	160	None	50	None	151	None	41	None	41	None
1013543263	TRAN THU T	2021	FFS	RENDERING	AGE 21+	19	None	116	None	None	1	None	1	18	None	88	None	None	1	None	1
1013572452	VENTURA LUIS	2021	FFS	RENDERING	AGE 0-20	13	None	30	None	0	None	0	None	13	None	30	None	0	None	0	None
1013572452	VENTURA LUIS	2021	FFS	RENDERING	AGE 21+	42	None	132	None	0	None	0	None	42	None	131	None	0	None	0	None
1013575240	MAHLMANN JESSICA A	2021	FFS	RENDERING	AGE 0-20	790	None	1,640	None	0	None	0	None	282	None	766	None	0	None	0	None
1013575240	MAHLMANN JESSICA A	2021	FFS	RENDERING	AGE 21+	21	None	21	None	0	None	0	None	0	None	0	None	0	None	0	None
1013575240	MAHLMANN JESSICA A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013680511	CHIU COLLEEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013680511	CHIU COLLEEN	2021	FFS	RENDERING	AGE 21+	37	None	124	None	None	1	None	1	35	None	102	None	None	1	None	1
1013905447	REAL, LUIS E DDS	2021	FFS	RENDERING	AGE 0-20	104	None	1,380	None	87	None	272	None	58	None	236	None	92	None	119	None
1013905447	REAL, LUIS E DDS	2021	FFS	RENDERING	AGE 21+	247	None	2,166	None	123	None	245	None	190	None	875	None	171	None	171	None
1013919786	YUEN ALEXANDER K	2021	FFS	RENDERING	AGE 0-20	63	None	212	None	0	None	0	None	38	None	58	None	0	None	0	None
1013919786	YUEN ALEXANDER K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1013929298	DO LOC Q	2021	FFS	RENDERING	AGE 0-20	14	None	104	None	13	None	30	None	None	1	None	2	None	1	None	1
1013929298	DO LOC Q	2021	FFS	RENDERING	AGE 21+	40	None	239	None	19	None	38	None	23	None	69	None	30	None	30	None
1013930239	BARRERA ROGELIO A	2021	FFS	RENDERING	AGE 0-20	1,865	None	17,735	None	1,408	None	3,313	None	591	None	1,304	None	1,541	None	1,774	None
1013930239	BARRERA ROGELIO A	2021	FFS	RENDERING	AGE 21+	1,653	None	9,820	None	516	None	1,031	None	888	None	2,680	None	1,042	None	1,042	None
1013939248	KIM HARRY C	2021	FFS	RENDERING	AGE 0-20	137	None	1,055	None	128	None	325	None	38	None	80	None	128	None	141	None
1013939248	KIM HARRY C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1013951177	NGUYEN HIEN S	2021	FFS	RENDERING	AGE 0-20	13	None	113	None	None	1	None	2	None	1	None	2	None	1	None	1
1013951177	NGUYEN HIEN S	2021	FFS	RENDERING	AGE 21+	179	None	1,296	None	62	None	128	None	159	None	669	None	75	None	75	None
1013958636	NGUYEN, DANI Q, DDS	2021	FFS	RENDERING	AGE 0-20	49	None	327	None	47	None	104	None	18	None	50	None	47	None	50	None
1013958636	NGUYEN, DANI Q, DDS	2021	FFS	RENDERING	AGE 21+	92	None	556	None	40	None	42	None	73	None	223	None	63	None	65	None
1013962398	CUDAHY FAMILY DENTAL GROUP	2021	FFS	RENDERING	AGE 0-20	204	None	2,075	None	173	None	430	None	105	None	339	None	177	None	202	None
1013962398	CUDAHY FAMILY DENTAL GROUP	2021	FFS	RENDERING	AGE 21+	296	None	2,393	None	150	None	303	None	201	None	861	None	200	None	202	None
1013962398	KOLAHI JAVAD	2021	FFS	RENDERING	AGE 0-20	204	None	2,075	None	173	None	430	None	105	None	339	None	177	None	202	None
1013962398	KOLAHI JAVAD	2021	FFS	RENDERING	AGE 21+	296	None	2,393	None	150	None	303	None	201	None	861	None	200	None	202	None
1023010840	KENT, J M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1023010840	KENT, J M, DDS	2021	FFS	RENDERING	AGE 21+	20	None	89	None	None	1	None	1	19	None	52	None	None	1	None	1
1023022464	SHAARI, SAID, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	350	None	20	None	114	None	None	1	None	2	None	1	None	2
1023022464	SHAARI, SAID, DDS	2021	FFS	RENDERING	AGE 21+	42	None	344	None	12	None	38	None	16	None	56	None	16	None	32	None
1023022464	SHAARI, SAID, DDS	2021	GMC	RENDERING	AGE 0-20	1,501	None	25,668	None	1,374	None	8,580	None	526	None	2,090	None	1,419	None	3,522	None
1023022464	SHAARI, SAID, DDS	2021	GMC	RENDERING	AGE 21+	948	None	9,960	None	216	None	660	None	564	None	3,034	None	582	None	1,174	None
1023022464	SHAARI, SAID, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1023022811	HAN INJOO	2021	FFS	RENDERING	AGE 0-20	286	None	3,775	None	227	None	1,175	None	119	None	432	None	268	None	347	None
1023022811	HAN INJOO	2021	FFS	RENDERING	AGE 21+	977	None	9,347	None	513	None	1,026	None	667	None	4,202	None	763	None	763	None
1023032430	DANIAL MICHAEL	2021	FFS	RENDERING	AGE 0-20	226	None	2,791	None	169	None	516	None	123	None	396	None	180	None	226	None
1023032430	DANIAL MICHAEL	2021	FFS	RENDERING	AGE 21+	231	None	1,727	None	55	None	86	None	136	None	534	None	166	None	166	None
1023032430	DANIAL MICHAEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1023032430	DANIAL MICHAEL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023037587	TON NU PHUONG NGUYE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023037587	TON NU PHUONG NGUYE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1023051646	SHAGRAMANOVA NATALYA	2021	FFS	RENDERING	AGE 0-20	1,820	None	19,811	None	1,558	None	5,222	None	1,310	None	3,947	None	1,534	None	1,664	None
1023051646	SHAGRAMANOVA NATALYA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1023077229	KELLEY-RONDERO, GEORGENE T,	2021	FFS	RENDERING	AGE 0-20	235	None	1,724	None	191	None	503	None	101	None	314	None	165	None	195	None
1023077229	KELLEY-RONDERO, GEORGENE T,	2021	FFS	RENDERING	AGE 21+	149	None	845	None	43	None	43	None	105	None	390	None	82	None	82	None
1023082492	DUTT, PRANAB K DDS	2021	FFS	RENDERING	AGE 0-20	193	None	1,889	None	150	None	429	None	124	None	398	None	179	None	211	None
1023082492	DUTT, PRANAB K DDS	2021	FFS	RENDERING	AGE 21+	408	None	2,956	None	254	None	254	None	285	None	1,362	None	333	None	333	None
1023106549	RANA, SAADIA, DDS	2021	FFS	RENDERING	AGE 0-20	1,104	None	14,576	None	1,070	None	4,096	None	811	None	3,552	None	1,068	None	1,433	None
1023106549	RANA, SAADIA, DDS	2021	FFS	RENDERING	AGE 21+	41	None	259	None	22	None	44	None	27	None	77	None	27	None	27	None
1023108735	ZAGHI, FARSHAD, DMD	2021	FFS	RENDERING	AGE 0-20	81	None	123	None	0	None	0	None	36	None	63	None	0	None	0	None
1023108735	ZAGHI, FARSHAD, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023115094	MICHEL, CARLOS R, DDS	2021	FFS	RENDERING	AGE 0-20	107	None	1,338	None	95	None	251	None	29	None	77	None	102	None	131	None
1023115094	MICHEL, CARLOS R, DDS	2021	FFS	RENDERING	AGE 21+	121	None	941	None	60	None	60	None	81	None	239	None	87	None	87	None
1023116845	EHSANI NADER	2021	FFS	RENDERING	AGE 0-20	171	None	551	None	0	None	0	None	33	None	100	None	0	None	0	None
1023116845	EHSANI NADER	2021	FFS	RENDERING	AGE 21+	20	None	39	None	0	None	0	None	0	None	0	None	0	None	0	None
1023118072	NIEDERKOHR, RANDALL E, DDS	2021	FFS	RENDERING	AGE 0-20	288	None	2,398	None	274	None	965	None	112	None	411	None	274	None	362	None
1023118072	NIEDERKOHR, RANDALL E, DDS	2021	FFS	RENDERING	AGE 21+	24	None	138	None	18	None	20	None	14	None	46	None	20	None	20	None
1023122330	JAHANGIRI DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1023131497	LALABEKYAN ALEXANDER	2021	FFS	RENDERING	AGE 0-20	49	None	291	None	23	None	49	None	32	None	97	None	35	None	37	None
1023131497	LALABEKYAN ALEXANDER	2021	FFS	RENDERING	AGE 21+	597	None	4,053	None	212	None	341	None	491	None	2,372	None	419	None	422	None
1023133949	FONG, DIANA C, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1023134772	REYES, ASUNCION GARCIA, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	170	None	23	None	69	None	14	None	40	None	20	None	29	None
1023134772	REYES, ASUNCION GARCIA, DDS	2021	FFS	RENDERING	AGE 21+	63	None	342	None	49	None	98	None	27	None	91	None	57	None	57	None
1023137387	SONG YUN U	2021	FFS	RENDERING	AGE 0-20	429	None	5,919	None	335	None	1,117	None	239	None	1,860	None	416	None	521	None
1023137387	SONG YUN U	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1023140019	SAFARIAN SHAHIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023140019	SAFARIAN SHAHIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1023140688	HAROLD IGNACIO PORTILLA DDS	2021	FFS	RENDERING	AGE 0-20	157	None	1,169	None	146	None	354	None	79	None	304	None	153	None	168	None
1023140688	HAROLD IGNACIO PORTILLA DDS	2021	FFS	RENDERING	AGE 21+	330	None	2,174	None	307	None	758	None	212	None	745	None	310	None	310	None
1023141991	CHOW NORMAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1023141991	CHOW NORMAN	2021	FFS	RENDERING	AGE 21+	21	None	105	None	13	None	13	None	13	None	30	None	16	None	16	None
1023147865	RUIZ, HUMBERTO, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023147865	RUIZ, HUMBERTO, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023150703	REGALA ZINNIA C	2021	FFS	RENDERING	AGE 0-20	95	None	761	None	85	None	275	None	55	None	164	None	79	None	96	None
1023151669	TRAN KHIET M	2021	FFS	RENDERING	AGE 0-20	151	None	1,411	None	141	None	294	None	30	None	83	None	139	None	145	None
1023151669	TRAN KHIET M	2021	FFS	RENDERING	AGE 21+	156	None	1,199	None	95	None	97	None	85	None	194	None	110	None	111	None
1023153665	MUNIYAPPA, MANJULA, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	88	None	None	1	None	2	None	1	None	2	None	1	None	1
1023153665	MUNIYAPPA, MANJULA, DDS	2021	FFS	RENDERING	AGE 21+	87	None	751	None	38	None	47	None	85	None	482	None	52	None	52	None
1023158169	LAZARO PABLO	2021	FFS	RENDERING	AGE 0-20	188	None	1,278	None	165	None	357	None	54	None	144	None	174	None	186	None
1023158169	LAZARO PABLO	2021	FFS	RENDERING	AGE 21+	214	None	1,257	None	101	None	190	None	130	None	492	None	160	None	160	None
1023160108	THEIN NILAR	2021	FFS	RENDERING	AGE 0-20	68	None	663	None	62	None	216	None	24	None	37	None	53	None	57	None
1023160108	THEIN NILAR	2021	FFS	RENDERING	AGE 21+	61	None	254	None	19	None	35	None	37	None	100	None	31	None	33	None
1023161312	LE, TIN MINH, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	334	None	28	None	145	None	None	1	None	1	28	None	53	None
1023161312	LE, TIN MINH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1023162674	DWARNAL, VENKATESH, DDS	2021	FFS	RENDERING	AGE 0-20	112	None	1,791	None	110	None	477	None	60	None	221	None	110	None	151	None
1023162674	DWARNAL, VENKATESH, DDS	2021	FFS	RENDERING	AGE 21+	171	None	1,631	None	95	None	188	None	141	None	729	None	119	None	119	None
1023165255	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	1,025	None	7,805	None	443	None	1,534	None	318	None	646	None	604	None	628	None
1023165255	UNKNOWN	2021	FFS	RENDERING	AGE 21+	2,608	None	14,954	None	563	None	784	None	946	None	2,044	None	1,533	None	1,536	None
1023165255	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	493	None	3,318	None	232	None	713	None	133	None	341	None	386	None	420	None
1023165255	UNKNOWN	2021	PHP	RENDERING	AGE 21+	852	None	5,376	None	237	None	340	None	367	None	1,237	None	654	None	715	None
1023165255	ZAK ILYA	2021	FFS	RENDERING	AGE 0-20	1,025	None	7,805	None	443	None	1,534	None	318	None	646	None	604	None	628	None
1023165255	ZAK ILYA	2021	FFS	RENDERING	AGE 21+	2,608	None	14,954	None	563	None	784	None	946	None	2,044	None	1,533	None	1,536	None
1023165255	ZAK ILYA	2021	PHP	RENDERING	AGE 0-20	493	None	3,318	None	232	None	713	None	133	None	341	None	386	None	420	None
1023165255	ZAK ILYA	2021	PHP	RENDERING	AGE 21+	852	None	5,376	None	237	None	340	None	367	None	1,237	None	654	None	715	None
1023165255	ZAK, ILYA, DDS	2021	FFS	RENDERING	AGE 0-20	1,025	None	7,805	None	443	None	1,534	None	318	None	646	None	604	None	628	None
1023165255	ZAK, ILYA, DDS	2021	FFS	RENDERING	AGE 21+	2,608	None	14,954	None	563	None	784	None	946	None	2,044	None	1,533	None	1,536	None
1023165255	ZAK, ILYA, DDS	2021	PHP	RENDERING	AGE 0-20	493	None	3,318	None	232	None	713	None	133	None	341	None	386	None	420	None
1023165255	ZAK, ILYA, DDS	2021	PHP	RENDERING	AGE 21+	852	None	5,376	None	237	None	340	None	367	None	1,237	None	654	None	715	None
1023170297	NGUYEN CHRISTOPHER H	2021	FFS	RENDERING	AGE 0-20	53	None	134	None	0	None	0	None	21	None	74	None	0	None	0	None
1023170297	NGUYEN CHRISTOPHER H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023171832	NELSON BONNIE A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1023175890	TRAN, CHARLES C, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	88	None	None	1	None	2	None	1	None	2	None	1	None	1
1023175890	TRAN, CHARLES C, DDS	2021	FFS	RENDERING	AGE 21+	296	None	2,747	None	144	None	300	None	219	None	754	None	218	None	222	None
1023175890	TRAN, CHARLES C, DDS	2021	GMC	RENDERING	AGE 0-20	602	None	4,526	None	529	None	1,551	None	186	None	276	None	544	None	594	None
1023175890	TRAN, CHARLES C, DDS	2021	GMC	RENDERING	AGE 21+	378	None	3,049	None	260	None	520	None	209	None	524	None	294	None	296	None
1023175890	TRAN, CHARLES DDS	2021	FFS	RENDERING	AGE 0-20	12	None	88	None	None	1	None	2	None	1	None	2	None	1	None	1
1023175890	TRAN, CHARLES DDS	2021	FFS	RENDERING	AGE 21+	296	None	2,747	None	144	None	300	None	219	None	754	None	218	None	222	None
1023175890	TRAN, CHARLES DDS	2021	GMC	RENDERING	AGE 0-20	602	None	4,526	None	529	None	1,551	None	186	None	276	None	544	None	594	None
1023175890	TRAN, CHARLES DDS	2021	GMC	RENDERING	AGE 21+	378	None	3,049	None	260	None	520	None	209	None	524	None	294	None	296	None
1023179884	ROSSOPOULOS EVANGELOS T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023198652	HUYNH MY T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1023198652	HUYNH MY T	2021	GMC	RENDERING	AGE 0-20	672	None	5,584	None	550	None	1,910	None	224	None	392	None	645	None	788	None
1023200979	TA JASON H	2021	FFS	RENDERING	AGE 0-20	17	None	142	None	15	None	36	None	None	1	None	2	17	None	20	None
1023200979	TA JASON H	2021	FFS	RENDERING	AGE 21+	54	None	399	None	38	None	73	None	42	None	191	None	37	None	37	None
1023201647	DUBIEL JOHN A	2021	FFS	RENDERING	AGE 0-20	83	None	443	None	40	None	122	None	26	None	64	None	64	None	64	None
1023201647	DUBIEL JOHN A	2021	FFS	RENDERING	AGE 21+	171	None	649	None	30	None	43	None	92	None	233	None	99	None	99	None
1023202496	MORALES, MAIRA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1023205143	DE LEON MANUEL A	2021	FFS	RENDERING	AGE 0-20	13	None	84	None	11	None	25	None	None	1	None	1	None	1	None	1
1023205143	DE LEON MANUEL A	2021	FFS	RENDERING	AGE 21+	50	None	211	None	17	None	27	None	27	None	61	None	23	None	23	None
1023217114	LEE JENNIFER C	2021	FFS	RENDERING	AGE 0-20	95	None	972	None	79	None	211	None	49	None	125	None	79	None	94	None
1023217114	LEE JENNIFER C	2021	FFS	RENDERING	AGE 21+	224	None	2,253	None	113	None	219	None	153	None	592	None	150	None	150	None
1023217114	LEE JENNIFER C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1023217114	LEE JENNIFER C	2021	PHP	RENDERING	AGE 21+	62	None	358	None	29	None	44	None	21	None	42	None	44	None	44	None
1023218658	CHEN LINDA B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023221850	DASTMALCHIAN, SHABNAM	2021	FFS	RENDERING	AGE 0-20	85	None	707	None	79	None	292	None	37	None	127	None	74	None	90	None
1023221850	DASTMALCHIAN, SHABNAM	2021	FFS	RENDERING	AGE 21+	177	None	1,101	None	97	None	191	None	114	None	464	None	136	None	136	None
1023221850	DASTMALCHIAN, SHABNAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1023221850	DASTMALCHIAN, SHABNAM	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1023222130	MOBILIA JOHN A	2021	FFS	RENDERING	AGE 0-20	40	None	208	None	30	None	71	None	16	None	51	None	33	None	35	None
1023222130	MOBILIA JOHN A	2021	FFS	RENDERING	AGE 21+	34	None	174	None	25	None	43	None	13	None	54	None	30	None	30	None
1023222569	RUIZ SR, IGNACIO DDS	2021	FFS	RENDERING	AGE 0-20	46	None	592	None	38	None	43	None	21	None	89	None	41	None	46	None
1023222569	RUIZ SR, IGNACIO DDS	2021	FFS	RENDERING	AGE 21+	197	None	2,031	None	40	None	40	None	129	None	625	None	144	None	144	None
1023225299	PATEL, VARSHA Y, DDS	2021	FFS	RENDERING	AGE 0-20	63	None	609	None	62	None	381	None	None	1	None	2	62	None	70	None
1023225299	PATEL, VARSHA Y, DDS	2021	FFS	RENDERING	AGE 21+	336	None	2,298	None	272	None	544	None	193	None	673	None	305	None	307	None
1023226123	HARUTYUNYAN ARMINE	2021	FFS	RENDERING	AGE 0-20	78	None	515	None	61	None	146	None	44	None	116	None	74	None	90	None
1023226123	HARUTYUNYAN ARMINE	2021	FFS	RENDERING	AGE 21+	245	None	1,705	None	140	None	219	None	174	None	784	None	201	None	201	None
1023229465	WONG HENRY C	2021	FFS	RENDERING	AGE 0-20	50	None	344	None	41	None	102	None	14	None	27	None	44	None	53	None
1023229465	WONG HENRY C	2021	FFS	RENDERING	AGE 21+	152	None	673	None	67	None	134	None	97	None	178	None	75	None	75	None
1023229747	NGUYEN, PAULINE P, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023237708	CHANG, KOOK-JIN, DDS	2021	FFS	RENDERING	AGE 0-20	1,288	None	11,128	None	976	None	3,504	None	388	None	827	None	1,031	None	1,045	None
1023237708	CHANG, KOOK-JIN, DDS	2021	FFS	RENDERING	AGE 21+	221	None	641	None	None	1	None	2	149	None	457	None	95	None	95	None
1023241452	NISSON, ROBERT L, DDS	2021	FFS	RENDERING	AGE 0-20	407	None	820	None	None	1	None	1	162	None	278	None	None	1	None	1
1023241452	NISSON, ROBERT L, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1023241452	NISSON, ROBERT L, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1023247186	GHAHREMANI SHIVA	2021	FFS	RENDERING	AGE 0-20	52	None	189	None	None	1	None	1	52	None	183	None	0	None	0	None
1023247186	GHAHREMANI SHIVA	2021	FFS	RENDERING	AGE 21+	238	None	1,158	None	0	None	0	None	238	None	1,158	None	0	None	0	None
1023260577	CHOI YUN J	2021	FFS	RENDERING	AGE 0-20	12	None	175	None	11	None	31	None	None	1	None	2	11	None	14	None
1023260577	CHOI YUN J	2021	FFS	RENDERING	AGE 21+	35	None	474	None	None	1	None	2	30	None	252	None	31	None	31	None
1023263167	ABAIAN MICHAEL M	2021	FFS	RENDERING	AGE 0-20	180	None	1,131	None	66	None	175	None	83	None	256	None	165	None	184	None
1023263167	ABAIAN MICHAEL M	2021	FFS	RENDERING	AGE 21+	343	None	1,761	None	54	None	79	None	207	None	800	None	246	None	248	None
1023263167	ABAIAN MICHAEL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1023263167	ABAIAN MICHAEL M	2021	PHP	RENDERING	AGE 21+	13	None	56	None	None	1	None	1	None	1	None	2	None	1	None	1
1023268513	YAKUBOV, ROLAND	2021	FFS	RENDERING	AGE 0-20	1,008	None	9,586	None	768	None	2,157	None	545	None	1,561	None	654	None	710	None
1023268513	YAKUBOV, ROLAND	2021	FFS	RENDERING	AGE 21+	1,132	None	10,045	None	512	None	990	None	689	None	2,576	None	658	None	661	None
1023284957	OGHANI-SARABI MARYAM	2021	FFS	RENDERING	AGE 0-20	500	None	2,779	None	289	None	1,057	None	88	None	247	None	466	None	524	None
1023284957	OGHANI-SARABI MARYAM	2021	FFS	RENDERING	AGE 21+	758	None	2,442	None	183	None	336	None	247	None	737	None	559	None	560	None
1023286879	KULALY, MANEEZA A DMD	2021	FFS	RENDERING	AGE 0-20	388	None	4,389	None	352	None	1,222	None	221	None	779	None	369	None	441	None
1023286879	KULALY, MANEEZA A DMD	2021	FFS	RENDERING	AGE 21+	720	None	4,447	None	558	None	1,095	None	396	None	1,406	None	627	None	627	None
1023286879	KULALY, MANEEZA A DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1023287539	SIDHU HARJIND S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1023287539	SIDHU HARJIND S	2021	FFS	RENDERING	AGE 21+	13	None	22	None	None	1	None	1	11	None	18	None	0	None	0	None
1023287679	T H E CLINIC AT RUTH	2021	PHP	RENDERING	AGE 0-20	31	None	249	None	31	None	111	None	None	1	None	2	25	None	26	None
1023287679	T H E CLINIC AT RUTH	2021	PHP	RENDERING	AGE 21+	43	None	353	None	43	None	114	None	22	None	80	None	23	None	27	None
1023291564	LIM TOM S	2021	FFS	RENDERING	AGE 0-20	25	None	148	None	22	None	44	None	None	1	None	2	23	None	24	None
1023291564	LIM TOM S	2021	FFS	RENDERING	AGE 21+	39	None	181	None	29	None	58	None	None	1	None	2	35	None	35	None
1023314259	CHEONG JUN	2021	FFS	RENDERING	AGE 0-20	87	None	377	None	58	None	130	None	36	None	120	None	71	None	79	None
1023314259	CHEONG JUN	2021	FFS	RENDERING	AGE 21+	196	None	967	None	124	None	235	None	118	None	427	None	157	None	157	None
1023326303	SHOJAEI NAHIDEH	2021	FFS	RENDERING	AGE 0-20	99	None	730	None	90	None	361	None	42	None	151	None	40	None	44	None
1023326303	SHOJAEI NAHIDEH	2021	FFS	RENDERING	AGE 21+	100	None	446	None	35	None	43	None	50	None	187	None	80	None	80	None
1023334489	CHANG LISA K	2021	FFS	RENDERING	AGE 0-20	182	None	272	None	0	None	0	None	50	None	99	None	0	None	0	None
1023334489	CHANG LISA K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1023334489	CHANG LISA K	2021	PHP	RENDERING	AGE 0-20	21	None	132	None	0	None	0	None	21	None	104	None	0	None	0	None
1023334489	CHANG LISA K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1023347614	JACOBSON SHABNAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1023347614	JACOBSON SHABNAM	2021	PHP	RENDERING	AGE 0-20	92	None	428	None	73	None	202	None	54	None	72	None	44	None	47	None
1023347614	JACOBSON SHABNAM	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023374410	TAYLOR ALAN B	2021	FFS	RENDERING	AGE 0-20	50	None	382	None	45	None	157	None	17	None	45	None	48	None	61	None
1023374410	TAYLOR ALAN B	2021	FFS	RENDERING	AGE 21+	19	None	84	None	11	None	12	None	14	None	33	None	None	1	None	1
1023397809	KULTHAM PRERNA S	2021	FFS	RENDERING	AGE 0-20	80	None	837	None	71	None	304	None	35	None	117	None	75	None	90	None
1023397809	KULTHAM PRERNA S	2021	FFS	RENDERING	AGE 21+	225	None	1,643	None	171	None	340	None	133	None	448	None	189	None	189	None
1023398344	KIM JESSE G	2021	FFS	RENDERING	AGE 0-20	543	None	3,010	None	397	None	1,054	None	160	None	301	None	506	None	551	None
1023398344	KIM JESSE G	2021	FFS	RENDERING	AGE 21+	844	None	2,743	None	188	None	321	None	286	None	751	None	612	None	612	None
1023398344	KIM JESSE G	2021	PHP	RENDERING	AGE 0-20	16	None	80	None	None	1	None	2	None	1	None	2	None	1	None	1
1023398344	KIM JESSE G	2021	PHP	RENDERING	AGE 21+	55	None	212	None	None	1	None	2	31	None	88	None	28	None	29	None
1023408457	ROMANO MARIA A	2021	FFS	RENDERING	AGE 0-20	26	None	181	None	23	None	30	None	None	1	None	2	22	None	22	None
1023408457	ROMANO MARIA A	2021	FFS	RENDERING	AGE 21+	156	None	1,040	None	83	None	83	None	97	None	394	None	69	None	69	None
1023409190	DANIEL MORGAN DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1023412848	AHN, RAY EUYEEN, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	85	None	15	None	23	None	None	1	None	2	13	None	14	None
1023412848	AHN, RAY EUYEEN, DDS	2021	FFS	RENDERING	AGE 21+	92	None	606	None	65	None	65	None	60	None	274	None	69	None	69	None
1023413424	BEDILO ELENA	2021	FFS	RENDERING	AGE 0-20	637	None	7,818	None	169	None	478	None	625	None	5,698	None	158	None	161	None
1023414000	MASHKOOR FATIMA	2021	FFS	RENDERING	AGE 0-20	214	None	777	None	0	None	0	None	213	None	748	None	None	1	None	1
1023414000	MASHKOOR FATIMA	2021	FFS	RENDERING	AGE 21+	1,323	None	3,691	None	0	None	0	None	1,320	None	3,646	None	0	None	0	None
1023416120	AHN JI HYUN	2021	FFS	RENDERING	AGE 0-20	67	None	114	None	0	None	0	None	36	None	69	None	0	None	0	None
1023416120	AHN JI HYUN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1023416120	AHN JI HYUN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023418894	SHAW ANGELA	2021	FFS	RENDERING	AGE 0-20	49	None	320	None	46	None	139	None	11	None	33	None	44	None	50	None
1023418894	SHAW ANGELA	2021	FFS	RENDERING	AGE 21+	65	None	411	None	41	None	80	None	35	None	169	None	58	None	58	None
1023432937	NIKTASH MOJGAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023432937	NIKTASH MOJGAN	2021	FFS	RENDERING	AGE 21+	28	None	271	None	None	1	None	1	21	None	108	None	22	None	22	None
1023443454	ELIASIAN ANDRE	2021	FFS	RENDERING	AGE 0-20	58	None	189	None	35	None	47	None	24	None	58	None	30	None	30	None
1023443454	ELIASIAN ANDRE	2021	FFS	RENDERING	AGE 21+	886	None	2,923	None	260	None	262	None	570	None	1,570	None	437	None	437	None
1023458064	TAGUINOD NOEMI G	2021	FFS	RENDERING	AGE 0-20	46	None	388	None	42	None	110	None	24	None	64	None	38	None	47	None
1023458064	TAGUINOD NOEMI G	2021	FFS	RENDERING	AGE 21+	174	None	1,085	None	96	None	138	None	129	None	533	None	112	None	112	None
1023458387	BROWN KENNETH R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1023459856	HAGHI ARSHAN	2021	FFS	RENDERING	AGE 0-20	205	None	348	None	0	None	0	None	54	None	145	None	0	None	0	None
1023468667	RIAD KIROLLOS R	2021	FFS	RENDERING	AGE 0-20	376	None	3,566	None	356	None	1,209	None	178	None	597	None	366	None	510	None
1023468667	RIAD KIROLLOS R	2021	FFS	RENDERING	AGE 21+	387	None	3,059	None	218	None	435	None	311	None	1,361	None	270	None	270	None
1023503232	LEE, NATALIA, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1023503620	HAROUNI NIMA D	2021	FFS	RENDERING	AGE 0-20	186	None	2,408	None	173	None	947	None	106	None	281	None	180	None	230	None
1023503620	HAROUNI NIMA D	2021	FFS	RENDERING	AGE 21+	328	None	2,236	None	199	None	391	None	195	None	594	None	259	None	259	None
1023524923	YASSA SHEREIF	2021	FFS	RENDERING	AGE 0-20	75	None	339	None	46	None	178	None	33	None	63	None	32	None	33	None
1023524923	YASSA SHEREIF	2021	FFS	RENDERING	AGE 21+	99	None	232	None	33	None	65	None	49	None	96	None	26	None	26	None
1023524923	YASSA SHEREIF	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023524923	YASSA SHEREIF	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1023539707	PHAM-TRAN SABRINA	2021	FFS	RENDERING	AGE 0-20	104	None	512	None	85	None	175	None	36	None	94	None	86	None	97	None
1023539707	PHAM-TRAN SABRINA	2021	FFS	RENDERING	AGE 21+	156	None	716	None	93	None	93	None	85	None	247	None	111	None	111	None
1023553245	CASTANEDA FASSI CAROLYN E	2021	FFS	RENDERING	AGE 0-20	117	None	994	None	95	None	319	None	69	None	195	None	81	None	92	None
1023553245	CASTANEDA FASSI CAROLYN E	2021	FFS	RENDERING	AGE 21+	325	None	1,815	None	153	None	296	None	175	None	577	None	210	None	210	None
1023554565	ESPINOZA RUBEN	2021	FFS	RENDERING	AGE 0-20	3,206	None	40,089	None	3,115	None	15,218	None	1,883	None	6,583	None	3,047	None	4,893	None
1023554565	ESPINOZA RUBEN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023571510	LEE NATHAN KYUNG H	2021	FFS	RENDERING	AGE 0-20	250	None	2,579	None	233	None	634	None	218	None	993	None	226	None	231	None
1023571510	LEE NATHAN KYUNG H	2021	FFS	RENDERING	AGE 21+	222	None	1,654	None	102	None	204	None	162	None	956	None	141	None	141	None
1023571510	LEE NATHAN KYUNG H	2021	GMC	RENDERING	AGE 0-20	620	None	2,480	None	620	None	620	None	620	None	620	None	0	None	0	None
1023571510	LEE NATHAN KYUNG H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1023571510	LEE NATHAN KYUNG H	2021	PHP	RENDERING	AGE 0-20	75	None	334	None	75	None	88	None	75	None	82	None	None	1	None	1
1023571510	LEE NATHAN KYUNG H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1023571924	MADISETTY VIGNESH K	2021	FFS	RENDERING	AGE 0-20	64	None	437	None	51	None	122	None	32	None	91	None	52	None	55	None
1023571924	MADISETTY VIGNESH K	2021	FFS	RENDERING	AGE 21+	145	None	852	None	66	None	83	None	101	None	368	None	83	None	83	None
1023579208	SHOKER, D, DENTAL INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1023605920	CHUNG DO YOUNG	2021	FFS	RENDERING	AGE 0-20	27	None	237	None	21	None	103	None	11	None	48	None	26	None	26	None
1023605920	CHUNG DO YOUNG	2021	FFS	RENDERING	AGE 21+	93	None	481	None	48	None	91	None	40	None	146	None	88	None	88	None
1023609948	UKAILY FAHAD L	2021	FFS	RENDERING	AGE 0-20	196	None	807	None	82	None	220	None	151	None	459	None	48	None	48	None
1023609948	UKAILY FAHAD L	2021	FFS	RENDERING	AGE 21+	547	None	1,713	None	83	None	156	None	417	None	1,221	None	114	None	115	None
1023620986	VU PHUONG H	2021	FFS	RENDERING	AGE 0-20	84	None	411	None	54	None	106	None	30	None	93	None	66	None	66	None
1023620986	VU PHUONG H	2021	FFS	RENDERING	AGE 21+	214	None	1,065	None	94	None	183	None	140	None	446	None	149	None	149	None
1023662178	MANANDHAR MANABU	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1023662178	MANANDHAR MANABU	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1023662608	CARRARA ROBERT P	2021	FFS	RENDERING	AGE 0-20	110	None	590	None	61	None	128	None	39	None	68	None	90	None	90	None
1023662608	CARRARA ROBERT P	2021	FFS	RENDERING	AGE 21+	182	None	741	None	48	None	65	None	95	None	223	None	121	None	123	None
1023680600	BARADARAN NAKHJ FARID	2021	FFS	RENDERING	AGE 0-20	50	None	219	None	31	None	64	None	19	None	34	None	33	None	33	None
1023680600	BARADARAN NAKHJ FARID	2021	FFS	RENDERING	AGE 21+	78	None	212	None	16	None	28	None	50	None	101	None	26	None	26	None
1033105481	BABIAN, MEHER, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1033105481	BABIAN, MEHER, DDS	2021	FFS	RENDERING	AGE 21+	581	None	3,100	None	168	None	168	None	501	None	2,204	None	150	None	150	None
1033115894	CHEN KIM CHIN P	2021	FFS	RENDERING	AGE 0-20	140	None	1,025	None	100	None	264	None	102	None	195	None	98	None	100	None
1033120860	JOE JEFFREY W	2021	FFS	RENDERING	AGE 0-20	46	None	297	None	38	None	85	None	23	None	74	None	37	None	40	None
1033120860	JOE JEFFREY W	2021	FFS	RENDERING	AGE 21+	183	None	1,035	None	71	None	116	None	118	None	442	None	111	None	113	None
1033120860	JOE JEFFREY W	2021	PHP	RENDERING	AGE 21+	14	None	50	None	None	1	None	2	None	1	None	1	12	None	12	None
1033122510	NAKABAYASHI, RICHARD LEIGH	2021	FFS	RENDERING	AGE 0-20	199	None	875	None	28	None	53	None	171	None	486	None	25	None	25	None
1033122510	NAKABAYASHI, RICHARD LEIGH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1033127923	EPSTEIN DAVID WILLIAM	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1033128111	VALDEZ, MARIO G DDS	2021	FFS	RENDERING	AGE 0-20	179	None	1,779	None	172	None	558	None	38	None	113	None	138	None	148	None
1033128111	VALDEZ, MARIO G DDS	2021	FFS	RENDERING	AGE 21+	208	None	1,610	None	115	None	225	None	102	None	342	None	159	None	159	None
1033161336	FERNANDEZ FERNANDO B	2021	FFS	RENDERING	AGE 0-20	50	None	355	None	31	None	66	None	23	None	46	None	35	None	37	None
1033161336	FERNANDEZ FERNANDO B	2021	FFS	RENDERING	AGE 21+	178	None	1,364	None	13	None	13	None	134	None	457	None	87	None	87	None
1033177407	MALLARI HERMES B	2021	FFS	RENDERING	AGE 0-20	74	None	352	None	55	None	134	None	16	None	68	None	64	None	64	None
1033177407	MALLARI HERMES B	2021	FFS	RENDERING	AGE 21+	466	None	1,831	None	169	None	317	None	237	None	771	None	336	None	336	None
1033177860	PATEL TRUSHYAP R	2021	FFS	RENDERING	AGE 0-20	434	None	2,154	None	169	None	532	None	350	None	1,130	None	53	None	53	None
1033177860	PATEL TRUSHYAP R	2021	FFS	RENDERING	AGE 21+	543	None	2,333	None	164	None	281	None	492	None	1,680	None	49	None	49	None
1033199112	MUSTAFA ABRAHIM A	2021	FFS	RENDERING	AGE 0-20	561	None	3,464	None	410	None	1,193	None	249	None	490	None	454	None	521	None
1033199112	MUSTAFA ABRAHIM A	2021	FFS	RENDERING	AGE 21+	732	None	3,348	None	187	None	190	None	393	None	893	None	467	None	467	None
1033199112	MUSTAFA ABRAHIM A	2021	PHP	RENDERING	AGE 0-20	191	None	1,051	None	140	None	377	None	88	None	169	None	144	None	157	None
1033199112	MUSTAFA ABRAHIM A	2021	PHP	RENDERING	AGE 21+	157	None	668	None	39	None	41	None	110	None	282	None	78	None	79	None
1033202726	NGUYEN ELIZABETH K	2021	FFS	RENDERING	AGE 0-20	42	None	545	None	39	None	166	None	26	None	139	None	40	None	56	None
1033202726	NGUYEN ELIZABETH K	2021	FFS	RENDERING	AGE 21+	135	None	831	None	82	None	163	None	70	None	302	None	120	None	120	None
1033202817	SOUTO WILLIAM T	2021	FFS	RENDERING	AGE 0-20	134	None	647	None	80	None	172	None	61	None	125	None	92	None	99	None
1033202817	SOUTO WILLIAM T	2021	FFS	RENDERING	AGE 21+	418	None	1,602	None	84	None	168	None	304	None	746	None	184	None	184	None
1033203690	KACH, MICHAEL DDS	2021	FFS	RENDERING	AGE 0-20	64	None	350	None	50	None	86	None	12	None	32	None	41	None	41	None
1033203690	KACH, MICHAEL DDS	2021	FFS	RENDERING	AGE 21+	225	None	1,161	None	76	None	76	None	118	None	360	None	131	None	131	None
1033203690	KACH, MICHAEL DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033205026	DIANATYAZDI KOUROSH	2021	FFS	RENDERING	AGE 0-20	30	None	275	None	25	None	89	None	None	1	None	1	24	None	26	None
1033205026	DIANATYAZDI KOUROSH	2021	FFS	RENDERING	AGE 21+	74	None	476	None	36	None	65	None	48	None	143	None	51	None	51	None
1033205026	DIANATYAZDI KOUROSH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1033205026	DIANATYAZDI KOUROSH	2021	PHP	RENDERING	AGE 21+	19	None	192	None	None	1	None	2	14	None	78	None	17	None	17	None
1033205901	BENNETT TIMOTHY P	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1033210489	BOUDAIE DANIEL DMD	2021	FFS	RENDERING	AGE 0-20	314	None	4,008	None	178	None	689	None	166	None	728	None	293	None	364	None
1033210489	BOUDAIE DANIEL DMD	2021	FFS	RENDERING	AGE 21+	497	None	4,715	None	None	1	None	1	358	None	2,256	None	413	None	413	None
1033210489	BOUDAIE DANIEL DMD	2021	PHP	RENDERING	AGE 0-20	69	None	669	None	57	None	186	None	17	None	58	None	68	None	82	None
1033210489	BOUDAIE DANIEL DMD	2021	PHP	RENDERING	AGE 21+	96	None	489	None	11	None	11	None	42	None	198	None	93	None	99	None
1033212592	GUPTA JUGAL K	2021	FFS	RENDERING	AGE 0-20	84	None	438	None	66	None	81	None	42	None	118	None	70	None	72	None
1033212592	GUPTA JUGAL K	2021	FFS	RENDERING	AGE 21+	182	None	807	None	69	None	69	None	106	None	234	None	129	None	129	None
1033215470	CATAQUIZ REBECCA P	2021	FFS	RENDERING	AGE 0-20	189	None	1,471	None	123	None	497	None	89	None	369	None	162	None	163	None
1033215470	CATAQUIZ REBECCA P	2021	FFS	RENDERING	AGE 21+	581	None	2,805	None	194	None	386	None	236	None	989	None	420	None	420	None
1033215470	CATAQUIZ REBECCA P	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1033216056	PATEL HARSHITA	2021	FFS	RENDERING	AGE 0-20	791	None	8,576	None	696	None	4,472	None	350	None	859	None	754	None	826	None
1033216056	PATEL HARSHITA	2021	FFS	RENDERING	AGE 21+	957	None	5,242	None	607	None	699	None	615	None	1,723	None	741	None	741	None
1033229828	AMINI, MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	48	None	376	None	34	None	118	None	22	None	65	None	41	None	43	None
1033229828	AMINI, MOHAMMAD	2021	FFS	RENDERING	AGE 21+	514	None	4,141	None	191	None	382	None	423	None	1,726	None	349	None	349	None
1033232822	WANG, TIEN CHUN D, DMD	2021	FFS	RENDERING	AGE 0-20	38	None	164	None	34	None	80	None	None	1	None	1	20	None	20	None
1033232822	WANG, TIEN CHUN D, DMD	2021	FFS	RENDERING	AGE 21+	26	None	79	None	16	None	16	None	None	1	None	2	16	None	16	None
1033232822	WANG, TIEN CHUN D, DMD	2021	PHP	RENDERING	AGE 0-20	186	None	1,105	None	171	None	498	None	42	None	81	None	181	None	198	None
1033232822	WANG, TIEN CHUN D, DMD	2021	PHP	RENDERING	AGE 21+	259	None	966	None	173	None	254	None	111	None	197	None	193	None	196	None
1033234331	HAN, MI YOUNG, DDS	2021	FFS	RENDERING	AGE 0-20	101	None	860	None	96	None	223	None	41	None	125	None	88	None	104	None
1033234331	HAN, MI YOUNG, DDS	2021	FFS	RENDERING	AGE 21+	184	None	1,502	None	134	None	260	None	100	None	249	None	152	None	152	None
1033241013	NGO, THU THI-BICH, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1033241013	NGO, THU THI-BICH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033241161	LIU KENNY	2021	FFS	RENDERING	AGE 0-20	292	None	685	None	None	1	None	1	124	None	345	None	None	1	None	1
1033241161	LIU KENNY	2021	FFS	RENDERING	AGE 21+	23	None	26	None	0	None	0	None	None	1	None	1	0	None	0	None
1033242524	TRAN NOREEN N	2021	FFS	RENDERING	AGE 0-20	112	None	1,186	None	98	None	426	None	59	None	316	None	96	None	113	None
1033242524	TRAN NOREEN N	2021	FFS	RENDERING	AGE 21+	122	None	797	None	69	None	85	None	82	None	391	None	87	None	90	None
1033243498	ATLAS DENTAL CARE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1033244819	SARKISSIAN, GRIGOR G DDS	2021	FFS	RENDERING	AGE 0-20	23	None	79	None	None	1	None	1	13	None	18	None	19	None	19	None
1033244819	SARKISSIAN, GRIGOR G DDS	2021	FFS	RENDERING	AGE 21+	573	None	2,707	None	267	None	267	None	465	None	1,434	None	430	None	430	None
1033254792	NICA ANCA R	2021	PHP	RENDERING	AGE 0-20	79	None	449	None	62	None	180	None	48	None	56	None	38	None	40	None
1033254792	NICA ANCA R	2021	PHP	RENDERING	AGE 21+	150	None	555	None	63	None	97	None	130	None	195	None	44	None	44	None
1033260153	SHAIN NAT R DDS	2021	FFS	RENDERING	AGE 0-20	63	None	564	None	58	None	140	None	21	None	50	None	57	None	69	None
1033260153	SHAIN NAT R DDS	2021	FFS	RENDERING	AGE 21+	73	None	491	None	58	None	113	None	29	None	56	None	60	None	60	None
1033261730	VAUGHN LORENIA L	2021	FFS	RENDERING	AGE 0-20	101	None	1,195	None	82	None	267	None	37	None	136	None	99	None	129	None
1033261730	VAUGHN LORENIA L	2021	FFS	RENDERING	AGE 21+	363	None	2,355	None	131	None	256	None	134	None	670	None	341	None	341	None
1033267422	BEHESHTIAN MORTEZA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1033270319	TRAN TAM D	2021	FFS	RENDERING	AGE 0-20	1,153	None	4,353	None	255	None	671	None	56	None	87	None	1,093	None	1,216	None
1033270319	TRAN TAM D	2021	FFS	RENDERING	AGE 21+	1,529	None	3,715	None	75	None	131	None	65	None	101	None	1,455	None	1,455	None
1033270335	TIRUPATHI HARITHA	2021	FFS	RENDERING	AGE 0-20	44	None	532	None	42	None	119	None	23	None	94	None	42	None	48	None
1033270335	TIRUPATHI HARITHA	2021	FFS	RENDERING	AGE 21+	226	None	1,435	None	171	None	337	None	111	None	396	None	204	None	204	None
1033271713	BEZAD PATRICIA	2021	FFS	RENDERING	AGE 0-20	87	None	199	None	0	None	0	None	87	None	197	None	0	None	0	None
1033271713	BEZAD PATRICIA	2021	FFS	RENDERING	AGE 21+	908	None	2,939	None	0	None	0	None	759	None	2,569	None	161	None	161	None
1033274519	HANASAB DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	48	None	357	None	45	None	115	None	11	None	30	None	44	None	44	None
1033274519	HANASAB DENTAL CORP	2021	PHP	RENDERING	AGE 21+	28	None	149	None	18	None	24	None	12	None	33	None	22	None	22	None
1033274782	DEHESTANI FATEMEH	2021	FFS	RENDERING	AGE 0-20	205	None	1,017	None	107	None	245	None	67	None	246	None	110	None	114	None
1033274782	DEHESTANI FATEMEH	2021	FFS	RENDERING	AGE 21+	478	None	1,775	None	97	None	191	None	176	None	639	None	187	None	187	None
1033274782	DEHESTANI FATEMEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1033275029	REZAI, NESHAT, DDS	2021	FFS	RENDERING	AGE 0-20	84	None	307	None	77	None	129	None	None	1	None	2	79	None	79	None
1033275029	REZAI, NESHAT, DDS	2021	FFS	RENDERING	AGE 21+	311	None	1,810	None	269	None	760	None	118	None	408	None	283	None	285	None
1033277264	VO COLLEEN P	2021	FFS	RENDERING	AGE 0-20	304	None	1,533	None	164	None	357	None	152	None	440	None	220	None	234	None
1033277264	VO COLLEEN P	2021	FFS	RENDERING	AGE 21+	489	None	1,856	None	106	None	192	None	258	None	766	None	315	None	317	None
1033277264	VO COLLEEN P	2021	PHP	RENDERING	AGE 0-20	93	None	630	None	52	None	150	None	55	None	200	None	73	None	86	None
1033277264	VO COLLEEN P	2021	PHP	RENDERING	AGE 21+	136	None	583	None	32	None	43	None	92	None	321	None	73	None	75	None
1033285275	MULLER SHEILA A	2021	FFS	RENDERING	AGE 0-20	205	None	2,244	None	196	None	667	None	106	None	485	None	188	None	275	None
1033287495	CRESPO PAUL	2021	FFS	RENDERING	AGE 0-20	23	None	167	None	19	None	58	None	11	None	58	None	17	None	24	None
1033287495	CRESPO PAUL	2021	FFS	RENDERING	AGE 21+	56	None	262	None	36	None	36	None	32	None	123	None	35	None	35	None
1033293402	DE LUNA JOSE E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1033293402	DE LUNA JOSE E	2021	FFS	RENDERING	AGE 21+	13	None	55	None	None	1	None	2	None	1	None	1	None	1	None	1
1033304720	ZOUBTSOV VIACHESLAV S	2021	FFS	RENDERING	AGE 0-20	436	None	3,208	None	431	None	1,585	None	0	None	0	None	432	None	432	None
1033304720	ZOUBTSOV VIACHESLAV S	2021	PHP	RENDERING	AGE 0-20	44	None	352	None	43	None	162	None	None	1	None	1	43	None	43	None
1033308580	KAGAN, INNA DDS	2021	FFS	RENDERING	AGE 0-20	103	None	891	None	97	None	416	None	52	None	165	None	102	None	150	None
1033308580	KAGAN, INNA DDS	2021	FFS	RENDERING	AGE 21+	391	None	2,057	None	174	None	353	None	263	None	948	None	323	None	323	None
1033308580	KAGAN, INNA DDS	2021	PHP	RENDERING	AGE 0-20	36	None	224	None	32	None	74	None	18	None	68	None	34	None	36	None
1033314232	AL BOUZ MAHER	2021	FFS	RENDERING	AGE 0-20	34	None	195	None	25	None	51	None	13	None	40	None	25	None	26	None
1033314232	AL BOUZ MAHER	2021	FFS	RENDERING	AGE 21+	152	None	644	None	56	None	63	None	79	None	245	None	116	None	116	None
1033320460	CHOE STEEVE C	2021	FFS	RENDERING	AGE 0-20	84	None	444	None	59	None	190	None	38	None	88	None	65	None	70	None
1033320460	CHOE STEEVE C	2021	FFS	RENDERING	AGE 21+	497	None	2,308	None	206	None	379	None	309	None	1,165	None	295	None	295	None
1033320759	RIVERA NOEL C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1033327812	MAGALLANES, ALEXANDER	2021	FFS	RENDERING	AGE 0-20	181	None	779	None	129	None	421	None	14	None	24	None	155	None	176	None
1033327812	MAGALLANES, ALEXANDER	2021	FFS	RENDERING	AGE 21+	25	None	75	None	12	None	22	None	None	1	None	1	19	None	19	None
1033327812	MAGALLANES, ALEXANDER J, DDS	2021	FFS	RENDERING	AGE 0-20	181	None	779	None	129	None	421	None	14	None	24	None	155	None	176	None
1033327812	MAGALLANES, ALEXANDER J, DDS	2021	FFS	RENDERING	AGE 21+	25	None	75	None	12	None	22	None	None	1	None	1	19	None	19	None
1033329115	SARGISSIAN SOPHIA	2021	FFS	RENDERING	AGE 0-20	11	None	99	None	None	1	None	2	None	1	None	2	11	None	13	None
1033329115	SARGISSIAN SOPHIA	2021	FFS	RENDERING	AGE 21+	59	None	331	None	31	None	31	None	33	None	90	None	50	None	50	None
1033346077	GANJI DAVID S	2021	FFS	RENDERING	AGE 0-20	358	None	2,159	None	204	None	589	None	162	None	613	None	309	None	330	None
1033346077	GANJI DAVID S	2021	FFS	RENDERING	AGE 21+	1,384	None	6,229	None	307	None	555	None	660	None	2,379	None	1,151	None	1,155	None
1033358593	JACOB EVELINDA D	2021	FFS	RENDERING	AGE 0-20	297	None	1,365	None	153	None	399	None	130	None	258	None	243	None	255	None
1033358593	JACOB EVELINDA D	2021	FFS	RENDERING	AGE 21+	568	None	1,757	None	81	None	142	None	263	None	678	None	367	None	367	None
1033358593	JACOB EVELINDA D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1033374293	RHAYEM, ZIAD GEORGES, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	106	None	None	1	None	2	11	None	44	None	None	1	None	2
1033374293	RHAYEM, ZIAD GEORGES, DDS	2021	FFS	RENDERING	AGE 21+	56	None	475	None	27	None	52	None	55	None	229	None	45	None	45	None
1033374293	RHAYEM, ZIAD GEORGES, DDS	2021	PHP	RENDERING	AGE 0-20	91	None	790	None	81	None	227	None	89	None	210	None	88	None	95	None
1033374293	RHAYEM, ZIAD GEORGES, DDS	2021	PHP	RENDERING	AGE 21+	163	None	1,630	None	138	None	353	None	163	None	641	None	137	None	163	None
1033381264	TO ERIC CHUN HIN	2021	PHP	RENDERING	AGE 0-20	35	None	320	None	35	None	118	None	None	1	None	1	35	None	48	None
1033384037	FINEGOLD DEBORAH H	2021	FFS	RENDERING	AGE 0-20	691	None	3,292	None	0	None	0	None	434	None	2,367	None	427	None	429	None
1033384037	FINEGOLD DEBORAH H	2021	FFS	RENDERING	AGE 21+	894	None	4,353	None	0	None	0	None	646	None	3,080	None	550	None	552	None
1033395447	NEJATFARD HAMEED R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033395447	NEJATFARD HAMEED R	2021	FFS	RENDERING	AGE 21+	65	None	172	None	11	None	11	None	51	None	128	None	None	1	None	1
1033397310	LE, NATHAN HIEN DMD	2021	FFS	RENDERING	AGE 0-20	79	None	554	None	73	None	116	None	26	None	53	None	71	None	82	None
1033397310	LE, NATHAN HIEN DMD	2021	FFS	RENDERING	AGE 21+	346	None	2,186	None	233	None	257	None	204	None	536	None	261	None	261	None
1033399183	NESSIM MAGED Z	2021	FFS	RENDERING	AGE 0-20	93	None	390	None	58	None	168	None	31	None	92	None	58	None	58	None
1033399183	NESSIM MAGED Z	2021	FFS	RENDERING	AGE 21+	303	None	821	None	65	None	104	None	137	None	348	None	153	None	153	None
1033399183	NESSIM MAGED Z	2021	PHP	RENDERING	AGE 0-20	16	None	73	None	None	1	None	2	None	1	None	2	None	1	None	1
1033399183	NESSIM MAGED Z	2021	PHP	RENDERING	AGE 21+	39	None	216	None	None	1	None	2	30	None	161	None	15	None	15	None
1033409834	SHAW I-TIEN E	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1033422720	VALTCHEVA SILVIA V	2021	FFS	RENDERING	AGE 0-20	190	None	812	None	137	None	305	None	36	None	69	None	167	None	176	None
1033422720	VALTCHEVA SILVIA V	2021	FFS	RENDERING	AGE 21+	327	None	898	None	73	None	95	None	93	None	196	None	220	None	221	None
1033422720	VALTCHEVA SILVIA V	2021	PHP	RENDERING	AGE 0-20	84	None	301	None	69	None	162	None	17	None	26	None	77	None	81	None
1033422720	VALTCHEVA SILVIA V	2021	PHP	RENDERING	AGE 21+	160	None	498	None	106	None	167	None	54	None	151	None	126	None	132	None
1033431630	MARTIN, ELMEZEN, RDHAP	2021	FFS	RENDERING	AGE 21+	50	None	116	None	50	None	116	None	0	None	0	None	0	None	0	None
1033433727	DA FONSECA RENATA C	2021	FFS	RENDERING	AGE 0-20	486	None	8,039	None	468	None	2,377	None	379	None	1,619	None	453	None	719	None
1033433727	DA FONSECA RENATA C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1033434675	HILL KERRI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1033450721	GABI TZUR S	2021	FFS	RENDERING	AGE 21+	16	None	36	None	0	None	0	None	16	None	36	None	0	None	0	None
1033453667	PRIYAWAT RUPPORN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033453667	PRIYAWAT RUPPORN	2021	FFS	RENDERING	AGE 21+	14	None	48	None	None	1	None	1	None	1	None	2	None	1	None	1
1033468368	VERA EDWARD L	2021	FFS	RENDERING	AGE 0-20	3,440	None	39,928	None	2,954	None	8,728	None	1,969	None	6,812	None	2,965	None	3,464	None
1033468368	VERA EDWARD L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033476148	CHAE JACOB J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1033476148	CHAE JACOB J	2021	FFS	RENDERING	AGE 21+	20	None	46	None	0	None	0	None	18	None	37	None	None	1	None	1
1033490073	TRAN JAMIE H	2021	FFS	RENDERING	AGE 0-20	62	None	227	None	0	None	0	None	53	None	91	None	61	None	61	None
1033490073	TRAN JAMIE H	2021	FFS	RENDERING	AGE 21+	518	None	1,927	None	0	None	0	None	376	None	710	None	484	None	485	None
1033498282	LIU JEFFREY C	2021	FFS	RENDERING	AGE 0-20	170	None	1,678	None	136	None	387	None	71	None	227	None	156	None	164	None
1033498282	LIU JEFFREY C	2021	FFS	RENDERING	AGE 21+	393	None	2,332	None	88	None	172	None	259	None	936	None	271	None	271	None
1033509799	TWILLING KIM	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1033510771	PHAM JEFFEREY	2021	FFS	RENDERING	AGE 0-20	315	None	4,366	None	287	None	1,119	None	207	None	789	None	289	None	410	None
1033510771	PHAM JEFFEREY	2021	FFS	RENDERING	AGE 21+	515	None	4,445	None	328	None	644	None	366	None	1,684	None	404	None	404	None
1033524871	MCMAINE TRAVIS B	2021	FFS	RENDERING	AGE 0-20	66	None	181	None	0	None	0	None	28	None	86	None	40	None	40	None
1033524871	MCMAINE TRAVIS B	2021	FFS	RENDERING	AGE 21+	100	None	320	None	0	None	0	None	51	None	208	None	53	None	53	None
1033526561	HUANG ERIC H	2021	FFS	RENDERING	AGE 0-20	59	None	461	None	40	None	89	None	28	None	68	None	37	None	40	None
1033526561	HUANG ERIC H	2021	FFS	RENDERING	AGE 21+	94	None	517	None	58	None	113	None	54	None	137	None	43	None	43	None
1033527825	VENTRESCA DOMINICK E	2021	FFS	RENDERING	AGE 0-20	122	None	597	None	86	None	181	None	50	None	91	None	81	None	84	None
1033527825	VENTRESCA DOMINICK E	2021	FFS	RENDERING	AGE 21+	302	None	1,334	None	85	None	170	None	212	None	643	None	136	None	138	None
1033559331	GOLCHOOBIAN TABASSOM P	2021	FFS	RENDERING	AGE 21+	81	None	322	None	13	None	13	None	50	None	186	None	42	None	42	None
1033562939	KIM SCARLET N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1033583349	JOO KYUNG W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1033583349	JOO KYUNG W	2021	GMC	RENDERING	AGE 0-20	1,854	None	11,619	None	1,053	None	3,999	None	573	None	784	None	913	None	967	None
1033583992	LEE, JIN KYU	2021	FFS	RENDERING	AGE 0-20	50	None	501	None	45	None	144	None	24	None	120	None	46	None	55	None
1033583992	LEE, JIN KYU	2021	FFS	RENDERING	AGE 21+	176	None	1,526	None	135	None	175	None	125	None	714	None	149	None	149	None
1033584669	KIM, HEIVI, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1033590948	OGTONG KATHERINE G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1033590948	OGTONG KATHERINE G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1033590948	OGTONG KATHERINE G	2021	PHP	RENDERING	AGE 0-20	22	None	204	None	19	None	110	None	None	1	None	2	18	None	20	None
1033590948	OGTONG KATHERINE G	2021	PHP	RENDERING	AGE 21+	70	None	401	None	41	None	91	None	54	None	165	None	41	None	41	None
1033592233	AMEZCUA OSVALDO	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1033595632	BENJAMIN LU DDS	2021	PHP	RENDERING	AGE 0-20	16	None	135	None	None	1	None	2	None	1	None	2	None	1	None	2
1033595632	BENJAMIN LU DDS	2021	PHP	RENDERING	AGE 21+	51	None	650	None	45	None	89	None	41	None	329	None	47	None	47	None
1033595632	LU, BENJAMIN, DDS A DENTAL C	2021	PHP	RENDERING	AGE 0-20	16	None	135	None	None	1	None	2	None	1	None	2	None	1	None	2
1033595632	LU, BENJAMIN, DDS A DENTAL C	2021	PHP	RENDERING	AGE 21+	51	None	650	None	45	None	89	None	41	None	329	None	47	None	47	None
1033625074	ROFAEIL MENA R	2021	FFS	RENDERING	AGE 0-20	957	None	7,402	None	638	None	1,864	None	711	None	1,598	None	617	None	619	None
1033625074	ROFAEIL MENA R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1033625181	MOUSAVI, SEYYEDHOSSEIN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1033625181	MOUSAVI, SEYYEDHOSSEIN, DDS	2021	FFS	RENDERING	AGE 21+	64	None	269	None	None	1	None	2	32	None	130	None	57	None	57	None
1033625181	MOUSAVI, SEYYEDHOSSEIN, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1033625181	MOUSAVI, SEYYEDHOSSEIN, DDS	2021	PHP	RENDERING	AGE 21+	21	None	113	None	None	1	None	1	12	None	64	None	21	None	21	None
1033626247	LOPEZ-BENDEZU JOSE L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1033626247	LOPEZ-BENDEZU JOSE L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033636485	SAED CHRISTINE I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1033636485	SAED CHRISTINE I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1033641576	GOODMAN DANIELLE A	2021	FFS	RENDERING	AGE 0-20	754	None	5,019	None	641	None	1,643	None	438	None	828	None	623	None	629	None
1033668355	KWAK JAE H	2021	FFS	RENDERING	AGE 0-20	2,037	None	30,381	None	1,886	None	7,382	None	1,336	None	4,588	None	1,869	None	2,793	None
1033668355	KWAK JAE H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033668355	KWAK JAE H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1033672720	KERI ESC DENTAL GROUP A PROF	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1033677703	ANAND SONAL	2021	FFS	RENDERING	AGE 0-20	248	None	2,070	None	170	None	569	None	85	None	183	None	163	None	165	None
1033677703	ANAND SONAL	2021	FFS	RENDERING	AGE 21+	599	None	4,400	None	131	None	264	None	399	None	1,021	None	287	None	287	None
1033684360	LUONG TUAN T	2021	FFS	RENDERING	AGE 0-20	1,503	None	11,850	None	1,113	None	3,072	None	1,049	None	2,147	None	1,057	None	1,154	None
1033684360	LUONG TUAN T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1033697685	MONTY JANELL A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1033697685	MONTY JANELL A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1033721600	KEERATINIJAKAL TRIGAIN	2021	FFS	RENDERING	AGE 0-20	273	None	1,180	None	127	None	293	None	81	None	234	None	227	None	227	None
1033721600	KEERATINIJAKAL TRIGAIN	2021	FFS	RENDERING	AGE 21+	564	None	2,351	None	153	None	311	None	266	None	974	None	415	None	417	None
1033721857	KIM MINJAE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033721857	KIM MINJAE	2021	FFS	RENDERING	AGE 21+	246	None	1,640	None	51	None	88	None	223	None	1,238	None	115	None	118	None
1033724315	NOVEIR ARIAN	2021	FFS	RENDERING	AGE 0-20	640	None	7,970	None	565	None	2,151	None	473	None	1,812	None	590	None	623	None
1033724315	NOVEIR ARIAN	2021	FFS	RENDERING	AGE 21+	342	None	2,644	None	196	None	437	None	242	None	1,117	None	191	None	191	None
1033757570	HIDALGO-VILLACO JUAN J	2021	FFS	RENDERING	AGE 0-20	211	None	1,636	None	182	None	475	None	81	None	199	None	189	None	208	None
1033757570	HIDALGO-VILLACO JUAN J	2021	FFS	RENDERING	AGE 21+	195	None	1,130	None	63	None	114	None	126	None	434	None	113	None	115	None
1033761580	SAFAEI SALINA	2021	FFS	RENDERING	AGE 0-20	80	None	533	None	73	None	283	None	55	None	70	None	63	None	63	None
1033766803	WU KE-CHUNG	2021	FFS	RENDERING	AGE 0-20	68	None	1,121	None	50	None	139	None	68	None	719	None	60	None	60	None
1033766803	WU KE-CHUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1033773700	LEE ROBERT J	2021	FFS	RENDERING	AGE 0-20	180	None	186	None	0	None	0	None	None	1	None	1	0	None	0	None
1033782180	KHACHATRYAN KAREN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1033782180	KHACHATRYAN KAREN	2021	FFS	RENDERING	AGE 21+	93	None	425	None	22	None	22	None	59	None	263	None	71	None	71	None
1033782230	LIU JERRY C	2021	FFS	RENDERING	AGE 0-20	110	None	389	None	70	None	188	None	47	None	65	None	35	None	35	None
1033782230	LIU JERRY C	2021	FFS	RENDERING	AGE 21+	270	None	688	None	88	None	168	None	146	None	283	None	69	None	69	None
1033871496	MANKARIOUS KAMIL N	2021	FFS	RENDERING	AGE 0-20	59	None	209	None	28	None	60	None	28	None	54	None	31	None	31	None
1033871496	MANKARIOUS KAMIL N	2021	FFS	RENDERING	AGE 21+	117	None	323	None	16	None	26	None	78	None	170	None	43	None	43	None
1033880182	JABARI MONA L	2021	FFS	RENDERING	AGE 0-20	58	None	290	None	44	None	104	None	27	None	74	None	30	None	30	None
1033880182	JABARI MONA L	2021	FFS	RENDERING	AGE 21+	113	None	419	None	33	None	59	None	72	None	198	None	35	None	35	None
1043201726	TSO, VINCENT J, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043201726	TSO, VINCENT J, DMD	2021	FFS	RENDERING	AGE 21+	16	None	26	None	None	1	None	1	None	1	None	2	None	1	None	1
1043214448	KEYHANI JALEH	2021	FFS	RENDERING	AGE 0-20	534	None	3,586	None	0	None	0	None	439	None	2,852	None	367	None	367	None
1043214448	KEYHANI JALEH	2021	FFS	RENDERING	AGE 21+	965	None	7,294	None	0	None	0	None	701	None	6,035	None	628	None	628	None
1043220700	TRAN QUAN N	2021	FFS	RENDERING	AGE 0-20	265	None	2,258	None	222	None	508	None	97	None	194	None	244	None	278	None
1043220700	TRAN QUAN N	2021	FFS	RENDERING	AGE 21+	457	None	3,797	None	257	None	512	None	309	None	756	None	310	None	310	None
1043221757	MIRANDA DENTAL GROUP	2021	FFS	RENDERING	AGE 0-20	51	None	362	None	48	None	137	None	16	None	39	None	47	None	55	None
1043221757	MIRANDA DENTAL GROUP	2021	FFS	RENDERING	AGE 21+	133	None	549	None	59	None	103	None	70	None	168	None	94	None	94	None
1043225808	MONZON, MARY FE G DDS	2021	FFS	RENDERING	AGE 0-20	151	None	1,982	None	142	None	367	None	74	None	400	None	132	None	157	None
1043225808	MONZON, MARY FE G DDS	2021	FFS	RENDERING	AGE 21+	235	None	2,103	None	135	None	135	None	138	None	638	None	179	None	179	None
1043229297	PENA CARLA D	2021	FFS	RENDERING	AGE 0-20	608	None	6,204	None	581	None	2,337	None	257	None	549	None	582	None	692	None
1043229297	PENA CARLA D	2021	FFS	RENDERING	AGE 21+	379	None	1,982	None	262	None	520	None	202	None	510	None	319	None	321	None
1043233067	REID LAURA K	2021	FFS	RENDERING	AGE 0-20	208	None	741	None	122	None	237	None	140	None	264	None	91	None	94	None
1043233117	LAN CHIA-HSIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043237530	PATEL, BINDI P MD	2021	FFS	RENDERING	AGE 0-20	91	None	271	None	0	None	0	None	91	None	271	None	0	None	0	None
1043249436	MIN MICHAEL	2021	FFS	RENDERING	AGE 0-20	398	None	4,780	None	337	None	1,158	None	153	None	399	None	356	None	458	None
1043249436	MIN MICHAEL	2021	FFS	RENDERING	AGE 21+	527	None	3,618	None	298	None	446	None	298	None	673	None	367	None	382	None
1043277551	PEREIRA DA SILV DANIELA R	2021	FFS	RENDERING	AGE 0-20	2,769	None	22,527	None	2,382	None	8,466	None	1,340	None	6,148	None	2,554	None	3,206	None
1043277551	PEREIRA DA SILV DANIELA R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043277551	PEREIRA DA SILV DANIELA R	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1043277551	PEREIRA DA SILV DANIELA R	2021	PHP	RENDERING	AGE 0-20	122	None	770	None	93	None	272	None	45	None	187	None	114	None	121	None
1043278153	CHUNG, JAE WOO, DMD	2021	FFS	RENDERING	AGE 21+	181	None	465	None	0	None	0	None	178	None	460	None	None	1	None	1
1043278153	CHUNG, JAE WOO, DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043278153	CHUNG, JAE WOO, DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1043281587	PRASAD KRISHNASWAMY S	2021	FFS	RENDERING	AGE 0-20	173	None	2,555	None	167	None	559	None	102	None	359	None	168	None	215	None
1043281587	PRASAD KRISHNASWAMY S	2021	FFS	RENDERING	AGE 21+	258	None	2,285	None	179	None	182	None	186	None	759	None	200	None	203	None
1043305519	LUQUE ANGELA M	2021	FFS	RENDERING	AGE 0-20	72	None	608	None	50	None	184	None	44	None	188	None	50	None	56	None
1043305519	LUQUE ANGELA M	2021	FFS	RENDERING	AGE 21+	172	None	888	None	21	None	37	None	134	None	597	None	69	None	69	None
1043306475	SADEGHPOUR, SEPEHR DDS	2021	FFS	RENDERING	AGE 0-20	185	None	1,494	None	180	None	639	None	79	None	160	None	180	None	237	None
1043306475	SADEGHPOUR, SEPEHR DDS	2021	FFS	RENDERING	AGE 21+	150	None	736	None	111	None	222	None	80	None	154	None	135	None	135	None
1043308240	ZOKAEI, AFSANEH DDS	2021	FFS	RENDERING	AGE 0-20	200	None	2,600	None	193	None	789	None	97	None	383	None	193	None	249	None
1043308240	ZOKAEI, AFSANEH DDS	2021	FFS	RENDERING	AGE 21+	548	None	5,918	None	383	None	747	None	430	None	2,232	None	425	None	425	None
1043310741	TRIGOSO OSCAR R	2021	FFS	RENDERING	AGE 0-20	185	None	1,948	None	154	None	305	None	100	None	512	None	147	None	163	None
1043310741	TRIGOSO OSCAR R	2021	FFS	RENDERING	AGE 21+	176	None	1,244	None	106	None	108	None	83	None	276	None	133	None	133	None
1043310741	TRIGOSO OSCAR R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1043314289	LEE KAM-WAN	2021	FFS	RENDERING	AGE 0-20	144	None	1,087	None	114	None	263	None	43	None	63	None	122	None	148	None
1043314289	LEE KAM-WAN	2021	FFS	RENDERING	AGE 21+	1,461	None	10,968	None	735	None	1,175	None	1,012	None	2,513	None	847	None	847	None
1043314289	LEE KAM-WAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043330228	SI, KHIN DDS	2021	FFS	RENDERING	AGE 0-20	39	None	260	None	37	None	67	None	20	None	62	None	28	None	30	None
1043330228	SI, KHIN DDS	2021	FFS	RENDERING	AGE 21+	57	None	368	None	35	None	35	None	27	None	75	None	36	None	36	None
1043332596	REGALADO MARIA C	2021	FFS	RENDERING	AGE 0-20	33	None	589	None	29	None	95	None	25	None	131	None	27	None	36	None
1043332596	REGALADO MARIA C	2021	FFS	RENDERING	AGE 21+	71	None	787	None	50	None	78	None	53	None	285	None	55	None	55	None
1043335862	CHU, JIN WEI, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	281	None	34	None	142	None	23	None	57	None	34	None	44	None
1043335862	CHU, JIN WEI, DDS	2021	FFS	RENDERING	AGE 21+	66	None	354	None	46	None	93	None	51	None	110	None	54	None	56	None
1043338346	PATEL AMIEL R	2021	FFS	RENDERING	AGE 0-20	13	None	78	None	13	None	13	None	None	1	None	1	None	1	None	1
1043338346	PATEL AMIEL R	2021	FFS	RENDERING	AGE 21+	28	None	204	None	20	None	20	None	19	None	54	None	19	None	19	None
1043344591	VARDANIAN, TIGRAN, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043346174	SCHARF ERIC MICHAEL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1043348188	LY QUY V	2021	FFS	RENDERING	AGE 0-20	109	None	774	None	73	None	211	None	54	None	188	None	92	None	92	None
1043348188	LY QUY V	2021	FFS	RENDERING	AGE 21+	242	None	1,216	None	82	None	134	None	190	None	629	None	130	None	130	None
1043350606	TONTHAT DAI	2021	FFS	RENDERING	AGE 0-20	58	None	668	None	57	None	198	None	23	None	73	None	58	None	73	None
1043350606	TONTHAT DAI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1043350671	KHOLAKI MOHAMAD S	2021	FFS	RENDERING	AGE 0-20	15	None	40	None	11	None	12	None	None	1	None	2	None	1	None	1
1043350671	KHOLAKI MOHAMAD S	2021	FFS	RENDERING	AGE 21+	52	None	138	None	27	None	27	None	20	None	35	None	33	None	33	None
1043354459	IMAI-MARSHALL YO	2021	FFS	RENDERING	AGE 0-20	115	None	188	None	0	None	0	None	29	None	47	None	0	None	0	None
1043354459	IMAI-MARSHALL YO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1043365059	CHAO, DOROTHY W, DDS	2021	FFS	RENDERING	AGE 0-20	64	None	544	None	62	None	203	None	26	None	68	None	51	None	66	None
1043365059	CHAO, DOROTHY W, DDS	2021	FFS	RENDERING	AGE 21+	152	None	917	None	97	None	97	None	109	None	413	None	106	None	106	None
1043365174	KHOSH, SAJAD, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1043365174	KHOSH, SAJAD, DDS	2021	FFS	RENDERING	AGE 21+	413	None	2,565	None	199	None	372	None	373	None	1,541	None	114	None	114	None
1043366487	SHEIKH, CYROUS, DDS MS	2021	FFS	RENDERING	AGE 0-20	420	None	3,304	None	390	None	1,245	None	145	None	552	None	324	None	490	None
1043366487	SHEIKH, CYROUS, DDS MS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043369069	MADDEN JOHN FRANCIS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043370844	KIM, JAMES H, DDS	2021	FFS	RENDERING	AGE 0-20	154	None	714	None	147	None	244	None	48	None	101	None	148	None	207	None
1043370844	KIM, JAMES H, DDS	2021	FFS	RENDERING	AGE 21+	153	None	652	None	111	None	111	None	90	None	222	None	118	None	118	None
1043370844	KIM, JAMES H, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1043371644	SKYBERG, KENNETH R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1043371644	SKYBERG, KENNETH R, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1043373863	OKUMURA WESLEY K	2021	FFS	RENDERING	AGE 0-20	174	None	3,010	None	130	None	387	None	171	None	1,965	None	155	None	155	None
1043373863	OKUMURA WESLEY K	2021	FFS	RENDERING	AGE 21+	26	None	225	None	16	None	26	None	26	None	128	None	19	None	19	None
1043373863	OKUMURA WESLEY K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043387228	LY TUANKIET Q	2021	FFS	RENDERING	AGE 0-20	113	None	1,724	None	101	None	412	None	68	None	198	None	100	None	125	None
1043387228	LY TUANKIET Q	2021	FFS	RENDERING	AGE 21+	140	None	2,035	None	89	None	171	None	113	None	698	None	111	None	111	None
1043402019	GERONIMO JORGE L	2021	FFS	RENDERING	AGE 0-20	237	None	2,139	None	155	None	343	None	149	None	450	None	163	None	174	None
1043402019	GERONIMO JORGE L	2021	FFS	RENDERING	AGE 21+	250	None	1,599	None	65	None	132	None	200	None	608	None	108	None	108	None
1043402019	GERONIMO JORGE L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043403686	TRAN JIMMY B	2021	FFS	RENDERING	AGE 0-20	94	None	964	None	82	None	245	None	36	None	135	None	85	None	106	None
1043403686	TRAN JIMMY B	2021	FFS	RENDERING	AGE 21+	393	None	4,251	None	232	None	441	None	306	None	1,569	None	280	None	281	None
1043409279	RAFIEE RAFI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043411457	REDDY, HARI DDS	2021	FFS	RENDERING	AGE 0-20	30	None	303	None	22	None	58	None	30	None	80	None	21	None	24	None
1043411457	REDDY, HARI DDS	2021	FFS	RENDERING	AGE 21+	105	None	957	None	68	None	134	None	93	None	313	None	86	None	86	None
1043411457	REDDY, HARI K, DDS	2021	FFS	RENDERING	AGE 0-20	30	None	303	None	22	None	58	None	30	None	80	None	21	None	24	None
1043411457	REDDY, HARI K, DDS	2021	FFS	RENDERING	AGE 21+	105	None	957	None	68	None	134	None	93	None	313	None	86	None	86	None
1043412315	MOROZOVA YULIYA V	2021	FFS	RENDERING	AGE 0-20	140	None	976	None	79	None	250	None	115	None	438	None	78	None	89	None
1043412315	MOROZOVA YULIYA V	2021	FFS	RENDERING	AGE 21+	583	None	2,671	None	100	None	194	None	553	None	2,094	None	128	None	128	None
1043418635	MURTHY, NAGARAJ P DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1043418635	MURTHY, NAGARAJ P DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1043427016	GANZHA, IRINA V, DDS	2021	FFS	RENDERING	AGE 0-20	285	None	1,871	None	187	None	510	None	102	None	318	None	257	None	305	None
1043427016	GANZHA, IRINA V, DDS	2021	FFS	RENDERING	AGE 21+	461	None	2,408	None	312	None	612	None	228	None	622	None	394	None	394	None
1043434541	ADRIVONA OPTICAL, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043435415	COHEN-SEDGH, SOLEYMAN, DDS I	2021	PHP	RENDERING	AGE 0-20	37	None	140	None	None	1	None	2	None	1	None	1	None	1	None	1
1043435415	COHEN-SEDGH, SOLEYMAN, DDS I	2021	PHP	RENDERING	AGE 21+	48	None	183	None	None	1	None	2	13	None	20	None	15	None	15	None
1043435712	CORTEZ-PACHECO CARLOS R	2021	FFS	RENDERING	AGE 0-20	58	None	412	None	32	None	56	None	25	None	91	None	33	None	34	None
1043435712	CORTEZ-PACHECO CARLOS R	2021	FFS	RENDERING	AGE 21+	307	None	1,794	None	62	None	86	None	170	None	461	None	165	None	165	None
1043435712	CORTEZ-PACHECO CARLOS R	2021	GMC	RENDERING	AGE 0-20	50	None	202	None	21	None	53	None	33	None	68	None	12	None	12	None
1043435712	CORTEZ-PACHECO CARLOS R	2021	GMC	RENDERING	AGE 21+	1,047	None	6,988	None	965	None	1,757	None	676	None	1,733	None	444	None	457	None
1043437791	HA KYMINH T	2021	FFS	RENDERING	AGE 0-20	86	None	712	None	78	None	179	None	38	None	107	None	73	None	89	None
1043437791	HA KYMINH T	2021	FFS	RENDERING	AGE 21+	148	None	1,037	None	122	None	122	None	74	None	287	None	119	None	119	None
1043437866	KAISER, ARTHUR G DDS	2021	FFS	RENDERING	AGE 0-20	80	None	517	None	53	None	122	None	38	None	65	None	47	None	47	None
1043437866	KAISER, ARTHUR G DDS	2021	FFS	RENDERING	AGE 21+	37	None	106	None	None	1	None	1	24	None	44	None	None	1	None	1
1043437866	KAISER, ARTHUR G DDS	2021	PHP	RENDERING	AGE 0-20	94	None	624	None	80	None	205	None	31	None	81	None	92	None	106	None
1043437866	KAISER, ARTHUR G DDS	2021	PHP	RENDERING	AGE 21+	189	None	1,157	None	81	None	125	None	139	None	568	None	154	None	155	None
1043437866	KAISER, ARTHUR G, DDS	2021	FFS	RENDERING	AGE 0-20	80	None	3,619	None	53	None	854	None	38	None	455	None	47	None	329	None
1043437866	KAISER, ARTHUR G, DDS	2021	FFS	RENDERING	AGE 21+	37	None	742	None	None	1	None	2	24	None	308	None	None	1	None	2
1043437866	KAISER, ARTHUR G, DDS	2021	PHP	RENDERING	AGE 0-20	94	None	4,368	None	80	None	1,435	None	31	None	567	None	92	None	742	None
1043437866	KAISER, ARTHUR G, DDS	2021	PHP	RENDERING	AGE 21+	189	None	8,099	None	81	None	875	None	139	None	3,976	None	154	None	1,085	None
1043437866	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	80	None	517	None	53	None	122	None	38	None	65	None	47	None	47	None
1043437866	UNKNOWN	2021	FFS	RENDERING	AGE 21+	37	None	106	None	None	1	None	1	24	None	44	None	None	1	None	1
1043437866	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	94	None	624	None	80	None	205	None	31	None	81	None	92	None	106	None
1043437866	UNKNOWN	2021	PHP	RENDERING	AGE 21+	189	None	1,157	None	81	None	125	None	139	None	568	None	154	None	155	None
1043438773	TRAN TAM-HUONG N	2021	FFS	RENDERING	AGE 0-20	21	None	153	None	18	None	49	None	None	1	None	2	19	None	22	None
1043438773	TRAN TAM-HUONG N	2021	FFS	RENDERING	AGE 21+	52	None	365	None	41	None	78	None	34	None	154	None	44	None	44	None
1043445919	STAHL MICHAELA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043453988	BRAVO CUSHING GHISELA E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043453988	BRAVO CUSHING GHISELA E	2021	FFS	RENDERING	AGE 21+	22	None	73	None	None	1	None	1	11	None	20	None	13	None	13	None
1043453988	BRAVO CUSHING GHISELA E	2021	PHP	RENDERING	AGE 0-20	104	None	604	None	78	None	251	None	80	None	108	None	43	None	43	None
1043453988	BRAVO CUSHING GHISELA E	2021	PHP	RENDERING	AGE 21+	169	None	672	None	90	None	195	None	151	None	200	None	47	None	47	None
1043470248	HAQUE SHARMIN	2021	FFS	RENDERING	AGE 0-20	147	None	459	None	0	None	0	None	147	None	459	None	0	None	0	None
1043470248	HAQUE SHARMIN	2021	FFS	RENDERING	AGE 21+	11	None	33	None	0	None	0	None	11	None	33	None	0	None	0	None
1043474471	JOHNSON NEAL A	2021	FFS	RENDERING	AGE 0-20	231	None	866	None	0	None	0	None	231	None	865	None	0	None	0	None
1043474471	JOHNSON NEAL A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043479777	HADAYA MONA T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1043479777	HADAYA MONA T	2021	PHP	RENDERING	AGE 0-20	161	None	1,107	None	149	None	526	None	64	None	88	None	110	None	134	None
1043479777	HADAYA MONA T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1043515653	HAWATMEH AYED J	2021	FFS	RENDERING	AGE 0-20	991	None	9,887	None	836	None	2,400	None	524	None	1,787	None	858	None	1,010	None
1043515653	HAWATMEH AYED J	2021	FFS	RENDERING	AGE 21+	1,701	None	13,744	None	813	None	1,476	None	1,297	None	5,718	None	1,118	None	1,124	None
1043528656	SINHA MILU	2021	FFS	RENDERING	AGE 0-20	254	None	3,455	None	241	None	911	None	61	None	220	None	240	None	300	None
1043528656	SINHA MILU	2021	FFS	RENDERING	AGE 21+	295	None	3,391	None	232	None	390	None	136	None	486	None	259	None	259	None
1043531171	RHO JAMES HYUNJUNE	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1043532351	KADERA PETR	2021	FFS	RENDERING	AGE 0-20	1,276	None	10,294	None	870	None	1,963	None	579	None	1,318	None	775	None	777	None
1043532351	KADERA PETR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1043532351	KADERA PETR	2021	GMC	RENDERING	AGE 0-20	60	None	321	None	20	None	30	None	58	None	122	None	0	None	0	None
1043536550	FAKHERI PEDRAM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043542640	WALKER, SHARON L, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043543051	LEE LAWRENCE	2021	PHP	RENDERING	AGE 0-20	45	None	318	None	36	None	139	None	38	None	60	None	27	None	27	None
1043543051	LEE LAWRENCE	2021	PHP	RENDERING	AGE 21+	78	None	291	None	56	None	88	None	28	None	50	None	47	None	47	None
1043555162	HANNA AMAL	2021	FFS	RENDERING	AGE 0-20	39	None	319	None	29	None	98	None	24	None	76	None	34	None	45	None
1043555162	HANNA AMAL	2021	FFS	RENDERING	AGE 21+	124	None	1,501	None	64	None	127	None	104	None	820	None	84	None	84	None
1043570658	KETCHERSIDE HOMER G	2021	FFS	RENDERING	AGE 0-20	669	None	1,136	None	0	None	0	None	92	None	254	None	0	None	0	None
1043570658	KETCHERSIDE HOMER G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1043570658	KETCHERSIDE HOMER G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1043571839	GOYAL NITASHA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043571839	GOYAL NITASHA A	2021	GMC	RENDERING	AGE 0-20	1,128	None	7,253	None	933	None	2,215	None	477	None	1,010	None	1,002	None	1,136	None
1043571839	GOYAL NITASHA A	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043576416	ILYA ZAK DDS INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1043576416	ZAK, ILYA, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1043578180	KUO BRIAN Y	2021	FFS	RENDERING	AGE 0-20	19	None	102	None	15	None	46	None	11	None	25	None	13	None	14	None
1043578180	KUO BRIAN Y	2021	FFS	RENDERING	AGE 21+	91	None	519	None	66	None	117	None	51	None	205	None	65	None	65	None
1043581200	TOCA ALAIN	2021	PHP	RENDERING	AGE 0-20	33	None	354	None	31	None	165	None	29	None	49	None	21	None	21	None
1043581200	TOCA ALAIN	2021	PHP	RENDERING	AGE 21+	106	None	784	None	91	None	297	None	92	None	279	None	33	None	34	None
1043582687	QAISAR SUMUL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1043582687	QAISAR SUMUL	2021	FFS	RENDERING	AGE 21+	43	None	124	None	None	1	None	2	29	None	55	None	14	None	14	None
1043590482	LEE, SHAUN MICHAEL, DDS	2021	FFS	RENDERING	AGE 0-20	179	None	2,303	None	119	None	581	None	95	None	591	None	169	None	198	None
1043590482	LEE, SHAUN MICHAEL, DDS	2021	FFS	RENDERING	AGE 21+	409	None	4,071	None	188	None	355	None	235	None	1,373	None	399	None	399	None
1043592116	JAISHANKAR MANJULA	2021	FFS	RENDERING	AGE 0-20	12	None	75	None	None	1	None	2	None	1	None	1	None	1	None	1
1043592116	JAISHANKAR MANJULA	2021	FFS	RENDERING	AGE 21+	71	None	334	None	22	None	23	None	51	None	113	None	23	None	23	None
1043592116	JAISHANKAR MANJULA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1043598642	TERRAZA JOSE M	2021	FFS	RENDERING	AGE 0-20	143	None	2,179	None	135	None	384	None	58	None	168	None	130	None	187	None
1043598642	TERRAZA JOSE M	2021	FFS	RENDERING	AGE 21+	37	None	328	None	21	None	23	None	None	1	None	2	31	None	31	None
1043599657	BINA KOROURI SAGE DENTAL COR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043599657	SAGE, BINA KOROURI DNTL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043622517	REIFF TERRENCE P	2021	FFS	RENDERING	AGE 0-20	1,192	None	17,312	None	1,018	None	3,671	None	809	None	2,524	None	1,027	None	1,294	None
1043622517	REIFF TERRENCE P	2021	GMC	RENDERING	AGE 0-20	154	None	1,254	None	94	None	159	None	153	None	451	None	0	None	0	None
1043631104	MURESAN ANAMARIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1043631104	MURESAN ANAMARIA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1043637010	HALL JOSHWIN R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1043637010	HALL JOSHWIN R	2021	FFS	RENDERING	AGE 21+	212	None	498	None	14	None	14	None	184	None	213	None	30	None	30	None
1043640667	TURNER DEANDRA N	2021	PHP	RENDERING	AGE 0-20	20	None	141	None	None	1	None	1	18	None	40	None	13	None	14	None
1043646110	AKHAVAN, TARLAN P, DDS A PRO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043646698	HOSSIENI ROZBEH	2021	FFS	RENDERING	AGE 0-20	67	None	374	None	0	None	0	None	66	None	366	None	0	None	0	None
1043646698	HOSSIENI ROZBEH	2021	FFS	RENDERING	AGE 21+	172	None	762	None	0	None	0	None	171	None	745	None	None	1	None	1
1043646698	HOSSIENI ROZBEH	2021	GMC	RENDERING	AGE 0-20	12	None	26	None	None	1	None	1	None	1	None	2	None	1	None	1
1043646698	HOSSIENI ROZBEH	2021	GMC	RENDERING	AGE 21+	32	None	127	None	0	None	0	None	29	None	86	None	21	None	21	None
1043646698	HOSSIENI ROZBEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1043646698	HOSSIENI ROZBEH	2021	PHP	RENDERING	AGE 21+	71	None	267	None	None	1	None	1	51	None	160	None	52	None	53	None
1043663479	MARATHE MAITHILI B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043664824	BEZUAYEHU, FEKERTE, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043664824	BEZUAYEHU, FEKERTE, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1043669815	REYES GARCIA EDGAR	2021	FFS	RENDERING	AGE 0-20	39	None	458	None	29	None	131	None	26	None	96	None	30	None	35	None
1043669815	REYES GARCIA EDGAR	2021	FFS	RENDERING	AGE 21+	207	None	2,342	None	119	None	234	None	171	None	859	None	131	None	133	None
1043682370	SANDHU SUMEET K	2021	FFS	RENDERING	AGE 0-20	59	None	223	None	33	None	88	None	17	None	28	None	45	None	45	None
1043682370	SANDHU SUMEET K	2021	FFS	RENDERING	AGE 21+	106	None	251	None	None	1	None	2	44	None	90	None	63	None	63	None
1043682370	SANDHU SUMEET K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043682370	SANDHU SUMEET K	2021	PHP	RENDERING	AGE 21+	24	None	74	None	11	None	12	None	None	1	None	2	13	None	13	None
1043684236	TRAN HA N	2021	FFS	RENDERING	AGE 0-20	11	None	39	None	None	1	None	2	None	1	None	1	None	1	None	1
1043684236	TRAN HA N	2021	FFS	RENDERING	AGE 21+	38	None	107	None	None	1	None	2	27	None	55	None	None	1	None	1
1043690696	LIEN KELLY	2021	PHP	RENDERING	AGE 0-20	30	None	140	None	16	None	29	None	15	None	38	None	17	None	17	None
1043690696	LIEN KELLY	2021	PHP	RENDERING	AGE 21+	71	None	233	None	27	None	27	None	50	None	112	None	30	None	30	None
1043696677	LAU JIMMY	2021	FFS	RENDERING	AGE 0-20	88	None	624	None	74	None	216	None	48	None	108	None	78	None	96	None
1043696677	LAU JIMMY	2021	FFS	RENDERING	AGE 21+	321	None	2,137	None	174	None	346	None	288	None	949	None	201	None	201	None
1043699754	STOUT ARACELI	2021	FFS	RENDERING	AGE 0-20	66	None	301	None	36	None	41	None	40	None	128	None	36	None	36	None
1043699754	STOUT ARACELI	2021	FFS	RENDERING	AGE 21+	99	None	394	None	33	None	33	None	61	None	219	None	47	None	47	None
1043732753	ONODERA-PAULSON ALEXANDRA N	2021	FFS	RENDERING	AGE 0-20	390	None	3,321	None	332	None	985	None	245	None	535	None	299	None	322	None
1043732753	ONODERA-PAULSON ALEXANDRA N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043733736	BHATT JIMMY K	2021	FFS	RENDERING	AGE 0-20	185	None	1,650	None	125	None	353	None	81	None	195	None	160	None	201	None
1043733736	BHATT JIMMY K	2021	FFS	RENDERING	AGE 21+	323	None	1,598	None	61	None	91	None	210	None	545	None	195	None	197	None
1043733736	BHATT JIMMY K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1043737430	FALLIS MATHIAS S	2021	FFS	RENDERING	AGE 0-20	628	None	3,439	None	499	None	1,273	None	316	None	613	None	479	None	479	None
1043740970	EUSEBIO TEDDY B	2021	FFS	RENDERING	AGE 21+	1,006	None	5,151	None	413	None	706	None	956	None	1,830	None	660	None	660	None
1043744139	SHON JAMES S	2021	FFS	RENDERING	AGE 0-20	246	None	1,159	None	66	None	189	None	163	None	477	None	146	None	151	None
1043744139	SHON JAMES S	2021	FFS	RENDERING	AGE 21+	300	None	1,253	None	13	None	13	None	205	None	714	None	201	None	202	None
1043749062	STUART JONATHAN A	2021	FFS	RENDERING	AGE 0-20	306	None	2,811	None	244	None	826	None	129	None	419	None	216	None	252	None
1043749062	STUART JONATHAN A	2021	FFS	RENDERING	AGE 21+	280	None	1,255	None	41	None	63	None	138	None	354	None	168	None	169	None
1043760598	LIM SUNG M	2021	FFS	RENDERING	AGE 0-20	870	None	8,280	None	640	None	1,827	None	506	None	1,146	None	684	None	768	None
1043760598	LIM SUNG M	2021	FFS	RENDERING	AGE 21+	798	None	4,073	None	221	None	436	None	607	None	1,821	None	447	None	451	None
1043760598	LIM SUNG M	2021	PHP	RENDERING	AGE 0-20	17	None	96	None	None	1	None	2	None	1	None	2	None	1	None	1
1043760598	LIM SUNG M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1043768773	HASSAN NATHANIEL R	2021	FFS	RENDERING	AGE 0-20	64	None	399	None	42	None	104	None	20	None	38	None	44	None	45	None
1043768773	HASSAN NATHANIEL R	2021	FFS	RENDERING	AGE 21+	77	None	303	None	None	1	None	2	51	None	129	None	33	None	33	None
1043768773	HASSAN NATHANIEL R	2021	PHP	RENDERING	AGE 0-20	77	None	501	None	59	None	173	None	36	None	66	None	66	None	73	None
1043768773	HASSAN NATHANIEL R	2021	PHP	RENDERING	AGE 21+	128	None	441	None	18	None	21	None	61	None	152	None	79	None	79	None
1043789514	DAO TRAM ANH N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043791403	BARBA, MARICRUZ, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043794142	GUTIERREZ-VALDE CAROLINA	2021	FFS	RENDERING	AGE 0-20	17	None	127	None	12	None	46	None	11	None	41	None	16	None	16	None
1043794142	GUTIERREZ-VALDE CAROLINA	2021	FFS	RENDERING	AGE 21+	60	None	197	None	14	None	23	None	30	None	57	None	42	None	42	None
1043794142	GUTIERREZ-VALDE CAROLINA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1043802366	KHAN YASAR H	2021	FFS	RENDERING	AGE 0-20	474	None	1,867	None	238	None	696	None	255	None	569	None	155	None	155	None
1043802366	KHAN YASAR H	2021	FFS	RENDERING	AGE 21+	618	None	1,746	None	159	None	285	None	437	None	927	None	126	None	126	None
1043806722	KASS ILIYYA CHRISTINA	2021	FFS	RENDERING	AGE 0-20	164	None	615	None	73	None	154	None	74	None	182	None	96	None	97	None
1043806722	KASS ILIYYA CHRISTINA	2021	FFS	RENDERING	AGE 21+	263	None	696	None	35	None	64	None	143	None	275	None	143	None	143	None
1043818503	CAPESTANY AIDAILIS	2021	FFS	RENDERING	AGE 0-20	75	None	628	None	67	None	194	None	37	None	166	None	63	None	74	None
1043818503	CAPESTANY AIDAILIS	2021	FFS	RENDERING	AGE 21+	225	None	1,669	None	99	None	192	None	197	None	899	None	121	None	121	None
1043818909	YAP DILLON P	2021	FFS	RENDERING	AGE 0-20	108	None	591	None	63	None	204	None	66	None	156	None	70	None	70	None
1043818909	YAP DILLON P	2021	FFS	RENDERING	AGE 21+	64	None	233	None	15	None	25	None	53	None	136	None	28	None	28	None
1043824378	SADEK MAHA Y	2021	FFS	RENDERING	AGE 0-20	427	None	1,679	None	251	None	667	None	156	None	305	None	249	None	249	None
1043824378	SADEK MAHA Y	2021	FFS	RENDERING	AGE 21+	601	None	1,499	None	98	None	177	None	296	None	608	None	282	None	282	None
1043824378	SADEK MAHA Y	2021	PHP	RENDERING	AGE 0-20	26	None	146	None	19	None	68	None	None	1	None	2	19	None	19	None
1043824378	SADEK MAHA Y	2021	PHP	RENDERING	AGE 21+	38	None	102	None	None	1	None	1	33	None	62	None	None	1	None	1
1043825771	KIM YOUNG J	2021	FFS	RENDERING	AGE 0-20	2,162	None	22,157	None	1,720	None	6,156	None	1,888	None	10,261	None	1,460	None	1,534	None
1043825771	KIM YOUNG J	2021	FFS	RENDERING	AGE 21+	239	None	1,110	None	None	1	None	1	189	None	772	None	113	None	113	None
1043862600	LEE IVANA F	2021	FFS	RENDERING	AGE 0-20	59	None	331	None	55	None	113	None	None	1	None	1	56	None	56	None
1043862600	LEE IVANA F	2021	FFS	RENDERING	AGE 21+	27	None	85	None	19	None	19	None	None	1	None	1	17	None	17	None
1043863061	AMIDI MARIO	2021	FFS	RENDERING	AGE 0-20	244	None	2,179	None	197	None	626	None	101	None	237	None	201	None	201	None
1043863061	AMIDI MARIO	2021	FFS	RENDERING	AGE 21+	462	None	2,428	None	152	None	277	None	304	None	834	None	200	None	200	None
1043866353	ALEXANDER ANI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043880487	SHIN JESSICA G	2021	FFS	RENDERING	AGE 0-20	185	None	1,246	None	44	None	160	None	178	None	764	None	35	None	35	None
1043880487	SHIN JESSICA G	2021	FFS	RENDERING	AGE 21+	73	None	401	None	None	1	None	2	71	None	227	None	None	1	None	1
1043883184	JOSHI GUNJAN H	2021	FFS	RENDERING	AGE 0-20	90	None	457	None	58	None	189	None	42	None	95	None	43	None	43	None
1043883184	JOSHI GUNJAN H	2021	FFS	RENDERING	AGE 21+	229	None	731	None	42	None	62	None	178	None	449	None	62	None	62	None
1043976582	MAHDAVI NICOLE N	2021	FFS	RENDERING	AGE 0-20	15	None	94	None	None	1	None	2	None	1	None	2	None	1	None	1
1043986292	MOUSA ASRAI	2021	FFS	RENDERING	AGE 0-20	364	None	1,676	None	323	None	668	None	53	None	116	None	297	None	297	None
1043986292	MOUSA ASRAI	2021	FFS	RENDERING	AGE 21+	38	None	91	None	None	1	None	2	24	None	47	None	None	1	None	1
1053300574	MOHAMMADIZADEH SHEIDA	2021	FFS	RENDERING	AGE 0-20	96	None	984	None	71	None	244	None	65	None	218	None	81	None	103	None
1053300574	MOHAMMADIZADEH SHEIDA	2021	FFS	RENDERING	AGE 21+	127	None	754	None	None	1	None	2	85	None	300	None	87	None	87	None
1053300780	CUESTAS LUZ M	2021	FFS	RENDERING	AGE 0-20	145	None	1,324	None	136	None	430	None	63	None	205	None	121	None	131	None
1053300780	CUESTAS LUZ M	2021	FFS	RENDERING	AGE 21+	571	None	4,656	None	417	None	788	None	416	None	2,429	None	457	None	457	None
1053301291	ALDAIRI, HUSAM, DDS	2021	FFS	RENDERING	AGE 0-20	83	None	570	None	57	None	115	None	35	None	153	None	55	None	57	None
1053301291	ALDAIRI, HUSAM, DDS	2021	FFS	RENDERING	AGE 21+	1,003	None	7,917	None	402	None	801	None	836	None	4,282	None	449	None	450	None
1053301853	RHIND, JEFFREY S, DDS	2021	PHP	RENDERING	AGE 0-20	116	None	697	None	99	None	250	None	29	None	50	None	103	None	123	None
1053301853	RHIND, JEFFREY S, DDS	2021	PHP	RENDERING	AGE 21+	269	None	1,128	None	84	None	183	None	101	None	277	None	196	None	201	None
1053305037	CHINH CYNTHIA	2021	FFS	RENDERING	AGE 21+	15	None	37	None	0	None	0	None	11	None	18	None	None	1	None	1
1053314872	MALLOUK, PAUL, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	108	None	18	None	56	None	None	1	None	1	18	None	24	None
1053314872	MALLOUK, PAUL, DDS	2021	FFS	RENDERING	AGE 21+	16	None	68	None	12	None	24	None	None	1	None	2	13	None	13	None
1053319707	NGUYEN, PAULINE DDS	2021	FFS	RENDERING	AGE 0-20	569	None	9,376	None	534	None	1,732	None	561	None	3,137	None	540	None	725	None
1053319707	NGUYEN, PAULINE DDS	2021	FFS	RENDERING	AGE 21+	144	None	1,846	None	110	None	217	None	134	None	901	None	117	None	117	None
1053322339	TRAM, MELISSA THUY, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1053322339	TRAM, MELISSA THUY, DDS	2021	FFS	RENDERING	AGE 21+	70	None	295	None	51	None	51	None	42	None	142	None	17	None	17	None
1053329516	LIU GEORGE C	2021	FFS	RENDERING	AGE 0-20	18	None	59	None	None	1	None	2	13	None	20	None	None	1	None	1
1053335455	QUIMSON-CRUZ, ROSEMARIE DMD	2021	FFS	RENDERING	AGE 0-20	25	None	178	None	25	None	68	None	None	1	None	2	24	None	30	None
1053335455	QUIMSON-CRUZ, ROSEMARIE DMD	2021	FFS	RENDERING	AGE 21+	92	None	597	None	66	None	119	None	63	None	219	None	65	None	65	None
1053366195	DABIRI, MEHRTAJ DDS	2021	FFS	RENDERING	AGE 0-20	21	None	221	None	16	None	65	None	11	None	29	None	18	None	25	None
1053366195	DABIRI, MEHRTAJ DDS	2021	FFS	RENDERING	AGE 21+	84	None	468	None	17	None	34	None	63	None	194	None	48	None	48	None
1053381996	CHO, SUNG Y DDS	2021	FFS	RENDERING	AGE 0-20	1,296	None	25,345	None	696	None	1,683	None	1,296	None	17,433	None	1,288	None	1,288	None
1053405126	FAHMY DIAA S	2021	FFS	RENDERING	AGE 0-20	204	None	1,748	None	129	None	390	None	146	None	534	None	99	None	102	None
1053405126	FAHMY DIAA S	2021	FFS	RENDERING	AGE 21+	168	None	691	None	53	None	80	None	77	None	170	None	96	None	96	None
1053408898	AREA DENTAL OFFICE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053419515	FERNANDEZ NOEL A	2021	FFS	RENDERING	AGE 0-20	97	None	691	None	94	None	233	None	28	None	99	None	91	None	123	None
1053420216	GLOSMAN LEONID M	2021	FFS	RENDERING	AGE 0-20	603	None	5,570	None	69	None	84	None	163	None	483	None	576	None	587	None
1053420216	GLOSMAN LEONID M	2021	FFS	RENDERING	AGE 21+	255	None	2,108	None	None	1	None	1	60	None	193	None	152	None	154	None
1053420216	GLOSMAN LEONID M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1053426684	NGUYEN, CHRISTINE P, DDS	2021	FFS	RENDERING	AGE 0-20	267	None	2,544	None	261	None	1,012	None	121	None	490	None	262	None	311	None
1053426684	NGUYEN, CHRISTINE P, DDS	2021	FFS	RENDERING	AGE 21+	207	None	1,672	None	180	None	363	None	138	None	631	None	187	None	189	None
1053432054	ELIAS, HUSAM G MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053432054	ELIAS, HUSAM G MD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1053432054	ELIAS, HUSAM G MD	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1053432617	LE HAO A	2021	FFS	RENDERING	AGE 0-20	58	None	475	None	56	None	142	None	14	None	35	None	55	None	69	None
1053432617	LE HAO A	2021	FFS	RENDERING	AGE 21+	285	None	2,007	None	202	None	402	None	192	None	747	None	237	None	237	None
1053434787	ILAGAN MARIA ELOISA D	2021	FFS	RENDERING	AGE 0-20	79	None	593	None	77	None	275	None	18	None	54	None	65	None	98	None
1053434787	ILAGAN MARIA ELOISA D	2021	FFS	RENDERING	AGE 21+	38	None	209	None	24	None	48	None	19	None	67	None	27	None	27	None
1053434787	ILAGAN MARIA ELOISA D	2021	PHP	RENDERING	AGE 0-20	63	None	644	None	58	None	256	None	19	None	87	None	59	None	84	None
1053434787	ILAGAN MARIA ELOISA D	2021	PHP	RENDERING	AGE 21+	23	None	141	None	14	None	40	None	None	1	None	1	16	None	17	None
1053449363	AGANON-FU MARIA L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1053449439	ASGARI ALI	2021	FFS	RENDERING	AGE 0-20	3,612	None	34,197	None	3,266	None	11,134	None	2,135	None	8,601	None	3,283	None	4,556	None
1053450155	ATTO, SAMAR, DDS	2021	FFS	RENDERING	AGE 0-20	341	None	3,732	None	332	None	1,563	None	93	None	189	None	334	None	526	None
1053450577	AYOUB WISSAM S	2021	FFS	RENDERING	AGE 0-20	77	None	684	None	71	None	219	None	49	None	189	None	70	None	86	None
1053450577	AYOUB WISSAM S	2021	FFS	RENDERING	AGE 21+	262	None	2,314	None	163	None	315	None	210	None	1,273	None	187	None	189	None
1053450924	NGUYEN SON V	2021	FFS	RENDERING	AGE 0-20	1,945	None	12,250	None	1,299	None	3,735	None	893	None	2,504	None	1,320	None	1,514	None
1053450924	NGUYEN SON V	2021	FFS	RENDERING	AGE 21+	2,314	None	9,663	None	1,032	None	2,059	None	1,341	None	2,534	None	1,339	None	1,339	None
1053450924	NGUYEN, SON V, DDS	2021	FFS	RENDERING	AGE 0-20	1,945	None	12,250	None	1,299	None	3,735	None	893	None	2,504	None	1,320	None	1,514	None
1053450924	NGUYEN, SON V, DDS	2021	FFS	RENDERING	AGE 21+	2,314	None	9,663	None	1,032	None	2,059	None	1,341	None	2,534	None	1,339	None	1,339	None
1053452367	OH, CHRISTINE P, DDS	2021	FFS	RENDERING	AGE 0-20	113	None	1,373	None	105	None	350	None	65	None	376	None	107	None	167	None
1053452367	OH, CHRISTINE P, DDS	2021	FFS	RENDERING	AGE 21+	129	None	1,213	None	67	None	128	None	109	None	694	None	79	None	79	None
1053456814	MURTHY NANDINI R	2021	FFS	RENDERING	AGE 0-20	14	None	93	None	12	None	33	None	None	1	None	2	None	1	None	2
1053456814	MURTHY NANDINI R	2021	FFS	RENDERING	AGE 21+	44	None	240	None	27	None	31	None	27	None	97	None	35	None	35	None
1053456822	WONG, BRIAN R, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	244	None	20	None	94	None	None	1	None	2	20	None	56	None
1053456822	WONG, BRIAN R, DDS	2021	FFS	RENDERING	AGE 21+	89	None	822	None	79	None	158	None	47	None	212	None	81	None	162	None
1053458059	ARAKELYAN TIGRAN	2021	FFS	RENDERING	AGE 0-20	29	None	216	None	26	None	64	None	14	None	81	None	25	None	29	None
1053458059	ARAKELYAN TIGRAN	2021	FFS	RENDERING	AGE 21+	336	None	2,210	None	206	None	206	None	283	None	1,111	None	254	None	254	None
1053460121	FOSDAHL, DAVID T, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	76	None	19	None	27	None	None	1	None	2	None	1	None	1
1053460121	FOSDAHL, DAVID T, DDS	2021	FFS	RENDERING	AGE 21+	31	None	101	None	19	None	19	None	20	None	37	None	0	None	0	None
1053462515	BILAL MUSTAFA	2021	FFS	RENDERING	AGE 0-20	1,471	None	5,515	None	150	None	689	None	1,314	None	3,944	None	245	None	262	None
1053462515	BILAL MUSTAFA	2021	FFS	RENDERING	AGE 21+	2,456	None	10,078	None	441	None	891	None	2,152	None	6,962	None	733	None	735	None
1053462515	BILAL MUSTAFA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053464347	KOR TZE KING J	2021	FFS	RENDERING	AGE 0-20	34	None	237	None	32	None	92	None	19	None	33	None	32	None	43	None
1053464347	KOR TZE KING J	2021	FFS	RENDERING	AGE 21+	112	None	812	None	79	None	81	None	96	None	359	None	86	None	90	None
1053464347	KOR TZE KING J	2021	PHP	RENDERING	AGE 0-20	53	None	225	None	45	None	75	None	None	1	None	1	48	None	52	None
1053464347	KOR TZE KING J	2021	PHP	RENDERING	AGE 21+	32	None	131	None	19	None	30	None	None	1	None	2	19	None	21	None
1053465955	TRAN NGUYEN N	2021	FFS	RENDERING	AGE 0-20	737	None	8,528	None	720	None	2,742	None	325	None	1,217	None	709	None	807	None
1053465955	TRAN NGUYEN N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053465955	TRAN NGUYEN N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1053471441	MEHTA AMI R	2021	FFS	RENDERING	AGE 0-20	29	None	178	None	20	None	71	None	14	None	33	None	19	None	19	None
1053471441	MEHTA AMI R	2021	FFS	RENDERING	AGE 21+	34	None	162	None	None	1	None	2	21	None	63	None	21	None	21	None
1053473108	RYOO VICTOR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1053473108	RYOO VICTOR	2021	FFS	RENDERING	AGE 21+	39	None	229	None	23	None	43	None	22	None	101	None	36	None	36	None
1053473389	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1053473389	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1053477539	MISTRY, UMESHKUMAR J, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	213	None	24	None	51	None	21	None	79	None	24	None	26	None
1053477539	MISTRY, UMESHKUMAR J, DDS	2021	FFS	RENDERING	AGE 21+	52	None	427	None	41	None	42	None	52	None	225	None	47	None	47	None
1053477539	UMESHKUMARJ MISTRY DDS	2021	FFS	RENDERING	AGE 0-20	26	None	213	None	24	None	51	None	21	None	79	None	24	None	26	None
1053477539	UMESHKUMARJ MISTRY DDS	2021	FFS	RENDERING	AGE 21+	52	None	427	None	41	None	42	None	52	None	225	None	47	None	47	None
1053479345	LE THANG Q	2021	FFS	RENDERING	AGE 0-20	165	None	877	None	135	None	415	None	82	None	193	None	70	None	70	None
1053479345	LE THANG Q	2021	FFS	RENDERING	AGE 21+	190	None	579	None	36	None	68	None	133	None	332	None	53	None	53	None
1053479345	LE THANG Q	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1053479345	LE THANG Q	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1053479345	LE THANG Q	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053481465	TRAN KIET M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1053481465	TRAN KIET M	2021	FFS	RENDERING	AGE 21+	18	None	40	None	0	None	0	None	None	1	None	1	11	None	11	None
1053481663	THAI BRANDON T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1053481663	THAI BRANDON T	2021	FFS	RENDERING	AGE 21+	22	None	79	None	None	1	None	1	None	1	None	2	18	None	18	None
1053481663	THAI BRANDON T	2021	PHP	RENDERING	AGE 0-20	35	None	293	None	34	None	134	None	None	1	None	1	32	None	38	None
1053481663	THAI BRANDON T	2021	PHP	RENDERING	AGE 21+	71	None	433	None	65	None	118	None	19	None	57	None	68	None	86	None
1053482463	WU, YING, DDS	2021	FFS	RENDERING	AGE 0-20	77	None	474	None	64	None	149	None	38	None	100	None	64	None	71	None
1053482463	WU, YING, DDS	2021	FFS	RENDERING	AGE 21+	113	None	729	None	64	None	68	None	85	None	392	None	72	None	72	None
1053482463	WU, YING, DDS	2021	PHP	RENDERING	AGE 0-20	76	None	472	None	68	None	152	None	27	None	62	None	67	None	73	None
1053482463	WU, YING, DDS	2021	PHP	RENDERING	AGE 21+	65	None	391	None	42	None	44	None	42	None	142	None	43	None	44	None
1053483339	MITCHELL CECILIA R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053483339	MITCHELL CECILIA R	2021	PHP	RENDERING	AGE 21+	35	None	164	None	12	None	12	None	26	None	69	None	21	None	22	None
1053491993	SINGH, MANINDER, DDS	2021	FFS	RENDERING	AGE 0-20	123	None	1,558	None	116	None	540	None	40	None	109	None	118	None	147	None
1053491993	SINGH, MANINDER, DDS	2021	FFS	RENDERING	AGE 21+	188	None	1,605	None	127	None	258	None	141	None	562	None	151	None	153	None
1053491993	SINGH, MANINDER, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1053491993	SINGH, MANINDER, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1053493536	NGUYEN, JAMES A, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1053493536	NGUYEN, JAMES A, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1053498410	PHAM NGHIA D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1053498410	PHAM NGHIA D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053507996	VILLADA ALEJANDRA	2021	FFS	RENDERING	AGE 0-20	81	None	987	None	74	None	206	None	45	None	185	None	78	None	99	None
1053507996	VILLADA ALEJANDRA	2021	FFS	RENDERING	AGE 21+	101	None	1,089	None	46	None	67	None	82	None	377	None	79	None	79	None
1053511519	LEUNG CHI C	2021	FFS	RENDERING	AGE 0-20	19	None	52	None	None	1	None	1	12	None	32	None	None	1	None	1
1053511519	LEUNG CHI C	2021	FFS	RENDERING	AGE 21+	75	None	244	None	25	None	39	None	44	None	81	None	43	None	43	None
1053512913	MALDONADO, ELVA D, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	59	None	13	None	27	None	None	1	None	1	13	None	13	None
1053512913	MALDONADO, ELVA D, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053525022	NGUYEN, CHAU N, DDS INC	2021	FFS	RENDERING	AGE 0-20	513	None	4,955	None	364	None	988	None	321	None	908	None	350	None	371	None
1053525022	NGUYEN, CHAU N, DDS INC	2021	FFS	RENDERING	AGE 21+	275	None	1,728	None	74	None	146	None	235	None	798	None	81	None	81	None
1053525022	NGUYEN, CHAU N, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1053525667	CLIFT, SUZANNE R, DDS	2021	FFS	RENDERING	AGE 0-20	205	None	2,677	None	167	None	649	None	140	None	1,215	None	188	None	258	None
1053526129	LIM GEORGE D	2021	FFS	RENDERING	AGE 0-20	515	None	6,774	None	448	None	1,411	None	264	None	848	None	462	None	621	None
1053526129	LIM GEORGE D	2021	FFS	RENDERING	AGE 21+	1,027	None	8,216	None	543	None	1,044	None	720	None	2,707	None	722	None	724	None
1053532408	NGO TIEN T	2021	FFS	RENDERING	AGE 0-20	92	None	1,078	None	82	None	282	None	56	None	191	None	81	None	107	None
1053532408	NGO TIEN T	2021	FFS	RENDERING	AGE 21+	125	None	901	None	84	None	166	None	80	None	246	None	83	None	83	None
1053533869	DAWANA THELMA C	2021	FFS	RENDERING	AGE 0-20	14	None	127	None	14	None	49	None	None	1	None	2	None	1	None	2
1053533869	DAWANA THELMA C	2021	FFS	RENDERING	AGE 21+	21	None	149	None	18	None	18	None	None	1	None	2	20	None	20	None
1053541763	ESTIVA CHERYL B	2021	FFS	RENDERING	AGE 0-20	254	None	1,699	None	205	None	493	None	84	None	253	None	183	None	213	None
1053548263	WASSILIAN, VATCHE S DDS	2021	FFS	RENDERING	AGE 0-20	349	None	4,654	None	329	None	890	None	165	None	663	None	328	None	421	None
1053548263	WASSILIAN, VATCHE S DDS	2021	FFS	RENDERING	AGE 21+	592	None	4,905	None	482	None	957	None	308	None	1,211	None	475	None	476	None
1053570036	TRAN HUONGLAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1053575183	GARG RAJIV	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053584243	HOSSEINI AZADEH	2021	FFS	RENDERING	AGE 0-20	57	None	571	None	46	None	154	None	40	None	132	None	44	None	50	None
1053590067	SARVAIYA AVANI P	2021	FFS	RENDERING	AGE 0-20	128	None	1,339	None	115	None	367	None	54	None	297	None	117	None	160	None
1053590067	SARVAIYA AVANI P	2021	FFS	RENDERING	AGE 21+	307	None	3,733	None	187	None	373	None	261	None	1,816	None	219	None	219	None
1053590562	CHUA SILVERINA	2021	FFS	RENDERING	AGE 0-20	109	None	1,851	None	105	None	347	None	48	None	201	None	109	None	154	None
1053590562	CHUA SILVERINA	2021	FFS	RENDERING	AGE 21+	130	None	1,268	None	101	None	198	None	68	None	336	None	118	None	118	None
1053594580	ASGARIFAR KATI O	2021	FFS	RENDERING	AGE 0-20	190	None	309	None	0	None	0	None	38	None	93	None	0	None	0	None
1053594580	ASGARIFAR KATI O	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1053594580	ASGARIFAR KATI O	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1053624999	SOLEIMANI PEDRAM N	2021	FFS	RENDERING	AGE 0-20	154	None	632	None	111	None	214	None	48	None	105	None	105	None	109	None
1053624999	SOLEIMANI PEDRAM N	2021	FFS	RENDERING	AGE 21+	330	None	1,064	None	85	None	109	None	167	None	297	None	166	None	166	None
1053625129	MEJIA DINA R	2021	FFS	RENDERING	AGE 0-20	89	None	861	None	78	None	269	None	53	None	173	None	78	None	93	None
1053625129	MEJIA DINA R	2021	FFS	RENDERING	AGE 21+	82	None	560	None	55	None	102	None	61	None	169	None	54	None	54	None
1053625129	MEJIA DINA R	2021	PHP	RENDERING	AGE 0-20	18	None	161	None	15	None	45	None	14	None	44	None	16	None	17	None
1053625129	MEJIA DINA R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1053642249	SHAMS LAILA Z	2021	FFS	RENDERING	AGE 0-20	24	None	157	None	24	None	76	None	0	None	0	None	24	None	24	None
1053642249	SHAMS LAILA Z	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1053647198	MOKRIY IRENE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053647198	MOKRIY IRENE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053651539	OH, SAEKYU, DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1053651539	SAEKYU OH D.M.D DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1053651778	DO SUSAN M	2021	FFS	RENDERING	AGE 0-20	1,284	None	11,975	None	993	None	3,164	None	938	None	1,816	None	899	None	1,113	None
1053658476	KANAGAKI, DEBRA, RDHAP	2021	FFS	RENDERING	AGE 21+	23	None	24	None	23	None	23	None	None	1	None	1	0	None	0	None
1053667832	NGUYEN AUDREY	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053667832	NGUYEN AUDREY	2021	FFS	RENDERING	AGE 21+	57	None	163	None	0	None	0	None	55	None	158	None	None	1	None	1
1053667832	NGUYEN AUDREY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053668285	YING WEN C	2021	FFS	RENDERING	AGE 0-20	118	None	969	None	95	None	225	None	86	None	250	None	60	None	60	None
1053668285	YING WEN C	2021	FFS	RENDERING	AGE 21+	268	None	1,311	None	67	None	127	None	165	None	471	None	153	None	153	None
1053708024	PAHLAVANI ATOOSA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053708024	PAHLAVANI ATOOSA	2021	FFS	RENDERING	AGE 21+	1,515	None	5,035	None	543	None	788	None	1,505	None	2,277	None	996	None	996	None
1053708487	FRENCH ANDREW J	2021	FFS	RENDERING	AGE 0-20	62	None	364	None	48	None	93	None	27	None	93	None	52	None	52	None
1053708487	FRENCH ANDREW J	2021	FFS	RENDERING	AGE 21+	182	None	818	None	65	None	122	None	138	None	378	None	92	None	92	None
1053713156	PARK JOSEPH	2021	FFS	RENDERING	AGE 0-20	1,410	None	19,911	None	1,243	None	4,980	None	1,114	None	4,827	None	1,306	None	1,798	None
1053713156	PARK JOSEPH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1053742742	GAUTAM PAWAN	2021	FFS	RENDERING	AGE 0-20	996	None	1,514	None	0	None	0	None	229	None	597	None	0	None	0	None
1053742742	GAUTAM PAWAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1053742742	GAUTAM PAWAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053744177	CHIANG KEVIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053744177	CHIANG KEVIN	2021	FFS	RENDERING	AGE 21+	21	None	56	None	None	1	None	1	17	None	24	None	None	1	None	1
1053753350	TADANG BRIAN K	2021	FFS	RENDERING	AGE 0-20	75	None	1,159	None	62	None	228	None	61	None	165	None	64	None	84	None
1053753350	TADANG BRIAN K	2021	FFS	RENDERING	AGE 21+	272	None	4,607	None	188	None	373	None	254	None	1,803	None	214	None	214	None
1053771402	CHU SHU-YU	2021	PHP	RENDERING	AGE 0-20	41	None	93	None	21	None	31	None	18	None	33	None	19	None	19	None
1053771402	CHU SHU-YU	2021	PHP	RENDERING	AGE 21+	114	None	214	None	22	None	22	None	71	None	125	None	40	None	40	None
1053778241	KIM MARIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1053778241	KIM MARIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1053780874	AUNG WAI H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053780874	AUNG WAI H	2021	PHP	RENDERING	AGE 0-20	144	None	696	None	94	None	282	None	72	None	101	None	72	None	72	None
1053780874	AUNG WAI H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053794990	TURLA JUSTINE A	2021	FFS	RENDERING	AGE 0-20	229	None	1,296	None	182	None	437	None	120	None	266	None	174	None	176	None
1053794990	TURLA JUSTINE A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053794990	TURLA JUSTINE A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1053817932	JUNGMAN NICOLAUS R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053821413	BHATT DHELNI T	2021	FFS	RENDERING	AGE 0-20	297	None	2,203	None	252	None	1,084	None	90	None	177	None	282	None	315	None
1053821413	BHATT DHELNI T	2021	FFS	RENDERING	AGE 21+	933	None	3,225	None	178	None	330	None	297	None	810	None	745	None	745	None
1053821413	BHATT DHELNI T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1053821413	BHATT DHELNI T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1053843847	SILVERSTEIN SARAH T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1053845180	LEE SERENA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053845180	LEE SERENA A	2021	FFS	RENDERING	AGE 21+	242	None	307	None	0	None	0	None	242	None	307	None	0	None	0	None
1053851345	MORRIS RENETTRA A	2021	FFS	RENDERING	AGE 21+	61	None	151	None	22	None	35	None	61	None	79	None	24	None	24	None
1053851345	MORRIS RENETTRA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053851345	MORRIS RENETTRA A	2021	PHP	RENDERING	AGE 21+	19	None	49	None	None	1	None	1	15	None	19	None	None	1	None	1
1053866194	KUO RONALD	2021	FFS	RENDERING	AGE 0-20	142	None	1,885	None	136	None	700	None	69	None	155	None	136	None	141	None
1053866194	KUO RONALD	2021	FFS	RENDERING	AGE 21+	271	None	1,946	None	85	None	168	None	197	None	614	None	120	None	120	None
1053866194	KUO RONALD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1053866194	KUO RONALD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1053876094	JUAREZ HERNANDE ANGELICA	2021	FFS	RENDERING	AGE 0-20	451	None	3,535	None	314	None	912	None	275	None	879	None	375	None	381	None
1053876094	JUAREZ HERNANDE ANGELICA	2021	FFS	RENDERING	AGE 21+	501	None	3,234	None	111	None	214	None	306	None	1,444	None	377	None	377	None
1053876094	JUAREZ HERNANDE ANGELICA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1053885020	AVETISYAN EDUARD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1053887687	APPELBLATT DEREK N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1053907618	KIM HEEKEUN	2021	FFS	RENDERING	AGE 0-20	4,900	None	39,474	None	4,277	None	10,632	None	2,567	None	4,993	None	4,262	None	4,362	None
1053915504	SULIEMAN SAAD A	2021	FFS	RENDERING	AGE 0-20	36	None	107	None	None	1	None	1	14	None	28	None	19	None	19	None
1053915504	SULIEMAN SAAD A	2021	FFS	RENDERING	AGE 21+	400	None	1,164	None	12	None	24	None	279	None	537	None	125	None	127	None
1053915504	SULIEMAN SAAD A	2021	GMC	RENDERING	AGE 0-20	57	None	241	None	None	1	None	2	26	None	45	None	30	None	31	None
1053915504	SULIEMAN SAAD A	2021	GMC	RENDERING	AGE 21+	204	None	677	None	None	1	None	2	128	None	270	None	69	None	70	None
1053922534	GLISSMAN CHELSEA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1053922534	GLISSMAN CHELSEA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1053924241	JAIN RASHMI	2021	FFS	RENDERING	AGE 0-20	411	None	1,628	None	122	None	297	None	245	None	721	None	146	None	146	None
1053924241	JAIN RASHMI	2021	FFS	RENDERING	AGE 21+	303	None	896	None	58	None	99	None	143	None	319	None	148	None	148	None
1053939991	AZARPAJOUH TALAYEH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1053939991	AZARPAJOUH TALAYEH	2021	FFS	RENDERING	AGE 21+	90	None	139	None	0	None	0	None	89	None	117	None	None	1	None	1
1053966705	WONG HARRISON N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1053966705	WONG HARRISON N	2021	FFS	RENDERING	AGE 21+	21	None	53	None	0	None	0	None	21	None	52	None	0	None	0	None
1053966705	WONG HARRISON N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1053966705	WONG HARRISON N	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063005973	MOHAMMED NAVEED I	2021	FFS	RENDERING	AGE 0-20	211	None	923	None	68	None	177	None	126	None	353	None	118	None	118	None
1063005973	MOHAMMED NAVEED I	2021	FFS	RENDERING	AGE 21+	498	None	1,420	None	45	None	74	None	267	None	646	None	245	None	250	None
1063005973	MOHAMMED NAVEED I	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063005973	MOHAMMED NAVEED I	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1063022903	TOURGOLI RAENA	2021	FFS	RENDERING	AGE 0-20	137	None	544	None	92	None	186	None	39	None	71	None	115	None	116	None
1063022903	TOURGOLI RAENA	2021	FFS	RENDERING	AGE 21+	686	None	2,685	None	282	None	517	None	329	None	925	None	524	None	524	None
1063059459	CORTEZ MICHAEL A	2021	FFS	RENDERING	AGE 0-20	259	None	2,129	None	157	None	372	None	137	None	448	None	239	None	288	None
1063059459	CORTEZ MICHAEL A	2021	FFS	RENDERING	AGE 21+	280	None	1,595	None	26	None	35	None	198	None	796	None	227	None	229	None
1063062636	NGO VIAN	2021	FFS	RENDERING	AGE 0-20	32	None	197	None	31	None	72	None	None	1	None	1	31	None	31	None
1063062636	NGO VIAN	2021	FFS	RENDERING	AGE 21+	23	None	126	None	22	None	43	None	None	1	None	2	20	None	20	None
1063068849	RAUFY MUZMML	2021	FFS	RENDERING	AGE 0-20	168	None	1,667	None	139	None	584	None	63	None	173	None	141	None	146	None
1063068849	RAUFY MUZMML	2021	FFS	RENDERING	AGE 21+	678	None	4,943	None	377	None	757	None	439	None	1,742	None	482	None	488	None
1063085637	NAGRA RAJBIR K	2021	FFS	RENDERING	AGE 0-20	289	None	1,555	None	269	None	629	None	108	None	121	None	269	None	269	None
1063085637	NAGRA RAJBIR K	2021	FFS	RENDERING	AGE 21+	45	None	117	None	None	1	None	2	34	None	71	None	None	1	None	1
1063093284	RAVEENDRAN MENO SHILPA	2021	FFS	RENDERING	AGE 0-20	35	None	177	None	32	None	82	None	None	1	None	2	31	None	31	None
1063093284	RAVEENDRAN MENO SHILPA	2021	FFS	RENDERING	AGE 21+	61	None	216	None	46	None	46	None	17	None	32	None	49	None	49	None
1063094977	DHAMI JASPREET S	2021	FFS	RENDERING	AGE 0-20	249	None	943	None	179	None	613	None	146	None	316	None	None	1	None	1
1063094977	DHAMI JASPREET S	2021	FFS	RENDERING	AGE 21+	515	None	1,549	None	113	None	165	None	474	None	1,369	None	None	1	None	1
1063180578	DEOL TAPINDER K	2021	FFS	RENDERING	AGE 0-20	52	None	241	None	34	None	59	None	23	None	45	None	33	None	33	None
1063180578	DEOL TAPINDER K	2021	FFS	RENDERING	AGE 21+	76	None	266	None	15	None	16	None	40	None	92	None	39	None	39	None
1063180578	DEOL TAPINDER K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063180578	DEOL TAPINDER K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063412054	SHAH JOLLY	2021	FFS	RENDERING	AGE 0-20	164	None	1,807	None	147	None	428	None	61	None	208	None	151	None	193	None
1063412054	SHAH JOLLY	2021	FFS	RENDERING	AGE 21+	210	None	1,591	None	154	None	300	None	92	None	294	None	183	None	183	None
1063414274	ROLDAN MARY JANET C	2021	FFS	RENDERING	AGE 0-20	406	None	4,785	None	386	None	1,139	None	183	None	309	None	389	None	510	None
1063414274	ROLDAN MARY JANET C	2021	FFS	RENDERING	AGE 21+	347	None	2,591	None	220	None	440	None	159	None	393	None	303	None	303	None
1063420255	PHAM, STACY	2021	FFS	RENDERING	AGE 0-20	321	None	3,648	None	304	None	1,179	None	183	None	517	None	309	None	385	None
1063420255	PHAM, STACY	2021	FFS	RENDERING	AGE 21+	396	None	3,016	None	279	None	557	None	288	None	1,101	None	306	None	306	None
1063432367	AVILA ANGELA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1063432367	AVILA ANGELA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1063432961	VU DOAN D	2021	FFS	RENDERING	AGE 0-20	338	None	3,519	None	311	None	1,007	None	182	None	443	None	328	None	460	None
1063432961	VU DOAN D	2021	FFS	RENDERING	AGE 21+	247	None	1,691	None	134	None	266	None	154	None	583	None	216	None	216	None
1063438265	AVAKIAN, ARTASHES DDS	2021	FFS	RENDERING	AGE 0-20	157	None	1,832	None	132	None	358	None	92	None	291	None	142	None	196	None
1063438265	AVAKIAN, ARTASHES DDS	2021	FFS	RENDERING	AGE 21+	483	None	3,764	None	188	None	294	None	356	None	1,550	None	362	None	362	None
1063486298	AZER, SOHEIR S, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	105	None	12	None	21	None	None	1	None	2	13	None	13	None
1063486298	AZER, SOHEIR S, DDS	2021	FFS	RENDERING	AGE 21+	101	None	885	None	73	None	111	None	66	None	348	None	86	None	86	None
1063501195	NAFTALIN, GERALD L, DDS	2021	FFS	RENDERING	AGE 0-20	60	None	363	None	51	None	78	None	22	None	46	None	40	None	42	None
1063501195	NAFTALIN, GERALD L, DDS	2021	FFS	RENDERING	AGE 21+	131	None	785	None	89	None	90	None	80	None	230	None	62	None	62	None
1063502128	AKHAVE, SHAILA J, DDS	2021	FFS	RENDERING	AGE 0-20	24	None	182	None	23	None	53	None	None	1	None	2	22	None	25	None
1063502128	AKHAVE, SHAILA J, DDS	2021	FFS	RENDERING	AGE 21+	49	None	258	None	34	None	34	None	26	None	114	None	32	None	32	None
1063503993	OCAMPO SERGIO G	2021	FFS	RENDERING	AGE 0-20	20	None	163	None	18	None	32	None	None	1	None	2	18	None	19	None
1063503993	OCAMPO SERGIO G	2021	FFS	RENDERING	AGE 21+	104	None	719	None	30	None	30	None	76	None	439	None	70	None	70	None
1063508166	KSADJIKIAN, LOUSIN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063508166	KSADJIKIAN, LOUSIN, DDS	2021	FFS	RENDERING	AGE 21+	99	None	524	None	52	None	54	None	77	None	306	None	68	None	72	None
1063508737	BAILEY JR JAMES M	2021	FFS	RENDERING	AGE 0-20	45	None	67	None	0	None	0	None	None	1	None	2	0	None	0	None
1063510246	NGUYEN, LEGIANG THI DDS	2021	FFS	RENDERING	AGE 0-20	107	None	995	None	103	None	338	None	60	None	127	None	104	None	146	None
1063510246	NGUYEN, LEGIANG THI DDS	2021	FFS	RENDERING	AGE 21+	331	None	2,930	None	241	None	242	None	261	None	1,103	None	265	None	266	None
1063511509	TRAN, KIM H DDS	2021	FFS	RENDERING	AGE 0-20	476	None	7,489	None	461	None	2,166	None	337	None	937	None	461	None	676	None
1063511509	TRAN, KIM H DDS	2021	FFS	RENDERING	AGE 21+	258	None	2,848	None	175	None	321	None	240	None	1,282	None	212	None	212	None
1063514370	HUYNH, PHUONG DDS	2021	FFS	RENDERING	AGE 0-20	149	None	2,231	None	144	None	613	None	55	None	146	None	145	None	170	None
1063514370	HUYNH, PHUONG DDS	2021	FFS	RENDERING	AGE 21+	15	None	167	None	13	None	25	None	None	1	None	2	13	None	13	None
1063532299	RICHARDSON PAUL L	2021	FFS	RENDERING	AGE 0-20	1,358	None	8,652	None	1,110	None	3,058	None	533	None	1,497	None	861	None	966	None
1063532299	RICHARDSON PAUL L	2021	FFS	RENDERING	AGE 21+	2,321	None	9,399	None	386	None	398	None	1,128	None	4,145	None	918	None	918	None
1063532315	GANDHI, ASHOKKUMAR R DDS	2021	FFS	RENDERING	AGE 0-20	123	None	1,089	None	112	None	409	None	55	None	226	None	111	None	151	None
1063532315	GANDHI, ASHOKKUMAR R DDS	2021	FFS	RENDERING	AGE 21+	384	None	2,185	None	211	None	211	None	262	None	1,060	None	270	None	270	None
1063532315	GANDHI, ASHOKKUMAR R DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063532802	ABUL-FIELAT, MOHAMMAD, DDS I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1063532802	MOHAMMAD ABUL FIELAT DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1063535912	NGUYEN HONG-HANH T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063535912	NGUYEN HONG-HANH T	2021	FFS	RENDERING	AGE 21+	76	None	297	None	43	None	44	None	30	None	60	None	54	None	54	None
1063535912	NGUYEN HONG-HANH T	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1063535912	NGUYEN HONG-HANH T	2021	GMC	RENDERING	AGE 21+	13	None	51	None	12	None	16	None	None	1	None	2	None	1	None	1
1063538882	DAO, TIANNA-THUY, DDS	2021	FFS	RENDERING	AGE 0-20	71	None	406	None	61	None	89	None	13	None	24	None	67	None	80	None
1063538882	DAO, TIANNA-THUY, DDS	2021	FFS	RENDERING	AGE 21+	179	None	922	None	113	None	113	None	92	None	190	None	153	None	153	None
1063541985	KHATCHATURIAN, CHRIS	2021	FFS	RENDERING	AGE 0-20	1,059	None	8,609	None	765	None	2,272	None	540	None	1,059	None	625	None	647	None
1063541985	KHATCHATURIAN, CHRIS	2021	FFS	RENDERING	AGE 21+	1,001	None	5,054	None	191	None	374	None	580	None	1,504	None	453	None	457	None
1063541985	KHATCHATURIAN, CHRIS	2021	PHP	RENDERING	AGE 0-20	168	None	1,316	None	138	None	454	None	102	None	326	None	124	None	135	None
1063541985	KHATCHATURIAN, CHRIS	2021	PHP	RENDERING	AGE 21+	156	None	715	None	44	None	85	None	104	None	324	None	96	None	96	None
1063542215	NGUYEN-DERY ANH P	2021	FFS	RENDERING	AGE 0-20	270	None	3,965	None	224	None	804	None	217	None	1,201	None	234	None	261	None
1063543494	CHAVEZ, MARCO M, DDS	2021	FFS	RENDERING	AGE 0-20	38	None	167	None	33	None	44	None	None	1	None	1	32	None	38	None
1063543494	CHAVEZ, MARCO M, DDS	2021	FFS	RENDERING	AGE 21+	18	None	87	None	13	None	13	None	None	1	None	1	13	None	13	None
1063543577	MAZI, FARHAD, DDS A PROF COR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063546893	KIM BUM	2021	FFS	RENDERING	AGE 0-20	731	None	4,936	None	664	None	1,785	None	161	None	278	None	705	None	705	None
1063546893	KIM BUM	2021	GMC	RENDERING	AGE 0-20	97	None	107	None	None	1	None	1	96	None	97	None	None	1	None	1
1063546893	KIM BUM	2021	GMC	RENDERING	AGE 21+	27	None	27	None	0	None	0	None	27	None	27	None	0	None	0	None
1063546893	KIM BUM	2021	PHP	RENDERING	AGE 0-20	52	None	52	None	0	None	0	None	52	None	52	None	0	None	0	None
1063546893	KIM BUM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063547933	LIM KATHLEEN S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1063548972	ENAYA AMR M	2021	FFS	RENDERING	AGE 0-20	33	None	438	None	26	None	88	None	22	None	96	None	32	None	38	None
1063548972	ENAYA AMR M	2021	FFS	RENDERING	AGE 21+	50	None	386	None	21	None	37	None	40	None	167	None	36	None	36	None
1063549483	NADIR-MOHAMMADI SHAHLA	2021	FFS	RENDERING	AGE 0-20	109	None	1,225	None	100	None	329	None	55	None	211	None	100	None	125	None
1063549483	NADIR-MOHAMMADI SHAHLA	2021	FFS	RENDERING	AGE 21+	297	None	2,612	None	136	None	250	None	216	None	1,166	None	208	None	208	None
1063549483	NADIR-MOHAMMADI SHAHLA	2021	PHP	RENDERING	AGE 0-20	20	None	108	None	16	None	35	None	None	1	None	1	20	None	20	None
1063549483	NADIR-MOHAMMADI SHAHLA	2021	PHP	RENDERING	AGE 21+	26	None	122	None	None	1	None	2	None	1	None	2	14	None	14	None
1063549483	YAZDANI & NADIR DDS INC	2021	FFS	RENDERING	AGE 0-20	109	None	1,225	None	100	None	329	None	55	None	211	None	100	None	125	None
1063549483	YAZDANI & NADIR DDS INC	2021	FFS	RENDERING	AGE 21+	297	None	2,612	None	136	None	250	None	216	None	1,166	None	208	None	208	None
1063549483	YAZDANI & NADIR DDS INC	2021	PHP	RENDERING	AGE 0-20	20	None	108	None	16	None	35	None	None	1	None	1	20	None	20	None
1063549483	YAZDANI & NADIR DDS INC	2021	PHP	RENDERING	AGE 21+	26	None	122	None	None	1	None	2	None	1	None	2	14	None	14	None
1063558930	RAZA, MEHRAN A, DDS	2021	FFS	RENDERING	AGE 0-20	144	None	801	None	121	None	300	None	66	None	239	None	101	None	123	None
1063558930	RAZA, MEHRAN A, DDS	2021	FFS	RENDERING	AGE 21+	437	None	1,737	None	164	None	219	None	313	None	853	None	180	None	182	None
1063562205	STEVENSON DON A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1063562205	STEVENSON DON A	2021	FFS	RENDERING	AGE 21+	24	None	69	None	14	None	14	None	13	None	29	None	None	1	None	1
1063562213	BONIADI FARAMARZ R	2021	FFS	RENDERING	AGE 0-20	51	None	462	None	35	None	66	None	15	None	54	None	44	None	44	None
1063562213	BONIADI FARAMARZ R	2021	FFS	RENDERING	AGE 21+	57	None	394	None	None	1	None	2	30	None	131	None	34	None	34	None
1063567980	SHINMOTO THOMAS H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063567980	SHINMOTO THOMAS H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063569499	ZAREH NEGAR	2021	FFS	RENDERING	AGE 0-20	53	None	476	None	45	None	142	None	20	None	89	None	31	None	40	None
1063569499	ZAREH NEGAR	2021	FFS	RENDERING	AGE 21+	94	None	522	None	32	None	52	None	46	None	210	None	49	None	49	None
1063571198	TEBYANI FARID	2021	FFS	RENDERING	AGE 0-20	166	None	1,851	None	142	None	550	None	71	None	260	None	151	None	187	None
1063571198	TEBYANI FARID	2021	FFS	RENDERING	AGE 21+	371	None	2,718	None	210	None	379	None	264	None	1,071	None	262	None	268	None
1063571198	TEBYANI FARID	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063571313	OZDER, NECDET DDS	2021	FFS	RENDERING	AGE 0-20	2,154	None	11,368	None	548	None	1,560	None	1,441	None	3,459	None	1,140	None	1,225	None
1063571313	OZDER, NECDET DDS	2021	FFS	RENDERING	AGE 21+	4,242	None	18,023	None	288	None	557	None	3,018	None	8,135	None	2,108	None	2,116	None
1063571313	OZDER, NECDET DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063571313	OZDER, NECDET DDS	2021	PHP	RENDERING	AGE 0-20	64	None	418	None	50	None	140	None	27	None	55	None	59	None	71	None
1063571313	OZDER, NECDET DDS	2021	PHP	RENDERING	AGE 21+	136	None	621	None	35	None	63	None	70	None	222	None	111	None	114	None
1063574390	HOSS KAMI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063575736	BUTRICA JR WILLIAM P	2021	FFS	RENDERING	AGE 0-20	255	None	1,800	None	251	None	802	None	86	None	271	None	252	None	350	None
1063575736	BUTRICA JR WILLIAM P	2021	FFS	RENDERING	AGE 21+	17	None	73	None	14	None	24	None	None	1	None	2	14	None	14	None
1063576254	WHISENHUNT CHERYL A	2021	FFS	RENDERING	AGE 0-20	4,813	None	36,687	None	4,379	None	14,400	None	2,548	None	3,830	None	4,394	None	4,912	None
1063576254	WHISENHUNT CHERYL A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1063576254	WHISENHUNT CHERYL A	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063583292	RODRIGUEZ, LESTER, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1063583292	RODRIGUEZ, LESTER, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1063583292	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1063583292	UNKNOWN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1063584399	LANDIS CHARLES R	2021	FFS	RENDERING	AGE 0-20	313	None	1,947	None	0	None	0	None	215	None	1,432	None	255	None	255	None
1063584399	LANDIS CHARLES R	2021	FFS	RENDERING	AGE 21+	342	None	2,900	None	None	1	None	1	228	None	2,365	None	270	None	271	None
1063592061	CHUNG, HENRY C, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063592061	CHUNG, HENRY C, DDS	2021	FFS	RENDERING	AGE 21+	121	None	729	None	27	None	27	None	111	None	610	None	48	None	50	None
1063596435	JABBAR WIAM A	2021	FFS	RENDERING	AGE 0-20	44	None	400	None	40	None	125	None	28	None	129	None	41	None	50	None
1063596435	JABBAR WIAM A	2021	FFS	RENDERING	AGE 21+	144	None	1,427	None	110	None	213	None	106	None	795	None	123	None	123	None
1063596815	MORRIS JENNIFER D	2021	FFS	RENDERING	AGE 0-20	1,145	None	6,756	None	1,065	None	3,307	None	568	None	738	None	1,032	None	1,073	None
1063596815	MORRIS JENNIFER D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063600393	O'BRIEN AMERICA F	2021	FFS	RENDERING	AGE 0-20	15	None	129	None	13	None	18	None	None	1	None	2	None	1	None	1
1063600393	O'BRIEN AMERICA F	2021	FFS	RENDERING	AGE 21+	24	None	118	None	13	None	13	None	11	None	35	None	None	1	None	1
1063600898	ASSATOURIANS, GUSTAVO A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063600898	ASSATOURIANS, GUSTAVO A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1063600898	GUSTAVO A ASSATOURIANS DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063600898	GUSTAVO A ASSATOURIANS DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1063605483	HUANG RYAN Z	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1063605483	HUANG RYAN Z	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1063608149	MONTIAGUE LOWELLA R	2021	FFS	RENDERING	AGE 0-20	150	None	804	None	101	None	309	None	75	None	158	None	92	None	94	None
1063608149	MONTIAGUE LOWELLA R	2021	FFS	RENDERING	AGE 21+	62	None	234	None	22	None	39	None	39	None	90	None	22	None	22	None
1063613875	SILVERA, ANDREIA MINASIAN, D	2021	FFS	RENDERING	AGE 0-20	71	None	215	None	0	None	0	None	71	None	215	None	0	None	0	None
1063613875	SILVERA, ANDREIA MINASIAN, D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063619062	AMIRI BERTRAM B	2021	FFS	RENDERING	AGE 0-20	107	None	1,398	None	89	None	290	None	56	None	227	None	81	None	98	None
1063619062	AMIRI BERTRAM B	2021	FFS	RENDERING	AGE 21+	160	None	1,751	None	98	None	181	None	88	None	380	None	105	None	105	None
1063620383	GEGAMIAN SAMUEL	2021	FFS	RENDERING	AGE 0-20	47	None	55	None	0	None	0	None	47	None	55	None	0	None	0	None
1063620383	GEGAMIAN SAMUEL	2021	FFS	RENDERING	AGE 21+	117	None	239	None	0	None	0	None	117	None	239	None	0	None	0	None
1063620383	GEGAMIAN SAMUEL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063622371	LO JONATHAN H	2021	FFS	RENDERING	AGE 0-20	35	None	186	None	31	None	86	None	14	None	27	None	30	None	42	None
1063622371	LO JONATHAN H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063624203	ZAENI YASMINE	2021	FFS	RENDERING	AGE 0-20	1,716	None	21,130	None	1,624	None	7,287	None	1,432	None	5,777	None	1,205	None	1,413	None
1063624203	ZAENI YASMINE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1063624203	ZAENI YASMINE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063625580	FEIR, PILAR, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1063625580	FEIR, PILAR, DDS	2021	FFS	RENDERING	AGE 21+	32	None	75	None	25	None	25	None	None	1	None	2	22	None	22	None
1063628774	HONG, TSAI-CHUN, DDS	2021	FFS	RENDERING	AGE 0-20	184	None	1,715	None	163	None	624	None	97	None	430	None	171	None	181	None
1063628774	HONG, TSAI-CHUN, DDS	2021	FFS	RENDERING	AGE 21+	193	None	1,645	None	87	None	175	None	145	None	752	None	158	None	158	None
1063629921	HU LIN-YUN	2021	FFS	RENDERING	AGE 0-20	20	None	89	None	18	None	39	None	None	1	None	2	17	None	23	None
1063629921	HU LIN-YUN	2021	FFS	RENDERING	AGE 21+	45	None	128	None	17	None	17	None	21	None	40	None	29	None	29	None
1063631885	VIRK AMANDEEP B	2021	FFS	RENDERING	AGE 0-20	268	None	3,004	None	258	None	1,013	None	157	None	581	None	258	None	344	None
1063631885	VIRK AMANDEEP B	2021	FFS	RENDERING	AGE 21+	220	None	1,584	None	157	None	312	None	147	None	569	None	172	None	172	None
1063633113	ITOH KOUICHI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1063633113	ITOH KOUICHI	2021	FFS	RENDERING	AGE 21+	34	None	155	None	30	None	30	None	15	None	54	None	30	None	30	None
1063633907	RAVAEI RAMIN	2021	FFS	RENDERING	AGE 0-20	463	None	6,849	None	452	None	2,167	None	219	None	623	None	453	None	613	None
1063633907	RAVAEI RAMIN	2021	FFS	RENDERING	AGE 21+	787	None	7,796	None	565	None	1,121	None	603	None	2,470	None	634	None	637	None
1063633907	RAVAEI RAMIN	2021	PHP	RENDERING	AGE 0-20	73	None	630	None	68	None	198	None	13	None	15	None	66	None	71	None
1063633907	RAVAEI RAMIN	2021	PHP	RENDERING	AGE 21+	86	None	636	None	59	None	94	None	38	None	89	None	68	None	74	None
1063635241	FLORES ENRIQUE	2021	FFS	RENDERING	AGE 0-20	587	None	7,505	None	516	None	1,413	None	341	None	942	None	521	None	580	None
1063635241	FLORES ENRIQUE	2021	FFS	RENDERING	AGE 21+	455	None	3,827	None	152	None	293	None	297	None	848	None	287	None	287	None
1063637700	AYOUB MARLIZE A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1063637700	AYOUB MARLIZE A	2021	FFS	RENDERING	AGE 21+	25	None	125	None	15	None	30	None	13	None	36	None	22	None	22	None
1063638393	MERRELL, JERRY D DDS	2021	FFS	RENDERING	AGE 0-20	436	None	2,267	None	0	None	0	None	278	None	1,523	None	371	None	372	None
1063638393	MERRELL, JERRY D DDS	2021	FFS	RENDERING	AGE 21+	688	None	3,214	None	0	None	0	None	499	None	2,048	None	583	None	583	None
1063641561	OWHADIAN SAMERA	2021	FFS	RENDERING	AGE 21+	249	None	1,962	None	162	None	173	None	199	None	855	None	180	None	182	None
1063659738	PARKER-TROUTMAN MELINDA D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1063659738	PARKER-TROUTMAN MELINDA D	2021	FFS	RENDERING	AGE 21+	99	None	476	None	23	None	46	None	77	None	168	None	18	None	18	None
1063663813	TONG KAR YAN J	2021	FFS	RENDERING	AGE 0-20	155	None	852	None	122	None	229	None	84	None	231	None	89	None	96	None
1063663813	TONG KAR YAN J	2021	FFS	RENDERING	AGE 21+	132	None	591	None	53	None	80	None	101	None	301	None	30	None	30	None
1063668671	KHAN SHEHZAD A	2021	FFS	RENDERING	AGE 0-20	239	None	615	None	0	None	0	None	22	None	46	None	0	None	0	None
1063668671	KHAN SHEHZAD A	2021	FFS	RENDERING	AGE 21+	33	None	54	None	0	None	0	None	0	None	0	None	0	None	0	None
1063677870	MORADZADEH ALEXANDER S	2021	FFS	RENDERING	AGE 0-20	190	None	2,165	None	161	None	644	None	131	None	366	None	169	None	235	None
1063677870	MORADZADEH ALEXANDER S	2021	FFS	RENDERING	AGE 21+	310	None	1,674	None	115	None	225	None	219	None	573	None	183	None	185	None
1063677870	MORADZADEH ALEXANDER S	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1063677870	MORADZADEH ALEXANDER S	2021	PHP	RENDERING	AGE 0-20	344	None	3,732	None	298	None	1,411	None	223	None	526	None	306	None	419	None
1063677870	MORADZADEH ALEXANDER S	2021	PHP	RENDERING	AGE 21+	236	None	1,406	None	112	None	239	None	167	None	503	None	150	None	153	None
1063691970	LINSZKY, JOZSEF, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1063691970	LINSZKY, JOZSEF, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1063695070	DABBAGH GHASSAN ABDU M	2021	FFS	RENDERING	AGE 0-20	120	None	499	None	85	None	140	None	46	None	83	None	81	None	92	None
1063695070	DABBAGH GHASSAN ABDU M	2021	FFS	RENDERING	AGE 21+	357	None	1,270	None	172	None	172	None	200	None	486	None	210	None	210	None
1063697183	MILERA SHELLY A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063697183	MILERA SHELLY A	2021	GMC	RENDERING	AGE 0-20	1,857	None	13,438	None	1,177	None	4,571	None	512	None	814	None	1,136	None	1,221	None
1063698629	KIM SOOYONG	2021	FFS	RENDERING	AGE 0-20	22	None	70	None	None	1	None	2	None	1	None	2	None	1	None	1
1063698629	KIM SOOYONG	2021	FFS	RENDERING	AGE 21+	124	None	268	None	12	None	22	None	52	None	83	None	48	None	48	None
1063698629	KIM SOOYONG	2021	GMC	RENDERING	AGE 0-20	68	None	296	None	26	None	97	None	32	None	61	None	28	None	28	None
1063698629	KIM SOOYONG	2021	GMC	RENDERING	AGE 21+	98	None	267	None	None	1	None	2	65	None	163	None	18	None	19	None
1063702322	GONZALEZ PABLO L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1063702322	GONZALEZ PABLO L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1063723021	BHOGAL RAJVIR S	2021	FFS	RENDERING	AGE 0-20	265	None	1,002	None	58	None	120	None	125	None	408	None	234	None	237	None
1063723021	BHOGAL RAJVIR S	2021	FFS	RENDERING	AGE 21+	480	None	1,739	None	105	None	199	None	238	None	718	None	393	None	393	None
1063723021	BHOGAL RAJVIR S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063723021	BHOGAL RAJVIR S	2021	GMC	RENDERING	AGE 21+	38	None	126	None	0	None	0	None	38	None	126	None	0	None	0	None
1063738920	GRAU AMANDA B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1063738920	GRAU AMANDA B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063749844	LEW ROBERT W	2021	FFS	RENDERING	AGE 0-20	273	None	2,015	None	150	None	328	None	98	None	216	None	217	None	224	None
1063749844	LEW ROBERT W	2021	FFS	RENDERING	AGE 21+	277	None	1,376	None	91	None	182	None	152	None	426	None	173	None	177	None
1063757185	MANESH SAMAN K	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1063757185	MANESH SAMAN K	2021	GMC	RENDERING	AGE 21+	11	None	44	None	None	1	None	1	None	1	None	2	None	1	None	1
1063770691	CAESAR DARRYL A	2021	FFS	RENDERING	AGE 0-20	79	None	100	None	0	None	0	None	None	1	None	1	0	None	0	None
1063770691	CAESAR DARRYL A	2021	FFS	RENDERING	AGE 21+	16	None	16	None	0	None	0	None	0	None	0	None	0	None	0	None
1063770691	CAESAR DARRYL A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063782746	BERAL KOUROSH M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063782746	BERAL KOUROSH M	2021	PHP	RENDERING	AGE 0-20	510	None	3,823	None	425	None	1,648	None	403	None	719	None	273	None	289	None
1063782746	BERAL KOUROSH M	2021	PHP	RENDERING	AGE 21+	810	None	4,577	None	547	None	1,293	None	697	None	1,284	None	386	None	393	None
1063784239	YASHARI SIMON	2021	FFS	RENDERING	AGE 0-20	952	None	3,796	None	302	None	1,132	None	668	None	1,664	None	168	None	168	None
1063784239	YASHARI SIMON	2021	FFS	RENDERING	AGE 21+	1,496	None	6,535	None	484	None	926	None	1,052	None	3,450	None	575	None	577	None
1063794477	CHEN JANICE Y	2021	FFS	RENDERING	AGE 0-20	505	None	1,705	None	None	1	None	1	504	None	1,696	None	None	1	None	1
1063794477	CHEN JANICE Y	2021	FFS	RENDERING	AGE 21+	18	None	59	None	0	None	0	None	18	None	59	None	0	None	0	None
1063809804	HAYASHIBARA SHANNON M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1063819928	POMEROY WILLIAM I	2021	PHP	RENDERING	AGE 0-20	19	None	50	None	12	None	26	None	None	1	None	2	None	1	None	1
1063819928	POMEROY WILLIAM I	2021	PHP	RENDERING	AGE 21+	81	None	175	None	14	None	14	None	68	None	131	None	19	None	19	None
1063820660	KUWAYE JR DENNIS K	2021	FFS	RENDERING	AGE 0-20	67	None	531	None	59	None	153	None	36	None	103	None	64	None	78	None
1063820660	KUWAYE JR DENNIS K	2021	FFS	RENDERING	AGE 21+	194	None	1,342	None	80	None	155	None	132	None	468	None	144	None	144	None
1063821429	WILSON MANDI L	2021	FFS	RENDERING	AGE 0-20	115	None	2,005	None	73	None	212	None	105	None	1,152	None	30	None	31	None
1063822849	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1063822849	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1063839751	YOUSSEF HANY S	2021	FFS	RENDERING	AGE 0-20	76	None	95	None	0	None	0	None	35	None	46	None	0	None	0	None
1063839751	YOUSSEF HANY S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1063843910	CHO, BENJAMIN DDS	2021	FFS	RENDERING	AGE 0-20	107	None	520	None	101	None	283	None	17	None	42	None	106	None	148	None
1063843910	CHO, BENJAMIN DDS	2021	FFS	RENDERING	AGE 21+	277	None	1,073	None	204	None	360	None	57	None	127	None	257	None	258	None
1063849180	CRUZ OLIVER S	2021	FFS	RENDERING	AGE 0-20	35	None	356	None	26	None	78	None	23	None	149	None	33	None	45	None
1063849180	CRUZ OLIVER S	2021	FFS	RENDERING	AGE 21+	147	None	1,260	None	95	None	180	None	115	None	615	None	124	None	124	None
1063850519	MOHAVERI PEGAH	2021	FFS	RENDERING	AGE 0-20	66	None	497	None	48	None	163	None	23	None	61	None	56	None	56	None
1063850519	MOHAVERI PEGAH	2021	FFS	RENDERING	AGE 21+	147	None	609	None	18	None	21	None	97	None	255	None	75	None	75	None
1063864114	AU AARON Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063870319	BLATCHELY, RYAN DDS	2021	FFS	RENDERING	AGE 0-20	179	None	1,298	None	162	None	554	None	96	None	276	None	145	None	179	None
1063870319	BLATCHELY, RYAN DDS	2021	FFS	RENDERING	AGE 21+	266	None	1,340	None	136	None	238	None	154	None	457	None	161	None	161	None
1063874709	SIDHU HARSHEEN	2021	FFS	RENDERING	AGE 0-20	57	None	267	None	35	None	83	None	24	None	79	None	40	None	40	None
1063876449	WEINSTEIN MARTIN A	2021	FFS	RENDERING	AGE 0-20	549	None	7,074	None	516	None	2,149	None	216	None	504	None	503	None	636	None
1063876449	WEINSTEIN MARTIN A	2021	FFS	RENDERING	AGE 21+	785	None	7,078	None	520	None	1,037	None	408	None	1,397	None	634	None	635	None
1063882504	KAZIM AMIR E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063882504	KAZIM AMIR E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063891513	NAJIBI ROD	2021	PHP	RENDERING	AGE 0-20	22	None	117	None	18	None	43	None	None	1	None	1	16	None	16	None
1063891513	NAJIBI ROD	2021	PHP	RENDERING	AGE 21+	13	None	51	None	None	1	None	1	None	1	None	2	None	1	None	1
1063918548	LOUIE HOLVIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1063918548	LOUIE HOLVIN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1063936516	GANGULY MADHURIMA	2021	FFS	RENDERING	AGE 0-20	75	None	362	None	41	None	130	None	15	None	50	None	59	None	59	None
1063936516	GANGULY MADHURIMA	2021	FFS	RENDERING	AGE 21+	349	None	1,264	None	77	None	148	None	170	None	535	None	250	None	250	None
1063938751	GARFINKEL DAVID	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1063938751	GARFINKEL DAVID	2021	PHP	RENDERING	AGE 21+	16	None	43	None	None	1	None	1	12	None	32	None	None	1	None	1
1063950830	WANG HANYING	2021	FFS	RENDERING	AGE 0-20	304	None	1,922	None	234	None	719	None	70	None	170	None	266	None	312	None
1063950830	WANG HANYING	2021	FFS	RENDERING	AGE 21+	557	None	2,498	None	150	None	278	None	283	None	968	None	430	None	430	None
1063950830	WANG HANYING	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063952554	KIRZNER SAMANTHA M	2021	FFS	RENDERING	AGE 0-20	40	None	370	None	26	None	55	None	21	None	52	None	28	None	30	None
1063952554	KIRZNER SAMANTHA M	2021	FFS	RENDERING	AGE 21+	134	None	806	None	55	None	102	None	94	None	285	None	58	None	58	None
1063974244	ARDALAN DENTAL GROUP CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1063980597	WONG CHRISTOPHER B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063985158	NUNEZ FLOR S	2021	FFS	RENDERING	AGE 0-20	2,184	None	33,248	None	2,082	None	9,515	None	1,120	None	3,225	None	1,962	None	2,601	None
1063985158	NUNEZ FLOR S	2021	FFS	RENDERING	AGE 21+	15	None	74	None	None	1	None	1	None	1	None	2	None	1	None	1
1063988202	YUAN YI	2021	FFS	RENDERING	AGE 0-20	1,362	None	10,740	None	1,024	None	2,940	None	1,021	None	3,539	None	968	None	970	None
1063998359	B. DEIRMENJIAN, DDS, INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1063998359	DEIRMENJIAN, B, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1073002663	ZARINKHOU GOLMAH	2021	FFS	RENDERING	AGE 0-20	234	None	1,160	None	119	None	384	None	72	None	194	None	196	None	200	None
1073002663	ZARINKHOU GOLMAH	2021	FFS	RENDERING	AGE 21+	414	None	1,236	None	61	None	66	None	176	None	411	None	252	None	252	None
1073002663	ZARINKHOU GOLMAH	2021	PHP	RENDERING	AGE 0-20	118	None	353	None	49	None	133	None	18	None	47	None	105	None	106	None
1073002663	ZARINKHOU GOLMAH	2021	PHP	RENDERING	AGE 21+	106	None	237	None	12	None	13	None	31	None	77	None	74	None	74	None
1073023172	SUH JUNGSUK	2021	FFS	RENDERING	AGE 0-20	239	None	2,249	None	186	None	522	None	137	None	719	None	181	None	206	None
1073023172	SUH JUNGSUK	2021	FFS	RENDERING	AGE 21+	539	None	5,288	None	274	None	488	None	409	None	2,460	None	403	None	403	None
1073053146	ZAVALA MIRANDA ANA K	2021	FFS	RENDERING	AGE 0-20	428	None	4,939	None	373	None	1,416	None	264	None	1,072	None	369	None	513	None
1073053146	ZAVALA MIRANDA ANA K	2021	FFS	RENDERING	AGE 21+	723	None	4,728	None	399	None	802	None	526	None	2,115	None	509	None	510	None
1073091617	SANGHERA HARSIMRAN S	2021	FFS	RENDERING	AGE 0-20	1,294	None	11,283	None	1,059	None	2,734	None	822	None	1,314	None	1,048	None	1,060	None
1073121588	FAROKHNIA NADIA	2021	FFS	RENDERING	AGE 0-20	384	None	1,961	None	235	None	738	None	198	None	544	None	201	None	202	None
1073121588	FAROKHNIA NADIA	2021	FFS	RENDERING	AGE 21+	749	None	2,666	None	210	None	402	None	472	None	1,442	None	294	None	296	None
1073121588	FAROKHNIA NADIA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1073121588	FAROKHNIA NADIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073151726	LOZA ALARCON CIRO M	2021	FFS	RENDERING	AGE 0-20	82	None	266	None	0	None	0	None	64	None	103	None	43	None	43	None
1073151726	LOZA ALARCON CIRO M	2021	FFS	RENDERING	AGE 21+	173	None	276	None	0	None	0	None	109	None	143	None	66	None	66	None
1073159596	BALOUCH ALI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1073513149	KIM, DEAN DAEHYUN DDS	2021	FFS	RENDERING	AGE 0-20	44	None	589	None	39	None	194	None	26	None	75	None	38	None	50	None
1073513149	KIM, DEAN DAEHYUN DDS	2021	FFS	RENDERING	AGE 21+	18	None	123	None	None	1	None	2	17	None	48	None	0	None	0	None
1073522280	GEORGIADES, TONI B, DDS A PR	2021	FFS	RENDERING	AGE 21+	497	None	4,582	None	267	None	357	None	497	None	3,618	None	211	None	269	None
1073525044	VO DAT M	2021	FFS	RENDERING	AGE 0-20	139	None	1,056	None	130	None	290	None	76	None	271	None	138	None	173	None
1073525044	VO DAT M	2021	FFS	RENDERING	AGE 21+	268	None	1,466	None	191	None	191	None	178	None	657	None	240	None	240	None
1073526794	PARK RENEE Y	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073534806	LEE KYOUNG H S	2021	FFS	RENDERING	AGE 0-20	256	None	2,304	None	229	None	761	None	89	None	171	None	234	None	245	None
1073534806	LEE KYOUNG H S	2021	FFS	RENDERING	AGE 21+	178	None	936	None	75	None	149	None	97	None	285	None	102	None	102	None
1073539714	HUANG JEFF C	2021	FFS	RENDERING	AGE 0-20	106	None	556	None	89	None	175	None	20	None	39	None	97	None	97	None
1073539714	HUANG JEFF C	2021	FFS	RENDERING	AGE 21+	14	None	87	None	11	None	11	None	None	1	None	1	14	None	14	None
1073551776	HANNOUN, NOUMAN, DDS	2021	FFS	RENDERING	AGE 0-20	54	None	553	None	52	None	132	None	None	1	None	2	42	None	50	None
1073551776	HANNOUN, NOUMAN, DDS	2021	FFS	RENDERING	AGE 21+	13	None	67	None	None	1	None	1	None	1	None	1	None	1	None	1
1073559464	YOUNAN, SELMA YOUSIF DDS	2021	FFS	RENDERING	AGE 0-20	37	None	262	None	27	None	75	None	29	None	100	None	29	None	34	None
1073559464	YOUNAN, SELMA YOUSIF DDS	2021	FFS	RENDERING	AGE 21+	273	None	1,422	None	106	None	206	None	230	None	845	None	114	None	114	None
1073581856	RAO, CHERUKUPALLI SRINIVAS,	2021	FFS	RENDERING	AGE 0-20	56	None	327	None	46	None	118	None	32	None	79	None	52	None	57	None
1073581856	RAO, CHERUKUPALLI SRINIVAS,	2021	FFS	RENDERING	AGE 21+	248	None	1,374	None	155	None	309	None	153	None	455	None	206	None	206	None
1073596185	DE LEON MELANIE R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073599957	YI GIA K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1073599957	YI GIA K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1073602157	MATINFAR FARIBA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073602157	MATINFAR FARIBA	2021	FFS	RENDERING	AGE 21+	42	None	51	None	0	None	0	None	42	None	51	None	0	None	0	None
1073602157	MATINFAR FARIBA	2021	PHP	RENDERING	AGE 21+	11	None	21	None	None	1	None	1	None	1	None	1	None	1	None	1
1073602827	RAMOS MICHAEL OCAMPO	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1073608089	NOVICIO MARGARET M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1073608089	NOVICIO MARGARET M	2021	FFS	RENDERING	AGE 21+	26	None	61	None	None	1	None	1	14	None	25	None	12	None	12	None
1073611133	TSIBEL ARKADY S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1073611133	TSIBEL, ARKADY S, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1073613758	CRUZ, ANNA BELLE C DMD	2021	FFS	RENDERING	AGE 0-20	28	None	402	None	27	None	82	None	24	None	127	None	24	None	31	None
1073613758	CRUZ, ANNA BELLE C DMD	2021	FFS	RENDERING	AGE 21+	105	None	1,263	None	67	None	133	None	80	None	404	None	75	None	75	None
1073613758	CUYONG, ANNA BELLE A, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	402	None	27	None	82	None	24	None	127	None	24	None	31	None
1073613758	CUYONG, ANNA BELLE A, DDS	2021	FFS	RENDERING	AGE 21+	105	None	1,263	None	67	None	133	None	80	None	404	None	75	None	75	None
1073615084	PARK TRACY S	2021	FFS	RENDERING	AGE 0-20	171	None	1,942	None	148	None	191	None	87	None	329	None	153	None	187	None
1073615084	PARK TRACY S	2021	FFS	RENDERING	AGE 21+	312	None	2,582	None	108	None	110	None	284	None	903	None	49	None	49	None
1073615258	SAY, LORETTA Y DDS	2021	FFS	RENDERING	AGE 0-20	816	None	1,681	None	0	None	0	None	329	None	963	None	0	None	0	None
1073615506	HOLM MICHAEL BURTON	2021	GMC	RENDERING	AGE 0-20	11	None	54	None	None	1	None	1	None	1	None	2	None	1	None	1
1073615506	HOLM MICHAEL BURTON	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1073621686	LUU MICHAEL H	2021	FFS	RENDERING	AGE 0-20	240	None	1,250	None	224	None	464	None	41	None	85	None	178	None	237	None
1073621686	LUU MICHAEL H	2021	FFS	RENDERING	AGE 21+	11	None	46	None	None	1	None	1	None	1	None	1	None	1	None	1
1073622965	BARNES RICHARD W	2021	FFS	RENDERING	AGE 0-20	260	None	1,055	None	47	None	109	None	216	None	458	None	48	None	49	None
1073622965	BARNES RICHARD W	2021	FFS	RENDERING	AGE 21+	349	None	1,209	None	28	None	37	None	291	None	630	None	57	None	59	None
1073623450	LOTUACO RAYMOND J	2021	FFS	RENDERING	AGE 0-20	69	None	626	None	63	None	283	None	34	None	128	None	67	None	94	None
1073623450	LOTUACO RAYMOND J	2021	FFS	RENDERING	AGE 21+	107	None	727	None	80	None	159	None	71	None	307	None	93	None	93	None
1073623450	LOTUACO RAYMOND J	2021	PHP	RENDERING	AGE 0-20	32	None	321	None	31	None	141	None	12	None	85	None	31	None	43	None
1073623450	LOTUACO RAYMOND J	2021	PHP	RENDERING	AGE 21+	133	None	906	None	119	None	237	None	73	None	396	None	125	None	125	None
1073631222	LE, MAI KIM, DDS	2021	FFS	RENDERING	AGE 0-20	99	None	2,490	None	97	None	468	None	29	None	206	None	97	None	234	None
1073631222	LE, MAI KIM, DDS	2021	FFS	RENDERING	AGE 21+	209	None	3,210	None	177	None	702	None	91	None	602	None	190	None	380	None
1073631776	WARD, DR DAVID HUGH DDS	2021	FFS	RENDERING	AGE 0-20	395	None	3,383	None	341	None	817	None	212	None	542	None	380	None	466	None
1073631776	WARD, DR DAVID HUGH DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1073641577	THAM SERENA	2021	FFS	RENDERING	AGE 0-20	226	None	1,124	None	None	1	None	1	223	None	868	None	None	1	None	1
1073641577	THAM SERENA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073643128	SUH, RAYMOND H, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	81	None	14	None	31	None	None	1	None	2	14	None	16	None
1073643128	SUH, RAYMOND H, DDS	2021	FFS	RENDERING	AGE 21+	84	None	438	None	42	None	64	None	69	None	209	None	55	None	55	None
1073643128	SUH, RAYMOND H, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073648887	WOODSON, ALAN B, DDS	2021	FFS	RENDERING	AGE 0-20	537	None	1,678	None	530	None	548	None	533	None	541	None	45	None	46	None
1073648887	WOODSON, ALAN B, DDS	2021	FFS	RENDERING	AGE 21+	60	None	386	None	23	None	23	None	42	None	193	None	45	None	45	None
1073649240	TRUONG, PHAN V, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	472	None	77	None	131	None	17	None	43	None	73	None	81	None
1073649240	TRUONG, PHAN V, DDS	2021	FFS	RENDERING	AGE 21+	82	None	407	None	58	None	58	None	21	None	64	None	49	None	49	None
1073650552	INNES SNEHA	2021	FFS	RENDERING	AGE 0-20	369	None	726	None	0	None	0	None	None	1	None	1	364	None	364	None
1073650552	INNES SNEHA	2021	FFS	RENDERING	AGE 21+	374	None	738	None	0	None	0	None	0	None	0	None	369	None	369	None
1073651113	VINCENT, KAREN A, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1073651113	VINCENT, KAREN A, RDHAP	2021	FFS	RENDERING	AGE 21+	558	None	4,023	None	510	None	1,997	None	558	None	2,026	None	0	None	0	None
1073651584	VILLAGO GLORIANA CO T	2021	FFS	RENDERING	AGE 0-20	59	None	336	None	50	None	127	None	19	None	55	None	49	None	54	None
1073651584	VILLAGO GLORIANA CO T	2021	FFS	RENDERING	AGE 21+	170	None	835	None	76	None	146	None	109	None	298	None	96	None	98	None
1073653630	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1073653630	ST JOHN'S WELL CHILD CTR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1073654315	WHITCHER JOHN A	2021	FFS	RENDERING	AGE 0-20	366	None	4,665	None	350	None	980	None	147	None	372	None	353	None	426	None
1073654315	WHITCHER JOHN A	2021	FFS	RENDERING	AGE 21+	339	None	2,670	None	183	None	365	None	202	None	673	None	281	None	281	None
1073655478	PAPADOPOULOS, MICHAEL, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1073655478	PAPADOPOULOS, MICHAEL, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1073657524	RUBTSOV VALERIY	2021	FFS	RENDERING	AGE 0-20	232	None	820	None	86	None	231	None	73	None	152	None	162	None	162	None
1073657524	RUBTSOV VALERIY	2021	FFS	RENDERING	AGE 21+	505	None	1,273	None	39	None	70	None	241	None	491	None	287	None	288	None
1073657524	RUBTSOV VALERIY	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073657524	RUBTSOV VALERIY	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073657524	RUBTSOV VALERIY	2021	PHP	RENDERING	AGE 21+	17	None	73	None	None	1	None	1	14	None	60	None	None	1	None	1
1073659777	SHAFA FARID	2021	FFS	RENDERING	AGE 0-20	262	None	1,659	None	195	None	678	None	90	None	185	None	208	None	227	None
1073659777	SHAFA FARID	2021	FFS	RENDERING	AGE 21+	427	None	1,704	None	73	None	113	None	231	None	636	None	248	None	250	None
1073659777	SHAFA FARID	2021	PHP	RENDERING	AGE 0-20	93	None	488	None	74	None	207	None	19	None	29	None	88	None	99	None
1073659777	SHAFA FARID	2021	PHP	RENDERING	AGE 21+	197	None	712	None	47	None	70	None	78	None	230	None	151	None	159	None
1073662235	SILVOLA, ROBERT T, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	938	None	114	None	274	None	36	None	67	None	116	None	151	None
1073662235	SILVOLA, ROBERT T, DDS	2021	FFS	RENDERING	AGE 21+	179	None	771	None	62	None	72	None	117	None	274	None	114	None	114	None
1073662458	GOUDA, MOHAMED A DDS	2021	FFS	RENDERING	AGE 0-20	534	None	7,424	None	526	None	2,495	None	286	None	845	None	522	None	737	None
1073662458	GOUDA, MOHAMED A DDS	2021	FFS	RENDERING	AGE 21+	393	None	3,225	None	274	None	550	None	294	None	1,320	None	307	None	308	None
1073662466	DARYAEI, HOMA, DDS	2021	FFS	RENDERING	AGE 0-20	53	None	240	None	41	None	95	None	16	None	24	None	43	None	44	None
1073662466	DARYAEI, HOMA, DDS	2021	FFS	RENDERING	AGE 21+	365	None	1,483	None	156	None	287	None	229	None	699	None	171	None	171	None
1073662466	DARYAEI, HOMA, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1073662870	HORIGUCHI, CARLOS A, DDS	2021	FFS	RENDERING	AGE 0-20	133	None	1,347	None	129	None	502	None	78	None	290	None	129	None	173	None
1073662870	HORIGUCHI, CARLOS A, DDS	2021	FFS	RENDERING	AGE 21+	147	None	1,179	None	127	None	254	None	89	None	446	None	131	None	131	None
1073668620	CHENG JOSEPH	2021	FFS	RENDERING	AGE 0-20	719	None	8,211	None	666	None	2,218	None	513	None	1,872	None	674	None	791	None
1073672879	SOROUR, THARWAT DMD	2021	FFS	RENDERING	AGE 0-20	347	None	2,428	None	285	None	976	None	191	None	399	None	287	None	287	None
1073672879	SOROUR, THARWAT DMD	2021	FFS	RENDERING	AGE 21+	161	None	595	None	51	None	87	None	83	None	215	None	88	None	88	None
1073675229	VASQUEZ DANIEL	2021	FFS	RENDERING	AGE 0-20	231	None	2,097	None	184	None	512	None	146	None	562	None	186	None	245	None
1073675229	VASQUEZ DANIEL	2021	FFS	RENDERING	AGE 21+	235	None	1,298	None	107	None	191	None	140	None	465	None	163	None	163	None
1073683900	LAGATTA JOSH J	2021	FFS	RENDERING	AGE 0-20	3,201	None	28,609	None	2,001	None	6,637	None	1,480	None	4,691	None	1,815	None	2,062	None
1073683900	LAGATTA JOSH J	2021	FFS	RENDERING	AGE 21+	737	None	3,313	None	287	None	583	None	373	None	1,219	None	309	None	309	None
1073683900	LAGATTA JOSH J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1073685269	PHAM THANH H	2021	FFS	RENDERING	AGE 0-20	46	None	346	None	35	None	106	None	24	None	115	None	33	None	34	None
1073685269	PHAM THANH H	2021	FFS	RENDERING	AGE 21+	117	None	757	None	59	None	64	None	76	None	385	None	91	None	91	None
1073690897	TRUONG RICK	2021	FFS	RENDERING	AGE 0-20	521	None	3,872	None	381	None	1,444	None	301	None	1,153	None	249	None	257	None
1073690897	TRUONG RICK	2021	FFS	RENDERING	AGE 21+	433	None	1,617	None	88	None	172	None	187	None	712	None	232	None	232	None
1073697348	JAVID KAYVON H	2021	FFS	RENDERING	AGE 0-20	118	None	1,213	None	95	None	248	None	72	None	316	None	106	None	122	None
1073697348	JAVID KAYVON H	2021	FFS	RENDERING	AGE 21+	290	None	2,369	None	61	None	116	None	232	None	1,337	None	195	None	195	None
1073697348	JAVID KAYVON H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1073703468	AL KHALAYLEH MOSHEER	2021	FFS	RENDERING	AGE 0-20	410	None	2,799	None	125	None	466	None	175	None	490	None	352	None	360	None
1073703468	AL KHALAYLEH MOSHEER	2021	FFS	RENDERING	AGE 21+	824	None	3,292	None	42	None	68	None	263	None	498	None	657	None	657	None
1073703500	WU MARGARET C	2021	FFS	RENDERING	AGE 0-20	433	None	5,433	None	403	None	1,423	None	205	None	506	None	351	None	417	None
1073703500	WU MARGARET C	2021	FFS	RENDERING	AGE 21+	361	None	2,866	None	260	None	504	None	220	None	574	None	263	None	263	None
1073705026	LOPEZ CRISTINA D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073705026	LOPEZ CRISTINA D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073705364	LUMANLAN ALDWIN P	2021	FFS	RENDERING	AGE 0-20	197	None	1,428	None	139	None	273	None	73	None	201	None	144	None	144	None
1073705364	LUMANLAN ALDWIN P	2021	FFS	RENDERING	AGE 21+	305	None	1,481	None	66	None	73	None	200	None	577	None	177	None	179	None
1073705364	LUMANLAN ALDWIN P	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1073705455	RODRIGUEZ FERNANDO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073705455	RODRIGUEZ FERNANDO	2021	PHP	RENDERING	AGE 21+	14	None	69	None	None	1	None	2	None	1	None	2	None	1	None	1
1073711420	ANGELES NARDITO G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1073712113	BARBA ANTOANETA D	2021	FFS	RENDERING	AGE 0-20	67	None	619	None	45	None	200	None	41	None	155	None	50	None	62	None
1073712113	BARBA ANTOANETA D	2021	FFS	RENDERING	AGE 21+	123	None	997	None	51	None	79	None	96	None	645	None	71	None	71	None
1073715785	BENYAMINI, DAN DDS	2021	FFS	RENDERING	AGE 0-20	418	None	4,800	None	374	None	1,554	None	256	None	991	None	401	None	510	None
1073715785	BENYAMINI, DAN DDS	2021	FFS	RENDERING	AGE 21+	519	None	4,567	None	261	None	512	None	403	None	2,449	None	365	None	369	None
1073715785	BENYAMINI, DAN DDS	2021	PHP	RENDERING	AGE 0-20	25	None	210	None	21	None	89	None	12	None	44	None	23	None	25	None
1073715785	BENYAMINI, DAN DDS	2021	PHP	RENDERING	AGE 21+	15	None	103	None	None	1	None	2	None	1	None	2	13	None	13	None
1073726220	ROSE JESSIE R	2021	FFS	RENDERING	AGE 0-20	27	None	158	None	24	None	49	None	None	1	None	2	22	None	23	None
1073726220	ROSE JESSIE R	2021	FFS	RENDERING	AGE 21+	42	None	140	None	19	None	19	None	19	None	38	None	24	None	24	None
1073728598	FUNDEANU JULIA DDS	2021	FFS	RENDERING	AGE 0-20	70	None	438	None	None	1	None	2	70	None	225	None	44	None	48	None
1073728598	FUNDEANU JULIA DDS	2021	FFS	RENDERING	AGE 21+	120	None	600	None	None	1	None	1	120	None	350	None	87	None	87	None
1073729232	MASHREGHI, MITRA DMD	2021	FFS	RENDERING	AGE 21+	5,646	None	65,568	None	1,044	None	1,422	None	4,274	None	11,739	None	3,200	None	3,200	None
1073729232	MASHREGHI, MITRA DMD	2021	PHP	RENDERING	AGE 21+	67	None	184	None	None	1	None	1	54	None	76	None	48	None	49	None
1073729414	PADLAN ROMEO E	2021	FFS	RENDERING	AGE 21+	12	None	112	None	0	None	0	None	0	None	0	None	0	None	0	None
1073731063	VELASQUEZ JEFF D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073737524	PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1073744389	ROJO SANTIAGO A	2021	FFS	RENDERING	AGE 0-20	110	None	2,195	None	94	None	436	None	88	None	377	None	95	None	123	None
1073744389	ROJO SANTIAGO A	2021	FFS	RENDERING	AGE 21+	231	None	3,732	None	125	None	248	None	204	None	985	None	168	None	168	None
1073746228	KIM MICHAEL D	2021	FFS	RENDERING	AGE 0-20	42	None	146	None	16	None	31	None	14	None	43	None	32	None	35	None
1073746228	KIM MICHAEL D	2021	FFS	RENDERING	AGE 21+	140	None	416	None	23	None	34	None	69	None	174	None	85	None	85	None
1073748174	ABUL-FIELAT, MOHAMMAD, DDS I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1073748174	MOHAMMAD ABUL FIELAT DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1073750907	SHINN JR GEORGE B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073750907	SHINN JR GEORGE B	2021	FFS	RENDERING	AGE 21+	14	None	17	None	0	None	0	None	14	None	17	None	0	None	0	None
1073764452	SONG, HELEN DDS	2021	FFS	RENDERING	AGE 0-20	1,700	None	27,686	None	1,674	None	5,962	None	910	None	3,223	None	1,677	None	2,480	None
1073764452	SONG, HELEN DDS	2021	FFS	RENDERING	AGE 21+	164	None	1,369	None	136	None	271	None	66	None	165	None	141	None	141	None
1073772182	SAVANGPHOL JEFFREY S	2021	FFS	RENDERING	AGE 0-20	420	None	2,777	None	317	None	1,099	None	108	None	280	None	403	None	495	None
1073772182	SAVANGPHOL JEFFREY S	2021	FFS	RENDERING	AGE 21+	555	None	2,054	None	203	None	377	None	158	None	349	None	443	None	443	None
1073772182	SAVANGPHOL JEFFREY S	2021	PHP	RENDERING	AGE 0-20	107	None	630	None	88	None	279	None	18	None	34	None	102	None	131	None
1073772182	SAVANGPHOL JEFFREY S	2021	PHP	RENDERING	AGE 21+	155	None	524	None	68	None	149	None	33	None	68	None	126	None	137	None
1073783049	NEGOM YULIA Y	2021	FFS	RENDERING	AGE 0-20	283	None	4,357	None	259	None	939	None	101	None	467	None	273	None	372	None
1073783049	NEGOM YULIA Y	2021	FFS	RENDERING	AGE 21+	619	None	6,445	None	456	None	457	None	376	None	1,895	None	545	None	545	None
1073792156	AKBARIAN BOROOJ MANDANA	2021	FFS	RENDERING	AGE 0-20	2,415	None	16,656	None	2,260	None	7,634	None	1,298	None	1,620	None	2,028	None	2,180	None
1073796298	LIN STEPHANIE S	2021	PHP	RENDERING	AGE 0-20	21	None	155	None	16	None	57	None	13	None	24	None	14	None	14	None
1073796298	LIN STEPHANIE S	2021	PHP	RENDERING	AGE 21+	36	None	201	None	18	None	41	None	23	None	51	None	20	None	20	None
1073806725	HSIEH AMBER A	2021	FFS	RENDERING	AGE 0-20	3,759	None	52,409	None	3,564	None	13,063	None	2,157	None	6,578	None	3,573	None	4,250	None
1073806725	HSIEH AMBER A	2021	FFS	RENDERING	AGE 21+	217	None	1,434	None	100	None	200	None	71	None	177	None	189	None	189	None
1073808812	WEE HILDA D	2021	FFS	RENDERING	AGE 0-20	636	None	3,892	None	442	None	1,560	None	137	None	343	None	556	None	617	None
1073808812	WEE HILDA D	2021	FFS	RENDERING	AGE 21+	667	None	2,155	None	183	None	360	None	156	None	387	None	517	None	518	None
1073808812	WEE HILDA D	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1073813218	PARTAMIAN, RAFFI DDS	2021	FFS	RENDERING	AGE 0-20	35	None	45	None	0	None	0	None	20	None	26	None	0	None	0	None
1073820932	NAM IRIS H	2021	FFS	RENDERING	AGE 0-20	582	None	11,174	None	408	None	1,101	None	580	None	7,831	None	524	None	524	None
1073820932	NAM IRIS H	2021	FFS	RENDERING	AGE 21+	53	None	556	None	43	None	62	None	53	None	362	None	38	None	38	None
1073833844	NELSON DAVID L	2021	FFS	RENDERING	AGE 0-20	837	None	4,894	None	734	None	1,929	None	448	None	778	None	720	None	779	None
1073843660	KIM ANDREW C	2021	FFS	RENDERING	AGE 0-20	1,235	None	11,977	None	1,164	None	3,672	None	664	None	2,314	None	1,062	None	1,308	None
1073843660	KIM ANDREW C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073843660	KIM ANDREW C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1073856290	TSOI KELVIN C	2021	FFS	RENDERING	AGE 0-20	28	None	81	None	0	None	0	None	11	None	29	None	18	None	24	None
1073856290	TSOI KELVIN C	2021	FFS	RENDERING	AGE 21+	21	None	90	None	None	1	None	1	18	None	60	None	None	1	None	1
1073856290	TSOI KELVIN C	2021	PHP	RENDERING	AGE 0-20	15	None	123	None	None	1	None	2	14	None	48	None	13	None	15	None
1073856290	TSOI KELVIN C	2021	PHP	RENDERING	AGE 21+	34	None	215	None	14	None	20	None	32	None	118	None	22	None	23	None
1073865192	KALAI KAMBIZ	2021	FFS	RENDERING	AGE 0-20	75	None	813	None	64	None	198	None	42	None	172	None	66	None	71	None
1073865192	KALAI KAMBIZ	2021	FFS	RENDERING	AGE 21+	179	None	1,475	None	78	None	148	None	122	None	634	None	146	None	146	None
1073871448	ODERA, SAMPETER L MD	2021	FFS	RENDERING	AGE 0-20	190	None	788	None	0	None	0	None	152	None	572	None	102	None	103	None
1073871448	ODERA, SAMPETER L MD	2021	FFS	RENDERING	AGE 21+	372	None	1,614	None	None	1	None	1	300	None	1,158	None	179	None	181	None
1073873410	TRAN LANA X	2021	FFS	RENDERING	AGE 0-20	708	None	5,367	None	493	None	1,024	None	355	None	2,015	None	409	None	409	None
1073873410	TRAN LANA X	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1073878435	KHOSHROU ASHKAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1073878435	KHOSHROU ASHKAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073885505	CHEN JUNE HONG J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073887790	MAHTESYAN SERGEY	2021	FFS	RENDERING	AGE 0-20	11	None	54	None	None	1	None	1	None	1	None	2	None	1	None	1
1073887790	MAHTESYAN SERGEY	2021	FFS	RENDERING	AGE 21+	374	None	2,016	None	91	None	177	None	205	None	1,098	None	351	None	351	None
1073888152	BASHA MARIANA A	2021	FFS	RENDERING	AGE 0-20	116	None	931	None	77	None	255	None	34	None	126	None	98	None	105	None
1073888152	BASHA MARIANA A	2021	FFS	RENDERING	AGE 21+	213	None	850	None	41	None	46	None	98	None	243	None	144	None	149	None
1073888152	BASHA MARIANA A	2021	PHP	RENDERING	AGE 0-20	59	None	430	None	42	None	127	None	18	None	49	None	50	None	54	None
1073888152	BASHA MARIANA A	2021	PHP	RENDERING	AGE 21+	88	None	375	None	19	None	29	None	49	None	180	None	51	None	53	None
1073904744	NGUYEN KHANH M	2021	FFS	RENDERING	AGE 0-20	183	None	2,707	None	164	None	580	None	151	None	672	None	172	None	219	None
1073904744	NGUYEN KHANH M	2021	FFS	RENDERING	AGE 21+	282	None	3,145	None	130	None	241	None	217	None	1,575	None	226	None	229	None
1073912044	LE PHU T	2021	FFS	RENDERING	AGE 0-20	2,455	None	28,897	None	2,260	None	7,446	None	892	None	3,809	None	2,388	None	3,154	None
1073912044	LE PHU T	2021	FFS	RENDERING	AGE 21+	437	None	2,674	None	310	None	618	None	213	None	438	None	314	None	314	None
1073920377	CHANG TZU-FEI	2021	FFS	RENDERING	AGE 0-20	279	None	3,851	None	260	None	1,016	None	124	None	316	None	260	None	343	None
1073920377	CHANG TZU-FEI	2021	FFS	RENDERING	AGE 21+	151	None	979	None	33	None	66	None	108	None	439	None	97	None	97	None
1073922951	PANG SEOKJOON	2021	FFS	RENDERING	AGE 0-20	53	None	116	None	0	None	0	None	53	None	116	None	0	None	0	None
1073922951	PANG SEOKJOON	2021	FFS	RENDERING	AGE 21+	395	None	1,238	None	None	1	None	1	395	None	1,232	None	0	None	0	None
1073929725	JAVDAN DAVID	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1073931192	CHIEN PETER S	2021	FFS	RENDERING	AGE 0-20	109	None	291	None	0	None	0	None	107	None	269	None	0	None	0	None
1073931192	CHIEN PETER S	2021	FFS	RENDERING	AGE 21+	348	None	1,036	None	None	1	None	1	346	None	888	None	None	1	None	1
1073941183	RINCON JR ALBERT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073941183	RINCON JR ALBERT	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073945226	KHEHRA PREETINDER	2021	FFS	RENDERING	AGE 0-20	252	None	799	None	146	None	294	None	123	None	270	None	50	None	50	None
1073945226	KHEHRA PREETINDER	2021	FFS	RENDERING	AGE 21+	296	None	823	None	79	None	158	None	203	None	443	None	42	None	42	None
1073949541	HTUT MYAT M	2021	FFS	RENDERING	AGE 0-20	19	None	57	None	0	None	0	None	None	1	None	1	0	None	0	None
1073949541	HTUT MYAT M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1073950747	LI MICHAEL C	2021	FFS	RENDERING	AGE 0-20	253	None	361	None	0	None	0	None	77	None	128	None	0	None	0	None
1073950747	LI MICHAEL C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1073950747	LI MICHAEL C	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073950747	LI MICHAEL C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073953774	LIRIO DINO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1073953774	LIRIO DINO	2021	GMC	RENDERING	AGE 0-20	326	None	2,734	None	281	None	1,057	None	145	None	519	None	270	None	333	None
1073953774	LIRIO DINO	2021	GMC	RENDERING	AGE 21+	770	None	6,540	None	604	None	1,754	None	513	None	2,395	None	614	None	618	None
1073953774	LIRIO DINO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1073958930	MILLER BRENDA E	2021	FFS	RENDERING	AGE 0-20	526	None	7,854	None	437	None	1,512	None	317	None	1,923	None	478	None	568	None
1073958930	MILLER BRENDA E	2021	FFS	RENDERING	AGE 21+	573	None	5,597	None	250	None	495	None	462	None	2,562	None	375	None	379	None
1073966743	GILL NAVJOT K	2021	FFS	RENDERING	AGE 0-20	363	None	1,833	None	220	None	610	None	158	None	346	None	315	None	341	None
1073966743	GILL NAVJOT K	2021	FFS	RENDERING	AGE 21+	852	None	3,070	None	238	None	436	None	458	None	988	None	639	None	639	None
1073966743	GILL NAVJOT K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1073988754	MARIOLLE MERCEDES C	2021	FFS	RENDERING	AGE 0-20	2,142	None	24,230	None	1,751	None	4,749	None	1,383	None	8,227	None	1,751	None	1,847	None
1083003321	WHITE MEMORIAL COMMUNITY	2021	PHP	RENDERING	AGE 0-20	69	None	618	None	66	None	198	None	None	1	None	2	66	None	201	None
1083003321	WHITE MEMORIAL COMMUNITY	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083005508	LEE DANNY K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083005508	LEE DANNY K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083010573	NGUYEN HUY C	2021	FFS	RENDERING	AGE 0-20	428	None	4,344	None	407	None	1,408	None	246	None	698	None	412	None	544	None
1083010573	NGUYEN HUY C	2021	FFS	RENDERING	AGE 21+	195	None	1,070	None	118	None	219	None	110	None	358	None	160	None	160	None
1083012520	DHALIWAL SATVIR K	2021	FFS	RENDERING	AGE 0-20	61	None	225	None	None	1	None	2	57	None	114	None	None	1	None	1
1083014450	HAKHAMIAN ARDESHIR	2021	FFS	RENDERING	AGE 0-20	218	None	1,992	None	145	None	451	None	103	None	314	None	183	None	205	None
1083014450	HAKHAMIAN ARDESHIR	2021	FFS	RENDERING	AGE 21+	373	None	1,845	None	96	None	181	None	197	None	444	None	263	None	267	None
1083015648	KARAPETYAN ARMEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083015648	KARAPETYAN ARMEN	2021	FFS	RENDERING	AGE 21+	224	None	699	None	60	None	60	None	115	None	372	None	171	None	171	None
1083021323	DHILLON MANINDER K	2021	FFS	RENDERING	AGE 0-20	209	None	2,669	None	165	None	460	None	141	None	631	None	165	None	172	None
1083021323	DHILLON MANINDER K	2021	FFS	RENDERING	AGE 21+	267	None	2,437	None	90	None	175	None	196	None	821	None	170	None	171	None
1083028773	HAMMER CHRISTINE L	2021	FFS	RENDERING	AGE 0-20	89	None	878	None	70	None	193	None	72	None	452	None	52	None	54	None
1083028773	HAMMER CHRISTINE L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083038533	SANTA FE DENTAL GROUP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083038533	SANTA FE DENTAL GROUP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083045173	KIM DOUGLAS	2021	FFS	RENDERING	AGE 0-20	968	None	12,773	None	892	None	2,976	None	498	None	1,236	None	900	None	1,108	None
1083045173	KIM DOUGLAS	2021	FFS	RENDERING	AGE 21+	752	None	5,806	None	436	None	829	None	452	None	1,709	None	574	None	576	None
1083045173	KIM DOUGLAS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083048490	HENDIFAR ELNAZ	2021	FFS	RENDERING	AGE 0-20	29	None	144	None	23	None	51	None	None	1	None	2	27	None	27	None
1083048490	HENDIFAR ELNAZ	2021	FFS	RENDERING	AGE 21+	51	None	197	None	21	None	37	None	36	None	71	None	30	None	30	None
1083052641	TONGOC MELANIE T	2021	FFS	RENDERING	AGE 0-20	174	None	1,415	None	146	None	416	None	62	None	133	None	139	None	140	None
1083052641	TONGOC MELANIE T	2021	FFS	RENDERING	AGE 21+	148	None	880	None	82	None	163	None	88	None	200	None	80	None	80	None
1083053805	SIJLAMASSI OTHMAN	2021	FFS	RENDERING	AGE 0-20	4,921	None	50,834	None	4,030	None	12,951	None	2,823	None	7,543	None	3,939	None	4,398	None
1083053805	SIJLAMASSI OTHMAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083058986	SALEHPOUR MAYSAM M	2021	FFS	RENDERING	AGE 0-20	15	None	16	None	0	None	0	None	None	1	None	1	14	None	14	None
1083058986	SALEHPOUR MAYSAM M	2021	FFS	RENDERING	AGE 21+	38	None	48	None	0	None	0	None	11	None	19	None	28	None	28	None
1083058986	SALEHPOUR MAYSAM M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1083060909	CHOI THOMAS	2021	FFS	RENDERING	AGE 0-20	810	None	1,508	None	0	None	0	None	320	None	758	None	0	None	0	None
1083060909	CHOI THOMAS	2021	FFS	RENDERING	AGE 21+	12	None	12	None	0	None	0	None	0	None	0	None	0	None	0	None
1083080097	ESMAILIAN LARI SOMA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083080097	ESMAILIAN LARI SOMA	2021	FFS	RENDERING	AGE 21+	82	None	227	None	0	None	0	None	80	None	209	None	None	1	None	1
1083085401	ROLLE MAXIME J	2021	FFS	RENDERING	AGE 0-20	765	None	3,864	None	399	None	890	None	256	None	570	None	674	None	747	None
1083085401	ROLLE MAXIME J	2021	FFS	RENDERING	AGE 21+	781	None	2,902	None	136	None	258	None	343	None	1,023	None	578	None	578	None
1083085401	ROLLE MAXIME J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083100051	KASSEM NOOR A	2021	FFS	RENDERING	AGE 0-20	250	None	1,847	None	181	None	416	None	69	None	191	None	228	None	230	None
1083100051	KASSEM NOOR A	2021	FFS	RENDERING	AGE 21+	234	None	928	None	33	None	63	None	89	None	265	None	190	None	193	None
1083107817	CASTELLANOS JENNIFER	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1083107817	CASTELLANOS JENNIFER	2021	PHP	RENDERING	AGE 21+	18	None	43	None	None	1	None	1	14	None	22	None	None	1	None	1
1083109813	ZEINALI KEMIA L	2021	FFS	RENDERING	AGE 0-20	2,903	None	25,116	None	2,621	None	8,044	None	2,016	None	6,687	None	2,668	None	2,951	None
1083109813	ZEINALI KEMIA L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1083116214	LAI VICTORIA	2021	FFS	RENDERING	AGE 0-20	2,145	None	13,825	None	1,764	None	4,852	None	1,243	None	3,079	None	1,594	None	1,755	None
1083124093	BAYANI SHAHIN	2021	FFS	RENDERING	AGE 0-20	678	None	1,088	None	0	None	0	None	106	None	257	None	0	None	0	None
1083128870	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083128870	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083128870	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083128870	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083132849	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 0-20	93	None	1,043	None	81	None	425	None	88	None	205	None	65	None	73	None
1083132849	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	93	None	1,043	None	81	None	425	None	88	None	205	None	65	None	73	None
1083135933	GUIRGUIS NICOLE P	2021	FFS	RENDERING	AGE 0-20	61	None	510	None	33	None	103	None	21	None	33	None	49	None	52	None
1083135933	GUIRGUIS NICOLE P	2021	FFS	RENDERING	AGE 21+	148	None	587	None	None	1	None	1	63	None	117	None	107	None	107	None
1083135933	GUIRGUIS NICOLE P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1083135933	GUIRGUIS NICOLE P	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1083162184	RUDRAPRAKASHA TEJASWINI	2021	FFS	RENDERING	AGE 0-20	357	None	1,970	None	255	None	775	None	155	None	364	None	282	None	290	None
1083162184	RUDRAPRAKASHA TEJASWINI	2021	FFS	RENDERING	AGE 21+	387	None	1,317	None	104	None	194	None	223	None	523	None	221	None	223	None
1083162184	RUDRAPRAKASHA TEJASWINI	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083162184	RUDRAPRAKASHA TEJASWINI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083162184	RUDRAPRAKASHA TEJASWINI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083162184	RUDRAPRAKASHA TEJASWINI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1083191100	OHANESIAN VAHE	2021	FFS	RENDERING	AGE 0-20	1,084	None	2,540	None	None	1	None	1	240	None	642	None	None	1	None	1
1083191100	OHANESIAN VAHE	2021	FFS	RENDERING	AGE 21+	43	None	75	None	None	1	None	1	None	1	None	1	None	1	None	1
1083206189	SINAEI AVA	2021	FFS	RENDERING	AGE 0-20	893	None	6,016	None	439	None	1,219	None	752	None	2,149	None	327	None	329	None
1083206189	SINAEI AVA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083215982	YAN, SOKBUNNTHA, RDHAP	2021	FFS	RENDERING	AGE 0-20	14	None	39	None	14	None	32	None	None	1	None	1	0	None	0	None
1083215982	YAN, SOKBUNNTHA, RDHAP	2021	FFS	RENDERING	AGE 21+	18	None	72	None	18	None	29	None	None	1	None	1	0	None	0	None
1083228126	SHIRINIAN DAVID KARO	2021	FFS	RENDERING	AGE 0-20	24	None	94	None	14	None	28	None	11	None	39	None	13	None	13	None
1083228126	SHIRINIAN DAVID KARO	2021	FFS	RENDERING	AGE 21+	206	None	896	None	41	None	73	None	170	None	603	None	78	None	78	None
1083234363	YANG MIRA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083234363	YANG MIRA	2021	GMC	RENDERING	AGE 0-20	2,885	None	5,164	None	2,885	None	5,164	None	0	None	0	None	0	None	0	None
1083254601	SOLANO GONZALEZ DALIA	2021	FFS	RENDERING	AGE 0-20	22	None	210	None	20	None	47	None	None	1	None	2	17	None	18	None
1083254601	SOLANO GONZALEZ DALIA	2021	FFS	RENDERING	AGE 21+	19	None	100	None	None	1	None	2	12	None	28	None	None	1	None	1
1083255111	GONZALES WAYNE D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083255111	GONZALES WAYNE D	2021	FFS	RENDERING	AGE 21+	49	None	120	None	14	None	21	None	39	None	94	None	None	1	None	1
1083255111	GONZALES WAYNE D	2021	PHP	RENDERING	AGE 21+	11	None	49	None	None	1	None	1	11	None	41	None	0	None	0	None
1083260210	MICHALEK KIMBERLEE ANNE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083285159	SANDHU JASHAN PREET S	2021	FFS	RENDERING	AGE 0-20	156	None	683	None	46	None	91	None	63	None	190	None	123	None	124	None
1083285159	SANDHU JASHAN PREET S	2021	FFS	RENDERING	AGE 21+	355	None	1,457	None	55	None	108	None	187	None	616	None	245	None	246	None
1083610067	PHAM LANCHI	2021	FFS	RENDERING	AGE 0-20	415	None	4,373	None	406	None	1,430	None	122	None	395	None	411	None	602	None
1083610067	PHAM LANCHI	2021	FFS	RENDERING	AGE 21+	429	None	2,666	None	374	None	748	None	168	None	413	None	397	None	397	None
1083610067	PHAM, LANCHI, DDS	2021	FFS	RENDERING	AGE 0-20	415	None	4,373	None	406	None	1,430	None	122	None	395	None	411	None	602	None
1083610067	PHAM, LANCHI, DDS	2021	FFS	RENDERING	AGE 21+	429	None	2,666	None	374	None	748	None	168	None	413	None	397	None	397	None
1083615819	FENN, RONALD SAM, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	64	None	0	None	0	None	33	None	50	None	None	1	None	1
1083623557	MOLINA, ARNULFO DDS	2021	FFS	RENDERING	AGE 0-20	233	None	2,436	None	214	None	603	None	80	None	282	None	218	None	276	None
1083623557	MOLINA, ARNULFO DDS	2021	FFS	RENDERING	AGE 21+	293	None	1,908	None	96	None	187	None	179	None	599	None	199	None	199	None
1083631709	ZUIDERVELD, ELLIE J, DDS	2021	FFS	RENDERING	AGE 0-20	545	None	6,478	None	339	None	772	None	478	None	3,831	None	251	None	263	None
1083631709	ZUIDERVELD, ELLIE J, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1083632376	HAQUE, NAZ DDS	2021	FFS	RENDERING	AGE 0-20	155	None	1,499	None	146	None	466	None	85	None	320	None	148	None	197	None
1083632376	HAQUE, NAZ DDS	2021	FFS	RENDERING	AGE 21+	243	None	1,750	None	127	None	200	None	199	None	993	None	169	None	169	None
1083689665	HODSON, DONALD R, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	79	None	13	None	30	None	None	1	None	2	None	1	None	1
1083689665	HODSON, DONALD R, DDS	2021	FFS	RENDERING	AGE 21+	49	None	208	None	24	None	24	None	15	None	50	None	16	None	16	None
1083693667	PARIKH SHOBHA V	2021	FFS	RENDERING	AGE 0-20	53	None	439	None	40	None	141	None	29	None	101	None	45	None	51	None
1083693667	PARIKH SHOBHA V	2021	FFS	RENDERING	AGE 21+	213	None	1,540	None	136	None	264	None	140	None	735	None	164	None	164	None
1083695431	MEALING HALA H	2021	FFS	RENDERING	AGE 0-20	6,579	None	79,852	None	5,916	None	19,880	None	4,104	None	8,749	None	5,923	None	7,764	None
1083706444	CHUNG CHRISTINE H	2021	FFS	RENDERING	AGE 0-20	173	None	1,678	None	128	None	423	None	75	None	196	None	119	None	133	None
1083706444	CHUNG CHRISTINE H	2021	FFS	RENDERING	AGE 21+	422	None	2,377	None	148	None	268	None	313	None	903	None	202	None	202	None
1083706444	CHUNG CHRISTINE H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083718340	CHOE JOHN C	2021	FFS	RENDERING	AGE 0-20	284	None	2,244	None	232	None	610	None	101	None	240	None	237	None	286	None
1083718340	CHOE JOHN C	2021	FFS	RENDERING	AGE 21+	411	None	2,565	None	134	None	205	None	285	None	1,022	None	219	None	219	None
1083725857	RABE ALAN R	2021	FFS	RENDERING	AGE 0-20	418	None	2,721	None	365	None	792	None	140	None	370	None	364	None	364	None
1083725857	RABE ALAN R	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083726772	CHO, ARNOLD T, DDS	2021	FFS	RENDERING	AGE 0-20	64	None	419	None	55	None	134	None	15	None	67	None	61	None	77	None
1083726772	CHO, ARNOLD T, DDS	2021	FFS	RENDERING	AGE 21+	125	None	695	None	80	None	96	None	66	None	198	None	103	None	105	None
1083732010	SUDQI OMAR H	2021	FFS	RENDERING	AGE 0-20	28	None	188	None	18	None	53	None	16	None	25	None	20	None	20	None
1083732010	SUDQI OMAR H	2021	FFS	RENDERING	AGE 21+	60	None	215	None	None	1	None	2	46	None	97	None	21	None	21	None
1083735831	BALANCIO CLARA E	2021	FFS	RENDERING	AGE 0-20	116	None	232	None	0	None	0	None	0	None	0	None	116	None	116	None
1083735831	BALANCIO CLARA E	2021	FFS	RENDERING	AGE 21+	196	None	387	None	0	None	0	None	0	None	0	None	194	None	194	None
1083743926	KHODADADI, KHASHAYAR	2021	FFS	RENDERING	AGE 0-20	32	None	196	None	22	None	45	None	15	None	54	None	20	None	20	None
1083743926	KHODADADI, KHASHAYAR	2021	FFS	RENDERING	AGE 21+	124	None	587	None	38	None	38	None	74	None	238	None	72	None	72	None
1083752547	AUNG, MICHAEL MAUNG, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	127	None	16	None	68	None	None	1	None	2	16	None	19	None
1083752547	AUNG, MICHAEL MAUNG, DDS	2021	FFS	RENDERING	AGE 21+	73	None	462	None	64	None	125	None	44	None	167	None	71	None	71	None
1083752547	AUNG, MICHAEL MAUNG, DDS	2021	PHP	RENDERING	AGE 0-20	16	None	124	None	16	None	56	None	None	1	None	2	16	None	18	None
1083752547	AUNG, MICHAEL MAUNG, DDS	2021	PHP	RENDERING	AGE 21+	58	None	394	None	57	None	115	None	21	None	112	None	57	None	61	None
1083753149	CORREA MARIA I	2021	FFS	RENDERING	AGE 0-20	286	None	4,355	None	268	None	944	None	169	None	580	None	267	None	371	None
1083753149	CORREA MARIA I	2021	FFS	RENDERING	AGE 21+	328	None	3,183	None	256	None	497	None	213	None	900	None	284	None	284	None
1083754725	LE-NGUYEN, CATHERINE V, DDS	2021	FFS	RENDERING	AGE 0-20	217	None	2,179	None	185	None	482	None	94	None	399	None	186	None	224	None
1083754725	LE-NGUYEN, CATHERINE V, DDS	2021	FFS	RENDERING	AGE 21+	459	None	4,292	None	272	None	547	None	328	None	1,448	None	319	None	321	None
1083758296	PAREDES, KATYUSKA, DDS	2021	FFS	RENDERING	AGE 0-20	121	None	1,025	None	108	None	339	None	54	None	214	None	104	None	120	None
1083758296	PAREDES, KATYUSKA, DDS	2021	FFS	RENDERING	AGE 21+	162	None	1,059	None	72	None	129	None	100	None	492	None	124	None	124	None
1083762199	SHIVELY, HARRY MARTIN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1083762199	SHIVELY, HARRY MARTIN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1083764674	SHAHOVEISI HESAM	2021	FFS	RENDERING	AGE 0-20	107	None	491	None	56	None	151	None	40	None	88	None	73	None	77	None
1083764674	SHAHOVEISI HESAM	2021	FFS	RENDERING	AGE 21+	238	None	893	None	31	None	57	None	173	None	584	None	91	None	91	None
1083764674	SHAHOVEISI HESAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1083764674	SHAHOVEISI HESAM	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083767198	HWANG, WONIL DDS	2021	FFS	RENDERING	AGE 0-20	485	None	6,011	None	459	None	1,882	None	123	None	506	None	438	None	537	None
1083767198	HWANG, WONIL DDS	2021	FFS	RENDERING	AGE 21+	354	None	3,938	None	278	None	545	None	153	None	735	None	303	None	303	None
1083768550	HUANG, WEI S	2021	FFS	RENDERING	AGE 0-20	16	None	95	None	11	None	28	None	None	1	None	2	13	None	16	None
1083768550	HUANG, WEI S	2021	FFS	RENDERING	AGE 21+	119	None	688	None	71	None	140	None	72	None	174	None	84	None	84	None
1083775753	ESMAEILI MAJID	2021	FFS	RENDERING	AGE 0-20	53	None	589	None	44	None	116	None	24	None	61	None	49	None	50	None
1083775753	ESMAEILI MAJID	2021	FFS	RENDERING	AGE 21+	103	None	1,051	None	53	None	98	None	60	None	175	None	81	None	81	None
1083778096	TAYLOR PARVEZ H	2021	FFS	RENDERING	AGE 0-20	224	None	3,115	None	204	None	905	None	72	None	271	None	215	None	288	None
1083778096	TAYLOR PARVEZ H	2021	FFS	RENDERING	AGE 21+	597	None	4,406	None	455	None	909	None	302	None	1,170	None	529	None	531	None
1083778096	TAYLOR PARVEZ H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083780613	CUEVAS, EDNA	2021	FFS	RENDERING	AGE 0-20	46	None	489	None	43	None	222	None	16	None	48	None	43	None	54	None
1083780613	CUEVAS, EDNA	2021	FFS	RENDERING	AGE 21+	129	None	1,230	None	94	None	174	None	91	None	450	None	106	None	106	None
1083782338	YANG BIYAN	2021	FFS	RENDERING	AGE 0-20	315	None	5,675	None	303	None	1,461	None	218	None	849	None	305	None	455	None
1083782338	YANG BIYAN	2021	FFS	RENDERING	AGE 21+	500	None	5,733	None	326	None	651	None	417	None	1,821	None	384	None	384	None
1083782338	YANG BIYAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1083782338	YANG BIYAN	2021	PHP	RENDERING	AGE 21+	17	None	145	None	13	None	26	None	12	None	64	None	14	None	14	None
1083782353	PAIK, MI SUNG, DDS	2021	FFS	RENDERING	AGE 0-20	62	None	248	None	57	None	104	None	26	None	62	None	30	None	40	None
1083782353	PAIK, MI SUNG, DDS	2021	FFS	RENDERING	AGE 21+	22	None	81	None	13	None	14	None	14	None	27	None	12	None	12	None
1083782353	PAIK, MI SUNG, DDS	2021	PHP	RENDERING	AGE 0-20	94	None	492	None	90	None	201	None	44	None	98	None	88	None	99	None
1083782353	PAIK, MI SUNG, DDS	2021	PHP	RENDERING	AGE 21+	84	None	330	None	39	None	40	None	32	None	58	None	61	None	62	None
1083788566	TANG LU	2021	FFS	RENDERING	AGE 0-20	432	None	3,998	None	428	None	2,023	None	145	None	513	None	428	None	649	None
1083788566	TANG LU	2021	FFS	RENDERING	AGE 21+	23	None	109	None	17	None	33	None	None	1	None	1	19	None	19	None
1083793251	YOUN DONALD H	2021	FFS	RENDERING	AGE 0-20	125	None	512	None	93	None	110	None	34	None	106	None	98	None	99	None
1083793251	YOUN DONALD H	2021	FFS	RENDERING	AGE 21+	354	None	1,173	None	173	None	173	None	116	None	241	None	206	None	206	None
1083793251	YOUN DONALD H	2021	PHP	RENDERING	AGE 0-20	57	None	291	None	50	None	108	None	11	None	34	None	48	None	48	None
1083793251	YOUN DONALD H	2021	PHP	RENDERING	AGE 21+	87	None	363	None	55	None	56	None	44	None	103	None	68	None	68	None
1083795462	GORDON NEWTON C	2021	FFS	RENDERING	AGE 0-20	159	None	430	None	0	None	0	None	45	None	160	None	136	None	136	None
1083795462	GORDON NEWTON C	2021	FFS	RENDERING	AGE 21+	948	None	2,592	None	0	None	0	None	455	None	1,274	None	659	None	659	None
1083796692	KOPECKY GEOFFREY R	2021	FFS	RENDERING	AGE 0-20	71	None	140	None	0	None	0	None	69	None	84	None	0	None	0	None
1083798243	TRAN KHAI H	2021	FFS	RENDERING	AGE 0-20	45	None	465	None	39	None	149	None	20	None	37	None	37	None	48	None
1083798243	TRAN KHAI H	2021	FFS	RENDERING	AGE 21+	38	None	318	None	28	None	28	None	23	None	75	None	28	None	28	None
1083800296	AMINOV DMITRY G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083800296	AMINOV DMITRY G	2021	FFS	RENDERING	AGE 21+	44	None	257	None	22	None	43	None	34	None	123	None	26	None	26	None
1083801336	BIRJANDI, REZA MOHAMMAD DDS	2021	FFS	RENDERING	AGE 0-20	42	None	615	None	37	None	145	None	32	None	259	None	37	None	43	None
1083801336	BIRJANDI, REZA MOHAMMAD DDS	2021	FFS	RENDERING	AGE 21+	129	None	1,263	None	80	None	159	None	99	None	683	None	94	None	94	None
1083803183	ROGHANI SHIVA	2021	FFS	RENDERING	AGE 0-20	772	None	7,982	None	717	None	2,783	None	542	None	1,956	None	704	None	978	None
1083803183	ROGHANI SHIVA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083804843	HOANG BRANDON T	2021	FFS	RENDERING	AGE 0-20	1,075	None	3,586	None	0	None	0	None	581	None	1,546	None	528	None	528	None
1083804843	HOANG BRANDON T	2021	FFS	RENDERING	AGE 21+	77	None	230	None	0	None	0	None	35	None	66	None	53	None	53	None
1083805550	FAN, ANDREW, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083805568	CHENG MELISSA Y	2021	FFS	RENDERING	AGE 0-20	198	None	1,800	None	174	None	460	None	95	None	297	None	182	None	237	None
1083805568	CHENG MELISSA Y	2021	FFS	RENDERING	AGE 21+	521	None	4,083	None	374	None	744	None	349	None	1,325	None	421	None	425	None
1083808919	LASAM CHARISMA	2021	FFS	RENDERING	AGE 0-20	223	None	1,644	None	200	None	629	None	62	None	149	None	207	None	274	None
1083808919	LASAM CHARISMA	2021	FFS	RENDERING	AGE 21+	521	None	2,592	None	204	None	227	None	350	None	1,192	None	359	None	359	None
1083817423	KOERNIANINGSIH, LYDIA, DDS	2021	FFS	RENDERING	AGE 0-20	52	None	662	None	43	None	127	None	39	None	169	None	44	None	49	None
1083817423	KOERNIANINGSIH, LYDIA, DDS	2021	FFS	RENDERING	AGE 21+	95	None	871	None	66	None	131	None	67	None	275	None	70	None	70	None
1083820096	TIEMPETPAISAL PANADDA	2021	FFS	RENDERING	AGE 0-20	32	None	217	None	32	None	68	None	None	1	None	1	31	None	34	None
1083820096	TIEMPETPAISAL PANADDA	2021	FFS	RENDERING	AGE 21+	14	None	77	None	13	None	13	None	None	1	None	1	13	None	13	None
1083820526	MAI HUY	2021	FFS	RENDERING	AGE 0-20	32	None	129	None	32	None	71	None	None	1	None	2	20	None	23	None
1083820526	MAI HUY	2021	FFS	RENDERING	AGE 21+	24	None	84	None	16	None	32	None	None	1	None	2	17	None	17	None
1083821938	IQBAL SHAZIA	2021	FFS	RENDERING	AGE 0-20	2,895	None	28,324	None	2,541	None	9,442	None	2,182	None	8,837	None	2,452	None	2,979	None
1083821938	IQBAL SHAZIA	2021	FFS	RENDERING	AGE 21+	37	None	53	None	0	None	0	None	0	None	0	None	None	1	None	1
1083822548	TRAN VAL H	2021	FFS	RENDERING	AGE 0-20	13	None	80	None	12	None	29	None	None	1	None	1	12	None	12	None
1083822548	TRAN VAL H	2021	FFS	RENDERING	AGE 21+	72	None	403	None	43	None	86	None	45	None	143	None	43	None	43	None
1083827976	IRAWAN, IBRAHIM DDS	2021	FFS	RENDERING	AGE 0-20	21	None	219	None	18	None	68	None	11	None	47	None	18	None	22	None
1083827976	IRAWAN, IBRAHIM DDS	2021	FFS	RENDERING	AGE 21+	82	None	705	None	52	None	102	None	55	None	272	None	56	None	56	None
1083837769	YEPIZ MARIA TERESA M	2021	FFS	RENDERING	AGE 0-20	39	None	247	None	26	None	51	None	20	None	49	None	27	None	28	None
1083837769	YEPIZ MARIA TERESA M	2021	FFS	RENDERING	AGE 21+	79	None	332	None	26	None	26	None	59	None	136	None	26	None	26	None
1083839294	TANG NANCY	2021	FFS	RENDERING	AGE 0-20	984	None	8,510	None	724	None	2,236	None	762	None	1,769	None	698	None	789	None
1083839997	SIMANIAN, RUBIC, DDS	2021	FFS	RENDERING	AGE 0-20	95	None	844	None	81	None	242	None	28	None	40	None	79	None	82	None
1083839997	SIMANIAN, RUBIC, DDS	2021	FFS	RENDERING	AGE 21+	168	None	929	None	53	None	106	None	127	None	325	None	69	None	69	None
1083865646	YOON AUDREY J	2021	FFS	RENDERING	AGE 0-20	854	None	15,086	None	827	None	3,287	None	611	None	2,550	None	820	None	1,211	None
1083865646	YOON AUDREY J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1083865646	YOON AUDREY J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083867386	ZAGHI PEDRAM J	2021	FFS	RENDERING	AGE 0-20	451	None	1,539	None	74	None	105	None	392	None	722	None	80	None	86	None
1083867386	ZAGHI PEDRAM J	2021	FFS	RENDERING	AGE 21+	870	None	2,944	None	47	None	48	None	788	None	1,370	None	169	None	169	None
1083867386	ZAGHI PEDRAM J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083867386	ZAGHI PEDRAM J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1083868616	HERNANDEZ-NAGAL MARIA T	2021	FFS	RENDERING	AGE 0-20	24	None	152	None	15	None	21	None	13	None	38	None	16	None	16	None
1083868616	HERNANDEZ-NAGAL MARIA T	2021	FFS	RENDERING	AGE 21+	50	None	229	None	14	None	15	None	38	None	123	None	15	None	15	None
1083869945	TRAN, KRISTINE N, DDS	2021	FFS	RENDERING	AGE 0-20	30	None	374	None	29	None	88	None	20	None	115	None	26	None	39	None
1083869945	TRAN, KRISTINE N, DDS	2021	FFS	RENDERING	AGE 21+	312	None	3,080	None	255	None	497	None	249	None	1,345	None	274	None	274	None
1083882369	LLAGUNO-JINGCO KATHERINE P	2021	FFS	RENDERING	AGE 0-20	105	None	501	None	51	None	169	None	26	None	86	None	76	None	77	None
1083882369	LLAGUNO-JINGCO KATHERINE P	2021	FFS	RENDERING	AGE 21+	436	None	1,752	None	199	None	381	None	128	None	504	None	318	None	318	None
1083882369	LLAGUNO-JINGCO KATHERINE P	2021	PHP	RENDERING	AGE 0-20	11	None	40	None	None	1	None	2	None	1	None	1	None	1	None	1
1083882369	LLAGUNO-JINGCO KATHERINE P	2021	PHP	RENDERING	AGE 21+	22	None	83	None	None	1	None	2	None	1	None	2	None	1	None	1
1083885685	ALEXANDER KEITH A	2021	FFS	RENDERING	AGE 0-20	863	None	1,140	None	0	None	0	None	119	None	273	None	0	None	0	None
1083885685	ALEXANDER KEITH A	2021	FFS	RENDERING	AGE 21+	32	None	32	None	0	None	0	None	0	None	0	None	0	None	0	None
1083885685	ALEXANDER KEITH A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083885685	ALEXANDER KEITH A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083892558	TELLO, JORGE ALBERTO DDS	2021	FFS	RENDERING	AGE 0-20	1,599	None	19,066	None	1,482	None	5,360	None	850	None	2,729	None	1,429	None	1,611	None
1083892558	TELLO, JORGE ALBERTO DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083896393	RIVAS LILIA H	2021	FFS	RENDERING	AGE 0-20	119	None	827	None	105	None	245	None	61	None	184	None	109	None	120	None
1083896393	RIVAS LILIA H	2021	FFS	RENDERING	AGE 21+	220	None	1,610	None	104	None	205	None	169	None	899	None	154	None	156	None
1083899306	RANA, ARVIND DDS	2021	FFS	RENDERING	AGE 0-20	48	None	570	None	44	None	105	None	12	None	28	None	46	None	55	None
1083899306	RANA, ARVIND DDS	2021	FFS	RENDERING	AGE 21+	86	None	650	None	49	None	77	None	30	None	94	None	81	None	81	None
1083912430	COHEN SEDGH MANAVI & PAKRAVA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083912430	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	46	None	276	None	31	None	109	None	None	1	None	2	32	None	34	None
1083912430	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	25	None	85	None	None	1	None	1	11	None	32	None	None	1	None	1
1083912430	COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083912430	COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	46	None	276	None	31	None	109	None	None	1	None	2	32	None	34	None
1083912430	COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	25	None	85	None	None	1	None	1	11	None	32	None	None	1	None	1
1083922827	MOADEL MATTHEW N	2021	FFS	RENDERING	AGE 0-20	1,681	None	4,975	None	0	None	0	None	180	None	528	None	None	1	None	1
1083922827	MOADEL MATTHEW N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083922827	MOADEL MATTHEW N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1083926323	MANSKE JESSICA L	2021	FFS	RENDERING	AGE 0-20	823	None	6,531	None	662	None	2,167	None	473	None	1,091	None	646	None	739	None
1083926323	MANSKE JESSICA L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1083928287	YANG MAGNUS K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1083928287	YANG MAGNUS K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083930408	SABBAGH FARD ARASH	2021	FFS	RENDERING	AGE 0-20	111	None	1,316	None	90	None	266	None	45	None	166	None	81	None	92	None
1083930408	SABBAGH FARD ARASH	2021	FFS	RENDERING	AGE 21+	378	None	2,708	None	142	None	211	None	258	None	956	None	261	None	263	None
1083933956	AFSHAR-EBRAHIMI MANIJEH	2021	FFS	RENDERING	AGE 0-20	368	None	1,753	None	191	None	695	None	108	None	308	None	195	None	197	None
1083933956	AFSHAR-EBRAHIMI MANIJEH	2021	FFS	RENDERING	AGE 21+	1,095	None	3,574	None	259	None	490	None	544	None	1,537	None	421	None	421	None
1083933956	AFSHAR-EBRAHIMI MANIJEH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1083936702	RODRIGUEZ, YANA Y, RDHAP	2021	FFS	RENDERING	AGE 21+	256	None	986	None	245	None	281	None	256	None	705	None	0	None	0	None
1083950190	PARRENO PHILLINE C	2021	FFS	RENDERING	AGE 0-20	29	None	296	None	27	None	67	None	27	None	59	None	26	None	34	None
1083950190	PARRENO PHILLINE C	2021	FFS	RENDERING	AGE 21+	148	None	1,504	None	95	None	179	None	144	None	780	None	106	None	106	None
1083959084	HAGHOLLAHI TARAVAT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1083959084	HAGHOLLAHI TARAVAT	2021	FFS	RENDERING	AGE 21+	11	None	45	None	None	1	None	1	None	1	None	2	None	1	None	1
1083966279	KALYANI ASHINI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1083966527	ABDELMESSIH JOHN N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1083966527	ABDELMESSIH JOHN N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1083966972	MAROSE ALEXANDER V	2021	FFS	RENDERING	AGE 0-20	67	None	1,119	None	54	None	171	None	48	None	274	None	65	None	73	None
1083966972	MAROSE ALEXANDER V	2021	FFS	RENDERING	AGE 21+	118	None	1,566	None	14	None	27	None	94	None	654	None	92	None	92	None
1083970008	GOH SHINYOUNG	2021	FFS	RENDERING	AGE 0-20	24	None	224	None	20	None	111	None	12	None	35	None	20	None	20	None
1083970008	GOH SHINYOUNG	2021	FFS	RENDERING	AGE 21+	43	None	183	None	18	None	36	None	32	None	76	None	25	None	25	None
1083978241	LEMIRE KIM N	2021	FFS	RENDERING	AGE 0-20	871	None	10,870	None	789	None	2,577	None	624	None	2,568	None	790	None	813	None
1083978241	LEMIRE KIM N	2021	FFS	RENDERING	AGE 21+	337	None	3,456	None	156	None	281	None	290	None	1,690	None	230	None	233	None
1083978241	LEMIRE KIM N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1083978241	LEMIRE KIM N	2021	PHP	RENDERING	AGE 21+	12	None	105	None	None	1	None	2	11	None	61	None	None	1	None	1
1083978365	CHONG MICHAEL L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1083978365	CHONG MICHAEL L	2021	FFS	RENDERING	AGE 21+	34	None	61	None	0	None	0	None	34	None	60	None	0	None	0	None
1083999387	NADAFI LAURA	2021	FFS	RENDERING	AGE 0-20	288	None	4,749	None	286	None	1,474	None	188	None	287	None	286	None	440	None
1083999387	NADAFI LAURA	2021	FFS	RENDERING	AGE 21+	89	None	893	None	49	None	55	None	63	None	157	None	64	None	64	None
1093002321	PHAM TAM V	2021	FFS	RENDERING	AGE 0-20	152	None	1,029	None	132	None	197	None	60	None	145	None	137	None	159	None
1093002321	PHAM TAM V	2021	FFS	RENDERING	AGE 21+	543	None	3,486	None	335	None	335	None	332	None	936	None	162	None	162	None
1093027286	CHIA LUCIA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093047052	LAKHANI, MOHAMMED S, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	329	None	47	None	133	None	None	1	None	2	42	None	44	None
1093047052	LAKHANI, MOHAMMED S, DDS	2021	FFS	RENDERING	AGE 21+	205	None	1,017	None	143	None	143	None	127	None	413	None	156	None	156	None
1093048977	KAHBODY TARANEH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093059651	SANTOS, ARTHUR DAVID DDS	2021	FFS	RENDERING	AGE 0-20	176	None	1,297	None	121	None	335	None	97	None	315	None	128	None	138	None
1093059651	SANTOS, ARTHUR DAVID DDS	2021	FFS	RENDERING	AGE 21+	728	None	4,979	None	290	None	583	None	572	None	2,878	None	400	None	401	None
1093069106	WADHWA PUNEET	2021	FFS	RENDERING	AGE 0-20	611	None	5,259	None	532	None	1,506	None	219	None	1,127	None	589	None	786	None
1093069106	WADHWA PUNEET	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093098881	WANG EDDY Y	2021	FFS	RENDERING	AGE 0-20	14	None	53	None	None	1	None	2	None	1	None	2	None	1	None	1
1093098881	WANG EDDY Y	2021	FFS	RENDERING	AGE 21+	40	None	136	None	15	None	30	None	27	None	41	None	13	None	13	None
1093100661	JAN, YEOU-DER, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	56	None	None	1	None	2	None	1	None	1	None	1	None	1
1093100661	JAN, YEOU-DER, DDS	2021	FFS	RENDERING	AGE 21+	63	None	369	None	52	None	52	None	44	None	129	None	18	None	18	None
1093108599	CHELIMELA RAMYA	2021	FFS	RENDERING	AGE 0-20	334	None	1,916	None	181	None	615	None	92	None	161	None	300	None	320	None
1093108599	CHELIMELA RAMYA	2021	FFS	RENDERING	AGE 21+	594	None	2,370	None	181	None	348	None	201	None	523	None	454	None	454	None
1093108599	CHELIMELA RAMYA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093108599	CHELIMELA RAMYA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1093108599	CHELIMELA RAMYA	2021	PHP	RENDERING	AGE 21+	16	None	66	None	None	1	None	1	None	1	None	2	None	1	None	1
1093110082	CERCENIA ROAN N	2021	FFS	RENDERING	AGE 0-20	901	None	5,464	None	737	None	1,769	None	345	None	591	None	842	None	969	None
1093110082	CERCENIA ROAN N	2021	FFS	RENDERING	AGE 21+	747	None	2,533	None	180	None	327	None	228	None	577	None	553	None	553	None
1093116279	CHUN SIMON C	2021	FFS	RENDERING	AGE 0-20	218	None	1,433	None	213	None	471	None	57	None	158	None	217	None	248	None
1093116279	CHUN SIMON C	2021	FFS	RENDERING	AGE 21+	188	None	919	None	156	None	156	None	94	None	200	None	169	None	169	None
1093117939	AHMED AMBREEN F	2021	FFS	RENDERING	AGE 0-20	110	None	846	None	87	None	231	None	68	None	167	None	95	None	110	None
1093117939	AHMED AMBREEN F	2021	FFS	RENDERING	AGE 21+	298	None	1,537	None	104	None	205	None	233	None	709	None	172	None	172	None
1093130965	SILVESTRIN TORY L	2021	FFS	RENDERING	AGE 0-20	50	None	94	None	0	None	0	None	50	None	88	None	None	1	None	1
1093130965	SILVESTRIN TORY L	2021	FFS	RENDERING	AGE 21+	192	None	297	None	None	1	None	1	190	None	294	None	None	1	None	1
1093147852	KANG ALBERT B	2021	FFS	RENDERING	AGE 0-20	231	None	1,277	None	None	1	None	1	231	None	1,267	None	0	None	0	None
1093147852	KANG ALBERT B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093167801	SEO GI W	2021	FFS	RENDERING	AGE 0-20	879	None	7,146	None	672	None	2,050	None	678	None	2,937	None	612	None	636	None
1093167801	SEO GI W	2021	FFS	RENDERING	AGE 21+	247	None	919	None	None	1	None	2	199	None	669	None	96	None	96	None
1093182768	O'CONNOR PAULETTE L	2021	FFS	RENDERING	AGE 0-20	44	None	577	None	38	None	171	None	25	None	120	None	38	None	47	None
1093182768	O'CONNOR PAULETTE L	2021	FFS	RENDERING	AGE 21+	209	None	2,524	None	145	None	285	None	155	None	828	None	162	None	162	None
1093186652	ANYANWU LINDA C	2021	FFS	RENDERING	AGE 0-20	228	None	1,232	None	212	None	417	None	203	None	327	None	63	None	63	None
1093186652	ANYANWU LINDA C	2021	FFS	RENDERING	AGE 21+	59	None	227	None	17	None	33	None	48	None	118	None	21	None	21	None
1093186652	ANYANWU LINDA C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093186652	ANYANWU LINDA C	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093193989	TRAN GIANG T	2021	FFS	RENDERING	AGE 0-20	114	None	1,535	None	109	None	446	None	56	None	220	None	106	None	139	None
1093193989	TRAN GIANG T	2021	FFS	RENDERING	AGE 21+	295	None	3,440	None	200	None	394	None	229	None	1,389	None	220	None	220	None
1093199598	PHAM ELISE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093199598	PHAM ELISE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093207169	CHEN YIYUAN	2021	FFS	RENDERING	AGE 0-20	489	None	2,259	None	203	None	422	None	160	None	534	None	405	None	423	None
1093207169	CHEN YIYUAN	2021	FFS	RENDERING	AGE 21+	1,414	None	4,957	None	252	None	492	None	492	None	1,456	None	1,142	None	1,143	None
1093225328	HWANG KYUCHUL D	2021	FFS	RENDERING	AGE 0-20	2,554	None	45,650	None	2,500	None	11,836	None	1,648	None	6,601	None	2,516	None	3,847	None
1093225328	HWANG KYUCHUL D	2021	FFS	RENDERING	AGE 21+	410	None	1,744	None	242	None	494	None	88	None	115	None	240	None	240	None
1093228454	DEIRMENJIAN DENTAL GROUP INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093238610	PARK EUIJOON	2021	FFS	RENDERING	AGE 0-20	493	None	1,189	None	471	None	1,036	None	22	None	46	None	29	None	29	None
1093238610	PARK EUIJOON	2021	FFS	RENDERING	AGE 21+	809	None	2,374	None	549	None	1,052	None	395	None	1,132	None	60	None	62	None
1093246100	GALSTIAN SONA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093246795	SADRI SAID J	2021	FFS	RENDERING	AGE 0-20	649	None	6,973	None	559	None	1,612	None	419	None	1,158	None	573	None	584	None
1093246795	SADRI SAID J	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1093247074	PHAM DERICK U	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093247074	PHAM DERICK U	2021	FFS	RENDERING	AGE 21+	21	None	56	None	0	None	0	None	21	None	56	None	0	None	0	None
1093247074	PHAM DERICK U	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1093274250	MAI TUONGVI C	2021	FFS	RENDERING	AGE 0-20	610	None	5,513	None	477	None	1,273	None	364	None	969	None	433	None	449	None
1093274250	MAI TUONGVI C	2021	FFS	RENDERING	AGE 21+	144	None	790	None	61	None	121	None	102	None	336	None	67	None	67	None
1093281156	BALOY CZARINA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1093281156	BALOY CZARINA A	2021	PHP	RENDERING	AGE 21+	24	None	42	None	0	None	0	None	None	1	None	1	None	1	None	1
1093283855	MORADISERESHT MEHDI	2021	FFS	RENDERING	AGE 0-20	17	None	43	None	None	1	None	1	14	None	21	None	None	1	None	1
1093283855	MORADISERESHT MEHDI	2021	FFS	RENDERING	AGE 21+	93	None	120	None	None	1	None	1	87	None	96	None	None	1	None	1
1093289621	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093289621	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093289621	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	2,019	None	11,602	None	683	None	1,989	None	384	None	560	None	1,631	None	1,670	None
1093289621	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	495	None	4,102	None	87	None	94	None	89	None	118	None	372	None	374	None
1093289621	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093289621	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093289621	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	2,019	None	11,602	None	683	None	1,989	None	384	None	560	None	1,631	None	1,670	None
1093289621	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	495	None	4,102	None	87	None	94	None	89	None	118	None	372	None	374	None
1093293672	ENVERGA MARK FRANCIS S	2021	FFS	RENDERING	AGE 0-20	25	None	120	None	21	None	41	None	12	None	27	None	20	None	20	None
1093293672	ENVERGA MARK FRANCIS S	2021	FFS	RENDERING	AGE 21+	50	None	139	None	14	None	23	None	30	None	68	None	22	None	22	None
1093293672	ENVERGA MARK FRANCIS S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093293672	ENVERGA MARK FRANCIS S	2021	PHP	RENDERING	AGE 21+	15	None	68	None	None	1	None	2	None	1	None	2	None	1	None	1
1093296972	MEJIA JOSE Z	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093296972	MEJIA JOSE Z	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1093298408	KANG HWANHEE	2021	FFS	RENDERING	AGE 0-20	847	None	8,816	None	679	None	1,907	None	510	None	1,490	None	675	None	757	None
1093298408	KANG HWANHEE	2021	FFS	RENDERING	AGE 21+	408	None	2,129	None	107	None	203	None	288	None	773	None	178	None	180	None
1093323354	KOO JOANNA S	2021	FFS	RENDERING	AGE 0-20	2,665	None	19,112	None	1,975	None	5,410	None	1,883	None	4,828	None	1,933	None	2,130	None
1093345431	ZHANG JINGHUA	2021	FFS	RENDERING	AGE 0-20	281	None	1,544	None	193	None	581	None	133	None	362	None	104	None	106	None
1093345431	ZHANG JINGHUA	2021	FFS	RENDERING	AGE 21+	790	None	3,224	None	375	None	678	None	477	None	1,335	None	238	None	238	None
1093359788	DEMIRDJI MARIANNE C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093371056	PARK HOJUN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093371056	PARK HOJUN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1093371056	PARK HOJUN	2021	GMC	RENDERING	AGE 0-20	516	None	2,255	None	262	None	608	None	145	None	218	None	298	None	301	None
1093371056	PARK HOJUN	2021	GMC	RENDERING	AGE 21+	794	None	3,175	None	231	None	461	None	482	None	891	None	330	None	330	None
1093372591	POELMAN THOMAS S	2021	PHP	RENDERING	AGE 0-20	86	None	722	None	66	None	293	None	83	None	123	None	57	None	58	None
1093372591	POELMAN THOMAS S	2021	PHP	RENDERING	AGE 21+	17	None	55	None	None	1	None	1	11	None	18	None	None	1	None	1
1093707614	STUART, CYNTHIA A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093707614	STUART, CYNTHIA A, DDS	2021	FFS	RENDERING	AGE 21+	20	None	80	None	15	None	16	None	14	None	33	None	13	None	13	None
1093715393	PETERS, SKIFFINGTON, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093715393	PETERS, SKIFFINGTON, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093729881	NGUYEN MINH D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093729881	NGUYEN MINH D	2021	FFS	RENDERING	AGE 21+	17	None	72	None	None	1	None	2	None	1	None	2	None	1	None	1
1093733453	MORRISSETTE, MICHAEL P, DDS	2021	FFS	RENDERING	AGE 0-20	214	None	846	None	0	None	0	None	195	None	797	None	22	None	22	None
1093733453	MORRISSETTE, MICHAEL P, DDS	2021	FFS	RENDERING	AGE 21+	454	None	1,275	None	0	None	0	None	431	None	1,190	None	25	None	25	None
1093733453	MORRISSETTE, MICHAEL P, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093733453	MORRISSETTE, MICHAEL P, DDS	2021	PHP	RENDERING	AGE 0-20	39	None	152	None	0	None	0	None	37	None	144	None	None	1	None	1
1093733453	MORRISSETTE, MICHAEL P, DDS	2021	PHP	RENDERING	AGE 21+	171	None	656	None	0	None	0	None	129	None	523	None	124	None	130	None
1093733925	SAVELLI, ILSE DDS	2021	FFS	RENDERING	AGE 0-20	2,066	None	26,633	None	1,820	None	6,820	None	1,301	None	5,161	None	1,695	None	2,193	None
1093733925	SAVELLI, ILSE DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1093777617	NADDAFI, LADAN, DDS INC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093818288	CASTRO JR JOSE S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093818288	CASTRO JR JOSE S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1093828691	GRIMALDI, LARRY, DDS	2021	FFS	RENDERING	AGE 0-20	42	None	166	None	37	None	83	None	None	1	None	2	26	None	26	None
1093828691	GRIMALDI, LARRY, DDS	2021	FFS	RENDERING	AGE 21+	92	None	335	None	48	None	51	None	43	None	126	None	53	None	53	None
1093831737	LAM ROLLAND H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093831737	LAM ROLLAND H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093831893	TRAN KEVIN T	2021	FFS	RENDERING	AGE 0-20	237	None	4,211	None	231	None	946	None	143	None	374	None	231	None	308	None
1093831893	TRAN KEVIN T	2021	FFS	RENDERING	AGE 21+	196	None	2,710	None	170	None	340	None	131	None	413	None	185	None	185	None
1093833089	BANDALA ROSY E	2021	FFS	RENDERING	AGE 0-20	1,100	None	7,856	None	753	None	1,700	None	443	None	1,458	None	856	None	924	None
1093833089	BANDALA ROSY E	2021	GMC	RENDERING	AGE 0-20	1,156	None	6,614	None	750	None	1,546	None	987	None	2,232	None	456	None	468	None
1093836793	MALLI MANPREET R	2021	FFS	RENDERING	AGE 0-20	1,541	None	12,884	None	1,159	None	3,562	None	1,077	None	3,792	None	925	None	967	None
1093836793	MALLI MANPREET R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093836868	ENDONILA, ROSE JOY, DDS	2021	FFS	RENDERING	AGE 0-20	1,398	None	2,771	None	0	None	0	None	None	1	None	1	1,389	None	1,389	None
1093836868	ENDONILA, ROSE JOY, DDS	2021	FFS	RENDERING	AGE 21+	1,772	None	3,518	None	0	None	0	None	None	1	None	2	1,754	None	1,756	None
1093837064	DE LEON, MARIA CRISTINA S, D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093837064	DE LEON, MARIA CRISTINA S, D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093837080	TORRES, CARLOS L, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	264	None	12	None	100	None	14	None	76	None	18	None	36	None
1093837080	TORRES, CARLOS L, DDS	2021	FFS	RENDERING	AGE 21+	74	None	862	None	None	1	None	2	57	None	380	None	56	None	112	None
1093839250	TRAN ANH Q	2021	FFS	RENDERING	AGE 0-20	1,763	None	19,536	None	1,626	None	4,560	None	686	None	1,767	None	1,580	None	1,823	None
1093839250	TRAN ANH Q	2021	FFS	RENDERING	AGE 21+	20	None	201	None	18	None	37	None	None	1	None	1	19	None	19	None
1093845398	FU FENGHUA	2021	FFS	RENDERING	AGE 0-20	40	None	491	None	37	None	153	None	18	None	75	None	38	None	50	None
1093845398	FU FENGHUA	2021	FFS	RENDERING	AGE 21+	75	None	911	None	44	None	88	None	63	None	411	None	52	None	52	None
1093846404	PRESSMAN, JOSHUA S DDS	2021	FFS	RENDERING	AGE 0-20	155	None	1,480	None	135	None	410	None	28	None	90	None	130	None	173	None
1093846404	PRESSMAN, JOSHUA S DDS	2021	FFS	RENDERING	AGE 21+	333	None	2,360	None	151	None	195	None	213	None	765	None	199	None	199	None
1093847295	NAKAMURA HOWARD M	2021	FFS	RENDERING	AGE 0-20	97	None	116	None	0	None	0	None	20	None	31	None	0	None	0	None
1093847295	NAKAMURA HOWARD M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093847386	CHENG YI T	2021	FFS	RENDERING	AGE 0-20	95	None	1,173	None	77	None	281	None	58	None	183	None	77	None	79	None
1093847386	CHENG YI T	2021	FFS	RENDERING	AGE 21+	207	None	2,290	None	127	None	255	None	154	None	600	None	139	None	139	None
1093847386	CHENG YI T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1093847386	CHENG YI T	2021	PHP	RENDERING	AGE 21+	158	None	618	None	42	None	46	None	100	None	311	None	105	None	105	None
1093850695	MEHRAN FAKHERI DDS	2021	FFS	RENDERING	AGE 0-20	238	None	1,755	None	213	None	616	None	92	None	223	None	222	None	251	None
1093850695	MEHRAN FAKHERI DDS	2021	FFS	RENDERING	AGE 21+	634	None	3,316	None	381	None	758	None	376	None	1,045	None	506	None	508	None
1093850695	MEHRAN FAKHERI DDS	2021	PHP	RENDERING	AGE 0-20	106	None	758	None	104	None	332	None	24	None	37	None	106	None	118	None
1093850695	MEHRAN FAKHERI DDS	2021	PHP	RENDERING	AGE 21+	186	None	1,057	None	175	None	370	None	27	None	41	None	180	None	181	None
1093850851	SHAW JEREMIAH J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1093850851	SHAW JEREMIAH J	2021	FFS	RENDERING	AGE 21+	72	None	410	None	50	None	61	None	None	1	None	2	68	None	68	None
1093853020	ABDOLHOSSEINI HOSSEIN	2021	FFS	RENDERING	AGE 0-20	945	None	7,398	None	303	None	1,155	None	468	None	1,631	None	817	None	915	None
1093853020	ABDOLHOSSEINI HOSSEIN	2021	FFS	RENDERING	AGE 21+	1,728	None	8,678	None	162	None	272	None	889	None	2,375	None	1,318	None	1,329	None
1093853020	ABDOLHOSSEINI HOSSEIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1093853020	ABDOLHOSSEINI HOSSEIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093853574	RONG, WEN QIANG, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093853970	DESAI SATYEN H	2021	FFS	RENDERING	AGE 0-20	1,997	None	17,122	None	1,627	None	4,333	None	1,274	None	2,165	None	1,580	None	1,627	None
1093854101	NGUYEN, CHAN KIM DDS	2021	FFS	RENDERING	AGE 0-20	71	None	423	None	56	None	114	None	33	None	93	None	60	None	61	None
1093854101	NGUYEN, CHAN KIM DDS	2021	FFS	RENDERING	AGE 21+	250	None	1,275	None	153	None	155	None	185	None	532	None	169	None	169	None
1093855264	SUSTENTO RAFAEL P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093855652	SAEED AHMED	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1093855652	SAEED AHMED	2021	FFS	RENDERING	AGE 21+	71	None	416	None	42	None	84	None	49	None	193	None	59	None	59	None
1093855652	SAEED AHMED	2021	PHP	RENDERING	AGE 0-20	26	None	206	None	25	None	64	None	14	None	32	None	24	None	25	None
1093855652	SAEED AHMED	2021	PHP	RENDERING	AGE 21+	94	None	504	None	74	None	171	None	53	None	162	None	65	None	65	None
1093857286	ASSATOURIAN KARINEH	2021	FFS	RENDERING	AGE 0-20	30	None	217	None	28	None	73	None	None	1	None	2	29	None	36	None
1093857286	ASSATOURIAN KARINEH	2021	FFS	RENDERING	AGE 21+	144	None	1,454	None	66	None	129	None	132	None	933	None	91	None	91	None
1093857997	LE, VINCENT DDS	2021	FFS	RENDERING	AGE 0-20	353	None	2,786	None	298	None	648	None	187	None	493	None	238	None	246	None
1093857997	LE, VINCENT DDS	2021	FFS	RENDERING	AGE 21+	654	None	3,720	None	382	None	384	None	505	None	1,351	None	282	None	284	None
1093861742	ARMENIAN CHRISTINE S	2021	FFS	RENDERING	AGE 0-20	1,719	None	18,089	None	1,461	None	5,118	None	947	None	2,576	None	1,410	None	1,740	None
1093861742	ARMENIAN CHRISTINE S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093871345	FEIZBAKHSH FARZAD	2021	FFS	RENDERING	AGE 0-20	78	None	637	None	66	None	250	None	25	None	79	None	68	None	77	None
1093871345	FEIZBAKHSH FARZAD	2021	FFS	RENDERING	AGE 21+	152	None	723	None	40	None	62	None	74	None	219	None	108	None	108	None
1093871345	FEIZBAKHSH FARZAD	2021	PHP	RENDERING	AGE 0-20	142	None	1,212	None	103	None	473	None	28	None	41	None	132	None	153	None
1093871345	FEIZBAKHSH FARZAD	2021	PHP	RENDERING	AGE 21+	189	None	1,002	None	44	None	61	None	75	None	281	None	145	None	153	None
1093878720	LARPTHAVEESARP SOMBOON	2021	FFS	RENDERING	AGE 0-20	349	None	2,709	None	251	None	808	None	155	None	296	None	219	None	243	None
1093878720	LARPTHAVEESARP SOMBOON	2021	FFS	RENDERING	AGE 21+	441	None	2,430	None	140	None	262	None	280	None	811	None	181	None	181	None
1093878720	LARPTHAVEESARP SOMBOON	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093878720	LARPTHAVEESARP SOMBOON	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1093883308	SMITH PATRICIA H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1093883464	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	1,972	None	15,609	None	1,438	None	3,524	None	709	None	1,812	None	1,278	None	1,278	None
1093883464	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1093883464	ISSUED IN ERROR	2021	GMC	RENDERING	AGE 0-20	75	None	428	None	58	None	154	None	29	None	57	None	51	None	52	None
1093883464	ISSUED IN ERROR	2021	GMC	RENDERING	AGE 21+	183	None	645	None	128	None	181	None	91	None	201	None	116	None	118	None
1093884454	SAHAWNEH DENTAL CORPORATION	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093884454	SAHAWNEH DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093884454	SAHAWNEH DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093891764	ROZENOVICH, GRIGORY, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	322	None	43	None	114	None	28	None	60	None	45	None	47	None
1093891764	ROZENOVICH, GRIGORY, DDS	2021	FFS	RENDERING	AGE 21+	116	None	536	None	44	None	83	None	81	None	181	None	60	None	60	None
1093896292	NGUYEN THUYHUONG	2021	FFS	RENDERING	AGE 0-20	132	None	1,489	None	122	None	400	None	30	None	78	None	121	None	156	None
1093896292	NGUYEN THUYHUONG	2021	FFS	RENDERING	AGE 21+	58	None	522	None	46	None	90	None	29	None	82	None	48	None	48	None
1093897563	TAVERAS ALEJANDRA A	2021	FFS	RENDERING	AGE 0-20	614	None	8,106	None	508	None	1,507	None	317	None	1,126	None	525	None	611	None
1093897563	TAVERAS ALEJANDRA A	2021	FFS	RENDERING	AGE 21+	439	None	4,081	None	186	None	369	None	279	None	999	None	257	None	257	None
1093900458	DO WILLIAM Q	2021	FFS	RENDERING	AGE 0-20	74	None	713	None	63	None	304	None	60	None	222	None	58	None	58	None
1093900458	DO WILLIAM Q	2021	FFS	RENDERING	AGE 21+	47	None	295	None	19	None	24	None	44	None	155	None	17	None	17	None
1093901944	BARKHORDAR AFSOON	2021	FFS	RENDERING	AGE 0-20	20	None	261	None	20	None	80	None	17	None	50	None	19	None	26	None
1093901944	BARKHORDAR AFSOON	2021	FFS	RENDERING	AGE 21+	163	None	2,385	None	127	None	303	None	145	None	1,185	None	127	None	129	None
1093901944	BARKHORDAR AFSOON	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1093901944	BARKHORDAR AFSOON	2021	PHP	RENDERING	AGE 21+	25	None	401	None	25	None	129	None	20	None	133	None	21	None	21	None
1093907354	KRUTIKOV OLEG G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093907354	KRUTIKOV OLEG G	2021	FFS	RENDERING	AGE 21+	25	None	104	None	None	1	None	2	18	None	53	None	14	None	14	None
1093908378	RABADI, IBRAHIM A, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093913170	ESPINOSA LEONARD R	2021	FFS	RENDERING	AGE 0-20	25	None	198	None	19	None	46	None	None	1	None	2	19	None	19	None
1093913170	ESPINOSA LEONARD R	2021	FFS	RENDERING	AGE 21+	282	None	2,818	None	138	None	237	None	241	None	1,093	None	157	None	159	None
1093919466	FUNG EDMOND KAR S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1093919466	FUNG EDMOND KAR S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093919466	FUNG EDMOND KAR S	2021	GMC	RENDERING	AGE 0-20	259	None	1,795	None	177	None	658	None	117	None	206	None	188	None	212	None
1093919466	FUNG EDMOND KAR S	2021	GMC	RENDERING	AGE 21+	788	None	4,357	None	246	None	577	None	617	None	1,640	None	359	None	360	None
1093921140	PENMAN II RICHARD A	2021	FFS	RENDERING	AGE 0-20	1,700	None	20,430	None	1,625	None	4,886	None	707	None	2,801	None	1,647	None	2,407	None
1093921140	PENMAN II RICHARD A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093921421	LEE, SUSAN H, DDS	2021	FFS	RENDERING	AGE 0-20	61	None	1,086	None	58	None	338	None	18	None	92	None	54	None	164	None
1093921421	LEE, SUSAN H, DDS	2021	FFS	RENDERING	AGE 21+	133	None	1,646	None	102	None	204	None	73	None	654	None	113	None	226	None
1093922759	GOLIAN HORMOZ	2021	FFS	RENDERING	AGE 0-20	1,326	None	8,780	None	1,190	None	3,397	None	638	None	1,438	None	1,167	None	1,282	None
1093922759	GOLIAN HORMOZ	2021	PHP	RENDERING	AGE 0-20	112	None	1,370	None	87	None	289	None	111	None	640	None	None	1	None	1
1093925521	DINH, HUNG XUAN DMD	2021	FFS	RENDERING	AGE 0-20	174	None	1,810	None	172	None	643	None	70	None	223	None	158	None	213	None
1093925521	DINH, HUNG XUAN DMD	2021	FFS	RENDERING	AGE 21+	132	None	865	None	108	None	204	None	55	None	207	None	114	None	115	None
1093927766	PHAM KRISTINA H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093927766	PHAM KRISTINA H	2021	FFS	RENDERING	AGE 21+	21	None	100	None	0	None	0	None	None	1	None	2	21	None	21	None
1093928632	EKHTIAR, MARYAM DDS	2021	FFS	RENDERING	AGE 0-20	31	None	234	None	30	None	78	None	0	None	0	None	31	None	40	None
1093928632	EKHTIAR, MARYAM DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1093929945	DERBOGHOSIAN, ROBERTO DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093930893	CARDOSO LOURDES	2021	FFS	RENDERING	AGE 0-20	533	None	6,795	None	469	None	1,359	None	246	None	1,255	None	479	None	575	None
1093930893	CARDOSO LOURDES	2021	FFS	RENDERING	AGE 21+	372	None	2,278	None	84	None	141	None	173	None	621	None	216	None	216	None
1093933400	KIM STANLEY S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1093933400	KIM STANLEY S	2021	FFS	RENDERING	AGE 21+	6,321	None	54,288	None	3,797	None	9,239	None	6,306	None	34,749	None	656	None	656	None
1093947632	YANG SARAH A	2021	FFS	RENDERING	AGE 0-20	17	None	141	None	17	None	58	None	None	1	None	2	17	None	24	None
1093947632	YANG SARAH A	2021	FFS	RENDERING	AGE 21+	55	None	558	None	37	None	71	None	49	None	327	None	48	None	48	None
1093957532	TERMECHI GISOO	2021	FFS	RENDERING	AGE 0-20	475	None	2,407	None	404	None	1,114	None	230	None	819	None	418	None	454	None
1093957532	TERMECHI GISOO	2021	FFS	RENDERING	AGE 21+	196	None	826	None	45	None	92	None	153	None	630	None	104	None	104	None
1093970303	TOM ROBERT N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1093970303	TOM ROBERT N	2021	FFS	RENDERING	AGE 21+	22	None	74	None	None	1	None	1	19	None	56	None	None	1	None	1
1093971475	NGUYEN JEANNE T	2021	FFS	RENDERING	AGE 0-20	50	None	644	None	41	None	120	None	44	None	287	None	25	None	27	None
1093974065	ELICA HEALTH CENTERS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1093991713	SOTO IMELDA D	2021	FFS	RENDERING	AGE 0-20	63	None	458	None	56	None	141	None	31	None	140	None	46	None	52	None
1093991713	SOTO IMELDA D	2021	FFS	RENDERING	AGE 21+	137	None	627	None	31	None	41	None	71	None	263	None	107	None	107	None
1093998544	AGHAMYAN ELINA L	2021	FFS	RENDERING	AGE 0-20	166	None	632	None	118	None	318	None	81	None	190	None	119	None	121	None
1093998544	AGHAMYAN ELINA L	2021	FFS	RENDERING	AGE 21+	328	None	1,226	None	119	None	237	None	261	None	868	None	121	None	121	None
1093998700	GHAEMI MOHAMMAD A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093998700	GHAEMI MOHAMMAD A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093999252	SHEIKHAVANDI MOJGAN	2021	FFS	RENDERING	AGE 0-20	52	None	543	None	46	None	154	None	20	None	77	None	51	None	69	None
1093999252	SHEIKHAVANDI MOJGAN	2021	FFS	RENDERING	AGE 21+	87	None	531	None	23	None	24	None	61	None	252	None	56	None	56	None
1104003516	BIAN, JIA-YI DO	2021	FFS	RENDERING	AGE 0-20	42	None	102	None	0	None	0	None	42	None	102	None	0	None	0	None
1104006196	WOOLRIDGE KENDALL S	2021	FFS	RENDERING	AGE 0-20	50	None	160	None	0	None	0	None	20	None	55	None	0	None	0	None
1104006196	WOOLRIDGE KENDALL S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1104014497	DAVID, IMELDA H, DMD	2021	FFS	RENDERING	AGE 0-20	15	None	106	None	13	None	51	None	None	1	None	2	13	None	15	None
1104014497	DAVID, IMELDA H, DMD	2021	FFS	RENDERING	AGE 21+	309	None	885	None	30	None	30	None	295	None	426	None	270	None	270	None
1104016419	LUU PETER	2021	FFS	RENDERING	AGE 0-20	26	None	151	None	18	None	41	None	None	1	None	2	21	None	24	None
1104016419	LUU PETER	2021	FFS	RENDERING	AGE 21+	71	None	370	None	25	None	46	None	50	None	142	None	43	None	43	None
1104016419	LUU PETER	2021	PHP	RENDERING	AGE 0-20	179	None	1,174	None	143	None	347	None	83	None	215	None	169	None	195	None
1104016419	LUU PETER	2021	PHP	RENDERING	AGE 21+	98	None	573	None	31	None	60	None	65	None	260	None	82	None	87	None
1104016765	EZEANI HYACINTH E	2021	FFS	RENDERING	AGE 0-20	134	None	657	None	76	None	187	None	51	None	138	None	90	None	92	None
1104016765	EZEANI HYACINTH E	2021	FFS	RENDERING	AGE 21+	260	None	911	None	31	None	50	None	153	None	431	None	123	None	123	None
1104016765	EZEANI HYACINTH E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104016765	EZEANI HYACINTH E	2021	PHP	RENDERING	AGE 21+	13	None	79	None	0	None	0	None	12	None	73	None	None	1	None	1
1104018894	VINH D PHAN DDS	2021	GMC	RENDERING	AGE 0-20	25	None	158	None	21	None	55	None	14	None	23	None	19	None	19	None
1104018894	VINH D PHAN DDS	2021	GMC	RENDERING	AGE 21+	88	None	557	None	35	None	70	None	64	None	191	None	58	None	58	None
1104022995	YEE H WESLEY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1104028505	GERGER MARK A	2021	FFS	RENDERING	AGE 0-20	22	None	196	None	21	None	93	None	None	1	None	2	21	None	23	None
1104028505	GERGER MARK A	2021	FFS	RENDERING	AGE 21+	145	None	952	None	106	None	211	None	87	None	330	None	124	None	124	None
1104029073	BRANSON NORMA L	2021	FFS	RENDERING	AGE 0-20	14	None	98	None	12	None	30	None	None	1	None	2	None	1	None	1
1104029073	BRANSON NORMA L	2021	FFS	RENDERING	AGE 21+	83	None	602	None	53	None	53	None	49	None	288	None	73	None	73	None
1104030253	HA LAWRENCE T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104031525	LANDIG HECTOR Z	2021	FFS	RENDERING	AGE 0-20	26	None	160	None	18	None	40	None	None	1	None	2	24	None	26	None
1104031525	LANDIG HECTOR Z	2021	FFS	RENDERING	AGE 21+	47	None	346	None	35	None	64	None	31	None	134	None	39	None	39	None
1104043447	HERNANDEZ, CELIA DDS	2021	FFS	RENDERING	AGE 0-20	123	None	1,068	None	108	None	344	None	33	None	89	None	112	None	144	None
1104043447	HERNANDEZ, CELIA DDS	2021	FFS	RENDERING	AGE 21+	162	None	728	None	61	None	63	None	88	None	246	None	101	None	105	None
1104044064	PARIKH, ANKUR B, DDS	2021	FFS	RENDERING	AGE 0-20	317	None	3,485	None	309	None	1,485	None	39	None	115	None	316	None	439	None
1104044064	PARIKH, ANKUR B, DDS	2021	FFS	RENDERING	AGE 21+	210	None	1,988	None	169	None	338	None	49	None	152	None	198	None	198	None
1104044635	HOFFMAN ANGELA	2021	FFS	RENDERING	AGE 0-20	19	None	234	None	14	None	38	None	12	None	165	None	14	None	17	None
1104044635	HOFFMAN ANGELA	2021	FFS	RENDERING	AGE 21+	58	None	875	None	26	None	47	None	45	None	742	None	42	None	42	None
1104044635	HOFFMAN ANGELA	2021	PHP	RENDERING	AGE 0-20	17	None	91	None	14	None	28	None	None	1	None	1	16	None	16	None
1104044635	HOFFMAN ANGELA	2021	PHP	RENDERING	AGE 21+	42	None	231	None	36	None	70	None	0	None	0	None	41	None	41	None
1104051010	XU, HONGBO, DDS	2021	FFS	RENDERING	AGE 0-20	100	None	715	None	93	None	312	None	43	None	132	None	96	None	129	None
1104051010	XU, HONGBO, DDS	2021	FFS	RENDERING	AGE 21+	125	None	677	None	80	None	80	None	75	None	307	None	73	None	73	None
1104055235	SU PEITI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104063841	LIANG IRENE	2021	FFS	RENDERING	AGE 0-20	436	None	3,636	None	346	None	890	None	78	None	198	None	346	None	376	None
1104063841	LIANG IRENE	2021	FFS	RENDERING	AGE 21+	135	None	831	None	46	None	92	None	90	None	249	None	46	None	46	None
1104074400	KINGSBURG FAMILY DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1104075175	FUNG HENRY H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1104075282	QUEENSCARE HEALTH CENTERS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1104075282	QUEENSCARE HEALTH CENTERS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104075464	CHOI NARA	2021	FFS	RENDERING	AGE 0-20	5,009	None	41,549	None	4,393	None	14,221	None	3,016	None	8,241	None	4,159	None	4,591	None
1104075464	CHOI NARA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1104088178	AHUJA ARSHJOT S	2021	FFS	RENDERING	AGE 0-20	16	None	106	None	15	None	33	None	None	1	None	2	12	None	12	None
1104088178	AHUJA ARSHJOT S	2021	FFS	RENDERING	AGE 21+	48	None	250	None	14	None	27	None	33	None	78	None	20	None	20	None
1104094580	KIM INSOO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1104123728	ROBLES JOSUE M	2021	FFS	RENDERING	AGE 0-20	295	None	2,088	None	252	None	1,224	None	46	None	62	None	257	None	297	None
1104123728	ROBLES JOSUE M	2021	FFS	RENDERING	AGE 21+	431	None	1,565	None	97	None	168	None	172	None	473	None	275	None	275	None
1104123728	ROBLES JOSUE M	2021	PHP	RENDERING	AGE 0-20	148	None	615	None	119	None	325	None	15	None	34	None	140	None	165	None
1104123728	ROBLES JOSUE M	2021	PHP	RENDERING	AGE 21+	116	None	369	None	29	None	54	None	53	None	158	None	86	None	92	None
1104132802	DHOLAKIYA PAYAL	2021	FFS	RENDERING	AGE 0-20	14	None	48	None	0	None	0	None	11	None	22	None	14	None	14	None
1104132802	DHOLAKIYA PAYAL	2021	FFS	RENDERING	AGE 21+	252	None	961	None	0	None	0	None	200	None	569	None	138	None	138	None
1104137314	HUANG PETER W	2021	FFS	RENDERING	AGE 0-20	137	None	836	None	80	None	230	None	47	None	97	None	101	None	111	None
1104137314	HUANG PETER W	2021	FFS	RENDERING	AGE 21+	248	None	1,407	None	163	None	324	None	118	None	355	None	198	None	198	None
1104137314	HUANG PETER W	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104137314	HUANG PETER W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104146745	TRAN KHA-MY T	2021	FFS	RENDERING	AGE 0-20	338	None	1,893	None	235	None	774	None	174	None	430	None	197	None	197	None
1104146745	TRAN KHA-MY T	2021	FFS	RENDERING	AGE 21+	426	None	1,555	None	123	None	223	None	270	None	800	None	165	None	165	None
1104151653	LEUNG WILSON K	2021	PHP	RENDERING	AGE 0-20	29	None	300	None	29	None	116	None	28	None	64	None	22	None	24	None
1104151653	LEUNG WILSON K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1104172774	BALANE RAMON C	2021	FFS	RENDERING	AGE 0-20	13	None	39	None	None	1	None	1	12	None	24	None	None	1	None	1
1104172774	BALANE RAMON C	2021	FFS	RENDERING	AGE 21+	77	None	267	None	None	1	None	1	75	None	261	None	None	1	None	1
1104181916	NIKAHD MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	24	None	174	None	18	None	42	None	12	None	39	None	21	None	26	None
1104181916	NIKAHD MOHAMMAD	2021	FFS	RENDERING	AGE 21+	107	None	695	None	60	None	117	None	72	None	352	None	90	None	90	None
1104185784	CHAN WAI T	2021	FFS	RENDERING	AGE 0-20	1,731	None	16,157	None	1,494	None	4,282	None	1,194	None	2,572	None	1,490	None	1,495	None
1104213255	NGUYEN-WONG AN N	2021	FFS	RENDERING	AGE 0-20	1,748	None	17,067	None	1,516	None	4,674	None	1,050	None	3,273	None	1,512	None	1,685	None
1104213255	NGUYEN-WONG AN N	2021	PHP	RENDERING	AGE 0-20	11	None	96	None	None	1	None	2	None	1	None	2	None	1	None	1
1104216761	GIOVANNONI, LESLIE A, RDHAP	2021	FFS	RENDERING	AGE 21+	258	None	2,051	None	195	None	408	None	256	None	1,417	None	0	None	0	None
1104245976	NIAVARANI OMID	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1104245976	NIAVARANI OMID	2021	FFS	RENDERING	AGE 21+	19	None	39	None	0	None	0	None	19	None	34	None	0	None	0	None
1104267475	MAHMOOD TRUSKA	2021	FFS	RENDERING	AGE 0-20	2,070	None	18,192	None	1,509	None	4,337	None	1,371	None	5,577	None	1,402	None	1,430	None
1104267475	MAHMOOD TRUSKA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104272210	BISHBISH OMRAN	2021	FFS	RENDERING	AGE 0-20	150	None	438	None	122	None	366	None	31	None	71	None	None	1	None	1
1104272210	BISHBISH OMRAN	2021	FFS	RENDERING	AGE 21+	493	None	1,631	None	199	None	340	None	365	None	1,286	None	None	1	None	1
1104272210	BISHBISH OMRAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1104272210	BISHBISH OMRAN	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104272210	BISHBISH OMRAN	2021	PHP	RENDERING	AGE 0-20	188	None	1,878	None	164	None	643	None	124	None	601	None	172	None	223	None
1104272210	BISHBISH OMRAN	2021	PHP	RENDERING	AGE 21+	349	None	3,886	None	182	None	349	None	294	None	2,864	None	258	None	271	None
1104272301	CHOUDHRY VARUNA	2021	FFS	RENDERING	AGE 0-20	329	None	1,456	None	261	None	558	None	79	None	133	None	272	None	278	None
1104272301	CHOUDHRY VARUNA	2021	FFS	RENDERING	AGE 21+	556	None	1,844	None	223	None	411	None	177	None	450	None	405	None	406	None
1104272301	CHOUDHRY VARUNA	2021	PHP	RENDERING	AGE 0-20	22	None	83	None	11	None	20	None	None	1	None	2	15	None	15	None
1104272301	CHOUDHRY VARUNA	2021	PHP	RENDERING	AGE 21+	58	None	221	None	17	None	28	None	35	None	109	None	29	None	29	None
1104279686	PANAG SUKHMAN	2021	FFS	RENDERING	AGE 0-20	37	None	167	None	32	None	67	None	11	None	18	None	31	None	31	None
1104279686	PANAG SUKHMAN	2021	FFS	RENDERING	AGE 21+	102	None	420	None	41	None	79	None	58	None	127	None	62	None	62	None
1104302652	EISAPOORAN PEDRAM	2021	FFS	RENDERING	AGE 0-20	25	None	96	None	15	None	29	None	20	None	44	None	None	1	None	1
1104302652	EISAPOORAN PEDRAM	2021	FFS	RENDERING	AGE 21+	65	None	214	None	27	None	50	None	42	None	97	None	13	None	13	None
1104313030	RIZVI, DR SYED S, DDS A PROF	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1104322288	HONG YOONJUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104322288	HONG YOONJUNG	2021	FFS	RENDERING	AGE 21+	28	None	82	None	12	None	12	None	None	1	None	2	22	None	22	None
1104332741	PENA TEODORO D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104332741	PENA TEODORO D	2021	FFS	RENDERING	AGE 21+	23	None	60	None	None	1	None	1	21	None	45	None	None	1	None	1
1104333426	BAHAMON CARLOS	2021	FFS	RENDERING	AGE 0-20	200	None	1,258	None	44	None	133	None	180	None	622	None	54	None	61	None
1104333426	BAHAMON CARLOS	2021	FFS	RENDERING	AGE 21+	598	None	3,928	None	100	None	186	None	542	None	2,626	None	183	None	193	None
1104336478	KIM, LOUIS M, A PROFESSIONAL	2021	GMC	RENDERING	AGE 0-20	203	None	1,249	None	182	None	429	None	83	None	142	None	180	None	188	None
1104336478	KIM, LOUIS M, A PROFESSIONAL	2021	GMC	RENDERING	AGE 21+	167	None	885	None	91	None	185	None	90	None	279	None	106	None	106	None
1104348366	SAAD ERENE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104350594	VOHRA SHIVANI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1104350594	VOHRA SHIVANI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104350594	VOHRA SHIVANI	2021	GMC	RENDERING	AGE 0-20	727	None	5,310	None	494	None	1,348	None	247	None	454	None	577	None	666	None
1104350594	VOHRA SHIVANI	2021	GMC	RENDERING	AGE 21+	967	None	6,089	None	400	None	800	None	668	None	1,725	None	577	None	579	None
1104350594	VOHRA SHIVANI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1104370972	MAHANIAN NICOLE	2021	FFS	RENDERING	AGE 0-20	595	None	3,949	None	454	None	1,279	None	248	None	623	None	478	None	516	None
1104370972	MAHANIAN NICOLE	2021	FFS	RENDERING	AGE 21+	240	None	1,142	None	65	None	128	None	179	None	486	None	113	None	114	None
1104370972	MAHANIAN NICOLE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104370972	MAHANIAN NICOLE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104373612	ADAMS TRENTON G	2021	FFS	RENDERING	AGE 0-20	244	None	1,045	None	148	None	379	None	117	None	236	None	113	None	116	None
1104373612	ADAMS TRENTON G	2021	FFS	RENDERING	AGE 21+	432	None	1,276	None	78	None	147	None	301	None	621	None	159	None	159	None
1104374206	DINEA-BERCI EMILIA LAVINIA	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104379718	LI DAVID	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104406123	OSBORNE MAILE S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104406123	OSBORNE MAILE S	2021	PHP	RENDERING	AGE 21+	12	None	24	None	None	1	None	1	12	None	16	None	None	1	None	1
1104433796	STARCHENKO IRENA	2021	FFS	RENDERING	AGE 0-20	191	None	1,776	None	141	None	373	None	84	None	201	None	141	None	141	None
1104433796	STARCHENKO IRENA	2021	FFS	RENDERING	AGE 21+	220	None	1,576	None	60	None	119	None	164	None	498	None	78	None	78	None
1104433796	STARCHENKO IRENA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1104464684	MOULA KAZI S	2021	FFS	RENDERING	AGE 0-20	141	None	548	None	28	None	63	None	62	None	143	None	92	None	99	None
1104464684	MOULA KAZI S	2021	FFS	RENDERING	AGE 21+	207	None	594	None	16	None	30	None	124	None	257	None	98	None	98	None
1104468057	BABAIAN ARMEN Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1104468057	BABAIAN ARMEN Y	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104472778	LISTIYO MATTHEW	2021	FFS	RENDERING	AGE 0-20	62	None	630	None	53	None	141	None	47	None	218	None	50	None	50	None
1104472778	LISTIYO MATTHEW	2021	FFS	RENDERING	AGE 21+	272	None	2,692	None	152	None	303	None	242	None	1,554	None	167	None	167	None
1104472802	NGUYEN CATHERINE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104472802	NGUYEN CATHERINE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1104495936	MATHUR AJAY	2021	FFS	RENDERING	AGE 0-20	150	None	587	None	59	None	126	None	41	None	89	None	121	None	121	None
1104495936	MATHUR AJAY	2021	FFS	RENDERING	AGE 21+	435	None	1,356	None	73	None	131	None	184	None	421	None	297	None	297	None
1104804780	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	334	None	3,975	None	310	None	1,168	None	223	None	690	None	263	None	327	None
1104804780	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	191	None	1,682	None	131	None	233	None	137	None	593	None	134	None	134	None
1104819440	GHORBANIAN HAMED	2021	FFS	RENDERING	AGE 0-20	22	None	135	None	17	None	38	None	None	1	None	2	18	None	23	None
1104819440	GHORBANIAN HAMED	2021	FFS	RENDERING	AGE 21+	110	None	502	None	24	None	25	None	57	None	156	None	81	None	87	None
1104840909	PHAM THIEN C	2021	FFS	RENDERING	AGE 0-20	246	None	1,146	None	0	None	0	None	246	None	1,146	None	0	None	0	None
1104842897	NARET SVETLANA	2021	FFS	RENDERING	AGE 0-20	39	None	321	None	36	None	164	None	11	None	20	None	37	None	60	None
1104842897	NARET SVETLANA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1104842897	NARET, SVETLANA, DDS INC	2021	FFS	RENDERING	AGE 0-20	39	None	321	None	36	None	164	None	11	None	20	None	37	None	60	None
1104842897	NARET, SVETLANA, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1104849041	RISOS DEANNA	2021	FFS	RENDERING	AGE 0-20	37	None	405	None	36	None	95	None	18	None	152	None	37	None	49	None
1104849041	RISOS DEANNA	2021	FFS	RENDERING	AGE 21+	184	None	2,161	None	147	None	283	None	133	None	1,448	None	166	None	166	None
1104907658	ROBINSON-HARPER, CONNIE A, D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1104907658	ROBINSON-HARPER, CONNIE A, D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104910827	SHIBOSKI CAROLINE H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1104910827	SHIBOSKI CAROLINE H	2021	FFS	RENDERING	AGE 21+	27	None	38	None	None	1	None	1	13	None	17	None	20	None	20	None
1104911502	GUZMAN, JESUS H, DDS	2021	FFS	RENDERING	AGE 0-20	184	None	5,274	None	172	None	1,236	None	72	None	741	None	180	None	639	None
1104911502	GUZMAN, JESUS H, DDS	2021	FFS	RENDERING	AGE 21+	385	None	9,114	None	275	None	1,641	None	224	None	2,196	None	337	None	1,011	None
1104912377	POLIDO JOSE CARLOS D	2021	FFS	RENDERING	AGE 0-20	365	None	1,717	None	259	None	635	None	176	None	740	None	255	None	263	None
1104912377	POLIDO JOSE CARLOS D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1104915537	HARRISON KENNETH T	2021	FFS	RENDERING	AGE 0-20	221	None	271	None	0	None	0	None	19	None	55	None	0	None	0	None
1104916568	TAN MARILOU C	2021	FFS	RENDERING	AGE 0-20	12	None	65	None	None	1	None	2	None	1	None	2	None	1	None	1
1104916568	TAN MARILOU C	2021	FFS	RENDERING	AGE 21+	136	None	465	None	48	None	48	None	102	None	201	None	29	None	29	None
1104916568	TAN MARILOU C	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104917293	LEE STEWART R	2021	PHP	RENDERING	AGE 0-20	18	None	114	None	None	1	None	2	None	1	None	2	11	None	11	None
1104917293	LEE STEWART R	2021	PHP	RENDERING	AGE 21+	16	None	56	None	None	1	None	1	None	1	None	2	None	1	None	1
1104918333	DEIRMENJIAN SANDRA W	2021	FFS	RENDERING	AGE 0-20	207	None	1,777	None	135	None	451	None	97	None	282	None	159	None	177	None
1104918333	DEIRMENJIAN SANDRA W	2021	FFS	RENDERING	AGE 21+	199	None	1,182	None	16	None	32	None	132	None	455	None	113	None	115	None
1104918333	DEIRMENJIAN SANDRA W	2021	PHP	RENDERING	AGE 0-20	19	None	109	None	12	None	27	None	None	1	None	1	15	None	16	None
1104918333	DEIRMENJIAN SANDRA W	2021	PHP	RENDERING	AGE 21+	25	None	150	None	14	None	25	None	11	None	26	None	18	None	19	None
1104924935	RAMZI NADER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104934983	DANESHGAR, SHAHRIAR S, DMD	2021	FFS	RENDERING	AGE 0-20	92	None	460	None	0	None	0	None	74	None	354	None	53	None	53	None
1104934983	DANESHGAR, SHAHRIAR S, DMD	2021	FFS	RENDERING	AGE 21+	287	None	1,145	None	None	1	None	1	187	None	702	None	189	None	189	None
1104939792	SOLIMAN MOHAMED W	2021	FFS	RENDERING	AGE 0-20	661	None	11,265	None	639	None	2,766	None	412	None	1,256	None	646	None	931	None
1104939792	SOLIMAN MOHAMED W	2021	FFS	RENDERING	AGE 21+	536	None	4,767	None	416	None	834	None	396	None	1,596	None	438	None	438	None
1104940998	STOLYAR, GALINA DDS	2021	FFS	RENDERING	AGE 0-20	40	None	246	None	34	None	90	None	17	None	68	None	34	None	43	None
1104940998	STOLYAR, GALINA DDS	2021	FFS	RENDERING	AGE 21+	125	None	1,072	None	73	None	145	None	93	None	711	None	79	None	79	None
1104948181	YOON, JAE M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104948181	YOON, JAE M, DDS	2021	FFS	RENDERING	AGE 21+	30	None	158	None	None	1	None	2	23	None	71	None	None	1	None	1
1104949692	TONG CHRISTOPHER N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1104949692	TONG CHRISTOPHER N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1104951730	KENT, DONALD DDS	2021	FFS	RENDERING	AGE 21+	420	None	1,005	None	None	1	None	1	420	None	578	None	415	None	421	None
1104954999	WATKINS RYAN P	2021	FFS	RENDERING	AGE 0-20	657	None	10,782	None	335	None	875	None	571	None	5,436	None	385	None	431	None
1104954999	WATKINS RYAN P	2021	FFS	RENDERING	AGE 21+	79	None	397	None	12	None	18	None	69	None	283	None	16	None	16	None
1104955244	CAMBERO, LUIS R DDS	2021	FFS	RENDERING	AGE 0-20	215	None	1,836	None	177	None	475	None	96	None	372	None	194	None	225	None
1104955244	CAMBERO, LUIS R DDS	2021	FFS	RENDERING	AGE 21+	333	None	1,844	None	90	None	91	None	222	None	769	None	233	None	236	None
1104955244	CAMBERO, LUIS R DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104955475	LUCERO MARTHA R	2021	FFS	RENDERING	AGE 0-20	556	None	2,982	None	426	None	1,052	None	251	None	716	None	445	None	488	None
1104955475	LUCERO MARTHA R	2021	FFS	RENDERING	AGE 21+	561	None	2,831	None	168	None	329	None	365	None	1,289	None	354	None	355	None
1104955475	LUCERO-PEREZ, MARTHA R, DDS	2021	FFS	RENDERING	AGE 0-20	556	None	2,982	None	426	None	1,052	None	251	None	716	None	445	None	488	None
1104955475	LUCERO-PEREZ, MARTHA R, DDS	2021	FFS	RENDERING	AGE 21+	561	None	2,831	None	168	None	329	None	365	None	1,289	None	354	None	355	None
1104955855	RODRIGUEZ GUILLERMO	2021	FFS	RENDERING	AGE 0-20	140	None	1,100	None	129	None	386	None	64	None	236	None	127	None	143	None
1104955855	RODRIGUEZ GUILLERMO	2021	FFS	RENDERING	AGE 21+	202	None	1,160	None	114	None	168	None	142	None	513	None	145	None	147	None
1104956317	FERNANDEZ JAIME A	2021	FFS	RENDERING	AGE 0-20	44	None	249	None	19	None	52	None	41	None	157	None	17	None	22	None
1104956317	FERNANDEZ JAIME A	2021	FFS	RENDERING	AGE 21+	100	None	280	None	None	1	None	2	93	None	241	None	12	None	12	None
1104960574	PATEL JETAN	2021	FFS	RENDERING	AGE 0-20	2,357	None	35,774	None	2,083	None	8,357	None	1,450	None	6,679	None	2,037	None	2,796	None
1104960574	PATEL JETAN	2021	FFS	RENDERING	AGE 21+	210	None	1,795	None	54	None	103	None	151	None	466	None	122	None	122	None
1104961135	NOSRATI, DALIA, DDS	2021	FFS	RENDERING	AGE 0-20	844	None	10,182	None	529	None	1,900	None	723	None	4,390	None	481	None	596	None
1104961135	NOSRATI, DALIA, DDS	2021	FFS	RENDERING	AGE 21+	136	None	823	None	81	None	155	None	99	None	420	None	97	None	97	None
1104961135	NOSRATI, DALIA, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1104961135	NOSRATI, DALIA, DDS	2021	PHP	RENDERING	AGE 21+	13	None	80	None	11	None	21	None	None	1	None	2	13	None	13	None
1104966241	GONG SANDRA J	2021	FFS	RENDERING	AGE 0-20	741	None	5,910	None	678	None	2,609	None	216	None	558	None	696	None	889	None
1104966241	GONG SANDRA J	2021	FFS	RENDERING	AGE 21+	657	None	3,370	None	305	None	544	None	374	None	929	None	488	None	488	None
1104967553	BEKEREDJIAN, HOVANES, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104967553	BEKEREDJIAN, HOVANES, DDS	2021	FFS	RENDERING	AGE 21+	74	None	367	None	39	None	39	None	59	None	240	None	22	None	22	None
1104970383	LUGTU MICHAEL JERR D	2021	FFS	RENDERING	AGE 0-20	59	None	507	None	55	None	162	None	17	None	33	None	50	None	54	None
1104970383	LUGTU MICHAEL JERR D	2021	FFS	RENDERING	AGE 21+	51	None	232	None	27	None	54	None	29	None	67	None	34	None	34	None
1104970870	BAKHSHIAN, BABAK, DDS	2021	FFS	RENDERING	AGE 0-20	278	None	3,962	None	263	None	457	None	133	None	476	None	270	None	369	None
1104970870	BAKHSHIAN, BABAK, DDS	2021	FFS	RENDERING	AGE 21+	328	None	3,642	None	197	None	200	None	199	None	772	None	247	None	247	None
1104972397	AMIN, MANOJKUMAR M DDS	2021	FFS	RENDERING	AGE 0-20	27	None	187	None	22	None	23	None	None	1	None	2	21	None	23	None
1104972397	AMIN, MANOJKUMAR M DDS	2021	FFS	RENDERING	AGE 21+	83	None	505	None	46	None	46	None	42	None	116	None	65	None	65	None
1104973478	CARRILLO, VICTOR H, DDS	2021	FFS	RENDERING	AGE 0-20	33	None	150	None	27	None	32	None	12	None	48	None	None	1	None	1
1104973478	CARRILLO, VICTOR H, DDS	2021	FFS	RENDERING	AGE 21+	141	None	544	None	71	None	71	None	78	None	249	None	30	None	30	None
1104974856	REFAAT RANIA N	2021	FFS	RENDERING	AGE 0-20	28	None	159	None	24	None	62	None	None	1	None	2	26	None	33	None
1104974856	REFAAT RANIA N	2021	FFS	RENDERING	AGE 21+	50	None	252	None	28	None	28	None	25	None	86	None	36	None	37	None
1104978147	KHASATI SHADI K	2021	FFS	RENDERING	AGE 0-20	691	None	4,149	None	612	None	1,612	None	204	None	389	None	640	None	725	None
1104978147	KHASATI SHADI K	2021	FFS	RENDERING	AGE 21+	942	None	3,491	None	341	None	422	None	368	None	1,080	None	717	None	717	None
1104978295	RESTREPO, CARLOS DDS	2021	FFS	RENDERING	AGE 0-20	1,106	None	13,145	None	1,071	None	4,515	None	443	None	973	None	1,076	None	1,809	None
1104978295	RESTREPO, CARLOS DDS	2021	FFS	RENDERING	AGE 21+	229	None	2,034	None	135	None	266	None	124	None	303	None	165	None	165	None
1104978972	GARCIA GERALD V	2021	FFS	RENDERING	AGE 0-20	33	None	294	None	30	None	98	None	16	None	54	None	31	None	47	None
1104978972	GARCIA GERALD V	2021	FFS	RENDERING	AGE 21+	77	None	451	None	49	None	96	None	55	None	156	None	14	None	14	None
1104982073	FOSTER, DONALD LEE	2021	FFS	RENDERING	AGE 0-20	53	None	87	None	None	1	None	1	27	None	54	None	23	None	23	None
1104982073	FOSTER, DONALD LEE	2021	FFS	RENDERING	AGE 21+	103	None	201	None	0	None	0	None	72	None	134	None	24	None	24	None
1104983485	JAMES KENDALL E	2021	FFS	RENDERING	AGE 0-20	585	None	853	None	0	None	0	None	123	None	291	None	0	None	0	None
1104983485	JAMES KENDALL E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1104983485	JAMES KENDALL E	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104985993	FIROUZ, MAURICE, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	92	None	0	None	0	None	14	None	70	None	0	None	0	None
1104986595	VAN, HUY NGOC, DDS	2021	FFS	RENDERING	AGE 0-20	30	None	288	None	29	None	57	None	None	1	None	1	30	None	30	None
1104986595	VAN, HUY NGOC, DDS	2021	FFS	RENDERING	AGE 21+	14	None	134	None	13	None	19	None	None	1	None	1	12	None	12	None
1114006871	LUNA AILEEN C	2021	PHP	RENDERING	AGE 0-20	89	None	625	None	69	None	123	None	86	None	221	None	65	None	68	None
1114006871	LUNA AILEEN C	2021	PHP	RENDERING	AGE 21+	52	None	257	None	0	None	0	None	51	None	167	None	None	1	None	1
1114006889	LUNA CELLINI N	2021	PHP	RENDERING	AGE 0-20	175	None	1,666	None	145	None	668	None	160	None	243	None	126	None	134	None
1114006889	LUNA CELLINI N	2021	PHP	RENDERING	AGE 21+	133	None	581	None	32	None	88	None	95	None	174	None	45	None	45	None
1114016672	HAN JASON K	2021	FFS	RENDERING	AGE 0-20	240	None	1,591	None	211	None	652	None	97	None	198	None	216	None	246	None
1114016672	HAN JASON K	2021	FFS	RENDERING	AGE 21+	160	None	576	None	36	None	59	None	97	None	250	None	107	None	107	None
1114016672	HAN JASON K	2021	PHP	RENDERING	AGE 0-20	75	None	365	None	61	None	143	None	28	None	69	None	62	None	65	None
1114016672	HAN JASON K	2021	PHP	RENDERING	AGE 21+	38	None	120	None	16	None	30	None	17	None	34	None	26	None	26	None
1114017282	HASSAN HESHAM M	2021	FFS	RENDERING	AGE 0-20	809	None	11,809	None	769	None	3,099	None	442	None	1,833	None	765	None	856	None
1114017282	HASSAN HESHAM M	2021	FFS	RENDERING	AGE 21+	296	None	2,537	None	145	None	242	None	222	None	1,214	None	197	None	197	None
1114017282	HASSAN HESHAM M	2021	PHP	RENDERING	AGE 0-20	25	None	403	None	24	None	110	None	14	None	102	None	25	None	30	None
1114017282	HASSAN HESHAM M	2021	PHP	RENDERING	AGE 21+	23	None	259	None	14	None	23	None	17	None	161	None	19	None	19	None
1114017506	CRUZ EDWIN P	2021	FFS	RENDERING	AGE 0-20	105	None	1,197	None	86	None	316	None	57	None	173	None	89	None	98	None
1114017506	CRUZ EDWIN P	2021	FFS	RENDERING	AGE 21+	110	None	1,067	None	43	None	46	None	65	None	288	None	82	None	82	None
1114017589	KODAMA, JAMES, DDS	2021	FFS	RENDERING	AGE 0-20	34	None	380	None	33	None	99	None	None	1	None	2	33	None	45	None
1114017589	KODAMA, JAMES, DDS	2021	FFS	RENDERING	AGE 21+	138	None	1,244	None	123	None	125	None	85	None	374	None	126	None	128	None
1114017886	MUNTEAN BASILE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1114017886	MUNTEAN BASILE	2021	FFS	RENDERING	AGE 21+	18	None	106	None	14	None	25	None	11	None	33	None	11	None	11	None
1114026168	AZIZIAN, VAROUJ, DMD	2021	FFS	RENDERING	AGE 21+	47	None	286	None	11	None	13	None	36	None	190	None	34	None	34	None
1114041456	HAIDAR LOUIE	2021	FFS	RENDERING	AGE 0-20	257	None	438	None	0	None	0	None	67	None	167	None	0	None	0	None
1114041456	HAIDAR LOUIE	2021	FFS	RENDERING	AGE 21+	18	None	18	None	0	None	0	None	0	None	0	None	0	None	0	None
1114042488	SUAREZ-LOPEZ, GUADALUPE INES	2021	FFS	RENDERING	AGE 0-20	46	None	331	None	28	None	86	None	23	None	79	None	42	None	50	None
1114042488	SUAREZ-LOPEZ, GUADALUPE INES	2021	FFS	RENDERING	AGE 21+	69	None	490	None	None	1	None	2	53	None	299	None	49	None	49	None
1114050200	PHAN THI B	2021	FFS	RENDERING	AGE 0-20	181	None	2,007	None	163	None	552	None	90	None	313	None	155	None	210	None
1114050200	PHAN THI B	2021	FFS	RENDERING	AGE 21+	310	None	2,486	None	82	None	83	None	204	None	731	None	192	None	192	None
1114056868	PHAM LAN N	2021	FFS	RENDERING	AGE 0-20	124	None	1,746	None	106	None	390	None	88	None	356	None	106	None	125	None
1114056868	PHAM LAN N	2021	FFS	RENDERING	AGE 21+	368	None	4,480	None	253	None	504	None	311	None	1,810	None	268	None	268	None
1114057551	JOSHI, PRAKASH A, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	96	None	None	1	None	2	None	1	None	2	None	1	None	2
1114057551	JOSHI, PRAKASH A, DDS	2021	FFS	RENDERING	AGE 21+	78	None	756	None	None	1	None	2	49	None	324	None	64	None	128	None
1114059037	HANSEN, MICHAEL RITIVOI, DDS	2021	FFS	RENDERING	AGE 0-20	31	None	120	None	31	None	38	None	12	None	17	None	31	None	38	None
1114059037	HANSEN, MICHAEL RITIVOI, DDS	2021	FFS	RENDERING	AGE 21+	108	None	502	None	74	None	74	None	67	None	213	None	82	None	82	None
1114059193	BOOTHBY, JUDITH, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1114064649	COOPER GORDON S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114064649	COOPER GORDON S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114073350	OHANIAN, CARMEN DDS	2021	FFS	RENDERING	AGE 0-20	202	None	1,853	None	195	None	668	None	81	None	186	None	190	None	303	None
1114073350	OHANIAN, CARMEN DDS	2021	FFS	RENDERING	AGE 21+	422	None	3,898	None	319	None	609	None	283	None	849	None	349	None	351	None
1114073350	OHANIAN, CARMEN M, DDS	2021	FFS	RENDERING	AGE 0-20	202	None	1,853	None	195	None	668	None	81	None	186	None	190	None	303	None
1114073350	OHANIAN, CARMEN M, DDS	2021	FFS	RENDERING	AGE 21+	422	None	3,898	None	319	None	609	None	283	None	849	None	349	None	351	None
1114075629	SHARMA ARUN B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114077351	MORALES MA JUDINA B	2021	FFS	RENDERING	AGE 0-20	145	None	573	None	73	None	158	None	39	None	84	None	116	None	118	None
1114077351	MORALES MA JUDINA B	2021	FFS	RENDERING	AGE 21+	551	None	1,786	None	146	None	255	None	293	None	762	None	282	None	282	None
1114077351	MORALES MA JUDINA B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1114077351	MORALES MA JUDINA B	2021	PHP	RENDERING	AGE 21+	36	None	154	None	12	None	24	None	26	None	107	None	None	1	None	1
1114078052	GRKIKIAN JOURIY M	2021	FFS	RENDERING	AGE 0-20	29	None	234	None	23	None	49	None	13	None	35	None	26	None	28	None
1114078052	GRKIKIAN JOURIY M	2021	FFS	RENDERING	AGE 21+	252	None	2,791	None	54	None	68	None	227	None	1,536	None	138	None	139	None
1114078227	DUONG YEN H	2021	FFS	RENDERING	AGE 0-20	41	None	610	None	39	None	141	None	24	None	87	None	35	None	37	None
1114078227	DUONG YEN H	2021	FFS	RENDERING	AGE 21+	137	None	1,523	None	90	None	174	None	120	None	586	None	91	None	91	None
1114080199	SAMPAGA SHARON C	2021	PHP	RENDERING	AGE 0-20	45	None	337	None	26	None	108	None	41	None	61	None	22	None	22	None
1114080199	SAMPAGA SHARON C	2021	PHP	RENDERING	AGE 21+	68	None	198	None	12	None	32	None	44	None	64	None	15	None	15	None
1114080694	HOANG, ROBERT DDS	2021	FFS	RENDERING	AGE 0-20	791	None	15,262	None	771	None	4,112	None	526	None	2,252	None	774	None	1,262	None
1114080694	HOANG, ROBERT DDS	2021	FFS	RENDERING	AGE 21+	35	None	150	None	11	None	20	None	19	None	24	None	17	None	17	None
1114080694	HOANG, ROBERT DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1114082138	ZAHEDI MALAKEH	2021	FFS	RENDERING	AGE 0-20	151	None	2,263	None	150	None	590	None	70	None	321	None	150	None	190	None
1114082138	ZAHEDI MALAKEH	2021	FFS	RENDERING	AGE 21+	219	None	2,332	None	150	None	304	None	164	None	860	None	186	None	186	None
1114083193	IM, TED T, DDS	2021	FFS	RENDERING	AGE 0-20	213	None	2,966	None	190	None	675	None	125	None	428	None	194	None	267	None
1114083193	IM, TED T, DDS	2021	FFS	RENDERING	AGE 21+	348	None	2,654	None	242	None	455	None	261	None	944	None	243	None	243	None
1114084597	PHAM, PETER HAI, DDS	2021	FFS	RENDERING	AGE 0-20	67	None	399	None	66	None	177	None	16	None	52	None	67	None	90	None
1114084597	PHAM, PETER HAI, DDS	2021	FFS	RENDERING	AGE 21+	236	None	1,257	None	181	None	348	None	109	None	302	None	205	None	205	None
1114088580	GRACHIAN, HIKANOUSH ANN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1114088580	GRACHIAN, HIKANOUSH ANN, DDS	2021	FFS	RENDERING	AGE 21+	27	None	250	None	19	None	37	None	23	None	129	None	24	None	25	None
1114091014	ARCE JORGE E	2021	FFS	RENDERING	AGE 0-20	156	None	526	None	None	1	None	1	145	None	450	None	0	None	0	None
1114091014	ARCE JORGE E	2021	FFS	RENDERING	AGE 21+	377	None	1,267	None	None	1	None	1	364	None	1,028	None	0	None	0	None
1114091162	SEPULVEDA JAIRO G	2021	FFS	RENDERING	AGE 0-20	53	None	166	None	40	None	52	None	21	None	46	None	44	None	46	None
1114091162	SEPULVEDA JAIRO G	2021	FFS	RENDERING	AGE 21+	130	None	458	None	47	None	47	None	69	None	217	None	95	None	95	None
1114097912	LOUIE BRADLEY C	2021	FFS	RENDERING	AGE 0-20	14	None	86	None	14	None	43	None	None	1	None	1	None	1	None	1
1114097912	LOUIE BRADLEY C	2021	FFS	RENDERING	AGE 21+	20	None	114	None	13	None	26	None	13	None	43	None	None	1	None	1
1114104205	ALVARADO LOURDES	2021	FFS	RENDERING	AGE 0-20	159	None	1,576	None	114	None	344	None	71	None	233	None	134	None	152	None
1114104205	ALVARADO LOURDES	2021	FFS	RENDERING	AGE 21+	298	None	1,518	None	59	None	92	None	194	None	609	None	167	None	167	None
1114112489	HUNG EMILY J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1114115748	NOURIAN, HORMOZ DDS	2021	FFS	RENDERING	AGE 0-20	13	None	93	None	None	1	None	2	None	1	None	2	12	None	12	None
1114115748	NOURIAN, HORMOZ DDS	2021	FFS	RENDERING	AGE 21+	145	None	1,116	None	92	None	183	None	75	None	221	None	120	None	120	None
1114119849	HASHIMI HARIS S	2021	FFS	RENDERING	AGE 0-20	67	None	343	None	47	None	101	None	27	None	62	None	49	None	54	None
1114119849	HASHIMI HARIS S	2021	FFS	RENDERING	AGE 21+	154	None	760	None	50	None	55	None	103	None	312	None	102	None	102	None
1114120094	PANGILINAN JUANITO R	2021	FFS	RENDERING	AGE 0-20	953	None	9,986	None	629	None	1,818	None	551	None	1,621	None	799	None	893	None
1114120094	PANGILINAN JUANITO R	2021	FFS	RENDERING	AGE 21+	643	None	3,417	None	53	None	105	None	376	None	1,045	None	408	None	410	None
1114120458	ARAKELIAN, MELINEH, DDS	2021	FFS	RENDERING	AGE 0-20	22	None	121	None	17	None	19	None	14	None	52	None	19	None	21	None
1114120458	ARAKELIAN, MELINEH, DDS	2021	FFS	RENDERING	AGE 21+	230	None	1,573	None	92	None	92	None	203	None	945	None	109	None	109	None
1114120458	ARAKELIAN, MELINEH, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114120516	DEBORA, DAISY FRANCISCA DDS	2021	FFS	RENDERING	AGE 0-20	82	None	613	None	64	None	178	None	35	None	113	None	64	None	83	None
1114120516	DEBORA, DAISY FRANCISCA DDS	2021	FFS	RENDERING	AGE 21+	115	None	765	None	41	None	75	None	86	None	313	None	71	None	73	None
1114120516	DEBORA, DAISY FRANCISCA DDS	2021	PHP	RENDERING	AGE 0-20	42	None	350	None	39	None	113	None	20	None	53	None	39	None	49	None
1114120516	DEBORA, DAISY FRANCISCA DDS	2021	PHP	RENDERING	AGE 21+	41	None	287	None	30	None	48	None	25	None	105	None	36	None	40	None
1114124989	FATHI BAHAREH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1114124989	FATHI BAHAREH	2021	PHP	RENDERING	AGE 21+	54	None	76	None	0	None	0	None	35	None	43	None	32	None	33	None
1114125937	FLORES JORGE A	2021	FFS	RENDERING	AGE 0-20	70	None	599	None	61	None	260	None	32	None	85	None	65	None	71	None
1114125937	FLORES JORGE A	2021	FFS	RENDERING	AGE 21+	152	None	918	None	41	None	82	None	117	None	420	None	98	None	98	None
1114127362	YASALAPU SREELATHA	2021	FFS	RENDERING	AGE 0-20	2,473	None	35,409	None	2,346	None	11,199	None	1,603	None	4,834	None	2,330	None	3,491	None
1114127362	YASALAPU SREELATHA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1114130341	SAULOG ZENAIDA U	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1114130341	SAULOG ZENAIDA U	2021	FFS	RENDERING	AGE 21+	28	None	228	None	17	None	17	None	23	None	100	None	None	1	None	1
1114137338	VASA, JITENDRA M, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1114145828	BEGIAN ARMAND DDS	2021	FFS	RENDERING	AGE 0-20	3,289	None	24,506	None	2,675	None	7,943	None	2,197	None	5,778	None	2,472	None	2,599	None
1114145828	BEGIAN ARMAND DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114147360	KANG, JASON	2021	FFS	RENDERING	AGE 0-20	55	None	825	None	52	None	165	None	27	None	52	None	52	None	74	None
1114147360	KANG, JASON	2021	FFS	RENDERING	AGE 21+	134	None	1,061	None	56	None	57	None	78	None	242	None	101	None	101	None
1114153509	ZARRABI SHAHROUZ	2021	FFS	RENDERING	AGE 0-20	312	None	1,504	None	None	1	None	1	279	None	1,394	None	51	None	51	None
1114153509	ZARRABI SHAHROUZ	2021	FFS	RENDERING	AGE 21+	400	None	1,555	None	0	None	0	None	344	None	1,370	None	80	None	80	None
1114158151	F RODEF DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1114158896	LAU JERRY Y	2021	FFS	RENDERING	AGE 0-20	1,676	None	22,360	None	1,025	None	2,796	None	1,399	None	11,581	None	213	None	215	None
1114181872	SHAHNAZARIANS SEVETLANA	2021	FFS	RENDERING	AGE 0-20	13	None	138	None	13	None	31	None	None	1	None	2	11	None	14	None
1114181872	SHAHNAZARIANS SEVETLANA	2021	FFS	RENDERING	AGE 21+	108	None	1,357	None	57	None	105	None	87	None	685	None	89	None	89	None
1114181872	SHAHNAZARIANS SEVETLANA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1114181872	SHAHNAZARIANS SEVETLANA	2021	PHP	RENDERING	AGE 21+	19	None	329	None	15	None	37	None	15	None	163	None	17	None	17	None
1114195773	GRIGORIAN FREDRICK	2021	FFS	RENDERING	AGE 0-20	30	None	256	None	21	None	47	None	None	1	None	1	23	None	23	None
1114195773	GRIGORIAN FREDRICK	2021	FFS	RENDERING	AGE 21+	207	None	1,851	None	18	None	33	None	139	None	1,299	None	154	None	154	None
1114195773	GRIGORIAN FREDRICK	2021	PHP	RENDERING	AGE 0-20	22	None	247	None	22	None	69	None	11	None	25	None	22	None	27	None
1114195773	GRIGORIAN FREDRICK	2021	PHP	RENDERING	AGE 21+	23	None	158	None	None	1	None	1	None	1	None	2	20	None	20	None
1114208196	HSU JONATHAN Y	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1114211968	JOHNSON TAOHEED O	2021	FFS	RENDERING	AGE 0-20	38	None	124	None	0	None	0	None	36	None	43	None	24	None	24	None
1114211968	JOHNSON TAOHEED O	2021	FFS	RENDERING	AGE 21+	89	None	123	None	0	None	0	None	89	None	123	None	0	None	0	None
1114211968	JOHNSON TAOHEED O	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114211968	JOHNSON TAOHEED O	2021	PHP	RENDERING	AGE 21+	18	None	51	None	0	None	0	None	None	1	None	2	15	None	15	None
1114231610	HASSAN NADIA	2021	FFS	RENDERING	AGE 0-20	262	None	777	None	0	None	0	None	189	None	646	None	0	None	0	None
1114231610	HASSAN NADIA	2021	FFS	RENDERING	AGE 21+	285	None	785	None	0	None	0	None	218	None	605	None	0	None	0	None
1114231610	HASSAN NADIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1114232022	LANG REBECCA D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1114232022	LANG REBECCA D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1114236569	BOPARAI-KHERA PREETI	2021	FFS	RENDERING	AGE 0-20	6,156	None	36,529	None	5,924	None	17,228	None	2,974	None	3,454	None	5,937	None	6,406	None
1114236569	BOPARAI-KHERA PREETI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1114252384	ASATRYAN SONA	2021	PHP	RENDERING	AGE 0-20	18	None	119	None	15	None	56	None	None	1	None	1	16	None	17	None
1114252384	ASATRYAN SONA	2021	PHP	RENDERING	AGE 21+	25	None	90	None	16	None	19	None	None	1	None	1	20	None	20	None
1114253465	DEVARAJ ALWYN S	2021	FFS	RENDERING	AGE 0-20	101	None	1,005	None	88	None	195	None	22	None	46	None	76	None	76	None
1114253465	DEVARAJ ALWYN S	2021	FFS	RENDERING	AGE 21+	142	None	951	None	51	None	90	None	105	None	205	None	59	None	60	None
1114262987	BOTROUS, MATTA DDS	2021	FFS	RENDERING	AGE 0-20	281	None	3,704	None	245	None	873	None	153	None	569	None	266	None	352	None
1114262987	BOTROUS, MATTA DDS	2021	FFS	RENDERING	AGE 21+	601	None	4,815	None	400	None	799	None	443	None	2,012	None	465	None	465	None
1114262987	BOTROUS, MATTA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1114262987	BOTROUS, MATTA DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1114308442	LOTFI, MAHYAR, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114377041	SANDHU GUNNROOP	2021	FFS	RENDERING	AGE 0-20	3,193	None	33,964	None	2,640	None	7,945	None	1,946	None	5,613	None	2,496	None	2,794	None
1114392669	ISMAIL HABIBA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1114392669	ISMAIL HABIBA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1114392669	ISMAIL HABIBA	2021	PHP	RENDERING	AGE 0-20	75	None	522	None	67	None	192	None	67	None	115	None	23	None	23	None
1114392669	ISMAIL HABIBA	2021	PHP	RENDERING	AGE 21+	117	None	567	None	79	None	185	None	99	None	156	None	31	None	32	None
1114403995	BOLDBAATAR ALIMAA	2021	FFS	RENDERING	AGE 0-20	1,859	None	14,194	None	1,753	None	4,147	None	757	None	881	None	1,765	None	1,765	None
1114403995	BOLDBAATAR ALIMAA	2021	FFS	RENDERING	AGE 21+	173	None	1,033	None	70	None	136	None	110	None	347	None	115	None	115	None
1114405388	KONDAKINDI SRUTHI	2021	FFS	RENDERING	AGE 0-20	133	None	501	None	66	None	136	None	45	None	88	None	98	None	99	None
1114405388	KONDAKINDI SRUTHI	2021	FFS	RENDERING	AGE 21+	348	None	1,079	None	73	None	139	None	145	None	353	None	210	None	210	None
1114419611	BEROUKHIM JONATHAN	2021	FFS	RENDERING	AGE 0-20	98	None	710	None	64	None	189	None	64	None	249	None	78	None	80	None
1114419611	BEROUKHIM JONATHAN	2021	FFS	RENDERING	AGE 21+	136	None	790	None	35	None	37	None	88	None	405	None	113	None	113	None
1114430824	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	19	None	153	None	13	None	45	None	None	1	None	1	16	None	16	None
1114430824	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	56	None	224	None	19	None	45	None	14	None	29	None	41	None	41	None
1114430824	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	19	None	153	None	13	None	45	None	None	1	None	1	16	None	16	None
1114430824	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	56	None	224	None	19	None	45	None	14	None	29	None	41	None	41	None
1114433703	KIM JUN S	2021	FFS	RENDERING	AGE 0-20	686	None	1,386	None	0	None	0	None	296	None	755	None	0	None	0	None
1114433703	KIM JUN S	2021	FFS	RENDERING	AGE 21+	40	None	40	None	0	None	0	None	0	None	0	None	0	None	0	None
1114433703	KIM JUN S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114433703	KIM JUN S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114433703	KIM JUN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1114433703	KIM JUN S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114436441	FAVERO CHRISTIAN S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114436441	FAVERO CHRISTIAN S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114436441	FAVERO CHRISTIAN S	2021	GMC	RENDERING	AGE 0-20	466	None	3,064	None	280	None	842	None	290	None	1,022	None	368	None	414	None
1114436441	FAVERO CHRISTIAN S	2021	GMC	RENDERING	AGE 21+	474	None	2,988	None	116	None	233	None	333	None	1,859	None	346	None	349	None
1114436441	FAVERO CHRISTIAN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1114436441	FAVERO CHRISTIAN S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1114436854	MEDINA-MARTINEZ IVAN A	2021	FFS	RENDERING	AGE 0-20	294	None	3,968	None	258	None	979	None	153	None	607	None	276	None	351	None
1114436854	MEDINA-MARTINEZ IVAN A	2021	FFS	RENDERING	AGE 21+	634	None	5,784	None	307	None	492	None	509	None	2,685	None	519	None	519	None
1114447828	HONG KRISTINE M	2021	FFS	RENDERING	AGE 0-20	3,455	None	32,560	None	2,951	None	9,330	None	2,246	None	3,975	None	2,714	None	3,207	None
1114447828	HONG KRISTINE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1114453784	YU KEVIN W	2021	FFS	RENDERING	AGE 0-20	98	None	836	None	81	None	361	None	29	None	134	None	78	None	89	None
1114453784	YU KEVIN W	2021	FFS	RENDERING	AGE 21+	275	None	937	None	48	None	86	None	115	None	325	None	207	None	209	None
1114462413	SALEEM MUHAMMAD	2021	FFS	RENDERING	AGE 0-20	370	None	3,732	None	263	None	761	None	223	None	720	None	302	None	351	None
1114462413	SALEEM MUHAMMAD	2021	FFS	RENDERING	AGE 21+	468	None	2,425	None	40	None	81	None	340	None	1,041	None	274	None	274	None
1114462413	SALEEM MUHAMMAD	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114462413	SALEEM MUHAMMAD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114462413	SALEEM MUHAMMAD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114473568	RABIZADEH SHAHAB	2021	FFS	RENDERING	AGE 0-20	20	None	84	None	None	1	None	1	15	None	41	None	None	1	None	1
1114477239	ROOINTAN MEHRAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114493343	AL DAHAN MAIS A	2021	FFS	RENDERING	AGE 0-20	91	None	226	None	0	None	0	None	91	None	224	None	0	None	0	None
1114493343	AL DAHAN MAIS A	2021	FFS	RENDERING	AGE 21+	673	None	2,111	None	0	None	0	None	667	None	2,082	None	0	None	0	None
1114493343	AL DAHAN MAIS A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114510781	PANDYA VISHAL C	2021	FFS	RENDERING	AGE 0-20	333	None	982	None	132	None	297	None	169	None	294	None	132	None	134	None
1114510781	PANDYA VISHAL C	2021	FFS	RENDERING	AGE 21+	459	None	1,158	None	58	None	108	None	287	None	584	None	150	None	150	None
1114518602	TSUCHIYAMA KAITLIN C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114537602	KHORSHIDI AKBAR	2021	FFS	RENDERING	AGE 21+	372	None	1,916	None	0	None	0	None	258	None	1,499	None	201	None	201	None
1114537602	KHORSHIDI AKBAR	2021	GMC	RENDERING	AGE 0-20	44	None	140	None	None	1	None	2	None	1	None	1	30	None	30	None
1114537602	KHORSHIDI AKBAR	2021	GMC	RENDERING	AGE 21+	86	None	221	None	None	1	None	1	42	None	66	None	31	None	31	None
1114539442	MIYA DARRON I	2021	FFS	RENDERING	AGE 0-20	560	None	951	None	0	None	0	None	145	None	398	None	0	None	0	None
1114539442	MIYA DARRON I	2021	FFS	RENDERING	AGE 21+	11	None	11	None	0	None	0	None	0	None	0	None	0	None	0	None
1114549953	DELACRUZ REGINA C	2021	FFS	RENDERING	AGE 0-20	15	None	69	None	None	1	None	2	None	1	None	1	None	1	None	1
1114549953	DELACRUZ REGINA C	2021	FFS	RENDERING	AGE 21+	23	None	97	None	None	1	None	1	11	None	24	None	None	1	None	1
1114565264	ZHANG MING R	2021	FFS	RENDERING	AGE 0-20	110	None	922	None	83	None	220	None	46	None	115	None	81	None	82	None
1114565264	ZHANG MING R	2021	FFS	RENDERING	AGE 21+	157	None	1,397	None	70	None	140	None	117	None	458	None	79	None	79	None
1114578580	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1114578580	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1114911179	TSAI JACK C	2021	FFS	RENDERING	AGE 0-20	36	None	254	None	35	None	134	None	17	None	45	None	32	None	34	None
1114911179	TSAI JACK C	2021	FFS	RENDERING	AGE 21+	94	None	463	None	45	None	63	None	70	None	265	None	54	None	54	None
1114911179	TSAI JACK C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114925690	LEON DE MARTINE LAURA	2021	FFS	RENDERING	AGE 0-20	355	None	5,004	None	353	None	1,741	None	169	None	404	None	349	None	491	None
1114925690	LEON DE MARTINE LAURA	2021	FFS	RENDERING	AGE 21+	290	None	2,573	None	220	None	411	None	222	None	943	None	231	None	231	None
1114927100	YACOUB KHALID M	2021	FFS	RENDERING	AGE 0-20	96	None	957	None	55	None	163	None	59	None	310	None	81	None	87	None
1114927100	YACOUB KHALID M	2021	FFS	RENDERING	AGE 21+	429	None	2,663	None	124	None	124	None	340	None	1,542	None	282	None	282	None
1114930450	BACH LYNDI L	2021	FFS	RENDERING	AGE 0-20	150	None	550	None	None	1	None	2	18	None	41	None	None	1	None	1
1114930450	BACH LYNDI L	2021	FFS	RENDERING	AGE 21+	16	None	31	None	0	None	0	None	None	1	None	1	0	None	0	None
1114936523	MALEKZADEH REZA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1114946498	SETH, GEETA K, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	222	None	26	None	75	None	17	None	43	None	27	None	30	None
1114946498	SETH, GEETA K, DDS	2021	FFS	RENDERING	AGE 21+	39	None	210	None	13	None	22	None	18	None	68	None	30	None	30	None
1114946498	SETH, GEETA K, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1114949542	FLORES, JESUS A DDS	2021	FFS	RENDERING	AGE 0-20	209	None	2,824	None	192	None	774	None	106	None	246	None	189	None	232	None
1114949542	FLORES, JESUS A DDS	2021	FFS	RENDERING	AGE 21+	343	None	3,847	None	216	None	385	None	298	None	1,233	None	248	None	248	None
1114976347	DINH, LAN THAI, DDS	2021	FFS	RENDERING	AGE 0-20	56	None	1,220	None	43	None	286	None	42	None	532	None	51	None	114	None
1114976347	DINH, LAN THAI, DDS	2021	FFS	RENDERING	AGE 21+	124	None	2,874	None	77	None	302	None	101	None	1,868	None	107	None	214	None
1124004742	CASTELO VIRGINIA C	2021	FFS	RENDERING	AGE 0-20	40	None	323	None	40	None	122	None	25	None	104	None	38	None	52	None
1124004742	CASTELO VIRGINIA C	2021	FFS	RENDERING	AGE 21+	211	None	1,628	None	150	None	298	None	153	None	942	None	164	None	164	None
1124004742	CASTELO VIRGINIA C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1124031794	MICHEL FAMILY DENTISTRY	2021	FFS	RENDERING	AGE 0-20	96	None	439	None	44	None	137	None	21	None	62	None	74	None	74	None
1124031794	MICHEL FAMILY DENTISTRY	2021	FFS	RENDERING	AGE 21+	121	None	309	None	14	None	18	None	50	None	101	None	61	None	63	None
1124031794	MICHEL FAMILY DENTISTRY	2021	PHP	RENDERING	AGE 0-20	18	None	51	None	None	1	None	2	None	1	None	1	14	None	14	None
1124031794	MICHEL FAMILY DENTISTRY	2021	PHP	RENDERING	AGE 21+	15	None	23	None	0	None	0	None	None	1	None	2	None	1	None	1
1124035639	CABRERA RAMON	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1124035639	CABRERA RAMON	2021	FFS	RENDERING	AGE 21+	29	None	204	None	None	1	None	1	14	None	109	None	0	None	0	None
1124042460	BOONE, THOMAS DDS	2021	FFS	RENDERING	AGE 0-20	341	None	3,994	None	312	None	924	None	151	None	417	None	321	None	353	None
1124042460	BOONE, THOMAS DDS	2021	FFS	RENDERING	AGE 21+	339	None	2,401	None	200	None	398	None	213	None	553	None	241	None	241	None
1124042460	BOONE, THOMAS M, DDS	2021	FFS	RENDERING	AGE 0-20	341	None	3,994	None	312	None	924	None	151	None	417	None	321	None	353	None
1124042460	BOONE, THOMAS M, DDS	2021	FFS	RENDERING	AGE 21+	339	None	2,401	None	200	None	398	None	213	None	553	None	241	None	241	None
1124042460	BOONE, THOMAS MICHAEL, DDS	2021	FFS	RENDERING	AGE 0-20	341	None	3,994	None	312	None	924	None	151	None	417	None	321	None	353	None
1124042460	BOONE, THOMAS MICHAEL, DDS	2021	FFS	RENDERING	AGE 21+	339	None	2,401	None	200	None	398	None	213	None	553	None	241	None	241	None
1124042460	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	341	None	3,994	None	312	None	924	None	151	None	417	None	321	None	353	None
1124042460	UNKNOWN	2021	FFS	RENDERING	AGE 21+	339	None	2,401	None	200	None	398	None	213	None	553	None	241	None	241	None
1124084728	PARK, SOO TAE DDS	2021	FFS	RENDERING	AGE 0-20	46	None	206	None	14	None	23	None	39	None	102	None	22	None	22	None
1124084728	PARK, SOO TAE DDS	2021	FFS	RENDERING	AGE 21+	344	None	1,542	None	24	None	24	None	325	None	997	None	73	None	75	None
1124102975	VILLANUEVA ERWIN M	2021	FFS	RENDERING	AGE 0-20	1,530	None	10,169	None	1,317	None	4,317	None	1,121	None	1,768	None	1,267	None	1,423	None
1124102975	VILLANUEVA ERWIN M	2021	FFS	RENDERING	AGE 21+	54	None	313	None	46	None	92	None	12	None	17	None	46	None	46	None
1124114095	CHANG, HONGQIU DDS	2021	FFS	RENDERING	AGE 0-20	281	None	4,081	None	256	None	993	None	135	None	263	None	270	None	389	None
1124114095	CHANG, HONGQIU DDS	2021	FFS	RENDERING	AGE 21+	220	None	1,631	None	103	None	140	None	160	None	572	None	168	None	168	None
1124116660	HAGELE, DR MARK JAMES DDS	2021	FFS	RENDERING	AGE 0-20	558	None	11,438	None	499	None	1,253	None	558	None	7,807	None	521	None	521	None
1124121231	NASSIRI RAMTIN K	2021	FFS	RENDERING	AGE 0-20	367	None	2,168	None	210	None	529	None	137	None	386	None	252	None	281	None
1124121231	NASSIRI RAMTIN K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1124126750	KLEBER CHRISTOPHER H	2021	FFS	RENDERING	AGE 21+	203	None	862	None	11	None	20	None	143	None	421	None	102	None	102	None
1124127956	LIU JOHNNY S	2021	FFS	RENDERING	AGE 0-20	325	None	4,151	None	287	None	966	None	231	None	948	None	298	None	380	None
1124127956	LIU JOHNNY S	2021	FFS	RENDERING	AGE 21+	517	None	6,276	None	259	None	514	None	413	None	2,621	None	382	None	382	None
1124134184	TRAN, OANH THI DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124134184	TRAN, OANH THI DDS	2021	FFS	RENDERING	AGE 21+	47	None	190	None	None	1	None	1	43	None	168	None	None	1	None	1
1124135306	TARABISHI, MOHAMAD S, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1124141536	WILSON GEORGE M	2021	FFS	RENDERING	AGE 0-20	1,684	None	21,172	None	1,599	None	6,134	None	1,133	None	3,005	None	1,583	None	1,848	None
1124143102	ROSEN DAN	2021	FFS	RENDERING	AGE 0-20	118	None	824	None	107	None	179	None	33	None	131	None	66	None	69	None
1124143102	ROSEN DAN	2021	FFS	RENDERING	AGE 21+	170	None	840	None	72	None	73	None	102	None	365	None	106	None	108	None
1124143102	ROSEN DAN	2021	PHP	RENDERING	AGE 0-20	18	None	82	None	17	None	37	None	None	1	None	1	16	None	16	None
1124143102	ROSEN DAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124143953	ROCABO, CONNIE DMD	2021	FFS	RENDERING	AGE 0-20	43	None	528	None	41	None	100	None	22	None	145	None	42	None	49	None
1124143953	ROCABO, CONNIE DMD	2021	FFS	RENDERING	AGE 21+	255	None	1,993	None	193	None	385	None	138	None	462	None	227	None	227	None
1124146568	NANDA ASHWIN	2021	FFS	RENDERING	AGE 0-20	26	None	157	None	21	None	41	None	13	None	23	None	21	None	21	None
1124146568	NANDA ASHWIN	2021	FFS	RENDERING	AGE 21+	53	None	269	None	34	None	65	None	24	None	50	None	38	None	38	None
1124147673	NGUYEN CUONG V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1124148929	WIDMAN DENNIS J	2021	FFS	RENDERING	AGE 0-20	28	None	93	None	0	None	0	None	22	None	49	None	0	None	0	None
1124154513	STEVENS, GLENN, DDS	2021	FFS	RENDERING	AGE 0-20	62	None	1,192	None	55	None	322	None	23	None	140	None	56	None	116	None
1124154513	STEVENS, GLENN, DDS	2021	FFS	RENDERING	AGE 21+	170	None	1,878	None	44	None	88	None	94	None	614	None	144	None	288	None
1124156427	KIM RICK T	2021	FFS	RENDERING	AGE 0-20	78	None	535	None	71	None	175	None	23	None	56	None	66	None	73	None
1124156427	KIM RICK T	2021	FFS	RENDERING	AGE 21+	150	None	725	None	72	None	73	None	71	None	167	None	101	None	101	None
1124156427	KIM RICK T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1124156427	KIM RICK T	2021	PHP	RENDERING	AGE 0-20	121	None	1,171	None	111	None	471	None	44	None	104	None	115	None	148	None
1124156427	KIM RICK T	2021	PHP	RENDERING	AGE 21+	160	None	899	None	80	None	175	None	84	None	282	None	123	None	124	None
1124160304	O'HARA STEPHEN D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124160452	JIHEE CHUN DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1124165261	FERNANDEZ VIVIAN	2021	FFS	RENDERING	AGE 0-20	30	None	258	None	26	None	77	None	18	None	56	None	27	None	32	None
1124165261	FERNANDEZ VIVIAN	2021	FFS	RENDERING	AGE 21+	186	None	1,309	None	120	None	230	None	131	None	632	None	150	None	150	None
1124165261	FERNANDEZ VIVIAN	2021	GMC	RENDERING	AGE 0-20	236	None	3,121	None	236	None	1,162	None	154	None	488	None	230	None	305	None
1124165261	FERNANDEZ VIVIAN	2021	GMC	RENDERING	AGE 21+	376	None	3,518	None	354	None	1,079	None	240	None	1,389	None	321	None	330	None
1124170717	KIM CHUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1124170717	KIM CHUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124171400	LEE, ALLEN H, DDS	2021	FFS	RENDERING	AGE 0-20	39	None	380	None	36	None	112	None	18	None	85	None	38	None	55	None
1124171400	LEE, ALLEN H, DDS	2021	FFS	RENDERING	AGE 21+	117	None	819	None	100	None	198	None	81	None	192	None	106	None	106	None
1124177761	GOMEZ MIRTHA MYREYA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1124178322	BUGHAO, RODNEY J DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124178322	BUGHAO, RODNEY J DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1124182837	SANTOS AUGUSTO A	2021	FFS	RENDERING	AGE 0-20	402	None	2,139	None	218	None	604	None	248	None	682	None	218	None	222	None
1124182837	SANTOS AUGUSTO A	2021	FFS	RENDERING	AGE 21+	665	None	2,719	None	203	None	368	None	462	None	1,469	None	251	None	251	None
1124188941	SY, TESSIE	2021	FFS	RENDERING	AGE 0-20	73	None	983	None	59	None	218	None	35	None	137	None	59	None	76	None
1124188941	SY, TESSIE	2021	FFS	RENDERING	AGE 21+	91	None	846	None	39	None	77	None	69	None	199	None	42	None	42	None
1124194394	BENADERET, THEODORE D	2021	FFS	RENDERING	AGE 0-20	119	None	277	None	0	None	0	None	68	None	176	None	0	None	0	None
1124194394	BENADERET, THEODORE D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1124196126	JAMSHEED AMIR H	2021	FFS	RENDERING	AGE 0-20	32	None	286	None	22	None	81	None	20	None	79	None	24	None	33	None
1124196126	JAMSHEED AMIR H	2021	FFS	RENDERING	AGE 21+	125	None	625	None	47	None	62	None	81	None	318	None	83	None	83	None
1124196126	JAMSHEED AMIR H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124196217	KREKORIANS VANIK	2021	FFS	RENDERING	AGE 0-20	99	None	932	None	91	None	291	None	24	None	55	None	94	None	145	None
1124196217	KREKORIANS VANIK	2021	FFS	RENDERING	AGE 21+	738	None	7,284	None	622	None	1,243	None	368	None	680	None	635	None	635	None
1124196266	CORONADO, HUGO R	2021	FFS	RENDERING	AGE 0-20	344	None	3,509	None	318	None	1,046	None	164	None	527	None	327	None	439	None
1124196266	CORONADO, HUGO R	2021	FFS	RENDERING	AGE 21+	313	None	2,228	None	193	None	194	None	206	None	726	None	217	None	217	None
1124196696	AGYEKUM, EDWARD, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124196696	AGYEKUM, EDWARD, DDS	2021	FFS	RENDERING	AGE 21+	42	None	210	None	15	None	15	None	16	None	31	None	20	None	20	None
1124198296	VICENCIO CHERYL G	2021	FFS	RENDERING	AGE 0-20	16	None	138	None	14	None	50	None	None	1	None	1	14	None	25	None
1124198296	VICENCIO CHERYL G	2021	FFS	RENDERING	AGE 21+	76	None	507	None	62	None	63	None	31	None	73	None	58	None	58	None
1124200522	CHOPRA AMEET K	2021	FFS	RENDERING	AGE 0-20	68	None	279	None	0	None	0	None	66	None	276	None	None	1	None	1
1124200522	CHOPRA AMEET K	2021	FFS	RENDERING	AGE 21+	99	None	383	None	0	None	0	None	98	None	381	None	None	1	None	1
1124200522	CHOPRA AMEET K	2021	PHP	RENDERING	AGE 0-20	18	None	94	None	None	1	None	1	18	None	91	None	0	None	0	None
1124200522	CHOPRA AMEET K	2021	PHP	RENDERING	AGE 21+	41	None	189	None	None	1	None	1	34	None	154	None	27	None	27	None
1124208152	NEGOM RICUCCIO A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1124208152	NEGOM RICUCCIO A	2021	FFS	RENDERING	AGE 21+	13	None	62	None	12	None	12	None	None	1	None	1	12	None	12	None
1124216593	LEE KYU H	2021	FFS	RENDERING	AGE 0-20	289	None	1,778	None	230	None	649	None	148	None	368	None	99	None	103	None
1124216593	LEE KYU H	2021	FFS	RENDERING	AGE 21+	290	None	998	None	54	None	95	None	195	None	435	None	120	None	120	None
1124231659	MING, JACOB T, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	188	None	21	None	67	None	None	1	None	2	25	None	31	None
1124231659	MING, JACOB T, DDS	2021	FFS	RENDERING	AGE 21+	213	None	1,191	None	120	None	240	None	106	None	354	None	188	None	188	None
1124233663	TIN, JUSTIN, DDS	2021	FFS	RENDERING	AGE 0-20	1,797	None	41,454	None	1,331	None	7,702	None	812	None	5,510	None	1,611	None	4,102	None
1124233663	TIN, JUSTIN, DDS	2021	FFS	RENDERING	AGE 21+	4,131	None	97,934	None	1,590	None	4,648	None	3,116	None	33,168	None	3,196	None	6,418	None
1124236294	LI LILLIAN L	2021	FFS	RENDERING	AGE 0-20	97	None	837	None	69	None	322	None	57	None	131	None	68	None	86	None
1124236294	LI LILLIAN L	2021	FFS	RENDERING	AGE 21+	254	None	1,709	None	85	None	167	None	203	None	632	None	111	None	111	None
1124237474	CHAN, DENNIS S, DDS	2021	FFS	RENDERING	AGE 0-20	128	None	836	None	126	None	369	None	33	None	76	None	126	None	183	None
1124237474	CHAN, DENNIS S, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124239595	CHAUX JANETH L	2021	FFS	RENDERING	AGE 0-20	46	None	323	None	38	None	110	None	22	None	65	None	40	None	46	None
1124239595	CHAUX JANETH L	2021	FFS	RENDERING	AGE 21+	131	None	849	None	91	None	153	None	82	None	336	None	100	None	100	None
1124240791	LEUNG JOANNE H	2021	FFS	RENDERING	AGE 0-20	1,429	None	18,630	None	1,364	None	5,285	None	1,077	None	3,882	None	1,377	None	1,828	None
1124240791	LEUNG JOANNE H	2021	PHP	RENDERING	AGE 0-20	20	None	83	None	None	1	None	2	19	None	29	None	None	1	None	1
1124241575	MANESH AL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1124241575	MANESH AL S	2021	FFS	RENDERING	AGE 21+	73	None	389	None	17	None	17	None	37	None	183	None	65	None	65	None
1124244595	HAMER, LARRY V DDS	2021	FFS	RENDERING	AGE 0-20	3,369	None	42,264	None	3,074	None	10,408	None	1,674	None	4,689	None	2,929	None	3,439	None
1124244595	HAMER, LARRY V DDS	2021	FFS	RENDERING	AGE 21+	569	None	5,324	None	371	None	741	None	257	None	745	None	394	None	394	None
1124244595	HAMER, LARRY V DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124246632	NORWALK DENTAL ASSOCIATES	2021	FFS	RENDERING	AGE 0-20	41	None	294	None	38	None	125	None	16	None	37	None	37	None	49	None
1124246632	NORWALK DENTAL ASSOCIATES	2021	FFS	RENDERING	AGE 21+	92	None	687	None	70	None	139	None	72	None	297	None	72	None	72	None
1124247085	WAKODE ARCHANA V	2021	FFS	RENDERING	AGE 0-20	49	None	332	None	32	None	107	None	26	None	91	None	36	None	37	None
1124247085	WAKODE ARCHANA V	2021	FFS	RENDERING	AGE 21+	255	None	1,947	None	150	None	197	None	210	None	1,111	None	174	None	174	None
1124247879	URIBE, JUAN A, DDS	2021	FFS	RENDERING	AGE 0-20	109	None	779	None	96	None	258	None	55	None	149	None	101	None	114	None
1124247879	URIBE, JUAN A, DDS	2021	FFS	RENDERING	AGE 21+	143	None	633	None	82	None	82	None	86	None	197	None	58	None	58	None
1124271572	RIZVI SYED SAJJAD H	2021	FFS	RENDERING	AGE 0-20	2,152	None	41,535	None	1,964	None	7,517	None	1,648	None	9,259	None	2,048	None	2,640	None
1124271572	RIZVI SYED SAJJAD H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1124271572	RIZVI SYED SAJJAD H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124272406	IMPERIAL LEONORA	2021	FFS	RENDERING	AGE 21+	1,757	None	15,752	None	255	None	283	None	362	None	629	None	304	None	304	None
1124272406	IMPERIAL LEONORA	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1124275177	MEHTA PARUL U	2021	FFS	RENDERING	AGE 0-20	75	None	644	None	67	None	264	None	26	None	72	None	66	None	80	None
1124275177	MEHTA PARUL U	2021	FFS	RENDERING	AGE 21+	193	None	1,075	None	68	None	124	None	134	None	579	None	135	None	135	None
1124292388	LEE GARRETT A	2021	FFS	RENDERING	AGE 0-20	16	None	151	None	14	None	57	None	12	None	34	None	11	None	17	None
1124292388	LEE GARRETT A	2021	GMC	RENDERING	AGE 0-20	614	None	5,755	None	323	None	752	None	611	None	3,538	None	None	1	None	1
1124293162	PATEL CHANDRAKANT B	2021	FFS	RENDERING	AGE 0-20	57	None	497	None	46	None	126	None	33	None	97	None	40	None	42	None
1124293162	PATEL CHANDRAKANT B	2021	FFS	RENDERING	AGE 21+	140	None	1,063	None	56	None	103	None	96	None	379	None	107	None	107	None
1124295266	RICKS, KENDELL H, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	129	None	19	None	52	None	None	1	None	2	20	None	28	None
1124295266	RICKS, KENDELL H, DDS	2021	FFS	RENDERING	AGE 21+	82	None	544	None	63	None	112	None	56	None	256	None	72	None	73	None
1124298989	HUH KAMEE	2021	FFS	RENDERING	AGE 0-20	180	None	1,527	None	145	None	414	None	80	None	215	None	147	None	157	None
1124298989	HUH KAMEE	2021	FFS	RENDERING	AGE 21+	147	None	970	None	70	None	136	None	104	None	312	None	80	None	80	None
1124302815	HAROIAN NAIRI	2021	PHP	RENDERING	AGE 0-20	32	None	266	None	29	None	135	None	22	None	41	None	23	None	28	None
1124302815	HAROIAN NAIRI	2021	PHP	RENDERING	AGE 21+	102	None	825	None	57	None	175	None	83	None	387	None	61	None	61	None
1124325733	LEE, BRIAN DDS	2021	FFS	RENDERING	AGE 0-20	16	None	68	None	15	None	30	None	None	1	None	2	15	None	16	None
1124325733	LEE, BRIAN DDS	2021	FFS	RENDERING	AGE 21+	232	None	976	None	159	None	318	None	105	None	266	None	186	None	187	None
1124335443	NGUYEN, HUNG VIET, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	1,861	None	123	None	679	None	33	None	88	None	123	None	208	None
1124335443	NGUYEN, HUNG VIET, DDS	2021	FFS	RENDERING	AGE 21+	590	None	6,970	None	492	None	981	None	461	None	2,139	None	518	None	518	None
1124339296	MATHUR MONICA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124340849	ADAME JAMES F	2021	FFS	RENDERING	AGE 0-20	521	None	2,979	None	333	None	1,091	None	251	None	571	None	363	None	364	None
1124340849	ADAME JAMES F	2021	FFS	RENDERING	AGE 21+	472	None	1,444	None	93	None	172	None	193	None	388	None	269	None	269	None
1124340849	ADAME JAMES F	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124340849	ADAME JAMES F	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1124340849	ADAME JAMES F	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1124340849	ADAME JAMES F	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124344288	LOGAN MELISSA T	2021	FFS	RENDERING	AGE 0-20	471	None	10,214	None	248	None	639	None	470	None	6,471	None	464	None	465	None
1124370895	NEE ALEXANDER	2021	FFS	RENDERING	AGE 0-20	432	None	818	None	0	None	0	None	174	None	285	None	0	None	0	None
1124370895	NEE ALEXANDER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1124370895	NEE ALEXANDER	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124370895	NEE ALEXANDER	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124372784	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	20	None	75	None	None	1	None	2	None	1	None	1	None	1	None	1
1124372784	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	28	None	82	None	None	1	None	1	None	1	None	2	None	1	None	1
1124372784	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	20	None	75	None	None	1	None	2	None	1	None	1	None	1	None	1
1124372784	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	28	None	82	None	None	1	None	1	None	1	None	2	None	1	None	1
1124376983	GAD ALINA W	2021	FFS	RENDERING	AGE 0-20	40	None	256	None	31	None	70	None	16	None	66	None	34	None	36	None
1124376983	GAD ALINA W	2021	FFS	RENDERING	AGE 21+	167	None	837	None	98	None	107	None	84	None	299	None	127	None	127	None
1124376983	GAD ALINA W	2021	PHP	RENDERING	AGE 0-20	166	None	1,048	None	142	None	529	None	60	None	149	None	147	None	162	None
1124376983	GAD ALINA W	2021	PHP	RENDERING	AGE 21+	218	None	973	None	158	None	306	None	95	None	326	None	132	None	135	None
1124391271	YI YOON J	2021	FFS	RENDERING	AGE 0-20	223	None	1,844	None	153	None	420	None	119	None	261	None	158	None	166	None
1124391271	YI YOON J	2021	FFS	RENDERING	AGE 21+	143	None	556	None	39	None	72	None	100	None	254	None	36	None	36	None
1124391271	YI YOON J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124391271	YI YOON J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1124402177	MASHOUF KAYHAN L	2021	FFS	RENDERING	AGE 0-20	299	None	742	None	0	None	0	None	60	None	194	None	None	1	None	1
1124403423	LOUIE KURTIS J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1124431085	SHAH SITAL A	2021	FFS	RENDERING	AGE 0-20	97	None	1,328	None	88	None	292	None	42	None	166	None	93	None	134	None
1124431085	SHAH SITAL A	2021	FFS	RENDERING	AGE 21+	215	None	1,927	None	143	None	281	None	138	None	718	None	173	None	174	None
1124431200	JILANI KHALID R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124432695	LIU CHUNHUA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124432695	LIU CHUNHUA C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1124432695	LIU CHUNHUA C	2021	GMC	RENDERING	AGE 0-20	34	None	52	None	0	None	0	None	31	None	39	None	0	None	0	None
1124432695	LIU CHUNHUA C	2021	GMC	RENDERING	AGE 21+	69	None	99	None	0	None	0	None	59	None	70	None	0	None	0	None
1124432695	LIU CHUNHUA C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124433750	SANGHO PARK DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124433750	SANGHO PARK DDS INC	2021	GMC	RENDERING	AGE 0-20	27	None	110	None	19	None	55	None	14	None	16	None	None	1	None	1
1124433750	SANGHO PARK DDS INC	2021	GMC	RENDERING	AGE 21+	46	None	121	None	None	1	None	2	29	None	36	None	15	None	16	None
1124435904	KHALEGHI, MOHAMMAD DDS	2021	FFS	RENDERING	AGE 0-20	594	None	5,334	None	430	None	1,041	None	217	None	632	None	477	None	508	None
1124435904	KHALEGHI, MOHAMMAD DDS	2021	FFS	RENDERING	AGE 21+	516	None	2,628	None	153	None	217	None	257	None	565	None	261	None	262	None
1124435904	KHALEGHI, MOHAMMAD DDS	2021	PHP	RENDERING	AGE 0-20	63	None	526	None	44	None	123	None	20	None	48	None	55	None	72	None
1124435904	KHALEGHI, MOHAMMAD DDS	2021	PHP	RENDERING	AGE 21+	113	None	850	None	75	None	143	None	64	None	199	None	82	None	96	None
1124436878	CHILMERAN SARAH M	2021	FFS	RENDERING	AGE 0-20	34	None	163	None	16	None	32	None	17	None	33	None	25	None	25	None
1124436878	CHILMERAN SARAH M	2021	FFS	RENDERING	AGE 21+	95	None	334	None	None	1	None	2	53	None	162	None	65	None	65	None
1124437900	SIONAT BENJAMIN P	2021	FFS	RENDERING	AGE 0-20	207	None	3,238	None	195	None	727	None	114	None	378	None	201	None	279	None
1124437900	SIONAT BENJAMIN P	2021	FFS	RENDERING	AGE 21+	307	None	3,805	None	154	None	312	None	262	None	1,331	None	186	None	189	None
1124437900	SIONAT BENJAMIN P	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124437900	SIONAT BENJAMIN P	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1124450523	TAQAVI POUYAN	2021	FFS	RENDERING	AGE 0-20	928	None	4,402	None	385	None	831	None	417	None	894	None	634	None	668	None
1124450523	TAQAVI POUYAN	2021	FFS	RENDERING	AGE 21+	2,270	None	8,750	None	244	None	390	None	1,305	None	3,627	None	1,343	None	1,344	None
1124464508	YOUSEFI RODEF & YAGHOUBI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124472287	WU JEFF A	2021	FFS	RENDERING	AGE 0-20	5,501	None	46,676	None	4,069	None	11,152	None	3,661	None	10,713	None	4,053	None	4,397	None
1124472287	WU JEFF A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1124474911	SHASHA HAITHAM	2021	FFS	RENDERING	AGE 0-20	306	None	3,151	None	274	None	920	None	143	None	445	None	285	None	388	None
1124474911	SHASHA HAITHAM	2021	FFS	RENDERING	AGE 21+	770	None	4,450	None	283	None	535	None	513	None	1,851	None	594	None	595	None
1124476254	BHAKTA BHAVIK J	2021	FFS	RENDERING	AGE 0-20	93	None	1,063	None	89	None	389	None	49	None	145	None	91	None	117	None
1124476254	BHAKTA BHAVIK J	2021	FFS	RENDERING	AGE 21+	178	None	1,293	None	135	None	269	None	120	None	603	None	154	None	155	None
1124510482	BLANCO DANIEL M	2021	FFS	RENDERING	AGE 0-20	16	None	85	None	None	1	None	2	None	1	None	1	13	None	13	None
1124510482	BLANCO DANIEL M	2021	FFS	RENDERING	AGE 21+	137	None	595	None	None	1	None	1	58	None	268	None	96	None	96	None
1124514112	SUNYOTO SEAN B	2021	FFS	RENDERING	AGE 0-20	166	None	956	None	134	None	339	None	70	None	235	None	160	None	190	None
1124514112	SUNYOTO SEAN B	2021	FFS	RENDERING	AGE 21+	346	None	2,379	None	177	None	349	None	259	None	1,259	None	302	None	304	None
1124540703	KIM ELIES H	2021	FFS	RENDERING	AGE 0-20	22	None	258	None	20	None	64	None	13	None	59	None	22	None	29	None
1124540703	KIM ELIES H	2021	FFS	RENDERING	AGE 21+	89	None	1,007	None	40	None	75	None	67	None	487	None	71	None	71	None
1124543574	AKRY DANIELLE R	2021	FFS	RENDERING	AGE 0-20	31	None	205	None	24	None	53	None	12	None	29	None	24	None	27	None
1124543574	AKRY DANIELLE R	2021	FFS	RENDERING	AGE 21+	94	None	607	None	40	None	74	None	67	None	232	None	53	None	53	None
1124543582	KIRIKIAN GARY G	2021	FFS	RENDERING	AGE 0-20	2,276	None	19,338	None	1,817	None	4,888	None	1,245	None	2,812	None	1,798	None	2,029	None
1124543582	KIRIKIAN GARY G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1124556451	GAZARIAN HAIG L	2021	FFS	RENDERING	AGE 0-20	85	None	905	None	83	None	271	None	50	None	176	None	82	None	113	None
1124556451	GAZARIAN HAIG L	2021	FFS	RENDERING	AGE 21+	198	None	1,797	None	139	None	372	None	120	None	502	None	169	None	179	None
1124571625	DANESH-PANAHI BEHZAD	2021	FFS	RENDERING	AGE 0-20	3,375	None	25,753	None	2,793	None	9,112	None	1,963	None	5,485	None	2,607	None	2,744	None
1124571625	DANESH-PANAHI BEHZAD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1124616859	TOTAH ANTHONY J	2021	FFS	RENDERING	AGE 0-20	727	None	3,068	None	508	None	1,214	None	276	None	673	None	329	None	330	None
1124616859	TOTAH ANTHONY J	2021	FFS	RENDERING	AGE 21+	1,004	None	3,375	None	341	None	657	None	562	None	1,432	None	390	None	390	None
1124616859	TOTAH ANTHONY J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124631031	FORGHANY MOHSEN	2021	FFS	RENDERING	AGE 0-20	96	None	374	None	35	None	72	None	60	None	182	None	61	None	62	None
1124631031	FORGHANY MOHSEN	2021	FFS	RENDERING	AGE 21+	172	None	618	None	71	None	120	None	104	None	300	None	94	None	94	None
1124631650	GUPTA SUGANDHA	2021	FFS	RENDERING	AGE 0-20	859	None	3,374	None	107	None	129	None	844	None	2,974	None	0	None	0	None
1124647607	DOUSTI MONA	2021	FFS	RENDERING	AGE 0-20	75	None	1,026	None	71	None	291	None	59	None	333	None	70	None	77	None
1124671854	KIM KAHYUN	2021	FFS	RENDERING	AGE 0-20	190	None	1,251	None	141	None	390	None	112	None	364	None	141	None	142	None
1124671854	KIM KAHYUN	2021	FFS	RENDERING	AGE 21+	81	None	373	None	36	None	37	None	50	None	180	None	53	None	53	None
1124691514	KUO ISABEL	2021	FFS	RENDERING	AGE 0-20	197	None	1,022	None	121	None	374	None	80	None	185	None	79	None	79	None
1124691514	KUO ISABEL	2021	FFS	RENDERING	AGE 21+	152	None	602	None	44	None	86	None	109	None	295	None	28	None	28	None
1134101900	DO FELICIA PHUO N	2021	FFS	RENDERING	AGE 0-20	1,859	None	30,521	None	1,775	None	7,578	None	1,189	None	4,365	None	1,768	None	2,560	None
1134101900	DO FELICIA PHUO N	2021	FFS	RENDERING	AGE 21+	26	None	159	None	12	None	14	None	None	1	None	1	16	None	16	None
1134134729	BAYAZ ABDUL W	2021	FFS	RENDERING	AGE 0-20	15	None	102	None	None	1	None	1	None	1	None	2	None	1	None	1
1134134729	BAYAZ ABDUL W	2021	FFS	RENDERING	AGE 21+	32	None	264	None	None	1	None	1	25	None	83	None	22	None	22	None
1134134729	BAYAZ ABDUL W	2021	PHP	RENDERING	AGE 0-20	14	None	114	None	None	1	None	2	None	1	None	2	11	None	11	None
1134134729	BAYAZ ABDUL W	2021	PHP	RENDERING	AGE 21+	51	None	408	None	12	None	12	None	40	None	179	None	29	None	29	None
1134139892	LEE PETER	2021	FFS	RENDERING	AGE 0-20	968	None	8,320	None	883	None	3,229	None	438	None	974	None	898	None	1,083	None
1134139892	LEE PETER	2021	FFS	RENDERING	AGE 21+	487	None	3,049	None	205	None	404	None	356	None	1,312	None	285	None	287	None
1134139892	LEE PETER	2021	PHP	RENDERING	AGE 0-20	46	None	337	None	41	None	137	None	26	None	40	None	42	None	52	None
1134139892	LEE PETER	2021	PHP	RENDERING	AGE 21+	19	None	82	None	None	1	None	1	None	1	None	2	14	None	14	None
1134145832	TENG DDS PETER R	2021	FFS	RENDERING	AGE 0-20	234	None	3,582	None	230	None	1,051	None	86	None	231	None	229	None	304	None
1134145832	TENG DDS PETER R	2021	FFS	RENDERING	AGE 21+	36	None	301	None	30	None	34	None	11	None	20	None	32	None	34	None
1134149032	ARUTYUNYAN, PAVEL R, DDS	2021	FFS	RENDERING	AGE 0-20	103	None	746	None	87	None	105	None	56	None	269	None	96	None	103	None
1134149032	ARUTYUNYAN, PAVEL R, DDS	2021	FFS	RENDERING	AGE 21+	1,216	None	9,631	None	474	None	474	None	1,042	None	4,273	None	1,023	None	1,023	None
1134149867	DO, BANG K, DDS	2021	FFS	RENDERING	AGE 0-20	133	None	1,238	None	127	None	425	None	40	None	123	None	131	None	156	None
1134149867	DO, BANG K, DDS	2021	FFS	RENDERING	AGE 21+	306	None	1,737	None	211	None	421	None	162	None	447	None	263	None	263	None
1134155690	KAPUS KLIFFORD T	2021	FFS	RENDERING	AGE 0-20	186	None	269	None	0	None	0	None	23	None	54	None	0	None	0	None
1134155690	KAPUS KLIFFORD T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1134159916	HAQ SHUJA U	2021	FFS	RENDERING	AGE 0-20	943	None	5,504	None	692	None	2,631	None	339	None	532	None	813	None	830	None
1134159916	HAQ SHUJA U	2021	FFS	RENDERING	AGE 21+	1,090	None	3,160	None	166	None	321	None	463	None	869	None	736	None	737	None
1134159916	HAQ SHUJA U	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1134159916	HAQ SHUJA U	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1134181316	EVEREST, PARAMJIT S, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	188	None	None	1	None	2	40	None	98	None	None	1	None	2
1134181316	EVEREST, PARAMJIT S, DDS	2021	FFS	RENDERING	AGE 21+	160	None	474	None	16	None	23	None	152	None	325	None	12	None	12	None
1134191646	BEBING, FERMINA V, DDS	2021	FFS	RENDERING	AGE 0-20	71	None	628	None	61	None	127	None	48	None	254	None	60	None	66	None
1134191646	BEBING, FERMINA V, DDS	2021	FFS	RENDERING	AGE 21+	282	None	2,950	None	155	None	173	None	232	None	2,071	None	216	None	216	None
1134193055	JOHNSON FREDERICK A	2021	FFS	RENDERING	AGE 0-20	49	None	578	None	46	None	180	None	27	None	106	None	46	None	58	None
1134193055	JOHNSON FREDERICK A	2021	FFS	RENDERING	AGE 21+	47	None	361	None	31	None	50	None	34	None	164	None	39	None	39	None
1134196330	MORETT ALEJANDRA	2021	FFS	RENDERING	AGE 0-20	248	None	2,629	None	216	None	769	None	176	None	978	None	218	None	254	None
1134196330	MORETT ALEJANDRA	2021	FFS	RENDERING	AGE 21+	784	None	7,897	None	512	None	1,014	None	679	None	4,767	None	486	None	486	None
1134215668	KIM RONALD CHONG W	2021	FFS	RENDERING	AGE 0-20	129	None	917	None	103	None	268	None	79	None	347	None	114	None	122	None
1134215668	KIM RONALD CHONG W	2021	FFS	RENDERING	AGE 21+	617	None	5,402	None	350	None	683	None	479	None	3,350	None	448	None	453	None
1134217052	SIANGIO ROANNA M	2021	FFS	RENDERING	AGE 0-20	186	None	943	None	105	None	158	None	91	None	283	None	157	None	181	None
1134217052	SIANGIO ROANNA M	2021	FFS	RENDERING	AGE 21+	272	None	1,253	None	31	None	33	None	198	None	625	None	165	None	169	None
1134217052	SIANGIO ROANNA M	2021	PHP	RENDERING	AGE 0-20	121	None	718	None	85	None	146	None	61	None	171	None	110	None	133	None
1134217052	SIANGIO ROANNA M	2021	PHP	RENDERING	AGE 21+	89	None	418	None	11	None	13	None	58	None	198	None	54	None	58	None
1134217615	SHAH, NAVIN M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134218316	MAR DANIEL LUM	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1134227796	MANSOUR MARIE C	2021	FFS	RENDERING	AGE 0-20	15	None	55	None	0	None	0	None	15	None	45	None	0	None	0	None
1134239544	JEFFERSON WALTER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134248701	DANG THAI Q	2021	FFS	RENDERING	AGE 0-20	28	None	224	None	None	1	None	2	12	None	31	None	19	None	19	None
1134248701	DANG THAI Q	2021	FFS	RENDERING	AGE 21+	60	None	280	None	None	1	None	1	37	None	80	None	26	None	26	None
1134253255	SANGA-FORBES EMALYN B	2021	FFS	RENDERING	AGE 0-20	29	None	158	None	27	None	61	None	11	None	35	None	25	None	26	None
1134253255	SANGA-FORBES EMALYN B	2021	FFS	RENDERING	AGE 21+	92	None	581	None	57	None	71	None	59	None	245	None	63	None	63	None
1134254683	SIM, JUNG H, DDS	2021	FFS	RENDERING	AGE 0-20	292	None	2,679	None	170	None	510	None	143	None	425	None	186	None	186	None
1134254683	SIM, JUNG H, DDS	2021	FFS	RENDERING	AGE 21+	248	None	1,630	None	59	None	90	None	178	None	546	None	81	None	81	None
1134255995	CASTELLANOS, VICTOR H, DDS	2021	FFS	RENDERING	AGE 0-20	68	None	1,018	None	44	None	210	None	28	None	200	None	55	None	112	None
1134255995	CASTELLANOS, VICTOR H, DDS	2021	FFS	RENDERING	AGE 21+	297	None	4,058	None	139	None	288	None	193	None	1,896	None	188	None	376	None
1134257140	CASTANDEDA, MILAGROS DELA R,	2021	FFS	RENDERING	AGE 0-20	19	None	156	None	15	None	34	None	None	1	None	2	11	None	11	None
1134257140	CASTANDEDA, MILAGROS DELA R,	2021	FFS	RENDERING	AGE 21+	34	None	219	None	23	None	23	None	18	None	70	None	26	None	26	None
1134257140	FIRMALINO MILAGROS C	2021	FFS	RENDERING	AGE 0-20	19	None	156	None	15	None	34	None	None	1	None	2	11	None	11	None
1134257140	FIRMALINO MILAGROS C	2021	FFS	RENDERING	AGE 21+	34	None	219	None	23	None	23	None	18	None	70	None	26	None	26	None
1134257900	SARCHISIAN ADRIAN A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1134259351	SINGH AMRIT P	2021	FFS	RENDERING	AGE 0-20	12	None	155	None	12	None	63	None	None	1	None	2	12	None	15	None
1134259351	SINGH AMRIT P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134260656	DUMAS, STEVAN P, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	88	None	13	None	33	None	None	1	None	1	13	None	16	None
1134260656	DUMAS, STEVAN P, DDS	2021	FFS	RENDERING	AGE 21+	23	None	133	None	15	None	15	None	12	None	25	None	15	None	15	None
1134260656	DUMAS, STEVAN P, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134261738	RAFIEYAN, NAZAFARIN, DDS	2021	FFS	RENDERING	AGE 0-20	227	None	1,941	None	151	None	405	None	82	None	334	None	157	None	158	None
1134261738	RAFIEYAN, NAZAFARIN, DDS	2021	FFS	RENDERING	AGE 21+	30	None	132	None	None	1	None	1	19	None	52	None	11	None	11	None
1134261738	RAFIEYAN, NAZAFARIN, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134262322	LII DER-SHSUAN	2021	PHP	RENDERING	AGE 0-20	84	None	649	None	67	None	256	None	64	None	116	None	43	None	49	None
1134262322	LII DER-SHSUAN	2021	PHP	RENDERING	AGE 21+	179	None	1,125	None	127	None	372	None	144	None	293	None	81	None	87	None
1134263320	NAZARI MAXWELL M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1134263320	NAZARI MAXWELL M	2021	FFS	RENDERING	AGE 21+	14	None	94	None	None	1	None	1	None	1	None	2	12	None	12	None
1134272362	KIM, CHARLES SUNG-JOO, DDS	2021	FFS	RENDERING	AGE 0-20	71	None	604	None	69	None	244	None	18	None	54	None	62	None	72	None
1134272362	KIM, CHARLES SUNG-JOO, DDS	2021	FFS	RENDERING	AGE 21+	92	None	563	None	72	None	72	None	53	None	191	None	72	None	72	None
1134272503	TERMINI LAUREL N	2021	FFS	RENDERING	AGE 0-20	5,087	None	28,551	None	2,927	None	7,965	None	1,833	None	2,302	None	4,867	None	6,058	None
1134272503	TERMINI LAUREL N	2021	FFS	RENDERING	AGE 21+	22	None	72	None	None	1	None	2	None	1	None	1	17	None	17	None
1134272503	TERMINI LAUREL N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1134275415	DELGADO, RICARDO	2021	FFS	RENDERING	AGE 0-20	636	None	4,962	None	567	None	1,863	None	220	None	370	None	587	None	587	None
1134275415	DELGADO, RICARDO	2021	FFS	RENDERING	AGE 21+	37	None	124	None	None	1	None	2	31	None	40	None	None	1	None	1
1134275415	DELGADO, RICARDO	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134275472	DAO HOANGSON H	2021	FFS	RENDERING	AGE 0-20	247	None	2,593	None	206	None	390	None	146	None	461	None	195	None	215	None
1134275472	DAO HOANGSON H	2021	FFS	RENDERING	AGE 21+	405	None	3,673	None	260	None	260	None	277	None	957	None	284	None	284	None
1134276124	LE SUONG T	2021	FFS	RENDERING	AGE 0-20	2,316	None	36,889	None	2,061	None	8,180	None	1,075	None	11,589	None	2,250	None	3,047	None
1134277635	DUONG XUAN KE	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1134278948	PARK SUNGJIN J	2021	FFS	RENDERING	AGE 0-20	190	None	754	None	0	None	0	None	190	None	753	None	0	None	0	None
1134280373	WU SUNG-PIN	2021	FFS	RENDERING	AGE 0-20	361	None	1,932	None	232	None	870	None	147	None	316	None	220	None	223	None
1134280373	WU SUNG-PIN	2021	FFS	RENDERING	AGE 21+	666	None	1,901	None	157	None	310	None	324	None	658	None	267	None	267	None
1134280654	GRUBER EDWARD H	2021	FFS	RENDERING	AGE 0-20	145	None	1,129	None	119	None	415	None	27	None	46	None	80	None	83	None
1134280654	GRUBER EDWARD H	2021	FFS	RENDERING	AGE 21+	408	None	1,678	None	260	None	496	None	222	None	403	None	67	None	67	None
1134280654	GRUBER, EDWARD H, DDS	2021	FFS	RENDERING	AGE 0-20	145	None	1,129	None	119	None	415	None	27	None	46	None	80	None	83	None
1134280654	GRUBER, EDWARD H, DDS	2021	FFS	RENDERING	AGE 21+	408	None	1,678	None	260	None	496	None	222	None	403	None	67	None	67	None
1134282106	RUIDERA, VIOLETTE DDS	2021	FFS	RENDERING	AGE 0-20	22	None	301	None	22	None	78	None	None	1	None	2	22	None	31	None
1134282106	RUIDERA, VIOLETTE DDS	2021	FFS	RENDERING	AGE 21+	54	None	747	None	44	None	80	None	42	None	336	None	48	None	48	None
1134285877	KIDWELL MARIA S	2021	FFS	RENDERING	AGE 0-20	1,512	None	11,530	None	1,218	None	3,398	None	945	None	1,875	None	1,178	None	1,222	None
1134287667	PHAM, THANH DDS	2021	FFS	RENDERING	AGE 0-20	320	None	2,471	None	297	None	804	None	169	None	404	None	300	None	333	None
1134287667	PHAM, THANH DDS	2021	FFS	RENDERING	AGE 21+	201	None	1,305	None	141	None	274	None	126	None	290	None	159	None	159	None
1134289655	BLEUEL OLGA L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1134291313	YOO, JEFF BYUNG, DDS	2021	FFS	RENDERING	AGE 0-20	96	None	972	None	90	None	265	None	54	None	162	None	91	None	134	None
1134291313	YOO, JEFF BYUNG, DDS	2021	FFS	RENDERING	AGE 21+	255	None	2,335	None	230	None	459	None	185	None	827	None	232	None	232	None
1134291313	YOO, JEFF BYUNG, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1134295199	SAWERES BASSEM R	2021	FFS	RENDERING	AGE 0-20	147	None	391	None	0	None	0	None	135	None	304	None	None	1	None	1
1134295199	SAWERES BASSEM R	2021	FFS	RENDERING	AGE 21+	1,435	None	4,927	None	0	None	0	None	1,338	None	3,985	None	None	1	None	1
1134295462	GRIGOR, NICK	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134295462	GRIGOR, NICK	2021	FFS	RENDERING	AGE 21+	183	None	1,112	None	106	None	206	None	127	None	506	None	120	None	122	None
1134299324	ABUSLEME MONICA D	2021	FFS	RENDERING	AGE 0-20	21	None	83	None	20	None	46	None	None	1	None	1	21	None	25	None
1134299324	ABUSLEME MONICA D	2021	FFS	RENDERING	AGE 21+	68	None	238	None	35	None	38	None	29	None	65	None	55	None	55	None
1134300866	BINA PEDRAM	2021	FFS	RENDERING	AGE 0-20	261	None	2,149	None	176	None	492	None	161	None	343	None	167	None	168	None
1134300866	BINA PEDRAM	2021	FFS	RENDERING	AGE 21+	911	None	5,646	None	429	None	852	None	507	None	1,161	None	540	None	540	None
1134307143	MASOUMI, KIAN, RDHAP	2021	FFS	RENDERING	AGE 21+	247	None	1,217	None	245	None	645	None	247	None	555	None	0	None	0	None
1134314099	ZAREH MOHAMMAD A	2021	FFS	RENDERING	AGE 0-20	203	None	1,165	None	115	None	378	None	72	None	238	None	155	None	170	None
1134314099	ZAREH MOHAMMAD A	2021	FFS	RENDERING	AGE 21+	1,038	None	4,136	None	111	None	153	None	467	None	1,723	None	715	None	738	None
1134314909	HALLAK LOJYN M	2021	FFS	RENDERING	AGE 0-20	1,035	None	7,667	None	557	None	1,584	None	315	None	544	None	946	None	1,012	None
1134314909	HALLAK LOJYN M	2021	FFS	RENDERING	AGE 21+	1,492	None	7,305	None	318	None	634	None	438	None	1,404	None	1,392	None	1,393	None
1134316052	AMMAR, AWNIE A, DDS PROF DEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1134317027	TCHABOUKIAN JOHN O	2021	FFS	RENDERING	AGE 0-20	31	None	230	None	23	None	26	None	14	None	68	None	27	None	29	None
1134317027	TCHABOUKIAN JOHN O	2021	FFS	RENDERING	AGE 21+	66	None	456	None	15	None	17	None	26	None	147	None	53	None	53	None
1134319379	REYNOLDS TARAN KAUR	2021	FFS	RENDERING	AGE 0-20	697	None	10,671	None	630	None	2,175	None	415	None	1,540	None	651	None	811	None
1134319379	REYNOLDS TARAN KAUR	2021	FFS	RENDERING	AGE 21+	967	None	9,658	None	472	None	943	None	720	None	3,073	None	793	None	800	None
1134322720	LEE JINA	2021	FFS	RENDERING	AGE 0-20	742	None	3,695	None	313	None	909	None	286	None	718	None	685	None	742	None
1134322720	LEE JINA	2021	FFS	RENDERING	AGE 21+	571	None	1,908	None	73	None	139	None	189	None	539	None	446	None	447	None
1134322720	LEE JINA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1134322720	LEE JINA	2021	PHP	RENDERING	AGE 0-20	93	None	205	None	27	None	73	None	14	None	25	None	86	None	94	None
1134322720	LEE JINA	2021	PHP	RENDERING	AGE 21+	109	None	172	None	None	1	None	2	35	None	64	None	88	None	88	None
1134329030	MODI, TEJAS, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1134334626	BROAS, ALBERTO O DDS	2021	FFS	RENDERING	AGE 0-20	101	None	626	None	66	None	78	None	60	None	213	None	72	None	76	None
1134334626	BROAS, ALBERTO O DDS	2021	FFS	RENDERING	AGE 21+	238	None	1,281	None	30	None	30	None	159	None	690	None	127	None	127	None
1134339963	VITERO STEVEN J	2021	PHP	RENDERING	AGE 21+	55	None	226	None	None	1	None	1	39	None	129	None	21	None	21	None
1134340524	DUONG, HIEN THI-THU DDS	2021	FFS	RENDERING	AGE 0-20	197	None	1,836	None	195	None	828	None	77	None	181	None	196	None	340	None
1134340524	DUONG, HIEN THI-THU DDS	2021	FFS	RENDERING	AGE 21+	378	None	2,570	None	281	None	561	None	272	None	1,022	None	289	None	289	None
1134346257	HOANG ANH	2021	FFS	RENDERING	AGE 0-20	145	None	1,980	None	138	None	638	None	68	None	245	None	132	None	161	None
1134346257	HOANG ANH	2021	FFS	RENDERING	AGE 21+	477	None	5,402	None	301	None	528	None	408	None	2,224	None	349	None	349	None
1134346844	SORENSEN JASON R	2021	FFS	RENDERING	AGE 0-20	1,011	None	5,575	None	0	None	0	None	719	None	3,904	None	839	None	840	None
1134346844	SORENSEN JASON R	2021	FFS	RENDERING	AGE 21+	1,501	None	7,359	None	0	None	0	None	1,112	None	4,761	None	1,295	None	1,298	None
1134355696	PENDER COMMUNITY HOSPITAL DISTRICT	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134355969	D'ALESSANDRO MA DEL CONSU	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134355969	D'ALESSANDRO MA DEL CONSU	2021	PHP	RENDERING	AGE 0-20	110	None	570	None	86	None	257	None	35	None	52	None	56	None	57	None
1134355969	D'ALESSANDRO MA DEL CONSU	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1134369101	NGUYEN, ANH LOAN, DDS	2021	FFS	RENDERING	AGE 0-20	660	None	10,967	None	626	None	2,435	None	493	None	1,947	None	625	None	894	None
1134369101	NGUYEN, ANH LOAN, DDS	2021	FFS	RENDERING	AGE 21+	135	None	971	None	30	None	52	None	75	None	328	None	103	None	103	None
1134369739	CHO, FRANK K DDS	2021	FFS	RENDERING	AGE 0-20	93	None	1,094	None	82	None	190	None	39	None	174	None	81	None	97	None
1134369739	CHO, FRANK K DDS	2021	FFS	RENDERING	AGE 21+	216	None	2,154	None	129	None	251	None	124	None	583	None	174	None	174	None
1134369739	CHO, FRANK, DDS	2021	FFS	RENDERING	AGE 0-20	93	None	1,094	None	82	None	190	None	39	None	174	None	81	None	97	None
1134369739	CHO, FRANK, DDS	2021	FFS	RENDERING	AGE 21+	216	None	2,154	None	129	None	251	None	124	None	583	None	174	None	174	None
1134377856	AL-SHAWE HALA A	2021	FFS	RENDERING	AGE 0-20	303	None	3,758	None	252	None	804	None	168	None	765	None	233	None	252	None
1134377856	AL-SHAWE HALA A	2021	FFS	RENDERING	AGE 21+	632	None	5,048	None	166	None	323	None	439	None	1,883	None	300	None	301	None
1134377856	AL-SHAWE HALA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134381049	SUAYAN, JOSE E, DDS	2021	FFS	RENDERING	AGE 0-20	49	None	670	None	45	None	186	None	None	1	None	2	44	None	90	None
1134381049	SUAYAN, JOSE E, DDS	2021	FFS	RENDERING	AGE 21+	86	None	1,142	None	77	None	308	None	None	1	None	2	73	None	146	None
1134385859	SMITH ROBERT F	2021	FFS	RENDERING	AGE 0-20	107	None	1,288	None	100	None	306	None	43	None	118	None	102	None	140	None
1134385859	SMITH ROBERT F	2021	FFS	RENDERING	AGE 21+	80	None	607	None	51	None	74	None	53	None	138	None	62	None	62	None
1134386097	MONDAVI ROBERT K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134386097	MONDAVI ROBERT K	2021	PHP	RENDERING	AGE 0-20	135	None	1,171	None	134	None	697	None	57	None	161	None	132	None	162	None
1134386097	MONDAVI ROBERT K	2021	PHP	RENDERING	AGE 21+	139	None	853	None	120	None	167	None	70	None	416	None	128	None	145	None
1134397342	PAMPANIYA ADITI	2021	FFS	RENDERING	AGE 0-20	331	None	2,050	None	238	None	819	None	112	None	336	None	296	None	342	None
1134397342	PAMPANIYA ADITI	2021	FFS	RENDERING	AGE 21+	483	None	1,605	None	94	None	125	None	214	None	560	None	330	None	330	None
1134415615	MESSINA JUSTIN R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1134416746	MIAN MICHELLE U	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1134420359	PIERSON CRYSTAL A	2021	FFS	RENDERING	AGE 0-20	135	None	2,771	None	58	None	125	None	135	None	2,125	None	115	None	117	None
1134420698	SEHGAL SHIBANI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1134420698	SEHGAL SHIBANI	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1134420698	SEHGAL SHIBANI	2021	GMC	RENDERING	AGE 21+	17	None	56	None	0	None	0	None	14	None	31	None	None	1	None	1
1134420698	SEHGAL SHIBANI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1134454705	KIM SOOKHYUN	2021	FFS	RENDERING	AGE 0-20	59	None	295	None	56	None	149	None	13	None	29	None	55	None	72	None
1134454705	KIM SOOKHYUN	2021	FFS	RENDERING	AGE 21+	48	None	154	None	30	None	33	None	16	None	29	None	42	None	42	None
1134454705	KIM SOOKHYUN	2021	PHP	RENDERING	AGE 0-20	157	None	733	None	119	None	335	None	56	None	91	None	135	None	168	None
1134458177	GUIRGUIS MOUNIR N	2021	FFS	RENDERING	AGE 0-20	92	None	616	None	75	None	170	None	34	None	125	None	82	None	92	None
1134458177	GUIRGUIS MOUNIR N	2021	FFS	RENDERING	AGE 21+	518	None	2,650	None	139	None	256	None	292	None	1,104	None	416	None	416	None
1134477458	HYUN KEVIN S	2021	FFS	RENDERING	AGE 0-20	41	None	285	None	33	None	72	None	26	None	108	None	35	None	38	None
1134477458	HYUN KEVIN S	2021	FFS	RENDERING	AGE 21+	97	None	676	None	79	None	156	None	65	None	286	None	85	None	85	None
1134478043	ONG HAMLET H	2021	FFS	RENDERING	AGE 0-20	241	None	1,656	None	141	None	315	None	117	None	213	None	142	None	146	None
1134478043	ONG HAMLET H	2021	FFS	RENDERING	AGE 21+	356	None	1,358	None	76	None	146	None	249	None	443	None	144	None	144	None
1134478043	ONG HAMLET H	2021	PHP	RENDERING	AGE 0-20	78	None	662	None	70	None	200	None	48	None	135	None	74	None	94	None
1134478043	ONG HAMLET H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1134478704	HEDVAT ROBERT P	2021	FFS	RENDERING	AGE 0-20	11	None	101	None	None	1	None	2	None	1	None	2	11	None	11	None
1134478704	HEDVAT ROBERT P	2021	FFS	RENDERING	AGE 21+	88	None	487	None	47	None	48	None	45	None	206	None	74	None	74	None
1134484900	HAIDER MOHAMMAD S	2021	FFS	RENDERING	AGE 0-20	52	None	369	None	32	None	123	None	31	None	100	None	37	None	39	None
1134484900	HAIDER MOHAMMAD S	2021	FFS	RENDERING	AGE 21+	129	None	613	None	38	None	76	None	81	None	252	None	82	None	82	None
1134492937	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	155	None	3,686	None	138	None	1,424	None	145	None	472	None	129	None	268	None
1134492937	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 21+	113	None	1,608	None	55	None	346	None	85	None	504	None	56	None	112	None
1134503741	BOZORGMANESH HAMED	2021	FFS	RENDERING	AGE 0-20	3,896	None	33,063	None	3,415	None	9,551	None	1,983	None	3,470	None	3,426	None	4,055	None
1134505498	ISMAILYAN ARBI	2021	FFS	RENDERING	AGE 0-20	490	None	5,795	None	435	None	1,272	None	257	None	1,152	None	445	None	530	None
1134505498	ISMAILYAN ARBI	2021	FFS	RENDERING	AGE 21+	945	None	8,906	None	728	None	1,502	None	712	None	3,908	None	683	None	683	None
1134521024	SEPIDEHDAM SAHAR	2021	FFS	RENDERING	AGE 0-20	209	None	1,602	None	158	None	457	None	118	None	205	None	154	None	154	None
1134521024	SEPIDEHDAM SAHAR	2021	FFS	RENDERING	AGE 21+	50	None	172	None	14	None	28	None	36	None	73	None	17	None	17	None
1134538010	BLINSTRUB JONATHAN R	2021	FFS	RENDERING	AGE 0-20	3,056	None	30,227	None	2,588	None	7,819	None	2,038	None	5,778	None	2,541	None	2,779	None
1134550403	PARK, D, DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	23	None	171	None	18	None	72	None	None	1	None	2	17	None	17	None
1134550403	PARK, D, DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	15	None	80	None	None	1	None	2	None	1	None	2	None	1	None	1
1134556004	KUMAR SHAVETA	2021	FFS	RENDERING	AGE 0-20	31	None	62	None	None	1	None	1	30	None	42	None	0	None	0	None
1134556004	KUMAR SHAVETA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1134563950	SNELL, CHRISTOPHER MD	2021	FFS	RENDERING	AGE 0-20	102	None	307	None	0	None	0	None	102	None	307	None	0	None	0	None
1134573462	ISORDIA BERNES MARYAM	2021	PHP	RENDERING	AGE 0-20	22	None	127	None	20	None	24	None	22	None	44	None	19	None	19	None
1134573462	ISORDIA BERNES MARYAM	2021	PHP	RENDERING	AGE 21+	23	None	91	None	None	1	None	1	22	None	62	None	None	1	None	1
1134578743	ZADFAR, ANOOSH	2021	FFS	RENDERING	AGE 0-20	33	None	241	None	25	None	59	None	17	None	58	None	28	None	31	None
1134578743	ZADFAR, ANOOSH	2021	FFS	RENDERING	AGE 21+	199	None	1,148	None	61	None	93	None	149	None	588	None	142	None	142	None
1134587843	FU JASON J	2021	FFS	RENDERING	AGE 0-20	47	None	356	None	45	None	158	None	16	None	45	None	41	None	57	None
1134587843	FU JASON J	2021	FFS	RENDERING	AGE 21+	177	None	1,187	None	70	None	126	None	126	None	605	None	130	None	130	None
1134615628	SALCEDO CARLISLE G	2021	FFS	RENDERING	AGE 0-20	118	None	732	None	90	None	199	None	72	None	219	None	91	None	95	None
1134615628	SALCEDO CARLISLE G	2021	FFS	RENDERING	AGE 21+	198	None	1,084	None	98	None	194	None	148	None	540	None	117	None	118	None
1134616121	ROBLES RODRIGO	2021	FFS	RENDERING	AGE 0-20	64	None	420	None	50	None	112	None	13	None	19	None	47	None	49	None
1134616121	ROBLES RODRIGO	2021	FFS	RENDERING	AGE 21+	148	None	689	None	31	None	31	None	68	None	210	None	108	None	114	None
1134616121	ROBLES RODRIGO	2021	PHP	RENDERING	AGE 0-20	35	None	209	None	28	None	73	None	None	1	None	2	32	None	33	None
1134616121	ROBLES RODRIGO	2021	PHP	RENDERING	AGE 21+	48	None	231	None	15	None	27	None	27	None	97	None	31	None	31	None
1134632565	ELIZONDO PRISCILLA KAREN	2021	PHP	RENDERING	AGE 0-20	17	None	69	None	None	1	None	2	None	1	None	1	13	None	13	None
1134632565	ELIZONDO PRISCILLA KAREN	2021	PHP	RENDERING	AGE 21+	40	None	130	None	None	1	None	1	27	None	69	None	21	None	21	None
1134636665	GILLAN MARIA ANNETTE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1134638885	PHAM UYEN P	2021	FFS	RENDERING	AGE 0-20	15	None	55	None	11	None	21	None	None	1	None	1	None	1	None	1
1134638885	PHAM UYEN P	2021	FFS	RENDERING	AGE 21+	4,932	None	22,806	None	1,439	None	2,280	None	4,674	None	8,970	None	3,288	None	3,291	None
1134638885	PHAM UYEN P	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1134638885	PHAM UYEN P	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1134638885	PHAM UYEN P	2021	PHP	RENDERING	AGE 21+	76	None	522	None	29	None	39	None	76	None	160	None	51	None	52	None
1134640550	YEKIKIAN MARK J	2021	FFS	RENDERING	AGE 0-20	253	None	1,702	None	148	None	368	None	176	None	431	None	173	None	199	None
1134640550	YEKIKIAN MARK J	2021	FFS	RENDERING	AGE 21+	809	None	3,696	None	141	None	276	None	622	None	1,441	None	387	None	392	None
1134640550	YEKIKIAN MARK J	2021	PHP	RENDERING	AGE 0-20	227	None	1,953	None	187	None	692	None	142	None	330	None	186	None	241	None
1134640550	YEKIKIAN MARK J	2021	PHP	RENDERING	AGE 21+	337	None	1,958	None	239	None	450	None	221	None	725	None	237	None	241	None
1134644842	SAPIGAO JAYJAY	2021	FFS	RENDERING	AGE 0-20	21	None	208	None	18	None	46	None	13	None	75	None	19	None	19	None
1134644842	SAPIGAO JAYJAY	2021	FFS	RENDERING	AGE 21+	38	None	271	None	None	1	None	1	27	None	136	None	29	None	29	None
1134653793	HILL IRA D	2021	FFS	RENDERING	AGE 0-20	463	None	5,194	None	322	None	967	None	294	None	1,141	None	380	None	465	None
1134653793	HILL IRA D	2021	FFS	RENDERING	AGE 21+	314	None	2,212	None	81	None	126	None	240	None	1,096	None	212	None	212	None
1134653793	HILL IRA D	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1134656804	ABAEI TAFRESHI REZA	2021	FFS	RENDERING	AGE 0-20	69	None	532	None	67	None	170	None	None	1	None	2	69	None	87	None
1134656804	ABAEI TAFRESHI REZA	2021	FFS	RENDERING	AGE 21+	356	None	2,146	None	249	None	496	None	208	None	861	None	301	None	301	None
1134673171	REYNA-BLANCO OSCAR H	2021	FFS	RENDERING	AGE 0-20	519	None	746	None	0	None	0	None	310	None	396	None	0	None	0	None
1134674070	PATEL KHUSHBU	2021	FFS	RENDERING	AGE 0-20	54	None	591	None	45	None	112	None	24	None	75	None	46	None	53	None
1134674070	PATEL KHUSHBU	2021	FFS	RENDERING	AGE 21+	202	None	1,787	None	72	None	134	None	165	None	735	None	115	None	115	None
1134687700	HOPE CHELSEA	2021	FFS	RENDERING	AGE 0-20	305	None	2,920	None	244	None	693	None	186	None	331	None	225	None	225	None
1134722994	MORALES PEDRO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134722994	MORALES PEDRO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1134729601	TAYYEM ENAS J	2021	FFS	RENDERING	AGE 0-20	112	None	618	None	69	None	150	None	51	None	224	None	97	None	104	None
1134729601	TAYYEM ENAS J	2021	FFS	RENDERING	AGE 21+	286	None	986	None	57	None	69	None	141	None	355	None	179	None	181	None
1134729601	TAYYEM ENAS J	2021	PHP	RENDERING	AGE 0-20	41	None	171	None	26	None	52	None	20	None	55	None	34	None	36	None
1134729601	TAYYEM ENAS J	2021	PHP	RENDERING	AGE 21+	97	None	307	None	25	None	29	None	43	None	133	None	74	None	78	None
1134736226	HER SOLOMON	2021	FFS	RENDERING	AGE 0-20	447	None	2,027	None	160	None	493	None	203	None	499	None	374	None	380	None
1134736226	HER SOLOMON	2021	FFS	RENDERING	AGE 21+	1,002	None	3,995	None	161	None	304	None	563	None	1,809	None	819	None	819	None
1134746936	LIU JERRY	2021	FFS	RENDERING	AGE 0-20	190	None	2,396	None	153	None	461	None	136	None	670	None	171	None	191	None
1134746936	LIU JERRY	2021	FFS	RENDERING	AGE 21+	423	None	5,751	None	269	None	524	None	335	None	2,497	None	374	None	378	None
1134760382	ALMALFOUH HEBA	2021	FFS	RENDERING	AGE 0-20	211	None	1,380	None	156	None	459	None	123	None	397	None	134	None	145	None
1134760382	ALMALFOUH HEBA	2021	FFS	RENDERING	AGE 21+	306	None	1,665	None	68	None	131	None	273	None	1,029	None	87	None	87	None
1134771587	RAO NANDITHA	2021	FFS	RENDERING	AGE 0-20	140	None	796	None	127	None	356	None	58	None	77	None	102	None	102	None
1134784572	KESHAV SHIVANI J	2021	FFS	RENDERING	AGE 0-20	171	None	1,031	None	136	None	335	None	97	None	150	None	128	None	129	None
1134786841	AZAD DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1134789373	JONG EUNICE RUBY	2021	FFS	RENDERING	AGE 0-20	24	None	159	None	14	None	28	None	None	1	None	2	16	None	16	None
1134789373	JONG EUNICE RUBY	2021	FFS	RENDERING	AGE 21+	78	None	463	None	26	None	41	None	48	None	154	None	35	None	35	None
1134795719	KEYO KEVORK	2021	FFS	RENDERING	AGE 0-20	192	None	862	None	140	None	399	None	90	None	213	None	51	None	51	None
1134795719	KEYO KEVORK	2021	FFS	RENDERING	AGE 21+	320	None	1,213	None	87	None	147	None	251	None	756	None	54	None	54	None
1134795719	KEYO KEVORK	2021	PHP	RENDERING	AGE 0-20	33	None	178	None	27	None	85	None	17	None	33	None	21	None	21	None
1134795719	KEYO KEVORK	2021	PHP	RENDERING	AGE 21+	24	None	82	None	None	1	None	1	24	None	64	None	None	1	None	1
1134796030	SOLEYMANI RUBEN B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134796030	SOLEYMANI RUBEN B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134796030	SOLEYMANI RUBEN B	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134796030	SOLEYMANI RUBEN B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1144205246	WHITE DAVID K	2021	FFS	RENDERING	AGE 0-20	266	None	2,787	None	249	None	917	None	73	None	127	None	252	None	326	None
1144205246	WHITE DAVID K	2021	FFS	RENDERING	AGE 21+	406	None	2,850	None	260	None	485	None	207	None	542	None	303	None	303	None
1144232307	PAUL MARGARET A	2021	FFS	RENDERING	AGE 0-20	1,022	None	17,366	None	999	None	3,751	None	633	None	2,460	None	954	None	1,491	None
1144232307	PAUL MARGARET A	2021	FFS	RENDERING	AGE 21+	1,563	None	16,159	None	1,210	None	2,411	None	1,201	None	5,856	None	1,265	None	1,265	None
1144241258	ALAMI YAZDAN	2021	FFS	RENDERING	AGE 0-20	33	None	169	None	31	None	84	None	None	1	None	2	31	None	45	None
1144241258	ALAMI YAZDAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1144257619	ALEXANDER GERALD W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1144304312	NGUYEN FRANKLIN T	2021	FFS	RENDERING	AGE 0-20	188	None	1,788	None	167	None	646	None	38	None	122	None	163	None	172	None
1144304312	NGUYEN FRANKLIN T	2021	FFS	RENDERING	AGE 21+	508	None	3,001	None	257	None	482	None	276	None	867	None	336	None	342	None
1144304312	NGUYEN FRANKLIN T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1144304312	NGUYEN FRANKLIN T	2021	PHP	RENDERING	AGE 21+	20	None	131	None	12	None	22	None	11	None	62	None	16	None	16	None
1144304759	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	758	None	12,739	None	744	None	3,623	None	433	None	1,188	None	749	None	1,098	None
1144304759	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	427	None	3,892	None	383	None	779	None	213	None	539	None	402	None	406	None
1144315029	TRAN, AITRANG, DDS	2021	FFS	RENDERING	AGE 0-20	92	None	1,229	None	89	None	334	None	59	None	187	None	92	None	146	None
1144315029	TRAN, AITRANG, DDS	2021	FFS	RENDERING	AGE 21+	342	None	3,692	None	260	None	530	None	302	None	1,747	None	272	None	272	None
1144318882	QUACH, LIEN KIM, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	106	None	None	1	None	2	12	None	32	None	16	None	18	None
1144318882	QUACH, LIEN KIM, DDS	2021	FFS	RENDERING	AGE 21+	47	None	261	None	None	1	None	1	40	None	199	None	24	None	24	None
1144322447	CHA YOUNG H	2021	FFS	RENDERING	AGE 0-20	25	None	288	None	19	None	40	None	18	None	117	None	20	None	21	None
1144322447	CHA YOUNG H	2021	FFS	RENDERING	AGE 21+	82	None	981	None	42	None	63	None	58	None	437	None	55	None	55	None
1144330143	ANDERSON DAMON A	2021	FFS	RENDERING	AGE 0-20	13	None	124	None	None	1	None	1	13	None	70	None	None	1	None	1
1144330143	ANDERSON DAMON A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1144331323	KAWADA PHYLLIS K	2021	FFS	RENDERING	AGE 0-20	1,081	None	9,584	None	953	None	3,001	None	618	None	2,376	None	985	None	1,301	None
1144331323	KAWADA PHYLLIS K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1144337478	VO HANG P	2021	FFS	RENDERING	AGE 0-20	81	None	503	None	67	None	172	None	24	None	80	None	71	None	91	None
1144340555	BARUT, ROBERTO I DMD	2021	FFS	RENDERING	AGE 0-20	328	None	652	None	14	None	21	None	None	1	None	1	322	None	322	None
1144340555	BARUT, ROBERTO I DMD	2021	FFS	RENDERING	AGE 21+	359	None	932	None	58	None	58	None	64	None	203	None	288	None	288	None
1144340555	BARUT, ROBERTO I, DMD	2021	FFS	RENDERING	AGE 0-20	328	None	652	None	14	None	21	None	None	1	None	1	322	None	322	None
1144340555	BARUT, ROBERTO I, DMD	2021	FFS	RENDERING	AGE 21+	359	None	932	None	58	None	58	None	64	None	203	None	288	None	288	None
1144341454	LIU, CHANGRUI, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	64	None	None	1	None	2	None	1	None	2	None	1	None	1
1144341454	LIU, CHANGRUI, DDS	2021	FFS	RENDERING	AGE 21+	72	None	262	None	27	None	50	None	36	None	90	None	40	None	40	None
1144359845	NGUYEN TRUNG T	2021	FFS	RENDERING	AGE 0-20	128	None	1,400	None	122	None	639	None	37	None	95	None	56	None	62	None
1144363326	PHAN HAI T	2021	FFS	RENDERING	AGE 0-20	360	None	2,721	None	308	None	1,118	None	173	None	467	None	286	None	296	None
1144363326	PHAN HAI T	2021	FFS	RENDERING	AGE 21+	1,071	None	6,398	None	747	None	1,444	None	705	None	2,152	None	812	None	812	None
1144365461	LIN, HO-SHIANG D, DMD	2021	FFS	RENDERING	AGE 0-20	36	None	177	None	34	None	37	None	11	None	49	None	34	None	37	None
1144365461	LIN, HO-SHIANG D, DMD	2021	FFS	RENDERING	AGE 21+	109	None	377	None	84	None	84	None	52	None	119	None	46	None	46	None
1144366519	CASTILLO, ROSARIO DDS	2021	FFS	RENDERING	AGE 0-20	98	None	1,026	None	93	None	349	None	47	None	139	None	96	None	129	None
1144366519	CASTILLO, ROSARIO DDS	2021	FFS	RENDERING	AGE 21+	157	None	1,176	None	64	None	120	None	110	None	416	None	133	None	133	None
1144366519	CASTILLO, ROSARIO DDS	2021	PHP	RENDERING	AGE 0-20	92	None	700	None	84	None	283	None	31	None	58	None	92	None	124	None
1144367699	GEORGIEFF, EVAN P DDS	2021	FFS	RENDERING	AGE 0-20	291	None	1,176	None	17	None	35	None	209	None	655	None	204	None	204	None
1144367699	GEORGIEFF, EVAN P DDS	2021	FFS	RENDERING	AGE 21+	887	None	3,572	None	44	None	87	None	706	None	1,836	None	672	None	677	None
1144369125	OLSON DOUGLAS P	2021	FFS	RENDERING	AGE 0-20	47	None	87	None	0	None	0	None	28	None	47	None	0	None	0	None
1144369299	RAMAKUMAR SUMAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144376138	AN SCOTT	2021	FFS	RENDERING	AGE 0-20	1,528	None	15,662	None	1,487	None	4,159	None	None	1	None	2	24	None	24	None
1144376138	AN SCOTT	2021	FFS	RENDERING	AGE 21+	942	None	4,741	None	718	None	1,431	None	None	1	None	1	15	None	15	None
1144381427	GIBSON, GLENN E, DDS	2021	FFS	RENDERING	AGE 0-20	113	None	1,292	None	102	None	301	None	45	None	148	None	97	None	112	None
1144381427	GIBSON, GLENN E, DDS	2021	FFS	RENDERING	AGE 21+	313	None	2,576	None	188	None	365	None	205	None	767	None	207	None	207	None
1144382276	AFSHARI NAHID	2021	FFS	RENDERING	AGE 0-20	31	None	74	None	None	1	None	1	19	None	33	None	None	1	None	1
1144382276	AFSHARI NAHID	2021	FFS	RENDERING	AGE 21+	75	None	167	None	None	1	None	2	42	None	76	None	24	None	24	None
1144382276	AFSHARI NAHID	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144382847	ASWAD, SUHIR DDS	2021	FFS	RENDERING	AGE 0-20	112	None	1,479	None	104	None	358	None	71	None	211	None	105	None	156	None
1144382847	ASWAD, SUHIR DDS	2021	FFS	RENDERING	AGE 21+	139	None	1,600	None	95	None	186	None	113	None	707	None	108	None	108	None
1144384595	RUST, TERRANCE A, DDS	2021	FFS	RENDERING	AGE 0-20	42	None	231	None	0	None	0	None	41	None	229	None	None	1	None	1
1144384595	RUST, TERRANCE A, DDS	2021	FFS	RENDERING	AGE 21+	119	None	1,155	None	0	None	0	None	116	None	1,135	None	None	1	None	1
1144384967	LIM, ANDREW DDS	2021	FFS	RENDERING	AGE 0-20	820	None	8,807	None	519	None	1,454	None	423	None	1,321	None	715	None	829	None
1144384967	LIM, ANDREW DDS	2021	FFS	RENDERING	AGE 21+	823	None	5,172	None	221	None	441	None	518	None	1,803	None	624	None	624	None
1144386194	FATTOUCH ROBERT W	2021	FFS	RENDERING	AGE 0-20	2,859	None	46,895	None	2,667	None	11,424	None	2,000	None	8,243	None	2,743	None	4,177	None
1144386194	FATTOUCH ROBERT W	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1144386194	FATTOUCH ROBERT W	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1144388141	ELSEMARY NAGY RAMADAN A	2021	FFS	RENDERING	AGE 0-20	154	None	1,909	None	142	None	449	None	71	None	316	None	119	None	145	None
1144388430	WANG WEIDONG	2021	FFS	RENDERING	AGE 0-20	263	None	3,012	None	222	None	668	None	176	None	629	None	240	None	296	None
1144388430	WANG WEIDONG	2021	FFS	RENDERING	AGE 21+	891	None	7,013	None	682	None	1,380	None	636	None	2,513	None	739	None	739	None
1144388687	HAN, JONG C, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1144388687	HAN, JONG C, DDS	2021	FFS	RENDERING	AGE 21+	43	None	273	None	34	None	34	None	32	None	113	None	41	None	41	None
1144388687	HAN, JONG C, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1144389065	ELIA BACHAR	2021	FFS	RENDERING	AGE 0-20	163	None	858	None	70	None	235	None	44	None	138	None	155	None	163	None
1144389065	ELIA BACHAR	2021	FFS	RENDERING	AGE 21+	593	None	2,924	None	196	None	331	None	320	None	1,179	None	510	None	511	None
1144389065	ELIA BACHAR	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1144389065	ELIA BACHAR	2021	PHP	RENDERING	AGE 0-20	161	None	1,520	None	114	None	448	None	106	None	452	None	140	None	162	None
1144389065	ELIA BACHAR	2021	PHP	RENDERING	AGE 21+	127	None	1,052	None	50	None	115	None	88	None	563	None	101	None	107	None
1144396094	SARADJIAN, ARTEMIS DMD	2021	FFS	RENDERING	AGE 0-20	33	None	243	None	20	None	38	None	23	None	71	None	30	None	39	None
1144396094	SARADJIAN, ARTEMIS DMD	2021	FFS	RENDERING	AGE 21+	377	None	2,597	None	117	None	117	None	315	None	1,229	None	215	None	215	None
1144406349	PERLECHE LILIANA A	2021	FFS	RENDERING	AGE 0-20	360	None	4,448	None	277	None	676	None	238	None	1,053	None	263	None	299	None
1144406349	PERLECHE LILIANA A	2021	FFS	RENDERING	AGE 21+	365	None	4,036	None	86	None	153	None	290	None	1,622	None	236	None	236	None
1144410754	CLOR RAMSEY A	2021	FFS	RENDERING	AGE 0-20	27	None	46	None	None	1	None	1	22	None	33	None	None	1	None	1
1144410754	CLOR RAMSEY A	2021	FFS	RENDERING	AGE 21+	48	None	111	None	0	None	0	None	30	None	59	None	None	1	None	1
1144418567	LE, DIANNE	2021	FFS	RENDERING	AGE 0-20	67	None	352	None	32	None	75	None	36	None	65	None	33	None	33	None
1144418567	LE, DIANNE	2021	FFS	RENDERING	AGE 21+	73	None	319	None	None	1	None	1	49	None	102	None	30	None	30	None
1144420795	EVAZYAN BENITA	2021	FFS	RENDERING	AGE 0-20	123	None	665	None	None	1	None	2	119	None	336	None	None	1	None	1
1144420795	EVAZYAN BENITA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1144421637	FUNG ROGER K	2021	FFS	RENDERING	AGE 21+	32	None	63	None	None	1	None	1	20	None	26	None	None	1	None	1
1144421918	HADY-ELHUSSINY ALIAA	2021	FFS	RENDERING	AGE 0-20	1,034	None	9,065	None	933	None	2,887	None	734	None	2,909	None	883	None	1,011	None
1144421918	HADY-ELHUSSINY ALIAA	2021	FFS	RENDERING	AGE 21+	114	None	310	None	78	None	135	None	61	None	171	None	None	1	None	1
1144421918	HADY-ELHUSSINY ALIAA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144423278	SUN TINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144423278	SUN TINA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144425216	CHOI EUN-JOO	2021	FFS	RENDERING	AGE 0-20	127	None	2,081	None	93	None	244	None	123	None	1,373	None	112	None	112	None
1144425216	CHOI EUN-JOO	2021	FFS	RENDERING	AGE 21+	16	None	189	None	12	None	18	None	16	None	120	None	13	None	13	None
1144430158	QUINN CHRISTINE L	2021	FFS	RENDERING	AGE 0-20	177	None	556	None	0	None	0	None	177	None	556	None	0	None	0	None
1144430455	JAMES D AHN DDS INC	2021	PHP	RENDERING	AGE 0-20	20	None	154	None	20	None	55	None	None	1	None	2	20	None	21	None
1144430455	JAMES D AHN DDS INC	2021	PHP	RENDERING	AGE 21+	18	None	140	None	16	None	38	None	12	None	35	None	11	None	12	None
1144433418	KARZEN KATIE J	2021	FFS	RENDERING	AGE 0-20	23	None	163	None	17	None	66	None	11	None	31	None	20	None	25	None
1144433418	KARZEN KATIE J	2021	FFS	RENDERING	AGE 21+	75	None	447	None	22	None	38	None	54	None	259	None	64	None	64	None
1144434127	MCLACHLAN KIMBERLY K	2021	FFS	RENDERING	AGE 0-20	18	None	28	None	0	None	0	None	18	None	28	None	0	None	0	None
1144434127	MCLACHLAN KIMBERLY K	2021	FFS	RENDERING	AGE 21+	797	None	1,220	None	0	None	0	None	797	None	1,220	None	0	None	0	None
1144436072	GUERRERO RODNEY R	2021	FFS	RENDERING	AGE 0-20	91	None	813	None	84	None	281	None	51	None	158	None	86	None	94	None
1144436072	GUERRERO RODNEY R	2021	FFS	RENDERING	AGE 21+	228	None	1,743	None	144	None	267	None	173	None	764	None	189	None	189	None
1144454869	PARK WOO S	2021	FFS	RENDERING	AGE 21+	40	None	83	None	19	None	19	None	None	1	None	1	30	None	30	None
1144455395	GAFFINO BARBARA P	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1144456070	KALIA BHARTI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1144456070	KALIA BHARTI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1144459108	RAFAEL ARASH	2021	FFS	RENDERING	AGE 0-20	318	None	2,094	None	187	None	427	None	216	None	635	None	175	None	175	None
1144477910	LU MEI	2021	FFS	RENDERING	AGE 0-20	45	None	441	None	45	None	209	None	12	None	47	None	45	None	62	None
1144477910	LU MEI	2021	FFS	RENDERING	AGE 21+	66	None	592	None	59	None	118	None	41	None	171	None	62	None	62	None
1144482571	JOUZY YANINA	2021	FFS	RENDERING	AGE 0-20	29	None	277	None	23	None	71	None	14	None	63	None	23	None	31	None
1144482571	JOUZY YANINA	2021	FFS	RENDERING	AGE 21+	68	None	360	None	32	None	34	None	28	None	102	None	50	None	50	None
1144487679	SADDUK ALI A	2021	FFS	RENDERING	AGE 0-20	148	None	1,267	None	76	None	212	None	102	None	431	None	113	None	120	None
1144487679	SADDUK ALI A	2021	FFS	RENDERING	AGE 21+	358	None	1,846	None	103	None	205	None	264	None	977	None	197	None	197	None
1144512153	POOLE, GARRETT R MD	2021	FFS	RENDERING	AGE 0-20	109	None	418	None	0	None	0	None	109	None	418	None	0	None	0	None
1144512153	POOLE, GARRETT R MD	2021	FFS	RENDERING	AGE 21+	29	None	143	None	0	None	0	None	29	None	143	None	0	None	0	None
1144518754	COREY, BENJAMIN F, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1144518754	COREY, BENJAMIN F, RDHAP	2021	FFS	RENDERING	AGE 21+	1,083	None	4,447	None	1,040	None	1,836	None	1,083	None	2,611	None	0	None	0	None
1144532672	NAMAVAR VIDA	2021	FFS	RENDERING	AGE 0-20	45	None	253	None	38	None	67	None	21	None	59	None	39	None	43	None
1144532672	NAMAVAR VIDA	2021	FFS	RENDERING	AGE 21+	181	None	755	None	107	None	131	None	84	None	250	None	162	None	162	None
1144534082	SHAHROKH ALI	2021	FFS	RENDERING	AGE 0-20	269	None	1,481	None	170	None	429	None	55	None	133	None	215	None	225	None
1144534082	SHAHROKH ALI	2021	FFS	RENDERING	AGE 21+	558	None	2,694	None	163	None	224	None	225	None	870	None	397	None	401	None
1144538596	LORENZO MARY LEAH T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1144538596	LORENZO MARY LEAH T	2021	PHP	RENDERING	AGE 0-20	449	None	4,107	None	409	None	1,615	None	162	None	455	None	402	None	535	None
1144549833	KONCZ BRITTANY L	2021	FFS	RENDERING	AGE 0-20	3,120	None	5,687	None	0	None	0	None	66	None	201	None	0	None	0	None
1144549833	KONCZ BRITTANY L	2021	FFS	RENDERING	AGE 21+	13	None	19	None	0	None	0	None	0	None	0	None	0	None	0	None
1144555806	ENDRIZZI VECCI JULIA L	2021	FFS	RENDERING	AGE 0-20	312	None	1,880	None	276	None	842	None	159	None	316	None	247	None	288	None
1144555806	ENDRIZZI VECCI JULIA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144584046	SADEGHEIN KAMYAR	2021	PHP	RENDERING	AGE 0-20	11	None	42	None	0	None	0	None	11	None	20	None	None	1	None	1
1144584046	SADEGHEIN KAMYAR	2021	PHP	RENDERING	AGE 21+	52	None	210	None	0	None	0	None	37	None	50	None	51	None	52	None
1144587064	ASADORIAN RAFFI	2021	FFS	RENDERING	AGE 0-20	26	None	52	None	0	None	0	None	26	None	52	None	0	None	0	None
1144587064	ASADORIAN RAFFI	2021	FFS	RENDERING	AGE 21+	90	None	223	None	0	None	0	None	90	None	221	None	0	None	0	None
1144587064	ASADORIAN RAFFI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1144592940	GOMEZ MAYBELLE T	2021	FFS	RENDERING	AGE 0-20	144	None	222	None	0	None	0	None	77	None	134	None	0	None	0	None
1144592940	GOMEZ MAYBELLE T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1144592940	GOMEZ MAYBELLE T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144592940	GOMEZ MAYBELLE T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1144592940	GOMEZ MAYBELLE T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144600248	HEALTH AND LIFE ORGANIZATION	2021	GMC	RENDERING	AGE 0-20	110	None	860	None	66	None	278	None	23	None	82	None	67	None	134	None
1144600248	HEALTH AND LIFE ORGANIZATION	2021	GMC	RENDERING	AGE 21+	202	None	1,738	None	84	None	334	None	95	None	350	None	125	None	250	None
1144602608	WU ERICA	2021	FFS	RENDERING	AGE 0-20	465	None	7,843	None	378	None	1,480	None	356	None	2,267	None	410	None	533	None
1144602608	WU ERICA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1144606880	SUNG, KI HUN	2021	FFS	RENDERING	AGE 0-20	1,635	None	27,114	None	1,493	None	4,351	None	1,416	None	8,136	None	1,497	None	1,560	None
1144606880	SUNG, KI HUN	2021	FFS	RENDERING	AGE 21+	50	None	310	None	27	None	52	None	25	None	90	None	34	None	34	None
1144608225	DIAB, EHSAN DDS	2021	FFS	RENDERING	AGE 0-20	639	None	9,225	None	593	None	2,322	None	460	None	1,155	None	619	None	848	None
1144608225	DIAB, EHSAN DDS	2021	FFS	RENDERING	AGE 21+	731	None	5,593	None	300	None	595	None	563	None	2,408	None	534	None	534	None
1144633355	CHEN JOHN S	2021	FFS	RENDERING	AGE 0-20	250	None	1,225	None	231	None	539	None	57	None	163	None	199	None	210	None
1144633355	CHEN JOHN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144635244	HARIRI SEPEHR	2021	FFS	RENDERING	AGE 0-20	3,756	None	37,591	None	3,310	None	10,597	None	2,245	None	6,299	None	3,083	None	3,577	None
1144635244	HARIRI SEPEHR	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1144635244	HARIRI SEPEHR	2021	PHP	RENDERING	AGE 0-20	29	None	228	None	16	None	43	None	29	None	141	None	None	1	None	1
1144640368	TODD, JODI, RDHAP	2021	FFS	RENDERING	AGE 0-20	468	None	1,398	None	468	None	1,397	None	0	None	0	None	0	None	0	None
1144640368	TODD, JODI, RDHAP	2021	FFS	RENDERING	AGE 21+	183	None	380	None	183	None	365	None	15	None	15	None	0	None	0	None
1144655812	LUU THANH T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144659434	BELL BRIAN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144660358	PHAN THANH H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1144660358	PHAN THANH H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144662412	KVITKO KIRILL Z	2021	FFS	RENDERING	AGE 0-20	38	None	233	None	30	None	90	None	16	None	59	None	34	None	41	None
1144662412	KVITKO KIRILL Z	2021	FFS	RENDERING	AGE 21+	90	None	543	None	61	None	115	None	58	None	225	None	66	None	66	None
1144671173	BUI TRAMMIE B	2021	FFS	RENDERING	AGE 0-20	162	None	1,913	None	154	None	451	None	91	None	388	None	156	None	218	None
1144671173	BUI TRAMMIE B	2021	FFS	RENDERING	AGE 21+	510	None	4,267	None	398	None	789	None	335	None	1,434	None	445	None	445	None
1144672874	ANTONENKO ANDREY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144688532	GAIDUCHIK ANDREY	2021	FFS	RENDERING	AGE 0-20	1,032	None	3,346	None	0	None	0	None	355	None	1,005	None	708	None	713	None
1144688532	GAIDUCHIK ANDREY	2021	FFS	RENDERING	AGE 21+	30	None	89	None	0	None	0	None	0	None	0	None	29	None	29	None
1144697293	GRIGORYAN ARAM	2021	FFS	RENDERING	AGE 0-20	381	None	3,652	None	299	None	776	None	175	None	589	None	329	None	359	None
1144697293	GRIGORYAN ARAM	2021	FFS	RENDERING	AGE 21+	620	None	4,817	None	257	None	500	None	477	None	1,940	None	394	None	397	None
1144697723	HUH DANIEL J	2021	FFS	RENDERING	AGE 21+	45	None	156	None	None	1	None	1	24	None	78	None	29	None	29	None
1144707761	LEE DANIEL J	2021	FFS	RENDERING	AGE 0-20	2,563	None	32,026	None	2,129	None	7,624	None	1,722	None	6,964	None	2,088	None	2,378	None
1144707761	LEE DANIEL J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1144708090	HUNANYAN LUSINE	2021	FFS	RENDERING	AGE 0-20	681	None	7,392	None	542	None	1,752	None	380	None	1,006	None	531	None	615	None
1144708090	HUNANYAN LUSINE	2021	FFS	RENDERING	AGE 21+	294	None	1,684	None	126	None	245	None	180	None	320	None	139	None	139	None
1144713173	RANJBAR AGHDAM MARAL	2021	FFS	RENDERING	AGE 0-20	319	None	1,519	None	241	None	518	None	63	None	101	None	293	None	304	None
1144713173	RANJBAR AGHDAM MARAL	2021	FFS	RENDERING	AGE 21+	843	None	2,831	None	233	None	440	None	327	None	899	None	566	None	568	None
1144713173	RANJBAR AGHDAM MARAL	2021	PHP	RENDERING	AGE 0-20	17	None	85	None	None	1	None	2	None	1	None	2	None	1	None	1
1144713173	RANJBAR AGHDAM MARAL	2021	PHP	RENDERING	AGE 21+	56	None	212	None	12	None	21	None	41	None	153	None	None	1	None	1
1144719196	RUSSOM SAMUEL Y	2021	FFS	RENDERING	AGE 0-20	60	None	473	None	54	None	157	None	33	None	122	None	45	None	53	None
1144738899	EMAMY MORVARID	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144753260	KIM MARIE Y	2021	FFS	RENDERING	AGE 0-20	277	None	2,748	None	255	None	846	None	149	None	396	None	259	None	331	None
1144753260	KIM MARIE Y	2021	FFS	RENDERING	AGE 21+	399	None	2,800	None	150	None	296	None	287	None	1,222	None	292	None	292	None
1144754888	WANG TIFFANY J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1144754888	WANG TIFFANY J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1144755976	COLLINS ATIJAH J	2021	FFS	RENDERING	AGE 0-20	16	None	55	None	None	1	None	1	15	None	45	None	None	1	None	1
1144755976	COLLINS ATIJAH J	2021	FFS	RENDERING	AGE 21+	58	None	184	None	0	None	0	None	58	None	159	None	0	None	0	None
1144768904	TRAN ROSEMARY KIM O	2021	FFS	RENDERING	AGE 0-20	419	None	7,756	None	247	None	566	None	367	None	3,434	None	392	None	404	None
1144772211	BROWN MICHELLE D	2021	FFS	RENDERING	AGE 0-20	15	None	95	None	None	1	None	2	None	1	None	2	None	1	None	1
1144788910	KAUR RAVINDER	2021	FFS	RENDERING	AGE 0-20	1,712	None	12,321	None	1,281	None	4,048	None	1,149	None	4,022	None	1,151	None	1,211	None
1144788910	KAUR RAVINDER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1144788910	KAUR RAVINDER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144791377	PATEL ROMI R	2021	FFS	RENDERING	AGE 0-20	174	None	702	None	93	None	185	None	69	None	186	None	131	None	134	None
1144791377	PATEL ROMI R	2021	FFS	RENDERING	AGE 21+	195	None	721	None	52	None	93	None	122	None	368	None	100	None	100	None
1144791377	PATEL ROMI R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144834953	SARGENT BENJAMIN DAVID	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1144835380	GULATI MINKLE	2021	FFS	RENDERING	AGE 0-20	255	None	1,412	None	154	None	431	None	150	None	453	None	132	None	134	None
1144835380	GULATI MINKLE	2021	FFS	RENDERING	AGE 21+	313	None	1,111	None	66	None	125	None	218	None	635	None	104	None	104	None
1144876004	GOLBARI DANIELA	2021	FFS	RENDERING	AGE 0-20	158	None	935	None	55	None	129	None	154	None	461	None	24	None	24	None
1144876004	GOLBARI DANIELA	2021	FFS	RENDERING	AGE 21+	29	None	119	None	0	None	0	None	28	None	73	None	0	None	0	None
1144994419	AL OBAID ALI SAAD MOH	2021	FFS	RENDERING	AGE 0-20	190	None	744	None	68	None	138	None	105	None	194	None	114	None	114	None
1144994419	AL OBAID ALI SAAD MOH	2021	FFS	RENDERING	AGE 21+	281	None	708	None	22	None	37	None	172	None	303	None	115	None	115	None
1154093623	ARIEH NICOLE S	2021	FFS	RENDERING	AGE 0-20	17	None	44	None	None	1	None	2	None	1	None	1	None	1	None	1
1154093623	ARIEH NICOLE S	2021	FFS	RENDERING	AGE 21+	37	None	84	None	None	1	None	2	18	None	38	None	11	None	11	None
1154093623	ARIEH NICOLE S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1154314060	FAISON & FAISON A PROFESSION	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1154330017	PHAN CHAU M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154330017	PHAN CHAU M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154330017	PHAN CHAU M	2021	GMC	RENDERING	AGE 0-20	1,437	None	10,480	None	964	None	2,412	None	832	None	1,908	None	990	None	1,089	None
1154330017	PHAN CHAU M	2021	GMC	RENDERING	AGE 21+	1,154	None	6,427	None	255	None	508	None	799	None	2,086	None	546	None	548	None
1154333672	YU WALDEN Y	2021	FFS	RENDERING	AGE 0-20	473	None	6,799	None	466	None	2,175	None	348	None	1,521	None	460	None	766	None
1154333672	YU WALDEN Y	2021	FFS	RENDERING	AGE 21+	59	None	650	None	33	None	63	None	46	None	227	None	49	None	49	None
1154334530	WOLKSTEIN PHILIP	2021	FFS	RENDERING	AGE 0-20	116	None	887	None	116	None	338	None	53	None	264	None	109	None	158	None
1154334530	WOLKSTEIN PHILIP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1154335859	ANTOLIN RITA M	2021	FFS	RENDERING	AGE 0-20	122	None	827	None	118	None	299	None	35	None	115	None	101	None	129	None
1154335859	ANTOLIN RITA M	2021	FFS	RENDERING	AGE 21+	115	None	719	None	89	None	130	None	60	None	203	None	92	None	92	None
1154355741	PAVLOV NIKOLAI P	2021	FFS	RENDERING	AGE 0-20	52	None	287	None	29	None	77	None	34	None	75	None	32	None	32	None
1154355741	PAVLOV NIKOLAI P	2021	FFS	RENDERING	AGE 21+	158	None	659	None	41	None	81	None	125	None	338	None	71	None	71	None
1154392769	DANG, THERESA HANH, DDS	2021	FFS	RENDERING	AGE 0-20	418	None	4,909	None	389	None	1,414	None	314	None	1,096	None	383	None	536	None
1154392769	DANG, THERESA HANH, DDS	2021	FFS	RENDERING	AGE 21+	135	None	984	None	98	None	107	None	103	None	373	None	101	None	101	None
1154410256	SARRAF KEIVAN	2021	FFS	RENDERING	AGE 0-20	212	None	571	None	None	1	None	1	114	None	339	None	None	1	None	1
1154410256	SARRAF KEIVAN	2021	FFS	RENDERING	AGE 21+	17	None	34	None	0	None	0	None	None	1	None	2	None	1	None	1
1154410256	SARRAF KEIVAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1154410256	SARRAF KEIVAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1154415016	SHEN CHING-MING	2021	FFS	RENDERING	AGE 0-20	119	None	886	None	91	None	195	None	30	None	55	None	102	None	105	None
1154415016	SHEN CHING-MING	2021	FFS	RENDERING	AGE 21+	361	None	1,817	None	126	None	236	None	224	None	629	None	241	None	241	None
1154418077	HANANIAN JULIET H	2021	FFS	RENDERING	AGE 0-20	289	None	5,366	None	269	None	931	None	192	None	867	None	267	None	350	None
1154418077	HANANIAN JULIET H	2021	FFS	RENDERING	AGE 21+	478	None	5,353	None	191	None	369	None	382	None	2,100	None	387	None	387	None
1154420677	THOMPSON KARLA G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154420941	LIN, LOUIS, DMD	2021	FFS	RENDERING	AGE 0-20	27	None	650	None	24	None	272	None	15	None	148	None	27	None	70	None
1154420941	LIN, LOUIS, DMD	2021	FFS	RENDERING	AGE 21+	106	None	1,792	None	57	None	224	None	85	None	844	None	82	None	164	None
1154422053	NAZARIAN ARMINE	2021	FFS	RENDERING	AGE 0-20	37	None	329	None	35	None	128	None	12	None	35	None	35	None	47	None
1154422053	NAZARIAN ARMINE	2021	FFS	RENDERING	AGE 21+	268	None	1,684	None	183	None	330	None	157	None	514	None	207	None	207	None
1154432474	HOSN, KOOROSH, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1154432474	HOSN, KOOROSH, DDS	2021	FFS	RENDERING	AGE 21+	90	None	889	None	53	None	53	None	82	None	404	None	24	None	24	None
1154434843	HA KY Q	2021	FFS	RENDERING	AGE 0-20	548	None	8,565	None	544	None	2,315	None	290	None	672	None	540	None	674	None
1154434843	HA KY Q	2021	FFS	RENDERING	AGE 21+	139	None	1,273	None	105	None	112	None	106	None	345	None	123	None	123	None
1154440261	MEYERKOVA, KIRA DDS	2021	FFS	RENDERING	AGE 0-20	61	None	476	None	53	None	141	None	15	None	38	None	53	None	58	None
1154440261	MEYERKOVA, KIRA DDS	2021	FFS	RENDERING	AGE 21+	291	None	2,113	None	173	None	458	None	229	None	880	None	181	None	181	None
1154440303	DESAI, MADHAVI DDS	2021	FFS	RENDERING	AGE 0-20	174	None	1,637	None	163	None	599	None	69	None	188	None	171	None	212	None
1154440303	DESAI, MADHAVI DDS	2021	FFS	RENDERING	AGE 21+	173	None	729	None	58	None	62	None	83	None	276	None	143	None	143	None
1154447258	NYKOLAYCHUK IVANNA Y	2021	FFS	RENDERING	AGE 0-20	1,292	None	16,129	None	1,160	None	4,532	None	639	None	1,437	None	1,148	None	1,454	None
1154447258	NYKOLAYCHUK IVANNA Y	2021	FFS	RENDERING	AGE 21+	199	None	1,221	None	111	None	223	None	126	None	263	None	116	None	116	None
1154447258	NYKOLAYCHUK IVANNA Y	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1154447258	NYKOLAYCHUK IVANNA Y	2021	PHP	RENDERING	AGE 0-20	30	None	367	None	29	None	76	None	16	None	49	None	29	None	34	None
1154447258	NYKOLAYCHUK IVANNA Y	2021	PHP	RENDERING	AGE 21+	31	None	297	None	27	None	58	None	24	None	112	None	28	None	30	None
1154450005	BINAFARD, DENTALAND CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1154450005	BINAFARD, DENTALAND CORP	2021	PHP	RENDERING	AGE 21+	15	None	96	None	None	1	None	1	None	1	None	2	14	None	14	None
1154462109	VO THACH N	2021	FFS	RENDERING	AGE 0-20	31	None	296	None	24	None	86	None	17	None	40	None	27	None	33	None
1154462109	VO THACH N	2021	FFS	RENDERING	AGE 21+	73	None	514	None	36	None	68	None	57	None	274	None	48	None	48	None
1154462588	LE ANH K	2021	FFS	RENDERING	AGE 0-20	110	None	760	None	103	None	169	None	34	None	90	None	107	None	152	None
1154462588	LE ANH K	2021	FFS	RENDERING	AGE 21+	206	None	1,212	None	157	None	157	None	104	None	312	None	76	None	76	None
1154462588	LE, ANH KIM, DDS	2021	FFS	RENDERING	AGE 0-20	110	None	760	None	103	None	169	None	34	None	90	None	107	None	152	None
1154462588	LE, ANH KIM, DDS	2021	FFS	RENDERING	AGE 21+	206	None	1,212	None	157	None	157	None	104	None	312	None	76	None	76	None
1154466027	DONESA ARLYN HEIDI R	2021	FFS	RENDERING	AGE 0-20	21	None	280	None	21	None	89	None	None	1	None	2	21	None	32	None
1154466027	DONESA ARLYN HEIDI R	2021	FFS	RENDERING	AGE 21+	18	None	105	None	14	None	28	None	None	1	None	2	15	None	15	None
1154467405	KIM, SUNNY SONG MI, DDS	2021	FFS	RENDERING	AGE 0-20	27	None	173	None	21	None	54	None	None	1	None	2	23	None	29	None
1154467405	KIM, SUNNY SONG MI, DDS	2021	FFS	RENDERING	AGE 21+	30	None	116	None	14	None	14	None	15	None	48	None	21	None	21	None
1154467439	RIFMAN, ARNOLD, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1154467439	RIFMAN, ARNOLD, DDS	2021	FFS	RENDERING	AGE 21+	108	None	437	None	50	None	64	None	58	None	162	None	87	None	87	None
1154467439	RIFMAN, ARNOLD, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154468098	NEERUMALLA MADHAVI	2021	FFS	RENDERING	AGE 0-20	270	None	1,437	None	138	None	493	None	35	None	114	None	265	None	284	None
1154468098	NEERUMALLA MADHAVI	2021	FFS	RENDERING	AGE 21+	922	None	2,402	None	41	None	83	None	25	None	72	None	852	None	852	None
1154483550	DE LOS RIOS MARTHA E	2021	FFS	RENDERING	AGE 0-20	740	None	6,083	None	508	None	1,289	None	384	None	1,561	None	502	None	560	None
1154483550	DE LOS RIOS MARTHA E	2021	GMC	RENDERING	AGE 0-20	205	None	2,192	None	148	None	328	None	178	None	1,327	None	39	None	39	None
1154486512	ALIKHANIAN VIGEN	2021	FFS	RENDERING	AGE 0-20	41	None	188	None	39	None	62	None	None	1	None	2	39	None	59	None
1154486512	ALIKHANIAN VIGEN	2021	FFS	RENDERING	AGE 21+	255	None	1,110	None	190	None	190	None	146	None	525	None	224	None	224	None
1154487056	WILLIAMS, WENDY MCINERNEY, R	2021	FFS	RENDERING	AGE 0-20	59	None	232	None	59	None	154	None	58	None	78	None	0	None	0	None
1154487056	WILLIAMS, WENDY MCINERNEY, R	2021	FFS	RENDERING	AGE 21+	95	None	382	None	95	None	244	None	91	None	138	None	0	None	0	None
1154487650	HOYOS DICK S	2021	FFS	RENDERING	AGE 0-20	114	None	889	None	97	None	212	None	51	None	176	None	101	None	116	None
1154487650	HOYOS DICK S	2021	FFS	RENDERING	AGE 21+	303	None	2,082	None	124	None	130	None	211	None	885	None	231	None	231	None
1154487924	UPPAL GAGAN	2021	FFS	RENDERING	AGE 0-20	33	None	144	None	26	None	58	None	None	1	None	2	20	None	21	None
1154487924	UPPAL GAGAN	2021	FFS	RENDERING	AGE 21+	150	None	640	None	68	None	128	None	62	None	149	None	102	None	102	None
1154487924	UPPAL GAGAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1154487924	UPPAL GAGAN	2021	PHP	RENDERING	AGE 21+	30	None	139	None	14	None	29	None	14	None	37	None	25	None	27	None
1154488757	NGUYEN, LONG N, DDS	2021	FFS	RENDERING	AGE 0-20	60	None	510	None	56	None	176	None	22	None	74	None	55	None	85	None
1154488757	NGUYEN, LONG N, DDS	2021	FFS	RENDERING	AGE 21+	117	None	1,347	None	102	None	203	None	83	None	568	None	107	None	107	None
1154489003	RAVINDRAN, SAVITHRI P, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	109	None	15	None	44	None	None	1	None	2	17	None	24	None
1154489003	RAVINDRAN, SAVITHRI P, DDS	2021	FFS	RENDERING	AGE 21+	43	None	187	None	32	None	32	None	26	None	71	None	38	None	40	None
1154492379	COHEN, JOHN DDS	2021	FFS	RENDERING	AGE 0-20	145	None	1,370	None	99	None	241	None	78	None	276	None	120	None	128	None
1154492379	COHEN, JOHN DDS	2021	FFS	RENDERING	AGE 21+	394	None	2,904	None	48	None	59	None	254	None	961	None	230	None	234	None
1154492379	COHEN, JOHN, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	145	None	2,740	None	99	None	482	None	78	None	552	None	120	None	256	None
1154492379	COHEN, JOHN, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 21+	394	None	5,808	None	48	None	118	None	254	None	1,922	None	230	None	468	None
1154494201	SHAMSA RASHEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1154494201	SHAMSA RASHEL	2021	PHP	RENDERING	AGE 0-20	101	None	586	None	86	None	241	None	85	None	138	None	52	None	55	None
1154494201	SHAMSA RASHEL	2021	PHP	RENDERING	AGE 21+	48	None	177	None	12	None	32	None	33	None	58	None	11	None	12	None
1154496768	LY HOA X	2021	FFS	RENDERING	AGE 0-20	25	None	68	None	0	None	0	None	25	None	54	None	0	None	0	None
1154496768	LY HOA X	2021	FFS	RENDERING	AGE 21+	220	None	611	None	0	None	0	None	220	None	475	None	None	1	None	1
1154497246	KHODADAD BEHNAZ	2021	FFS	RENDERING	AGE 0-20	65	None	693	None	62	None	216	None	35	None	164	None	62	None	72	None
1154497246	KHODADAD BEHNAZ	2021	FFS	RENDERING	AGE 21+	111	None	1,033	None	48	None	93	None	90	None	555	None	82	None	82	None
1154499291	KIM JAMES S	2021	FFS	RENDERING	AGE 0-20	772	None	11,343	None	715	None	2,947	None	522	None	1,443	None	744	None	1,013	None
1154499291	KIM JAMES S	2021	FFS	RENDERING	AGE 21+	522	None	3,362	None	174	None	356	None	380	None	1,200	None	365	None	365	None
1154499473	TAN DEBBIE C	2021	FFS	RENDERING	AGE 0-20	211	None	1,906	None	200	None	587	None	89	None	228	None	207	None	258	None
1154499473	TAN DEBBIE C	2021	FFS	RENDERING	AGE 21+	251	None	1,640	None	166	None	167	None	192	None	671	None	210	None	210	None
1154499564	TRAN JUSTIN D	2021	FFS	RENDERING	AGE 0-20	59	None	621	None	58	None	280	None	15	None	38	None	56	None	81	None
1154499564	TRAN JUSTIN D	2021	FFS	RENDERING	AGE 21+	99	None	556	None	60	None	116	None	54	None	195	None	85	None	85	None
1154504140	DERKEJIAN ARA A	2021	FFS	RENDERING	AGE 0-20	435	None	2,614	None	281	None	1,049	None	156	None	364	None	352	None	382	None
1154504140	DERKEJIAN ARA A	2021	FFS	RENDERING	AGE 21+	855	None	2,744	None	227	None	431	None	402	None	788	None	523	None	523	None
1154513455	SUAREZ ZAIDA E	2021	FFS	RENDERING	AGE 0-20	127	None	815	None	82	None	224	None	89	None	181	None	82	None	91	None
1154513455	SUAREZ ZAIDA E	2021	FFS	RENDERING	AGE 21+	236	None	1,051	None	50	None	98	None	182	None	481	None	93	None	93	None
1154513455	SUAREZ ZAIDA E	2021	PHP	RENDERING	AGE 0-20	196	None	1,334	None	125	None	494	None	108	None	187	None	121	None	134	None
1154513455	SUAREZ ZAIDA E	2021	PHP	RENDERING	AGE 21+	174	None	690	None	65	None	113	None	135	None	302	None	53	None	54	None
1154514537	MOORHOUSE RICHARD FRANCIS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1154514537	MOORHOUSE RICHARD FRANCIS	2021	GMC	RENDERING	AGE 0-20	111	None	556	None	0	None	0	None	100	None	514	None	24	None	24	None
1154514537	MOORHOUSE RICHARD FRANCIS	2021	GMC	RENDERING	AGE 21+	526	None	2,800	None	0	None	0	None	349	None	2,094	None	447	None	447	None
1154521391	HERRERA LUIS A	2021	FFS	RENDERING	AGE 0-20	74	None	460	None	52	None	63	None	24	None	52	None	52	None	59	None
1154521391	HERRERA LUIS A	2021	FFS	RENDERING	AGE 21+	142	None	707	None	15	None	15	None	65	None	186	None	98	None	98	None
1154521391	HERRERA LUIS A	2021	PHP	RENDERING	AGE 0-20	43	None	259	None	41	None	57	None	None	1	None	2	43	None	52	None
1154529659	ROSEN EDWARD L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1154529659	ROSEN EDWARD L	2021	PHP	RENDERING	AGE 0-20	60	None	262	None	None	1	None	1	18	None	35	None	30	None	31	None
1154529659	ROSEN EDWARD L	2021	PHP	RENDERING	AGE 21+	329	None	1,642	None	35	None	44	None	123	None	474	None	176	None	181	None
1154533180	AZAD KOUSHAN H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154533180	AZAD KOUSHAN H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154541738	GHALCHI OJAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1154541738	GHALCHI OJAN	2021	FFS	RENDERING	AGE 21+	69	None	433	None	21	None	41	None	50	None	170	None	43	None	43	None
1154546075	PEPPARD, JEFF DENNIS DDS	2021	FFS	RENDERING	AGE 0-20	847	None	12,640	None	838	None	3,793	None	333	None	893	None	841	None	1,256	None
1154546075	PEPPARD, JEFF DENNIS DDS	2021	FFS	RENDERING	AGE 21+	327	None	3,114	None	289	None	565	None	237	None	797	None	298	None	298	None
1154549012	KOLAHI AZIN H	2021	FFS	RENDERING	AGE 0-20	72	None	1,355	None	67	None	213	None	46	None	393	None	63	None	91	None
1154549012	KOLAHI AZIN H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1154553378	CHIANG, KRISTI ANNE DDS	2021	FFS	RENDERING	AGE 0-20	31	None	314	None	28	None	117	None	14	None	33	None	30	None	42	None
1154553378	CHIANG, KRISTI ANNE DDS	2021	FFS	RENDERING	AGE 21+	99	None	676	None	85	None	166	None	54	None	172	None	86	None	86	None
1154562338	SAGE PARHAM M	2021	FFS	RENDERING	AGE 0-20	155	None	1,308	None	103	None	337	None	95	None	207	None	113	None	115	None
1154562338	SAGE PARHAM M	2021	FFS	RENDERING	AGE 21+	433	None	2,683	None	188	None	379	None	267	None	714	None	242	None	242	None
1154568111	PIMPLE ARCHANA S	2021	FFS	RENDERING	AGE 0-20	31	None	213	None	27	None	60	None	20	None	50	None	25	None	28	None
1154568111	PIMPLE ARCHANA S	2021	FFS	RENDERING	AGE 21+	76	None	478	None	36	None	36	None	61	None	226	None	48	None	48	None
1154569077	KELLA GUNJAN P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154569077	KELLA GUNJAN P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1154570471	BAL HARSIMRAT K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1154572535	HIDALGO ELIZABETH	2021	FFS	RENDERING	AGE 0-20	912	None	5,980	None	804	None	3,092	None	409	None	698	None	558	None	578	None
1154572535	HIDALGO ELIZABETH	2021	FFS	RENDERING	AGE 21+	847	None	3,123	None	188	None	348	None	497	None	1,632	None	212	None	212	None
1154576619	VERDI SAHAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154577492	RATTU ROHINI T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1154577492	RATTU ROHINI T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154577492	RATTU ROHINI T	2021	GMC	RENDERING	AGE 0-20	854	None	8,174	None	306	None	768	None	847	None	4,937	None	None	1	None	1
1154582518	DANESH JOSEPH	2021	FFS	RENDERING	AGE 0-20	506	None	2,623	None	0	None	0	None	345	None	1,895	None	357	None	357	None
1154582518	DANESH JOSEPH	2021	FFS	RENDERING	AGE 21+	700	None	3,070	None	0	None	0	None	362	None	1,918	None	569	None	569	None
1154590180	HE HONG	2021	FFS	RENDERING	AGE 0-20	84	None	748	None	81	None	425	None	18	None	47	None	83	None	98	None
1154590180	HE HONG	2021	FFS	RENDERING	AGE 21+	147	None	865	None	130	None	256	None	21	None	52	None	142	None	144	None
1154591410	KIM DAVID S	2021	FFS	RENDERING	AGE 0-20	23	None	115	None	18	None	35	None	None	1	None	2	19	None	19	None
1154591410	KIM DAVID S	2021	FFS	RENDERING	AGE 21+	90	None	248	None	16	None	28	None	13	None	46	None	60	None	60	None
1154591410	KIM DAVID S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154599108	TOCUSEANU MATEI T	2021	FFS	RENDERING	AGE 0-20	32	None	576	None	32	None	184	None	30	None	182	None	31	None	39	None
1154599108	TOCUSEANU MATEI T	2021	FFS	RENDERING	AGE 21+	99	None	1,983	None	55	None	107	None	92	None	1,296	None	68	None	72	None
1154609808	HAYRAPETIAN ARIN	2021	FFS	RENDERING	AGE 0-20	82	None	631	None	76	None	320	None	11	None	15	None	77	None	88	None
1154609808	HAYRAPETIAN ARIN	2021	FFS	RENDERING	AGE 21+	212	None	1,007	None	115	None	228	None	88	None	251	None	166	None	166	None
1154610921	AMERI AIDA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154610921	AMERI AIDA	2021	GMC	RENDERING	AGE 0-20	577	None	2,713	None	0	None	0	None	537	None	2,521	None	0	None	0	None
1154610921	AMERI AIDA	2021	GMC	RENDERING	AGE 21+	11	None	20	None	0	None	0	None	11	None	19	None	None	1	None	1
1154610921	AMERI AIDA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154614766	WU SHING K	2021	FFS	RENDERING	AGE 0-20	30	None	170	None	25	None	50	None	None	1	None	2	25	None	25	None
1154614766	WU SHING K	2021	FFS	RENDERING	AGE 21+	67	None	367	None	41	None	82	None	35	None	84	None	41	None	41	None
1154619021	MOSCOSO MARTINEZ SANTIAGO FABIAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154619211	GROSLAND JEFFREY OLI	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154624179	PATEL KUSH H	2021	FFS	RENDERING	AGE 0-20	34	None	324	None	33	None	112	None	12	None	50	None	29	None	30	None
1154624179	PATEL KUSH H	2021	FFS	RENDERING	AGE 21+	50	None	337	None	37	None	74	None	31	None	92	None	42	None	42	None
1154629566	SOTOMIL ELIZABETH M	2021	FFS	RENDERING	AGE 0-20	70	None	425	None	34	None	104	None	46	None	144	None	53	None	55	None
1154629566	SOTOMIL ELIZABETH M	2021	FFS	RENDERING	AGE 21+	142	None	708	None	36	None	63	None	104	None	362	None	84	None	84	None
1154649366	KIM JOHN Y	2021	FFS	RENDERING	AGE 0-20	168	None	973	None	0	None	0	None	168	None	963	None	0	None	0	None
1154649366	KIM JOHN Y	2021	FFS	RENDERING	AGE 21+	274	None	1,466	None	0	None	0	None	271	None	1,444	None	0	None	0	None
1154649366	KIM JOHN Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1154649366	KIM JOHN Y	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154665289	LAI RICHARD B	2021	FFS	RENDERING	AGE 0-20	41	None	234	None	32	None	79	None	None	1	None	2	36	None	37	None
1154665289	LAI RICHARD B	2021	FFS	RENDERING	AGE 21+	35	None	160	None	22	None	43	None	13	None	29	None	29	None	29	None
1154665388	LEE NATALIA E	2021	FFS	RENDERING	AGE 0-20	51	None	574	None	44	None	167	None	32	None	118	None	46	None	58	None
1154665388	LEE NATALIA E	2021	FFS	RENDERING	AGE 21+	221	None	2,446	None	188	None	376	None	158	None	1,000	None	204	None	206	None
1154678738	KABAKLIAN JOSEPH H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154678738	KABAKLIAN JOSEPH H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1154678738	KABAKLIAN JOSEPH H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154688901	WONG JUSTIN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1154688901	WONG JUSTIN	2021	GMC	RENDERING	AGE 21+	23	None	42	None	12	None	13	None	None	1	None	1	19	None	19	None
1154690196	MOSTAFA SHERIN M	2021	FFS	RENDERING	AGE 0-20	58	None	408	None	43	None	119	None	30	None	153	None	57	None	58	None
1154690196	MOSTAFA SHERIN M	2021	FFS	RENDERING	AGE 21+	157	None	1,196	None	58	None	116	None	103	None	667	None	141	None	141	None
1154699585	TAM ANNA Y	2021	FFS	RENDERING	AGE 0-20	24	None	121	None	None	1	None	2	16	None	25	None	None	1	None	1
1154699585	TAM ANNA Y	2021	FFS	RENDERING	AGE 21+	123	None	610	None	None	1	None	2	96	None	205	None	45	None	45	None
1154699726	APARECE ARVIN R	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1154699726	APARECE ARVIN R	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1154700300	VALMANA ESTHER	2021	FFS	RENDERING	AGE 0-20	85	None	972	None	67	None	182	None	41	None	116	None	76	None	84	None
1154700300	VALMANA ESTHER	2021	FFS	RENDERING	AGE 21+	396	None	3,231	None	128	None	128	None	284	None	1,021	None	266	None	266	None
1154700300	VALMANA ESTHER	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1154717577	MILLER, MICHELLE JEAN, RDHAP	2021	FFS	RENDERING	AGE 0-20	33	None	157	None	33	None	114	None	0	None	0	None	0	None	0	None
1154717577	MILLER, MICHELLE JEAN, RDHAP	2021	FFS	RENDERING	AGE 21+	31	None	84	None	27	None	54	None	0	None	0	None	0	None	0	None
1154724649	BOWENS MICHELLE J	2021	FFS	RENDERING	AGE 0-20	135	None	1,946	None	121	None	449	None	81	None	262	None	121	None	154	None
1154724649	BOWENS MICHELLE J	2021	FFS	RENDERING	AGE 21+	412	None	4,192	None	262	None	516	None	291	None	1,486	None	331	None	331	None
1154726321	CHOI JAEYONG	2021	FFS	RENDERING	AGE 0-20	497	None	2,974	None	381	None	882	None	201	None	617	None	377	None	432	None
1154726321	CHOI JAEYONG	2021	FFS	RENDERING	AGE 21+	657	None	2,509	None	234	None	440	None	248	None	778	None	447	None	454	None
1154727931	JEON HYEJIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154730349	AMIRANI ZAHRA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1154730349	AMIRANI ZAHRA M	2021	FFS	RENDERING	AGE 21+	59	None	696	None	32	None	60	None	59	None	391	None	40	None	40	None
1154730349	AMIRANI ZAHRA M	2021	PHP	RENDERING	AGE 0-20	12	None	125	None	None	1	None	2	None	1	None	2	11	None	16	None
1154730349	AMIRANI ZAHRA M	2021	PHP	RENDERING	AGE 21+	38	None	485	None	26	None	88	None	36	None	274	None	27	None	29	None
1154736072	SYCHRAVA MICHAEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1154736072	SYCHRAVA MICHAEL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1154737047	HELAL SHEHAB O	2021	FFS	RENDERING	AGE 0-20	351	None	714	None	0	None	0	None	171	None	410	None	0	None	0	None
1154737047	HELAL SHEHAB O	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1154737047	HELAL SHEHAB O	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154737047	HELAL SHEHAB O	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154753747	ISMAIL AFFAF S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154812709	DEMISSIE DAVID B	2021	FFS	RENDERING	AGE 0-20	30	None	118	None	21	None	48	None	None	1	None	2	19	None	21	None
1154812709	DEMISSIE DAVID B	2021	FFS	RENDERING	AGE 21+	82	None	394	None	51	None	102	None	47	None	95	None	53	None	53	None
1154838746	ISKAROUS MONIQUE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1154838746	ISKAROUS MONIQUE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1154844702	BOBACK BERNARD	2021	FFS	RENDERING	AGE 0-20	66	None	93	None	0	None	0	None	None	1	None	2	0	None	0	None
1154845345	FARGO BASHAR W	2021	FFS	RENDERING	AGE 0-20	45	None	244	None	18	None	38	None	14	None	41	None	41	None	42	None
1154845345	FARGO BASHAR W	2021	FFS	RENDERING	AGE 21+	252	None	989	None	None	1	None	1	102	None	382	None	195	None	195	None
1154858082	GARCIA JENNY A	2021	FFS	RENDERING	AGE 0-20	648	None	2,713	None	480	None	1,134	None	268	None	964	None	484	None	524	None
1154858082	GARCIA JENNY A	2021	PHP	RENDERING	AGE 0-20	12	None	118	None	None	1	None	2	11	None	31	None	None	1	None	1
1154860716	DOWDY REGINA A	2021	FFS	RENDERING	AGE 0-20	328	None	1,172	None	0	None	0	None	328	None	1,172	None	0	None	0	None
1154871200	CHUNG RONALD L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154886398	MOHAMMED SHWAN R	2021	FFS	RENDERING	AGE 0-20	442	None	1,890	None	228	None	626	None	113	None	229	None	290	None	297	None
1154886398	MOHAMMED SHWAN R	2021	FFS	RENDERING	AGE 21+	588	None	2,070	None	162	None	308	None	298	None	771	None	327	None	327	None
1154886398	MOHAMMED SHWAN R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1154928208	KIM HYUN W	2021	FFS	RENDERING	AGE 0-20	37	None	179	None	30	None	83	None	12	None	29	None	32	None	33	None
1154928208	KIM HYUN W	2021	FFS	RENDERING	AGE 21+	94	None	514	None	35	None	67	None	65	None	273	None	61	None	61	None
1154949097	BATH KARANJOT S	2021	FFS	RENDERING	AGE 0-20	2,264	None	28,423	None	1,988	None	6,512	None	1,560	None	3,895	None	2,036	None	2,264	None
1154949097	BATH KARANJOT S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1154949097	BATH KARANJOT S	2021	GMC	RENDERING	AGE 0-20	1,994	None	8,116	None	1,994	None	2,030	None	1,994	None	2,029	None	0	None	0	None
1154949097	BATH KARANJOT S	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1154949097	BATH KARANJOT S	2021	PHP	RENDERING	AGE 0-20	462	None	1,868	None	462	None	467	None	462	None	467	None	0	None	0	None
1154949097	BATH KARANJOT S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1154960698	HASSAN, HESHAM M, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154960698	HASSAN, HESHAM M, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164037958	VUONG EDWARD	2021	FFS	RENDERING	AGE 0-20	61	None	363	None	46	None	91	None	14	None	35	None	47	None	47	None
1164037958	VUONG EDWARD	2021	FFS	RENDERING	AGE 21+	131	None	739	None	54	None	102	None	55	None	128	None	78	None	78	None
1164055851	QIU HENRY	2021	FFS	RENDERING	AGE 0-20	299	None	2,299	None	203	None	571	None	128	None	217	None	228	None	228	None
1164055851	QIU HENRY	2021	FFS	RENDERING	AGE 21+	361	None	2,051	None	163	None	326	None	214	None	439	None	189	None	189	None
1164060737	SALIBA ABJAR	2021	FFS	RENDERING	AGE 0-20	45	None	306	None	26	None	54	None	19	None	26	None	29	None	29	None
1164060737	SALIBA ABJAR	2021	FFS	RENDERING	AGE 21+	43	None	143	None	None	1	None	1	26	None	46	None	13	None	13	None
1164078242	JAVAN NIMA N	2021	FFS	RENDERING	AGE 0-20	5,006	None	43,492	None	3,811	None	11,555	None	2,763	None	7,409	None	3,652	None	3,701	None
1164078242	JAVAN NIMA N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1164081659	SHIMIZU CHRISTOPHER M	2021	FFS	RENDERING	AGE 0-20	41	None	326	None	36	None	89	None	16	None	22	None	35	None	35	None
1164081659	SHIMIZU CHRISTOPHER M	2021	FFS	RENDERING	AGE 21+	43	None	176	None	11	None	21	None	34	None	82	None	12	None	12	None
1164089728	HIRPARA KOMAL J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164089728	HIRPARA KOMAL J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164094793	ARREGUIN ELIZABETH	2021	FFS	RENDERING	AGE 0-20	1,036	None	8,122	None	680	None	1,685	None	530	None	1,402	None	660	None	662	None
1164095360	RIJAL TSHRISTI	2021	FFS	RENDERING	AGE 0-20	185	None	821	None	111	None	246	None	124	None	278	None	46	None	48	None
1164095360	RIJAL TSHRISTI	2021	FFS	RENDERING	AGE 21+	240	None	832	None	52	None	101	None	185	None	473	None	52	None	52	None
1164197547	KAWATA ALLISON N	2021	FFS	RENDERING	AGE 0-20	97	None	420	None	85	None	171	None	None	1	None	1	91	None	91	None
1164197547	KAWATA ALLISON N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1164402756	CASTELLANOS MARIO J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164429916	CHAM JIMMY CHI F	2021	FFS	RENDERING	AGE 0-20	128	None	909	None	111	None	347	None	48	None	117	None	113	None	158	None
1164429916	CHAM JIMMY CHI F	2021	FFS	RENDERING	AGE 21+	788	None	4,988	None	480	None	959	None	559	None	1,707	None	546	None	546	None
1164435558	HERNANDEZ, ANA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164435558	HERNANDEZ, ANA, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164456513	GILLIN, SCOTT A MD	2021	FFS	RENDERING	AGE 0-20	732	None	2,703	None	None	1	None	1	727	None	2,685	None	None	1	None	1
1164456513	GILLIN, SCOTT A MD	2021	FFS	RENDERING	AGE 21+	14	None	47	None	0	None	0	None	14	None	47	None	0	None	0	None
1164462263	AHN JAMES D	2021	FFS	RENDERING	AGE 0-20	421	None	2,751	None	392	None	1,102	None	141	None	330	None	405	None	441	None
1164462263	AHN JAMES D	2021	FFS	RENDERING	AGE 21+	624	None	3,118	None	397	None	402	None	417	None	1,220	None	441	None	443	None
1164462263	AHN JAMES D	2021	PHP	RENDERING	AGE 0-20	95	None	598	None	90	None	127	None	23	None	84	None	91	None	111	None
1164462263	AHN JAMES D	2021	PHP	RENDERING	AGE 21+	34	None	219	None	29	None	57	None	17	None	45	None	25	None	25	None
1164466132	CHEN, FRANK DDS	2021	FFS	RENDERING	AGE 0-20	833	None	10,487	None	807	None	3,279	None	341	None	840	None	823	None	1,229	None
1164466132	CHEN, FRANK DDS	2021	FFS	RENDERING	AGE 21+	537	None	3,709	None	450	None	899	None	308	None	966	None	473	None	473	None
1164491916	JAHANGIRI HAGHIGHI, NASRIN	2021	FFS	RENDERING	AGE 0-20	187	None	1,299	None	156	None	459	None	84	None	240	None	150	None	154	None
1164491916	JAHANGIRI HAGHIGHI, NASRIN	2021	FFS	RENDERING	AGE 21+	168	None	1,210	None	98	None	194	None	122	None	437	None	119	None	119	None
1164510103	SISON JAY	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164514634	GRANADA, BELINDA DDS	2021	FFS	RENDERING	AGE 0-20	121	None	1,172	None	106	None	235	None	63	None	210	None	112	None	136	None
1164514634	GRANADA, BELINDA DDS	2021	FFS	RENDERING	AGE 21+	374	None	3,105	None	202	None	204	None	272	None	977	None	276	None	276	None
1164514634	GRANADA, BELINDA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164514634	GRANADA, BELINDA S, DDS	2021	FFS	RENDERING	AGE 0-20	121	None	1,172	None	106	None	235	None	63	None	210	None	112	None	136	None
1164514634	GRANADA, BELINDA S, DDS	2021	FFS	RENDERING	AGE 21+	374	None	3,105	None	202	None	204	None	272	None	977	None	276	None	276	None
1164514634	GRANADA, BELINDA S, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164514758	HEMMATI, AMIR	2021	FFS	RENDERING	AGE 0-20	420	None	1,822	None	206	None	496	None	188	None	441	None	290	None	302	None
1164514758	HEMMATI, AMIR	2021	FFS	RENDERING	AGE 21+	550	None	1,809	None	18	None	26	None	354	None	1,018	None	266	None	272	None
1164514758	HEMMATI, AMIR	2021	PHP	RENDERING	AGE 0-20	58	None	183	None	39	None	89	None	17	None	33	None	45	None	46	None
1164514758	HEMMATI, AMIR	2021	PHP	RENDERING	AGE 21+	57	None	103	None	None	1	None	1	26	None	54	None	33	None	33	None
1164520227	MIZUNO DEAN Y	2021	FFS	RENDERING	AGE 21+	1,776	None	8,330	None	997	None	2,958	None	1,774	None	3,912	None	1,385	None	1,385	None
1164520821	NGUYEN TOAN D	2021	FFS	RENDERING	AGE 0-20	107	None	533	None	97	None	187	None	36	None	80	None	94	None	105	None
1164520821	NGUYEN TOAN D	2021	FFS	RENDERING	AGE 21+	372	None	1,533	None	245	None	245	None	197	None	507	None	266	None	266	None
1164523114	CAMARGO PAULO MUNDIM	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1164524872	JANG AMY	2021	FFS	RENDERING	AGE 21+	20	None	69	None	0	None	0	None	20	None	69	None	0	None	0	None
1164528113	LIN YI-LING	2021	FFS	RENDERING	AGE 0-20	61	None	76	None	0	None	0	None	None	1	None	1	0	None	0	None
1164528113	LIN YI-LING	2021	FFS	RENDERING	AGE 21+	114	None	140	None	0	None	0	None	None	1	None	1	0	None	0	None
1164533261	JEBRINI, NIHAD, DDS	2021	FFS	RENDERING	AGE 0-20	351	None	2,090	None	218	None	421	None	182	None	722	None	327	None	417	None
1164533261	JEBRINI, NIHAD, DDS	2021	FFS	RENDERING	AGE 21+	726	None	3,895	None	245	None	245	None	453	None	2,125	None	571	None	571	None
1164545042	CAO JIAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164545729	GOFF YVONNE	2021	FFS	RENDERING	AGE 0-20	14	None	100	None	None	1	None	1	None	1	None	2	11	None	11	None
1164545729	GOFF YVONNE	2021	FFS	RENDERING	AGE 21+	93	None	489	None	11	None	11	None	71	None	192	None	37	None	37	None
1164545729	GOFF YVONNE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164552246	PARK JIN H	2021	FFS	RENDERING	AGE 0-20	107	None	911	None	95	None	294	None	61	None	228	None	100	None	111	None
1164552246	PARK JIN H	2021	FFS	RENDERING	AGE 21+	333	None	2,372	None	252	None	252	None	244	None	955	None	281	None	281	None
1164552402	DOSHI TUSHAR P	2021	FFS	RENDERING	AGE 0-20	90	None	1,137	None	72	None	190	None	61	None	182	None	76	None	91	None
1164552402	DOSHI TUSHAR P	2021	FFS	RENDERING	AGE 21+	155	None	1,204	None	77	None	104	None	108	None	364	None	111	None	111	None
1164560322	ZAKI, SAMUEL M, DDS	2021	FFS	RENDERING	AGE 0-20	53	None	672	None	44	None	182	None	29	None	224	None	47	None	102	None
1164560322	ZAKI, SAMUEL M, DDS	2021	FFS	RENDERING	AGE 21+	219	None	3,618	None	135	None	270	None	176	None	2,362	None	171	None	342	None
1164563755	LIM CHRISTOPHER M	2021	FFS	RENDERING	AGE 0-20	83	None	1,040	None	57	None	133	None	75	None	823	None	55	None	57	None
1164563755	LIM CHRISTOPHER M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1164568093	BAYDIAN, BELLA, DDS	2021	FFS	RENDERING	AGE 0-20	47	None	383	None	43	None	138	None	26	None	91	None	45	None	67	None
1164568093	BAYDIAN, BELLA, DDS	2021	FFS	RENDERING	AGE 21+	273	None	2,038	None	195	None	384	None	192	None	737	None	211	None	211	None
1164569828	ZABIHI, FARZIN	2021	FFS	RENDERING	AGE 0-20	385	None	3,553	None	242	None	863	None	175	None	451	None	335	None	385	None
1164569828	ZABIHI, FARZIN	2021	FFS	RENDERING	AGE 21+	780	None	3,870	None	125	None	244	None	472	None	1,332	None	573	None	574	None
1164569950	BUAN MARIE YVETTE M	2021	FFS	RENDERING	AGE 0-20	13	None	57	None	12	None	20	None	None	1	None	1	None	1	None	1
1164569950	BUAN MARIE YVETTE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1164572939	ROEDER GLENN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164572939	ROEDER GLENN S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1164573879	HERRERA LISE	2021	FFS	RENDERING	AGE 21+	14	None	27	None	None	1	None	1	None	1	None	1	None	1	None	1
1164574109	ARIAS OSCAR R	2021	FFS	RENDERING	AGE 0-20	926	None	7,683	None	624	None	1,367	None	339	None	835	None	777	None	837	None
1164574109	ARIAS OSCAR R	2021	FFS	RENDERING	AGE 21+	1,151	None	7,707	None	365	None	508	None	796	None	2,499	None	798	None	798	None
1164574729	BAUER, PETER J, DDS	2021	FFS	RENDERING	AGE 0-20	233	None	453	None	0	None	0	None	43	None	150	None	0	None	0	None
1164578639	ALEXANDRIAN NAREG	2021	FFS	RENDERING	AGE 0-20	123	None	184	None	0	None	0	None	22	None	63	None	0	None	0	None
1164578639	ALEXANDRIAN NAREG	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164579371	LUU, LOAN MINH, DDS	2021	FFS	RENDERING	AGE 0-20	66	None	591	None	66	None	261	None	22	None	58	None	61	None	87	None
1164579371	LUU, LOAN MINH, DDS	2021	FFS	RENDERING	AGE 21+	191	None	1,459	None	148	None	292	None	141	None	579	None	145	None	145	None
1164579835	LUI RITA	2021	FFS	RENDERING	AGE 0-20	130	None	884	None	91	None	288	None	54	None	104	None	108	None	120	None
1164579835	LUI RITA	2021	FFS	RENDERING	AGE 21+	129	None	493	None	18	None	32	None	62	None	171	None	92	None	92	None
1164579835	LUI RITA	2021	PHP	RENDERING	AGE 0-20	140	None	718	None	95	None	309	None	43	None	94	None	117	None	130	None
1164579835	LUI RITA	2021	PHP	RENDERING	AGE 21+	131	None	373	None	29	None	33	None	69	None	184	None	87	None	88	None
1164581260	JIN, HANGQING, DDS	2021	FFS	RENDERING	AGE 0-20	209	None	885	None	91	None	262	None	122	None	303	None	85	None	85	None
1164581260	JIN, HANGQING, DDS	2021	FFS	RENDERING	AGE 21+	479	None	1,302	None	53	None	100	None	331	None	779	None	131	None	131	None
1164581658	KIM, MI HYE, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164581658	KIM, MI HYE, DDS	2021	FFS	RENDERING	AGE 21+	125	None	678	None	92	None	92	None	76	None	315	None	50	None	50	None
1164582813	GARCIA OSVALDO R	2021	FFS	RENDERING	AGE 0-20	113	None	925	None	76	None	211	None	50	None	111	None	102	None	113	None
1164582813	GARCIA OSVALDO R	2021	FFS	RENDERING	AGE 21+	347	None	2,202	None	107	None	107	None	272	None	910	None	120	None	120	None
1164588455	SALACUP, THOMAS GALAPON DMD	2021	FFS	RENDERING	AGE 0-20	70	None	802	None	66	None	236	None	29	None	90	None	66	None	89	None
1164588455	SALACUP, THOMAS GALAPON DMD	2021	FFS	RENDERING	AGE 21+	147	None	941	None	92	None	187	None	74	None	212	None	121	None	121	None
1164602538	SISODIA MANISHA	2021	FFS	RENDERING	AGE 0-20	87	None	108	None	0	None	0	None	46	None	54	None	0	None	0	None
1164602538	SISODIA MANISHA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164611471	TUASON CYNTHIA C	2021	FFS	RENDERING	AGE 0-20	88	None	1,033	None	83	None	257	None	47	None	226	None	82	None	113	None
1164611471	TUASON CYNTHIA C	2021	FFS	RENDERING	AGE 21+	208	None	2,189	None	159	None	310	None	148	None	810	None	175	None	175	None
1164618054	ONYEADOR LINDA C	2021	FFS	RENDERING	AGE 0-20	169	None	2,690	None	140	None	531	None	117	None	469	None	143	None	187	None
1164618054	ONYEADOR LINDA C	2021	FFS	RENDERING	AGE 21+	107	None	1,197	None	11	None	22	None	91	None	526	None	69	None	69	None
1164618724	KWON CHANG H	2021	FFS	RENDERING	AGE 0-20	225	None	1,944	None	196	None	631	None	76	None	212	None	180	None	199	None
1164618724	KWON CHANG H	2021	FFS	RENDERING	AGE 21+	184	None	1,058	None	82	None	116	None	99	None	273	None	122	None	122	None
1164620597	DAVIS GARY S	2021	FFS	RENDERING	AGE 0-20	1,421	None	11,517	None	1,093	None	3,066	None	903	None	3,805	None	881	None	954	None
1164620597	DAVIS GARY S	2021	FFS	RENDERING	AGE 21+	41	None	120	None	None	1	None	2	20	None	62	None	None	1	None	1
1164625075	CARRACEDO ERWIN T	2021	FFS	RENDERING	AGE 0-20	32	None	404	None	26	None	62	None	19	None	112	None	29	None	33	None
1164625075	CARRACEDO ERWIN T	2021	FFS	RENDERING	AGE 21+	50	None	468	None	29	None	58	None	27	None	116	None	37	None	37	None
1164629705	NGO CHAU T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1164629705	NGO CHAU T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1164629705	NGO CHAU T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1164629705	NGO CHAU T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1164636270	ALONZO, OTTO RAUL DDS	2021	FFS	RENDERING	AGE 0-20	373	None	6,306	None	366	None	1,664	None	216	None	651	None	364	None	540	None
1164636270	ALONZO, OTTO RAUL DDS	2021	FFS	RENDERING	AGE 21+	436	None	4,133	None	362	None	727	None	290	None	1,243	None	386	None	386	None
1164646469	SHIRVAN, ALLAHYAR DDS	2021	FFS	RENDERING	AGE 0-20	74	None	1,229	None	71	None	272	None	34	None	93	None	69	None	102	None
1164646469	SHIRVAN, ALLAHYAR DDS	2021	FFS	RENDERING	AGE 21+	199	None	2,071	None	129	None	129	None	148	None	696	None	128	None	128	None
1164646618	FARID PAKRAVAN DENTAL CORPOR	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164646618	FARID PAKRAVAN DENTAL CORPOR	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1164647327	NERWINSKI JOHN A	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1164647327	NERWINSKI JOHN A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164649810	KONO-FLORES, THOMAS C, DDS	2021	FFS	RENDERING	AGE 0-20	46	None	740	None	45	None	160	None	21	None	48	None	42	None	63	None
1164649810	KONO-FLORES, THOMAS C, DDS	2021	FFS	RENDERING	AGE 21+	32	None	261	None	23	None	40	None	21	None	42	None	24	None	24	None
1164652053	SANGSURASAK CHANCHAI	2021	FFS	RENDERING	AGE 0-20	260	None	2,115	None	242	None	844	None	105	None	335	None	250	None	310	None
1164652053	SANGSURASAK CHANCHAI	2021	FFS	RENDERING	AGE 21+	526	None	4,510	None	311	None	618	None	448	None	2,530	None	389	None	389	None
1164656906	GABOR DAVID S	2021	GMC	RENDERING	AGE 0-20	13	None	56	None	None	1	None	2	None	1	None	2	None	1	None	1
1164656906	GABOR DAVID S	2021	GMC	RENDERING	AGE 21+	52	None	180	None	None	1	None	1	19	None	53	None	43	None	43	None
1164657425	LIM, CHING LAN DMD	2021	FFS	RENDERING	AGE 0-20	244	None	2,241	None	231	None	750	None	151	None	508	None	237	None	283	None
1164657425	LIM, CHING LAN DMD	2021	FFS	RENDERING	AGE 21+	458	None	3,652	None	323	None	637	None	326	None	1,563	None	378	None	379	None
1164659272	HERMOSILLO, ELIZABETH F, RDH	2021	FFS	RENDERING	AGE 0-20	41	None	258	None	41	None	146	None	41	None	112	None	0	None	0	None
1164659272	HERMOSILLO, ELIZABETH F, RDH	2021	FFS	RENDERING	AGE 21+	14	None	58	None	12	None	33	None	14	None	25	None	0	None	0	None
1164660379	GALLEGO, DORA E, DDS	2021	FFS	RENDERING	AGE 0-20	60	None	426	None	57	None	182	None	21	None	74	None	47	None	53	None
1164660379	GALLEGO, DORA E, DDS	2021	FFS	RENDERING	AGE 21+	149	None	1,168	None	115	None	271	None	103	None	457	None	120	None	121	None
1164660833	HUNG WEILING	2021	FFS	RENDERING	AGE 0-20	1,853	None	14,614	None	1,513	None	4,286	None	1,077	None	2,669	None	1,416	None	1,586	None
1164660833	HUNG WEILING	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164660833	HUNG WEILING	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1164662789	PHAN QUY-PHUNG T	2021	FFS	RENDERING	AGE 0-20	219	None	2,226	None	162	None	466	None	68	None	202	None	173	None	214	None
1164662789	PHAN QUY-PHUNG T	2021	FFS	RENDERING	AGE 21+	313	None	1,776	None	96	None	142	None	202	None	629	None	166	None	166	None
1164662789	PHAN QUY-PHUNG T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1164662789	PHAN QUY-PHUNG T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1164669123	MARQUEZ GUADALUPE	2021	FFS	RENDERING	AGE 0-20	259	None	3,030	None	231	None	680	None	91	None	274	None	238	None	330	None
1164669123	MARQUEZ GUADALUPE	2021	FFS	RENDERING	AGE 21+	368	None	2,505	None	250	None	342	None	188	None	791	None	326	None	326	None
1164674859	IMOTO CARRIE A	2021	FFS	RENDERING	AGE 0-20	446	None	970	None	0	None	0	None	249	None	570	None	0	None	0	None
1164675971	SILVA ARTURO N	2021	FFS	RENDERING	AGE 0-20	1,021	None	7,238	None	678	None	1,441	None	390	None	832	None	726	None	745	None
1164675971	SILVA ARTURO N	2021	FFS	RENDERING	AGE 21+	989	None	4,568	None	283	None	568	None	500	None	1,031	None	582	None	584	None
1164677142	KOTHANDAPANI REVATHI	2021	FFS	RENDERING	AGE 0-20	1,722	None	10,559	None	1,052	None	2,201	None	836	None	1,374	None	1,039	None	1,065	None
1164677142	KOTHANDAPANI REVATHI	2021	FFS	RENDERING	AGE 21+	39	None	202	None	22	None	38	None	16	None	23	None	21	None	21	None
1164679379	NGHIEM TAN T	2021	FFS	RENDERING	AGE 0-20	571	None	3,846	None	270	None	769	None	334	None	1,101	None	450	None	534	None
1164679379	NGHIEM TAN T	2021	FFS	RENDERING	AGE 21+	2,831	None	16,846	None	372	None	563	None	1,739	None	7,539	None	2,099	None	2,106	None
1164679379	NGHIEM TAN T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1164685723	ZAMORA BLANCA E	2021	FFS	RENDERING	AGE 0-20	43	None	173	None	20	None	50	None	17	None	23	None	25	None	26	None
1164685723	ZAMORA BLANCA E	2021	FFS	RENDERING	AGE 21+	67	None	222	None	12	None	23	None	39	None	71	None	30	None	30	None
1164688396	SANDHU SHABAZ	2021	FFS	RENDERING	AGE 0-20	665	None	4,448	None	0	None	0	None	579	None	4,009	None	219	None	219	None
1164688396	SANDHU SHABAZ	2021	FFS	RENDERING	AGE 21+	523	None	3,356	None	0	None	0	None	371	None	2,894	None	234	None	234	None
1164692836	ROJAS SOTO JENNIFFER	2021	FFS	RENDERING	AGE 0-20	112	None	150	None	0	None	0	None	18	None	32	None	0	None	0	None
1164692836	ROJAS SOTO JENNIFFER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164692836	ROJAS SOTO JENNIFFER	2021	PHP	RENDERING	AGE 0-20	23	None	61	None	0	None	0	None	21	None	51	None	0	None	0	None
1164692836	ROJAS SOTO JENNIFFER	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1164703559	OVSEPIAN NAREK	2021	FFS	RENDERING	AGE 0-20	42	None	122	None	None	1	None	2	25	None	60	None	16	None	16	None
1164703559	OVSEPIAN NAREK	2021	FFS	RENDERING	AGE 21+	207	None	628	None	17	None	17	None	136	None	362	None	81	None	81	None
1164703559	OVSEPIAN NAREK	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164703559	OVSEPIAN NAREK	2021	PHP	RENDERING	AGE 21+	22	None	91	None	None	1	None	1	None	1	None	2	15	None	16	None
1164713889	PERALTA RICARDO A	2021	FFS	RENDERING	AGE 0-20	79	None	570	None	65	None	218	None	33	None	99	None	68	None	90	None
1164713889	PERALTA RICARDO A	2021	FFS	RENDERING	AGE 21+	273	None	1,520	None	150	None	255	None	176	None	614	None	189	None	189	None
1164719837	SOJITRA PRAKASH K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1164729422	BOOTH MARK T	2021	FFS	RENDERING	AGE 0-20	103	None	456	None	67	None	97	None	88	None	213	None	65	None	66	None
1164729422	BOOTH MARK T	2021	FFS	RENDERING	AGE 21+	806	None	3,684	None	248	None	257	None	722	None	2,115	None	470	None	470	None
1164729885	SAMOHA SHMUEL	2021	FFS	RENDERING	AGE 0-20	377	None	5,406	None	332	None	1,103	None	206	None	576	None	315	None	350	None
1164729885	SAMOHA SHMUEL	2021	FFS	RENDERING	AGE 21+	71	None	506	None	None	1	None	1	43	None	77	None	35	None	35	None
1164739801	AHMADI-ARDAKANI AZADEH	2021	FFS	RENDERING	AGE 0-20	268	None	2,534	None	234	None	809	None	141	None	849	None	205	None	263	None
1164746699	LEDESMA MARK CHEVY S	2021	FFS	RENDERING	AGE 0-20	44	None	639	None	40	None	128	None	19	None	72	None	38	None	49	None
1164746699	LEDESMA MARK CHEVY S	2021	FFS	RENDERING	AGE 21+	136	None	1,514	None	86	None	158	None	84	None	359	None	95	None	95	None
1164749891	PANCHAL NIRMALA U	2021	FFS	RENDERING	AGE 0-20	131	None	905	None	63	None	179	None	56	None	130	None	95	None	95	None
1164749891	PANCHAL NIRMALA U	2021	FFS	RENDERING	AGE 21+	147	None	675	None	25	None	46	None	104	None	244	None	68	None	68	None
1164751426	FANG MICHELLE MEI C	2021	FFS	RENDERING	AGE 0-20	979	None	9,132	None	853	None	3,200	None	724	None	2,749	None	824	None	958	None
1164751426	FANG MICHELLE MEI C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1164767489	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	92	None	337	None	54	None	155	None	None	1	None	1	None	1	None	1
1164767489	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	98	None	270	None	16	None	32	None	35	None	112	None	16	None	16	None
1164767489	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	92	None	337	None	54	None	155	None	None	1	None	1	None	1	None	1
1164767489	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	98	None	270	None	16	None	32	None	35	None	112	None	16	None	16	None
1164781662	RIOS LOAIZA JOSE A	2021	FFS	RENDERING	AGE 0-20	23	None	118	None	None	1	None	2	20	None	73	None	None	1	None	1
1164781662	RIOS LOAIZA JOSE A	2021	FFS	RENDERING	AGE 21+	15	None	47	None	None	1	None	1	11	None	30	None	None	1	None	1
1164800025	DERAKHSHANI MARYAM	2021	FFS	RENDERING	AGE 0-20	304	None	1,378	None	187	None	390	None	73	None	172	None	279	None	279	None
1164800025	DERAKHSHANI MARYAM	2021	FFS	RENDERING	AGE 21+	734	None	2,170	None	113	None	208	None	246	None	612	None	491	None	491	None
1164804654	AL JUMAILI SAMARA	2021	FFS	RENDERING	AGE 0-20	203	None	1,194	None	153	None	458	None	122	None	423	None	109	None	109	None
1164804654	AL JUMAILI SAMARA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164804654	AL JUMAILI SAMARA	2021	GMC	RENDERING	AGE 0-20	90	None	574	None	55	None	156	None	62	None	266	None	32	None	33	None
1164807384	HA CINDY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164807384	HA CINDY	2021	GMC	RENDERING	AGE 0-20	485	None	2,183	None	256	None	838	None	209	None	260	None	187	None	188	None
1164807384	HA CINDY	2021	GMC	RENDERING	AGE 21+	174	None	419	None	22	None	35	None	118	None	165	None	40	None	40	None
1164812749	PAIK, MISUNG, DDS A PROFESSI	2021	PHP	RENDERING	AGE 0-20	16	None	59	None	14	None	30	None	None	1	None	1	14	None	14	None
1164812749	PAIK, MISUNG, DDS A PROFESSI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164819025	PINESETT ANDRE J	2021	FFS	RENDERING	AGE 0-20	410	None	1,316	None	None	1	None	1	410	None	1,315	None	0	None	0	None
1164819025	PINESETT ANDRE J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1164823365	SHAHROKHI RAD AFSANEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164842373	SONG COREY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164848552	BRENNAN HUGHES DMD A PROFESSIONAL COORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164848552	BRENNAN HUGHES DMD A PROFESSIONAL COORPORATION	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164848552	HUGHES, BRENNAN, DMD A PROFE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164848552	HUGHES, BRENNAN, DMD A PROFE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164863833	KIM ANSONY J	2021	FFS	RENDERING	AGE 0-20	665	None	7,483	None	654	None	2,747	None	223	None	1,210	None	648	None	969	None
1164863833	KIM ANSONY J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164865242	CHAN CHRISTOPHER	2021	FFS	RENDERING	AGE 0-20	80	None	285	None	0	None	0	None	79	None	274	None	None	1	None	1
1164865242	CHAN CHRISTOPHER	2021	FFS	RENDERING	AGE 21+	187	None	609	None	0	None	0	None	187	None	602	None	None	1	None	1
1164865242	CHAN CHRISTOPHER	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164865242	CHAN CHRISTOPHER	2021	GMC	RENDERING	AGE 21+	14	None	66	None	0	None	0	None	13	None	51	None	13	None	13	None
1164865242	CHAN CHRISTOPHER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164865242	CHAN CHRISTOPHER	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1164868063	SHASTRY SHRUTI	2021	FFS	RENDERING	AGE 0-20	404	None	513	None	0	None	0	None	40	None	59	None	0	None	0	None
1164868063	SHASTRY SHRUTI	2021	FFS	RENDERING	AGE 21+	19	None	19	None	0	None	0	None	0	None	0	None	0	None	0	None
1164868063	SHASTRY SHRUTI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164881413	SMITH CORBIN	2021	FFS	RENDERING	AGE 0-20	1,945	None	17,730	None	1,508	None	3,994	None	1,158	None	3,300	None	1,335	None	1,465	None
1164881413	SMITH CORBIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164881926	BALACKY PETER	2021	FFS	RENDERING	AGE 0-20	19	None	46	None	0	None	0	None	18	None	40	None	None	1	None	1
1164881926	BALACKY PETER	2021	FFS	RENDERING	AGE 21+	72	None	169	None	0	None	0	None	65	None	132	None	11	None	11	None
1164881926	BALACKY PETER	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164883997	KOROBKIN ISRAEL	2021	FFS	RENDERING	AGE 0-20	19	None	85	None	None	1	None	2	19	None	62	None	0	None	0	None
1164883997	KOROBKIN ISRAEL	2021	FFS	RENDERING	AGE 21+	46	None	131	None	0	None	0	None	46	None	101	None	0	None	0	None
1164883997	KOROBKIN ISRAEL	2021	PHP	RENDERING	AGE 0-20	15	None	73	None	None	1	None	1	14	None	64	None	None	1	None	1
1164883997	KOROBKIN ISRAEL	2021	PHP	RENDERING	AGE 21+	28	None	52	None	None	1	None	1	28	None	49	None	0	None	0	None
1164900452	WEBER NATALIA	2021	FFS	RENDERING	AGE 0-20	18	None	63	None	14	None	26	None	None	1	None	2	12	None	12	None
1164900452	WEBER NATALIA	2021	FFS	RENDERING	AGE 21+	42	None	232	None	14	None	21	None	31	None	164	None	22	None	22	None
1164917092	DAWOOD ANTONIOUS K	2021	FFS	RENDERING	AGE 0-20	328	None	2,366	None	199	None	563	None	174	None	482	None	234	None	236	None
1164917092	DAWOOD ANTONIOUS K	2021	FFS	RENDERING	AGE 21+	575	None	2,540	None	164	None	263	None	313	None	881	None	348	None	348	None
1164917092	DAWOOD ANTONIOUS K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1164917092	DAWOOD ANTONIOUS K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1164917092	DAWOOD ANTONIOUS K	2021	PHP	RENDERING	AGE 0-20	87	None	271	None	60	None	123	None	23	None	45	None	75	None	75	None
1164917092	DAWOOD ANTONIOUS K	2021	PHP	RENDERING	AGE 21+	188	None	524	None	77	None	103	None	93	None	235	None	112	None	113	None
1164937140	KAUL ARJUN	2021	FFS	RENDERING	AGE 0-20	58	None	317	None	23	None	48	None	40	None	80	None	32	None	32	None
1164937140	KAUL ARJUN	2021	FFS	RENDERING	AGE 21+	70	None	218	None	14	None	27	None	47	None	89	None	31	None	31	None
1164941068	FEDONENKO ANGELA B	2021	FFS	RENDERING	AGE 0-20	106	None	953	None	72	None	187	None	44	None	90	None	70	None	73	None
1164941068	FEDONENKO ANGELA B	2021	FFS	RENDERING	AGE 21+	153	None	785	None	36	None	36	None	93	None	239	None	67	None	67	None
1164947875	PARKER AMBER D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1164947875	PARKER AMBER D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1164949111	SHAYESTEH KHORR PEGAH	2021	FFS	RENDERING	AGE 0-20	1,671	None	19,845	None	1,572	None	4,624	None	934	None	3,531	None	1,590	None	1,822	None
1164970505	LEWIS BRANDI E	2021	FFS	RENDERING	AGE 0-20	701	None	964	None	0	None	0	None	75	None	208	None	0	None	0	None
1164970505	LEWIS BRANDI E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1164970505	LEWIS BRANDI E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1164979217	KAUR AMANPREET	2021	FFS	RENDERING	AGE 0-20	396	None	5,009	None	326	None	1,088	None	274	None	881	None	346	None	418	None
1164979217	KAUR AMANPREET	2021	FFS	RENDERING	AGE 21+	860	None	5,469	None	342	None	600	None	624	None	2,817	None	626	None	637	None
1174021158	LEE SEUNG Y	2021	FFS	RENDERING	AGE 0-20	1,627	None	29,213	None	1,516	None	5,383	None	1,454	None	9,337	None	1,495	None	1,644	None
1174021158	LEE SEUNG Y	2021	FFS	RENDERING	AGE 21+	195	None	1,665	None	129	None	240	None	123	None	615	None	158	None	162	None
1174029326	HUI BRIAN K	2021	FFS	RENDERING	AGE 0-20	41	None	235	None	0	None	0	None	41	None	224	None	0	None	0	None
1174029326	HUI BRIAN K	2021	FFS	RENDERING	AGE 21+	69	None	356	None	0	None	0	None	68	None	339	None	0	None	0	None
1174031710	MATTAR DENTAL INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174037212	SHARRAK NOOR A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1174042287	KAMRANI SAMIR S	2021	FFS	RENDERING	AGE 0-20	71	None	113	None	None	1	None	1	65	None	86	None	None	1	None	1
1174042287	KAMRANI SAMIR S	2021	FFS	RENDERING	AGE 21+	159	None	234	None	0	None	0	None	155	None	204	None	None	1	None	1
1174045702	ESPARZA BIANCA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1174045702	ESPARZA BIANCA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1174051049	KOROVIN LEV	2021	FFS	RENDERING	AGE 0-20	111	None	1,104	None	63	None	179	None	73	None	283	None	67	None	68	None
1174051049	KOROVIN LEV	2021	FFS	RENDERING	AGE 21+	395	None	2,997	None	151	None	303	None	324	None	1,362	None	194	None	197	None
1174059950	KIM JUNE H	2021	FFS	RENDERING	AGE 0-20	31	None	83	None	None	1	None	1	28	None	70	None	None	1	None	1
1174059950	KIM JUNE H	2021	FFS	RENDERING	AGE 21+	20	None	66	None	None	1	None	1	18	None	62	None	0	None	0	None
1174063937	LUAN ALBERT	2021	FFS	RENDERING	AGE 0-20	313	None	2,026	None	144	None	467	None	174	None	419	None	219	None	241	None
1174063937	LUAN ALBERT	2021	FFS	RENDERING	AGE 21+	537	None	2,764	None	164	None	326	None	373	None	1,132	None	283	None	285	None
1174063937	LUAN ALBERT	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1174073704	KABIRI AZITA	2021	FFS	RENDERING	AGE 0-20	73	None	562	None	29	None	72	None	18	None	71	None	67	None	75	None
1174073704	KABIRI AZITA	2021	FFS	RENDERING	AGE 21+	369	None	2,321	None	55	None	65	None	126	None	383	None	318	None	318	None
1174073704	KABIRI AZITA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174078208	NABELSI TASNEEM	2021	FFS	RENDERING	AGE 0-20	116	None	1,681	None	106	None	440	None	80	None	284	None	109	None	142	None
1174078208	NABELSI TASNEEM	2021	FFS	RENDERING	AGE 21+	335	None	3,590	None	215	None	412	None	264	None	1,724	None	277	None	277	None
1174079370	TRAN NGAN K	2021	FFS	RENDERING	AGE 0-20	256	None	3,169	None	223	None	787	None	146	None	731	None	236	None	285	None
1174079370	TRAN NGAN K	2021	FFS	RENDERING	AGE 21+	687	None	5,910	None	426	None	839	None	470	None	2,238	None	510	None	510	None
1174094734	ISLAM MOHAMMED S	2021	FFS	RENDERING	AGE 0-20	87	None	319	None	None	1	None	1	83	None	152	None	21	None	21	None
1174094734	ISLAM MOHAMMED S	2021	FFS	RENDERING	AGE 21+	327	None	1,114	None	None	1	None	2	283	None	554	None	71	None	71	None
1174125124	PARK JUNMOOK	2021	FFS	RENDERING	AGE 0-20	1,666	None	16,496	None	1,319	None	4,736	None	1,458	None	7,317	None	1,160	None	1,201	None
1174125124	PARK JUNMOOK	2021	FFS	RENDERING	AGE 21+	240	None	1,320	None	13	None	25	None	197	None	915	None	139	None	139	None
1174125124	PARK JUNMOOK	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1174128052	NGUYEN NGHIA H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174131296	HANSEN ALEXANDRA	2021	FFS	RENDERING	AGE 0-20	330	None	2,873	None	286	None	719	None	130	None	270	None	302	None	360	None
1174131296	HANSEN ALEXANDRA	2021	FFS	RENDERING	AGE 21+	619	None	4,319	None	377	None	712	None	253	None	729	None	475	None	475	None
1174153621	NGUYEN JACQUELINE P	2021	FFS	RENDERING	AGE 0-20	178	None	1,040	None	156	None	516	None	52	None	107	None	153	None	153	None
1174176598	BAEK JOSHUA S	2021	FFS	RENDERING	AGE 0-20	3,897	None	36,846	None	3,029	None	7,236	None	1,348	None	5,221	None	2,811	None	3,118	None
1174176598	BAEK JOSHUA S	2021	FFS	RENDERING	AGE 21+	110	None	919	None	80	None	155	None	77	None	437	None	87	None	87	None
1174176598	BAEK JOSHUA S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1174176598	BAEK JOSHUA S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1174179436	VALENCIA BAEZ ALVARO	2021	FFS	RENDERING	AGE 0-20	53	None	239	None	20	None	48	None	30	None	120	None	26	None	26	None
1174179436	VALENCIA BAEZ ALVARO	2021	FFS	RENDERING	AGE 21+	98	None	435	None	None	1	None	1	76	None	346	None	28	None	28	None
1174187009	WOHLGEMUTH SINEAD S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1174193288	WANG MARK D	2021	FFS	RENDERING	AGE 0-20	118	None	471	None	57	None	119	None	62	None	162	None	52	None	52	None
1174193288	WANG MARK D	2021	FFS	RENDERING	AGE 21+	204	None	575	None	52	None	83	None	145	None	344	None	38	None	38	None
1174193791	MOUSSAVIAN PARISA A	2021	FFS	RENDERING	AGE 0-20	594	None	3,873	None	397	None	1,062	None	404	None	821	None	380	None	382	None
1174193791	MOUSSAVIAN PARISA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174298806	TRAN BINH N	2021	FFS	RENDERING	AGE 0-20	50	None	455	None	43	None	208	None	None	1	None	2	34	None	34	None
1174298806	TRAN BINH N	2021	FFS	RENDERING	AGE 21+	131	None	848	None	30	None	60	None	87	None	204	None	57	None	57	None
1174509848	PHAM AMY H	2021	FFS	RENDERING	AGE 0-20	2,216	None	18,593	None	2,135	None	7,369	None	972	None	2,919	None	2,163	None	2,950	None
1174509848	PHAM AMY H	2021	FFS	RENDERING	AGE 21+	1,551	None	9,757	None	938	None	1,826	None	940	None	3,579	None	1,332	None	1,332	None
1174511364	BUCHLER MICHAEL R	2021	FFS	RENDERING	AGE 0-20	193	None	1,329	None	160	None	401	None	94	None	320	None	147	None	148	None
1174511364	BUCHLER MICHAEL R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1174512339	GONAVARUM PRASAD B	2021	FFS	RENDERING	AGE 0-20	38	None	244	None	28	None	91	None	20	None	63	None	30	None	34	None
1174512339	GONAVARUM PRASAD B	2021	FFS	RENDERING	AGE 21+	185	None	941	None	53	None	54	None	139	None	448	None	101	None	106	None
1174517486	MUSHET SHAY B	2021	FFS	RENDERING	AGE 0-20	1,343	None	14,966	None	1,264	None	4,241	None	1,186	None	4,183	None	1,236	None	1,442	None
1174530927	ALVAREZ, MICHAEL, DDS	2021	FFS	RENDERING	AGE 0-20	156	None	1,120	None	135	None	412	None	40	None	90	None	141	None	182	None
1174530927	ALVAREZ, MICHAEL, DDS	2021	FFS	RENDERING	AGE 21+	201	None	1,118	None	102	None	104	None	130	None	323	None	112	None	112	None
1174542534	LUU KIM T	2021	FFS	RENDERING	AGE 0-20	157	None	2,156	None	149	None	732	None	55	None	157	None	141	None	211	None
1174542534	LUU KIM T	2021	FFS	RENDERING	AGE 21+	282	None	2,249	None	220	None	437	None	140	None	333	None	216	None	216	None
1174546675	PIERSON, KENNETH W, DDS INC	2021	FFS	RENDERING	AGE 0-20	2,497	None	5,410	None	None	1	None	2	2,467	None	5,206	None	37	None	37	None
1174547327	HYNEMAN MICHAEL J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1174547327	HYNEMAN MICHAEL J	2021	FFS	RENDERING	AGE 21+	52	None	124	None	None	1	None	1	51	None	121	None	None	1	None	1
1174559025	BALABANIAN, RAFI, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	36	None	None	1	None	2	None	1	None	1	None	1	None	1
1174559025	BALABANIAN, RAFI, DDS	2021	FFS	RENDERING	AGE 21+	50	None	172	None	24	None	24	None	30	None	61	None	31	None	31	None
1174570469	FELICIANO, PETER PAUL, DMD	2021	FFS	RENDERING	AGE 0-20	104	None	920	None	92	None	243	None	44	None	107	None	98	None	105	None
1174570469	FELICIANO, PETER PAUL, DMD	2021	FFS	RENDERING	AGE 21+	216	None	1,558	None	86	None	86	None	159	None	716	None	161	None	161	None
1174580799	GLADKOV ALEXANDRE G	2021	FFS	RENDERING	AGE 0-20	23	None	76	None	None	1	None	2	None	1	None	2	12	None	12	None
1174580799	GLADKOV ALEXANDRE G	2021	FFS	RENDERING	AGE 21+	38	None	100	None	None	1	None	1	11	None	21	None	32	None	32	None
1174583868	LEVI BENJAMIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174583868	LEVI BENJAMIN	2021	PHP	RENDERING	AGE 21+	51	None	98	None	0	None	0	None	26	None	40	None	45	None	52	None
1174605711	TRUONG STEVEN H	2021	FFS	RENDERING	AGE 0-20	277	None	471	None	0	None	0	None	68	None	183	None	0	None	0	None
1174605711	TRUONG STEVEN H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174607998	NGO, TRACY DDS	2021	FFS	RENDERING	AGE 0-20	175	None	1,259	None	171	None	478	None	41	None	79	None	160	None	224	None
1174607998	NGO, TRACY DDS	2021	FFS	RENDERING	AGE 21+	15	None	85	None	15	None	15	None	None	1	None	1	15	None	15	None
1174618136	NOORVASH RAMIN	2021	FFS	RENDERING	AGE 0-20	279	None	3,256	None	250	None	891	None	170	None	817	None	262	None	351	None
1174618136	NOORVASH RAMIN	2021	FFS	RENDERING	AGE 21+	501	None	4,110	None	304	None	627	None	356	None	1,967	None	391	None	397	None
1174619803	CHIU WAYNE S	2021	FFS	RENDERING	AGE 0-20	164	None	1,617	None	133	None	496	None	95	None	416	None	134	None	156	None
1174619803	CHIU WAYNE S	2021	FFS	RENDERING	AGE 21+	178	None	1,024	None	55	None	98	None	123	None	498	None	121	None	121	None
1174620348	MECHAEL SHATHA F	2021	FFS	RENDERING	AGE 0-20	87	None	753	None	66	None	153	None	52	None	225	None	78	None	84	None
1174620348	MECHAEL SHATHA F	2021	FFS	RENDERING	AGE 21+	301	None	2,262	None	119	None	207	None	227	None	1,072	None	226	None	226	None
1174623094	ELIADES, GEORGE, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1174623615	NGUYEN JAIME A	2021	FFS	RENDERING	AGE 0-20	313	None	2,997	None	309	None	1,375	None	128	None	386	None	263	None	401	None
1174623615	NGUYEN JAIME A	2021	FFS	RENDERING	AGE 21+	213	None	1,295	None	157	None	310	None	108	None	396	None	189	None	191	None
1174626113	ZAW ADA	2021	FFS	RENDERING	AGE 0-20	134	None	1,236	None	83	None	252	None	81	None	232	None	102	None	102	None
1174626113	ZAW ADA	2021	FFS	RENDERING	AGE 21+	329	None	1,586	None	22	None	43	None	254	None	744	None	163	None	163	None
1174642284	BEAM, ROY, DDS	2021	FFS	RENDERING	AGE 0-20	103	None	955	None	100	None	354	None	34	None	147	None	35	None	48	None
1174652135	DE LA PENA FERNANDO	2021	FFS	RENDERING	AGE 0-20	80	None	496	None	80	None	209	None	21	None	40	None	78	None	103	None
1174652135	DE LA PENA FERNANDO	2021	FFS	RENDERING	AGE 21+	58	None	331	None	47	None	85	None	35	None	62	None	43	None	43	None
1174653687	SAEED, MAYSOON M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1174656854	VILLARUBIA PAUL	2021	FFS	RENDERING	AGE 0-20	21	None	259	None	20	None	88	None	12	None	34	None	21	None	33	None
1174656854	VILLARUBIA PAUL	2021	FFS	RENDERING	AGE 21+	58	None	410	None	43	None	86	None	24	None	74	None	53	None	53	None
1174657241	GREMILLION, JAY KEVIN, DDS	2021	FFS	RENDERING	AGE 0-20	3,102	None	21,699	None	2,818	None	8,643	None	1,886	None	3,280	None	2,875	None	3,477	None
1174660799	PATEL, VIKAS D DDS	2021	FFS	RENDERING	AGE 0-20	560	None	10,491	None	535	None	2,578	None	286	None	1,311	None	549	None	876	None
1174660799	PATEL, VIKAS D DDS	2021	FFS	RENDERING	AGE 21+	297	None	3,314	None	217	None	437	None	161	None	734	None	245	None	248	None
1174661334	SPOOLSTRA ALBERN LEE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174661334	SPOOLSTRA ALBERN LEE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1174661656	PANOFF, CRISTIAN I	2021	FFS	RENDERING	AGE 0-20	750	None	7,635	None	675	None	2,708	None	477	None	1,593	None	700	None	733	None
1174661656	PANOFF, CRISTIAN I	2021	FFS	RENDERING	AGE 21+	407	None	2,829	None	242	None	463	None	254	None	865	None	367	None	369	None
1174668297	TAYAB, GAMAL A, DDS	2021	FFS	RENDERING	AGE 0-20	54	None	264	None	46	None	99	None	23	None	57	None	45	None	48	None
1174668297	TAYAB, GAMAL A, DDS	2021	FFS	RENDERING	AGE 21+	134	None	607	None	79	None	79	None	88	None	312	None	88	None	88	None
1174668297	TAYAB, GAMAL A, DDS	2021	PHP	RENDERING	AGE 0-20	28	None	182	None	23	None	49	None	18	None	49	None	25	None	28	None
1174668297	TAYAB, GAMAL A, DDS	2021	PHP	RENDERING	AGE 21+	63	None	354	None	43	None	46	None	41	None	184	None	52	None	54	None
1174668297	TAYAB, GAMAL DDS	2021	FFS	RENDERING	AGE 0-20	54	None	264	None	46	None	99	None	23	None	57	None	45	None	48	None
1174668297	TAYAB, GAMAL DDS	2021	FFS	RENDERING	AGE 21+	134	None	607	None	79	None	79	None	88	None	312	None	88	None	88	None
1174668297	TAYAB, GAMAL DDS	2021	PHP	RENDERING	AGE 0-20	28	None	182	None	23	None	49	None	18	None	49	None	25	None	28	None
1174668297	TAYAB, GAMAL DDS	2021	PHP	RENDERING	AGE 21+	63	None	354	None	43	None	46	None	41	None	184	None	52	None	54	None
1174668990	PAIK SANG C	2021	FFS	RENDERING	AGE 0-20	43	None	241	None	34	None	87	None	12	None	22	None	25	None	26	None
1174668990	PAIK SANG C	2021	FFS	RENDERING	AGE 21+	19	None	84	None	12	None	16	None	None	1	None	2	None	1	None	1
1174670178	NISHINO PHILIP K	2021	FFS	RENDERING	AGE 0-20	33	None	42	None	0	None	0	None	None	1	None	1	0	None	0	None
1174670178	NISHINO PHILIP K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174672786	SALAMA MAHMOUD M	2021	FFS	RENDERING	AGE 0-20	120	None	948	None	89	None	350	None	44	None	120	None	104	None	131	None
1174672786	SALAMA MAHMOUD M	2021	FFS	RENDERING	AGE 21+	602	None	4,431	None	314	None	624	None	409	None	1,867	None	478	None	478	None
1174672786	SALAMA MAHMOUD M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1174673024	NGUYEN TAO D	2021	FFS	RENDERING	AGE 0-20	400	None	1,690	None	243	None	557	None	120	None	284	None	260	None	277	None
1174673024	NGUYEN TAO D	2021	FFS	RENDERING	AGE 21+	1,211	None	5,164	None	452	None	872	None	687	None	2,260	None	621	None	621	None
1174675078	NGUYEN KHUONG HUU	2021	FFS	RENDERING	AGE 0-20	1,024	None	15,350	None	955	None	4,331	None	627	None	2,837	None	828	None	1,047	None
1174675078	NGUYEN KHUONG HUU	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1174677686	TRAN HENRY H	2021	FFS	RENDERING	AGE 0-20	225	None	2,237	None	206	None	743	None	137	None	479	None	189	None	220	None
1174677686	TRAN HENRY H	2021	FFS	RENDERING	AGE 21+	563	None	5,285	None	353	None	694	None	435	None	2,467	None	465	None	465	None
1174677819	CHEN CONNIE	2021	FFS	RENDERING	AGE 0-20	346	None	1,921	None	229	None	664	None	246	None	649	None	131	None	135	None
1174677819	CHEN CONNIE	2021	FFS	RENDERING	AGE 21+	381	None	1,578	None	132	None	246	None	306	None	940	None	84	None	84	None
1174677819	CHEN CONNIE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174678924	TRAN, BRUCE T, DDS	2021	FFS	RENDERING	AGE 0-20	160	None	1,354	None	155	None	786	None	54	None	124	None	155	None	194	None
1174678924	TRAN, BRUCE T, DDS	2021	FFS	RENDERING	AGE 21+	555	None	2,567	None	417	None	420	None	403	None	906	None	430	None	430	None
1174680243	KNAPP FARIDEH T	2021	FFS	RENDERING	AGE 0-20	2,699	None	20,605	None	2,317	None	7,419	None	1,754	None	8,127	None	1,418	None	1,504	None
1174680243	KNAPP FARIDEH T	2021	FFS	RENDERING	AGE 21+	38	None	77	None	None	1	None	2	None	1	None	1	24	None	24	None
1174680243	KNAPP FARIDEH T	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1174680243	KNAPP FARIDEH T	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1174680243	KNAPP FARIDEH T	2021	PHP	RENDERING	AGE 0-20	148	None	1,307	None	117	None	534	None	83	None	342	None	115	None	145	None
1174680243	KNAPP FARIDEH T	2021	PHP	RENDERING	AGE 21+	101	None	716	None	36	None	77	None	84	None	455	None	64	None	68	None
1174681118	LOZADA RANDY LAWREN M	2021	FFS	RENDERING	AGE 0-20	91	None	1,058	None	82	None	358	None	85	None	332	None	71	None	87	None
1174681118	LOZADA RANDY LAWREN M	2021	FFS	RENDERING	AGE 21+	184	None	1,788	None	123	None	203	None	166	None	946	None	142	None	142	None
1174681662	MADALA NIRMALA	2021	FFS	RENDERING	AGE 0-20	1,107	None	7,247	None	846	None	3,743	None	45	None	83	None	1,065	None	1,202	None
1174681662	MADALA NIRMALA	2021	FFS	RENDERING	AGE 21+	1,515	None	3,787	None	154	None	301	None	138	None	202	None	1,110	None	1,112	None
1174682421	ABRAHAM HENRY	2021	FFS	RENDERING	AGE 0-20	226	None	3,740	None	189	None	731	None	102	None	423	None	214	None	277	None
1174682421	ABRAHAM HENRY	2021	FFS	RENDERING	AGE 21+	538	None	6,118	None	323	None	641	None	356	None	1,489	None	415	None	415	None
1174683171	CHEW, GEORGE K, DDS	2021	FFS	RENDERING	AGE 0-20	503	None	1,583	None	0	None	0	None	304	None	829	None	432	None	433	None
1174683171	CHEW, GEORGE K, DDS	2021	FFS	RENDERING	AGE 21+	1,130	None	3,401	None	0	None	0	None	598	None	1,575	None	983	None	983	None
1174683841	KARAPETIAN HAMLET	2021	FFS	RENDERING	AGE 0-20	994	None	7,101	None	591	None	1,530	None	465	None	1,039	None	608	None	625	None
1174683841	KARAPETIAN HAMLET	2021	FFS	RENDERING	AGE 21+	1,365	None	5,181	None	262	None	503	None	996	None	2,265	None	417	None	417	None
1174685838	SOLIMAN, JOSEPH, DDS	2021	FFS	RENDERING	AGE 0-20	402	None	3,646	None	285	None	750	None	156	None	402	None	298	None	346	None
1174685838	SOLIMAN, JOSEPH, DDS	2021	FFS	RENDERING	AGE 21+	826	None	6,424	None	363	None	728	None	481	None	1,544	None	558	None	560	None
1174687313	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174687313	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174687933	RITER HOLLI C	2021	FFS	RENDERING	AGE 0-20	192	None	3,267	None	140	None	387	None	191	None	2,100	None	172	None	173	None
1174687933	RITER HOLLI C	2021	FFS	RENDERING	AGE 21+	24	None	212	None	15	None	24	None	24	None	119	None	19	None	19	None
1174688865	SHERR, INNA, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	49	None	13	None	17	None	None	1	None	2	None	1	None	1
1174688865	SHERR, INNA, DDS	2021	FFS	RENDERING	AGE 21+	402	None	1,750	None	206	None	206	None	341	None	1,078	None	97	None	97	None
1174694640	GERAYLI AFSOON S	2021	FFS	RENDERING	AGE 0-20	25	None	183	None	23	None	73	None	None	1	None	1	24	None	30	None
1174694640	GERAYLI AFSOON S	2021	FFS	RENDERING	AGE 21+	79	None	524	None	55	None	109	None	51	None	231	None	69	None	69	None
1174694640	GERAYLI AFSOON S	2021	PHP	RENDERING	AGE 0-20	116	None	851	None	106	None	386	None	30	None	47	None	114	None	150	None
1174694640	GERAYLI AFSOON S	2021	PHP	RENDERING	AGE 21+	156	None	1,285	None	140	None	310	None	85	None	376	None	144	None	148	None
1174694806	MONDEJAR AGNES S	2021	FFS	RENDERING	AGE 0-20	4,363	None	37,932	None	3,499	None	10,058	None	2,554	None	6,000	None	3,520	None	4,105	None
1174694806	MONDEJAR AGNES S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1174698732	FU SOPHIA S	2021	FFS	RENDERING	AGE 0-20	206	None	2,403	None	177	None	492	None	93	None	257	None	195	None	266	None
1174698732	FU SOPHIA S	2021	FFS	RENDERING	AGE 21+	255	None	1,850	None	161	None	321	None	145	None	487	None	209	None	209	None
1174713937	ALEAGHA NIMA	2021	FFS	RENDERING	AGE 0-20	186	None	985	None	116	None	432	None	77	None	163	None	140	None	146	None
1174713937	ALEAGHA NIMA	2021	FFS	RENDERING	AGE 21+	393	None	1,398	None	82	None	150	None	301	None	811	None	164	None	164	None
1174713937	ALEAGHA NIMA	2021	PHP	RENDERING	AGE 0-20	430	None	2,763	None	278	None	1,101	None	178	None	575	None	379	None	444	None
1174713937	ALEAGHA NIMA	2021	PHP	RENDERING	AGE 21+	647	None	2,881	None	156	None	314	None	397	None	1,444	None	475	None	497	None
1174716880	RAMTIN PARHAM	2021	FFS	RENDERING	AGE 0-20	54	None	213	None	41	None	78	None	17	None	38	None	27	None	28	None
1174716880	RAMTIN PARHAM	2021	FFS	RENDERING	AGE 21+	311	None	1,227	None	164	None	165	None	166	None	487	None	184	None	184	None
1174717318	DANO MARIANNE R	2021	FFS	RENDERING	AGE 21+	135	None	495	None	None	1	None	1	95	None	234	None	44	None	44	None
1174718290	BIGDELI, FARANAK	2021	FFS	RENDERING	AGE 0-20	109	None	2,071	None	93	None	423	None	61	None	316	None	102	None	129	None
1174718290	BIGDELI, FARANAK	2021	FFS	RENDERING	AGE 21+	420	None	6,264	None	254	None	506	None	329	None	2,445	None	318	None	318	None
1174720213	NGUYEN, DUC DDS	2021	FFS	RENDERING	AGE 0-20	113	None	1,150	None	102	None	289	None	34	None	106	None	106	None	116	None
1174720213	NGUYEN, DUC DDS	2021	FFS	RENDERING	AGE 21+	690	None	6,157	None	557	None	998	None	393	None	1,304	None	590	None	590	None
1174721054	ATANAY RONALD D	2021	FFS	RENDERING	AGE 0-20	93	None	892	None	89	None	323	None	35	None	143	None	88	None	136	None
1174721054	ATANAY RONALD D	2021	FFS	RENDERING	AGE 21+	162	None	1,157	None	66	None	115	None	101	None	624	None	118	None	118	None
1174721534	NGUYEN KIMANH T	2021	FFS	RENDERING	AGE 0-20	14	None	68	None	None	1	None	2	None	1	None	2	11	None	11	None
1174721534	NGUYEN KIMANH T	2021	FFS	RENDERING	AGE 21+	181	None	1,100	None	93	None	156	None	131	None	380	None	125	None	125	None
1174723100	ORTOLA, JOSEPH A, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	388	None	43	None	89	None	28	None	91	None	47	None	61	None
1174723100	ORTOLA, JOSEPH A, DDS	2021	FFS	RENDERING	AGE 21+	113	None	714	None	62	None	62	None	86	None	359	None	83	None	83	None
1174723506	YOUSEFI BABAK	2021	FFS	RENDERING	AGE 0-20	727	None	1,774	None	32	None	75	None	73	None	212	None	37	None	37	None
1174723506	YOUSEFI BABAK	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174723506	YOUSEFI BABAK	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1174723506	YOUSEFI BABAK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174724447	MEDHAT N NAHED DDS MS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174724447	MEDHAT N NAHED DDS MS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1174724447	UNKNOWN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174724447	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1174731772	GANJI GREGORY G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1174731772	GANJI GREGORY G	2021	FFS	RENDERING	AGE 21+	40	None	99	None	0	None	0	None	39	None	97	None	None	1	None	1
1174736144	SHAH KAVITA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174736144	SHAH KAVITA A	2021	PHP	RENDERING	AGE 0-20	641	None	6,233	None	591	None	2,596	None	291	None	705	None	575	None	792	None
1174740302	CALIFORNIA SMILE DENTAL GROU	2021	FFS	RENDERING	AGE 0-20	135	None	1,246	None	76	None	173	None	75	None	359	None	105	None	112	None
1174740302	CALIFORNIA SMILE DENTAL GROU	2021	FFS	RENDERING	AGE 21+	498	None	4,659	None	145	None	145	None	407	None	2,083	None	314	None	314	None
1174741334	YOUSSEF, SAMI, DDS	2021	FFS	RENDERING	AGE 0-20	441	None	3,376	None	411	None	1,726	None	163	None	448	None	407	None	495	None
1174741334	YOUSSEF, SAMI, DDS	2021	FFS	RENDERING	AGE 21+	481	None	2,689	None	339	None	657	None	340	None	1,048	None	388	None	388	None
1174744569	LEE JINTAEK	2021	FFS	RENDERING	AGE 0-20	92	None	1,860	None	56	None	182	None	92	None	1,407	None	32	None	44	None
1174746937	MIDCITY REHABILITATION SERVICES,LTD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1174754568	SEO YOUNGSEOK	2021	FFS	RENDERING	AGE 0-20	63	None	484	None	45	None	202	None	41	None	105	None	51	None	69	None
1174754568	SEO YOUNGSEOK	2021	FFS	RENDERING	AGE 21+	253	None	1,691	None	166	None	316	None	196	None	768	None	206	None	206	None
1174761522	LOUIS KIM DDS INC	2021	GMC	RENDERING	AGE 0-20	53	None	290	None	49	None	111	None	31	None	41	None	50	None	50	None
1174761522	LOUIS KIM DDS INC	2021	GMC	RENDERING	AGE 21+	93	None	373	None	19	None	25	None	61	None	146	None	52	None	55	None
1174764856	HA, KY, DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1174772040	NGUYEN THOMAS J	2021	GMC	RENDERING	AGE 0-20	25	None	120	None	None	1	None	2	14	None	16	None	14	None	15	None
1174772040	NGUYEN THOMAS J	2021	GMC	RENDERING	AGE 21+	74	None	281	None	14	None	33	None	64	None	111	None	21	None	21	None
1174788400	WILLIAMS FRENDA B	2021	FFS	RENDERING	AGE 0-20	192	None	483	None	None	1	None	2	35	None	45	None	180	None	180	None
1174788400	WILLIAMS FRENDA B	2021	FFS	RENDERING	AGE 21+	464	None	1,127	None	None	1	None	1	83	None	105	None	436	None	436	None
1174788400	WILLIAMS FRENDA B	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1174788400	WILLIAMS FRENDA B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1174802813	NGUYEN QUY LAM P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174803803	COLBY SHIRLEY A	2021	FFS	RENDERING	AGE 0-20	11	None	31	None	11	None	24	None	0	None	0	None	0	None	0	None
1174816870	ORTEGA JULIO C	2021	FFS	RENDERING	AGE 0-20	572	None	7,314	None	503	None	1,995	None	353	None	1,218	None	516	None	663	None
1174816870	ORTEGA JULIO C	2021	FFS	RENDERING	AGE 21+	382	None	2,911	None	136	None	268	None	282	None	1,419	None	282	None	282	None
1174836860	ZARRABIAN SAHAND	2021	FFS	RENDERING	AGE 0-20	3,184	None	25,316	None	2,919	None	10,381	None	1,587	None	4,893	None	2,886	None	3,507	None
1174836860	ZARRABIAN SAHAND	2021	FFS	RENDERING	AGE 21+	229	None	898	None	165	None	340	None	50	None	157	None	187	None	187	None
1174836860	ZARRABIAN SAHAND	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1174869515	KHALED MOHAMED	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174869515	KHALED MOHAMED	2021	FFS	RENDERING	AGE 21+	58	None	227	None	0	None	0	None	55	None	218	None	None	1	None	1
1174872428	SHAHRIARI AHMAD GHAZALEH	2021	PHP	RENDERING	AGE 0-20	86	None	528	None	74	None	257	None	45	None	70	None	44	None	45	None
1174906929	RYAD SHADI	2021	FFS	RENDERING	AGE 0-20	48	None	100	None	None	1	None	1	43	None	84	None	None	1	None	1
1174906929	RYAD SHADI	2021	FFS	RENDERING	AGE 21+	378	None	833	None	0	None	0	None	373	None	813	None	None	1	None	1
1174931661	TRAN TIEN	2021	FFS	RENDERING	AGE 0-20	80	None	860	None	76	None	283	None	43	None	168	None	68	None	102	None
1174931661	TRAN TIEN	2021	FFS	RENDERING	AGE 21+	182	None	1,341	None	116	None	222	None	133	None	695	None	135	None	135	None
1174939581	ARNASON CHRISHELL Y	2021	FFS	RENDERING	AGE 0-20	62	None	75	None	0	None	0	None	31	None	34	None	0	None	0	None
1174939581	ARNASON CHRISHELL Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174943476	MILLER, BRENDA E, DDS APC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1174943476	MILLER, BRENDA E, DDS APC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174955272	WELL HILLEL Y	2021	FFS	RENDERING	AGE 0-20	146	None	409	None	13	None	44	None	22	None	66	None	13	None	18	None
1174955272	WELL HILLEL Y	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1174965289	LEE CHRISTINE Y	2021	FFS	RENDERING	AGE 0-20	74	None	175	None	18	None	39	None	60	None	99	None	None	1	None	1
1174965289	LEE CHRISTINE Y	2021	FFS	RENDERING	AGE 21+	128	None	251	None	None	1	None	2	118	None	199	None	None	1	None	1
1174971188	SOTO SOLIS YARA STEPHAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174975593	LIU VIENNA C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1174998322	REYES MARIGOLD ROS A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1174998322	REYES MARIGOLD ROS A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1174998322	REYES MARIGOLD ROS A	2021	PHP	RENDERING	AGE 0-20	44	None	226	None	30	None	82	None	23	None	35	None	28	None	29	None
1174998322	REYES MARIGOLD ROS A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174998595	BELEW TIRSIT G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1184000358	GEVORKYAN ALISA	2021	FFS	RENDERING	AGE 0-20	5,680	None	74,645	None	5,390	None	19,153	None	3,509	None	10,475	None	5,363	None	7,891	None
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	GMC	RENDERING	AGE 0-20	588	None	4,175	None	448	None	1,819	None	398	None	614	None	400	None	415	None
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	GMC	RENDERING	AGE 21+	670	None	2,845	None	132	None	257	None	501	None	1,208	None	277	None	279	None
1184033821	KOYAMA SARAH E	2021	FFS	RENDERING	AGE 21+	20	None	49	None	None	1	None	1	None	1	None	1	15	None	15	None
1184043432	HOM JENNIFER J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184043432	HOM JENNIFER J	2021	FFS	RENDERING	AGE 21+	82	None	341	None	34	None	36	None	54	None	151	None	50	None	52	None
1184058984	MEHDIZADEH, ALBORZ, DDS	2021	FFS	RENDERING	AGE 0-20	159	None	9,895	None	124	None	1,805	None	142	None	4,880	None	129	None	695	None
1184058984	MEHDIZADEH, ALBORZ, DDS	2021	FFS	RENDERING	AGE 21+	876	None	49,925	None	439	None	4,310	None	796	None	35,390	None	503	None	2,515	None
1184060915	GALUSTIAN RAZMIK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184065971	SOBOL, HENRY DMD	2021	FFS	RENDERING	AGE 0-20	49	None	332	None	42	None	134	None	17	None	50	None	46	None	65	None
1184065971	SOBOL, HENRY DMD	2021	FFS	RENDERING	AGE 21+	140	None	964	None	67	None	110	None	97	None	489	None	119	None	119	None
1184075293	LAN JASON	2021	FFS	RENDERING	AGE 0-20	213	None	1,419	None	156	None	365	None	146	None	505	None	154	None	166	None
1184075293	LAN JASON	2021	FFS	RENDERING	AGE 21+	326	None	1,957	None	167	None	330	None	269	None	1,058	None	189	None	189	None
1184083271	SHAH NEEL N	2021	FFS	RENDERING	AGE 0-20	43	None	263	None	20	None	44	None	28	None	87	None	20	None	20	None
1184083271	SHAH NEEL N	2021	FFS	RENDERING	AGE 21+	42	None	206	None	None	1	None	1	35	None	102	None	12	None	12	None
1184091571	NNEBE IFEATU C	2021	FFS	RENDERING	AGE 0-20	34	None	198	None	27	None	72	None	14	None	53	None	28	None	31	None
1184091571	NNEBE IFEATU C	2021	FFS	RENDERING	AGE 21+	165	None	1,053	None	102	None	195	None	116	None	492	None	132	None	132	None
1184091571	NNEBE IFEATU C	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1184108938	CUEVAS ERIKA	2021	FFS	RENDERING	AGE 21+	369	None	761	None	0	None	0	None	364	None	567	None	192	None	192	None
1184111254	TAGHIZADEH-TOOS HESSAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1184111254	TAGHIZADEH-TOOS HESSAM	2021	FFS	RENDERING	AGE 21+	41	None	118	None	None	1	None	1	38	None	88	None	None	1	None	1
1184111254	TAGHIZADEH-TOOS HESSAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184111254	TAGHIZADEH-TOOS HESSAM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184111445	BATEMAN RILEY A	2021	FFS	RENDERING	AGE 0-20	377	None	2,683	None	339	None	1,020	None	127	None	306	None	325	None	422	None
1184111445	BATEMAN RILEY A	2021	FFS	RENDERING	AGE 21+	332	None	1,993	None	134	None	179	None	249	None	754	None	188	None	188	None
1184111445	BATEMAN RILEY A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184120487	KOZYRYEV MARYNA	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1184120487	KOZYRYEV MARYNA	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1184143562	TO KEVIN W	2021	FFS	RENDERING	AGE 0-20	2,853	None	32,150	None	2,413	None	7,604	None	1,705	None	5,453	None	2,383	None	2,822	None
1184143562	TO KEVIN W	2021	FFS	RENDERING	AGE 21+	759	None	4,698	None	234	None	464	None	420	None	1,359	None	504	None	504	None
1184148579	VERGEL DE DIOS JESSICA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1184151045	LEE ELIZA X	2021	FFS	RENDERING	AGE 0-20	116	None	1,145	None	110	None	340	None	50	None	130	None	109	None	158	None
1184151045	LEE ELIZA X	2021	FFS	RENDERING	AGE 21+	86	None	658	None	62	None	121	None	58	None	202	None	64	None	64	None
1184151219	KABADE DIPALEE D	2021	FFS	RENDERING	AGE 0-20	202	None	1,091	None	138	None	471	None	45	None	135	None	136	None	142	None
1184151219	KABADE DIPALEE D	2021	FFS	RENDERING	AGE 21+	384	None	1,284	None	110	None	194	None	215	None	556	None	134	None	135	None
1184151219	KABADE DIPALEE D	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1184188120	VU ANNIE H	2021	GMC	RENDERING	AGE 0-20	25	None	100	None	25	None	25	None	25	None	25	None	0	None	0	None
1184188120	VU ANNIE H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1184213712	PEREZ YESCENIA	2021	FFS	RENDERING	AGE 0-20	233	None	1,222	None	161	None	462	None	114	None	172	None	183	None	183	None
1184213712	PEREZ YESCENIA	2021	FFS	RENDERING	AGE 21+	181	None	564	None	44	None	86	None	97	None	234	None	83	None	83	None
1184225211	MALEKI SIMA	2021	FFS	RENDERING	AGE 0-20	1,409	None	11,887	None	1,200	None	3,699	None	768	None	1,934	None	1,191	None	1,347	None
1184225211	MALEKI SIMA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184239766	CHEN RICHARD H	2021	FFS	RENDERING	AGE 0-20	18	None	189	None	12	None	28	None	None	1	None	2	12	None	12	None
1184239766	CHEN RICHARD H	2021	FFS	RENDERING	AGE 21+	109	None	852	None	26	None	53	None	97	None	412	None	35	None	36	None
1184243420	KO SOONA	2021	FFS	RENDERING	AGE 0-20	120	None	867	None	107	None	375	None	59	None	110	None	108	None	108	None
1184243636	KABABCHY MASSARA A	2021	FFS	RENDERING	AGE 0-20	115	None	672	None	71	None	146	None	61	None	135	None	74	None	77	None
1184243636	KABABCHY MASSARA A	2021	FFS	RENDERING	AGE 21+	279	None	1,359	None	94	None	168	None	200	None	453	None	118	None	118	None
1184257891	DIEP DAN B	2021	FFS	RENDERING	AGE 0-20	226	None	2,187	None	184	None	566	None	118	None	256	None	184	None	185	None
1184257891	DIEP DAN B	2021	FFS	RENDERING	AGE 21+	204	None	1,241	None	89	None	174	None	131	None	343	None	115	None	116	None
1184271934	MITTAL VARUN	2021	FFS	RENDERING	AGE 0-20	227	None	909	None	121	None	399	None	50	None	91	None	146	None	149	None
1184271934	MITTAL VARUN	2021	FFS	RENDERING	AGE 21+	504	None	1,284	None	83	None	156	None	221	None	431	None	277	None	277	None
1184271934	MITTAL VARUN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184280083	KATO BRYCE T	2021	FFS	RENDERING	AGE 0-20	52	None	420	None	27	None	59	None	33	None	84	None	34	None	34	None
1184280083	KATO BRYCE T	2021	FFS	RENDERING	AGE 21+	142	None	1,018	None	16	None	32	None	90	None	203	None	78	None	78	None
1184293946	SINGH TANVIR	2021	FFS	RENDERING	AGE 0-20	919	None	8,843	None	837	None	2,153	None	506	None	761	None	772	None	775	None
1184293946	SINGH TANVIR	2021	FFS	RENDERING	AGE 21+	163	None	990	None	79	None	143	None	102	None	215	None	108	None	110	None
1184399529	KIM MATTHEW H	2021	FFS	RENDERING	AGE 0-20	225	None	1,107	None	189	None	385	None	64	None	108	None	187	None	187	None
1184399529	KIM MATTHEW H	2021	FFS	RENDERING	AGE 21+	67	None	226	None	32	None	32	None	40	None	57	None	36	None	36	None
1184601791	GRAVES JEFFREY R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1184601791	GRAVES JEFFREY R	2021	FFS	RENDERING	AGE 21+	11	None	27	None	0	None	0	None	None	1	None	2	None	1	None	1
1184611162	DROSDIK KAREN A	2021	FFS	RENDERING	AGE 0-20	3,494	None	38,005	None	2,759	None	7,940	None	2,168	None	8,503	None	2,611	None	2,871	None
1184611162	DROSDIK KAREN A	2021	FFS	RENDERING	AGE 21+	173	None	620	None	29	None	52	None	84	None	142	None	107	None	107	None
1184611162	DROSDIK KAREN A	2021	PHP	RENDERING	AGE 0-20	36	None	232	None	31	None	86	None	16	None	45	None	28	None	28	None
1184611162	DROSDIK KAREN A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184628539	MINSKY, JERRY	2021	FFS	RENDERING	AGE 21+	30	None	185	None	27	None	27	None	30	None	103	None	12	None	12	None
1184631921	CASIBANG VICENTE G	2021	FFS	RENDERING	AGE 0-20	128	None	773	None	117	None	177	None	48	None	151	None	119	None	159	None
1184631921	CASIBANG VICENTE G	2021	FFS	RENDERING	AGE 21+	254	None	1,410	None	158	None	158	None	149	None	518	None	185	None	185	None
1184643702	SANTOS MARIA VICTOR V	2021	FFS	RENDERING	AGE 0-20	155	None	1,885	None	130	None	344	None	94	None	328	None	126	None	150	None
1184643702	SANTOS MARIA VICTOR V	2021	FFS	RENDERING	AGE 21+	358	None	3,350	None	181	None	182	None	287	None	1,338	None	211	None	211	None
1184650418	TRAN JANA H	2021	FFS	RENDERING	AGE 0-20	187	None	2,165	None	169	None	842	None	71	None	201	None	174	None	260	None
1184650418	TRAN JANA H	2021	FFS	RENDERING	AGE 21+	470	None	3,621	None	265	None	272	None	360	None	2,009	None	363	None	366	None
1184677155	AN, ELIZABETH DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1184677155	AN, ELIZABETH DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184695678	KIM JINYOUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184695678	KIM JINYOUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184706483	EHRLER TODD B	2021	FFS	RENDERING	AGE 0-20	57	None	212	None	0	None	0	None	26	None	82	None	0	None	0	None
1184714537	LEE, VIVIENNE, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	229	None	12	None	31	None	15	None	57	None	18	None	20	None
1184714537	LEE, VIVIENNE, DDS	2021	FFS	RENDERING	AGE 21+	163	None	1,405	None	27	None	27	None	132	None	465	None	133	None	133	None
1184714537	LEE, VIVIENNE, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184714537	LEE, VIVIENNE, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1184723801	SU, CHARLES DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184723801	SU, CHARLES DDS	2021	FFS	RENDERING	AGE 21+	287	None	2,804	None	85	None	85	None	271	None	1,185	None	192	None	192	None
1184724940	AIROOD BASEM M	2021	FFS	RENDERING	AGE 0-20	217	None	2,112	None	213	None	668	None	63	None	176	None	216	None	331	None
1184724940	AIROOD BASEM M	2021	FFS	RENDERING	AGE 21+	483	None	3,426	None	413	None	826	None	269	None	989	None	442	None	442	None
1184725186	ALLEN WILLIAM M	2021	FFS	RENDERING	AGE 0-20	78	None	250	None	0	None	0	None	72	None	198	None	30	None	30	None
1184736993	XU, YI, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	149	None	17	None	54	None	None	1	None	2	20	None	21	None
1184736993	XU, YI, DDS	2021	FFS	RENDERING	AGE 21+	266	None	1,776	None	171	None	337	None	190	None	576	None	115	None	115	None
1184741738	KHZOUZ ROBERT	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1184741738	KHZOUZ ROBERT	2021	FFS	RENDERING	AGE 21+	1,367	None	3,615	None	None	1	None	1	1,367	None	2,976	None	634	None	634	None
1184750218	NGUYEN TUAN M	2021	FFS	RENDERING	AGE 0-20	88	None	763	None	61	None	169	None	69	None	298	None	56	None	58	None
1184750218	NGUYEN TUAN M	2021	FFS	RENDERING	AGE 21+	175	None	994	None	36	None	61	None	165	None	635	None	40	None	41	None
1184751125	JACOBSON RICHARD LESLIE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1184753535	SAHIBZADA, NAUREES DDS	2021	FFS	RENDERING	AGE 0-20	216	None	1,547	None	144	None	472	None	91	None	196	None	157	None	171	None
1184753535	SAHIBZADA, NAUREES DDS	2021	FFS	RENDERING	AGE 21+	249	None	1,082	None	28	None	49	None	125	None	258	None	153	None	153	None
1184753535	SAHIBZADA, NAUREES DDS	2021	PHP	RENDERING	AGE 0-20	96	None	789	None	78	None	249	None	27	None	60	None	86	None	104	None
1184753535	SAHIBZADA, NAUREES DDS	2021	PHP	RENDERING	AGE 21+	71	None	307	None	14	None	17	None	26	None	74	None	45	None	45	None
1184753873	LIN LORRAINE Y	2021	FFS	RENDERING	AGE 0-20	164	None	1,419	None	148	None	541	None	72	None	302	None	138	None	194	None
1184760373	LEE, RUY TSUN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1184760373	LEE, RUY TSUN, DDS	2021	FFS	RENDERING	AGE 21+	35	None	129	None	23	None	23	None	None	1	None	2	30	None	30	None
1184764607	VICENTE NOEMI S	2021	FFS	RENDERING	AGE 0-20	13	None	95	None	12	None	53	None	None	1	None	2	None	1	None	2
1184764607	VICENTE NOEMI S	2021	FFS	RENDERING	AGE 21+	27	None	143	None	17	None	32	None	15	None	53	None	21	None	21	None
1184764714	LIZANA JESSICA A	2021	FFS	RENDERING	AGE 0-20	220	None	2,122	None	206	None	676	None	141	None	722	None	170	None	230	None
1184764714	LIZANA JESSICA A	2021	FFS	RENDERING	AGE 21+	403	None	3,900	None	215	None	367	None	324	None	2,464	None	255	None	255	None
1184765778	GEREIS MAHFOUZ M	2021	FFS	RENDERING	AGE 0-20	33	None	248	None	21	None	57	None	None	1	None	1	29	None	31	None
1184765778	GEREIS MAHFOUZ M	2021	FFS	RENDERING	AGE 21+	73	None	298	None	19	None	38	None	44	None	69	None	37	None	37	None
1184765778	GEREIS MAHFOUZ M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1184767402	JABALI, SHADAN, DMD	2021	FFS	RENDERING	AGE 0-20	111	None	1,063	None	110	None	379	None	None	1	None	2	110	None	144	None
1184767402	JABALI, SHADAN, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184769986	ESTRADA LUIS C	2021	FFS	RENDERING	AGE 0-20	2,187	None	22,312	None	1,908	None	5,282	None	1,089	None	3,035	None	2,013	None	2,153	None
1184769986	ESTRADA LUIS C	2021	FFS	RENDERING	AGE 21+	1,004	None	7,126	None	403	None	801	None	529	None	2,200	None	758	None	762	None
1184771818	ROSTOMIAN SOUREN A	2021	FFS	RENDERING	AGE 0-20	28	None	89	None	0	None	0	None	28	None	89	None	0	None	0	None
1184771818	ROSTOMIAN SOUREN A	2021	FFS	RENDERING	AGE 21+	31	None	97	None	0	None	0	None	31	None	97	None	0	None	0	None
1184778292	FARHAN, FARZIN DDS	2021	FFS	RENDERING	AGE 0-20	559	None	8,160	None	532	None	1,834	None	247	None	1,362	None	541	None	735	None
1184778292	FARHAN, FARZIN DDS	2021	FFS	RENDERING	AGE 21+	863	None	8,806	None	549	None	1,099	None	620	None	2,602	None	636	None	636	None
1184782047	ECHARTE GONZALO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184782047	ECHARTE GONZALO	2021	FFS	RENDERING	AGE 21+	28	None	120	None	15	None	27	None	20	None	54	None	13	None	13	None
1184783276	ANGELES MAY-LEONILA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1184783276	ANGELES MAY-LEONILA R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1184786790	TALMOOD ANNA K	2021	FFS	RENDERING	AGE 0-20	24	None	164	None	18	None	37	None	None	1	None	2	16	None	17	None
1184786790	TALMOOD ANNA K	2021	FFS	RENDERING	AGE 21+	37	None	160	None	11	None	11	None	17	None	69	None	22	None	22	None
1184792665	SANCHEZ CHRISTEN ANN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184797052	RANGEL-SCOBLE, INGRID, DDS M	2021	FFS	RENDERING	AGE 0-20	93	None	243	None	0	None	0	None	31	None	105	None	0	None	0	None
1184797052	RANGEL-SCOBLE, INGRID, DDS M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1184804908	ALEXANDER JEFFREY P	2021	FFS	RENDERING	AGE 0-20	932	None	6,875	None	428	None	1,108	None	753	None	2,732	None	174	None	177	None
1184805392	FU QING-HUI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1184805392	FU QING-HUI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184807711	KATTA NEELIMA	2021	FFS	RENDERING	AGE 0-20	1,015	None	6,013	None	799	None	2,304	None	292	None	362	None	969	None	1,056	None
1184807711	KATTA NEELIMA	2021	FFS	RENDERING	AGE 21+	978	None	2,825	None	199	None	399	None	291	None	452	None	758	None	761	None
1184810269	TOUKATLI HANNAH M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184810269	TOUKATLI HANNAH M	2021	FFS	RENDERING	AGE 21+	68	None	449	None	11	None	20	None	43	None	164	None	42	None	42	None
1184815268	EL RAHEB AYMAN K	2021	FFS	RENDERING	AGE 0-20	154	None	1,174	None	129	None	467	None	62	None	208	None	129	None	148	None
1184815268	EL RAHEB AYMAN K	2021	FFS	RENDERING	AGE 21+	302	None	1,876	None	126	None	158	None	203	None	855	None	219	None	221	None
1184815276	NOLAN PATRICIA D	2021	FFS	RENDERING	AGE 0-20	1,615	None	15,920	None	1,531	None	5,784	None	1,038	None	3,220	None	1,534	None	2,016	None
1184816019	YEUNG LAIMUI	2021	FFS	RENDERING	AGE 0-20	965	None	16,217	None	920	None	3,851	None	612	None	2,414	None	918	None	1,296	None
1184816019	YEUNG LAIMUI	2021	FFS	RENDERING	AGE 21+	832	None	7,080	None	504	None	1,004	None	544	None	2,183	None	634	None	634	None
1184821449	PARTOVY RAMIN D.	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184822918	CORTADI CLAUDIA B	2021	FFS	RENDERING	AGE 0-20	15	None	89	None	12	None	30	None	None	1	None	2	15	None	16	None
1184822918	CORTADI CLAUDIA B	2021	FFS	RENDERING	AGE 21+	96	None	485	None	64	None	113	None	46	None	174	None	92	None	92	None
1184825317	MASCAGNO STEVEN N	2021	FFS	RENDERING	AGE 0-20	2,094	None	11,892	None	1,548	None	3,845	None	1,385	None	2,910	None	1,355	None	1,370	None
1184847162	TRAN, PHAT LK, DDS	2021	FFS	RENDERING	AGE 0-20	106	None	904	None	99	None	299	None	63	None	186	None	100	None	123	None
1184847162	TRAN, PHAT LK, DDS	2021	FFS	RENDERING	AGE 21+	424	None	3,972	None	254	None	374	None	350	None	1,758	None	283	None	283	None
1184847931	LEDESMA LOIS R	2021	FFS	RENDERING	AGE 0-20	2,280	None	24,677	None	1,901	None	7,279	None	1,327	None	5,350	None	1,641	None	1,719	None
1184847931	LEDESMA LOIS R	2021	FFS	RENDERING	AGE 21+	1,160	None	9,405	None	72	None	122	None	364	None	804	None	230	None	230	None
1184847931	LEDESMA LOIS R	2021	PHP	RENDERING	AGE 0-20	50	None	377	None	38	None	130	None	32	None	138	None	29	None	30	None
1184847931	LEDESMA LOIS R	2021	PHP	RENDERING	AGE 21+	12	None	45	None	0	None	0	None	None	1	None	1	None	1	None	1
1184850687	LIM PAULINE S	2021	FFS	RENDERING	AGE 0-20	3,966	None	50,580	None	3,845	None	14,143	None	2,237	None	3,445	None	3,690	None	4,376	None
1184850687	LIM PAULINE S	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1184852691	RIVAMONTE ANDREW A	2021	FFS	RENDERING	AGE 0-20	5,805	None	65,049	None	5,024	None	19,179	None	3,844	None	5,429	None	4,784	None	5,701	None
1184859258	ABUL-FIELAT, MOHAMMAD, DDS I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1184859258	MOHAMMAD ABUL FIELAT DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1184863656	CALVO MARTA	2021	FFS	RENDERING	AGE 0-20	490	None	5,463	None	416	None	1,234	None	157	None	506	None	443	None	515	None
1184863656	CALVO MARTA	2021	FFS	RENDERING	AGE 21+	561	None	3,970	None	192	None	330	None	307	None	1,181	None	366	None	366	None
1184869562	KVYATKOVSKAYA TATYANA V	2021	FFS	RENDERING	AGE 0-20	419	None	3,307	None	235	None	688	None	330	None	1,346	None	290	None	317	None
1184869562	KVYATKOVSKAYA TATYANA V	2021	FFS	RENDERING	AGE 21+	1,559	None	10,374	None	427	None	841	None	1,284	None	6,329	None	905	None	905	None
1184874893	SANDERS MATTHEW A	2021	FFS	RENDERING	AGE 0-20	179	None	497	None	0	None	0	None	33	None	78	None	0	None	0	None
1184874893	SANDERS MATTHEW A	2021	GMC	RENDERING	AGE 0-20	235	None	648	None	0	None	0	None	234	None	602	None	0	None	0	None
1184882946	KELISHADI-SAMAN MARJAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1184882946	KELISHADI-SAMAN MARJAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1184886368	JOU TOM T	2021	FFS	RENDERING	AGE 21+	27	None	100	None	0	None	0	None	27	None	100	None	0	None	0	None
1184894305	CHANG MICHAEL J	2021	FFS	RENDERING	AGE 21+	22	None	53	None	0	None	0	None	22	None	53	None	0	None	0	None
1184903940	OH, ALBERT EUNSUK DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1184903940	OH, ALBERT EUNSUK DDS	2021	FFS	RENDERING	AGE 21+	259	None	1,653	None	167	None	334	None	148	None	400	None	256	None	256	None
1184914384	LADD, MARIA ELIZABETH, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1184939621	BAKER MEGAN J	2021	FFS	RENDERING	AGE 0-20	122	None	128	None	0	None	0	None	13	None	16	None	0	None	0	None
1184939621	BAKER MEGAN J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1184953002	JONES BIRVA J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1184953002	JONES BIRVA J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1184953002	JONES BIRVA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1184989170	NGUYEN HENRY T	2021	FFS	RENDERING	AGE 0-20	208	None	821	None	103	None	236	None	97	None	231	None	94	None	95	None
1184989170	NGUYEN HENRY T	2021	FFS	RENDERING	AGE 21+	81	None	203	None	None	1	None	2	31	None	54	None	44	None	44	None
1184989170	NGUYEN HENRY T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1184989170	NGUYEN HENRY T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1194008417	MARQUEZ MOLINA MARIELY	2021	FFS	RENDERING	AGE 0-20	99	None	773	None	66	None	134	None	47	None	129	None	69	None	69	None
1194008417	MARQUEZ MOLINA MARIELY	2021	FFS	RENDERING	AGE 21+	58	None	453	None	18	None	18	None	47	None	158	None	32	None	32	None
1194008417	MARQUEZ MOLINA MARIELY	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1194008417	MARQUEZ MOLINA MARIELY	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1194025767	SHAMOEIL, HOMAN DDS	2021	FFS	RENDERING	AGE 0-20	347	None	2,766	None	146	None	390	None	166	None	398	None	279	None	296	None
1194025767	SHAMOEIL, HOMAN DDS	2021	FFS	RENDERING	AGE 21+	570	None	3,872	None	109	None	219	None	329	None	820	None	369	None	369	None
1194051292	CARDOSO, LOURDES, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1194056366	LIN BRENT C	2021	FFS	RENDERING	AGE 0-20	195	None	1,581	None	171	None	458	None	68	None	199	None	174	None	194	None
1194056366	LIN BRENT C	2021	FFS	RENDERING	AGE 21+	146	None	614	None	32	None	57	None	80	None	224	None	80	None	81	None
1194058768	ESPINOZA, REGINA G, DDS	2021	FFS	RENDERING	AGE 0-20	256	None	5,075	None	243	None	1,067	None	185	None	821	None	241	None	374	None
1194058768	ESPINOZA, REGINA G, DDS	2021	FFS	RENDERING	AGE 21+	134	None	1,165	None	66	None	129	None	99	None	362	None	69	None	69	None
1194070110	ANDERSON JAY R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194070110	ANDERSON JAY R	2021	GMC	RENDERING	AGE 0-20	65	None	410	None	46	None	181	None	18	None	48	None	48	None	48	None
1194070110	ANDERSON JAY R	2021	GMC	RENDERING	AGE 21+	147	None	731	None	48	None	82	None	113	None	318	None	44	None	48	None
1194096230	TRUONG KIM N	2021	FFS	RENDERING	AGE 0-20	829	None	15,955	None	553	None	1,499	None	826	None	10,832	None	13	None	13	None
1194103671	GIRGIS MINA M	2021	FFS	RENDERING	AGE 0-20	35	None	207	None	29	None	76	None	13	None	47	None	32	None	38	None
1194103671	GIRGIS MINA M	2021	FFS	RENDERING	AGE 21+	142	None	915	None	104	None	200	None	82	None	297	None	119	None	119	None
1194108191	NAMOO SAMER R	2021	FFS	RENDERING	AGE 0-20	137	None	760	None	103	None	271	None	50	None	145	None	101	None	132	None
1194108191	NAMOO SAMER R	2021	FFS	RENDERING	AGE 21+	238	None	795	None	29	None	31	None	97	None	195	None	125	None	125	None
1194146472	ROMANA HARJINDER S	2021	FFS	RENDERING	AGE 0-20	85	None	934	None	76	None	320	None	31	None	144	None	75	None	87	None
1194146472	ROMANA HARJINDER S	2021	FFS	RENDERING	AGE 21+	176	None	1,095	None	57	None	112	None	81	None	310	None	138	None	138	None
1194184804	KIM SUE Y	2021	FFS	RENDERING	AGE 0-20	143	None	2,149	None	137	None	631	None	57	None	214	None	134	None	195	None
1194184804	KIM SUE Y	2021	FFS	RENDERING	AGE 21+	208	None	1,992	None	132	None	252	None	142	None	748	None	146	None	146	None
1194184887	CONSUMERHEALTH INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194184887	CONSUMERHEALTH, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194192831	NGUYEN TUONG VI T	2021	FFS	RENDERING	AGE 0-20	77	None	872	None	69	None	208	None	32	None	74	None	69	None	92	None
1194192831	NGUYEN TUONG VI T	2021	FFS	RENDERING	AGE 21+	177	None	1,391	None	108	None	212	None	109	None	363	None	132	None	132	None
1194196436	GLADKOV, ALEX G, DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1194200865	SHARMA ASHU	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194201566	SYAL GAURI T	2021	FFS	RENDERING	AGE 0-20	377	None	3,483	None	319	None	830	None	211	None	800	None	300	None	361	None
1194201566	SYAL GAURI T	2021	FFS	RENDERING	AGE 21+	883	None	6,310	None	556	None	1,099	None	645	None	2,607	None	600	None	601	None
1194210203	MULHIM RAMSON A	2021	FFS	RENDERING	AGE 0-20	3,626	None	54,416	None	3,466	None	16,238	None	2,426	None	7,190	None	3,411	None	4,751	None
1194210203	MULHIM RAMSON A	2021	FFS	RENDERING	AGE 21+	13	None	187	None	None	1	None	2	None	1	None	2	None	1	None	1
1194215442	PARK, D, PROFESSIONAL DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1194230375	QIN RUIXIANG L	2021	FFS	RENDERING	AGE 0-20	46	None	351	None	38	None	102	None	18	None	41	None	38	None	51	None
1194230375	QIN RUIXIANG L	2021	FFS	RENDERING	AGE 21+	91	None	587	None	63	None	124	None	50	None	98	None	63	None	63	None
1194244566	PARTIDA HUGO J	2021	FFS	RENDERING	AGE 0-20	322	None	1,638	None	261	None	599	None	118	None	242	None	249	None	249	None
1194244566	PARTIDA HUGO J	2021	FFS	RENDERING	AGE 21+	365	None	1,314	None	122	None	243	None	193	None	470	None	209	None	209	None
1194244566	PARTIDA HUGO J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194245704	STEWART LOLIYA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194252627	AMIN CHEERAG A	2021	FFS	RENDERING	AGE 0-20	30	None	131	None	12	None	25	None	18	None	28	None	16	None	17	None
1194252627	AMIN CHEERAG A	2021	FFS	RENDERING	AGE 21+	82	None	224	None	11	None	18	None	69	None	149	None	11	None	12	None
1194255810	AHARONIAN SHANT	2021	FFS	RENDERING	AGE 0-20	1,116	None	7,816	None	983	None	2,891	None	519	None	1,180	None	986	None	1,091	None
1194255810	AHARONIAN SHANT	2021	FFS	RENDERING	AGE 21+	174	None	530	None	18	None	21	None	86	None	185	None	103	None	105	None
1194270231	PARK MICHAEL H	2021	FFS	RENDERING	AGE 0-20	639	None	5,277	None	528	None	1,444	None	542	None	2,817	None	209	None	210	None
1194270231	PARK MICHAEL H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1194330472	KAUR JYOTPREET	2021	FFS	RENDERING	AGE 0-20	181	None	970	None	100	None	213	None	83	None	233	None	129	None	129	None
1194330472	KAUR JYOTPREET	2021	FFS	RENDERING	AGE 21+	435	None	1,527	None	139	None	233	None	187	None	480	None	294	None	295	None
1194330472	KAUR JYOTPREET	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194337659	JAHAGIRDAR ABHISHEK	2021	FFS	RENDERING	AGE 0-20	160	None	699	None	66	None	174	None	105	None	278	None	36	None	36	None
1194337659	JAHAGIRDAR ABHISHEK	2021	FFS	RENDERING	AGE 21+	189	None	562	None	62	None	121	None	126	None	272	None	29	None	29	None
1194347187	FLORES ESTHELLA N	2021	FFS	RENDERING	AGE 0-20	652	None	5,927	None	508	None	1,531	None	389	None	916	None	504	None	559	None
1194347187	FLORES ESTHELLA N	2021	FFS	RENDERING	AGE 21+	249	None	1,388	None	108	None	196	None	184	None	518	None	124	None	124	None
1194347187	FLORES ESTHELLA N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1194347187	FLORES ESTHELLA N	2021	PHP	RENDERING	AGE 21+	14	None	61	None	None	1	None	1	None	1	None	2	None	1	None	1
1194367623	JAFFER RUHEE	2021	FFS	RENDERING	AGE 0-20	214	None	1,934	None	145	None	301	None	114	None	328	None	151	None	151	None
1194374439	ENCISO JORGE	2021	FFS	RENDERING	AGE 0-20	175	None	1,468	None	147	None	424	None	83	None	304	None	150	None	151	None
1194374439	ENCISO JORGE	2021	FFS	RENDERING	AGE 21+	290	None	1,654	None	98	None	159	None	171	None	708	None	209	None	214	None
1194395954	FRANCO MORGAN P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194395954	FRANCO MORGAN P	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194499327	TRAN KURT K	2021	FFS	RENDERING	AGE 0-20	94	None	398	None	59	None	131	None	22	None	41	None	72	None	72	None
1194499327	TRAN KURT K	2021	FFS	RENDERING	AGE 21+	208	None	539	None	25	None	37	None	87	None	149	None	105	None	105	None
1194499327	TRAN KURT K	2021	PHP	RENDERING	AGE 0-20	23	None	88	None	17	None	33	None	None	1	None	1	21	None	21	None
1194499327	TRAN KURT K	2021	PHP	RENDERING	AGE 21+	58	None	152	None	17	None	21	None	20	None	27	None	34	None	37	None
1194746933	PATEL PRADIP D	2021	FFS	RENDERING	AGE 0-20	130	None	1,074	None	113	None	223	None	51	None	118	None	113	None	120	None
1194746933	PATEL PRADIP D	2021	FFS	RENDERING	AGE 21+	444	None	2,878	None	249	None	249	None	307	None	948	None	305	None	305	None
1194750521	ATEIA EHAB N	2021	FFS	RENDERING	AGE 0-20	132	None	1,465	None	132	None	511	None	33	None	64	None	130	None	174	None
1194750521	ATEIA EHAB N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1194750729	MANZANO AILEEN V	2021	FFS	RENDERING	AGE 0-20	61	None	485	None	45	None	115	None	29	None	62	None	49	None	52	None
1194750729	MANZANO AILEEN V	2021	FFS	RENDERING	AGE 21+	246	None	1,595	None	123	None	243	None	159	None	441	None	157	None	157	None
1194777532	CARBAJAL, MARIA ZAIDA, DDS	2021	FFS	RENDERING	AGE 0-20	59	None	620	None	54	None	151	None	44	None	275	None	56	None	73	None
1194777532	CARBAJAL, MARIA ZAIDA, DDS	2021	FFS	RENDERING	AGE 21+	150	None	1,164	None	77	None	147	None	117	None	711	None	126	None	129	None
1194792218	BINGHAM, CHERYL DIANE	2021	FFS	RENDERING	AGE 0-20	49	None	341	None	41	None	96	None	16	None	36	None	45	None	53	None
1194792218	BINGHAM, CHERYL DIANE	2021	FFS	RENDERING	AGE 21+	157	None	879	None	93	None	179	None	109	None	315	None	110	None	110	None
1194792218	BINGHAM, CHERYL DIANE	2021	PHP	RENDERING	AGE 0-20	37	None	169	None	32	None	74	None	15	None	29	None	32	None	32	None
1194792218	BINGHAM, CHERYL DIANE	2021	PHP	RENDERING	AGE 21+	71	None	344	None	50	None	101	None	38	None	135	None	53	None	54	None
1194804781	TEE PETER A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194805028	BEAMS JILL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194809830	JOSHI, MEGHA DDS	2021	FFS	RENDERING	AGE 21+	11	None	33	None	0	None	0	None	11	None	33	None	0	None	0	None
1194818476	THAI, QUYNH-THU	2021	FFS	RENDERING	AGE 0-20	582	None	9,009	None	570	None	2,565	None	279	None	642	None	570	None	865	None
1194818476	THAI, QUYNH-THU	2021	FFS	RENDERING	AGE 21+	150	None	1,050	None	123	None	153	None	85	None	250	None	131	None	131	None
1194831255	DO, CHI T, DDS	2021	FFS	RENDERING	AGE 0-20	155	None	1,727	None	151	None	557	None	78	None	208	None	146	None	219	None
1194831255	DO, CHI T, DDS	2021	FFS	RENDERING	AGE 21+	100	None	641	None	89	None	174	None	50	None	124	None	91	None	91	None
1194831487	SHOEMAKER, RONALD A DDS	2021	FFS	RENDERING	AGE 0-20	404	None	3,600	None	263	None	589	None	216	None	595	None	317	None	363	None
1194831487	SHOEMAKER, RONALD A DDS	2021	FFS	RENDERING	AGE 21+	308	None	2,411	None	180	None	309	None	214	None	674	None	199	None	199	None
1194835884	HERRERA, RENE ALBERT DDS	2021	FFS	RENDERING	AGE 0-20	248	None	2,528	None	208	None	269	None	150	None	612	None	218	None	280	None
1194835884	HERRERA, RENE ALBERT DDS	2021	FFS	RENDERING	AGE 21+	425	None	2,657	None	248	None	248	None	255	None	878	None	321	None	321	None
1194847939	KIM ANDREW	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1194847939	KIM ANDREW	2021	PHP	RENDERING	AGE 0-20	74	None	551	None	69	None	206	None	28	None	74	None	69	None	82	None
1194847939	KIM ANDREW	2021	PHP	RENDERING	AGE 21+	135	None	878	None	101	None	212	None	79	None	237	None	117	None	127	None
1194848622	HUH, KYUNG B DDS	2021	FFS	RENDERING	AGE 0-20	281	None	2,959	None	267	None	1,274	None	133	None	396	None	266	None	431	None
1194848622	HUH, KYUNG B DDS	2021	FFS	RENDERING	AGE 21+	385	None	2,916	None	179	None	350	None	300	None	1,400	None	267	None	271	None
1194850495	CALIMA DONNA M	2021	FFS	RENDERING	AGE 0-20	150	None	699	None	82	None	216	None	104	None	337	None	46	None	46	None
1194850495	CALIMA DONNA M	2021	FFS	RENDERING	AGE 21+	286	None	1,013	None	45	None	79	None	237	None	758	None	48	None	48	None
1194850495	CALIMA DONNA M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194850495	CALIMA DONNA M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194850495	CALIMA DONNA M	2021	PHP	RENDERING	AGE 0-20	11	None	29	None	None	1	None	1	None	1	None	2	None	1	None	1
1194850495	CALIMA DONNA M	2021	PHP	RENDERING	AGE 21+	15	None	44	None	None	1	None	1	None	1	None	2	None	1	None	1
1194860809	CORRAL JESSIE C	2021	FFS	RENDERING	AGE 0-20	1,381	None	14,913	None	882	None	3,443	None	611	None	2,294	None	1,198	None	1,336	None
1194860809	CORRAL JESSIE C	2021	FFS	RENDERING	AGE 21+	2,354	None	14,332	None	774	None	774	None	1,409	None	6,320	None	1,680	None	1,680	None
1194867788	TAO, GEORGE J, DDS INC	2021	FFS	RENDERING	AGE 0-20	70	None	1,188	None	50	None	328	None	37	None	196	None	47	None	124	None
1194867788	TAO, GEORGE J, DDS INC	2021	FFS	RENDERING	AGE 21+	96	None	1,454	None	41	None	158	None	78	None	516	None	59	None	118	None
1194869743	KIM DAVID SUNG	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194869743	KIM DAVID SUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1194870196	SANDOVAL, ROGER E, DDS	2021	FFS	RENDERING	AGE 0-20	102	None	696	None	83	None	277	None	36	None	56	None	86	None	86	None
1194871889	NABAVI FARNAZ	2021	FFS	RENDERING	AGE 0-20	741	None	4,554	None	707	None	2,311	None	403	None	1,360	None	721	None	856	None
1194871889	NABAVI FARNAZ	2021	FFS	RENDERING	AGE 21+	167	None	800	None	85	None	173	None	129	None	523	None	101	None	101	None
1194871889	NABAVI FARNAZ	2021	PHP	RENDERING	AGE 0-20	56	None	566	None	53	None	181	None	24	None	81	None	53	None	68	None
1194871889	NABAVI FARNAZ	2021	PHP	RENDERING	AGE 21+	24	None	109	None	14	None	17	None	17	None	64	None	14	None	14	None
1194889923	RICHARDS SUSAN DIANN C	2021	FFS	RENDERING	AGE 0-20	133	None	2,240	None	96	None	292	None	132	None	1,389	None	126	None	126	None
1194889923	RICHARDS SUSAN DIANN C	2021	FFS	RENDERING	AGE 21+	26	None	236	None	24	None	43	None	26	None	108	None	20	None	20	None
1194892547	JOO, WEON C, DDS	2021	FFS	RENDERING	AGE 0-20	142	None	1,011	None	135	None	265	None	53	None	117	None	129	None	165	None
1194892547	JOO, WEON C, DDS	2021	FFS	RENDERING	AGE 21+	350	None	2,003	None	236	None	236	None	198	None	593	None	285	None	287	None
1194892547	JOO, WEON CHEOL DDS	2021	FFS	RENDERING	AGE 0-20	142	None	1,011	None	135	None	265	None	53	None	117	None	129	None	165	None
1194892547	JOO, WEON CHEOL DDS	2021	FFS	RENDERING	AGE 21+	350	None	2,003	None	236	None	236	None	198	None	593	None	285	None	287	None
1194902767	ROBLES ARMINDA V	2021	FFS	RENDERING	AGE 0-20	717	None	8,264	None	521	None	1,498	None	582	None	3,342	None	516	None	532	None
1194905117	YONG RICHARD J	2021	FFS	RENDERING	AGE 0-20	63	None	629	None	42	None	113	None	33	None	108	None	45	None	57	None
1194905117	YONG RICHARD J	2021	FFS	RENDERING	AGE 21+	182	None	1,331	None	87	None	165	None	134	None	533	None	101	None	101	None
1194905927	KASHFI, SHARHARIAR SEAN, DDS	2021	FFS	RENDERING	AGE 0-20	102	None	1,816	None	98	None	689	None	84	None	428	None	99	None	190	None
1194905927	KASHFI, SHARHARIAR SEAN, DDS	2021	FFS	RENDERING	AGE 21+	379	None	5,277	None	279	None	279	None	364	None	3,371	None	331	None	331	None
1194916536	CANTOS, RACHEL A, DMD	2021	FFS	RENDERING	AGE 0-20	314	None	2,990	None	268	None	628	None	111	None	380	None	298	None	340	None
1194916536	CANTOS, RACHEL A, DMD	2021	FFS	RENDERING	AGE 21+	428	None	2,559	None	94	None	183	None	294	None	1,307	None	325	None	337	None
1194917609	ATLA RADHIKA	2021	FFS	RENDERING	AGE 0-20	233	None	3,580	None	228	None	1,290	None	120	None	209	None	211	None	359	None
1194917609	ATLA RADHIKA	2021	FFS	RENDERING	AGE 21+	884	None	8,766	None	735	None	1,442	None	497	None	1,596	None	763	None	763	None
1194920173	NGUYEN CHRISTOPHER D	2021	FFS	RENDERING	AGE 0-20	45	None	291	None	40	None	92	None	None	1	None	2	44	None	56	None
1194920173	NGUYEN CHRISTOPHER D	2021	FFS	RENDERING	AGE 21+	754	None	3,931	None	320	None	545	None	450	None	1,435	None	588	None	588	None
1194920363	RIDEAU ENRICO J	2021	FFS	RENDERING	AGE 0-20	46	None	362	None	33	None	54	None	23	None	46	None	34	None	35	None
1194920363	RIDEAU ENRICO J	2021	FFS	RENDERING	AGE 21+	71	None	382	None	12	None	12	None	42	None	96	None	28	None	28	None
1194921890	FETALINO CZARINNE PAT A	2021	FFS	RENDERING	AGE 0-20	25	None	304	None	25	None	92	None	14	None	61	None	22	None	34	None
1194921890	FETALINO CZARINNE PAT A	2021	FFS	RENDERING	AGE 21+	57	None	497	None	43	None	77	None	40	None	152	None	50	None	50	None
1194928598	SHOKER, DR D S, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1194931386	LEE KENNETH K	2021	FFS	RENDERING	AGE 0-20	75	None	850	None	43	None	79	None	75	None	665	None	46	None	46	None
1194931386	LEE KENNETH K	2021	FFS	RENDERING	AGE 21+	432	None	4,577	None	53	None	105	None	431	None	3,719	None	288	None	289	None
1194937748	HOANG DAREN T	2021	FFS	RENDERING	AGE 0-20	441	None	4,381	None	395	None	1,283	None	163	None	435	None	410	None	488	None
1194937748	HOANG DAREN T	2021	FFS	RENDERING	AGE 21+	506	None	3,103	None	252	None	324	None	353	None	1,196	None	343	None	343	None
1194939009	VELOSA JUAN C	2021	FFS	RENDERING	AGE 0-20	179	None	1,704	None	146	None	403	None	76	None	212	None	142	None	172	None
1194939009	VELOSA JUAN C	2021	FFS	RENDERING	AGE 21+	303	None	2,346	None	109	None	161	None	186	None	828	None	221	None	221	None
1194940841	LO MAN-PIK	2021	FFS	RENDERING	AGE 0-20	48	None	210	None	42	None	92	None	None	1	None	2	41	None	44	None
1194940841	LO MAN-PIK	2021	FFS	RENDERING	AGE 21+	243	None	714	None	155	None	155	None	104	None	168	None	80	None	80	None
1194941245	SANDOVAL PEDRO M	2021	FFS	RENDERING	AGE 0-20	100	None	1,074	None	81	None	241	None	54	None	296	None	92	None	109	None
1194941245	SANDOVAL PEDRO M	2021	FFS	RENDERING	AGE 21+	206	None	1,791	None	47	None	72	None	158	None	941	None	166	None	166	None
1194941245	SANDOVAL, PEDRO M, DDS CORPO	2021	FFS	RENDERING	AGE 0-20	100	None	1,074	None	81	None	241	None	54	None	296	None	92	None	109	None
1194941245	SANDOVAL, PEDRO M, DDS CORPO	2021	FFS	RENDERING	AGE 21+	206	None	1,791	None	47	None	72	None	158	None	941	None	166	None	166	None
1194943035	VO, TRINH-MAI NGOC, DDS	2021	FFS	RENDERING	AGE 0-20	157	None	1,101	None	144	None	445	None	67	None	183	None	126	None	158	None
1194943035	VO, TRINH-MAI NGOC, DDS	2021	FFS	RENDERING	AGE 21+	242	None	1,221	None	150	None	152	None	174	None	473	None	140	None	140	None
1194943563	NGUYEN SCOTT H	2021	FFS	RENDERING	AGE 0-20	133	None	1,083	None	127	None	339	None	48	None	125	None	125	None	146	None
1194943563	NGUYEN SCOTT H	2021	FFS	RENDERING	AGE 21+	68	None	469	None	45	None	84	None	43	None	122	None	45	None	45	None
1194944066	ROFAEL, NAWAL NAZEER DDS	2021	FFS	RENDERING	AGE 0-20	54	None	266	None	45	None	151	None	11	None	18	None	43	None	43	None
1194944066	ROFAEL, NAWAL NAZEER DDS	2021	FFS	RENDERING	AGE 21+	78	None	336	None	29	None	29	None	49	None	167	None	40	None	40	None
1194944066	ROFAEL, NAWAL NAZEER DDS	2021	PHP	RENDERING	AGE 0-20	38	None	145	None	38	None	85	None	None	1	None	1	38	None	39	None
1194944066	ROFAEL, NAWAL NAZEER DDS	2021	PHP	RENDERING	AGE 21+	72	None	376	None	38	None	39	None	37	None	199	None	59	None	61	None
1194944389	KHAYAL, SAMIR JAMAL DDS	2021	FFS	RENDERING	AGE 0-20	1,090	None	8,347	None	918	None	3,313	None	477	None	965	None	932	None	1,100	None
1194944389	KHAYAL, SAMIR JAMAL DDS	2021	FFS	RENDERING	AGE 21+	628	None	3,244	None	207	None	418	None	463	None	1,447	None	293	None	293	None
1194944389	KHAYAL, SAMIR JAMAL DDS	2021	PHP	RENDERING	AGE 0-20	46	None	325	None	43	None	121	None	23	None	47	None	42	None	55	None
1194944389	KHAYAL, SAMIR JAMAL DDS	2021	PHP	RENDERING	AGE 21+	20	None	67	None	None	1	None	1	None	1	None	2	17	None	17	None
1194944769	SALEHANI, FARIBA, DDS	2021	FFS	RENDERING	AGE 0-20	105	None	976	None	74	None	182	None	64	None	158	None	71	None	81	None
1194944769	SALEHANI, FARIBA, DDS	2021	FFS	RENDERING	AGE 21+	177	None	1,653	None	90	None	175	None	132	None	735	None	115	None	115	None
1194944769	SALEHANI, FARIBA, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1194944769	SALEHANI, FARIBA, DDS	2021	PHP	RENDERING	AGE 21+	14	None	109	None	None	1	None	2	None	1	None	2	12	None	13	None
1194946004	PETRUSKA LASZLO	2021	FFS	RENDERING	AGE 0-20	126	None	1,048	None	97	None	251	None	61	None	211	None	103	None	120	None
1194946004	PETRUSKA LASZLO	2021	FFS	RENDERING	AGE 21+	639	None	5,111	None	295	None	295	None	510	None	2,300	None	409	None	409	None
1194946004	PETRUSKA LASZLO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1194946566	HASHEMI SEAN S	2021	FFS	RENDERING	AGE 0-20	13	None	119	None	12	None	67	None	None	1	None	2	11	None	16	None
1194946566	HASHEMI SEAN S	2021	FFS	RENDERING	AGE 21+	114	None	576	None	54	None	81	None	73	None	239	None	80	None	80	None
1194948083	AZEVEDO ANDREA B	2021	FFS	RENDERING	AGE 0-20	85	None	560	None	77	None	193	None	20	None	63	None	73	None	75	None
1194948083	AZEVEDO ANDREA B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1194956326	GERBAKHER ALEXANDER I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1194956326	GERBAKHER ALEXANDER I	2021	FFS	RENDERING	AGE 21+	23	None	57	None	None	1	None	1	18	None	44	None	None	1	None	1
1194957969	PURECO MARIO	2021	FFS	RENDERING	AGE 0-20	31	None	392	None	26	None	73	None	15	None	58	None	25	None	30	None
1194957969	PURECO MARIO	2021	FFS	RENDERING	AGE 21+	81	None	614	None	20	None	20	None	65	None	241	None	45	None	45	None
1194967174	PERKINS CHEN, JENNIFER D MD	2021	FFS	RENDERING	AGE 21+	17	None	44	None	0	None	0	None	None	1	None	2	14	None	14	None
1194969378	SEDIQI NAS	2021	FFS	RENDERING	AGE 0-20	32	None	121	None	0	None	0	None	31	None	104	None	14	None	14	None
1194969378	SEDIQI NAS	2021	FFS	RENDERING	AGE 21+	12	None	27	None	0	None	0	None	None	1	None	2	None	1	None	1
1194979989	NGUYEN JIMMY	2021	FFS	RENDERING	AGE 0-20	387	None	5,713	None	355	None	1,425	None	268	None	1,603	None	365	None	539	None
1194979989	NGUYEN JIMMY	2021	FFS	RENDERING	AGE 21+	403	None	3,542	None	179	None	354	None	311	None	1,919	None	320	None	320	None
1194979989	NGUYEN JIMMY	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1194985812	KHANZADEH, ALBERT, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1194985812	KHANZADEH, ALBERT, DDS	2021	FFS	RENDERING	AGE 21+	30	None	170	None	14	None	14	None	21	None	103	None	17	None	17	None
1205001203	EZZAT ANGELA	2021	FFS	RENDERING	AGE 0-20	796	None	7,754	None	657	None	1,638	None	230	None	627	None	733	None	888	None
1205001203	EZZAT ANGELA	2021	FFS	RENDERING	AGE 21+	405	None	2,562	None	159	None	328	None	206	None	591	None	263	None	266	None
1205004082	CATABIJAN DIVINIA G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205004389	NAGAI BARNARD G	2021	FFS	RENDERING	AGE 0-20	51	None	339	None	45	None	148	None	23	None	42	None	44	None	50	None
1205004389	NAGAI BARNARD G	2021	FFS	RENDERING	AGE 21+	110	None	772	None	82	None	161	None	78	None	339	None	89	None	89	None
1205006707	ROBINOS MARY B	2021	FFS	RENDERING	AGE 0-20	65	None	1,014	None	61	None	229	None	43	None	214	None	54	None	74	None
1205006707	ROBINOS MARY B	2021	FFS	RENDERING	AGE 21+	128	None	1,653	None	94	None	185	None	102	None	502	None	98	None	98	None
1205007861	ORDES, RODOLFO C, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1205012986	COBB, STACEY ANN, RDHAP	2021	FFS	RENDERING	AGE 21+	119	None	752	None	116	None	462	None	119	None	290	None	0	None	0	None
1205017746	SANTA ROSA DENTAL OFFICE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1205019072	YOUSEFZADEH FERESHTEH	2021	FFS	RENDERING	AGE 0-20	116	None	162	None	0	None	0	None	18	None	57	None	0	None	0	None
1205019072	YOUSEFZADEH FERESHTEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1205021250	SAHARAN SACHIN	2021	FFS	RENDERING	AGE 0-20	355	None	3,193	None	258	None	1,132	None	174	None	582	None	329	None	396	None
1205021250	SAHARAN SACHIN	2021	FFS	RENDERING	AGE 21+	707	None	4,041	None	194	None	385	None	490	None	1,859	None	538	None	538	None
1205021250	SAHARAN SACHIN	2021	PHP	RENDERING	AGE 0-20	223	None	1,637	None	205	None	666	None	86	None	262	None	206	None	241	None
1205021250	SAHARAN SACHIN	2021	PHP	RENDERING	AGE 21+	273	None	1,329	None	121	None	242	None	119	None	323	None	209	None	210	None
1205022431	HANNA, MAHA M, DDS	2021	FFS	RENDERING	AGE 0-20	33	None	626	None	24	None	178	None	13	None	106	None	30	None	82	None
1205022431	HANNA, MAHA M, DDS	2021	FFS	RENDERING	AGE 21+	213	None	3,554	None	76	None	214	None	153	None	1,926	None	159	None	326	None
1205022431	HANNA, MAHA M, DDS	2021	PHP	RENDERING	AGE 21+	11	None	86	None	None	1	None	1	None	1	None	2	None	1	None	2
1205026515	GOWDA RAMESH A M	2021	FFS	RENDERING	AGE 0-20	55	None	550	None	45	None	140	None	32	None	101	None	38	None	41	None
1205026515	GOWDA RAMESH A M	2021	FFS	RENDERING	AGE 21+	172	None	1,127	None	82	None	82	None	96	None	406	None	132	None	133	None
1205031119	GARZA, ROSENDO, DDS	2021	FFS	RENDERING	AGE 0-20	298	None	3,500	None	255	None	848	None	150	None	642	None	238	None	288	None
1205031119	GARZA, ROSENDO, DDS	2021	FFS	RENDERING	AGE 21+	467	None	3,821	None	136	None	217	None	336	None	1,844	None	334	None	336	None
1205033149	TRAN DAVID D	2021	FFS	RENDERING	AGE 0-20	88	None	762	None	81	None	214	None	56	None	265	None	83	None	110	None
1205033149	TRAN DAVID D	2021	FFS	RENDERING	AGE 21+	157	None	1,286	None	135	None	266	None	109	None	604	None	139	None	139	None
1205034790	BRONZINI NICOLAS L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1205040573	NAZIRI, RAMIN A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1205042322	CALICDAN CAROL S	2021	FFS	RENDERING	AGE 0-20	100	None	630	None	36	None	73	None	42	None	145	None	73	None	77	None
1205042322	CALICDAN CAROL S	2021	FFS	RENDERING	AGE 21+	434	None	2,303	None	21	None	31	None	209	None	585	None	315	None	316	None
1205053907	GONZALEZ ALBERTO	2021	FFS	RENDERING	AGE 0-20	38	None	212	None	29	None	71	None	16	None	46	None	35	None	42	None
1205053907	GONZALEZ ALBERTO	2021	FFS	RENDERING	AGE 21+	92	None	506	None	59	None	118	None	53	None	181	None	69	None	69	None
1205056207	KUNIMOTO BLAKE K	2021	FFS	RENDERING	AGE 0-20	1,131	None	8,273	None	1,038	None	1,578	None	185	None	591	None	1,061	None	1,443	None
1205056207	KUNIMOTO BLAKE K	2021	FFS	RENDERING	AGE 21+	599	None	4,375	None	146	None	146	None	315	None	997	None	415	None	415	None
1205056264	SHAH, RAJESH DDS	2021	FFS	RENDERING	AGE 0-20	183	None	2,826	None	161	None	623	None	102	None	345	None	165	None	210	None
1205056264	SHAH, RAJESH DDS	2021	FFS	RENDERING	AGE 21+	217	None	2,276	None	34	None	46	None	177	None	743	None	138	None	138	None
1205057379	SHIN, ANDREW WOOCHUL, DDS	2021	FFS	RENDERING	AGE 0-20	201	None	1,298	None	194	None	460	None	58	None	149	None	190	None	269	None
1205057379	SHIN, ANDREW WOOCHUL, DDS	2021	FFS	RENDERING	AGE 21+	312	None	1,520	None	226	None	226	None	161	None	472	None	253	None	253	None
1205057619	MILLAR, SUSAN FLORRIE DDS	2021	FFS	RENDERING	AGE 0-20	132	None	1,074	None	112	None	401	None	59	None	182	None	110	None	153	None
1205057619	MILLAR, SUSAN FLORRIE DDS	2021	FFS	RENDERING	AGE 21+	506	None	3,507	None	309	None	575	None	373	None	1,513	None	328	None	329	None
1205057783	FRYDMAN ALON	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1205065265	SWAROOP, MELODY ANN, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1205067980	CHAUDHRY MANU	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205076338	BONILLA CARLOS E	2021	GMC	RENDERING	AGE 21+	15	None	55	None	None	1	None	1	14	None	31	None	None	1	None	2
1205082708	CERVANTES GABRIELA	2021	FFS	RENDERING	AGE 0-20	3,517	None	33,007	None	2,977	None	10,200	None	2,261	None	5,215	None	2,756	None	3,387	None
1205082708	CERVANTES GABRIELA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1205099637	SINGH RANBIR	2021	PHP	RENDERING	AGE 0-20	103	None	498	None	86	None	245	None	43	None	54	None	46	None	47	None
1205099637	SINGH RANBIR	2021	PHP	RENDERING	AGE 21+	13	None	68	None	12	None	21	None	None	1	None	2	None	1	None	1
1205102365	CASTIGLIONE ZACHERY J	2021	FFS	RENDERING	AGE 0-20	326	None	3,024	None	288	None	461	None	177	None	637	None	283	None	346	None
1205102365	CASTIGLIONE ZACHERY J	2021	FFS	RENDERING	AGE 21+	16	None	61	None	None	1	None	1	None	1	None	2	None	1	None	1
1205137999	KIM YOUNG R	2021	FFS	RENDERING	AGE 0-20	776	None	12,182	None	739	None	2,609	None	488	None	2,075	None	752	None	1,003	None
1205137999	KIM YOUNG R	2021	FFS	RENDERING	AGE 21+	403	None	4,284	None	281	None	549	None	296	None	1,522	None	344	None	344	None
1205149176	CALIGIURI PEARL A	2021	PHP	RENDERING	AGE 0-20	256	None	1,577	None	208	None	695	None	126	None	182	None	164	None	193	None
1205149176	CALIGIURI PEARL A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1205156122	DAOUD HASAN A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1205156122	DAOUD HASAN A	2021	FFS	RENDERING	AGE 21+	17	None	52	None	0	None	0	None	12	None	24	None	None	1	None	1
1205159498	IKEDA HIDEKI	2021	FFS	RENDERING	AGE 0-20	615	None	1,540	None	0	None	0	None	52	None	90	None	0	None	0	None
1205159498	IKEDA HIDEKI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1205162948	WU, YING, DDS INC	2021	PHP	RENDERING	AGE 0-20	49	None	296	None	41	None	82	None	12	None	28	None	45	None	46	None
1205162948	WU, YING, DDS INC	2021	PHP	RENDERING	AGE 21+	33	None	179	None	18	None	22	None	20	None	57	None	20	None	20	None
1205177185	MEHRKHODAVANDI NEEMA B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205177185	MEHRKHODAVANDI NEEMA B	2021	FFS	RENDERING	AGE 21+	36	None	48	None	0	None	0	None	36	None	47	None	0	None	0	None
1205178357	OSIBIN III WILLARD S	2021	FFS	RENDERING	AGE 0-20	208	None	1,374	None	0	None	0	None	199	None	1,352	None	11	None	11	None
1205178357	OSIBIN III WILLARD S	2021	FFS	RENDERING	AGE 21+	309	None	3,147	None	0	None	0	None	297	None	3,108	None	18	None	18	None
1205184918	HAMZE HOUDA W	2021	FFS	RENDERING	AGE 0-20	672	None	4,750	None	644	None	1,716	None	608	None	803	None	585	None	586	None
1205197399	EMDADI JENNIFER R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1205197399	EMDADI JENNIFER R	2021	FFS	RENDERING	AGE 21+	22	None	95	None	None	1	None	2	14	None	34	None	18	None	18	None
1205203304	FOROUGHI ASHKAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205226875	JANG, S, DDS INCORPORATED	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1205226875	S. JANG DDS INCORPORATED	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1205241668	TUCKER BRENT A	2021	FFS	RENDERING	AGE 0-20	843	None	14,417	None	779	None	3,601	None	570	None	2,325	None	775	None	1,209	None
1205241668	TUCKER BRENT A	2021	FFS	RENDERING	AGE 21+	87	None	474	None	40	None	80	None	54	None	85	None	44	None	44	None
1205247434	KENDALL SAMANTHA	2021	FFS	RENDERING	AGE 0-20	75	None	518	None	37	None	81	None	46	None	111	None	45	None	45	None
1205247434	KENDALL SAMANTHA	2021	FFS	RENDERING	AGE 21+	342	None	2,145	None	34	None	61	None	252	None	818	None	208	None	208	None
1205248812	MUNEER QURATULANNE	2021	FFS	RENDERING	AGE 0-20	273	None	4,017	None	250	None	752	None	119	None	928	None	268	None	356	None
1205248812	MUNEER QURATULANNE	2021	FFS	RENDERING	AGE 21+	202	None	2,177	None	88	None	147	None	153	None	913	None	160	None	161	None
1205265527	CHANG PHILIP	2021	FFS	RENDERING	AGE 0-20	316	None	4,089	None	303	None	1,230	None	148	None	364	None	304	None	380	None
1205265527	CHANG PHILIP	2021	FFS	RENDERING	AGE 21+	576	None	6,645	None	435	None	1,291	None	356	None	1,425	None	472	None	688	None
1205265527	CHANG PHILIP	2021	PHP	RENDERING	AGE 0-20	48	None	308	None	41	None	119	None	20	None	25	None	43	None	43	None
1205265527	CHANG PHILIP	2021	PHP	RENDERING	AGE 21+	44	None	271	None	33	None	64	None	18	None	30	None	37	None	38	None
1205273810	MIKHAIL EMAN	2021	FFS	RENDERING	AGE 0-20	27	None	200	None	23	None	65	None	14	None	76	None	18	None	21	None
1205273810	MIKHAIL EMAN	2021	FFS	RENDERING	AGE 21+	43	None	209	None	19	None	34	None	18	None	65	None	34	None	34	None
1205290327	KIM JOANNE J	2021	FFS	RENDERING	AGE 0-20	2,656	None	47,083	None	2,522	None	9,743	None	2,123	None	11,149	None	2,552	None	3,329	None
1205290327	KIM JOANNE J	2021	FFS	RENDERING	AGE 21+	58	None	577	None	46	None	96	None	18	None	76	None	49	None	51	None
1205295862	BATEMAN GABRIELLA MA O	2021	FFS	RENDERING	AGE 0-20	179	None	844	None	146	None	350	None	39	None	61	None	142	None	148	None
1205295862	BATEMAN GABRIELLA MA O	2021	FFS	RENDERING	AGE 21+	114	None	427	None	27	None	38	None	76	None	145	None	52	None	52	None
1205311057	GARCIA GIOVANNA	2021	FFS	RENDERING	AGE 0-20	87	None	413	None	34	None	73	None	68	None	107	None	38	None	40	None
1205311057	GARCIA GIOVANNA	2021	FFS	RENDERING	AGE 21+	321	None	1,584	None	68	None	130	None	250	None	585	None	126	None	126	None
1205331022	YU WENLI	2021	FFS	RENDERING	AGE 0-20	178	None	1,105	None	0	None	0	None	155	None	1,037	None	34	None	34	None
1205331022	YU WENLI	2021	FFS	RENDERING	AGE 21+	249	None	1,316	None	0	None	0	None	182	None	1,096	None	112	None	112	None
1205341336	ELICA HEALTH CENTERS	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1205341336	ELICA HEALTH CENTERS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	2
1205343654	ASKARI NINOOSH	2021	FFS	RENDERING	AGE 21+	364	None	858	None	79	None	113	None	364	None	463	None	282	None	282	None
1205365103	YANG JESSIE	2021	FFS	RENDERING	AGE 0-20	86	None	567	None	42	None	83	None	54	None	119	None	44	None	44	None
1205365103	YANG JESSIE	2021	FFS	RENDERING	AGE 21+	208	None	1,113	None	55	None	108	None	151	None	415	None	95	None	95	None
1205370673	TRAN ELIZABETH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1205370673	TRAN ELIZABETH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205380052	PEGAH TEHRANI	2021	FFS	RENDERING	AGE 0-20	990	None	7,140	None	589	None	1,395	None	468	None	1,072	None	729	None	746	None
1205380052	PEGAH TEHRANI	2021	FFS	RENDERING	AGE 21+	993	None	3,920	None	106	None	205	None	611	None	1,401	None	542	None	544	None
1205380052	PEGAH TEHRANI	2021	PHP	RENDERING	AGE 0-20	14	None	72	None	None	1	None	2	None	1	None	2	None	1	None	1
1205380052	PEGAH TEHRANI	2021	PHP	RENDERING	AGE 21+	25	None	83	None	None	1	None	1	14	None	34	None	15	None	15	None
1205398567	PETERS DA'KANDRYIA	2021	FFS	RENDERING	AGE 0-20	270	None	1,559	None	218	None	519	None	101	None	277	None	243	None	264	None
1205398567	PETERS DA'KANDRYIA	2021	FFS	RENDERING	AGE 21+	212	None	998	None	20	None	33	None	155	None	601	None	122	None	122	None
1205406949	TAFESH PETER B	2021	FFS	RENDERING	AGE 0-20	79	None	425	None	41	None	94	None	60	None	241	None	15	None	15	None
1205406949	TAFESH PETER B	2021	FFS	RENDERING	AGE 21+	200	None	922	None	44	None	78	None	174	None	695	None	20	None	20	None
1205423803	CEBALLOS MARISOL D	2021	FFS	RENDERING	AGE 0-20	51	None	223	None	29	None	63	None	31	None	42	None	30	None	30	None
1205423803	CEBALLOS MARISOL D	2021	FFS	RENDERING	AGE 21+	36	None	122	None	13	None	25	None	28	None	47	None	13	None	13	None
1205428802	NAINA FNU	2021	FFS	RENDERING	AGE 0-20	1,424	None	10,927	None	1,188	None	2,489	None	161	None	418	None	1,357	None	1,424	None
1205428802	NAINA FNU	2021	FFS	RENDERING	AGE 21+	319	None	2,360	None	120	None	239	None	214	None	737	None	214	None	216	None
1205448156	BUI TIFFANY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205472495	VO TRISHA-THUY-	2021	FFS	RENDERING	AGE 0-20	551	None	3,998	None	401	None	1,037	None	324	None	695	None	357	None	358	None
1205472495	VO TRISHA-THUY-	2021	FFS	RENDERING	AGE 21+	65	None	319	None	24	None	48	None	44	None	109	None	27	None	27	None
1205476207	DRS SALEM AND SOLIMAN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205476207	DRS SALEM AND SOLIMAN DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205481256	HONG JENNY H	2021	FFS	RENDERING	AGE 0-20	782	None	5,164	None	503	None	1,295	None	539	None	1,183	None	439	None	453	None
1205481256	HONG JENNY H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205496155	GHASEMI REZA	2021	FFS	RENDERING	AGE 0-20	55	None	397	None	37	None	109	None	36	None	121	None	51	None	51	None
1205496155	GHASEMI REZA	2021	FFS	RENDERING	AGE 21+	106	None	673	None	35	None	69	None	83	None	381	None	95	None	95	None
1205821931	NICHOLS RONALD W	2021	FFS	RENDERING	AGE 0-20	29	None	228	None	29	None	86	None	13	None	46	None	28	None	29	None
1205821931	NICHOLS RONALD W	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205821931	NICHOLS RONALD W	2021	PHP	RENDERING	AGE 0-20	17	None	112	None	17	None	50	None	None	1	None	1	16	None	20	None
1205821931	NICHOLS RONALD W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1205822285	HUANG, WILBUR	2021	FFS	RENDERING	AGE 0-20	35	None	90	None	0	None	0	None	35	None	90	None	0	None	0	None
1205847068	GEWAID SHENOUDA F	2021	FFS	RENDERING	AGE 0-20	229	None	1,656	None	182	None	698	None	73	None	161	None	143	None	168	None
1205847068	GEWAID SHENOUDA F	2021	FFS	RENDERING	AGE 21+	616	None	2,106	None	284	None	382	None	390	None	1,085	None	182	None	182	None
1205847068	GEWAID SHENOUDA F	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205847068	GEWAID SHENOUDA F	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205865375	SHOKOHI ARMON	2021	FFS	RENDERING	AGE 0-20	216	None	952	None	131	None	255	None	44	None	88	None	188	None	190	None
1205865375	SHOKOHI ARMON	2021	FFS	RENDERING	AGE 21+	413	None	1,251	None	52	None	59	None	182	None	352	None	243	None	243	None
1205865375	SHOKOHI ARMON	2021	PHP	RENDERING	AGE 0-20	126	None	369	None	82	None	130	None	19	None	33	None	109	None	113	None
1205865375	SHOKOHI ARMON	2021	PHP	RENDERING	AGE 21+	227	None	520	None	41	None	49	None	94	None	212	None	156	None	159	None
1205871415	AVULA SHILPA	2021	FFS	RENDERING	AGE 0-20	116	None	786	None	102	None	259	None	47	None	208	None	84	None	88	None
1205871415	AVULA SHILPA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1205882255	MORRIS JUDI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1205900438	SOLTANZADEH PEDRAM	2021	FFS	RENDERING	AGE 0-20	147	None	1,090	None	124	None	282	None	57	None	245	None	133	None	150	None
1205900438	SOLTANZADEH PEDRAM	2021	FFS	RENDERING	AGE 21+	214	None	1,318	None	111	None	222	None	129	None	580	None	142	None	142	None
1205900982	NAKAHARA ARTHUR T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1205900982	NAKAHARA ARTHUR T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1205902251	KHASRU, MOHAMMED A, DDS	2021	FFS	RENDERING	AGE 0-20	1,279	None	6,232	None	553	None	1,811	None	229	None	286	None	1,254	None	1,447	None
1205902251	KHASRU, MOHAMMED A, DDS	2021	FFS	RENDERING	AGE 21+	1,456	None	4,442	None	366	None	669	None	198	None	488	None	1,340	None	1,344	None
1205902251	KHASRU, MOHAMMED A, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1205907417	MADANI, ABOLGHASSEM, DDS	2021	FFS	RENDERING	AGE 21+	29	None	135	None	18	None	18	None	20	None	53	None	23	None	23	None
1205908290	TRAN, PHUONG DDS	2021	FFS	RENDERING	AGE 0-20	229	None	3,585	None	227	None	993	None	147	None	427	None	227	None	349	None
1205908290	TRAN, PHUONG DDS	2021	FFS	RENDERING	AGE 21+	204	None	2,113	None	161	None	321	None	146	None	732	None	172	None	172	None
1205908290	TRAN, PHUONG P, DDS	2021	FFS	RENDERING	AGE 0-20	229	None	3,585	None	227	None	993	None	147	None	427	None	227	None	349	None
1205908290	TRAN, PHUONG P, DDS	2021	FFS	RENDERING	AGE 21+	204	None	2,113	None	161	None	321	None	146	None	732	None	172	None	172	None
1205921269	AGAKI MEIR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1205921897	WILLIAMS, DOUGLAS P, DDS	2021	FFS	RENDERING	AGE 0-20	110	None	249	None	0	None	0	None	47	None	142	None	0	None	0	None
1205922705	CENTRAL COAST PED DENTAL GRP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205922705	CENTRAL COAST PEDIATRIC DENT	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205934346	RAJABI ABBAS	2021	FFS	RENDERING	AGE 0-20	325	None	2,485	None	273	None	783	None	166	None	532	None	303	None	345	None
1205934346	RAJABI ABBAS	2021	FFS	RENDERING	AGE 21+	745	None	4,861	None	359	None	718	None	560	None	2,308	None	523	None	531	None
1205934346	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	325	None	2,485	None	273	None	783	None	166	None	532	None	303	None	345	None
1205934346	UNKNOWN	2021	FFS	RENDERING	AGE 21+	745	None	4,861	None	359	None	718	None	560	None	2,308	None	523	None	531	None
1205934809	TJIONG HWIE-BENG	2021	FFS	RENDERING	AGE 0-20	16	None	115	None	14	None	50	None	12	None	24	None	11	None	12	None
1205934809	TJIONG HWIE-BENG	2021	FFS	RENDERING	AGE 21+	76	None	324	None	43	None	43	None	45	None	119	None	57	None	57	None
1205943271	OSORIA, JOSE L, DDS	2021	FFS	RENDERING	AGE 0-20	233	None	1,087	None	36	None	43	None	195	None	408	None	58	None	63	None
1205943271	OSORIA, JOSE L, DDS	2021	FFS	RENDERING	AGE 21+	718	None	2,836	None	50	None	50	None	534	None	1,226	None	370	None	371	None
1205943495	STEFANIDIS, MICHAEL A, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	79	None	20	None	40	None	None	1	None	1	20	None	21	None
1205943495	STEFANIDIS, MICHAEL A, DDS	2021	FFS	RENDERING	AGE 21+	60	None	201	None	28	None	28	None	34	None	58	None	31	None	31	None
1205949005	KHAN SHATAJ A	2021	FFS	RENDERING	AGE 21+	14	None	27	None	0	None	0	None	14	None	27	None	0	None	0	None
1205949021	FORGE, JONI A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205949021	FORGE, JONI A, DDS	2021	FFS	RENDERING	AGE 21+	22	None	85	None	None	1	None	1	None	1	None	2	16	None	16	None
1205961026	REESE, COTE, DDS	2021	FFS	RENDERING	AGE 21+	96	None	189	None	0	None	0	None	94	None	159	None	None	1	None	1
1205966553	TRAN VIVIAN T	2021	FFS	RENDERING	AGE 0-20	2,220	None	22,030	None	2,133	None	6,209	None	1,338	None	3,938	None	2,139	None	2,778	None
1205966553	TRAN VIVIAN T	2021	FFS	RENDERING	AGE 21+	222	None	1,164	None	118	None	118	None	106	None	276	None	156	None	156	None
1205966553	TRAN VIVIAN T	2021	PHP	RENDERING	AGE 0-20	102	None	578	None	102	None	238	None	39	None	97	None	101	None	107	None
1205971306	HATCHER & DIAL INC.	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1205973351	GAJARDO, ANA MARIA DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1205978897	NGUYEN VALERIE D	2021	FFS	RENDERING	AGE 0-20	1,004	None	13,476	None	922	None	2,383	None	614	None	2,328	None	917	None	1,072	None
1205978897	NGUYEN VALERIE D	2021	FFS	RENDERING	AGE 21+	166	None	1,077	None	56	None	111	None	115	None	236	None	88	None	88	None
1205982295	TABIBZADEH NAVID	2021	FFS	RENDERING	AGE 0-20	1,605	None	12,936	None	1,450	None	4,660	None	638	None	1,729	None	1,493	None	1,725	None
1205982295	TABIBZADEH NAVID	2021	FFS	RENDERING	AGE 21+	540	None	1,845	None	164	None	330	None	319	None	957	None	362	None	362	None
1205982295	TABIBZADEH NAVID	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1205982295	TABIBZADEH NAVID	2021	PHP	RENDERING	AGE 21+	13	None	53	None	None	1	None	1	None	1	None	2	None	1	None	1
1205982311	JUSTIN HARTANTO L	2021	FFS	RENDERING	AGE 0-20	81	None	733	None	77	None	244	None	40	None	118	None	78	None	108	None
1205982311	JUSTIN HARTANTO L	2021	FFS	RENDERING	AGE 21+	176	None	1,664	None	130	None	143	None	122	None	443	None	138	None	138	None
1205983830	DESAR JYOTI V	2021	FFS	RENDERING	AGE 0-20	224	None	2,438	None	187	None	482	None	85	None	275	None	189	None	213	None
1205983830	DESAR JYOTI V	2021	FFS	RENDERING	AGE 21+	358	None	3,149	None	195	None	198	None	159	None	505	None	295	None	295	None
1205986221	HA, KIM PHUNG T, DMD	2021	FFS	RENDERING	AGE 0-20	300	None	2,880	None	285	None	1,213	None	165	None	585	None	285	None	363	None
1205986221	HA, KIM PHUNG T, DMD	2021	FFS	RENDERING	AGE 21+	283	None	1,941	None	215	None	421	None	227	None	889	None	218	None	218	None
1205989100	AHN, JAMES C T, DDS	2021	FFS	RENDERING	AGE 21+	66	None	176	None	12	None	12	None	21	None	43	None	58	None	58	None
1205989423	GONZALES LEILA P	2021	FFS	RENDERING	AGE 0-20	3,111	None	30,605	None	2,424	None	5,570	None	1,763	None	4,147	None	2,415	None	2,572	None
1205989423	GONZALES LEILA P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205989423	GONZALES LEILA P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1205989589	ELAZEGUI, NONATO H DMD	2021	FFS	RENDERING	AGE 0-20	172	None	3,319	None	163	None	690	None	115	None	873	None	165	None	208	None
1205989589	ELAZEGUI, NONATO H DMD	2021	FFS	RENDERING	AGE 21+	60	None	1,039	None	50	None	104	None	47	None	402	None	51	None	53	None
1205989829	ZINBERG, DIANA DDS	2021	FFS	RENDERING	AGE 0-20	210	None	1,166	None	136	None	359	None	121	None	310	None	136	None	138	None
1205989829	ZINBERG, DIANA DDS	2021	FFS	RENDERING	AGE 21+	488	None	2,468	None	160	None	161	None	422	None	1,420	None	185	None	185	None
1205991577	JIMENEZ CESAR	2021	FFS	RENDERING	AGE 0-20	156	None	1,235	None	141	None	358	None	63	None	203	None	143	None	183	None
1205991577	JIMENEZ CESAR	2021	FFS	RENDERING	AGE 21+	291	None	1,231	None	133	None	133	None	167	None	435	None	198	None	198	None
1205993995	FISCHER, DAVID J MD	2021	FFS	RENDERING	AGE 0-20	480	None	1,592	None	0	None	0	None	480	None	1,592	None	0	None	0	None
1205993995	FISCHER, DAVID J MD	2021	FFS	RENDERING	AGE 21+	15	None	45	None	0	None	0	None	15	None	45	None	0	None	0	None
1205998184	FARHANGI FAYE F	2021	FFS	RENDERING	AGE 0-20	20	None	240	None	17	None	72	None	18	None	115	None	20	None	20	None
1205998184	FARHANGI FAYE F	2021	FFS	RENDERING	AGE 21+	253	None	3,234	None	170	None	337	None	245	None	2,472	None	195	None	195	None
1205999497	PHAM BACH MAI T	2021	FFS	RENDERING	AGE 0-20	134	None	779	None	98	None	310	None	96	None	343	None	38	None	38	None
1205999497	PHAM BACH MAI T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205999497	PHAM BACH MAI T	2021	GMC	RENDERING	AGE 0-20	1,499	None	10,711	None	1,002	None	3,293	None	853	None	3,010	None	1,249	None	1,442	None
1205999497	PHAM BACH MAI T	2021	GMC	RENDERING	AGE 21+	1,088	None	7,010	None	364	None	626	None	672	None	3,610	None	836	None	841	None
1205999497	PHAM BACH MAI T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205999497	PHAM BACH MAI T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205999828	GHRAIR SUZAN B	2021	FFS	RENDERING	AGE 0-20	1,415	None	12,734	None	1,083	None	4,211	None	1,068	None	5,999	None	566	None	606	None
1205999828	GHRAIR SUZAN B	2021	FFS	RENDERING	AGE 21+	85	None	240	None	43	None	80	None	42	None	153	None	None	1	None	1
1205999828	GHRAIR SUZAN B	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205999828	GHRAIR SUZAN B	2021	PHP	RENDERING	AGE 0-20	233	None	2,808	None	193	None	1,118	None	160	None	877	None	189	None	230	None
1205999828	GHRAIR SUZAN B	2021	PHP	RENDERING	AGE 21+	158	None	1,370	None	75	None	155	None	124	None	829	None	124	None	128	None
1215004833	VELARDE CARLOS E	2021	FFS	RENDERING	AGE 0-20	39	None	472	None	36	None	153	None	16	None	25	None	34	None	47	None
1215004833	VELARDE CARLOS E	2021	FFS	RENDERING	AGE 21+	21	None	89	None	None	1	None	1	12	None	31	None	17	None	17	None
1215005640	ZHANG SHAOBIN	2021	FFS	RENDERING	AGE 0-20	440	None	630	None	0	None	0	None	131	None	236	None	0	None	0	None
1215005640	ZHANG SHAOBIN	2021	FFS	RENDERING	AGE 21+	14	None	14	None	0	None	0	None	0	None	0	None	0	None	0	None
1215010319	FELD, LEONARD J, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	549	None	18	None	25	None	106	None	173	None	24	None	24	None
1215010319	FELD, LEONARD J, DDS	2021	FFS	RENDERING	AGE 21+	142	None	652	None	21	None	25	None	124	None	246	None	31	None	31	None
1215020391	TRAN, THUYVAN H, DDS	2021	FFS	RENDERING	AGE 0-20	65	None	427	None	64	None	152	None	23	None	83	None	62	None	79	None
1215020391	TRAN, THUYVAN H, DDS	2021	FFS	RENDERING	AGE 21+	74	None	430	None	60	None	62	None	46	None	213	None	61	None	63	None
1215023189	FLACHNER STEWART D	2021	FFS	RENDERING	AGE 0-20	226	None	3,065	None	188	None	772	None	91	None	176	None	212	None	286	None
1215023189	FLACHNER STEWART D	2021	FFS	RENDERING	AGE 21+	162	None	868	None	25	None	45	None	101	None	252	None	105	None	105	None
1215023189	FLACHNER STEWART D	2021	PHP	RENDERING	AGE 0-20	56	None	549	None	46	None	116	None	31	None	47	None	54	None	61	None
1215023189	FLACHNER STEWART D	2021	PHP	RENDERING	AGE 21+	38	None	179	None	None	1	None	1	15	None	50	None	30	None	31	None
1215027651	REYES EDWIN P	2021	FFS	RENDERING	AGE 0-20	50	None	327	None	44	None	106	None	17	None	32	None	46	None	53	None
1215027651	REYES EDWIN P	2021	FFS	RENDERING	AGE 21+	163	None	906	None	84	None	166	None	92	None	311	None	134	None	134	None
1215029772	HOU, STEVEN Y, DDS INC	2021	FFS	RENDERING	AGE 0-20	17	None	127	None	17	None	40	None	None	1	None	2	12	None	16	None
1215029772	HOU, STEVEN Y, DDS INC	2021	FFS	RENDERING	AGE 21+	49	None	318	None	29	None	58	None	26	None	80	None	25	None	25	None
1215032115	AHDOUT SAIED S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215035217	O'CONNOR MARY M	2021	FFS	RENDERING	AGE 0-20	1,264	None	10,597	None	1,230	None	4,052	None	539	None	1,916	None	1,207	None	1,675	None
1215035217	O'CONNOR MARY M	2021	FFS	RENDERING	AGE 21+	256	None	1,657	None	217	None	420	None	217	None	432	None	204	None	204	None
1215040118	NGUYEN PETER T	2021	FFS	RENDERING	AGE 0-20	119	None	1,554	None	108	None	443	None	40	None	122	None	107	None	130	None
1215040118	NGUYEN PETER T	2021	FFS	RENDERING	AGE 21+	328	None	2,748	None	145	None	288	None	249	None	1,262	None	188	None	189	None
1215047303	ABELITA, LEO JIREH C, DMD IN	2021	FFS	RENDERING	AGE 0-20	65	None	722	None	64	None	228	None	13	None	45	None	64	None	111	None
1215047303	ABELITA, LEO JIREH C, DMD IN	2021	FFS	RENDERING	AGE 21+	134	None	1,161	None	102	None	202	None	72	None	300	None	119	None	119	None
1215053236	TRAN, SON ANH, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	156	None	18	None	64	None	13	None	22	None	20	None	23	None
1215053236	TRAN, SON ANH, DDS	2021	FFS	RENDERING	AGE 21+	61	None	399	None	56	None	112	None	42	None	94	None	56	None	56	None
1215056262	MARTINEZ JACKQUELINE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1215057419	KO, SAMUEL H, DDS	2021	FFS	RENDERING	AGE 0-20	3,373	None	34,353	None	3,078	None	11,258	None	1,187	None	3,707	None	3,243	None	4,246	None
1215057419	KO, SAMUEL H, DDS	2021	FFS	RENDERING	AGE 21+	400	None	3,349	None	272	None	274	None	204	None	678	None	342	None	342	None
1215060769	PEREZ ZEPEDA MARCELA I	2021	FFS	RENDERING	AGE 0-20	40	None	315	None	20	None	49	None	25	None	48	None	28	None	31	None
1215060769	PEREZ ZEPEDA MARCELA I	2021	FFS	RENDERING	AGE 21+	139	None	1,168	None	14	None	16	None	110	None	358	None	66	None	66	None
1215060769	PEREZ ZEPEDA MARCELA I	2021	PHP	RENDERING	AGE 0-20	50	None	362	None	30	None	111	None	29	None	65	None	33	None	33	None
1215060769	PEREZ ZEPEDA MARCELA I	2021	PHP	RENDERING	AGE 21+	83	None	600	None	16	None	20	None	75	None	264	None	42	None	44	None
1215063011	KWON ANDREW W	2021	FFS	RENDERING	AGE 0-20	39	None	186	None	26	None	53	None	18	None	41	None	28	None	31	None
1215063011	KWON ANDREW W	2021	FFS	RENDERING	AGE 21+	166	None	625	None	46	None	73	None	110	None	236	None	90	None	90	None
1215064548	CAPDEVILA, GABRIEL E, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	209	None	27	None	75	None	None	1	None	1	25	None	32	None
1215064548	CAPDEVILA, GABRIEL E, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1215065461	OLGUIN, JOSE	2021	FFS	RENDERING	AGE 0-20	365	None	3,706	None	347	None	1,213	None	147	None	368	None	351	None	525	None
1215065461	OLGUIN, JOSE	2021	FFS	RENDERING	AGE 21+	171	None	975	None	40	None	41	None	110	None	438	None	121	None	121	None
1215066329	YAFAI, MARK S MD	2021	FFS	RENDERING	AGE 0-20	40	None	186	None	0	None	0	None	37	None	174	None	0	None	0	None
1215066329	YAFAI, MARK S MD	2021	FFS	RENDERING	AGE 21+	58	None	273	None	0	None	0	None	56	None	254	None	0	None	0	None
1215066329	YAFAI, MARK S MD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1215066329	YAFAI, MARK S MD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1215068150	ISKANDAR MONA F	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1215068622	TRAN, TAMMY N, DDS	2021	FFS	RENDERING	AGE 0-20	148	None	2,538	None	141	None	598	None	51	None	161	None	142	None	225	None
1215068622	TRAN, TAMMY N, DDS	2021	FFS	RENDERING	AGE 21+	97	None	992	None	78	None	143	None	54	None	177	None	79	None	79	None
1215077508	KHULLAR REENA	2021	FFS	RENDERING	AGE 0-20	87	None	135	None	0	None	0	None	None	1	None	2	0	None	0	None
1215078746	HUYNH, QUANG D, DDS	2021	FFS	RENDERING	AGE 0-20	99	None	859	None	96	None	230	None	20	None	48	None	96	None	116	None
1215078746	HUYNH, QUANG D, DDS	2021	FFS	RENDERING	AGE 21+	675	None	3,093	None	286	None	568	None	259	None	542	None	566	None	572	None
1215079801	SANTOS JENNIFER V	2021	FFS	RENDERING	AGE 0-20	22	None	265	None	15	None	52	None	16	None	59	None	16	None	16	None
1215079801	SANTOS JENNIFER V	2021	FFS	RENDERING	AGE 21+	23	None	201	None	None	1	None	1	16	None	65	None	21	None	21	None
1215079801	SANTOS JENNIFER V	2021	PHP	RENDERING	AGE 0-20	46	None	378	None	37	None	109	None	24	None	72	None	40	None	46	None
1215079801	SANTOS JENNIFER V	2021	PHP	RENDERING	AGE 21+	63	None	316	None	17	None	18	None	37	None	97	None	46	None	46	None
1215079942	CHILDREN'S DENTISTRY	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1215079942	CHILDREN'S DENTISTRY	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1215083589	LAZO JULIE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1215089347	CHOUDHURY, SHIREEN, DDS	2021	FFS	RENDERING	AGE 0-20	37	None	285	None	34	None	138	None	23	None	62	None	24	None	29	None
1215089347	CHOUDHURY, SHIREEN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1215093034	TOBON, BEATRIZ DDS	2021	FFS	RENDERING	AGE 0-20	13	None	76	None	13	None	24	None	None	1	None	2	13	None	20	None
1215093034	TOBON, BEATRIZ DDS	2021	FFS	RENDERING	AGE 21+	61	None	250	None	40	None	40	None	37	None	87	None	46	None	46	None
1215093315	JACOB, ROBERT DDS	2021	FFS	RENDERING	AGE 0-20	292	None	734	None	0	None	0	None	121	None	398	None	0	None	0	None
1215093315	JACOB, ROBERT DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1215093364	KLOCKENTEGER, LISA L, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1215093364	KLOCKENTEGER, LISA L, RDHAP	2021	FFS	RENDERING	AGE 21+	32	None	64	None	32	None	64	None	0	None	0	None	0	None	0	None
1215095021	LE, HOA T, DDS	2021	FFS	RENDERING	AGE 0-20	154	None	1,215	None	145	None	572	None	68	None	180	None	147	None	168	None
1215095021	LE, HOA T, DDS	2021	FFS	RENDERING	AGE 21+	286	None	1,769	None	221	None	437	None	207	None	576	None	240	None	241	None
1215096391	ANGELES JR GODOFREDO C	2021	FFS	RENDERING	AGE 0-20	603	None	9,594	None	588	None	2,473	None	202	None	483	None	587	None	852	None
1215096391	ANGELES JR GODOFREDO C	2021	FFS	RENDERING	AGE 21+	416	None	4,023	None	317	None	635	None	216	None	674	None	347	None	349	None
1215099288	MANICKAM KAVITHA	2021	FFS	RENDERING	AGE 0-20	586	None	2,316	None	200	None	441	None	102	None	140	None	527	None	550	None
1215099288	MANICKAM KAVITHA	2021	FFS	RENDERING	AGE 21+	870	None	2,135	None	51	None	101	None	122	None	158	None	730	None	730	None
1215104690	NGUYEN, LINH DONG-ANH DDS	2021	FFS	RENDERING	AGE 0-20	370	None	3,908	None	331	None	1,052	None	169	None	594	None	342	None	404	None
1215104690	NGUYEN, LINH DONG-ANH DDS	2021	FFS	RENDERING	AGE 21+	178	None	1,341	None	102	None	201	None	119	None	602	None	140	None	140	None
1215108527	SHTURMAN INNA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215117304	ESTRADA ELIZABETH M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1215117304	ESTRADA ELIZABETH M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1215119458	OMAR SAMAH I	2021	FFS	RENDERING	AGE 0-20	170	None	2,711	None	131	None	351	None	166	None	1,711	None	150	None	150	None
1215119458	OMAR SAMAH I	2021	FFS	RENDERING	AGE 21+	17	None	161	None	14	None	23	None	17	None	98	None	12	None	12	None
1215120225	ALANIZ, ROBERTO R, DDS	2021	FFS	RENDERING	AGE 0-20	170	None	1,452	None	116	None	278	None	89	None	317	None	137	None	159	None
1215120225	ALANIZ, ROBERTO R, DDS	2021	FFS	RENDERING	AGE 21+	335	None	2,103	None	75	None	146	None	254	None	953	None	220	None	220	None
1215124342	CHAN KEN S	2021	FFS	RENDERING	AGE 0-20	304	None	2,984	None	197	None	993	None	148	None	403	None	280	None	298	None
1215124342	CHAN KEN S	2021	FFS	RENDERING	AGE 21+	955	None	7,293	None	400	None	813	None	601	None	2,697	None	772	None	772	None
1215129424	NGUYEN, KHAI Q T, DDS	2021	FFS	RENDERING	AGE 0-20	314	None	2,218	None	292	None	1,237	None	104	None	290	None	301	None	401	None
1215129424	NGUYEN, KHAI Q T, DDS	2021	FFS	RENDERING	AGE 21+	318	None	1,577	None	186	None	368	None	151	None	499	None	280	None	280	None
1215129598	HALILI RAIMUNDO G	2021	FFS	RENDERING	AGE 0-20	58	None	258	None	45	None	80	None	18	None	35	None	38	None	38	None
1215129598	HALILI RAIMUNDO G	2021	FFS	RENDERING	AGE 21+	157	None	643	None	94	None	94	None	74	None	138	None	101	None	101	None
1215131164	ARZU ROSA E	2021	PHP	RENDERING	AGE 0-20	11	None	63	None	None	1	None	1	11	None	36	None	None	1	None	1
1215131164	ARZU ROSA E	2021	PHP	RENDERING	AGE 21+	18	None	90	None	0	None	0	None	18	None	63	None	0	None	0	None
1215136411	TRINIDAD ESTRELLA C	2021	FFS	RENDERING	AGE 0-20	133	None	1,280	None	113	None	347	None	71	None	242	None	116	None	133	None
1215136411	TRINIDAD ESTRELLA C	2021	FFS	RENDERING	AGE 21+	276	None	2,534	None	181	None	361	None	180	None	590	None	199	None	217	None
1215147194	SHEN JULIE L	2021	FFS	RENDERING	AGE 0-20	896	None	5,964	None	777	None	2,096	None	499	None	1,294	None	744	None	746	None
1215152988	AMIR TALIA	2021	FFS	RENDERING	AGE 0-20	233	None	2,579	None	191	None	619	None	93	None	212	None	190	None	222	None
1215152988	AMIR TALIA	2021	FFS	RENDERING	AGE 21+	158	None	1,233	None	80	None	158	None	86	None	220	None	89	None	89	None
1215156740	TRAN, ANDY M, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	72	None	18	None	21	None	None	1	None	1	16	None	17	None
1215156740	TRAN, ANDY M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1215168554	KAMDAR RASHID	2021	FFS	RENDERING	AGE 0-20	1,467	None	3,517	None	None	1	None	1	299	None	940	None	0	None	0	None
1215168554	KAMDAR RASHID	2021	FFS	RENDERING	AGE 21+	31	None	59	None	0	None	0	None	None	1	None	1	0	None	0	None
1215171343	ABRAMS, ELLIOTT NADER DDS	2021	FFS	RENDERING	AGE 0-20	61	None	821	None	56	None	266	None	39	None	186	None	58	None	62	None
1215171343	ABRAMS, ELLIOTT NADER DDS	2021	FFS	RENDERING	AGE 21+	189	None	2,125	None	144	None	288	None	150	None	1,201	None	154	None	154	None
1215171343	ABRAMS, ELLIOTT NADER DDS	2021	PHP	RENDERING	AGE 0-20	13	None	135	None	13	None	65	None	None	1	None	2	13	None	13	None
1215171343	ABRAMS, ELLIOTT NADER DDS	2021	PHP	RENDERING	AGE 21+	33	None	197	None	32	None	70	None	14	None	58	None	32	None	35	None
1215185467	POSSO CLAUDIA	2021	FFS	RENDERING	AGE 0-20	309	None	2,626	None	207	None	574	None	162	None	539	None	250	None	291	None
1215185467	POSSO CLAUDIA	2021	FFS	RENDERING	AGE 21+	293	None	2,080	None	146	None	147	None	184	None	714	None	199	None	199	None
1215188552	RASULOVA NARMINA	2021	FFS	RENDERING	AGE 0-20	16	None	84	None	12	None	27	None	None	1	None	2	12	None	12	None
1215188552	RASULOVA NARMINA	2021	FFS	RENDERING	AGE 21+	36	None	130	None	None	1	None	2	24	None	57	None	17	None	17	None
1215188552	RASULOVA NARMINA	2021	PHP	RENDERING	AGE 0-20	11	None	80	None	11	None	27	None	None	1	None	2	None	1	None	1
1215188552	RASULOVA NARMINA	2021	PHP	RENDERING	AGE 21+	24	None	95	None	None	1	None	1	11	None	29	None	15	None	16	None
1215215041	SALEK, MAHDI DDS	2021	FFS	RENDERING	AGE 0-20	708	None	4,921	None	614	None	1,736	None	134	None	366	None	670	None	771	None
1215215041	SALEK, MAHDI DDS	2021	FFS	RENDERING	AGE 21+	1,719	None	8,395	None	587	None	1,004	None	869	None	3,533	None	1,354	None	1,356	None
1215216056	KIM MIN A	2021	FFS	RENDERING	AGE 0-20	9,639	None	96,670	None	9,322	None	28,110	None	3,846	None	4,924	None	9,450	None	11,504	None
1215231212	LUCAR HERNAN E	2021	FFS	RENDERING	AGE 0-20	522	None	1,496	None	20	None	74	None	488	None	1,261	None	46	None	46	None
1215231212	LUCAR HERNAN E	2021	FFS	RENDERING	AGE 21+	1,998	None	6,009	None	None	1	None	1	1,968	None	5,812	None	41	None	41	None
1215231212	LUCAR HERNAN E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215231949	MASHRUWALA SHAILEE S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1215244249	HAMA BRIANNE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1215244249	HAMA BRIANNE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1215264098	KIM YOUNG K	2021	FFS	RENDERING	AGE 0-20	79	None	806	None	64	None	185	None	29	None	101	None	71	None	83	None
1215264098	KIM YOUNG K	2021	FFS	RENDERING	AGE 21+	218	None	2,374	None	58	None	88	None	151	None	746	None	162	None	162	None
1215279997	HECHT RYAN S	2021	FFS	RENDERING	AGE 0-20	328	None	402	None	0	None	0	None	58	None	82	None	0	None	0	None
1215279997	HECHT RYAN S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1215279997	HECHT RYAN S	2021	GMC	RENDERING	AGE 0-20	26	None	94	None	0	None	0	None	26	None	60	None	0	None	0	None
1215279997	HECHT RYAN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215291059	LIM STEVE H	2021	FFS	RENDERING	AGE 0-20	775	None	4,078	None	0	None	0	None	764	None	3,949	None	None	1	None	1
1215291059	LIM STEVE H	2021	FFS	RENDERING	AGE 21+	1,134	None	6,222	None	None	1	None	1	1,119	None	6,067	None	18	None	18	None
1215291059	LIM STEVE H	2021	GMC	RENDERING	AGE 0-20	93	None	284	None	0	None	0	None	90	None	226	None	None	1	None	1
1215291059	LIM STEVE H	2021	GMC	RENDERING	AGE 21+	324	None	1,079	None	0	None	0	None	269	None	728	None	156	None	160	None
1215305719	DANG JIMMY	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1215305719	DANG JIMMY	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1215307954	HOANG, TUAN M MD	2021	FFS	RENDERING	AGE 0-20	470	None	2,534	None	0	None	0	None	363	None	1,958	None	281	None	282	None
1215307954	HOANG, TUAN M MD	2021	FFS	RENDERING	AGE 21+	652	None	2,995	None	None	1	None	1	440	None	1,879	None	470	None	470	None
1215318449	NEW III ROBERT F	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1215318449	NEW III ROBERT F	2021	FFS	RENDERING	AGE 21+	11	None	22	None	None	1	None	1	None	1	None	1	None	1	None	1
1215369038	TOJARIEH FARZAD	2021	FFS	RENDERING	AGE 0-20	246	None	1,675	None	179	None	576	None	128	None	394	None	186	None	197	None
1215369038	TOJARIEH FARZAD	2021	FFS	RENDERING	AGE 21+	266	None	1,002	None	52	None	64	None	151	None	429	None	168	None	170	None
1215369038	TOJARIEH FARZAD	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1215369038	TOJARIEH FARZAD	2021	PHP	RENDERING	AGE 0-20	266	None	1,532	None	112	None	438	None	172	None	485	None	118	None	118	None
1215369038	TOJARIEH FARZAD	2021	PHP	RENDERING	AGE 21+	316	None	1,185	None	31	None	49	None	215	None	423	None	110	None	112	None
1215381470	ZADEH NARGIZ I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1215381470	ZADEH NARGIZ I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215386735	PATEL POOJA A	2021	FFS	RENDERING	AGE 0-20	188	None	1,666	None	164	None	450	None	73	None	142	None	169	None	171	None
1215386735	PATEL POOJA A	2021	FFS	RENDERING	AGE 21+	185	None	1,280	None	93	None	179	None	92	None	312	None	121	None	121	None
1215424379	COWAN EVERT M	2021	FFS	RENDERING	AGE 0-20	547	None	4,194	None	345	None	836	None	224	None	1,039	None	437	None	466	None
1215424379	COWAN EVERT M	2021	FFS	RENDERING	AGE 21+	840	None	4,093	None	189	None	199	None	491	None	1,873	None	535	None	535	None
1215435235	GUERRERO ONTIVEROS MANUEL	2021	FFS	RENDERING	AGE 21+	32	None	51	None	None	1	None	1	27	None	42	None	None	1	None	1
1215450085	FATAHI, S, DENTAL GROUP INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215450267	SHANG WYNN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215450770	NANDAGOPAL MUGUNTH N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215450770	NANDAGOPAL MUGUNTH N	2021	GMC	RENDERING	AGE 0-20	67	None	392	None	60	None	174	None	49	None	71	None	33	None	34	None
1215450770	NANDAGOPAL MUGUNTH N	2021	GMC	RENDERING	AGE 21+	242	None	2,024	None	193	None	566	None	224	None	921	None	92	None	105	None
1215541826	DANOUSH JOSHUA	2021	FFS	RENDERING	AGE 0-20	137	None	1,489	None	96	None	228	None	70	None	257	None	96	None	96	None
1215541826	DANOUSH JOSHUA	2021	FFS	RENDERING	AGE 21+	175	None	1,646	None	41	None	80	None	149	None	602	None	50	None	50	None
1215576699	NGUYEN KIM-YEN T	2021	FFS	RENDERING	AGE 0-20	155	None	631	None	87	None	186	None	59	None	144	None	99	None	99	None
1215576699	NGUYEN KIM-YEN T	2021	FFS	RENDERING	AGE 21+	450	None	1,420	None	104	None	201	None	209	None	533	None	222	None	222	None
1215576699	NGUYEN KIM-YEN T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1215576699	NGUYEN KIM-YEN T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1215577275	NAZIRI JUDITH Z	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1215577275	NAZIRI JUDITH Z	2021	FFS	RENDERING	AGE 21+	22	None	115	None	None	1	None	1	19	None	51	None	None	1	None	1
1215577697	TORRES BENITEZ MARTHA H	2021	FFS	RENDERING	AGE 0-20	97	None	1,770	None	87	None	431	None	76	None	408	None	93	None	119	None
1215577697	TORRES BENITEZ MARTHA H	2021	FFS	RENDERING	AGE 21+	122	None	1,979	None	63	None	127	None	94	None	843	None	113	None	113	None
1215581640	SANTOS JOANNA MARIE T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1215581640	SANTOS JOANNA MARIE T	2021	FFS	RENDERING	AGE 21+	57	None	113	None	None	1	None	1	11	None	17	None	23	None	23	None
1215581640	SANTOS JOANNA MARIE T	2021	GMC	RENDERING	AGE 0-20	642	None	2,706	None	207	None	621	None	223	None	416	None	233	None	235	None
1215581640	SANTOS JOANNA MARIE T	2021	GMC	RENDERING	AGE 21+	1,013	None	2,175	None	81	None	138	None	188	None	479	None	102	None	102	None
1215581640	SANTOS JOANNA MARIE T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1215581640	SANTOS JOANNA MARIE T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1215583570	MENDOZA HAM IGNACIO E	2021	FFS	RENDERING	AGE 0-20	350	None	2,725	None	254	None	971	None	180	None	729	None	286	None	309	None
1215583570	MENDOZA HAM IGNACIO E	2021	FFS	RENDERING	AGE 21+	569	None	3,788	None	105	None	201	None	418	None	2,468	None	445	None	446	None
1215585062	ANNELLO JINA C	2021	FFS	RENDERING	AGE 0-20	91	None	145	None	None	1	None	1	None	1	None	1	0	None	0	None
1215585062	ANNELLO JINA C	2021	GMC	RENDERING	AGE 0-20	66	None	199	None	55	None	61	None	59	None	87	None	0	None	0	None
1215601539	PARK SANG J	2021	FFS	RENDERING	AGE 0-20	53	None	188	None	16	None	35	None	18	None	41	None	33	None	33	None
1215601539	PARK SANG J	2021	FFS	RENDERING	AGE 21+	123	None	364	None	None	1	None	2	74	None	156	None	48	None	48	None
1215601539	PARK SANG J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215900733	AYSON PAUL F	2021	FFS	RENDERING	AGE 0-20	2,286	None	35,022	None	907	None	2,278	None	2,286	None	22,517	None	1,556	None	1,576	None
1215922760	RILEY IRVING N	2021	FFS	RENDERING	AGE 0-20	265	None	1,553	None	0	None	0	None	256	None	1,513	None	23	None	23	None
1215922760	RILEY IRVING N	2021	FFS	RENDERING	AGE 21+	437	None	2,733	None	0	None	0	None	389	None	2,546	None	95	None	96	None
1215924287	HA, HIEN, DDS	2021	FFS	RENDERING	AGE 0-20	390	None	6,125	None	375	None	1,756	None	119	None	281	None	385	None	587	None
1215924287	HA, HIEN, DDS	2021	FFS	RENDERING	AGE 21+	436	None	4,620	None	341	None	677	None	249	None	615	None	390	None	390	None
1215935564	MONCADA MARCELO G	2021	FFS	RENDERING	AGE 0-20	19	None	125	None	18	None	41	None	None	1	None	2	16	None	19	None
1215935564	MONCADA MARCELO G	2021	FFS	RENDERING	AGE 21+	80	None	422	None	61	None	122	None	42	None	130	None	67	None	67	None
1215943162	GUNSELMAN JOSEPH G	2021	FFS	RENDERING	AGE 0-20	30	None	91	None	0	None	0	None	30	None	91	None	0	None	0	None
1215943162	GUNSELMAN JOSEPH G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1215955299	MUNGO, RICHARD P DDS	2021	FFS	RENDERING	AGE 0-20	13	None	37	None	None	1	None	1	None	1	None	1	None	1	None	1
1215955299	MUNGO, RICHARD P, DDS	2021	FFS	RENDERING	AGE 0-20	13	None	37	None	None	1	None	1	None	1	None	1	None	1	None	1
1215957105	SMITH JEFFERY W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1215957105	SMITH JEFFERY W	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1215968441	DO MINH P	2021	FFS	RENDERING	AGE 0-20	94	None	694	None	79	None	186	None	47	None	114	None	79	None	94	None
1215968441	DO MINH P	2021	FFS	RENDERING	AGE 21+	253	None	1,842	None	202	None	394	None	164	None	600	None	203	None	203	None
1215983994	DAVIDSON JEFFREY A	2021	FFS	RENDERING	AGE 0-20	134	None	443	None	73	None	178	None	92	None	245	None	None	1	None	1
1215983994	DAVIDSON JEFFREY A	2021	FFS	RENDERING	AGE 21+	76	None	203	None	27	None	52	None	60	None	148	None	None	1	None	1
1225009673	UNKNOWN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1225030612	SILVA, BRADLEY K, DDS	2021	FFS	RENDERING	AGE 0-20	87	None	718	None	69	None	122	None	31	None	78	None	61	None	68	None
1225030612	SILVA, BRADLEY K, DDS	2021	FFS	RENDERING	AGE 21+	140	None	729	None	37	None	38	None	67	None	225	None	89	None	89	None
1225047764	QUEZADA, GUADALUPE DDS	2021	FFS	RENDERING	AGE 0-20	378	None	4,185	None	355	None	1,119	None	163	None	430	None	359	None	546	None
1225047764	QUEZADA, GUADALUPE DDS	2021	FFS	RENDERING	AGE 21+	326	None	2,088	None	200	None	397	None	187	None	663	None	241	None	241	None
1225056856	WU MICHAEL H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1225097215	DEIRMENJIAN BAROUIR A	2021	FFS	RENDERING	AGE 0-20	1,416	None	8,828	None	436	None	1,053	None	264	None	702	None	525	None	573	None
1225097215	DEIRMENJIAN BAROUIR A	2021	FFS	RENDERING	AGE 21+	1,592	None	5,823	None	161	None	233	None	605	None	1,365	None	681	None	686	None
1225097215	DEIRMENJIAN BAROUIR A	2021	PHP	RENDERING	AGE 0-20	254	None	1,784	None	210	None	664	None	81	None	203	None	195	None	224	None
1225097215	DEIRMENJIAN BAROUIR A	2021	PHP	RENDERING	AGE 21+	549	None	3,115	None	393	None	670	None	243	None	806	None	382	None	392	None
1225103211	YANG, C W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1225103211	YANG, C W, DDS	2021	FFS	RENDERING	AGE 21+	52	None	173	None	13	None	13	None	25	None	38	None	42	None	42	None
1225105547	FAN YUNFEI	2021	FFS	RENDERING	AGE 0-20	151	None	1,966	None	148	None	724	None	46	None	115	None	150	None	238	None
1225105547	FAN YUNFEI	2021	FFS	RENDERING	AGE 21+	48	None	466	None	39	None	72	None	30	None	131	None	44	None	44	None
1225110117	WONG ANTHONY S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225113392	CASTRO JOSE M	2021	FFS	RENDERING	AGE 0-20	11	None	42	None	None	1	None	2	None	1	None	1	None	1	None	1
1225113392	CASTRO JOSE M	2021	FFS	RENDERING	AGE 21+	21	None	78	None	None	1	None	1	None	1	None	2	14	None	14	None
1225113889	KIM DANIEL K	2021	FFS	RENDERING	AGE 0-20	242	None	2,125	None	173	None	626	None	159	None	593	None	178	None	201	None
1225113889	KIM DANIEL K	2021	FFS	RENDERING	AGE 21+	281	None	2,180	None	71	None	135	None	235	None	1,241	None	167	None	167	None
1225131790	SHIROMA GUILLERMO R	2021	FFS	RENDERING	AGE 21+	73	None	230	None	None	1	None	1	48	None	121	None	32	None	32	None
1225131840	HANNA SAMIA S	2021	FFS	RENDERING	AGE 0-20	119	None	926	None	78	None	176	None	54	None	147	None	71	None	72	None
1225131840	HANNA SAMIA S	2021	FFS	RENDERING	AGE 21+	87	None	496	None	17	None	34	None	56	None	168	None	27	None	27	None
1225139520	HUANG TERRY T	2021	FFS	RENDERING	AGE 0-20	90	None	676	None	56	None	143	None	47	None	100	None	65	None	71	None
1225139520	HUANG TERRY T	2021	FFS	RENDERING	AGE 21+	79	None	456	None	35	None	70	None	48	None	106	None	42	None	42	None
1225143829	CACHO WILNER C	2021	FFS	RENDERING	AGE 0-20	562	None	4,161	None	543	None	1,580	None	190	None	359	None	544	None	727	None
1225143829	CACHO WILNER C	2021	FFS	RENDERING	AGE 21+	183	None	810	None	122	None	125	None	117	None	253	None	133	None	133	None
1225143829	CACHO, WILNER C, DDS	2021	FFS	RENDERING	AGE 0-20	562	None	4,161	None	543	None	1,580	None	190	None	359	None	544	None	727	None
1225143829	CACHO, WILNER C, DDS	2021	FFS	RENDERING	AGE 21+	183	None	810	None	122	None	125	None	117	None	253	None	133	None	133	None
1225149446	MARQUEZ MONICA A	2021	FFS	RENDERING	AGE 0-20	69	None	523	None	35	None	75	None	39	None	129	None	38	None	40	None
1225149446	MARQUEZ MONICA A	2021	FFS	RENDERING	AGE 21+	413	None	2,747	None	115	None	179	None	236	None	793	None	233	None	233	None
1225149446	MARQUEZ MONICA A	2021	GMC	RENDERING	AGE 0-20	14	None	65	None	None	1	None	1	13	None	60	None	0	None	0	None
1225149446	MARQUEZ MONICA A	2021	GMC	RENDERING	AGE 21+	494	None	3,520	None	462	None	950	None	327	None	927	None	194	None	199	None
1225150543	HUANG MICHAEL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1225151541	KARAYAN, GEVORG GEORGE, DDS	2021	FFS	RENDERING	AGE 0-20	136	None	1,339	None	118	None	289	None	94	None	268	None	123	None	130	None
1225151541	KARAYAN, GEVORG GEORGE, DDS	2021	FFS	RENDERING	AGE 21+	1,653	None	16,915	None	1,001	None	1,003	None	1,467	None	7,055	None	1,305	None	1,307	None
1225151541	KARAYAN, GEVORG GEORGE, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1225154636	SCHNEEKLUTH CLARK E	2021	FFS	RENDERING	AGE 0-20	72	None	131	None	0	None	0	None	17	None	44	None	None	1	None	1
1225154636	SCHNEEKLUTH CLARK E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1225155096	NGO HIEN T	2021	FFS	RENDERING	AGE 0-20	2,044	None	29,454	None	1,881	None	7,208	None	1,250	None	3,457	None	1,878	None	2,506	None
1225155096	NGO HIEN T	2021	FFS	RENDERING	AGE 21+	129	None	957	None	26	None	47	None	81	None	218	None	75	None	77	None
1225156664	GARLAPATI SUNEETHA	2021	FFS	RENDERING	AGE 0-20	79	None	809	None	70	None	156	None	29	None	91	None	70	None	80	None
1225156664	GARLAPATI SUNEETHA	2021	FFS	RENDERING	AGE 21+	95	None	477	None	34	None	58	None	53	None	113	None	56	None	56	None
1225160716	VILDERMAN ALEXANDER	2021	FFS	RENDERING	AGE 0-20	52	None	225	None	37	None	78	None	18	None	26	None	40	None	41	None
1225160716	VILDERMAN ALEXANDER	2021	FFS	RENDERING	AGE 21+	387	None	1,647	None	112	None	203	None	280	None	787	None	178	None	178	None
1225161342	GELLAD SAMER	2021	FFS	RENDERING	AGE 0-20	703	None	1,960	None	None	1	None	2	None	1	None	1	682	None	715	None
1225161342	GELLAD SAMER	2021	FFS	RENDERING	AGE 21+	2,241	None	5,138	None	None	1	None	1	70	None	152	None	2,080	None	2,080	None
1225163181	TRAN, MAI P L, DDS	2021	FFS	RENDERING	AGE 0-20	89	None	1,084	None	83	None	356	None	27	None	55	None	85	None	111	None
1225163181	TRAN, MAI P L, DDS	2021	FFS	RENDERING	AGE 21+	354	None	2,778	None	274	None	545	None	244	None	777	None	71	None	71	None
1225165038	SHAHMANYAN TIGRAN	2021	FFS	RENDERING	AGE 0-20	67	None	468	None	51	None	69	None	30	None	93	None	56	None	57	None
1225165038	SHAHMANYAN TIGRAN	2021	FFS	RENDERING	AGE 21+	210	None	1,578	None	44	None	44	None	150	None	478	None	163	None	163	None
1225168446	GUINN KAREN E	2021	FFS	RENDERING	AGE 0-20	412	None	1,873	None	84	None	258	None	218	None	581	None	72	None	73	None
1225168446	GUINN KAREN E	2021	FFS	RENDERING	AGE 21+	572	None	2,647	None	141	None	276	None	369	None	817	None	179	None	179	None
1225168446	GUINN KAREN E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225168446	GUINN KAREN E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1225170186	PAKRAVAN FARID	2021	FFS	RENDERING	AGE 0-20	2,716	None	6,578	None	1,031	None	2,708	None	80	None	164	None	82	None	86	None
1225170186	PAKRAVAN FARID	2021	FFS	RENDERING	AGE 21+	1,701	None	2,927	None	339	None	636	None	111	None	192	None	42	None	42	None
1225170186	PAKRAVAN FARID	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1225170186	PAKRAVAN FARID	2021	PHP	RENDERING	AGE 0-20	740	None	2,294	None	148	None	346	None	32	None	57	None	72	None	72	None
1225170186	PAKRAVAN FARID	2021	PHP	RENDERING	AGE 21+	1,154	None	2,525	None	78	None	141	None	58	None	129	None	74	None	76	None
1225170202	ATLI MURAT	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1225172745	MELLENTHIN, MICHAEL MD	2021	FFS	RENDERING	AGE 0-20	1,029	None	2,534	None	0	None	0	None	1,029	None	2,534	None	0	None	0	None
1225173479	BEHZADI-SHANNON NILOOFAR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225175003	MOHSENI AMIR SHAHAB	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1225176506	ANTHONY GIHAN G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225176506	ANTHONY GIHAN G	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225182355	NUNEZ-OUJI, MARIA LUISA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225182355	NUNEZ-OUJI, MARIA LUISA, DDS	2021	GMC	RENDERING	AGE 0-20	1,181	None	12,692	None	988	None	5,777	None	975	None	2,516	None	878	None	1,003	None
1225182355	NUNEZ-OUJI, MARIA LUISA, DDS	2021	GMC	RENDERING	AGE 21+	21	None	58	None	None	1	None	1	13	None	17	None	0	None	0	None
1225185861	MOAYEDI, MINA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1225185861	MOAYEDI, MINA, DDS	2021	FFS	RENDERING	AGE 21+	36	None	296	None	27	None	52	None	27	None	128	None	13	None	15	None
1225192040	MARKARIAN NORIK I	2021	FFS	RENDERING	AGE 0-20	54	None	618	None	41	None	46	None	40	None	175	None	28	None	28	None
1225192040	MARKARIAN NORIK I	2021	FFS	RENDERING	AGE 21+	674	None	6,042	None	316	None	316	None	544	None	2,067	None	112	None	112	None
1225196165	LAZO ANTONIO M	2021	FFS	RENDERING	AGE 0-20	214	None	951	None	172	None	494	None	44	None	94	None	132	None	141	None
1225196165	LAZO ANTONIO M	2021	FFS	RENDERING	AGE 21+	617	None	2,144	None	222	None	352	None	335	None	1,054	None	308	None	308	None
1225196165	LAZO ANTONIO M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225196165	LAZO ANTONIO M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1225196165	LAZO ANTONIO M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1225197734	WRITER MARTIN C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225210578	CHIEN CATHERINE Y	2021	FFS	RENDERING	AGE 0-20	246	None	1,595	None	223	None	730	None	121	None	272	None	205	None	256	None
1225220890	NGUYEN, VAN KIM DDS	2021	FFS	RENDERING	AGE 0-20	50	None	375	None	44	None	143	None	25	None	58	None	45	None	49	None
1225220890	NGUYEN, VAN KIM DDS	2021	FFS	RENDERING	AGE 21+	110	None	679	None	75	None	149	None	85	None	333	None	78	None	78	None
1225225329	ALCALA-SY ARLENE M	2021	FFS	RENDERING	AGE 0-20	15	None	108	None	13	None	30	None	None	1	None	2	13	None	15	None
1225225329	ALCALA-SY ARLENE M	2021	FFS	RENDERING	AGE 21+	54	None	361	None	35	None	64	None	38	None	152	None	30	None	30	None
1225226566	OH, SAEKYU, DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1225226566	SAEKYU OH DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1225228638	HSZIEH GARY C	2021	FFS	RENDERING	AGE 0-20	304	None	1,140	None	0	None	0	None	304	None	1,140	None	0	None	0	None
1225233125	KOO KAREN	2021	FFS	RENDERING	AGE 0-20	139	None	1,393	None	124	None	416	None	39	None	98	None	134	None	176	None
1225233125	KOO KAREN	2021	FFS	RENDERING	AGE 21+	253	None	1,480	None	161	None	290	None	116	None	360	None	224	None	224	None
1225237357	SOHRAB SANAH A	2021	FFS	RENDERING	AGE 0-20	1,502	None	17,041	None	1,349	None	4,087	None	826	None	2,936	None	1,336	None	1,521	None
1225237357	SOHRAB SANAH A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225238462	SHULZHENKO LARYSA	2021	FFS	RENDERING	AGE 0-20	21	None	188	None	18	None	38	None	12	None	73	None	20	None	21	None
1225238462	SHULZHENKO LARYSA	2021	FFS	RENDERING	AGE 21+	87	None	868	None	41	None	81	None	74	None	658	None	58	None	58	None
1225239585	FORTIER THUY T	2021	FFS	RENDERING	AGE 0-20	58	None	615	None	57	None	182	None	25	None	63	None	58	None	86	None
1225239585	FORTIER THUY T	2021	FFS	RENDERING	AGE 21+	81	None	573	None	49	None	88	None	59	None	167	None	53	None	54	None
1225240708	LE THANH-HANG	2021	FFS	RENDERING	AGE 0-20	249	None	1,851	None	180	None	690	None	144	None	341	None	145	None	177	None
1225240708	LE THANH-HANG	2021	FFS	RENDERING	AGE 21+	462	None	3,051	None	192	None	341	None	402	None	1,433	None	176	None	176	None
1225240823	SINAI ABOLGHASEM	2021	FFS	RENDERING	AGE 0-20	30	None	232	None	26	None	66	None	16	None	56	None	25	None	35	None
1225240823	SINAI ABOLGHASEM	2021	FFS	RENDERING	AGE 21+	76	None	498	None	60	None	60	None	55	None	227	None	70	None	70	None
1225240823	SINAI ABOLGHASEM	2021	PHP	RENDERING	AGE 0-20	20	None	121	None	20	None	50	None	None	1	None	2	20	None	21	None
1225240823	SINAI ABOLGHASEM	2021	PHP	RENDERING	AGE 21+	45	None	247	None	42	None	43	None	28	None	101	None	42	None	42	None
1225240823	SINAI, ABOLGHASEM, DDS	2021	FFS	RENDERING	AGE 0-20	30	None	232	None	26	None	66	None	16	None	56	None	25	None	35	None
1225240823	SINAI, ABOLGHASEM, DDS	2021	FFS	RENDERING	AGE 21+	76	None	498	None	60	None	60	None	55	None	227	None	70	None	70	None
1225240823	SINAI, ABOLGHASEM, DDS	2021	PHP	RENDERING	AGE 0-20	20	None	121	None	20	None	50	None	None	1	None	2	20	None	21	None
1225240823	SINAI, ABOLGHASEM, DDS	2021	PHP	RENDERING	AGE 21+	45	None	247	None	42	None	43	None	28	None	101	None	42	None	42	None
1225241458	MANSSOURIAN, ARMEN, DMD	2021	FFS	RENDERING	AGE 0-20	13	None	83	None	None	1	None	2	None	1	None	2	11	None	13	None
1225241458	MANSSOURIAN, ARMEN, DMD	2021	FFS	RENDERING	AGE 21+	114	None	622	None	39	None	56	None	87	None	321	None	81	None	81	None
1225242084	KIM JEKYONG J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1225249550	ACOPIAN ANAHID	2021	FFS	RENDERING	AGE 0-20	48	None	477	None	41	None	120	None	39	None	190	None	34	None	44	None
1225249550	ACOPIAN ANAHID	2021	FFS	RENDERING	AGE 21+	39	None	298	None	23	None	43	None	31	None	138	None	22	None	22	None
1225250301	CHENG LILLIAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1225250301	CHENG LILLIAN	2021	FFS	RENDERING	AGE 21+	60	None	204	None	34	None	48	None	35	None	62	None	27	None	27	None
1225257736	RICCIARDI, MARIO J, DDS	2021	FFS	RENDERING	AGE 0-20	78	None	130	None	0	None	0	None	19	None	64	None	0	None	0	None
1225258163	KIM, CHOON K, DDS	2021	FFS	RENDERING	AGE 0-20	71	None	1,220	None	69	None	556	None	32	None	174	None	71	None	158	None
1225258163	KIM, CHOON K, DDS	2021	FFS	RENDERING	AGE 21+	123	None	2,034	None	96	None	192	None	102	None	970	None	105	None	210	None
1225277841	PORTILLO NOVOA PATRICIA E	2021	FFS	RENDERING	AGE 0-20	150	None	1,354	None	134	None	467	None	55	None	118	None	139	None	141	None
1225277841	PORTILLO NOVOA PATRICIA E	2021	FFS	RENDERING	AGE 21+	375	None	2,312	None	180	None	356	None	184	None	563	None	326	None	327	None
1225285505	HONG, JUNG HEE, DDS	2021	FFS	RENDERING	AGE 0-20	281	None	2,176	None	259	None	723	None	135	None	361	None	262	None	336	None
1225285505	HONG, JUNG HEE, DDS	2021	FFS	RENDERING	AGE 21+	21	None	112	None	15	None	30	None	None	1	None	2	15	None	15	None
1225286479	CHEN, JOHNNY C MD	2021	FFS	RENDERING	AGE 0-20	41	None	99	None	0	None	0	None	41	None	99	None	0	None	0	None
1225293053	SOHAIL AMAR	2021	FFS	RENDERING	AGE 0-20	873	None	11,937	None	777	None	2,357	None	460	None	2,390	None	839	None	1,064	None
1225293053	SOHAIL AMAR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1225297211	YANG XIJIE	2021	FFS	RENDERING	AGE 0-20	1,006	None	11,067	None	819	None	3,250	None	423	None	1,611	None	814	None	869	None
1225297211	YANG XIJIE	2021	FFS	RENDERING	AGE 21+	753	None	4,393	None	407	None	811	None	470	None	1,574	None	445	None	445	None
1225322019	COPPELSON KEVIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225325723	HOANG PAUL H	2021	FFS	RENDERING	AGE 0-20	239	None	682	None	0	None	0	None	74	None	179	None	0	None	0	None
1225325723	HOANG PAUL H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1225328164	GORMAN JACK G	2021	FFS	RENDERING	AGE 0-20	102	None	676	None	54	None	119	None	50	None	130	None	54	None	56	None
1225328164	GORMAN JACK G	2021	FFS	RENDERING	AGE 21+	555	None	3,230	None	151	None	212	None	319	None	804	None	293	None	293	None
1225328164	GORMAN JACK G	2021	GMC	RENDERING	AGE 0-20	40	None	139	None	14	None	26	None	30	None	83	None	None	1	None	1
1225328164	GORMAN JACK G	2021	GMC	RENDERING	AGE 21+	714	None	4,783	None	675	None	1,366	None	466	None	1,222	None	290	None	300	None
1225338031	GHARIBIAN DINO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1225354343	ARIAEE DEAN F	2021	FFS	RENDERING	AGE 0-20	149	None	1,424	None	132	None	433	None	86	None	411	None	121	None	143	None
1225354343	ARIAEE DEAN F	2021	FFS	RENDERING	AGE 21+	378	None	3,790	None	220	None	429	None	284	None	1,811	None	273	None	274	None
1225358161	BHOLAT NAZNIN S	2021	FFS	RENDERING	AGE 0-20	316	None	3,879	None	299	None	1,084	None	101	None	394	None	308	None	440	None
1225358161	BHOLAT NAZNIN S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1225358195	CAO DANIELLE Q	2021	FFS	RENDERING	AGE 0-20	291	None	468	None	None	1	None	1	86	None	230	None	None	1	None	1
1225358195	CAO DANIELLE Q	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225368962	KIM HUI J	2021	FFS	RENDERING	AGE 0-20	28	None	154	None	22	None	38	None	13	None	26	None	21	None	21	None
1225368962	KIM HUI J	2021	FFS	RENDERING	AGE 21+	144	None	785	None	48	None	50	None	96	None	493	None	64	None	65	None
1225377377	GIN MARY AILEEN T	2021	FFS	RENDERING	AGE 0-20	33	None	102	None	None	1	None	2	None	1	None	1	25	None	25	None
1225377377	GIN MARY AILEEN T	2021	FFS	RENDERING	AGE 21+	74	None	187	None	None	1	None	1	29	None	42	None	38	None	38	None
1225377377	GIN MARY AILEEN T	2021	PHP	RENDERING	AGE 0-20	12	None	36	None	None	1	None	2	None	1	None	1	None	1	None	1
1225377377	GIN MARY AILEEN T	2021	PHP	RENDERING	AGE 21+	40	None	84	None	20	None	21	None	18	None	35	None	24	None	24	None
1225385297	CAO JASON T	2021	FFS	RENDERING	AGE 0-20	32	None	177	None	28	None	86	None	12	None	31	None	27	None	40	None
1225385297	CAO JASON T	2021	FFS	RENDERING	AGE 21+	89	None	520	None	70	None	139	None	61	None	181	None	70	None	70	None
1225391865	EIDELSTEIN LIORA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1225407091	SARGENT CATHY	2021	FFS	RENDERING	AGE 0-20	1,134	None	9,838	None	669	None	1,980	None	692	None	2,310	None	663	None	704	None
1225407091	SARGENT CATHY	2021	FFS	RENDERING	AGE 21+	183	None	1,336	None	85	None	172	None	112	None	315	None	87	None	87	None
1225418189	LENT, JASON DO	2021	FFS	RENDERING	AGE 0-20	56	None	129	None	0	None	0	None	56	None	129	None	0	None	0	None
1225428576	PANCHAL RUSHI Y	2021	FFS	RENDERING	AGE 0-20	31	None	144	None	16	None	24	None	15	None	28	None	14	None	14	None
1225428576	PANCHAL RUSHI Y	2021	FFS	RENDERING	AGE 21+	37	None	108	None	None	1	None	1	32	None	71	None	None	1	None	1
1225430473	LEE, RYAN S C, DDS A PROF DE	2021	PHP	RENDERING	AGE 0-20	12	None	115	None	12	None	61	None	12	None	12	None	12	None	12	None
1225430473	LEE, RYAN S C, DDS A PROF DE	2021	PHP	RENDERING	AGE 21+	15	None	51	None	0	None	0	None	14	None	49	None	None	1	None	1
1225447949	NGO HANH N	2021	FFS	RENDERING	AGE 0-20	42	None	272	None	12	None	27	None	31	None	105	None	None	1	None	2
1225447949	NGO HANH N	2021	FFS	RENDERING	AGE 21+	67	None	372	None	11	None	22	None	61	None	175	None	11	None	11	None
1225479132	HONG YEUMIN	2021	FFS	RENDERING	AGE 0-20	157	None	210	None	0	None	0	None	29	None	38	None	0	None	0	None
1225479132	HONG YEUMIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1225480742	BAVAR BEROKH	2021	FFS	RENDERING	AGE 0-20	183	None	417	None	None	1	None	1	39	None	102	None	0	None	0	None
1225480742	BAVAR BEROKH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1225480742	BAVAR BEROKH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225487622	MCMAHON ALEXANDER J	2021	FFS	RENDERING	AGE 0-20	55	None	155	None	None	1	None	1	44	None	126	None	12	None	12	None
1225487622	MCMAHON ALEXANDER J	2021	FFS	RENDERING	AGE 21+	130	None	355	None	None	1	None	1	76	None	201	None	61	None	61	None
1225495815	WONG JIMIANN T	2021	FFS	RENDERING	AGE 0-20	1,150	None	10,014	None	884	None	2,544	None	772	None	2,557	None	801	None	856	None
1225495815	WONG JIMIANN T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225496763	CHAN WING H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225496763	CHAN WING H	2021	PHP	RENDERING	AGE 0-20	24	None	102	None	13	None	22	None	None	1	None	2	11	None	11	None
1225496763	CHAN WING H	2021	PHP	RENDERING	AGE 21+	77	None	200	None	19	None	19	None	44	None	71	None	29	None	29	None
1225499072	CHAN JOAN L	2021	FFS	RENDERING	AGE 0-20	131	None	1,323	None	111	None	543	None	53	None	156	None	123	None	161	None
1225499072	CHAN JOAN L	2021	FFS	RENDERING	AGE 21+	180	None	965	None	11	None	18	None	110	None	572	None	147	None	147	None
1225499072	CHAN JOAN L	2021	PHP	RENDERING	AGE 0-20	132	None	1,150	None	109	None	592	None	48	None	93	None	124	None	146	None
1225499072	CHAN JOAN L	2021	PHP	RENDERING	AGE 21+	225	None	1,412	None	91	None	153	None	144	None	767	None	196	None	199	None
1225504574	GUEVARA-LARA SVETLANA N	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1225506884	SINHA ASHITA	2021	FFS	RENDERING	AGE 0-20	116	None	514	None	72	None	158	None	65	None	159	None	52	None	52	None
1225506884	SINHA ASHITA	2021	FFS	RENDERING	AGE 21+	185	None	596	None	54	None	90	None	87	None	224	None	96	None	96	None
1225514805	AULAKH NAVNEET K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225524028	CHEN GRACE	2021	FFS	RENDERING	AGE 0-20	273	None	1,504	None	222	None	533	None	161	None	349	None	208	None	208	None
1225524564	HONG MIN Y	2021	FFS	RENDERING	AGE 0-20	350	None	2,196	None	280	None	795	None	137	None	318	None	311	None	340	None
1225524564	HONG MIN Y	2021	FFS	RENDERING	AGE 21+	430	None	1,651	None	173	None	337	None	185	None	395	None	318	None	318	None
1225551351	EDALATPAJOUH FARAZ	2021	FFS	RENDERING	AGE 0-20	372	None	727	None	0	None	0	None	66	None	162	None	0	None	0	None
1225551351	EDALATPAJOUH FARAZ	2021	FFS	RENDERING	AGE 21+	34	None	59	None	0	None	0	None	None	1	None	2	0	None	0	None
1225551351	EDALATPAJOUH FARAZ	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1225553894	NAVARRO MARINA ROSE R	2021	FFS	RENDERING	AGE 0-20	69	None	507	None	58	None	162	None	25	None	78	None	56	None	68	None
1225553894	NAVARRO MARINA ROSE R	2021	FFS	RENDERING	AGE 21+	188	None	819	None	88	None	150	None	121	None	327	None	95	None	95	None
1225554025	DALAL HEMA	2021	FFS	RENDERING	AGE 0-20	378	None	1,382	None	140	None	345	None	70	None	118	None	293	None	307	None
1225554025	DALAL HEMA	2021	FFS	RENDERING	AGE 21+	610	None	1,517	None	79	None	142	None	142	None	284	None	415	None	415	None
1225571201	VASA RAMYA	2021	FFS	RENDERING	AGE 0-20	333	None	1,506	None	163	None	493	None	134	None	312	None	171	None	174	None
1225571201	VASA RAMYA	2021	FFS	RENDERING	AGE 21+	310	None	952	None	53	None	100	None	166	None	371	None	145	None	145	None
1225600158	PENHASIAN ALEX D	2021	FFS	RENDERING	AGE 0-20	719	None	4,659	None	323	None	881	None	611	None	1,874	None	215	None	215	None
1225600158	PENHASIAN ALEX D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1225600281	GHAVAMNASIRI AZADEH	2021	FFS	RENDERING	AGE 0-20	177	None	1,322	None	132	None	289	None	46	None	128	None	152	None	152	None
1225600281	GHAVAMNASIRI AZADEH	2021	FFS	RENDERING	AGE 21+	211	None	1,127	None	56	None	109	None	144	None	355	None	130	None	130	None
1225624307	SANDHU HARSUMEEN K	2021	FFS	RENDERING	AGE 0-20	337	None	1,471	None	133	None	413	None	137	None	322	None	219	None	227	None
1225624307	SANDHU HARSUMEEN K	2021	FFS	RENDERING	AGE 21+	629	None	2,153	None	123	None	189	None	405	None	1,070	None	268	None	268	None
1225635030	ASHERIAN CHANTAL H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225635600	HA TAE KYUN	2021	FFS	RENDERING	AGE 0-20	29	None	124	None	11	None	21	None	15	None	30	None	17	None	17	None
1225635600	HA TAE KYUN	2021	FFS	RENDERING	AGE 21+	108	None	364	None	19	None	36	None	74	None	184	None	41	None	41	None
1225637382	SANDHU MANVEEN K	2021	FFS	RENDERING	AGE 0-20	31	None	170	None	19	None	56	None	None	1	None	2	22	None	22	None
1225637382	SANDHU MANVEEN K	2021	FFS	RENDERING	AGE 21+	47	None	192	None	None	1	None	2	24	None	72	None	40	None	40	None
1225640774	LEE CHANG R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225642044	CHYU KIMBERLY	2021	FFS	RENDERING	AGE 0-20	13	None	50	None	None	1	None	2	None	1	None	2	11	None	13	None
1225642044	CHYU KIMBERLY	2021	FFS	RENDERING	AGE 21+	87	None	458	None	50	None	94	None	52	None	203	None	63	None	63	None
1225649171	PHUONG PARRA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225675341	AL AMEEN OMAR	2021	FFS	RENDERING	AGE 0-20	103	None	508	None	55	None	175	None	45	None	80	None	85	None	85	None
1225675341	AL AMEEN OMAR	2021	FFS	RENDERING	AGE 21+	460	None	1,452	None	82	None	154	None	234	None	406	None	316	None	316	None
1225681000	MOON JI MIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1225681000	MOON JI MIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1225685043	KHATWANI KAMIYA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225685043	KHATWANI KAMIYA	2021	FFS	RENDERING	AGE 21+	26	None	74	None	None	1	None	1	None	1	None	2	24	None	24	None
1235118969	SAFAR OSSAMA M	2021	FFS	RENDERING	AGE 0-20	8,708	None	133,755	None	7,887	None	24,120	None	2,722	None	8,112	None	7,902	None	10,664	None
1235118969	SAFAR OSSAMA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1235118969	SAFAR OSSAMA M	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1235119512	LEON, GLADIS Z, DDS	2021	FFS	RENDERING	AGE 0-20	136	None	1,264	None	133	None	419	None	36	None	86	None	115	None	175	None
1235119512	LEON, GLADIS Z, DDS	2021	FFS	RENDERING	AGE 21+	208	None	1,320	None	161	None	161	None	137	None	448	None	48	None	48	None
1235122391	HUTCHERSON, STEVEN DDS	2021	FFS	RENDERING	AGE 0-20	22	None	208	None	11	None	25	None	12	None	105	None	11	None	11	None
1235123753	DEMARS PATRICK D	2021	FFS	RENDERING	AGE 0-20	243	None	793	None	0	None	0	None	243	None	793	None	0	None	0	None
1235123753	DEMARS PATRICK D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235130600	NORTHEAST VALLEY HEALTH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235131368	TSUI CLAUDINE W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1235131368	TSUI CLAUDINE W	2021	FFS	RENDERING	AGE 21+	38	None	111	None	16	None	16	None	11	None	25	None	31	None	31	None
1235132127	COMBS, WILLIAM S DDS	2021	FFS	RENDERING	AGE 21+	22	None	132	None	21	None	42	None	None	1	None	1	21	None	21	None
1235147794	WAKE, RONALD Y, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1235147794	WAKE, RONALD Y, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1235149204	LICUP CHRISTINE T	2021	FFS	RENDERING	AGE 0-20	103	None	763	None	99	None	430	None	20	None	91	None	89	None	105	None
1235149204	LICUP CHRISTINE T	2021	FFS	RENDERING	AGE 21+	248	None	1,710	None	205	None	403	None	132	None	696	None	200	None	201	None
1235150772	SINGH RAVINDER S	2021	FFS	RENDERING	AGE 0-20	64	None	819	None	54	None	134	None	26	None	130	None	58	None	70	None
1235150772	SINGH RAVINDER S	2021	FFS	RENDERING	AGE 21+	263	None	2,930	None	110	None	208	None	180	None	1,016	None	178	None	178	None
1235211541	GRIGORYAN, VAHAN, DDS	2021	FFS	RENDERING	AGE 0-20	298	None	3,105	None	229	None	806	None	126	None	450	None	266	None	311	None
1235211541	GRIGORYAN, VAHAN, DDS	2021	FFS	RENDERING	AGE 21+	586	None	3,522	None	146	None	259	None	350	None	1,675	None	492	None	492	None
1235212788	KWAK, MYUNG H, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	500	None	58	None	119	None	41	None	103	None	71	None	74	None
1235212788	KWAK, MYUNG H, DDS	2021	FFS	RENDERING	AGE 21+	197	None	1,017	None	105	None	105	None	114	None	343	None	121	None	121	None
1235214149	CHIU LISABETH S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1235214149	CHIU LISABETH S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1235221417	NEAL CHARLES K	2021	FFS	RENDERING	AGE 0-20	107	None	683	None	None	1	None	1	107	None	673	None	0	None	0	None
1235221417	NEAL CHARLES K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1235228602	HAME HOMAYOON M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1235234857	URATA, MARK M MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1235234857	URATA, MARK M MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1235237330	MOCK ANTHONY G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235237330	MOCK ANTHONY G	2021	FFS	RENDERING	AGE 21+	60	None	132	None	None	1	None	1	41	None	69	None	19	None	19	None
1235251844	TROUNG CHAU T DDS	2021	FFS	RENDERING	AGE 0-20	73	None	592	None	66	None	172	None	28	None	83	None	68	None	78	None
1235251844	TROUNG CHAU T DDS	2021	FFS	RENDERING	AGE 21+	258	None	1,740	None	188	None	376	None	169	None	451	None	199	None	200	None
1235252685	NGUYEN STEVEN T	2021	FFS	RENDERING	AGE 0-20	172	None	2,171	None	168	None	738	None	96	None	337	None	167	None	233	None
1235252685	NGUYEN STEVEN T	2021	FFS	RENDERING	AGE 21+	125	None	907	None	77	None	79	None	95	None	417	None	102	None	102	None
1235252867	TEMPLO MARISSA L	2021	FFS	RENDERING	AGE 0-20	347	None	5,099	None	335	None	1,274	None	145	None	437	None	332	None	437	None
1235252867	TEMPLO MARISSA L	2021	FFS	RENDERING	AGE 21+	187	None	1,617	None	106	None	211	None	137	None	503	None	59	None	59	None
1235254715	EBRAMI IRAJ	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235254715	EBRAMI IRAJ	2021	FFS	RENDERING	AGE 21+	60	None	324	None	38	None	38	None	41	None	156	None	38	None	38	None
1235258310	NGUYEN DAI CHINH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1235268178	ELYSON MICHEL H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235268178	ELYSON MICHEL H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235268657	KWEIDER MOHAMAD H	2021	FFS	RENDERING	AGE 0-20	196	None	621	None	0	None	0	None	172	None	533	None	37	None	37	None
1235268657	KWEIDER MOHAMAD H	2021	FFS	RENDERING	AGE 21+	156	None	457	None	None	1	None	1	121	None	349	None	41	None	41	None
1235268657	KWEIDER MOHAMAD H	2021	PHP	RENDERING	AGE 0-20	14	None	81	None	None	1	None	1	12	None	48	None	None	1	None	1
1235268657	KWEIDER MOHAMAD H	2021	PHP	RENDERING	AGE 21+	70	None	470	None	None	1	None	1	55	None	249	None	56	None	59	None
1235271917	DALLOUL BASHAR	2021	FFS	RENDERING	AGE 0-20	303	None	2,702	None	254	None	632	None	138	None	440	None	282	None	320	None
1235271917	DALLOUL BASHAR	2021	FFS	RENDERING	AGE 21+	935	None	6,167	None	659	None	1,314	None	635	None	2,339	None	787	None	787	None
1235272105	AMANJEE SUCHETA S	2021	FFS	RENDERING	AGE 0-20	550	None	6,037	None	431	None	1,639	None	261	None	1,652	None	504	None	682	None
1235272287	ASSILI-DAMAVAND RAMIN	2021	FFS	RENDERING	AGE 0-20	18	None	118	None	17	None	48	None	None	1	None	1	15	None	20	None
1235272287	ASSILI-DAMAVAND RAMIN	2021	FFS	RENDERING	AGE 21+	56	None	316	None	41	None	77	None	25	None	64	None	42	None	42	None
1235273723	MIKALIAN MELINEH	2021	FFS	RENDERING	AGE 0-20	2,168	None	23,687	None	1,941	None	6,654	None	1,482	None	3,702	None	1,935	None	2,049	None
1235274754	SERAFICA REGINA P	2021	FFS	RENDERING	AGE 0-20	328	None	2,352	None	299	None	493	None	116	None	403	None	304	None	463	None
1235274754	SERAFICA REGINA P	2021	FFS	RENDERING	AGE 21+	357	None	1,813	None	154	None	154	None	282	None	919	None	165	None	165	None
1235274820	NGO PHUONG M	2021	FFS	RENDERING	AGE 0-20	94	None	701	None	83	None	247	None	49	None	153	None	85	None	107	None
1235274820	NGO PHUONG M	2021	FFS	RENDERING	AGE 21+	299	None	1,893	None	192	None	382	None	223	None	826	None	214	None	214	None
1235276403	SANATI ARDESHIR	2021	FFS	RENDERING	AGE 0-20	12	None	109	None	None	1	None	2	None	1	None	2	11	None	14	None
1235276403	SANATI ARDESHIR	2021	FFS	RENDERING	AGE 21+	72	None	472	None	48	None	48	None	48	None	192	None	60	None	60	None
1235276403	SANATI, ARDESHIR, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	109	None	None	1	None	2	None	1	None	2	11	None	14	None
1235276403	SANATI, ARDESHIR, DDS	2021	FFS	RENDERING	AGE 21+	72	None	472	None	48	None	48	None	48	None	192	None	60	None	60	None
1235277526	FOSTER JR CHARLES L	2021	FFS	RENDERING	AGE 0-20	648	None	6,084	None	502	None	1,540	None	290	None	648	None	446	None	475	None
1235277526	FOSTER JR CHARLES L	2021	FFS	RENDERING	AGE 21+	50	None	284	None	21	None	41	None	21	None	39	None	26	None	26	None
1235277963	PARK SANGHOON	2021	FFS	RENDERING	AGE 0-20	43	None	330	None	38	None	90	None	15	None	28	None	39	None	45	None
1235277963	PARK SANGHOON	2021	FFS	RENDERING	AGE 21+	315	None	3,904	None	148	None	294	None	241	None	1,313	None	200	None	200	None
1235278599	BINAFARD, BEHZAD DANIEL, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1235278599	BINAFARD, BEHZAD DANIEL, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1235280777	MENDOZA ANNA	2021	FFS	RENDERING	AGE 0-20	55	None	791	None	53	None	230	None	38	None	199	None	55	None	79	None
1235280777	MENDOZA ANNA	2021	FFS	RENDERING	AGE 21+	183	None	2,237	None	128	None	239	None	153	None	1,134	None	151	None	151	None
1235283771	DACIO RUBY E	2021	FFS	RENDERING	AGE 0-20	500	None	4,451	None	401	None	1,096	None	316	None	821	None	395	None	488	None
1235283771	DACIO RUBY E	2021	FFS	RENDERING	AGE 21+	221	None	1,368	None	128	None	254	None	147	None	402	None	139	None	139	None
1235284191	KIM, FRANK HYOUNGKYU DDS	2021	FFS	RENDERING	AGE 0-20	102	None	1,026	None	95	None	394	None	39	None	110	None	85	None	103	None
1235284191	KIM, FRANK HYOUNGKYU DDS	2021	FFS	RENDERING	AGE 21+	143	None	1,100	None	106	None	212	None	85	None	306	None	106	None	106	None
1235284662	FIFE CAMERON GARY	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1235284662	FIFE CAMERON GARY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1235287335	MATIAN FARIBORZ	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235288432	TAMIKO ELAINE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235288432	TAMIKO ELAINE	2021	FFS	RENDERING	AGE 21+	2,006	None	5,292	None	None	1	None	1	1,995	None	4,266	None	1,019	None	1,019	None
1235290941	HONG, JOSEPH K, DDS	2021	FFS	RENDERING	AGE 0-20	159	None	951	None	139	None	355	None	65	None	175	None	147	None	186	None
1235290941	HONG, JOSEPH K, DDS	2021	FFS	RENDERING	AGE 21+	271	None	1,540	None	146	None	149	None	205	None	734	None	181	None	183	None
1235292095	COHEN ROBERT M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235302332	ALCANTARA MOSES L	2021	FFS	RENDERING	AGE 0-20	407	None	591	None	0	None	0	None	102	None	188	None	0	None	0	None
1235302332	ALCANTARA MOSES L	2021	FFS	RENDERING	AGE 21+	31	None	31	None	0	None	0	None	0	None	0	None	0	None	0	None
1235302332	ALCANTARA MOSES L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235304668	PATEL, MUKESH B DDS	2021	FFS	RENDERING	AGE 0-20	158	None	1,743	None	133	None	515	None	80	None	324	None	149	None	194	None
1235304668	PATEL, MUKESH B DDS	2021	FFS	RENDERING	AGE 21+	305	None	2,412	None	127	None	213	None	218	None	1,175	None	254	None	254	None
1235310442	PEREIRA GUADALUPE L	2021	FFS	RENDERING	AGE 0-20	86	None	775	None	83	None	272	None	39	None	119	None	79	None	90	None
1235310442	PEREIRA GUADALUPE L	2021	FFS	RENDERING	AGE 21+	229	None	1,905	None	160	None	183	None	168	None	642	None	175	None	175	None
1235313701	PATEL NANCY R	2021	FFS	RENDERING	AGE 0-20	1,225	None	16,378	None	1,108	None	2,927	None	553	None	1,659	None	1,080	None	1,422	None
1235313701	PATEL NANCY R	2021	FFS	RENDERING	AGE 21+	1,068	None	9,021	None	414	None	821	None	761	None	2,662	None	750	None	750	None
1235316951	BUCHMILLER RANDY E	2021	FFS	RENDERING	AGE 0-20	45	None	85	None	0	None	0	None	14	None	36	None	None	1	None	1
1235317744	MADDATU JONATHAN L	2021	FFS	RENDERING	AGE 0-20	173	None	1,605	None	162	None	509	None	87	None	299	None	160	None	209	None
1235317744	MADDATU JONATHAN L	2021	FFS	RENDERING	AGE 21+	488	None	3,089	None	328	None	335	None	339	None	1,491	None	198	None	200	None
1235317744	MADDATU JONATHAN L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235319344	DY GRACE NOBLE DMD	2021	FFS	RENDERING	AGE 0-20	69	None	622	None	63	None	209	None	37	None	141	None	59	None	74	None
1235319344	DY GRACE NOBLE DMD	2021	FFS	RENDERING	AGE 21+	169	None	1,126	None	91	None	95	None	133	None	615	None	122	None	124	None
1235319344	DY GRACE NOBLE DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235319344	DY GRACE NOBLE DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1235319989	LEON, ARLETTE L, DDS	2021	FFS	RENDERING	AGE 0-20	448	None	2,187	None	270	None	815	None	137	None	331	None	356	None	361	None
1235319989	LEON, ARLETTE L, DDS	2021	FFS	RENDERING	AGE 21+	758	None	2,100	None	146	None	258	None	251	None	621	None	533	None	535	None
1235319989	LEON, ARLETTE L, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1235333451	MELO MONICA A	2021	PHP	RENDERING	AGE 0-20	173	None	2,120	None	164	None	890	None	167	None	331	None	141	None	152	None
1235333451	MELO MONICA A	2021	PHP	RENDERING	AGE 21+	102	None	787	None	49	None	149	None	85	None	263	None	44	None	44	None
1235342239	TRAN THUY-DUONG H	2021	FFS	RENDERING	AGE 0-20	118	None	564	None	105	None	184	None	41	None	109	None	109	None	120	None
1235342239	TRAN THUY-DUONG H	2021	FFS	RENDERING	AGE 21+	266	None	1,078	None	174	None	174	None	127	None	415	None	202	None	202	None
1235342932	SAADAT SHOHREH	2021	FFS	RENDERING	AGE 0-20	471	None	5,235	None	413	None	1,429	None	138	None	248	None	414	None	451	None
1235342932	SAADAT SHOHREH	2021	FFS	RENDERING	AGE 21+	225	None	1,184	None	114	None	136	None	130	None	348	None	145	None	145	None
1235342932	SAADAT SHOHREH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235342932	SAADAT SHOHREH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235343203	TONG, BICHHUYEN, DDS	2021	FFS	RENDERING	AGE 0-20	79	None	799	None	73	None	147	None	25	None	80	None	64	None	75	None
1235343203	TONG, BICHHUYEN, DDS	2021	FFS	RENDERING	AGE 21+	97	None	863	None	60	None	63	None	43	None	154	None	80	None	80	None
1235344474	KENYON BRIAN J	2021	FFS	RENDERING	AGE 0-20	100	None	545	None	62	None	92	None	92	None	309	None	68	None	72	None
1235344474	KENYON BRIAN J	2021	FFS	RENDERING	AGE 21+	795	None	3,894	None	194	None	200	None	731	None	2,603	None	441	None	441	None
1235344748	WALNUT HILLS FAMILY DENTISTR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1235344748	WALNUT HILLS FAMILY DENTISTR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235345646	VERDUGO FERNANDO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235345646	VERDUGO FERNANDO	2021	FFS	RENDERING	AGE 21+	15	None	19	None	0	None	0	None	15	None	19	None	0	None	0	None
1235345646	VERDUGO FERNANDO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235345646	VERDUGO FERNANDO	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1235345877	PEZESHKIAN MISSAGH	2021	FFS	RENDERING	AGE 0-20	14	None	84	None	None	1	None	2	None	1	None	2	13	None	17	None
1235345877	PEZESHKIAN MISSAGH	2021	FFS	RENDERING	AGE 21+	94	None	348	None	25	None	40	None	71	None	161	None	70	None	70	None
1235346750	SAHAWNEH SHOROUQ S	2021	FFS	RENDERING	AGE 0-20	266	None	2,353	None	230	None	1,099	None	60	None	253	None	251	None	321	None
1235346750	SAHAWNEH SHOROUQ S	2021	FFS	RENDERING	AGE 21+	344	None	1,323	None	90	None	135	None	161	None	589	None	284	None	284	None
1235348871	KAW IRVIN H	2021	FFS	RENDERING	AGE 0-20	169	None	1,188	None	136	None	292	None	31	None	44	None	143	None	152	None
1235348871	KAW IRVIN H	2021	FFS	RENDERING	AGE 21+	266	None	1,471	None	53	None	55	None	141	None	180	None	138	None	138	None
1235352071	LIM JOSEPH DAEKEUN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1235353145	CHOI, DAVID A DDS	2021	FFS	RENDERING	AGE 0-20	747	None	6,959	None	708	None	2,824	None	403	None	1,140	None	709	None	831	None
1235353145	CHOI, DAVID A DDS	2021	FFS	RENDERING	AGE 21+	867	None	7,088	None	596	None	1,172	None	601	None	2,923	None	713	None	713	None
1235354440	HIGGINS, JAMES B, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1235354440	HIGGINS, JAMES B, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235355132	JOSHI BIJAL B	2021	FFS	RENDERING	AGE 0-20	111	None	942	None	88	None	262	None	69	None	238	None	104	None	114	None
1235355132	JOSHI BIJAL B	2021	FFS	RENDERING	AGE 21+	401	None	2,378	None	142	None	204	None	248	None	1,182	None	350	None	352	None
1235356551	LOO KWOR C	2021	PHP	RENDERING	AGE 0-20	35	None	93	None	None	1	None	1	33	None	59	None	None	1	None	1
1235356551	LOO KWOR C	2021	PHP	RENDERING	AGE 21+	355	None	939	None	34	None	34	None	221	None	300	None	332	None	342	None
1235361791	NAGEL JEFFREY N	2021	FFS	RENDERING	AGE 0-20	67	None	160	None	0	None	0	None	34	None	103	None	0	None	0	None
1235363722	MONTAZERI MEHRNOOSH M	2021	FFS	RENDERING	AGE 0-20	18	None	214	None	17	None	42	None	None	1	None	1	18	None	23	None
1235363722	MONTAZERI MEHRNOOSH M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235369786	NGUYEN DIEM-TRINH M	2021	FFS	RENDERING	AGE 0-20	158	None	959	None	128	None	285	None	46	None	101	None	132	None	134	None
1235369786	NGUYEN DIEM-TRINH M	2021	FFS	RENDERING	AGE 21+	201	None	1,040	None	58	None	58	None	116	None	315	None	140	None	140	None
1235370966	SHETTY ARAVINDA K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235370966	SHETTY ARAVINDA K	2021	FFS	RENDERING	AGE 21+	52	None	145	None	None	1	None	1	25	None	44	None	31	None	31	None
1235370966	SHETTY ARAVINDA K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1235370966	SHETTY ARAVINDA K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235378498	PRIBADI AGUNG	2021	FFS	RENDERING	AGE 0-20	96	None	725	None	87	None	339	None	43	None	100	None	88	None	117	None
1235378498	PRIBADI AGUNG	2021	FFS	RENDERING	AGE 21+	112	None	722	None	64	None	128	None	63	None	302	None	98	None	98	None
1235388778	BABIAN AVO	2021	FFS	RENDERING	AGE 0-20	285	None	454	None	None	1	None	1	73	None	175	None	None	1	None	1
1235388778	BABIAN AVO	2021	FFS	RENDERING	AGE 21+	26	None	27	None	0	None	0	None	26	None	27	None	0	None	0	None
1235388778	BABIAN AVO	2021	PHP	RENDERING	AGE 0-20	20	None	58	None	0	None	0	None	14	None	36	None	0	None	0	None
1235392317	HANASAB HOMAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1235392317	HANASAB HOMAN	2021	FFS	RENDERING	AGE 21+	54	None	215	None	0	None	0	None	37	None	162	None	20	None	20	None
1235392317	HANASAB HOMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1235392317	HANASAB HOMAN	2021	PHP	RENDERING	AGE 21+	12	None	25	None	0	None	0	None	None	1	None	1	12	None	12	None
1235434911	KHAKNEGAR MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	662	None	5,477	None	417	None	1,134	None	493	None	1,883	None	358	None	361	None
1235434911	KHAKNEGAR MOHAMMAD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1235434911	KHAKNEGAR MOHAMMAD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235435553	DELGADO CARLOS M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1235447525	MAI ANH-THU	2021	FFS	RENDERING	AGE 0-20	693	None	4,464	None	602	None	2,048	None	219	None	401	None	632	None	643	None
1235447525	MAI ANH-THU	2021	FFS	RENDERING	AGE 21+	600	None	2,178	None	100	None	169	None	312	None	911	None	397	None	397	None
1235447525	MAI ANH-THU	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235448036	PARIKH SHREYASI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1235448036	PARIKH SHREYASI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235452368	LIN-BURNS CHRISTAIN C	2021	FFS	RENDERING	AGE 0-20	3,655	None	36,879	None	2,846	None	9,067	None	2,369	None	10,566	None	2,591	None	2,833	None
1235452368	LIN-BURNS CHRISTAIN C	2021	FFS	RENDERING	AGE 21+	19	None	74	None	None	1	None	2	None	1	None	2	None	1	None	1
1235471921	KABIRI, NAVID DMD	2021	FFS	RENDERING	AGE 0-20	219	None	2,044	None	170	None	482	None	41	None	78	None	201	None	201	None
1235471921	KABIRI, NAVID DMD	2021	FFS	RENDERING	AGE 21+	278	None	1,234	None	50	None	83	None	127	None	300	None	163	None	163	None
1235471921	KABIRI, NAVID DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235471921	KABIRI, NAVID DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235481300	PHAN, HAI, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235488958	GIANG AN T	2021	FFS	RENDERING	AGE 0-20	594	None	3,966	None	400	None	1,034	None	418	None	808	None	367	None	376	None
1235488958	GIANG AN T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235507393	PILIKYAN ANI A	2021	FFS	RENDERING	AGE 0-20	425	None	3,040	None	290	None	859	None	241	None	542	None	285	None	285	None
1235533142	FARHAT JENNIFER L	2021	FFS	RENDERING	AGE 0-20	3,471	None	37,591	None	2,774	None	7,133	None	1,189	None	3,477	None	2,975	None	3,548	None
1235533142	FARHAT JENNIFER L	2021	FFS	RENDERING	AGE 21+	29	None	249	None	19	None	37	None	14	None	40	None	19	None	19	None
1235533605	KING WEI	2021	FFS	RENDERING	AGE 21+	12	None	13	None	0	None	0	None	12	None	13	None	0	None	0	None
1235548033	MISMAR DINA	2021	PHP	RENDERING	AGE 0-20	30	None	196	None	20	None	57	None	None	1	None	1	20	None	20	None
1235548033	MISMAR DINA	2021	PHP	RENDERING	AGE 21+	15	None	63	None	None	1	None	1	None	1	None	2	None	1	None	1
1235561713	MALEK HEDAYAT IMAN	2021	FFS	RENDERING	AGE 0-20	41	None	433	None	32	None	135	None	21	None	59	None	38	None	47	None
1235561713	MALEK HEDAYAT IMAN	2021	FFS	RENDERING	AGE 21+	180	None	1,304	None	101	None	201	None	116	None	573	None	140	None	140	None
1235568874	IM ISAAC G	2021	FFS	RENDERING	AGE 0-20	4,674	None	59,225	None	4,311	None	14,185	None	2,985	None	9,760	None	4,350	None	5,621	None
1235570094	DASON ASH M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1235571753	ALFROUKH RAMI S	2021	FFS	RENDERING	AGE 0-20	137	None	844	None	61	None	139	None	69	None	171	None	107	None	111	None
1235571753	ALFROUKH RAMI S	2021	FFS	RENDERING	AGE 21+	537	None	2,742	None	78	None	149	None	379	None	1,144	None	344	None	348	None
1235576620	HAYASHI MASAMI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1235576620	HAYASHI MASAMI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235581349	MAKANJI BRIJESH	2021	FFS	RENDERING	AGE 0-20	158	None	1,288	None	126	None	386	None	81	None	219	None	119	None	121	None
1235581349	MAKANJI BRIJESH	2021	FFS	RENDERING	AGE 21+	218	None	1,396	None	63	None	121	None	180	None	600	None	102	None	102	None
1235607169	SHAIKH ARIFA Y	2021	FFS	RENDERING	AGE 0-20	123	None	683	None	74	None	178	None	66	None	141	None	73	None	73	None
1235607169	SHAIKH ARIFA Y	2021	FFS	RENDERING	AGE 21+	761	None	4,639	None	266	None	272	None	563	None	1,573	None	335	None	339	None
1235614801	LECLAIR SAFINA	2021	FFS	RENDERING	AGE 0-20	148	None	843	None	138	None	359	None	31	None	57	None	136	None	136	None
1235614801	LECLAIR SAFINA	2021	FFS	RENDERING	AGE 21+	167	None	758	None	103	None	205	None	89	None	264	None	130	None	130	None
1235615956	NGUYEN TRANG H	2021	FFS	RENDERING	AGE 0-20	136	None	626	None	29	None	62	None	63	None	149	None	113	None	128	None
1235615956	NGUYEN TRANG H	2021	FFS	RENDERING	AGE 21+	297	None	1,609	None	53	None	105	None	204	None	566	None	172	None	172	None
1235623190	KOHAN & RODEF DENTAL CORPORA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235625351	KANG ANDY	2021	FFS	RENDERING	AGE 0-20	2,926	None	23,661	None	2,359	None	6,685	None	1,706	None	4,550	None	2,154	None	2,327	None
1235625351	KANG ANDY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235625351	KANG ANDY	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1235625542	NG THANHDUNG K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235651340	PERALTA ALDO A	2021	FFS	RENDERING	AGE 0-20	159	None	1,268	None	106	None	246	None	74	None	214	None	113	None	125	None
1235651340	PERALTA ALDO A	2021	FFS	RENDERING	AGE 21+	449	None	2,820	None	161	None	315	None	335	None	1,130	None	222	None	222	None
1235652769	REGATIPALLI SWETHA	2021	FFS	RENDERING	AGE 0-20	375	None	1,987	None	235	None	489	None	120	None	340	None	336	None	362	None
1235652769	REGATIPALLI SWETHA	2021	FFS	RENDERING	AGE 21+	1,008	None	3,549	None	162	None	300	None	295	None	875	None	778	None	778	None
1235660747	GARDNER DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235662545	ARKELAKYAN ARTUR	2021	FFS	RENDERING	AGE 0-20	34	None	147	None	None	1	None	2	23	None	84	None	24	None	25	None
1235662545	ARKELAKYAN ARTUR	2021	FFS	RENDERING	AGE 21+	263	None	963	None	42	None	46	None	123	None	530	None	185	None	185	None
1235662842	ENGLAND ADDYSON	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1235663642	BARADARAN SAM	2021	FFS	RENDERING	AGE 0-20	168	None	1,287	None	121	None	452	None	69	None	217	None	144	None	152	None
1235663642	BARADARAN SAM	2021	FFS	RENDERING	AGE 21+	345	None	2,265	None	91	None	171	None	228	None	782	None	263	None	264	None
1235663642	BARADARAN SAM	2021	PHP	RENDERING	AGE 0-20	35	None	262	None	28	None	116	None	15	None	63	None	31	None	31	None
1235663642	BARADARAN SAM	2021	PHP	RENDERING	AGE 21+	58	None	225	None	20	None	28	None	27	None	109	None	47	None	47	None
1235697400	SOK JOSHUA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1235697400	SOK JOSHUA	2021	FFS	RENDERING	AGE 21+	19	None	52	None	None	1	None	1	None	1	None	1	13	None	13	None
1235710013	LACSON CHLOE C	2021	FFS	RENDERING	AGE 0-20	210	None	1,088	None	105	None	309	None	109	None	300	None	126	None	126	None
1235710013	LACSON CHLOE C	2021	FFS	RENDERING	AGE 21+	210	None	697	None	None	1	None	2	108	None	286	None	99	None	99	None
1235746587	CHONG BEUM H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235746587	CHONG BEUM H	2021	GMC	RENDERING	AGE 0-20	600	None	3,372	None	419	None	997	None	168	None	353	None	446	None	496	None
1235746587	CHONG BEUM H	2021	GMC	RENDERING	AGE 21+	926	None	5,294	None	456	None	904	None	603	None	1,981	None	569	None	572	None
1235748864	MIRZA KAZIM A	2021	FFS	RENDERING	AGE 0-20	75	None	102	None	0	None	0	None	72	None	92	None	None	1	None	1
1235748864	MIRZA KAZIM A	2021	FFS	RENDERING	AGE 21+	251	None	290	None	0	None	0	None	251	None	290	None	0	None	0	None
1235748864	MIRZA KAZIM A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235748864	MIRZA KAZIM A	2021	PHP	RENDERING	AGE 21+	11	None	23	None	0	None	0	None	11	None	23	None	0	None	0	None
1235782913	KING GALEN L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235782913	KING GALEN L	2021	GMC	RENDERING	AGE 0-20	243	None	2,019	None	187	None	870	None	187	None	323	None	166	None	192	None
1235782913	KING GALEN L	2021	GMC	RENDERING	AGE 21+	682	None	3,080	None	207	None	225	None	547	None	1,497	None	297	None	300	None
1235782913	KING GALEN L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1235789777	HAYEK EZABELLE B	2021	FFS	RENDERING	AGE 0-20	274	None	2,061	None	151	None	389	None	127	None	383	None	179	None	181	None
1235789777	HAYEK EZABELLE B	2021	FFS	RENDERING	AGE 21+	181	None	1,106	None	35	None	46	None	116	None	282	None	103	None	103	None
1235790189	BEHSHADPOUR ANAHITA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1235790189	BEHSHADPOUR ANAHITA	2021	FFS	RENDERING	AGE 21+	33	None	153	None	24	None	42	None	None	1	None	2	27	None	27	None
1235804220	UM YIE LIN	2021	FFS	RENDERING	AGE 0-20	1,849	None	13,295	None	1,433	None	3,334	None	919	None	2,040	None	1,434	None	1,437	None
1245201201	BALLAGH, SUSAN A MD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245201201	BALLAGH, SUSAN A MD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245212018	SOLIMAN WALEED S	2021	FFS	RENDERING	AGE 0-20	753	None	1,661	None	0	None	0	None	149	None	277	None	0	None	0	None
1245212018	SOLIMAN WALEED S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245212018	SOLIMAN WALEED S	2021	GMC	RENDERING	AGE 0-20	101	None	244	None	0	None	0	None	76	None	186	None	0	None	0	None
1245212018	SOLIMAN WALEED S	2021	GMC	RENDERING	AGE 21+	16	None	55	None	0	None	0	None	16	None	45	None	0	None	0	None
1245247097	FADAVI SAYED M	2021	FFS	RENDERING	AGE 0-20	211	None	1,031	None	159	None	315	None	67	None	199	None	168	None	168	None
1245247097	FADAVI SAYED M	2021	FFS	RENDERING	AGE 21+	515	None	1,904	None	120	None	224	None	269	None	840	None	357	None	357	None
1245247097	FADAVI SAYED M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1245254374	GREWAL, PRABHJOT DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245254374	GREWAL, PRABHJOT DDS	2021	GMC	RENDERING	AGE 0-20	257	None	1,719	None	183	None	577	None	106	None	178	None	184	None	198	None
1245254374	GREWAL, PRABHJOT DDS	2021	GMC	RENDERING	AGE 21+	634	None	2,373	None	268	None	320	None	441	None	908	None	330	None	331	None
1245268465	MURNI, IRWAN, DMD	2021	FFS	RENDERING	AGE 0-20	202	None	3,532	None	179	None	958	None	95	None	522	None	172	None	384	None
1245268465	MURNI, IRWAN, DMD	2021	FFS	RENDERING	AGE 21+	493	None	6,670	None	281	None	564	None	375	None	2,858	None	390	None	780	None
1245289107	SHARAFI SOUDABEH	2021	FFS	RENDERING	AGE 0-20	92	None	1,634	None	87	None	376	None	69	None	516	None	84	None	107	None
1245289107	SHARAFI SOUDABEH	2021	FFS	RENDERING	AGE 21+	25	None	287	None	20	None	40	None	15	None	94	None	22	None	22	None
1245300318	NGUYEN TRANG M	2021	FFS	RENDERING	AGE 0-20	138	None	1,100	None	129	None	588	None	58	None	147	None	135	None	197	None
1245300318	NGUYEN TRANG M	2021	FFS	RENDERING	AGE 21+	291	None	1,905	None	186	None	275	None	246	None	1,098	None	228	None	228	None
1245300318	NGUYEN, TRANG M, DDS	2021	FFS	RENDERING	AGE 0-20	138	None	1,100	None	129	None	588	None	58	None	147	None	135	None	197	None
1245300318	NGUYEN, TRANG M, DDS	2021	FFS	RENDERING	AGE 21+	291	None	1,905	None	186	None	275	None	246	None	1,098	None	228	None	228	None
1245300458	LIU FENG	2021	FFS	RENDERING	AGE 0-20	76	None	573	None	61	None	136	None	52	None	284	None	62	None	63	None
1245300458	LIU FENG	2021	FFS	RENDERING	AGE 21+	262	None	1,698	None	128	None	241	None	202	None	1,026	None	145	None	145	None
1245306208	SELEIT MOHAMED S	2021	FFS	RENDERING	AGE 0-20	203	None	1,118	None	114	None	460	None	59	None	102	None	169	None	175	None
1245306208	SELEIT MOHAMED S	2021	FFS	RENDERING	AGE 21+	339	None	916	None	37	None	37	None	114	None	242	None	221	None	221	None
1245306208	SELEIT MOHAMED S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245306349	NGUYEN MINH TRI H	2021	FFS	RENDERING	AGE 0-20	485	None	4,596	None	463	None	1,437	None	282	None	656	None	433	None	532	None
1245306349	NGUYEN MINH TRI H	2021	FFS	RENDERING	AGE 21+	219	None	1,650	None	178	None	350	None	98	None	215	None	179	None	179	None
1245307420	ALEXANDER RICHARD	2021	FFS	RENDERING	AGE 0-20	266	None	458	None	0	None	0	None	78	None	135	None	0	None	0	None
1245307420	ALEXANDER RICHARD	2021	FFS	RENDERING	AGE 21+	22	None	22	None	0	None	0	None	0	None	0	None	0	None	0	None
1245308667	LEE KIWOONG	2021	FFS	RENDERING	AGE 0-20	258	None	1,520	None	171	None	665	None	160	None	490	None	64	None	64	None
1245308667	LEE KIWOONG	2021	FFS	RENDERING	AGE 21+	499	None	2,186	None	165	None	293	None	390	None	1,247	None	126	None	126	None
1245317841	DO HUNG KY	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245317841	DO HUNG KY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1245318195	KATBAMNA PRAKASH A	2021	FFS	RENDERING	AGE 0-20	12	None	97	None	None	1	None	2	None	1	None	2	None	1	None	1
1245318195	KATBAMNA PRAKASH A	2021	FFS	RENDERING	AGE 21+	55	None	329	None	17	None	20	None	36	None	177	None	41	None	41	None
1245328970	SINGH TARLOCHAN	2021	FFS	RENDERING	AGE 0-20	462	None	3,626	None	123	None	415	None	414	None	1,696	None	151	None	179	None
1245328970	SINGH TARLOCHAN	2021	FFS	RENDERING	AGE 21+	569	None	3,328	None	114	None	188	None	399	None	1,833	None	375	None	375	None
1245356674	SHINGLE SPRINGS RANCHERIA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245358472	GALANG, JANE S, DDS	2021	FFS	RENDERING	AGE 0-20	108	None	652	None	99	None	197	None	35	None	119	None	94	None	108	None
1245358472	GALANG, JANE S, DDS	2021	FFS	RENDERING	AGE 21+	298	None	1,405	None	186	None	187	None	143	None	518	None	207	None	207	None
1245358811	TAKATA, RONALD T, DMD	2021	FFS	RENDERING	AGE 0-20	14	None	80	None	11	None	33	None	None	1	None	2	12	None	17	None
1245358811	TAKATA, RONALD T, DMD	2021	FFS	RENDERING	AGE 21+	38	None	149	None	18	None	21	None	27	None	56	None	19	None	19	None
1245361856	LEE, ETHAN CHUNG AN DDS	2021	FFS	RENDERING	AGE 0-20	98	None	713	None	87	None	324	None	35	None	103	None	88	None	115	None
1245361856	LEE, ETHAN CHUNG AN DDS	2021	FFS	RENDERING	AGE 21+	345	None	2,327	None	157	None	267	None	272	None	1,279	None	228	None	229	None
1245361856	LEE, ETHAN CHUNG AN DDS	2021	PHP	RENDERING	AGE 0-20	40	None	314	None	36	None	130	None	14	None	42	None	34	None	43	None
1245361856	LEE, ETHAN CHUNG AN DDS	2021	PHP	RENDERING	AGE 21+	45	None	296	None	33	None	73	None	21	None	86	None	41	None	45	None
1245362201	ELREEDI AHMED R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245362201	ELREEDI AHMED R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1245371582	MENDEZ RUBEN	2021	FFS	RENDERING	AGE 0-20	121	None	1,128	None	112	None	257	None	57	None	171	None	113	None	132	None
1245371582	MENDEZ RUBEN	2021	FFS	RENDERING	AGE 21+	323	None	2,504	None	208	None	420	None	239	None	982	None	250	None	256	None
1245371988	VORPERIAN VAHE H	2021	FFS	RENDERING	AGE 0-20	133	None	1,329	None	112	None	275	None	76	None	316	None	109	None	121	None
1245371988	VORPERIAN VAHE H	2021	FFS	RENDERING	AGE 21+	758	None	5,795	None	419	None	691	None	528	None	2,158	None	516	None	517	None
1245374933	BAGHDASARYAN ALENOUSH	2021	FFS	RENDERING	AGE 0-20	18	None	91	None	15	None	42	None	None	1	None	2	17	None	22	None
1245374933	BAGHDASARYAN ALENOUSH	2021	FFS	RENDERING	AGE 21+	605	None	4,679	None	306	None	602	None	538	None	2,839	None	363	None	363	None
1245374933	BAGHDASARYAN ALENOUSH	2021	PHP	RENDERING	AGE 0-20	22	None	104	None	21	None	59	None	None	1	None	1	21	None	22	None
1245376979	SEHATI, FARID DDS	2021	FFS	RENDERING	AGE 0-20	89	None	395	None	20	None	72	None	62	None	149	None	58	None	61	None
1245376979	SEHATI, FARID DDS	2021	FFS	RENDERING	AGE 21+	415	None	2,435	None	45	None	69	None	395	None	1,611	None	194	None	194	None
1245381003	TRUONG PHUONGTAM T	2021	FFS	RENDERING	AGE 0-20	68	None	523	None	64	None	240	None	28	None	78	None	62	None	75	None
1245381003	TRUONG PHUONGTAM T	2021	FFS	RENDERING	AGE 21+	209	None	1,659	None	142	None	283	None	173	None	846	None	147	None	147	None
1245383280	SHAH GRISHMA R	2021	FFS	RENDERING	AGE 0-20	37	None	173	None	25	None	64	None	13	None	36	None	25	None	27	None
1245383280	SHAH GRISHMA R	2021	FFS	RENDERING	AGE 21+	105	None	440	None	22	None	38	None	51	None	160	None	85	None	85	None
1245384023	VEGA MARIA AVA BE A	2021	FFS	RENDERING	AGE 0-20	12	None	74	None	11	None	22	None	None	1	None	2	None	1	None	2
1245384023	VEGA MARIA AVA BE A	2021	FFS	RENDERING	AGE 21+	29	None	136	None	19	None	19	None	18	None	60	None	25	None	25	None
1245390244	MIN, MICHAEL J DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1245396407	NGUYEN-TRAN, CINDY H DDS	2021	FFS	RENDERING	AGE 0-20	366	None	3,817	None	343	None	1,191	None	190	None	550	None	336	None	393	None
1245396407	NGUYEN-TRAN, CINDY H DDS	2021	FFS	RENDERING	AGE 21+	142	None	1,146	None	129	None	256	None	58	None	155	None	133	None	133	None
1245397355	SOEGAARD ASTRID	2021	FFS	RENDERING	AGE 0-20	18	None	71	None	11	None	24	None	None	1	None	2	None	1	None	1
1245398999	INGHAM, GEORGE J, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245406479	RHA CHONG H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1245406479	RHA CHONG H	2021	FFS	RENDERING	AGE 21+	57	None	867	None	40	None	75	None	39	None	495	None	43	None	43	None
1245408871	YU CHUNZHU	2021	FFS	RENDERING	AGE 0-20	91	None	521	None	73	None	203	None	35	None	116	None	76	None	80	None
1245408871	YU CHUNZHU	2021	FFS	RENDERING	AGE 21+	109	None	381	None	38	None	72	None	25	None	68	None	92	None	92	None
1245419316	LY LINDA V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245419449	LE HUAN CUA, RICHARD, DDS	2021	FFS	RENDERING	AGE 0-20	52	None	423	None	50	None	178	None	13	None	23	None	45	None	62	None
1245419449	LE HUAN CUA, RICHARD, DDS	2021	FFS	RENDERING	AGE 21+	121	None	634	None	115	None	228	None	14	None	33	None	118	None	118	None
1245421049	TROIANO GONZALE JO-ANN M	2021	FFS	RENDERING	AGE 0-20	1,674	None	12,919	None	1,161	None	3,075	None	937	None	1,839	None	1,112	None	1,136	None
1245421049	TROIANO GONZALE JO-ANN M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1245425255	WAHBA MAGED F	2021	FFS	RENDERING	AGE 0-20	355	None	2,645	None	235	None	568	None	113	None	323	None	320	None	374	None
1245425255	WAHBA MAGED F	2021	FFS	RENDERING	AGE 21+	638	None	2,880	None	103	None	113	None	310	None	894	None	487	None	489	None
1245425255	WAHBA MAGED F	2021	PHP	RENDERING	AGE 0-20	90	None	475	None	59	None	136	None	21	None	60	None	78	None	91	None
1245425255	WAHBA MAGED F	2021	PHP	RENDERING	AGE 21+	90	None	353	None	17	None	18	None	29	None	157	None	73	None	74	None
1245427582	CHENG LAWRENCE M	2021	FFS	RENDERING	AGE 0-20	142	None	1,080	None	127	None	362	None	43	None	131	None	125	None	140	None
1245427582	CHENG LAWRENCE M	2021	FFS	RENDERING	AGE 21+	209	None	866	None	96	None	96	None	89	None	271	None	82	None	82	None
1245432566	FISHER JEFFREY P	2021	FFS	RENDERING	AGE 0-20	23	None	68	None	0	None	0	None	23	None	68	None	0	None	0	None
1245433283	THEODOROU, NIKOLAOS DDS	2021	FFS	RENDERING	AGE 0-20	52	None	366	None	41	None	106	None	24	None	66	None	41	None	50	None
1245433283	THEODOROU, NIKOLAOS DDS	2021	FFS	RENDERING	AGE 21+	218	None	1,230	None	82	None	91	None	165	None	541	None	117	None	117	None
1245436880	UNDORF, YURI, DDS	2021	FFS	RENDERING	AGE 0-20	48	None	256	None	42	None	109	None	None	1	None	2	29	None	32	None
1245436880	UNDORF, YURI, DDS	2021	FFS	RENDERING	AGE 21+	632	None	5,930	None	315	None	315	None	495	None	2,588	None	146	None	146	None
1245450105	CARDONA PATRICIA L	2021	FFS	RENDERING	AGE 0-20	15	None	36	None	None	1	None	1	None	1	None	1	12	None	14	None
1245450105	CARDONA PATRICIA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245450105	CARDONA PATRICIA L	2021	GMC	RENDERING	AGE 0-20	1,512	None	6,357	None	183	None	640	None	888	None	1,857	None	715	None	737	None
1245450105	CARDONA PATRICIA L	2021	GMC	RENDERING	AGE 21+	13	None	15	None	0	None	0	None	None	1	None	2	None	1	None	1
1245450105	CARDONA PATRICIA L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245450105	CARDONA PATRICIA L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245450576	TURNER RODNEY L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245457985	CHOI, SAMUEL S, DDS	2021	FFS	RENDERING	AGE 21+	46	None	103	None	19	None	19	None	28	None	47	None	20	None	20	None
1245459379	KASHANCHI MASSOUD	2021	FFS	RENDERING	AGE 0-20	110	None	306	None	14	None	22	None	23	None	86	None	97	None	98	None
1245459379	KASHANCHI MASSOUD	2021	FFS	RENDERING	AGE 21+	387	None	1,550	None	70	None	70	None	170	None	701	None	304	None	306	None
1245473875	GONZALEZ, PEDRO P, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1245477843	CAINE, TRACEY BETH, RDHAP	2021	FFS	RENDERING	AGE 21+	705	None	5,622	None	686	None	2,835	None	705	None	2,787	None	0	None	0	None
1245482223	HELOU JOY M	2021	FFS	RENDERING	AGE 0-20	18	None	121	None	15	None	51	None	None	1	None	2	14	None	16	None
1245482223	HELOU JOY M	2021	FFS	RENDERING	AGE 21+	57	None	287	None	36	None	38	None	34	None	105	None	44	None	44	None
1245482801	COOLEY HOLME T	2021	FFS	RENDERING	AGE 0-20	133	None	1,644	None	120	None	320	None	75	None	179	None	122	None	155	None
1245482801	COOLEY HOLME T	2021	FFS	RENDERING	AGE 21+	167	None	1,727	None	108	None	109	None	113	None	446	None	135	None	135	None
1245490671	JAE YON CHUNG DMD DENTAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245490671	JAE YON CHUNG DMD DENTAL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245498229	PAYDAR AZADEH	2021	FFS	RENDERING	AGE 0-20	136	None	1,498	None	126	None	368	None	74	None	254	None	129	None	150	None
1245498229	PAYDAR AZADEH	2021	FFS	RENDERING	AGE 21+	576	None	4,993	None	430	None	672	None	436	None	2,152	None	425	None	430	None
1245501741	MILLER, STANLEY, DDS	2021	FFS	RENDERING	AGE 0-20	797	None	5,490	None	118	None	270	None	720	None	4,414	None	94	None	106	None
1245501741	MILLER, STANLEY, DDS	2021	FFS	RENDERING	AGE 21+	83	None	310	None	None	1	None	2	52	None	139	None	36	None	36	None
1245504984	COSTANDI JOHN J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1245504984	COSTANDI JOHN J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1245504984	COSTANDI JOHN J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1245504984	COSTANDI JOHN J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1245507029	JAFARI RAMIN R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245507029	JAFARI RAMIN R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245545375	KIM AUGUSTINE	2021	FFS	RENDERING	AGE 0-20	161	None	260	None	0	None	0	None	18	None	59	None	0	None	0	None
1245545375	KIM AUGUSTINE	2021	FFS	RENDERING	AGE 21+	11	None	12	None	0	None	0	None	None	1	None	1	0	None	0	None
1245545375	KIM AUGUSTINE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1245545375	KIM AUGUSTINE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1245560481	HOSNY KAZEM F	2021	FFS	RENDERING	AGE 0-20	188	None	3,259	None	147	None	469	None	154	None	836	None	165	None	192	None
1245560481	HOSNY KAZEM F	2021	FFS	RENDERING	AGE 21+	254	None	3,693	None	150	None	298	None	200	None	1,444	None	163	None	163	None
1245563147	HERRERA DAVID	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1245563147	HERRERA DAVID	2021	FFS	RENDERING	AGE 21+	14	None	62	None	None	1	None	1	12	None	24	None	None	1	None	1
1245570498	LOZANO ALEXIA ROXAN O	2021	FFS	RENDERING	AGE 0-20	1,111	None	10,401	None	925	None	2,835	None	630	None	2,483	None	950	None	1,195	None
1245570498	LOZANO ALEXIA ROXAN O	2021	FFS	RENDERING	AGE 21+	30	None	129	None	None	1	None	2	22	None	56	None	11	None	11	None
1245570498	LOZANO ALEXIA ROXAN O	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1245575364	LABIB ARSANY Y	2021	FFS	RENDERING	AGE 0-20	24	None	181	None	21	None	46	None	None	1	None	2	23	None	23	None
1245575364	LABIB ARSANY Y	2021	FFS	RENDERING	AGE 21+	46	None	233	None	12	None	22	None	24	None	46	None	36	None	36	None
1245578483	KIM HYONG J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1245578483	KIM HYONG J	2021	GMC	RENDERING	AGE 0-20	1,997	None	14,128	None	1,162	None	4,108	None	707	None	1,159	None	1,253	None	1,356	None
1245589126	BANARIA VIVIAN C	2021	FFS	RENDERING	AGE 0-20	170	None	1,693	None	138	None	369	None	70	None	214	None	142	None	161	None
1245589126	BANARIA VIVIAN C	2021	FFS	RENDERING	AGE 21+	469	None	3,519	None	267	None	497	None	246	None	865	None	344	None	344	None
1245589126	BANARIA VIVIAN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245589126	BANARIA VIVIAN C	2021	PHP	RENDERING	AGE 21+	63	None	756	None	50	None	97	None	31	None	129	None	57	None	58	None
1245621416	AKHAVAN ROGHIYEH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1245621416	AKHAVAN ROGHIYEH	2021	FFS	RENDERING	AGE 21+	71	None	244	None	0	None	0	None	71	None	244	None	0	None	0	None
1245631191	LUU, PETER, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245637032	TORRES, ARIEL, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1245640408	LU, RONG D, DMD	2021	FFS	RENDERING	AGE 0-20	46	None	276	None	44	None	114	None	12	None	31	None	37	None	49	None
1245640408	LU, RONG D, DMD	2021	FFS	RENDERING	AGE 21+	636	None	4,174	None	530	None	1,065	None	351	None	792	None	570	None	574	None
1245643154	PHAM MAI	2021	FFS	RENDERING	AGE 0-20	211	None	3,366	None	203	None	811	None	107	None	387	None	207	None	304	None
1245643154	PHAM MAI	2021	FFS	RENDERING	AGE 21+	300	None	3,549	None	233	None	462	None	196	None	1,167	None	264	None	264	None
1245643154	PHAM MAI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245660919	ZHUJIANG ANNIE	2021	FFS	RENDERING	AGE 21+	13	None	15	None	0	None	0	None	13	None	15	None	0	None	0	None
1245665124	BOCHORISHVILI GEORGE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1245671734	SING YENBA TO B	2021	FFS	RENDERING	AGE 0-20	172	None	1,086	None	132	None	280	None	65	None	183	None	131	None	136	None
1245671734	SING YENBA TO B	2021	FFS	RENDERING	AGE 21+	372	None	2,219	None	207	None	413	None	230	None	655	None	217	None	217	None
1245683861	FURUKAWA DIANA K	2021	FFS	RENDERING	AGE 0-20	378	None	2,623	None	323	None	807	None	122	None	189	None	327	None	395	None
1245683861	FURUKAWA DIANA K	2021	FFS	RENDERING	AGE 21+	760	None	3,341	None	218	None	404	None	508	None	1,109	None	397	None	398	None
1245683861	FURUKAWA DIANA K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245687706	JUNG, WONIL EDWARD DDS	2021	FFS	RENDERING	AGE 0-20	1,259	None	2,776	None	0	None	0	None	1,259	None	2,776	None	0	None	0	None
1245697473	SIMUS RONALD ROY A	2021	FFS	RENDERING	AGE 0-20	87	None	114	None	0	None	0	None	None	1	None	2	0	None	0	None
1245699693	XIE DAN	2021	FFS	RENDERING	AGE 0-20	300	None	2,616	None	238	None	916	None	179	None	646	None	262	None	280	None
1245699693	XIE DAN	2021	FFS	RENDERING	AGE 21+	353	None	1,842	None	64	None	112	None	175	None	756	None	253	None	255	None
1245716539	B. DEIRMENJIAN, DDS, INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245716539	DEIRMENJIAN, B, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245716950	BALINGHASAY ERIK P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245716950	BALINGHASAY ERIK P	2021	FFS	RENDERING	AGE 21+	31	None	67	None	0	None	0	None	31	None	55	None	0	None	0	None
1245721349	RIAZI HALEH	2021	FFS	RENDERING	AGE 0-20	219	None	2,010	None	167	None	554	None	102	None	432	None	186	None	205	None
1245721349	RIAZI HALEH	2021	FFS	RENDERING	AGE 21+	458	None	3,246	None	212	None	416	None	306	None	1,345	None	306	None	307	None
1245721349	RIAZI HALEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245721349	RIAZI HALEH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245725381	KIM TIMOTHY	2021	FFS	RENDERING	AGE 0-20	565	None	2,792	None	377	None	1,024	None	165	None	390	None	435	None	437	None
1245725381	KIM TIMOTHY	2021	FFS	RENDERING	AGE 21+	1,282	None	4,858	None	442	None	807	None	647	None	1,946	None	812	None	813	None
1245766542	CHIU VICTORIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245766542	CHIU VICTORIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245766542	CHIU VICTORIA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245773514	TOZBIKIAN SYLVIA V	2021	FFS	RENDERING	AGE 0-20	288	None	2,529	None	192	None	523	None	141	None	284	None	244	None	249	None
1245773514	TOZBIKIAN SYLVIA V	2021	FFS	RENDERING	AGE 21+	262	None	1,235	None	31	None	62	None	153	None	423	None	163	None	163	None
1245776053	MISNER, TRISHA ANN, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1245787712	HARATI MAHSA	2021	FFS	RENDERING	AGE 0-20	16	None	48	None	None	1	None	1	None	1	None	2	12	None	12	None
1245787712	HARATI MAHSA	2021	FFS	RENDERING	AGE 21+	32	None	68	None	None	1	None	1	17	None	24	None	17	None	17	None
1245795020	ALANIZ LILLIAM M	2021	FFS	RENDERING	AGE 0-20	117	None	930	None	94	None	216	None	40	None	86	None	108	None	112	None
1245795020	ALANIZ LILLIAM M	2021	FFS	RENDERING	AGE 21+	121	None	549	None	32	None	62	None	64	None	211	None	82	None	82	None
1245801190	HAKAMI-TAFRESHI ROXAN	2021	FFS	RENDERING	AGE 0-20	155	None	1,496	None	126	None	453	None	100	None	347	None	144	None	144	None
1245801190	HAKAMI-TAFRESHI ROXAN	2021	FFS	RENDERING	AGE 21+	260	None	2,101	None	101	None	199	None	190	None	901	None	231	None	233	None
1245825587	LAWRENCE, TERRI LYN, RDHAP	2021	FFS	RENDERING	AGE 21+	77	None	225	None	71	None	76	None	77	None	149	None	0	None	0	None
1245833367	ALWARDI AYA H	2021	FFS	RENDERING	AGE 0-20	197	None	946	None	118	None	312	None	87	None	212	None	143	None	143	None
1245833367	ALWARDI AYA H	2021	FFS	RENDERING	AGE 21+	494	None	1,448	None	101	None	185	None	289	None	736	None	194	None	194	None
1245833367	ALWARDI AYA H	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245833367	ALWARDI AYA H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1245833367	ALWARDI AYA H	2021	PHP	RENDERING	AGE 21+	20	None	191	None	None	1	None	2	18	None	157	None	None	1	None	1
1245845825	CHO JAEHUN	2021	FFS	RENDERING	AGE 0-20	14	None	80	None	12	None	28	None	None	1	None	1	12	None	12	None
1245845825	CHO JAEHUN	2021	FFS	RENDERING	AGE 21+	53	None	149	None	14	None	28	None	38	None	69	None	17	None	17	None
1245845825	CHO JAEHUN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1245845825	CHO JAEHUN	2021	PHP	RENDERING	AGE 21+	27	None	104	None	13	None	27	None	18	None	46	None	12	None	12	None
1245848332	TSOI HOWARD C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1245848332	TSOI HOWARD C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1245848332	TSOI HOWARD C	2021	GMC	RENDERING	AGE 0-20	675	None	3,276	None	519	None	912	None	359	None	565	None	345	None	380	None
1245848332	TSOI HOWARD C	2021	GMC	RENDERING	AGE 21+	770	None	3,810	None	293	None	573	None	499	None	1,561	None	476	None	482	None
1245848332	TSOI HOWARD C	2021	PHP	RENDERING	AGE 0-20	41	None	164	None	41	None	41	None	41	None	41	None	0	None	0	None
1245848332	TSOI HOWARD C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1245876051	KAUSHAL KARUN	2021	FFS	RENDERING	AGE 0-20	39	None	168	None	20	None	63	None	14	None	18	None	19	None	19	None
1245876051	KAUSHAL KARUN	2021	FFS	RENDERING	AGE 21+	305	None	996	None	41	None	79	None	128	None	290	None	155	None	156	None
1245876051	KAUSHAL KARUN	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1245876051	KAUSHAL KARUN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245877992	REYES GARCIA & O'CONNOR DENT	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1245883495	BOYD BRENT C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1245883495	BOYD BRENT C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245886894	LEE JU YONG	2021	FFS	RENDERING	AGE 0-20	6,100	None	44,928	None	4,860	None	12,211	None	3,515	None	6,737	None	4,851	None	4,964	None
1245886894	LEE JU YONG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245892488	NGUYEN KYLE	2021	FFS	RENDERING	AGE 0-20	318	None	2,493	None	241	None	558	None	186	None	483	None	251	None	288	None
1245892488	NGUYEN KYLE	2021	FFS	RENDERING	AGE 21+	423	None	2,461	None	137	None	164	None	328	None	970	None	237	None	237	None
1245899095	CHO EUN JUNG	2021	FFS	RENDERING	AGE 0-20	360	None	3,132	None	304	None	927	None	294	None	599	None	328	None	331	None
1245908474	DEZA ANTHONY E	2021	FFS	RENDERING	AGE 0-20	21	None	214	None	17	None	48	None	12	None	47	None	16	None	16	None
1245908474	DEZA ANTHONY E	2021	FFS	RENDERING	AGE 21+	37	None	211	None	None	1	None	1	24	None	78	None	14	None	14	None
1255004735	SINGH MANPREET	2021	FFS	RENDERING	AGE 0-20	23	None	90	None	None	1	None	1	11	None	21	None	13	None	13	None
1255004735	SINGH MANPREET	2021	FFS	RENDERING	AGE 21+	38	None	114	None	0	None	0	None	26	None	39	None	12	None	12	None
1255305702	CALIXTO, LUIS	2021	FFS	RENDERING	AGE 0-20	237	None	1,388	None	79	None	174	None	188	None	493	None	92	None	96	None
1255305702	CALIXTO, LUIS	2021	FFS	RENDERING	AGE 21+	887	None	5,233	None	196	None	378	None	754	None	2,084	None	340	None	341	None
1255330197	RANA VINOD G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1255330197	RANA VINOD G	2021	FFS	RENDERING	AGE 21+	17	None	140	None	None	1	None	2	None	1	None	2	0	None	0	None
1255343588	VU, HONG T DDS	2021	FFS	RENDERING	AGE 0-20	288	None	2,387	None	277	None	761	None	91	None	223	None	276	None	348	None
1255343588	VU, HONG T DDS	2021	FFS	RENDERING	AGE 21+	317	None	1,659	None	249	None	252	None	186	None	603	None	262	None	262	None
1255343588	VU, HONG T DDS	2021	PHP	RENDERING	AGE 0-20	126	None	1,071	None	119	None	331	None	67	None	143	None	119	None	143	None
1255343588	VU, HONG T DDS	2021	PHP	RENDERING	AGE 21+	26	None	117	None	20	None	20	None	11	None	29	None	22	None	23	None
1255351680	BUI UYEN KHANH V	2021	FFS	RENDERING	AGE 0-20	296	None	3,034	None	288	None	952	None	100	None	282	None	277	None	351	None
1255351680	BUI UYEN KHANH V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1255359469	WEBB DAVID EVANS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255378329	AKRAA ILHAM Y	2021	FFS	RENDERING	AGE 0-20	97	None	593	None	86	None	238	None	33	None	91	None	86	None	113	None
1255378329	AKRAA ILHAM Y	2021	FFS	RENDERING	AGE 21+	174	None	864	None	113	None	226	None	84	None	204	None	133	None	133	None
1255382032	VALENTINE RICARDO A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255382032	VALENTINE RICARDO A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1255401956	REIDY EDWARD T	2021	FFS	RENDERING	AGE 0-20	26	None	130	None	21	None	52	None	15	None	26	None	21	None	21	None
1255401956	REIDY EDWARD T	2021	FFS	RENDERING	AGE 21+	81	None	412	None	29	None	29	None	38	None	141	None	65	None	65	None
1255405064	CHO, TINA DMD	2021	FFS	RENDERING	AGE 0-20	261	None	1,849	None	215	None	580	None	146	None	513	None	216	None	237	None
1255405064	CHO, TINA DMD	2021	FFS	RENDERING	AGE 21+	486	None	2,507	None	182	None	358	None	400	None	1,384	None	244	None	244	None
1255405064	CHO, TINA DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255405064	CHO, TINA, DMD	2021	FFS	RENDERING	AGE 0-20	261	None	3,698	None	215	None	1,160	None	146	None	1,026	None	216	None	474	None
1255405064	CHO, TINA, DMD	2021	FFS	RENDERING	AGE 21+	486	None	5,014	None	182	None	716	None	400	None	2,768	None	244	None	488	None
1255405064	CHO, TINA, DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255406831	WALKER III, NELSON DDS	2021	FFS	RENDERING	AGE 0-20	12	None	104	None	None	1	None	2	None	1	None	1	None	1	None	1
1255406831	WALKER III, NELSON DDS	2021	FFS	RENDERING	AGE 21+	48	None	147	None	None	1	None	2	30	None	62	None	24	None	24	None
1255409421	ALTWAL IYAD W	2021	FFS	RENDERING	AGE 0-20	319	None	1,961	None	133	None	788	None	242	None	575	None	139	None	156	None
1255409421	ALTWAL IYAD W	2021	FFS	RENDERING	AGE 21+	1,666	None	5,897	None	166	None	329	None	1,551	None	4,471	None	317	None	318	None
1255409421	ALTWAL IYAD W	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255409421	ALTWAL IYAD W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255409488	PERFECTO JR EDMUNDO I	2021	FFS	RENDERING	AGE 0-20	149	None	1,236	None	116	None	377	None	55	None	187	None	133	None	154	None
1255409488	PERFECTO JR EDMUNDO I	2021	FFS	RENDERING	AGE 21+	241	None	1,045	None	60	None	67	None	142	None	394	None	166	None	167	None
1255409488	PERFECTO JR EDMUNDO I	2021	PHP	RENDERING	AGE 0-20	122	None	1,076	None	108	None	420	None	34	None	79	None	111	None	132	None
1255409488	PERFECTO JR EDMUNDO I	2021	PHP	RENDERING	AGE 21+	118	None	631	None	42	None	45	None	73	None	263	None	84	None	86	None
1255409694	NGUYEN MINH D	2021	FFS	RENDERING	AGE 0-20	18	None	140	None	15	None	17	None	None	1	None	2	17	None	19	None
1255409694	NGUYEN MINH D	2021	FFS	RENDERING	AGE 21+	113	None	816	None	62	None	64	None	54	None	106	None	102	None	104	None
1255410585	MIZIN, IRINA K, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1255410585	MIZIN, IRINA K, DDS	2021	FFS	RENDERING	AGE 21+	20	None	132	None	None	1	None	2	14	None	86	None	14	None	14	None
1255411450	PARKHUR, JOHN, DMD	2021	FFS	RENDERING	AGE 0-20	27	None	154	None	25	None	69	None	None	1	None	2	25	None	30	None
1255411450	PARKHUR, JOHN, DMD	2021	FFS	RENDERING	AGE 21+	105	None	486	None	60	None	116	None	58	None	198	None	73	None	75	None
1255425609	KISHIBAY JOHN S	2021	FFS	RENDERING	AGE 0-20	69	None	74	None	0	None	0	None	None	1	None	1	None	1	None	1
1255427373	TASH EDMOND M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1255427373	TASH EDMOND M	2021	FFS	RENDERING	AGE 21+	30	None	139	None	12	None	21	None	15	None	55	None	20	None	20	None
1255428058	DO KY L	2021	FFS	RENDERING	AGE 0-20	167	None	1,600	None	118	None	251	None	93	None	285	None	132	None	140	None
1255428058	DO KY L	2021	FFS	RENDERING	AGE 21+	320	None	2,768	None	139	None	278	None	262	None	1,196	None	178	None	178	None
1255428058	DO KY L	2021	PHP	RENDERING	AGE 0-20	50	None	377	None	44	None	96	None	19	None	76	None	46	None	46	None
1255428058	DO KY L	2021	PHP	RENDERING	AGE 21+	12	None	88	None	None	1	None	1	12	None	45	None	11	None	11	None
1255430708	DE JESUS ANA LIZA E	2021	FFS	RENDERING	AGE 0-20	410	None	3,541	None	269	None	710	None	194	None	800	None	257	None	262	None
1255430708	DE JESUS ANA LIZA E	2021	FFS	RENDERING	AGE 21+	160	None	819	None	29	None	56	None	102	None	288	None	77	None	77	None
1255430708	DE JESUS ANA LIZA E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255430708	DE JESUS ANA LIZA E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1255431342	CHU STEVE	2021	FFS	RENDERING	AGE 0-20	109	None	687	None	76	None	182	None	29	None	134	None	103	None	115	None
1255431342	CHU STEVE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1255431953	MARFATIA, RABIN A DDS	2021	FFS	RENDERING	AGE 0-20	2,228	None	30,312	None	2,173	None	8,190	None	1,273	None	3,371	None	2,181	None	3,143	None
1255431953	MARFATIA, RABIN A DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255431953	MARFATIA, RABIN A DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255432191	JACOB, HARI, DDS	2021	FFS	RENDERING	AGE 0-20	241	None	2,014	None	225	None	425	None	86	None	194	None	167	None	167	None
1255432191	JACOB, HARI, DDS	2021	FFS	RENDERING	AGE 21+	104	None	554	None	67	None	70	None	46	None	84	None	63	None	63	None
1255433694	DO, CAROLINE H, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1255433694	DO, CAROLINE H, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255448049	MAHDAVI KAMBIZ	2021	FFS	RENDERING	AGE 0-20	177	None	2,779	None	174	None	801	None	58	None	169	None	169	None	252	None
1255448049	MAHDAVI KAMBIZ	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255455481	SHETH MADHAVI A	2021	FFS	RENDERING	AGE 0-20	493	None	4,264	None	354	None	1,051	None	273	None	1,520	None	361	None	385	None
1255455481	SHETH MADHAVI A	2021	FFS	RENDERING	AGE 21+	569	None	3,279	None	169	None	339	None	364	None	1,646	None	324	None	324	None
1255460168	ZARGARIAN, ALBERT	2021	FFS	RENDERING	AGE 0-20	448	None	2,855	None	305	None	961	None	151	None	228	None	164	None	166	None
1255460168	ZARGARIAN, ALBERT	2021	FFS	RENDERING	AGE 21+	434	None	1,466	None	44	None	76	None	282	None	677	None	51	None	51	None
1255460168	ZARGARIAN, ALBERT	2021	PHP	RENDERING	AGE 0-20	63	None	541	None	62	None	229	None	36	None	111	None	56	None	60	None
1255460168	ZARGARIAN, ALBERT	2021	PHP	RENDERING	AGE 21+	75	None	352	None	18	None	34	None	48	None	196	None	41	None	41	None
1255461646	TRAN BACH T	2021	FFS	RENDERING	AGE 0-20	1,307	None	4,050	None	99	None	248	None	104	None	297	None	88	None	91	None
1255461646	TRAN BACH T	2021	FFS	RENDERING	AGE 21+	282	None	849	None	None	1	None	1	None	1	None	2	None	1	None	1
1255462339	JHANG ALEXANDER K	2021	FFS	RENDERING	AGE 0-20	75	None	646	None	67	None	244	None	30	None	83	None	73	None	88	None
1255462339	JHANG ALEXANDER K	2021	FFS	RENDERING	AGE 21+	179	None	888	None	67	None	129	None	101	None	329	None	144	None	144	None
1255463154	SHTULMAN-SOLOVEYCHIK, ISABEL	2021	FFS	RENDERING	AGE 0-20	49	None	325	None	35	None	104	None	24	None	83	None	37	None	37	None
1255463154	SHTULMAN-SOLOVEYCHIK, ISABEL	2021	FFS	RENDERING	AGE 21+	102	None	464	None	45	None	86	None	76	None	205	None	48	None	48	None
1255463501	DINH HOAI T	2021	FFS	RENDERING	AGE 0-20	262	None	3,149	None	251	None	771	None	97	None	238	None	253	None	310	None
1255463501	DINH HOAI T	2021	FFS	RENDERING	AGE 21+	698	None	7,297	None	544	None	1,086	None	480	None	1,751	None	556	None	556	None
1255465902	UCLA VENICE DENTAL CLINIC	2021	PHP	RENDERING	AGE 0-20	63	None	366	None	61	None	202	None	16	None	35	None	56	None	56	None
1255473781	PATEL, RAKESH N, DDS	2021	FFS	RENDERING	AGE 0-20	177	None	1,643	None	123	None	418	None	41	None	164	None	168	None	189	None
1255473781	PATEL, RAKESH N, DDS	2021	FFS	RENDERING	AGE 21+	251	None	1,292	None	54	None	68	None	106	None	331	None	195	None	200	None
1255473781	PATEL, RAKESH N, DDS	2021	PHP	RENDERING	AGE 0-20	142	None	1,413	None	120	None	277	None	29	None	116	None	139	None	167	None
1255473781	PATEL, RAKESH N, DDS	2021	PHP	RENDERING	AGE 21+	71	None	406	None	24	None	27	None	19	None	57	None	61	None	64	None
1255476172	PHAM, LIEN N, DDS	2021	FFS	RENDERING	AGE 0-20	110	None	1,860	None	104	None	504	None	45	None	210	None	89	None	210	None
1255476172	PHAM, LIEN N, DDS	2021	FFS	RENDERING	AGE 21+	242	None	3,758	None	145	None	296	None	162	None	1,032	None	156	None	312	None
1255478418	MIKHAIL, MOURAD, DDS	2021	FFS	RENDERING	AGE 0-20	465	None	5,047	None	461	None	2,284	None	167	None	729	None	464	None	659	None
1255478418	MIKHAIL, MOURAD, DDS	2021	FFS	RENDERING	AGE 21+	248	None	1,439	None	237	None	474	None	84	None	308	None	238	None	238	None
1255479556	JACOB LEENA M	2021	FFS	RENDERING	AGE 0-20	5,384	None	50,066	None	5,103	None	19,955	None	3,323	None	9,334	None	5,101	None	6,160	None
1255479556	JACOB LEENA M	2021	FFS	RENDERING	AGE 21+	119	None	379	None	72	None	146	None	35	None	73	None	92	None	92	None
1255479721	BARIZO, DORIS A DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255479721	BARIZO, DORIS A DMD	2021	FFS	RENDERING	AGE 21+	292	None	1,133	None	195	None	377	None	119	None	327	None	66	None	66	None
1255482527	FERDOWSMAKAN, ROBERT MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1255482527	FERDOWSMAKAN, ROBERT MD	2021	FFS	RENDERING	AGE 21+	11	None	47	None	0	None	0	None	11	None	47	None	0	None	0	None
1255484598	CRUZ JULIO	2021	FFS	RENDERING	AGE 0-20	29	None	330	None	23	None	52	None	None	1	None	2	23	None	26	None
1255484598	CRUZ JULIO	2021	FFS	RENDERING	AGE 21+	26	None	248	None	19	None	36	None	None	1	None	2	23	None	23	None
1255485736	BERMUDEZ, MARIA LUISA DMD	2021	FFS	RENDERING	AGE 0-20	49	None	351	None	47	None	94	None	15	None	56	None	47	None	48	None
1255485736	BERMUDEZ, MARIA LUISA DMD	2021	FFS	RENDERING	AGE 21+	141	None	799	None	80	None	80	None	66	None	199	None	119	None	119	None
1255486676	SAMET DANA	2021	FFS	RENDERING	AGE 0-20	179	None	1,594	None	147	None	449	None	74	None	267	None	157	None	197	None
1255486676	SAMET DANA	2021	FFS	RENDERING	AGE 21+	440	None	2,622	None	182	None	303	None	309	None	1,033	None	331	None	331	None
1255486700	MEHTA, NIRAV DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1255487179	TOLSTUNOV LEONID	2021	FFS	RENDERING	AGE 0-20	36	None	179	None	0	None	0	None	33	None	133	None	23	None	23	None
1255487179	TOLSTUNOV LEONID	2021	FFS	RENDERING	AGE 21+	149	None	664	None	0	None	0	None	125	None	430	None	43	None	43	None
1255487617	MEHRABIAN VAHAG	2021	FFS	RENDERING	AGE 0-20	410	None	4,022	None	314	None	889	None	197	None	718	None	318	None	384	None
1255487617	MEHRABIAN VAHAG	2021	FFS	RENDERING	AGE 21+	733	None	4,329	None	195	None	338	None	467	None	1,715	None	438	None	447	None
1255487617	MEHRABIAN VAHAG	2021	PHP	RENDERING	AGE 0-20	133	None	889	None	88	None	230	None	71	None	204	None	122	None	143	None
1255487617	MEHRABIAN VAHAG	2021	PHP	RENDERING	AGE 21+	186	None	1,030	None	37	None	53	None	109	None	501	None	152	None	155	None
1255490629	FIRMALINO, PIERRE F., DDS	2021	FFS	RENDERING	AGE 0-20	74	None	688	None	53	None	119	None	46	None	195	None	42	None	47	None
1255490629	FIRMALINO, PIERRE F., DDS	2021	FFS	RENDERING	AGE 21+	124	None	893	None	58	None	61	None	92	None	420	None	67	None	67	None
1255491973	QURESHI AZEEM H	2021	FFS	RENDERING	AGE 0-20	242	None	1,833	None	205	None	792	None	70	None	184	None	219	None	219	None
1255491973	QURESHI AZEEM H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1255491973	QURESHI AZEEM H	2021	PHP	RENDERING	AGE 0-20	25	None	212	None	24	None	100	None	None	1	None	1	24	None	25	None
1255495347	AZOUZ DARRYL T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255495354	CASTILLO CARMEN B	2021	FFS	RENDERING	AGE 0-20	49	None	193	None	22	None	54	None	20	None	42	None	27	None	27	None
1255495354	CASTILLO CARMEN B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255496774	HWANG DAVID D	2021	FFS	RENDERING	AGE 0-20	11	None	18	None	0	None	0	None	11	None	18	None	0	None	0	None
1255496774	HWANG DAVID D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255496782	UNTALAN, CHARISE RUBY DDS	2021	FFS	RENDERING	AGE 0-20	100	None	1,300	None	100	None	359	None	28	None	45	None	100	None	112	None
1255496782	UNTALAN, CHARISE RUBY DDS	2021	FFS	RENDERING	AGE 21+	16	None	111	None	None	1	None	2	None	1	None	2	None	1	None	1
1255499497	ZOKA, ROUZBEH, DDS	2021	FFS	RENDERING	AGE 0-20	151	None	315	None	0	None	0	None	62	None	170	None	16	None	16	None
1255499497	ZOKA, ROUZBEH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1255511358	TRAC TRINH P	2021	FFS	RENDERING	AGE 0-20	174	None	1,491	None	173	None	507	None	57	None	157	None	173	None	232	None
1255511358	TRAC TRINH P	2021	FFS	RENDERING	AGE 21+	31	None	218	None	21	None	26	None	23	None	79	None	23	None	23	None
1255515102	RAHIMZADEH PARVIZ	2021	FFS	RENDERING	AGE 0-20	269	None	1,715	None	197	None	694	None	135	None	350	None	187	None	189	None
1255515102	RAHIMZADEH PARVIZ	2021	FFS	RENDERING	AGE 21+	381	None	1,372	None	102	None	196	None	222	None	604	None	202	None	202	None
1255521852	BURQUEZ FABRIEL D	2021	FFS	RENDERING	AGE 0-20	124	None	1,558	None	114	None	336	None	41	None	131	None	95	None	122	None
1255521852	BURQUEZ FABRIEL D	2021	FFS	RENDERING	AGE 21+	166	None	1,099	None	112	None	205	None	74	None	218	None	116	None	116	None
1255522603	NGO, THAO THI, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255522603	NGO, THAO THI, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255522603	NGO, THAO THI, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255523593	TANG, SOPHEAP	2021	FFS	RENDERING	AGE 0-20	315	None	1,911	None	196	None	491	None	226	None	540	None	187	None	188	None
1255523593	TANG, SOPHEAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255527081	LEE ESTHER E	2021	FFS	RENDERING	AGE 0-20	2,130	None	18,797	None	1,482	None	4,213	None	1,438	None	4,848	None	1,455	None	1,652	None
1255533972	LE MICHAEL K	2021	FFS	RENDERING	AGE 0-20	103	None	2,256	None	98	None	310	None	93	None	611	None	99	None	129	None
1255533972	LE MICHAEL K	2021	FFS	RENDERING	AGE 21+	229	None	4,601	None	140	None	281	None	195	None	2,157	None	181	None	181	None
1255533972	LE MICHAEL K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255534293	THEODOROU, LARISA DDS	2021	FFS	RENDERING	AGE 0-20	158	None	1,599	None	147	None	441	None	83	None	262	None	149	None	181	None
1255534293	THEODOROU, LARISA DDS	2021	FFS	RENDERING	AGE 21+	459	None	2,952	None	214	None	269	None	337	None	1,056	None	304	None	304	None
1255542601	ALTAMED MEDICAL & DENTAL	2021	PHP	RENDERING	AGE 0-20	86	None	3,940	None	61	None	1,595	None	77	None	710	None	50	None	270	None
1255542601	ALTAMED MEDICAL & DENTAL	2021	PHP	RENDERING	AGE 21+	107	None	2,555	None	35	None	590	None	76	None	1,020	None	40	None	205	None
1255545976	BERSHADSKY, YURY, DDS INC.	2021	FFS	RENDERING	AGE 0-20	38	None	273	None	28	None	61	None	19	None	78	None	24	None	26	None
1255545976	BERSHADSKY, YURY, DDS INC.	2021	FFS	RENDERING	AGE 21+	158	None	1,076	None	31	None	32	None	111	None	494	None	102	None	102	None
1255549853	NGUYEN DAN C	2021	FFS	RENDERING	AGE 0-20	274	None	487	None	0	None	0	None	98	None	236	None	0	None	0	None
1255549853	NGUYEN DAN C	2021	FFS	RENDERING	AGE 21+	13	None	13	None	0	None	0	None	0	None	0	None	0	None	0	None
1255549853	NGUYEN DAN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255571113	ZHURAVKOVA SVETLANA	2021	FFS	RENDERING	AGE 0-20	107	None	1,146	None	82	None	251	None	34	None	94	None	83	None	98	None
1255571113	ZHURAVKOVA SVETLANA	2021	FFS	RENDERING	AGE 21+	48	None	382	None	27	None	46	None	27	None	71	None	36	None	36	None
1255583126	OBAIDI ANMAR M	2021	FFS	RENDERING	AGE 0-20	40	None	426	None	32	None	67	None	22	None	262	None	36	None	39	None
1255583126	OBAIDI ANMAR M	2021	FFS	RENDERING	AGE 21+	133	None	1,428	None	81	None	130	None	90	None	933	None	107	None	107	None
1255583241	LEHNHOF MONICA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255583241	LEHNHOF MONICA C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255583613	HASHEMI MEHDI	2021	FFS	RENDERING	AGE 0-20	1,031	None	6,881	None	848	None	2,048	None	338	None	914	None	780	None	782	None
1255583613	HASHEMI MEHDI	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1255588638	EL RAHEB ROSETTE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1255588638	EL RAHEB ROSETTE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255588638	EL RAHEB ROSETTE M	2021	PHP	RENDERING	AGE 0-20	138	None	1,342	None	125	None	531	None	133	None	197	None	114	None	117	None
1255588638	EL RAHEB ROSETTE M	2021	PHP	RENDERING	AGE 21+	159	None	940	None	60	None	143	None	120	None	301	None	59	None	59	None
1255589032	HOANG MARIE MY L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255589032	HOANG MARIE MY L	2021	FFS	RENDERING	AGE 21+	13	None	52	None	None	1	None	1	12	None	32	None	None	1	None	1
1255593760	KIM JI EUN	2021	FFS	RENDERING	AGE 0-20	15	None	20	None	0	None	0	None	None	1	None	1	0	None	0	None
1255600888	HASSANZADEH ELNAZ	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1255600888	HASSANZADEH ELNAZ	2021	FFS	RENDERING	AGE 21+	34	None	130	None	None	1	None	2	17	None	62	None	25	None	25	None
1255600888	HASSANZADEH ELNAZ	2021	PHP	RENDERING	AGE 21+	11	None	33	None	None	1	None	1	None	1	None	1	None	1	None	1
1255601688	HUA LYNN A	2021	FFS	RENDERING	AGE 0-20	2,870	None	22,542	None	2,124	None	5,360	None	1,753	None	4,483	None	2,084	None	2,127	None
1255601688	HUA LYNN A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255623450	VELARDE MARIA CRISTI M	2021	FFS	RENDERING	AGE 0-20	31	None	240	None	23	None	49	None	11	None	49	None	22	None	22	None
1255623450	VELARDE MARIA CRISTI M	2021	FFS	RENDERING	AGE 21+	112	None	528	None	46	None	82	None	73	None	257	None	29	None	29	None
1255625554	PUNG-YAMATO CHONG PEI N	2021	FFS	RENDERING	AGE 0-20	431	None	2,825	None	301	None	658	None	160	None	587	None	306	None	323	None
1255628368	BUI VU H	2021	FFS	RENDERING	AGE 0-20	168	None	2,380	None	164	None	497	None	108	None	449	None	165	None	201	None
1255628368	BUI VU H	2021	FFS	RENDERING	AGE 21+	586	None	8,780	None	425	None	851	None	475	None	2,912	None	512	None	512	None
1255631131	ROKHSAR, GHAZAL, DDS	2021	FFS	RENDERING	AGE 0-20	47	None	342	None	40	None	110	None	14	None	30	None	47	None	47	None
1255631131	ROKHSAR, GHAZAL, DDS	2021	PHP	RENDERING	AGE 0-20	15	None	109	None	15	None	35	None	None	1	None	1	15	None	15	None
1255638284	OH, SAEKYU, DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1255638284	SAEKYU OH DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1255653598	FIELDS, DANTHANH DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255677530	CHO JOSEPH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255687612	YOON ANDY S	2021	FFS	RENDERING	AGE 0-20	281	None	3,204	None	238	None	719	None	117	None	351	None	239	None	251	None
1255687612	YOON ANDY S	2021	FFS	RENDERING	AGE 21+	233	None	1,394	None	76	None	144	None	156	None	439	None	109	None	111	None
1255688214	LEE SOONKI	2021	FFS	RENDERING	AGE 0-20	49	None	438	None	35	None	85	None	31	None	103	None	40	None	44	None
1255688214	LEE SOONKI	2021	FFS	RENDERING	AGE 21+	69	None	540	None	40	None	74	None	47	None	164	None	32	None	32	None
1255699955	HAKHAMJANI ASSAL	2021	FFS	RENDERING	AGE 0-20	2,191	None	22,362	None	1,878	None	6,188	None	1,394	None	4,861	None	1,837	None	2,102	None
1255699955	HAKHAMJANI ASSAL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1255699955	HAKHAMJANI ASSAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1255709648	SPURGEON CHRISTOPHER	2021	FFS	RENDERING	AGE 0-20	262	None	1,384	None	136	None	377	None	91	None	215	None	222	None	256	None
1255709648	SPURGEON CHRISTOPHER	2021	FFS	RENDERING	AGE 21+	377	None	1,431	None	40	None	68	None	184	None	508	None	234	None	234	None
1255709648	SPURGEON CHRISTOPHER	2021	PHP	RENDERING	AGE 0-20	130	None	554	None	62	None	178	None	35	None	75	None	123	None	140	None
1255709648	SPURGEON CHRISTOPHER	2021	PHP	RENDERING	AGE 21+	166	None	571	None	27	None	37	None	73	None	239	None	129	None	139	None
1255716957	JORDAN YVONNE HOANG Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255716957	JORDAN YVONNE HOANG Y	2021	FFS	RENDERING	AGE 21+	14	None	33	None	None	1	None	1	12	None	28	None	None	1	None	1
1255729190	BARTOLOME NICOLE O	2021	FFS	RENDERING	AGE 0-20	657	None	5,190	None	591	None	1,534	None	190	None	667	None	589	None	694	None
1255737151	RHEEM STEPHEN S	2021	FFS	RENDERING	AGE 0-20	449	None	831	None	0	None	0	None	93	None	225	None	0	None	0	None
1255737151	RHEEM STEPHEN S	2021	FFS	RENDERING	AGE 21+	20	None	20	None	0	None	0	None	0	None	0	None	0	None	0	None
1255737151	RHEEM STEPHEN S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255737151	RHEEM STEPHEN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1255749016	HAREESH, HAREESH, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1255757522	HAN KWANG K	2021	FFS	RENDERING	AGE 0-20	59	None	448	None	29	None	75	None	35	None	92	None	32	None	33	None
1255757522	HAN KWANG K	2021	FFS	RENDERING	AGE 21+	146	None	652	None	26	None	26	None	103	None	267	None	60	None	60	None
1255757647	DEBAZ LENA S	2021	FFS	RENDERING	AGE 0-20	124	None	904	None	91	None	293	None	77	None	249	None	81	None	81	None
1255757647	DEBAZ LENA S	2021	FFS	RENDERING	AGE 21+	373	None	1,842	None	100	None	167	None	216	None	745	None	251	None	251	None
1255772182	KHORSHAD DANIEL S	2021	FFS	RENDERING	AGE 0-20	578	None	1,517	None	None	1	None	1	85	None	208	None	None	1	None	1
1255772182	KHORSHAD DANIEL S	2021	FFS	RENDERING	AGE 21+	80	None	124	None	0	None	0	None	None	1	None	1	0	None	0	None
1255785408	MOMEN ROSHANAK	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1255785408	MOMEN ROSHANAK	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1255803938	MORGAN, JESSICA NICOLE, RDHA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1255814364	DE LEON ANDREA P	2021	FFS	RENDERING	AGE 0-20	41	None	304	None	32	None	83	None	18	None	36	None	30	None	31	None
1255814364	DE LEON ANDREA P	2021	FFS	RENDERING	AGE 21+	42	None	247	None	21	None	42	None	28	None	97	None	23	None	25	None
1255829370	HIRANO-KANUGA DENTAL GROUP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255830865	FIERROS ROCIO	2021	FFS	RENDERING	AGE 0-20	166	None	752	None	98	None	281	None	74	None	189	None	75	None	79	None
1255830865	FIERROS ROCIO	2021	FFS	RENDERING	AGE 21+	272	None	820	None	58	None	113	None	147	None	374	None	107	None	107	None
1255830865	FIERROS ROCIO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255830865	FIERROS ROCIO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255841094	ELAMIR ZACHARY T	2021	FFS	RENDERING	AGE 0-20	130	None	1,106	None	84	None	185	None	46	None	114	None	108	None	108	None
1255841094	ELAMIR ZACHARY T	2021	FFS	RENDERING	AGE 21+	87	None	493	None	None	1	None	2	49	None	101	None	40	None	40	None
1255841094	ELAMIR ZACHARY T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1255841094	ELAMIR ZACHARY T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255845608	REYES ERIKA ANDREA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1255858049	MARTINEZ ERIKA A	2021	FFS	RENDERING	AGE 0-20	393	None	3,134	None	216	None	594	None	300	None	1,266	None	313	None	330	None
1255858049	MARTINEZ ERIKA A	2021	FFS	RENDERING	AGE 21+	951	None	5,917	None	301	None	599	None	755	None	3,308	None	622	None	623	None
1255875944	MAZUCHOWSKI JR RAYMOND J	2021	FFS	RENDERING	AGE 0-20	73	None	658	None	59	None	137	None	22	None	72	None	60	None	61	None
1255875944	MAZUCHOWSKI JR RAYMOND J	2021	FFS	RENDERING	AGE 21+	208	None	1,434	None	93	None	185	None	138	None	470	None	102	None	102	None
1255875944	MAZUCHOWSKI JR RAYMOND J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255902300	FRANGIEH AMEER A	2021	FFS	RENDERING	AGE 0-20	202	None	953	None	155	None	424	None	105	None	235	None	78	None	78	None
1255902300	FRANGIEH AMEER A	2021	FFS	RENDERING	AGE 21+	277	None	1,014	None	83	None	153	None	205	None	628	None	61	None	61	None
1255937900	SANO REID K	2021	FFS	RENDERING	AGE 0-20	192	None	1,657	None	161	None	276	None	65	None	154	None	160	None	164	None
1255937900	SANO REID K	2021	FFS	RENDERING	AGE 21+	247	None	2,143	None	143	None	143	None	152	None	492	None	161	None	161	None
1255948741	DU ANGELA	2021	FFS	RENDERING	AGE 0-20	444	None	2,698	None	299	None	656	None	193	None	527	None	277	None	286	None
1255948741	DU ANGELA	2021	GMC	RENDERING	AGE 0-20	2,620	None	24,649	None	2,168	None	7,549	None	2,079	None	5,150	None	1,910	None	2,287	None
1255948741	DU ANGELA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255964680	KIM HONG I	2021	FFS	RENDERING	AGE 0-20	76	None	107	None	0	None	0	None	11	None	18	None	0	None	0	None
1255964680	KIM HONG I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255964680	KIM HONG I	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1255977617	MARSANO STEPHANIE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1255977617	MARSANO STEPHANIE	2021	FFS	RENDERING	AGE 21+	12	None	73	None	None	1	None	2	None	1	None	2	None	1	None	1
1255980504	BERNALDO SAMANTHA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1255983433	SHAAF PAYAM	2021	FFS	RENDERING	AGE 0-20	55	None	387	None	35	None	93	None	28	None	50	None	42	None	42	None
1255983433	SHAAF PAYAM	2021	FFS	RENDERING	AGE 21+	118	None	482	None	12	None	23	None	88	None	255	None	46	None	46	None
1255984803	YAO PARNELL J	2021	FFS	RENDERING	AGE 0-20	384	None	2,295	None	220	None	801	None	153	None	311	None	339	None	356	None
1255984803	YAO PARNELL J	2021	FFS	RENDERING	AGE 21+	408	None	1,294	None	18	None	35	None	141	None	370	None	270	None	270	None
1255993069	MAHBOOBIAN OMEED	2021	FFS	RENDERING	AGE 0-20	2,305	None	28,699	None	2,046	None	7,613	None	1,238	None	3,326	None	2,018	None	2,440	None
1255993069	MAHBOOBIAN OMEED	2021	FFS	RENDERING	AGE 21+	378	None	2,304	None	141	None	284	None	233	None	553	None	191	None	192	None
1255993069	MAHBOOBIAN OMEED	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1255993754	LI CHARLES J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1265002612	MAJDIPOUR TIFFANY	2021	FFS	RENDERING	AGE 0-20	213	None	1,103	None	164	None	481	None	46	None	83	None	177	None	177	None
1265002612	MAJDIPOUR TIFFANY	2021	FFS	RENDERING	AGE 21+	269	None	761	None	50	None	58	None	99	None	214	None	156	None	156	None
1265002612	MAJDIPOUR TIFFANY	2021	PHP	RENDERING	AGE 0-20	49	None	198	None	38	None	81	None	None	1	None	2	42	None	43	None
1265002612	MAJDIPOUR TIFFANY	2021	PHP	RENDERING	AGE 21+	55	None	157	None	15	None	19	None	18	None	34	None	42	None	42	None
1265002893	MEHTA PRARTHIT H	2021	FFS	RENDERING	AGE 0-20	243	None	1,147	None	149	None	408	None	111	None	250	None	133	None	133	None
1265002893	MEHTA PRARTHIT H	2021	FFS	RENDERING	AGE 21+	332	None	1,239	None	104	None	182	None	213	None	600	None	127	None	127	None
1265039663	MCINTOSH JAMES A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265039663	MCINTOSH JAMES A	2021	FFS	RENDERING	AGE 21+	48	None	63	None	0	None	0	None	47	None	58	None	None	1	None	1
1265047294	TRAN CALVIN	2021	FFS	RENDERING	AGE 0-20	124	None	1,127	None	87	None	297	None	60	None	158	None	81	None	81	None
1265047294	TRAN CALVIN	2021	FFS	RENDERING	AGE 21+	335	None	2,343	None	78	None	156	None	246	None	710	None	146	None	146	None
1265048409	SIRAJ SARA	2021	FFS	RENDERING	AGE 0-20	3,240	None	25,766	None	2,365	None	5,515	None	1,124	None	3,283	None	2,309	None	2,398	None
1265048409	SIRAJ SARA	2021	FFS	RENDERING	AGE 21+	154	None	624	None	43	None	87	None	74	None	173	None	83	None	83	None
1265088348	SRAN RAJWANT S	2021	FFS	RENDERING	AGE 0-20	539	None	3,491	None	337	None	801	None	310	None	1,001	None	436	None	463	None
1265088348	SRAN RAJWANT S	2021	FFS	RENDERING	AGE 21+	806	None	3,934	None	271	None	501	None	463	None	1,645	None	538	None	538	None
1265088900	TAM SARAH W	2021	FFS	RENDERING	AGE 0-20	295	None	1,603	None	216	None	574	None	149	None	500	None	135	None	136	None
1265088900	TAM SARAH W	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265088900	TAM SARAH W	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265407928	GHOREYSHI, KAMRAN DDS	2021	FFS	RENDERING	AGE 0-20	703	None	12,400	None	693	None	3,393	None	469	None	1,531	None	686	None	915	None
1265407928	GHOREYSHI, KAMRAN DDS	2021	FFS	RENDERING	AGE 21+	897	None	11,463	None	664	None	1,321	None	711	None	4,883	None	735	None	737	None
1265412399	WEST SAMUEL A	2021	FFS	RENDERING	AGE 21+	404	None	1,352	None	262	None	656	None	210	None	346	None	334	None	334	None
1265412399	WEST, S ARTHUR, DDS	2021	FFS	RENDERING	AGE 21+	404	None	1,352	None	262	None	656	None	210	None	346	None	334	None	334	None
1265445878	LEE, FRANK H, DDS	2021	FFS	RENDERING	AGE 0-20	31	None	151	None	21	None	50	None	None	1	None	2	20	None	25	None
1265445878	LEE, FRANK H, DDS	2021	FFS	RENDERING	AGE 21+	86	None	479	None	41	None	79	None	63	None	146	None	42	None	42	None
1265493746	BERI, LATA GATHWALA, DDS	2021	FFS	RENDERING	AGE 0-20	112	None	1,087	None	100	None	229	None	32	None	61	None	76	None	106	None
1265493746	BERI, LATA GATHWALA, DDS	2021	FFS	RENDERING	AGE 21+	117	None	588	None	31	None	32	None	53	None	129	None	39	None	39	None
1265493746	BERI, LATA GATHWALA, DDS	2021	PHP	RENDERING	AGE 0-20	17	None	156	None	17	None	52	None	None	1	None	1	17	None	19	None
1265493746	BERI, LATA GATHWALA, DDS	2021	PHP	RENDERING	AGE 21+	12	None	86	None	None	1	None	1	None	1	None	2	None	1	None	1
1265501415	CASTILLO, LUIS FERNANDO, DDS	2021	FFS	RENDERING	AGE 0-20	58	None	597	None	47	None	50	None	31	None	214	None	49	None	52	None
1265501415	CASTILLO, LUIS FERNANDO, DDS	2021	FFS	RENDERING	AGE 21+	147	None	1,341	None	67	None	67	None	82	None	438	None	114	None	114	None
1265501415	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	58	None	597	None	47	None	50	None	31	None	214	None	49	None	52	None
1265501415	UNKNOWN	2021	FFS	RENDERING	AGE 21+	147	None	1,341	None	67	None	67	None	82	None	438	None	114	None	114	None
1265515654	JUNG CHARLES J	2021	FFS	RENDERING	AGE 0-20	183	None	1,890	None	181	None	564	None	132	None	475	None	181	None	281	None
1265515654	JUNG CHARLES J	2021	FFS	RENDERING	AGE 21+	196	None	1,587	None	177	None	354	None	155	None	629	None	179	None	179	None
1265517361	LAMIN, TAYAR DDS	2021	FFS	RENDERING	AGE 0-20	102	None	1,302	None	96	None	434	None	66	None	199	None	91	None	118	None
1265517361	LAMIN, TAYAR DDS	2021	FFS	RENDERING	AGE 21+	234	None	2,269	None	140	None	274	None	179	None	807	None	98	None	98	None
1265517361	LAMIN, TAYAR DDS	2021	PHP	RENDERING	AGE 0-20	17	None	212	None	17	None	73	None	None	1	None	2	17	None	24	None
1265517361	LAMIN, TAYAR DDS	2021	PHP	RENDERING	AGE 21+	28	None	348	None	20	None	41	None	26	None	136	None	18	None	18	None
1265522577	GAROIAN, GARY DDS	2021	FFS	RENDERING	AGE 0-20	33	None	395	None	32	None	111	None	16	None	39	None	29	None	37	None
1265522577	GAROIAN, GARY DDS	2021	FFS	RENDERING	AGE 21+	170	None	1,707	None	101	None	103	None	166	None	735	None	34	None	34	None
1265531180	YAMASHITA LESTER T	2021	FFS	RENDERING	AGE 0-20	38	None	219	None	33	None	90	None	11	None	31	None	35	None	45	None
1265531180	YAMASHITA LESTER T	2021	FFS	RENDERING	AGE 21+	172	None	1,005	None	98	None	182	None	113	None	442	None	127	None	127	None
1265532519	SONG DAE H	2021	FFS	RENDERING	AGE 0-20	1,160	None	13,857	None	1,062	None	3,509	None	661	None	1,709	None	1,016	None	1,183	None
1265532519	SONG DAE H	2021	FFS	RENDERING	AGE 21+	1,796	None	12,910	None	655	None	1,009	None	1,313	None	4,416	None	1,110	None	1,110	None
1265532519	SONG DAE H	2021	PHP	RENDERING	AGE 0-20	33	None	320	None	31	None	108	None	20	None	53	None	32	None	45	None
1265532519	SONG DAE H	2021	PHP	RENDERING	AGE 21+	65	None	384	None	30	None	39	None	31	None	103	None	57	None	60	None
1265541478	HU WEI C	2021	FFS	RENDERING	AGE 0-20	762	None	7,530	None	742	None	3,315	None	258	None	556	None	670	None	948	None
1265541478	HU WEI C	2021	FFS	RENDERING	AGE 21+	356	None	1,463	None	130	None	256	None	132	None	353	None	261	None	261	None
1265543920	SOUCHITSKI SR, ANDREI	2021	FFS	RENDERING	AGE 0-20	345	None	1,473	None	218	None	445	None	240	None	366	None	149	None	154	None
1265543920	SOUCHITSKI SR, ANDREI	2021	FFS	RENDERING	AGE 21+	330	None	1,143	None	75	None	147	None	272	None	644	None	87	None	88	None
1265543920	SOUCHITSKI SR, ANDREI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265543920	SOUCHITSKI SR, ANDREI	2021	PHP	RENDERING	AGE 0-20	39	None	485	None	37	None	113	None	14	None	72	None	35	None	42	None
1265543920	SOUCHITSKI SR, ANDREI	2021	PHP	RENDERING	AGE 21+	35	None	323	None	27	None	53	None	24	None	96	None	29	None	29	None
1265549943	SEVILLA LAURA B	2021	FFS	RENDERING	AGE 0-20	120	None	1,289	None	102	None	259	None	73	None	276	None	101	None	130	None
1265549943	SEVILLA LAURA B	2021	FFS	RENDERING	AGE 21+	482	None	4,062	None	149	None	150	None	357	None	1,629	None	373	None	373	None
1265550016	GOLDENBERG, IOVANNA DDS	2021	FFS	RENDERING	AGE 0-20	42	None	345	None	27	None	95	None	22	None	87	None	29	None	31	None
1265550016	GOLDENBERG, IOVANNA DDS	2021	FFS	RENDERING	AGE 21+	262	None	1,743	None	120	None	324	None	224	None	925	None	125	None	125	None
1265552376	PALYAN, LEVON, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1265552376	PALYAN, LEVON, DDS	2021	FFS	RENDERING	AGE 21+	190	None	1,964	None	55	None	110	None	146	None	1,118	None	79	None	158	None
1265558076	NGUYEN, KHOI B, DDS	2021	FFS	RENDERING	AGE 0-20	91	None	880	None	87	None	300	None	34	None	108	None	83	None	108	None
1265558076	NGUYEN, KHOI B, DDS	2021	FFS	RENDERING	AGE 21+	265	None	1,891	None	153	None	296	None	180	None	785	None	201	None	201	None
1265558332	ELLOWAY, NORMAN IVAN DDS	2021	FFS	RENDERING	AGE 0-20	141	None	408	None	97	None	103	None	23	None	38	None	109	None	109	None
1265558332	ELLOWAY, NORMAN IVAN DDS	2021	FFS	RENDERING	AGE 21+	760	None	2,901	None	235	None	235	None	361	None	982	None	478	None	479	None
1265558944	CASTANEDA, ELIZABETH P, DMD	2021	FFS	RENDERING	AGE 0-20	43	None	180	None	39	None	90	None	12	None	16	None	42	None	55	None
1265558944	CASTANEDA, ELIZABETH P, DMD	2021	FFS	RENDERING	AGE 21+	79	None	290	None	55	None	55	None	42	None	91	None	64	None	64	None
1265560890	QUANG NGOC HAO T	2021	FFS	RENDERING	AGE 0-20	25	None	111	None	24	None	66	None	None	1	None	2	24	None	32	None
1265560890	QUANG NGOC HAO T	2021	FFS	RENDERING	AGE 21+	77	None	393	None	44	None	84	None	64	None	262	None	47	None	47	None
1265568620	WADIA, JUNIA P DDS	2021	FFS	RENDERING	AGE 0-20	159	None	1,821	None	145	None	600	None	99	None	377	None	151	None	214	None
1265568620	WADIA, JUNIA P DDS	2021	FFS	RENDERING	AGE 21+	465	None	4,669	None	281	None	562	None	346	None	1,696	None	376	None	376	None
1265571350	RASSIBI, EDMOND DMD	2021	FFS	RENDERING	AGE 0-20	72	None	491	None	58	None	89	None	28	None	100	None	39	None	43	None
1265571350	RASSIBI, EDMOND DMD	2021	FFS	RENDERING	AGE 21+	124	None	663	None	67	None	67	None	74	None	256	None	85	None	85	None
1265571350	RASSIBI, EDMOND DMD	2021	PHP	RENDERING	AGE 0-20	135	None	727	None	103	None	169	None	47	None	127	None	125	None	139	None
1265571350	RASSIBI, EDMOND DMD	2021	PHP	RENDERING	AGE 21+	242	None	971	None	96	None	99	None	82	None	275	None	221	None	232	None
1265575948	VAFA BRUCE	2021	FFS	RENDERING	AGE 0-20	220	None	2,143	None	209	None	677	None	71	None	240	None	210	None	301	None
1265575948	VAFA BRUCE	2021	FFS	RENDERING	AGE 21+	19	None	86	None	12	None	14	None	None	1	None	2	12	None	12	None
1265576854	PHAN DIEU T	2021	FFS	RENDERING	AGE 0-20	1,269	None	12,515	None	993	None	2,718	None	817	None	2,907	None	904	None	946	None
1265576854	PHAN DIEU T	2021	FFS	RENDERING	AGE 21+	172	None	708	None	61	None	122	None	117	None	240	None	71	None	71	None
1265576896	NGUYEN TAM T	2021	FFS	RENDERING	AGE 0-20	35	None	355	None	31	None	122	None	23	None	118	None	29	None	48	None
1265576896	NGUYEN TAM T	2021	FFS	RENDERING	AGE 21+	28	None	215	None	20	None	30	None	17	None	95	None	21	None	21	None
1265576896	NGUYEN, TAM THI, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	355	None	31	None	122	None	23	None	118	None	29	None	48	None
1265576896	NGUYEN, TAM THI, DDS	2021	FFS	RENDERING	AGE 21+	28	None	215	None	20	None	30	None	17	None	95	None	21	None	21	None
1265577332	LAUTT ADAM G	2021	FFS	RENDERING	AGE 0-20	14	None	31	None	0	None	0	None	14	None	28	None	0	None	0	None
1265582258	MORENO IVAN R	2021	FFS	RENDERING	AGE 0-20	116	None	518	None	73	None	235	None	37	None	107	None	57	None	57	None
1265582258	MORENO IVAN R	2021	FFS	RENDERING	AGE 21+	670	None	2,265	None	199	None	362	None	364	None	1,032	None	330	None	330	None
1265582894	GHAEMMAGHAMI, SARA DDS	2021	FFS	RENDERING	AGE 0-20	2,670	None	43,228	None	2,264	None	9,070	None	2,114	None	12,977	None	1,990	None	2,464	None
1265582894	GHAEMMAGHAMI, SARA DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1265588412	LASKA, MARK S, DDS INC	2021	FFS	RENDERING	AGE 21+	13	None	65	None	None	1	None	1	None	1	None	2	None	1	None	1
1265589527	RIVERA YVETTE	2021	FFS	RENDERING	AGE 0-20	387	None	3,758	None	341	None	929	None	125	None	344	None	349	None	359	None
1265589527	RIVERA YVETTE	2021	FFS	RENDERING	AGE 21+	254	None	2,057	None	145	None	290	None	143	None	462	None	159	None	159	None
1265590327	NGUYEN CANAI T	2021	FFS	RENDERING	AGE 0-20	75	None	743	None	71	None	320	None	42	None	155	None	70	None	97	None
1265590327	NGUYEN CANAI T	2021	FFS	RENDERING	AGE 21+	166	None	936	None	142	None	142	None	101	None	411	None	143	None	143	None
1265590327	NGUYEN CANAI T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1265590327	NGUYEN CANAI T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1265591176	NOUHAD, SAMI Y, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1265591176	NOUHAD, SAMI Y, DDS	2021	FFS	RENDERING	AGE 21+	51	None	439	None	26	None	26	None	46	None	317	None	30	None	31	None
1265591176	NOUHAD, SAMI Y, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1265594808	SINGH PARAMJIT	2021	FFS	RENDERING	AGE 0-20	369	None	3,806	None	343	None	1,537	None	105	None	244	None	355	None	472	None
1265594808	SINGH PARAMJIT	2021	FFS	RENDERING	AGE 21+	665	None	4,741	None	437	None	466	None	398	None	1,376	None	544	None	544	None
1265594881	HEO-KIM MI S	2021	FFS	RENDERING	AGE 0-20	150	None	1,901	None	131	None	196	None	84	None	261	None	120	None	159	None
1265594881	HEO-KIM MI S	2021	FFS	RENDERING	AGE 21+	205	None	1,351	None	82	None	82	None	130	None	472	None	132	None	132	None
1265598213	MUSSER, JAMES R, DDS INC	2021	GMC	RENDERING	AGE 0-20	37	None	286	None	34	None	66	None	34	None	133	None	34	None	35	None
1265615637	SANTOS ESCALANT CLAVER P	2021	FFS	RENDERING	AGE 21+	34	None	81	None	0	None	0	None	25	None	47	None	None	1	None	1
1265616270	TOLOOEI KHATEREH	2021	FFS	RENDERING	AGE 0-20	81	None	402	None	52	None	143	None	24	None	36	None	71	None	73	None
1265616270	TOLOOEI KHATEREH	2021	FFS	RENDERING	AGE 21+	348	None	1,091	None	25	None	44	None	156	None	387	None	243	None	243	None
1265616270	TOLOOEI KHATEREH	2021	GMC	RENDERING	AGE 0-20	645	None	4,782	None	396	None	1,005	None	475	None	2,168	None	459	None	506	None
1265616270	TOLOOEI KHATEREH	2021	GMC	RENDERING	AGE 21+	618	None	3,735	None	50	None	96	None	480	None	2,514	None	450	None	456	None
1265616270	TOLOOEI KHATEREH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265616270	TOLOOEI KHATEREH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1265618508	POWER, DAWN Z, DENTAL INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265618771	MERCADO MARIA LUISA A	2021	PHP	RENDERING	AGE 0-20	38	None	354	None	31	None	143	None	23	None	42	None	31	None	35	None
1265618771	MERCADO MARIA LUISA A	2021	PHP	RENDERING	AGE 21+	104	None	637	None	55	None	125	None	80	None	274	None	63	None	63	None
1265620009	BILBAO JO DEVENNE E S	2021	FFS	RENDERING	AGE 0-20	85	None	739	None	75	None	294	None	34	None	128	None	81	None	119	None
1265620009	BILBAO JO DEVENNE E S	2021	FFS	RENDERING	AGE 21+	183	None	1,493	None	87	None	138	None	133	None	810	None	146	None	146	None
1265620009	BILBAO JO DEVENNE E S	2021	PHP	RENDERING	AGE 0-20	34	None	311	None	31	None	140	None	17	None	40	None	34	None	49	None
1265620009	BILBAO JO DEVENNE E S	2021	PHP	RENDERING	AGE 21+	48	None	475	None	41	None	93	None	38	None	271	None	41	None	42	None
1265624191	TRAN LINDA L	2021	FFS	RENDERING	AGE 0-20	425	None	3,489	None	301	None	842	None	288	None	1,104	None	286	None	300	None
1265626329	GEBRI NASHWA NOIL A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1265627913	PARK JAEIN	2021	FFS	RENDERING	AGE 0-20	30	None	168	None	24	None	63	None	13	None	35	None	26	None	26	None
1265627913	PARK JAEIN	2021	FFS	RENDERING	AGE 21+	76	None	274	None	33	None	55	None	50	None	93	None	42	None	42	None
1265627988	BURQUEZ RODOLFO R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1265627988	BURQUEZ RODOLFO R	2021	FFS	RENDERING	AGE 21+	20	None	122	None	None	1	None	1	None	1	None	2	15	None	15	None
1265629646	ABARCA DANIEL V	2021	FFS	RENDERING	AGE 0-20	510	None	5,016	None	499	None	2,069	None	339	None	995	None	502	None	706	None
1265629646	ABARCA DANIEL V	2021	FFS	RENDERING	AGE 21+	230	None	1,287	None	160	None	344	None	115	None	330	None	198	None	214	None
1265630065	TERZIAN EDWARD C	2021	FFS	RENDERING	AGE 0-20	423	None	1,208	None	0	None	0	None	417	None	1,142	None	13	None	13	None
1265630065	TERZIAN EDWARD C	2021	FFS	RENDERING	AGE 21+	1,155	None	3,142	None	0	None	0	None	1,122	None	2,878	None	46	None	46	None
1265630065	TERZIAN EDWARD C	2021	PHP	RENDERING	AGE 0-20	56	None	156	None	0	None	0	None	53	None	144	None	None	1	None	1
1265630065	TERZIAN EDWARD C	2021	PHP	RENDERING	AGE 21+	289	None	829	None	0	None	0	None	212	None	606	None	180	None	180	None
1265630354	XIANG, XILIN, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	67	None	0	None	0	None	24	None	64	None	None	1	None	1
1265630354	XIANG, XILIN, DDS	2021	FFS	RENDERING	AGE 21+	139	None	323	None	0	None	0	None	138	None	321	None	None	1	None	1
1265630990	DAVID CHOU DDS AMERICA DENTAL CARE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1265630990	DAVID CHOU DDS AMERICA DENTAL CARE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1265632145	SALEHRABI, SHAY	2021	FFS	RENDERING	AGE 0-20	89	None	990	None	72	None	252	None	23	None	83	None	84	None	91	None
1265632145	SALEHRABI, SHAY	2021	FFS	RENDERING	AGE 21+	163	None	1,420	None	62	None	123	None	65	None	308	None	131	None	131	None
1265637342	SOLIMAN, AMANI M, DDS	2021	FFS	RENDERING	AGE 0-20	163	None	976	None	148	None	358	None	49	None	120	None	140	None	188	None
1265637342	SOLIMAN, AMANI M, DDS	2021	FFS	RENDERING	AGE 21+	179	None	923	None	95	None	95	None	127	None	334	None	93	None	93	None
1265640379	RANDHAWA GURJIT S	2021	FFS	RENDERING	AGE 0-20	121	None	717	None	97	None	259	None	55	None	193	None	99	None	101	None
1265640379	RANDHAWA GURJIT S	2021	FFS	RENDERING	AGE 21+	503	None	2,371	None	320	None	595	None	263	None	885	None	346	None	346	None
1265640635	TARTAKOW GREGG A	2021	FFS	RENDERING	AGE 0-20	99	None	108	None	0	None	0	None	None	1	None	1	0	None	0	None
1265653141	FARZAM, FARSHAD, DDS	2021	FFS	RENDERING	AGE 0-20	233	None	1,606	None	222	None	674	None	64	None	129	None	227	None	284	None
1265653141	FARZAM, FARSHAD, DDS	2021	FFS	RENDERING	AGE 21+	454	None	2,447	None	343	None	683	None	272	None	762	None	366	None	368	None
1265653141	FARZAM, FARSHAD, DDS	2021	PHP	RENDERING	AGE 0-20	169	None	1,464	None	166	None	597	None	48	None	96	None	167	None	207	None
1265653141	FARZAM, FARSHAD, DDS	2021	PHP	RENDERING	AGE 21+	136	None	1,063	None	124	None	341	None	80	None	262	None	122	None	132	None
1265653414	MILLER ELIZABETH ANN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1265657100	BLENDE DAVID M.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1265659122	LIAO CHUN YAO	2021	FFS	RENDERING	AGE 0-20	14	None	99	None	14	None	27	None	None	1	None	1	14	None	14	None
1265659122	LIAO CHUN YAO	2021	FFS	RENDERING	AGE 21+	48	None	312	None	33	None	33	None	32	None	56	None	34	None	34	None
1265659593	ROYTMAN EUGENE	2021	FFS	RENDERING	AGE 0-20	207	None	942	None	56	None	171	None	197	None	550	None	60	None	69	None
1265659593	ROYTMAN EUGENE	2021	FFS	RENDERING	AGE 21+	1,140	None	6,312	None	163	None	319	None	1,107	None	5,184	None	205	None	206	None
1265660211	LE AN P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265660948	KOMMINENI PADMALATHA	2021	FFS	RENDERING	AGE 0-20	64	None	386	None	33	None	97	None	31	None	70	None	45	None	45	None
1265660948	KOMMINENI PADMALATHA	2021	FFS	RENDERING	AGE 21+	107	None	581	None	30	None	59	None	75	None	329	None	56	None	56	None
1265664262	KHATER, ROGER, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1265664262	KHATER, ROGER, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1265670558	TSAI JENNY S	2021	FFS	RENDERING	AGE 0-20	53	None	435	None	47	None	175	None	16	None	44	None	48	None	63	None
1265670558	TSAI JENNY S	2021	FFS	RENDERING	AGE 21+	119	None	1,091	None	86	None	167	None	101	None	510	None	95	None	95	None
1265671176	PANDYA PROF DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265671176	PANDYA PROFESSIONAL DENTAL C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265681266	LIEM SUSAN M	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1265686448	PARK DAVID H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265692800	ISHIBASHI NAOMI J	2021	PHP	RENDERING	AGE 0-20	16	None	73	None	11	None	21	None	None	1	None	1	13	None	13	None
1265692800	ISHIBASHI NAOMI J	2021	PHP	RENDERING	AGE 21+	22	None	75	None	None	1	None	1	17	None	32	None	None	1	None	1
1265693147	NGO MY L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1265721112	LEOU PETER H	2021	FFS	RENDERING	AGE 0-20	139	None	378	None	136	None	152	None	None	1	None	1	124	None	139	None
1265721112	LEOU PETER H	2021	FFS	RENDERING	AGE 21+	12	None	32	None	12	None	12	None	0	None	0	None	None	1	None	1
1265723357	WILSON, LILA P DDS	2021	FFS	RENDERING	AGE 0-20	1,304	None	10,982	None	1,254	None	4,617	None	545	None	1,506	None	1,247	None	1,660	None
1265723357	WILSON, LILA P DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1265735591	TO TRAN B	2021	FFS	RENDERING	AGE 0-20	645	None	4,196	None	253	None	585	None	608	None	1,434	None	213	None	218	None
1265756027	MOJAB PAYAM	2021	FFS	RENDERING	AGE 0-20	31	None	270	None	23	None	36	None	23	None	104	None	26	None	27	None
1265756027	MOJAB PAYAM	2021	FFS	RENDERING	AGE 21+	46	None	229	None	None	1	None	1	31	None	94	None	30	None	30	None
1265756027	MOJAB PAYAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1265756027	MOJAB PAYAM	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1265771893	FARZAM RAMIN	2021	FFS	RENDERING	AGE 0-20	15	None	99	None	12	None	49	None	None	1	None	2	15	None	18	None
1265771893	FARZAM RAMIN	2021	FFS	RENDERING	AGE 21+	149	None	1,089	None	32	None	55	None	101	None	675	None	125	None	125	None
1265771893	FARZAM RAMIN	2021	PHP	RENDERING	AGE 0-20	13	None	90	None	13	None	54	None	None	1	None	1	13	None	15	None
1265771893	FARZAM RAMIN	2021	PHP	RENDERING	AGE 21+	42	None	274	None	19	None	38	None	23	None	129	None	40	None	45	None
1265784003	KIM BYUNGWOOK	2021	FFS	RENDERING	AGE 0-20	13	None	74	None	None	1	None	2	None	1	None	2	None	1	None	1
1265784003	KIM BYUNGWOOK	2021	FFS	RENDERING	AGE 21+	243	None	865	None	34	None	64	None	183	None	379	None	103	None	104	None
1265784003	KIM BYUNGWOOK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1265809065	GERONIMO, JORGE L, DDS PROF	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265809065	JORGE L. GERONIMO, DDS PROF. DENTAL CORP.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265813265	PUVVULA APARNA R	2021	FFS	RENDERING	AGE 0-20	198	None	1,254	None	148	None	597	None	38	None	105	None	178	None	193	None
1265813265	PUVVULA APARNA R	2021	FFS	RENDERING	AGE 21+	497	None	1,703	None	144	None	278	None	166	None	469	None	362	None	364	None
1265813265	PUVVULA APARNA R	2021	PHP	RENDERING	AGE 0-20	73	None	572	None	53	None	145	None	50	None	212	None	62	None	72	None
1265813265	PUVVULA APARNA R	2021	PHP	RENDERING	AGE 21+	199	None	1,157	None	82	None	156	None	143	None	655	None	132	None	132	None
1265815682	FAZELI AFSOON	2021	FFS	RENDERING	AGE 0-20	1,631	None	12,248	None	1,186	None	3,393	None	972	None	2,608	None	1,098	None	1,102	None
1265815682	FAZELI AFSOON	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1265821128	FARHAT FARZAD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1265832786	KALYANI HARSH J	2021	FFS	RENDERING	AGE 0-20	207	None	3,413	None	193	None	762	None	83	None	282	None	197	None	277	None
1265832786	KALYANI HARSH J	2021	FFS	RENDERING	AGE 21+	387	None	5,070	None	279	None	551	None	265	None	1,152	None	304	None	304	None
1265832992	SARMAST NIMA D	2021	PHP	RENDERING	AGE 21+	12	None	26	None	0	None	0	None	None	1	None	1	None	1	None	1
1265865216	AHN DAVID Y	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1265865216	AHN DAVID Y	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1265882963	PASHA FARHEEN S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265883706	COHEN MAHYAR	2021	FFS	RENDERING	AGE 0-20	270	None	1,569	None	165	None	356	None	92	None	281	None	223	None	237	None
1265883706	COHEN MAHYAR	2021	FFS	RENDERING	AGE 21+	586	None	3,210	None	112	None	216	None	400	None	1,128	None	282	None	289	None
1265904114	KIM MICHAEL J	2021	FFS	RENDERING	AGE 0-20	315	None	1,456	None	210	None	502	None	119	None	272	None	214	None	214	None
1265904114	KIM MICHAEL J	2021	FFS	RENDERING	AGE 21+	524	None	1,752	None	142	None	269	None	238	None	672	None	322	None	322	None
1265939110	VO TRAVIS N	2021	FFS	RENDERING	AGE 0-20	202	None	1,759	None	115	None	443	None	97	None	415	None	169	None	184	None
1265939110	VO TRAVIS N	2021	FFS	RENDERING	AGE 21+	404	None	2,331	None	45	None	73	None	268	None	1,052	None	268	None	268	None
1265951024	SARTORIUS THI AN V	2021	FFS	RENDERING	AGE 0-20	21	None	41	None	0	None	0	None	21	None	41	None	0	None	0	None
1265954184	SOHI, GUNCHA, DDS PC	2021	GMC	RENDERING	AGE 0-20	17	None	100	None	11	None	40	None	13	None	14	None	12	None	13	None
1265954184	SOHI, GUNCHA, DDS PC	2021	GMC	RENDERING	AGE 21+	20	None	42	None	None	1	None	1	16	None	19	None	None	1	None	1
1265972756	VELAZQUEZ LUIS A	2021	FFS	RENDERING	AGE 0-20	74	None	985	None	66	None	229	None	37	None	166	None	71	None	91	None
1265972756	VELAZQUEZ LUIS A	2021	FFS	RENDERING	AGE 21+	153	None	1,414	None	74	None	138	None	124	None	665	None	138	None	139	None
1275004228	ALAYEV ILYA	2021	FFS	RENDERING	AGE 0-20	246	None	3,641	None	237	None	1,042	None	170	None	490	None	236	None	356	None
1275004228	ALAYEV ILYA	2021	FFS	RENDERING	AGE 21+	249	None	2,478	None	178	None	349	None	223	None	1,381	None	204	None	204	None
1275019143	KIM EUNICE G	2021	FFS	RENDERING	AGE 0-20	2,598	None	57,447	None	2,530	None	12,558	None	2,220	None	12,436	None	2,575	None	4,121	None
1275019143	KIM EUNICE G	2021	FFS	RENDERING	AGE 21+	163	None	1,656	None	127	None	263	None	89	None	418	None	143	None	143	None
1275040909	BANSI HARJOT S	2021	FFS	RENDERING	AGE 0-20	592	None	3,817	None	469	None	1,052	None	256	None	879	None	468	None	512	None
1275040909	BANSI HARJOT S	2021	FFS	RENDERING	AGE 21+	876	None	4,347	None	322	None	635	None	566	None	1,701	None	528	None	529	None
1275048449	HILO II, ELMER E, DMD INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275054066	SOUMEEH SARA E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275080376	NG DEREK K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1275080376	NG DEREK K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275089567	EJRAI, NADIA DMD	2021	FFS	RENDERING	AGE 0-20	395	None	3,085	None	250	None	657	None	208	None	541	None	242	None	262	None
1275089567	EJRAI, NADIA DMD	2021	FFS	RENDERING	AGE 21+	555	None	3,644	None	218	None	253	None	364	None	1,512	None	334	None	336	None
1275089567	EJRAI, NADIA DMD	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1275089567	EJRAI, NADIA DMD	2021	PHP	RENDERING	AGE 0-20	11	None	88	None	None	1	None	2	None	1	None	2	None	1	None	2
1275089567	EJRAI, NADIA DMD	2021	PHP	RENDERING	AGE 21+	43	None	290	None	28	None	30	None	26	None	160	None	33	None	34	None
1275096133	ISMAIL NADIA M	2021	FFS	RENDERING	AGE 0-20	235	None	1,013	None	111	None	263	None	93	None	206	None	158	None	161	None
1275096133	ISMAIL NADIA M	2021	FFS	RENDERING	AGE 21+	571	None	1,843	None	97	None	179	None	287	None	628	None	319	None	319	None
1275101750	LEE DONG GEUN	2021	FFS	RENDERING	AGE 0-20	19	None	22	None	0	None	0	None	None	1	None	1	0	None	0	None
1275101750	LEE DONG GEUN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275102246	YASHCHUK ELENA V	2021	FFS	RENDERING	AGE 0-20	26	None	112	None	12	None	30	None	22	None	48	None	0	None	0	None
1275105207	NGUYEN TIFFANY	2021	FFS	RENDERING	AGE 0-20	786	None	8,727	None	717	None	1,881	None	515	None	1,160	None	730	None	737	None
1275105207	NGUYEN TIFFANY	2021	FFS	RENDERING	AGE 21+	25	None	179	None	13	None	26	None	11	None	34	None	20	None	20	None
1275151235	VEGA-SALAS NATASHA R	2021	FFS	RENDERING	AGE 0-20	965	None	10,420	None	886	None	3,346	None	563	None	1,910	None	894	None	1,131	None
1275151235	VEGA-SALAS NATASHA R	2021	FFS	RENDERING	AGE 21+	981	None	9,149	None	556	None	1,030	None	700	None	3,662	None	680	None	690	None
1275159550	NGUYEN TRANG	2021	FFS	RENDERING	AGE 0-20	29	None	109	None	11	None	22	None	18	None	45	None	17	None	17	None
1275159550	NGUYEN TRANG	2021	FFS	RENDERING	AGE 21+	77	None	256	None	None	1	None	2	51	None	118	None	35	None	35	None
1275169815	NGUYEN MICHAEL SITAI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1275180036	JACOBSON CONOR F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275186702	YILDIRIM CEMAL	2021	FFS	RENDERING	AGE 0-20	1,550	None	15,594	None	559	None	2,725	None	838	None	1,462	None	1,359	None	1,581	None
1275186702	YILDIRIM CEMAL	2021	FFS	RENDERING	AGE 21+	2,605	None	17,928	None	184	None	366	None	1,467	None	3,585	None	2,082	None	2,085	None
1275188641	SINGH SURBHI	2021	FFS	RENDERING	AGE 0-20	519	None	2,762	None	332	None	1,128	None	165	None	311	None	418	None	418	None
1275188641	SINGH SURBHI	2021	FFS	RENDERING	AGE 21+	1,181	None	3,319	None	171	None	288	None	411	None	1,006	None	736	None	739	None
1275195398	ZHOU DAOSHUN	2021	FFS	RENDERING	AGE 0-20	119	None	888	None	75	None	223	None	64	None	135	None	85	None	85	None
1275195398	ZHOU DAOSHUN	2021	FFS	RENDERING	AGE 21+	131	None	647	None	40	None	74	None	93	None	251	None	64	None	64	None
1275207235	YOO LENA J	2021	FFS	RENDERING	AGE 0-20	289	None	4,270	None	271	None	810	None	186	None	1,262	None	274	None	285	None
1275207235	YOO LENA J	2021	FFS	RENDERING	AGE 21+	66	None	630	None	37	None	74	None	51	None	349	None	49	None	55	None
1275515280	MAC KAY BRENT C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1275515280	MAC KAY BRENT C	2021	FFS	RENDERING	AGE 21+	14	None	26	None	14	None	14	None	0	None	0	None	12	None	12	None
1275517518	CAPULONG LOURDES B	2021	FFS	RENDERING	AGE 0-20	12	None	54	None	12	None	24	None	None	1	None	1	11	None	13	None
1275517518	CAPULONG LOURDES B	2021	FFS	RENDERING	AGE 21+	110	None	490	None	77	None	77	None	46	None	108	None	86	None	86	None
1275517518	CAPULONG, LOURDES B, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	54	None	12	None	24	None	None	1	None	1	11	None	13	None
1275517518	CAPULONG, LOURDES B, DDS	2021	FFS	RENDERING	AGE 21+	110	None	490	None	77	None	77	None	46	None	108	None	86	None	86	None
1275521072	LIN MARIAN T	2021	FFS	RENDERING	AGE 0-20	1,443	None	7,813	None	1,343	None	3,396	None	656	None	731	None	1,160	None	1,170	None
1275521072	LIN MARIAN T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275535684	BAZZY, ABDUL	2021	FFS	RENDERING	AGE 0-20	86	None	483	None	70	None	173	None	37	None	108	None	81	None	104	None
1275535684	BAZZY, ABDUL	2021	FFS	RENDERING	AGE 21+	578	None	2,751	None	92	None	94	None	439	None	1,539	None	436	None	436	None
1275535684	BAZZY, ABDUL H, DDS	2021	FFS	RENDERING	AGE 0-20	86	None	483	None	70	None	173	None	37	None	108	None	81	None	104	None
1275535684	BAZZY, ABDUL H, DDS	2021	FFS	RENDERING	AGE 21+	578	None	2,751	None	92	None	94	None	439	None	1,539	None	436	None	436	None
1275547580	IZADI MAZIAR	2021	FFS	RENDERING	AGE 0-20	128	None	964	None	113	None	440	None	31	None	98	None	79	None	86	None
1275547580	IZADI MAZIAR	2021	FFS	RENDERING	AGE 21+	146	None	985	None	100	None	101	None	60	None	326	None	84	None	84	None
1275556045	ROBINSON, LARRY V, DDS INC	2021	FFS	RENDERING	AGE 0-20	189	None	1,505	None	128	None	330	None	68	None	116	None	129	None	132	None
1275556045	ROBINSON, LARRY V, DDS INC	2021	FFS	RENDERING	AGE 21+	308	None	953	None	57	None	102	None	211	None	295	None	123	None	123	None
1275570079	LIN BENJAMIN J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275594558	OLAES, IRENE S, DMD	2021	FFS	RENDERING	AGE 0-20	64	None	562	None	57	None	165	None	30	None	87	None	59	None	81	None
1275594558	OLAES, IRENE S, DMD	2021	FFS	RENDERING	AGE 21+	167	None	920	None	98	None	180	None	89	None	259	None	123	None	125	None
1275601114	VADECHA NEIL V	2021	FFS	RENDERING	AGE 0-20	276	None	790	None	0	None	0	None	80	None	296	None	0	None	0	None
1275601114	VADECHA NEIL V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275605289	CELEBRADO, MARIBEL A, DDS	2021	FFS	RENDERING	AGE 0-20	348	None	3,329	None	326	None	1,421	None	102	None	390	None	338	None	511	None
1275605289	CELEBRADO, MARIBEL A, DDS	2021	FFS	RENDERING	AGE 21+	257	None	1,915	None	179	None	213	None	170	None	979	None	217	None	217	None
1275613580	DIZON MARIA C	2021	FFS	RENDERING	AGE 0-20	110	None	287	None	15	None	15	None	39	None	60	None	95	None	95	None
1275613580	DIZON MARIA C	2021	FFS	RENDERING	AGE 21+	708	None	2,103	None	63	None	63	None	365	None	648	None	581	None	581	None
1275614828	NEVILLE BRAD WESLEY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275614828	NEVILLE BRAD WESLEY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275621401	DO, NGA LE, DDS	2021	FFS	RENDERING	AGE 0-20	34	None	224	None	32	None	117	None	None	1	None	2	33	None	45	None
1275621401	DO, NGA LE, DDS	2021	FFS	RENDERING	AGE 21+	268	None	1,531	None	178	None	333	None	182	None	540	None	227	None	227	None
1275621831	ALSAMAAN, TARIQ H, DDS INC	2021	FFS	RENDERING	AGE 0-20	83	None	652	None	62	None	170	None	41	None	196	None	69	None	76	None
1275621831	ALSAMAAN, TARIQ H, DDS INC	2021	FFS	RENDERING	AGE 21+	303	None	1,909	None	83	None	131	None	233	None	979	None	164	None	168	None
1275622235	THANOS CHRISTOS E	2021	FFS	RENDERING	AGE 0-20	585	None	6,143	None	511	None	1,730	None	344	None	1,219	None	502	None	625	None
1275622235	THANOS CHRISTOS E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1275622235	THANOS, CHRIS E, DDS	2021	FFS	RENDERING	AGE 0-20	585	None	6,143	None	511	None	1,730	None	344	None	1,219	None	502	None	625	None
1275622235	THANOS, CHRIS E, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1275633570	LUTHER MICHAEL L	2021	FFS	RENDERING	AGE 0-20	801	None	2,387	None	0	None	0	None	329	None	1,065	None	0	None	0	None
1275633570	LUTHER MICHAEL L	2021	FFS	RENDERING	AGE 21+	40	None	40	None	0	None	0	None	None	1	None	1	0	None	0	None
1275636870	MEZA CRESPO, MAXIMO-DANIEL,	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1275639528	OLIVER-BADILLO, FLORABEL F,	2021	FFS	RENDERING	AGE 0-20	80	None	665	None	76	None	264	None	28	None	111	None	78	None	103	None
1275639528	OLIVER-BADILLO, FLORABEL F,	2021	FFS	RENDERING	AGE 21+	261	None	2,261	None	214	None	428	None	171	None	919	None	227	None	227	None
1275649600	CALILUNG XERXEZ M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275654741	PENALOSA PINKY D	2021	FFS	RENDERING	AGE 0-20	43	None	465	None	37	None	140	None	19	None	95	None	40	None	54	None
1275654741	PENALOSA PINKY D	2021	FFS	RENDERING	AGE 21+	66	None	408	None	32	None	44	None	33	None	136	None	55	None	57	None
1275655748	PHAM HIEN N	2021	FFS	RENDERING	AGE 0-20	333	None	4,514	None	290	None	727	None	175	None	775	None	321	None	393	None
1275655748	PHAM HIEN N	2021	FFS	RENDERING	AGE 21+	571	None	4,255	None	281	None	557	None	340	None	1,177	None	477	None	477	None
1275665556	KAZANGIAN MARIANA L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1275665556	KAZANGIAN MARIANA L	2021	FFS	RENDERING	AGE 21+	56	None	221	None	23	None	23	None	36	None	105	None	14	None	14	None
1275666943	TABIBI, FARIBA	2021	FFS	RENDERING	AGE 0-20	510	None	5,269	None	408	None	1,188	None	96	None	226	None	278	None	308	None
1275666943	TABIBI, FARIBA	2021	FFS	RENDERING	AGE 21+	958	None	5,357	None	317	None	618	None	403	None	1,111	None	337	None	338	None
1275668717	TRUONG, THUYDUONG, DMD MMSC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275671828	AUSUBEL, MARC DDS	2021	FFS	RENDERING	AGE 0-20	246	None	645	None	None	1	None	1	160	None	486	None	None	1	None	1
1275671828	AUSUBEL, MARC, DDS	2021	FFS	RENDERING	AGE 0-20	246	None	1,290	None	None	1	None	1	160	None	972	None	None	1	None	1
1275675902	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	1,056	None	8,889	None	1,033	None	3,742	None	611	None	1,703	None	981	None	1,553	None
1275681652	MAZLOMI, FARSHAD, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	79	None	11	None	18	None	None	1	None	1	None	1	None	1
1275681652	MAZLOMI, FARSHAD, DDS	2021	FFS	RENDERING	AGE 21+	79	None	504	None	51	None	51	None	48	None	168	None	47	None	47	None
1275681868	NGUYEN THIEN-LAN V	2021	FFS	RENDERING	AGE 0-20	57	None	460	None	36	None	96	None	43	None	173	None	31	None	31	None
1275688202	YUNG, SAMMY, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1275688202	YUNG, SAMMY, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1275690349	HAHN HWI	2021	FFS	RENDERING	AGE 0-20	751	None	4,764	None	709	None	1,784	None	206	None	411	None	697	None	820	None
1275690349	HAHN HWI	2021	FFS	RENDERING	AGE 21+	364	None	1,820	None	248	None	492	None	147	None	273	None	294	None	294	None
1275693426	FINN GREGORY B	2021	FFS	RENDERING	AGE 0-20	3,128	None	43,896	None	2,811	None	10,977	None	1,954	None	5,838	None	2,782	None	3,904	None
1275693426	FINN GREGORY B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275694051	MAHASUCON THIDA	2021	FFS	RENDERING	AGE 0-20	1,384	None	11,758	None	1,296	None	3,694	None	358	None	670	None	1,229	None	1,588	None
1275694051	MAHASUCON THIDA	2021	FFS	RENDERING	AGE 21+	1,122	None	8,454	None	660	None	672	None	673	None	1,294	None	706	None	707	None
1275695553	SATYARAHARDJA YINTAWATI A	2021	FFS	RENDERING	AGE 0-20	29	None	199	None	24	None	65	None	16	None	60	None	15	None	15	None
1275695553	SATYARAHARDJA YINTAWATI A	2021	FFS	RENDERING	AGE 21+	139	None	934	None	60	None	119	None	106	None	540	None	67	None	67	None
1275695553	SATYARAHARDJA YINTAWATI A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275700510	ABUL-FIELAT MOHAMMAD G	2021	FFS	RENDERING	AGE 0-20	3,657	None	48,420	None	2,752	None	8,448	None	2,498	None	19,559	None	2,289	None	2,743	None
1275700510	ABUL-FIELAT MOHAMMAD G	2021	FFS	RENDERING	AGE 21+	20	None	128	None	None	1	None	2	None	1	None	2	11	None	11	None
1275700510	ABUL-FIELAT MOHAMMAD G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1275707747	MOSS MARK L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275709115	TRAN JOANNE T	2021	FFS	RENDERING	AGE 0-20	60	None	787	None	38	None	68	None	54	None	554	None	38	None	38	None
1275709115	TRAN JOANNE T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1275714552	SHAYAN OMID	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1275714552	SHAYAN OMID	2021	FFS	RENDERING	AGE 21+	46	None	191	None	12	None	13	None	18	None	41	None	40	None	40	None
1275721649	RAJBANSHI RANJAN	2021	FFS	RENDERING	AGE 0-20	147	None	1,376	None	114	None	414	None	73	None	275	None	124	None	140	None
1275721649	RAJBANSHI RANJAN	2021	FFS	RENDERING	AGE 21+	352	None	2,995	None	135	None	264	None	255	None	1,294	None	248	None	250	None
1275723983	DANG THUY THANH	2021	FFS	RENDERING	AGE 0-20	53	None	379	None	48	None	117	None	24	None	73	None	51	None	62	None
1275723983	DANG THUY THANH	2021	FFS	RENDERING	AGE 21+	203	None	1,446	None	158	None	158	None	156	None	758	None	177	None	177	None
1275727513	BARAK ANDREW SEAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1275727513	BARAK ANDREW SEAN	2021	GMC	RENDERING	AGE 0-20	36	None	91	None	0	None	0	None	35	None	62	None	None	1	None	1
1275727513	BARAK ANDREW SEAN	2021	GMC	RENDERING	AGE 21+	115	None	289	None	None	1	None	1	81	None	97	None	79	None	81	None
1275733172	CHOROOMI AARON	2021	FFS	RENDERING	AGE 0-20	115	None	415	None	90	None	191	None	18	None	73	None	59	None	61	None
1275733172	CHOROOMI AARON	2021	FFS	RENDERING	AGE 21+	204	None	703	None	58	None	69	None	99	None	316	None	126	None	126	None
1275734386	NGUYEN LOAN KIM	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1275735821	BACHOUR MOUNZER	2021	FFS	RENDERING	AGE 0-20	1,478	None	12,265	None	1,340	None	3,849	None	528	None	980	None	1,340	None	1,816	None
1275738353	SOLIMAN ASHRAF L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1275738353	SOLIMAN ASHRAF L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275739633	LEE, JAMES T, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	76	None	0	None	0	None	None	1	None	2	0	None	0	None
1275740722	SARMIENTO SANDRA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1275740722	SARMIENTO SANDRA J	2021	PHP	RENDERING	AGE 21+	11	None	33	None	None	1	None	1	None	1	None	2	None	1	None	1
1275742694	ROMAN LUZMINDA C	2021	FFS	RENDERING	AGE 0-20	29	None	266	None	29	None	108	None	None	1	None	2	25	None	32	None
1275742694	ROMAN LUZMINDA C	2021	FFS	RENDERING	AGE 21+	113	None	878	None	87	None	171	None	67	None	398	None	97	None	97	None
1275742694	ROMAN LUZMINDA C	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275746273	WIENBERG, MARK DDS	2021	FFS	RENDERING	AGE 0-20	24	None	106	None	17	None	40	None	13	None	24	None	17	None	17	None
1275746273	WIENBERG, MARK DDS	2021	FFS	RENDERING	AGE 21+	219	None	1,134	None	94	None	178	None	147	None	579	None	163	None	163	None
1275747180	SATTER, MOHAMMED DDS	2021	FFS	RENDERING	AGE 0-20	11	None	48	None	None	1	None	2	None	1	None	1	None	1	None	2
1275747180	SATTER, MOHAMMED DDS	2021	FFS	RENDERING	AGE 21+	85	None	471	None	70	None	138	None	54	None	180	None	72	None	72	None
1275749160	GUSAK, ZOYA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1275749160	GUSAK, ZOYA, DDS	2021	FFS	RENDERING	AGE 21+	88	None	607	None	72	None	72	None	74	None	268	None	73	None	73	None
1275755225	ARAKELIAN, AIRAPET	2021	FFS	RENDERING	AGE 0-20	13	None	83	None	None	1	None	2	None	1	None	2	None	1	None	1
1275755225	ARAKELIAN, AIRAPET	2021	FFS	RENDERING	AGE 21+	207	None	1,957	None	96	None	189	None	181	None	910	None	89	None	90	None
1275761124	SO PATRICK T	2021	FFS	RENDERING	AGE 0-20	54	None	352	None	28	None	86	None	23	None	130	None	45	None	62	None
1275761124	SO PATRICK T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275765869	ARORA NAVPREET K	2021	FFS	RENDERING	AGE 0-20	399	None	2,494	None	246	None	729	None	100	None	271	None	347	None	379	None
1275765869	ARORA NAVPREET K	2021	FFS	RENDERING	AGE 21+	693	None	2,520	None	142	None	248	None	337	None	856	None	469	None	471	None
1275769283	DE LA NUEZ MARITZA	2021	FFS	RENDERING	AGE 0-20	585	None	8,040	None	529	None	1,891	None	246	None	891	None	547	None	699	None
1275769283	DE LA NUEZ MARITZA	2021	FFS	RENDERING	AGE 21+	502	None	4,233	None	250	None	481	None	268	None	992	None	340	None	340	None
1275780264	HASSANIZADEH, YASAMAN	2021	FFS	RENDERING	AGE 0-20	6,824	None	82,161	None	6,378	None	21,520	None	4,927	None	19,909	None	6,444	None	7,979	None
1275780264	HASSANIZADEH, YASAMAN	2021	PHP	RENDERING	AGE 0-20	140	None	1,724	None	87	None	265	None	132	None	916	None	40	None	43	None
1275780264	HASSANIZADEH, YASAMAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275782641	SCHLANG, ELLIOT PAUL, DDS PR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275783508	THANG, LAL LAWM DDS	2021	FFS	RENDERING	AGE 0-20	353	None	3,065	None	313	None	827	None	121	None	364	None	317	None	368	None
1275783508	THANG, LAL LAWM DDS	2021	FFS	RENDERING	AGE 21+	422	None	2,801	None	225	None	348	None	301	None	1,251	None	280	None	280	None
1275783508	THANG, LAL LAWM DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275783508	THANG, LAL LAWM DDS	2021	PHP	RENDERING	AGE 21+	16	None	85	None	None	1	None	2	None	1	None	2	None	1	None	1
1275783813	PARK JUNG S	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275786733	VU, KIM TRAN DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275790164	BAHADORI MARYAM	2021	FFS	RENDERING	AGE 0-20	144	None	894	None	108	None	365	None	55	None	116	None	117	None	117	None
1275790164	BAHADORI MARYAM	2021	FFS	RENDERING	AGE 21+	175	None	542	None	21	None	39	None	70	None	137	None	118	None	118	None
1275790164	BAHADORI MARYAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1275798001	TRINH MAGGIE H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1275812356	HOSSEINI SEYED AMIR M	2021	FFS	RENDERING	AGE 0-20	48	None	141	None	0	None	0	None	33	None	67	None	0	None	0	None
1275812356	HOSSEINI SEYED AMIR M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275814402	HO LY T	2021	FFS	RENDERING	AGE 0-20	86	None	822	None	82	None	196	None	30	None	103	None	83	None	86	None
1275814402	HO LY T	2021	FFS	RENDERING	AGE 21+	140	None	925	None	73	None	145	None	117	None	431	None	81	None	82	None
1275817074	SARKISIAN ARMOND	2021	FFS	RENDERING	AGE 0-20	81	None	325	None	30	None	78	None	44	None	113	None	51	None	51	None
1275817074	SARKISIAN ARMOND	2021	FFS	RENDERING	AGE 21+	360	None	2,072	None	130	None	247	None	267	None	1,183	None	176	None	176	None
1275833204	LIM, DANIEL	2021	FFS	RENDERING	AGE 0-20	4,192	None	54,250	None	3,859	None	13,626	None	2,213	None	5,769	None	3,812	None	4,275	None
1275833204	LIM, DANIEL	2021	FFS	RENDERING	AGE 21+	191	None	1,374	None	78	None	154	None	54	None	167	None	159	None	159	None
1275833204	LIM, DANIEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1275833386	YAHOODAIN VAHID	2021	FFS	RENDERING	AGE 0-20	108	None	1,242	None	92	None	266	None	81	None	404	None	104	None	144	None
1275833386	YAHOODAIN VAHID	2021	FFS	RENDERING	AGE 21+	358	None	3,863	None	153	None	184	None	316	None	2,196	None	273	None	276	None
1275833386	YAHOODAIN VAHID	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1275833386	YAHOODAIN VAHID	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1275834871	MIRZOYAN LILIT	2021	FFS	RENDERING	AGE 0-20	72	None	592	None	63	None	155	None	36	None	170	None	69	None	82	None
1275834871	MIRZOYAN LILIT	2021	FFS	RENDERING	AGE 21+	445	None	2,710	None	256	None	510	None	241	None	1,154	None	400	None	404	None
1275840837	KERMANSHAHI-MON PARISA	2021	FFS	RENDERING	AGE 0-20	1,069	None	11,740	None	873	None	2,412	None	640	None	2,300	None	840	None	969	None
1275858003	GARIBYAN SHAKEH	2021	FFS	RENDERING	AGE 0-20	1,684	None	16,047	None	1,377	None	4,150	None	1,020	None	4,414	None	1,282	None	1,489	None
1275858003	GARIBYAN SHAKEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275858003	GARIBYAN SHAKEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1275860538	YOUN EUN J	2021	FFS	RENDERING	AGE 0-20	54	None	170	None	None	1	None	1	30	None	79	None	30	None	30	None
1275860538	YOUN EUN J	2021	FFS	RENDERING	AGE 21+	122	None	355	None	None	1	None	1	59	None	163	None	63	None	63	None
1275862997	BROOKINS JENNIFER	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275862997	BROOKINS JENNIFER	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1275875619	MAI VICTOR V	2021	FFS	RENDERING	AGE 0-20	350	None	6,095	None	328	None	1,181	None	183	None	590	None	329	None	457	None
1275875619	MAI VICTOR V	2021	FFS	RENDERING	AGE 21+	244	None	2,835	None	166	None	331	None	180	None	721	None	167	None	167	None
1275879827	COX CHRISTINA MARIA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275884314	KOHAN BITA	2021	FFS	RENDERING	AGE 0-20	1,811	None	29,584	None	1,618	None	6,294	None	1,277	None	10,315	None	1,651	None	2,090	None
1275884314	KOHAN BITA	2021	FFS	RENDERING	AGE 21+	123	None	778	None	60	None	122	None	75	None	308	None	80	None	80	None
1275894909	KARNIK ANISHA N	2021	FFS	RENDERING	AGE 0-20	1,763	None	16,429	None	1,580	None	5,142	None	1,255	None	5,051	None	1,610	None	1,721	None
1275895351	SAMOHA DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1275904005	SARMICANIC RAMINA	2021	FFS	RENDERING	AGE 0-20	94	None	409	None	39	None	102	None	59	None	183	None	69	None	72	None
1275904005	SARMICANIC RAMINA	2021	FFS	RENDERING	AGE 21+	195	None	1,055	None	21	None	37	None	154	None	804	None	89	None	89	None
1275904005	SARMICANIC RAMINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1275904005	SARMICANIC RAMINA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1275906422	BORUKHIM SHIVA H	2021	FFS	RENDERING	AGE 0-20	1,609	None	11,466	None	1,305	None	3,395	None	909	None	2,017	None	1,257	None	1,363	None
1275906422	BORUKHIM SHIVA H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275915480	KAUR HARSIMRAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275915480	KAUR HARSIMRAN	2021	FFS	RENDERING	AGE 21+	66	None	255	None	None	1	None	2	47	None	91	None	27	None	28	None
1275915480	KAUR HARSIMRAN	2021	GMC	RENDERING	AGE 0-20	896	None	6,821	None	760	None	2,897	None	416	None	636	None	743	None	830	None
1275915480	KAUR HARSIMRAN	2021	GMC	RENDERING	AGE 21+	1,210	None	6,079	None	586	None	1,218	None	786	None	1,666	None	678	None	703	None
1275916686	NG NOAH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275917007	SAMI TONI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1275920332	COHEN, JOHN, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275920332	JOHN COHEN, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275921058	SCOTT LEE DDS DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1275922320	SAFAI SHADY C	2021	FFS	RENDERING	AGE 0-20	832	None	11,774	None	741	None	2,832	None	703	None	3,229	None	750	None	857	None
1275922320	SAFAI SHADY C	2021	FFS	RENDERING	AGE 21+	464	None	4,601	None	292	None	665	None	362	None	2,199	None	296	None	298	None
1275932188	CASTILLO JOSE C	2021	FFS	RENDERING	AGE 0-20	34	None	67	None	0	None	0	None	None	1	None	1	0	None	0	None
1275932188	CASTILLO JOSE C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275933343	JOKIC EDA	2021	FFS	RENDERING	AGE 0-20	114	None	804	None	93	None	304	None	48	None	175	None	99	None	104	None
1275933343	JOKIC EDA	2021	FFS	RENDERING	AGE 21+	141	None	626	None	40	None	46	None	106	None	346	None	80	None	80	None
1275938789	SAGMAN ASEEL A	2021	FFS	RENDERING	AGE 0-20	133	None	1,628	None	88	None	253	None	98	None	392	None	111	None	134	None
1275938789	SAGMAN ASEEL A	2021	FFS	RENDERING	AGE 21+	340	None	2,584	None	181	None	294	None	266	None	1,232	None	259	None	259	None
1275947509	JACOBSON MICHAEL Y	2021	PHP	RENDERING	AGE 0-20	12	None	52	None	None	1	None	2	None	1	None	1	None	1	None	1
1275947509	JACOBSON MICHAEL Y	2021	PHP	RENDERING	AGE 21+	31	None	140	None	19	None	39	None	21	None	39	None	17	None	17	None
1275950818	D S PARK DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	251	None	1,875	None	196	None	757	None	131	None	203	None	188	None	191	None
1275950818	D S PARK DENTAL CORP	2021	PHP	RENDERING	AGE 21+	178	None	866	None	88	None	197	None	115	None	324	None	79	None	81	None
1275957037	FURMANEK KEVIN M	2021	FFS	RENDERING	AGE 0-20	83	None	415	None	0	None	0	None	79	None	349	None	None	1	None	1
1275957037	FURMANEK KEVIN M	2021	FFS	RENDERING	AGE 21+	212	None	872	None	0	None	0	None	210	None	691	None	None	1	None	1
1275957037	FURMANEK KEVIN M	2021	GMC	RENDERING	AGE 0-20	442	None	1,761	None	None	1	None	1	428	None	1,367	None	60	None	60	None
1275957037	FURMANEK KEVIN M	2021	GMC	RENDERING	AGE 21+	1,183	None	5,175	None	0	None	0	None	769	None	3,007	None	1,065	None	1,086	None
1275967267	TAVAKOLI SARAH	2021	FFS	RENDERING	AGE 0-20	340	None	1,577	None	254	None	581	None	113	None	245	None	269	None	281	None
1275967267	TAVAKOLI SARAH	2021	FFS	RENDERING	AGE 21+	454	None	1,344	None	111	None	138	None	212	None	464	None	263	None	265	None
1275967267	TAVAKOLI SARAH	2021	PHP	RENDERING	AGE 0-20	13	None	65	None	12	None	38	None	None	1	None	1	11	None	11	None
1275967267	TAVAKOLI SARAH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1275969156	SALEK MIRHAMID	2021	FFS	RENDERING	AGE 0-20	162	None	872	None	21	None	57	None	115	None	345	None	142	None	153	None
1275969156	SALEK MIRHAMID	2021	FFS	RENDERING	AGE 21+	630	None	3,188	None	27	None	30	None	515	None	1,580	None	417	None	417	None
1275973190	TOBAKYAN ZAVEN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1275991721	PIVNIK DMITRIY	2021	FFS	RENDERING	AGE 0-20	592	None	4,100	None	525	None	1,190	None	103	None	325	None	375	None	397	None
1275991721	PIVNIK DMITRIY	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1275991721	PIVNIK DMITRIY	2021	GMC	RENDERING	AGE 0-20	966	None	10,475	None	279	None	669	None	863	None	5,712	None	160	None	164	None
1275991721	PIVNIK DMITRIY	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1285002345	BESHAI RAMI J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1285002345	BESHAI RAMI J	2021	FFS	RENDERING	AGE 21+	50	None	107	None	0	None	0	None	50	None	106	None	0	None	0	None
1285008169	NAKATSUCHI THOMAS	2021	FFS	RENDERING	AGE 0-20	2,389	None	20,159	None	2,196	None	5,681	None	666	None	1,456	None	2,121	None	2,504	None
1285012344	AMIRI ROJIN	2021	FFS	RENDERING	AGE 0-20	3,134	None	36,805	None	2,967	None	11,000	None	2,212	None	7,354	None	2,966	None	3,443	None
1285026492	HAIDAR HASSAN M	2021	FFS	RENDERING	AGE 0-20	1,416	None	4,459	None	None	1	None	1	1,412	None	4,370	None	52	None	52	None
1285026492	HAIDAR HASSAN M	2021	FFS	RENDERING	AGE 21+	1,739	None	4,760	None	0	None	0	None	1,734	None	4,683	None	None	1	None	1
1285026492	HAIDAR HASSAN M	2021	PHP	RENDERING	AGE 0-20	11	None	44	None	0	None	0	None	11	None	44	None	0	None	0	None
1285026492	HAIDAR HASSAN M	2021	PHP	RENDERING	AGE 21+	25	None	64	None	0	None	0	None	17	None	46	None	12	None	12	None
1285041475	KHODADADZADEH SHAGHAYEGH	2021	FFS	RENDERING	AGE 21+	200	None	775	None	60	None	97	None	192	None	247	None	94	None	94	None
1285041475	KHODADADZADEH SHAGHAYEGH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1285043893	KEIHANI KOUROSH	2021	FFS	RENDERING	AGE 0-20	397	None	2,710	None	252	None	623	None	199	None	685	None	301	None	368	None
1285043893	KEIHANI KOUROSH	2021	FFS	RENDERING	AGE 21+	936	None	4,688	None	174	None	293	None	702	None	2,417	None	420	None	422	None
1285063206	NOLAN, SEAN J, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285063206	NOLAN, SEAN J, DDS	2021	FFS	RENDERING	AGE 21+	87	None	561	None	0	None	0	None	65	None	498	None	22	None	22	None
1285066548	FADAEI, BEHZAD, DDS	2021	FFS	RENDERING	AGE 0-20	271	None	2,939	None	248	None	1,371	None	34	None	68	None	251	None	289	None
1285066548	FADAEI, BEHZAD, DDS	2021	FFS	RENDERING	AGE 21+	245	None	1,589	None	131	None	256	None	153	None	442	None	153	None	153	None
1285067728	MOORE DEREK	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1285067728	MOORE DEREK	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1285075895	ANAND NIKHIL	2021	GMC	RENDERING	AGE 0-20	12	None	23	None	0	None	0	None	None	1	None	2	0	None	0	None
1285075895	ANAND NIKHIL	2021	GMC	RENDERING	AGE 21+	15	None	58	None	0	None	0	None	15	None	55	None	None	1	None	1
1285084020	SINGH SONAL	2021	FFS	RENDERING	AGE 0-20	496	None	2,366	None	248	None	544	None	270	None	700	None	278	None	289	None
1285084020	SINGH SONAL	2021	FFS	RENDERING	AGE 21+	1,040	None	3,928	None	216	None	337	None	663	None	2,005	None	458	None	458	None
1285086785	KAUR MANJOT	2021	FFS	RENDERING	AGE 0-20	35	None	261	None	30	None	88	None	22	None	39	None	28	None	32	None
1285086785	KAUR MANJOT	2021	FFS	RENDERING	AGE 21+	22	None	98	None	None	1	None	1	19	None	44	None	None	1	None	1
1285103085	KIM BO K	2021	FFS	RENDERING	AGE 0-20	2,061	None	40,298	None	2,012	None	8,763	None	1,561	None	6,828	None	2,038	None	2,983	None
1285103085	KIM BO K	2021	FFS	RENDERING	AGE 21+	531	None	5,433	None	427	None	860	None	294	None	1,100	None	488	None	488	None
1285103085	KIM BO K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285119826	PARK RAPHAEL S	2021	FFS	RENDERING	AGE 0-20	21	None	140	None	14	None	26	None	None	1	None	1	16	None	16	None
1285119826	PARK RAPHAEL S	2021	FFS	RENDERING	AGE 21+	63	None	275	None	15	None	17	None	31	None	73	None	40	None	45	None
1285119826	PARK RAPHAEL S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285144980	GARG PRERNA	2021	FFS	RENDERING	AGE 0-20	2,727	None	16,687	None	2,266	None	6,211	None	1,325	None	2,598	None	2,271	None	2,339	None
1285144980	GARG PRERNA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1285144980	GARG PRERNA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285157487	KIM ROSY M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285160077	BUDIMAN AMANDA	2021	FFS	RENDERING	AGE 0-20	19	None	34	None	None	1	None	1	None	1	None	1	0	None	0	None
1285160077	BUDIMAN AMANDA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1285161323	TIN DENTAL SPECIALTY GROUP A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1285161323	TIN DENTAL SPECIALTY GROUP A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1285171389	VARGAS FRAILE ELIZABETH	2021	FFS	RENDERING	AGE 0-20	722	None	7,443	None	457	None	1,301	None	471	None	1,532	None	546	None	567	None
1285171389	VARGAS FRAILE ELIZABETH	2021	FFS	RENDERING	AGE 21+	441	None	2,814	None	26	None	50	None	307	None	1,095	None	232	None	234	None
1285174904	VO HA N	2021	FFS	RENDERING	AGE 0-20	144	None	933	None	95	None	292	None	27	None	85	None	129	None	154	None
1285174904	VO HA N	2021	FFS	RENDERING	AGE 21+	411	None	2,146	None	206	None	405	None	169	None	478	None	303	None	303	None
1285199125	KIM HYUNG K	2021	FFS	RENDERING	AGE 0-20	262	None	3,188	None	226	None	667	None	147	None	431	None	228	None	284	None
1285199125	KIM HYUNG K	2021	FFS	RENDERING	AGE 21+	302	None	2,747	None	137	None	137	None	245	None	930	None	170	None	170	None
1285203166	CRUZ NATHAN EDUAR O	2021	FFS	RENDERING	AGE 0-20	579	None	4,423	None	398	None	983	None	316	None	579	None	429	None	432	None
1285203166	CRUZ NATHAN EDUAR O	2021	FFS	RENDERING	AGE 21+	65	None	302	None	None	1	None	2	42	None	84	None	36	None	36	None
1285218123	HANNA JAMES	2021	FFS	RENDERING	AGE 0-20	270	None	415	None	0	None	0	None	244	None	344	None	0	None	0	None
1285248682	KHERA GAGANJOT K	2021	FFS	RENDERING	AGE 0-20	223	None	1,125	None	115	None	273	None	149	None	494	None	71	None	71	None
1285248682	KHERA GAGANJOT K	2021	FFS	RENDERING	AGE 21+	320	None	1,253	None	97	None	190	None	242	None	717	None	59	None	59	None
1285260869	DUDEK KAROLINA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1285260869	DUDEK KAROLINA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1285272120	ROMAN MANUEL S	2021	FFS	RENDERING	AGE 0-20	41	None	598	None	37	None	99	None	24	None	141	None	37	None	42	None
1285272120	ROMAN MANUEL S	2021	FFS	RENDERING	AGE 21+	100	None	1,498	None	36	None	69	None	87	None	844	None	75	None	76	None
1285272120	ROMAN MANUEL S	2021	PHP	RENDERING	AGE 0-20	50	None	456	None	39	None	146	None	47	None	62	None	34	None	34	None
1285272120	ROMAN MANUEL S	2021	PHP	RENDERING	AGE 21+	86	None	435	None	13	None	40	None	71	None	228	None	28	None	28	None
1285280131	OH SEO KYUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1285280131	OH SEO KYUNG	2021	FFS	RENDERING	AGE 21+	11	None	66	None	None	1	None	2	None	1	None	2	None	1	None	1
1285287110	KIM JAE EUN	2021	FFS	RENDERING	AGE 0-20	295	None	1,479	None	187	None	538	None	100	None	190	None	243	None	243	None
1285287110	KIM JAE EUN	2021	FFS	RENDERING	AGE 21+	574	None	1,771	None	128	None	213	None	240	None	502	None	324	None	327	None
1285287110	KIM JAE EUN	2021	PHP	RENDERING	AGE 0-20	42	None	183	None	28	None	82	None	None	1	None	2	35	None	35	None
1285287110	KIM JAE EUN	2021	PHP	RENDERING	AGE 21+	94	None	279	None	30	None	38	None	44	None	100	None	65	None	65	None
1285300020	MUSTAFA ETHAR S	2021	FFS	RENDERING	AGE 0-20	99	None	560	None	57	None	200	None	61	None	111	None	66	None	66	None
1285300020	MUSTAFA ETHAR S	2021	FFS	RENDERING	AGE 21+	111	None	502	None	43	None	87	None	83	None	197	None	52	None	59	None
1285309377	CHAU NHU Q	2021	FFS	RENDERING	AGE 0-20	261	None	842	None	193	None	393	None	125	None	277	None	18	None	18	None
1285309377	CHAU NHU Q	2021	FFS	RENDERING	AGE 21+	277	None	748	None	107	None	211	None	204	None	402	None	19	None	19	None
1285627737	RUFF MELISSA L	2021	FFS	RENDERING	AGE 0-20	44	None	54	None	0	None	0	None	44	None	52	None	0	None	0	None
1285627737	RUFF MELISSA L	2021	FFS	RENDERING	AGE 21+	97	None	119	None	0	None	0	None	97	None	118	None	0	None	0	None
1285627737	RUFF MELISSA L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285635821	LE, KHANH DIEM, DDS	2021	FFS	RENDERING	AGE 0-20	157	None	927	None	154	None	475	None	26	None	45	None	155	None	235	None
1285645309	WILSON, WILLIAM G, DDS	2021	FFS	RENDERING	AGE 0-20	43	None	227	None	35	None	87	None	20	None	59	None	29	None	29	None
1285645309	WILSON, WILLIAM G, DDS	2021	FFS	RENDERING	AGE 21+	158	None	849	None	106	None	107	None	108	None	410	None	109	None	109	None
1285645978	AFAN, MARIA ELENA P, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	810	None	21	None	297	None	13	None	138	None	22	None	87	None
1285645978	AFAN, MARIA ELENA P, DDS	2021	FFS	RENDERING	AGE 21+	53	None	1,404	None	24	None	132	None	38	None	792	None	35	None	105	None
1285650275	KIM, KU HONG DR DDS	2021	FFS	RENDERING	AGE 0-20	693	None	8,541	None	596	None	2,049	None	423	None	1,041	None	579	None	697	None
1285650275	KIM, KU HONG DR DDS	2021	FFS	RENDERING	AGE 21+	156	None	1,041	None	67	None	135	None	101	None	297	None	115	None	117	None
1285650275	KIM, KU HONG DR DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285670133	OGANYAN, ALINA DDS	2021	FFS	RENDERING	AGE 0-20	57	None	570	None	46	None	109	None	50	None	269	None	36	None	40	None
1285670133	OGANYAN, ALINA DDS	2021	FFS	RENDERING	AGE 21+	247	None	2,438	None	117	None	199	None	216	None	1,197	None	109	None	109	None
1285675850	LOWE, LESTER K, DDS	2021	FFS	RENDERING	AGE 0-20	95	None	1,049	None	90	None	436	None	35	None	76	None	90	None	138	None
1285675850	LOWE, LESTER K, DDS	2021	FFS	RENDERING	AGE 21+	161	None	1,258	None	115	None	115	None	115	None	381	None	121	None	121	None
1285683995	WYNN, MICHAEL M, DDS	2021	FFS	RENDERING	AGE 0-20	92	None	674	None	88	None	143	None	27	None	87	None	90	None	114	None
1285683995	WYNN, MICHAEL M, DDS	2021	FFS	RENDERING	AGE 21+	177	None	1,024	None	110	None	110	None	109	None	349	None	146	None	146	None
1285687715	GENOBAGA, JAMES EARL	2021	FFS	RENDERING	AGE 0-20	219	None	1,939	None	122	None	336	None	122	None	295	None	161	None	213	None
1285687715	GENOBAGA, JAMES EARL	2021	FFS	RENDERING	AGE 21+	579	None	4,250	None	50	None	99	None	428	None	1,923	None	424	None	424	None
1285691907	PHEN JOSEPH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285691907	PHEN JOSEPH	2021	GMC	RENDERING	AGE 0-20	65	None	172	None	None	1	None	2	49	None	59	None	None	1	None	1
1285691907	PHEN JOSEPH	2021	GMC	RENDERING	AGE 21+	161	None	232	None	None	1	None	1	132	None	166	None	None	1	None	1
1285693168	MORA NOE	2021	FFS	RENDERING	AGE 21+	215	None	1,472	None	None	1	None	1	139	None	1,032	None	197	None	202	None
1285694695	ARAM MASOUD	2021	FFS	RENDERING	AGE 0-20	80	None	848	None	77	None	250	None	46	None	213	None	80	None	110	None
1285694695	ARAM MASOUD	2021	FFS	RENDERING	AGE 21+	137	None	1,204	None	101	None	201	None	104	None	517	None	113	None	113	None
1285700294	MASCOLA LOUIS F	2021	FFS	RENDERING	AGE 0-20	70	None	146	None	0	None	0	None	27	None	79	None	31	None	31	None
1285700849	CHEN ISAAC J	2021	FFS	RENDERING	AGE 0-20	305	None	3,073	None	241	None	627	None	156	None	689	None	261	None	309	None
1285700849	CHEN ISAAC J	2021	FFS	RENDERING	AGE 21+	421	None	2,810	None	115	None	223	None	298	None	1,299	None	282	None	284	None
1285700849	CHEN ISAAC J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1285700849	CHEN ISAAC J	2021	PHP	RENDERING	AGE 0-20	62	None	619	None	56	None	266	None	26	None	82	None	58	None	71	None
1285700849	CHEN ISAAC J	2021	PHP	RENDERING	AGE 21+	60	None	301	None	21	None	45	None	24	None	81	None	52	None	54	None
1285705475	MONTOYA, MAIA M DDS	2021	FFS	RENDERING	AGE 0-20	227	None	2,533	None	219	None	941	None	143	None	494	None	223	None	323	None
1285705475	MONTOYA, MAIA M DDS	2021	FFS	RENDERING	AGE 21+	703	None	7,274	None	541	None	1,079	None	591	None	3,576	None	588	None	588	None
1285711556	LEE, SHAUNA DDS	2021	FFS	RENDERING	AGE 0-20	404	None	4,751	None	383	None	1,535	None	287	None	1,099	None	390	None	594	None
1285711556	LEE, SHAUNA DDS	2021	FFS	RENDERING	AGE 21+	351	None	4,150	None	210	None	368	None	284	None	2,022	None	220	None	220	None
1285711556	LEE, SHAUNA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285716431	ATAKHANIAN, CLARISSE, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	172	None	17	None	28	None	None	1	None	2	19	None	21	None
1285716431	ATAKHANIAN, CLARISSE, DDS	2021	FFS	RENDERING	AGE 21+	328	None	2,432	None	150	None	151	None	248	None	1,132	None	253	None	253	None
1285716431	ATAKHANIAN, CLARISSE, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285732396	MANAK DAVINDER S	2021	FFS	RENDERING	AGE 0-20	301	None	2,467	None	277	None	392	None	144	None	443	None	278	None	368	None
1285732396	MANAK DAVINDER S	2021	FFS	RENDERING	AGE 21+	464	None	3,380	None	223	None	223	None	360	None	1,170	None	293	None	293	None
1285734244	YANG PETER T	2021	FFS	RENDERING	AGE 0-20	405	None	2,785	None	385	None	759	None	65	None	114	None	314	None	335	None
1285734244	YANG PETER T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285737825	SHAHEEDY HALEH	2021	FFS	RENDERING	AGE 0-20	2,226	None	29,117	None	2,122	None	8,738	None	1,449	None	6,644	None	2,137	None	3,186	None
1285737825	SHAHEEDY HALEH	2021	FFS	RENDERING	AGE 21+	37	None	183	None	17	None	18	None	17	None	73	None	28	None	28	None
1285737825	SHAHEEDY HALEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285737825	SHAHEEDY, HALEH, DMD	2021	FFS	RENDERING	AGE 0-20	2,226	None	29,117	None	2,122	None	8,738	None	1,449	None	6,644	None	2,137	None	3,186	None
1285737825	SHAHEEDY, HALEH, DMD	2021	FFS	RENDERING	AGE 21+	37	None	183	None	17	None	18	None	17	None	73	None	28	None	28	None
1285737825	SHAHEEDY, HALEH, DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285744557	HA, TUONGTHUY PHU, DDS	2021	FFS	RENDERING	AGE 0-20	365	None	3,449	None	331	None	1,250	None	142	None	423	None	331	None	392	None
1285744557	HA, TUONGTHUY PHU, DDS	2021	FFS	RENDERING	AGE 21+	514	None	3,578	None	319	None	614	None	335	None	1,097	None	360	None	361	None
1285744557	HA, TUONGTHUY PHU, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1285751057	KOHANOFF, SHARONA, DDS	2021	FFS	RENDERING	AGE 0-20	223	None	2,547	None	182	None	653	None	147	None	830	None	200	None	230	None
1285751057	KOHANOFF, SHARONA, DDS	2021	FFS	RENDERING	AGE 21+	350	None	3,179	None	116	None	230	None	296	None	2,086	None	286	None	287	None
1285751057	KOHANOFF, SHARONA, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285751057	KOHANOFF, SHARONA, DDS	2021	PHP	RENDERING	AGE 0-20	436	None	3,121	None	334	None	1,197	None	224	None	616	None	379	None	413	None
1285751057	KOHANOFF, SHARONA, DDS	2021	PHP	RENDERING	AGE 21+	560	None	3,251	None	154	None	260	None	416	None	1,841	None	386	None	399	None
1285752618	WU WILLIAM	2021	FFS	RENDERING	AGE 0-20	681	None	3,280	None	344	None	739	None	442	None	1,357	None	357	None	368	None
1285752618	WU WILLIAM	2021	FFS	RENDERING	AGE 21+	1,196	None	4,660	None	349	None	697	None	911	None	2,137	None	437	None	437	None
1285760876	BARTELL, FRANCESCA ANN, RDHA	2021	FFS	RENDERING	AGE 21+	58	None	252	None	47	None	134	None	58	None	118	None	0	None	0	None
1285765362	WAGNER KRISTI	2021	FFS	RENDERING	AGE 0-20	164	None	248	None	0	None	0	None	30	None	62	None	0	None	0	None
1285765362	WAGNER KRISTI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285769778	DUNN, JOHN T, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	98	None	19	None	41	None	None	1	None	2	20	None	29	None
1285769778	DUNN, JOHN T, DDS	2021	FFS	RENDERING	AGE 21+	132	None	718	None	68	None	68	None	96	None	269	None	65	None	65	None
1285771238	VOROBCHEVICI, IULIA S, DDS	2021	FFS	RENDERING	AGE 0-20	133	None	3,322	None	127	None	584	None	122	None	793	None	123	None	204	None
1285771238	VOROBCHEVICI, IULIA S, DDS	2021	FFS	RENDERING	AGE 21+	264	None	5,513	None	203	None	327	None	248	None	2,883	None	221	None	221	None
1285776245	PETROSYAN ARMAN	2021	FFS	RENDERING	AGE 0-20	184	None	2,417	None	177	None	535	None	82	None	275	None	182	None	253	None
1285776245	PETROSYAN ARMAN	2021	FFS	RENDERING	AGE 21+	292	None	2,304	None	177	None	336	None	182	None	737	None	244	None	244	None
1285776245	PETROSYAN ARMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1285776245	PETROSYAN ARMAN	2021	PHP	RENDERING	AGE 21+	18	None	128	None	11	None	17	None	14	None	52	None	15	None	16	None
1285790220	KIM, JOOWON DDS	2021	FFS	RENDERING	AGE 0-20	44	None	419	None	39	None	50	None	14	None	55	None	39	None	43	None
1285790220	KIM, JOOWON DDS	2021	FFS	RENDERING	AGE 21+	178	None	1,301	None	77	None	77	None	118	None	395	None	124	None	124	None
1285790261	FYFE, KENT JERROLD DDS	2021	FFS	RENDERING	AGE 0-20	178	None	1,097	None	171	None	350	None	64	None	259	None	174	None	190	None
1285790261	FYFE, KENT JERROLD DDS	2021	FFS	RENDERING	AGE 21+	313	None	1,683	None	211	None	211	None	184	None	701	None	263	None	263	None
1285790451	DIAZ, GEORGE, DDS	2021	FFS	RENDERING	AGE 0-20	29	None	199	None	25	None	54	None	17	None	50	None	20	None	23	None
1285790451	DIAZ, GEORGE, DDS	2021	FFS	RENDERING	AGE 21+	73	None	578	None	53	None	104	None	48	None	182	None	53	None	53	None
1285795518	SARGSYAN, NADEZHDA DDS INC.	2021	FFS	RENDERING	AGE 0-20	7,198	None	89,329	None	6,794	None	28,474	None	5,293	None	34,980	None	7,055	None	9,818	None
1285795518	SARGSYAN, NADEZHDA DDS INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285796532	ELVIA JUAREZ, A DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1285796532	JUAREZ, ELVIA, A DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1285797092	AUNG, THEIN HTUT DDS	2021	FFS	RENDERING	AGE 0-20	667	None	5,625	None	568	None	1,949	None	261	None	667	None	586	None	672	None
1285797092	AUNG, THEIN HTUT DDS	2021	FFS	RENDERING	AGE 21+	459	None	3,020	None	247	None	481	None	294	None	992	None	340	None	340	None
1285797951	JUNG EUN S	2021	FFS	RENDERING	AGE 0-20	14	None	38	None	12	None	18	None	None	1	None	2	None	1	None	1
1285797951	JUNG EUN S	2021	FFS	RENDERING	AGE 21+	308	None	806	None	191	None	191	None	189	None	359	None	41	None	41	None
1285803809	LE COLIN T	2021	FFS	RENDERING	AGE 0-20	296	None	1,365	None	70	None	142	None	238	None	543	None	69	None	70	None
1285803809	LE COLIN T	2021	FFS	RENDERING	AGE 21+	501	None	1,605	None	33	None	62	None	445	None	1,005	None	68	None	68	None
1285805317	LIM JI I	2021	FFS	RENDERING	AGE 0-20	2,791	None	25,455	None	2,027	None	4,681	None	1,100	None	3,154	None	2,072	None	2,311	None
1285805317	LIM JI I	2021	FFS	RENDERING	AGE 21+	18	None	117	None	None	1	None	2	None	1	None	2	None	1	None	1
1285809335	HABU CHRISTOPHER P	2021	FFS	RENDERING	AGE 0-20	46	None	186	None	43	None	96	None	14	None	16	None	31	None	31	None
1285809335	HABU CHRISTOPHER P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285809830	MARKARIAN ROLAND	2021	FFS	RENDERING	AGE 0-20	14	None	83	None	12	None	30	None	0	None	0	None	None	1	None	1
1285809830	MARKARIAN ROLAND	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1285809830	MARKARIAN ROLAND	2021	PHP	RENDERING	AGE 0-20	89	None	596	None	79	None	174	None	27	None	34	None	87	None	99	None
1285818666	LU JASON S	2021	FFS	RENDERING	AGE 0-20	31	None	218	None	27	None	58	None	17	None	68	None	25	None	25	None
1285818666	LU JASON S	2021	FFS	RENDERING	AGE 21+	54	None	185	None	16	None	28	None	28	None	61	None	40	None	40	None
1285819243	PETERS OVE A	2021	FFS	RENDERING	AGE 0-20	39	None	49	None	0	None	0	None	39	None	49	None	0	None	0	None
1285819243	PETERS OVE A	2021	FFS	RENDERING	AGE 21+	188	None	234	None	0	None	0	None	186	None	229	None	0	None	0	None
1285825307	CRUM ERIC R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1285825307	CRUM ERIC R	2021	GMC	RENDERING	AGE 0-20	209	None	747	None	113	None	126	None	204	None	592	None	11	None	13	None
1285825307	CRUM ERIC R	2021	GMC	RENDERING	AGE 21+	1,285	None	5,535	None	626	None	683	None	1,067	None	4,098	None	628	None	642	None
1285827709	SALDARRIAGA JOSE M	2021	FFS	RENDERING	AGE 0-20	1,036	None	9,202	None	853	None	2,676	None	518	None	1,254	None	777	None	840	None
1285827709	SALDARRIAGA JOSE M	2021	FFS	RENDERING	AGE 21+	1,163	None	7,918	None	529	None	806	None	726	None	2,174	None	758	None	758	None
1285828657	SALIB MARLENE K	2021	FFS	RENDERING	AGE 0-20	1,943	None	13,460	None	1,518	None	6,081	None	1,006	None	1,430	None	1,908	None	2,398	None
1285828657	SALIB MARLENE K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1285832907	GARCIA JAVIER	2021	FFS	RENDERING	AGE 0-20	60	None	464	None	53	None	96	None	13	None	37	None	24	None	30	None
1285832907	GARCIA JAVIER	2021	FFS	RENDERING	AGE 21+	74	None	562	None	11	None	11	None	37	None	177	None	None	1	None	1
1285834796	KERI, NAZLI DDS A PROF CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285838730	ANTANESIAN VAHE	2021	FFS	RENDERING	AGE 0-20	352	None	3,162	None	299	None	771	None	131	None	412	None	317	None	401	None
1285838730	ANTANESIAN VAHE	2021	FFS	RENDERING	AGE 21+	463	None	2,532	None	118	None	153	None	295	None	878	None	333	None	341	None
1285838730	ANTANESIAN VAHE	2021	PHP	RENDERING	AGE 0-20	234	None	1,863	None	208	None	592	None	55	None	168	None	220	None	291	None
1285838730	ANTANESIAN VAHE	2021	PHP	RENDERING	AGE 21+	162	None	842	None	87	None	154	None	92	None	310	None	127	None	132	None
1285841643	TRAN LAN T	2021	FFS	RENDERING	AGE 0-20	166	None	1,144	None	143	None	445	None	73	None	170	None	140	None	150	None
1285841643	TRAN LAN T	2021	FFS	RENDERING	AGE 21+	760	None	4,213	None	367	None	728	None	566	None	2,000	None	420	None	420	None
1285843086	BANDYOPADHYAY SUNANDA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1285843086	BANDYOPADHYAY SUNANDA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1285844332	WESTERMEYER JOHN ROLAND	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285844332	WESTERMEYER JOHN ROLAND	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285848820	WONG JAMES T	2021	FFS	RENDERING	AGE 0-20	100	None	841	None	94	None	159	None	48	None	136	None	89	None	108	None
1285848820	WONG JAMES T	2021	FFS	RENDERING	AGE 21+	58	None	433	None	22	None	22	None	23	None	52	None	42	None	42	None
1285849679	CHAU, TERESA M, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	252	None	40	None	149	None	None	1	None	1	35	None	55	None
1285849679	CHAU, TERESA M, DDS	2021	FFS	RENDERING	AGE 21+	40	None	116	None	34	None	34	None	15	None	26	None	None	1	None	1
1285854711	PARHIZKARI, ALIREZA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1285854711	PARHIZKARI, ALIREZA, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285862904	POIDMORE PAOLO A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285866905	RAMOS DANIEL M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1285866905	RAMOS DANIEL M	2021	FFS	RENDERING	AGE 21+	19	None	24	None	0	None	0	None	None	1	None	1	14	None	14	None
1285874826	ST JOHN'S WELL CHILD AND	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1285877910	PALAFOX ERBE RALPH R	2021	FFS	RENDERING	AGE 0-20	17	None	101	None	14	None	29	None	None	1	None	2	11	None	11	None
1285877910	PALAFOX ERBE RALPH R	2021	FFS	RENDERING	AGE 21+	66	None	345	None	26	None	40	None	42	None	128	None	37	None	37	None
1285890251	ARABO ZINA D	2021	FFS	RENDERING	AGE 0-20	15	None	169	None	15	None	49	None	None	1	None	2	14	None	17	None
1285890251	ARABO ZINA D	2021	FFS	RENDERING	AGE 21+	69	None	745	None	65	None	128	None	46	None	283	None	67	None	67	None
1285890368	PATEL, NEILESH S DDS	2021	FFS	RENDERING	AGE 0-20	1,305	None	15,791	None	1,239	None	5,202	None	603	None	1,210	None	1,166	None	1,451	None
1285890368	PATEL, NEILESH S DDS	2021	FFS	RENDERING	AGE 21+	1,184	None	7,299	None	928	None	1,673	None	580	None	1,436	None	966	None	966	None
1285896241	CONTRERAS MARIA X	2021	FFS	RENDERING	AGE 0-20	359	None	2,869	None	244	None	514	None	161	None	303	None	249	None	254	None
1285896241	CONTRERAS MARIA X	2021	FFS	RENDERING	AGE 21+	322	None	1,855	None	92	None	169	None	205	None	404	None	134	None	134	None
1285899443	GOMEZ, UBLESTER, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1285899443	GOMEZ, UBLESTER, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285922583	ROZEN MICHAEL S	2021	FFS	RENDERING	AGE 21+	36	None	108	None	None	1	None	1	25	None	60	None	17	None	17	None
1285927962	CASTELLANOS JR MARIO J	2021	FFS	RENDERING	AGE 0-20	1,015	None	10,020	None	921	None	3,608	None	486	None	1,984	None	964	None	1,093	None
1285927962	CASTELLANOS JR MARIO J	2021	FFS	RENDERING	AGE 21+	667	None	3,529	None	209	None	417	None	404	None	1,435	None	517	None	519	None
1285930479	HIZON MARIA TERESA I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1285933119	UTUDJIAN GAREN	2021	FFS	RENDERING	AGE 0-20	441	None	936	None	0	None	0	None	180	None	495	None	0	None	0	None
1285933119	UTUDJIAN GAREN	2021	FFS	RENDERING	AGE 21+	12	None	12	None	0	None	0	None	0	None	0	None	0	None	0	None
1285933119	UTUDJIAN GAREN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285934125	PRESTON DREW A	2021	FFS	RENDERING	AGE 0-20	92	None	231	None	0	None	0	None	92	None	231	None	0	None	0	None
1285934125	PRESTON DREW A	2021	FFS	RENDERING	AGE 21+	17	None	39	None	0	None	0	None	17	None	39	None	0	None	0	None
1285941260	NGOV MELANIE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1285942243	JACKSON, CHRISTA L, RDHAP	2021	FFS	RENDERING	AGE 21+	148	None	526	None	146	None	223	None	148	None	303	None	0	None	0	None
1285952234	VAHEDI SAMAN	2021	FFS	RENDERING	AGE 0-20	113	None	573	None	0	None	0	None	68	None	388	None	91	None	91	None
1285952234	VAHEDI SAMAN	2021	FFS	RENDERING	AGE 21+	124	None	645	None	0	None	0	None	93	None	451	None	99	None	99	None
1285954263	TOKUZA THOMAS T	2021	FFS	RENDERING	AGE 0-20	20	None	154	None	15	None	35	None	None	1	None	2	15	None	18	None
1285954263	TOKUZA THOMAS T	2021	FFS	RENDERING	AGE 21+	36	None	169	None	None	1	None	1	26	None	50	None	19	None	19	None
1285954263	TOKUZA THOMAS T	2021	PHP	RENDERING	AGE 0-20	13	None	87	None	13	None	31	None	None	1	None	1	11	None	11	None
1285954263	TOKUZA THOMAS T	2021	PHP	RENDERING	AGE 21+	53	None	310	None	53	None	82	None	28	None	77	None	28	None	28	None
1285954354	ALANI WESAM	2021	FFS	RENDERING	AGE 0-20	120	None	1,334	None	95	None	282	None	57	None	156	None	99	None	141	None
1285954354	ALANI WESAM	2021	FFS	RENDERING	AGE 21+	339	None	2,911	None	169	None	247	None	246	None	1,042	None	230	None	230	None
1285959320	KAUR RUBINA	2021	FFS	RENDERING	AGE 0-20	742	None	2,975	None	309	None	685	None	102	None	193	None	705	None	759	None
1285959320	KAUR RUBINA	2021	FFS	RENDERING	AGE 21+	1,199	None	3,381	None	112	None	222	None	228	None	550	None	1,041	None	1,042	None
1285972240	ZUNIGA-BERNARDE MIRIAM	2021	FFS	RENDERING	AGE 0-20	214	None	3,783	None	206	None	720	None	127	None	763	None	206	None	269	None
1285972240	ZUNIGA-BERNARDE MIRIAM	2021	FFS	RENDERING	AGE 21+	360	None	5,806	None	210	None	415	None	308	None	2,790	None	299	None	299	None
1285973602	RANDHAWA KUSHWANTJIT S	2021	FFS	RENDERING	AGE 0-20	127	None	848	None	101	None	361	None	34	None	132	None	101	None	112	None
1285973602	RANDHAWA KUSHWANTJIT S	2021	FFS	RENDERING	AGE 21+	360	None	1,323	None	105	None	200	None	174	None	514	None	254	None	254	None
1285976795	SAGISI RANDALL A	2021	FFS	RENDERING	AGE 0-20	192	None	3,034	None	180	None	738	None	125	None	514	None	183	None	260	None
1285976795	SAGISI RANDALL A	2021	FFS	RENDERING	AGE 21+	277	None	2,849	None	196	None	391	None	174	None	910	None	231	None	231	None
1285987123	NGUYEN CHRISTINE TH M	2021	FFS	RENDERING	AGE 0-20	60	None	491	None	49	None	110	None	17	None	62	None	51	None	58	None
1285987123	NGUYEN CHRISTINE TH M	2021	FFS	RENDERING	AGE 21+	204	None	1,740	None	68	None	105	None	138	None	528	None	134	None	137	None
1285989509	NAJEEB FIRAS F	2021	FFS	RENDERING	AGE 0-20	38	None	77	None	0	None	0	None	0	None	0	None	None	1	None	1
1285989509	NAJEEB FIRAS F	2021	FFS	RENDERING	AGE 21+	11	None	14	None	0	None	0	None	None	1	None	1	0	None	0	None
1285989996	HARRIS MATTHEW W	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285989996	HARRIS MATTHEW W	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1295025898	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1295025898	WESTERN DENTAL SERVICES, INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1295026433	YANG ROGER R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1295026433	YANG ROGER R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1295034692	KORANDO NOLAN W	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1295034692	KORANDO NOLAN W	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295036382	URIARTE, MARICELA, DDS	2021	FFS	RENDERING	AGE 0-20	141	None	1,081	None	124	None	357	None	70	None	352	None	121	None	154	None
1295036382	URIARTE, MARICELA, DDS	2021	FFS	RENDERING	AGE 21+	208	None	1,495	None	138	None	142	None	172	None	1,030	None	107	None	107	None
1295037638	JAIN RUSHINA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1295037638	JAIN RUSHINA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1295039782	KARIMYAN ALTINA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295039782	KARIMYAN ALTINA	2021	PHP	RENDERING	AGE 0-20	15	None	89	None	11	None	25	None	None	1	None	2	15	None	16	None
1295039782	KARIMYAN ALTINA	2021	PHP	RENDERING	AGE 21+	71	None	321	None	25	None	26	None	26	None	87	None	60	None	60	None
1295050789	CHEUNG JASON M	2021	FFS	RENDERING	AGE 0-20	3,775	None	35,452	None	3,191	None	10,498	None	2,360	None	6,354	None	3,083	None	3,530	None
1295050789	CHEUNG JASON M	2021	FFS	RENDERING	AGE 21+	19	None	108	None	None	1	None	2	None	1	None	2	None	1	None	1
1295061984	PIRIAN JOSEPH J	2021	FFS	RENDERING	AGE 0-20	410	None	5,351	None	348	None	1,336	None	266	None	1,064	None	397	None	465	None
1295061984	PIRIAN JOSEPH J	2021	FFS	RENDERING	AGE 21+	1,154	None	6,719	None	558	None	1,119	None	677	None	2,299	None	913	None	914	None
1295061984	PIRIAN JOSEPH J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1295061984	PIRIAN JOSEPH J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1295072403	GUTIERREZ QUEVE MARIA J	2021	FFS	RENDERING	AGE 0-20	150	None	598	None	72	None	137	None	38	None	97	None	112	None	112	None
1295072403	GUTIERREZ QUEVE MARIA J	2021	FFS	RENDERING	AGE 21+	282	None	729	None	35	None	45	None	104	None	206	None	139	None	141	None
1295072403	GUTIERREZ QUEVE MARIA J	2021	PHP	RENDERING	AGE 0-20	36	None	96	None	19	None	35	None	12	None	29	None	28	None	28	None
1295072403	GUTIERREZ QUEVE MARIA J	2021	PHP	RENDERING	AGE 21+	47	None	81	None	11	None	16	None	19	None	34	None	25	None	25	None
1295072734	OHEBSION, TANIA S DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1295072734	OHEBSION, TANIA S DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1295076131	RUSEN RARES D	2021	FFS	RENDERING	AGE 0-20	74	None	1,320	None	57	None	319	None	39	None	144	None	66	None	70	None
1295076131	RUSEN RARES D	2021	FFS	RENDERING	AGE 21+	103	None	1,899	None	25	None	49	None	84	None	521	None	95	None	104	None
1295081404	VU KHOA D	2021	FFS	RENDERING	AGE 0-20	72	None	239	None	25	None	64	None	29	None	39	None	47	None	47	None
1295081404	VU KHOA D	2021	FFS	RENDERING	AGE 21+	119	None	259	None	12	None	24	None	48	None	74	None	63	None	63	None
1295085645	TRAN, PHUONGTHAO DDS	2021	FFS	RENDERING	AGE 0-20	659	None	6,071	None	628	None	2,412	None	319	None	570	None	625	None	786	None
1295085645	TRAN, PHUONGTHAO DDS	2021	FFS	RENDERING	AGE 21+	280	None	1,474	None	142	None	284	None	178	None	420	None	173	None	174	None
1295092526	TRAN, ANTHONY D MD	2021	FFS	RENDERING	AGE 0-20	24	None	94	None	0	None	0	None	24	None	94	None	0	None	0	None
1295095677	JARDOSH ROSHAN R	2021	FFS	RENDERING	AGE 0-20	119	None	1,681	None	112	None	367	None	88	None	364	None	117	None	117	None
1295095677	JARDOSH ROSHAN R	2021	FFS	RENDERING	AGE 21+	74	None	733	None	40	None	64	None	51	None	187	None	61	None	61	None
1295096543	CASTELLON SONIA A	2021	FFS	RENDERING	AGE 0-20	45	None	424	None	39	None	49	None	19	None	74	None	32	None	43	None
1295096543	CASTELLON SONIA A	2021	FFS	RENDERING	AGE 21+	149	None	1,061	None	87	None	87	None	97	None	350	None	89	None	89	None
1295098846	PHAN DAVID Q	2021	FFS	RENDERING	AGE 0-20	312	None	1,753	None	0	None	0	None	215	None	1,478	None	142	None	142	None
1295098846	PHAN DAVID Q	2021	FFS	RENDERING	AGE 21+	320	None	1,851	None	0	None	0	None	209	None	1,560	None	152	None	152	None
1295102317	PARK KEVIN C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1295102317	PARK KEVIN C	2021	FFS	RENDERING	AGE 21+	11	None	54	None	None	1	None	1	None	1	None	2	None	1	None	1
1295102879	PATEL ANUJ H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295102879	PATEL ANUJ H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1295104453	PARK MI HYEON	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1295105245	PARK YEUN-JOUNG	2021	FFS	RENDERING	AGE 0-20	1,353	None	24,669	None	1,248	None	5,853	None	978	None	3,861	None	1,245	None	1,960	None
1295110567	PADMANI TARUN L	2021	FFS	RENDERING	AGE 0-20	3,391	None	60,099	None	3,148	None	12,035	None	2,091	None	17,115	None	3,144	None	4,479	None
1295110567	PADMANI TARUN L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1295136570	XIE JUNYI	2021	FFS	RENDERING	AGE 0-20	347	None	597	None	0	None	0	None	26	None	49	None	0	None	0	None
1295136570	XIE JUNYI	2021	FFS	RENDERING	AGE 21+	33	None	33	None	0	None	0	None	0	None	0	None	0	None	0	None
1295136570	XIE JUNYI	2021	PHP	RENDERING	AGE 0-20	22	None	69	None	0	None	0	None	21	None	55	None	0	None	0	None
1295136570	XIE JUNYI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295145548	KIM HEIVI M	2021	FFS	RENDERING	AGE 0-20	1,703	None	19,178	None	1,476	None	5,146	None	1,057	None	4,157	None	1,459	None	1,548	None
1295149946	THONGKHAM, JAYLONG W MD	2021	FFS	RENDERING	AGE 0-20	39	None	117	None	0	None	0	None	39	None	117	None	0	None	0	None
1295160638	KOHAN FARNAZ	2021	FFS	RENDERING	AGE 0-20	1,580	None	18,201	None	1,243	None	4,464	None	1,133	None	5,493	None	1,170	None	1,384	None
1295160638	KOHAN FARNAZ	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1295170306	ZAMORA PEREZ CESAR E	2021	FFS	RENDERING	AGE 0-20	233	None	1,992	None	215	None	699	None	91	None	405	None	217	None	302	None
1295170306	ZAMORA PEREZ CESAR E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1295175859	JEON BOM SEOK	2021	FFS	RENDERING	AGE 0-20	119	None	632	None	91	None	242	None	45	None	137	None	90	None	117	None
1295175859	JEON BOM SEOK	2021	FFS	RENDERING	AGE 21+	779	None	3,444	None	337	None	673	None	467	None	1,302	None	496	None	496	None
1295176709	ASKARZOI KHAN W	2021	FFS	RENDERING	AGE 0-20	143	None	970	None	105	None	361	None	67	None	144	None	108	None	121	None
1295176709	ASKARZOI KHAN W	2021	FFS	RENDERING	AGE 21+	392	None	2,177	None	130	None	241	None	270	None	1,026	None	247	None	247	None
1295176865	PATEL PARAG S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1295184489	CHARKHEZARRIN SAMILA	2021	FFS	RENDERING	AGE 0-20	730	None	3,391	None	560	None	1,660	None	261	None	470	None	367	None	375	None
1295184489	CHARKHEZARRIN SAMILA	2021	FFS	RENDERING	AGE 21+	1,040	None	3,564	None	226	None	447	None	613	None	1,715	None	452	None	452	None
1295184489	CHARKHEZARRIN SAMILA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295184489	CHARKHEZARRIN SAMILA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295184489	CHARKHEZARRIN SAMILA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295184489	CHARKHEZARRIN SAMILA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295220879	THOMPSON PATRICIA JANE	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295230225	SHAPIRO JONATHAN H	2021	FFS	RENDERING	AGE 0-20	76	None	506	None	51	None	79	None	29	None	80	None	63	None	65	None
1295230225	SHAPIRO JONATHAN H	2021	FFS	RENDERING	AGE 21+	76	None	324	None	20	None	22	None	32	None	55	None	68	None	72	None
1295246676	SIMANIAN EMIL J	2021	FFS	RENDERING	AGE 21+	15	None	82	None	0	None	0	None	15	None	82	None	0	None	0	None
1295246676	SIMANIAN EMIL J	2021	PHP	RENDERING	AGE 0-20	36	None	245	None	25	None	74	None	12	None	26	None	32	None	39	None
1295246676	SIMANIAN EMIL J	2021	PHP	RENDERING	AGE 21+	41	None	243	None	14	None	19	None	22	None	119	None	38	None	42	None
1295250686	NGUYEN DAVID	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1295250686	NGUYEN DAVID	2021	FFS	RENDERING	AGE 21+	140	None	509	None	None	1	None	1	140	None	507	None	None	1	None	1
1295262012	MOGHADAM AFROOZ	2021	FFS	RENDERING	AGE 0-20	1,454	None	9,766	None	1,039	None	2,888	None	990	None	2,487	None	1,024	None	1,115	None
1295275642	BENLULU MIKAELA B	2021	FFS	RENDERING	AGE 0-20	303	None	3,046	None	238	None	511	None	134	None	322	None	248	None	249	None
1295275642	BENLULU MIKAELA B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295278844	CHANG, CHEE, DDS A PROFESSIO	2021	GMC	RENDERING	AGE 0-20	164	None	1,254	None	101	None	418	None	34	None	146	None	150	None	300	None
1295278844	CHANG, CHEE, DDS A PROFESSIO	2021	GMC	RENDERING	AGE 21+	183	None	1,624	None	96	None	384	None	100	None	448	None	137	None	274	None
1295291516	NOLASCO RUSSEL R	2021	FFS	RENDERING	AGE 0-20	443	None	4,396	None	371	None	1,185	None	212	None	460	None	390	None	457	None
1295291516	NOLASCO RUSSEL R	2021	FFS	RENDERING	AGE 21+	568	None	3,060	None	208	None	227	None	300	None	665	None	393	None	395	None
1295291516	NOLASCO RUSSEL R	2021	PHP	RENDERING	AGE 0-20	62	None	158	None	28	None	60	None	None	1	None	2	48	None	53	None
1295291516	NOLASCO RUSSEL R	2021	PHP	RENDERING	AGE 21+	97	None	216	None	42	None	47	None	36	None	69	None	63	None	63	None
1295293645	ABDULLAH, MINA, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295341394	COX KELLY Y	2021	FFS	RENDERING	AGE 0-20	451	None	3,200	None	334	None	734	None	267	None	775	None	373	None	387	None
1295341394	COX KELLY Y	2021	FFS	RENDERING	AGE 21+	800	None	5,178	None	261	None	508	None	561	None	2,077	None	564	None	570	None
1295397719	ABTAHI KIMIYA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1295402600	OKWUOSA BRIDGET U	2021	FFS	RENDERING	AGE 0-20	43	None	469	None	32	None	130	None	23	None	95	None	37	None	37	None
1295402600	OKWUOSA BRIDGET U	2021	FFS	RENDERING	AGE 21+	53	None	429	None	15	None	29	None	31	None	159	None	37	None	37	None
1295402600	OKWUOSA BRIDGET U	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1295713923	DAMARGI SARKIS A	2021	FFS	RENDERING	AGE 0-20	22	None	175	None	19	None	65	None	12	None	38	None	21	None	33	None
1295713923	DAMARGI SARKIS A	2021	FFS	RENDERING	AGE 21+	618	None	6,437	None	336	None	630	None	578	None	4,239	None	549	None	549	None
1295722833	MORRIS, SIMON P, DDS	2021	FFS	RENDERING	AGE 0-20	52	None	137	None	22	None	39	None	None	1	None	2	45	None	50	None
1295722833	MORRIS, SIMON P, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1295737880	THAI, QUANG Q, DDS	2021	FFS	RENDERING	AGE 0-20	69	None	372	None	62	None	176	None	29	None	80	None	25	None	29	None
1295737880	THAI, QUANG Q, DDS	2021	FFS	RENDERING	AGE 21+	287	None	1,561	None	194	None	388	None	215	None	721	None	84	None	84	None
1295765147	BROWN, DIANE K, RDHAP	2021	FFS	RENDERING	AGE 21+	195	None	1,469	None	195	None	979	None	195	None	490	None	0	None	0	None
1295787943	KATZ, RICHARD L MD	2021	FFS	RENDERING	AGE 0-20	105	None	214	None	0	None	0	None	105	None	214	None	0	None	0	None
1295789063	TRAN, LYNN PHUONGLINH DDS	2021	FFS	RENDERING	AGE 0-20	127	None	1,426	None	117	None	448	None	60	None	133	None	125	None	152	None
1295789063	TRAN, LYNN PHUONGLINH DDS	2021	FFS	RENDERING	AGE 21+	170	None	1,344	None	116	None	236	None	119	None	448	None	131	None	132	None
1295802288	KHUU BERRY N	2021	FFS	RENDERING	AGE 0-20	250	None	1,800	None	128	None	293	None	151	None	662	None	125	None	125	None
1295803914	ZIRAKZADEH SARAH	2021	FFS	RENDERING	AGE 0-20	19	None	82	None	None	1	None	2	None	1	None	2	None	1	None	1
1295803914	ZIRAKZADEH SARAH	2021	FFS	RENDERING	AGE 21+	53	None	169	None	None	1	None	1	36	None	60	None	15	None	15	None
1295804078	GACIAS EMMALINE D	2021	PHP	RENDERING	AGE 0-20	21	None	153	None	21	None	56	None	20	None	37	None	19	None	23	None
1295808731	LENA DAVID A	2021	FFS	RENDERING	AGE 0-20	177	None	1,391	None	137	None	317	None	27	None	52	None	154	None	192	None
1295808731	LENA DAVID A	2021	FFS	RENDERING	AGE 21+	390	None	1,695	None	45	None	58	None	182	None	653	None	292	None	294	None
1295808731	LENA DAVID A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295811438	VU FREDERICK HI T	2021	FFS	RENDERING	AGE 0-20	45	None	314	None	41	None	181	None	15	None	23	None	39	None	48	None
1295811438	VU FREDERICK HI T	2021	FFS	RENDERING	AGE 21+	119	None	563	None	88	None	89	None	70	None	216	None	92	None	92	None
1295815447	LUM GARRETT L	2021	FFS	RENDERING	AGE 0-20	10,166	None	120,461	None	8,477	None	23,586	None	3,318	None	13,724	None	8,069	None	9,507	None
1295815447	LUM GARRETT L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1295815447	LUM GARRETT L	2021	GMC	RENDERING	AGE 0-20	162	None	1,680	None	60	None	95	None	161	None	1,184	None	None	1	None	1
1295816742	MILE SQUARE DENTISTRY	2021	FFS	RENDERING	AGE 0-20	42	None	327	None	40	None	89	None	34	None	143	None	34	None	44	None
1295816742	MILE SQUARE DENTISTRY	2021	FFS	RENDERING	AGE 21+	169	None	1,392	None	140	None	150	None	149	None	819	None	118	None	118	None
1295819464	NIRUYI SAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1295819464	NIRUYI SAM	2021	PHP	RENDERING	AGE 21+	236	None	1,701	None	194	None	626	None	208	None	415	None	97	None	102	None
1295825065	VAYNER JACOB J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1295825065	VAYNER JACOB J	2021	FFS	RENDERING	AGE 21+	37	None	202	None	21	None	40	None	19	None	79	None	28	None	28	None
1295833978	HERNANDEZ DINO C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295833978	HERNANDEZ DINO C	2021	FFS	RENDERING	AGE 21+	14	None	63	None	None	1	None	1	None	1	None	1	11	None	11	None
1295842441	DANG DAVID DUNG T	2021	FFS	RENDERING	AGE 0-20	190	None	1,764	None	165	None	332	None	61	None	189	None	181	None	202	None
1295842441	DANG DAVID DUNG T	2021	FFS	RENDERING	AGE 21+	202	None	1,680	None	128	None	128	None	115	None	399	None	144	None	144	None
1295842557	BADIHIAN HOMA	2021	FFS	RENDERING	AGE 0-20	113	None	941	None	100	None	217	None	75	None	350	None	99	None	136	None
1295842557	BADIHIAN HOMA	2021	FFS	RENDERING	AGE 21+	247	None	2,204	None	108	None	109	None	224	None	1,481	None	164	None	164	None
1295842557	BADIHIAN, HOMA, DDS	2021	FFS	RENDERING	AGE 0-20	113	None	941	None	100	None	217	None	75	None	350	None	99	None	136	None
1295842557	BADIHIAN, HOMA, DDS	2021	FFS	RENDERING	AGE 21+	247	None	2,204	None	108	None	109	None	224	None	1,481	None	164	None	164	None
1295843324	CHOI JOHN H	2021	FFS	RENDERING	AGE 0-20	252	None	1,289	None	0	None	0	None	251	None	1,279	None	0	None	0	None
1295843324	CHOI JOHN H	2021	FFS	RENDERING	AGE 21+	541	None	2,357	None	0	None	0	None	538	None	2,318	None	None	1	None	1
1295843324	CHOI JOHN H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1295856862	GAMA ANA M	2021	FFS	RENDERING	AGE 0-20	198	None	2,524	None	161	None	524	None	109	None	425	None	170	None	199	None
1295856862	GAMA ANA M	2021	FFS	RENDERING	AGE 21+	195	None	1,320	None	73	None	145	None	110	None	477	None	160	None	160	None
1295858504	ELYASPOOR SEVAK	2021	FFS	RENDERING	AGE 0-20	146	None	1,537	None	129	None	567	None	54	None	240	None	135	None	152	None
1295858504	ELYASPOOR SEVAK	2021	FFS	RENDERING	AGE 21+	641	None	4,288	None	196	None	385	None	422	None	1,580	None	510	None	510	None
1295858504	ELYASPOOR SEVAK	2021	PHP	RENDERING	AGE 0-20	20	None	217	None	19	None	99	None	None	1	None	2	19	None	27	None
1295858504	ELYASPOOR SEVAK	2021	PHP	RENDERING	AGE 21+	67	None	394	None	38	None	73	None	25	None	71	None	60	None	61	None
1295858637	CHADHA HARSIMRAN S	2021	FFS	RENDERING	AGE 0-20	47	None	312	None	40	None	127	None	25	None	66	None	39	None	48	None
1295858637	CHADHA HARSIMRAN S	2021	FFS	RENDERING	AGE 21+	162	None	800	None	104	None	206	None	101	None	304	None	111	None	111	None
1295859452	NGUYEN GIANG T	2021	FFS	RENDERING	AGE 0-20	27	None	399	None	26	None	131	None	None	1	None	1	26	None	36	None
1295859452	NGUYEN GIANG T	2021	FFS	RENDERING	AGE 21+	96	None	1,047	None	72	None	144	None	65	None	245	None	71	None	71	None
1295860013	HOANG BIET-HUONG T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295862902	YUNG SAMMY CHIU W	2021	FFS	RENDERING	AGE 0-20	198	None	1,668	None	119	None	372	None	120	None	246	None	123	None	131	None
1295862902	YUNG SAMMY CHIU W	2021	FFS	RENDERING	AGE 21+	1,248	None	10,881	None	545	None	1,097	None	1,004	None	3,070	None	633	None	634	None
1295863231	HAYRAPETIAN DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	284	None	3,010	None	76	None	262	None	216	None	890	None	237	None	247	None
1295863231	HAYRAPETIAN DENTAL CORP	2021	FFS	RENDERING	AGE 21+	419	None	4,322	None	246	None	248	None	326	None	1,729	None	315	None	315	None
1295868636	KIM BRIAN S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1295868636	KIM BRIAN S	2021	FFS	RENDERING	AGE 21+	41	None	99	None	None	1	None	1	34	None	55	None	None	1	None	1
1295871515	HULL DONALD F	2021	FFS	RENDERING	AGE 0-20	259	None	318	None	0	None	0	None	35	None	58	None	0	None	0	None
1295871515	HULL DONALD F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1295871515	HULL DONALD F	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295871515	HULL DONALD F	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295872497	MARTIN, VICTOR ALBANO DDS	2021	FFS	RENDERING	AGE 0-20	25	None	104	None	22	None	47	None	None	1	None	2	14	None	14	None
1295872497	MARTIN, VICTOR ALBANO DDS	2021	FFS	RENDERING	AGE 21+	37	None	144	None	17	None	17	None	16	None	64	None	22	None	22	None
1295872497	MARTIN, VICTOR ALBANO DDS	2021	PHP	RENDERING	AGE 0-20	17	None	108	None	15	None	51	None	None	1	None	1	11	None	12	None
1295872497	MARTIN, VICTOR ALBANO DDS	2021	PHP	RENDERING	AGE 21+	14	None	55	None	None	1	None	1	None	1	None	2	None	1	None	1
1295874303	NGUYEN NGOCDUNG T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295874303	NGUYEN NGOCDUNG T	2021	FFS	RENDERING	AGE 21+	3,594	None	21,455	None	2,209	None	7,255	None	3,594	None	11,309	None	2,805	None	2,805	None
1295880946	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295880946	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1295880946	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295880946	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1295884062	HO, MAI N, DDS	2021	FFS	RENDERING	AGE 0-20	59	None	475	None	55	None	213	None	17	None	32	None	56	None	74	None
1295884062	HO, MAI N, DDS	2021	FFS	RENDERING	AGE 21+	98	None	593	None	64	None	127	None	60	None	196	None	78	None	78	None
1295888386	MAGALANG CHRISTINE R	2021	FFS	RENDERING	AGE 0-20	6,368	None	78,208	None	6,174	None	16,188	None	1,862	None	2,566	None	6,262	None	7,771	None
1295888386	MAGALANG CHRISTINE R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1295888386	MAGALANG CHRISTINE R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295896850	TAN SANTOSA	2021	FFS	RENDERING	AGE 0-20	375	None	3,114	None	352	None	1,751	None	97	None	277	None	352	None	379	None
1295896850	TAN SANTOSA	2021	FFS	RENDERING	AGE 21+	1,134	None	4,664	None	806	None	1,603	None	387	None	1,543	None	583	None	583	None
1295896850	TAN SANTOSA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1295896850	TAN SANTOSA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295899581	EKMEKCHYAN, HAKOB DDS	2021	FFS	RENDERING	AGE 0-20	208	None	3,050	None	199	None	697	None	155	None	733	None	195	None	240	None
1295899581	EKMEKCHYAN, HAKOB DDS	2021	FFS	RENDERING	AGE 21+	244	None	2,777	None	140	None	279	None	216	None	1,126	None	160	None	160	None
1295899623	HO, KELLY L, DDS	2021	FFS	RENDERING	AGE 0-20	163	None	450	None	0	None	0	None	57	None	175	None	None	1	None	1
1295899623	HO, KELLY L, DDS	2021	FFS	RENDERING	AGE 21+	12	None	21	None	0	None	0	None	None	1	None	1	None	1	None	1
1295899623	HO, KELLY L, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1295899623	HO, KELLY LY, DDS MDS	2021	FFS	RENDERING	AGE 0-20	163	None	450	None	0	None	0	None	57	None	175	None	None	1	None	1
1295899623	HO, KELLY LY, DDS MDS	2021	FFS	RENDERING	AGE 21+	12	None	21	None	0	None	0	None	None	1	None	1	None	1	None	1
1295899623	HO, KELLY LY, DDS MDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1295901015	GHAHREMANI REZA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295903557	LARDIZABAL CHONA S	2021	FFS	RENDERING	AGE 0-20	170	None	3,400	None	164	None	799	None	50	None	185	None	165	None	261	None
1295903557	LARDIZABAL CHONA S	2021	FFS	RENDERING	AGE 21+	88	None	877	None	80	None	160	None	18	None	74	None	86	None	86	None
1295914240	MOYA MARK M	2021	FFS	RENDERING	AGE 0-20	35	None	229	None	23	None	78	None	None	1	None	1	28	None	28	None
1295914240	MOYA MARK M	2021	FFS	RENDERING	AGE 21+	46	None	183	None	None	1	None	1	23	None	56	None	21	None	23	None
1295914240	MOYA MARK M	2021	PHP	RENDERING	AGE 0-20	16	None	61	None	None	1	None	2	None	1	None	1	None	1	None	1
1295914240	MOYA MARK M	2021	PHP	RENDERING	AGE 21+	24	None	70	None	None	1	None	1	None	1	None	2	14	None	14	None
1295915023	SHAH SHITAL	2021	FFS	RENDERING	AGE 0-20	83	None	444	None	78	None	174	None	26	None	39	None	77	None	79	None
1295915023	SHAH SHITAL	2021	FFS	RENDERING	AGE 21+	161	None	887	None	89	None	174	None	69	None	136	None	128	None	128	None
1295915239	DU ALYSSA N	2021	FFS	RENDERING	AGE 0-20	343	None	4,396	None	310	None	1,182	None	168	None	476	None	313	None	382	None
1295915239	DU ALYSSA N	2021	FFS	RENDERING	AGE 21+	607	None	6,142	None	390	None	722	None	417	None	1,311	None	419	None	419	None
1295918951	GHAZARIAN ANAHIT T	2021	FFS	RENDERING	AGE 0-20	20	None	138	None	14	None	52	None	11	None	51	None	16	None	17	None
1295918951	GHAZARIAN ANAHIT T	2021	FFS	RENDERING	AGE 21+	46	None	280	None	26	None	50	None	38	None	160	None	29	None	29	None
1295925261	LAI, HAI, A PROFESSIONAL DEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1295936631	QIAO BINGSHENG	2021	FFS	RENDERING	AGE 0-20	536	None	7,474	None	515	None	2,034	None	253	None	626	None	459	None	617	None
1295936631	QIAO BINGSHENG	2021	FFS	RENDERING	AGE 21+	414	None	3,558	None	322	None	635	None	190	None	631	None	327	None	327	None
1295940047	CHU GENE T	2021	FFS	RENDERING	AGE 0-20	192	None	1,283	None	170	None	399	None	60	None	120	None	167	None	173	None
1295940047	CHU GENE T	2021	FFS	RENDERING	AGE 21+	211	None	897	None	73	None	135	None	103	None	211	None	149	None	149	None
1295942985	KANG, SEUNG M DDS	2021	FFS	RENDERING	AGE 0-20	483	None	5,197	None	410	None	1,096	None	185	None	727	None	405	None	503	None
1295942985	KANG, SEUNG M DDS	2021	FFS	RENDERING	AGE 21+	474	None	3,350	None	247	None	369	None	286	None	1,212	None	326	None	326	None
1295947760	HAGHSHENAS ROSHANAK	2021	FFS	RENDERING	AGE 0-20	1,572	None	16,174	None	1,293	None	4,160	None	1,020	None	3,067	None	1,267	None	1,306	None
1295947760	HAGHSHENAS ROSHANAK	2021	FFS	RENDERING	AGE 21+	239	None	1,478	None	79	None	159	None	165	None	466	None	102	None	102	None
1295947760	HAGHSHENAS ROSHANAK	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1295947760	HAGHSHENAS ROSHANAK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295949469	SPEED JOELLE C	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1295953925	KHATIBZADEH MORTEZA	2021	FFS	RENDERING	AGE 0-20	11	None	43	None	None	1	None	2	None	1	None	1	None	1	None	1
1295953925	KHATIBZADEH MORTEZA	2021	FFS	RENDERING	AGE 21+	61	None	208	None	None	1	None	2	44	None	102	None	17	None	17	None
1295957603	BYON ROSA T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1295958353	JAVID HOSSEIN H	2021	FFS	RENDERING	AGE 0-20	142	None	1,654	None	121	None	380	None	99	None	544	None	122	None	140	None
1295958353	JAVID HOSSEIN H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1295960870	TORRES EDWIN P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295960870	TORRES EDWIN P	2021	GMC	RENDERING	AGE 0-20	1,063	None	11,639	None	996	None	4,691	None	747	None	1,984	None	992	None	1,190	None
1295969517	SOTTO, MARITES DDS	2021	FFS	RENDERING	AGE 0-20	91	None	658	None	86	None	237	None	43	None	175	None	72	None	85	None
1295969517	SOTTO, MARITES DDS	2021	FFS	RENDERING	AGE 21+	279	None	1,808	None	256	None	510	None	172	None	694	None	270	None	270	None
1295973162	BUENAVENTURA CHRISTINE D	2021	FFS	RENDERING	AGE 0-20	231	None	1,242	None	85	None	242	None	183	None	592	None	46	None	47	None
1295973162	BUENAVENTURA CHRISTINE D	2021	FFS	RENDERING	AGE 21+	114	None	521	None	34	None	68	None	94	None	268	None	23	None	23	None
1295973386	RILEY-OWENS, PATRICIA, RDHAP	2021	FFS	RENDERING	AGE 21+	119	None	347	None	119	None	261	None	40	None	86	None	0	None	0	None
1295981959	KORDVANI ARIA	2021	FFS	RENDERING	AGE 0-20	403	None	1,772	None	363	None	734	None	21	None	47	None	275	None	285	None
1295981959	KORDVANI ARIA	2021	FFS	RENDERING	AGE 21+	465	None	1,308	None	254	None	254	None	160	None	543	None	153	None	153	None
1295984276	HOLLAND ROSARIO I	2021	FFS	RENDERING	AGE 0-20	729	None	10,715	None	686	None	2,264	None	369	None	1,803	None	689	None	895	None
1295984276	HOLLAND ROSARIO I	2021	FFS	RENDERING	AGE 21+	436	None	3,691	None	158	None	288	None	350	None	1,860	None	269	None	269	None
1295991131	MOSES, MARK ANTHONY DDS	2021	FFS	RENDERING	AGE 0-20	353	None	3,977	None	276	None	920	None	203	None	541	None	269	None	289	None
1295991131	MOSES, MARK ANTHONY DDS	2021	FFS	RENDERING	AGE 21+	372	None	2,756	None	142	None	239	None	270	None	771	None	187	None	187	None
1295998250	HUSSAIN SALMAN R	2021	FFS	RENDERING	AGE 0-20	254	None	1,172	None	0	None	0	None	254	None	1,172	None	0	None	0	None
1295998250	HUSSAIN SALMAN R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1306002332	PALAGANAS ALELI A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1306002332	PALAGANAS ALELI A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1306008305	PARK, DAVID, DDS INC	2021	GMC	RENDERING	AGE 0-20	26	None	48	None	None	1	None	1	19	None	26	None	None	1	None	1
1306008305	PARK, DAVID, DDS INC	2021	GMC	RENDERING	AGE 21+	15	None	26	None	0	None	0	None	13	None	16	None	None	1	None	1
1306012786	VAZQUEZ NORMA C	2021	FFS	RENDERING	AGE 0-20	83	None	1,106	None	78	None	257	None	20	None	48	None	82	None	116	None
1306012786	VAZQUEZ NORMA C	2021	FFS	RENDERING	AGE 21+	116	None	900	None	58	None	105	None	56	None	256	None	102	None	102	None
1306015425	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1306028949	TRAN HAO T	2021	FFS	RENDERING	AGE 0-20	315	None	3,578	None	262	None	857	None	148	None	399	None	253	None	283	None
1306028949	TRAN HAO T	2021	FFS	RENDERING	AGE 21+	446	None	4,476	None	317	None	318	None	288	None	1,145	None	312	None	313	None
1306030465	LEE, JEAN	2021	FFS	RENDERING	AGE 0-20	288	None	2,750	None	284	None	964	None	80	None	165	None	284	None	413	None
1306030465	LEE, JEAN	2021	FFS	RENDERING	AGE 21+	42	None	228	None	32	None	64	None	22	None	48	None	36	None	36	None
1306030770	CHEN HARVEY H	2021	PHP	RENDERING	AGE 21+	17	None	31	None	0	None	0	None	17	None	31	None	0	None	0	None
1306035746	KWAK, KYOUNG W DDS	2021	FFS	RENDERING	AGE 0-20	87	None	508	None	77	None	192	None	38	None	91	None	82	None	103	None
1306035746	KWAK, KYOUNG W DDS	2021	FFS	RENDERING	AGE 21+	436	None	2,165	None	272	None	540	None	217	None	591	None	360	None	360	None
1306035746	KWAK, KYOUNG W DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1306039169	LU, SHELDON XIAOCHEN, DMD	2021	FFS	RENDERING	AGE 0-20	57	None	289	None	22	None	52	None	40	None	156	None	37	None	37	None
1306039169	LU, SHELDON XIAOCHEN, DMD	2021	FFS	RENDERING	AGE 21+	609	None	4,920	None	86	None	168	None	485	None	3,488	None	296	None	296	None
1306040597	EDWARD LOPEZ AMERICA DENTAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306040597	EDWARD LOPEZ AMERICA DENTAL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1306040597	LOPEZ, EDWARD, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306040597	LOPEZ, EDWARD, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1306049093	JUAREZ JOSE V	2021	FFS	RENDERING	AGE 0-20	553	None	5,365	None	514	None	1,871	None	336	None	1,172	None	403	None	570	None
1306049093	JUAREZ JOSE V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306049093	JUAREZ JOSE V	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1306056494	ALVARADO, LUIS ARTURO	2021	FFS	RENDERING	AGE 0-20	261	None	2,186	None	222	None	560	None	151	None	362	None	233	None	287	None
1306056494	ALVARADO, LUIS ARTURO	2021	FFS	RENDERING	AGE 21+	404	None	3,034	None	218	None	430	None	301	None	1,040	None	258	None	258	None
1306063615	COHEN SEDGH, SOL, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306063615	COHEN SEDGH, SOL, DDS INC	2021	PHP	RENDERING	AGE 0-20	36	None	139	None	16	None	34	None	None	1	None	1	11	None	11	None
1306063615	COHEN SEDGH, SOL, DDS INC	2021	PHP	RENDERING	AGE 21+	81	None	270	None	23	None	32	None	None	1	None	2	18	None	20	None
1306066451	WU THOMAS H	2021	FFS	RENDERING	AGE 0-20	28	None	201	None	26	None	83	None	12	None	32	None	25	None	41	None
1306066451	WU THOMAS H	2021	FFS	RENDERING	AGE 21+	97	None	542	None	58	None	94	None	69	None	231	None	61	None	61	None
1306066451	WU, THOMAS H, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	201	None	26	None	83	None	12	None	32	None	25	None	41	None
1306066451	WU, THOMAS H, DDS	2021	FFS	RENDERING	AGE 21+	97	None	542	None	58	None	94	None	69	None	231	None	61	None	61	None
1306066501	BERHANU, JALE DDS	2021	FFS	RENDERING	AGE 0-20	222	None	1,706	None	176	None	444	None	100	None	271	None	191	None	238	None
1306066501	BERHANU, JALE DDS	2021	FFS	RENDERING	AGE 21+	343	None	2,096	None	162	None	324	None	273	None	828	None	194	None	194	None
1306069133	NGUYEN TRI M	2021	FFS	RENDERING	AGE 0-20	61	None	444	None	57	None	149	None	18	None	28	None	55	None	63	None
1306069133	NGUYEN TRI M	2021	FFS	RENDERING	AGE 21+	59	None	348	None	46	None	50	None	19	None	36	None	45	None	45	None
1306069505	HASOUN, BASSAM	2021	FFS	RENDERING	AGE 0-20	342	None	3,920	None	315	None	913	None	136	None	511	None	319	None	375	None
1306069505	HASOUN, BASSAM	2021	FFS	RENDERING	AGE 21+	429	None	3,114	None	264	None	532	None	276	None	1,027	None	301	None	301	None
1306070727	TSAI MATTHEW CHIE C	2021	FFS	RENDERING	AGE 0-20	16	None	129	None	None	1	None	2	None	1	None	2	12	None	12	None
1306070727	TSAI MATTHEW CHIE C	2021	FFS	RENDERING	AGE 21+	35	None	125	None	None	1	None	1	24	None	64	None	16	None	16	None
1306071758	LANDIS, C RANDY, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306075825	MAZAR-ATABAKI, CIMA DMD	2021	FFS	RENDERING	AGE 0-20	1,105	None	14,733	None	1,075	None	4,804	None	826	None	2,848	None	1,072	None	1,715	None
1306075825	MAZAR-ATABAKI, CIMA DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1306084223	GRIGORIAN RAYMOND	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306084223	GRIGORIAN RAYMOND	2021	FFS	RENDERING	AGE 21+	34	None	46	None	0	None	0	None	34	None	44	None	0	None	0	None
1306084223	GRIGORIAN RAYMOND	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1306084223	GRIGORIAN RAYMOND	2021	PHP	RENDERING	AGE 21+	19	None	46	None	0	None	0	None	19	None	26	None	14	None	14	None
1306087465	MALAGA FIGUEROA EDMUNDO J	2021	FFS	RENDERING	AGE 0-20	24	None	191	None	18	None	27	None	12	None	46	None	18	None	20	None
1306087465	MALAGA FIGUEROA EDMUNDO J	2021	FFS	RENDERING	AGE 21+	199	None	1,180	None	102	None	125	None	139	None	600	None	117	None	117	None
1306087465	MALAGA FIGUEROA EDMUNDO J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306087465	MALAGA FIGUEROA EDMUNDO J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306098645	HUANG FRANK	2021	FFS	RENDERING	AGE 0-20	89	None	668	None	71	None	172	None	53	None	144	None	48	None	54	None
1306098645	HUANG FRANK	2021	FFS	RENDERING	AGE 21+	249	None	1,445	None	103	None	206	None	164	None	444	None	151	None	151	None
1306108410	PARK JONAH J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1306108410	PARK JONAH J	2021	FFS	RENDERING	AGE 21+	50	None	182	None	0	None	0	None	50	None	182	None	0	None	0	None
1306123369	ABDELNABY BRIGIDA M	2021	FFS	RENDERING	AGE 0-20	322	None	3,529	None	315	None	1,003	None	222	None	782	None	315	None	520	None
1306133053	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	38	None	89	None	None	1	None	1	0	None	0	None	None	1	None	1
1306133053	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	30	None	73	None	None	1	None	1	None	1	None	1	None	1	None	2
1306133053	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	38	None	89	None	None	1	None	1	0	None	0	None	None	1	None	1
1306133053	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	30	None	73	None	None	1	None	1	None	1	None	1	None	1	None	2
1306152145	TRAN JULIE	2021	FFS	RENDERING	AGE 0-20	128	None	1,134	None	121	None	419	None	63	None	182	None	118	None	155	None
1306152145	TRAN JULIE	2021	FFS	RENDERING	AGE 21+	233	None	1,527	None	163	None	325	None	165	None	608	None	125	None	125	None
1306157094	VIET, CHI T MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1306157094	VIET, CHI T MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306170196	PATEL PAYAL J	2021	PHP	RENDERING	AGE 0-20	16	None	76	None	None	1	None	2	None	1	None	1	None	1	None	1
1306170196	PATEL PAYAL J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1306173158	KALEEL RANA R	2021	FFS	RENDERING	AGE 0-20	2,044	None	16,236	None	1,866	None	5,970	None	1,224	None	3,650	None	1,809	None	1,980	None
1306173158	KALEEL RANA R	2021	PHP	RENDERING	AGE 0-20	14	None	79	None	None	1	None	2	None	1	None	2	None	1	None	1
1306180708	LE KY T	2021	FFS	RENDERING	AGE 0-20	21	None	98	None	None	1	None	1	21	None	66	None	0	None	0	None
1306180708	LE KY T	2021	FFS	RENDERING	AGE 21+	30	None	117	None	None	1	None	2	25	None	67	None	None	1	None	1
1306181474	SANDERSON & ZARGARIAN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1306193396	LEFTWICH KELLY T	2021	FFS	RENDERING	AGE 0-20	60	None	448	None	40	None	106	None	32	None	71	None	46	None	46	None
1306193396	LEFTWICH KELLY T	2021	FFS	RENDERING	AGE 21+	86	None	721	None	14	None	20	None	44	None	181	None	72	None	72	None
1306193396	LEFTWICH KELLY T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306193560	RENK HAWTHORNE, EMILY, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1306216544	SHABANI ELENA	2021	FFS	RENDERING	AGE 0-20	67	None	420	None	34	None	100	None	47	None	140	None	39	None	48	None
1306216544	SHABANI ELENA	2021	FFS	RENDERING	AGE 21+	185	None	1,288	None	51	None	80	None	149	None	753	None	114	None	114	None
1306216882	KANSAGRA KRISHNA P	2021	FFS	RENDERING	AGE 0-20	426	None	4,521	None	354	None	1,057	None	280	None	1,016	None	372	None	384	None
1306221783	HOANG LANA T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306221783	HOANG LANA T	2021	GMC	RENDERING	AGE 0-20	262	None	1,338	None	176	None	367	None	97	None	141	None	176	None	176	None
1306221783	HOANG LANA T	2021	GMC	RENDERING	AGE 21+	425	None	2,038	None	141	None	284	None	294	None	589	None	202	None	204	None
1306234760	KIM SUNG KOO	2021	FFS	RENDERING	AGE 0-20	54	None	328	None	48	None	107	None	15	None	35	None	52	None	59	None
1306234760	KIM SUNG KOO	2021	FFS	RENDERING	AGE 21+	152	None	655	None	77	None	153	None	52	None	125	None	114	None	114	None
1306239702	LAVIAN ALAN	2021	FFS	RENDERING	AGE 0-20	64	None	479	None	36	None	99	None	35	None	102	None	37	None	37	None
1306239702	LAVIAN ALAN	2021	FFS	RENDERING	AGE 21+	73	None	302	None	None	1	None	2	54	None	134	None	26	None	26	None
1306239702	LAVIAN ALAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1306241369	TRAN ANDY N	2021	FFS	RENDERING	AGE 0-20	126	None	2,134	None	119	None	359	None	84	None	366	None	122	None	173	None
1306241369	TRAN ANDY N	2021	FFS	RENDERING	AGE 21+	278	None	3,431	None	221	None	438	None	231	None	1,509	None	235	None	235	None
1306241591	GONZALEZ ROBERTO	2021	FFS	RENDERING	AGE 0-20	345	None	2,873	None	341	None	1,080	None	177	None	503	None	310	None	417	None
1306241591	GONZALEZ ROBERTO	2021	FFS	RENDERING	AGE 21+	232	None	1,093	None	187	None	187	None	92	None	356	None	214	None	214	None
1306248893	HERAVI MONA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306250964	PARRA EILEEN P	2021	FFS	RENDERING	AGE 0-20	497	None	5,492	None	418	None	1,255	None	228	None	662	None	408	None	421	None
1306250964	PARRA EILEEN P	2021	FFS	RENDERING	AGE 21+	373	None	2,900	None	146	None	280	None	248	None	775	None	203	None	203	None
1306252051	OPEN DOOR COMMUNITY HEALTH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306258967	SADEGHEIN NEGAR	2021	FFS	RENDERING	AGE 0-20	2,659	None	21,104	None	2,298	None	6,811	None	1,620	None	4,730	None	2,092	None	2,228	None
1306271515	SINGH NAVPREET	2021	FFS	RENDERING	AGE 0-20	2,903	None	29,806	None	2,174	None	7,367	None	2,133	None	5,488	None	2,156	None	2,405	None
1306271515	SINGH NAVPREET	2021	FFS	RENDERING	AGE 21+	14	None	42	None	None	1	None	1	None	1	None	1	None	1	None	1
1306272190	HOANG TEA H	2021	FFS	RENDERING	AGE 0-20	211	None	2,310	None	167	None	414	None	117	None	417	None	176	None	208	None
1306272190	HOANG TEA H	2021	FFS	RENDERING	AGE 21+	517	None	3,535	None	165	None	333	None	400	None	1,532	None	299	None	300	None
1306295654	LAM ANGELA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1306295928	GOCHEZ JR OSCAR A	2021	FFS	RENDERING	AGE 0-20	140	None	952	None	81	None	180	None	65	None	119	None	99	None	101	None
1306295928	GOCHEZ JR OSCAR A	2021	FFS	RENDERING	AGE 21+	281	None	1,468	None	84	None	86	None	177	None	405	None	154	None	154	None
1306299086	CHOWDHARY ANSHUJA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306305875	GUZMAN MELISSA	2021	FFS	RENDERING	AGE 0-20	1,635	None	15,207	None	1,348	None	3,910	None	714	None	1,758	None	1,266	None	1,318	None
1306305875	GUZMAN MELISSA	2021	FFS	RENDERING	AGE 21+	400	None	2,158	None	94	None	183	None	169	None	321	None	251	None	251	None
1306305875	GUZMAN MELISSA	2021	PHP	RENDERING	AGE 0-20	11	None	70	None	None	1	None	2	None	1	None	2	None	1	None	1
1306305875	GUZMAN MELISSA	2021	PHP	RENDERING	AGE 21+	13	None	47	None	None	1	None	1	None	1	None	1	12	None	12	None
1306323324	CURY ROSA PRISCILLA A	2021	FFS	RENDERING	AGE 0-20	36	None	406	None	27	None	102	None	20	None	75	None	33	None	39	None
1306323324	CURY ROSA PRISCILLA A	2021	FFS	RENDERING	AGE 21+	48	None	319	None	None	1	None	2	32	None	142	None	38	None	38	None
1306328315	NISHIMURA GRANT H	2021	FFS	RENDERING	AGE 0-20	42	None	127	None	0	None	0	None	42	None	123	None	0	None	0	None
1306328315	NISHIMURA GRANT H	2021	FFS	RENDERING	AGE 21+	93	None	261	None	0	None	0	None	89	None	239	None	None	1	None	1
1306339098	RAJOUB LIN	2021	FFS	RENDERING	AGE 0-20	355	None	2,567	None	332	None	1,078	None	184	None	319	None	334	None	356	None
1306339098	RAJOUB LIN	2021	FFS	RENDERING	AGE 21+	116	None	543	None	50	None	101	None	72	None	230	None	59	None	59	None
1306343264	CHOUDHARY SHOBHITA	2021	FFS	RENDERING	AGE 0-20	267	None	2,296	None	162	None	463	None	132	None	368	None	220	None	228	None
1306343264	CHOUDHARY SHOBHITA	2021	FFS	RENDERING	AGE 21+	566	None	2,922	None	23	None	35	None	284	None	744	None	408	None	410	None
1306343264	CHOUDHARY SHOBHITA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306343264	CHOUDHARY SHOBHITA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1306361845	KIM EUGENE Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306365259	KIM JOHN Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306367792	FREER ZACHARY L	2021	FFS	RENDERING	AGE 21+	27	None	71	None	0	None	0	None	26	None	37	None	0	None	0	None
1306370796	YUN STEVEN	2021	FFS	RENDERING	AGE 0-20	3,952	None	77,018	None	3,867	None	17,000	None	3,086	None	13,153	None	3,879	None	6,057	None
1306370796	YUN STEVEN	2021	FFS	RENDERING	AGE 21+	279	None	3,026	None	222	None	452	None	176	None	676	None	243	None	243	None
1306370929	NGUYEN STEPHANIE G Q	2021	FFS	RENDERING	AGE 0-20	22	None	175	None	21	None	46	None	16	None	53	None	20	None	22	None
1306370929	NGUYEN STEPHANIE G Q	2021	FFS	RENDERING	AGE 21+	84	None	537	None	70	None	122	None	50	None	126	None	69	None	69	None
1306373626	MOTANABBEH ALI	2021	FFS	RENDERING	AGE 0-20	124	None	885	None	39	None	72	None	82	None	240	None	96	None	98	None
1306373626	MOTANABBEH ALI	2021	FFS	RENDERING	AGE 21+	859	None	5,768	None	194	None	202	None	641	None	2,583	None	575	None	575	None
1306393004	TATHGUR MANJOT K	2021	FFS	RENDERING	AGE 0-20	132	None	683	None	86	None	334	None	93	None	231	None	None	1	None	1
1306393004	TATHGUR MANJOT K	2021	FFS	RENDERING	AGE 21+	144	None	469	None	52	None	99	None	117	None	282	None	None	1	None	1
1306399910	HAROUNIAN, ANGEL DDS	2021	FFS	RENDERING	AGE 0-20	61	None	632	None	49	None	210	None	39	None	114	None	57	None	81	None
1306399910	HAROUNIAN, ANGEL DDS	2021	FFS	RENDERING	AGE 21+	247	None	1,887	None	121	None	220	None	189	None	1,039	None	179	None	179	None
1306399910	HAROUNIAN, ANGEL DDS	2021	PHP	RENDERING	AGE 0-20	63	None	587	None	55	None	195	None	23	None	97	None	56	None	78	None
1306399910	HAROUNIAN, ANGEL DDS	2021	PHP	RENDERING	AGE 21+	201	None	1,380	None	138	None	271	None	146	None	674	None	161	None	162	None
1306417860	LY KIM M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1306418348	WONG NICHOLAS A	2021	FFS	RENDERING	AGE 0-20	67	None	428	None	38	None	77	None	25	None	56	None	53	None	53	None
1306418348	WONG NICHOLAS A	2021	FFS	RENDERING	AGE 21+	179	None	963	None	61	None	121	None	121	None	250	None	89	None	89	None
1306432752	NGUYEN HUY T	2021	FFS	RENDERING	AGE 0-20	2,664	None	20,137	None	1,937	None	5,440	None	1,684	None	4,263	None	1,818	None	1,836	None
1306432752	NGUYEN HUY T	2021	FFS	RENDERING	AGE 21+	12	None	56	None	None	1	None	1	None	1	None	1	None	1	None	1
1306445689	TRAN VU A	2021	FFS	RENDERING	AGE 0-20	46	None	369	None	38	None	65	None	15	None	28	None	38	None	40	None
1306445689	TRAN VU A	2021	FFS	RENDERING	AGE 21+	91	None	752	None	56	None	56	None	56	None	181	None	64	None	64	None
1306445689	TRAN VU A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306458443	NARRA HARIKA	2021	FFS	RENDERING	AGE 0-20	387	None	2,129	None	277	None	701	None	204	None	515	None	254	None	254	None
1306458443	NARRA HARIKA	2021	FFS	RENDERING	AGE 21+	477	None	1,646	None	101	None	177	None	249	None	749	None	220	None	221	None
1306458443	NARRA HARIKA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306458443	NARRA HARIKA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306470711	VAN SICKLEN, ANDREW, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306480793	GOSHAYESHI AZADEH	2021	FFS	RENDERING	AGE 0-20	228	None	928	None	126	None	330	None	100	None	220	None	110	None	110	None
1306480793	GOSHAYESHI AZADEH	2021	FFS	RENDERING	AGE 21+	224	None	651	None	26	None	47	None	118	None	269	None	100	None	100	None
1306480793	GOSHAYESHI AZADEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1306480793	GOSHAYESHI AZADEH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306494000	SONG YAE S	2021	FFS	RENDERING	AGE 0-20	1,081	None	12,846	None	816	None	2,584	None	711	None	2,367	None	791	None	893	None
1306494000	SONG YAE S	2021	FFS	RENDERING	AGE 21+	899	None	6,276	None	40	None	77	None	663	None	1,901	None	443	None	443	None
1306800685	HUANG, STANLEY, DDS	2021	FFS	RENDERING	AGE 21+	165	None	1,116	None	83	None	146	None	116	None	351	None	119	None	119	None
1306839162	ST MARY MEDICAL CENTER	2021	FFS	RENDERING	AGE 21+	257	None	2,303	None	173	None	194	None	214	None	1,090	None	168	None	171	None
1306864210	PURDY DANIEL C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1306878467	NGUYEN HUONG T	2021	FFS	RENDERING	AGE 0-20	108	None	881	None	104	None	369	None	36	None	106	None	105	None	145	None
1306878467	NGUYEN HUONG T	2021	FFS	RENDERING	AGE 21+	235	None	1,484	None	199	None	399	None	99	None	212	None	206	None	206	None
1306896022	LAPARRA FREDDY E	2021	FFS	RENDERING	AGE 0-20	164	None	1,123	None	96	None	301	None	89	None	306	None	107	None	114	None
1306896022	LAPARRA FREDDY E	2021	FFS	RENDERING	AGE 21+	437	None	2,330	None	135	None	265	None	292	None	1,261	None	242	None	242	None
1306904891	RABADI, IBRAHIM A, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	312	None	44	None	173	None	14	None	51	None	25	None	42	None
1306904891	RABADI, IBRAHIM A, DDS	2021	FFS	RENDERING	AGE 21+	95	None	669	None	56	None	56	None	81	None	420	None	65	None	65	None
1306904891	RABADI, IBRAHIM A, DDS	2021	PHP	RENDERING	AGE 0-20	79	None	757	None	77	None	417	None	33	None	116	None	77	None	117	None
1306904891	RABADI, IBRAHIM A, DDS	2021	PHP	RENDERING	AGE 21+	64	None	447	None	43	None	94	None	38	None	180	None	57	None	67	None
1306914650	OWJI, MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	887	None	10,509	None	806	None	2,993	None	400	None	1,806	None	833	None	1,089	None
1306914650	OWJI, MOHAMMAD	2021	FFS	RENDERING	AGE 21+	746	None	6,514	None	466	None	932	None	532	None	2,315	None	591	None	593	None
1306920970	GRADY ANN MARIE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306920970	GRADY ANN MARIE	2021	FFS	RENDERING	AGE 21+	42	None	247	None	0	None	0	None	37	None	221	None	0	None	0	None
1306920970	GRADY ANN MARIE	2021	GMC	RENDERING	AGE 0-20	29	None	90	None	0	None	0	None	27	None	73	None	None	1	None	1
1306920970	GRADY ANN MARIE	2021	GMC	RENDERING	AGE 21+	65	None	258	None	0	None	0	None	31	None	178	None	41	None	41	None
1306923545	BUGHAO, RODNEY J, DDS	2021	FFS	RENDERING	AGE 0-20	69	None	957	None	64	None	187	None	68	None	486	None	66	None	67	None
1306923545	BUGHAO, RODNEY J, DDS	2021	FFS	RENDERING	AGE 21+	317	None	3,710	None	276	None	284	None	317	None	2,344	None	198	None	198	None
1306923545	BUGHAO, RODNEY J, DDS	2021	GMC	RENDERING	AGE 0-20	19	None	389	None	18	None	78	None	19	None	128	None	16	None	16	None
1306923545	BUGHAO, RODNEY J, DDS	2021	GMC	RENDERING	AGE 21+	22	None	480	None	17	None	18	None	21	None	269	None	19	None	19	None
1306924980	LIBERTY DONALD R.	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1306924980	LIBERTY DONALD R.	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1306935234	BISBAS ANTON J	2021	FFS	RENDERING	AGE 0-20	169	None	311	None	0	None	0	None	55	None	150	None	0	None	0	None
1306935234	BISBAS ANTON J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306960893	TORRES JOSE R	2021	FFS	RENDERING	AGE 0-20	60	None	516	None	55	None	121	None	17	None	50	None	49	None	53	None
1306960893	TORRES JOSE R	2021	FFS	RENDERING	AGE 21+	88	None	534	None	64	None	65	None	47	None	147	None	70	None	70	None
1306964366	ALZATE, JUAN JOSE, DDS	2021	FFS	RENDERING	AGE 0-20	662	None	2,558	None	0	None	0	None	517	None	1,362	None	539	None	539	None
1306964366	ALZATE, JUAN JOSE, DDS	2021	FFS	RENDERING	AGE 21+	2,657	None	11,725	None	0	None	0	None	2,142	None	6,110	None	2,079	None	2,084	None
1306964366	ALZATE, JUAN JOSE, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1306966148	BAYSA, ROCKY C, DMD	2021	FFS	RENDERING	AGE 0-20	116	None	742	None	79	None	241	None	63	None	187	None	57	None	59	None
1306966148	BAYSA, ROCKY C, DMD	2021	FFS	RENDERING	AGE 21+	403	None	1,431	None	86	None	167	None	266	None	736	None	112	None	113	None
1306971205	UM KARAM	2021	FFS	RENDERING	AGE 0-20	208	None	1,567	None	161	None	415	None	135	None	499	None	124	None	133	None
1306971205	UM KARAM	2021	FFS	RENDERING	AGE 21+	289	None	2,069	None	113	None	209	None	221	None	1,069	None	125	None	125	None
1306976121	NGUYEN, HUNG DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1306976121	NGUYEN, HUNG DDS	2021	FFS	RENDERING	AGE 21+	68	None	418	None	40	None	40	None	56	None	167	None	25	None	25	None
1306976618	OH SAEKYU	2021	FFS	RENDERING	AGE 0-20	698	None	2,881	None	312	None	645	None	63	None	135	None	116	None	116	None
1306976618	OH SAEKYU	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306979182	ARAGON DAVID CHARLES DDS	2021	FFS	RENDERING	AGE 0-20	282	None	3,718	None	275	None	1,036	None	66	None	145	None	273	None	374	None
1306979182	ARAGON DAVID CHARLES DDS	2021	FFS	RENDERING	AGE 21+	283	None	3,033	None	168	None	334	None	221	None	683	None	178	None	178	None
1306979638	PARK, JOOYOEL	2021	FFS	RENDERING	AGE 0-20	158	None	1,374	None	99	None	153	None	111	None	360	None	125	None	133	None
1306979638	PARK, JOOYOEL	2021	FFS	RENDERING	AGE 21+	337	None	2,121	None	53	None	53	None	293	None	1,058	None	185	None	185	None
1306979638	PARK, JOOYOEL	2021	PHP	RENDERING	AGE 0-20	64	None	532	None	44	None	67	None	38	None	120	None	53	None	65	None
1306979638	PARK, JOOYOEL	2021	PHP	RENDERING	AGE 21+	94	None	577	None	19	None	20	None	62	None	282	None	67	None	68	None
1306982335	VAHEDI SOHEIL	2021	FFS	RENDERING	AGE 0-20	154	None	1,312	None	108	None	322	None	51	None	151	None	134	None	140	None
1306982335	VAHEDI SOHEIL	2021	FFS	RENDERING	AGE 21+	488	None	2,639	None	112	None	206	None	308	None	1,023	None	292	None	292	None
1306982335	VAHEDI SOHEIL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1306982335	VAHEDI SOHEIL	2021	PHP	RENDERING	AGE 21+	15	None	127	None	None	1	None	1	None	1	None	2	15	None	19	None
1306982483	DOAN TRUNG K	2021	FFS	RENDERING	AGE 0-20	209	None	2,015	None	198	None	701	None	111	None	312	None	192	None	252	None
1306982483	DOAN TRUNG K	2021	FFS	RENDERING	AGE 21+	171	None	1,057	None	101	None	201	None	116	None	424	None	119	None	119	None
1306982723	ASWANI POOJA	2021	FFS	RENDERING	AGE 0-20	36	None	227	None	27	None	87	None	None	1	None	2	27	None	29	None
1306982723	ASWANI POOJA	2021	FFS	RENDERING	AGE 21+	63	None	233	None	17	None	21	None	35	None	90	None	35	None	35	None
1306982723	ASWANI POOJA	2021	PHP	RENDERING	AGE 0-20	55	None	446	None	44	None	156	None	28	None	82	None	44	None	51	None
1306982723	ASWANI POOJA	2021	PHP	RENDERING	AGE 21+	141	None	601	None	58	None	67	None	59	None	225	None	109	None	110	None
1306984596	ABARO RONALD C	2021	FFS	RENDERING	AGE 0-20	4,212	None	48,433	None	3,016	None	10,090	None	2,153	None	8,146	None	3,751	None	4,615	None
1306984596	ABARO RONALD C	2021	FFS	RENDERING	AGE 21+	4,873	None	36,284	None	1,580	None	2,781	None	3,303	None	13,593	None	3,572	None	3,595	None
1306984596	ABARO RONALD C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1306984596	ABARO RONALD C	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1306986096	NGUYEN-VU, THANH Q, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	247	None	32	None	57	None	11	None	30	None	35	None	51	None
1306986096	NGUYEN-VU, THANH Q, DDS	2021	FFS	RENDERING	AGE 21+	86	None	424	None	79	None	79	None	34	None	87	None	82	None	82	None
1306987342	FIDEL, JOSE T, DDS	2021	FFS	RENDERING	AGE 0-20	36	None	168	None	28	None	55	None	11	None	22	None	28	None	34	None
1306987342	FIDEL, JOSE T, DDS	2021	FFS	RENDERING	AGE 21+	63	None	261	None	33	None	33	None	37	None	83	None	41	None	41	None
1306988118	MASSOUMI, SAFOURA, PROF DENT	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306993050	YELIAZYAN, ARAM, DDS	2021	FFS	RENDERING	AGE 0-20	53	None	624	None	41	None	192	None	29	None	174	None	45	None	90	None
1306993050	YELIAZYAN, ARAM, DDS	2021	FFS	RENDERING	AGE 21+	545	None	8,456	None	337	None	1,278	None	464	None	5,120	None	419	None	838	None
1306993969	ZHONG BETTY Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306995345	CHEUNG PATRICK H	2021	FFS	RENDERING	AGE 0-20	129	None	909	None	123	None	302	None	42	None	74	None	112	None	139	None
1306995345	CHEUNG PATRICK H	2021	FFS	RENDERING	AGE 21+	341	None	2,268	None	239	None	477	None	156	None	252	None	215	None	215	None
1316009517	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	16	None	115	None	None	1	None	2	None	1	None	1	15	None	15	None
1316009517	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	35	None	175	None	13	None	27	None	12	None	23	None	31	None	31	None
1316009517	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	16	None	115	None	None	1	None	2	None	1	None	1	15	None	15	None
1316009517	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	35	None	175	None	13	None	27	None	12	None	23	None	31	None	31	None
1316009921	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316009921	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316010309	MARTINEZ, MIGUEL A CHOY, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	918	None	108	None	115	None	52	None	184	None	89	None	91	None
1316010309	MARTINEZ, MIGUEL A CHOY, DDS	2021	FFS	RENDERING	AGE 21+	312	None	2,202	None	161	None	161	None	196	None	804	None	199	None	199	None
1316014376	HALLER EARL L	2021	FFS	RENDERING	AGE 0-20	84	None	113	None	0	None	0	None	27	None	39	None	0	None	0	None
1316014376	HALLER EARL L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316034168	TRUONG, THANH	2021	FFS	RENDERING	AGE 0-20	313	None	2,766	None	271	None	1,092	None	195	None	657	None	271	None	322	None
1316034168	TRUONG, THANH	2021	FFS	RENDERING	AGE 21+	657	None	5,784	None	374	None	746	None	570	None	3,132	None	431	None	444	None
1316034168	TRUONG, THANH, DDS	2021	FFS	RENDERING	AGE 0-20	313	None	2,766	None	271	None	1,092	None	195	None	657	None	271	None	322	None
1316034168	TRUONG, THANH, DDS	2021	FFS	RENDERING	AGE 21+	657	None	5,784	None	374	None	746	None	570	None	3,132	None	431	None	444	None
1316035181	SAIDARA KAMRAN R	2021	FFS	RENDERING	AGE 0-20	226	None	2,475	None	207	None	910	None	92	None	270	None	198	None	254	None
1316035181	SAIDARA KAMRAN R	2021	FFS	RENDERING	AGE 21+	384	None	2,484	None	276	None	276	None	190	None	622	None	311	None	311	None
1316035181	SAIDARA KAMRAN R	2021	PHP	RENDERING	AGE 0-20	120	None	1,214	None	116	None	543	None	46	None	121	None	117	None	153	None
1316035181	SAIDARA KAMRAN R	2021	PHP	RENDERING	AGE 21+	153	None	1,048	None	137	None	403	None	81	None	259	None	127	None	128	None
1316044019	SIRON JUNE C	2021	FFS	RENDERING	AGE 0-20	2,068	None	20,443	None	1,930	None	5,626	None	1,199	None	4,353	None	1,928	None	2,311	None
1316044019	SIRON JUNE C	2021	FFS	RENDERING	AGE 21+	127	None	200	None	43	None	44	None	28	None	38	None	93	None	93	None
1316044522	EISNER PEDIATRIC &	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1316046196	HUDSON ARTHUR LEROY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316050099	GUO PEIRONG	2021	FFS	RENDERING	AGE 0-20	29	None	179	None	18	None	41	None	19	None	42	None	17	None	17	None
1316050099	GUO PEIRONG	2021	FFS	RENDERING	AGE 21+	17	None	103	None	None	1	None	2	17	None	53	None	0	None	0	None
1316054240	MARFATIA RIKIM A	2021	FFS	RENDERING	AGE 0-20	31	None	276	None	22	None	49	None	16	None	36	None	22	None	24	None
1316054240	MARFATIA RIKIM A	2021	FFS	RENDERING	AGE 21+	107	None	645	None	37	None	73	None	68	None	180	None	50	None	50	None
1316068869	PETROSIAN NARINE	2021	FFS	RENDERING	AGE 0-20	4,618	None	41,935	None	4,232	None	15,818	None	2,277	None	6,066	None	4,170	None	5,294	None
1316073851	HAZRATI-SARSHAR FAYE	2021	FFS	RENDERING	AGE 0-20	22	None	145	None	20	None	46	None	None	1	None	2	22	None	22	None
1316073851	HAZRATI-SARSHAR FAYE	2021	FFS	RENDERING	AGE 21+	103	None	553	None	41	None	82	None	54	None	253	None	85	None	86	None
1316076672	JOSEPH DAVID B	2021	FFS	RENDERING	AGE 0-20	168	None	2,061	None	144	None	195	None	65	None	200	None	159	None	208	None
1316076672	JOSEPH DAVID B	2021	FFS	RENDERING	AGE 21+	525	None	5,630	None	294	None	294	None	379	None	1,783	None	131	None	131	None
1316077555	MEKMANEE LALLANA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1316078686	LAI, HAI DDS	2021	FFS	RENDERING	AGE 0-20	630	None	10,982	None	606	None	2,756	None	273	None	835	None	609	None	852	None
1316078686	LAI, HAI DDS	2021	FFS	RENDERING	AGE 21+	422	None	4,970	None	334	None	675	None	272	None	925	None	365	None	368	None
1316079809	DOAN DUC M	2021	FFS	RENDERING	AGE 0-20	190	None	1,494	None	165	None	438	None	91	None	299	None	174	None	202	None
1316079809	DOAN DUC M	2021	FFS	RENDERING	AGE 21+	216	None	1,063	None	125	None	125	None	113	None	334	None	182	None	182	None
1316079809	DOAN DUC M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1316086069	NEI, DICK-CHONG J, DDS	2021	FFS	RENDERING	AGE 21+	17	None	182	None	None	1	None	1	17	None	67	None	None	1	None	1
1316089584	ROBERT JR RICHARD C	2021	FFS	RENDERING	AGE 0-20	28	None	105	None	0	None	0	None	14	None	80	None	14	None	14	None
1316089584	ROBERT JR RICHARD C	2021	FFS	RENDERING	AGE 21+	18	None	89	None	0	None	0	None	17	None	82	None	None	1	None	1
1316093727	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1316093727	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1316095417	SWE, THET DDS	2021	FFS	RENDERING	AGE 0-20	60	None	782	None	59	None	233	None	31	None	116	None	57	None	57	None
1316095417	SWE, THET DDS	2021	FFS	RENDERING	AGE 21+	41	None	286	None	18	None	35	None	29	None	59	None	21	None	21	None
1316097546	REIHANI, KUROSH H DDS	2021	FFS	RENDERING	AGE 0-20	40	None	357	None	36	None	144	None	18	None	38	None	38	None	47	None
1316097546	REIHANI, KUROSH H DDS	2021	FFS	RENDERING	AGE 21+	335	None	3,023	None	232	None	463	None	213	None	929	None	327	None	329	None
1316121221	TAM IRENE W	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1316121221	TAM IRENE W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1316131980	TREYSTMAN MARK	2021	FFS	RENDERING	AGE 0-20	50	None	427	None	28	None	89	None	44	None	166	None	29	None	31	None
1316131980	TREYSTMAN MARK	2021	FFS	RENDERING	AGE 21+	181	None	2,012	None	92	None	181	None	166	None	1,059	None	107	None	108	None
1316132673	ZAPANTA CRISTINE	2021	FFS	RENDERING	AGE 0-20	47	None	365	None	30	None	58	None	32	None	135	None	31	None	34	None
1316132673	ZAPANTA CRISTINE	2021	FFS	RENDERING	AGE 21+	86	None	440	None	24	None	34	None	56	None	176	None	49	None	61	None
1316134893	SHANABO SHAZA	2021	FFS	RENDERING	AGE 0-20	170	None	4,415	None	148	None	342	None	152	None	1,743	None	159	None	220	None
1316134893	SHANABO SHAZA	2021	FFS	RENDERING	AGE 21+	222	None	4,618	None	111	None	124	None	211	None	2,762	None	152	None	156	None
1316134893	SHANABO SHAZA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1316134893	SHANABO SHAZA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1316137870	MUBARAKA NUJOUD	2021	FFS	RENDERING	AGE 0-20	34	None	232	None	30	None	74	None	22	None	75	None	22	None	22	None
1316137870	MUBARAKA NUJOUD	2021	FFS	RENDERING	AGE 21+	83	None	671	None	55	None	55	None	60	None	353	None	55	None	55	None
1316141666	AUSKER, YURI, DDS	2021	FFS	RENDERING	AGE 0-20	29	None	65	None	None	1	None	1	27	None	42	None	None	1	None	1
1316141666	AUSKER, YURI, DDS	2021	FFS	RENDERING	AGE 21+	540	None	875	None	None	1	None	2	523	None	810	None	None	1	None	1
1316149370	MEHTA ASHOKKUMAR S	2021	FFS	RENDERING	AGE 0-20	422	None	5,856	None	387	None	1,434	None	250	None	940	None	390	None	553	None
1316149370	MEHTA ASHOKKUMAR S	2021	FFS	RENDERING	AGE 21+	792	None	6,886	None	286	None	418	None	604	None	2,799	None	564	None	566	None
1316149370	MEHTA ASHOKKUMAR S	2021	PHP	RENDERING	AGE 0-20	17	None	111	None	14	None	52	None	None	1	None	1	14	None	20	None
1316149370	MEHTA ASHOKKUMAR S	2021	PHP	RENDERING	AGE 21+	33	None	242	None	11	None	18	None	24	None	116	None	27	None	28	None
1316150964	ABUL-FIELAT, MOHAMMAD, DDS I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1316150964	MOHAMMAD A FIELAT DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1316156839	MOORE-PIMENTAL, CAROLINE DMD	2021	FFS	RENDERING	AGE 0-20	73	None	532	None	63	None	98	None	37	None	143	None	65	None	72	None
1316156839	MOORE-PIMENTAL, CAROLINE DMD	2021	FFS	RENDERING	AGE 21+	125	None	840	None	95	None	101	None	76	None	248	None	95	None	95	None
1316159130	TRAN, KRISTINE NGA HOANG DMD	2021	FFS	RENDERING	AGE 0-20	135	None	1,826	None	126	None	643	None	34	None	86	None	126	None	167	None
1316159130	TRAN, KRISTINE NGA HOANG DMD	2021	FFS	RENDERING	AGE 21+	500	None	4,325	None	276	None	278	None	451	None	2,227	None	360	None	360	None
1316176639	CHOI CHRISTOPHER C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1316181969	LAI CHRISTOPHER T	2021	FFS	RENDERING	AGE 0-20	168	None	248	None	0	None	0	None	34	None	72	None	0	None	0	None
1316181969	LAI CHRISTOPHER T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316186562	MAROON-LOPEZ, CARMEN DENISE,	2021	FFS	RENDERING	AGE 0-20	53	None	524	None	40	None	52	None	26	None	98	None	53	None	61	None
1316186562	MAROON-LOPEZ, CARMEN DENISE,	2021	FFS	RENDERING	AGE 21+	352	None	2,763	None	99	None	99	None	240	None	1,077	None	287	None	287	None
1316188030	PHAM MARY R	2021	FFS	RENDERING	AGE 0-20	1,977	None	16,014	None	1,404	None	4,089	None	1,495	None	3,040	None	1,248	None	1,334	None
1316188030	PHAM MARY R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1316193154	KAZEMINY MARCY	2021	FFS	RENDERING	AGE 0-20	594	None	11,055	None	538	None	2,004	None	327	None	1,333	None	530	None	680	None
1316193154	KAZEMINY MARCY	2021	FFS	RENDERING	AGE 21+	728	None	14,150	None	554	None	1,042	None	635	None	2,566	None	567	None	567	None
1316226335	KANG, PEGGY Y	2021	FFS	RENDERING	AGE 0-20	628	None	10,395	None	577	None	2,546	None	450	None	1,970	None	564	None	747	None
1316226335	KANG, PEGGY Y	2021	FFS	RENDERING	AGE 21+	239	None	2,510	None	143	None	282	None	146	None	608	None	163	None	163	None
1316226335	KANG, PEGGY Y	2021	PHP	RENDERING	AGE 0-20	44	None	387	None	38	None	143	None	20	None	41	None	37	None	51	None
1316226335	KANG, PEGGY Y	2021	PHP	RENDERING	AGE 21+	44	None	257	None	15	None	23	None	17	None	53	None	29	None	30	None
1316241367	ASLANI ASHKAN	2021	FFS	RENDERING	AGE 0-20	5,558	None	66,517	None	4,857	None	17,503	None	3,570	None	12,262	None	4,822	None	5,728	None
1316241367	ASLANI ASHKAN	2021	FFS	RENDERING	AGE 21+	30	None	223	None	12	None	23	None	24	None	83	None	15	None	15	None
1316253669	BHANDARI, MANRAJ DDS	2021	FFS	RENDERING	AGE 0-20	50	None	348	None	42	None	86	None	None	1	None	2	43	None	43	None
1316253669	BHANDARI, MANRAJ DDS	2021	FFS	RENDERING	AGE 21+	14	None	54	None	None	1	None	1	None	1	None	2	None	1	None	1
1316254121	BAINS BALJOT	2021	FFS	RENDERING	AGE 0-20	50	None	351	None	44	None	122	None	28	None	31	None	38	None	38	None
1316257371	CHUANG REX G	2021	FFS	RENDERING	AGE 0-20	796	None	11,454	None	780	None	3,516	None	431	None	1,190	None	776	None	1,284	None
1316274111	TSAI, COLLIN G DDS	2021	FFS	RENDERING	AGE 0-20	2,554	None	7,815	None	None	1	None	1	897	None	2,684	None	None	1	None	1
1316274111	TSAI, COLLIN G DDS	2021	FFS	RENDERING	AGE 21+	109	None	187	None	0	None	0	None	32	None	32	None	0	None	0	None
1316274111	TSAI, COLLIN G DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1316274111	TSAI, COLLIN G DDS	2021	PHP	RENDERING	AGE 0-20	16	None	85	None	0	None	0	None	14	None	75	None	None	1	None	1
1316274111	TSAI, COLLIN G DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316274749	SAADATMANDI MAHTAB	2021	FFS	RENDERING	AGE 0-20	29	None	151	None	16	None	30	None	None	1	None	2	20	None	20	None
1316274749	SAADATMANDI MAHTAB	2021	FFS	RENDERING	AGE 21+	93	None	292	None	12	None	15	None	41	None	86	None	43	None	43	None
1316275407	NGUYEN MIRNA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1316275407	NGUYEN MIRNA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1316280076	LANE KACY R	2021	FFS	RENDERING	AGE 0-20	1,482	None	24,965	None	1,391	None	6,587	None	1,039	None	2,978	None	1,413	None	1,974	None
1316280076	LANE KACY R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1316280076	LANE KACY R	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1316282981	ARNOUK REEMA M	2021	FFS	RENDERING	AGE 0-20	88	None	527	None	32	None	89	None	37	None	101	None	62	None	65	None
1316282981	ARNOUK REEMA M	2021	FFS	RENDERING	AGE 21+	264	None	1,376	None	45	None	76	None	137	None	271	None	142	None	142	None
1316294515	CHO MARTIN P	2021	FFS	RENDERING	AGE 0-20	126	None	997	None	89	None	205	None	70	None	273	None	91	None	110	None
1316294515	CHO MARTIN P	2021	FFS	RENDERING	AGE 21+	214	None	1,314	None	61	None	81	None	153	None	618	None	122	None	122	None
1316295322	KESCHANI ANAHITA	2021	FFS	RENDERING	AGE 0-20	507	None	4,136	None	300	None	1,088	None	250	None	707	None	314	None	314	None
1316295322	KESCHANI ANAHITA	2021	FFS	RENDERING	AGE 21+	807	None	3,336	None	85	None	166	None	544	None	1,460	None	309	None	313	None
1316295322	KESCHANI ANAHITA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1316295322	KESCHANI ANAHITA	2021	PHP	RENDERING	AGE 21+	50	None	175	None	11	None	24	None	30	None	77	None	25	None	25	None
1316305048	LEE SUNG K	2021	FFS	RENDERING	AGE 0-20	35	None	120	None	25	None	58	None	None	1	None	1	32	None	33	None
1316305048	LEE SUNG K	2021	FFS	RENDERING	AGE 21+	71	None	306	None	46	None	86	None	35	None	109	None	54	None	54	None
1316313778	YU, ZHICHUN, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1316313778	YU, ZHICHUN, DMD	2021	FFS	RENDERING	AGE 21+	55	None	306	None	39	None	75	None	28	None	102	None	47	None	47	None
1316314263	HAMRAZ LEILA	2021	FFS	RENDERING	AGE 0-20	356	None	1,919	None	271	None	766	None	101	None	269	None	253	None	275	None
1316314263	HAMRAZ LEILA	2021	FFS	RENDERING	AGE 21+	865	None	3,183	None	194	None	345	None	382	None	1,208	None	621	None	623	None
1316320336	MODY RAKHEE P	2021	FFS	RENDERING	AGE 0-20	2,449	None	21,189	None	2,022	None	6,212	None	1,690	None	3,087	None	1,844	None	2,108	None
1316329436	LAM ANDREW M	2021	FFS	RENDERING	AGE 0-20	557	None	3,825	None	431	None	1,307	None	464	None	1,144	None	230	None	239	None
1316340342	BAYAT, SHAYAN M, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1316348972	KIRBY STEVEN A	2021	FFS	RENDERING	AGE 0-20	526	None	5,274	None	491	None	1,957	None	358	None	1,048	None	505	None	759	None
1316348972	KIRBY STEVEN A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1316394257	SALEM ROXANA A	2021	FFS	RENDERING	AGE 0-20	140	None	1,393	None	138	None	471	None	43	None	95	None	134	None	175	None
1316394257	SALEM ROXANA A	2021	FFS	RENDERING	AGE 21+	150	None	971	None	114	None	220	None	87	None	302	None	124	None	124	None
1316402027	GEBRAIL SARAH	2021	FFS	RENDERING	AGE 0-20	1,437	None	9,013	None	696	None	1,790	None	1,301	None	6,042	None	258	None	258	None
1316402027	GEBRAIL SARAH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1316419351	FOUAD MINA	2021	FFS	RENDERING	AGE 0-20	4,632	None	43,327	None	3,539	None	10,707	None	3,001	None	8,958	None	3,569	None	3,985	None
1316419351	FOUAD MINA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1316433758	PARHIZKAR REZA	2021	FFS	RENDERING	AGE 0-20	55	None	431	None	39	None	85	None	21	None	54	None	40	None	40	None
1316433758	PARHIZKAR REZA	2021	FFS	RENDERING	AGE 21+	131	None	733	None	50	None	87	None	90	None	219	None	64	None	64	None
1316441306	PARTI DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1316454986	OH, SAEKYU, DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1316454986	SAEKYU OH DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1316469844	ALDABE ALI M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316469844	ALDABE ALI M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1316471741	NGUYEN CHRISTIAN Q	2021	FFS	RENDERING	AGE 0-20	68	None	413	None	29	None	59	None	54	None	213	None	35	None	35	None
1316471741	NGUYEN CHRISTIAN Q	2021	FFS	RENDERING	AGE 21+	120	None	660	None	53	None	104	None	93	None	321	None	57	None	57	None
1316476922	MCGIVERN SEAN D	2021	PHP	RENDERING	AGE 0-20	22	None	194	None	17	None	80	None	22	None	39	None	17	None	17	None
1316476922	MCGIVERN SEAN D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1316490519	JAHANBAKHSH ARASH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1316490519	JAHANBAKHSH ARASH	2021	FFS	RENDERING	AGE 21+	36	None	41	None	0	None	0	None	36	None	41	None	0	None	0	None
1316490519	JAHANBAKHSH ARASH	2021	PHP	RENDERING	AGE 0-20	58	None	129	None	0	None	0	None	55	None	115	None	0	None	0	None
1316490519	JAHANBAKHSH ARASH	2021	PHP	RENDERING	AGE 21+	166	None	367	None	0	None	0	None	157	None	336	None	None	1	None	1
1316519440	HASOON GHADAH S	2021	FFS	RENDERING	AGE 0-20	306	None	1,473	None	202	None	488	None	117	None	232	None	180	None	180	None
1316519440	HASOON GHADAH S	2021	FFS	RENDERING	AGE 21+	182	None	579	None	41	None	74	None	105	None	203	None	57	None	57	None
1316535065	WONG, MELANIE, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1316542798	ESFANDI NAVID	2021	FFS	RENDERING	AGE 0-20	27	None	131	None	None	1	None	2	17	None	48	None	17	None	17	None
1316542798	ESFANDI NAVID	2021	FFS	RENDERING	AGE 21+	49	None	223	None	None	1	None	2	38	None	132	None	18	None	18	None
1316555261	STITZINGER RYAN A	2021	FFS	RENDERING	AGE 0-20	299	None	1,684	None	264	None	740	None	102	None	209	None	291	None	317	None
1316555261	STITZINGER RYAN A	2021	FFS	RENDERING	AGE 21+	613	None	2,929	None	252	None	253	None	419	None	1,421	None	462	None	462	None
1316911662	AHMAD MAHMOUD A	2021	FFS	RENDERING	AGE 0-20	480	None	3,804	None	371	None	999	None	154	None	618	None	376	None	436	None
1316911662	AHMAD MAHMOUD A	2021	FFS	RENDERING	AGE 21+	807	None	4,412	None	139	None	273	None	525	None	2,019	None	528	None	534	None
1316914518	NGUYEN SUSAN T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1316915382	EFTEKHARI ABBAS	2021	FFS	RENDERING	AGE 0-20	488	None	7,799	None	461	None	1,963	None	340	None	1,159	None	433	None	601	None
1316915382	EFTEKHARI ABBAS	2021	FFS	RENDERING	AGE 21+	386	None	2,294	None	157	None	311	None	256	None	986	None	289	None	289	None
1316949902	WRIGHT JR RAYMOND L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1316949902	WRIGHT JR RAYMOND L	2021	FFS	RENDERING	AGE 21+	16	None	24	None	0	None	0	None	None	1	None	1	None	1	None	1
1316949902	WRIGHT JR RAYMOND L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1326034521	SANTOYO, KEITH MD	2021	FFS	RENDERING	AGE 0-20	63	None	142	None	0	None	0	None	63	None	142	None	0	None	0	None
1326067489	AHN, SUNG MIN	2021	FFS	RENDERING	AGE 0-20	229	None	2,711	None	187	None	653	None	129	None	430	None	210	None	235	None
1326067489	AHN, SUNG MIN	2021	FFS	RENDERING	AGE 21+	571	None	4,686	None	221	None	451	None	419	None	1,750	None	442	None	458	None
1326069451	GITTINGS III, SAMUEL E, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1326073958	PANDYA SUNEN G	2021	FFS	RENDERING	AGE 0-20	154	None	1,871	None	125	None	502	None	59	None	206	None	140	None	177	None
1326073958	PANDYA SUNEN G	2021	FFS	RENDERING	AGE 21+	367	None	2,976	None	148	None	297	None	165	None	636	None	312	None	314	None
1326082363	FLEMING KEVIN L	2021	FFS	RENDERING	AGE 0-20	1,876	None	32,970	None	1,789	None	5,844	None	742	None	2,035	None	1,789	None	2,888	None
1326082363	FLEMING KEVIN L	2021	FFS	RENDERING	AGE 21+	14	None	124	None	None	1	None	2	None	1	None	2	None	1	None	1
1326082363	FLEMING, KEVIN, DDS	2021	FFS	RENDERING	AGE 0-20	1,876	None	32,970	None	1,789	None	5,844	None	742	None	2,035	None	1,789	None	2,888	None
1326082363	FLEMING, KEVIN, DDS	2021	FFS	RENDERING	AGE 21+	14	None	124	None	None	1	None	2	None	1	None	2	None	1	None	1
1326103359	NOLAN, DANIEL G, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1326103474	MALDONADO CHRISTINA M	2021	FFS	RENDERING	AGE 0-20	172	None	3,663	None	100	None	305	None	171	None	1,927	None	47	None	49	None
1326105461	JONES, MICHAEL R	2021	FFS	RENDERING	AGE 0-20	511	None	3,192	None	500	None	1,897	None	136	None	308	None	497	None	592	None
1326105461	JONES, MICHAEL R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326109646	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1326109646	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1326117763	TSURUDOME TIFFANY L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326119892	DUONG, THONG M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1326119892	DUONG, THONG M, DDS	2021	FFS	RENDERING	AGE 21+	26	None	117	None	18	None	35	None	15	None	40	None	21	None	21	None
1326131210	GAERLAN LOURDES R	2021	FFS	RENDERING	AGE 0-20	149	None	892	None	142	None	327	None	39	None	59	None	140	None	169	None
1326131210	GAERLAN LOURDES R	2021	FFS	RENDERING	AGE 21+	39	None	202	None	26	None	29	None	22	None	49	None	26	None	26	None
1326133141	NGUYEN HOANG T	2021	FFS	RENDERING	AGE 0-20	304	None	3,383	None	285	None	403	None	152	None	560	None	215	None	276	None
1326133141	NGUYEN HOANG T	2021	FFS	RENDERING	AGE 21+	101	None	783	None	79	None	79	None	58	None	244	None	78	None	78	None
1326147117	AKHONDZADEH VIOLET	2021	FFS	RENDERING	AGE 0-20	21	None	174	None	20	None	64	None	None	1	None	2	20	None	26	None
1326147117	AKHONDZADEH VIOLET	2021	FFS	RENDERING	AGE 21+	31	None	236	None	15	None	23	None	23	None	127	None	23	None	23	None
1326149568	RICE MICHAEL B	2021	GMC	RENDERING	AGE 0-20	361	None	1,717	None	185	None	416	None	121	None	184	None	242	None	259	None
1326149568	RICE MICHAEL B	2021	GMC	RENDERING	AGE 21+	755	None	3,650	None	249	None	497	None	455	None	1,036	None	424	None	424	None
1326151218	GOCHEZ, JAIME M, DDS	2021	FFS	RENDERING	AGE 0-20	174	None	1,875	None	125	None	424	None	77	None	202	None	147	None	177	None
1326151218	GOCHEZ, JAIME M, DDS	2021	FFS	RENDERING	AGE 21+	258	None	1,646	None	55	None	61	None	190	None	648	None	154	None	154	None
1326151218	GOCHEZ, JAIME M, DDS	2021	PHP	RENDERING	AGE 0-20	149	None	1,092	None	134	None	449	None	54	None	128	None	133	None	156	None
1326151218	GOCHEZ, JAIME M, DDS	2021	PHP	RENDERING	AGE 21+	103	None	526	None	67	None	107	None	66	None	203	None	66	None	67	None
1326151606	PHAN NANCY D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326160250	LOTFY, LILIAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1326160250	LOTFY, LILIAN	2021	FFS	RENDERING	AGE 21+	44	None	591	None	23	None	44	None	36	None	320	None	24	None	24	None
1326160250	LOTFY, LILIAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1326160250	LOTFY, LILIAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1326161183	MAUNG MAUNG	2021	FFS	RENDERING	AGE 0-20	80	None	490	None	54	None	102	None	31	None	75	None	51	None	53	None
1326161183	MAUNG MAUNG	2021	FFS	RENDERING	AGE 21+	90	None	548	None	37	None	37	None	49	None	96	None	52	None	52	None
1326166901	CHOI, KYUNG H, DDS SHEN LING	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326166984	NORDEEN JEANINE E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1326166984	NORDEEN JEANINE E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326168444	NOURI, ABBAS, DDS	2021	FFS	RENDERING	AGE 0-20	39	None	266	None	35	None	180	None	None	1	None	1	27	None	27	None
1326168444	NOURI, ABBAS, DDS	2021	FFS	RENDERING	AGE 21+	142	None	613	None	89	None	182	None	44	None	141	None	111	None	112	None
1326174236	BEHJOU, SHAHRIYAR DDS, MSC	2021	FFS	RENDERING	AGE 0-20	272	None	2,576	None	251	None	1,067	None	134	None	479	None	246	None	308	None
1326174236	BEHJOU, SHAHRIYAR DDS, MSC	2021	FFS	RENDERING	AGE 21+	304	None	1,987	None	177	None	325	None	221	None	875	None	214	None	220	None
1326174236	BEHJOU, SHAHRIYAR DDS, MSC	2021	PHP	RENDERING	AGE 0-20	69	None	720	None	68	None	367	None	25	None	70	None	66	None	80	None
1326174236	BEHJOU, SHAHRIYAR DDS, MSC	2021	PHP	RENDERING	AGE 21+	74	None	575	None	58	None	142	None	41	None	149	None	66	None	76	None
1326174970	ROSALES, VICTOR M, DDS	2021	FFS	RENDERING	AGE 0-20	59	None	417	None	49	None	102	None	24	None	75	None	44	None	52	None
1326174970	ROSALES, VICTOR M, DDS	2021	FFS	RENDERING	AGE 21+	141	None	731	None	109	None	182	None	57	None	189	None	96	None	96	None
1326183682	CASTRO JAIRO	2021	FFS	RENDERING	AGE 0-20	178	None	1,785	None	146	None	400	None	81	None	256	None	173	None	205	None
1326183682	CASTRO JAIRO	2021	FFS	RENDERING	AGE 21+	477	None	4,519	None	263	None	524	None	383	None	1,920	None	352	None	353	None
1326189416	SHOKER, DEVINDER S, DDS INC.	2021	FFS	RENDERING	AGE 0-20	183	None	966	None	118	None	247	None	76	None	171	None	118	None	119	None
1326189416	SHOKER, DEVINDER S, DDS INC.	2021	FFS	RENDERING	AGE 21+	1,237	None	6,577	None	295	None	304	None	891	None	2,500	None	522	None	523	None
1326190620	RAMOS SR, JOHN FERNANDO DDS	2021	FFS	RENDERING	AGE 0-20	127	None	2,780	None	119	None	450	None	79	None	695	None	124	None	178	None
1326190620	RAMOS SR, JOHN FERNANDO DDS	2021	FFS	RENDERING	AGE 21+	154	None	2,751	None	127	None	247	None	119	None	1,202	None	131	None	131	None
1326193681	HENNEBERRY JOSEPH PAUL	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1326194721	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	33	None	309	None	23	None	90	None	None	1	None	2	32	None	32	None
1326194721	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	34	None	108	None	None	1	None	1	12	None	14	None	24	None	24	None
1326194721	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	33	None	309	None	23	None	90	None	None	1	None	2	32	None	32	None
1326194721	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	34	None	108	None	None	1	None	1	12	None	14	None	24	None	24	None
1326195561	MARTINEZ ALFONSO E	2021	FFS	RENDERING	AGE 0-20	16	None	122	None	None	1	None	2	None	1	None	2	None	1	None	1
1326195561	MARTINEZ ALFONSO E	2021	FFS	RENDERING	AGE 21+	32	None	178	None	18	None	30	None	18	None	53	None	16	None	16	None
1326203571	MOBILIA ADRIAN	2021	FFS	RENDERING	AGE 0-20	78	None	633	None	68	None	221	None	32	None	88	None	66	None	82	None
1326203571	MOBILIA ADRIAN	2021	FFS	RENDERING	AGE 21+	177	None	1,235	None	50	None	87	None	149	None	608	None	107	None	113	None
1326206533	MOHSENZADEH MARYAM	2021	FFS	RENDERING	AGE 0-20	638	None	3,813	None	515	None	1,200	None	205	None	341	None	506	None	532	None
1326206533	MOHSENZADEH MARYAM	2021	FFS	RENDERING	AGE 21+	11	None	51	None	None	1	None	2	None	1	None	1	None	1	None	1
1326206608	KURIKI, GERALDINE YEE-JING	2021	FFS	RENDERING	AGE 0-20	1,506	None	14,174	None	1,402	None	4,556	None	1,066	None	3,403	None	1,376	None	1,601	None
1326206608	KURIKI, GERALDINE YEE-JING	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326211871	DE JESUS, ROLANDO DDS	2021	FFS	RENDERING	AGE 0-20	469	None	4,705	None	447	None	1,524	None	221	None	637	None	451	None	640	None
1326211871	DE JESUS, ROLANDO DDS	2021	FFS	RENDERING	AGE 21+	415	None	3,988	None	299	None	589	None	309	None	1,079	None	322	None	322	None
1326221615	FIROUZBAKHT MEHRZAD	2021	FFS	RENDERING	AGE 0-20	44	None	233	None	24	None	27	None	25	None	57	None	39	None	41	None
1326221615	FIROUZBAKHT MEHRZAD	2021	FFS	RENDERING	AGE 21+	241	None	1,316	None	31	None	31	None	152	None	562	None	171	None	171	None
1326221615	FIROUZBAKHT MEHRZAD	2021	PHP	RENDERING	AGE 0-20	11	None	50	None	None	1	None	1	None	1	None	2	None	1	None	1
1326221615	FIROUZBAKHT MEHRZAD	2021	PHP	RENDERING	AGE 21+	14	None	78	None	0	None	0	None	None	1	None	2	12	None	13	None
1326224924	SEKHON GURSIMRAT K	2021	FFS	RENDERING	AGE 0-20	75	None	416	None	49	None	148	None	34	None	81	None	45	None	50	None
1326224924	SEKHON GURSIMRAT K	2021	FFS	RENDERING	AGE 21+	180	None	610	None	14	None	14	None	139	None	378	None	52	None	52	None
1326226440	MEDELLIN, JOE, DDS	2021	FFS	RENDERING	AGE 0-20	121	None	1,162	None	107	None	339	None	60	None	294	None	102	None	133	None
1326226440	MEDELLIN, JOE, DDS	2021	FFS	RENDERING	AGE 21+	145	None	1,039	None	87	None	164	None	100	None	496	None	104	None	104	None
1326229907	ADOURIAN EDWARD A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1326234659	KIESSELBACH AMY M	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1326236290	URRUTIA ALCIRA	2021	FFS	RENDERING	AGE 0-20	14	None	103	None	13	None	55	None	None	1	None	2	11	None	11	None
1326236290	URRUTIA ALCIRA	2021	FFS	RENDERING	AGE 21+	13	None	103	None	None	1	None	1	12	None	67	None	None	1	None	1
1326237496	SNIPES DANIEL T	2021	FFS	RENDERING	AGE 0-20	1,226	None	19,123	None	1,116	None	4,566	None	869	None	3,263	None	1,141	None	1,606	None
1326237496	SNIPES DANIEL T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326239773	DERMAWAN JASMINE L	2021	GMC	RENDERING	AGE 0-20	285	None	1,357	None	130	None	405	None	72	None	89	None	131	None	131	None
1326244500	PACE DAVID H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1326244500	PACE DAVID H	2021	FFS	RENDERING	AGE 21+	15	None	114	None	None	1	None	1	11	None	62	None	None	1	None	1
1326245671	HO, STANLEY DDS	2021	FFS	RENDERING	AGE 0-20	30	None	229	None	17	None	43	None	20	None	44	None	19	None	19	None
1326245671	HO, STANLEY DDS	2021	FFS	RENDERING	AGE 21+	51	None	465	None	27	None	58	None	36	None	103	None	30	None	30	None
1326247396	DEHKORDI KAMIAR H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326247396	DEHKORDI KAMIAR H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326249822	CHANG MAXIMILIAN Y	2021	FFS	RENDERING	AGE 0-20	457	None	4,295	None	390	None	1,018	None	183	None	475	None	380	None	444	None
1326249822	CHANG MAXIMILIAN Y	2021	FFS	RENDERING	AGE 21+	424	None	3,093	None	207	None	414	None	305	None	981	None	270	None	272	None
1326254400	ANGUIANO, ARMANDO Q DDS	2021	FFS	RENDERING	AGE 0-20	517	None	3,754	None	434	None	1,207	None	300	None	798	None	461	None	627	None
1326254400	ANGUIANO, ARMANDO Q DDS	2021	FFS	RENDERING	AGE 21+	477	None	4,615	None	118	None	234	None	418	None	1,792	None	301	None	304	None
1326255316	FOROUTAN, JOHN, DDS INC	2021	PHP	RENDERING	AGE 0-20	73	None	476	None	69	None	187	None	20	None	31	None	71	None	71	None
1326255316	FOROUTAN, JOHN, DDS INC	2021	PHP	RENDERING	AGE 21+	34	None	119	None	None	1	None	2	11	None	24	None	30	None	30	None
1326258708	VASA JITENDRA M	2021	FFS	RENDERING	AGE 0-20	66	None	670	None	47	None	146	None	36	None	116	None	53	None	58	None
1326258708	VASA JITENDRA M	2021	FFS	RENDERING	AGE 21+	125	None	1,360	None	31	None	62	None	95	None	408	None	84	None	85	None
1326258708	VASA JITENDRA M	2021	PHP	RENDERING	AGE 0-20	237	None	2,239	None	177	None	801	None	123	None	349	None	202	None	222	None
1326258708	VASA JITENDRA M	2021	PHP	RENDERING	AGE 21+	265	None	2,907	None	115	None	285	None	199	None	1,020	None	188	None	199	None
1326260597	HOMAYUN MICHAEL	2021	FFS	RENDERING	AGE 0-20	58	None	188	None	None	1	None	2	34	None	73	None	25	None	27	None
1326260597	HOMAYUN MICHAEL	2021	FFS	RENDERING	AGE 21+	517	None	2,369	None	25	None	38	None	337	None	1,317	None	245	None	245	None
1326261470	LOZANO, IVAN R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1326261470	LOZANO, IVAN R, DDS	2021	FFS	RENDERING	AGE 21+	14	None	104	None	11	None	11	None	13	None	47	None	None	1	None	1
1326262544	VELLOZE MARY J	2021	FFS	RENDERING	AGE 0-20	96	None	1,047	None	65	None	218	None	49	None	129	None	71	None	79	None
1326262544	VELLOZE MARY J	2021	FFS	RENDERING	AGE 21+	174	None	1,395	None	57	None	113	None	135	None	447	None	75	None	75	None
1326271297	KIM JOSEPH C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326271297	KIM JOSEPH C	2021	PHP	RENDERING	AGE 0-20	11	None	24	None	0	None	0	None	11	None	20	None	None	1	None	1
1326271297	KIM JOSEPH C	2021	PHP	RENDERING	AGE 21+	178	None	351	None	0	None	0	None	119	None	159	None	120	None	125	None
1326282377	TON HUYEN-NGA N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326282377	TON HUYEN-NGA N	2021	FFS	RENDERING	AGE 21+	16	None	92	None	None	1	None	2	None	1	None	2	11	None	11	None
1326294125	FARSHIDPOUR MARY M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326294125	FARSHIDPOUR MARY M	2021	FFS	RENDERING	AGE 21+	25	None	103	None	None	1	None	1	None	1	None	2	22	None	22	None
1326299066	LEE SUNG H	2021	FFS	RENDERING	AGE 0-20	98	None	717	None	84	None	208	None	43	None	116	None	91	None	113	None
1326299066	LEE SUNG H	2021	FFS	RENDERING	AGE 21+	256	None	1,484	None	141	None	274	None	136	None	424	None	205	None	205	None
1326309329	MARY REGINA PHAM DDS MS ADC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1326319534	HAZANY SUSAN	2021	FFS	RENDERING	AGE 0-20	124	None	961	None	89	None	193	None	41	None	73	None	98	None	106	None
1326319534	HAZANY SUSAN	2021	FFS	RENDERING	AGE 21+	256	None	1,458	None	48	None	94	None	139	None	264	None	133	None	133	None
1326319534	HAZANY SUSAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1326319534	HAZANY SUSAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1326321647	LUONG VIVIAN Q	2021	FFS	RENDERING	AGE 0-20	77	None	167	None	0	None	0	None	None	1	None	1	0	None	0	None
1326321647	LUONG VIVIAN Q	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1326350851	AFZALI, PAYAM MD	2021	FFS	RENDERING	AGE 0-20	426	None	1,460	None	0	None	0	None	415	None	1,437	None	None	1	None	1
1326350851	AFZALI, PAYAM MD	2021	FFS	RENDERING	AGE 21+	1,915	None	4,348	None	0	None	0	None	1,903	None	4,274	None	None	1	None	1
1326350851	AFZALI, PAYAM MD	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326354994	HANS CANDY	2021	FFS	RENDERING	AGE 0-20	123	None	809	None	87	None	221	None	71	None	147	None	90	None	101	None
1326354994	HANS CANDY	2021	FFS	RENDERING	AGE 21+	157	None	733	None	55	None	108	None	105	None	249	None	78	None	78	None
1326355991	HA ANH T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326358847	HABIBZADEH MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	3,458	None	26,303	None	2,875	None	8,929	None	1,766	None	5,537	None	2,731	None	2,937	None
1326358847	HABIBZADEH MOHAMMAD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1326367384	CALAPIS, YSABEL, RDHAP	2021	FFS	RENDERING	AGE 21+	77	None	321	None	60	None	71	None	77	None	250	None	0	None	0	None
1326391871	NGUYEN STEVEN J	2021	FFS	RENDERING	AGE 0-20	53	None	466	None	47	None	147	None	17	None	65	None	46	None	54	None
1326391871	NGUYEN STEVEN J	2021	FFS	RENDERING	AGE 21+	121	None	796	None	79	None	153	None	77	None	255	None	91	None	91	None
1326418930	SERKIN PAULINE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326418930	SERKIN PAULINE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1326424136	HUGHES GRACE	2021	FFS	RENDERING	AGE 0-20	116	None	183	None	0	None	0	None	24	None	58	None	0	None	0	None
1326424136	HUGHES GRACE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1326425380	D AND A LEE DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326426040	MURILLO ESTELA	2021	FFS	RENDERING	AGE 0-20	114	None	909	None	71	None	259	None	81	None	273	None	98	None	111	None
1326426040	MURILLO ESTELA	2021	FFS	RENDERING	AGE 21+	303	None	2,134	None	30	None	40	None	254	None	1,297	None	184	None	186	None
1326437666	DAVID PARK DENTAL CORP	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1326437666	DAVID PARK DENTAL CORP	2021	GMC	RENDERING	AGE 21+	11	None	32	None	None	1	None	1	None	1	None	1	None	1	None	1
1326446774	NGUYEN SHAELEE THUY L	2021	FFS	RENDERING	AGE 0-20	88	None	853	None	80	None	185	None	31	None	95	None	73	None	84	None
1326446774	NGUYEN SHAELEE THUY L	2021	FFS	RENDERING	AGE 21+	151	None	1,774	None	120	None	236	None	88	None	435	None	117	None	117	None
1326449984	ALKORDY HAMZAH T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1326462573	LIU DENISE G	2021	FFS	RENDERING	AGE 0-20	402	None	3,100	None	352	None	895	None	255	None	401	None	321	None	322	None
1326462573	LIU DENISE G	2021	FFS	RENDERING	AGE 21+	392	None	2,413	None	201	None	403	None	257	None	1,039	None	223	None	225	None
1326462573	LIU DENISE G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326462573	LIU DENISE G	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1326463126	VERGARA EDEGAR	2021	FFS	RENDERING	AGE 0-20	159	None	1,438	None	131	None	488	None	71	None	190	None	134	None	172	None
1326463126	VERGARA EDEGAR	2021	FFS	RENDERING	AGE 21+	504	None	3,868	None	309	None	647	None	390	None	1,321	None	330	None	333	None
1326503962	BASTIEN CABRERA GUSTAVO C	2021	FFS	RENDERING	AGE 0-20	409	None	632	None	20	None	31	None	394	None	595	None	0	None	0	None
1326503962	BASTIEN CABRERA GUSTAVO C	2021	FFS	RENDERING	AGE 21+	1,400	None	2,592	None	22	None	22	None	1,383	None	2,550	None	None	1	None	1
1326520735	NGUYEN TRUMAN K	2021	FFS	RENDERING	AGE 0-20	262	None	2,522	None	185	None	501	None	136	None	374	None	183	None	186	None
1326520735	NGUYEN TRUMAN K	2021	FFS	RENDERING	AGE 21+	169	None	1,074	None	51	None	72	None	112	None	283	None	65	None	65	None
1326524364	NGUYEN PATRICIA T	2021	FFS	RENDERING	AGE 0-20	25	None	70	None	12	None	24	None	None	1	None	2	20	None	22	None
1326524364	NGUYEN PATRICIA T	2021	FFS	RENDERING	AGE 21+	157	None	523	None	38	None	67	None	85	None	225	None	107	None	107	None
1326535949	KANG HAEJIN	2021	FFS	RENDERING	AGE 0-20	278	None	3,099	None	233	None	714	None	214	None	986	None	240	None	267	None
1326535949	KANG HAEJIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1326535949	KANG HAEJIN	2021	PHP	RENDERING	AGE 0-20	29	None	276	None	23	None	58	None	29	None	147	None	None	1	None	1
1326541996	NGUYEN CATHERINE N	2021	FFS	RENDERING	AGE 0-20	33	None	326	None	31	None	66	None	None	1	None	1	30	None	30	None
1326541996	NGUYEN CATHERINE N	2021	FFS	RENDERING	AGE 21+	16	None	53	None	None	1	None	1	13	None	24	None	None	1	None	1
1326562752	VARGAS FERNANDO LOPEZ	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1326576745	KING KAREN J	2021	FFS	RENDERING	AGE 0-20	382	None	3,298	None	328	None	1,115	None	208	None	1,002	None	303	None	303	None
1326576745	KING KAREN J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1326584582	LE, STEVEN HAN, DMD	2021	FFS	RENDERING	AGE 0-20	64	None	630	None	55	None	136	None	13	None	39	None	60	None	67	None
1326584582	LE, STEVEN HAN, DMD	2021	FFS	RENDERING	AGE 21+	173	None	1,574	None	122	None	241	None	48	None	119	None	173	None	173	None
1326590217	ZAGHI NATHAN	2021	FFS	RENDERING	AGE 0-20	333	None	4,147	None	288	None	1,089	None	160	None	446	None	299	None	373	None
1326590217	ZAGHI NATHAN	2021	FFS	RENDERING	AGE 21+	383	None	3,949	None	237	None	468	None	268	None	995	None	269	None	269	None
1326590217	ZAGHI NATHAN	2021	PHP	RENDERING	AGE 0-20	128	None	694	None	55	None	196	None	73	None	151	None	63	None	63	None
1326590217	ZAGHI NATHAN	2021	PHP	RENDERING	AGE 21+	114	None	434	None	None	1	None	1	68	None	131	None	20	None	20	None
1326591223	ISSAC SAIF	2021	FFS	RENDERING	AGE 21+	30	None	73	None	0	None	0	None	17	None	29	None	15	None	15	None
1326591389	HERNANDEZ INFAN ILIANA	2021	FFS	RENDERING	AGE 0-20	303	None	1,821	None	246	None	819	None	102	None	211	None	243	None	258	None
1326591389	HERNANDEZ INFAN ILIANA	2021	FFS	RENDERING	AGE 21+	300	None	1,675	None	164	None	295	None	208	None	747	None	228	None	231	None
1326601667	NNODIM SANDRA O	2021	FFS	RENDERING	AGE 0-20	158	None	639	None	120	None	279	None	54	None	106	None	61	None	61	None
1326601667	NNODIM SANDRA O	2021	FFS	RENDERING	AGE 21+	241	None	693	None	62	None	97	None	131	None	359	None	75	None	75	None
1326601667	NNODIM SANDRA O	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1326601667	NNODIM SANDRA O	2021	PHP	RENDERING	AGE 21+	16	None	47	None	None	1	None	1	13	None	27	None	None	1	None	1
1326639287	PATEL NILESH G	2021	FFS	RENDERING	AGE 0-20	57	None	222	None	22	None	57	None	23	None	73	None	32	None	33	None
1326639287	PATEL NILESH G	2021	FFS	RENDERING	AGE 21+	205	None	593	None	None	1	None	2	109	None	256	None	118	None	118	None
1326639287	PATEL NILESH G	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1326658519	PHAM DERIK Q	2021	FFS	RENDERING	AGE 21+	11	None	39	None	None	1	None	1	None	1	None	2	None	1	None	1
1326667171	EL JANDALI EL R ZENA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326684499	MINASSIAN SIUNEH	2021	FFS	RENDERING	AGE 0-20	557	None	5,531	None	469	None	1,600	None	257	None	635	None	460	None	464	None
1326684499	MINASSIAN SIUNEH	2021	FFS	RENDERING	AGE 21+	170	None	1,442	None	116	None	226	None	76	None	149	None	121	None	121	None
1326685785	SOLANO JR CESAR A	2021	FFS	RENDERING	AGE 0-20	138	None	794	None	44	None	127	None	69	None	327	None	80	None	81	None
1326685785	SOLANO JR CESAR A	2021	FFS	RENDERING	AGE 21+	314	None	1,354	None	22	None	37	None	184	None	711	None	170	None	170	None
1326696055	EFTEKHARI ZOHREH	2021	FFS	RENDERING	AGE 0-20	2,603	None	24,611	None	1,811	None	5,386	None	1,801	None	5,018	None	1,830	None	1,947	None
1326696055	EFTEKHARI ZOHREH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1326696055	EFTEKHARI ZOHREH	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1326697699	BOTTONI JEANINE A	2021	FFS	RENDERING	AGE 0-20	561	None	5,283	None	396	None	1,254	None	360	None	1,172	None	412	None	475	None
1326697699	BOTTONI JEANINE A	2021	FFS	RENDERING	AGE 21+	556	None	3,000	None	180	None	317	None	434	None	1,548	None	310	None	311	None
1336103431	TRAN, MICHAEL, DMD	2021	FFS	RENDERING	AGE 0-20	32	None	267	None	28	None	63	None	20	None	118	None	28	None	38	None
1336103431	TRAN, MICHAEL, DMD	2021	FFS	RENDERING	AGE 21+	72	None	467	None	35	None	35	None	49	None	291	None	45	None	45	None
1336125913	VERNY TIMOTHY D	2021	FFS	RENDERING	AGE 0-20	561	None	4,115	None	372	None	1,556	None	120	None	341	None	489	None	494	None
1336125913	VERNY TIMOTHY D	2021	FFS	RENDERING	AGE 21+	208	None	890	None	100	None	189	None	44	None	103	None	175	None	175	None
1336125913	VERNY TIMOTHY D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336127257	NOURANIFAR-SIMO RASHIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336146976	KARNA HARRY A	2021	FFS	RENDERING	AGE 0-20	119	None	725	None	88	None	125	None	36	None	77	None	103	None	121	None
1336146976	KARNA HARRY A	2021	FFS	RENDERING	AGE 21+	222	None	1,040	None	31	None	31	None	124	None	312	None	175	None	175	None
1336169085	COHEN STEVEN L	2021	FFS	RENDERING	AGE 0-20	136	None	172	None	0	None	0	None	72	None	89	None	0	None	0	None
1336169085	COHEN STEVEN L	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336169085	COHEN STEVEN L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336186618	DE LA OSA DDS INC	2021	FFS	RENDERING	AGE 0-20	189	None	1,500	None	133	None	320	None	88	None	351	None	141	None	145	None
1336186618	DE LA OSA DDS INC	2021	FFS	RENDERING	AGE 21+	505	None	3,462	None	201	None	381	None	349	None	1,584	None	356	None	356	None
1336200237	FRANCO, PACITA DDS	2021	FFS	RENDERING	AGE 0-20	159	None	1,230	None	135	None	424	None	49	None	188	None	145	None	157	None
1336200237	FRANCO, PACITA DDS	2021	FFS	RENDERING	AGE 21+	213	None	1,315	None	93	None	163	None	125	None	376	None	156	None	156	None
1336200237	FRANCO, PACITA DDS	2021	PHP	RENDERING	AGE 0-20	89	None	495	None	71	None	178	None	27	None	49	None	75	None	85	None
1336200237	FRANCO, PACITA DDS	2021	PHP	RENDERING	AGE 21+	112	None	510	None	37	None	59	None	78	None	266	None	61	None	62	None
1336200468	MARCOS FATEN KAMAL G	2021	FFS	RENDERING	AGE 0-20	21	None	154	None	13	None	40	None	None	1	None	2	15	None	17	None
1336200468	MARCOS FATEN KAMAL G	2021	FFS	RENDERING	AGE 21+	35	None	119	None	11	None	18	None	13	None	26	None	17	None	17	None
1336200468	MARCOS FATEN KAMAL G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1336200468	MARCOS FATEN KAMAL G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1336200963	SEMRIEN ZIAD M	2021	FFS	RENDERING	AGE 0-20	98	None	942	None	85	None	231	None	61	None	219	None	84	None	90	None
1336200963	SEMRIEN ZIAD M	2021	FFS	RENDERING	AGE 21+	223	None	1,654	None	131	None	204	None	150	None	558	None	169	None	169	None
1336201326	TRAN VU G	2021	FFS	RENDERING	AGE 0-20	125	None	1,174	None	119	None	347	None	47	None	140	None	113	None	154	None
1336201326	TRAN VU G	2021	FFS	RENDERING	AGE 21+	161	None	860	None	122	None	171	None	71	None	249	None	142	None	142	None
1336203421	FIOL, MIGUEL I, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	593	None	31	None	88	None	19	None	138	None	29	None	43	None
1336203421	FIOL, MIGUEL I, DDS	2021	FFS	RENDERING	AGE 21+	30	None	426	None	27	None	28	None	25	None	200	None	27	None	27	None
1336204866	REDOBLADO, RONALD, DDS	2021	PHP	RENDERING	AGE 0-20	20	None	101	None	13	None	24	None	None	1	None	2	None	1	None	1
1336204866	REDOBLADO, RONALD, DDS	2021	PHP	RENDERING	AGE 21+	58	None	313	None	27	None	29	None	41	None	130	None	36	None	36	None
1336207646	HASHEM AYMAN A	2021	FFS	RENDERING	AGE 0-20	915	None	8,636	None	733	None	2,853	None	315	None	820	None	867	None	955	None
1336207646	HASHEM AYMAN A	2021	FFS	RENDERING	AGE 21+	838	None	4,612	None	374	None	750	None	332	None	1,199	None	660	None	660	None
1336207646	HASHEM AYMAN A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336207646	HASHEM AYMAN A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336209212	KWON, JIN O, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336209212	KWON, JIN O, DDS	2021	FFS	RENDERING	AGE 21+	174	None	786	None	81	None	160	None	78	None	203	None	148	None	152	None
1336209212	KWON, JIN O, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336209212	KWON, JIN O, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1336209212	KWON, JIN O, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336211309	MEDINA MARILOU P	2021	FFS	RENDERING	AGE 0-20	49	None	433	None	45	None	121	None	25	None	80	None	44	None	57	None
1336211309	MEDINA MARILOU P	2021	FFS	RENDERING	AGE 21+	97	None	620	None	64	None	127	None	46	None	159	None	87	None	87	None
1336215219	DAVTIAN, PARGEV DDS	2021	FFS	RENDERING	AGE 0-20	181	None	2,827	None	167	None	864	None	55	None	246	None	168	None	279	None
1336215219	DAVTIAN, PARGEV DDS	2021	FFS	RENDERING	AGE 21+	356	None	3,220	None	269	None	537	None	205	None	808	None	303	None	303	None
1336215219	DAVTIAN, PARGEV DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336219047	NGUYEN JASON K	2021	FFS	RENDERING	AGE 0-20	162	None	790	None	130	None	206	None	123	None	204	None	46	None	47	None
1336219047	NGUYEN JASON K	2021	FFS	RENDERING	AGE 21+	61	None	379	None	41	None	64	None	28	None	101	None	30	None	30	None
1336225937	DINICA DANA I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336225937	DINICA DANA I	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1336233063	PARTOVI ELHAM	2021	FFS	RENDERING	AGE 0-20	77	None	542	None	71	None	185	None	23	None	82	None	49	None	53	None
1336233063	PARTOVI ELHAM	2021	FFS	RENDERING	AGE 21+	131	None	859	None	52	None	76	None	89	None	349	None	80	None	80	None
1336233063	PARTOVI ELHAM	2021	PHP	RENDERING	AGE 0-20	38	None	185	None	28	None	77	None	12	None	27	None	29	None	29	None
1336233063	PARTOVI ELHAM	2021	PHP	RENDERING	AGE 21+	14	None	62	None	None	1	None	1	None	1	None	2	None	1	None	1
1336234384	TON HUYEN-TRANG N	2021	FFS	RENDERING	AGE 0-20	190	None	1,817	None	184	None	699	None	56	None	145	None	181	None	254	None
1336234384	TON HUYEN-TRANG N	2021	FFS	RENDERING	AGE 21+	233	None	1,634	None	126	None	251	None	166	None	652	None	185	None	185	None
1336235464	LEDDA M ALEGRIA L	2021	FFS	RENDERING	AGE 0-20	204	None	2,466	None	168	None	467	None	74	None	244	None	163	None	202	None
1336235464	LEDDA M ALEGRIA L	2021	FFS	RENDERING	AGE 21+	448	None	4,052	None	205	None	403	None	298	None	1,020	None	285	None	285	None
1336238823	SOUTHERS, ERIK LEROY, DDS	2021	FFS	RENDERING	AGE 0-20	477	None	2,194	None	0	None	0	None	246	None	1,290	None	0	None	0	None
1336238823	SOUTHERS, ERIK LEROY, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336245364	CHEN, RANDY L DDS	2021	FFS	RENDERING	AGE 0-20	179	None	2,340	None	172	None	870	None	105	None	293	None	171	None	203	None
1336245364	CHEN, RANDY L DDS	2021	FFS	RENDERING	AGE 21+	145	None	1,411	None	110	None	228	None	85	None	282	None	115	None	115	None
1336246016	DESAI, SANDIP DDS	2021	FFS	RENDERING	AGE 0-20	152	None	1,687	None	139	None	479	None	54	None	193	None	120	None	135	None
1336246016	DESAI, SANDIP DDS	2021	FFS	RENDERING	AGE 21+	143	None	1,132	None	65	None	87	None	74	None	260	None	95	None	96	None
1336250216	FLEMING DONALD R	2021	FFS	RENDERING	AGE 0-20	68	None	486	None	66	None	231	None	25	None	48	None	66	None	99	None
1336250216	FLEMING DONALD R	2021	FFS	RENDERING	AGE 21+	213	None	1,117	None	157	None	159	None	151	None	422	None	172	None	175	None
1336255041	TRAN, LILY TU LAN DDS	2021	FFS	RENDERING	AGE 0-20	160	None	1,335	None	155	None	438	None	61	None	165	None	131	None	177	None
1336255041	TRAN, LILY TU LAN DDS	2021	FFS	RENDERING	AGE 21+	14	None	79	None	None	1	None	2	None	1	None	2	None	1	None	1
1336257955	BOTROS, NADER FAWZY DDS	2021	FFS	RENDERING	AGE 0-20	509	None	7,521	None	405	None	1,226	None	324	None	1,177	None	447	None	518	None
1336257955	BOTROS, NADER FAWZY DDS	2021	FFS	RENDERING	AGE 21+	665	None	8,887	None	290	None	565	None	585	None	2,687	None	300	None	307	None
1336261304	NGO HUGH Q	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336261304	NGO HUGH Q	2021	FFS	RENDERING	AGE 21+	57	None	69	None	0	None	0	None	57	None	68	None	0	None	0	None
1336262708	CLUSSERATH GARY P	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1336264639	DAO, NINH ANH DDS	2021	FFS	RENDERING	AGE 0-20	120	None	1,072	None	108	None	487	None	48	None	207	None	103	None	117	None
1336264639	DAO, NINH ANH DDS	2021	FFS	RENDERING	AGE 21+	253	None	1,509	None	146	None	146	None	172	None	630	None	149	None	149	None
1336268531	SHAHINYAN IRINA	2021	FFS	RENDERING	AGE 0-20	110	None	1,707	None	102	None	409	None	75	None	264	None	108	None	145	None
1336268531	SHAHINYAN IRINA	2021	FFS	RENDERING	AGE 21+	107	None	900	None	44	None	83	None	76	None	282	None	87	None	87	None
1336273630	CHEN JUNG-WEI	2021	FFS	RENDERING	AGE 0-20	1,172	None	9,015	None	892	None	2,441	None	704	None	3,116	None	405	None	443	None
1336273630	CHEN JUNG-WEI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1336275338	KIM, JANGSOOK, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	288	None	23	None	63	None	19	None	59	None	27	None	28	None
1336275338	KIM, JANGSOOK, DDS	2021	FFS	RENDERING	AGE 21+	154	None	869	None	58	None	103	None	116	None	368	None	72	None	72	None
1336277748	ABANTE, VIVENCIO B, DDS	2021	FFS	RENDERING	AGE 0-20	104	None	767	None	91	None	208	None	52	None	154	None	96	None	107	None
1336277748	ABANTE, VIVENCIO B, DDS	2021	FFS	RENDERING	AGE 21+	231	None	1,303	None	173	None	214	None	124	None	357	None	215	None	215	None
1336279710	DE LEON, MARK M, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	165	None	19	None	50	None	None	1	None	2	14	None	19	None
1336279710	DE LEON, MARK M, DDS	2021	FFS	RENDERING	AGE 21+	41	None	185	None	21	None	28	None	24	None	61	None	28	None	28	None
1336279710	DE LEON, MARK M, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1336279710	DE LEON, MARK M, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336279843	CARAG-FRANCISCO, MARY DEBBIE	2021	FFS	RENDERING	AGE 0-20	20	None	111	None	20	None	50	None	None	1	None	2	14	None	16	None
1336279843	CARAG-FRANCISCO, MARY DEBBIE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336281872	DESAI RAJIV N	2021	FFS	RENDERING	AGE 0-20	279	None	3,615	None	252	None	679	None	197	None	745	None	208	None	246	None
1336281872	DESAI RAJIV N	2021	FFS	RENDERING	AGE 21+	187	None	1,901	None	77	None	148	None	150	None	902	None	126	None	126	None
1336281872	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	279	None	3,615	None	252	None	679	None	197	None	745	None	208	None	246	None
1336281872	UNKNOWN	2021	FFS	RENDERING	AGE 21+	187	None	1,901	None	77	None	148	None	150	None	902	None	126	None	126	None
1336282789	WALTERS MELVIN W	2021	FFS	RENDERING	AGE 0-20	258	None	925	None	0	None	0	None	143	None	507	None	0	None	0	None
1336282789	WALTERS MELVIN W	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336285147	MAPARA, M N, DMD INC	2021	FFS	RENDERING	AGE 0-20	33	None	214	None	26	None	62	None	16	None	51	None	22	None	22	None
1336285147	MAPARA, M N, DMD INC	2021	FFS	RENDERING	AGE 21+	171	None	1,107	None	41	None	73	None	125	None	589	None	100	None	100	None
1336285675	GHATNEKAR NEELA J	2021	FFS	RENDERING	AGE 0-20	76	None	915	None	74	None	297	None	40	None	131	None	66	None	89	None
1336285675	GHATNEKAR NEELA J	2021	FFS	RENDERING	AGE 21+	149	None	1,081	None	92	None	175	None	83	None	307	None	107	None	107	None
1336285675	GHATNEKAR NEELA J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1336288893	KIM KATIE Y	2021	FFS	RENDERING	AGE 21+	125	None	539	None	None	1	None	1	74	None	294	None	45	None	45	None
1336289669	NGUYEN, THO B, DDS	2021	FFS	RENDERING	AGE 0-20	24	None	226	None	17	None	43	None	12	None	39	None	17	None	19	None
1336289669	NGUYEN, THO B, DDS	2021	FFS	RENDERING	AGE 21+	375	None	3,036	None	191	None	376	None	272	None	821	None	237	None	237	None
1336294156	JONARIS JOSEPH	2021	FFS	RENDERING	AGE 0-20	331	None	3,910	None	244	None	763	None	197	None	614	None	221	None	237	None
1336294156	JONARIS JOSEPH	2021	FFS	RENDERING	AGE 21+	467	None	3,692	None	118	None	210	None	377	None	1,650	None	194	None	194	None
1336294974	ANGELES-AVILES CARMENCITA A	2021	FFS	RENDERING	AGE 0-20	2,321	None	34,943	None	1,976	None	6,759	None	1,814	None	8,201	None	1,905	None	2,347	None
1336295773	PATEL, DIPTI M, DDS	2021	FFS	RENDERING	AGE 0-20	338	None	2,895	None	332	None	1,334	None	132	None	287	None	335	None	424	None
1336295773	PATEL, DIPTI M, DDS	2021	FFS	RENDERING	AGE 21+	295	None	1,628	None	181	None	182	None	167	None	651	None	244	None	244	None
1336296508	PARK WON H	2021	FFS	RENDERING	AGE 0-20	142	None	1,602	None	129	None	473	None	54	None	180	None	135	None	172	None
1336296508	PARK WON H	2021	FFS	RENDERING	AGE 21+	287	None	1,994	None	207	None	412	None	173	None	578	None	240	None	240	None
1336297654	NGUYEN GEORGE K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1336297654	NGUYEN GEORGE K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336297654	NGUYEN GEORGE K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336298744	RATINER ANNA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1336298959	PATINO, NICOLAS, DDS	2021	FFS	RENDERING	AGE 0-20	67	None	545	None	53	None	120	None	23	None	87	None	56	None	57	None
1336298959	PATINO, NICOLAS, DDS	2021	FFS	RENDERING	AGE 21+	162	None	1,007	None	70	None	126	None	94	None	326	None	103	None	103	None
1336302009	CHEUNG ERIC K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1336325786	HSU JENNY C	2021	FFS	RENDERING	AGE 0-20	866	None	4,512	None	642	None	1,515	None	516	None	1,186	None	546	None	551	None
1336326651	GERONIMO JORGE L DDS PROF DN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1336326651	UNKNOWN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1336330984	LAM XUAN T	2021	FFS	RENDERING	AGE 0-20	1,960	None	16,973	None	1,426	None	3,277	None	842	None	3,875	None	1,269	None	1,308	None
1336330984	LAM XUAN T	2021	FFS	RENDERING	AGE 21+	89	None	330	None	30	None	54	None	52	None	145	None	53	None	53	None
1336334382	SHAH AARTI	2021	FFS	RENDERING	AGE 0-20	42	None	362	None	33	None	119	None	17	None	50	None	33	None	43	None
1336334382	SHAH AARTI	2021	FFS	RENDERING	AGE 21+	102	None	539	None	56	None	73	None	76	None	197	None	67	None	67	None
1336334978	GAO YUHAO	2021	FFS	RENDERING	AGE 0-20	215	None	1,872	None	207	None	1,049	None	53	None	116	None	210	None	304	None
1336334978	GAO YUHAO	2021	FFS	RENDERING	AGE 21+	410	None	2,333	None	281	None	567	None	265	None	901	None	352	None	355	None
1336345909	HANNA ROMANY B	2021	FFS	RENDERING	AGE 0-20	14	None	136	None	12	None	24	None	None	1	None	1	12	None	12	None
1336345909	HANNA ROMANY B	2021	FFS	RENDERING	AGE 21+	29	None	189	None	16	None	16	None	19	None	37	None	18	None	18	None
1336349562	LE VAN MINH B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336349562	LE VAN MINH B	2021	FFS	RENDERING	AGE 21+	15	None	85	None	None	1	None	1	None	1	None	2	15	None	15	None
1336349646	MARTINEZ, NORMA, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	310	None	22	None	72	None	14	None	81	None	25	None	33	None
1336349646	MARTINEZ, NORMA, DDS	2021	FFS	RENDERING	AGE 21+	199	None	1,470	None	61	None	61	None	171	None	859	None	110	None	110	None
1336352830	KIM KENNY	2021	FFS	RENDERING	AGE 0-20	65	None	1,094	None	61	None	209	None	38	None	145	None	61	None	84	None
1336352830	KIM KENNY	2021	FFS	RENDERING	AGE 21+	181	None	2,003	None	124	None	248	None	119	None	511	None	136	None	136	None
1336355361	ESKANDER, ESKANDER Y, DDS	2021	FFS	RENDERING	AGE 0-20	116	None	1,477	None	67	None	83	None	77	None	482	None	106	None	122	None
1336355361	ESKANDER, ESKANDER Y, DDS	2021	FFS	RENDERING	AGE 21+	269	None	2,594	None	57	None	57	None	186	None	1,102	None	130	None	130	None
1336359405	NAMVAR NAMI, TANDIS, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	435	None	40	None	133	None	15	None	30	None	41	None	42	None
1336359405	NAMVAR NAMI, TANDIS, DDS	2021	FFS	RENDERING	AGE 21+	81	None	480	None	18	None	27	None	52	None	125	None	52	None	52	None
1336359496	SAVEDRA MANUEL A	2021	PHP	RENDERING	AGE 0-20	21	None	207	None	20	None	105	None	None	1	None	2	19	None	20	None
1336359496	SAVEDRA MANUEL A	2021	PHP	RENDERING	AGE 21+	37	None	195	None	30	None	57	None	16	None	36	None	29	None	29	None
1336360510	GINZBURG, BILL E, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	494	None	23	None	142	None	19	None	160	None	32	None	70	None
1336360510	GINZBURG, BILL E, DDS	2021	FFS	RENDERING	AGE 21+	300	None	4,104	None	96	None	300	None	220	None	2,396	None	225	None	450	None
1336360510	GINZBURG, BILL E, DDS	2021	PHP	RENDERING	AGE 0-20	27	None	294	None	18	None	78	None	None	1	None	2	23	None	50	None
1336360510	GINZBURG, BILL E, DDS	2021	PHP	RENDERING	AGE 21+	197	None	1,918	None	54	None	176	None	113	None	946	None	142	None	318	None
1336364603	RIEL JOCELYN D	2021	FFS	RENDERING	AGE 0-20	2,016	None	15,627	None	1,475	None	3,391	None	907	None	2,467	None	1,334	None	1,359	None
1336366418	ABRIOL JR NICASIO M	2021	FFS	RENDERING	AGE 0-20	1,147	None	12,724	None	1,064	None	5,110	None	479	None	1,265	None	1,096	None	1,559	None
1336366418	ABRIOL JR NICASIO M	2021	FFS	RENDERING	AGE 21+	674	None	4,830	None	435	None	870	None	468	None	1,198	None	566	None	566	None
1336368091	ALLURI SANTISREE	2021	FFS	RENDERING	AGE 0-20	126	None	646	None	85	None	242	None	35	None	82	None	94	None	99	None
1336368091	ALLURI SANTISREE	2021	FFS	RENDERING	AGE 21+	182	None	501	None	21	None	24	None	75	None	135	None	86	None	86	None
1336368091	ALLURI SANTISREE	2021	PHP	RENDERING	AGE 0-20	66	None	269	None	46	None	114	None	14	None	24	None	54	None	58	None
1336368091	ALLURI SANTISREE	2021	PHP	RENDERING	AGE 21+	77	None	180	None	27	None	31	None	37	None	69	None	43	None	43	None
1336371947	XIE HONG	2021	FFS	RENDERING	AGE 0-20	384	None	3,538	None	353	None	1,511	None	218	None	642	None	362	None	526	None
1336371947	XIE HONG	2021	FFS	RENDERING	AGE 21+	612	None	3,913	None	382	None	760	None	381	None	1,200	None	449	None	453	None
1336372242	PHAN MINH N	2021	FFS	RENDERING	AGE 0-20	234	None	1,768	None	106	None	215	None	164	None	566	None	127	None	133	None
1336372242	PHAN MINH N	2021	FFS	RENDERING	AGE 21+	710	None	5,631	None	180	None	191	None	587	None	2,774	None	328	None	328	None
1336384619	DENNIS R HARDIN DDS INC	2021	FFS	RENDERING	AGE 21+	117	None	409	None	None	1	None	1	117	None	312	None	32	None	32	None
1336384619	DENNIS R HARDIN DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336384619	HARDIN, DENNIS R, DDS INC	2021	FFS	RENDERING	AGE 21+	117	None	409	None	None	1	None	1	117	None	312	None	32	None	32	None
1336384619	HARDIN, DENNIS R, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336388727	MARQUEZ FRANCISCO J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336388727	MARQUEZ FRANCISCO J	2021	FFS	RENDERING	AGE 21+	26	None	129	None	None	1	None	1	None	1	None	2	23	None	23	None
1336388727	MARQUEZ FRANCISCO J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1336388727	MARQUEZ FRANCISCO J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336391994	MORGAN DANIEL	2021	FFS	RENDERING	AGE 0-20	2,636	None	41,036	None	2,496	None	11,418	None	2,161	None	9,677	None	2,464	None	3,765	None
1336391994	MORGAN DANIEL	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1336391994	MORGAN DANIEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1336422427	KAUR SIMRAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1336428275	GUTENBERG LAUREN L	2021	FFS	RENDERING	AGE 0-20	388	None	3,559	None	369	None	1,436	None	357	None	818	None	362	None	461	None
1336454925	SWE, THET, DDS A PROFESSIONA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1336461284	LEE TIM YEN TING	2021	FFS	RENDERING	AGE 0-20	452	None	2,337	None	0	None	0	None	451	None	2,309	None	0	None	0	None
1336461284	LEE TIM YEN TING	2021	FFS	RENDERING	AGE 21+	665	None	3,506	None	None	1	None	1	663	None	3,467	None	None	1	None	1
1336461284	LEE TIM YEN TING	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1336461284	LEE TIM YEN TING	2021	GMC	RENDERING	AGE 21+	12	None	53	None	0	None	0	None	None	1	None	2	None	1	None	1
1336461789	FLORES JORGE A	2021	FFS	RENDERING	AGE 0-20	374	None	1,384	None	74	None	216	None	309	None	842	None	96	None	105	None
1336461789	FLORES JORGE A	2021	FFS	RENDERING	AGE 21+	881	None	3,136	None	74	None	104	None	786	None	2,404	None	195	None	195	None
1336461789	FLORES JORGE A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336461789	FLORES, JORGE A, DDS	2021	FFS	RENDERING	AGE 0-20	374	None	1,384	None	74	None	216	None	309	None	842	None	96	None	105	None
1336461789	FLORES, JORGE A, DDS	2021	FFS	RENDERING	AGE 21+	881	None	3,136	None	74	None	104	None	786	None	2,404	None	195	None	195	None
1336461789	FLORES, JORGE A, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336492891	LEE CHARLES J	2021	FFS	RENDERING	AGE 0-20	244	None	1,845	None	0	None	0	None	244	None	1,845	None	0	None	0	None
1336494392	ROSHANZAMIR ROSHANAK	2021	FFS	RENDERING	AGE 0-20	13	None	246	None	None	1	None	2	13	None	207	None	None	1	None	1
1336495795	MESCHI LEYLA	2021	FFS	RENDERING	AGE 0-20	4,855	None	36,183	None	3,619	None	10,731	None	3,022	None	6,937	None	3,398	None	3,526	None
1336495795	MESCHI LEYLA	2021	FFS	RENDERING	AGE 21+	28	None	111	None	11	None	20	None	11	None	20	None	13	None	13	None
1336511906	DONGA DISHA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1336511906	DONGA DISHA	2021	FFS	RENDERING	AGE 21+	15	None	59	None	None	1	None	1	None	1	None	2	11	None	11	None
1336544048	VO TIFFANY T	2021	FFS	RENDERING	AGE 0-20	770	None	6,911	None	587	None	1,556	None	414	None	1,079	None	555	None	588	None
1336544048	VO TIFFANY T	2021	FFS	RENDERING	AGE 21+	236	None	1,049	None	78	None	149	None	147	None	335	None	113	None	113	None
1336571140	RASHIDI, AZIN	2021	FFS	RENDERING	AGE 0-20	3,650	None	34,302	None	3,244	None	10,062	None	2,248	None	9,998	None	3,139	None	3,604	None
1336573476	LALA SANJAY	2021	FFS	RENDERING	AGE 0-20	14	None	105	None	13	None	30	None	None	1	None	1	13	None	14	None
1336573476	LALA SANJAY	2021	FFS	RENDERING	AGE 21+	143	None	407	None	30	None	42	None	33	None	84	None	129	None	129	None
1336573476	LALA SANJAY	2021	PHP	RENDERING	AGE 0-20	37	None	200	None	35	None	79	None	12	None	18	None	32	None	36	None
1336573476	LALA SANJAY	2021	PHP	RENDERING	AGE 21+	136	None	588	None	109	None	186	None	46	None	108	None	91	None	118	None
1336574557	YADAV KALPANA	2021	FFS	RENDERING	AGE 0-20	2,711	None	25,553	None	2,052	None	5,569	None	1,728	None	4,714	None	1,965	None	2,044	None
1336585793	LEE ANDREW K	2021	FFS	RENDERING	AGE 0-20	49	None	108	None	0	None	0	None	17	None	51	None	0	None	0	None
1336585793	LEE ANDREW K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1336592682	AJAYI ADEKUNLE	2021	FFS	RENDERING	AGE 0-20	79	None	374	None	49	None	94	None	24	None	42	None	46	None	46	None
1336592682	AJAYI ADEKUNLE	2021	FFS	RENDERING	AGE 21+	274	None	1,036	None	20	None	28	None	147	None	331	None	137	None	137	None
1336592682	AJAYI ADEKUNLE	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336592682	AJAYI ADEKUNLE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336592682	AJAYI ADEKUNLE	2021	PHP	RENDERING	AGE 21+	15	None	86	None	11	None	14	None	11	None	44	None	None	1	None	1
1336592906	LEONG JESSICA LIM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336607241	NASAFI ZAINAB	2021	FFS	RENDERING	AGE 0-20	82	None	299	None	53	None	159	None	42	None	86	None	21	None	21	None
1336607241	NASAFI ZAINAB	2021	FFS	RENDERING	AGE 21+	280	None	899	None	52	None	88	None	197	None	531	None	126	None	126	None
1336607241	NASAFI ZAINAB	2021	GMC	RENDERING	AGE 0-20	52	None	389	None	40	None	138	None	34	None	81	None	40	None	40	None
1336607241	NASAFI ZAINAB	2021	GMC	RENDERING	AGE 21+	91	None	415	None	17	None	36	None	64	None	228	None	48	None	49	None
1336620459	TON LAN N	2021	FFS	RENDERING	AGE 0-20	2,311	None	20,522	None	1,245	None	2,897	None	1,997	None	6,484	None	1,111	None	1,143	None
1336620459	TON LAN N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336621945	BRAR POONAMPREET K	2021	FFS	RENDERING	AGE 0-20	29	None	99	None	15	None	30	None	None	1	None	2	18	None	18	None
1336621945	BRAR POONAMPREET K	2021	FFS	RENDERING	AGE 21+	49	None	132	None	None	1	None	1	20	None	50	None	26	None	26	None
1336630177	MAHMOODI ROYA	2021	FFS	RENDERING	AGE 0-20	154	None	1,495	None	146	None	532	None	116	None	388	None	151	None	203	None
1336630177	MAHMOODI ROYA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1336633809	KANG JIN K	2021	FFS	RENDERING	AGE 0-20	1,170	None	11,626	None	1,024	None	2,819	None	760	None	1,892	None	927	None	929	None
1336633809	KANG JIN K	2021	FFS	RENDERING	AGE 21+	167	None	974	None	65	None	117	None	118	None	320	None	86	None	86	None
1336637909	FONG JOEL A	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336637909	FONG JOEL A	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1336637909	FONG JOEL A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336661867	ABUL-FIELAT, MOHAMMAD, DDS I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1336661867	MOHAMMAD ABUL FIELAT DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1336669381	BAKKE ANDREA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336669381	BAKKE ANDREA M	2021	FFS	RENDERING	AGE 21+	42	None	179	None	14	None	27	None	29	None	113	None	19	None	19	None
1336670645	INGRAM ASHLEY S	2021	FFS	RENDERING	AGE 0-20	41	None	241	None	13	None	26	None	31	None	72	None	13	None	13	None
1336670645	INGRAM ASHLEY S	2021	FFS	RENDERING	AGE 21+	227	None	1,305	None	52	None	103	None	173	None	395	None	77	None	77	None
1336684091	YANG, JUN YOUNG, DDS	2021	FFS	RENDERING	AGE 0-20	131	None	881	None	106	None	240	None	63	None	413	None	119	None	136	None
1336684091	YANG, JUN YOUNG, DDS	2021	FFS	RENDERING	AGE 21+	382	None	2,987	None	251	None	510	None	241	None	1,830	None	316	None	316	None
1336696426	PIVNIK, DMITRIY, DDS INC	2021	GMC	RENDERING	AGE 0-20	208	None	2,920	None	68	None	332	None	110	None	1,468	None	160	None	320	None
1336707462	SHAFIK ADAM O	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336707462	SHAFIK ADAM O	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336709104	JI MINHYUNG	2021	FFS	RENDERING	AGE 0-20	13	None	60	None	None	1	None	2	None	1	None	1	None	1	None	1
1336709104	JI MINHYUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1336711415	GIAO PHUONG T	2021	FFS	RENDERING	AGE 0-20	438	None	1,873	None	199	None	705	None	138	None	342	None	266	None	266	None
1336711415	GIAO PHUONG T	2021	FFS	RENDERING	AGE 21+	317	None	925	None	116	None	225	None	269	None	562	None	None	1	None	1
1336712074	VAN DEBORAH L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1336712074	VAN DEBORAH L	2021	FFS	RENDERING	AGE 21+	1,312	None	4,238	None	428	None	619	None	1,276	None	1,905	None	833	None	833	None
1336751098	VO DIEU X	2021	FFS	RENDERING	AGE 0-20	2,384	None	21,908	None	2,161	None	5,533	None	791	None	3,110	None	2,093	None	2,434	None
1336791466	SAINI JASPREET K	2021	FFS	RENDERING	AGE 0-20	219	None	1,478	None	184	None	418	None	79	None	246	None	201	None	226	None
1336791466	SAINI JASPREET K	2021	FFS	RENDERING	AGE 21+	290	None	1,100	None	53	None	83	None	109	None	334	None	227	None	227	None
1336792068	BUI NAM G	2021	FFS	RENDERING	AGE 0-20	19	None	77	None	15	None	30	None	None	1	None	2	14	None	14	None
1336792068	BUI NAM G	2021	FFS	RENDERING	AGE 21+	81	None	331	None	14	None	28	None	43	None	147	None	55	None	55	None
1336793728	MINOVI MITRA	2021	FFS	RENDERING	AGE 0-20	247	None	1,396	None	169	None	465	None	124	None	284	None	181	None	187	None
1336793728	MINOVI MITRA	2021	FFS	RENDERING	AGE 21+	125	None	428	None	13	None	25	None	68	None	192	None	61	None	61	None
1336793728	MINOVI MITRA	2021	PHP	RENDERING	AGE 0-20	194	None	647	None	26	None	63	None	164	None	390	None	25	None	25	None
1336793728	MINOVI MITRA	2021	PHP	RENDERING	AGE 21+	120	None	389	None	None	1	None	1	86	None	198	None	24	None	25	None
1336812403	ILIUTA ELIZABETH	2021	FFS	RENDERING	AGE 0-20	29	None	92	None	25	None	56	None	11	None	14	None	None	1	None	1
1336812403	ILIUTA ELIZABETH	2021	FFS	RENDERING	AGE 21+	14	None	44	None	None	1	None	1	None	1	None	2	None	1	None	1
1346219110	CRAFT STEPHEN A	2021	FFS	RENDERING	AGE 0-20	48	None	352	None	18	None	36	None	41	None	150	None	26	None	26	None
1346219110	CRAFT STEPHEN A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1346243896	CALAYAG LIBRADA T	2021	FFS	RENDERING	AGE 0-20	53	None	271	None	33	None	44	None	11	None	22	None	52	None	54	None
1346243896	CALAYAG LIBRADA T	2021	FFS	RENDERING	AGE 21+	281	None	1,618	None	124	None	125	None	114	None	252	None	242	None	242	None
1346250818	PI BENJAMIN Y	2021	FFS	RENDERING	AGE 0-20	13	None	90	None	13	None	16	None	None	1	None	1	12	None	13	None
1346250818	PI BENJAMIN Y	2021	FFS	RENDERING	AGE 21+	76	None	472	None	55	None	57	None	42	None	82	None	57	None	58	None
1346250818	PI BENJAMIN Y	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1346251535	GAMEZ, YADIRA L DDS	2021	FFS	RENDERING	AGE 0-20	263	None	2,783	None	208	None	480	None	162	None	708	None	245	None	290	None
1346251535	GAMEZ, YADIRA L DDS	2021	FFS	RENDERING	AGE 21+	615	None	4,285	None	282	None	287	None	455	None	2,310	None	468	None	468	None
1346303112	DAVID RABIZADEH DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346303112	DAVID RABIZADEH DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346305414	KUMAR, DEVINDER	2021	FFS	RENDERING	AGE 0-20	19	None	31	None	0	None	0	None	19	None	29	None	None	1	None	1
1346305414	KUMAR, DEVINDER	2021	FFS	RENDERING	AGE 21+	152	None	305	None	0	None	0	None	150	None	299	None	None	1	None	1
1346305414	KUMAR, DEVINDER, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	31	None	0	None	0	None	19	None	29	None	None	1	None	1
1346305414	KUMAR, DEVINDER, DDS	2021	FFS	RENDERING	AGE 21+	152	None	305	None	0	None	0	None	150	None	299	None	None	1	None	1
1346306396	CHUNG JAE Y	2021	FFS	RENDERING	AGE 0-20	613	None	4,415	None	527	None	2,192	None	148	None	277	None	518	None	585	None
1346306396	CHUNG JAE Y	2021	FFS	RENDERING	AGE 21+	306	None	1,389	None	201	None	400	None	101	None	192	None	227	None	227	None
1346306396	CHUNG JAE Y	2021	PHP	RENDERING	AGE 0-20	94	None	1,027	None	87	None	236	None	36	None	86	None	93	None	119	None
1346306396	CHUNG JAE Y	2021	PHP	RENDERING	AGE 21+	122	None	951	None	97	None	198	None	61	None	145	None	108	None	111	None
1346311263	MOTAKEF MOJDEH	2021	FFS	RENDERING	AGE 0-20	14	None	122	None	14	None	53	None	None	1	None	2	None	1	None	2
1346311263	MOTAKEF MOJDEH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1346319803	BYUN CHUL Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1346319803	BYUN CHUL Y	2021	FFS	RENDERING	AGE 21+	90	None	453	None	30	None	57	None	70	None	241	None	38	None	38	None
1346320975	CHANGIZI SUSSAN	2021	FFS	RENDERING	AGE 0-20	1,480	None	24,299	None	1,430	None	6,601	None	1,081	None	3,563	None	1,443	None	2,004	None
1346320975	CHANGIZI SUSSAN	2021	FFS	RENDERING	AGE 21+	652	None	5,223	None	459	None	923	None	429	None	1,413	None	545	None	545	None
1346333861	POBLETE EDITHA P	2021	FFS	RENDERING	AGE 0-20	28	None	514	None	28	None	130	None	18	None	71	None	28	None	40	None
1346333861	POBLETE EDITHA P	2021	FFS	RENDERING	AGE 21+	96	None	1,323	None	66	None	132	None	81	None	635	None	76	None	76	None
1346336708	CHUNG JOHN W	2021	FFS	RENDERING	AGE 0-20	203	None	1,896	None	175	None	613	None	156	None	461	None	176	None	257	None
1346336708	CHUNG JOHN W	2021	FFS	RENDERING	AGE 21+	129	None	700	None	65	None	117	None	78	None	285	None	93	None	93	None
1346339868	YOON, KYUNG OK, DDS	2021	FFS	RENDERING	AGE 0-20	54	None	642	None	46	None	192	None	17	None	122	None	46	None	116	None
1346339868	YOON, KYUNG OK, DDS	2021	FFS	RENDERING	AGE 21+	111	None	1,152	None	47	None	96	None	56	None	518	None	80	None	160	None
1346339868	YOON, KYUNG OK, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	2
1346341740	NGUYEN THINH T	2021	FFS	RENDERING	AGE 0-20	334	None	3,071	None	229	None	590	None	142	None	418	None	250	None	274	None
1346341740	NGUYEN THINH T	2021	FFS	RENDERING	AGE 21+	528	None	2,813	None	172	None	316	None	283	None	742	None	358	None	358	None
1346359031	MANSOUR RAYMOND N	2021	FFS	RENDERING	AGE 0-20	48	None	347	None	39	None	133	None	21	None	73	None	30	None	33	None
1346359031	MANSOUR RAYMOND N	2021	FFS	RENDERING	AGE 21+	213	None	1,233	None	122	None	173	None	149	None	504	None	119	None	136	None
1346370509	CHEN HAI-SOU	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346370509	CHEN HAI-SOU	2021	FFS	RENDERING	AGE 21+	37	None	172	None	21	None	21	None	24	None	97	None	19	None	19	None
1346370897	NGUYEN JANINE HUONG L	2021	FFS	RENDERING	AGE 0-20	99	None	151	None	0	None	0	None	19	None	46	None	0	None	0	None
1346370897	NGUYEN JANINE HUONG L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346374840	KAPILA YVONNE L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346374840	KAPILA YVONNE L	2021	FFS	RENDERING	AGE 21+	23	None	26	None	0	None	0	None	21	None	24	None	None	1	None	1
1346377470	LOE KIMBAL WAYNE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346379666	SO ARMANDO P	2021	FFS	RENDERING	AGE 0-20	146	None	1,011	None	100	None	376	None	87	None	234	None	100	None	111	None
1346379666	SO ARMANDO P	2021	FFS	RENDERING	AGE 21+	199	None	1,168	None	70	None	139	None	170	None	751	None	72	None	72	None
1346383213	MOVAHHEDI, IRAJ DDS	2021	FFS	RENDERING	AGE 0-20	35	None	311	None	24	None	71	None	18	None	79	None	31	None	32	None
1346383213	MOVAHHEDI, IRAJ DDS	2021	FFS	RENDERING	AGE 21+	86	None	534	None	29	None	29	None	49	None	295	None	51	None	51	None
1346383866	ANDREWS, LUIS, DDS	2021	FFS	RENDERING	AGE 0-20	1,377	None	12,620	None	1,326	None	1,548	None	319	None	862	None	1,265	None	1,471	None
1346383866	ANDREWS, LUIS, DDS	2021	FFS	RENDERING	AGE 21+	47	None	439	None	38	None	38	None	20	None	43	None	41	None	41	None
1346387479	WEBBER FONDA C	2021	GMC	RENDERING	AGE 0-20	712	None	7,903	None	667	None	2,528	None	466	None	750	None	666	None	791	None
1346387479	WEBBER FONDA C	2021	GMC	RENDERING	AGE 21+	567	None	3,928	None	252	None	482	None	375	None	981	None	364	None	369	None
1346393634	DAL PORTO, MARK W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1346393634	DAL PORTO, MARK W, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1346397221	MASSOOMI NIMA SAYED	2021	FFS	RENDERING	AGE 21+	21	None	147	None	0	None	0	None	21	None	122	None	0	None	0	None
1346413747	TRUONG, HOA V, DDS	2021	FFS	RENDERING	AGE 0-20	54	None	756	None	51	None	219	None	20	None	57	None	51	None	65	None
1346413747	TRUONG, HOA V, DDS	2021	FFS	RENDERING	AGE 21+	85	None	1,146	None	61	None	124	None	66	None	702	None	65	None	66	None
1346420213	KORHANI TAHEREH	2021	FFS	RENDERING	AGE 0-20	235	None	1,798	None	208	None	712	None	156	None	374	None	204	None	204	None
1346422771	ABED GEORGE S	2021	FFS	RENDERING	AGE 0-20	34	None	113	None	0	None	0	None	34	None	105	None	0	None	0	None
1346446960	AMADOR ANN ROSELLE A	2021	FFS	RENDERING	AGE 0-20	31	None	283	None	28	None	61	None	None	1	None	2	14	None	14	None
1346446960	AMADOR ANN ROSELLE A	2021	FFS	RENDERING	AGE 21+	94	None	673	None	50	None	50	None	61	None	292	None	38	None	38	None
1346450889	PHAN TUYET MAI T	2021	FFS	RENDERING	AGE 0-20	18	None	87	None	17	None	46	None	0	None	0	None	None	1	None	1
1346450889	PHAN TUYET MAI T	2021	FFS	RENDERING	AGE 21+	47	None	104	None	22	None	31	None	26	None	61	None	0	None	0	None
1346450889	PHAN TUYET MAI T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1346450889	PHAN TUYET MAI T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1346451812	PETROS DHAFIR J	2021	FFS	RENDERING	AGE 0-20	129	None	960	None	98	None	242	None	72	None	199	None	101	None	112	None
1346451812	PETROS DHAFIR J	2021	FFS	RENDERING	AGE 21+	464	None	2,761	None	199	None	359	None	319	None	1,232	None	343	None	343	None
1346453321	VAUGHAN LEONARD S	2021	FFS	RENDERING	AGE 0-20	116	None	691	None	0	None	0	None	85	None	528	None	80	None	80	None
1346453321	VAUGHAN LEONARD S	2021	FFS	RENDERING	AGE 21+	188	None	959	None	0	None	0	None	139	None	654	None	148	None	150	None
1346453883	KARIMIAN, EDWARD, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346453883	KARIMIAN, EDWARD, DDS	2021	FFS	RENDERING	AGE 21+	229	None	1,172	None	67	None	67	None	203	None	644	None	53	None	53	None
1346455896	SHAFAGH KATAYOON	2021	FFS	RENDERING	AGE 0-20	67	None	159	None	None	1	None	1	17	None	44	None	None	1	None	1
1346455896	SHAFAGH KATAYOON	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1346458718	LEMOS LUIS F	2021	FFS	RENDERING	AGE 0-20	13	None	147	None	11	None	34	None	None	1	None	2	12	None	12	None
1346458718	LEMOS LUIS F	2021	FFS	RENDERING	AGE 21+	22	None	107	None	13	None	23	None	13	None	30	None	11	None	11	None
1346461407	SHIRAZI-ARDESTA BEHZAD	2021	FFS	RENDERING	AGE 0-20	69	None	766	None	57	None	236	None	28	None	185	None	65	None	82	None
1346461407	SHIRAZI-ARDESTA BEHZAD	2021	FFS	RENDERING	AGE 21+	127	None	1,338	None	62	None	118	None	100	None	816	None	104	None	109	None
1346461407	SHIRAZI-ARDESTA BEHZAD	2021	PHP	RENDERING	AGE 0-20	12	None	110	None	None	1	None	2	None	1	None	2	None	1	None	1
1346461407	SHIRAZI-ARDESTA BEHZAD	2021	PHP	RENDERING	AGE 21+	26	None	162	None	None	1	None	1	17	None	122	None	None	1	None	1
1346461977	CHENG VINCENT C	2021	FFS	RENDERING	AGE 0-20	37	None	277	None	31	None	78	None	None	1	None	2	28	None	33	None
1346461977	CHENG VINCENT C	2021	FFS	RENDERING	AGE 21+	87	None	844	None	52	None	102	None	64	None	256	None	55	None	55	None
1346462231	FATOURACHI HOURI	2021	FFS	RENDERING	AGE 0-20	545	None	7,118	None	531	None	2,735	None	318	None	1,011	None	526	None	873	None
1346466679	BABAYAN ERIC L	2021	FFS	RENDERING	AGE 0-20	619	None	1,874	None	None	1	None	1	210	None	681	None	None	1	None	1
1346466679	BABAYAN ERIC L	2021	FFS	RENDERING	AGE 21+	78	None	151	None	0	None	0	None	0	None	0	None	0	None	0	None
1346466679	BABAYAN ERIC L	2021	PHP	RENDERING	AGE 0-20	12	None	44	None	0	None	0	None	12	None	32	None	0	None	0	None
1346466679	BABAYAN ERIC L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346469889	BARGA JAMES B	2021	FFS	RENDERING	AGE 21+	141	None	571	None	72	None	72	None	51	None	132	None	109	None	109	None
1346481496	ADAMS, DANIEL ROBERT DMD MS	2021	FFS	RENDERING	AGE 0-20	56	None	111	None	0	None	0	None	17	None	28	None	0	None	0	None
1346481496	ADAMS, DANIEL ROBERT DMD MS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346485752	NGUYEN THUY-ANH P	2021	FFS	RENDERING	AGE 0-20	59	None	338	None	48	None	107	None	18	None	46	None	53	None	56	None
1346485752	NGUYEN THUY-ANH P	2021	FFS	RENDERING	AGE 21+	147	None	689	None	83	None	161	None	51	None	201	None	117	None	117	None
1346490034	DURVASULA MADHAVI K	2021	FFS	RENDERING	AGE 0-20	244	None	1,068	None	102	None	337	None	84	None	160	None	183	None	187	None
1346490034	DURVASULA MADHAVI K	2021	FFS	RENDERING	AGE 21+	550	None	1,531	None	65	None	117	None	266	None	566	None	293	None	294	None
1346508355	POTDAR SANDEEP P	2021	FFS	RENDERING	AGE 0-20	901	None	3,496	None	219	None	936	None	66	None	198	None	831	None	865	None
1346508355	POTDAR SANDEEP P	2021	FFS	RENDERING	AGE 21+	1,996	None	4,287	None	74	None	143	None	134	None	256	None	1,669	None	1,669	None
1346508355	POTDAR SANDEEP P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1346508355	POTDAR SANDEEP P	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1346514106	ANDALON DARRELL O	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1346514106	ANDALON DARRELL O	2021	PHP	RENDERING	AGE 0-20	144	None	1,258	None	107	None	455	None	134	None	231	None	91	None	92	None
1346514106	ANDALON DARRELL O	2021	PHP	RENDERING	AGE 21+	150	None	634	None	32	None	72	None	112	None	242	None	52	None	53	None
1346519782	ARIZMENDI, MARCELA AYALA DDS	2021	FFS	RENDERING	AGE 0-20	713	None	8,377	None	648	None	2,409	None	472	None	1,840	None	650	None	866	None
1346519782	ARIZMENDI, MARCELA AYALA DDS	2021	FFS	RENDERING	AGE 21+	586	None	3,937	None	312	None	616	None	442	None	1,751	None	346	None	348	None
1346528676	LOPEZ DEL AGUIL VICTOR	2021	FFS	RENDERING	AGE 0-20	748	None	9,233	None	699	None	4,014	None	406	None	1,102	None	691	None	813	None
1346528676	LOPEZ DEL AGUIL VICTOR	2021	FFS	RENDERING	AGE 21+	1,058	None	8,602	None	766	None	1,518	None	722	None	3,789	None	836	None	836	None
1346549599	CUCINELLA, JULIA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1346549599	CUCINELLA, JULIA, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1346550258	MAKAR MARY Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346550258	MAKAR MARY Y	2021	FFS	RENDERING	AGE 21+	49	None	198	None	None	1	None	1	45	None	157	None	12	None	12	None
1346568326	MORSHED NAZY	2021	FFS	RENDERING	AGE 0-20	1,431	None	9,745	None	1,238	None	3,625	None	428	None	654	None	1,322	None	1,520	None
1346568326	MORSHED NAZY	2021	FFS	RENDERING	AGE 21+	900	None	3,529	None	323	None	582	None	334	None	973	None	507	None	507	None
1346568326	MORSHED NAZY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1346571791	AVENDANO, PEDRO A, DDS	2021	FFS	RENDERING	AGE 0-20	39	None	212	None	22	None	44	None	21	None	55	None	22	None	22	None
1346571791	AVENDANO, PEDRO A, DDS	2021	FFS	RENDERING	AGE 21+	204	None	927	None	76	None	150	None	152	None	398	None	76	None	76	None
1346572906	NGUYEN MYLOC T	2021	FFS	RENDERING	AGE 0-20	202	None	2,900	None	192	None	735	None	39	None	88	None	175	None	219	None
1346572906	NGUYEN MYLOC T	2021	FFS	RENDERING	AGE 21+	294	None	2,802	None	174	None	348	None	184	None	560	None	172	None	172	None
1346584166	LU, XIAOYU, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1346584166	LUKE DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1346595113	CHANG JUNG Y	2021	FFS	RENDERING	AGE 0-20	3,846	None	71,640	None	3,724	None	16,369	None	2,785	None	12,592	None	3,740	None	5,587	None
1346595113	CHANG JUNG Y	2021	FFS	RENDERING	AGE 21+	12	None	106	None	None	1	None	2	None	1	None	2	None	1	None	1
1346595626	RAWSON TAYLOR H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1346609260	FARES SAMIRA	2021	FFS	RENDERING	AGE 0-20	49	None	450	None	40	None	120	None	13	None	31	None	39	None	41	None
1346609260	FARES SAMIRA	2021	FFS	RENDERING	AGE 21+	56	None	276	None	23	None	46	None	26	None	42	None	36	None	36	None
1346615572	CESARIO JOHN J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1346615572	CESARIO JOHN J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346615572	CESARIO, JOHN J, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1346615572	CESARIO, JOHN J, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346621315	HOTHI AMRIT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346625696	ELIZONDO LAURA K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1346625696	ELIZONDO LAURA K	2021	FFS	RENDERING	AGE 21+	171	None	680	None	13	None	13	None	143	None	554	None	45	None	45	None
1346626777	NAYAK NISHA P	2021	FFS	RENDERING	AGE 0-20	1,767	None	19,315	None	1,677	None	6,517	None	337	None	679	None	1,674	None	2,266	None
1346626983	MCGINLEY KRISTINA K	2021	FFS	RENDERING	AGE 0-20	11	None	117	None	None	1	None	2	11	None	64	None	None	1	None	1
1346626983	MCGINLEY KRISTINA K	2021	FFS	RENDERING	AGE 21+	23	None	314	None	21	None	21	None	23	None	210	None	21	None	21	None
1346656600	PATEL PRAGNESH J	2021	FFS	RENDERING	AGE 0-20	535	None	2,625	None	391	None	1,062	None	94	None	161	None	470	None	504	None
1346656600	PATEL PRAGNESH J	2021	FFS	RENDERING	AGE 21+	598	None	1,958	None	153	None	300	None	247	None	582	None	427	None	429	None
1346656600	PATEL PRAGNESH J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1346658622	DONG JIN KIM DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1346658622	DONG JIN KIM DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346665833	DUONG FRANK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346704681	ASKARI VANDAD F	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1346704681	ASKARI VANDAD F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1346722873	ABRAHAMIAN ARIGA	2021	FFS	RENDERING	AGE 0-20	30	None	221	None	27	None	84	None	14	None	61	None	29	None	33	None
1346722873	ABRAHAMIAN ARIGA	2021	FFS	RENDERING	AGE 21+	140	None	1,186	None	83	None	134	None	103	None	681	None	100	None	100	None
1346725082	LEE JI YOUN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346725082	LEE JI YOUN	2021	FFS	RENDERING	AGE 21+	51	None	243	None	21	None	21	None	28	None	65	None	32	None	33	None
1346735909	DANG AVALPREET SINGH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1346741352	HASSANTASH SEYEDEH Z	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1346762002	VARTAK MANJIRI	2021	FFS	RENDERING	AGE 0-20	2,780	None	22,983	None	2,530	None	8,373	None	1,627	None	4,641	None	2,530	None	3,077	None
1346765070	SAPINOSO MARIECHRIS A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346765070	SAPINOSO MARIECHRIS A	2021	FFS	RENDERING	AGE 21+	1,061	None	5,057	None	606	None	947	None	1,020	None	2,183	None	794	None	808	None
1346766979	MOSTAJABIAN SAMAN	2021	FFS	RENDERING	AGE 0-20	114	None	637	None	27	None	33	None	49	None	115	None	81	None	88	None
1346766979	MOSTAJABIAN SAMAN	2021	FFS	RENDERING	AGE 21+	541	None	2,987	None	53	None	53	None	312	None	818	None	387	None	403	None
1346772878	LEE ALEXANDER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1346772878	LEE ALEXANDER	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1346773629	ASHMORE, G C, DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346780715	SHAYEFAR JOSHUA B	2021	FFS	RENDERING	AGE 0-20	24	None	108	None	None	1	None	2	None	1	None	2	18	None	18	None
1346780715	SHAYEFAR JOSHUA B	2021	FFS	RENDERING	AGE 21+	95	None	233	None	None	1	None	1	55	None	76	None	44	None	44	None
1346825023	PATEL NIRAJ R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346825023	PATEL NIRAJ R	2021	FFS	RENDERING	AGE 21+	24	None	31	None	0	None	0	None	24	None	31	None	0	None	0	None
1346826443	HANNA ELIZABETH M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1346826443	HANNA ELIZABETH M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346836558	FARUK TANZIM	2021	FFS	RENDERING	AGE 0-20	313	None	1,542	None	82	None	196	None	141	None	392	None	246	None	253	None
1346836558	FARUK TANZIM	2021	FFS	RENDERING	AGE 21+	445	None	1,321	None	16	None	29	None	169	None	419	None	315	None	315	None
1346847258	KWAK-LEE DAISY B	2021	FFS	RENDERING	AGE 0-20	1,102	None	13,211	None	844	None	3,767	None	984	None	5,772	None	822	None	953	None
1346847258	KWAK-LEE DAISY B	2021	FFS	RENDERING	AGE 21+	263	None	2,316	None	115	None	324	None	239	None	1,250	None	114	None	114	None
1346847258	KWAK-LEE DAISY B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1346862166	SUM TIFFANY L	2021	FFS	RENDERING	AGE 0-20	30	None	95	None	0	None	0	None	30	None	47	None	None	1	None	1
1346862166	SUM TIFFANY L	2021	FFS	RENDERING	AGE 21+	467	None	1,511	None	17	None	18	None	454	None	723	None	52	None	52	None
1346892221	ESKANDAR BESHOY	2021	FFS	RENDERING	AGE 0-20	40	None	202	None	24	None	112	None	None	1	None	1	30	None	30	None
1346892221	ESKANDAR BESHOY	2021	FFS	RENDERING	AGE 21+	70	None	169	None	14	None	20	None	21	None	31	None	40	None	40	None
1346892221	ESKANDAR BESHOY	2021	PHP	RENDERING	AGE 0-20	17	None	74	None	15	None	45	None	0	None	0	None	17	None	17	None
1346892221	ESKANDAR BESHOY	2021	PHP	RENDERING	AGE 21+	22	None	46	None	14	None	19	None	11	None	12	None	13	None	13	None
1346898020	CHAN JAMES T	2021	FFS	RENDERING	AGE 0-20	423	None	2,264	None	221	None	710	None	148	None	389	None	340	None	340	None
1346898020	CHAN JAMES T	2021	FFS	RENDERING	AGE 21+	531	None	1,687	None	129	None	241	None	177	None	389	None	328	None	328	None
1346913803	ABRAHAM SHARON R	2021	FFS	RENDERING	AGE 0-20	88	None	668	None	74	None	209	None	53	None	120	None	78	None	78	None
1346913803	ABRAHAM SHARON R	2021	FFS	RENDERING	AGE 21+	99	None	493	None	47	None	72	None	73	None	267	None	58	None	58	None
1346913803	ABRAHAM SHARON R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1346913803	ABRAHAM SHARON R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1346914827	YBARRA ALYSSA C	2021	FFS	RENDERING	AGE 0-20	364	None	2,775	None	277	None	708	None	222	None	649	None	280	None	280	None
1346914827	YBARRA ALYSSA C	2021	FFS	RENDERING	AGE 21+	387	None	2,784	None	194	None	359	None	273	None	1,013	None	249	None	249	None
1356349500	NASSER ANWAR Z	2021	FFS	RENDERING	AGE 0-20	47	None	362	None	42	None	92	None	21	None	54	None	37	None	41	None
1356349500	NASSER ANWAR Z	2021	FFS	RENDERING	AGE 21+	103	None	497	None	33	None	36	None	79	None	182	None	49	None	49	None
1356354518	CHEN RU	2021	FFS	RENDERING	AGE 0-20	40	None	164	None	18	None	77	None	None	1	None	1	23	None	23	None
1356354518	CHEN RU	2021	FFS	RENDERING	AGE 21+	194	None	500	None	None	1	None	2	50	None	132	None	117	None	117	None
1356354518	CHEN RU	2021	GMC	RENDERING	AGE 0-20	57	None	246	None	15	None	60	None	23	None	46	None	23	None	23	None
1356354518	CHEN RU	2021	GMC	RENDERING	AGE 21+	133	None	491	None	22	None	29	None	81	None	305	None	51	None	51	None
1356355689	GRISWOLD JR, E RAY, DDS	2021	FFS	RENDERING	AGE 21+	94	None	277	None	0	None	0	None	74	None	161	None	62	None	62	None
1356362743	COMPREHENSIVE COMMUNITY	2021	PHP	RENDERING	AGE 0-20	11	None	164	None	None	1	None	2	None	1	None	2	None	1	None	2
1356362743	COMPREHENSIVE COMMUNITY	2021	PHP	RENDERING	AGE 21+	30	None	282	None	16	None	82	None	19	None	70	None	16	None	32	None
1356364301	PATEL VIJAYKUMAR B	2021	FFS	RENDERING	AGE 0-20	359	None	3,433	None	335	None	932	None	152	None	560	None	326	None	355	None
1356364301	PATEL VIJAYKUMAR B	2021	FFS	RENDERING	AGE 21+	173	None	1,153	None	79	None	155	None	128	None	456	None	105	None	105	None
1356364301	PATEL VIJAYKUMAR B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1356364301	PATEL, VIJAY B, DDS	2021	FFS	RENDERING	AGE 0-20	359	None	3,433	None	335	None	932	None	152	None	560	None	326	None	355	None
1356364301	PATEL, VIJAY B, DDS	2021	FFS	RENDERING	AGE 21+	173	None	1,153	None	79	None	155	None	128	None	456	None	105	None	105	None
1356364301	PATEL, VIJAY B, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1356376396	KIANI KIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356376396	KIANI KIA	2021	FFS	RENDERING	AGE 21+	15	None	27	None	0	None	0	None	12	None	20	None	0	None	0	None
1356389522	MC AULIFF STEPHEN J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356390520	ANARAKI HENGAMEH	2021	FFS	RENDERING	AGE 0-20	288	None	3,525	None	271	None	869	None	207	None	849	None	273	None	334	None
1356390520	ANARAKI HENGAMEH	2021	FFS	RENDERING	AGE 21+	533	None	4,900	None	305	None	588	None	454	None	2,367	None	365	None	367	None
1356403513	CERVANTES RIGOBERTO	2021	FFS	RENDERING	AGE 0-20	168	None	1,444	None	160	None	448	None	95	None	318	None	150	None	183	None
1356403513	CERVANTES RIGOBERTO	2021	FFS	RENDERING	AGE 21+	356	None	2,212	None	227	None	448	None	242	None	895	None	282	None	282	None
1356404073	SINGH HARDEV M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356404073	SINGH HARDEV M	2021	FFS	RENDERING	AGE 21+	39	None	71	None	0	None	0	None	39	None	55	None	0	None	0	None
1356404073	SINGH HARDEV M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356414320	SANCHEZ, GUILLERMO, DDS	2021	FFS	RENDERING	AGE 0-20	163	None	3,708	None	151	None	1,030	None	104	None	542	None	156	None	458	None
1356414320	SANCHEZ, GUILLERMO, DDS	2021	FFS	RENDERING	AGE 21+	208	None	4,220	None	97	None	378	None	190	None	1,882	None	73	None	146	None
1356414411	SHU RODRIGUEZ YVONNE	2021	FFS	RENDERING	AGE 0-20	257	None	4,112	None	236	None	816	None	133	None	598	None	245	None	316	None
1356414411	SHU RODRIGUEZ YVONNE	2021	FFS	RENDERING	AGE 21+	292	None	3,390	None	193	None	383	None	201	None	856	None	242	None	242	None
1356415103	SHAHANGIAN, AIDA, DDS	2021	FFS	RENDERING	AGE 0-20	186	None	2,143	None	159	None	528	None	57	None	134	None	158	None	200	None
1356415103	SHAHANGIAN, AIDA, DDS	2021	FFS	RENDERING	AGE 21+	292	None	1,731	None	117	None	176	None	174	None	466	None	200	None	202	None
1356418065	ZIADEH FAHER C	2021	FFS	RENDERING	AGE 0-20	1,696	None	9,643	None	985	None	4,225	None	127	None	241	None	1,622	None	1,908	None
1356418065	ZIADEH FAHER C	2021	FFS	RENDERING	AGE 21+	1,622	None	5,354	None	765	None	1,513	None	418	None	926	None	695	None	695	None
1356418065	ZIADEH FAHER C	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356427488	KIM PAUL HYUNGIL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356439343	UGARTE, VICTOR A, DDS	2021	FFS	RENDERING	AGE 0-20	122	None	1,091	None	118	None	378	None	46	None	176	None	117	None	169	None
1356439343	UGARTE, VICTOR A, DDS	2021	FFS	RENDERING	AGE 21+	54	None	333	None	35	None	70	None	31	None	126	None	40	None	40	None
1356441927	KING CARLOS J	2021	FFS	RENDERING	AGE 0-20	22	None	71	None	17	None	17	None	None	1	None	2	None	1	None	1
1356441927	KING CARLOS J	2021	FFS	RENDERING	AGE 21+	116	None	513	None	50	None	50	None	65	None	201	None	63	None	63	None
1356450159	JOHNSON PHILLIP RANDOLPH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1356453898	CATAQUIZ III EUGENE D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1356454946	TRAN, LAWRENCE L DDS	2021	FFS	RENDERING	AGE 0-20	139	None	922	None	124	None	256	None	33	None	69	None	130	None	153	None
1356454946	TRAN, LAWRENCE L DDS	2021	FFS	RENDERING	AGE 21+	76	None	321	None	49	None	49	None	32	None	51	None	52	None	52	None
1356456966	LEE, SEONG SUK, DDS	2021	FFS	RENDERING	AGE 0-20	154	None	1,043	None	147	None	424	None	48	None	145	None	149	None	160	None
1356456966	LEE, SEONG SUK, DDS	2021	FFS	RENDERING	AGE 21+	187	None	1,111	None	118	None	244	None	116	None	419	None	141	None	145	None
1356462774	HAJJAR GEORGE P	2021	FFS	RENDERING	AGE 0-20	42	None	344	None	34	None	92	None	19	None	57	None	34	None	46	None
1356462774	HAJJAR GEORGE P	2021	FFS	RENDERING	AGE 21+	111	None	688	None	52	None	53	None	82	None	330	None	33	None	33	None
1356472278	ZIERHUT EILEEN C	2021	FFS	RENDERING	AGE 0-20	20	None	20	None	0	None	0	None	None	1	None	1	0	None	0	None
1356472278	ZIERHUT EILEEN C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356480461	BAUMSTEIN, HAROLD L, DDS	2021	FFS	RENDERING	AGE 0-20	39	None	279	None	34	None	109	None	15	None	51	None	38	None	51	None
1356480461	BAUMSTEIN, HAROLD L, DDS	2021	FFS	RENDERING	AGE 21+	540	None	3,450	None	428	None	800	None	308	None	1,067	None	466	None	466	None
1356484927	RABIE AHMED M	2021	FFS	RENDERING	AGE 0-20	92	None	438	None	17	None	40	None	51	None	94	None	75	None	79	None
1356484927	RABIE AHMED M	2021	FFS	RENDERING	AGE 21+	675	None	1,982	None	20	None	36	None	496	None	1,116	None	336	None	336	None
1356486856	PERRY, DAVID M., DDS, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1356494082	NGUYEN LINDA T	2021	FFS	RENDERING	AGE 0-20	34	None	291	None	24	None	64	None	20	None	138	None	22	None	24	None
1356494082	NGUYEN LINDA T	2021	FFS	RENDERING	AGE 21+	59	None	385	None	45	None	45	None	50	None	193	None	23	None	23	None
1356499693	KOSHKERIAN HOVSEP	2021	FFS	RENDERING	AGE 0-20	371	None	3,807	None	342	None	1,280	None	190	None	591	None	342	None	443	None
1356499693	KOSHKERIAN HOVSEP	2021	FFS	RENDERING	AGE 21+	559	None	4,549	None	321	None	641	None	468	None	2,096	None	375	None	382	None
1356499693	KOSHKERIAN HOVSEP	2021	PHP	RENDERING	AGE 0-20	21	None	198	None	18	None	53	None	None	1	None	2	19	None	25	None
1356499693	KOSHKERIAN HOVSEP	2021	PHP	RENDERING	AGE 21+	46	None	216	None	13	None	23	None	42	None	115	None	13	None	13	None
1356503890	NGUYEN, DANNY DDS	2021	FFS	RENDERING	AGE 0-20	1,418	None	14,337	None	1,229	None	4,921	None	996	None	4,310	None	1,218	None	1,528	None
1356503890	NGUYEN, DANNY DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1356503890	NGUYEN, DANNY DDS	2021	PHP	RENDERING	AGE 0-20	12	None	67	None	None	1	None	2	None	1	None	2	None	1	None	1
1356507818	MORETTA CARLOS M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1356507818	MORETTA CARLOS M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1356508337	ENRIQUEZ MIRIAM A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356509087	LEE LINDA H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356509087	LEE LINDA H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356516397	AVANESS ARMOUND	2021	FFS	RENDERING	AGE 0-20	52	None	163	None	12	None	24	None	39	None	92	None	16	None	16	None
1356516397	AVANESS ARMOUND	2021	FFS	RENDERING	AGE 21+	247	None	696	None	21	None	42	None	217	None	557	None	21	None	21	None
1356521264	WIN, NYI NYI DDS	2021	FFS	RENDERING	AGE 0-20	25	None	174	None	22	None	61	None	None	1	None	2	22	None	22	None
1356521264	WIN, NYI NYI DDS	2021	FFS	RENDERING	AGE 21+	24	None	85	None	None	1	None	2	17	None	32	None	None	1	None	1
1356521264	WIN, NYI NYI DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356521264	WIN, NYI NYI DDS	2021	PHP	RENDERING	AGE 0-20	15	None	104	None	13	None	46	None	None	1	None	2	12	None	12	None
1356521264	WIN, NYI NYI DDS	2021	PHP	RENDERING	AGE 21+	39	None	204	None	None	1	None	1	32	None	132	None	18	None	18	None
1356522742	LIN YANG	2021	FFS	RENDERING	AGE 0-20	21	None	148	None	16	None	59	None	None	1	None	2	21	None	21	None
1356522742	LIN YANG	2021	FFS	RENDERING	AGE 21+	50	None	226	None	36	None	71	None	16	None	48	None	49	None	49	None
1356525299	PATEL, BHAVNABEN K DDS	2021	FFS	RENDERING	AGE 0-20	94	None	1,508	None	92	None	391	None	30	None	74	None	91	None	127	None
1356525299	PATEL, BHAVNABEN K DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1356527980	NEWHART SCOTT G	2021	FFS	RENDERING	AGE 0-20	17	None	58	None	0	None	0	None	15	None	48	None	0	None	0	None
1356530646	SHAH AMI S	2021	FFS	RENDERING	AGE 0-20	56	None	575	None	42	None	128	None	27	None	93	None	45	None	53	None
1356530646	SHAH AMI S	2021	FFS	RENDERING	AGE 21+	155	None	1,249	None	42	None	69	None	120	None	436	None	109	None	109	None
1356532014	KIM JAMES Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356537849	BEEMAN SYLVIA O	2021	FFS	RENDERING	AGE 0-20	53	None	285	None	44	None	108	None	24	None	41	None	33	None	35	None
1356537849	BEEMAN SYLVIA O	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1356541080	CHO GRACE H	2021	FFS	RENDERING	AGE 0-20	109	None	1,018	None	106	None	416	None	57	None	209	None	106	None	134	None
1356541080	CHO GRACE H	2021	FFS	RENDERING	AGE 21+	157	None	1,178	None	93	None	181	None	112	None	646	None	128	None	128	None
1356541080	CHO GRACE H	2021	PHP	RENDERING	AGE 0-20	18	None	152	None	18	None	73	None	None	1	None	2	18	None	24	None
1356541080	CHO GRACE H	2021	PHP	RENDERING	AGE 21+	28	None	227	None	21	None	47	None	19	None	132	None	25	None	26	None
1356545883	SHANG CHUN-TING	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1356545974	SISON MARIA AGNES T	2021	FFS	RENDERING	AGE 0-20	46	None	253	None	44	None	120	None	16	None	44	None	44	None	60	None
1356545974	SISON MARIA AGNES T	2021	FFS	RENDERING	AGE 21+	160	None	822	None	109	None	212	None	96	None	315	None	107	None	107	None
1356546410	SCOTT NYASHA M	2021	FFS	RENDERING	AGE 0-20	340	None	3,182	None	306	None	980	None	173	None	507	None	247	None	293	None
1356558159	TAVALLAEI MONICA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356559827	GALVAN ROMARICO N	2021	FFS	RENDERING	AGE 0-20	83	None	751	None	68	None	212	None	38	None	102	None	76	None	89	None
1356559827	GALVAN ROMARICO N	2021	FFS	RENDERING	AGE 21+	237	None	2,091	None	128	None	131	None	175	None	817	None	179	None	179	None
1356559827	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	83	None	751	None	68	None	212	None	38	None	102	None	76	None	89	None
1356559827	UNKNOWN	2021	FFS	RENDERING	AGE 21+	237	None	2,091	None	128	None	131	None	175	None	817	None	179	None	179	None
1356560494	B DEIRMENJIAN DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1356565758	MANAVI, FARHAD, PROFESSIONAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1356565758	MANAVI, FARHAD, PROFESSIONAL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1356565923	TIRADOR JOEY S	2021	FFS	RENDERING	AGE 0-20	471	None	5,770	None	418	None	1,185	None	261	None	1,034	None	399	None	489	None
1356565923	TIRADOR JOEY S	2021	FFS	RENDERING	AGE 21+	569	None	4,219	None	296	None	298	None	433	None	1,829	None	365	None	366	None
1356565923	TIRADOR, JOEY SORIANO, DDS	2021	FFS	RENDERING	AGE 0-20	471	None	5,770	None	418	None	1,185	None	261	None	1,034	None	399	None	489	None
1356565923	TIRADOR, JOEY SORIANO, DDS	2021	FFS	RENDERING	AGE 21+	569	None	4,219	None	296	None	298	None	433	None	1,829	None	365	None	366	None
1356566921	HEWITT, LORI SMITH, DDS	2021	FFS	RENDERING	AGE 0-20	61	None	470	None	55	None	147	None	16	None	33	None	55	None	75	None
1356566921	HEWITT, LORI SMITH, DDS	2021	FFS	RENDERING	AGE 21+	52	None	307	None	46	None	81	None	28	None	53	None	41	None	41	None
1356568091	DUHAY MARIFLOR S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1356568091	DUHAY MARIFLOR S	2021	FFS	RENDERING	AGE 21+	22	None	97	None	17	None	17	None	None	1	None	2	18	None	18	None
1356573935	TREDINNICK SILVANA	2021	PHP	RENDERING	AGE 0-20	121	None	1,297	None	90	None	397	None	111	None	200	None	85	None	89	None
1356573935	TREDINNICK SILVANA	2021	PHP	RENDERING	AGE 21+	122	None	840	None	61	None	159	None	93	None	303	None	49	None	50	None
1356584957	KOPEL HOWARD R	2021	FFS	RENDERING	AGE 0-20	98	None	120	None	None	1	None	1	22	None	22	None	81	None	84	None
1356584957	KOPEL HOWARD R	2021	FFS	RENDERING	AGE 21+	203	None	209	None	0	None	0	None	28	None	30	None	175	None	177	None
1356584957	KOPEL HOWARD R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1356584957	KOPEL HOWARD R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356593347	KIM, JOANNE S, DDS MS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356609267	KO ANNIE G	2021	FFS	RENDERING	AGE 0-20	462	None	2,861	None	396	None	1,198	None	274	None	559	None	364	None	425	None
1356609267	KO ANNIE G	2021	FFS	RENDERING	AGE 21+	12	None	43	None	None	1	None	1	None	1	None	2	None	1	None	1
1356609267	KO ANNIE G	2021	PHP	RENDERING	AGE 0-20	56	None	371	None	49	None	153	None	38	None	81	None	38	None	42	None
1356609267	KO ANNIE G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1356619324	BELGARDE-DURU CARLA S	2021	PHP	RENDERING	AGE 0-20	132	None	994	None	126	None	269	None	122	None	233	None	26	None	26	None
1356619324	BELGARDE-DURU CARLA S	2021	PHP	RENDERING	AGE 21+	50	None	420	None	50	None	98	None	50	None	111	None	0	None	0	None
1356639876	DO DAVIS	2021	FFS	RENDERING	AGE 0-20	232	None	1,713	None	196	None	427	None	63	None	154	None	209	None	230	None
1356639876	DO DAVIS	2021	FFS	RENDERING	AGE 21+	432	None	2,930	None	265	None	512	None	170	None	541	None	321	None	322	None
1356640882	NELSON ZACHARY D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356641922	KIM GRACE M	2021	FFS	RENDERING	AGE 0-20	92	None	1,066	None	91	None	331	None	54	None	148	None	81	None	113	None
1356641922	KIM GRACE M	2021	FFS	RENDERING	AGE 21+	113	None	918	None	70	None	136	None	81	None	338	None	82	None	82	None
1356645303	TADROS SAMEEH G	2021	FFS	RENDERING	AGE 0-20	97	None	970	None	91	None	446	None	44	None	101	None	91	None	113	None
1356645303	TADROS SAMEEH G	2021	FFS	RENDERING	AGE 21+	358	None	2,309	None	223	None	433	None	237	None	988	None	300	None	300	None
1356649198	SIDHU GAGANDEEP S	2021	FFS	RENDERING	AGE 0-20	84	None	517	None	74	None	200	None	28	None	48	None	80	None	91	None
1356649198	SIDHU GAGANDEEP S	2021	FFS	RENDERING	AGE 21+	163	None	640	None	68	None	69	None	73	None	197	None	136	None	136	None
1356675474	MASSIH KARMEN	2021	FFS	RENDERING	AGE 0-20	35	None	89	None	None	1	None	1	None	1	None	2	None	1	None	1
1356675474	MASSIH KARMEN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1356686679	COHEN SEDGH MANAVI & PAKRAVA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356686679	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	22	None	80	None	12	None	25	None	None	1	None	1	None	1	None	1
1356686679	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	20	None	47	None	0	None	0	None	None	1	None	1	None	1	None	1
1356686679	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356686679	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	22	None	80	None	12	None	25	None	None	1	None	1	None	1	None	1
1356686679	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	20	None	47	None	0	None	0	None	None	1	None	1	None	1	None	1
1356694061	GHULARYAN MARIANNA	2021	FFS	RENDERING	AGE 0-20	144	None	703	None	118	None	272	None	34	None	77	None	113	None	121	None
1356694061	GHULARYAN MARIANNA	2021	FFS	RENDERING	AGE 21+	732	None	2,699	None	308	None	581	None	301	None	774	None	460	None	460	None
1356694061	GHULARYAN MARIANNA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1356694061	GHULARYAN MARIANNA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356697718	RUBIO, EDGARDO S, DDS	2021	FFS	RENDERING	AGE 0-20	231	None	2,755	None	205	None	1,083	None	130	None	432	None	209	None	240	None
1356697718	RUBIO, EDGARDO S, DDS	2021	FFS	RENDERING	AGE 21+	390	None	3,390	None	123	None	237	None	301	None	1,481	None	211	None	212	None
1356711196	SOHI GUNCHA	2021	GMC	RENDERING	AGE 0-20	54	None	295	None	45	None	98	None	50	None	57	None	45	None	46	None
1356711196	SOHI GUNCHA	2021	GMC	RENDERING	AGE 21+	36	None	76	None	None	1	None	1	33	None	51	None	None	1	None	1
1356718217	WEITZEL, JENNIFER, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1356718217	WEITZEL, JENNIFER, RDHAP	2021	FFS	RENDERING	AGE 21+	317	None	1,612	None	291	None	678	None	317	None	934	None	0	None	0	None
1356721302	MILLER MEAGAN	2021	FFS	RENDERING	AGE 0-20	71	None	247	None	0	None	0	None	70	None	235	None	0	None	0	None
1356721302	MILLER MEAGAN	2021	FFS	RENDERING	AGE 21+	186	None	647	None	0	None	0	None	186	None	616	None	0	None	0	None
1356721302	MILLER MEAGAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356721302	MILLER MEAGAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1356721302	MILLER MEAGAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356721302	MILLER MEAGAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1356749840	PINALES SANTO G	2021	FFS	RENDERING	AGE 0-20	427	None	7,363	None	410	None	1,668	None	321	None	1,285	None	389	None	523	None
1356749840	PINALES SANTO G	2021	FFS	RENDERING	AGE 21+	367	None	4,372	None	259	None	510	None	316	None	1,788	None	252	None	252	None
1356762934	BUCKINS APRIL T	2021	FFS	RENDERING	AGE 0-20	270	None	1,921	None	215	None	647	None	126	None	470	None	220	None	238	None
1356762934	BUCKINS APRIL T	2021	FFS	RENDERING	AGE 21+	190	None	844	None	35	None	59	None	133	None	406	None	116	None	116	None
1356762934	BUCKINS APRIL T	2021	PHP	RENDERING	AGE 0-20	212	None	1,469	None	121	None	398	None	121	None	335	None	122	None	122	None
1356762934	BUCKINS APRIL T	2021	PHP	RENDERING	AGE 21+	170	None	684	None	16	None	33	None	117	None	235	None	71	None	71	None
1356766141	ARJANG, RAYMOND DDS	2021	FFS	RENDERING	AGE 0-20	481	None	1,582	None	0	None	0	None	100	None	335	None	None	1	None	1
1356766141	ARJANG, RAYMOND DDS	2021	FFS	RENDERING	AGE 21+	38	None	107	None	0	None	0	None	0	None	0	None	36	None	36	None
1356766141	ARJANG, RAYMOND DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1356782080	PEDDIREDDY DIVYA R	2021	FFS	RENDERING	AGE 0-20	42	None	215	None	26	None	117	None	11	None	24	None	37	None	43	None
1356782080	PEDDIREDDY DIVYA R	2021	FFS	RENDERING	AGE 21+	120	None	323	None	None	1	None	1	54	None	119	None	86	None	86	None
1356782486	PANIGRAHI SANJUKTA	2021	FFS	RENDERING	AGE 0-20	705	None	3,760	None	508	None	1,227	None	171	None	292	None	648	None	700	None
1356782486	PANIGRAHI SANJUKTA	2021	FFS	RENDERING	AGE 21+	1,048	None	3,350	None	155	None	280	None	327	None	925	None	792	None	792	None
1356804074	ZHUANG JIEYI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1356804074	ZHUANG JIEYI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356810600	ZALA DENTAL INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1356820880	KIM YEJIN	2021	FFS	RENDERING	AGE 0-20	597	None	7,662	None	463	None	1,785	None	437	None	1,842	None	414	None	503	None
1356820880	KIM YEJIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1356823017	SETAREH DENTAL GROUP DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1356827737	KIM DAEUK D	2021	FFS	RENDERING	AGE 0-20	2,274	None	33,192	None	2,177	None	8,303	None	1,809	None	8,754	None	2,203	None	2,605	None
1356827737	KIM DAEUK D	2021	FFS	RENDERING	AGE 21+	91	None	748	None	77	None	154	None	58	None	245	None	83	None	86	None
1356828693	SOLANKI, S S, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1356831325	SHANDLER GRANT	2021	FFS	RENDERING	AGE 0-20	182	None	1,424	None	149	None	410	None	97	None	216	None	148	None	155	None
1356854681	SARGSYAN LUSINE	2021	FFS	RENDERING	AGE 0-20	228	None	1,064	None	157	None	383	None	64	None	140	None	189	None	192	None
1356854681	SARGSYAN LUSINE	2021	FFS	RENDERING	AGE 21+	410	None	1,418	None	83	None	149	None	213	None	601	None	245	None	245	None
1356854681	SARGSYAN LUSINE	2021	PHP	RENDERING	AGE 0-20	51	None	264	None	30	None	91	None	15	None	42	None	38	None	38	None
1356854681	SARGSYAN LUSINE	2021	PHP	RENDERING	AGE 21+	72	None	290	None	16	None	28	None	42	None	146	None	35	None	38	None
1356865802	FAREID NEIKKA M	2021	FFS	RENDERING	AGE 0-20	176	None	1,912	None	165	None	740	None	95	None	182	None	174	None	283	None
1356865802	FAREID NEIKKA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1356868335	CHO PETER K	2021	FFS	RENDERING	AGE 0-20	904	None	7,995	None	492	None	1,180	None	735	None	4,366	None	372	None	380	None
1356868335	CHO PETER K	2021	FFS	RENDERING	AGE 21+	186	None	1,012	None	38	None	72	None	82	None	293	None	116	None	116	None
1356881163	MARSHALL BRADY S	2021	FFS	RENDERING	AGE 0-20	203	None	1,370	None	172	None	403	None	101	None	340	None	114	None	114	None
1356881163	MARSHALL BRADY S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1356899033	KIM SALLY M	2021	FFS	RENDERING	AGE 0-20	1,319	None	10,209	None	276	None	718	None	1,302	None	7,663	None	432	None	439	None
1356934251	SHAYESTEHKHOU SHERVIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356950232	YURCHAK VALERIYA	2021	FFS	RENDERING	AGE 0-20	111	None	850	None	78	None	215	None	70	None	330	None	82	None	92	None
1356950232	YURCHAK VALERIYA	2021	FFS	RENDERING	AGE 21+	387	None	2,066	None	146	None	273	None	299	None	1,045	None	200	None	200	None
1356953517	ENVERGA FRANCISCO S	2021	FFS	RENDERING	AGE 0-20	133	None	584	None	11	None	23	None	90	None	323	None	61	None	61	None
1356953517	ENVERGA FRANCISCO S	2021	FFS	RENDERING	AGE 21+	314	None	1,245	None	None	1	None	2	219	None	845	None	114	None	114	None
1356953517	ENVERGA FRANCISCO S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1356958458	CHUN ELLEN K	2021	FFS	RENDERING	AGE 0-20	1,421	None	17,791	None	1,113	None	3,441	None	1,083	None	4,116	None	1,133	None	1,201	None
1356989016	CAZALI ROLANDO J	2021	FFS	RENDERING	AGE 0-20	97	None	682	None	61	None	127	None	53	None	110	None	61	None	61	None
1356989016	CAZALI ROLANDO J	2021	FFS	RENDERING	AGE 21+	119	None	653	None	None	1	None	2	88	None	243	None	52	None	52	None
1356992069	STUARDO DANIEL LUIS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356994081	NGUYEN DAVID L	2021	FFS	RENDERING	AGE 0-20	70	None	536	None	48	None	123	None	30	None	111	None	65	None	65	None
1356994081	NGUYEN DAVID L	2021	FFS	RENDERING	AGE 21+	103	None	518	None	37	None	73	None	57	None	157	None	87	None	87	None
1356994644	GOULTAS NICHOLAS G	2021	FFS	RENDERING	AGE 0-20	24	None	150	None	17	None	34	None	11	None	34	None	17	None	17	None
1356994644	GOULTAS NICHOLAS G	2021	FFS	RENDERING	AGE 21+	60	None	259	None	29	None	57	None	29	None	51	None	32	None	32	None
1356996961	AHLERS REBECCA S	2021	FFS	RENDERING	AGE 0-20	14	None	182	None	14	None	44	None	13	None	74	None	11	None	13	None
1356996961	AHLERS REBECCA S	2021	FFS	RENDERING	AGE 21+	45	None	474	None	24	None	44	None	37	None	275	None	23	None	23	None
1356997670	DAHITALEGHANI AFSANEH	2021	FFS	RENDERING	AGE 0-20	361	None	1,507	None	199	None	515	None	175	None	348	None	174	None	174	None
1356997670	DAHITALEGHANI AFSANEH	2021	FFS	RENDERING	AGE 21+	473	None	1,241	None	72	None	123	None	314	None	650	None	135	None	137	None
1356997670	DAHITALEGHANI AFSANEH	2021	PHP	RENDERING	AGE 0-20	11	None	35	None	None	1	None	2	None	1	None	1	None	1	None	1
1356997670	DAHITALEGHANI AFSANEH	2021	PHP	RENDERING	AGE 21+	25	None	60	None	None	1	None	1	17	None	34	None	None	1	None	1
1366008450	CASTILLO BLESYL I	2021	FFS	RENDERING	AGE 0-20	603	None	5,559	None	324	None	1,266	None	277	None	709	None	519	None	604	None
1366008450	CASTILLO BLESYL I	2021	FFS	RENDERING	AGE 21+	578	None	2,704	None	39	None	70	None	319	None	771	None	373	None	375	None
1366013393	RAJA SWETHA	2021	FFS	RENDERING	AGE 0-20	904	None	5,514	None	465	None	1,287	None	721	None	1,379	None	391	None	393	None
1366040412	ANWAR MOHAMMAD M	2021	FFS	RENDERING	AGE 0-20	68	None	251	None	31	None	88	None	38	None	65	None	32	None	32	None
1366040412	ANWAR MOHAMMAD M	2021	FFS	RENDERING	AGE 21+	108	None	254	None	11	None	18	None	82	None	134	None	26	None	26	None
1366040412	ANWAR MOHAMMAD M	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1366052540	LIN JENNIFER C	2021	FFS	RENDERING	AGE 0-20	19	None	123	None	16	None	51	None	13	None	24	None	13	None	17	None
1366052540	LIN JENNIFER C	2021	FFS	RENDERING	AGE 21+	68	None	334	None	16	None	30	None	61	None	219	None	15	None	15	None
1366054348	AL-WAZEER ETHAR R	2021	FFS	RENDERING	AGE 0-20	449	None	2,150	None	265	None	540	None	243	None	664	None	253	None	255	None
1366054348	AL-WAZEER ETHAR R	2021	FFS	RENDERING	AGE 21+	594	None	2,099	None	144	None	260	None	382	None	1,125	None	201	None	201	None
1366064347	TRAN HUNG D	2021	FFS	RENDERING	AGE 0-20	157	None	825	None	115	None	322	None	99	None	243	None	93	None	93	None
1366064347	TRAN HUNG D	2021	FFS	RENDERING	AGE 21+	189	None	803	None	61	None	108	None	143	None	518	None	70	None	70	None
1366064347	TRAN HUNG D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1366081747	ABDELSAYED GEORGE GAMIL M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1366081747	ABDELSAYED GEORGE GAMIL M	2021	FFS	RENDERING	AGE 21+	31	None	159	None	14	None	28	None	23	None	62	None	11	None	11	None
1366095143	JEGEDE AKINLOLU T	2021	FFS	RENDERING	AGE 0-20	14	None	63	None	None	1	None	2	None	1	None	2	None	1	None	1
1366095143	JEGEDE AKINLOLU T	2021	FFS	RENDERING	AGE 21+	58	None	228	None	16	None	25	None	49	None	117	None	16	None	16	None
1366095598	KAUR DILAWARJIT	2021	FFS	RENDERING	AGE 0-20	978	None	3,879	None	547	None	1,289	None	201	None	363	None	753	None	761	None
1366095598	KAUR DILAWARJIT	2021	FFS	RENDERING	AGE 21+	1,329	None	3,994	None	162	None	275	None	689	None	1,377	None	781	None	786	None
1366117293	LI JINGYUAN	2021	FFS	RENDERING	AGE 0-20	25	None	66	None	13	None	29	None	12	None	22	None	15	None	15	None
1366117293	LI JINGYUAN	2021	FFS	RENDERING	AGE 21+	42	None	92	None	16	None	16	None	25	None	56	None	20	None	20	None
1366417859	USITA VILLAMOR R	2021	FFS	RENDERING	AGE 0-20	107	None	1,314	None	99	None	331	None	57	None	299	None	94	None	126	None
1366417859	USITA VILLAMOR R	2021	FFS	RENDERING	AGE 21+	283	None	2,434	None	146	None	215	None	208	None	1,148	None	202	None	207	None
1366420671	LEE ALBERT S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1366420671	LEE ALBERT S	2021	FFS	RENDERING	AGE 21+	103	None	1,044	None	69	None	133	None	77	None	614	None	83	None	83	None
1366451833	PEREIRA JOAN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1366457731	KAGAN, INNA, DDS, A PROF DEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1366457798	TU, WEI MIN DDS	2021	FFS	RENDERING	AGE 0-20	54	None	548	None	52	None	137	None	23	None	89	None	52	None	70	None
1366457798	TU, WEI MIN DDS	2021	FFS	RENDERING	AGE 21+	90	None	1,114	None	68	None	123	None	73	None	418	None	78	None	78	None
1366466716	DE JESUS AFRICA, JOANN CAROL	2021	FFS	RENDERING	AGE 0-20	121	None	977	None	101	None	206	None	34	None	131	None	99	None	99	None
1366466716	DE JESUS AFRICA, JOANN CAROL	2021	FFS	RENDERING	AGE 21+	124	None	543	None	39	None	78	None	86	None	201	None	60	None	60	None
1366476327	MAKADIA,PRAVINCHANDRA DDS	2021	FFS	RENDERING	AGE 0-20	184	None	1,581	None	175	None	713	None	31	None	72	None	174	None	232	None
1366476327	MAKADIA,PRAVINCHANDRA DDS	2021	FFS	RENDERING	AGE 21+	252	None	1,577	None	195	None	389	None	122	None	299	None	178	None	178	None
1366487225	BUTLER, DERRICK L MD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1366500670	NGUYEN ALLAN D	2021	FFS	RENDERING	AGE 0-20	157	None	245	None	0	None	0	None	35	None	96	None	0	None	0	None
1366500670	NGUYEN ALLAN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1366500670	NGUYEN ALLAN D	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1366508020	ISAQI, RANA	2021	FFS	RENDERING	AGE 0-20	135	None	2,455	None	134	None	646	None	94	None	334	None	134	None	198	None
1366508020	ISAQI, RANA	2021	FFS	RENDERING	AGE 21+	101	None	1,332	None	73	None	154	None	73	None	287	None	79	None	80	None
1366510562	SUMBAD, MARIA ANGELINA FRANC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1366510562	SUMBAD, MARIA ANGELINA FRANC	2021	FFS	RENDERING	AGE 21+	15	None	51	None	None	1	None	1	None	1	None	2	None	1	None	1
1366513061	COUNTY OF SACRAMENTO	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1366526576	RELUCIO JR, ANTONIO DY, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366529133	GENTILE, RICHARD D, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	238	None	25	None	110	None	11	None	20	None	25	None	33	None
1366529133	GENTILE, RICHARD D, DDS	2021	FFS	RENDERING	AGE 21+	88	None	532	None	51	None	99	None	57	None	194	None	56	None	56	None
1366537599	DESAI NAUSHIL G	2021	FFS	RENDERING	AGE 0-20	141	None	1,670	None	128	None	401	None	138	None	394	None	133	None	186	None
1366537599	DESAI NAUSHIL G	2021	FFS	RENDERING	AGE 21+	222	None	1,864	None	115	None	115	None	220	None	980	None	148	None	148	None
1366537599	DESAI NAUSHIL G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1366540825	METIAS NAGWA G	2021	FFS	RENDERING	AGE 0-20	74	None	443	None	67	None	257	None	18	None	57	None	68	None	82	None
1366540825	METIAS NAGWA G	2021	FFS	RENDERING	AGE 21+	203	None	1,063	None	41	None	80	None	145	None	701	None	129	None	129	None
1366540825	METIAS NAGWA G	2021	PHP	RENDERING	AGE 0-20	102	None	755	None	87	None	409	None	32	None	91	None	91	None	109	None
1366542102	SINANIAN RONALD STEVEN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1366553760	CLARKE JENNIFER PHI P	2021	FFS	RENDERING	AGE 0-20	307	None	2,323	None	139	None	457	None	102	None	357	None	247	None	287	None
1366553760	CLARKE JENNIFER PHI P	2021	FFS	RENDERING	AGE 21+	496	None	2,365	None	65	None	122	None	232	None	619	None	279	None	280	None
1366553836	NGO, CHRISTOPHER H T, DDS	2021	FFS	RENDERING	AGE 0-20	47	None	199	None	35	None	70	None	None	1	None	2	39	None	40	None
1366553836	NGO, CHRISTOPHER H T, DDS	2021	FFS	RENDERING	AGE 21+	270	None	958	None	162	None	162	None	117	None	275	None	78	None	78	None
1366567430	DERBOGHOSSIANS NATALIE	2021	FFS	RENDERING	AGE 0-20	184	None	1,940	None	173	None	587	None	110	None	283	None	176	None	265	None
1366567430	DERBOGHOSSIANS NATALIE	2021	FFS	RENDERING	AGE 21+	214	None	1,730	None	138	None	248	None	156	None	577	None	153	None	153	None
1366567976	NGUYEN ALAN L	2021	FFS	RENDERING	AGE 0-20	36	None	319	None	35	None	95	None	None	1	None	2	33	None	44	None
1366567976	NGUYEN ALAN L	2021	FFS	RENDERING	AGE 21+	133	None	991	None	115	None	222	None	61	None	133	None	111	None	111	None
1366568859	RUSSELL ELISA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366568859	RUSSELL ELISA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1366568859	RUSSELL ELISA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1366571234	ADAMS, BRIAN S DDS	2021	FFS	RENDERING	AGE 0-20	482	None	9,526	None	272	None	606	None	481	None	6,487	None	437	None	439	None
1366575920	CHAN STEPHEN L	2021	FFS	RENDERING	AGE 0-20	121	None	940	None	81	None	175	None	48	None	129	None	109	None	137	None
1366575920	CHAN STEPHEN L	2021	FFS	RENDERING	AGE 21+	327	None	1,641	None	124	None	124	None	196	None	674	None	250	None	250	None
1366575920	CHAN, STEPHEN L, DMD INC	2021	FFS	RENDERING	AGE 0-20	121	None	940	None	81	None	175	None	48	None	129	None	109	None	137	None
1366575920	CHAN, STEPHEN L, DMD INC	2021	FFS	RENDERING	AGE 21+	327	None	1,641	None	124	None	124	None	196	None	674	None	250	None	250	None
1366578890	KARAMANUKYAN, GEVORK, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1366578890	KARAMANUKYAN, GEVORK, DDS	2021	FFS	RENDERING	AGE 21+	216	None	1,191	None	97	None	97	None	195	None	739	None	63	None	63	None
1366581464	VESHKINI SIAMAK	2021	FFS	RENDERING	AGE 0-20	188	None	561	None	0	None	0	None	46	None	132	None	0	None	0	None
1366581464	VESHKINI SIAMAK	2021	FFS	RENDERING	AGE 21+	20	None	38	None	0	None	0	None	0	None	0	None	None	1	None	1
1366582017	LATT HLA M	2021	FFS	RENDERING	AGE 0-20	477	None	3,959	None	302	None	1,068	None	303	None	936	None	315	None	322	None
1366582017	LATT HLA M	2021	FFS	RENDERING	AGE 21+	601	None	3,583	None	224	None	432	None	448	None	1,547	None	339	None	340	None
1366584799	JARJOUR GEORGE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366584799	JARJOUR GEORGE	2021	PHP	RENDERING	AGE 21+	127	None	524	None	66	None	144	None	109	None	175	None	43	None	43	None
1366592842	KIM, JI-HYUN DDS	2021	FFS	RENDERING	AGE 0-20	617	None	4,610	None	557	None	1,834	None	249	None	729	None	566	None	627	None
1366592842	KIM, JI-HYUN DDS	2021	FFS	RENDERING	AGE 21+	287	None	1,352	None	179	None	182	None	154	None	420	None	235	None	235	None
1366596413	ZAPANTA, JOSEPH JETT F, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	264	None	36	None	69	None	12	None	42	None	35	None	35	None
1366596413	ZAPANTA, JOSEPH JETT F, DDS	2021	FFS	RENDERING	AGE 21+	94	None	535	None	79	None	79	None	33	None	106	None	65	None	65	None
1366598708	RECIO, ASTER C., DMD	2021	FFS	RENDERING	AGE 0-20	12	None	80	None	12	None	24	None	None	1	None	1	12	None	17	None
1366598708	RECIO, ASTER C., DMD	2021	FFS	RENDERING	AGE 21+	25	None	101	None	19	None	19	None	None	1	None	2	20	None	20	None
1366602922	DINH VIET T	2021	FFS	RENDERING	AGE 0-20	143	None	1,433	None	124	None	539	None	45	None	121	None	131	None	157	None
1366602922	DINH VIET T	2021	FFS	RENDERING	AGE 21+	274	None	1,583	None	98	None	157	None	147	None	534	None	210	None	211	None
1366603425	NIKJOO, EBI, DDS	2021	FFS	RENDERING	AGE 0-20	137	None	841	None	71	None	189	None	70	None	298	None	106	None	110	None
1366603425	NIKJOO, EBI, DDS	2021	FFS	RENDERING	AGE 21+	560	None	2,942	None	129	None	216	None	320	None	1,517	None	380	None	382	None
1366603425	NIKJOO, EBI, DDS	2021	PHP	RENDERING	AGE 0-20	145	None	835	None	85	None	200	None	60	None	179	None	126	None	133	None
1366603425	NIKJOO, EBI, DDS	2021	PHP	RENDERING	AGE 21+	328	None	1,428	None	87	None	124	None	137	None	455	None	267	None	275	None
1366620593	GUPTA SHIKA	2021	FFS	RENDERING	AGE 0-20	90	None	486	None	60	None	106	None	84	None	251	None	55	None	57	None
1366620593	GUPTA SHIKA	2021	FFS	RENDERING	AGE 21+	689	None	3,788	None	212	None	227	None	646	None	2,317	None	435	None	435	None
1366622532	MILSTEIN MARINA V	2021	FFS	RENDERING	AGE 0-20	17	None	66	None	0	None	0	None	None	1	None	2	0	None	0	None
1366626764	WEST JEREMY T	2021	FFS	RENDERING	AGE 0-20	57	None	58	None	0	None	0	None	None	1	None	1	0	None	0	None
1366632614	REFOA JANET	2021	FFS	RENDERING	AGE 0-20	47	None	421	None	32	None	70	None	19	None	88	None	45	None	47	None
1366632614	REFOA JANET	2021	FFS	RENDERING	AGE 21+	318	None	3,780	None	199	None	278	None	243	None	1,413	None	255	None	255	None
1366634297	DANIER VANESSA P	2021	FFS	RENDERING	AGE 0-20	1,307	None	16,744	None	1,251	None	5,150	None	941	None	2,810	None	1,260	None	1,725	None
1366642027	PARK JIN S	2021	FFS	RENDERING	AGE 0-20	97	None	135	None	0	None	0	None	16	None	45	None	0	None	0	None
1366642027	PARK JIN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1366645236	OBLEA PORTIA DELA V	2021	FFS	RENDERING	AGE 0-20	62	None	814	None	59	None	174	None	31	None	208	None	60	None	78	None
1366645236	OBLEA PORTIA DELA V	2021	FFS	RENDERING	AGE 21+	51	None	352	None	32	None	38	None	33	None	144	None	40	None	40	None
1366652331	PUNJABI, BINDOO	2021	FFS	RENDERING	AGE 0-20	235	None	1,358	None	39	None	141	None	235	None	1,085	None	0	None	0	None
1366652331	PUNJABI, BINDOO	2021	FFS	RENDERING	AGE 21+	510	None	2,980	None	95	None	117	None	510	None	2,441	None	0	None	0	None
1366652752	SHAH TANVI M	2021	FFS	RENDERING	AGE 0-20	425	None	8,521	None	419	None	1,093	None	425	None	5,442	None	417	None	417	None
1366652752	SHAH TANVI M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1366653149	PENG SAIJAI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366653164	FAKHERI, MEHRAN, DMD A PROF	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1366653164	FAKHERI, MEHRAN, DMD A PROF	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1366655235	MIRANDA, NOEL S, DDS	2021	FFS	RENDERING	AGE 0-20	578	None	6,071	None	559	None	2,358	None	243	None	856	None	553	None	726	None
1366655235	MIRANDA, NOEL S, DDS	2021	FFS	RENDERING	AGE 21+	1,110	None	9,734	None	802	None	856	None	835	None	4,949	None	908	None	909	None
1366655524	DAO LOAN P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1366655524	DAO LOAN P	2021	FFS	RENDERING	AGE 21+	13	None	92	None	None	1	None	1	None	1	None	2	None	1	None	1
1366655599	DABALUS ISABELITA V	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1366655599	DABALUS ISABELITA V	2021	FFS	RENDERING	AGE 21+	31	None	269	None	23	None	23	None	15	None	75	None	None	1	None	1
1366655987	TETTEH-MARTEY WILLIAM H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1366671109	SAINI RINKU	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1366686214	COHEN, JOHN, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366696262	JOHNSON RACHEL R	2021	FFS	RENDERING	AGE 0-20	85	None	1,080	None	76	None	178	None	50	None	136	None	81	None	92	None
1366696262	JOHNSON RACHEL R	2021	FFS	RENDERING	AGE 21+	168	None	1,460	None	97	None	166	None	133	None	521	None	121	None	121	None
1366700569	MARTINEZ DAVID R	2021	FFS	RENDERING	AGE 0-20	2,344	None	23,807	None	1,798	None	4,606	None	926	None	5,673	None	2,007	None	2,256	None
1366708166	ZARBAKHSH AFSHIN	2021	FFS	RENDERING	AGE 0-20	267	None	2,590	None	197	None	679	None	122	None	341	None	247	None	254	None
1366708166	ZARBAKHSH AFSHIN	2021	FFS	RENDERING	AGE 21+	324	None	2,441	None	62	None	113	None	208	None	1,086	None	267	None	271	None
1366715062	HURTADO RUBEN	2021	FFS	RENDERING	AGE 0-20	354	None	3,931	None	339	None	1,349	None	133	None	331	None	299	None	412	None
1366715062	HURTADO RUBEN	2021	FFS	RENDERING	AGE 21+	486	None	3,268	None	345	None	669	None	297	None	1,027	None	348	None	349	None
1366721862	KIM FRANCISCO L	2021	FFS	RENDERING	AGE 0-20	54	None	446	None	43	None	105	None	28	None	94	None	43	None	55	None
1366721862	KIM FRANCISCO L	2021	FFS	RENDERING	AGE 21+	124	None	1,059	None	43	None	67	None	93	None	458	None	69	None	69	None
1366751364	KHALATBARI MANDANA	2021	FFS	RENDERING	AGE 0-20	1,174	None	6,132	None	775	None	2,077	None	802	None	2,288	None	473	None	500	None
1366751364	KHALATBARI MANDANA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1366751364	KHALATBARI MANDANA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366751364	KHALATBARI MANDANA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366755001	HWANG ALEXIS L	2021	PHP	RENDERING	AGE 21+	12	None	45	None	None	1	None	1	11	None	31	None	None	1	None	1
1366756991	SAN AGUSTIN JEFFREY J	2021	FFS	RENDERING	AGE 0-20	77	None	618	None	62	None	205	None	19	None	40	None	69	None	74	None
1366756991	SAN AGUSTIN JEFFREY J	2021	FFS	RENDERING	AGE 21+	186	None	865	None	49	None	91	None	97	None	308	None	123	None	123	None
1366758005	BAE & JANG DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1366782740	CHAMBI YANINA E	2021	FFS	RENDERING	AGE 0-20	133	None	690	None	75	None	230	None	78	None	163	None	78	None	78	None
1366782740	CHAMBI YANINA E	2021	FFS	RENDERING	AGE 21+	116	None	438	None	47	None	92	None	82	None	147	None	53	None	54	None
1366799793	GELLAD MARYSE	2021	FFS	RENDERING	AGE 0-20	369	None	2,645	None	287	None	1,273	None	141	None	253	None	335	None	355	None
1366799793	GELLAD MARYSE	2021	FFS	RENDERING	AGE 21+	615	None	2,791	None	196	None	342	None	359	None	991	None	399	None	399	None
1366799793	GELLAD MARYSE	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1366799793	GELLAD MARYSE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366801516	ADAB LEILA	2021	FFS	RENDERING	AGE 0-20	280	None	2,586	None	196	None	486	None	147	None	625	None	231	None	244	None
1366801516	ADAB LEILA	2021	FFS	RENDERING	AGE 21+	293	None	1,875	None	81	None	146	None	171	None	564	None	188	None	188	None
1366812026	LEE GUNDONG	2021	FFS	RENDERING	AGE 0-20	139	None	2,016	None	122	None	406	None	67	None	287	None	123	None	151	None
1366812026	LEE GUNDONG	2021	FFS	RENDERING	AGE 21+	339	None	3,387	None	139	None	220	None	249	None	1,260	None	243	None	246	None
1366814477	CARRASCO CESAR E	2021	FFS	RENDERING	AGE 0-20	136	None	983	None	105	None	496	None	29	None	75	None	117	None	118	None
1366814477	CARRASCO CESAR E	2021	FFS	RENDERING	AGE 21+	295	None	967	None	33	None	34	None	156	None	370	None	173	None	173	None
1366814477	CARRASCO CESAR E	2021	PHP	RENDERING	AGE 0-20	34	None	136	None	26	None	88	None	None	1	None	1	27	None	27	None
1366814477	CARRASCO CESAR E	2021	PHP	RENDERING	AGE 21+	41	None	99	None	None	1	None	1	None	1	None	2	30	None	32	None
1366836645	SAADATMANDI DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366839193	GONZALEZ CUAUHTEMOC A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1366842643	WONG LIN L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1366842643	WONG LIN L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1366842643	WONG LIN L	2021	PHP	RENDERING	AGE 0-20	175	None	1,385	None	169	None	541	None	39	None	131	None	156	None	195	None
1366842643	WONG LIN L	2021	PHP	RENDERING	AGE 21+	168	None	1,274	None	154	None	246	None	86	None	339	None	136	None	155	None
1366857690	GHIAM JUSTIN	2021	FFS	RENDERING	AGE 0-20	6,089	None	45,989	None	5,626	None	15,086	None	2,290	None	2,816	None	5,780	None	6,564	None
1366857690	GHIAM JUSTIN	2021	FFS	RENDERING	AGE 21+	27	None	131	None	15	None	30	None	None	1	None	1	21	None	21	None
1366857690	GHIAM JUSTIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1366858813	ASADI, GELAREH DDS	2021	FFS	RENDERING	AGE 0-20	22	None	83	None	None	1	None	2	14	None	32	None	None	1	None	1
1366858813	ASADI, GELAREH DDS	2021	FFS	RENDERING	AGE 21+	54	None	138	None	None	1	None	2	28	None	45	None	25	None	25	None
1366917353	PHAM QUYNH VO BAO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1366920662	KHERDE SNEHA V	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1366923146	KIM WILLIAM D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1366923146	KIM WILLIAM D	2021	FFS	RENDERING	AGE 21+	38	None	114	None	None	1	None	1	23	None	49	None	22	None	22	None
1366934168	MAYORGA LENNY	2021	PHP	RENDERING	AGE 0-20	38	None	365	None	33	None	147	None	36	None	80	None	27	None	28	None
1366956484	HAKIMJAVADI AHMAD	2021	FFS	RENDERING	AGE 0-20	42	None	204	None	38	None	80	None	17	None	30	None	41	None	45	None
1366956484	HAKIMJAVADI AHMAD	2021	FFS	RENDERING	AGE 21+	185	None	1,002	None	123	None	123	None	105	None	428	None	168	None	168	None
1366967481	YI SEUNG H	2021	FFS	RENDERING	AGE 0-20	57	None	331	None	44	None	95	None	26	None	65	None	43	None	43	None
1366967481	YI SEUNG H	2021	FFS	RENDERING	AGE 21+	281	None	2,466	None	128	None	216	None	253	None	1,305	None	132	None	132	None
1366968331	HOSSEINI GHAZALEH	2021	FFS	RENDERING	AGE 0-20	98	None	978	None	77	None	271	None	71	None	168	None	66	None	81	None
1366990566	JUNG MIN C	2021	FFS	RENDERING	AGE 0-20	2,618	None	46,898	None	2,479	None	10,323	None	2,040	None	10,358	None	2,546	None	3,203	None
1366990566	JUNG MIN C	2021	FFS	RENDERING	AGE 21+	110	None	1,015	None	80	None	157	None	36	None	166	None	100	None	100	None
1376019265	FERNANDEZ ELISE K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1376025635	VU DAVID D	2021	FFS	RENDERING	AGE 0-20	92	None	588	None	60	None	118	None	22	None	45	None	76	None	76	None
1376025635	VU DAVID D	2021	FFS	RENDERING	AGE 21+	212	None	944	None	30	None	47	None	113	None	333	None	138	None	138	None
1376051425	HERRERA ROXANNE R	2021	FFS	RENDERING	AGE 0-20	158	None	763	None	101	None	223	None	87	None	159	None	112	None	115	None
1376051425	HERRERA ROXANNE R	2021	FFS	RENDERING	AGE 21+	122	None	606	None	42	None	75	None	93	None	265	None	67	None	67	None
1376084004	FILIP STEFAN	2021	FFS	RENDERING	AGE 21+	1,175	None	4,776	None	451	None	719	None	1,161	None	1,994	None	801	None	805	None
1376084137	CHEN NORMAN T	2021	FFS	RENDERING	AGE 0-20	809	None	5,253	None	604	None	1,558	None	498	None	1,018	None	555	None	562	None
1376099671	VIJAN PRERNA V	2021	FFS	RENDERING	AGE 0-20	360	None	1,442	None	170	None	431	None	41	None	68	None	327	None	333	None
1376099671	VIJAN PRERNA V	2021	FFS	RENDERING	AGE 21+	477	None	1,307	None	47	None	88	None	114	None	182	None	385	None	385	None
1376104695	TAHA SAHAR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376114454	TANDON SAAKSHI	2021	FFS	RENDERING	AGE 0-20	12	None	97	None	None	1	None	2	None	1	None	2	None	1	None	1
1376114454	TANDON SAAKSHI	2021	FFS	RENDERING	AGE 21+	17	None	74	None	None	1	None	2	12	None	40	None	None	1	None	1
1376114702	FONG MICHELLE M	2021	FFS	RENDERING	AGE 0-20	13	None	82	None	12	None	24	None	None	1	None	2	12	None	12	None
1376114702	FONG MICHELLE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1376150201	CHOI JUNG IN	2021	FFS	RENDERING	AGE 0-20	4,959	None	40,259	None	4,545	None	11,413	None	2,294	None	2,910	None	4,570	None	4,758	None
1376155317	BASHEER WASEEM A	2021	FFS	RENDERING	AGE 0-20	72	None	400	None	49	None	139	None	38	None	77	None	46	None	48	None
1376155317	BASHEER WASEEM A	2021	FFS	RENDERING	AGE 21+	231	None	925	None	48	None	78	None	166	None	464	None	102	None	102	None
1376169714	PANDHER PUNEET KAUR	2021	FFS	RENDERING	AGE 0-20	565	None	2,230	None	50	None	75	None	556	None	1,947	None	0	None	0	None
1376175265	GILDEA, LISA HOLLY, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1376178319	SHAH SADDIF B	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1376178319	SHAH SADDIF B	2021	GMC	RENDERING	AGE 21+	23	None	71	None	17	None	32	None	21	None	38	None	0	None	0	None
1376186908	UDAS BEN	2021	FFS	RENDERING	AGE 0-20	43	None	334	None	37	None	75	None	25	None	150	None	39	None	44	None
1376186908	UDAS BEN	2021	FFS	RENDERING	AGE 21+	336	None	2,061	None	109	None	178	None	223	None	1,191	None	298	None	298	None
1376193235	RODRIGUEZ CHRISTOPHER	2021	FFS	RENDERING	AGE 0-20	696	None	4,757	None	494	None	1,250	None	403	None	819	None	457	None	490	None
1376193235	RODRIGUEZ CHRISTOPHER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376205468	SELIM GOBRIEL HANAA M	2021	FFS	RENDERING	AGE 0-20	55	None	255	None	30	None	68	None	22	None	51	None	40	None	40	None
1376205468	SELIM GOBRIEL HANAA M	2021	FFS	RENDERING	AGE 21+	99	None	327	None	20	None	28	None	48	None	120	None	49	None	49	None
1376205468	SELIM GOBRIEL HANAA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1376205468	SELIM GOBRIEL HANAA M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376216267	BECHAY ARSANY R	2021	FFS	RENDERING	AGE 0-20	206	None	1,012	None	82	None	235	None	84	None	190	None	108	None	108	None
1376216267	BECHAY ARSANY R	2021	FFS	RENDERING	AGE 21+	104	None	278	None	16	None	32	None	63	None	135	None	34	None	34	None
1376216267	BECHAY ARSANY R	2021	PHP	RENDERING	AGE 0-20	14	None	54	None	None	1	None	2	None	1	None	2	None	1	None	1
1376216267	BECHAY ARSANY R	2021	PHP	RENDERING	AGE 21+	20	None	69	None	None	1	None	1	15	None	48	None	None	1	None	1
1376506329	MAHMOOD SUHAD HASHIM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376506329	MAHMOOD SUHAD HASHIM	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1376515916	NGUYEN SUZANNE	2021	FFS	RENDERING	AGE 0-20	46	None	695	None	40	None	148	None	32	None	109	None	40	None	61	None
1376515916	NGUYEN SUZANNE	2021	FFS	RENDERING	AGE 21+	107	None	1,372	None	81	None	160	None	89	None	424	None	87	None	87	None
1376531418	MAZHARY FERESHTEH	2021	FFS	RENDERING	AGE 0-20	721	None	4,860	None	526	None	2,122	None	129	None	163	None	696	None	845	None
1376531418	MAZHARY FERESHTEH	2021	FFS	RENDERING	AGE 21+	599	None	1,746	None	78	None	91	None	254	None	476	None	433	None	433	None
1376538702	RAMIREZ EDWIN P	2021	FFS	RENDERING	AGE 0-20	1,072	None	14,884	None	984	None	4,058	None	406	None	1,029	None	944	None	1,356	None
1376538702	RAMIREZ EDWIN P	2021	FFS	RENDERING	AGE 21+	275	None	2,260	None	222	None	440	None	121	None	232	None	215	None	215	None
1376540088	LAI, MARK W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1376540088	LAI, MARK W, DDS	2021	FFS	RENDERING	AGE 21+	34	None	191	None	26	None	26	None	17	None	42	None	18	None	18	None
1376541482	FOROUTAN JOHN H	2021	FFS	RENDERING	AGE 0-20	1,167	None	19,804	None	1,146	None	5,524	None	703	None	2,562	None	1,152	None	1,692	None
1376541482	FOROUTAN JOHN H	2021	FFS	RENDERING	AGE 21+	843	None	8,584	None	415	None	830	None	651	None	3,747	None	656	None	657	None
1376541482	FOROUTAN JOHN H	2021	PHP	RENDERING	AGE 0-20	117	None	992	None	113	None	340	None	45	None	57	None	113	None	127	None
1376541482	FOROUTAN JOHN H	2021	PHP	RENDERING	AGE 21+	95	None	485	None	38	None	75	None	29	None	89	None	87	None	88	None
1376547752	IWAMURA HANH A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376547752	IWAMURA HANH A	2021	GMC	RENDERING	AGE 0-20	176	None	707	None	74	None	258	None	50	None	56	None	63	None	63	None
1376551358	TABIBZADEH, NADER	2021	FFS	RENDERING	AGE 0-20	437	None	6,216	None	410	None	1,846	None	177	None	558	None	393	None	567	None
1376551358	TABIBZADEH, NADER	2021	FFS	RENDERING	AGE 21+	133	None	1,037	None	83	None	166	None	50	None	188	None	107	None	107	None
1376551812	TOMA, DAVID, DMD	2021	FFS	RENDERING	AGE 0-20	1,087	None	15,119	None	503	None	1,433	None	924	None	6,026	None	640	None	700	None
1376551812	TOMA, DAVID, DMD	2021	FFS	RENDERING	AGE 21+	568	None	5,656	None	162	None	313	None	454	None	2,278	None	365	None	365	None
1376552869	JUAREZ WILLIAM	2021	FFS	RENDERING	AGE 0-20	680	None	6,351	None	647	None	2,029	None	264	None	660	None	628	None	840	None
1376552869	JUAREZ WILLIAM	2021	FFS	RENDERING	AGE 21+	752	None	5,225	None	607	None	607	None	439	None	1,775	None	655	None	655	None
1376556365	ARTEAGA, MANUEL R, DDS	2021	FFS	RENDERING	AGE 0-20	31	None	273	None	20	None	30	None	18	None	36	None	25	None	26	None
1376556365	ARTEAGA, MANUEL R, DDS	2021	FFS	RENDERING	AGE 21+	40	None	247	None	None	1	None	1	18	None	47	None	34	None	34	None
1376556365	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	31	None	273	None	20	None	30	None	18	None	36	None	25	None	26	None
1376556365	UNKNOWN	2021	FFS	RENDERING	AGE 21+	40	None	247	None	None	1	None	1	18	None	47	None	34	None	34	None
1376556597	DORSEY, KEVIN B, DDS	2021	FFS	RENDERING	AGE 0-20	259	None	1,025	None	0	None	0	None	178	None	707	None	152	None	152	None
1376556597	DORSEY, KEVIN B, DDS	2021	FFS	RENDERING	AGE 21+	267	None	1,025	None	0	None	0	None	173	None	717	None	133	None	133	None
1376556597	DORSEY, KEVIN B, DDS	2021	PHP	RENDERING	AGE 0-20	30	None	139	None	0	None	0	None	28	None	135	None	None	1	None	1
1376556597	DORSEY, KEVIN B, DDS	2021	PHP	RENDERING	AGE 21+	61	None	268	None	0	None	0	None	41	None	229	None	36	None	37	None
1376577544	DHOLAKIYA, PRAGNESH J, DDS	2021	FFS	RENDERING	AGE 0-20	213	None	2,444	None	170	None	501	None	180	None	628	None	172	None	193	None
1376577544	DHOLAKIYA, PRAGNESH J, DDS	2021	FFS	RENDERING	AGE 21+	479	None	4,046	None	185	None	358	None	387	None	1,883	None	341	None	341	None
1376577544	DHOLAKIYA, PRAGNESH J, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1376587204	DO, MUU N, DDS	2021	FFS	RENDERING	AGE 0-20	78	None	500	None	73	None	176	None	35	None	87	None	77	None	93	None
1376587204	DO, MUU N, DDS	2021	FFS	RENDERING	AGE 21+	544	None	3,261	None	267	None	533	None	411	None	1,356	None	446	None	446	None
1376601211	DE LEON, MARIA DDS	2021	FFS	RENDERING	AGE 0-20	143	None	1,873	None	134	None	561	None	70	None	221	None	131	None	181	None
1376601211	DE LEON, MARIA DDS	2021	FFS	RENDERING	AGE 21+	184	None	1,477	None	133	None	266	None	117	None	473	None	145	None	145	None
1376603027	SHAH DARSHINI S	2021	FFS	RENDERING	AGE 0-20	178	None	1,727	None	153	None	399	None	72	None	159	None	159	None	190	None
1376603027	SHAH DARSHINI S	2021	FFS	RENDERING	AGE 21+	310	None	1,901	None	205	None	404	None	169	None	428	None	219	None	220	None
1376606764	ROGERS, ROBERT P, DDS	2021	FFS	RENDERING	AGE 0-20	52	None	260	None	46	None	48	None	13	None	22	None	43	None	45	None
1376606764	ROGERS, ROBERT P, DDS	2021	FFS	RENDERING	AGE 21+	280	None	1,883	None	209	None	209	None	153	None	373	None	220	None	220	None
1376606954	YULIONGSIU REY Q	2021	FFS	RENDERING	AGE 0-20	625	None	3,393	None	467	None	1,061	None	163	None	457	None	533	None	575	None
1376606954	YULIONGSIU REY Q	2021	FFS	RENDERING	AGE 21+	1,284	None	4,556	None	363	None	668	None	566	None	1,434	None	950	None	950	None
1376611509	ASSAD BASSEM L	2021	FFS	RENDERING	AGE 0-20	189	None	1,100	None	127	None	501	None	52	None	105	None	158	None	160	None
1376611509	ASSAD BASSEM L	2021	FFS	RENDERING	AGE 21+	479	None	1,664	None	147	None	296	None	162	None	394	None	319	None	319	None
1376611509	ASSAD BASSEM L	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376611509	ASSAD BASSEM L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376611509	ASSAD BASSEM L	2021	PHP	RENDERING	AGE 0-20	167	None	1,360	None	129	None	539	None	103	None	370	None	142	None	165	None
1376611509	ASSAD BASSEM L	2021	PHP	RENDERING	AGE 21+	112	None	1,028	None	63	None	170	None	86	None	644	None	91	None	100	None
1376612622	KUCERA MICHELLE L	2021	FFS	RENDERING	AGE 0-20	201	None	1,064	None	188	None	402	None	53	None	257	None	190	None	190	None
1376614651	REVILLA MARIA GEORGI E	2021	FFS	RENDERING	AGE 0-20	2,399	None	10,169	None	1,704	None	2,745	None	1,764	None	2,109	None	2,383	None	2,647	None
1376620971	METHAR, GHASSAN DDS	2021	FFS	RENDERING	AGE 0-20	328	None	4,691	None	311	None	1,706	None	162	None	461	None	317	None	489	None
1376620971	METHAR, GHASSAN DDS	2021	FFS	RENDERING	AGE 21+	163	None	1,182	None	78	None	133	None	104	None	304	None	110	None	110	None
1376622530	QUOCK, WINTON J, DMD	2021	FFS	RENDERING	AGE 0-20	24	None	31	None	0	None	0	None	None	1	None	1	0	None	0	None
1376626234	CUEVAS-MENDOZA, EDITH M, DMD	2021	FFS	RENDERING	AGE 0-20	11	None	84	None	None	1	None	2	None	1	None	1	None	1	None	2
1376626234	CUEVAS-MENDOZA, EDITH M, DMD	2021	FFS	RENDERING	AGE 21+	17	None	77	None	None	1	None	1	None	1	None	2	None	1	None	1
1376633446	PALAGANAS JR, ARTEMIO F, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376633446	PALAGANAS JR, ARTEMIO F, DDS	2021	FFS	RENDERING	AGE 21+	30	None	193	None	15	None	27	None	23	None	89	None	14	None	14	None
1376635136	MALDONADO, PHILIP B, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376635136	MALDONADO, PHILIP B, DDS	2021	FFS	RENDERING	AGE 21+	61	None	269	None	38	None	38	None	25	None	90	None	45	None	46	None
1376639567	VILLASENOR-FASS, GLORIA, DDS	2021	FFS	RENDERING	AGE 0-20	158	None	1,760	None	144	None	551	None	73	None	210	None	142	None	182	None
1376639567	VILLASENOR-FASS, GLORIA, DDS	2021	FFS	RENDERING	AGE 21+	268	None	1,916	None	144	None	250	None	176	None	680	None	191	None	193	None
1376647529	SABOLCH PETER	2021	FFS	RENDERING	AGE 0-20	79	None	1,213	None	59	None	164	None	73	None	555	None	75	None	75	None
1376647529	SABOLCH PETER	2021	FFS	RENDERING	AGE 21+	24	None	94	None	None	1	None	1	17	None	57	None	12	None	12	None
1376647529	SABOLCH PETER	2021	PHP	RENDERING	AGE 0-20	11	None	94	None	None	1	None	2	None	1	None	2	11	None	12	None
1376647529	SABOLCH PETER	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376667824	NGUYEN NGOC DIEP T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376667824	NGUYEN NGOC DIEP T	2021	FFS	RENDERING	AGE 21+	68	None	512	None	52	None	52	None	47	None	163	None	43	None	43	None
1376667824	NGUYEN, DIEP, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376667824	NGUYEN, DIEP, DDS	2021	FFS	RENDERING	AGE 21+	68	None	512	None	52	None	52	None	47	None	163	None	43	None	43	None
1376669978	LE, KATHY YNHI DDS	2021	FFS	RENDERING	AGE 0-20	103	None	1,208	None	102	None	449	None	54	None	258	None	102	None	162	None
1376669978	LE, KATHY YNHI DDS	2021	FFS	RENDERING	AGE 21+	182	None	2,198	None	148	None	295	None	167	None	1,316	None	154	None	154	None
1376672980	MAK GILBERT KWOK K	2021	FFS	RENDERING	AGE 0-20	646	None	8,275	None	629	None	2,876	None	291	None	1,500	None	644	None	877	None
1376672980	MAK GILBERT KWOK K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376673152	HUGHES, CARROLL EUGENE, DDS	2021	FFS	RENDERING	AGE 0-20	721	None	4,916	None	0	None	0	None	551	None	3,788	None	569	None	569	None
1376673152	HUGHES, CARROLL EUGENE, DDS	2021	FFS	RENDERING	AGE 21+	1,025	None	7,741	None	0	None	0	None	690	None	6,064	None	861	None	861	None
1376675447	VO HANHNGOC N	2021	FFS	RENDERING	AGE 0-20	165	None	2,424	None	160	None	758	None	75	None	173	None	139	None	189	None
1376675447	VO HANHNGOC N	2021	FFS	RENDERING	AGE 21+	255	None	2,457	None	208	None	374	None	177	None	671	None	204	None	204	None
1376679407	DOMINGO-NGUYEN CATHLEEN A	2021	FFS	RENDERING	AGE 0-20	29	None	127	None	27	None	53	None	None	1	None	1	27	None	27	None
1376679407	DOMINGO-NGUYEN CATHLEEN A	2021	FFS	RENDERING	AGE 21+	35	None	113	None	14	None	24	None	18	None	41	None	12	None	12	None
1376679696	LEE, NOMI	2021	FFS	RENDERING	AGE 0-20	247	None	2,864	None	211	None	595	None	98	None	300	None	218	None	274	None
1376679696	LEE, NOMI	2021	FFS	RENDERING	AGE 21+	297	None	1,772	None	201	None	392	None	155	None	448	None	121	None	121	None
1376682427	BUI HAN P	2021	FFS	RENDERING	AGE 0-20	91	None	1,282	None	90	None	267	None	29	None	70	None	87	None	129	None
1376682427	BUI HAN P	2021	FFS	RENDERING	AGE 21+	323	None	2,934	None	250	None	497	None	241	None	833	None	283	None	283	None
1376682757	GUINDI, GUINDI M, DDS	2021	FFS	RENDERING	AGE 0-20	27	None	125	None	17	None	29	None	None	1	None	2	20	None	20	None
1376682757	GUINDI, GUINDI M, DDS	2021	FFS	RENDERING	AGE 21+	105	None	510	None	48	None	82	None	58	None	158	None	64	None	64	None
1376682757	GUINDI, GUINDI MAHFOUZ, DDS	2021	FFS	RENDERING	AGE 0-20	27	None	125	None	17	None	29	None	None	1	None	2	20	None	20	None
1376682757	GUINDI, GUINDI MAHFOUZ, DDS	2021	FFS	RENDERING	AGE 21+	105	None	510	None	48	None	82	None	58	None	158	None	64	None	64	None
1376685990	NAMIAN, MAHMOUD	2021	FFS	RENDERING	AGE 0-20	41	None	339	None	24	None	62	None	29	None	86	None	26	None	27	None
1376685990	NAMIAN, MAHMOUD	2021	FFS	RENDERING	AGE 21+	82	None	367	None	None	1	None	1	72	None	230	None	17	None	17	None
1376685990	NAMIAN, MAHMOUD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1376685990	NAMIAN, MAHMOUD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1376687574	CHIRINOS RENAN O	2021	FFS	RENDERING	AGE 0-20	392	None	4,041	None	299	None	868	None	242	None	461	None	281	None	310	None
1376687574	CHIRINOS RENAN O	2021	FFS	RENDERING	AGE 21+	374	None	2,968	None	142	None	240	None	256	None	632	None	180	None	181	None
1376688044	TAKLA PAUL M	2021	FFS	RENDERING	AGE 0-20	318	None	388	None	0	None	0	None	31	None	62	None	0	None	0	None
1376688044	TAKLA PAUL M	2021	FFS	RENDERING	AGE 21+	20	None	20	None	0	None	0	None	0	None	0	None	0	None	0	None
1376688044	TAKLA PAUL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376688663	ROZOV SOPHIA S	2021	FFS	RENDERING	AGE 0-20	149	None	1,359	None	91	None	328	None	65	None	203	None	134	None	144	None
1376688663	ROZOV SOPHIA S	2021	FFS	RENDERING	AGE 21+	235	None	1,776	None	80	None	122	None	157	None	625	None	145	None	145	None
1376688663	ROZOV SOPHIA S	2021	PHP	RENDERING	AGE 0-20	48	None	571	None	44	None	178	None	21	None	52	None	46	None	60	None
1376688663	ROZOV SOPHIA S	2021	PHP	RENDERING	AGE 21+	52	None	520	None	23	None	57	None	31	None	159	None	46	None	53	None
1376695825	IMANKHAN, HAMID R DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376695825	IMANKHAN, HAMID R DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376695825	IMANKHAN, HAMID R DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1376697847	LE MAI ANH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1376697847	LE MAI ANH	2021	FFS	RENDERING	AGE 21+	54	None	241	None	17	None	34	None	47	None	139	None	19	None	19	None
1376697847	LE MAI ANH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376697847	LE, MAI A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1376697847	LE, MAI A, DDS	2021	FFS	RENDERING	AGE 21+	54	None	241	None	17	None	34	None	47	None	139	None	19	None	19	None
1376697847	LE, MAI A, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376698233	KAO EDDIE K	2021	FFS	RENDERING	AGE 0-20	30	None	307	None	30	None	102	None	15	None	51	None	30	None	45	None
1376698233	KAO EDDIE K	2021	FFS	RENDERING	AGE 21+	76	None	722	None	57	None	113	None	61	None	259	None	56	None	56	None
1376700336	MEHDIPOUR OMID	2021	FFS	RENDERING	AGE 0-20	113	None	223	None	0	None	0	None	63	None	137	None	0	None	0	None
1376700336	MEHDIPOUR OMID	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1376702167	LIM ALICE T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1376702167	LIM ALICE T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1376703686	TADROS FAWZY	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1376703686	TADROS FAWZY	2021	PHP	RENDERING	AGE 0-20	139	None	1,483	None	138	None	642	None	55	None	142	None	131	None	199	None
1376703686	TADROS FAWZY	2021	PHP	RENDERING	AGE 21+	209	None	1,457	None	184	None	442	None	111	None	392	None	177	None	217	None
1376703868	GALDES TODD LOUIS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376722553	SANTOS EDNA T	2021	FFS	RENDERING	AGE 0-20	43	None	318	None	39	None	103	None	17	None	48	None	42	None	55	None
1376722553	SANTOS EDNA T	2021	FFS	RENDERING	AGE 21+	252	None	1,422	None	210	None	418	None	81	None	222	None	232	None	232	None
1376736801	SAWERES NANCY E	2021	FFS	RENDERING	AGE 0-20	133	None	922	None	125	None	428	None	111	None	459	None	None	1	None	1
1376736801	SAWERES NANCY E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1376750307	KIM, CHUNG DDS, INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1376761429	CHOI JOSEPH K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1376762393	TABIB, KAMRAN, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	247	None	16	None	39	None	13	None	42	None	17	None	21	None
1376762393	TABIB, KAMRAN, DDS	2021	FFS	RENDERING	AGE 21+	354	None	3,599	None	151	None	298	None	305	None	1,486	None	206	None	206	None
1376762518	WANG, ROSEMARY	2021	FFS	RENDERING	AGE 21+	13	None	81	None	None	1	None	1	None	1	None	2	None	1	None	1
1376762740	BATTE, GERTRUDES	2021	FFS	RENDERING	AGE 0-20	688	None	8,356	None	663	None	2,351	None	238	None	495	None	674	None	1,043	None
1376762740	BATTE, GERTRUDES	2021	FFS	RENDERING	AGE 21+	133	None	1,355	None	113	None	228	None	60	None	103	None	113	None	113	None
1376762765	BERENT YAKOV	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376764001	GHAVI BONIHE ALI	2021	FFS	RENDERING	AGE 0-20	530	None	7,508	None	450	None	1,863	None	311	None	1,182	None	443	None	539	None
1376764001	GHAVI BONIHE ALI	2021	FFS	RENDERING	AGE 21+	457	None	4,198	None	183	None	367	None	313	None	1,126	None	325	None	326	None
1376764001	GHAVI BONIHE ALI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1376764001	GHAVI BONIHE ALI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1376767038	CERVANTES RICHARD	2021	FFS	RENDERING	AGE 0-20	197	None	1,447	None	169	None	203	None	82	None	298	None	184	None	229	None
1376767038	CERVANTES RICHARD	2021	FFS	RENDERING	AGE 21+	389	None	3,088	None	220	None	223	None	307	None	1,412	None	272	None	272	None
1376769356	BUI-TILLMAN CHRISTINE T	2021	FFS	RENDERING	AGE 0-20	73	None	325	None	66	None	150	None	18	None	28	None	65	None	75	None
1376769356	BUI-TILLMAN CHRISTINE T	2021	FFS	RENDERING	AGE 21+	157	None	673	None	114	None	222	None	69	None	160	None	124	None	124	None
1376775767	PARK SUZAN S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376775767	PARK SUZAN S	2021	FFS	RENDERING	AGE 21+	64	None	363	None	29	None	42	None	40	None	154	None	26	None	26	None
1376790725	APONTE CHAFICATH T	2021	FFS	RENDERING	AGE 0-20	784	None	3,086	None	422	None	866	None	356	None	884	None	293	None	293	None
1376790725	APONTE CHAFICATH T	2021	FFS	RENDERING	AGE 21+	808	None	2,397	None	188	None	358	None	478	None	1,059	None	243	None	243	None
1376790907	REYHANI BEHNOUD	2021	FFS	RENDERING	AGE 0-20	324	None	3,504	None	231	None	603	None	155	None	539	None	297	None	334	None
1376790907	REYHANI BEHNOUD	2021	FFS	RENDERING	AGE 21+	784	None	5,619	None	243	None	459	None	472	None	1,731	None	602	None	611	None
1376790907	REYHANI BEHNOUD	2021	PHP	RENDERING	AGE 0-20	18	None	85	None	None	1	None	2	None	1	None	2	16	None	18	None
1376790907	REYHANI BEHNOUD	2021	PHP	RENDERING	AGE 21+	66	None	289	None	14	None	21	None	31	None	121	None	55	None	59	None
1376796433	SUNWOO JAMES S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1376796433	SUNWOO JAMES S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1376797209	SCOTT STEVEN H	2021	FFS	RENDERING	AGE 0-20	14	None	32	None	0	None	0	None	None	1	None	2	0	None	0	None
1376797209	SCOTT STEVEN H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376797209	SCOTT STEVEN H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376797621	POURSHIRAZI HOMAYOUN	2021	FFS	RENDERING	AGE 0-20	1,062	None	14,759	None	627	None	1,896	None	651	None	2,604	None	940	None	1,126	None
1376797621	POURSHIRAZI HOMAYOUN	2021	FFS	RENDERING	AGE 21+	2,212	None	17,951	None	286	None	521	None	1,691	None	6,841	None	1,457	None	1,470	None
1376798264	TORBATI DONA	2021	FFS	RENDERING	AGE 0-20	171	None	1,595	None	139	None	444	None	93	None	262	None	140	None	175	None
1376798264	TORBATI DONA	2021	FFS	RENDERING	AGE 21+	530	None	3,904	None	208	None	399	None	344	None	1,412	None	382	None	385	None
1376798264	TORBATI DONA	2021	PHP	RENDERING	AGE 0-20	14	None	115	None	11	None	41	None	None	1	None	2	11	None	11	None
1376798264	TORBATI DONA	2021	PHP	RENDERING	AGE 21+	28	None	256	None	None	1	None	2	23	None	129	None	20	None	20	None
1376801191	JAVDAN NAZAFARIN	2021	FFS	RENDERING	AGE 0-20	5,677	None	62,276	None	4,763	None	16,938	None	3,884	None	12,662	None	4,565	None	5,423	None
1376801191	JAVDAN NAZAFARIN	2021	FFS	RENDERING	AGE 21+	13	None	93	None	None	1	None	2	None	1	None	1	None	1	None	1
1376803254	SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1376805556	BRAR PREMJEET K	2021	FFS	RENDERING	AGE 0-20	1,234	None	8,270	None	1,059	None	3,054	None	470	None	1,958	None	845	None	1,056	None
1376805556	BRAR PREMJEET K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1376805556	BRAR PREMJEET K	2021	GMC	RENDERING	AGE 0-20	516	None	4,449	None	169	None	447	None	511	None	2,926	None	24	None	25	None
1376805556	BRAR PREMJEET K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1376810002	HARTOUNIAN HARMIK	2021	FFS	RENDERING	AGE 0-20	94	None	604	None	68	None	158	None	28	None	70	None	78	None	83	None
1376810002	HARTOUNIAN HARMIK	2021	FFS	RENDERING	AGE 21+	355	None	2,292	None	75	None	138	None	261	None	967	None	222	None	224	None
1376822031	AMINOSHARIAE AMIR R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1376835983	ZARRABI, SAMEEN DMD	2021	FFS	RENDERING	AGE 0-20	2,203	None	27,637	None	1,975	None	6,899	None	1,262	None	3,464	None	1,997	None	2,458	None
1376835983	ZARRABI, SAMEEN DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1376852970	JABERIANSARI MAHSA	2021	FFS	RENDERING	AGE 0-20	2,112	None	22,075	None	1,580	None	4,492	None	1,370	None	7,619	None	1,517	None	1,652	None
1376852970	JABERIANSARI MAHSA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1376858316	KATCHOOI MINA	2021	FFS	RENDERING	AGE 0-20	1,493	None	2,155	None	0	None	0	None	None	1	None	2	0	None	0	None
1376858316	KATCHOOI MINA	2021	FFS	RENDERING	AGE 21+	15	None	16	None	0	None	0	None	0	None	0	None	0	None	0	None
1376858811	PAN ANTHONY S	2021	FFS	RENDERING	AGE 0-20	108	None	793	None	103	None	433	None	46	None	115	None	103	None	141	None
1376858811	PAN ANTHONY S	2021	FFS	RENDERING	AGE 21+	306	None	2,340	None	207	None	415	None	255	None	1,261	None	216	None	219	None
1376858811	PAN ANTHONY S	2021	PHP	RENDERING	AGE 0-20	24	None	196	None	24	None	131	None	None	1	None	2	24	None	31	None
1376858811	PAN ANTHONY S	2021	PHP	RENDERING	AGE 21+	79	None	704	None	67	None	155	None	57	None	380	None	71	None	79	None
1376862052	WANG SARITA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1376862052	WANG SARITA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1376875534	LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1376875534	MIRTORABI, LILI, DDS A PROF	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1376902155	SHETH PRIYA P	2021	FFS	RENDERING	AGE 0-20	3,892	None	23,148	None	3,426	None	8,781	None	1,994	None	3,442	None	3,314	None	3,395	None
1376902155	SHETH PRIYA P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1376919068	RAJAPKSHA KASUN S	2021	FFS	RENDERING	AGE 0-20	1,391	None	13,126	None	1,071	None	2,760	None	868	None	2,598	None	1,144	None	1,207	None
1376919068	RAJAPKSHA KASUN S	2021	FFS	RENDERING	AGE 21+	33	None	151	None	None	1	None	1	18	None	47	None	15	None	15	None
1376927855	KIM ERIC K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1376929588	THANGARAJ VETHANYA	2021	FFS	RENDERING	AGE 0-20	711	None	4,307	None	477	None	2,091	None	82	None	131	None	650	None	707	None
1376929588	THANGARAJ VETHANYA	2021	FFS	RENDERING	AGE 21+	1,468	None	4,531	None	340	None	650	None	396	None	973	None	958	None	966	None
1376929588	THANGARAJ VETHANYA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376929588	THANGARAJ VETHANYA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376929588	THANGARAJ VETHANYA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1376929638	BRUTUS, ELIZABETH, RDHAP	2021	FFS	RENDERING	AGE 0-20	42	None	138	None	27	None	56	None	0	None	0	None	0	None	0	None
1376929638	BRUTUS, ELIZABETH, RDHAP	2021	FFS	RENDERING	AGE 21+	185	None	539	None	181	None	363	None	14	None	14	None	0	None	0	None
1376933622	CENTER FOR ORAL HEALTH	2021	GMC	RENDERING	AGE 0-20	158	None	755	None	157	None	602	None	0	None	0	None	0	None	0	None
1376933622	CENTER FOR ORAL HEALTH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1376937219	HSI ELIZABETH	2021	FFS	RENDERING	AGE 0-20	27	None	153	None	21	None	45	None	14	None	39	None	20	None	21	None
1376937219	HSI ELIZABETH	2021	FFS	RENDERING	AGE 21+	84	None	435	None	30	None	58	None	60	None	195	None	41	None	41	None
1376942672	DERAGOBIAN, ANKIN, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1376965954	LIU CHELSEA	2021	FFS	RENDERING	AGE 0-20	19	None	146	None	19	None	63	None	None	1	None	1	18	None	25	None
1376965954	LIU CHELSEA	2021	FFS	RENDERING	AGE 21+	51	None	372	None	40	None	86	None	26	None	76	None	46	None	46	None
1376968784	BORNA NEDA	2021	FFS	RENDERING	AGE 0-20	496	None	2,531	None	343	None	950	None	131	None	192	None	468	None	474	None
1376968784	BORNA NEDA	2021	FFS	RENDERING	AGE 21+	555	None	1,579	None	59	None	108	None	220	None	495	None	375	None	376	None
1376968784	BORNA NEDA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1376975375	SALAMATI ATRIYA	2021	FFS	RENDERING	AGE 0-20	596	None	3,704	None	311	None	815	None	463	None	2,063	None	246	None	246	None
1376975375	SALAMATI ATRIYA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1376992586	ELYASSI HARRY H	2021	FFS	RENDERING	AGE 0-20	130	None	1,715	None	117	None	386	None	70	None	331	None	129	None	176	None
1376992586	ELYASSI HARRY H	2021	FFS	RENDERING	AGE 21+	561	None	6,779	None	483	None	1,263	None	459	None	2,872	None	484	None	484	None
1376992586	ELYASSI HARRY H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1386002616	LEE HANNA	2021	PHP	RENDERING	AGE 21+	46	None	141	None	None	1	None	1	30	None	66	None	22	None	24	None
1386003432	PATEL SUNIL S	2021	FFS	RENDERING	AGE 0-20	61	None	182	None	0	None	0	None	61	None	182	None	0	None	0	None
1386003432	PATEL SUNIL S	2021	FFS	RENDERING	AGE 21+	263	None	1,192	None	None	1	None	1	263	None	1,184	None	None	1	None	1
1386004232	NEMOVI SHAHRYAR	2021	FFS	RENDERING	AGE 0-20	319	None	1,926	None	158	None	434	None	202	None	509	None	165	None	172	None
1386004232	NEMOVI SHAHRYAR	2021	FFS	RENDERING	AGE 21+	448	None	1,931	None	86	None	164	None	281	None	664	None	207	None	210	None
1386010445	LIEM MICHELLE A	2021	FFS	RENDERING	AGE 0-20	101	None	489	None	51	None	146	None	57	None	164	None	44	None	44	None
1386010445	LIEM MICHELLE A	2021	FFS	RENDERING	AGE 21+	112	None	359	None	14	None	26	None	78	None	216	None	38	None	38	None
1386013209	PHILIP CHANG DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1386013209	PHILIP CHANG DDS INC	2021	PHP	RENDERING	AGE 0-20	35	None	196	None	34	None	84	None	14	None	30	None	34	None	34	None
1386013209	PHILIP CHANG DDS INC	2021	PHP	RENDERING	AGE 21+	13	None	70	None	None	1	None	2	None	1	None	2	12	None	12	None
1386014777	SALTZBERG ALANA V	2021	FFS	RENDERING	AGE 0-20	863	None	9,510	None	724	None	1,830	None	446	None	1,315	None	734	None	899	None
1386014777	SALTZBERG ALANA V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386017002	AFIFI MARYAM M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386017002	AFIFI MARYAM M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1386017002	AFIFI MARYAM M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1386035459	HOSSEIN A DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1386048122	CHOW KIM N	2021	FFS	RENDERING	AGE 0-20	121	None	667	None	None	1	None	2	121	None	383	None	None	1	None	1
1386048122	CHOW KIM N	2021	FFS	RENDERING	AGE 21+	213	None	1,062	None	None	1	None	2	208	None	690	None	None	1	None	1
1386049971	VU, DIANA DDS	2021	FFS	RENDERING	AGE 0-20	322	None	2,823	None	219	None	628	None	189	None	429	None	249	None	253	None
1386049971	VU, DIANA DDS	2021	FFS	RENDERING	AGE 21+	63	None	292	None	None	1	None	1	38	None	69	None	36	None	36	None
1386052306	SHIN MICHELLE M	2021	FFS	RENDERING	AGE 0-20	2,358	None	25,290	None	2,113	None	6,678	None	1,593	None	4,584	None	2,039	None	2,266	None
1386053171	TAJIK KASRA	2021	FFS	RENDERING	AGE 0-20	18	None	130	None	13	None	36	None	None	1	None	2	16	None	17	None
1386053171	TAJIK KASRA	2021	FFS	RENDERING	AGE 21+	125	None	819	None	78	None	143	None	78	None	336	None	100	None	102	None
1386053999	HOSSEINI HOUTAN A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1386053999	HOSSEINI HOUTAN A	2021	FFS	RENDERING	AGE 21+	18	None	53	None	None	1	None	1	None	1	None	2	None	1	None	1
1386058592	BEECHER REBECCA V	2021	FFS	RENDERING	AGE 0-20	267	None	1,580	None	186	None	443	None	101	None	313	None	204	None	221	None
1386058592	BEECHER REBECCA V	2021	FFS	RENDERING	AGE 21+	597	None	2,364	None	183	None	325	None	275	None	800	None	342	None	342	None
1386059103	PEDERSEN ANNE C	2021	FFS	RENDERING	AGE 0-20	2,043	None	27,480	None	1,943	None	9,053	None	1,587	None	7,938	None	1,995	None	2,937	None
1386059103	PEDERSEN ANNE C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1386071546	SAIDIAN SHAHROOZ	2021	FFS	RENDERING	AGE 0-20	62	None	461	None	55	None	160	None	30	None	115	None	54	None	66	None
1386071546	SAIDIAN SHAHROOZ	2021	FFS	RENDERING	AGE 21+	309	None	1,878	None	219	None	408	None	183	None	800	None	242	None	242	None
1386076073	PAHLEVANLOU GOLNAZ	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1386086437	ZHANG LING	2021	FFS	RENDERING	AGE 0-20	329	None	1,488	None	205	None	795	None	200	None	426	None	45	None	45	None
1386086437	ZHANG LING	2021	FFS	RENDERING	AGE 21+	371	None	1,055	None	125	None	230	None	274	None	575	None	44	None	44	None
1386086437	ZHANG LING	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386086437	ZHANG LING	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1386086437	ZHANG LING	2021	PHP	RENDERING	AGE 21+	21	None	45	None	None	1	None	1	11	None	15	None	13	None	13	None
1386097616	RAVISANKAR ASHWIN	2021	FFS	RENDERING	AGE 0-20	103	None	237	None	0	None	0	None	103	None	236	None	0	None	0	None
1386097616	RAVISANKAR ASHWIN	2021	FFS	RENDERING	AGE 21+	793	None	2,273	None	0	None	0	None	791	None	2,267	None	0	None	0	None
1386097616	RAVISANKAR ASHWIN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386097616	RAVISANKAR ASHWIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1386097616	RAVISANKAR ASHWIN	2021	PHP	RENDERING	AGE 21+	25	None	91	None	0	None	0	None	24	None	90	None	None	1	None	1
1386098606	SINGH SATWINDER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386098606	SINGH SATWINDER	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386098606	SINGH SATWINDER	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386098606	SINGH SATWINDER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386098606	SINGH SATWINDER	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386109213	WANG PHILIP	2021	FFS	RENDERING	AGE 0-20	288	None	1,204	None	171	None	350	None	41	None	94	None	246	None	246	None
1386109213	WANG PHILIP	2021	FFS	RENDERING	AGE 21+	540	None	1,749	None	144	None	256	None	169	None	375	None	388	None	388	None
1386109213	WANG PHILIP	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1386109213	WANG PHILIP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1386114049	LUNSFORD JOHN T	2021	FFS	RENDERING	AGE 0-20	123	None	880	None	80	None	177	None	73	None	148	None	91	None	91	None
1386114049	LUNSFORD JOHN T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386117893	WARRIACH FAHAD I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386117893	WARRIACH FAHAD I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386123297	MORA ANA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1386123297	MORA ANA C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386123537	BESADA BISHOY J	2021	FFS	RENDERING	AGE 0-20	529	None	3,951	None	463	None	1,863	None	264	None	617	None	385	None	406	None
1386123537	BESADA BISHOY J	2021	FFS	RENDERING	AGE 21+	598	None	3,063	None	328	None	635	None	369	None	1,452	None	296	None	296	None
1386123537	BESADA BISHOY J	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386123537	BESADA BISHOY J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1386123537	BESADA BISHOY J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386123537	BESADA BISHOY J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386128239	FERNANDO KEVIN M	2021	FFS	RENDERING	AGE 0-20	35	None	235	None	17	None	38	None	17	None	36	None	21	None	21	None
1386128239	FERNANDO KEVIN M	2021	FFS	RENDERING	AGE 21+	110	None	540	None	None	1	None	2	63	None	126	None	47	None	47	None
1386128270	WANG LILY	2021	FFS	RENDERING	AGE 0-20	58	None	789	None	52	None	215	None	36	None	128	None	55	None	63	None
1386128270	WANG LILY	2021	FFS	RENDERING	AGE 21+	222	None	2,111	None	117	None	229	None	170	None	1,010	None	169	None	170	None
1386133247	SODHI SLEENA	2021	FFS	RENDERING	AGE 0-20	402	None	1,173	None	33	None	45	None	153	None	274	None	265	None	271	None
1386133247	SODHI SLEENA	2021	FFS	RENDERING	AGE 21+	837	None	2,045	None	None	1	None	2	328	None	636	None	466	None	466	None
1386135671	PARK PROFESSIONAL DENTAL COR	2021	PHP	RENDERING	AGE 0-20	23	None	166	None	17	None	73	None	None	1	None	2	16	None	16	None
1386135671	PARK PROFESSIONAL DENTAL COR	2021	PHP	RENDERING	AGE 21+	43	None	168	None	18	None	35	None	31	None	93	None	16	None	16	None
1386168458	DHILLON KARANVEER SINGH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386191641	MCCOURT DANIELLE T	2021	FFS	RENDERING	AGE 0-20	267	None	2,319	None	235	None	625	None	93	None	196	None	247	None	300	None
1386191641	MCCOURT DANIELLE T	2021	FFS	RENDERING	AGE 21+	651	None	4,363	None	409	None	757	None	257	None	527	None	520	None	520	None
1386202414	HSIEH REBECCA P	2021	FFS	RENDERING	AGE 0-20	500	None	2,972	None	357	None	764	None	214	None	595	None	335	None	353	None
1386205235	DIEP JASON DO	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1386292324	CAMACHO AARON J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386292324	CAMACHO AARON J	2021	FFS	RENDERING	AGE 21+	14	None	35	None	0	None	0	None	14	None	35	None	0	None	0	None
1386296507	PATEL MEGA HARSHAD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1386600161	ENTEZAM MONA	2021	FFS	RENDERING	AGE 0-20	11	None	41	None	None	1	None	1	None	1	None	1	None	1	None	1
1386600161	ENTEZAM MONA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1386627263	RAMOS-MERCADO FABIOLA B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386627263	RAMOS-MERCADO FABIOLA B	2021	GMC	RENDERING	AGE 0-20	144	None	923	None	121	None	448	None	89	None	206	None	90	None	92	None
1386627263	RAMOS-MERCADO FABIOLA B	2021	GMC	RENDERING	AGE 21+	192	None	1,380	None	80	None	186	None	174	None	694	None	92	None	115	None
1386634053	KAILA PRABHPREET S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1386645984	KIM, QUY N, DDS	2021	FFS	RENDERING	AGE 0-20	778	None	7,577	None	710	None	2,236	None	504	None	1,677	None	646	None	771	None
1386645984	KIM, QUY N, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1386657351	KHORSAND ARASH	2021	FFS	RENDERING	AGE 0-20	115	None	440	None	None	1	None	1	115	None	296	None	0	None	0	None
1386657351	KHORSAND ARASH	2021	FFS	RENDERING	AGE 21+	345	None	1,313	None	0	None	0	None	345	None	943	None	0	None	0	None
1386664431	REYES SOL JOSE	2021	FFS	RENDERING	AGE 0-20	287	None	1,580	None	270	None	1,119	None	None	1	None	1	266	None	409	None
1386664431	REYES SOL JOSE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1386664431	REYES, SOL J, DDS	2021	FFS	RENDERING	AGE 0-20	287	None	1,580	None	270	None	1,119	None	None	1	None	1	266	None	409	None
1386664431	REYES, SOL J, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1386668911	FEJARANG, CECILIA DMD	2021	FFS	RENDERING	AGE 0-20	1,026	None	10,044	None	1,015	None	4,081	None	439	None	786	None	1,012	None	1,394	None
1386668911	FEJARANG, CECILIA DMD	2021	FFS	RENDERING	AGE 21+	34	None	192	None	30	None	54	None	None	1	None	1	32	None	32	None
1386679876	KECHECHYAN ANUSH	2021	FFS	RENDERING	AGE 0-20	18	None	127	None	15	None	44	None	13	None	34	None	17	None	19	None
1386679876	KECHECHYAN ANUSH	2021	FFS	RENDERING	AGE 21+	269	None	1,663	None	144	None	150	None	227	None	949	None	198	None	199	None
1386692275	LUU CINDY T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1386692275	LUU CINDY T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1386703650	PANEM SHERWIN A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386703650	PANEM SHERWIN A	2021	FFS	RENDERING	AGE 21+	120	None	529	None	0	None	0	None	117	None	522	None	None	1	None	1
1386703650	PANEM SHERWIN A	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386703650	PANEM SHERWIN A	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386705952	AL RIYABI FERAS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1386705952	AL RIYABI FERAS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1386705952	AL RIYABI FERAS	2021	GMC	RENDERING	AGE 0-20	460	None	2,791	None	354	None	1,278	None	268	None	366	None	269	None	277	None
1386705952	AL RIYABI FERAS	2021	GMC	RENDERING	AGE 21+	622	None	2,161	None	110	None	205	None	440	None	940	None	210	None	222	None
1386705952	AL RIYABI FERAS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386706273	JADHAV MEGHA R	2021	FFS	RENDERING	AGE 0-20	67	None	525	None	63	None	215	None	18	None	51	None	65	None	70	None
1386706273	JADHAV MEGHA R	2021	FFS	RENDERING	AGE 21+	319	None	1,914	None	197	None	197	None	174	None	766	None	268	None	268	None
1386711901	PANGILINAN RODERICK F	2021	FFS	RENDERING	AGE 0-20	535	None	3,673	None	389	None	1,153	None	250	None	682	None	476	None	496	None
1386711901	PANGILINAN RODERICK F	2021	FFS	RENDERING	AGE 21+	621	None	3,381	None	266	None	519	None	345	None	1,161	None	533	None	534	None
1386712743	CO MARIA LUISA A	2021	FFS	RENDERING	AGE 0-20	34	None	292	None	28	None	96	None	23	None	70	None	30	None	36	None
1386712743	CO MARIA LUISA A	2021	FFS	RENDERING	AGE 21+	104	None	1,057	None	62	None	115	None	93	None	605	None	32	None	32	None
1386716975	SIDERMAN, JERRY DDS	2021	FFS	RENDERING	AGE 0-20	1,260	None	13,859	None	1,151	None	3,703	None	553	None	1,922	None	1,004	None	1,144	None
1386716975	SIDERMAN, JERRY DDS	2021	FFS	RENDERING	AGE 21+	716	None	6,375	None	364	None	724	None	565	None	2,680	None	373	None	373	None
1386716975	SIDERMAN, JERRY DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386716975	SIDERMAN, JERRY DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1386717262	TOPPI RUSSELL J	2021	FFS	RENDERING	AGE 0-20	163	None	247	None	0	None	0	None	34	None	89	None	0	None	0	None
1386717262	TOPPI RUSSELL J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386717262	TOPPI RUSSELL J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386717262	TOPPI RUSSELL J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386722353	WOO DEBRA A	2021	FFS	RENDERING	AGE 0-20	82	None	217	None	0	None	0	None	78	None	92	None	0	None	0	None
1386722353	WOO DEBRA A	2021	FFS	RENDERING	AGE 21+	971	None	2,545	None	0	None	0	None	844	None	995	None	0	None	0	None
1386727212	MANCHANDIA, CHANDRAKAN DDS	2021	FFS	RENDERING	AGE 0-20	135	None	1,122	None	131	None	516	None	47	None	78	None	131	None	173	None
1386727212	MANCHANDIA, CHANDRAKAN DDS	2021	FFS	RENDERING	AGE 21+	148	None	842	None	127	None	250	None	73	None	193	None	130	None	130	None
1386730828	TRAN NHU Q	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386731131	NGUYEN MINCHAU T	2021	FFS	RENDERING	AGE 0-20	53	None	328	None	47	None	140	None	17	None	46	None	47	None	49	None
1386731131	NGUYEN MINCHAU T	2021	FFS	RENDERING	AGE 21+	51	None	198	None	19	None	37	None	26	None	64	None	29	None	29	None
1386733103	VU NGUYENKHANH D	2021	FFS	RENDERING	AGE 0-20	491	None	2,584	None	354	None	848	None	241	None	635	None	398	None	443	None
1386733103	VU NGUYENKHANH D	2021	FFS	RENDERING	AGE 21+	563	None	2,098	None	114	None	223	None	327	None	1,038	None	386	None	386	None
1386751220	AFROOZ BABAK B	2021	FFS	RENDERING	AGE 0-20	221	None	1,410	None	167	None	468	None	44	None	94	None	195	None	222	None
1386751220	AFROOZ BABAK B	2021	FFS	RENDERING	AGE 21+	369	None	1,406	None	87	None	125	None	169	None	367	None	280	None	280	None
1386751220	AFROOZ BABAK B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1386751220	AFROOZ BABAK B	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1386758662	PEREZ MARITES M	2021	FFS	RENDERING	AGE 0-20	375	None	3,820	None	275	None	799	None	148	None	497	None	302	None	346	None
1386758662	PEREZ MARITES M	2021	FFS	RENDERING	AGE 21+	402	None	2,930	None	111	None	222	None	302	None	1,230	None	178	None	182	None
1386770568	GOMEZ UBLESTER	2021	FFS	RENDERING	AGE 0-20	304	None	3,460	None	215	None	661	None	169	None	496	None	227	None	292	None
1386770568	GOMEZ UBLESTER	2021	FFS	RENDERING	AGE 21+	223	None	1,907	None	128	None	256	None	159	None	526	None	155	None	155	None
1386770568	GOMEZ UBLESTER	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1386770568	GOMEZ UBLESTER	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386772366	VU THOMAS H	2021	FFS	RENDERING	AGE 0-20	591	None	6,333	None	569	None	1,713	None	180	None	510	None	563	None	844	None
1386772366	VU THOMAS H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386780229	ALON, DANNA RICA QUIMSON, RD	2021	FFS	RENDERING	AGE 21+	395	None	1,566	None	395	None	665	None	395	None	901	None	0	None	0	None
1386780294	HO THANH Q	2021	FFS	RENDERING	AGE 0-20	24	None	145	None	16	None	59	None	13	None	14	None	17	None	17	None
1386780294	HO THANH Q	2021	FFS	RENDERING	AGE 21+	106	None	370	None	12	None	20	None	64	None	104	None	58	None	58	None
1386780294	HO THANH Q	2021	GMC	RENDERING	AGE 0-20	1,191	None	9,081	None	1,004	None	4,000	None	545	None	935	None	979	None	1,101	None
1386780294	HO THANH Q	2021	GMC	RENDERING	AGE 21+	975	None	4,718	None	590	None	1,118	None	600	None	1,313	None	609	None	613	None
1386782985	TRAN, TAM K, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	224	None	18	None	54	None	43	None	131	None	None	1	None	1
1386782985	TRAN, TAM K, DDS	2021	FFS	RENDERING	AGE 21+	12	None	23	None	None	1	None	1	None	1	None	2	None	1	None	1
1386782985	TRAN, TAM K, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386783108	FARZIN, MATT G DDS	2021	FFS	RENDERING	AGE 0-20	327	None	3,833	None	301	None	907	None	90	None	355	None	275	None	331	None
1386783108	FARZIN, MATT G DDS	2021	FFS	RENDERING	AGE 21+	76	None	457	None	31	None	51	None	26	None	107	None	57	None	57	None
1386784999	ILEM JR, FRANCISCO L., DDS	2021	FFS	RENDERING	AGE 0-20	11	None	78	None	11	None	39	None	None	1	None	1	None	1	None	2
1386784999	ILEM JR, FRANCISCO L., DDS	2021	FFS	RENDERING	AGE 21+	28	None	183	None	25	None	32	None	17	None	66	None	27	None	27	None
1386785749	HOMAYOUN POURSHIRAZI DMD PC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386789170	KIM, MYUNG-SHIN, DDS	2021	FFS	RENDERING	AGE 0-20	215	None	5,692	None	203	None	1,868	None	144	None	604	None	201	None	518	None
1386789170	KIM, MYUNG-SHIN, DDS	2021	FFS	RENDERING	AGE 21+	171	None	3,448	None	121	None	484	None	110	None	568	None	128	None	256	None
1386790715	KIM, YOUNGRIM, DDS	2021	FFS	RENDERING	AGE 0-20	295	None	1,918	None	250	None	855	None	103	None	213	None	212	None	272	None
1386790715	KIM, YOUNGRIM, DDS	2021	FFS	RENDERING	AGE 21+	21	None	74	None	17	None	17	None	None	1	None	1	17	None	17	None
1386795961	POOTRAKUL ALI	2021	FFS	RENDERING	AGE 0-20	156	None	813	None	0	None	0	None	156	None	793	None	0	None	0	None
1386795961	POOTRAKUL ALI	2021	FFS	RENDERING	AGE 21+	198	None	1,028	None	None	1	None	1	197	None	1,008	None	None	1	None	1
1386795961	POOTRAKUL ALI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1386795961	POOTRAKUL ALI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386796936	TRILL, DARCI, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1386796936	TRILL, DARCI, RDHAP	2021	FFS	RENDERING	AGE 21+	131	None	780	None	130	None	325	None	124	None	455	None	0	None	0	None
1386804219	TANDON RADHIKA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386808400	RIBEROS LUIS J	2021	FFS	RENDERING	AGE 0-20	14	None	70	None	13	None	32	None	None	1	None	1	None	1	None	1
1386808400	RIBEROS LUIS J	2021	FFS	RENDERING	AGE 21+	19	None	55	None	None	1	None	1	12	None	20	None	11	None	11	None
1386808673	ZAKER MEYSAM	2021	FFS	RENDERING	AGE 0-20	141	None	1,843	None	117	None	342	None	104	None	517	None	123	None	139	None
1386808673	ZAKER MEYSAM	2021	FFS	RENDERING	AGE 21+	199	None	1,623	None	58	None	112	None	138	None	730	None	143	None	143	None
1386811271	KEIVAN SARRAF, DDS, INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386811271	KEIVAN SARRAF, DDS, INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1386811271	SARRAF, KEIVAN, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386811271	SARRAF, KEIVAN, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1386815058	MADISON, MILES, A PROF DENT	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1386819464	MASSOUN, SARABJIT S, DDS	2021	FFS	RENDERING	AGE 0-20	208	None	4,882	None	193	None	1,246	None	99	None	648	None	192	None	492	None
1386819464	MASSOUN, SARABJIT S, DDS	2021	FFS	RENDERING	AGE 21+	276	None	4,520	None	110	None	422	None	175	None	1,694	None	207	None	414	None
1386821221	YEUNG JAMIE Y	2021	FFS	RENDERING	AGE 0-20	6,856	None	41,819	None	6,619	None	18,596	None	3,269	None	3,905	None	6,675	None	7,609	None
1386821221	YEUNG JAMIE Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1386823219	BERMOY KATHRYN R	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1386823219	BERMOY KATHRYN R	2021	PHP	RENDERING	AGE 0-20	203	None	1,150	None	158	None	559	None	94	None	122	None	99	None	105	None
1386823219	BERMOY KATHRYN R	2021	PHP	RENDERING	AGE 21+	15	None	72	None	None	1	None	2	None	1	None	2	None	1	None	1
1386827426	GORRELL GARY A	2021	FFS	RENDERING	AGE 0-20	570	None	4,836	None	430	None	1,874	None	89	None	165	None	498	None	557	None
1386827426	GORRELL GARY A	2021	FFS	RENDERING	AGE 21+	931	None	5,157	None	314	None	576	None	411	None	1,160	None	657	None	661	None
1386827830	OWEITY WAEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386827830	OWEITY WAEL	2021	FFS	RENDERING	AGE 21+	68	None	103	None	0	None	0	None	68	None	102	None	0	None	0	None
1386835296	BANSAL SHUCHITA G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1386835296	BANSAL SHUCHITA G	2021	FFS	RENDERING	AGE 21+	25	None	99	None	13	None	25	None	None	1	None	2	20	None	20	None
1386847648	THAKKER, JAYINI MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386847648	THAKKER, JAYINI MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386862225	LIN JASON V	2021	FFS	RENDERING	AGE 0-20	1,899	None	30,729	None	1,771	None	6,745	None	970	None	5,686	None	1,815	None	2,636	None
1386862225	LIN JASON V	2021	FFS	RENDERING	AGE 21+	26	None	189	None	19	None	32	None	None	1	None	1	20	None	20	None
1386863074	PANCHURA JULIANA	2021	FFS	RENDERING	AGE 0-20	127	None	331	None	0	None	0	None	86	None	201	None	0	None	0	None
1386865707	NGO, HUONG L, DDS	2021	FFS	RENDERING	AGE 0-20	145	None	1,240	None	142	None	484	None	39	None	134	None	143	None	211	None
1386865707	NGO, HUONG L, DDS	2021	FFS	RENDERING	AGE 21+	242	None	1,454	None	229	None	458	None	97	None	284	None	231	None	231	None
1386898963	MARTZ, MARTIN G DDS	2021	FFS	RENDERING	AGE 0-20	15	None	23	None	0	None	0	None	None	1	None	1	0	None	0	None
1386899128	VARTANIAN ALBERT	2021	FFS	RENDERING	AGE 0-20	12	None	128	None	12	None	39	None	None	1	None	1	11	None	11	None
1386899128	VARTANIAN ALBERT	2021	FFS	RENDERING	AGE 21+	546	None	3,818	None	294	None	724	None	529	None	2,250	None	405	None	405	None
1386900504	FUNG VINCENT KIN K	2021	FFS	RENDERING	AGE 0-20	380	None	561	None	0	None	0	None	369	None	528	None	None	1	None	1
1386900504	FUNG VINCENT KIN K	2021	FFS	RENDERING	AGE 21+	900	None	1,747	None	0	None	0	None	872	None	1,682	None	19	None	19	None
1386912715	MCEWAN ROBIN S	2021	FFS	RENDERING	AGE 0-20	676	None	1,339	None	0	None	0	None	237	None	674	None	0	None	0	None
1386912715	MCEWAN ROBIN S	2021	FFS	RENDERING	AGE 21+	44	None	44	None	0	None	0	None	0	None	0	None	0	None	0	None
1386912715	MCEWAN ROBIN S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386912715	MCEWAN ROBIN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386912715	MCEWAN ROBIN S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386913036	SEPAHI HILDA	2021	FFS	RENDERING	AGE 0-20	3,121	None	25,523	None	2,530	None	8,373	None	2,381	None	9,524	None	2,080	None	2,107	None
1386913036	SEPAHI HILDA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1386932812	KHAZAII-TABARI SHEIDA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1386932812	KHAZAII-TABARI SHEIDA	2021	FFS	RENDERING	AGE 21+	31	None	114	None	19	None	20	None	17	None	53	None	17	None	17	None
1386947497	MONTOYA MIGUEL	2021	FFS	RENDERING	AGE 0-20	92	None	845	None	80	None	202	None	27	None	98	None	82	None	102	None
1386947497	MONTOYA MIGUEL	2021	FFS	RENDERING	AGE 21+	187	None	1,372	None	126	None	248	None	109	None	466	None	129	None	129	None
1386956266	TAM ERICA	2021	FFS	RENDERING	AGE 0-20	28	None	171	None	28	None	87	None	None	1	None	2	28	None	28	None
1386963106	LOOMIS ANDREW C	2021	FFS	RENDERING	AGE 0-20	137	None	883	None	68	None	148	None	68	None	106	None	74	None	74	None
1386963106	LOOMIS ANDREW C	2021	FFS	RENDERING	AGE 21+	241	None	828	None	47	None	90	None	166	None	278	None	95	None	95	None
1386979706	BUI, QUYNH, DDS	2021	FFS	RENDERING	AGE 0-20	224	None	2,330	None	173	None	566	None	122	None	318	None	160	None	176	None
1386979706	BUI, QUYNH, DDS	2021	FFS	RENDERING	AGE 21+	549	None	4,579	None	336	None	669	None	294	None	752	None	371	None	371	None
1386982114	SUE JEFFREY V	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1386993087	HOANG ANNE K	2021	FFS	RENDERING	AGE 0-20	2,854	None	35,201	None	2,728	None	12,132	None	1,904	None	8,506	None	2,747	None	4,147	None
1386993087	HOANG ANNE K	2021	FFS	RENDERING	AGE 21+	46	None	157	None	20	None	39	None	14	None	26	None	28	None	28	None
1386994440	GORDON DAVID A	2021	FFS	RENDERING	AGE 0-20	307	None	1,442	None	223	None	486	None	35	None	88	None	284	None	309	None
1386994440	GORDON DAVID A	2021	FFS	RENDERING	AGE 21+	775	None	3,313	None	109	None	214	None	323	None	1,559	None	594	None	602	None
1396005732	JUNG LELAND D	2021	FFS	RENDERING	AGE 0-20	228	None	1,635	None	199	None	625	None	113	None	281	None	197	None	197	None
1396054011	LEE KI B	2021	FFS	RENDERING	AGE 0-20	100	None	850	None	93	None	345	None	30	None	78	None	95	None	100	None
1396054011	LEE KI B	2021	FFS	RENDERING	AGE 21+	93	None	446	None	49	None	68	None	47	None	120	None	79	None	79	None
1396061222	SCHUBOTHE DON P	2021	FFS	RENDERING	AGE 0-20	29	None	232	None	25	None	111	None	None	1	None	1	23	None	27	None
1396061222	SCHUBOTHE DON P	2021	FFS	RENDERING	AGE 21+	55	None	259	None	None	1	None	1	28	None	81	None	34	None	34	None
1396074233	CHUNG CHRISTINE J	2021	FFS	RENDERING	AGE 0-20	326	None	521	None	0	None	0	None	84	None	220	None	None	1	None	1
1396083465	CASTELLANOS MARCO J	2021	FFS	RENDERING	AGE 0-20	449	None	3,833	None	304	None	1,089	None	179	None	594	None	362	None	366	None
1396083465	CASTELLANOS MARCO J	2021	FFS	RENDERING	AGE 21+	646	None	3,064	None	120	None	148	None	405	None	1,132	None	381	None	383	None
1396083465	CASTELLANOS MARCO J	2021	PHP	RENDERING	AGE 0-20	29	None	167	None	20	None	52	None	None	1	None	2	20	None	21	None
1396083465	CASTELLANOS MARCO J	2021	PHP	RENDERING	AGE 21+	62	None	236	None	20	None	26	None	24	None	68	None	43	None	43	None
1396096228	BINA KOROURI SAGE DENTAL COR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396096228	BINA KOROURI SAGE DENTAL COR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396096228	BINA, KOROURI, SAGE DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396096228	BINA, KOROURI, SAGE DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396099115	ANTIPOVA OLGA	2021	FFS	RENDERING	AGE 0-20	127	None	660	None	60	None	150	None	92	None	280	None	70	None	79	None
1396099115	ANTIPOVA OLGA	2021	FFS	RENDERING	AGE 21+	814	None	4,058	None	310	None	608	None	632	None	1,951	None	525	None	525	None
1396102190	POU RAFAEL T	2021	FFS	RENDERING	AGE 0-20	44	None	315	None	41	None	105	None	21	None	78	None	40	None	40	None
1396102190	POU RAFAEL T	2021	FFS	RENDERING	AGE 21+	106	None	519	None	44	None	85	None	70	None	242	None	62	None	62	None
1396111530	GARY AND MARY WEST SENIOR	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1396120325	FEREIRA MINDY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396129342	LE DUSTIN	2021	FFS	RENDERING	AGE 0-20	1,195	None	16,487	None	1,039	None	4,594	None	683	None	2,416	None	1,048	None	1,460	None
1396129342	LE DUSTIN	2021	FFS	RENDERING	AGE 21+	53	None	180	None	13	None	26	None	30	None	75	None	20	None	20	None
1396142154	HUR GRACE SUN AE	2021	FFS	RENDERING	AGE 0-20	604	None	1,419	None	0	None	0	None	314	None	817	None	0	None	0	None
1396142154	HUR GRACE SUN AE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396146437	HARSH YOGITA	2021	FFS	RENDERING	AGE 0-20	55	None	348	None	43	None	85	None	23	None	50	None	38	None	39	None
1396146437	HARSH YOGITA	2021	FFS	RENDERING	AGE 21+	161	None	920	None	63	None	63	None	104	None	263	None	72	None	72	None
1396151387	IRAVANI GOWHAR	2021	FFS	RENDERING	AGE 0-20	912	None	3,010	None	0	None	0	None	135	None	428	None	0	None	0	None
1396151387	IRAVANI GOWHAR	2021	FFS	RENDERING	AGE 21+	182	None	412	None	0	None	0	None	None	1	None	1	0	None	0	None
1396151387	IRAVANI GOWHAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1396151387	IRAVANI GOWHAR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396152906	CHAUHAN HARPREET S	2021	FFS	RENDERING	AGE 0-20	119	None	497	None	52	None	179	None	47	None	96	None	76	None	76	None
1396152906	CHAUHAN HARPREET S	2021	FFS	RENDERING	AGE 21+	307	None	890	None	22	None	40	None	197	None	490	None	127	None	127	None
1396152906	CHAUHAN HARPREET S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1396152906	CHAUHAN HARPREET S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1396154274	MORENO HELEN	2021	FFS	RENDERING	AGE 0-20	98	None	811	None	67	None	180	None	50	None	157	None	68	None	68	None
1396154274	MORENO HELEN	2021	FFS	RENDERING	AGE 21+	153	None	1,097	None	62	None	127	None	109	None	352	None	79	None	81	None
1396154753	DUONG VICTORIA V	2021	FFS	RENDERING	AGE 0-20	283	None	443	None	0	None	0	None	81	None	206	None	0	None	0	None
1396154753	DUONG VICTORIA V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396154753	DUONG VICTORIA V	2021	PHP	RENDERING	AGE 0-20	23	None	84	None	0	None	0	None	21	None	78	None	0	None	0	None
1396154753	DUONG VICTORIA V	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1396155875	HARRISON, PHILLIP A MD	2021	FFS	RENDERING	AGE 0-20	79	None	251	None	0	None	0	None	79	None	251	None	0	None	0	None
1396155875	HARRISON, PHILLIP A MD	2021	FFS	RENDERING	AGE 21+	354	None	779	None	0	None	0	None	353	None	777	None	0	None	0	None
1396165965	MEEDER COLBY A	2021	FFS	RENDERING	AGE 0-20	38	None	75	None	0	None	0	None	38	None	75	None	0	None	0	None
1396165965	MEEDER COLBY A	2021	FFS	RENDERING	AGE 21+	696	None	2,413	None	0	None	0	None	696	None	2,413	None	0	None	0	None
1396165965	MEEDER COLBY A	2021	GMC	RENDERING	AGE 0-20	67	None	131	None	None	1	None	1	65	None	116	None	None	1	None	1
1396165965	MEEDER COLBY A	2021	GMC	RENDERING	AGE 21+	419	None	983	None	0	None	0	None	419	None	971	None	None	1	None	1
1396185369	JABER GEORGE A	2021	FFS	RENDERING	AGE 0-20	28	None	78	None	0	None	0	None	28	None	78	None	0	None	0	None
1396185369	JABER GEORGE A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396191920	RAMIREZ VALDES RAFAEL	2021	FFS	RENDERING	AGE 0-20	328	None	3,149	None	229	None	873	None	134	None	352	None	216	None	219	None
1396191920	RAMIREZ VALDES RAFAEL	2021	FFS	RENDERING	AGE 21+	888	None	7,236	None	125	None	250	None	732	None	3,294	None	349	None	349	None
1396225777	VUNDAVALLI CHANDANA S	2021	FFS	RENDERING	AGE 0-20	521	None	2,218	None	308	None	683	None	111	None	194	None	420	None	421	None
1396225777	VUNDAVALLI CHANDANA S	2021	FFS	RENDERING	AGE 21+	661	None	1,905	None	144	None	285	None	177	None	404	None	466	None	467	None
1396225876	LEE BRENDA	2021	FFS	RENDERING	AGE 0-20	422	None	3,439	None	377	None	1,547	None	272	None	627	None	364	None	408	None
1396225876	LEE BRENDA	2021	FFS	RENDERING	AGE 21+	238	None	1,188	None	139	None	273	None	151	None	387	None	165	None	165	None
1396228458	PHAM VYVY	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1396228458	PHAM VYVY	2021	FFS	RENDERING	AGE 21+	30	None	87	None	None	1	None	1	None	1	None	2	30	None	30	None
1396228953	YANG SAETBYEOL	2021	FFS	RENDERING	AGE 0-20	279	None	1,813	None	219	None	625	None	194	None	424	None	194	None	197	None
1396228953	YANG SAETBYEOL	2021	FFS	RENDERING	AGE 21+	14	None	45	None	None	1	None	1	None	1	None	1	None	1	None	1
1396233938	CALILUNG KATARINA W	2021	FFS	RENDERING	AGE 0-20	654	None	4,105	None	499	None	1,258	None	383	None	640	None	475	None	487	None
1396238887	GOSHTASBI NISA P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396252045	NGUYEN KENNETH C	2021	FFS	RENDERING	AGE 0-20	14	None	57	None	None	1	None	1	13	None	29	None	None	1	None	1
1396252045	NGUYEN KENNETH C	2021	FFS	RENDERING	AGE 21+	69	None	209	None	None	1	None	1	68	None	177	None	None	1	None	1
1396270302	HSIEH JUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1396283289	LAUER THOMAS W	2021	FFS	RENDERING	AGE 0-20	209	None	1,055	None	159	None	384	None	52	None	100	None	193	None	203	None
1396283289	LAUER THOMAS W	2021	FFS	RENDERING	AGE 21+	436	None	1,658	None	141	None	263	None	181	None	553	None	324	None	324	None
1396283289	LAUER THOMAS W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1396285300	ABUEVA, KATHLEEN MAE DELOS R	2021	FFS	RENDERING	AGE 21+	112	None	398	None	89	None	205	None	91	None	193	None	0	None	0	None
1396300448	PORRAS PERLA CARLOTA E	2021	FFS	RENDERING	AGE 0-20	328	None	1,344	None	134	None	285	None	151	None	425	None	185	None	188	None
1396300448	PORRAS PERLA CARLOTA E	2021	FFS	RENDERING	AGE 21+	744	None	2,240	None	159	None	274	None	329	None	854	None	396	None	397	None
1396300448	PORRAS PERLA CARLOTA E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1396300448	PORRAS PERLA CARLOTA E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396323671	NGO & PHAM DENTAL GROUP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1396323671	NGO & PHAM DENTAL GROUP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396355301	JAMAL ALDEEN RANIYA I	2021	FFS	RENDERING	AGE 0-20	846	None	5,412	None	744	None	2,185	None	377	None	648	None	772	None	855	None
1396355301	JAMAL ALDEEN RANIYA I	2021	FFS	RENDERING	AGE 21+	892	None	3,596	None	263	None	499	None	444	None	1,342	None	599	None	599	None
1396358214	MURPHY KELSEY M	2021	FFS	RENDERING	AGE 0-20	56	None	417	None	43	None	95	None	13	None	27	None	42	None	43	None
1396358214	MURPHY KELSEY M	2021	FFS	RENDERING	AGE 21+	189	None	1,197	None	100	None	197	None	91	None	224	None	127	None	128	None
1396363669	SHUKLA NISHA P	2021	FFS	RENDERING	AGE 0-20	426	None	2,338	None	387	None	909	None	175	None	225	None	382	None	382	None
1396713228	CHUA CHING BRENDALYN O	2021	FFS	RENDERING	AGE 0-20	59	None	307	None	54	None	114	None	23	None	59	None	54	None	64	None
1396713228	CHUA CHING BRENDALYN O	2021	FFS	RENDERING	AGE 21+	79	None	337	None	56	None	56	None	40	None	118	None	67	None	67	None
1396728937	TURPIN DAVID W	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1396751335	DESAI, MANISHA S, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	160	None	13	None	65	None	None	1	None	1	14	None	15	None
1396751335	DESAI, MANISHA S, DDS	2021	FFS	RENDERING	AGE 21+	30	None	165	None	17	None	17	None	None	1	None	2	26	None	26	None
1396751939	SHAH, PRATIK DDS	2021	FFS	RENDERING	AGE 0-20	1,141	None	24,549	None	1,128	None	5,482	None	684	None	2,287	None	1,128	None	1,598	None
1396751939	SHAH, PRATIK DDS	2021	FFS	RENDERING	AGE 21+	955	None	12,534	None	672	None	1,341	None	847	None	4,879	None	726	None	726	None
1396800173	ELSHERIF, ISMAIL I DDS	2021	FFS	RENDERING	AGE 0-20	153	None	887	None	66	None	217	None	91	None	217	None	141	None	156	None
1396800173	ELSHERIF, ISMAIL I DDS	2021	FFS	RENDERING	AGE 21+	641	None	2,580	None	122	None	225	None	428	None	1,027	None	536	None	538	None
1396800686	JIL-AGOPIAN ARA G	2021	FFS	RENDERING	AGE 0-20	459	None	1,765	None	0	None	0	None	192	None	387	None	None	1	None	1
1396800686	JIL-AGOPIAN ARA G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1396802518	LOOMER, LAUREL, RDHAP	2021	FFS	RENDERING	AGE 21+	35	None	120	None	35	None	75	None	35	None	45	None	0	None	0	None
1396803037	FEHN MARK C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1396803342	ALBIK MOHAMAD T	2021	FFS	RENDERING	AGE 0-20	106	None	934	None	97	None	255	None	53	None	162	None	88	None	117	None
1396803342	ALBIK MOHAMAD T	2021	FFS	RENDERING	AGE 21+	173	None	1,104	None	99	None	181	None	121	None	428	None	106	None	106	None
1396809240	JEONG, WONJUNG	2021	FFS	RENDERING	AGE 0-20	85	None	472	None	77	None	256	None	12	None	26	None	81	None	101	None
1396809240	JEONG, WONJUNG	2021	FFS	RENDERING	AGE 21+	658	None	2,710	None	472	None	941	None	211	None	429	None	571	None	571	None
1396813572	NONAHAL BEHNAZ	2021	FFS	RENDERING	AGE 0-20	211	None	1,149	None	65	None	156	None	100	None	295	None	177	None	183	None
1396813572	NONAHAL BEHNAZ	2021	FFS	RENDERING	AGE 21+	1,446	None	7,142	None	109	None	212	None	959	None	3,138	None	962	None	964	None
1396821674	LIN, YAU SHI DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1396821674	LIN, YAU SHI DDS	2021	FFS	RENDERING	AGE 21+	24	None	57	None	None	1	None	1	13	None	28	None	None	1	None	1
1396822003	TAGHAVI REZA	2021	FFS	RENDERING	AGE 0-20	4,909	None	69,206	None	4,612	None	17,431	None	2,694	None	8,407	None	4,650	None	5,471	None
1396822003	TAGHAVI REZA	2021	FFS	RENDERING	AGE 21+	145	None	862	None	43	None	85	None	18	None	20	None	128	None	128	None
1396822003	TAGHAVI REZA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1396833562	TSOUZMER POLINA	2021	FFS	RENDERING	AGE 0-20	144	None	1,184	None	131	None	514	None	26	None	89	None	128	None	145	None
1396833562	TSOUZMER POLINA	2021	FFS	RENDERING	AGE 21+	406	None	1,813	None	257	None	499	None	164	None	461	None	313	None	314	None
1396834800	DALAL CHIRAG D	2021	FFS	RENDERING	AGE 0-20	354	None	4,768	None	317	None	1,156	None	177	None	483	None	325	None	387	None
1396834800	DALAL CHIRAG D	2021	FFS	RENDERING	AGE 21+	353	None	3,206	None	179	None	353	None	241	None	780	None	223	None	223	None
1396835161	HUANG BEATRICE Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396843058	LOWRY MARCUS B	2021	FFS	RENDERING	AGE 0-20	55	None	66	None	0	None	0	None	27	None	30	None	0	None	0	None
1396843058	LOWRY MARCUS B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396843058	LOWRY MARCUS B	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396843058	LOWRY MARCUS B	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396846036	BERRY GLADYS L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1396847737	LEE, HYUN CHAN, DDS	2021	FFS	RENDERING	AGE 0-20	373	None	2,855	None	349	None	1,263	None	211	None	699	None	364	None	563	None
1396847737	LEE, HYUN CHAN, DDS	2021	FFS	RENDERING	AGE 21+	251	None	1,220	None	181	None	362	None	156	None	371	None	205	None	205	None
1396847737	LEE, HYUN CHAN, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1396847737	LEE, HYUNCHAN DDS MS	2021	FFS	RENDERING	AGE 0-20	373	None	2,855	None	349	None	1,263	None	211	None	699	None	364	None	563	None
1396847737	LEE, HYUNCHAN DDS MS	2021	FFS	RENDERING	AGE 21+	251	None	1,220	None	181	None	362	None	156	None	371	None	205	None	205	None
1396847737	LEE, HYUNCHAN DDS MS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1396849659	LWIN, MIN, DDS	2021	FFS	RENDERING	AGE 0-20	119	None	1,698	None	93	None	454	None	47	None	204	None	90	None	192	None
1396849659	LWIN, MIN, DDS	2021	FFS	RENDERING	AGE 21+	370	None	6,034	None	225	None	452	None	233	None	1,488	None	271	None	544	None
1396849659	LWIN, MIN, DDS	2021	PHP	RENDERING	AGE 0-20	91	None	1,656	None	86	None	652	None	39	None	204	None	85	None	202	None
1396849659	LWIN, MIN, DDS	2021	PHP	RENDERING	AGE 21+	89	None	1,110	None	68	None	162	None	49	None	276	None	73	None	150	None
1396851499	LUM JR, KARL G, DDS	2021	FFS	RENDERING	AGE 0-20	24	None	184	None	23	None	65	None	None	1	None	2	24	None	34	None
1396851499	LUM JR, KARL G, DDS	2021	FFS	RENDERING	AGE 21+	50	None	279	None	32	None	62	None	33	None	91	None	34	None	34	None
1396853412	CEDENO DAVID A	2021	FFS	RENDERING	AGE 0-20	146	None	590	None	None	1	None	1	69	None	353	None	117	None	119	None
1396853412	CEDENO DAVID A	2021	FFS	RENDERING	AGE 21+	390	None	1,433	None	0	None	0	None	190	None	818	None	301	None	301	None
1396853412	CEDENO DAVID A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1396853412	CEDENO DAVID A	2021	PHP	RENDERING	AGE 21+	95	None	567	None	None	1	None	1	56	None	383	None	82	None	86	None
1396857785	JOURABCHI, SOHEIL	2021	FFS	RENDERING	AGE 0-20	704	None	11,977	None	691	None	2,580	None	291	None	1,399	None	699	None	990	None
1396857785	JOURABCHI, SOHEIL	2021	FFS	RENDERING	AGE 21+	289	None	2,998	None	218	None	220	None	191	None	777	None	248	None	248	None
1396857785	JOURABCHI, SOHEIL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1396860912	PYTLIK RAFAL	2021	FFS	RENDERING	AGE 0-20	1,763	None	17,480	None	1,607	None	5,428	None	1,092	None	4,410	None	1,586	None	1,998	None
1396862728	LEE ANDREW Y	2021	FFS	RENDERING	AGE 0-20	47	None	186	None	0	None	0	None	46	None	169	None	None	1	None	1
1396862728	LEE ANDREW Y	2021	FFS	RENDERING	AGE 21+	112	None	348	None	0	None	0	None	108	None	293	None	13	None	13	None
1396862728	LEE ANDREW Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1396862728	LEE ANDREW Y	2021	PHP	RENDERING	AGE 21+	41	None	117	None	0	None	0	None	21	None	57	None	23	None	23	None
1396863544	JACKSON FRANCINE I	2021	FFS	RENDERING	AGE 0-20	31	None	286	None	25	None	54	None	12	None	29	None	25	None	26	None
1396863544	JACKSON FRANCINE I	2021	FFS	RENDERING	AGE 21+	211	None	1,433	None	85	None	154	None	127	None	355	None	126	None	128	None
1396863544	JACKSON FRANCINE I	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1396863551	DU AUDREY L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396863551	DU AUDREY L	2021	PHP	RENDERING	AGE 0-20	11	None	54	None	None	1	None	2	None	1	None	2	None	1	None	1
1396863551	DU AUDREY L	2021	PHP	RENDERING	AGE 21+	86	None	419	None	11	None	12	None	63	None	239	None	61	None	61	None
1396864013	PEREIRA-HOWELL VALERIA A	2021	FFS	RENDERING	AGE 0-20	1,269	None	12,123	None	947	None	2,571	None	845	None	2,855	None	849	None	894	None
1396864013	PEREIRA-HOWELL VALERIA A	2021	FFS	RENDERING	AGE 21+	103	None	434	None	42	None	82	None	62	None	92	None	46	None	46	None
1396872149	HUNT DENNIS R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396872149	HUNT DENNIS R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396872149	HUNT DENNIS R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1396874301	WOLKSTEIN GREGORY F	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1396876397	SAGARIAN MIKE M	2021	FFS	RENDERING	AGE 0-20	131	None	928	None	81	None	194	None	58	None	191	None	96	None	100	None
1396876397	SAGARIAN MIKE M	2021	FFS	RENDERING	AGE 21+	211	None	978	None	77	None	153	None	146	None	416	None	94	None	95	None
1396880118	TRAN CON N	2021	FFS	RENDERING	AGE 0-20	21	None	82	None	13	None	26	None	None	1	None	2	14	None	14	None
1396880118	TRAN CON N	2021	FFS	RENDERING	AGE 21+	253	None	1,459	None	112	None	224	None	214	None	797	None	141	None	141	None
1396884482	ALEXANDARIAN ANDREA	2021	FFS	RENDERING	AGE 0-20	1,297	None	14,530	None	1,095	None	3,752	None	954	None	5,024	None	1,153	None	1,398	None
1396897278	SAN LUIS EGDON L	2021	FFS	RENDERING	AGE 0-20	13	None	79	None	None	1	None	2	None	1	None	2	None	1	None	1
1396897278	SAN LUIS EGDON L	2021	FFS	RENDERING	AGE 21+	90	None	375	None	20	None	20	None	60	None	114	None	41	None	41	None
1396897278	SAN LUIS EGDON L	2021	GMC	RENDERING	AGE 0-20	272	None	1,964	None	184	None	453	None	151	None	251	None	198	None	210	None
1396897278	SAN LUIS EGDON L	2021	GMC	RENDERING	AGE 21+	566	None	2,690	None	125	None	161	None	451	None	890	None	201	None	201	None
1396897708	JOH SHUNG HYUN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396915641	HAGGARD DAVID C	2021	FFS	RENDERING	AGE 0-20	470	None	2,376	None	294	None	802	None	266	None	650	None	224	None	235	None
1396915641	HAGGARD DAVID C	2021	FFS	RENDERING	AGE 21+	476	None	1,483	None	82	None	149	None	299	None	767	None	173	None	174	None
1396915641	HAGGARD DAVID C	2021	GMC	RENDERING	AGE 21+	13	None	30	None	None	1	None	1	None	1	None	1	None	1	None	1
1396915641	HAGGARD DAVID C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396915641	HAGGARD DAVID C	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1396925327	CHOPRA VIJAY	2021	FFS	RENDERING	AGE 0-20	11	None	25	None	None	1	None	1	None	1	None	1	None	1	None	1
1396925327	CHOPRA VIJAY	2021	FFS	RENDERING	AGE 21+	141	None	336	None	None	1	None	2	33	None	52	None	79	None	79	None
1396925327	CHOPRA VIJAY	2021	GMC	RENDERING	AGE 0-20	516	None	2,123	None	78	None	305	None	88	None	170	None	215	None	223	None
1396925327	CHOPRA VIJAY	2021	GMC	RENDERING	AGE 21+	1,410	None	4,038	None	70	None	136	None	231	None	559	None	449	None	455	None
1396925327	CHOPRA VIJAY	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1396925327	CHOPRA VIJAY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1396925921	ECHAVERRY-CENTE MARIA G	2021	FFS	RENDERING	AGE 0-20	4,705	None	55,899	None	3,670	None	11,646	None	1,391	None	3,313	None	4,080	None	4,423	None
1396925921	ECHAVERRY-CENTE MARIA G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1396931341	NOORI MOJGAN	2021	FFS	RENDERING	AGE 0-20	37	None	501	None	36	None	134	None	15	None	49	None	35	None	36	None
1396931341	NOORI MOJGAN	2021	FFS	RENDERING	AGE 21+	46	None	395	None	28	None	31	None	11	None	30	None	43	None	43	None
1396934758	PAREDES, DR NOEL T, DDS	2021	FFS	RENDERING	AGE 0-20	86	None	629	None	79	None	205	None	38	None	94	None	73	None	100	None
1396934758	PAREDES, DR NOEL T, DDS	2021	FFS	RENDERING	AGE 21+	1,461	None	7,289	None	699	None	2,047	None	1,422	None	3,079	None	1,364	None	1,365	None
1396940235	KHOE NATHANIEL J	2021	FFS	RENDERING	AGE 0-20	85	None	566	None	78	None	206	None	43	None	153	None	60	None	70	None
1396940235	KHOE NATHANIEL J	2021	FFS	RENDERING	AGE 21+	159	None	851	None	82	None	127	None	96	None	374	None	81	None	81	None
1396949541	SIDERMAN, YAMPOLSKY, DENT CO	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1396949541	SIDERMAN, YAMPOLSKY, DENT CO	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1396954384	KLEIN STEPHEN M	2021	FFS	RENDERING	AGE 0-20	394	None	3,159	None	150	None	405	None	241	None	537	None	289	None	322	None
1396954384	KLEIN STEPHEN M	2021	FFS	RENDERING	AGE 21+	648	None	3,787	None	287	None	557	None	424	None	1,124	None	461	None	462	None
1396954681	TEWFIK, GAMAL SR	2021	FFS	RENDERING	AGE 0-20	192	None	2,618	None	182	None	691	None	103	None	309	None	180	None	227	None
1396954681	TEWFIK, GAMAL SR	2021	FFS	RENDERING	AGE 21+	467	None	4,169	None	268	None	532	None	317	None	1,354	None	362	None	363	None
1396964086	GOEL SOHEIL	2021	FFS	RENDERING	AGE 0-20	20	None	92	None	12	None	14	None	11	None	26	None	None	1	None	1
1396964086	GOEL SOHEIL	2021	FFS	RENDERING	AGE 21+	195	None	751	None	77	None	77	None	106	None	284	None	92	None	92	None
1396973319	GILL, MANKIRAT DDS	2021	FFS	RENDERING	AGE 0-20	597	None	8,854	None	528	None	2,484	None	405	None	1,079	None	551	None	805	None
1396973319	GILL, MANKIRAT DDS	2021	FFS	RENDERING	AGE 21+	880	None	6,631	None	359	None	715	None	591	None	1,933	None	658	None	660	None
1396973319	GILL, MANKIRAT, DDS	2021	FFS	RENDERING	AGE 0-20	597	None	8,854	None	528	None	2,484	None	405	None	1,079	None	551	None	805	None
1396973319	GILL, MANKIRAT, DDS	2021	FFS	RENDERING	AGE 21+	880	None	6,631	None	359	None	715	None	591	None	1,933	None	658	None	660	None
1396981700	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1396981700	ST JOHNS WELL CHILD AND	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1396992277	YAP MICHELLE A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1396992277	YAP MICHELLE A	2021	GMC	RENDERING	AGE 0-20	1,847	None	9,944	None	997	None	3,208	None	440	None	540	None	870	None	892	None
1396997268	GOVIND, AKSHAY MD	2021	FFS	RENDERING	AGE 0-20	99	None	298	None	0	None	0	None	99	None	297	None	0	None	0	None
1396997268	GOVIND, AKSHAY MD	2021	FFS	RENDERING	AGE 21+	348	None	811	None	0	None	0	None	348	None	809	None	0	None	0	None
1396998092	PAUL, TAHIR R, DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1407026909	SIADATIE TISA	2021	FFS	RENDERING	AGE 0-20	222	None	2,390	None	176	None	658	None	45	None	111	None	208	None	212	None
1407026909	SIADATIE TISA	2021	FFS	RENDERING	AGE 21+	1,016	None	8,130	None	526	None	1,051	None	555	None	1,969	None	726	None	728	None
1407034184	GAROIAN DANIEL A	2021	FFS	RENDERING	AGE 0-20	20	None	187	None	19	None	24	None	None	1	None	1	16	None	17	None
1407034184	GAROIAN DANIEL A	2021	FFS	RENDERING	AGE 21+	41	None	358	None	26	None	26	None	25	None	82	None	30	None	30	None
1407034184	GAROIAN DANIEL A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407034184	GAROIAN DANIEL A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407037773	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407037773	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	304	None	1,241	None	64	None	73	None	148	None	576	None	291	None	291	None
1407037773	ISSUED IN ERROR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407037906	JACOBS, LETICIA J DDS	2021	FFS	RENDERING	AGE 0-20	66	None	382	None	65	None	170	None	25	None	86	None	57	None	75	None
1407037906	JACOBS, LETICIA J DDS	2021	FFS	RENDERING	AGE 21+	32	None	107	None	27	None	29	None	None	1	None	2	30	None	30	None
1407040165	SADIGHIM KAMYAR	2021	FFS	RENDERING	AGE 0-20	168	None	2,086	None	151	None	613	None	98	None	316	None	151	None	192	None
1407040165	SADIGHIM KAMYAR	2021	FFS	RENDERING	AGE 21+	265	None	2,560	None	104	None	208	None	218	None	1,208	None	186	None	186	None
1407045271	VU SON N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1407045271	VU SON N	2021	FFS	RENDERING	AGE 21+	3,322	None	17,688	None	1,506	None	2,665	None	3,269	None	6,793	None	2,837	None	2,838	None
1407045271	VU SON N	2021	PHP	RENDERING	AGE 21+	79	None	418	None	29	None	38	None	75	None	161	None	65	None	67	None
1407045594	XENAKIS GEORGE	2021	FFS	RENDERING	AGE 0-20	37	None	127	None	29	None	46	None	13	None	20	None	28	None	28	None
1407045594	XENAKIS GEORGE	2021	FFS	RENDERING	AGE 21+	195	None	721	None	90	None	100	None	87	None	260	None	136	None	138	None
1407045594	XENAKIS GEORGE	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407045594	XENAKIS GEORGE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407045594	XENAKIS GEORGE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1407046717	NGUYEN, NGOC-LIEN THI, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407046717	NGUYEN, NGOC-LIEN THI, DDS	2021	FFS	RENDERING	AGE 21+	80	None	584	None	45	None	78	None	30	None	94	None	60	None	60	None
1407049612	KENNEDY, BOBBY C., DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407050941	MANUEL ROBERT G	2021	FFS	RENDERING	AGE 0-20	16	None	82	None	None	1	None	2	12	None	31	None	None	1	None	1
1407050941	MANUEL ROBERT G	2021	FFS	RENDERING	AGE 21+	32	None	156	None	None	1	None	1	30	None	92	None	12	None	12	None
1407050941	MANUEL ROBERT G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407050941	MANUEL ROBERT G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407053390	NGUYEN, HUONG THIEN DDS	2021	FFS	RENDERING	AGE 0-20	664	None	9,618	None	647	None	2,357	None	446	None	1,722	None	655	None	1,007	None
1407053390	NGUYEN, HUONG THIEN DDS	2021	FFS	RENDERING	AGE 21+	294	None	3,598	None	226	None	457	None	203	None	904	None	255	None	255	None
1407053499	LIU ANGEL	2021	FFS	RENDERING	AGE 0-20	1,681	None	16,970	None	1,469	None	4,322	None	460	None	1,084	None	1,441	None	1,648	None
1407053499	LIU ANGEL	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1407055072	CHIU YVONNE FUNG CHEUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1407058217	TECHICO-WOODHEAD, ZENAIDA, D	2021	FFS	RENDERING	AGE 21+	25	None	266	None	14	None	14	None	23	None	216	None	12	None	12	None
1407063142	YANG LUNG-SHENG	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1407063142	YANG LUNG-SHENG	2021	FFS	RENDERING	AGE 21+	20	None	102	None	None	1	None	1	None	1	None	1	17	None	17	None
1407066798	LAU SUK YING	2021	PHP	RENDERING	AGE 0-20	31	None	222	None	26	None	103	None	17	None	29	None	18	None	21	None
1407066798	LAU SUK YING	2021	PHP	RENDERING	AGE 21+	43	None	335	None	19	None	47	None	30	None	112	None	26	None	27	None
1407071806	TU WEI C	2021	FFS	RENDERING	AGE 0-20	183	None	1,255	None	100	None	270	None	135	None	609	None	97	None	98	None
1407075419	MOJICA, FRANCISCA, DDS	2021	FFS	RENDERING	AGE 0-20	574	None	8,532	None	543	None	1,852	None	224	None	681	None	553	None	783	None
1407075419	MOJICA, FRANCISCA, DDS	2021	FFS	RENDERING	AGE 21+	378	None	2,768	None	250	None	254	None	159	None	492	None	320	None	320	None
1407079734	LEUNG KON L	2021	FFS	RENDERING	AGE 0-20	86	None	448	None	67	None	171	None	24	None	63	None	70	None	80	None
1407079734	LEUNG KON L	2021	FFS	RENDERING	AGE 21+	144	None	570	None	71	None	107	None	63	None	194	None	91	None	91	None
1407079734	LEUNG KON L	2021	PHP	RENDERING	AGE 0-20	197	None	1,416	None	181	None	589	None	77	None	185	None	183	None	216	None
1407079734	LEUNG KON L	2021	PHP	RENDERING	AGE 21+	92	None	421	None	63	None	90	None	35	None	97	None	72	None	72	None
1407079767	LACSON MADEL P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1407079767	LACSON MADEL P	2021	FFS	RENDERING	AGE 21+	19	None	203	None	13	None	24	None	16	None	103	None	14	None	14	None
1407085749	GOCHEZ OSCAR A	2021	FFS	RENDERING	AGE 0-20	470	None	3,533	None	294	None	747	None	243	None	626	None	311	None	314	None
1407085749	GOCHEZ OSCAR A	2021	FFS	RENDERING	AGE 21+	427	None	1,955	None	82	None	83	None	305	None	800	None	181	None	181	None
1407096407	GUO EDMUND	2021	FFS	RENDERING	AGE 0-20	362	None	4,352	None	288	None	937	None	303	None	2,707	None	105	None	115	None
1407096407	GUO EDMUND	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407096407	GUO EDMUND	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1407102361	MEHTA DHARA K	2021	FFS	RENDERING	AGE 0-20	680	None	3,773	None	375	None	1,516	None	209	None	484	None	552	None	560	None
1407102361	MEHTA DHARA K	2021	FFS	RENDERING	AGE 21+	859	None	3,034	None	157	None	256	None	379	None	1,138	None	575	None	575	None
1407114499	DEYHIM NILOOFAR	2021	FFS	RENDERING	AGE 21+	21	None	77	None	0	None	0	None	21	None	69	None	0	None	0	None
1407120017	JUDGE NATASHA J	2021	FFS	RENDERING	AGE 0-20	468	None	3,754	None	348	None	772	None	185	None	458	None	344	None	352	None
1407120017	JUDGE NATASHA J	2021	FFS	RENDERING	AGE 21+	148	None	963	None	70	None	144	None	79	None	162	None	77	None	77	None
1407125610	JAIN BHUMIKA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1407125610	JAIN BHUMIKA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407125610	JAIN BHUMIKA	2021	GMC	RENDERING	AGE 0-20	819	None	5,942	None	596	None	1,606	None	307	None	601	None	652	None	779	None
1407125610	JAIN BHUMIKA	2021	GMC	RENDERING	AGE 21+	1,167	None	6,313	None	467	None	934	None	799	None	1,923	None	623	None	624	None
1407127749	GUINDY AWNY E	2021	FFS	RENDERING	AGE 0-20	192	None	792	None	40	None	115	None	177	None	445	None	44	None	49	None
1407127749	GUINDY AWNY E	2021	FFS	RENDERING	AGE 21+	1,206	None	3,854	None	58	None	122	None	1,183	None	3,224	None	114	None	118	None
1407127749	GUINDY AWNY E	2021	PHP	RENDERING	AGE 0-20	356	None	3,373	None	298	None	1,112	None	217	None	1,007	None	319	None	397	None
1407127749	GUINDY AWNY E	2021	PHP	RENDERING	AGE 21+	275	None	2,066	None	117	None	260	None	201	None	1,168	None	213	None	215	None
1407130040	COLLAZOS LUIS M	2021	FFS	RENDERING	AGE 0-20	325	None	2,614	None	295	None	966	None	82	None	183	None	316	None	353	None
1407130040	COLLAZOS LUIS M	2021	FFS	RENDERING	AGE 21+	561	None	4,926	None	436	None	635	None	322	None	1,108	None	478	None	480	None
1407147341	KNUTSON MICHAEL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407150360	LU WEIWEI	2021	FFS	RENDERING	AGE 0-20	44	None	245	None	24	None	45	None	27	None	68	None	25	None	25	None
1407150360	LU WEIWEI	2021	FFS	RENDERING	AGE 21+	191	None	814	None	45	None	89	None	148	None	323	None	71	None	71	None
1407156219	SELKI SHOHREH Z	2021	FFS	RENDERING	AGE 0-20	783	None	7,544	None	584	None	1,413	None	641	None	4,592	None	426	None	458	None
1407156219	SELKI SHOHREH Z	2021	PHP	RENDERING	AGE 0-20	237	None	2,416	None	107	None	247	None	233	None	2,097	None	15	None	15	None
1407156789	BRIDI CHADI	2021	FFS	RENDERING	AGE 0-20	579	None	1,214	None	0	None	0	None	279	None	709	None	0	None	0	None
1407156789	BRIDI CHADI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1407156789	BRIDI CHADI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407156789	BRIDI CHADI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407163561	OLIVER MALIZA C	2021	FFS	RENDERING	AGE 0-20	5,311	None	56,028	None	4,446	None	13,102	None	3,515	None	7,766	None	4,430	None	5,305	None
1407163801	BRAMANTI THOMAS E	2021	FFS	RENDERING	AGE 0-20	14	None	37	None	0	None	0	None	None	1	None	2	None	1	None	1
1407163801	BRAMANTI THOMAS E	2021	FFS	RENDERING	AGE 21+	18	None	61	None	0	None	0	None	13	None	45	None	None	1	None	1
1407167943	PYO SCOTT	2021	GMC	RENDERING	AGE 0-20	63	None	506	None	14	None	31	None	60	None	253	None	0	None	0	None
1407172356	ZAMBRANO FREDDY	2021	FFS	RENDERING	AGE 0-20	101	None	575	None	32	None	106	None	68	None	190	None	58	None	60	None
1407172356	ZAMBRANO FREDDY	2021	FFS	RENDERING	AGE 21+	438	None	2,256	None	47	None	75	None	310	None	1,102	None	278	None	278	None
1407177181	HUANG, CHUN PO, DDS	2021	FFS	RENDERING	AGE 0-20	437	None	4,109	None	408	None	1,630	None	220	None	607	None	407	None	579	None
1407177181	HUANG, CHUN PO, DDS	2021	FFS	RENDERING	AGE 21+	331	None	2,335	None	245	None	487	None	233	None	834	None	269	None	269	None
1407180342	KIM GITAE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407180342	KIM GITAE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1407183080	SEIRAWAN MOUHAMMAD	2021	FFS	RENDERING	AGE 0-20	3,674	None	44,451	None	3,192	None	10,391	None	2,154	None	6,874	None	3,151	None	3,933	None
1407183080	SEIRAWAN MOUHAMMAD	2021	FFS	RENDERING	AGE 21+	17	None	109	None	None	1	None	2	None	1	None	2	None	1	None	1
1407183205	MOLAYEM SHERVIN M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1407184492	SHAFA & ARSHADNIA DENTAL COR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1407197288	EL-SHERBINI SARA H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407200694	PARK TINA K	2021	FFS	RENDERING	AGE 0-20	540	None	1,837	None	12	None	42	None	108	None	294	None	12	None	16	None
1407200694	PARK TINA K	2021	FFS	RENDERING	AGE 21+	87	None	169	None	0	None	0	None	None	1	None	1	0	None	0	None
1407208879	PATEL MOHINI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407209984	KADKHODA SHADI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407209984	KADKHODA SHADI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1407209984	KADKHODA SHADI	2021	PHP	RENDERING	AGE 0-20	335	None	1,563	None	305	None	480	None	63	None	105	None	295	None	397	None
1407209984	KADKHODA SHADI	2021	PHP	RENDERING	AGE 21+	56	None	294	None	26	None	35	None	30	None	77	None	21	None	21	None
1407217912	PATISH-PREOBRAZ ALLA	2021	FFS	RENDERING	AGE 0-20	35	None	320	None	31	None	74	None	20	None	46	None	31	None	31	None
1407217912	PATISH-PREOBRAZ ALLA	2021	FFS	RENDERING	AGE 21+	159	None	1,227	None	75	None	149	None	88	None	398	None	102	None	102	None
1407232507	HOANG, MICHAEL, DMD	2021	FFS	RENDERING	AGE 0-20	278	None	3,317	None	260	None	1,094	None	52	None	206	None	268	None	315	None
1407232507	HOANG, MICHAEL, DMD	2021	FFS	RENDERING	AGE 21+	735	None	8,825	None	653	None	1,304	None	356	None	1,791	None	679	None	679	None
1407236706	KRISHNA M REDDY DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1407236706	KRISHNA M REDDY DDS INC	2021	PHP	RENDERING	AGE 21+	13	None	52	None	None	1	None	1	None	1	None	2	None	1	None	1
1407236706	REDDY, KRISHNA M, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1407236706	REDDY, KRISHNA M, DDS INC	2021	PHP	RENDERING	AGE 21+	13	None	52	None	None	1	None	1	None	1	None	2	None	1	None	1
1407244791	ARMOUR KAREN	2021	FFS	RENDERING	AGE 0-20	169	None	1,451	None	116	None	347	None	73	None	149	None	108	None	113	None
1407244791	ARMOUR KAREN	2021	FFS	RENDERING	AGE 21+	323	None	1,830	None	131	None	259	None	207	None	496	None	168	None	168	None
1407259427	CULLAMPE TORREJ CARLOS E	2021	FFS	RENDERING	AGE 0-20	333	None	3,269	None	261	None	705	None	154	None	442	None	265	None	280	None
1407259427	CULLAMPE TORREJ CARLOS E	2021	FFS	RENDERING	AGE 21+	303	None	2,077	None	88	None	172	None	211	None	788	None	175	None	175	None
1407261308	BALAZADEH HONEY	2021	FFS	RENDERING	AGE 0-20	4,356	None	32,540	None	3,764	None	10,821	None	2,302	None	6,002	None	3,536	None	3,747	None
1407261308	BALAZADEH HONEY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407270283	CHEN CHRISTOPHER H	2021	FFS	RENDERING	AGE 0-20	249	None	607	None	0	None	0	None	167	None	320	None	0	None	0	None
1407270283	CHEN CHRISTOPHER H	2021	FFS	RENDERING	AGE 21+	21	None	30	None	0	None	0	None	20	None	20	None	0	None	0	None
1407273626	VALAFAR ELNAZ	2021	FFS	RENDERING	AGE 0-20	1,178	None	9,535	None	534	None	1,498	None	989	None	4,539	None	453	None	510	None
1407273626	VALAFAR ELNAZ	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407273626	VALAFAR ELNAZ	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407274863	VARGAS AUDREY V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1407274863	VARGAS AUDREY V	2021	FFS	RENDERING	AGE 21+	14	None	78	None	None	1	None	1	None	1	None	2	13	None	13	None
1407281041	KARIMIAN EHSAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1407299084	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407300130	QAZI FAHEEM	2021	FFS	RENDERING	AGE 0-20	549	None	3,321	None	253	None	857	None	334	None	1,092	None	337	None	349	None
1407300130	QAZI FAHEEM	2021	FFS	RENDERING	AGE 21+	746	None	2,875	None	56	None	111	None	493	None	1,576	None	383	None	383	None
1407300908	CHOUDHRY AFNAN R	2021	FFS	RENDERING	AGE 0-20	13,546	None	167,221	None	11,620	None	31,768	None	4,484	None	17,870	None	11,112	None	13,102	None
1407300908	CHOUDHRY AFNAN R	2021	FFS	RENDERING	AGE 21+	21	None	115	None	11	None	22	None	None	1	None	1	None	1	None	1
1407300908	CHOUDHRY AFNAN R	2021	GMC	RENDERING	AGE 0-20	71	None	1,169	None	25	None	54	None	71	None	995	None	None	1	None	1
1407334535	PARKER GEORGE L	2021	FFS	RENDERING	AGE 0-20	797	None	5,415	None	649	None	2,816	None	247	None	513	None	700	None	704	None
1407334535	PARKER GEORGE L	2021	FFS	RENDERING	AGE 21+	1,043	None	4,190	None	330	None	644	None	526	None	1,409	None	822	None	823	None
1407334535	PARKER GEORGE L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407334535	PARKER GEORGE L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407334873	KARIMIAN VAHE A	2021	FFS	RENDERING	AGE 0-20	25	None	176	None	21	None	39	None	13	None	43	None	23	None	24	None
1407334873	KARIMIAN VAHE A	2021	FFS	RENDERING	AGE 21+	159	None	1,257	None	107	None	117	None	105	None	326	None	141	None	141	None
1407334972	RESTREPO LAURA N	2021	FFS	RENDERING	AGE 0-20	717	None	8,947	None	696	None	2,743	None	210	None	639	None	682	None	795	None
1407334972	RESTREPO LAURA N	2021	FFS	RENDERING	AGE 21+	281	None	3,016	None	190	None	375	None	167	None	615	None	206	None	206	None
1407341225	RABII RAMIN	2021	FFS	RENDERING	AGE 0-20	1,120	None	8,660	None	831	None	2,264	None	696	None	2,012	None	789	None	799	None
1407341225	RABII RAMIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407341225	RABII RAMIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407341225	RABII RAMIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1407352099	HUH JEE HYE	2021	FFS	RENDERING	AGE 0-20	2,035	None	14,210	None	1,718	None	4,476	None	1,200	None	1,755	None	1,647	None	1,674	None
1407366727	JAVIDI DASHT BA BABAK	2021	FFS	RENDERING	AGE 0-20	1,678	None	15,510	None	1,319	None	3,538	None	1,190	None	3,347	None	1,236	None	1,278	None
1407366727	JAVIDI DASHT BA BABAK	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1407372154	SUN HO HYUN B	2021	FFS	RENDERING	AGE 0-20	174	None	802	None	0	None	0	None	98	None	574	None	128	None	128	None
1407372154	SUN HO HYUN B	2021	FFS	RENDERING	AGE 21+	308	None	1,150	None	0	None	0	None	142	None	663	None	263	None	265	None
1407388481	ARUTUNIAN NARINE	2021	FFS	RENDERING	AGE 0-20	37	None	222	None	20	None	52	None	23	None	47	None	20	None	20	None
1407388481	ARUTUNIAN NARINE	2021	FFS	RENDERING	AGE 21+	63	None	279	None	19	None	35	None	41	None	86	None	27	None	27	None
1407388481	ARUTUNIAN NARINE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407408222	EFTEKHARI TALA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1407408222	EFTEKHARI TALA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1407442510	LEE JOSHUA	2021	FFS	RENDERING	AGE 0-20	2,970	None	43,519	None	2,716	None	11,744	None	1,915	None	7,090	None	2,824	None	3,475	None
1407442510	LEE JOSHUA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1407442510	LEE JOSHUA	2021	GMC	RENDERING	AGE 0-20	11	None	61	None	None	1	None	1	11	None	31	None	0	None	0	None
1407452329	NANDAN VISHNU	2021	FFS	RENDERING	AGE 0-20	374	None	1,686	None	244	None	694	None	173	None	444	None	125	None	128	None
1407452329	NANDAN VISHNU	2021	FFS	RENDERING	AGE 21+	961	None	3,416	None	314	None	588	None	607	None	1,788	None	248	None	248	None
1407457856	ZOU YIYANG	2021	FFS	RENDERING	AGE 0-20	563	None	3,205	None	410	None	1,269	None	245	None	439	None	459	None	466	None
1407457856	ZOU YIYANG	2021	FFS	RENDERING	AGE 21+	781	None	2,557	None	159	None	299	None	423	None	915	None	446	None	446	None
1407464449	HO ANH D	2021	FFS	RENDERING	AGE 0-20	175	None	690	None	98	None	232	None	92	None	270	None	130	None	144	None
1407464449	HO ANH D	2021	FFS	RENDERING	AGE 21+	333	None	1,428	None	31	None	55	None	273	None	1,156	None	164	None	167	None
1407464449	HO ANH D	2021	PHP	RENDERING	AGE 0-20	43	None	159	None	16	None	57	None	26	None	57	None	33	None	37	None
1407464449	HO ANH D	2021	PHP	RENDERING	AGE 21+	91	None	272	None	11	None	16	None	59	None	195	None	54	None	60	None
1407468457	GERANNAZAR SOMAYE	2021	FFS	RENDERING	AGE 0-20	35	None	164	None	None	1	None	2	23	None	56	None	17	None	17	None
1407468457	GERANNAZAR SOMAYE	2021	FFS	RENDERING	AGE 21+	57	None	147	None	None	1	None	1	15	None	41	None	13	None	13	None
1407469489	BAHRAINI BEHROKH	2021	FFS	RENDERING	AGE 0-20	125	None	491	None	72	None	173	None	36	None	69	None	82	None	82	None
1407469489	BAHRAINI BEHROKH	2021	FFS	RENDERING	AGE 21+	362	None	1,072	None	99	None	181	None	146	None	318	None	217	None	219	None
1407471048	DO NATALIE	2021	FFS	RENDERING	AGE 0-20	1,668	None	11,969	None	1,323	None	3,072	None	722	None	1,285	None	1,336	None	1,342	None
1407471048	DO NATALIE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1407800964	BHAGAT RAJIV	2021	FFS	RENDERING	AGE 21+	42	None	49	None	0	None	0	None	42	None	49	None	0	None	0	None
1407801830	MARIANO, ARNEL R, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	372	None	38	None	107	None	26	None	84	None	40	None	50	None
1407801830	MARIANO, ARNEL R, DDS	2021	FFS	RENDERING	AGE 21+	134	None	1,014	None	93	None	169	None	98	None	419	None	106	None	106	None
1407801871	AVENDANO-GALVEZ, TERESA M	2021	FFS	RENDERING	AGE 0-20	137	None	1,087	None	126	None	325	None	44	None	116	None	129	None	151	None
1407801871	AVENDANO-GALVEZ, TERESA M	2021	FFS	RENDERING	AGE 21+	273	None	1,634	None	179	None	190	None	169	None	515	None	201	None	203	None
1407840523	LIAO, KUEI SHU, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	141	None	None	1	None	1	51	None	130	None	None	1	None	1
1407840523	LIAO, KUEI SHU, DDS	2021	FFS	RENDERING	AGE 21+	51	None	116	None	0	None	0	None	51	None	110	None	None	1	None	1
1407849243	GONZALEZ FRANCISCO J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1407849243	GONZALEZ FRANCISCO J	2021	PHP	RENDERING	AGE 21+	21	None	95	None	None	1	None	1	15	None	60	None	11	None	12	None
1407853138	HERRERO DALE BRIAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1407853708	HARTMANN, JAMES S, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407853708	HARTMANN, JAMES S, DDS	2021	FFS	RENDERING	AGE 21+	74	None	301	None	38	None	38	None	48	None	117	None	26	None	26	None
1407875214	YUN, JUNG H, DDS	2021	FFS	RENDERING	AGE 0-20	22	None	110	None	21	None	23	None	None	1	None	2	18	None	19	None
1407875214	YUN, JUNG H, DDS	2021	FFS	RENDERING	AGE 21+	91	None	681	None	61	None	61	None	65	None	291	None	70	None	70	None
1407875925	NGUYEN, THUTAM T, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1407875925	NGUYEN, THUTAM T, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407877087	SUMABAT RAMON R	2021	FFS	RENDERING	AGE 0-20	73	None	456	None	63	None	172	None	31	None	54	None	68	None	100	None
1407877087	SUMABAT RAMON R	2021	FFS	RENDERING	AGE 21+	114	None	491	None	49	None	50	None	81	None	228	None	83	None	83	None
1407879596	WYNDHAMSMITH, DAVID R MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407879596	WYNDHAMSMITH, DAVID R MD	2021	FFS	RENDERING	AGE 21+	19	None	48	None	None	1	None	1	None	1	None	2	12	None	12	None
1407879596	WYNDHAMSMITH, DAVID R MD	2021	PHP	RENDERING	AGE 0-20	14	None	65	None	11	None	15	None	None	1	None	1	None	1	None	1
1407879596	WYNDHAMSMITH, DAVID R MD	2021	PHP	RENDERING	AGE 21+	23	None	104	None	None	1	None	1	11	None	47	None	None	1	None	1
1407894678	CARRANZA URIEL	2021	FFS	RENDERING	AGE 0-20	40	None	438	None	38	None	146	None	None	1	None	2	37	None	57	None
1407894678	CARRANZA URIEL	2021	FFS	RENDERING	AGE 21+	239	None	1,423	None	121	None	211	None	146	None	433	None	147	None	147	None
1407901424	KUO MARK S	2021	FFS	RENDERING	AGE 0-20	897	None	4,986	None	0	None	0	None	598	None	3,738	None	600	None	600	None
1407901424	KUO MARK S	2021	FFS	RENDERING	AGE 21+	708	None	4,073	None	0	None	0	None	455	None	3,066	None	481	None	481	None
1407903776	EISSA KHALED	2021	FFS	RENDERING	AGE 21+	87	None	479	None	38	None	54	None	62	None	211	None	45	None	47	None
1407907686	BU DEAN	2021	FFS	RENDERING	AGE 0-20	35	None	451	None	32	None	56	None	20	None	68	None	33	None	47	None
1407907686	BU DEAN	2021	FFS	RENDERING	AGE 21+	93	None	927	None	64	None	64	None	62	None	235	None	74	None	74	None
1407911472	GONZALES, YOLANDA D, DMD INC	2021	GMC	RENDERING	AGE 0-20	148	None	1,415	None	136	None	794	None	143	None	251	None	138	None	159	None
1407912405	KIM HAK-CHEON	2021	FFS	RENDERING	AGE 0-20	84	None	724	None	80	None	231	None	33	None	103	None	76	None	97	None
1407912405	KIM HAK-CHEON	2021	FFS	RENDERING	AGE 21+	176	None	997	None	102	None	105	None	122	None	414	None	101	None	103	None
1407913577	PARTOVI FARHAD	2021	FFS	RENDERING	AGE 0-20	174	None	1,635	None	142	None	331	None	58	None	144	None	147	None	163	None
1407913577	PARTOVI FARHAD	2021	FFS	RENDERING	AGE 21+	1,051	None	5,965	None	349	None	702	None	795	None	2,660	None	476	None	477	None
1407926132	BAYRAMYAN PROF DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1407926520	PARRAY HUMARA R	2021	FFS	RENDERING	AGE 0-20	69	None	267	None	26	None	56	None	14	None	35	None	50	None	51	None
1407926520	PARRAY HUMARA R	2021	FFS	RENDERING	AGE 21+	262	None	818	None	31	None	39	None	97	None	242	None	148	None	151	None
1407934086	GARCIA ROSALVA M	2021	FFS	RENDERING	AGE 0-20	746	None	12,288	None	729	None	2,933	None	357	None	1,434	None	722	None	1,006	None
1407934086	GARCIA ROSALVA M	2021	FFS	RENDERING	AGE 21+	240	None	2,803	None	183	None	193	None	123	None	648	None	191	None	191	None
1407934086	GARCIA, ROSALVA M, A DENT CO	2021	FFS	RENDERING	AGE 0-20	746	None	12,288	None	729	None	2,933	None	357	None	1,434	None	722	None	1,006	None
1407934086	GARCIA, ROSALVA M, A DENT CO	2021	FFS	RENDERING	AGE 21+	240	None	2,803	None	183	None	193	None	123	None	648	None	191	None	191	None
1407937378	MURASHIGE PAUL G	2021	FFS	RENDERING	AGE 0-20	2,606	None	34,302	None	2,354	None	7,935	None	1,423	None	6,263	None	2,137	None	2,690	None
1407937378	MURASHIGE PAUL G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407940158	LOYE JAMES W	2021	FFS	RENDERING	AGE 0-20	798	None	5,781	None	527	None	1,280	None	442	None	1,337	None	541	None	611	None
1407940158	LOYE JAMES W	2021	FFS	RENDERING	AGE 21+	621	None	2,192	None	71	None	139	None	508	None	1,103	None	178	None	178	None
1407942659	FERREIRA SERGIO L	2021	FFS	RENDERING	AGE 0-20	169	None	340	None	0	None	0	None	23	None	71	None	0	None	0	None
1407942659	FERREIRA SERGIO L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1407953797	TRAN HENRY	2021	FFS	RENDERING	AGE 0-20	179	None	1,927	None	166	None	444	None	58	None	134	None	178	None	237	None
1407953797	TRAN HENRY	2021	FFS	RENDERING	AGE 21+	671	None	5,462	None	444	None	888	None	498	None	1,819	None	563	None	563	None
1407956162	CHIANG, ERIC C, DDS	2021	FFS	RENDERING	AGE 0-20	289	None	4,918	None	276	None	1,206	None	144	None	514	None	275	None	423	None
1407956162	CHIANG, ERIC C, DDS	2021	FFS	RENDERING	AGE 21+	122	None	1,326	None	92	None	182	None	95	None	369	None	97	None	97	None
1407961089	MANOSOV, LENMARA DDS	2021	FFS	RENDERING	AGE 0-20	78	None	790	None	71	None	208	None	12	None	21	None	70	None	78	None
1407961089	MANOSOV, LENMARA DDS	2021	FFS	RENDERING	AGE 21+	103	None	458	None	14	None	27	None	82	None	208	None	90	None	90	None
1407965486	PHAN YEN B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407970817	QIOU, HWEI-WAN E, DDS	2021	FFS	RENDERING	AGE 0-20	2,214	None	30,671	None	2,065	None	7,350	None	1,227	None	5,474	None	2,002	None	2,712	None
1407970817	QIOU, HWEI-WAN E, DDS	2021	FFS	RENDERING	AGE 21+	135	None	1,228	None	67	None	134	None	96	None	363	None	105	None	105	None
1407970817	QIOU, HWEI-WAN E, DDS	2021	PHP	RENDERING	AGE 0-20	36	None	323	None	19	None	59	None	35	None	165	None	None	1	None	1
1407970882	ITSKOVICH MIRO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1407970882	ITSKOVICH MIRO	2021	FFS	RENDERING	AGE 21+	26	None	170	None	14	None	28	None	16	None	60	None	18	None	18	None
1407970882	ITSKOVICH MIRO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1407972433	FELSENFELD ALAN L	2021	FFS	RENDERING	AGE 0-20	498	None	1,612	None	0	None	0	None	320	None	990	None	340	None	340	None
1407972433	FELSENFELD ALAN L	2021	FFS	RENDERING	AGE 21+	1,100	None	4,044	None	None	1	None	1	669	None	2,575	None	724	None	724	None
1407979248	CHERUKURI, VIJAYA R, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	229	None	19	None	62	None	12	None	55	None	21	None	32	None
1407979248	CHERUKURI, VIJAYA R, DDS	2021	FFS	RENDERING	AGE 21+	41	None	251	None	None	1	None	1	25	None	140	None	26	None	26	None
1407981939	BILOVSKY PAUL R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1407981939	BILOVSKY PAUL R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1407985112	BAIRD, NANETTE D, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1407985112	BAIRD, NANETTE D, DMD	2021	FFS	RENDERING	AGE 21+	40	None	206	None	32	None	32	None	16	None	35	None	32	None	32	None
1407986805	PATEL, RAJNIKANT M, DDS	2021	FFS	RENDERING	AGE 0-20	87	None	845	None	67	None	216	None	30	None	72	None	81	None	93	None
1407986805	PATEL, RAJNIKANT M, DDS	2021	FFS	RENDERING	AGE 21+	265	None	1,893	None	150	None	295	None	164	None	654	None	216	None	216	None
1407988793	SANTANA, RUBEN R, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407988793	SANTANA, RUBEN R, DMD INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407988793	SANTANA-REYES, RUBEN DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1407988793	SANTANA-REYES, RUBEN DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1407997802	DINH DAVID Q	2021	FFS	RENDERING	AGE 0-20	639	None	10,298	None	624	None	2,837	None	282	None	1,029	None	627	None	904	None
1407997802	DINH DAVID Q	2021	FFS	RENDERING	AGE 21+	446	None	5,007	None	327	None	658	None	274	None	1,233	None	373	None	374	None
1407997968	TZENG MELINDA L	2021	FFS	RENDERING	AGE 0-20	2,385	None	27,507	None	2,344	None	8,214	None	305	None	698	None	2,350	None	3,284	None
1407998156	CHENG, WEN-CHENG, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1407998156	CHENG, WEN-CHENG, DDS	2021	FFS	RENDERING	AGE 21+	96	None	320	None	45	None	46	None	51	None	108	None	78	None	78	None
1417001991	HAMILTON MATTHEW C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1417002338	FLORES DANIEL A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1417002924	LEE, STEPHEN AUSTIN, DDS	2021	FFS	RENDERING	AGE 0-20	623	None	10,180	None	582	None	2,379	None	347	None	1,529	None	574	None	835	None
1417002924	LEE, STEPHEN AUSTIN, DDS	2021	FFS	RENDERING	AGE 21+	544	None	5,206	None	349	None	634	None	324	None	1,127	None	395	None	397	None
1417004029	NGUYEN RICHARD H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417004029	NGUYEN RICHARD H	2021	GMC	RENDERING	AGE 0-20	2,469	None	26,348	None	2,089	None	9,132	None	1,705	None	3,847	None	2,085	None	2,450	None
1417004029	NGUYEN RICHARD H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417004276	CHAO, TIMOTHY, DDS	2021	FFS	RENDERING	AGE 0-20	204	None	1,911	None	199	None	338	None	39	None	89	None	195	None	219	None
1417004276	CHAO, TIMOTHY, DDS	2021	FFS	RENDERING	AGE 21+	158	None	1,361	None	119	None	119	None	80	None	187	None	125	None	126	None
1417014580	KOGAN, ZOYA, RDHAP	2021	FFS	RENDERING	AGE 21+	106	None	253	None	15	None	32	None	106	None	221	None	0	None	0	None
1417014655	KIM, BRYAN BUMSOO, DDS	2021	FFS	RENDERING	AGE 0-20	76	None	273	None	73	None	89	None	29	None	61	None	72	None	79	None
1417014655	KIM, BRYAN BUMSOO, DDS	2021	FFS	RENDERING	AGE 21+	178	None	708	None	133	None	133	None	81	None	177	None	138	None	138	None
1417014655	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	76	None	273	None	73	None	89	None	29	None	61	None	72	None	79	None
1417014655	UNKNOWN	2021	FFS	RENDERING	AGE 21+	178	None	708	None	133	None	133	None	81	None	177	None	138	None	138	None
1417015611	SUBAR PAUL E	2021	FFS	RENDERING	AGE 0-20	27	None	73	None	None	1	None	2	None	1	None	1	21	None	21	None
1417015611	SUBAR PAUL E	2021	FFS	RENDERING	AGE 21+	471	None	1,623	None	47	None	85	None	211	None	647	None	377	None	377	None
1417015777	BAKAEN KARMEN J	2021	FFS	RENDERING	AGE 0-20	344	None	5,949	None	326	None	1,463	None	119	None	312	None	326	None	443	None
1417015777	BAKAEN KARMEN J	2021	FFS	RENDERING	AGE 21+	357	None	5,127	None	242	None	246	None	288	None	1,627	None	275	None	275	None
1417019043	AL-ARDAH ALADDIN J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417025677	AMANFU EMMANUEL A	2021	FFS	RENDERING	AGE 0-20	459	None	2,198	None	263	None	600	None	90	None	267	None	413	None	461	None
1417025677	AMANFU EMMANUEL A	2021	FFS	RENDERING	AGE 21+	1,794	None	7,719	None	456	None	892	None	887	None	3,239	None	1,444	None	1,444	None
1417025677	AMANFU EMMANUEL A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417025677	AMANFU EMMANUEL A	2021	PHP	RENDERING	AGE 0-20	255	None	2,351	None	202	None	946	None	157	None	588	None	224	None	310	None
1417025677	AMANFU EMMANUEL A	2021	PHP	RENDERING	AGE 21+	336	None	2,032	None	103	None	217	None	236	None	1,151	None	267	None	283	None
1417026501	SY, JAMES J, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1417031048	LEE JEFFREY	2021	FFS	RENDERING	AGE 0-20	423	None	4,614	None	364	None	823	None	193	None	581	None	377	None	423	None
1417031048	LEE JEFFREY	2021	FFS	RENDERING	AGE 21+	329	None	2,681	None	181	None	361	None	164	None	389	None	97	None	97	None
1417032020	TADANG, VICTOR V, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417032848	TRAN HANH M	2021	FFS	RENDERING	AGE 0-20	238	None	2,002	None	165	None	371	None	119	None	435	None	200	None	210	None
1417032848	TRAN HANH M	2021	FFS	RENDERING	AGE 21+	233	None	1,446	None	53	None	82	None	167	None	608	None	143	None	145	None
1417037342	MAGHEN AZIZOLLAH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1417037342	MAGHEN AZIZOLLAH	2021	FFS	RENDERING	AGE 21+	31	None	111	None	0	None	0	None	30	None	106	None	None	1	None	1
1417037342	MAGHEN AZIZOLLAH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1417037342	MAGHEN AZIZOLLAH	2021	PHP	RENDERING	AGE 21+	13	None	67	None	0	None	0	None	13	None	67	None	0	None	0	None
1417038654	ATTAIE NAZANIN	2021	FFS	RENDERING	AGE 0-20	2,829	None	25,674	None	2,736	None	8,963	None	1,641	None	4,744	None	2,756	None	3,427	None
1417038654	ATTAIE NAZANIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417042318	YIM JOO B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1417055856	NGHIEM CHANG X	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417055856	NGHIEM CHANG X	2021	FFS	RENDERING	AGE 21+	90	None	480	None	39	None	76	None	52	None	175	None	66	None	66	None
1417055856	NGHIEM CHANG X	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417055864	NGUYEN THIEN-TRANG T	2021	FFS	RENDERING	AGE 0-20	155	None	1,535	None	138	None	463	None	61	None	151	None	139	None	148	None
1417055864	NGUYEN THIEN-TRANG T	2021	FFS	RENDERING	AGE 21+	52	None	457	None	21	None	40	None	34	None	105	None	27	None	27	None
1417070343	NGUYEN TAM NGOC	2021	FFS	RENDERING	AGE 0-20	15	None	67	None	14	None	24	None	None	1	None	2	None	1	None	1
1417070343	NGUYEN TAM NGOC	2021	FFS	RENDERING	AGE 21+	62	None	204	None	21	None	28	None	46	None	96	None	19	None	19	None
1417070343	NGUYEN TAM NGOC	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1417070343	NGUYEN TAM NGOC	2021	GMC	RENDERING	AGE 21+	16	None	43	None	None	1	None	1	16	None	39	None	None	1	None	1
1417085267	PARTI ARPANA	2021	FFS	RENDERING	AGE 0-20	4,191	None	83,079	None	3,571	None	10,984	None	2,341	None	18,196	None	4,091	None	5,671	None
1417085267	PARTI ARPANA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417087594	MAA, GOODMAN, DDS	2021	FFS	RENDERING	AGE 0-20	100	None	1,190	None	95	None	419	None	44	None	97	None	67	None	82	None
1417087594	MAA, GOODMAN, DDS	2021	FFS	RENDERING	AGE 21+	149	None	1,205	None	108	None	215	None	123	None	387	None	109	None	109	None
1417088113	OLIVERIA RESURRECCION M	2021	FFS	RENDERING	AGE 0-20	28	None	366	None	25	None	94	None	16	None	74	None	23	None	33	None
1417088113	OLIVERIA RESURRECCION M	2021	FFS	RENDERING	AGE 21+	131	None	1,223	None	75	None	144	None	98	None	412	None	101	None	101	None
1417089459	DE LOPEZ, LAURA DDS	2021	FFS	RENDERING	AGE 0-20	91	None	885	None	73	None	113	None	67	None	415	None	71	None	82	None
1417089459	DE LOPEZ, LAURA DDS	2021	FFS	RENDERING	AGE 21+	152	None	1,528	None	76	None	76	None	128	None	967	None	100	None	100	None
1417089715	KAZANGIAN, ARMAND, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1417089715	KAZANGIAN, ARMAND, DDS	2021	FFS	RENDERING	AGE 21+	51	None	334	None	20	None	20	None	34	None	205	None	None	1	None	1
1417094616	CHAHAL, RUPINDER KAUR, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417094616	CHAHAL, RUPINDER KAUR, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1417096603	KARIMIAN HALEH	2021	FFS	RENDERING	AGE 0-20	171	None	1,101	None	147	None	392	None	63	None	221	None	116	None	123	None
1417096603	KARIMIAN HALEH	2021	FFS	RENDERING	AGE 21+	424	None	2,678	None	267	None	497	None	229	None	891	None	290	None	292	None
1417110800	FIGUEROA MANUEL G	2021	FFS	RENDERING	AGE 0-20	304	None	4,124	None	283	None	1,010	None	131	None	445	None	295	None	368	None
1417110800	FIGUEROA MANUEL G	2021	FFS	RENDERING	AGE 21+	385	None	3,613	None	217	None	405	None	251	None	1,065	None	339	None	340	None
1417116245	KAMPPILA ARLENE B	2021	FFS	RENDERING	AGE 0-20	1,973	None	19,371	None	1,293	None	3,946	None	1,574	None	10,015	None	1,142	None	1,238	None
1417116245	KAMPPILA ARLENE B	2021	FFS	RENDERING	AGE 21+	269	None	872	None	None	1	None	2	140	None	290	None	204	None	204	None
1417116245	KAMPPILA ARLENE B	2021	PHP	RENDERING	AGE 0-20	30	None	240	None	None	1	None	2	28	None	213	None	None	1	None	1
1417116245	KAMPPILA, ARLENE B, DDS	2021	FFS	RENDERING	AGE 0-20	1,973	None	19,371	None	1,293	None	3,946	None	1,574	None	10,015	None	1,142	None	1,238	None
1417116245	KAMPPILA, ARLENE B, DDS	2021	FFS	RENDERING	AGE 21+	269	None	872	None	None	1	None	2	140	None	290	None	204	None	204	None
1417116245	KAMPPILA, ARLENE B, DDS	2021	PHP	RENDERING	AGE 0-20	30	None	240	None	None	1	None	2	28	None	213	None	None	1	None	1
1417120999	AU YEUNG SZE WING C	2021	FFS	RENDERING	AGE 0-20	89	None	282	None	0	None	0	None	89	None	280	None	0	None	0	None
1417120999	AU YEUNG SZE WING C	2021	FFS	RENDERING	AGE 21+	81	None	211	None	0	None	0	None	80	None	200	None	None	1	None	1
1417120999	AU YEUNG SZE WING C	2021	PHP	RENDERING	AGE 0-20	15	None	47	None	0	None	0	None	13	None	34	None	None	1	None	1
1417120999	AU YEUNG SZE WING C	2021	PHP	RENDERING	AGE 21+	102	None	331	None	0	None	0	None	80	None	229	None	45	None	46	None
1417122557	AVANESS KARINEH	2021	FFS	RENDERING	AGE 0-20	26	None	168	None	25	None	63	None	None	1	None	2	26	None	33	None
1417122557	AVANESS KARINEH	2021	FFS	RENDERING	AGE 21+	57	None	361	None	28	None	52	None	34	None	159	None	46	None	46	None
1417125188	NGUYEN MY LINH T	2021	FFS	RENDERING	AGE 0-20	81	None	426	None	77	None	169	None	38	None	84	None	79	None	87	None
1417125188	NGUYEN MY LINH T	2021	FFS	RENDERING	AGE 21+	305	None	1,243	None	218	None	220	None	178	None	469	None	160	None	160	None
1417132838	BAKER ALLEN R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417135286	SPARLING, INGRI S, RDHAP	2021	FFS	RENDERING	AGE 21+	180	None	1,164	None	167	None	414	None	180	None	750	None	0	None	0	None
1417138835	GILL JASMINE	2021	FFS	RENDERING	AGE 0-20	13	None	83	None	13	None	37	None	None	1	None	1	11	None	12	None
1417138835	GILL JASMINE	2021	FFS	RENDERING	AGE 21+	12	None	73	None	None	1	None	2	None	1	None	2	None	1	None	1
1417138892	EBBAY PURITA B	2021	FFS	RENDERING	AGE 0-20	20	None	102	None	18	None	36	None	11	None	36	None	14	None	15	None
1417138892	EBBAY PURITA B	2021	FFS	RENDERING	AGE 21+	43	None	134	None	29	None	29	None	21	None	43	None	27	None	27	None
1417140047	LOO, MILAGROS A, DDS	2021	FFS	RENDERING	AGE 0-20	165	None	1,269	None	139	None	382	None	79	None	268	None	136	None	138	None
1417140047	LOO, MILAGROS A, DDS	2021	FFS	RENDERING	AGE 21+	158	None	875	None	67	None	68	None	112	None	446	None	76	None	76	None
1417140047	LOO, MILAGROS A, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1417142993	GUERRA, MARIANO W, DDS	2021	GMC	RENDERING	AGE 0-20	197	None	1,892	None	154	None	554	None	100	None	443	None	173	None	214	None
1417142993	GUERRA, MARIANO W, DDS	2021	GMC	RENDERING	AGE 21+	242	None	1,838	None	126	None	190	None	135	None	587	None	173	None	209	None
1417149212	MIZIN ALEXEI I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417167487	CORREA EDUARDO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1417170754	PANIAGUA NED	2021	FFS	RENDERING	AGE 0-20	463	None	7,122	None	422	None	1,265	None	221	None	876	None	443	None	605	None
1417170754	PANIAGUA NED	2021	FFS	RENDERING	AGE 21+	364	None	2,659	None	114	None	158	None	239	None	1,012	None	274	None	274	None
1417172537	ALSAYEH, MARIA ELDA, DDS	2021	FFS	RENDERING	AGE 0-20	229	None	1,709	None	223	None	596	None	79	None	199	None	220	None	284	None
1417172537	ALSAYEH, MARIA ELDA, DDS	2021	FFS	RENDERING	AGE 21+	169	None	845	None	119	None	171	None	71	None	149	None	153	None	153	None
1417173386	DUDHBHATE, NETRA DDS	2021	FFS	RENDERING	AGE 0-20	73	None	529	None	63	None	157	None	21	None	37	None	66	None	79	None
1417173386	DUDHBHATE, NETRA DDS	2021	FFS	RENDERING	AGE 21+	167	None	1,107	None	85	None	167	None	102	None	284	None	122	None	122	None
1417173386	DUDHBHATE, NETRA DDS	2021	GMC	RENDERING	AGE 0-20	75	None	574	None	72	None	194	None	33	None	60	None	68	None	71	None
1417173386	DUDHBHATE, NETRA DDS	2021	GMC	RENDERING	AGE 21+	30	None	231	None	25	None	61	None	14	None	39	None	25	None	25	None
1417173980	STOUT THERON A	2021	FFS	RENDERING	AGE 0-20	135	None	703	None	133	None	334	None	33	None	127	None	84	None	84	None
1417173980	STOUT THERON A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417176231	FESHARAKI AMIR MANSOOR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1417176835	RAJPARA BHARAT M	2021	FFS	RENDERING	AGE 0-20	88	None	764	None	59	None	136	None	62	None	255	None	68	None	78	None
1417176835	RAJPARA BHARAT M	2021	FFS	RENDERING	AGE 21+	259	None	2,029	None	108	None	196	None	173	None	785	None	169	None	169	None
1417189853	CHIQUES CAMILLE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1417194994	RAHIMPOUR KOUROSH	2021	FFS	RENDERING	AGE 0-20	489	None	6,360	None	474	None	1,491	None	212	None	642	None	485	None	725	None
1417194994	RAHIMPOUR KOUROSH	2021	FFS	RENDERING	AGE 21+	520	None	4,201	None	287	None	291	None	327	None	1,222	None	376	None	380	None
1417198284	GENDY, SAFWAT S, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1417198284	GENDY, SAFWAT S, DDS	2021	FFS	RENDERING	AGE 21+	33	None	416	None	19	None	36	None	26	None	284	None	25	None	25	None
1417204918	ALKHATEEB HISHAM M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1417204918	ALKHATEEB HISHAM M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417244039	AMINI FARHAD	2021	FFS	RENDERING	AGE 0-20	89	None	995	None	72	None	248	None	57	None	208	None	77	None	81	None
1417244039	AMINI FARHAD	2021	FFS	RENDERING	AGE 21+	584	None	4,967	None	279	None	556	None	487	None	1,956	None	393	None	393	None
1417255894	CHEN TSU P	2021	FFS	RENDERING	AGE 0-20	380	None	5,897	None	365	None	1,138	None	155	None	356	None	374	None	571	None
1417255894	CHEN TSU P	2021	FFS	RENDERING	AGE 21+	319	None	3,070	None	270	None	541	None	173	None	501	None	279	None	279	None
1417257767	PARK, MINDY DDS	2021	FFS	RENDERING	AGE 0-20	59	None	343	None	49	None	128	None	25	None	51	None	53	None	68	None
1417257767	PARK, MINDY DDS	2021	FFS	RENDERING	AGE 21+	136	None	906	None	98	None	153	None	112	None	454	None	105	None	105	None
1417257767	PARK, MINDY DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417257767	PARK, MINDY DDS	2021	PHP	RENDERING	AGE 21+	12	None	63	None	11	None	14	None	None	1	None	2	12	None	15	None
1417262999	REZAIE SANAZ R	2021	FFS	RENDERING	AGE 0-20	3,257	None	26,944	None	2,581	None	7,697	None	2,063	None	5,233	None	2,511	None	2,863	None
1417262999	REZAIE SANAZ R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1417262999	REZAIE SANAZ R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417264284	SOLOMON DEBORAH	2021	FFS	RENDERING	AGE 0-20	103	None	139	None	0	None	0	None	15	None	26	None	None	1	None	1
1417264284	SOLOMON DEBORAH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1417264284	SOLOMON DEBORAH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417276296	CHANG CHEN-TSUNG	2021	FFS	RENDERING	AGE 0-20	115	None	674	None	93	None	224	None	48	None	105	None	53	None	57	None
1417276296	CHANG CHEN-TSUNG	2021	FFS	RENDERING	AGE 21+	388	None	1,667	None	189	None	189	None	243	None	629	None	163	None	163	None
1417317165	CHOI CHRISTINE A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1417329277	NGUYEN HANNAH M	2021	FFS	RENDERING	AGE 0-20	318	None	3,806	None	295	None	844	None	120	None	242	None	295	None	384	None
1417329277	NGUYEN HANNAH M	2021	FFS	RENDERING	AGE 21+	880	None	12,083	None	606	None	1,108	None	700	None	2,577	None	628	None	628	None
1417331323	HAN JUN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417339466	PATEL SUCHI	2021	FFS	RENDERING	AGE 0-20	427	None	3,182	None	369	None	1,378	None	202	None	545	None	331	None	358	None
1417339466	PATEL SUCHI	2021	FFS	RENDERING	AGE 21+	500	None	2,728	None	240	None	459	None	344	None	1,332	None	282	None	282	None
1417339466	PATEL SUCHI	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417339466	PATEL SUCHI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417340274	BUDIMAN ERIC E	2021	FFS	RENDERING	AGE 0-20	26	None	74	None	0	None	0	None	None	1	None	2	0	None	0	None
1417352923	ROCHA-PATEL CHARLENE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417356056	SHABANIAN JACK	2021	FFS	RENDERING	AGE 0-20	66	None	745	None	62	None	297	None	20	None	60	None	65	None	94	None
1417356056	SHABANIAN JACK	2021	FFS	RENDERING	AGE 21+	176	None	1,535	None	127	None	247	None	119	None	442	None	147	None	147	None
1417356056	SHABANIAN JACK	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1417359191	YOUNG ANDREW S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417385055	HU CHRISTINA	2021	FFS	RENDERING	AGE 0-20	197	None	818	None	76	None	157	None	59	None	184	None	138	None	141	None
1417385055	HU CHRISTINA	2021	FFS	RENDERING	AGE 21+	422	None	1,171	None	43	None	85	None	133	None	296	None	266	None	266	None
1417385055	HU CHRISTINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1417385055	HU CHRISTINA	2021	PHP	RENDERING	AGE 21+	32	None	132	None	17	None	33	None	23	None	77	None	None	1	None	1
1417398181	CHENG PHILIP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1417398181	CHENG PHILIP	2021	FFS	RENDERING	AGE 21+	39	None	179	None	20	None	26	None	35	None	104	None	13	None	13	None
1417415241	GAZARIAN, HAIG, DENTAL CORPO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1417436361	LIN PATRICK B	2021	FFS	RENDERING	AGE 0-20	312	None	1,998	None	196	None	546	None	191	None	396	None	197	None	214	None
1417436361	LIN PATRICK B	2021	FFS	RENDERING	AGE 21+	431	None	2,016	None	92	None	183	None	365	None	1,000	None	132	None	133	None
1417436361	LIN PATRICK B	2021	PHP	RENDERING	AGE 0-20	182	None	1,158	None	113	None	431	None	115	None	207	None	101	None	104	None
1417436361	LIN PATRICK B	2021	PHP	RENDERING	AGE 21+	201	None	918	None	105	None	231	None	140	None	350	None	82	None	83	None
1417442724	LAVAALDIN PADIDEH	2021	FFS	RENDERING	AGE 0-20	821	None	5,567	None	407	None	1,104	None	643	None	2,051	None	292	None	295	None
1417442724	LAVAALDIN PADIDEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1417442724	LAVAALDIN PADIDEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1417467697	SARYAN DAVID	2021	FFS	RENDERING	AGE 0-20	35	None	197	None	19	None	37	None	26	None	84	None	24	None	24	None
1417467697	SARYAN DAVID	2021	FFS	RENDERING	AGE 21+	255	None	1,529	None	118	None	207	None	199	None	717	None	167	None	173	None
1417469495	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417469495	ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417470170	YANG FUE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417470170	YANG FUE	2021	GMC	RENDERING	AGE 0-20	119	None	791	None	70	None	272	None	69	None	122	None	70	None	75	None
1417470170	YANG FUE	2021	GMC	RENDERING	AGE 21+	410	None	2,033	None	101	None	275	None	335	None	667	None	154	None	157	None
1417471871	DUONG CHRISTINA	2021	FFS	RENDERING	AGE 0-20	303	None	2,981	None	246	None	681	None	139	None	479	None	263	None	311	None
1417471871	DUONG CHRISTINA	2021	FFS	RENDERING	AGE 21+	384	None	2,637	None	87	None	92	None	273	None	1,262	None	230	None	230	None
1417485400	DANESHGAR PHILLIP M	2021	FFS	RENDERING	AGE 0-20	175	None	1,357	None	108	None	272	None	116	None	340	None	141	None	152	None
1417485400	DANESHGAR PHILLIP M	2021	FFS	RENDERING	AGE 21+	528	None	4,497	None	188	None	382	None	438	None	2,206	None	341	None	344	None
1417488727	SADEK, Y, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1417498759	AYANLEKE, FUNTO, DDS	2021	FFS	RENDERING	AGE 0-20	27	None	244	None	19	None	61	None	16	None	62	None	26	None	30	None
1417498759	AYANLEKE, FUNTO, DDS	2021	FFS	RENDERING	AGE 21+	101	None	575	None	61	None	79	None	61	None	235	None	95	None	95	None
1417517657	SOROOSHIANI SHABNAM	2021	FFS	RENDERING	AGE 0-20	591	None	3,105	None	425	None	878	None	156	None	364	None	457	None	458	None
1417517657	SOROOSHIANI SHABNAM	2021	FFS	RENDERING	AGE 21+	723	None	2,414	None	126	None	206	None	336	None	954	None	422	None	422	None
1417518291	ADAMS, ERIKA MARIE, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1417518291	ADAMS, ERIKA MARIE, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1417552779	NGO JOHN T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417552779	NGO JOHN T	2021	FFS	RENDERING	AGE 21+	16	None	53	None	0	None	0	None	16	None	44	None	None	1	None	1
1417557844	DUHN BRIAN J	2021	FFS	RENDERING	AGE 0-20	43	None	264	None	25	None	61	None	16	None	35	None	24	None	24	None
1417557844	DUHN BRIAN J	2021	FFS	RENDERING	AGE 21+	90	None	462	None	14	None	30	None	65	None	161	None	30	None	30	None
1417558180	KIM MARIA ANTONE D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1417562042	KAUR JASHANDEEP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417562042	KAUR JASHANDEEP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1417568080	MEKHAEL YOUSTINA A	2021	FFS	RENDERING	AGE 0-20	249	None	1,622	None	178	None	640	None	122	None	248	None	176	None	191	None
1417568080	MEKHAEL YOUSTINA A	2021	FFS	RENDERING	AGE 21+	292	None	1,041	None	56	None	107	None	162	None	421	None	155	None	155	None
1417568080	MEKHAEL YOUSTINA A	2021	PHP	RENDERING	AGE 0-20	108	None	701	None	81	None	404	None	32	None	67	None	92	None	98	None
1417568080	MEKHAEL YOUSTINA A	2021	PHP	RENDERING	AGE 21+	85	None	267	None	21	None	29	None	42	None	116	None	55	None	56	None
1417625161	ANCONA DOMINIQUE R	2021	FFS	RENDERING	AGE 0-20	84	None	526	None	69	None	139	None	30	None	75	None	68	None	68	None
1417625161	ANCONA DOMINIQUE R	2021	FFS	RENDERING	AGE 21+	45	None	243	None	25	None	50	None	27	None	80	None	26	None	26	None
1417625211	BORCHIK MICHAEL G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417625211	BORCHIK MICHAEL G	2021	FFS	RENDERING	AGE 21+	39	None	200	None	None	1	None	1	20	None	56	None	19	None	19	None
1417625211	BORCHIK MICHAEL G	2021	GMC	RENDERING	AGE 21+	67	None	328	None	59	None	74	None	42	None	78	None	25	None	25	None
1417911561	BRAZIEL, BENJAMIN III DDS	2021	FFS	RENDERING	AGE 0-20	48	None	248	None	40	None	95	None	14	None	31	None	42	None	46	None
1417911561	BRAZIEL, BENJAMIN III DDS	2021	FFS	RENDERING	AGE 21+	168	None	739	None	58	None	58	None	114	None	341	None	118	None	118	None
1417932047	PARKER SANDRA L	2021	FFS	RENDERING	AGE 0-20	708	None	13,522	None	678	None	3,755	None	518	None	2,985	None	672	None	987	None
1417932047	PARKER SANDRA L	2021	FFS	RENDERING	AGE 21+	832	None	12,187	None	684	None	1,821	None	724	None	6,398	None	678	None	681	None
1417955816	DITTO, MARY A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417955816	DITTO, MARY A, DDS	2021	FFS	RENDERING	AGE 21+	12	None	40	None	None	1	None	1	None	1	None	2	None	1	None	1
1417975160	ENRIQUEZ VICTOR M	2021	FFS	RENDERING	AGE 0-20	52	None	535	None	51	None	142	None	20	None	59	None	49	None	60	None
1417975160	ENRIQUEZ VICTOR M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417981606	DOVE, EDWARD E, DDS	2021	FFS	RENDERING	AGE 0-20	3,387	None	220,176	None	2,917	None	36,760	None	2,104	None	57,972	None	3,239	None	15,460	None
1417981606	DOVE, EDWARD E, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1427018332	DONGO, CARLOS A, DDS	2021	FFS	RENDERING	AGE 0-20	165	None	1,175	None	141	None	219	None	72	None	157	None	148	None	200	None
1427018332	DONGO, CARLOS A, DDS	2021	FFS	RENDERING	AGE 21+	334	None	2,076	None	143	None	144	None	246	None	890	None	227	None	227	None
1427041235	LE FRANK L	2021	FFS	RENDERING	AGE 0-20	104	None	1,445	None	97	None	365	None	34	None	93	None	98	None	142	None
1427041235	LE FRANK L	2021	FFS	RENDERING	AGE 21+	214	None	1,969	None	158	None	292	None	163	None	581	None	162	None	162	None
1427044494	PROPST, JON W MD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427044494	PROPST, JON W MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427046754	CHINATOWN SERVICE CENTER	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1427046754	CHINATOWN SERVICE CENTER	2021	PHP	RENDERING	AGE 21+	35	None	356	None	None	1	None	2	23	None	224	None	12	None	48	None
1427064963	ANDERSON PAUL B	2021	FFS	RENDERING	AGE 0-20	16	None	73	None	0	None	0	None	16	None	72	None	0	None	0	None
1427064963	ANDERSON PAUL B	2021	FFS	RENDERING	AGE 21+	35	None	159	None	0	None	0	None	35	None	154	None	0	None	0	None
1427064963	ANDERSON PAUL B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1427064963	ANDERSON PAUL B	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1427066471	SALEH, MOHAMED	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1427066471	SALEH, MOHAMED	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1427066471	SALEH, YASSER M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1427066471	SALEH, YASSER M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1427066711	TILTON LISA S	2021	FFS	RENDERING	AGE 0-20	47	None	664	None	43	None	129	None	40	None	394	None	44	None	67	None
1427066711	TILTON LISA S	2021	FFS	RENDERING	AGE 21+	176	None	3,546	None	138	None	262	None	174	None	2,684	None	137	None	137	None
1427072545	LE CHUCK TRUC T	2021	FFS	RENDERING	AGE 0-20	1,331	None	10,421	None	813	None	2,867	None	721	None	1,775	None	573	None	625	None
1427072545	LE CHUCK TRUC T	2021	FFS	RENDERING	AGE 21+	3,131	None	15,541	None	578	None	1,116	None	2,702	None	8,347	None	654	None	661	None
1427072545	LE CHUCK TRUC T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1427078211	SUHARDJO, DIDIK	2021	FFS	RENDERING	AGE 0-20	817	None	6,144	None	625	None	2,610	None	285	None	517	None	684	None	732	None
1427078211	SUHARDJO, DIDIK	2021	FFS	RENDERING	AGE 21+	648	None	2,809	None	269	None	537	None	391	None	1,012	None	240	None	240	None
1427102094	FATOORACHI-KORS FROOZ	2021	FFS	RENDERING	AGE 0-20	791	None	11,689	None	782	None	4,375	None	427	None	1,498	None	786	None	1,473	None
1427102094	FATOORACHI-KORS FROOZ	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1427104223	NAFFAS SHAHRIAR	2021	FFS	RENDERING	AGE 0-20	274	None	1,453	None	85	None	267	None	210	None	601	None	91	None	95	None
1427104223	NAFFAS SHAHRIAR	2021	FFS	RENDERING	AGE 21+	1,536	None	4,364	None	25	None	50	None	1,518	None	4,028	None	39	None	39	None
1427104223	NAFFAS SHAHRIAR	2021	PHP	RENDERING	AGE 0-20	106	None	767	None	81	None	348	None	51	None	142	None	86	None	93	None
1427104223	NAFFAS SHAHRIAR	2021	PHP	RENDERING	AGE 21+	103	None	436	None	22	None	44	None	82	None	289	None	41	None	42	None
1427106038	BANH, HOA DMD	2021	FFS	RENDERING	AGE 0-20	468	None	5,807	None	443	None	2,387	None	189	None	468	None	451	None	672	None
1427106038	BANH, HOA DMD	2021	FFS	RENDERING	AGE 21+	305	None	1,679	None	232	None	458	None	155	None	395	None	260	None	260	None
1427106509	TRAN CYBELLE D	2021	FFS	RENDERING	AGE 0-20	560	None	5,685	None	553	None	2,732	None	203	None	525	None	554	None	902	None
1427106509	TRAN CYBELLE D	2021	FFS	RENDERING	AGE 21+	614	None	4,626	None	587	None	593	None	325	None	962	None	591	None	593	None
1427106525	SANTOS ARTHUR D	2021	FFS	RENDERING	AGE 0-20	268	None	3,580	None	235	None	931	None	165	None	763	None	244	None	283	None
1427106525	SANTOS ARTHUR D	2021	FFS	RENDERING	AGE 21+	960	None	12,809	None	636	None	1,267	None	761	None	5,024	None	808	None	808	None
1427107382	DHARMAWAN, JEFFREY DDS	2021	FFS	RENDERING	AGE 0-20	129	None	636	None	119	None	184	None	53	None	116	None	122	None	131	None
1427107382	DHARMAWAN, JEFFREY DDS	2021	FFS	RENDERING	AGE 21+	241	None	1,306	None	151	None	152	None	156	None	605	None	203	None	203	None
1427110386	HONG DAVIS	2021	PHP	RENDERING	AGE 0-20	159	None	625	None	139	None	184	None	25	None	36	None	131	None	139	None
1427110386	HONG DAVIS	2021	PHP	RENDERING	AGE 21+	30	None	118	None	11	None	14	None	12	None	24	None	13	None	13	None
1427110931	KAM, RANDALL B, DDS	2021	FFS	RENDERING	AGE 0-20	140	None	1,156	None	120	None	361	None	52	None	144	None	132	None	139	None
1427110931	KAM, RANDALL B, DDS	2021	FFS	RENDERING	AGE 21+	154	None	880	None	67	None	121	None	80	None	274	None	109	None	109	None
1427114784	TRIEU KIM B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1427114784	TRIEU KIM B	2021	FFS	RENDERING	AGE 21+	55	None	688	None	42	None	82	None	41	None	344	None	44	None	44	None
1427115013	EBBA, MARYANN SANTOS, DMD	2021	FFS	RENDERING	AGE 0-20	38	None	266	None	35	None	99	None	None	1	None	2	35	None	56	None
1427115013	EBBA, MARYANN SANTOS, DMD	2021	FFS	RENDERING	AGE 21+	133	None	717	None	109	None	109	None	47	None	131	None	121	None	121	None
1427118918	SHISHIMA MARC H	2021	FFS	RENDERING	AGE 0-20	2,031	None	21,280	None	1,755	None	5,485	None	1,034	None	2,896	None	1,656	None	1,823	None
1427118918	SHISHIMA MARC H	2021	FFS	RENDERING	AGE 21+	253	None	1,340	None	84	None	167	None	110	None	234	None	155	None	155	None
1427118918	SHISHIMA MARC H	2021	PHP	RENDERING	AGE 0-20	28	None	170	None	22	None	58	None	17	None	46	None	20	None	20	None
1427118918	SHISHIMA MARC H	2021	PHP	RENDERING	AGE 21+	11	None	46	None	0	None	0	None	None	1	None	2	None	1	None	1
1427119791	JULIAN, ROBERT S III MD	2021	FFS	RENDERING	AGE 0-20	327	None	1,688	None	0	None	0	None	238	None	1,340	None	144	None	144	None
1427119791	JULIAN, ROBERT S III MD	2021	FFS	RENDERING	AGE 21+	304	None	1,215	None	0	None	0	None	220	None	916	None	134	None	136	None
1427122621	KASSAR, RAEDA A, DDS	2021	FFS	RENDERING	AGE 0-20	80	None	969	None	75	None	385	None	55	None	188	None	80	None	108	None
1427122621	KASSAR, RAEDA A, DDS	2021	FFS	RENDERING	AGE 21+	226	None	2,163	None	131	None	238	None	173	None	1,348	None	195	None	195	None
1427124510	AMINIAN TABRIZI LEYLI	2021	FFS	RENDERING	AGE 0-20	1,148	None	15,700	None	957	None	3,578	None	654	None	3,287	None	937	None	1,122	None
1427124510	AMINIAN TABRIZI LEYLI	2021	FFS	RENDERING	AGE 21+	25	None	96	None	None	1	None	2	17	None	20	None	None	1	None	1
1427127935	TORABI, CAMERON DDS	2021	FFS	RENDERING	AGE 0-20	302	None	4,346	None	191	None	528	None	224	None	1,245	None	268	None	331	None
1427127935	TORABI, CAMERON DDS	2021	FFS	RENDERING	AGE 21+	765	None	10,252	None	257	None	513	None	616	None	3,784	None	594	None	597	None
1427128594	INDRA ANGELINE	2021	FFS	RENDERING	AGE 0-20	263	None	2,325	None	180	None	591	None	114	None	453	None	193	None	206	None
1427128594	INDRA ANGELINE	2021	FFS	RENDERING	AGE 21+	350	None	2,108	None	93	None	134	None	241	None	983	None	186	None	188	None
1427135623	WALKER MACHON R	2021	GMC	RENDERING	AGE 0-20	241	None	1,067	None	138	None	437	None	178	None	269	None	75	None	75	None
1427135623	WALKER MACHON R	2021	GMC	RENDERING	AGE 21+	160	None	548	None	24	None	41	None	117	None	328	None	48	None	48	None
1427135623	WALKER MACHON R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1427142009	UNIV CHILDRENS MED GROUP	2021	FFS	RENDERING	AGE 0-20	269	None	434	None	0	None	0	None	131	None	227	None	None	1	None	1
1427142009	UNIV CHILDRENS MED GROUP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427142009	UNIV CHILDRENS MED GROUP	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1427144039	LOUIE, KENNETH G, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	94	None	16	None	38	None	None	1	None	2	16	None	19	None
1427144039	LOUIE, KENNETH G, DDS	2021	FFS	RENDERING	AGE 21+	54	None	234	None	34	None	36	None	35	None	93	None	37	None	37	None
1427155779	CHEN WILLIAM L	2021	FFS	RENDERING	AGE 0-20	66	None	76	None	0	None	0	None	0	None	0	None	0	None	0	None
1427169275	ZAPATA, VICTOR E, DDS	2021	FFS	RENDERING	AGE 0-20	307	None	3,014	None	207	None	494	None	118	None	540	None	285	None	306	None
1427169275	ZAPATA, VICTOR E, DDS	2021	FFS	RENDERING	AGE 21+	490	None	2,958	None	157	None	313	None	274	None	1,085	None	383	None	388	None
1427169275	ZAPATA, VICTOR E, DDS	2021	PHP	RENDERING	AGE 0-20	15	None	146	None	11	None	31	None	None	1	None	2	14	None	18	None
1427169275	ZAPATA, VICTOR E, DDS	2021	PHP	RENDERING	AGE 21+	18	None	82	None	None	1	None	1	None	1	None	2	13	None	14	None
1427170158	PABST, JUDITH S, DDS	2021	FFS	RENDERING	AGE 0-20	396	None	4,326	None	363	None	1,968	None	72	None	344	None	373	None	958	None
1427170158	PABST, JUDITH S, DDS	2021	FFS	RENDERING	AGE 21+	122	None	1,264	None	109	None	528	None	78	None	196	None	108	None	216	None
1427170158	PABST, JUDITH S, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1427170794	HADIDJAJA HAMI	2021	FFS	RENDERING	AGE 0-20	48	None	482	None	47	None	58	None	24	None	128	None	43	None	53	None
1427170794	HADIDJAJA HAMI	2021	FFS	RENDERING	AGE 21+	119	None	1,154	None	91	None	91	None	73	None	410	None	102	None	102	None
1427171222	AGHADJANIAN, PAULINE DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1427171222	AGHADJANIAN, PAULINE DDS	2021	FFS	RENDERING	AGE 21+	50	None	494	None	37	None	39	None	41	None	183	None	39	None	39	None
1427174929	BALLARD, MADELYN L, DDS	2021	FFS	RENDERING	AGE 0-20	67	None	238	None	62	None	86	None	23	None	58	None	57	None	69	None
1427174929	BALLARD, MADELYN L, DDS	2021	FFS	RENDERING	AGE 21+	224	None	840	None	180	None	183	None	116	None	304	None	178	None	180	None
1427187327	LI, PO I, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	298	None	37	None	131	None	27	None	58	None	37	None	51	None
1427187327	LI, PO I, DDS	2021	FFS	RENDERING	AGE 21+	52	None	287	None	35	None	69	None	39	None	96	None	39	None	39	None
1427191923	ZINATI, LADAN DDS	2021	FFS	RENDERING	AGE 0-20	387	None	5,459	None	380	None	1,441	None	192	None	668	None	380	None	487	None
1427191923	ZINATI, LADAN DDS	2021	FFS	RENDERING	AGE 21+	213	None	3,115	None	153	None	304	None	156	None	672	None	155	None	159	None
1427191923	ZINATI, LADAN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1427191923	ZINATI, LADAN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1427193705	KUE, JUDITH J VUE, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	59	None	11	None	20	None	None	1	None	1	None	1	None	1
1427193705	KUE, JUDITH J VUE, DDS	2021	FFS	RENDERING	AGE 21+	97	None	391	None	12	None	12	None	77	None	186	None	32	None	32	None
1427193705	KUE, JUDITH J VUE, DDS	2021	GMC	RENDERING	AGE 0-20	684	None	5,341	None	620	None	1,881	None	301	None	669	None	627	None	899	None
1427194281	RAMIREZ CORINA	2021	FFS	RENDERING	AGE 0-20	1,329	None	22,648	None	1,299	None	5,806	None	1,074	None	4,783	None	1,298	None	2,063	None
1427194281	RAMIREZ CORINA	2021	PHP	RENDERING	AGE 0-20	62	None	745	None	52	None	192	None	62	None	358	None	None	1	None	1
1427195510	HILARIO JR, EUFRACIO N, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427196492	NAIK PREMAL	2021	FFS	RENDERING	AGE 0-20	453	None	6,181	None	430	None	1,734	None	92	None	254	None	442	None	544	None
1427196492	NAIK PREMAL	2021	FFS	RENDERING	AGE 21+	582	None	3,823	None	247	None	482	None	220	None	582	None	513	None	513	None
1427196815	HONDA MEKARSARI R	2021	FFS	RENDERING	AGE 0-20	343	None	2,512	None	267	None	960	None	117	None	376	None	312	None	367	None
1427196815	HONDA MEKARSARI R	2021	FFS	RENDERING	AGE 21+	445	None	1,687	None	126	None	130	None	188	None	518	None	252	None	252	None
1427196815	HONDA MEKARSARI R	2021	PHP	RENDERING	AGE 0-20	172	None	873	None	130	None	377	None	33	None	76	None	158	None	176	None
1427196815	HONDA MEKARSARI R	2021	PHP	RENDERING	AGE 21+	206	None	558	None	49	None	52	None	76	None	157	None	167	None	173	None
1427196997	LIU XIA L	2021	FFS	RENDERING	AGE 0-20	259	None	3,111	None	241	None	646	None	148	None	462	None	235	None	296	None
1427196997	LIU XIA L	2021	FFS	RENDERING	AGE 21+	373	None	3,820	None	192	None	382	None	308	None	1,381	None	235	None	235	None
1427198134	ALARCON MARIA T	2021	FFS	RENDERING	AGE 0-20	176	None	1,022	None	136	None	268	None	56	None	163	None	163	None	163	None
1427198134	ALARCON MARIA T	2021	FFS	RENDERING	AGE 21+	505	None	2,297	None	234	None	434	None	217	None	682	None	446	None	447	None
1427204544	BUZZELL JORDAN N	2021	FFS	RENDERING	AGE 0-20	314	None	3,702	None	295	None	1,303	None	261	None	908	None	301	None	437	None
1427206622	PHAM GABRIELLA T	2021	FFS	RENDERING	AGE 0-20	96	None	689	None	91	None	352	None	39	None	118	None	80	None	104	None
1427206622	PHAM GABRIELLA T	2021	FFS	RENDERING	AGE 21+	134	None	624	None	87	None	144	None	77	None	230	None	98	None	98	None
1427218619	KIM MIN S	2021	FFS	RENDERING	AGE 0-20	11	None	55	None	11	None	28	None	0	None	0	None	None	1	None	1
1427218619	KIM MIN S	2021	FFS	RENDERING	AGE 21+	24	None	108	None	19	None	38	None	None	1	None	2	16	None	16	None
1427233089	HOANG CHAU B	2021	FFS	RENDERING	AGE 0-20	91	None	734	None	85	None	226	None	41	None	150	None	85	None	99	None
1427233089	HOANG CHAU B	2021	FFS	RENDERING	AGE 21+	299	None	1,721	None	144	None	285	None	182	None	646	None	237	None	238	None
1427233089	HOANG CHAU B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1427233089	HOANG CHAU B	2021	PHP	RENDERING	AGE 21+	20	None	148	None	12	None	22	None	12	None	77	None	14	None	14	None
1427241876	SHARMA, SURAJ PAL DDS	2021	FFS	RENDERING	AGE 0-20	438	None	4,922	None	331	None	840	None	232	None	1,025	None	343	None	410	None
1427241876	SHARMA, SURAJ PAL DDS	2021	FFS	RENDERING	AGE 21+	651	None	4,040	None	181	None	262	None	398	None	1,677	None	401	None	401	None
1427242114	SADDI SUPRIYA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1427242494	ARAMBULO NELWINA L	2021	FFS	RENDERING	AGE 0-20	1,300	None	9,303	None	529	None	1,237	None	1,243	None	3,221	None	454	None	458	None
1427242494	ARAMBULO NELWINA L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1427243781	VALDE JANE D	2021	FFS	RENDERING	AGE 0-20	278	None	1,523	None	226	None	558	None	104	None	273	None	222	None	240	None
1427243781	VALDE JANE D	2021	FFS	RENDERING	AGE 21+	382	None	1,406	None	45	None	45	None	283	None	841	None	203	None	203	None
1427250992	MIRELES ERNESTO	2021	FFS	RENDERING	AGE 0-20	22	None	228	None	19	None	52	None	None	1	None	2	19	None	23	None
1427250992	MIRELES ERNESTO	2021	FFS	RENDERING	AGE 21+	19	None	137	None	None	1	None	2	15	None	36	None	None	1	None	1
1427250992	MIRELES, ERNESTO, DDS	2021	FFS	RENDERING	AGE 0-20	22	None	228	None	19	None	52	None	None	1	None	2	19	None	23	None
1427250992	MIRELES, ERNESTO, DDS	2021	FFS	RENDERING	AGE 21+	19	None	137	None	None	1	None	2	15	None	36	None	None	1	None	1
1427251560	MEHRDAD FARZIN	2021	FFS	RENDERING	AGE 0-20	62	None	568	None	45	None	116	None	14	None	63	None	46	None	56	None
1427251560	MEHRDAD FARZIN	2021	FFS	RENDERING	AGE 21+	147	None	693	None	22	None	22	None	68	None	258	None	106	None	106	None
1427251644	KALIKA YAN	2021	FFS	RENDERING	AGE 0-20	211	None	726	None	39	None	121	None	53	None	106	None	55	None	57	None
1427251644	KALIKA YAN	2021	FFS	RENDERING	AGE 21+	351	None	869	None	50	None	89	None	26	None	58	None	266	None	266	None
1427251644	KALIKA YAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1427253202	TRAN, ANH N DDS	2021	FFS	RENDERING	AGE 0-20	216	None	1,797	None	198	None	517	None	116	None	365	None	204	None	250	None
1427253202	TRAN, ANH N DDS	2021	FFS	RENDERING	AGE 21+	367	None	1,961	None	179	None	341	None	263	None	802	None	281	None	281	None
1427253384	MOJICA VINCENT S	2021	FFS	RENDERING	AGE 0-20	348	None	4,209	None	306	None	612	None	160	None	467	None	313	None	354	None
1427253384	MOJICA VINCENT S	2021	FFS	RENDERING	AGE 21+	258	None	2,255	None	154	None	155	None	181	None	571	None	157	None	157	None
1427260066	MOY TIMOTHY S	2021	FFS	RENDERING	AGE 0-20	27	None	228	None	20	None	56	None	12	None	28	None	25	None	26	None
1427260066	MOY TIMOTHY S	2021	FFS	RENDERING	AGE 21+	64	None	366	None	28	None	50	None	45	None	114	None	34	None	34	None
1427261718	HANOOKAI DELARAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1427263409	GHADIMI RODRICK	2021	FFS	RENDERING	AGE 0-20	93	None	960	None	80	None	299	None	75	None	382	None	81	None	93	None
1427263409	GHADIMI RODRICK	2021	FFS	RENDERING	AGE 21+	232	None	2,723	None	158	None	309	None	212	None	1,835	None	196	None	198	None
1427264332	LIU, PETER	2021	FFS	RENDERING	AGE 0-20	19	None	142	None	18	None	87	None	None	1	None	2	16	None	20	None
1427264332	LIU, PETER	2021	FFS	RENDERING	AGE 21+	80	None	618	None	53	None	98	None	64	None	297	None	59	None	59	None
1427264571	ADHAMI NOUSHIN	2021	FFS	RENDERING	AGE 0-20	278	None	3,534	None	267	None	1,013	None	197	None	702	None	261	None	339	None
1427264571	ADHAMI NOUSHIN	2021	FFS	RENDERING	AGE 21+	359	None	2,827	None	213	None	393	None	267	None	1,264	None	240	None	240	None
1427264571	ADHAMI NOUSHIN	2021	PHP	RENDERING	AGE 0-20	22	None	186	None	16	None	51	None	None	1	None	2	21	None	24	None
1427264571	ADHAMI NOUSHIN	2021	PHP	RENDERING	AGE 21+	43	None	272	None	27	None	31	None	23	None	92	None	42	None	47	None
1427267624	CAO DANIEL G	2021	FFS	RENDERING	AGE 0-20	198	None	1,731	None	170	None	509	None	107	None	291	None	168	None	170	None
1427267624	CAO DANIEL G	2021	FFS	RENDERING	AGE 21+	214	None	1,530	None	111	None	219	None	158	None	581	None	125	None	125	None
1427270685	NGUYEN, DANA QUYNH, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1427270685	NGUYEN, DANA QUYNH, DDS	2021	FFS	RENDERING	AGE 21+	30	None	252	None	26	None	26	None	15	None	30	None	19	None	19	None
1427276492	YOUNG, KIMMER EUGENE, DDS	2021	FFS	RENDERING	AGE 0-20	288	None	1,523	None	252	None	421	None	106	None	315	None	259	None	317	None
1427276492	YOUNG, KIMMER EUGENE, DDS	2021	FFS	RENDERING	AGE 21+	399	None	1,789	None	222	None	222	None	256	None	728	None	272	None	272	None
1427280197	HUANG KEVIN M	2021	FFS	RENDERING	AGE 0-20	15	None	161	None	14	None	35	None	None	1	None	1	15	None	17	None
1427280197	HUANG KEVIN M	2021	FFS	RENDERING	AGE 21+	29	None	187	None	None	1	None	2	15	None	53	None	24	None	24	None
1427295666	SARAFYAN IRINA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1427295666	SARAFYAN IRINA	2021	PHP	RENDERING	AGE 0-20	18	None	123	None	15	None	32	None	None	1	None	2	18	None	21	None
1427295666	SARAFYAN IRINA	2021	PHP	RENDERING	AGE 21+	133	None	583	None	45	None	54	None	77	None	262	None	91	None	96	None
1427304294	TIKU VIKRAM R	2021	FFS	RENDERING	AGE 0-20	82	None	678	None	77	None	216	None	27	None	148	None	79	None	107	None
1427325596	CONRAD, CAROLYN A, RDHAP	2021	FFS	RENDERING	AGE 21+	746	None	2,893	None	684	None	1,058	None	746	None	1,835	None	0	None	0	None
1427335421	SHEN JIANXIONG	2021	FFS	RENDERING	AGE 0-20	70	None	284	None	28	None	59	None	26	None	64	None	53	None	53	None
1427335421	SHEN JIANXIONG	2021	FFS	RENDERING	AGE 21+	208	None	592	None	38	None	76	None	67	None	138	None	140	None	140	None
1427335421	SHEN JIANXIONG	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1427335421	SHEN JIANXIONG	2021	PHP	RENDERING	AGE 21+	23	None	61	None	None	1	None	1	11	None	22	None	13	None	13	None
1427336221	AAA DENTISTRY@IMPERIAL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1427341684	SAADAT NARIMAN	2021	FFS	RENDERING	AGE 0-20	23	None	76	None	0	None	0	None	23	None	76	None	0	None	0	None
1427341684	SAADAT NARIMAN	2021	FFS	RENDERING	AGE 21+	21	None	50	None	0	None	0	None	21	None	50	None	0	None	0	None
1427341684	SAADAT NARIMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1427341684	SAADAT NARIMAN	2021	PHP	RENDERING	AGE 21+	37	None	105	None	None	1	None	1	18	None	54	None	33	None	39	None
1427360874	PHAN CHRISTINE A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1427360874	PHAN CHRISTINE A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1427363514	OLAGUE GILBERTO	2021	FFS	RENDERING	AGE 0-20	383	None	4,429	None	315	None	1,114	None	193	None	485	None	308	None	365	None
1427363514	OLAGUE GILBERTO	2021	FFS	RENDERING	AGE 21+	473	None	4,323	None	222	None	449	None	311	None	1,079	None	262	None	262	None
1427369289	XU SHUANG	2021	FFS	RENDERING	AGE 0-20	4,996	None	48,435	None	4,026	None	12,579	None	3,230	None	9,935	None	3,905	None	4,420	None
1427369289	XU SHUANG	2021	FFS	RENDERING	AGE 21+	13	None	103	None	11	None	21	None	None	1	None	1	11	None	11	None
1427375526	CHO SOUNG-HOON	2021	FFS	RENDERING	AGE 0-20	24	None	157	None	16	None	42	None	13	None	43	None	22	None	26	None
1427375526	CHO SOUNG-HOON	2021	FFS	RENDERING	AGE 21+	152	None	768	None	88	None	174	None	70	None	241	None	130	None	131	None
1427381565	NAING WIN P	2021	FFS	RENDERING	AGE 0-20	129	None	1,835	None	124	None	569	None	78	None	266	None	125	None	171	None
1427381565	NAING WIN P	2021	FFS	RENDERING	AGE 21+	226	None	1,916	None	160	None	317	None	159	None	704	None	177	None	177	None
1427383496	AFRAMIAN, DANNY DDS	2021	FFS	RENDERING	AGE 0-20	1,282	None	11,808	None	1,024	None	2,362	None	232	None	571	None	1,100	None	1,180	None
1427383496	AFRAMIAN, DANNY DDS	2021	FFS	RENDERING	AGE 21+	223	None	1,317	None	47	None	93	None	111	None	229	None	114	None	114	None
1427400688	CHANG KAI C	2021	FFS	RENDERING	AGE 0-20	103	None	673	None	75	None	179	None	30	None	59	None	78	None	78	None
1427400688	CHANG KAI C	2021	FFS	RENDERING	AGE 21+	69	None	293	None	None	1	None	1	39	None	104	None	35	None	36	None
1427402908	HUYNH PHAN X	2021	FFS	RENDERING	AGE 0-20	293	None	408	None	0	None	0	None	52	None	111	None	0	None	0	None
1427402908	HUYNH PHAN X	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1427403609	RYAN EHSAN E	2021	FFS	RENDERING	AGE 0-20	11	None	31	None	None	1	None	1	None	1	None	1	None	1	None	1
1427403609	RYAN EHSAN E	2021	FFS	RENDERING	AGE 21+	20	None	40	None	None	1	None	1	None	1	None	2	13	None	13	None
1427404979	KWON SOO YEON	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427424563	PARK JIEUN	2021	FFS	RENDERING	AGE 0-20	1,811	None	18,790	None	1,373	None	5,064	None	1,626	None	9,149	None	1,025	None	1,065	None
1427424563	PARK JIEUN	2021	FFS	RENDERING	AGE 21+	89	None	287	None	None	1	None	2	67	None	161	None	33	None	33	None
1427424563	PARK JIEUN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427426626	KOSHKERIAN, HOVSEP, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1427426626	KOSHKERIAN, HOVSEP, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1427430016	MAZLOOMI FARZAD	2021	FFS	RENDERING	AGE 0-20	395	None	7,484	None	371	None	1,793	None	370	None	1,624	None	374	None	530	None
1427430016	MAZLOOMI FARZAD	2021	FFS	RENDERING	AGE 21+	488	None	6,371	None	339	None	665	None	476	None	3,126	None	373	None	373	None
1427434307	CHO JINHYUN	2021	FFS	RENDERING	AGE 0-20	81	None	625	None	76	None	222	None	31	None	85	None	80	None	104	None
1427434307	CHO JINHYUN	2021	FFS	RENDERING	AGE 21+	310	None	1,554	None	207	None	361	None	157	None	467	None	269	None	269	None
1427456730	CALLOS CYRUS B	2021	FFS	RENDERING	AGE 0-20	11	None	52	None	None	1	None	2	None	1	None	1	11	None	14	None
1427456730	CALLOS CYRUS B	2021	FFS	RENDERING	AGE 21+	50	None	181	None	22	None	26	None	33	None	72	None	37	None	37	None
1427457175	SUNKARA DIVYARUPA	2021	FFS	RENDERING	AGE 0-20	139	None	675	None	79	None	224	None	54	None	97	None	105	None	107	None
1427457175	SUNKARA DIVYARUPA	2021	FFS	RENDERING	AGE 21+	510	None	1,493	None	58	None	104	None	220	None	482	None	298	None	298	None
1427457175	SUNKARA DIVYARUPA	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1427457175	SUNKARA DIVYARUPA	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1427473719	CHO, ADRIAN YONGTAE, DDS	2021	FFS	RENDERING	AGE 0-20	147	None	2,369	None	132	None	319	None	69	None	340	None	144	None	175	None
1427473719	CHO, ADRIAN YONGTAE, DDS	2021	FFS	RENDERING	AGE 21+	179	None	2,021	None	116	None	231	None	117	None	464	None	139	None	139	None
1427477835	HSIAO, SHIH-YEN PAUL DDS	2021	FFS	RENDERING	AGE 0-20	642	None	10,831	None	581	None	4,070	None	529	None	1,909	None	561	None	1,046	None
1427477835	HSIAO, SHIH-YEN PAUL DDS	2021	FFS	RENDERING	AGE 21+	608	None	6,549	None	332	None	657	None	542	None	2,347	None	419	None	419	None
1427480979	BASA KARLA A	2021	FFS	RENDERING	AGE 0-20	1,703	None	16,703	None	1,301	None	3,929	None	1,218	None	3,310	None	1,154	None	1,322	None
1427483577	SHERF, NILOUFAR DDS	2021	FFS	RENDERING	AGE 0-20	523	None	703	None	0	None	0	None	366	None	494	None	0	None	0	None
1427522812	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427522812	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	267	None	2,330	None	231	None	744	None	40	None	54	None	236	None	249	None
1427522812	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	207	None	719	None	56	None	57	None	42	None	52	None	149	None	149	None
1427522812	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427522812	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	267	None	2,330	None	231	None	744	None	40	None	54	None	236	None	249	None
1427522812	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	207	None	719	None	56	None	57	None	42	None	52	None	149	None	149	None
1427554385	OKUHARA NATALIE A	2021	FFS	RENDERING	AGE 0-20	64	None	326	None	23	None	46	None	32	None	71	None	40	None	40	None
1427554385	OKUHARA NATALIE A	2021	FFS	RENDERING	AGE 21+	169	None	901	None	44	None	87	None	119	None	265	None	80	None	80	None
1427563568	SESHADRI SAVITHA	2021	FFS	RENDERING	AGE 0-20	96	None	717	None	76	None	233	None	59	None	99	None	78	None	95	None
1427563568	SESHADRI SAVITHA	2021	FFS	RENDERING	AGE 21+	72	None	458	None	34	None	60	None	67	None	228	None	11	None	11	None
1427567056	SAWIRIS DAVID S	2021	FFS	RENDERING	AGE 0-20	177	None	1,097	None	127	None	264	None	72	None	273	None	145	None	161	None
1427567056	SAWIRIS DAVID S	2021	FFS	RENDERING	AGE 21+	473	None	1,981	None	68	None	95	None	311	None	1,003	None	303	None	303	None
1427567056	SAWIRIS DAVID S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1427586692	KATTEE MOHAMMAD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427604776	LEE COLLIN K	2021	FFS	RENDERING	AGE 0-20	1,834	None	23,971	None	1,702	None	7,510	None	1,564	None	9,692	None	1,657	None	1,997	None
1427604776	LEE COLLIN K	2021	FFS	RENDERING	AGE 21+	483	None	3,598	None	55	None	102	None	405	None	2,706	None	332	None	332	None
1427607910	CHONG KAREN W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1427607910	CHONG KAREN W	2021	FFS	RENDERING	AGE 21+	18	None	151	None	13	None	20	None	15	None	97	None	17	None	17	None
1427643972	LIM REBECCA S	2021	FFS	RENDERING	AGE 0-20	91	None	134	None	0	None	0	None	20	None	39	None	0	None	0	None
1427643972	LIM REBECCA S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1427669142	YOON ELIZABETH D	2021	FFS	RENDERING	AGE 0-20	47	None	267	None	33	None	75	None	20	None	51	None	35	None	35	None
1427669142	YOON ELIZABETH D	2021	FFS	RENDERING	AGE 21+	150	None	994	None	47	None	93	None	118	None	469	None	81	None	81	None
1437102928	SIMAN EDDIE	2021	FFS	RENDERING	AGE 0-20	414	None	4,276	None	301	None	677	None	169	None	787	None	386	None	424	None
1437102928	SIMAN EDDIE	2021	FFS	RENDERING	AGE 21+	1,195	None	9,358	None	465	None	928	None	821	None	3,765	None	962	None	964	None
1437124526	MILLER ANGELA S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1437166899	DOAN, TAI D, DDS	2021	FFS	RENDERING	AGE 0-20	57	None	586	None	52	None	94	None	11	None	25	None	50	None	55	None
1437166899	DOAN, TAI D, DDS	2021	FFS	RENDERING	AGE 21+	206	None	1,737	None	156	None	156	None	88	None	171	None	176	None	176	None
1437173317	CUI, XUEWEN S DDS	2021	FFS	RENDERING	AGE 0-20	245	None	3,732	None	217	None	839	None	169	None	872	None	223	None	281	None
1437173317	CUI, XUEWEN S DDS	2021	FFS	RENDERING	AGE 21+	275	None	2,571	None	70	None	96	None	219	None	1,368	None	215	None	215	None
1437184769	NGUYEN BOITRAN C	2021	FFS	RENDERING	AGE 0-20	213	None	1,516	None	160	None	359	None	58	None	137	None	167	None	177	None
1437184769	NGUYEN BOITRAN C	2021	FFS	RENDERING	AGE 21+	192	None	800	None	57	None	109	None	73	None	184	None	137	None	137	None
1437202934	WANG DANIEL Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1437202934	WANG DANIEL Y	2021	FFS	RENDERING	AGE 21+	110	None	517	None	64	None	64	None	65	None	177	None	91	None	91	None
1437206331	MOHAGHEGH-DAVAN LIDA	2021	FFS	RENDERING	AGE 0-20	251	None	2,546	None	165	None	366	None	109	None	465	None	214	None	240	None
1437206331	MOHAGHEGH-DAVAN LIDA	2021	FFS	RENDERING	AGE 21+	341	None	2,549	None	50	None	96	None	269	None	1,274	None	195	None	195	None
1437207107	DABBAGH, SARKIS NERSES, DDS	2021	FFS	RENDERING	AGE 0-20	172	None	1,186	None	57	None	296	None	78	None	364	None	80	None	160	None
1437207107	DABBAGH, SARKIS NERSES, DDS	2021	FFS	RENDERING	AGE 21+	207	None	1,094	None	22	None	76	None	123	None	554	None	70	None	140	None
1437207107	DABBAGH, SARKIS NERSES, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1437207107	DABBAGH, SARKIS NERSES, DDS	2021	PHP	RENDERING	AGE 21+	16	None	114	None	None	1	None	2	12	None	70	None	None	1	None	1
1437207701	SHAH AMIT L	2021	FFS	RENDERING	AGE 0-20	74	None	473	None	56	None	130	None	25	None	75	None	70	None	78	None
1437207701	SHAH AMIT L	2021	FFS	RENDERING	AGE 21+	258	None	1,193	None	70	None	101	None	118	None	347	None	198	None	201	None
1437207701	SHAH AMIT L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437208071	ENGSTROM, DAVID M DMD	2021	FFS	RENDERING	AGE 0-20	71	None	432	None	63	None	122	None	39	None	160	None	28	None	32	None
1437208071	ENGSTROM, DAVID M DMD	2021	FFS	RENDERING	AGE 21+	55	None	263	None	42	None	42	None	38	None	99	None	22	None	22	None
1437209814	HLAING, SOE, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1437209814	HLAING, SOE, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1437210432	PACHECO ROSAURA	2021	FFS	RENDERING	AGE 0-20	15	None	307	None	14	None	29	None	15	None	229	None	15	None	15	None
1437211349	SADEK, YASSER E, DDS INC	2021	FFS	RENDERING	AGE 0-20	2,736	None	31,694	None	2,430	None	7,105	None	827	None	6,355	None	2,666	None	3,419	None
1437211349	SADEK, YASSER E, DDS INC	2021	FFS	RENDERING	AGE 21+	20	None	138	None	11	None	21	None	11	None	42	None	14	None	14	None
1437211349	SADEK, YASSER E, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1437212255	NICK DOYLE R	2021	FFS	RENDERING	AGE 0-20	259	None	4,516	None	186	None	572	None	257	None	2,642	None	234	None	234	None
1437212255	NICK DOYLE R	2021	FFS	RENDERING	AGE 21+	22	None	233	None	17	None	25	None	22	None	153	None	14	None	14	None
1437212255	NICK DOYLE R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1437219003	HANA ATEF E	2021	FFS	RENDERING	AGE 0-20	156	None	1,422	None	122	None	452	None	88	None	305	None	145	None	163	None
1437219003	HANA ATEF E	2021	FFS	RENDERING	AGE 21+	607	None	3,705	None	208	None	374	None	468	None	1,906	None	417	None	418	None
1437220688	SAMAAN EHAB S	2021	FFS	RENDERING	AGE 0-20	796	None	9,894	None	661	None	2,494	None	397	None	1,125	None	754	None	892	None
1437220688	SAMAAN EHAB S	2021	FFS	RENDERING	AGE 21+	1,394	None	12,313	None	565	None	937	None	1,045	None	3,928	None	1,044	None	1,047	None
1437224466	ALEGRIA, MARCO A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1437225455	HUGHES, BRENNAN LLOYD DMD	2021	FFS	RENDERING	AGE 0-20	1,123	None	4,811	None	0	None	0	None	659	None	3,010	None	891	None	892	None
1437225455	HUGHES, BRENNAN LLOYD DMD	2021	FFS	RENDERING	AGE 21+	219	None	826	None	None	1	None	1	146	None	556	None	132	None	132	None
1437225455	HUGHES, BRENNAN LLOYD DMD	2021	PHP	RENDERING	AGE 0-20	52	None	188	None	None	1	None	2	44	None	139	None	16	None	16	None
1437225455	HUGHES, BRENNAN LLOYD DMD	2021	PHP	RENDERING	AGE 21+	197	None	849	None	None	1	None	1	125	None	575	None	155	None	158	None
1437239365	HADDAD, EIAD, DDS INC	2021	FFS	RENDERING	AGE 0-20	233	None	1,831	None	193	None	487	None	137	None	502	None	151	None	156	None
1437239365	HADDAD, EIAD, DDS INC	2021	FFS	RENDERING	AGE 21+	417	None	3,518	None	172	None	305	None	301	None	1,556	None	265	None	266	None
1437239654	SIMLOTE, SURESH N, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	1,138	None	40	None	232	None	33	None	190	None	38	None	90	None
1437239654	SIMLOTE, SURESH N, DDS	2021	FFS	RENDERING	AGE 21+	73	None	1,332	None	None	1	None	2	44	None	398	None	49	None	98	None
1437242377	PATRICK SIMONNE P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1437242377	PATRICK SIMONNE P	2021	FFS	RENDERING	AGE 21+	32	None	146	None	None	1	None	2	18	None	66	None	None	1	None	1
1437242377	PATRICK SIMONNE P	2021	GMC	RENDERING	AGE 0-20	268	None	2,404	None	220	None	963	None	138	None	463	None	208	None	258	None
1437242377	PATRICK SIMONNE P	2021	GMC	RENDERING	AGE 21+	265	None	2,137	None	151	None	422	None	191	None	878	None	154	None	160	None
1437245305	KHABBAZ LILIANA G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1437245305	KHABBAZ LILIANA G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1437248515	ISMAIL AYMAN M	2021	FFS	RENDERING	AGE 0-20	404	None	6,623	None	365	None	1,504	None	333	None	1,762	None	369	None	466	None
1437248515	ISMAIL AYMAN M	2021	FFS	RENDERING	AGE 21+	888	None	7,558	None	434	None	866	None	760	None	3,497	None	567	None	569	None
1437256435	KANG JEAN Y	2021	FFS	RENDERING	AGE 0-20	4,037	None	31,195	None	3,184	None	8,557	None	2,076	None	3,916	None	3,532	None	3,854	None
1437256435	KANG JEAN Y	2021	FFS	RENDERING	AGE 21+	21	None	153	None	12	None	24	None	None	1	None	2	19	None	19	None
1437258423	KIM JIN T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1437260080	AVANESIAN, HAMLET S DDS	2021	FFS	RENDERING	AGE 0-20	136	None	739	None	79	None	160	None	74	None	267	None	103	None	119	None
1437260080	AVANESIAN, HAMLET S DDS	2021	FFS	RENDERING	AGE 21+	856	None	5,042	None	226	None	355	None	612	None	2,745	None	572	None	574	None
1437270063	CHEN IRENE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1437270063	CHEN IRENE	2021	FFS	RENDERING	AGE 21+	157	None	614	None	31	None	42	None	74	None	161	None	103	None	104	None
1437278405	MAZDAEI, ROEYA, DDS	2021	FFS	RENDERING	AGE 0-20	68	None	442	None	65	None	177	None	None	1	None	1	66	None	66	None
1437278405	MAZDAEI, ROEYA, DDS	2021	FFS	RENDERING	AGE 21+	69	None	445	None	61	None	66	None	38	None	188	None	61	None	61	None
1437289980	NGUYEN LOC Q	2021	FFS	RENDERING	AGE 0-20	208	None	2,954	None	193	None	776	None	76	None	168	None	173	None	213	None
1437289980	NGUYEN LOC Q	2021	FFS	RENDERING	AGE 21+	420	None	5,394	None	307	None	605	None	290	None	1,069	None	308	None	308	None
1437290897	KOMOC BASHAR	2021	FFS	RENDERING	AGE 0-20	157	None	1,791	None	142	None	402	None	59	None	302	None	153	None	180	None
1437290897	KOMOC BASHAR	2021	FFS	RENDERING	AGE 21+	206	None	2,501	None	108	None	108	None	141	None	905	None	171	None	171	None
1437290897	KOMOC BASHAR	2021	PHP	RENDERING	AGE 0-20	32	None	322	None	28	None	102	None	None	1	None	2	31	None	35	None
1437290897	KOMOC BASHAR	2021	PHP	RENDERING	AGE 21+	76	None	687	None	61	None	97	None	39	None	131	None	62	None	62	None
1437296050	HERBLY BASEL	2021	FFS	RENDERING	AGE 0-20	251	None	712	None	0	None	0	None	244	None	687	None	None	1	None	1
1437296050	HERBLY BASEL	2021	FFS	RENDERING	AGE 21+	1,403	None	4,146	None	0	None	0	None	1,396	None	4,091	None	None	1	None	1
1437296050	HERBLY BASEL	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437296050	HERBLY BASEL	2021	PHP	RENDERING	AGE 0-20	17	None	19	None	None	1	None	1	11	None	11	None	0	None	0	None
1437296050	HERBLY BASEL	2021	PHP	RENDERING	AGE 21+	31	None	87	None	0	None	0	None	28	None	78	None	None	1	None	1
1437298544	FAGHIH, MEHRDAD, DDS INC	2021	FFS	RENDERING	AGE 0-20	1,003	None	6,234	None	865	None	2,568	None	315	None	928	None	598	None	632	None
1437298544	FAGHIH, MEHRDAD, DDS INC	2021	FFS	RENDERING	AGE 21+	956	None	4,277	None	361	None	575	None	541	None	1,714	None	510	None	511	None
1437310646	TABARIAI ELI	2021	FFS	RENDERING	AGE 0-20	127	None	443	None	0	None	0	None	127	None	349	None	0	None	0	None
1437310646	TABARIAI ELI	2021	FFS	RENDERING	AGE 21+	58	None	148	None	0	None	0	None	58	None	121	None	0	None	0	None
1437310646	TABARIAI ELI	2021	PHP	RENDERING	AGE 0-20	18	None	65	None	0	None	0	None	14	None	44	None	None	1	None	1
1437310646	TABARIAI ELI	2021	PHP	RENDERING	AGE 21+	81	None	246	None	0	None	0	None	47	None	111	None	70	None	73	None
1437314317	ALJANEDI, MOHDSAMEER, PROF D	2021	PHP	RENDERING	AGE 0-20	31	None	253	None	31	None	109	None	24	None	30	None	29	None	29	None
1437314317	ALJANEDI, MOHDSAMEER, PROF D	2021	PHP	RENDERING	AGE 21+	109	None	589	None	93	None	155	None	97	None	213	None	81	None	81	None
1437319035	BADII KIAVASH K	2021	FFS	RENDERING	AGE 0-20	294	None	3,057	None	238	None	745	None	136	None	560	None	278	None	339	None
1437319035	BADII KIAVASH K	2021	FFS	RENDERING	AGE 21+	541	None	3,707	None	282	None	560	None	275	None	1,257	None	493	None	513	None
1437319803	JACOBSON ALLEN	2021	FFS	RENDERING	AGE 0-20	20	None	34	None	0	None	0	None	None	1	None	2	0	None	0	None
1437319803	JACOBSON ALLEN	2021	PHP	RENDERING	AGE 0-20	11	None	15	None	0	None	0	None	None	1	None	2	None	1	None	1
1437319852	ORELLANA GRISELDA	2021	FFS	RENDERING	AGE 0-20	99	None	1,869	None	90	None	309	None	56	None	187	None	95	None	147	None
1437319852	ORELLANA GRISELDA	2021	FFS	RENDERING	AGE 21+	173	None	3,084	None	138	None	276	None	146	None	1,189	None	146	None	148	None
1437323847	HENDRE AMRUTA D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1437323847	HENDRE AMRUTA D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437334638	HUANG HUNG-JU	2021	FFS	RENDERING	AGE 0-20	381	None	4,054	None	303	None	876	None	244	None	858	None	272	None	313	None
1437334778	LIPKIN, ARTUR, DDS	2021	FFS	RENDERING	AGE 0-20	83	None	1,850	None	78	None	728	None	42	None	216	None	82	None	242	None
1437334778	LIPKIN, ARTUR, DDS	2021	FFS	RENDERING	AGE 21+	319	None	6,918	None	261	None	892	None	260	None	2,952	None	280	None	562	None
1437334778	LIPKIN, ARTUR, DDS	2021	PHP	RENDERING	AGE 0-20	64	None	1,650	None	64	None	798	None	37	None	172	None	64	None	180	None
1437334778	LIPKIN, ARTUR, DDS	2021	PHP	RENDERING	AGE 21+	184	None	2,386	None	166	None	754	None	78	None	632	None	167	None	336	None
1437340908	LEPE CARLOS	2021	FFS	RENDERING	AGE 0-20	114	None	1,196	None	108	None	317	None	48	None	122	None	107	None	154	None
1437340908	LEPE CARLOS	2021	FFS	RENDERING	AGE 21+	100	None	551	None	81	None	161	None	57	None	181	None	36	None	36	None
1437342326	AMJADI NAHID	2021	FFS	RENDERING	AGE 0-20	13	None	66	None	None	1	None	2	None	1	None	2	None	1	None	1
1437342326	AMJADI NAHID	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1437342326	AMJADI NAHID	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1437345311	SAHASAKMONTRI PANIDA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1437345824	FONG GORDON J	2021	FFS	RENDERING	AGE 0-20	122	None	872	None	75	None	358	None	52	None	113	None	100	None	111	None
1437345824	FONG GORDON J	2021	FFS	RENDERING	AGE 21+	495	None	3,478	None	221	None	429	None	330	None	1,301	None	379	None	379	None
1437345980	DILORETO VINCENT A	2021	FFS	RENDERING	AGE 0-20	103	None	660	None	85	None	202	None	38	None	86	None	95	None	116	None
1437345980	DILORETO VINCENT A	2021	FFS	RENDERING	AGE 21+	257	None	1,298	None	58	None	58	None	163	None	539	None	192	None	192	None
1437345980	DILORETO VINCENT A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1437351814	LIN ELEANOR J	2021	FFS	RENDERING	AGE 0-20	833	None	2,932	None	744	None	1,809	None	188	None	489	None	179	None	180	None
1437351814	LIN ELEANOR J	2021	FFS	RENDERING	AGE 21+	17	None	44	None	12	None	22	None	None	1	None	1	0	None	0	None
1437358538	GILL SUKHWINDER S	2021	FFS	RENDERING	AGE 0-20	334	None	2,455	None	222	None	921	None	162	None	491	None	290	None	359	None
1437358538	GILL SUKHWINDER S	2021	FFS	RENDERING	AGE 21+	760	None	3,643	None	180	None	347	None	507	None	1,702	None	548	None	550	None
1437368685	HALLS, GREG B, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437368685	HALLS, GREG B, DDS	2021	FFS	RENDERING	AGE 21+	193	None	419	None	0	None	0	None	140	None	249	None	99	None	99	None
1437374238	BALAIS, BELINDA L, DMD	2021	FFS	RENDERING	AGE 0-20	24	None	436	None	23	None	228	None	12	None	62	None	21	None	52	None
1437374238	BALAIS, BELINDA L, DMD	2021	FFS	RENDERING	AGE 21+	44	None	498	None	34	None	68	None	24	None	166	None	31	None	62	None
1437374873	AYALA EDMUNDO J	2021	FFS	RENDERING	AGE 0-20	91	None	1,415	None	81	None	349	None	18	None	103	None	87	None	113	None
1437374873	AYALA EDMUNDO J	2021	FFS	RENDERING	AGE 21+	46	None	540	None	28	None	56	None	22	None	124	None	42	None	42	None
1437375417	ZANDKARIMI SHAHRIYAR	2021	FFS	RENDERING	AGE 0-20	628	None	4,131	None	532	None	1,853	None	215	None	466	None	488	None	558	None
1437375417	ZANDKARIMI SHAHRIYAR	2021	FFS	RENDERING	AGE 21+	388	None	1,648	None	205	None	397	None	184	None	366	None	223	None	223	None
1437377108	IBE AMAUCHE N	2021	FFS	RENDERING	AGE 0-20	2,884	None	18,757	None	2,516	None	6,967	None	1,348	None	2,834	None	2,471	None	2,623	None
1437377108	IBE AMAUCHE N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1437377108	IBE AMAUCHE N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1437384203	KIM JAMES Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1437384203	KIM JAMES Y	2021	PHP	RENDERING	AGE 0-20	15	None	44	None	None	1	None	1	15	None	40	None	0	None	0	None
1437384203	KIM JAMES Y	2021	PHP	RENDERING	AGE 21+	45	None	144	None	None	1	None	1	35	None	105	None	33	None	35	None
1437439163	ROUHANI BAHAR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1437439163	ROUHANI BAHAR	2021	FFS	RENDERING	AGE 21+	66	None	260	None	None	1	None	1	65	None	243	None	None	1	None	1
1437439536	ASSEFNIA AMIR H	2021	FFS	RENDERING	AGE 0-20	77	None	86	None	0	None	0	None	0	None	0	None	0	None	0	None
1437439536	ASSEFNIA AMIR H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1437439536	ASSEFNIA AMIR H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437447117	LU BENJAMIN	2021	FFS	RENDERING	AGE 0-20	188	None	3,258	None	175	None	549	None	120	None	384	None	179	None	245	None
1437447117	LU BENJAMIN	2021	FFS	RENDERING	AGE 21+	574	None	9,977	None	481	None	912	None	483	None	2,670	None	457	None	457	None
1437447117	LU BENJAMIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437453867	CHEUNG WARREN W	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437455722	NABEEL JOSEPH DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437463718	KNOX TIMOTHY D	2021	FFS	RENDERING	AGE 0-20	39	None	161	None	27	None	64	None	18	None	29	None	19	None	20	None
1437465721	TUR DAMANDEEP K	2021	FFS	RENDERING	AGE 0-20	455	None	1,675	None	51	None	95	None	442	None	1,389	None	None	1	None	1
1437487808	MYERS CHRISTOPHER R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1437487808	MYERS CHRISTOPHER R	2021	GMC	RENDERING	AGE 0-20	497	None	2,320	None	368	None	546	None	462	None	1,108	None	0	None	0	None
1437519063	DHAMOTHARAN KUM MAWNA	2021	FFS	RENDERING	AGE 0-20	76	None	709	None	60	None	162	None	46	None	172	None	58	None	70	None
1437519063	DHAMOTHARAN KUM MAWNA	2021	FFS	RENDERING	AGE 21+	254	None	2,131	None	135	None	139	None	152	None	538	None	183	None	183	None
1437550076	ALJABBAN AYMAN	2021	FFS	RENDERING	AGE 0-20	36	None	254	None	33	None	63	None	None	1	None	2	35	None	39	None
1437550076	ALJABBAN AYMAN	2021	FFS	RENDERING	AGE 21+	36	None	298	None	17	None	17	None	20	None	68	None	33	None	33	None
1437557360	SALEHI FARA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1437557360	SALEHI FARA	2021	FFS	RENDERING	AGE 21+	12	None	57	None	None	1	None	2	None	1	None	2	None	1	None	1
1437562576	SAGONG YOUN	2021	FFS	RENDERING	AGE 0-20	50	None	225	None	0	None	0	None	50	None	225	None	0	None	0	None
1437562576	SAGONG YOUN	2021	FFS	RENDERING	AGE 21+	94	None	417	None	0	None	0	None	93	None	411	None	0	None	0	None
1437565199	SANDHU GURKAMAL	2021	FFS	RENDERING	AGE 0-20	83	None	658	None	74	None	284	None	19	None	28	None	77	None	95	None
1437565199	SANDHU GURKAMAL	2021	FFS	RENDERING	AGE 21+	322	None	2,133	None	194	None	359	None	203	None	507	None	226	None	228	None
1437569191	SERRATO ACERO MARTHA V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1437569191	SERRATO ACERO MARTHA V	2021	PHP	RENDERING	AGE 0-20	115	None	1,116	None	92	None	415	None	103	None	193	None	72	None	73	None
1437569191	SERRATO ACERO MARTHA V	2021	PHP	RENDERING	AGE 21+	144	None	630	None	41	None	84	None	107	None	244	None	52	None	52	None
1437571783	RAFI DAVIDIAN DMD CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1437592706	IBARRA MARIAN	2021	FFS	RENDERING	AGE 0-20	155	None	1,069	None	107	None	284	None	104	None	311	None	102	None	107	None
1437592706	IBARRA MARIAN	2021	FFS	RENDERING	AGE 21+	444	None	2,682	None	162	None	304	None	346	None	1,269	None	236	None	236	None
1437598935	SHAH PUNIT K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1437599339	SHAH NIRAJ V	2021	FFS	RENDERING	AGE 0-20	19	None	141	None	17	None	51	None	11	None	23	None	16	None	19	None
1437599339	SHAH NIRAJ V	2021	FFS	RENDERING	AGE 21+	64	None	379	None	27	None	52	None	33	None	155	None	56	None	56	None
1437600434	LEE VIVIAN	2021	FFS	RENDERING	AGE 0-20	183	None	1,270	None	85	None	215	None	158	None	528	None	48	None	48	None
1437600434	LEE VIVIAN	2021	FFS	RENDERING	AGE 21+	29	None	135	None	0	None	0	None	27	None	72	None	None	1	None	1
1437607967	ANDRABI AMBREEN	2021	FFS	RENDERING	AGE 0-20	267	None	1,726	None	231	None	830	None	87	None	144	None	241	None	280	None
1437607967	ANDRABI AMBREEN	2021	FFS	RENDERING	AGE 21+	206	None	688	None	48	None	81	None	107	None	253	None	137	None	137	None
1437607967	ANDRABI AMBREEN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1437607967	ANDRABI AMBREEN	2021	PHP	RENDERING	AGE 0-20	105	None	479	None	83	None	222	None	27	None	43	None	92	None	108	None
1437607967	ANDRABI AMBREEN	2021	PHP	RENDERING	AGE 21+	73	None	281	None	21	None	31	None	45	None	153	None	40	None	41	None
1437608361	KIM CHRISTINE J	2021	FFS	RENDERING	AGE 0-20	632	None	10,986	None	408	None	1,041	None	497	None	4,836	None	596	None	669	None
1437608361	KIM CHRISTINE J	2021	PHP	RENDERING	AGE 0-20	46	None	356	None	36	None	91	None	45	None	123	None	None	1	None	1
1437615259	CHUCK CHRISTOPHER R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1437615259	CHUCK CHRISTOPHER R	2021	GMC	RENDERING	AGE 0-20	225	None	1,178	None	121	None	428	None	170	None	307	None	87	None	88	None
1437615259	CHUCK CHRISTOPHER R	2021	GMC	RENDERING	AGE 21+	439	None	1,635	None	89	None	197	None	342	None	842	None	151	None	153	None
1437621588	FLORES JOHNNY	2021	FFS	RENDERING	AGE 0-20	468	None	2,604	None	277	None	1,005	None	240	None	649	None	334	None	352	None
1437621588	FLORES JOHNNY	2021	FFS	RENDERING	AGE 21+	723	None	2,293	None	70	None	132	None	362	None	945	None	460	None	460	None
1437621976	DENTAL CORPORATION OF RODRIG	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1437621976	DENTAL CORPORATION OF RODRIG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1437635711	PATEL ADITI C	2021	FFS	RENDERING	AGE 0-20	140	None	1,227	None	112	None	225	None	40	None	94	None	104	None	105	None
1437641065	MALAN BRANDON B	2021	FFS	RENDERING	AGE 0-20	540	None	1,069	None	0	None	0	None	194	None	581	None	0	None	0	None
1437641065	MALAN BRANDON B	2021	FFS	RENDERING	AGE 21+	18	None	18	None	0	None	0	None	0	None	0	None	0	None	0	None
1437641065	MALAN BRANDON B	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1437641065	MALAN BRANDON B	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1437641065	MALAN BRANDON B	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437644150	ELGRICHI KEVIN A	2021	FFS	RENDERING	AGE 0-20	167	None	1,894	None	150	None	697	None	106	None	250	None	155	None	179	None
1437644150	ELGRICHI KEVIN A	2021	FFS	RENDERING	AGE 21+	276	None	2,323	None	163	None	322	None	178	None	674	None	221	None	221	None
1437656709	TRAN JENNIFER T	2021	FFS	RENDERING	AGE 0-20	61	None	465	None	43	None	136	None	31	None	72	None	43	None	47	None
1437656709	TRAN JENNIFER T	2021	FFS	RENDERING	AGE 21+	83	None	452	None	28	None	47	None	69	None	157	None	37	None	37	None
1437661865	CHU RICHARD T	2021	FFS	RENDERING	AGE 0-20	108	None	1,018	None	85	None	201	None	48	None	154	None	94	None	113	None
1437661865	CHU RICHARD T	2021	FFS	RENDERING	AGE 21+	247	None	1,085	None	31	None	31	None	163	None	440	None	138	None	138	None
1437661865	CHU RICHARD T	2021	PHP	RENDERING	AGE 0-20	71	None	681	None	55	None	117	None	30	None	80	None	59	None	65	None
1437661865	CHU RICHARD T	2021	PHP	RENDERING	AGE 21+	55	None	282	None	13	None	13	None	27	None	83	None	40	None	40	None
1437689486	SUN DIEN	2021	FFS	RENDERING	AGE 0-20	400	None	2,476	None	319	None	851	None	246	None	389	None	296	None	324	None
1437690385	LE JENNY K	2021	FFS	RENDERING	AGE 0-20	15	None	138	None	15	None	55	None	None	1	None	2	15	None	19	None
1437690385	LE JENNY K	2021	FFS	RENDERING	AGE 21+	60	None	443	None	38	None	73	None	44	None	205	None	39	None	39	None
1437703014	DEMBEKJIAN ARYS A	2021	FFS	RENDERING	AGE 0-20	102	None	716	None	58	None	153	None	60	None	125	None	50	None	50	None
1437703014	DEMBEKJIAN ARYS A	2021	FFS	RENDERING	AGE 21+	211	None	834	None	41	None	41	None	148	None	415	None	76	None	76	None
1437703121	LAU ANGELA T	2021	FFS	RENDERING	AGE 0-20	84	None	528	None	45	None	59	None	35	None	90	None	55	None	56	None
1437703121	LAU ANGELA T	2021	FFS	RENDERING	AGE 21+	163	None	841	None	20	None	24	None	88	None	309	None	104	None	104	None
1437703121	LAU ANGELA T	2021	PHP	RENDERING	AGE 0-20	15	None	87	None	14	None	26	None	None	1	None	1	13	None	14	None
1437703121	LAU ANGELA T	2021	PHP	RENDERING	AGE 21+	28	None	141	None	21	None	29	None	None	1	None	2	23	None	24	None
1437710993	PATEL KISHAN S	2021	FFS	RENDERING	AGE 0-20	1,220	None	29,145	None	769	None	2,245	None	1,215	None	15,314	None	1,164	None	1,174	None
1437720703	THAKKAR KINHA H	2021	FFS	RENDERING	AGE 0-20	74	None	328	None	46	None	93	None	43	None	114	None	24	None	24	None
1437720703	THAKKAR KINHA H	2021	FFS	RENDERING	AGE 21+	116	None	406	None	48	None	92	None	84	None	239	None	None	1	None	1
1437759164	TERTERYAN SHANT	2021	FFS	RENDERING	AGE 0-20	94	None	490	None	52	None	140	None	71	None	182	None	31	None	31	None
1437759164	TERTERYAN SHANT	2021	FFS	RENDERING	AGE 21+	159	None	685	None	13	None	22	None	131	None	473	None	40	None	40	None
1437759164	TERTERYAN SHANT	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1437761475	PARSA POUYA	2021	FFS	RENDERING	AGE 0-20	330	None	1,746	None	195	None	507	None	153	None	475	None	237	None	237	None
1437761475	PARSA POUYA	2021	FFS	RENDERING	AGE 21+	676	None	2,568	None	126	None	232	None	381	None	1,203	None	384	None	385	None
1437761475	PARSA POUYA	2021	PHP	RENDERING	AGE 0-20	58	None	367	None	41	None	113	None	27	None	69	None	54	None	54	None
1437761475	PARSA POUYA	2021	PHP	RENDERING	AGE 21+	73	None	307	None	17	None	29	None	35	None	132	None	53	None	54	None
1437764792	HAKOBYAN HARUT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1437764792	HAKOBYAN HARUT	2021	FFS	RENDERING	AGE 21+	12	None	27	None	0	None	0	None	None	1	None	1	None	1	None	1
1437764792	HAKOBYAN HARUT	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1437764792	HAKOBYAN HARUT	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1437825197	SHAYEFAR MICHAEL	2021	FFS	RENDERING	AGE 0-20	98	None	923	None	85	None	246	None	52	None	111	None	83	None	84	None
1437825197	SHAYEFAR MICHAEL	2021	FFS	RENDERING	AGE 21+	117	None	529	None	47	None	94	None	78	None	187	None	54	None	54	None
1447219423	BOGSARA HASSAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447219423	BOGSARA HASSAN	2021	FFS	RENDERING	AGE 21+	97	None	309	None	29	None	29	None	58	None	114	None	42	None	42	None
1447219423	BOGSARA, HASSAN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447219423	BOGSARA, HASSAN, DDS	2021	FFS	RENDERING	AGE 21+	97	None	618	None	29	None	58	None	58	None	228	None	42	None	84	None
1447244983	NIU SHI-LIN	2021	FFS	RENDERING	AGE 0-20	1,983	None	20,715	None	1,903	None	7,583	None	1,372	None	5,167	None	1,942	None	2,775	None
1447244983	NIU SHI-LIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447269964	LIBERMAN ANNA	2021	FFS	RENDERING	AGE 0-20	145	None	841	None	121	None	214	None	53	None	151	None	123	None	137	None
1447269964	LIBERMAN ANNA	2021	FFS	RENDERING	AGE 21+	224	None	878	None	41	None	44	None	113	None	279	None	154	None	154	None
1447269964	LIBERMAN ANNA	2021	PHP	RENDERING	AGE 0-20	37	None	153	None	29	None	41	None	16	None	34	None	28	None	32	None
1447269964	LIBERMAN ANNA	2021	PHP	RENDERING	AGE 21+	19	None	66	None	None	1	None	1	None	1	None	2	13	None	14	None
1447275375	PARK TAE EEN	2021	FFS	RENDERING	AGE 0-20	321	None	2,814	None	249	None	649	None	158	None	924	None	295	None	361	None
1447275375	PARK TAE EEN	2021	FFS	RENDERING	AGE 21+	946	None	7,264	None	514	None	978	None	667	None	3,614	None	758	None	759	None
1447275375	PARK TAE EEN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447276357	LE STEVE A	2021	FFS	RENDERING	AGE 0-20	16	None	69	None	11	None	28	None	None	1	None	1	14	None	14	None
1447276357	LE STEVE A	2021	FFS	RENDERING	AGE 21+	48	None	121	None	None	1	None	1	17	None	21	None	25	None	25	None
1447276357	LE STEVE A	2021	GMC	RENDERING	AGE 0-20	659	None	2,669	None	215	None	713	None	179	None	241	None	275	None	278	None
1447276357	LE STEVE A	2021	GMC	RENDERING	AGE 21+	1,204	None	3,432	None	61	None	116	None	471	None	852	None	181	None	182	None
1447276357	LE STEVE A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447302005	PUTRASAMAN, PERRI, DDS	2021	FFS	RENDERING	AGE 0-20	4,834	None	79,972	None	4,494	None	14,083	None	1,863	None	14,500	None	4,639	None	6,091	None
1447302005	PUTRASAMAN, PERRI, DDS	2021	FFS	RENDERING	AGE 21+	369	None	3,439	None	267	None	277	None	142	None	395	None	296	None	296	None
1447304852	ROH, MIN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447304852	ROH, MIN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447307756	ABAJIAN JOHN M	2021	FFS	RENDERING	AGE 0-20	16	None	51	None	None	1	None	2	None	1	None	1	13	None	14	None
1447307756	ABAJIAN JOHN M	2021	FFS	RENDERING	AGE 21+	44	None	135	None	13	None	18	None	None	1	None	2	40	None	40	None
1447313713	HARRIS VICKI J	2021	FFS	RENDERING	AGE 21+	856	None	2,272	None	535	None	947	None	856	None	1,325	None	0	None	0	None
1447316864	HEIDARDR, BABAK DDS	2021	FFS	RENDERING	AGE 0-20	69	None	585	None	61	None	219	None	20	None	57	None	46	None	54	None
1447316864	HEIDARDR, BABAK DDS	2021	FFS	RENDERING	AGE 21+	63	None	353	None	32	None	32	None	39	None	135	None	30	None	30	None
1447317565	CHUA JOSEFINA U	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1447317565	CHUA JOSEFINA U	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447318548	AN, YOUNG-JUN, DDS	2021	FFS	RENDERING	AGE 0-20	254	None	2,169	None	225	None	715	None	88	None	187	None	219	None	318	None
1447318548	AN, YOUNG-JUN, DDS	2021	FFS	RENDERING	AGE 21+	571	None	3,369	None	308	None	554	None	404	None	1,025	None	353	None	355	None
1447318548	AN, YOUNG-JUN, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447319900	MIN, DEREK A, DDS	2021	FFS	RENDERING	AGE 0-20	62	None	393	None	57	None	193	None	24	None	59	None	52	None	54	None
1447319900	MIN, DEREK A, DDS	2021	FFS	RENDERING	AGE 21+	53	None	262	None	43	None	65	None	28	None	49	None	42	None	42	None
1447319900	MIN, DEREK A, DDS	2021	PHP	RENDERING	AGE 0-20	77	None	553	None	70	None	301	None	31	None	91	None	69	None	80	None
1447319900	MIN, DEREK A, DDS	2021	PHP	RENDERING	AGE 21+	64	None	375	None	55	None	137	None	27	None	67	None	55	None	55	None
1447320338	ZARRINNAM SHAHRZAD F	2021	FFS	RENDERING	AGE 0-20	69	None	495	None	64	None	257	None	23	None	64	None	67	None	78	None
1447320338	ZARRINNAM SHAHRZAD F	2021	FFS	RENDERING	AGE 21+	131	None	478	None	75	None	144	None	60	None	114	None	104	None	104	None
1447323902	BERNSTINE BYRON D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447324652	AZARMI SOODABEH	2021	FFS	RENDERING	AGE 0-20	11	None	53	None	None	1	None	2	None	1	None	1	11	None	13	None
1447324652	AZARMI SOODABEH	2021	FFS	RENDERING	AGE 21+	89	None	476	None	64	None	125	None	47	None	167	None	75	None	75	None
1447326467	MACARUBBO-MANAB GRACE	2021	FFS	RENDERING	AGE 0-20	1,137	None	18,290	None	1,094	None	4,584	None	479	None	1,517	None	1,115	None	1,635	None
1447326467	MACARUBBO-MANAB GRACE	2021	FFS	RENDERING	AGE 21+	50	None	446	None	43	None	86	None	21	None	64	None	44	None	44	None
1447333943	KIM JAE-YOUN	2021	FFS	RENDERING	AGE 0-20	283	None	3,126	None	276	None	991	None	164	None	468	None	280	None	374	None
1447333943	KIM JAE-YOUN	2021	FFS	RENDERING	AGE 21+	244	None	1,736	None	151	None	298	None	172	None	649	None	189	None	191	None
1447339353	PEZOLDT ANDREA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447340310	ABRAMS, RICHARD M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447344957	GROPER JOHN N	2021	FFS	RENDERING	AGE 0-20	124	None	173	None	12	None	26	None	17	None	30	None	18	None	18	None
1447346614	FAJARDO MARIA C	2021	FFS	RENDERING	AGE 0-20	450	None	2,864	None	340	None	1,137	None	187	None	463	None	362	None	370	None
1447346614	FAJARDO MARIA C	2021	FFS	RENDERING	AGE 21+	664	None	2,638	None	237	None	439	None	340	None	1,059	None	358	None	358	None
1447346762	MINASYAN KHAREN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447346762	MINASYAN KHAREN	2021	FFS	RENDERING	AGE 21+	107	None	401	None	29	None	56	None	63	None	174	None	48	None	48	None
1447349808	PECAOCO GERTRUDES M	2021	FFS	RENDERING	AGE 0-20	14	None	111	None	12	None	24	None	None	1	None	2	None	1	None	1
1447349808	PECAOCO GERTRUDES M	2021	FFS	RENDERING	AGE 21+	32	None	180	None	19	None	27	None	17	None	57	None	22	None	22	None
1447351127	ZINMAN TUVIA	2021	FFS	RENDERING	AGE 0-20	164	None	924	None	50	None	99	None	114	None	300	None	130	None	131	None
1447351127	ZINMAN TUVIA	2021	FFS	RENDERING	AGE 21+	382	None	2,551	None	144	None	253	None	250	None	1,105	None	256	None	256	None
1447351614	DAVIS, MARK L, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447351614	DAVIS, MARK L, DDS	2021	FFS	RENDERING	AGE 21+	187	None	882	None	11	None	11	None	102	None	572	None	132	None	132	None
1447353701	ARROYO VISTA FAMILY	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447353701	ARROYO VISTA FAMILY	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1447356480	YOON RICHARD	2021	FFS	RENDERING	AGE 0-20	1,282	None	9,937	None	1,199	None	4,939	None	130	None	250	None	1,180	None	1,717	None
1447356480	YOON RICHARD	2021	FFS	RENDERING	AGE 21+	1,122	None	6,336	None	858	None	1,635	None	465	None	1,351	None	889	None	889	None
1447367552	NOGOY CONSUELO M	2021	FFS	RENDERING	AGE 0-20	618	None	6,493	None	598	None	2,560	None	225	None	736	None	612	None	736	None
1447367552	NOGOY CONSUELO M	2021	FFS	RENDERING	AGE 21+	331	None	2,283	None	162	None	324	None	176	None	476	None	289	None	289	None
1447370184	SOOD IYAD A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447373030	TRAN-NGUYEN, ROSE P L, DMD	2021	FFS	RENDERING	AGE 0-20	27	None	197	None	24	None	49	None	None	1	None	2	24	None	24	None
1447373030	TRAN-NGUYEN, ROSE P L, DMD	2021	FFS	RENDERING	AGE 21+	23	None	104	None	12	None	15	None	16	None	35	None	15	None	15	None
1447382759	BARDI F. MIKE	2021	PHP	RENDERING	AGE 0-20	82	None	401	None	None	1	None	1	74	None	113	None	32	None	32	None
1447382759	BARDI F. MIKE	2021	PHP	RENDERING	AGE 21+	550	None	2,783	None	129	None	134	None	342	None	464	None	497	None	517	None
1447382965	MANOUCHEHR-POUR MANOUCHEHR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447382965	MANOUCHEHR-POUR MANOUCHEHR	2021	FFS	RENDERING	AGE 21+	24	None	37	None	0	None	0	None	17	None	27	None	None	1	None	1
1447382965	MANOUCHEHR-POUR MANOUCHEHR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1447390414	ROBLETO INDIANA	2021	FFS	RENDERING	AGE 0-20	123	None	1,381	None	116	None	259	None	60	None	171	None	117	None	130	None
1447390414	ROBLETO INDIANA	2021	FFS	RENDERING	AGE 21+	37	None	342	None	30	None	60	None	20	None	38	None	31	None	31	None
1447390414	ROBLETO, INDIANA, DDS	2021	FFS	RENDERING	AGE 0-20	123	None	1,381	None	116	None	259	None	60	None	171	None	117	None	130	None
1447390414	ROBLETO, INDIANA, DDS	2021	FFS	RENDERING	AGE 21+	37	None	342	None	30	None	60	None	20	None	38	None	31	None	31	None
1447390711	LUGTU, MICHAEL J, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1447392964	BHATT, BHARAT C, DDS	2021	FFS	RENDERING	AGE 0-20	24	None	192	None	17	None	45	None	14	None	55	None	18	None	18	None
1447392964	BHATT, BHARAT C, DDS	2021	FFS	RENDERING	AGE 21+	86	None	595	None	53	None	104	None	67	None	290	None	57	None	57	None
1447396502	PAYNE, DARYL B, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1447396502	PAYNE, DARYL B, DDS	2021	GMC	RENDERING	AGE 21+	12	None	39	None	None	1	None	1	None	1	None	1	None	1	None	1
1447397070	KEVORKIAN, GARY K, DDS	2021	FFS	RENDERING	AGE 0-20	174	None	776	None	0	None	0	None	68	None	462	None	0	None	0	None
1447398920	TRAN LEE C	2021	FFS	RENDERING	AGE 0-20	66	None	353	None	63	None	145	None	None	1	None	2	19	None	19	None
1447398920	TRAN LEE C	2021	FFS	RENDERING	AGE 21+	94	None	369	None	66	None	66	None	20	None	36	None	51	None	51	None
1447405030	PARK SHERIE S	2021	FFS	RENDERING	AGE 0-20	202	None	2,047	None	194	None	735	None	104	None	246	None	179	None	244	None
1447405030	PARK SHERIE S	2021	FFS	RENDERING	AGE 21+	262	None	1,513	None	156	None	310	None	106	None	260	None	209	None	209	None
1447405030	PARK SHERIE S	2021	PHP	RENDERING	AGE 0-20	52	None	347	None	50	None	160	None	17	None	26	None	50	None	51	None
1447405030	PARK SHERIE S	2021	PHP	RENDERING	AGE 21+	25	None	141	None	None	1	None	2	None	1	None	2	17	None	17	None
1447405600	LE KATHRYN M	2021	FFS	RENDERING	AGE 0-20	141	None	555	None	0	None	0	None	141	None	555	None	0	None	0	None
1447422266	TRAN LONG D	2021	FFS	RENDERING	AGE 0-20	690	None	8,606	None	672	None	2,904	None	342	None	1,070	None	640	None	955	None
1447422266	TRAN LONG D	2021	FFS	RENDERING	AGE 21+	176	None	1,624	None	151	None	301	None	98	None	347	None	155	None	155	None
1447430475	LEVARDO, ELPI MINETTE C, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	116	None	None	1	None	2	None	1	None	1	None	1	None	1
1447430475	LEVARDO, ELPI MINETTE C, DDS	2021	FFS	RENDERING	AGE 21+	22	None	175	None	14	None	26	None	None	1	None	2	16	None	16	None
1447431333	MAPANAO, MIGNON C DDS	2021	FFS	RENDERING	AGE 0-20	108	None	1,114	None	104	None	360	None	33	None	166	None	104	None	151	None
1447431333	MAPANAO, MIGNON C DDS	2021	FFS	RENDERING	AGE 21+	108	None	616	None	84	None	167	None	45	None	183	None	92	None	92	None
1447439039	ESCAMILLO, ALEX JAMES, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447439039	ESCAMILLO, ALEX JAMES, DDS	2021	FFS	RENDERING	AGE 21+	734	None	3,710	None	456	None	918	None	731	None	2,209	None	458	None	459	None
1447440383	HAERI ASHKAN	2021	FFS	RENDERING	AGE 0-20	42	None	184	None	30	None	63	None	None	1	None	2	33	None	33	None
1447440383	HAERI ASHKAN	2021	FFS	RENDERING	AGE 21+	153	None	475	None	44	None	77	None	98	None	175	None	85	None	85	None
1447441712	HAKIMI, S SEAN, DENTAL CORPO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447444658	LEE JEE S	2021	FFS	RENDERING	AGE 0-20	328	None	2,362	None	299	None	1,025	None	133	None	435	None	316	None	398	None
1447444658	LEE JEE S	2021	FFS	RENDERING	AGE 21+	481	None	2,477	None	201	None	264	None	261	None	1,268	None	389	None	389	None
1447449608	GALVEZ CLAUDIA E	2021	FFS	RENDERING	AGE 0-20	65	None	402	None	43	None	52	None	42	None	147	None	52	None	61	None
1447449608	GALVEZ CLAUDIA E	2021	FFS	RENDERING	AGE 21+	670	None	3,560	None	363	None	375	None	441	None	1,600	None	428	None	440	None
1447449608	GALVEZ CLAUDIA E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447455431	LE BICH N	2021	FFS	RENDERING	AGE 0-20	17	None	84	None	12	None	24	None	11	None	23	None	12	None	12	None
1447455431	LE BICH N	2021	FFS	RENDERING	AGE 21+	262	None	1,254	None	64	None	88	None	235	None	836	None	68	None	70	None
1447455431	LE BICH N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1447455431	LE BICH N	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447461850	KIM JULIE E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447461850	KIM JULIE E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1447462114	ABRAMOVICI, M, & S NOURIAN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447462114	ABRAMOVICI, M, & S NOURIAN D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1447462114	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447462114	UNKNOWN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1447463146	DONG, MICHAEL CUONG, DMD	2021	FFS	RENDERING	AGE 0-20	89	None	469	None	77	None	174	None	41	None	131	None	58	None	64	None
1447463146	DONG, MICHAEL CUONG, DMD	2021	FFS	RENDERING	AGE 21+	159	None	852	None	99	None	99	None	91	None	454	None	94	None	94	None
1447475868	VOLOSHIN, M, DDS PROFESSIONA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1447475868	VOLOSHIN, M, DDS PROFESSIONA	2021	PHP	RENDERING	AGE 21+	12	None	45	None	None	1	None	1	None	1	None	2	None	1	None	1
1447482229	CORTEZ, LIDA, RDHAP	2021	FFS	RENDERING	AGE 21+	753	None	5,560	None	746	None	2,393	None	753	None	3,167	None	0	None	0	None
1447497177	SJ SUMMIT DENTAL INC	2021	PHP	RENDERING	AGE 0-20	48	None	253	None	46	None	100	None	19	None	71	None	46	None	46	None
1447497177	SJ SUMMIT DENTAL INC	2021	PHP	RENDERING	AGE 21+	92	None	378	None	65	None	67	None	36	None	166	None	76	None	76	None
1447504212	MABANSAG, LALAINE DDS	2021	FFS	RENDERING	AGE 0-20	49	None	567	None	48	None	215	None	22	None	65	None	48	None	75	None
1447504212	MABANSAG, LALAINE DDS	2021	FFS	RENDERING	AGE 21+	82	None	747	None	71	None	140	None	50	None	211	None	70	None	70	None
1447505417	BALA AMRIT P	2021	FFS	RENDERING	AGE 0-20	1,533	None	17,468	None	1,515	None	6,269	None	1,038	None	2,411	None	1,484	None	2,144	None
1447512280	HOSN KALID N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1447512280	HOSN KALID N	2021	FFS	RENDERING	AGE 21+	28	None	62	None	0	None	0	None	13	None	17	None	17	None	17	None
1447512280	HOSN KALID N	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447512280	HOSN KALID N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447512280	HOSN KALID N	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447519129	SOHRAB, SANAH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447519129	SOHRAB, SANAH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1447522545	WANG JEFFREY M	2021	FFS	RENDERING	AGE 0-20	597	None	6,511	None	503	None	1,578	None	314	None	777	None	522	None	643	None
1447522545	WANG JEFFREY M	2021	FFS	RENDERING	AGE 21+	634	None	3,108	None	258	None	516	None	450	None	1,117	None	381	None	381	None
1447523667	SONG IN HEE	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1447523667	SONG IN HEE	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1447527569	EDALATPAJOUH FARAMARZ	2021	FFS	RENDERING	AGE 0-20	42	None	317	None	35	None	80	None	21	None	78	None	35	None	37	None
1447527569	EDALATPAJOUH FARAMARZ	2021	FFS	RENDERING	AGE 21+	326	None	1,806	None	106	None	133	None	254	None	972	None	181	None	181	None
1447532684	FATAHI SEPI	2021	FFS	RENDERING	AGE 0-20	78	None	558	None	59	None	184	None	29	None	50	None	67	None	84	None
1447532684	FATAHI SEPI	2021	FFS	RENDERING	AGE 21+	176	None	804	None	87	None	165	None	63	None	136	None	159	None	159	None
1447532684	FATAHI SEPI	2021	PHP	RENDERING	AGE 0-20	168	None	1,415	None	158	None	475	None	39	None	81	None	160	None	210	None
1447532684	FATAHI SEPI	2021	PHP	RENDERING	AGE 21+	207	None	885	None	141	None	253	None	36	None	100	None	192	None	194	None
1447539275	DALAL, DR SHIBANI M DDS	2021	FFS	RENDERING	AGE 0-20	99	None	342	None	None	1	None	2	84	None	176	None	56	None	57	None
1447539275	DALAL, DR SHIBANI M DDS	2021	FFS	RENDERING	AGE 21+	19	None	99	None	None	1	None	1	11	None	42	None	13	None	13	None
1447539275	DALAL, DR SHIBANI M DDS	2021	PHP	RENDERING	AGE 0-20	45	None	296	None	40	None	98	None	11	None	22	None	41	None	53	None
1447539275	DALAL, DR SHIBANI M DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447556840	KEIVAN SARRAF, DDS, INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447556840	KEIVAN SARRAF, DDS, INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447556840	KEIVAN SARRAF, DDS, INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447556840	SARRAF, KEIVAN, DDS INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447556840	SARRAF, KEIVAN, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447556840	SARRAF, KEIVAN, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447563226	RODAS MELISSA M	2021	FFS	RENDERING	AGE 0-20	22	None	165	None	17	None	45	None	None	1	None	2	18	None	18	None
1447563226	RODAS MELISSA M	2021	FFS	RENDERING	AGE 21+	61	None	355	None	32	None	60	None	38	None	136	None	35	None	35	None
1447569595	GARCIA GABRIELA E	2021	FFS	RENDERING	AGE 0-20	307	None	1,088	None	0	None	0	None	255	None	723	None	0	None	0	None
1447574413	LIOU JIA-KAE J	2021	FFS	RENDERING	AGE 21+	876	None	3,330	None	366	None	533	None	868	None	1,617	None	571	None	571	None
1447579370	SANTOSH KUMAR SUNDARESAN	2021	FFS	RENDERING	AGE 0-20	12	None	31	None	None	1	None	1	None	1	None	2	None	1	None	1
1447579370	SANTOSH KUMAR SUNDARESAN	2021	FFS	RENDERING	AGE 21+	143	None	603	None	None	1	None	1	120	None	480	None	43	None	43	None
1447593991	LEE HYUN SUK	2021	FFS	RENDERING	AGE 0-20	703	None	11,514	None	677	None	3,089	None	615	None	3,153	None	690	None	1,029	None
1447593991	LEE HYUN SUK	2021	FFS	RENDERING	AGE 21+	174	None	1,702	None	126	None	216	None	118	None	664	None	141	None	141	None
1447613971	REESE, DIANE J, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1447614599	ABDOSSALEHI ASSAL	2021	FFS	RENDERING	AGE 0-20	3,015	None	21,571	None	2,458	None	7,747	None	1,711	None	5,430	None	2,249	None	2,347	None
1447614599	ABDOSSALEHI ASSAL	2021	PHP	RENDERING	AGE 0-20	65	None	520	None	36	None	103	None	50	None	269	None	26	None	32	None
1447619895	CHANDHOKE KENDRA G	2021	FFS	RENDERING	AGE 0-20	4,366	None	46,715	None	3,689	None	12,279	None	2,878	None	9,176	None	3,596	None	4,216	None
1447619895	CHANDHOKE KENDRA G	2021	FFS	RENDERING	AGE 21+	11	None	95	None	None	1	None	2	None	1	None	2	None	1	None	1
1447628516	CHAN ASHLEY	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1447628516	CHAN ASHLEY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1447634373	JANG, S, DDS INCORPORATED	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447634373	S. JANG DDS INCORPORATED	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447636527	FIERRO, LEONCIO NIKOLAY, DDS	2021	FFS	RENDERING	AGE 0-20	101	None	761	None	84	None	263	None	53	None	179	None	82	None	93	None
1447636527	FIERRO, LEONCIO NIKOLAY, DDS	2021	FFS	RENDERING	AGE 21+	148	None	890	None	83	None	161	None	105	None	428	None	94	None	94	None
1447654462	ALPEZ RICARDO A	2021	FFS	RENDERING	AGE 0-20	46	None	302	None	40	None	109	None	16	None	76	None	27	None	32	None
1447654462	ALPEZ RICARDO A	2021	FFS	RENDERING	AGE 21+	116	None	636	None	82	None	161	None	73	None	287	None	47	None	47	None
1447656111	MOSHAR MEGAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447662341	JH CHUN DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1447674817	HASEEB NOREEN	2021	FFS	RENDERING	AGE 0-20	184	None	1,081	None	68	None	143	None	106	None	451	None	114	None	118	None
1447674817	HASEEB NOREEN	2021	FFS	RENDERING	AGE 21+	585	None	2,749	None	99	None	182	None	374	None	1,498	None	322	None	322	None
1447692488	NEIL V PATEL, DDS, INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447697107	LIU SAMUEL	2021	FFS	RENDERING	AGE 0-20	391	None	2,112	None	0	None	0	None	390	None	2,065	None	None	1	None	1
1447697107	LIU SAMUEL	2021	FFS	RENDERING	AGE 21+	592	None	2,606	None	0	None	0	None	586	None	2,553	None	None	1	None	1
1447697107	LIU SAMUEL	2021	PHP	RENDERING	AGE 0-20	21	None	131	None	0	None	0	None	21	None	123	None	0	None	0	None
1447697107	LIU SAMUEL	2021	PHP	RENDERING	AGE 21+	26	None	142	None	0	None	0	None	23	None	124	None	11	None	11	None
1447698345	BURNETT AUSTIN A	2021	FFS	RENDERING	AGE 0-20	99	None	491	None	0	None	0	None	96	None	471	None	None	1	None	1
1447698345	BURNETT AUSTIN A	2021	FFS	RENDERING	AGE 21+	93	None	350	None	0	None	0	None	88	None	309	None	None	1	None	1
1447704580	POURMORADY BENJAMIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1447704580	POURMORADY BENJAMIN	2021	FFS	RENDERING	AGE 21+	20	None	32	None	None	1	None	1	12	None	19	None	None	1	None	1
1447744966	NAVAB GHAZAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447746623	HERAYPUR SHEILA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447749957	ESMAILI SARAH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1447771100	GYOKCHYAN TIGRAN	2021	FFS	RENDERING	AGE 0-20	487	None	2,889	None	141	None	352	None	277	None	589	None	270	None	276	None
1447771100	GYOKCHYAN TIGRAN	2021	FFS	RENDERING	AGE 21+	1,333	None	5,592	None	135	None	135	None	938	None	2,421	None	637	None	637	None
1447778220	PAI JACK Y	2021	FFS	RENDERING	AGE 0-20	11	None	37	None	None	1	None	1	None	1	None	2	None	1	None	1
1447778220	PAI JACK Y	2021	FFS	RENDERING	AGE 21+	28	None	65	None	None	1	None	1	19	None	39	None	None	1	None	1
1447779327	NGUYEN DEXTER U	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447779327	NGUYEN DEXTER U	2021	FFS	RENDERING	AGE 21+	16	None	40	None	0	None	0	None	16	None	40	None	0	None	0	None
1447795265	CHAMBERS MAXMILLIAN	2021	FFS	RENDERING	AGE 0-20	38	None	264	None	29	None	119	None	13	None	27	None	29	None	29	None
1447795265	CHAMBERS MAXMILLIAN	2021	FFS	RENDERING	AGE 21+	99	None	306	None	20	None	40	None	68	None	141	None	46	None	46	None
1447796636	BORGHEI SARAH	2021	FFS	RENDERING	AGE 0-20	107	None	161	None	0	None	0	None	None	1	None	1	0	None	0	None
1447803218	LEE RAYMOND	2021	FFS	RENDERING	AGE 0-20	2,035	None	15,260	None	1,168	None	3,356	None	1,700	None	3,922	None	953	None	959	None
1447811310	AL-GROUZ MALIK	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447862966	LEE SEOUNGHUI	2021	FFS	RENDERING	AGE 0-20	3,845	None	48,655	None	3,233	None	10,959	None	2,523	None	10,068	None	3,214	None	3,714	None
1447862966	LEE SEOUNGHUI	2021	FFS	RENDERING	AGE 21+	13	None	128	None	None	1	None	2	None	1	None	2	11	None	11	None
1447867163	JUNG TAEWON T	2021	FFS	RENDERING	AGE 0-20	2,394	None	31,250	None	2,222	None	6,331	None	1,595	None	5,106	None	2,293	None	2,414	None
1447867163	JUNG TAEWON T	2021	FFS	RENDERING	AGE 21+	93	None	813	None	61	None	125	None	29	None	97	None	85	None	87	None
1447881537	SALAMIPOUR ELIEKA A	2021	FFS	RENDERING	AGE 0-20	710	None	7,629	None	536	None	1,663	None	331	None	982	None	548	None	554	None
1447881537	SALAMIPOUR ELIEKA A	2021	FFS	RENDERING	AGE 21+	451	None	2,969	None	131	None	213	None	305	None	906	None	174	None	174	None
1457319188	BAWA RATANDEEP K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1457329948	KANZALI JAMES B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457329948	KANZALI JAMES B	2021	GMC	RENDERING	AGE 0-20	1,714	None	11,791	None	965	None	3,477	None	626	None	1,121	None	1,004	None	1,074	None
1457357105	TSAI MICHAEL C	2021	FFS	RENDERING	AGE 0-20	21	None	116	None	18	None	69	None	None	1	None	1	17	None	17	None
1457357105	TSAI MICHAEL C	2021	FFS	RENDERING	AGE 21+	178	None	1,013	None	102	None	110	None	141	None	562	None	118	None	118	None
1457368425	PENA, REBECCA IRENE A, DMD A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1457368425	PENA, REBECCA IRENE A, DMD A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1457403974	CRAWFORD, VICTOR X, DDS INC	2021	FFS	RENDERING	AGE 0-20	34	None	194	None	26	None	82	None	13	None	34	None	22	None	22	None
1457403974	CRAWFORD, VICTOR X, DDS INC	2021	FFS	RENDERING	AGE 21+	272	None	1,511	None	71	None	71	None	218	None	797	None	99	None	99	None
1457412611	SHAH, SAMIR B DDS	2021	FFS	RENDERING	AGE 0-20	542	None	8,546	None	525	None	2,363	None	198	None	571	None	533	None	688	None
1457412611	SHAH, SAMIR B DDS	2021	FFS	RENDERING	AGE 21+	526	None	5,372	None	300	None	600	None	251	None	892	None	469	None	469	None
1457417099	SINGH JYOTI S	2021	FFS	RENDERING	AGE 21+	74	None	296	None	33	None	33	None	42	None	101	None	29	None	29	None
1457420812	ALPAN, DAVID ISAAC, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	86	None	0	None	0	None	28	None	71	None	0	None	0	None
1457423451	SUNG, JIN HO, DDS	2021	FFS	RENDERING	AGE 0-20	75	None	597	None	72	None	195	None	30	None	95	None	72	None	101	None
1457423451	SUNG, JIN HO, DDS	2021	FFS	RENDERING	AGE 21+	114	None	606	None	97	None	163	None	63	None	169	None	103	None	103	None
1457423451	SUNG, JIN HO, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1457424012	NGUYEN LISA T	2021	FFS	RENDERING	AGE 0-20	512	None	9,301	None	499	None	2,350	None	291	None	1,444	None	504	None	931	None
1457424012	NGUYEN LISA T	2021	FFS	RENDERING	AGE 21+	421	None	7,463	None	329	None	648	None	380	None	2,553	None	361	None	367	None
1457424327	TSANG MARK W	2021	FFS	RENDERING	AGE 0-20	280	None	3,252	None	253	None	610	None	74	None	169	None	226	None	271	None
1457424327	TSANG MARK W	2021	FFS	RENDERING	AGE 21+	475	None	3,653	None	312	None	622	None	170	None	298	None	144	None	144	None
1457427288	KIM JR HENRY H	2021	FFS	RENDERING	AGE 0-20	2,677	None	28,694	None	2,227	None	5,601	None	916	None	2,736	None	2,326	None	2,665	None
1457427288	KIM JR HENRY H	2021	FFS	RENDERING	AGE 21+	36	None	353	None	27	None	51	None	17	None	55	None	29	None	29	None
1457432866	RYAN, ROBERT N, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1457432866	RYAN, ROBERT N, DDS	2021	FFS	RENDERING	AGE 21+	19	None	128	None	None	1	None	1	14	None	97	None	16	None	16	None
1457435588	CHOI SUNWOONG S	2021	FFS	RENDERING	AGE 0-20	1,225	None	4,015	None	0	None	0	None	1,170	None	3,789	None	64	None	64	None
1457435588	CHOI SUNWOONG S	2021	FFS	RENDERING	AGE 21+	1,178	None	3,634	None	None	1	None	1	1,117	None	3,382	None	81	None	81	None
1457435588	CHOI SUNWOONG S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1457435588	CHOI SUNWOONG S	2021	PHP	RENDERING	AGE 0-20	55	None	214	None	0	None	0	None	50	None	194	None	None	1	None	1
1457435588	CHOI SUNWOONG S	2021	PHP	RENDERING	AGE 21+	327	None	1,082	None	0	None	0	None	267	None	900	None	154	None	156	None
1457439820	FANG JAMES	2021	FFS	RENDERING	AGE 0-20	71	None	763	None	60	None	142	None	43	None	204	None	57	None	69	None
1457439820	FANG JAMES	2021	FFS	RENDERING	AGE 21+	140	None	1,307	None	97	None	162	None	98	None	491	None	25	None	25	None
1457448060	UY CARMEN M	2021	FFS	RENDERING	AGE 0-20	11	None	82	None	None	1	None	2	None	1	None	2	None	1	None	2
1457448060	UY CARMEN M	2021	FFS	RENDERING	AGE 21+	74	None	551	None	34	None	34	None	54	None	320	None	51	None	51	None
1457459554	THOMPSON BRUCE MATTHEW	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457461691	SHEA, EDDY S, DDS	2021	FFS	RENDERING	AGE 0-20	41	None	262	None	36	None	79	None	20	None	106	None	30	None	36	None
1457461691	SHEA, EDDY S, DDS	2021	FFS	RENDERING	AGE 21+	64	None	423	None	43	None	43	None	41	None	225	None	53	None	53	None
1457462111	DUPAYA RELOS, APOLINAR DMD	2021	FFS	RENDERING	AGE 0-20	17	None	108	None	12	None	26	None	None	1	None	2	13	None	13	None
1457462111	DUPAYA RELOS, APOLINAR DMD	2021	FFS	RENDERING	AGE 21+	279	None	2,083	None	145	None	286	None	206	None	875	None	188	None	188	None
1457462228	GAVIN MICHAEL K	2021	FFS	RENDERING	AGE 0-20	55	None	118	None	0	None	0	None	47	None	63	None	None	1	None	1
1457462228	GAVIN MICHAEL K	2021	FFS	RENDERING	AGE 21+	346	None	826	None	0	None	0	None	256	None	313	None	83	None	88	None
1457466807	ANDERSON, CHRISTOPHER DEAN,	2021	FFS	RENDERING	AGE 0-20	604	None	8,154	None	591	None	1,794	None	227	None	539	None	576	None	798	None
1457466807	ANDERSON, CHRISTOPHER DEAN,	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1457474934	NEWCOMER, MARIA ELENA, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	332	None	39	None	114	None	22	None	66	None	38	None	46	None
1457474934	NEWCOMER, MARIA ELENA, DDS	2021	FFS	RENDERING	AGE 21+	97	None	580	None	57	None	101	None	57	None	160	None	57	None	59	None
1457480295	MISHRA RANU M	2021	GMC	RENDERING	AGE 0-20	41	None	194	None	23	None	55	None	24	None	54	None	27	None	29	None
1457480295	MISHRA RANU M	2021	GMC	RENDERING	AGE 21+	140	None	528	None	32	None	52	None	67	None	218	None	115	None	115	None
1457482069	PAZ-CASANOVA, RODY, DENTAL C	2021	FFS	RENDERING	AGE 0-20	623	None	5,121	None	467	None	1,257	None	296	None	1,398	None	560	None	642	None
1457482069	PAZ-CASANOVA, RODY, DENTAL C	2021	FFS	RENDERING	AGE 21+	1,077	None	6,755	None	385	None	730	None	714	None	3,138	None	755	None	764	None
1457482069	PAZ-CASANOVA, RODY, DENTAL C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1457482069	PAZ-CASANOVA, RODY, DENTAL C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1457483471	TRAN, VINA, DDS	2021	FFS	RENDERING	AGE 0-20	76	None	1,293	None	75	None	359	None	32	None	91	None	70	None	110	None
1457483471	TRAN, VINA, DDS	2021	FFS	RENDERING	AGE 21+	76	None	987	None	54	None	108	None	52	None	262	None	63	None	63	None
1457484933	FRIEDMAN JAY R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457489239	BOUTROS, SHADI F MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1457489239	BOUTROS, SHADI F MD	2021	GMC	RENDERING	AGE 0-20	15	None	44	None	None	1	None	1	13	None	31	None	None	1	None	1
1457489239	BOUTROS, SHADI F MD	2021	GMC	RENDERING	AGE 21+	88	None	316	None	47	None	47	None	63	None	221	None	41	None	42	None
1457490724	PENA ROBERTO L	2021	FFS	RENDERING	AGE 0-20	260	None	3,068	None	244	None	712	None	101	None	269	None	243	None	350	None
1457490724	PENA ROBERTO L	2021	FFS	RENDERING	AGE 21+	190	None	1,369	None	133	None	172	None	117	None	399	None	145	None	145	None
1457490914	TATLA NAVTEJ S	2021	FFS	RENDERING	AGE 0-20	329	None	3,340	None	165	None	650	None	167	None	450	None	207	None	207	None
1457490914	TATLA NAVTEJ S	2021	FFS	RENDERING	AGE 21+	1,195	None	8,485	None	326	None	647	None	769	None	3,756	None	719	None	719	None
1457491078	SHAH, YATIN S, DDS	2021	FFS	RENDERING	AGE 0-20	42	None	284	None	40	None	123	None	16	None	40	None	40	None	49	None
1457491078	SHAH, YATIN S, DDS	2021	FFS	RENDERING	AGE 21+	201	None	916	None	109	None	111	None	147	None	394	None	134	None	134	None
1457492068	YANG, EVELYN, DDS	2021	FFS	RENDERING	AGE 0-20	22	None	126	None	19	None	20	None	14	None	47	None	19	None	20	None
1457492068	YANG, EVELYN, DDS	2021	FFS	RENDERING	AGE 21+	97	None	667	None	68	None	68	None	64	None	185	None	76	None	76	None
1457498230	PARK, BIN H, DDS	2021	FFS	RENDERING	AGE 0-20	280	None	2,891	None	252	None	935	None	93	None	405	None	265	None	346	None
1457498230	PARK, BIN H, DDS	2021	FFS	RENDERING	AGE 21+	252	None	1,638	None	74	None	76	None	168	None	610	None	154	None	154	None
1457503310	MCMILLEN JR, RODERICK DDS	2021	FFS	RENDERING	AGE 0-20	28	None	65	None	26	None	35	None	None	1	None	2	None	1	None	1
1457503310	MCMILLEN JR, RODERICK DDS	2021	FFS	RENDERING	AGE 21+	16	None	47	None	15	None	15	None	None	1	None	2	None	1	None	1
1457507345	PHAM CELINE T	2021	FFS	RENDERING	AGE 0-20	198	None	2,243	None	182	None	741	None	75	None	290	None	181	None	237	None
1457507345	PHAM CELINE T	2021	FFS	RENDERING	AGE 21+	761	None	6,527	None	566	None	1,039	None	512	None	1,885	None	642	None	650	None
1457510893	CHENG KENNETH W	2021	FFS	RENDERING	AGE 0-20	17	None	69	None	14	None	37	None	None	1	None	1	15	None	15	None
1457510893	CHENG KENNETH W	2021	FFS	RENDERING	AGE 21+	138	None	653	None	39	None	43	None	94	None	371	None	99	None	99	None
1457517906	MANUKYAN GARY	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1457517906	MANUKYAN GARY	2021	FFS	RENDERING	AGE 21+	11	None	40	None	None	1	None	2	None	1	None	1	None	1	None	1
1457528382	KIR, RYAN, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	214	None	36	None	48	None	16	None	42	None	28	None	28	None
1457528382	KIR, RYAN, DDS	2021	FFS	RENDERING	AGE 21+	430	None	1,970	None	217	None	219	None	313	None	832	None	255	None	255	None
1457530651	JAIN NIDHI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1457533440	ROSAS CARRILLO RAMIRO	2021	FFS	RENDERING	AGE 0-20	78	None	874	None	64	None	199	None	27	None	77	None	66	None	79	None
1457533440	ROSAS CARRILLO RAMIRO	2021	FFS	RENDERING	AGE 21+	259	None	2,719	None	121	None	245	None	173	None	698	None	171	None	172	None
1457533556	RASSIWALA FARHANA M	2021	FFS	RENDERING	AGE 0-20	426	None	5,775	None	377	None	1,330	None	274	None	971	None	375	None	497	None
1457533556	RASSIWALA FARHANA M	2021	FFS	RENDERING	AGE 21+	757	None	5,208	None	314	None	600	None	532	None	1,946	None	426	None	433	None
1457543472	MATIN GULALAI	2021	FFS	RENDERING	AGE 0-20	20	None	160	None	11	None	26	None	12	None	42	None	15	None	15	None
1457543472	MATIN GULALAI	2021	FFS	RENDERING	AGE 21+	77	None	487	None	19	None	37	None	43	None	122	None	49	None	49	None
1457545758	RAYFELD IRINA	2021	FFS	RENDERING	AGE 0-20	82	None	901	None	73	None	276	None	54	None	155	None	68	None	77	None
1457545758	RAYFELD IRINA	2021	FFS	RENDERING	AGE 21+	280	None	3,533	None	201	None	402	None	234	None	1,217	None	211	None	213	None
1457546921	PANG DUDLEY M	2021	FFS	RENDERING	AGE 0-20	80	None	827	None	75	None	216	None	43	None	198	None	75	None	104	None
1457546921	PANG DUDLEY M	2021	FFS	RENDERING	AGE 21+	178	None	1,707	None	103	None	164	None	128	None	1,057	None	154	None	154	None
1457548810	TRUTANIC FANICA	2021	FFS	RENDERING	AGE 0-20	70	None	762	None	42	None	168	None	50	None	201	None	50	None	50	None
1457548810	TRUTANIC FANICA	2021	FFS	RENDERING	AGE 21+	158	None	964	None	37	None	52	None	125	None	470	None	83	None	83	None
1457548810	TRUTANIC FANICA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1457548851	GREDINBERG TALA V	2021	FFS	RENDERING	AGE 0-20	93	None	842	None	70	None	241	None	59	None	301	None	83	None	91	None
1457548851	GREDINBERG TALA V	2021	FFS	RENDERING	AGE 21+	83	None	546	None	44	None	71	None	55	None	255	None	62	None	62	None
1457552473	BRASLAVSKY, STEVE, DDS	2021	FFS	RENDERING	AGE 0-20	100	None	663	None	63	None	107	None	63	None	224	None	83	None	86	None
1457552473	BRASLAVSKY, STEVE, DDS	2021	FFS	RENDERING	AGE 21+	738	None	4,095	None	145	None	147	None	593	None	2,580	None	435	None	440	None
1457552788	HAN, EDISON S, DDS INC	2021	PHP	RENDERING	AGE 0-20	34	None	241	None	27	None	83	None	12	None	18	None	27	None	27	None
1457552788	HAN, EDISON S, DDS INC	2021	PHP	RENDERING	AGE 21+	26	None	127	None	12	None	38	None	15	None	23	None	16	None	16	None
1457554123	KIM HYUNG T	2021	FFS	RENDERING	AGE 0-20	2,251	None	25,010	None	1,601	None	5,665	None	1,259	None	3,702	None	1,563	None	1,911	None
1457554123	KIM HYUNG T	2021	FFS	RENDERING	AGE 21+	514	None	2,789	None	256	None	514	None	231	None	762	None	269	None	269	None
1457558587	KIM, DONGWHOON DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1457558587	KIM, DONGWHOON DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1457558942	LEE JONATHAN K	2021	FFS	RENDERING	AGE 0-20	95	None	580	None	65	None	115	None	60	None	189	None	61	None	65	None
1457558942	LEE JONATHAN K	2021	FFS	RENDERING	AGE 21+	205	None	1,099	None	62	None	92	None	152	None	523	None	74	None	74	None
1457560450	RICHARD F. MOORHOUSE DDS INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1457560450	RICHARD F. MOORHOUSE DDS INC	2021	GMC	RENDERING	AGE 21+	60	None	316	None	0	None	0	None	30	None	242	None	52	None	52	None
1457562043	MIKAELIAN, ARMEN	2021	FFS	RENDERING	AGE 0-20	15	None	127	None	14	None	40	None	11	None	24	None	13	None	15	None
1457562043	MIKAELIAN, ARMEN	2021	FFS	RENDERING	AGE 21+	26	None	147	None	21	None	44	None	14	None	51	None	21	None	21	None
1457562043	MIKAELIAN, ARMEN	2021	PHP	RENDERING	AGE 0-20	61	None	642	None	56	None	218	None	24	None	114	None	54	None	65	None
1457562043	MIKAELIAN, ARMEN	2021	PHP	RENDERING	AGE 21+	31	None	336	None	30	None	94	None	16	None	112	None	29	None	29	None
1457567612	SHAHRIARPOUR AZITA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1457567612	SHAHRIARPOUR AZITA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457572687	ZAMORA, FRANCISS, DDS	2021	FFS	RENDERING	AGE 0-20	202	None	1,990	None	194	None	574	None	61	None	173	None	198	None	252	None
1457572687	ZAMORA, FRANCISS, DDS	2021	FFS	RENDERING	AGE 21+	293	None	2,760	None	227	None	296	None	163	None	598	None	267	None	270	None
1457577439	ORTEGA LIA C	2021	FFS	RENDERING	AGE 21+	13	None	29	None	None	1	None	1	None	1	None	2	None	1	None	1
1457578890	JAIN DEEPIKA	2021	FFS	RENDERING	AGE 0-20	581	None	9,146	None	539	None	1,748	None	288	None	1,133	None	557	None	808	None
1457578890	JAIN DEEPIKA	2021	FFS	RENDERING	AGE 21+	376	None	2,708	None	119	None	239	None	231	None	722	None	279	None	279	None
1457578890	JAIN DEEPIKA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1457591729	KHEVSURISHVILI, OLGA, DDS	2021	FFS	RENDERING	AGE 0-20	288	None	1,962	None	216	None	548	None	114	None	352	None	233	None	260	None
1457591729	KHEVSURISHVILI, OLGA, DDS	2021	FFS	RENDERING	AGE 21+	536	None	2,651	None	157	None	314	None	403	None	1,184	None	272	None	273	None
1457655425	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	47	None	170	None	13	None	37	None	None	1	None	1	30	None	31	None
1457655425	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	74	None	274	None	None	1	None	2	37	None	117	None	40	None	41	None
1457655425	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	47	None	170	None	13	None	37	None	None	1	None	1	30	None	31	None
1457655425	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	74	None	274	None	None	1	None	2	37	None	117	None	40	None	41	None
1457658338	VELASQUEZ MAGALY M	2021	FFS	RENDERING	AGE 0-20	187	None	1,389	None	139	None	233	None	102	None	441	None	164	None	170	None
1457658338	VELASQUEZ MAGALY M	2021	FFS	RENDERING	AGE 21+	668	None	3,514	None	369	None	369	None	424	None	1,563	None	563	None	563	None
1457660151	EFTEKHARI SAMIN	2021	FFS	RENDERING	AGE 0-20	180	None	1,422	None	128	None	297	None	70	None	171	None	150	None	171	None
1457660151	EFTEKHARI SAMIN	2021	FFS	RENDERING	AGE 21+	442	None	2,395	None	126	None	236	None	296	None	1,012	None	237	None	237	None
1457660151	EFTEKHARI SAMIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1457660151	EFTEKHARI SAMIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1457666703	RADJINDRIN ALAMELOU	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1457703704	NGUYEN BENJAMIN	2021	FFS	RENDERING	AGE 0-20	154	None	1,452	None	141	None	588	None	26	None	56	None	143	None	147	None
1457703704	NGUYEN BENJAMIN	2021	FFS	RENDERING	AGE 21+	238	None	1,157	None	97	None	183	None	123	None	318	None	158	None	161	None
1457707366	LE TIM K	2021	FFS	RENDERING	AGE 0-20	19	None	108	None	17	None	38	None	None	1	None	2	16	None	18	None
1457707366	LE TIM K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1457707861	MONROY DENISSE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1457735565	NASIBI POOYAN DDS	2021	FFS	RENDERING	AGE 0-20	1,125	None	22,324	None	944	None	4,482	None	947	None	8,815	None	1,021	None	1,252	None
1457735565	NASIBI POOYAN DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1457735565	NASIBI POOYAN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1457747123	AMBARAM ROHIN	2021	FFS	RENDERING	AGE 0-20	83	None	275	None	0	None	0	None	83	None	275	None	0	None	0	None
1457747123	AMBARAM ROHIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1457747123	AMBARAM ROHIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457747123	AMBARAM ROHIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457771149	KHOSHROOZEH SARA	2021	FFS	RENDERING	AGE 0-20	21	None	109	None	None	1	None	2	17	None	42	None	11	None	11	None
1457771149	KHOSHROOZEH SARA	2021	FFS	RENDERING	AGE 21+	32	None	104	None	None	1	None	1	23	None	51	None	14	None	14	None
1457790586	MANAOIS SHARON A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1457790586	MANAOIS SHARON A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457795544	AHMED SHAHENAZ K	2021	FFS	RENDERING	AGE 0-20	295	None	3,254	None	261	None	1,085	None	209	None	589	None	270	None	384	None
1457795544	AHMED SHAHENAZ K	2021	FFS	RENDERING	AGE 21+	266	None	1,867	None	119	None	209	None	188	None	791	None	200	None	200	None
1457806168	NGUYEN MICHELLE K	2021	FFS	RENDERING	AGE 0-20	750	None	6,786	None	714	None	2,473	None	326	None	943	None	734	None	734	None
1457806168	NGUYEN MICHELLE K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1457806168	NGUYEN MICHELLE K	2021	PHP	RENDERING	AGE 0-20	125	None	1,206	None	125	None	463	None	55	None	168	None	125	None	127	None
1457813339	NASIBI, POOYAN, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457825697	MOHEIELDIN NIVIN M	2021	FFS	RENDERING	AGE 0-20	1,017	None	6,692	None	479	None	1,448	None	913	None	4,224	None	164	None	169	None
1457825697	MOHEIELDIN NIVIN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457825697	MOHEIELDIN NIVIN M	2021	PHP	RENDERING	AGE 0-20	14	None	68	None	None	1	None	2	13	None	38	None	0	None	0	None
1457825952	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	738	None	5,158	None	578	None	1,819	None	108	None	181	None	620	None	672	None
1457825952	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	344	None	1,409	None	56	None	96	None	84	None	122	None	176	None	176	None
1457825952	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	738	None	5,158	None	578	None	1,819	None	108	None	181	None	620	None	672	None
1457825952	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	344	None	1,409	None	56	None	96	None	84	None	122	None	176	None	176	None
1457855942	TRAN PHUC CONG	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1457870636	BELGAM SYED SHAZIA A	2021	FFS	RENDERING	AGE 0-20	37	None	243	None	33	None	55	None	12	None	42	None	32	None	35	None
1457870636	BELGAM SYED SHAZIA A	2021	FFS	RENDERING	AGE 21+	270	None	1,171	None	77	None	90	None	185	None	628	None	135	None	145	None
1457881575	WONG ALEX J	2021	FFS	RENDERING	AGE 0-20	788	None	7,799	None	707	None	2,424	None	513	None	1,321	None	715	None	882	None
1457881575	WONG ALEX J	2021	FFS	RENDERING	AGE 21+	761	None	4,673	None	407	None	812	None	555	None	1,899	None	523	None	523	None
1457889826	HAWKINS WILLIAM N	2021	FFS	RENDERING	AGE 0-20	67	None	212	None	0	None	0	None	67	None	212	None	0	None	0	None
1457889826	HAWKINS WILLIAM N	2021	FFS	RENDERING	AGE 21+	73	None	214	None	0	None	0	None	73	None	214	None	0	None	0	None
1457897845	SANCHEZ CESAR	2021	FFS	RENDERING	AGE 0-20	125	None	1,198	None	104	None	285	None	78	None	227	None	110	None	140	None
1457897845	SANCHEZ CESAR	2021	FFS	RENDERING	AGE 21+	184	None	1,384	None	65	None	125	None	147	None	615	None	116	None	116	None
1457901696	FU ERIC B	2021	FFS	RENDERING	AGE 0-20	252	None	2,028	None	217	None	897	None	79	None	212	None	240	None	272	None
1457901696	FU ERIC B	2021	FFS	RENDERING	AGE 21+	347	None	1,982	None	161	None	296	None	210	None	883	None	289	None	289	None
1457912040	AHMED KASHIF	2021	FFS	RENDERING	AGE 0-20	45	None	278	None	33	None	47	None	17	None	56	None	33	None	33	None
1457912040	AHMED KASHIF	2021	FFS	RENDERING	AGE 21+	90	None	529	None	28	None	35	None	59	None	172	None	43	None	43	None
1457913568	TANG CATHERINE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1457913568	TANG CATHERINE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1457913568	TANG CATHERINE M	2021	GMC	RENDERING	AGE 0-20	248	None	1,691	None	170	None	624	None	197	None	448	None	123	None	125	None
1457913568	TANG CATHERINE M	2021	GMC	RENDERING	AGE 21+	264	None	1,065	None	47	None	91	None	198	None	595	None	112	None	112	None
1457916108	YASEEN LAYTH A	2021	FFS	RENDERING	AGE 0-20	260	None	2,267	None	174	None	384	None	147	None	606	None	207	None	211	None
1457916108	YASEEN LAYTH A	2021	FFS	RENDERING	AGE 21+	193	None	1,073	None	36	None	53	None	136	None	487	None	104	None	104	None
1467003319	LEE HYUN-KEE H	2021	FFS	RENDERING	AGE 0-20	182	None	789	None	102	None	244	None	105	None	224	None	41	None	41	None
1467004762	BERNARDO MARC A	2021	FFS	RENDERING	AGE 0-20	47	None	435	None	34	None	107	None	21	None	43	None	38	None	52	None
1467004762	BERNARDO MARC A	2021	FFS	RENDERING	AGE 21+	210	None	986	None	22	None	43	None	172	None	429	None	165	None	165	None
1467004762	BERNARDO MARC A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1467004853	LEE BETTY S	2021	FFS	RENDERING	AGE 0-20	466	None	2,577	None	301	None	919	None	197	None	454	None	377	None	379	None
1467004853	LEE BETTY S	2021	FFS	RENDERING	AGE 21+	581	None	1,728	None	61	None	113	None	300	None	675	None	311	None	311	None
1467004853	LEE BETTY S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467006031	DEWBERRY DAVID J	2021	FFS	RENDERING	AGE 0-20	23	None	155	None	16	None	51	None	None	1	None	2	17	None	17	None
1467006031	DEWBERRY DAVID J	2021	FFS	RENDERING	AGE 21+	30	None	208	None	12	None	20	None	11	None	28	None	22	None	22	None
1467054031	ANGULO, LUZ M, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1467093419	KOOK TIMOTHY J	2021	FFS	RENDERING	AGE 0-20	622	None	4,999	None	474	None	1,088	None	290	None	810	None	456	None	471	None
1467093419	KOOK TIMOTHY J	2021	FFS	RENDERING	AGE 21+	22	None	85	None	None	1	None	1	14	None	32	None	None	1	None	1
1467400374	NAGRA, DEVINDERPAL S DDS	2021	FFS	RENDERING	AGE 0-20	109	None	977	None	103	None	326	None	59	None	154	None	72	None	78	None
1467400374	NAGRA, DEVINDERPAL S DDS	2021	FFS	RENDERING	AGE 21+	203	None	1,411	None	122	None	124	None	141	None	432	None	125	None	125	None
1467401620	SAKR, SHAABAN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1467425553	WINN ERIK D	2021	FFS	RENDERING	AGE 0-20	92	None	817	None	66	None	180	None	69	None	322	None	53	None	58	None
1467425553	WINN ERIK D	2021	FFS	RENDERING	AGE 21+	221	None	1,550	None	150	None	287	None	143	None	569	None	164	None	164	None
1467435073	RODRIGUEZ RAYMOND G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1467435073	RODRIGUEZ RAYMOND G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467443010	VANTASSELL, ELIZABETH A DDS	2021	FFS	RENDERING	AGE 0-20	39	None	802	None	33	None	63	None	31	None	448	None	26	None	26	None
1467443010	VANTASSELL, ELIZABETH A DDS	2021	FFS	RENDERING	AGE 21+	11	None	23	None	None	1	None	1	None	1	None	1	None	1	None	1
1467453399	LAM, PHUONG BICH DDS	2021	FFS	RENDERING	AGE 0-20	15	None	64	None	15	None	36	None	None	1	None	1	None	1	None	1
1467453399	LAM, PHUONG BICH DDS	2021	FFS	RENDERING	AGE 21+	28	None	124	None	20	None	35	None	13	None	30	None	20	None	20	None
1467460436	PHAM TAYLOR T	2021	FFS	RENDERING	AGE 0-20	182	None	2,518	None	180	None	708	None	92	None	383	None	180	None	275	None
1467460436	PHAM TAYLOR T	2021	FFS	RENDERING	AGE 21+	300	None	3,134	None	206	None	398	None	240	None	1,422	None	254	None	255	None
1467502815	JAUREGUI HECTOR M	2021	FFS	RENDERING	AGE 0-20	265	None	2,329	None	184	None	537	None	63	None	184	None	237	None	287	None
1467502815	JAUREGUI HECTOR M	2021	FFS	RENDERING	AGE 21+	354	None	1,702	None	56	None	105	None	194	None	622	None	249	None	264	None
1467502815	JAUREGUI HECTOR M	2021	PHP	RENDERING	AGE 0-20	124	None	1,057	None	91	None	212	None	25	None	71	None	117	None	145	None
1467502815	JAUREGUI HECTOR M	2021	PHP	RENDERING	AGE 21+	82	None	425	None	None	1	None	2	32	None	148	None	59	None	64	None
1467504837	LYONS MICHAEL S	2021	FFS	RENDERING	AGE 0-20	13	None	16	None	0	None	0	None	None	1	None	1	0	None	0	None
1467509596	CORPUZ, ABRAHAM B, DMD	2021	FFS	RENDERING	AGE 0-20	197	None	1,522	None	188	None	664	None	69	None	158	None	189	None	230	None
1467509596	CORPUZ, ABRAHAM B, DMD	2021	FFS	RENDERING	AGE 21+	118	None	619	None	87	None	88	None	77	None	237	None	93	None	93	None
1467509646	LEE, LUKE BYUNG C DDS	2021	FFS	RENDERING	AGE 0-20	77	None	387	None	74	None	145	None	30	None	111	None	71	None	109	None
1467509646	LEE, LUKE BYUNG C DDS	2021	FFS	RENDERING	AGE 21+	266	None	1,032	None	155	None	155	None	155	None	385	None	228	None	228	None
1467510248	ZAMIRI, LEILA DDS	2021	FFS	RENDERING	AGE 0-20	302	None	2,965	None	249	None	912	None	138	None	408	None	274	None	343	None
1467510248	ZAMIRI, LEILA DDS	2021	FFS	RENDERING	AGE 21+	415	None	2,299	None	130	None	254	None	263	None	991	None	297	None	297	None
1467510248	ZAMIRI, LEILA DDS	2021	PHP	RENDERING	AGE 0-20	13	None	90	None	None	1	None	2	None	1	None	2	11	None	13	None
1467510248	ZAMIRI, LEILA DDS	2021	PHP	RENDERING	AGE 21+	35	None	201	None	14	None	28	None	22	None	85	None	33	None	33	None
1467510487	D'ALOISIO CHAD	2021	FFS	RENDERING	AGE 0-20	307	None	870	None	0	None	0	None	307	None	861	None	0	None	0	None
1467510487	D'ALOISIO CHAD	2021	FFS	RENDERING	AGE 21+	619	None	1,500	None	0	None	0	None	617	None	1,451	None	None	1	None	1
1467512251	PEREZ-MYERS FRITZI A	2021	FFS	RENDERING	AGE 0-20	61	None	508	None	57	None	184	None	19	None	42	None	59	None	75	None
1467512251	PEREZ-MYERS FRITZI A	2021	FFS	RENDERING	AGE 21+	109	None	623	None	97	None	191	None	53	None	150	None	92	None	92	None
1467514315	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	26	None	172	None	21	None	78	None	None	1	None	1	14	None	14	None
1467514315	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	63	None	190	None	26	None	54	None	26	None	45	None	31	None	31	None
1467514315	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	26	None	172	None	21	None	78	None	None	1	None	1	14	None	14	None
1467514315	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	63	None	190	None	26	None	54	None	26	None	45	None	31	None	31	None
1467519330	HUYNH, CINDY H, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	2
1467519330	HUYNH, CINDY H, DDS	2021	FFS	RENDERING	AGE 21+	35	None	159	None	16	None	16	None	None	1	None	2	31	None	31	None
1467519934	YADEGAR, NAGHMEH DDS	2021	FFS	RENDERING	AGE 0-20	45	None	564	None	42	None	146	None	16	None	44	None	42	None	66	None
1467519934	YADEGAR, NAGHMEH DDS	2021	FFS	RENDERING	AGE 21+	101	None	955	None	73	None	136	None	74	None	313	None	80	None	80	None
1467520411	WANG DAVID X	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467521443	KIM, BRIAN CHONG-HAN DDS	2021	FFS	RENDERING	AGE 0-20	188	None	1,669	None	158	None	502	None	128	None	475	None	157	None	172	None
1467521443	KIM, BRIAN CHONG-HAN DDS	2021	FFS	RENDERING	AGE 21+	373	None	2,705	None	195	None	388	None	319	None	1,243	None	255	None	255	None
1467529420	CHENG JANICE T	2021	FFS	RENDERING	AGE 0-20	353	None	2,538	None	282	None	938	None	205	None	633	None	273	None	301	None
1467529420	CHENG JANICE T	2021	FFS	RENDERING	AGE 21+	450	None	1,979	None	126	None	237	None	320	None	1,102	None	187	None	187	None
1467548057	MORZOV JOHN R	2021	FFS	RENDERING	AGE 0-20	156	None	1,023	None	119	None	322	None	71	None	590	None	105	None	107	None
1467555862	TRAN, DONALD T, DDS	2021	FFS	RENDERING	AGE 0-20	605	None	6,980	None	595	None	1,690	None	253	None	881	None	593	None	828	None
1467555862	TRAN, DONALD T, DDS	2021	FFS	RENDERING	AGE 21+	378	None	3,522	None	262	None	535	None	234	None	791	None	307	None	311	None
1467564625	DIAZ FRIZ J	2021	FFS	RENDERING	AGE 21+	31	None	120	None	12	None	12	None	17	None	22	None	11	None	11	None
1467564625	DIAZ FRIZ J	2021	GMC	RENDERING	AGE 0-20	522	None	3,789	None	454	None	1,524	None	236	None	400	None	454	None	495	None
1467564625	DIAZ FRIZ J	2021	GMC	RENDERING	AGE 21+	428	None	2,400	None	291	None	532	None	235	None	576	None	305	None	306	None
1467566257	AGUILAR, SERGIO R DDS	2021	FFS	RENDERING	AGE 0-20	113	None	1,563	None	109	None	357	None	54	None	164	None	107	None	140	None
1467566257	AGUILAR, SERGIO R DDS	2021	FFS	RENDERING	AGE 21+	190	None	1,578	None	117	None	224	None	132	None	540	None	151	None	151	None
1467566737	JAHANGIRI HOSSEIN	2021	FFS	RENDERING	AGE 0-20	30	None	165	None	17	None	30	None	19	None	63	None	23	None	30	None
1467566737	JAHANGIRI HOSSEIN	2021	FFS	RENDERING	AGE 21+	114	None	606	None	21	None	23	None	80	None	354	None	90	None	94	None
1467571562	ESTACIO DANIEL T	2021	FFS	RENDERING	AGE 0-20	513	None	4,736	None	385	None	1,171	None	313	None	839	None	376	None	401	None
1467571562	ESTACIO DANIEL T	2021	FFS	RENDERING	AGE 21+	171	None	1,374	None	95	None	95	None	108	None	392	None	105	None	105	None
1467572156	MUDITAJAYA DANNY S	2021	PHP	RENDERING	AGE 0-20	26	None	172	None	20	None	35	None	12	None	38	None	22	None	24	None
1467572156	MUDITAJAYA DANNY S	2021	PHP	RENDERING	AGE 21+	33	None	220	None	13	None	15	None	21	None	101	None	24	None	26	None
1467572230	JANG, KENNY YOUNG DDS	2021	FFS	RENDERING	AGE 0-20	30	None	137	None	26	None	46	None	None	1	None	1	27	None	31	None
1467572230	JANG, KENNY YOUNG DDS	2021	FFS	RENDERING	AGE 21+	86	None	347	None	47	None	47	None	31	None	46	None	66	None	66	None
1467572230	JANG, KENNY YOUNG DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1467572412	OWEN DARCY L	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1467575225	THWIN ANTHONY A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467580084	DO PETER	2021	FFS	RENDERING	AGE 0-20	1,006	None	12,578	None	902	None	2,576	None	428	None	751	None	936	None	1,157	None
1467580084	DO PETER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1467580092	NGUYEN KHIET V	2021	FFS	RENDERING	AGE 0-20	163	None	762	None	145	None	526	None	43	None	72	None	145	None	162	None
1467580092	NGUYEN KHIET V	2021	FFS	RENDERING	AGE 21+	943	None	3,319	None	495	None	987	None	634	None	1,671	None	658	None	658	None
1467582759	YOUNG WINNIE L	2021	FFS	RENDERING	AGE 0-20	1,860	None	17,969	None	1,436	None	4,213	None	1,140	None	4,530	None	1,284	None	1,314	None
1467582759	YOUNG WINNIE L	2021	FFS	RENDERING	AGE 21+	351	None	1,802	None	58	None	118	None	195	None	563	None	171	None	171	None
1467582759	YOUNG WINNIE L	2021	PHP	RENDERING	AGE 0-20	55	None	459	None	46	None	147	None	41	None	167	None	42	None	43	None
1467582759	YOUNG WINNIE L	2021	PHP	RENDERING	AGE 21+	29	None	106	None	None	1	None	1	21	None	65	None	None	1	None	1
1467584334	HA, HANH HONG, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	465	None	46	None	144	None	26	None	71	None	47	None	66	None
1467584334	HA, HANH HONG, DDS	2021	FFS	RENDERING	AGE 21+	49	None	303	None	39	None	77	None	21	None	51	None	40	None	40	None
1467584334	HA, HANH HONG, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1467585448	BAEK JIN N	2021	FFS	RENDERING	AGE 0-20	1,207	None	15,165	None	1,166	None	4,919	None	691	None	1,710	None	1,014	None	1,225	None
1467585448	BAEK JIN N	2021	FFS	RENDERING	AGE 21+	1,283	None	10,012	None	684	None	1,345	None	916	None	3,314	None	883	None	883	None
1467592790	STEELE, MARK RICHARD	2021	FFS	RENDERING	AGE 0-20	89	None	617	None	84	None	356	None	87	None	191	None	54	None	67	None
1467592790	STEELE, MARK RICHARD	2021	FFS	RENDERING	AGE 21+	578	None	2,790	None	340	None	1,070	None	577	None	1,198	None	442	None	442	None
1467597377	IWATA, AMY, DDS	2021	FFS	RENDERING	AGE 0-20	78	None	461	None	67	None	142	None	23	None	39	None	39	None	39	None
1467597377	IWATA, AMY, DDS	2021	FFS	RENDERING	AGE 21+	15	None	77	None	11	None	22	None	None	1	None	1	None	1	None	1
1467597930	RODRIGUEZ RAUL A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1467597930	RODRIGUEZ RAUL A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1467618199	REAGAN DAVID L	2021	FFS	RENDERING	AGE 0-20	35	None	463	None	30	None	86	None	22	None	77	None	32	None	42	None
1467618199	REAGAN DAVID L	2021	FFS	RENDERING	AGE 21+	63	None	457	None	39	None	58	None	42	None	124	None	42	None	42	None
1467628750	GHAZINOOR AMIR H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1467628750	GHAZINOOR AMIR H	2021	FFS	RENDERING	AGE 21+	16	None	46	None	None	1	None	1	None	1	None	2	None	1	None	1
1467635243	ARMAND BEGIAN DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1467639005	TOUNIAN ARVIN R	2021	FFS	RENDERING	AGE 0-20	288	None	2,913	None	189	None	477	None	182	None	636	None	195	None	210	None
1467639005	TOUNIAN ARVIN R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467641159	DEZA ANTHONY W	2021	FFS	RENDERING	AGE 0-20	1,274	None	12,029	None	1,042	None	3,403	None	525	None	1,361	None	1,085	None	1,213	None
1467641159	DEZA ANTHONY W	2021	FFS	RENDERING	AGE 21+	1,149	None	7,164	None	431	None	855	None	527	None	1,539	None	924	None	928	None
1467642892	MACHAIN CRISTINA Y	2021	FFS	RENDERING	AGE 0-20	40	None	313	None	39	None	128	None	16	None	52	None	38	None	45	None
1467642892	MACHAIN CRISTINA Y	2021	FFS	RENDERING	AGE 21+	215	None	1,261	None	111	None	214	None	148	None	593	None	155	None	156	None
1467643312	BIDGOL, AFSHIN, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1467643312	BIDGOL, AFSHIN, DMD	2021	FFS	RENDERING	AGE 21+	99	None	768	None	56	None	110	None	75	None	247	None	64	None	64	None
1467645812	ROQUE, EDGAR DONES DDS	2021	FFS	RENDERING	AGE 0-20	781	None	9,239	None	750	None	2,405	None	358	None	815	None	749	None	966	None
1467645812	ROQUE, EDGAR DONES DDS	2021	FFS	RENDERING	AGE 21+	768	None	5,504	None	566	None	1,127	None	362	None	1,374	None	636	None	638	None
1467645812	ROQUE, EDGAR DONES DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1467646539	PATEL NEIL V	2021	FFS	RENDERING	AGE 0-20	436	None	4,865	None	398	None	1,716	None	129	None	423	None	415	None	532	None
1467646539	PATEL NEIL V	2021	FFS	RENDERING	AGE 21+	601	None	4,160	None	436	None	870	None	320	None	879	None	510	None	510	None
1467657437	BALCE MA AILEEN V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467660951	MIRTORABI, LILI	2021	FFS	RENDERING	AGE 0-20	307	None	370	None	0	None	0	None	196	None	227	None	0	None	0	None
1467660951	MIRTORABI, LILI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467660951	MIRTORABI, LILI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467663088	TRAN VINCENT V	2021	FFS	RENDERING	AGE 0-20	34	None	155	None	24	None	40	None	None	1	None	2	27	None	30	None
1467663088	TRAN VINCENT V	2021	FFS	RENDERING	AGE 21+	61	None	242	None	20	None	20	None	14	None	63	None	50	None	52	None
1467663088	TRAN, VINCENT V, DDS	2021	FFS	RENDERING	AGE 0-20	34	None	155	None	24	None	40	None	None	1	None	2	27	None	30	None
1467663088	TRAN, VINCENT V, DDS	2021	FFS	RENDERING	AGE 21+	61	None	242	None	20	None	20	None	14	None	63	None	50	None	52	None
1467668012	LIU EDWARD S	2021	FFS	RENDERING	AGE 0-20	196	None	3,365	None	181	None	755	None	122	None	331	None	176	None	253	None
1467668012	LIU EDWARD S	2021	FFS	RENDERING	AGE 21+	393	None	4,329	None	207	None	334	None	313	None	1,250	None	305	None	309	None
1467668251	CHEN, HAIHONG, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	150	None	22	None	56	None	None	1	None	2	20	None	26	None
1467668251	CHEN, HAIHONG, DDS	2021	FFS	RENDERING	AGE 21+	75	None	335	None	55	None	111	None	39	None	92	None	None	1	None	1
1467668517	BHATT, JAY I, DDS	2021	FFS	RENDERING	AGE 0-20	327	None	2,446	None	254	None	685	None	160	None	582	None	251	None	299	None
1467668517	BHATT, JAY I, DDS	2021	FFS	RENDERING	AGE 21+	33	None	140	None	15	None	17	None	14	None	51	None	23	None	23	None
1467669754	TRAN, KENNETH Q, DDS	2021	FFS	RENDERING	AGE 0-20	165	None	2,158	None	154	None	796	None	68	None	356	None	148	None	378	None
1467669754	TRAN, KENNETH Q, DDS	2021	FFS	RENDERING	AGE 21+	196	None	2,422	None	155	None	608	None	93	None	606	None	162	None	324	None
1467671164	SOLANZO GEORGE G	2021	FFS	RENDERING	AGE 0-20	33	None	207	None	30	None	96	None	None	1	None	2	30	None	31	None
1467671164	SOLANZO GEORGE G	2021	FFS	RENDERING	AGE 21+	99	None	452	None	53	None	105	None	65	None	152	None	58	None	58	None
1467671529	WANG JIMMY C	2021	FFS	RENDERING	AGE 0-20	24	None	165	None	19	None	52	None	11	None	23	None	20	None	24	None
1467671529	WANG JIMMY C	2021	FFS	RENDERING	AGE 21+	62	None	338	None	48	None	94	None	25	None	53	None	56	None	56	None
1467671529	WANG JIMMY C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1467671693	HAN THOMAS D	2021	FFS	RENDERING	AGE 0-20	12	None	93	None	12	None	34	None	None	1	None	2	11	None	14	None
1467671693	HAN THOMAS D	2021	FFS	RENDERING	AGE 21+	56	None	319	None	31	None	32	None	35	None	137	None	51	None	51	None
1467676312	NGUYEN THANH Q	2021	FFS	RENDERING	AGE 0-20	536	None	6,214	None	507	None	2,266	None	242	None	724	None	520	None	723	None
1467676312	NGUYEN THANH Q	2021	FFS	RENDERING	AGE 21+	424	None	4,126	None	270	None	540	None	319	None	1,400	None	327	None	327	None
1467679233	HOSSEINI-MAROON, MANIJEH, DD	2021	FFS	RENDERING	AGE 0-20	188	None	1,899	None	118	None	294	None	105	None	537	None	177	None	211	None
1467679233	HOSSEINI-MAROON, MANIJEH, DD	2021	FFS	RENDERING	AGE 21+	516	None	4,011	None	58	None	64	None	376	None	2,269	None	423	None	423	None
1467682815	ALDOURI THAAR D	2021	FFS	RENDERING	AGE 0-20	1,994	None	20,963	None	1,917	None	7,969	None	1,193	None	3,218	None	1,943	None	2,892	None
1467682815	ALDOURI THAAR D	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467682815	ALDOURI THAAR D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1467682823	JAW SHIOW J	2021	FFS	RENDERING	AGE 0-20	452	None	5,905	None	433	None	2,215	None	318	None	861	None	440	None	761	None
1467684910	HONRADO MELISSA B	2021	FFS	RENDERING	AGE 0-20	110	None	1,070	None	84	None	194	None	42	None	91	None	97	None	106	None
1467684910	HONRADO MELISSA B	2021	FFS	RENDERING	AGE 21+	163	None	1,503	None	59	None	119	None	117	None	433	None	90	None	92	None
1467693903	ARRATOONIAN, ARLET, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467693903	ARRATOONIAN, ARLET, DDS	2021	PHP	RENDERING	AGE 21+	11	None	63	None	None	1	None	1	None	1	None	2	None	1	None	1
1467700039	HOOVER AUSTIN D	2021	FFS	RENDERING	AGE 0-20	391	None	2,482	None	0	None	0	None	337	None	1,926	None	288	None	290	None
1467700039	HOOVER AUSTIN D	2021	FFS	RENDERING	AGE 21+	722	None	3,478	None	0	None	0	None	604	None	2,381	None	547	None	549	None
1467716894	TOKATLI AHMAD H	2021	FFS	RENDERING	AGE 0-20	14	None	60	None	12	None	12	None	None	1	None	2	12	None	12	None
1467716894	TOKATLI AHMAD H	2021	FFS	RENDERING	AGE 21+	75	None	407	None	30	None	30	None	43	None	134	None	59	None	59	None
1467760041	DERAGOBIAN ANKIN T	2021	FFS	RENDERING	AGE 0-20	139	None	1,690	None	79	None	244	None	77	None	309	None	117	None	135	None
1467760041	DERAGOBIAN ANKIN T	2021	FFS	RENDERING	AGE 21+	557	None	4,568	None	64	None	132	None	348	None	1,546	None	439	None	439	None
1467776450	HUAMAN JUAN C	2021	FFS	RENDERING	AGE 0-20	1,070	None	7,285	None	493	None	1,336	None	578	None	1,565	None	719	None	773	None
1467776450	HUAMAN JUAN C	2021	FFS	RENDERING	AGE 21+	1,586	None	8,325	None	299	None	561	None	1,165	None	3,341	None	765	None	770	None
1467783985	MOSSAEI ALLEN	2021	FFS	RENDERING	AGE 0-20	387	None	4,383	None	368	None	1,655	None	219	None	743	None	374	None	484	None
1467783985	MOSSAEI ALLEN	2021	FFS	RENDERING	AGE 21+	727	None	4,930	None	581	None	1,151	None	372	None	2,025	None	648	None	648	None
1467784835	GANGADHARAN, JOTSNA DDS	2021	FFS	RENDERING	AGE 0-20	614	None	5,423	None	451	None	1,522	None	424	None	816	None	428	None	473	None
1467784835	GANGADHARAN, JOTSNA DDS	2021	FFS	RENDERING	AGE 21+	2,014	None	15,648	None	1,340	None	2,943	None	1,578	None	4,925	None	1,318	None	1,326	None
1467787713	DARDIS KATHRYN A	2021	FFS	RENDERING	AGE 0-20	231	None	1,713	None	202	None	540	None	178	None	409	None	182	None	182	None
1467797878	DJANG, SAM S, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1467797878	DJANG, SAM S, DDS	2021	FFS	RENDERING	AGE 21+	12	None	23	None	None	1	None	1	None	1	None	1	None	1	None	1
1467797878	DJANG, SAM S, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1467800474	AMANI BAKTASH	2021	FFS	RENDERING	AGE 0-20	67	None	505	None	40	None	105	None	37	None	159	None	37	None	37	None
1467800474	AMANI BAKTASH	2021	FFS	RENDERING	AGE 21+	202	None	1,572	None	44	None	75	None	165	None	886	None	81	None	81	None
1467805523	AZATYAN ARTUR	2021	FFS	RENDERING	AGE 0-20	231	None	1,159	None	105	None	250	None	144	None	463	None	125	None	131	None
1467805523	AZATYAN ARTUR	2021	FFS	RENDERING	AGE 21+	497	None	2,303	None	52	None	91	None	397	None	1,420	None	221	None	221	None
1467809368	HOANG MICHELLE K	2021	FFS	RENDERING	AGE 0-20	190	None	2,179	None	160	None	583	None	96	None	240	None	162	None	192	None
1467809368	HOANG MICHELLE K	2021	FFS	RENDERING	AGE 21+	759	None	7,114	None	476	None	961	None	480	None	2,107	None	578	None	587	None
1467821785	KUMAR GULSHAN	2021	FFS	RENDERING	AGE 0-20	387	None	4,365	None	365	None	1,664	None	142	None	519	None	383	None	509	None
1467821785	KUMAR GULSHAN	2021	FFS	RENDERING	AGE 21+	796	None	5,619	None	637	None	1,251	None	466	None	1,819	None	733	None	733	None
1467837823	BRAUER, ERIK STEWART, RDHAP	2021	FFS	RENDERING	AGE 21+	531	None	1,582	None	504	None	747	None	531	None	835	None	0	None	0	None
1467846352	HUM CHRISTINE D	2021	FFS	RENDERING	AGE 0-20	109	None	894	None	102	None	292	None	63	None	202	None	101	None	134	None
1467846352	HUM CHRISTINE D	2021	FFS	RENDERING	AGE 21+	297	None	1,986	None	180	None	345	None	221	None	845	None	203	None	203	None
1467856070	SABET SHARAREH S	2021	FFS	RENDERING	AGE 0-20	261	None	774	None	0	None	0	None	None	1	None	1	0	None	0	None
1467856070	SABET SHARAREH S	2021	FFS	RENDERING	AGE 21+	32	None	63	None	0	None	0	None	0	None	0	None	0	None	0	None
1467861773	UPPAL ANNA G	2021	FFS	RENDERING	AGE 0-20	1,183	None	11,251	None	966	None	2,436	None	401	None	1,090	None	945	None	946	None
1467861773	UPPAL ANNA G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467861773	UPPAL ANNA G	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1467866921	JOHNSON TRISHIA L	2021	FFS	RENDERING	AGE 0-20	490	None	2,999	None	386	None	981	None	282	None	513	None	330	None	337	None
1467867663	HALL DANIEL R	2021	FFS	RENDERING	AGE 0-20	2,475	None	26,373	None	2,069	None	6,008	None	1,476	None	4,012	None	2,021	None	2,352	None
1467867663	HALL DANIEL R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1467867747	THOMPSON CEAN C	2021	FFS	RENDERING	AGE 0-20	302	None	1,473	None	183	None	492	None	130	None	290	None	202	None	206	None
1467867747	THOMPSON CEAN C	2021	FFS	RENDERING	AGE 21+	403	None	1,202	None	79	None	151	None	201	None	450	None	193	None	193	None
1467867747	THOMPSON CEAN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1467867747	THOMPSON CEAN C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1467869370	RAJVANSHI ROLI	2021	FFS	RENDERING	AGE 0-20	3,142	None	32,935	None	2,610	None	7,070	None	1,285	None	4,549	None	2,538	None	2,786	None
1467869370	RAJVANSHI ROLI	2021	FFS	RENDERING	AGE 21+	13	None	86	None	None	1	None	2	None	1	None	1	11	None	11	None
1467869370	RAJVANSHI ROLI	2021	GMC	RENDERING	AGE 0-20	13	None	230	None	None	1	None	2	13	None	184	None	0	None	0	None
1467880617	MARICONDO DAVID J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1467880617	MARICONDO DAVID J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467883462	CHEONG CHRISTOPHER S	2021	FFS	RENDERING	AGE 0-20	40	None	157	None	30	None	69	None	15	None	35	None	35	None	36	None
1467883462	CHEONG CHRISTOPHER S	2021	FFS	RENDERING	AGE 21+	69	None	197	None	20	None	23	None	60	None	140	None	25	None	25	None
1467887943	NGUYEN DUNG L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1467887943	NGUYEN DUNG L	2021	FFS	RENDERING	AGE 21+	141	None	1,209	None	77	None	144	None	124	None	490	None	76	None	76	None
1467907055	RASHID MEHWISH	2021	FFS	RENDERING	AGE 0-20	48	None	232	None	12	None	24	None	25	None	40	None	27	None	27	None
1467907055	RASHID MEHWISH	2021	FFS	RENDERING	AGE 21+	39	None	167	None	None	1	None	2	25	None	38	None	15	None	15	None
1467917161	GALOFRE LINA I	2021	FFS	RENDERING	AGE 0-20	93	None	604	None	43	None	101	None	56	None	122	None	51	None	51	None
1467917161	GALOFRE LINA I	2021	FFS	RENDERING	AGE 21+	98	None	504	None	15	None	19	None	63	None	130	None	38	None	39	None
1467931352	CLARK ANTHONY A	2021	FFS	RENDERING	AGE 0-20	920	None	6,698	None	630	None	1,677	None	639	None	1,876	None	496	None	504	None
1467931352	CLARK ANTHONY A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1467935411	RAJPAL MANOJ K	2021	FFS	RENDERING	AGE 0-20	129	None	608	None	82	None	176	None	57	None	165	None	65	None	65	None
1467935411	RAJPAL MANOJ K	2021	FFS	RENDERING	AGE 21+	373	None	1,174	None	73	None	131	None	230	None	619	None	144	None	144	None
1467954362	VALETI NARMADA	2021	FFS	RENDERING	AGE 0-20	255	None	998	None	149	None	541	None	109	None	183	None	71	None	71	None
1467954362	VALETI NARMADA	2021	FFS	RENDERING	AGE 21+	508	None	1,377	None	183	None	344	None	286	None	608	None	117	None	117	None
1467961771	RAMOS LORENA	2021	FFS	RENDERING	AGE 0-20	2,317	None	18,066	None	2,019	None	6,837	None	1,269	None	3,241	None	1,994	None	2,281	None
1467978262	LOPEZ DIAZ CARLOS A	2021	FFS	RENDERING	AGE 0-20	479	None	4,719	None	150	None	380	None	376	None	1,591	None	338	None	373	None
1467978262	LOPEZ DIAZ CARLOS A	2021	FFS	RENDERING	AGE 21+	173	None	1,326	None	75	None	136	None	128	None	530	None	123	None	123	None
1467984252	CRUZ STEPHANIE M	2021	FFS	RENDERING	AGE 0-20	3,012	None	25,308	None	2,489	None	7,220	None	1,668	None	4,655	None	2,340	None	2,680	None
1467984252	CRUZ STEPHANIE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467984252	CRUZ STEPHANIE M	2021	PHP	RENDERING	AGE 0-20	11	None	66	None	None	1	None	2	11	None	31	None	None	1	None	1
1467984443	NGUYEN ALAN T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1467984443	NGUYEN ALAN T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467989426	OPINGA, RONALDO, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1477004224	SHEINBAUM JUSTIN M	2021	FFS	RENDERING	AGE 0-20	93	None	263	None	0	None	0	None	92	None	251	None	None	1	None	1
1477004224	SHEINBAUM JUSTIN M	2021	FFS	RENDERING	AGE 21+	183	None	576	None	0	None	0	None	176	None	528	None	11	None	11	None
1477027654	MALDONADO BARRI DANIELLA A	2021	FFS	RENDERING	AGE 0-20	207	None	795	None	28	None	64	None	146	None	376	None	66	None	66	None
1477027654	MALDONADO BARRI DANIELLA A	2021	FFS	RENDERING	AGE 21+	540	None	1,914	None	None	1	None	2	445	None	1,149	None	73	None	73	None
1477030369	GARCIA JENNIFER	2021	FFS	RENDERING	AGE 0-20	53	None	726	None	51	None	153	None	16	None	35	None	52	None	73	None
1477030369	GARCIA JENNIFER	2021	FFS	RENDERING	AGE 21+	61	None	435	None	41	None	80	None	30	None	83	None	42	None	42	None
1477032761	FARAHNIK FARID	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1477034130	CARR SCOTT R	2021	FFS	RENDERING	AGE 0-20	13	None	94	None	None	1	None	1	13	None	90	None	None	1	None	1
1477034130	CARR SCOTT R	2021	FFS	RENDERING	AGE 21+	150	None	1,080	None	None	1	None	1	150	None	1,040	None	12	None	12	None
1477039865	GAO YAN	2021	FFS	RENDERING	AGE 0-20	1,603	None	24,906	None	1,530	None	7,483	None	1,301	None	5,472	None	1,543	None	2,167	None
1477042810	SHAHEEN NADIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477070639	BHATT CHERYL E	2021	FFS	RENDERING	AGE 0-20	2,403	None	18,424	None	1,524	None	3,929	None	1,696	None	5,445	None	1,511	None	1,552	None
1477079549	NOVINBAKHT JOSHUA B	2021	FFS	RENDERING	AGE 0-20	530	None	3,870	None	422	None	1,340	None	260	None	660	None	420	None	468	None
1477079549	NOVINBAKHT JOSHUA B	2021	FFS	RENDERING	AGE 21+	747	None	4,014	None	351	None	369	None	546	None	1,756	None	423	None	423	None
1477079549	NOVINBAKHT JOSHUA B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1477079549	NOVINBAKHT JOSHUA B	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477088581	ARAMBURU MIGUEL E	2021	FFS	RENDERING	AGE 0-20	13	None	120	None	None	1	None	2	None	1	None	2	12	None	12	None
1477088581	ARAMBURU MIGUEL E	2021	FFS	RENDERING	AGE 21+	22	None	229	None	11	None	11	None	15	None	145	None	18	None	18	None
1477094035	KUDAVERDIAN ARGINA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1477094035	KUDAVERDIAN ARGINA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477140903	WONG TIFFANY G	2021	FFS	RENDERING	AGE 0-20	1,905	None	23,872	None	1,607	None	5,259	None	1,366	None	4,360	None	1,576	None	1,872	None
1477142347	ALKHALIDI OMEED	2021	FFS	RENDERING	AGE 0-20	203	None	1,259	None	119	None	309	None	115	None	321	None	151	None	152	None
1477142347	ALKHALIDI OMEED	2021	FFS	RENDERING	AGE 21+	581	None	3,093	None	114	None	221	None	420	None	1,491	None	316	None	316	None
1477158657	SIU LAURIE C	2021	FFS	RENDERING	AGE 0-20	133	None	693	None	93	None	201	None	45	None	98	None	107	None	112	None
1477158657	SIU LAURIE C	2021	FFS	RENDERING	AGE 21+	533	None	2,063	None	166	None	299	None	211	None	644	None	386	None	388	None
1477158657	SIU LAURIE C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477158657	SIU LAURIE C	2021	PHP	RENDERING	AGE 21+	21	None	59	None	None	1	None	1	16	None	42	None	None	1	None	1
1477166676	CHOTI LEO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477166676	CHOTI LEO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1477175073	ABRAHAM DDS DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477180305	HOFMANN JENNIFER A	2021	GMC	RENDERING	AGE 0-20	123	None	533	None	67	None	227	None	36	None	37	None	43	None	43	None
1477228468	MOYLE TYLER D	2021	FFS	RENDERING	AGE 0-20	137	None	397	None	52	None	109	None	94	None	163	None	35	None	35	None
1477228468	MOYLE TYLER D	2021	FFS	RENDERING	AGE 21+	200	None	485	None	22	None	40	None	157	None	321	None	35	None	35	None
1477526648	MO DOUGLAS T	2021	FFS	RENDERING	AGE 0-20	230	None	1,401	None	139	None	316	None	104	None	376	None	162	None	188	None
1477526648	MO DOUGLAS T	2021	FFS	RENDERING	AGE 21+	601	None	2,834	None	182	None	329	None	325	None	1,236	None	405	None	405	None
1477545010	SANI, RONALD J, DDS INC	2021	FFS	RENDERING	AGE 0-20	22	None	332	None	20	None	36	None	22	None	259	None	19	None	19	None
1477545010	SANI, RONALD J, DDS INC	2021	FFS	RENDERING	AGE 21+	19	None	202	None	13	None	13	None	19	None	160	None	16	None	16	None
1477549459	LIM, MICHAEL H MD	2021	FFS	RENDERING	AGE 0-20	32	None	86	None	0	None	0	None	32	None	86	None	0	None	0	None
1477563260	HONG ANNA J	2021	FFS	RENDERING	AGE 0-20	55	None	337	None	46	None	127	None	23	None	60	None	44	None	45	None
1477563260	HONG ANNA J	2021	FFS	RENDERING	AGE 21+	86	None	408	None	26	None	52	None	67	None	190	None	48	None	48	None
1477574317	SHAHHAL, RIMA C, DDS	2021	FFS	RENDERING	AGE 0-20	36	None	214	None	27	None	50	None	12	None	49	None	26	None	30	None
1477574317	SHAHHAL, RIMA C, DDS	2021	FFS	RENDERING	AGE 21+	165	None	888	None	79	None	79	None	95	None	323	None	120	None	120	None
1477604551	NOURI, IRAJ DDS	2021	FFS	RENDERING	AGE 0-20	120	None	1,406	None	115	None	526	None	40	None	75	None	116	None	133	None
1477604551	NOURI, IRAJ DDS	2021	FFS	RENDERING	AGE 21+	209	None	1,617	None	59	None	115	None	149	None	543	None	148	None	148	None
1477604551	NOURI, IRAJ DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1477604551	NOURI, IRAJ DDS	2021	PHP	RENDERING	AGE 21+	11	None	70	None	None	1	None	1	None	1	None	2	None	1	None	1
1477610483	DEAN HENRY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477610582	JOSEPH, NABEEL AWAD, DDS	2021	FFS	RENDERING	AGE 0-20	299	None	3,419	None	262	None	634	None	135	None	434	None	266	None	284	None
1477610582	JOSEPH, NABEEL AWAD, DDS	2021	FFS	RENDERING	AGE 21+	558	None	3,798	None	293	None	299	None	373	None	1,237	None	365	None	365	None
1477611762	TRUONG KEVIN T	2021	FFS	RENDERING	AGE 0-20	20	None	127	None	14	None	28	None	None	1	None	2	16	None	16	None
1477611762	TRUONG KEVIN T	2021	FFS	RENDERING	AGE 21+	55	None	314	None	24	None	46	None	35	None	73	None	34	None	34	None
1477615151	FRANSIS ADEL M	2021	FFS	RENDERING	AGE 0-20	111	None	1,255	None	94	None	382	None	33	None	86	None	96	None	105	None
1477615151	FRANSIS ADEL M	2021	FFS	RENDERING	AGE 21+	323	None	2,334	None	195	None	381	None	190	None	718	None	250	None	250	None
1477615151	FRANSIS ADEL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1477615151	FRANSIS ADEL M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477619575	SHARIFI, MINA K, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1477619575	SHARIFI, MINA K, DDS INC	2021	FFS	RENDERING	AGE 21+	16	None	73	None	None	1	None	1	15	None	54	None	None	1	None	1
1477620631	LUU, MATHEW T, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	106	None	19	None	38	None	None	1	None	1	22	None	22	None
1477620631	LUU, MATHEW T, DDS	2021	FFS	RENDERING	AGE 21+	36	None	218	None	28	None	55	None	12	None	19	None	30	None	30	None
1477627156	WESTERN DENTAL SERVICES	2021	GMC	RENDERING	AGE 0-20	14	None	178	None	None	1	None	1	14	None	110	None	None	1	None	1
1477627156	WESTERN DENTAL SERVICES	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1477627156	WESTERN DENTAL SERVICES	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477627156	WESTERN DENTAL SERVICES	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477630937	YOSHIDA CHARLES T	2021	FFS	RENDERING	AGE 0-20	187	None	1,853	None	86	None	140	None	185	None	1,461	None	141	None	144	None
1477630937	YOSHIDA CHARLES T	2021	FFS	RENDERING	AGE 21+	249	None	2,079	None	158	None	184	None	237	None	1,526	None	186	None	186	None
1477637833	JACKSON GREGORY T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1477637833	JACKSON GREGORY T	2021	FFS	RENDERING	AGE 21+	826	None	2,025	None	51	None	52	None	825	None	1,343	None	630	None	630	None
1477637833	JACKSON GREGORY T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1477640290	NGUYEN BRIAN D	2021	FFS	RENDERING	AGE 0-20	52	None	593	None	39	None	103	None	28	None	134	None	39	None	49	None
1477640290	NGUYEN BRIAN D	2021	FFS	RENDERING	AGE 21+	211	None	1,575	None	112	None	112	None	174	None	682	None	124	None	124	None
1477645000	MALHOTRA ADARSH K	2021	FFS	RENDERING	AGE 0-20	19	None	98	None	0	None	0	None	19	None	98	None	0	None	0	None
1477645000	MALHOTRA ADARSH K	2021	FFS	RENDERING	AGE 21+	80	None	243	None	0	None	0	None	80	None	243	None	0	None	0	None
1477649689	SANGHA AMANDEEP K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477654036	NGUYEN, DAT Q, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	88	None	None	1	None	2	14	None	31	None	None	1	None	2
1477654036	NGUYEN, DAT Q, DDS	2021	FFS	RENDERING	AGE 21+	150	None	1,047	None	50	None	100	None	125	None	376	None	64	None	64	None
1477657534	NGUYEN PHUONG-TRINH N	2021	FFS	RENDERING	AGE 0-20	262	None	2,633	None	246	None	657	None	78	None	206	None	255	None	339	None
1477657534	NGUYEN PHUONG-TRINH N	2021	FFS	RENDERING	AGE 21+	691	None	6,805	None	509	None	996	None	363	None	1,122	None	585	None	585	None
1477659167	SULLIVAN, GRACIELA DDS	2021	FFS	RENDERING	AGE 0-20	724	None	10,651	None	703	None	3,382	None	516	None	1,960	None	687	None	1,099	None
1477659167	SULLIVAN, GRACIELA DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1477663219	VARUGHESE, ELIZABETH DDS	2021	FFS	RENDERING	AGE 0-20	165	None	1,550	None	159	None	467	None	86	None	350	None	160	None	232	None
1477663219	VARUGHESE, ELIZABETH DDS	2021	FFS	RENDERING	AGE 21+	187	None	1,180	None	121	None	121	None	120	None	487	None	72	None	72	None
1477669943	HOANG ANDY T	2021	FFS	RENDERING	AGE 0-20	195	None	1,057	None	128	None	365	None	95	None	190	None	132	None	140	None
1477669943	HOANG ANDY T	2021	FFS	RENDERING	AGE 21+	433	None	1,941	None	173	None	323	None	194	None	554	None	262	None	262	None
1477675668	BILLEDO PRINCESITA A	2021	FFS	RENDERING	AGE 0-20	23	None	213	None	23	None	79	None	11	None	21	None	22	None	25	None
1477675668	BILLEDO PRINCESITA A	2021	FFS	RENDERING	AGE 21+	47	None	251	None	28	None	56	None	31	None	88	None	None	1	None	1
1477681013	NG LINDA L	2021	FFS	RENDERING	AGE 0-20	52	None	443	None	48	None	141	None	27	None	92	None	47	None	57	None
1477681013	NG LINDA L	2021	FFS	RENDERING	AGE 21+	128	None	845	None	103	None	103	None	94	None	277	None	111	None	111	None
1477682201	FONG VICTOR D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477682201	FONG VICTOR D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477682201	FONG VICTOR D	2021	GMC	RENDERING	AGE 0-20	28	None	152	None	17	None	51	None	15	None	26	None	14	None	14	None
1477682201	FONG VICTOR D	2021	GMC	RENDERING	AGE 21+	170	None	1,150	None	86	None	163	None	137	None	544	None	62	None	91	None
1477683621	NGUYEN TUAN D	2021	FFS	RENDERING	AGE 0-20	144	None	2,633	None	142	None	606	None	139	None	663	None	143	None	179	None
1477683621	NGUYEN TUAN D	2021	FFS	RENDERING	AGE 21+	153	None	1,721	None	132	None	241	None	146	None	724	None	141	None	141	None
1477687580	MADISON MILES	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477690030	DUTTA NAMITA	2021	FFS	RENDERING	AGE 0-20	12	None	76	None	None	1	None	2	None	1	None	2	None	1	None	1
1477690030	DUTTA NAMITA	2021	FFS	RENDERING	AGE 21+	32	None	116	None	13	None	14	None	14	None	26	None	23	None	23	None
1477691178	AMIN HUMAIRAH	2021	FFS	RENDERING	AGE 0-20	2,497	None	20,503	None	2,364	None	7,602	None	980	None	1,385	None	2,405	None	2,772	None
1477691178	AMIN HUMAIRAH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477691178	AMIN HUMAIRAH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477693406	FIELDS, ROBERT S, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477693406	FIELDS, ROBERT S, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477697423	NAJI, AHMED M, DDS	2021	FFS	RENDERING	AGE 0-20	87	None	579	None	60	None	157	None	83	None	270	None	71	None	75	None
1477697423	NAJI, AHMED M, DDS	2021	FFS	RENDERING	AGE 21+	289	None	1,924	None	116	None	226	None	287	None	1,114	None	212	None	212	None
1477698975	THENARD SHARINE V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1477699130	IBRAHIM ESSAM A	2021	FFS	RENDERING	AGE 0-20	487	None	7,300	None	457	None	2,164	None	288	None	819	None	455	None	545	None
1477699130	IBRAHIM ESSAM A	2021	FFS	RENDERING	AGE 21+	454	None	4,496	None	291	None	589	None	331	None	1,641	None	341	None	341	None
1477699635	KHOSH, SHAYESTEH R, DDS	2021	FFS	RENDERING	AGE 0-20	34	None	393	None	33	None	183	None	14	None	41	None	32	None	46	None
1477699635	KHOSH, SHAYESTEH R, DDS	2021	FFS	RENDERING	AGE 21+	144	None	958	None	112	None	215	None	100	None	388	None	121	None	123	None
1477700276	LASKA MARK S	2021	FFS	RENDERING	AGE 0-20	54	None	465	None	48	None	172	None	25	None	83	None	47	None	56	None
1477700276	LASKA MARK S	2021	FFS	RENDERING	AGE 21+	646	None	6,454	None	251	None	443	None	476	None	4,236	None	436	None	439	None
1477700276	LASKA MARK S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1477704104	OLETY RAGHAVENDRA	2021	FFS	RENDERING	AGE 0-20	1,604	None	5,825	None	796	None	1,808	None	22	None	47	None	1,272	None	1,422	None
1477704104	OLETY RAGHAVENDRA	2021	FFS	RENDERING	AGE 21+	814	None	2,428	None	197	None	351	None	172	None	491	None	540	None	541	None
1477704104	OLETY RAGHAVENDRA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477704104	OLETY RAGHAVENDRA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477723419	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1477723419	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1477744795	EDALAT SAMAN	2021	FFS	RENDERING	AGE 0-20	247	None	2,732	None	199	None	968	None	143	None	452	None	212	None	253	None
1477744795	EDALAT SAMAN	2021	FFS	RENDERING	AGE 21+	458	None	2,133	None	105	None	203	None	241	None	703	None	321	None	321	None
1477744795	EDALAT SAMAN	2021	PHP	RENDERING	AGE 0-20	22	None	199	None	20	None	95	None	None	1	None	2	20	None	26	None
1477744795	EDALAT SAMAN	2021	PHP	RENDERING	AGE 21+	40	None	228	None	17	None	42	None	22	None	72	None	34	None	42	None
1477758167	NGO, PHUONG-LIEN, DDS	2021	FFS	RENDERING	AGE 0-20	158	None	1,946	None	130	None	704	None	48	None	290	None	141	None	304	None
1477758167	NGO, PHUONG-LIEN, DDS	2021	FFS	RENDERING	AGE 21+	516	None	7,116	None	282	None	1,124	None	348	None	2,948	None	405	None	810	None
1477758985	NGUYEN QUY T	2021	FFS	RENDERING	AGE 0-20	471	None	2,357	None	284	None	762	None	208	None	553	None	273	None	280	None
1477758985	NGUYEN QUY T	2021	FFS	RENDERING	AGE 21+	641	None	2,238	None	208	None	402	None	354	None	895	None	303	None	303	None
1477760759	CARDONA GERENA MYRNA Y	2021	FFS	RENDERING	AGE 0-20	33	None	139	None	19	None	42	None	None	1	None	2	20	None	20	None
1477760759	CARDONA GERENA MYRNA Y	2021	FFS	RENDERING	AGE 21+	84	None	288	None	26	None	33	None	39	None	132	None	33	None	33	None
1477760858	SWEENY, HEBE G, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	258	None	24	None	78	None	13	None	45	None	25	None	35	None
1477760858	SWEENY, HEBE G, DDS	2021	FFS	RENDERING	AGE 21+	122	None	682	None	49	None	50	None	76	None	355	None	104	None	104	None
1477761708	NGUYEN KEREN THUY P	2021	FFS	RENDERING	AGE 0-20	140	None	1,665	None	135	None	715	None	49	None	150	None	131	None	151	None
1477761708	NGUYEN KEREN THUY P	2021	FFS	RENDERING	AGE 21+	139	None	936	None	114	None	227	None	62	None	219	None	122	None	122	None
1477788164	WAITE IV WILLIAM L	2021	FFS	RENDERING	AGE 0-20	17	None	18	None	0	None	0	None	None	1	None	1	0	None	0	None
1477788164	WAITE IV WILLIAM L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477791267	GUDINO AARON D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477791267	GUDINO AARON D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1477798247	REGALA, ADONIS, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1477805257	COAUETTE, PATRICIA, RDHAP	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1477833119	PRUSKY SEAN D	2021	FFS	RENDERING	AGE 0-20	347	None	532	None	0	None	0	None	96	None	215	None	0	None	0	None
1477833119	PRUSKY SEAN D	2021	FFS	RENDERING	AGE 21+	26	None	26	None	0	None	0	None	0	None	0	None	0	None	0	None
1477833119	PRUSKY SEAN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477840700	TECSON NINA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477840700	TECSON NINA M	2021	GMC	RENDERING	AGE 0-20	120	None	1,102	None	90	None	479	None	109	None	258	None	74	None	84	None
1477840700	TECSON NINA M	2021	GMC	RENDERING	AGE 21+	270	None	1,410	None	102	None	209	None	232	None	828	None	77	None	77	None
1477859056	DARABI SHEFAGH S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1477859056	DARABI SHEFAGH S	2021	FFS	RENDERING	AGE 21+	62	None	375	None	31	None	58	None	33	None	184	None	49	None	49	None
1477861839	BAE, P H, DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1477866648	DO, FELICIA, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1477866648	FELICIA DO DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1477889392	DE MELLO JEE YOUNG L	2021	FFS	RENDERING	AGE 0-20	214	None	3,256	None	202	None	745	None	68	None	211	None	202	None	275	None
1477889392	DE MELLO JEE YOUNG L	2021	FFS	RENDERING	AGE 21+	279	None	2,759	None	191	None	348	None	208	None	704	None	203	None	203	None
1477897494	LEBOVITZ TALIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477902112	WONG KIN C	2021	FFS	RENDERING	AGE 0-20	2,838	None	25,953	None	2,282	None	7,083	None	1,989	None	4,101	None	2,003	None	2,344	None
1477902112	WONG KIN C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477905248	HAMEDI-SANGSARI ADRIEN A	2021	FFS	RENDERING	AGE 0-20	95	None	161	None	0	None	0	None	0	None	0	None	0	None	0	None
1477905248	HAMEDI-SANGSARI ADRIEN A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477906840	PORTEOUS LANCE E	2021	FFS	RENDERING	AGE 0-20	14	None	49	None	0	None	0	None	14	None	49	None	0	None	0	None
1477906840	PORTEOUS LANCE E	2021	FFS	RENDERING	AGE 21+	50	None	174	None	0	None	0	None	50	None	173	None	0	None	0	None
1477912533	SAINI REENA RANI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1477912806	BURNHAM TRAVIS A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1477912806	BURNHAM TRAVIS A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1477913176	WONG ANDY	2021	FFS	RENDERING	AGE 0-20	135	None	1,064	None	114	None	406	None	64	None	163	None	112	None	122	None
1477913176	WONG ANDY	2021	FFS	RENDERING	AGE 21+	150	None	895	None	82	None	164	None	89	None	180	None	115	None	115	None
1477922078	SU BRITTANY L	2021	FFS	RENDERING	AGE 0-20	1,814	None	21,028	None	1,556	None	4,703	None	1,314	None	5,298	None	1,488	None	1,597	None
1477922078	SU BRITTANY L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1477928224	YORK TIMOTHY R	2021	FFS	RENDERING	AGE 0-20	235	None	292	None	0	None	0	None	63	None	91	None	0	None	0	None
1477928224	YORK TIMOTHY R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477928224	YORK TIMOTHY R	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477928224	YORK TIMOTHY R	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477937340	TRAMMELL JOSHUA B	2021	FFS	RENDERING	AGE 0-20	1,124	None	25,282	None	755	None	2,259	None	1,122	None	15,797	None	1,103	None	1,128	None
1477937837	LIN JING	2021	FFS	RENDERING	AGE 0-20	34	None	222	None	17	None	63	None	15	None	26	None	24	None	24	None
1477937837	LIN JING	2021	FFS	RENDERING	AGE 21+	64	None	239	None	None	1	None	2	39	None	123	None	40	None	40	None
1477939023	TAM AMY S	2021	FFS	RENDERING	AGE 0-20	255	None	319	None	0	None	0	None	130	None	151	None	0	None	0	None
1477939023	TAM AMY S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477939023	TAM AMY S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477939023	TAM AMY S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477962538	SUN RUOXING	2021	FFS	RENDERING	AGE 0-20	5,667	None	59,898	None	5,216	None	16,318	None	3,605	None	10,914	None	5,255	None	6,639	None
1477968253	RAM PEGGY K	2021	FFS	RENDERING	AGE 0-20	179	None	1,247	None	94	None	299	None	86	None	339	None	158	None	164	None
1477968253	RAM PEGGY K	2021	FFS	RENDERING	AGE 21+	465	None	2,520	None	56	None	86	None	298	None	1,507	None	387	None	387	None
1477982346	TRAN TIPHANIE T	2021	FFS	RENDERING	AGE 0-20	174	None	1,303	None	130	None	165	None	64	None	205	None	126	None	155	None
1477982346	TRAN TIPHANIE T	2021	FFS	RENDERING	AGE 21+	482	None	3,468	None	286	None	286	None	260	None	783	None	291	None	291	None
1477994770	SOROUSHIAN VASNA	2021	FFS	RENDERING	AGE 0-20	881	None	4,572	None	494	None	1,046	None	389	None	1,137	None	607	None	633	None
1477994770	SOROUSHIAN VASNA	2021	FFS	RENDERING	AGE 21+	2,128	None	10,201	None	417	None	588	None	1,468	None	6,044	None	1,052	None	1,053	None
1487000592	ALQADOUMI THAER B	2021	FFS	RENDERING	AGE 0-20	38	None	98	None	0	None	0	None	37	None	88	None	None	1	None	1
1487000592	ALQADOUMI THAER B	2021	FFS	RENDERING	AGE 21+	225	None	709	None	0	None	0	None	220	None	621	None	None	1	None	1
1487000592	ALQADOUMI THAER B	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1487000592	ALQADOUMI THAER B	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1487000592	ALQADOUMI THAER B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1487000592	ALQADOUMI THAER B	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1487007704	SAH LINDA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1487012928	SHERGILL SANJEETA K	2021	FFS	RENDERING	AGE 0-20	226	None	2,238	None	180	None	495	None	134	None	423	None	186	None	186	None
1487020293	LAREZ ANINA	2021	FFS	RENDERING	AGE 0-20	69	None	472	None	33	None	72	None	36	None	91	None	33	None	34	None
1487020293	LAREZ ANINA	2021	FFS	RENDERING	AGE 21+	87	None	538	None	22	None	43	None	51	None	133	None	42	None	42	None
1487020293	LAREZ ANINA	2021	PHP	RENDERING	AGE 0-20	20	None	173	None	18	None	78	None	14	None	25	None	17	None	18	None
1487020293	LAREZ ANINA	2021	PHP	RENDERING	AGE 21+	54	None	352	None	36	None	80	None	41	None	149	None	37	None	38	None
1487033304	BEIK FARIBA	2021	FFS	RENDERING	AGE 0-20	300	None	1,520	None	155	None	337	None	145	None	401	None	217	None	219	None
1487033304	BEIK FARIBA	2021	FFS	RENDERING	AGE 21+	895	None	3,412	None	191	None	355	None	472	None	1,279	None	517	None	517	None
1487033304	BEIK FARIBA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487033304	BEIK FARIBA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487033304	BEIK FARIBA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1487033304	BEIK FARIBA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487033619	IRAVANI BOSHRA S	2021	FFS	RENDERING	AGE 0-20	614	None	2,742	None	0	None	0	None	613	None	2,732	None	None	1	None	1
1487033619	IRAVANI BOSHRA S	2021	FFS	RENDERING	AGE 21+	28	None	88	None	0	None	0	None	28	None	88	None	0	None	0	None
1487033619	IRAVANI BOSHRA S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487039459	CHIN KEVIN L	2021	FFS	RENDERING	AGE 0-20	18	None	117	None	14	None	35	None	None	1	None	2	12	None	12	None
1487039459	CHIN KEVIN L	2021	FFS	RENDERING	AGE 21+	61	None	429	None	27	None	54	None	49	None	144	None	32	None	32	None
1487039509	DHERI TEJINDER K	2021	FFS	RENDERING	AGE 0-20	512	None	4,722	None	404	None	1,307	None	120	None	230	None	471	None	541	None
1487039509	DHERI TEJINDER K	2021	FFS	RENDERING	AGE 21+	902	None	6,427	None	454	None	898	None	366	None	885	None	726	None	728	None
1487061107	TRAN MICHAEL A	2021	FFS	RENDERING	AGE 0-20	15	None	20	None	0	None	0	None	15	None	16	None	0	None	0	None
1487061107	TRAN MICHAEL A	2021	FFS	RENDERING	AGE 21+	227	None	316	None	0	None	0	None	226	None	253	None	0	None	0	None
1487061677	FINLEY ANDREW P	2021	FFS	RENDERING	AGE 0-20	24	None	178	None	20	None	72	None	15	None	39	None	16	None	17	None
1487061677	FINLEY ANDREW P	2021	FFS	RENDERING	AGE 21+	816	None	3,753	None	185	None	319	None	751	None	2,050	None	424	None	428	None
1487061677	FINLEY ANDREW P	2021	PHP	RENDERING	AGE 21+	12	None	40	None	None	1	None	1	12	None	26	None	None	1	None	1
1487063111	MOHAN ANU	2021	FFS	RENDERING	AGE 0-20	62	None	391	None	48	None	100	None	25	None	120	None	43	None	43	None
1487063111	MOHAN ANU	2021	FFS	RENDERING	AGE 21+	136	None	798	None	71	None	72	None	101	None	413	None	86	None	88	None
1487084125	SAWYER, GREGORY, DDS	2021	FFS	RENDERING	AGE 0-20	27	None	129	None	None	1	None	2	25	None	72	None	None	1	None	1
1487084125	SAWYER, GREGORY, DDS	2021	FFS	RENDERING	AGE 21+	63	None	306	None	16	None	16	None	51	None	178	None	14	None	14	None
1487084752	LIN CHEN-KAI	2021	FFS	RENDERING	AGE 0-20	423	None	2,071	None	308	None	721	None	149	None	343	None	313	None	325	None
1487084752	LIN CHEN-KAI	2021	FFS	RENDERING	AGE 21+	1,148	None	4,480	None	381	None	680	None	585	None	1,797	None	801	None	801	None
1487096699	KIM, EUGENIE HEO DDS	2021	FFS	RENDERING	AGE 0-20	1,658	None	20,450	None	1,513	None	5,127	None	922	None	2,129	None	1,548	None	1,865	None
1487096699	KIM, EUGENIE HEO DDS	2021	FFS	RENDERING	AGE 21+	1,711	None	12,479	None	1,056	None	2,019	None	1,095	None	3,506	None	1,298	None	1,300	None
1487099636	JOHNSON DANIELLE N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1487099636	JOHNSON DANIELLE N	2021	FFS	RENDERING	AGE 21+	55	None	200	None	None	1	None	2	43	None	75	None	12	None	12	None
1487115325	SKAHEN JAMES C	2021	FFS	RENDERING	AGE 0-20	1,054	None	9,414	None	933	None	2,653	None	643	None	1,489	None	837	None	842	None
1487126082	MATOS WONG ALEXANDER CARLOS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487129482	OGUIENKO OULIANA	2021	FFS	RENDERING	AGE 0-20	346	None	1,136	None	0	None	0	None	346	None	957	None	None	1	None	1
1487129482	OGUIENKO OULIANA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487130191	RASSIWALA DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487130191	RASSIWALA DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487132213	ABDAL RONZA HIKMAT O	2021	FFS	RENDERING	AGE 0-20	19	None	41	None	19	None	41	None	0	None	0	None	0	None	0	None
1487132213	ABDAL RONZA HIKMAT O	2021	FFS	RENDERING	AGE 21+	12	None	34	None	None	1	None	2	None	1	None	2	0	None	0	None
1487132213	ABDAL RONZA HIKMAT O	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487132213	ABDAL RONZA HIKMAT O	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1487133492	TA THERESA A	2021	FFS	RENDERING	AGE 0-20	90	None	470	None	30	None	64	None	40	None	104	None	71	None	71	None
1487133492	TA THERESA A	2021	FFS	RENDERING	AGE 21+	217	None	1,083	None	47	None	94	None	159	None	326	None	111	None	111	None
1487139879	KARABIDIAN EDDIE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1487139879	KARABIDIAN EDDIE	2021	FFS	RENDERING	AGE 21+	70	None	527	None	32	None	59	None	56	None	247	None	45	None	45	None
1487172391	TAVARI AZADEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1487172391	TAVARI AZADEH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1487179743	MAI SU MEI	2021	FFS	RENDERING	AGE 0-20	696	None	6,444	None	593	None	1,952	None	403	None	1,156	None	595	None	630	None
1487179743	MAI SU MEI	2021	FFS	RENDERING	AGE 21+	575	None	3,001	None	258	None	508	None	408	None	1,293	None	346	None	350	None
1487213740	KATZ LAURA M	2021	FFS	RENDERING	AGE 0-20	962	None	10,608	None	852	None	2,942	None	630	None	1,590	None	806	None	954	None
1487213740	KATZ LAURA M	2021	FFS	RENDERING	AGE 21+	275	None	2,009	None	170	None	336	None	163	None	598	None	182	None	182	None
1487218095	BORDIERI THOMAS C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1487224416	GOEL ARYA S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1487225264	LIU XIAOXU	2021	FFS	RENDERING	AGE 0-20	153	None	1,377	None	125	None	268	None	69	None	178	None	126	None	126	None
1487225264	LIU XIAOXU	2021	FFS	RENDERING	AGE 21+	51	None	332	None	19	None	36	None	35	None	69	None	28	None	28	None
1487231411	HAROUN SARO	2021	FFS	RENDERING	AGE 0-20	177	None	474	None	0	None	0	None	135	None	250	None	0	None	0	None
1487231411	HAROUN SARO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1487261079	LAKHANPAL SHRUTI	2021	FFS	RENDERING	AGE 0-20	510	None	2,828	None	306	None	713	None	340	None	978	None	293	None	296	None
1487261079	LAKHANPAL SHRUTI	2021	FFS	RENDERING	AGE 21+	648	None	2,209	None	152	None	289	None	398	None	1,065	None	325	None	325	None
1487261608	BUI AN D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487267035	GUIRGES ELIZABETH D	2021	FFS	RENDERING	AGE 0-20	2,505	None	19,072	None	2,091	None	5,303	None	1,690	None	6,107	None	2,202	None	2,204	None
1487290144	CHUNG JAE K	2021	FFS	RENDERING	AGE 0-20	128	None	1,145	None	92	None	335	None	114	None	454	None	94	None	94	None
1487290144	CHUNG JAE K	2021	FFS	RENDERING	AGE 21+	666	None	5,577	None	287	None	564	None	633	None	3,843	None	335	None	336	None
1487609749	WONG, ALLEN, DDS	2021	FFS	RENDERING	AGE 0-20	79	None	534	None	52	None	156	None	74	None	237	None	48	None	54	None
1487609749	WONG, ALLEN, DDS	2021	FFS	RENDERING	AGE 21+	478	None	2,965	None	176	None	322	None	434	None	1,730	None	243	None	253	None
1487636817	LEE, HANK C, DDS	2021	FFS	RENDERING	AGE 0-20	100	None	503	None	94	None	242	None	19	None	31	None	94	None	107	None
1487636817	LEE, HANK C, DDS	2021	FFS	RENDERING	AGE 21+	264	None	1,477	None	161	None	324	None	192	None	600	None	173	None	173	None
1487665030	THAKKAR, JAGRUTI A, DDS	2021	FFS	RENDERING	AGE 0-20	208	None	2,058	None	199	None	450	None	78	None	188	None	207	None	280	None
1487665030	THAKKAR, JAGRUTI A, DDS	2021	FFS	RENDERING	AGE 21+	209	None	1,273	None	115	None	118	None	93	None	282	None	80	None	80	None
1487665030	THAKKAR, JAGRUTI A, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1487667390	TANG DANIEL K	2021	FFS	RENDERING	AGE 0-20	38	None	151	None	36	None	72	None	None	1	None	2	30	None	36	None
1487667390	TANG DANIEL K	2021	FFS	RENDERING	AGE 21+	155	None	571	None	106	None	106	None	83	None	209	None	106	None	106	None
1487667390	TANG DANIEL K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1487679809	MCCLURE JEFFREY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487700209	BUI, MAI Q, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1487700209	BUI, MAI Q, DDS	2021	FFS	RENDERING	AGE 21+	73	None	392	None	42	None	82	None	49	None	147	None	50	None	50	None
1487700209	BUI, MAI Q, DDS	2021	GMC	RENDERING	AGE 0-20	114	None	742	None	92	None	237	None	59	None	168	None	108	None	119	None
1487700209	BUI, MAI Q, DDS	2021	GMC	RENDERING	AGE 21+	419	None	2,305	None	232	None	468	None	221	None	570	None	374	None	393	None
1487700670	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	51	None	421	None	43	None	182	None	26	None	61	None	31	None	31	None
1487700670	UNKNOWN	2021	FFS	RENDERING	AGE 21+	346	None	2,327	None	130	None	193	None	287	None	1,166	None	172	None	174	None
1487700670	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	26	None	131	None	21	None	51	None	11	None	22	None	22	None	22	None
1487700670	UNKNOWN	2021	PHP	RENDERING	AGE 21+	55	None	269	None	26	None	55	None	30	None	83	None	31	None	31	None
1487700670	VEINBERG, ABEN, DDS	2021	FFS	RENDERING	AGE 0-20	51	None	421	None	43	None	182	None	26	None	61	None	31	None	31	None
1487700670	VEINBERG, ABEN, DDS	2021	FFS	RENDERING	AGE 21+	346	None	2,327	None	130	None	193	None	287	None	1,166	None	172	None	174	None
1487700670	VEINBERG, ABEN, DDS	2021	PHP	RENDERING	AGE 0-20	26	None	131	None	21	None	51	None	11	None	22	None	22	None	22	None
1487700670	VEINBERG, ABEN, DDS	2021	PHP	RENDERING	AGE 21+	55	None	269	None	26	None	55	None	30	None	83	None	31	None	31	None
1487702114	CEJA, FRANK DDS	2021	FFS	RENDERING	AGE 0-20	167	None	1,155	None	130	None	463	None	69	None	259	None	150	None	192	None
1487702114	CEJA, FRANK DDS	2021	FFS	RENDERING	AGE 21+	189	None	887	None	103	None	103	None	114	None	363	None	141	None	141	None
1487704326	HALLIDAY RANDALL W	2021	FFS	RENDERING	AGE 0-20	362	None	1,651	None	0	None	0	None	190	None	1,108	None	272	None	273	None
1487704326	HALLIDAY RANDALL W	2021	FFS	RENDERING	AGE 21+	429	None	2,185	None	0	None	0	None	226	None	1,593	None	293	None	293	None
1487706339	DEFAY MYRIAM M	2021	FFS	RENDERING	AGE 0-20	474	None	4,875	None	471	None	1,840	None	168	None	351	None	455	None	625	None
1487706339	DEFAY MYRIAM M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1487708400	SEHEULT, RUSSELL DDS	2021	FFS	RENDERING	AGE 0-20	952	None	8,786	None	548	None	1,725	None	641	None	5,208	None	444	None	447	None
1487708400	SEHEULT, RUSSELL DDS	2021	FFS	RENDERING	AGE 21+	1,047	None	8,067	None	651	None	1,146	None	844	None	5,308	None	273	None	273	None
1487713210	AHMED MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	27	None	56	None	None	1	None	1	17	None	33	None	None	1	None	1
1487713210	AHMED MOHAMMAD	2021	FFS	RENDERING	AGE 21+	168	None	672	None	None	1	None	1	145	None	607	None	19	None	19	None
1487713210	AHMED MOHAMMAD	2021	GMC	RENDERING	AGE 0-20	340	None	2,407	None	176	None	538	None	231	None	990	None	241	None	260	None
1487713210	AHMED MOHAMMAD	2021	GMC	RENDERING	AGE 21+	475	None	2,857	None	77	None	134	None	348	None	1,681	None	266	None	270	None
1487713210	AHMED MOHAMMAD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1487716379	VILLARROEL LAURA T	2021	FFS	RENDERING	AGE 0-20	327	None	2,914	None	218	None	784	None	173	None	815	None	290	None	306	None
1487716379	VILLARROEL LAURA T	2021	FFS	RENDERING	AGE 21+	219	None	1,344	None	28	None	56	None	161	None	729	None	136	None	138	None
1487716510	KHAN FAROOQ H	2021	FFS	RENDERING	AGE 0-20	1,207	None	6,826	None	812	None	2,769	None	235	None	453	None	1,085	None	1,177	None
1487716510	KHAN FAROOQ H	2021	FFS	RENDERING	AGE 21+	1,598	None	6,284	None	701	None	1,320	None	682	None	2,120	None	1,116	None	1,116	None
1487721411	VU, TRANG KHANH DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487728986	NGUYEN YEN K	2021	FFS	RENDERING	AGE 0-20	76	None	706	None	73	None	208	None	37	None	170	None	74	None	83	None
1487728986	NGUYEN YEN K	2021	FFS	RENDERING	AGE 21+	185	None	1,608	None	124	None	248	None	134	None	712	None	138	None	138	None
1487729729	DICKEY, LEONEL V, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487732046	GURVIS RAFAEL L	2021	FFS	RENDERING	AGE 0-20	47	None	340	None	31	None	86	None	14	None	22	None	33	None	33	None
1487732046	GURVIS RAFAEL L	2021	FFS	RENDERING	AGE 21+	135	None	479	None	36	None	72	None	83	None	164	None	52	None	52	None
1487740973	SACKETT CHARLES E	2021	FFS	RENDERING	AGE 0-20	7,775	None	49,521	None	7,393	None	21,015	None	4,521	None	6,612	None	7,372	None	8,356	None
1487740973	SACKETT CHARLES E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1487745469	VALDERRAMA CLARINDA T	2021	FFS	RENDERING	AGE 0-20	409	None	2,309	None	350	None	929	None	120	None	378	None	359	None	410	None
1487745469	VALDERRAMA CLARINDA T	2021	FFS	RENDERING	AGE 21+	563	None	2,227	None	215	None	415	None	278	None	813	None	432	None	440	None
1487756599	HASHIMOTO SCOTT M	2021	FFS	RENDERING	AGE 0-20	113	None	776	None	93	None	223	None	65	None	158	None	95	None	116	None
1487756599	HASHIMOTO SCOTT M	2021	FFS	RENDERING	AGE 21+	150	None	751	None	78	None	129	None	109	None	207	None	81	None	81	None
1487757704	VU, TRANG THUY, DDS	2021	FFS	RENDERING	AGE 0-20	112	None	1,167	None	106	None	271	None	50	None	119	None	105	None	125	None
1487757704	VU, TRANG THUY, DDS	2021	FFS	RENDERING	AGE 21+	108	None	971	None	85	None	88	None	58	None	138	None	96	None	96	None
1487765814	KIM DEBBIE	2021	FFS	RENDERING	AGE 0-20	344	None	1,926	None	133	None	366	None	281	None	780	None	127	None	129	None
1487765814	KIM DEBBIE	2021	FFS	RENDERING	AGE 21+	23	None	105	None	None	1	None	1	19	None	58	None	None	1	None	1
1487765954	NGUYEN-NGO NATHALIE J	2021	FFS	RENDERING	AGE 0-20	226	None	1,170	None	220	None	498	None	81	None	144	None	212	None	237	None
1487765954	NGUYEN-NGO NATHALIE J	2021	FFS	RENDERING	AGE 21+	47	None	134	None	36	None	37	None	None	1	None	2	16	None	16	None
1487768743	NGUYEN, BAO L, DDS INC	2021	FFS	RENDERING	AGE 0-20	78	None	975	None	69	None	222	None	23	None	64	None	71	None	82	None
1487768743	NGUYEN, BAO L, DDS INC	2021	FFS	RENDERING	AGE 21+	210	None	2,309	None	134	None	255	None	73	None	162	None	160	None	160	None
1487770558	RABIZADEH SHAWN	2021	FFS	RENDERING	AGE 0-20	709	None	5,282	None	516	None	1,572	None	396	None	1,198	None	554	None	637	None
1487770558	RABIZADEH SHAWN	2021	FFS	RENDERING	AGE 21+	977	None	4,868	None	270	None	418	None	674	None	2,329	None	623	None	629	None
1487770558	RABIZADEH SHAWN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1487770558	RABIZADEH SHAWN	2021	PHP	RENDERING	AGE 0-20	67	None	490	None	58	None	192	None	21	None	50	None	63	None	74	None
1487770558	RABIZADEH SHAWN	2021	PHP	RENDERING	AGE 21+	106	None	418	None	23	None	46	None	49	None	146	None	75	None	78	None
1487773594	AGUAS GERARD P	2021	FFS	RENDERING	AGE 0-20	66	None	702	None	62	None	203	None	None	1	None	2	54	None	59	None
1487773594	AGUAS GERARD P	2021	FFS	RENDERING	AGE 21+	118	None	788	None	71	None	72	None	54	None	123	None	69	None	70	None
1487782801	SADIGHI RAMIN	2021	FFS	RENDERING	AGE 0-20	53	None	230	None	None	1	None	1	None	1	None	1	None	1	None	1
1487782801	SADIGHI RAMIN	2021	FFS	RENDERING	AGE 21+	70	None	302	None	None	1	None	1	None	1	None	2	None	1	None	1
1487783163	NGUYEN, CHINH TRUONG DDS	2021	FFS	RENDERING	AGE 0-20	578	None	4,977	None	442	None	1,046	None	310	None	846	None	456	None	514	None
1487783163	NGUYEN, CHINH TRUONG DDS	2021	FFS	RENDERING	AGE 21+	574	None	2,807	None	198	None	216	None	345	None	1,116	None	391	None	391	None
1487783528	HARRINGTON, DOUGLAS J, DDS	2021	FFS	RENDERING	AGE 0-20	85	None	653	None	83	None	313	None	24	None	99	None	81	None	126	None
1487783700	BAUTISTA RAMIL C	2021	FFS	RENDERING	AGE 0-20	157	None	2,550	None	147	None	561	None	100	None	547	None	150	None	206	None
1487783700	BAUTISTA RAMIL C	2021	FFS	RENDERING	AGE 21+	254	None	2,925	None	165	None	319	None	195	None	899	None	201	None	201	None
1487784328	FREEMAN, SIDNEY B, DDS	2021	FFS	RENDERING	AGE 0-20	95	None	547	None	64	None	173	None	47	None	158	None	66	None	70	None
1487784328	FREEMAN, SIDNEY B, DDS	2021	FFS	RENDERING	AGE 21+	315	None	1,638	None	168	None	169	None	235	None	857	None	184	None	184	None
1487786356	ANTYPAS, JOSEPH DDS	2021	FFS	RENDERING	AGE 0-20	149	None	1,807	None	133	None	625	None	57	None	155	None	139	None	153	None
1487786356	ANTYPAS, JOSEPH DDS	2021	FFS	RENDERING	AGE 21+	264	None	2,748	None	187	None	382	None	184	None	580	None	218	None	221	None
1487786851	MYINT, AUNG DDS	2021	FFS	RENDERING	AGE 0-20	123	None	588	None	67	None	182	None	40	None	61	None	89	None	89	None
1487786851	MYINT, AUNG DDS	2021	FFS	RENDERING	AGE 21+	84	None	344	None	41	None	80	None	39	None	54	None	55	None	55	None
1487790978	BUSKIRK, MICHAEL W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1487790978	BUSKIRK, MICHAEL W, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1487795738	DASTUR VAN ANH T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1487795738	DASTUR VAN ANH T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1487796348	SCOMA ANTHONY J	2021	FFS	RENDERING	AGE 0-20	54	None	977	None	36	None	88	None	35	None	663	None	39	None	41	None
1487796348	SCOMA ANTHONY J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1487799227	SHOFFET-YAGHOUBIAN, ROYA DMD	2021	FFS	RENDERING	AGE 0-20	36	None	378	None	33	None	142	None	13	None	17	None	34	None	44	None
1487799227	SHOFFET-YAGHOUBIAN, ROYA DMD	2021	FFS	RENDERING	AGE 21+	27	None	200	None	18	None	35	None	14	None	26	None	20	None	20	None
1487837803	DERHARTOUNIAN, HARMIK, DDS	2021	FFS	RENDERING	AGE 0-20	172	None	3,468	None	143	None	748	None	89	None	802	None	136	None	296	None
1487837803	DERHARTOUNIAN, HARMIK, DDS	2021	FFS	RENDERING	AGE 21+	536	None	8,042	None	245	None	930	None	393	None	4,540	None	390	None	780	None
1487837803	DERHARTOUNIAN, HARMIK, DDS	2021	PHP	RENDERING	AGE 0-20	27	None	448	None	25	None	132	None	15	None	158	None	23	None	56	None
1487837803	DERHARTOUNIAN, HARMIK, DDS	2021	PHP	RENDERING	AGE 21+	89	None	1,322	None	68	None	260	None	54	None	630	None	79	None	160	None
1487840351	YOON JONG S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487852794	DO HIEU V	2021	PHP	RENDERING	AGE 0-20	82	None	776	None	80	None	366	None	79	None	104	None	61	None	67	None
1487852794	DO HIEU V	2021	PHP	RENDERING	AGE 21+	86	None	397	None	23	None	60	None	64	None	165	None	22	None	22	None
1487857413	SANCHEZ, JOSE M, DDS	2021	FFS	RENDERING	AGE 0-20	206	None	1,823	None	141	None	414	None	125	None	458	None	170	None	193	None
1487857413	SANCHEZ, JOSE M, DDS	2021	FFS	RENDERING	AGE 21+	264	None	1,940	None	61	None	109	None	211	None	993	None	170	None	170	None
1487860250	LE KHAM THI D	2021	FFS	RENDERING	AGE 0-20	25	None	304	None	21	None	60	None	14	None	39	None	22	None	23	None
1487860250	LE KHAM THI D	2021	FFS	RENDERING	AGE 21+	37	None	437	None	21	None	41	None	25	None	143	None	24	None	25	None
1487860813	ISBERG, STEPHEN C, DDS	2021	FFS	RENDERING	AGE 0-20	339	None	2,488	None	330	None	1,059	None	None	1	None	1	336	None	336	None
1487864856	NGUYEN KHOI P	2021	FFS	RENDERING	AGE 0-20	205	None	2,223	None	190	None	539	None	103	None	314	None	190	None	244	None
1487864856	NGUYEN KHOI P	2021	FFS	RENDERING	AGE 21+	218	None	2,008	None	157	None	311	None	144	None	546	None	175	None	175	None
1487865747	JOE, JINHO DDS	2021	FFS	RENDERING	AGE 0-20	765	None	10,461	None	696	None	2,464	None	441	None	1,164	None	661	None	744	None
1487865747	JOE, JINHO DDS	2021	FFS	RENDERING	AGE 21+	750	None	6,103	None	425	None	844	None	503	None	1,925	None	544	None	544	None
1487865747	JOE, JINHO DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1487870457	PHAM, PHUNG KIM DDS	2021	FFS	RENDERING	AGE 0-20	83	None	549	None	75	None	234	None	35	None	65	None	80	None	84	None
1487870457	PHAM, PHUNG KIM DDS	2021	FFS	RENDERING	AGE 21+	329	None	1,914	None	199	None	399	None	236	None	657	None	276	None	278	None
1487875464	HYUN DEREK D	2021	FFS	RENDERING	AGE 0-20	44	None	353	None	43	None	100	None	20	None	45	None	39	None	51	None
1487875464	HYUN DEREK D	2021	FFS	RENDERING	AGE 21+	135	None	811	None	84	None	84	None	79	None	346	None	108	None	108	None
1487879110	DE BOURG HANNALEAL R	2021	FFS	RENDERING	AGE 0-20	210	None	2,379	None	180	None	519	None	79	None	255	None	176	None	209	None
1487879110	DE BOURG HANNALEAL R	2021	FFS	RENDERING	AGE 21+	80	None	579	None	37	None	38	None	40	None	102	None	50	None	50	None
1487880589	CABALLERO JANE E	2021	FFS	RENDERING	AGE 0-20	2,662	None	32,237	None	2,194	None	6,038	None	1,798	None	11,086	None	1,827	None	2,044	None
1487880589	CABALLERO JANE E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1487880589	CABALLERO JANE E	2021	PHP	RENDERING	AGE 0-20	152	None	1,384	None	80	None	222	None	141	None	589	None	22	None	23	None
1487891313	ARRECHEA RAUL E	2021	FFS	RENDERING	AGE 0-20	125	None	1,356	None	122	None	323	None	60	None	269	None	124	None	165	None
1487891313	ARRECHEA RAUL E	2021	FFS	RENDERING	AGE 21+	401	None	3,218	None	266	None	532	None	288	None	1,627	None	374	None	375	None
1487901682	SABBAGHIAN RAMONA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1487901682	SABBAGHIAN RAMONA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1487932307	MILLER YARON	2021	FFS	RENDERING	AGE 0-20	35	None	313	None	33	None	68	None	None	1	None	2	35	None	35	None
1487932307	MILLER YARON	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1487936647	GHASSEMI BAKHTI PEGAH	2021	FFS	RENDERING	AGE 0-20	72	None	516	None	65	None	163	None	25	None	80	None	50	None	58	None
1487936647	GHASSEMI BAKHTI PEGAH	2021	FFS	RENDERING	AGE 21+	241	None	1,957	None	167	None	285	None	179	None	796	None	129	None	129	None
1487941340	FAELDAN-SUAREZ MARISSA V	2021	FFS	RENDERING	AGE 0-20	528	None	4,954	None	501	None	1,949	None	379	None	1,158	None	502	None	664	None
1487941340	FAELDAN-SUAREZ MARISSA V	2021	PHP	RENDERING	AGE 0-20	22	None	213	None	13	None	38	None	21	None	111	None	None	1	None	1
1487953949	BRAVO ESPINOZA MARIA V	2021	FFS	RENDERING	AGE 0-20	108	None	1,066	None	95	None	296	None	69	None	291	None	103	None	115	None
1487953949	BRAVO ESPINOZA MARIA V	2021	FFS	RENDERING	AGE 21+	212	None	1,647	None	30	None	46	None	151	None	881	None	151	None	151	None
1487957874	LOOYZADEH MELINA	2021	FFS	RENDERING	AGE 0-20	17	None	40	None	16	None	33	None	0	None	0	None	None	1	None	1
1487957874	LOOYZADEH MELINA	2021	FFS	RENDERING	AGE 21+	52	None	142	None	23	None	41	None	25	None	73	None	None	1	None	1
1487957874	LOOYZADEH MELINA	2021	PHP	RENDERING	AGE 0-20	16	None	61	None	None	1	None	2	None	1	None	2	None	1	None	1
1487957874	LOOYZADEH MELINA	2021	PHP	RENDERING	AGE 21+	31	None	104	None	None	1	None	1	24	None	82	None	None	1	None	1
1487964367	RODRIGUEZ RICARDO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1487964367	RODRIGUEZ RICARDO	2021	FFS	RENDERING	AGE 21+	53	None	418	None	None	1	None	1	44	None	272	None	34	None	34	None
1487967154	SHELECHI BEHZAD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487967154	SHELECHI BEHZAD	2021	FFS	RENDERING	AGE 21+	246	None	525	None	0	None	0	None	245	None	438	None	85	None	87	None
1497000848	CHUNDURI RAJESH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1497000848	CHUNDURI RAJESH	2021	GMC	RENDERING	AGE 0-20	932	None	6,068	None	892	None	2,046	None	158	None	287	None	916	None	999	None
1497000848	CHUNDURI RAJESH	2021	GMC	RENDERING	AGE 21+	740	None	4,394	None	459	None	917	None	238	None	646	None	649	None	650	None
1497003107	DHAWAN PABINA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497003107	DHAWAN PABINA	2021	GMC	RENDERING	AGE 0-20	998	None	5,301	None	494	None	1,168	None	655	None	1,180	None	495	None	518	None
1497003107	DHAWAN PABINA	2021	GMC	RENDERING	AGE 21+	837	None	3,629	None	129	None	257	None	562	None	1,199	None	327	None	328	None
1497014146	RAMSEY BRENT J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1497018865	MANN, HASANDEEP S MD	2021	FFS	RENDERING	AGE 0-20	246	None	559	None	0	None	0	None	246	None	559	None	0	None	0	None
1497020119	ROUHANI AND KHABBAZ DENTAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1497020119	ROUHANI AND KHABBAZ DENTAL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1497022701	KAOU MOHAMED A	2021	FFS	RENDERING	AGE 0-20	516	None	1,943	None	None	1	None	1	505	None	1,678	None	184	None	184	None
1497022701	KAOU MOHAMED A	2021	FFS	RENDERING	AGE 21+	628	None	2,208	None	None	1	None	1	604	None	1,894	None	134	None	134	None
1497034391	NAZLOYAN ARSEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497034391	NAZLOYAN ARSEN	2021	FFS	RENDERING	AGE 21+	17	None	73	None	None	1	None	1	12	None	25	None	None	1	None	1
1497041826	KLEIN DANIEL M	2021	FFS	RENDERING	AGE 0-20	183	None	1,900	None	172	None	652	None	126	None	434	None	160	None	196	None
1497041826	KLEIN DANIEL M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1497041826	KLEIN DANIEL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1497071179	SANGHA VREITI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497071179	SANGHA VREITI	2021	FFS	RENDERING	AGE 21+	106	None	285	None	0	None	0	None	106	None	285	None	0	None	0	None
1497071179	SANGHA VREITI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497071179	SANGHA VREITI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1497071179	SANGHA VREITI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497082200	ATALLA, HANNA, DDS	2021	FFS	RENDERING	AGE 0-20	57	None	447	None	53	None	195	None	39	None	86	None	53	None	56	None
1497082200	ATALLA, HANNA, DDS	2021	FFS	RENDERING	AGE 21+	132	None	668	None	49	None	96	None	87	None	322	None	121	None	121	None
1497082200	ATALLA, HANNA, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497082200	ATALLA, HANNA, DDS	2021	PHP	RENDERING	AGE 21+	12	None	50	None	None	1	None	1	None	1	None	2	None	1	None	1
1497114458	PANNU JASMEET S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497114458	PANNU JASMEET S	2021	GMC	RENDERING	AGE 0-20	12	None	54	None	None	1	None	2	None	1	None	1	None	1	None	1
1497114458	PANNU JASMEET S	2021	GMC	RENDERING	AGE 21+	17	None	59	None	None	1	None	1	13	None	23	None	None	1	None	1
1497126353	BABAIAN SARO A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497144281	VASOYA DIPAK	2021	FFS	RENDERING	AGE 0-20	382	None	5,332	None	362	None	1,547	None	196	None	462	None	375	None	489	None
1497144281	VASOYA DIPAK	2021	FFS	RENDERING	AGE 21+	695	None	5,531	None	451	None	895	None	337	None	1,105	None	597	None	597	None
1497145064	JANG, S, DDS INCORPORATED	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1497145064	S JANG DDS INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1497151724	BU, DING, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1497156038	MIRZOYAN YEGHISHEH	2021	FFS	RENDERING	AGE 0-20	1,094	None	16,621	None	943	None	3,604	None	752	None	3,175	None	983	None	1,309	None
1497156038	MIRZOYAN YEGHISHEH	2021	FFS	RENDERING	AGE 21+	1,136	None	7,858	None	309	None	593	None	887	None	4,642	None	659	None	660	None
1497156038	MIRZOYAN YEGHISHEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497165583	SAGONG HOON	2021	PHP	RENDERING	AGE 0-20	32	None	177	None	0	None	0	None	29	None	37	None	28	None	29	None
1497165583	SAGONG HOON	2021	PHP	RENDERING	AGE 21+	195	None	1,131	None	None	1	None	1	132	None	184	None	182	None	190	None
1497171904	KIM SUSAN H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1497171904	KIM SUSAN H	2021	FFS	RENDERING	AGE 21+	56	None	245	None	37	None	37	None	25	None	91	None	47	None	47	None
1497176713	TSAI & SNOWDEN PROFESSIONAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1497176713	TSAI & SNOWDEN PROFESSIONAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1497196117	ABUDE PETER	2021	FFS	RENDERING	AGE 0-20	45	None	332	None	41	None	86	None	17	None	95	None	41	None	47	None
1497196117	ABUDE PETER	2021	FFS	RENDERING	AGE 21+	120	None	674	None	40	None	41	None	78	None	320	None	108	None	109	None
1497196349	COHEN SEDGH MANAVI & PAKRAVA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1497196349	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	26	None	86	None	None	1	None	2	None	1	None	1	12	None	13	None
1497196349	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	28	None	65	None	None	1	None	1	None	1	None	2	None	1	None	1
1497196349	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1497196349	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	26	None	86	None	None	1	None	2	None	1	None	1	12	None	13	None
1497196349	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	28	None	65	None	None	1	None	1	None	1	None	2	None	1	None	1
1497196737	GUPTA NIDHI	2021	FFS	RENDERING	AGE 0-20	555	None	2,295	None	294	None	874	None	46	None	64	None	471	None	488	None
1497196737	GUPTA NIDHI	2021	FFS	RENDERING	AGE 21+	1,147	None	3,334	None	123	None	180	None	577	None	1,179	None	679	None	681	None
1497196737	GUPTA NIDHI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1497209183	ASTARAEE NIMA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497209183	ASTARAEE NIMA	2021	FFS	RENDERING	AGE 21+	43	None	153	None	0	None	0	None	43	None	153	None	0	None	0	None
1497231385	LEE YOOJIN	2021	FFS	RENDERING	AGE 0-20	40	None	75	None	None	1	None	1	11	None	20	None	22	None	22	None
1497231385	LEE YOOJIN	2021	FFS	RENDERING	AGE 21+	77	None	141	None	None	1	None	1	18	None	32	None	45	None	45	None
1497234413	LOPES CHRISTOPHER B	2021	FFS	RENDERING	AGE 0-20	32	None	269	None	25	None	105	None	31	None	110	None	26	None	26	None
1497234413	LOPES CHRISTOPHER B	2021	FFS	RENDERING	AGE 21+	63	None	385	None	41	None	81	None	53	None	204	None	50	None	50	None
1497240063	LIN VINCENT	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1497242549	TAYLOR JACOB T	2021	FFS	RENDERING	AGE 0-20	46	None	140	None	0	None	0	None	46	None	140	None	0	None	0	None
1497242549	TAYLOR JACOB T	2021	FFS	RENDERING	AGE 21+	23	None	63	None	0	None	0	None	23	None	63	None	0	None	0	None
1497244701	YUE OLIVIA YAT T	2021	FFS	RENDERING	AGE 0-20	107	None	323	None	0	None	0	None	15	None	37	None	0	None	0	None
1497244701	YUE OLIVIA YAT T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1497257372	DUONG AMANDA A	2021	FFS	RENDERING	AGE 0-20	382	None	2,538	None	342	None	1,163	None	211	None	502	None	315	None	401	None
1497257372	DUONG AMANDA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1497266332	LEE KEVIN S	2021	FFS	RENDERING	AGE 0-20	284	None	463	None	0	None	0	None	60	None	152	None	0	None	0	None
1497266332	LEE KEVIN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497278725	BEHJAT JOSEPH B	2021	FFS	RENDERING	AGE 0-20	123	None	694	None	15	None	17	None	74	None	213	None	78	None	82	None
1497278725	BEHJAT JOSEPH B	2021	FFS	RENDERING	AGE 21+	667	None	3,151	None	32	None	34	None	423	None	1,047	None	433	None	452	None
1497285407	CHAY JONATHAN W	2021	FFS	RENDERING	AGE 0-20	1,250	None	11,695	None	868	None	2,549	None	956	None	3,585	None	775	None	810	None
1497285407	CHAY JONATHAN W	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497288377	VILORIA EDWARD L	2021	FFS	RENDERING	AGE 0-20	208	None	348	None	0	None	0	None	72	None	149	None	0	None	0	None
1497288377	VILORIA EDWARD L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497303267	TOBON JAIME A	2021	FFS	RENDERING	AGE 0-20	36	None	200	None	11	None	26	None	27	None	78	None	20	None	23	None
1497303267	TOBON JAIME A	2021	FFS	RENDERING	AGE 21+	125	None	661	None	None	1	None	1	98	None	406	None	67	None	67	None
1497311534	ZHOU ZHAO	2021	FFS	RENDERING	AGE 0-20	353	None	4,898	None	289	None	1,238	None	268	None	1,061	None	284	None	332	None
1497311534	ZHOU ZHAO	2021	FFS	RENDERING	AGE 21+	188	None	2,422	None	114	None	227	None	133	None	566	None	138	None	138	None
1497326862	AMIR KHAN ALI	2021	FFS	RENDERING	AGE 0-20	75	None	289	None	43	None	92	None	23	None	35	None	49	None	49	None
1497326862	AMIR KHAN ALI	2021	FFS	RENDERING	AGE 21+	101	None	305	None	22	None	27	None	50	None	80	None	48	None	49	None
1497326862	AMIR KHAN ALI	2021	PHP	RENDERING	AGE 0-20	17	None	60	None	13	None	32	None	None	1	None	1	15	None	15	None
1497326862	AMIR KHAN ALI	2021	PHP	RENDERING	AGE 21+	15	None	30	None	None	1	None	1	None	1	None	2	None	1	None	1
1497342737	ALJANABI HADEL S	2021	FFS	RENDERING	AGE 0-20	416	None	2,026	None	273	None	659	None	275	None	853	None	142	None	142	None
1497342737	ALJANABI HADEL S	2021	FFS	RENDERING	AGE 21+	456	None	1,603	None	143	None	256	None	307	None	922	None	141	None	141	None
1497353544	ESFAHANI ALI	2021	FFS	RENDERING	AGE 0-20	282	None	1,407	None	191	None	510	None	88	None	303	None	222	None	232	None
1497353544	ESFAHANI ALI	2021	FFS	RENDERING	AGE 21+	491	None	1,703	None	95	None	115	None	216	None	646	None	304	None	304	None
1497353544	ESFAHANI ALI	2021	PHP	RENDERING	AGE 0-20	57	None	293	None	43	None	130	None	15	None	25	None	49	None	53	None
1497353544	ESFAHANI ALI	2021	PHP	RENDERING	AGE 21+	159	None	381	None	52	None	62	None	45	None	114	None	124	None	129	None
1497366033	YI JIN	2021	FFS	RENDERING	AGE 0-20	506	None	4,101	None	453	None	1,277	None	298	None	786	None	462	None	480	None
1497366033	YI JIN	2021	FFS	RENDERING	AGE 21+	593	None	4,193	None	291	None	551	None	422	None	1,716	None	393	None	393	None
1497379242	HOPE, KIMBERLY HEATHER, RDHA	2021	FFS	RENDERING	AGE 0-20	85	None	386	None	85	None	357	None	0	None	0	None	0	None	0	None
1497379242	HOPE, KIMBERLY HEATHER, RDHA	2021	FFS	RENDERING	AGE 21+	58	None	160	None	56	None	108	None	None	1	None	1	0	None	0	None
1497392336	SHETH PALAK K	2021	FFS	RENDERING	AGE 0-20	39	None	107	None	None	1	None	2	None	1	None	1	30	None	30	None
1497392336	SHETH PALAK K	2021	FFS	RENDERING	AGE 21+	153	None	366	None	17	None	33	None	60	None	96	None	82	None	82	None
1497392336	SHETH PALAK K	2021	GMC	RENDERING	AGE 0-20	173	None	687	None	78	None	171	None	42	None	56	None	106	None	109	None
1497392336	SHETH PALAK K	2021	GMC	RENDERING	AGE 21+	266	None	681	None	74	None	143	None	168	None	250	None	80	None	80	None
1497393896	ABDULLAH MARCO	2021	FFS	RENDERING	AGE 0-20	158	None	744	None	92	None	248	None	54	None	90	None	125	None	125	None
1497393896	ABDULLAH MARCO	2021	FFS	RENDERING	AGE 21+	263	None	678	None	20	None	40	None	152	None	280	None	124	None	124	None
1497396030	KAUR RAVLEEN	2021	FFS	RENDERING	AGE 0-20	509	None	1,624	None	35	None	48	None	209	None	469	None	325	None	330	None
1497396030	KAUR RAVLEEN	2021	FFS	RENDERING	AGE 21+	887	None	2,216	None	0	None	0	None	372	None	744	None	473	None	473	None
1497706246	ADOMIAN GARO J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497706246	ADOMIAN GARO J	2021	FFS	RENDERING	AGE 21+	39	None	164	None	29	None	29	None	25	None	65	None	24	None	24	None
1497712186	GREWAL PRABHDEEP S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1497737175	JOHN GLORIA G	2021	FFS	RENDERING	AGE 0-20	491	None	5,036	None	401	None	1,154	None	279	None	1,079	None	394	None	411	None
1497737175	JOHN GLORIA G	2021	FFS	RENDERING	AGE 21+	61	None	209	None	18	None	36	None	15	None	46	None	43	None	43	None
1497737175	JOHN GLORIA G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1497737175	JOHN GLORIA G	2021	PHP	RENDERING	AGE 21+	17	None	36	None	None	1	None	1	None	1	None	2	11	None	11	None
1497745533	YOSHIDA, ELMER, DDS	2021	FFS	RENDERING	AGE 0-20	143	None	1,206	None	137	None	574	None	56	None	155	None	136	None	164	None
1497745533	YOSHIDA, ELMER, DDS	2021	FFS	RENDERING	AGE 21+	149	None	927	None	123	None	125	None	104	None	387	None	126	None	126	None
1497758304	GUIJON JOHN A	2021	FFS	RENDERING	AGE 0-20	92	None	1,960	None	70	None	235	None	92	None	998	None	41	None	42	None
1497775357	CHOBDEE JAY J	2021	FFS	RENDERING	AGE 0-20	140	None	1,398	None	116	None	243	None	63	None	143	None	126	None	132	None
1497775357	CHOBDEE JAY J	2021	FFS	RENDERING	AGE 21+	240	None	1,757	None	99	None	99	None	169	None	421	None	153	None	153	None
1497794903	CHEN TENGLANG	2021	FFS	RENDERING	AGE 0-20	63	None	454	None	44	None	127	None	15	None	23	None	47	None	52	None
1497794903	CHEN TENGLANG	2021	FFS	RENDERING	AGE 21+	80	None	532	None	27	None	62	None	36	None	92	None	46	None	46	None
1497800155	YOUSEFZADEH-GHOOCHANI, HENGA	2021	FFS	RENDERING	AGE 0-20	15	None	123	None	15	None	58	None	0	None	0	None	14	None	21	None
1497800155	YOUSEFZADEH-GHOOCHANI, HENGA	2021	FFS	RENDERING	AGE 21+	12	None	62	None	None	1	None	2	None	1	None	1	None	1	None	1
1497800643	DO TONY D	2021	FFS	RENDERING	AGE 0-20	69	None	666	None	65	None	182	None	32	None	114	None	67	None	90	None
1497800643	DO TONY D	2021	FFS	RENDERING	AGE 21+	106	None	877	None	72	None	144	None	72	None	371	None	87	None	87	None
1497802342	SAFA YOUNES	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497805642	ESHRAGHI MAZIAR	2021	FFS	RENDERING	AGE 0-20	629	None	2,494	None	None	1	None	2	462	None	622	None	481	None	485	None
1497805642	ESHRAGHI MAZIAR	2021	FFS	RENDERING	AGE 21+	1,281	None	2,850	None	0	None	0	None	972	None	1,474	None	671	None	671	None
1497805642	ESHRAGHI MAZIAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497805642	ESHRAGHI MAZIAR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1497805857	HOU LI M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1497805857	HOU LI M	2021	FFS	RENDERING	AGE 21+	1,449	None	6,949	None	0	None	0	None	777	None	4,772	None	1,120	None	1,120	None
1497808240	MARGULIES STEVEN ANDREW	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1497810170	HUI WALLY T	2021	FFS	RENDERING	AGE 0-20	170	None	2,657	None	160	None	747	None	62	None	241	None	167	None	245	None
1497810170	HUI WALLY T	2021	FFS	RENDERING	AGE 21+	328	None	2,782	None	251	None	507	None	197	None	753	None	286	None	292	None
1497814214	MOAWAD, EMAD	2021	FFS	RENDERING	AGE 0-20	249	None	1,793	None	150	None	398	None	128	None	342	None	146	None	146	None
1497814214	MOAWAD, EMAD	2021	FFS	RENDERING	AGE 21+	507	None	2,611	None	106	None	233	None	379	None	1,014	None	243	None	246	None
1497814214	MOAWAD, EMAD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497814214	MOAWAD, EMAD	2021	PHP	RENDERING	AGE 21+	15	None	79	None	None	1	None	2	None	1	None	2	12	None	12	None
1497816987	RAYAS JR, FRANCISCO J, DDS	2021	FFS	RENDERING	AGE 0-20	110	None	982	None	94	None	280	None	35	None	205	None	106	None	152	None
1497816987	RAYAS JR, FRANCISCO J, DDS	2021	FFS	RENDERING	AGE 21+	236	None	2,044	None	162	None	317	None	162	None	683	None	179	None	179	None
1497821193	SANGER JR DAVID C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497823561	MASSOUMI SAFOURA	2021	FFS	RENDERING	AGE 0-20	52	None	375	None	42	None	88	None	13	None	50	None	39	None	40	None
1497823561	MASSOUMI SAFOURA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497826028	KASSEM AHMED Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1497826028	KASSEM AHMED Y	2021	FFS	RENDERING	AGE 21+	31	None	80	None	None	1	None	1	25	None	69	None	None	1	None	1
1497838486	MEDINA-RANGEL, DIANA MARCELA	2021	FFS	RENDERING	AGE 0-20	107	None	918	None	101	None	385	None	48	None	137	None	105	None	157	None
1497838486	MEDINA-RANGEL, DIANA MARCELA	2021	FFS	RENDERING	AGE 21+	111	None	540	None	51	None	99	None	71	None	188	None	89	None	89	None
1497842041	YAFAI, ISAC, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1497842041	YAFAI, ISAC, DDS	2021	FFS	RENDERING	AGE 21+	43	None	172	None	37	None	37	None	20	None	40	None	None	1	None	1
1497853725	KALRA, AMIT, DDS	2021	FFS	RENDERING	AGE 0-20	101	None	1,034	None	54	None	149	None	69	None	226	None	75	None	80	None
1497853725	KALRA, AMIT, DDS	2021	FFS	RENDERING	AGE 21+	471	None	3,607	None	62	None	106	None	374	None	1,499	None	272	None	278	None
1497853725	KALRA, AMIT, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1497863765	KIEU, KEVIN N, DDS	2021	FFS	RENDERING	AGE 0-20	38	None	129	None	0	None	0	None	23	None	74	None	0	None	0	None
1497864250	NGUYEN, CHRISTINA L, DDS INC	2021	FFS	RENDERING	AGE 0-20	52	None	533	None	49	None	175	None	24	None	64	None	46	None	48	None
1497864250	NGUYEN, CHRISTINA L, DDS INC	2021	FFS	RENDERING	AGE 21+	180	None	1,445	None	97	None	193	None	117	None	561	None	152	None	153	None
1497866834	VAUGHAN MICHAEL D	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1497875041	LEE HAEJEAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1497875041	LEE HAEJEAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497883136	LAM SAMSON W	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1497883136	LAM SAMSON W	2021	PHP	RENDERING	AGE 21+	20	None	56	None	None	1	None	1	16	None	32	None	None	1	None	1
1497884332	HODES, MARTIN DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1497884332	HODES, MARTIN DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497890768	SAYEDNA SHAHRAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497890768	SAYEDNA SHAHRAM	2021	FFS	RENDERING	AGE 21+	48	None	196	None	38	None	38	None	18	None	57	None	41	None	41	None
1497891261	SIAZON, ELEANOR A, DMD	2021	FFS	RENDERING	AGE 0-20	764	None	3,051	None	483	None	1,036	None	301	None	787	None	312	None	316	None
1497891261	SIAZON, ELEANOR A, DMD	2021	FFS	RENDERING	AGE 21+	226	None	717	None	61	None	111	None	105	None	259	None	86	None	86	None
1497891261	SIAZON, ELEANOR A, DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1497892699	ABRISHAMI BABAK	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1497892699	ABRISHAMI BABAK	2021	FFS	RENDERING	AGE 21+	2,732	None	6,824	None	541	None	731	None	2,650	None	3,599	None	2,474	None	2,474	None
1497892699	ABRISHAMI BABAK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1497904122	KIM STEVE S	2021	FFS	RENDERING	AGE 0-20	675	None	13,543	None	662	None	3,336	None	305	None	1,028	None	666	None	991	None
1497904122	KIM STEVE S	2021	FFS	RENDERING	AGE 21+	248	None	2,164	None	173	None	345	None	162	None	489	None	184	None	184	None
1497912281	LEE, SEAN , DDS	2021	FFS	RENDERING	AGE 0-20	91	None	633	None	67	None	165	None	32	None	85	None	56	None	61	None
1497912281	LEE, SEAN , DDS	2021	FFS	RENDERING	AGE 21+	171	None	1,091	None	35	None	44	None	92	None	251	None	98	None	104	None
1497922827	NGUYEN CATHERINE H	2021	FFS	RENDERING	AGE 0-20	13	None	82	None	11	None	27	None	None	1	None	2	11	None	13	None
1497922827	NGUYEN CATHERINE H	2021	FFS	RENDERING	AGE 21+	71	None	460	None	42	None	74	None	39	None	174	None	60	None	64	None
1497930457	KIM, HYUN WOO, DDS INC	2021	FFS	RENDERING	AGE 0-20	20	None	137	None	None	1	None	2	13	None	40	None	16	None	16	None
1497930457	KIM, HYUN WOO, DDS INC	2021	FFS	RENDERING	AGE 21+	63	None	690	None	44	None	88	None	47	None	325	None	52	None	52	None
1497938401	HERNANDEZ ELSA W	2021	FFS	RENDERING	AGE 0-20	3,908	None	63,629	None	3,740	None	16,741	None	2,227	None	7,951	None	3,379	None	4,331	None
1497938401	HERNANDEZ ELSA W	2021	FFS	RENDERING	AGE 21+	1,829	None	17,573	None	1,578	None	4,230	None	1,110	None	3,380	None	1,366	None	1,373	None
1497943310	ZORAPAPEL NADIA C	2021	FFS	RENDERING	AGE 0-20	12	None	34	None	0	None	0	None	12	None	34	None	0	None	0	None
1497943310	ZORAPAPEL NADIA C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497946552	HERNANDEZ ERICK M	2021	FFS	RENDERING	AGE 0-20	100	None	796	None	86	None	263	None	39	None	158	None	95	None	108	None
1497946552	HERNANDEZ ERICK M	2021	FFS	RENDERING	AGE 21+	229	None	1,545	None	125	None	232	None	149	None	809	None	184	None	184	None
1497947154	PHARAR, VIJAY DNTL CORP	2021	PHP	RENDERING	AGE 0-20	28	None	179	None	27	None	127	None	None	1	None	1	26	None	26	None
1497947154	PHARAR, VIJAY DNTL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1497947378	FRONDA, MELQUAIDES DMD	2021	FFS	RENDERING	AGE 0-20	34	None	188	None	25	None	45	None	14	None	40	None	24	None	26	None
1497947378	FRONDA, MELQUAIDES DMD	2021	FFS	RENDERING	AGE 21+	132	None	743	None	35	None	35	None	88	None	397	None	92	None	92	None
1497955819	AGHEL, SOHEILA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1497955819	AGHEL, SOHEILA, RDHAP	2021	FFS	RENDERING	AGE 21+	1,076	None	4,859	None	1,039	None	1,860	None	1,076	None	2,988	None	0	None	0	None
1497958623	TRENT JANNETTE F	2021	FFS	RENDERING	AGE 0-20	109	None	717	None	93	None	211	None	41	None	129	None	92	None	95	None
1497958623	TRENT JANNETTE F	2021	FFS	RENDERING	AGE 21+	233	None	1,179	None	120	None	190	None	147	None	312	None	134	None	134	None
1497958623	TRENT JANNETTE F	2021	PHP	RENDERING	AGE 0-20	162	None	1,137	None	141	None	346	None	86	None	165	None	146	None	153	None
1497958623	TRENT JANNETTE F	2021	PHP	RENDERING	AGE 21+	445	None	2,554	None	329	None	633	None	275	None	690	None	320	None	324	None
1497965636	ALVIRI ALI	2021	FFS	RENDERING	AGE 0-20	122	None	1,045	None	90	None	247	None	71	None	278	None	102	None	122	None
1497965636	ALVIRI ALI	2021	FFS	RENDERING	AGE 21+	229	None	1,679	None	84	None	94	None	155	None	804	None	166	None	167	None
1497965636	ALVIRI ALI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1497965636	ALVIRI ALI	2021	PHP	RENDERING	AGE 21+	25	None	90	None	12	None	14	None	15	None	32	None	17	None	20	None
1497968333	SHAMMOUT BILAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1497968333	SHAMMOUT BILAL	2021	PHP	RENDERING	AGE 21+	51	None	121	None	0	None	0	None	42	None	63	None	49	None	57	None
1497968770	YAZDI, MOHAMMADREZA, DDS	2021	FFS	RENDERING	AGE 0-20	33	None	104	None	0	None	0	None	None	1	None	2	26	None	26	None
1497968770	YAZDI, MOHAMMADREZA, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1497970362	LUCAS, JAMES DDS	2021	FFS	RENDERING	AGE 0-20	220	None	2,151	None	211	None	714	None	19	None	42	None	214	None	230	None
1497970362	LUCAS, JAMES DDS	2021	FFS	RENDERING	AGE 21+	200	None	1,479	None	152	None	303	None	110	None	425	None	174	None	174	None
1497970719	HASANY ELY	2021	FFS	RENDERING	AGE 0-20	117	None	1,333	None	115	None	538	None	54	None	134	None	109	None	162	None
1497970719	HASANY ELY	2021	FFS	RENDERING	AGE 21+	363	None	2,137	None	277	None	545	None	189	None	478	None	313	None	313	None
1497970883	CAMARENA, JUAN A, DDS	2021	FFS	RENDERING	AGE 0-20	29	None	258	None	23	None	76	None	16	None	60	None	28	None	33	None
1497970883	CAMARENA, JUAN A, DDS	2021	FFS	RENDERING	AGE 21+	117	None	674	None	48	None	54	None	82	None	304	None	85	None	85	None
1497972434	HENRIOD JOEL B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1497972871	GONZALES, THOMAS R, DDS	2021	FFS	RENDERING	AGE 0-20	100	None	431	None	38	None	64	None	70	None	191	None	51	None	55	None
1497972871	GONZALES, THOMAS R, DDS	2021	FFS	RENDERING	AGE 21+	389	None	1,209	None	35	None	35	None	286	None	627	None	153	None	156	None
1497985618	SAHAKYAN GURGEN	2021	FFS	RENDERING	AGE 0-20	32	None	253	None	24	None	39	None	16	None	77	None	31	None	32	None
1497985618	SAHAKYAN GURGEN	2021	FFS	RENDERING	AGE 21+	187	None	1,198	None	100	None	101	None	111	None	514	None	151	None	152	None
1497991020	OPINGA RONALDO	2021	FFS	RENDERING	AGE 0-20	3,571	None	25,787	None	1,428	None	4,397	None	3,275	None	11,905	None	962	None	1,018	None
1497991483	LEE BYONG-HWI	2021	FFS	RENDERING	AGE 0-20	1,192	None	13,399	None	1,184	None	6,050	None	750	None	1,802	None	1,183	None	2,016	None
1508002130	REFKIN CHARLES B	2021	FFS	RENDERING	AGE 0-20	121	None	342	None	84	None	188	None	46	None	87	None	None	1	None	1
1508002130	REFKIN CHARLES B	2021	FFS	RENDERING	AGE 21+	637	None	2,283	None	141	None	142	None	540	None	1,792	None	None	1	None	1
1508011768	MALAKOOTI, HOSSEIN, DDS	2021	FFS	RENDERING	AGE 0-20	78	None	963	None	63	None	164	None	38	None	125	None	72	None	85	None
1508011768	MALAKOOTI, HOSSEIN, DDS	2021	FFS	RENDERING	AGE 21+	140	None	1,590	None	63	None	123	None	107	None	489	None	109	None	109	None
1508013822	LOPEZ TINOCO YARA S	2021	FFS	RENDERING	AGE 0-20	238	None	1,928	None	202	None	537	None	102	None	294	None	195	None	231	None
1508013822	LOPEZ TINOCO YARA S	2021	FFS	RENDERING	AGE 21+	265	None	1,487	None	133	None	264	None	165	None	453	None	164	None	164	None
1508015041	MAHGEREFTEH, SALINA DDS	2021	FFS	RENDERING	AGE 0-20	31	None	194	None	24	None	42	None	None	1	None	2	24	None	25	None
1508015041	MAHGEREFTEH, SALINA DDS	2021	FFS	RENDERING	AGE 21+	216	None	2,218	None	157	None	296	None	145	None	591	None	196	None	196	None
1508025826	EL NOKRASHY, KARIM, DENTAL C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1508025826	ELNOKRASHY, KARIM DNTL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1508042599	MAKHSIDA MHD H	2021	FFS	RENDERING	AGE 0-20	657	None	1,056	None	0	None	0	None	156	None	418	None	0	None	0	None
1508042599	MAKHSIDA MHD H	2021	FFS	RENDERING	AGE 21+	19	None	19	None	0	None	0	None	0	None	0	None	0	None	0	None
1508042599	MAKHSIDA MHD H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508045733	LEE DAVID D	2021	FFS	RENDERING	AGE 0-20	505	None	4,530	None	404	None	441	None	227	None	838	None	472	None	508	None
1508045733	LEE DAVID D	2021	FFS	RENDERING	AGE 21+	1,085	None	9,684	None	336	None	343	None	622	None	1,924	None	900	None	900	None
1508048687	MARTINEZ KAREN E	2021	FFS	RENDERING	AGE 0-20	247	None	1,339	None	194	None	513	None	50	None	87	None	219	None	275	None
1508048687	MARTINEZ KAREN E	2021	FFS	RENDERING	AGE 21+	359	None	1,173	None	119	None	185	None	133	None	285	None	238	None	238	None
1508048687	MARTINEZ KAREN E	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1508048687	MARTINEZ KAREN E	2021	PHP	RENDERING	AGE 0-20	134	None	429	None	81	None	156	None	21	None	42	None	116	None	137	None
1508048687	MARTINEZ KAREN E	2021	PHP	RENDERING	AGE 21+	256	None	641	None	89	None	98	None	68	None	185	None	200	None	211	None
1508056292	ROUTSONG JEFFREY B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1508066143	NAVARRETE GREG I	2021	FFS	RENDERING	AGE 0-20	156	None	519	None	134	None	152	None	51	None	131	None	122	None	140	None
1508066143	NAVARRETE GREG I	2021	FFS	RENDERING	AGE 21+	24	None	68	None	17	None	17	None	None	1	None	2	17	None	17	None
1508069170	CHOU, DAVID, DDS	2021	FFS	RENDERING	AGE 0-20	75	None	343	None	56	None	124	None	23	None	47	None	66	None	73	None
1508069170	CHOU, DAVID, DDS	2021	FFS	RENDERING	AGE 21+	157	None	747	None	66	None	68	None	117	None	342	None	115	None	116	None
1508069170	CHOU, DAVID, DDS	2021	PHP	RENDERING	AGE 0-20	87	None	564	None	81	None	234	None	12	None	23	None	83	None	101	None
1508069170	CHOU, DAVID, DDS	2021	PHP	RENDERING	AGE 21+	81	None	490	None	39	None	42	None	46	None	165	None	69	None	70	None
1508071358	WONG ERIC T	2021	FFS	RENDERING	AGE 0-20	39	None	92	None	0	None	0	None	15	None	43	None	None	1	None	1
1508076498	DREVNA DONALD B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1508076498	DREVNA DONALD B	2021	FFS	RENDERING	AGE 21+	12	None	18	None	None	1	None	1	None	1	None	1	0	None	0	None
1508076688	MANOUKIAN ALICE C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1508076688	MANOUKIAN ALICE C	2021	FFS	RENDERING	AGE 21+	57	None	340	None	41	None	46	None	47	None	172	None	41	None	41	None
1508083056	GONZALEZ VAL V	2021	FFS	RENDERING	AGE 0-20	135	None	2,053	None	135	None	459	None	28	None	67	None	107	None	177	None
1508083056	GONZALEZ VAL V	2021	FFS	RENDERING	AGE 21+	79	None	742	None	59	None	114	None	24	None	61	None	56	None	56	None
1508087057	TOMA, SILVIA SANCHEZ, DMD	2021	FFS	RENDERING	AGE 0-20	117	None	889	None	86	None	189	None	48	None	133	None	102	None	119	None
1508087057	TOMA, SILVIA SANCHEZ, DMD	2021	FFS	RENDERING	AGE 21+	199	None	1,730	None	117	None	230	None	113	None	422	None	166	None	170	None
1508092248	URBINA CESINITA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508092248	URBINA CESINITA A	2021	FFS	RENDERING	AGE 21+	26	None	103	None	21	None	28	None	None	1	None	2	24	None	24	None
1508099268	RAKOW RANA M	2021	FFS	RENDERING	AGE 0-20	3,529	None	24,429	None	3,387	None	10,070	None	1,518	None	1,824	None	3,431	None	3,962	None
1508112285	AVODIAN EDIT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1508112285	AVODIAN EDIT	2021	FFS	RENDERING	AGE 21+	13	None	49	None	None	1	None	1	None	1	None	2	None	1	None	1
1508112285	AVODIAN EDIT	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1508112285	AVODIAN EDIT	2021	PHP	RENDERING	AGE 21+	23	None	66	None	0	None	0	None	None	1	None	2	15	None	15	None
1508114125	NARGES, MENALAGHA DDS	2021	FFS	RENDERING	AGE 0-20	295	None	3,213	None	279	None	909	None	122	None	310	None	286	None	389	None
1508114125	NARGES, MENALAGHA DDS	2021	FFS	RENDERING	AGE 21+	873	None	7,229	None	571	None	987	None	695	None	2,909	None	666	None	670	None
1508114125	NARGES, MENALAGHA DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1508118308	LEE PAULA ANN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1508118308	LEE PAULA ANN	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1508173709	THOMPSON MARIA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1508173709	THOMPSON MARIA C	2021	FFS	RENDERING	AGE 21+	97	None	392	None	44	None	79	None	62	None	184	None	53	None	53	None
1508190919	BERNAL, DANIEL DDS	2021	FFS	RENDERING	AGE 0-20	618	None	8,959	None	591	None	2,011	None	300	None	820	None	599	None	872	None
1508190919	BERNAL, DANIEL DDS	2021	FFS	RENDERING	AGE 21+	319	None	2,936	None	177	None	351	None	197	None	493	None	231	None	231	None
1508190919	BERNAL, DANIEL DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1508190919	BERNAL, DANIEL DDS	2021	PHP	RENDERING	AGE 21+	13	None	80	None	None	1	None	2	None	1	None	2	None	1	None	1
1508208109	BELL ZARINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508208919	MEHTA PRACHI D	2021	FFS	RENDERING	AGE 0-20	15	None	52	None	13	None	29	None	None	1	None	1	None	1	None	1
1508208919	MEHTA PRACHI D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508211939	SAFARCHERATI, HENGAMEH DDS	2021	FFS	RENDERING	AGE 0-20	32	None	160	None	19	None	51	None	15	None	28	None	22	None	22	None
1508211939	SAFARCHERATI, HENGAMEH DDS	2021	FFS	RENDERING	AGE 21+	98	None	340	None	26	None	50	None	70	None	161	None	41	None	41	None
1508218694	LIU, DESIREE, DDS	2021	FFS	RENDERING	AGE 0-20	52	None	609	None	49	None	170	None	20	None	60	None	51	None	63	None
1508218694	LIU, DESIREE, DDS	2021	FFS	RENDERING	AGE 21+	512	None	6,821	None	458	None	1,286	None	431	None	2,145	None	457	None	457	None
1508240953	WEN SUZANNE G	2021	FFS	RENDERING	AGE 0-20	22	None	24	None	0	None	0	None	None	1	None	1	0	None	0	None
1508241340	JAMMA DALIA	2021	FFS	RENDERING	AGE 0-20	32	None	257	None	29	None	90	None	None	1	None	2	23	None	30	None
1508241340	JAMMA DALIA	2021	FFS	RENDERING	AGE 21+	88	None	353	None	37	None	54	None	45	None	126	None	41	None	41	None
1508242637	KIM KRISTI S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1508242637	KIM KRISTI S	2021	PHP	RENDERING	AGE 21+	33	None	120	None	None	1	None	1	27	None	85	None	None	1	None	1
1508265497	RAMIREZ ANDREW F	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1508265539	SHERATHIYA KRUNAL K	2021	FFS	RENDERING	AGE 0-20	1,001	None	11,469	None	929	None	3,413	None	713	None	1,957	None	914	None	1,111	None
1508271420	CUCUKOV TEMURKIN K	2021	GMC	RENDERING	AGE 0-20	1,475	None	9,015	None	935	None	3,526	None	381	None	622	None	734	None	755	None
1508286410	PHAN LINH T	2021	FFS	RENDERING	AGE 0-20	4,200	None	44,262	None	3,254	None	10,191	None	2,552	None	7,395	None	3,067	None	3,543	None
1508286410	PHAN LINH T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1508288424	RANDHAWA MUHAMMAD A	2021	FFS	RENDERING	AGE 0-20	262	None	977	None	130	None	459	None	89	None	205	None	79	None	79	None
1508288424	RANDHAWA MUHAMMAD A	2021	FFS	RENDERING	AGE 21+	936	None	3,146	None	261	None	475	None	642	None	2,100	None	172	None	174	None
1508290495	KIM SOYEON	2021	FFS	RENDERING	AGE 0-20	232	None	2,169	None	228	None	771	None	183	None	491	None	155	None	188	None
1508290495	KIM SOYEON	2021	FFS	RENDERING	AGE 21+	87	None	610	None	59	None	117	None	66	None	186	None	39	None	39	None
1508292160	HARB MOAYED	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1508292160	HARB MOAYED	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1508292160	HARB MOAYED	2021	PHP	RENDERING	AGE 21+	12	None	35	None	None	1	None	1	11	None	31	None	0	None	0	None
1508299637	BROOKS JULIA H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1508299637	BROOKS JULIA H	2021	PHP	RENDERING	AGE 21+	48	None	177	None	None	1	None	1	30	None	88	None	25	None	26	None
1508310673	PARK ELLEN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1508310673	PARK ELLEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508310673	PARK ELLEN	2021	PHP	RENDERING	AGE 21+	30	None	131	None	None	1	None	1	28	None	101	None	11	None	11	None
1508343237	VAHDATI NIA ARASH	2021	FFS	RENDERING	AGE 0-20	108	None	1,053	None	77	None	195	None	74	None	208	None	82	None	90	None
1508343237	VAHDATI NIA ARASH	2021	FFS	RENDERING	AGE 21+	350	None	1,336	None	38	None	75	None	307	None	839	None	80	None	80	None
1508344573	TONG ELIZABETH L	2021	FFS	RENDERING	AGE 0-20	3,143	None	24,926	None	2,777	None	7,898	None	2,098	None	6,621	None	2,856	None	2,984	None
1508344573	TONG ELIZABETH L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1508363516	SALVANI JOEMARI S	2021	FFS	RENDERING	AGE 0-20	1,880	None	13,555	None	1,369	None	3,496	None	1,104	None	2,392	None	1,212	None	1,272	None
1508363516	SALVANI JOEMARI S	2021	FFS	RENDERING	AGE 21+	45	None	238	None	27	None	52	None	22	None	64	None	37	None	37	None
1508382979	BENYAMEN SARAH R	2021	FFS	RENDERING	AGE 0-20	16	None	22	None	None	1	None	1	None	1	None	1	14	None	14	None
1508393620	YIP JUDY L	2021	FFS	RENDERING	AGE 0-20	4,690	None	50,690	None	3,913	None	13,614	None	3,154	None	7,037	None	3,599	None	4,757	None
1508395484	TENG JIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1508395484	TENG JIA	2021	FFS	RENDERING	AGE 21+	40	None	219	None	14	None	20	None	31	None	149	None	16	None	22	None
1508410002	ADAM STUART S	2021	FFS	RENDERING	AGE 0-20	345	None	1,184	None	67	None	143	None	334	None	928	None	None	1	None	1
1508448861	RHOUDENKO, POLINA F, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508461104	LIANG GLORIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1508462649	D PARK MPH DENTAL, INC.	2021	PHP	RENDERING	AGE 0-20	15	None	114	None	15	None	61	None	None	1	None	1	15	None	15	None
1508462649	D PARK MPH DENTAL, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1508462649	PARK, D, MPH DENTAL INC	2021	PHP	RENDERING	AGE 0-20	15	None	114	None	15	None	61	None	None	1	None	1	15	None	15	None
1508462649	PARK, D, MPH DENTAL INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1508466459	OGANESYAN MARETTA A	2021	FFS	RENDERING	AGE 0-20	1,317	None	10,741	None	1,089	None	2,794	None	875	None	1,672	None	1,083	None	1,103	None
1508466459	OGANESYAN MARETTA A	2021	FFS	RENDERING	AGE 21+	104	None	351	None	11	None	22	None	84	None	162	None	32	None	32	None
1508466459	OGANESYAN MARETTA A	2021	PHP	RENDERING	AGE 0-20	55	None	334	None	35	None	121	None	34	None	50	None	35	None	36	None
1508466459	OGANESYAN MARETTA A	2021	PHP	RENDERING	AGE 21+	56	None	188	None	19	None	25	None	43	None	79	None	17	None	17	None
1508473380	LEE DEXTER J	2021	FFS	RENDERING	AGE 0-20	194	None	829	None	128	None	301	None	49	None	102	None	144	None	144	None
1508473380	LEE DEXTER J	2021	FFS	RENDERING	AGE 21+	195	None	501	None	25	None	42	None	63	None	110	None	98	None	98	None
1508473380	LEE DEXTER J	2021	PHP	RENDERING	AGE 0-20	49	None	218	None	36	None	97	None	None	1	None	2	45	None	45	None
1508473380	LEE DEXTER J	2021	PHP	RENDERING	AGE 21+	59	None	123	None	12	None	26	None	23	None	38	None	38	None	38	None
1508479957	KHONG DANH H	2021	FFS	RENDERING	AGE 0-20	138	None	1,013	None	121	None	242	None	60	None	130	None	122	None	122	None
1508479957	KHONG DANH H	2021	FFS	RENDERING	AGE 21+	642	None	5,588	None	331	None	657	None	534	None	2,437	None	401	None	401	None
1508539917	KIM MINJI	2021	FFS	RENDERING	AGE 0-20	99	None	442	None	68	None	134	None	40	None	83	None	77	None	77	None
1508539917	KIM MINJI	2021	FFS	RENDERING	AGE 21+	144	None	535	None	55	None	110	None	64	None	120	None	112	None	112	None
1508821554	HU, WEI-LEE D MD	2021	FFS	RENDERING	AGE 0-20	73	None	229	None	0	None	0	None	73	None	229	None	0	None	0	None
1508821554	HU, WEI-LEE D MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508821919	MALEK, LUKE FAWZI SR DDS	2021	FFS	RENDERING	AGE 0-20	42	None	437	None	27	None	145	None	16	None	38	None	40	None	44	None
1508821919	MALEK, LUKE FAWZI SR DDS	2021	FFS	RENDERING	AGE 21+	145	None	1,248	None	58	None	114	None	108	None	629	None	110	None	110	None
1508837980	DOMINGUEZ, JAIME S, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	227	None	30	None	43	None	19	None	67	None	25	None	36	None
1508861873	NEAGU MICHAELA C	2021	FFS	RENDERING	AGE 0-20	877	None	2,958	None	0	None	0	None	405	None	1,253	None	0	None	0	None
1508861873	NEAGU MICHAELA C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1508861873	NEAGU MICHAELA C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1508864075	TRINH, JOSEPH H, DDS	2021	FFS	RENDERING	AGE 0-20	166	None	1,044	None	159	None	244	None	35	None	111	None	158	None	207	None
1508864075	TRINH, JOSEPH H, DDS	2021	FFS	RENDERING	AGE 21+	439	None	2,255	None	357	None	358	None	204	None	548	None	362	None	362	None
1508864695	NAM, IL WOO, DDS	2021	FFS	RENDERING	AGE 0-20	80	None	978	None	71	None	168	None	50	None	354	None	74	None	166	None
1508864695	NAM, IL WOO, DDS	2021	FFS	RENDERING	AGE 21+	120	None	1,502	None	93	None	186	None	79	None	640	None	104	None	208	None
1508866641	NGUYEN, DANIEL H, DDS	2021	FFS	RENDERING	AGE 0-20	123	None	1,585	None	106	None	406	None	49	None	155	None	111	None	145	None
1508866641	NGUYEN, DANIEL H, DDS	2021	FFS	RENDERING	AGE 21+	294	None	2,450	None	186	None	372	None	178	None	726	None	230	None	231	None
1508866641	NGUYEN, DANIEL H, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1508876277	SUTANTO YENI	2021	FFS	RENDERING	AGE 0-20	59	None	499	None	52	None	189	None	43	None	131	None	47	None	51	None
1508876277	SUTANTO YENI	2021	FFS	RENDERING	AGE 21+	109	None	720	None	58	None	114	None	80	None	313	None	76	None	76	None
1508881012	CATREEN COHEN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508881012	CATREEN COHEN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1508881012	COHEN, CATREEN, DDS A PROF D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508881012	COHEN, CATREEN, DDS A PROF D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1508899592	TURKMANI WASIM	2021	FFS	RENDERING	AGE 0-20	18	None	20	None	0	None	0	None	18	None	20	None	0	None	0	None
1508899592	TURKMANI WASIM	2021	FFS	RENDERING	AGE 21+	37	None	43	None	0	None	0	None	37	None	43	None	0	None	0	None
1508901257	WIDODO ANDRE	2021	FFS	RENDERING	AGE 0-20	316	None	3,386	None	265	None	697	None	112	None	360	None	276	None	299	None
1508901257	WIDODO ANDRE	2021	FFS	RENDERING	AGE 21+	468	None	3,973	None	267	None	472	None	324	None	1,066	None	198	None	200	None
1508902131	DR. LAURO SAMSON SO DMD	2021	FFS	RENDERING	AGE 0-20	79	None	487	None	76	None	258	None	12	None	20	None	63	None	70	None
1508902131	DR. LAURO SAMSON SO DMD	2021	FFS	RENDERING	AGE 21+	112	None	404	None	62	None	63	None	67	None	125	None	72	None	72	None
1508902198	BADII BONNIE M	2021	FFS	RENDERING	AGE 21+	17	None	100	None	None	1	None	2	11	None	30	None	None	1	None	1
1508906843	VO LETHY N	2021	FFS	RENDERING	AGE 0-20	58	None	552	None	52	None	198	None	24	None	66	None	53	None	60	None
1508906843	VO LETHY N	2021	FFS	RENDERING	AGE 21+	241	None	2,041	None	168	None	331	None	132	None	454	None	163	None	163	None
1508908534	PRIBADI, DARMAWAN, DDS	2021	FFS	RENDERING	AGE 0-20	85	None	701	None	81	None	277	None	58	None	122	None	83	None	97	None
1508908534	PRIBADI, DARMAWAN, DDS	2021	FFS	RENDERING	AGE 21+	110	None	658	None	94	None	94	None	92	None	224	None	98	None	98	None
1508911785	MAANAVI SUSAN	2021	FFS	RENDERING	AGE 0-20	67	None	555	None	59	None	170	None	42	None	195	None	57	None	77	None
1508911785	MAANAVI SUSAN	2021	FFS	RENDERING	AGE 21+	122	None	762	None	53	None	53	None	89	None	427	None	78	None	78	None
1508911785	MAANAVI SUSAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1508911876	GOLDBERG RACHEL D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1508911876	GOLDBERG RACHEL D	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1508911884	JEN DAVID C	2021	FFS	RENDERING	AGE 0-20	32	None	165	None	None	1	None	1	17	None	28	None	24	None	24	None
1508911884	JEN DAVID C	2021	FFS	RENDERING	AGE 21+	334	None	2,405	None	11	None	11	None	169	None	255	None	314	None	314	None
1508912874	NGUYEN LISA V	2021	FFS	RENDERING	AGE 0-20	2,048	None	18,253	None	1,753	None	5,142	None	1,252	None	5,782	None	1,653	None	1,821	None
1508913021	JOHNSON III ARTHUR	2021	FFS	RENDERING	AGE 0-20	17	None	74	None	0	None	0	None	12	None	55	None	None	1	None	1
1508913021	JOHNSON III ARTHUR	2021	FFS	RENDERING	AGE 21+	69	None	290	None	0	None	0	None	48	None	186	None	49	None	49	None
1508913021	JOHNSON III ARTHUR	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1508913021	JOHNSON III ARTHUR	2021	PHP	RENDERING	AGE 21+	37	None	187	None	0	None	0	None	24	None	123	None	33	None	33	None
1508916487	NGUYEN KIET A	2021	FFS	RENDERING	AGE 0-20	54	None	507	None	50	None	134	None	17	None	30	None	49	None	64	None
1508916487	NGUYEN KIET A	2021	FFS	RENDERING	AGE 21+	137	None	1,237	None	125	None	249	None	46	None	85	None	123	None	123	None
1508918699	SOE PYI	2021	FFS	RENDERING	AGE 0-20	212	None	3,236	None	206	None	1,015	None	79	None	223	None	190	None	275	None
1508918699	SOE PYI	2021	FFS	RENDERING	AGE 21+	155	None	871	None	42	None	70	None	113	None	381	None	103	None	103	None
1508919739	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508919739	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	196	None	1,538	None	150	None	368	None	38	None	76	None	174	None	180	None
1508919739	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	208	None	798	None	76	None	153	None	29	None	55	None	163	None	163	None
1508919739	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508919739	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	196	None	1,538	None	150	None	368	None	38	None	76	None	174	None	180	None
1508919739	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	208	None	798	None	76	None	153	None	29	None	55	None	163	None	163	None
1508922782	LAM, WALTER DDS	2021	FFS	RENDERING	AGE 0-20	105	None	776	None	85	None	275	None	34	None	66	None	93	None	109	None
1508922782	LAM, WALTER DDS	2021	FFS	RENDERING	AGE 21+	332	None	2,097	None	211	None	422	None	199	None	516	None	256	None	256	None
1508923111	GHIANI KEVIN	2021	FFS	RENDERING	AGE 0-20	41	None	435	None	32	None	82	None	14	None	23	None	35	None	42	None
1508923111	GHIANI KEVIN	2021	FFS	RENDERING	AGE 21+	195	None	1,218	None	37	None	71	None	117	None	440	None	150	None	150	None
1508927393	LOWE OARIONA	2021	FFS	RENDERING	AGE 0-20	16	None	92	None	13	None	34	None	None	1	None	2	None	1	None	1
1508928805	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	12	None	105	None	None	1	None	1	None	1	None	1	None	1	None	1
1508928805	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	12	None	90	None	None	1	None	1	None	1	None	2	None	1	None	1
1508928805	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	12	None	105	None	None	1	None	1	None	1	None	1	None	1	None	1
1508928805	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	12	None	90	None	None	1	None	1	None	1	None	2	None	1	None	1
1508929878	FLECKLES CLAIRE M	2021	FFS	RENDERING	AGE 21+	764	None	2,101	None	513	None	638	None	764	None	1,463	None	0	None	0	None
1508932039	GEYLIKMAN YURY	2021	FFS	RENDERING	AGE 0-20	45	None	135	None	None	1	None	1	24	None	81	None	0	None	0	None
1508932039	GEYLIKMAN YURY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1508935602	BISHOP JASON S	2021	FFS	RENDERING	AGE 0-20	798	None	8,282	None	729	None	2,199	None	447	None	1,372	None	735	None	977	None
1508935602	BISHOP JASON S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1508942624	KHAU, LAN T, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508942624	KHAU, LAN T, DDS	2021	FFS	RENDERING	AGE 21+	45	None	157	None	None	1	None	1	42	None	139	None	None	1	None	1
1508948019	NGUYEN ANDREW	2021	FFS	RENDERING	AGE 0-20	1,532	None	16,515	None	1,212	None	4,058	None	1,139	None	3,754	None	1,166	None	1,507	None
1508948019	NGUYEN ANDREW	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508950973	FLORES ALEXANDER S	2021	FFS	RENDERING	AGE 0-20	12	None	89	None	None	1	None	2	None	1	None	1	None	1	None	2
1508950973	FLORES ALEXANDER S	2021	FFS	RENDERING	AGE 21+	32	None	158	None	16	None	16	None	22	None	78	None	18	None	18	None
1508950973	FLORES ALEXANDER S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508950973	FLORES ALEXANDER S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1508952839	YU, DUAN DDS	2021	FFS	RENDERING	AGE 0-20	112	None	1,296	None	109	None	426	None	54	None	235	None	111	None	134	None
1508952839	YU, DUAN DDS	2021	FFS	RENDERING	AGE 21+	109	None	800	None	71	None	141	None	73	None	235	None	88	None	88	None
1508953001	THOMPSON MARLENE M	2021	FFS	RENDERING	AGE 0-20	112	None	719	None	75	None	125	None	67	None	285	None	76	None	79	None
1508953001	THOMPSON MARLENE M	2021	FFS	RENDERING	AGE 21+	468	None	2,810	None	133	None	138	None	307	None	1,584	None	318	None	320	None
1508954702	DOULAVERAKIS, MARIE, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	58	None	0	None	0	None	12	None	37	None	0	None	0	None
1508957309	MAGHIRAN, VIVIEN DDS	2021	FFS	RENDERING	AGE 0-20	180	None	2,937	None	157	None	625	None	120	None	638	None	152	None	185	None
1508957309	MAGHIRAN, VIVIEN DDS	2021	FFS	RENDERING	AGE 21+	434	None	5,530	None	306	None	607	None	341	None	2,016	None	336	None	338	None
1508957812	NGUYEN NGUYEN H	2021	FFS	RENDERING	AGE 0-20	329	None	3,692	None	304	None	1,080	None	141	None	439	None	299	None	354	None
1508957812	NGUYEN NGUYEN H	2021	FFS	RENDERING	AGE 21+	206	None	2,666	None	145	None	289	None	147	None	712	None	155	None	155	None
1508958794	ALI, SAMIA DDS	2021	FFS	RENDERING	AGE 0-20	145	None	1,552	None	121	None	407	None	68	None	291	None	115	None	169	None
1508958794	ALI, SAMIA DDS	2021	FFS	RENDERING	AGE 21+	353	None	2,126	None	95	None	156	None	247	None	1,011	None	242	None	245	None
1508959586	TRAM CHRISTINE T	2021	FFS	RENDERING	AGE 0-20	63	None	545	None	59	None	168	None	37	None	126	None	58	None	65	None
1508959586	TRAM CHRISTINE T	2021	FFS	RENDERING	AGE 21+	17	None	91	None	16	None	16	None	None	1	None	2	15	None	15	None
1508962382	FASIH TEHMINA	2021	FFS	RENDERING	AGE 0-20	64	None	276	None	21	None	49	None	28	None	87	None	44	None	44	None
1508962382	FASIH TEHMINA	2021	FFS	RENDERING	AGE 21+	69	None	176	None	None	1	None	1	38	None	81	None	23	None	23	None
1508962382	FASIH TEHMINA	2021	PHP	RENDERING	AGE 0-20	29	None	79	None	11	None	21	None	13	None	33	None	18	None	19	None
1508962382	FASIH TEHMINA	2021	PHP	RENDERING	AGE 21+	18	None	39	None	None	1	None	1	11	None	27	None	None	1	None	1
1508965989	MCWILLIAMS, WARREN R, III, D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1508965989	MCWILLIAMS, WARREN R, III, D	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1508971201	NGUYEN JONATHAN C	2021	FFS	RENDERING	AGE 0-20	83	None	490	None	69	None	206	None	23	None	60	None	78	None	91	None
1508971201	NGUYEN JONATHAN C	2021	FFS	RENDERING	AGE 21+	203	None	994	None	73	None	141	None	109	None	384	None	158	None	158	None
1508987306	AMER NEVEIN E	2021	FFS	RENDERING	AGE 0-20	41	None	180	None	32	None	41	None	14	None	47	None	33	None	33	None
1508987306	AMER NEVEIN E	2021	FFS	RENDERING	AGE 21+	123	None	487	None	58	None	59	None	65	None	197	None	78	None	79	None
1508988387	CONNOLLY, DONALD P	2021	FFS	RENDERING	AGE 0-20	390	None	2,967	None	0	None	0	None	182	None	1,938	None	0	None	0	None
1508988668	WU KAI	2021	FFS	RENDERING	AGE 0-20	22	None	105	None	18	None	26	None	None	1	None	2	14	None	14	None
1508988668	WU KAI	2021	FFS	RENDERING	AGE 21+	85	None	385	None	34	None	34	None	60	None	197	None	29	None	29	None
1508990771	TAI MICHAEL E	2021	FFS	RENDERING	AGE 0-20	207	None	1,861	None	203	None	733	None	64	None	224	None	202	None	230	None
1508991308	KUO, THOMAS R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1508991308	KUO, THOMAS R, DDS	2021	FFS	RENDERING	AGE 21+	21	None	172	None	18	None	36	None	13	None	66	None	0	None	0	None
1508992819	JAMSANDEKAR PRIYADARSHIN	2021	FFS	RENDERING	AGE 0-20	104	None	644	None	74	None	162	None	44	None	103	None	71	None	73	None
1508992819	JAMSANDEKAR PRIYADARSHIN	2021	FFS	RENDERING	AGE 21+	414	None	2,553	None	171	None	172	None	253	None	607	None	198	None	198	None
1508992819	JAMSANDEKAR PRIYADARSHIN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508997784	CHAN TED G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1508997784	CHAN TED G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1518002260	JOHNSON EBENEZER	2021	FFS	RENDERING	AGE 0-20	63	None	760	None	50	None	142	None	42	None	159	None	53	None	58	None
1518002260	JOHNSON EBENEZER	2021	FFS	RENDERING	AGE 21+	150	None	1,634	None	70	None	148	None	134	None	735	None	93	None	103	None
1518004191	TSANG KENNETH J	2021	FFS	RENDERING	AGE 0-20	194	None	228	None	0	None	0	None	30	None	39	None	0	None	0	None
1518004191	TSANG KENNETH J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518004191	TSANG KENNETH J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518004191	TSANG KENNETH J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518005024	SHEN DAVID T	2021	FFS	RENDERING	AGE 0-20	126	None	260	None	0	None	0	None	55	None	161	None	0	None	0	None
1518005024	SHEN DAVID T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518007921	MCELDOWNEY, FRANCIS E	2021	FFS	RENDERING	AGE 0-20	97	None	715	None	90	None	275	None	22	None	86	None	93	None	123	None
1518007921	MCELDOWNEY, FRANCIS E	2021	FFS	RENDERING	AGE 21+	106	None	574	None	25	None	30	None	71	None	316	None	73	None	73	None
1518008374	ABRAMOVICI MOSHE	2021	PHP	RENDERING	AGE 0-20	50	None	190	None	43	None	87	None	11	None	17	None	43	None	44	None
1518008374	ABRAMOVICI MOSHE	2021	PHP	RENDERING	AGE 21+	34	None	124	None	13	None	16	None	11	None	35	None	23	None	27	None
1518009067	WORKNEH, SIRAK Y, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1518009067	WORKNEH, SIRAK Y, DDS	2021	FFS	RENDERING	AGE 21+	16	None	57	None	None	1	None	1	None	1	None	2	None	1	None	1
1518009067	WORKNEH, SIRAK Y, DDS	2021	GMC	RENDERING	AGE 0-20	815	None	5,753	None	674	None	1,920	None	423	None	855	None	679	None	726	None
1518009067	WORKNEH, SIRAK Y, DDS	2021	GMC	RENDERING	AGE 21+	788	None	4,095	None	449	None	940	None	528	None	1,335	None	485	None	492	None
1518009067	WORKNEH, SIRAK Y, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1518021393	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518021393	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	149	None	992	None	91	None	289	None	19	None	40	None	131	None	131	None
1518021393	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	245	None	834	None	72	None	130	None	40	None	91	None	166	None	166	None
1518021393	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518021393	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	149	None	992	None	91	None	289	None	19	None	40	None	131	None	131	None
1518021393	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	245	None	834	None	72	None	130	None	40	None	91	None	166	None	166	None
1518023894	LOGAN, JAMES, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1518024017	TAM MARIBELLE O	2021	FFS	RENDERING	AGE 0-20	492	None	6,351	None	471	None	1,666	None	232	None	770	None	472	None	666	None
1518024017	TAM MARIBELLE O	2021	FFS	RENDERING	AGE 21+	294	None	2,480	None	159	None	314	None	229	None	840	None	186	None	186	None
1518033737	ISON DAISY G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1518033737	ISON DAISY G	2021	FFS	RENDERING	AGE 21+	22	None	103	None	14	None	28	None	12	None	15	None	14	None	14	None
1518035906	NGUYEN, DAVID DDS	2021	FFS	RENDERING	AGE 0-20	3,059	None	24,443	None	2,605	None	7,656	None	2,821	None	14,489	None	324	None	334	None
1518035906	NGUYEN, DAVID DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1518035906	NGUYEN, DAVID DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1518039510	SHIN, HYUN JOON DDS	2021	FFS	RENDERING	AGE 0-20	423	None	5,989	None	385	None	1,444	None	187	None	511	None	414	None	501	None
1518039510	SHIN, HYUN JOON DDS	2021	FFS	RENDERING	AGE 21+	622	None	6,390	None	380	None	753	None	390	None	1,180	None	522	None	522	None
1518046036	WINN CAROLYN R A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518047463	YANNI RAFIK S	2021	FFS	RENDERING	AGE 0-20	17	None	118	None	15	None	54	None	None	1	None	2	16	None	24	None
1518047463	YANNI RAFIK S	2021	FFS	RENDERING	AGE 21+	99	None	614	None	51	None	83	None	63	None	268	None	68	None	68	None
1518047463	YANNI RAFIK S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518047463	YANNI RAFIK S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1518055292	KILMER GORDON S	2021	FFS	RENDERING	AGE 0-20	285	None	341	None	0	None	0	None	14	None	31	None	0	None	0	None
1518055292	KILMER GORDON S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518055292	KILMER GORDON S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518055292	KILMER GORDON S	2021	PHP	RENDERING	AGE 0-20	29	None	129	None	0	None	0	None	19	None	100	None	0	None	0	None
1518055292	KILMER GORDON S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1518062785	RODRIGUEZ, PEDRO HIRAM, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1518062785	RODRIGUEZ, PEDRO HIRAM, DDS	2021	FFS	RENDERING	AGE 21+	1,134	None	7,453	None	23	None	23	None	778	None	5,587	None	789	None	791	None
1518063569	NARANG, PALKA, DDS	2021	FFS	RENDERING	AGE 0-20	57	None	467	None	49	None	152	None	36	None	148	None	52	None	58	None
1518063569	NARANG, PALKA, DDS	2021	FFS	RENDERING	AGE 21+	84	None	554	None	37	None	70	None	61	None	294	None	64	None	64	None
1518065812	NARASIMHAN, SHOBHA, DDS	2021	FFS	RENDERING	AGE 0-20	1,372	None	15,067	None	1,319	None	5,885	None	816	None	2,416	None	1,293	None	1,793	None
1518065812	NARASIMHAN, SHOBHA, DDS	2021	FFS	RENDERING	AGE 21+	1,460	None	9,909	None	962	None	1,534	None	953	None	3,822	None	1,070	None	1,070	None
1518068816	MAI CHAULINH H	2021	FFS	RENDERING	AGE 0-20	3,111	None	41,531	None	2,743	None	8,221	None	1,677	None	6,198	None	2,763	None	3,334	None
1518068816	MAI CHAULINH H	2021	FFS	RENDERING	AGE 21+	476	None	3,721	None	280	None	560	None	232	None	604	None	326	None	327	None
1518080597	JUSTIN, DR IRENE MALAVIKA, D	2021	FFS	RENDERING	AGE 0-20	863	None	4,026	None	618	None	1,513	None	None	1	None	2	807	None	852	None
1518080597	JUSTIN, DR IRENE MALAVIKA, D	2021	FFS	RENDERING	AGE 21+	1,124	None	3,016	None	142	None	272	None	59	None	118	None	870	None	870	None
1518080597	JUSTIN, DR IRENE MALAVIKA, D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1518085273	MATOSSIAN NISHAN W	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1518085273	MATOSSIAN NISHAN W	2021	PHP	RENDERING	AGE 21+	19	None	77	None	None	1	None	1	None	1	None	2	None	1	None	1
1518086701	CHANCO ANN BESS V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518091164	AUNG, KHIN DDS	2021	FFS	RENDERING	AGE 0-20	40	None	241	None	37	None	62	None	14	None	34	None	29	None	31	None
1518091164	AUNG, KHIN DDS	2021	FFS	RENDERING	AGE 21+	88	None	579	None	54	None	54	None	48	None	138	None	65	None	65	None
1518100692	JOHNSON PAUL A	2021	GMC	RENDERING	AGE 0-20	250	None	3,760	None	159	None	620	None	244	None	2,320	None	None	1	None	1
1518104678	AGHAJANIAN ABOULIAN, ANNIE	2021	FFS	RENDERING	AGE 0-20	323	None	4,290	None	297	None	917	None	208	None	726	None	309	None	405	None
1518104678	AGHAJANIAN ABOULIAN, ANNIE	2021	FFS	RENDERING	AGE 21+	225	None	1,411	None	138	None	138	None	141	None	612	None	171	None	171	None
1518104678	AGHAJANIAN ABOULIAN, ANNIE	2021	PHP	RENDERING	AGE 0-20	20	None	157	None	18	None	47	None	14	None	34	None	18	None	20	None
1518104678	AGHAJANIAN ABOULIAN, ANNIE	2021	PHP	RENDERING	AGE 21+	54	None	365	None	44	None	45	None	33	None	164	None	47	None	48	None
1518105089	LUMAHAN ELEANOR M	2021	FFS	RENDERING	AGE 0-20	128	None	1,240	None	121	None	323	None	46	None	172	None	121	None	154	None
1518105089	LUMAHAN ELEANOR M	2021	FFS	RENDERING	AGE 21+	290	None	2,107	None	224	None	443	None	163	None	632	None	252	None	252	None
1518108042	STEPANYAN MARINA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1518108042	STEPANYAN MARINA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1518112531	HAME EWA	2021	FFS	RENDERING	AGE 0-20	3,371	None	54,938	None	3,247	None	13,806	None	1,778	None	7,897	None	3,267	None	4,499	None
1518112531	HAME EWA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1518113158	LE, EMMY DDS	2021	FFS	RENDERING	AGE 0-20	119	None	1,496	None	111	None	452	None	54	None	198	None	114	None	148	None
1518113158	LE, EMMY DDS	2021	FFS	RENDERING	AGE 21+	458	None	4,021	None	297	None	602	None	362	None	1,431	None	345	None	348	None
1518117506	PARK JOOROK	2021	FFS	RENDERING	AGE 0-20	172	None	672	None	0	None	0	None	149	None	491	None	0	None	0	None
1518120377	PAYDAR AZITA	2021	FFS	RENDERING	AGE 0-20	16	None	61	None	None	1	None	2	None	1	None	2	None	1	None	1
1518120377	PAYDAR AZITA	2021	FFS	RENDERING	AGE 21+	247	None	946	None	23	None	34	None	235	None	819	None	19	None	19	None
1518138338	FOROUTAN FARZAD	2021	FFS	RENDERING	AGE 0-20	68	None	803	None	61	None	187	None	20	None	88	None	58	None	67	None
1518138338	FOROUTAN FARZAD	2021	FFS	RENDERING	AGE 21+	264	None	3,043	None	192	None	365	None	122	None	592	None	209	None	209	None
1518142900	BECHTOL VANESSA L	2021	FFS	RENDERING	AGE 0-20	55	None	349	None	49	None	133	None	17	None	45	None	49	None	54	None
1518142900	BECHTOL VANESSA L	2021	FFS	RENDERING	AGE 21+	113	None	675	None	47	None	82	None	81	None	279	None	60	None	60	None
1518144625	ZAKI IRENE T	2021	FFS	RENDERING	AGE 0-20	1,924	None	33,962	None	1,837	None	9,203	None	1,499	None	6,247	None	1,875	None	2,924	None
1518144625	ZAKI IRENE T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1518148196	YANG NATHAN K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1518150093	FU CHIA-HUANG	2021	FFS	RENDERING	AGE 0-20	24	None	121	None	23	None	61	None	None	1	None	2	21	None	29	None
1518150093	FU CHIA-HUANG	2021	FFS	RENDERING	AGE 21+	102	None	485	None	76	None	152	None	75	None	159	None	83	None	83	None
1518155191	TAWOOSI ABDULHASSAN A	2021	FFS	RENDERING	AGE 0-20	221	None	2,725	None	177	None	677	None	93	None	267	None	176	None	229	None
1518155191	TAWOOSI ABDULHASSAN A	2021	FFS	RENDERING	AGE 21+	175	None	1,243	None	29	None	31	None	122	None	404	None	104	None	109	None
1518155191	TAWOOSI ABDULHASSAN A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518157312	TRAN DARLENE THUC D	2021	FFS	RENDERING	AGE 0-20	743	None	5,809	None	478	None	1,261	None	418	None	1,361	None	529	None	560	None
1518157312	TRAN DARLENE THUC D	2021	FFS	RENDERING	AGE 21+	998	None	5,232	None	276	None	540	None	600	None	2,026	None	605	None	605	None
1518171594	KANG DAVID S	2021	FFS	RENDERING	AGE 0-20	11	None	97	None	None	1	None	2	None	1	None	2	None	1	None	1
1518171594	KANG DAVID S	2021	FFS	RENDERING	AGE 21+	32	None	175	None	None	1	None	2	24	None	65	None	21	None	21	None
1518171602	DANAN4 NADINE M	2021	FFS	RENDERING	AGE 0-20	33	None	126	None	30	None	66	None	None	1	None	1	11	None	12	None
1518171602	DANAN4 NADINE M	2021	FFS	RENDERING	AGE 21+	279	None	800	None	102	None	143	None	217	None	636	None	None	1	None	1
1518172667	JANDALI AZZA	2021	FFS	RENDERING	AGE 0-20	1,857	None	16,791	None	765	None	2,131	None	1,677	None	8,191	None	536	None	549	None
1518172667	JANDALI AZZA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1518172667	JANDALI AZZA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518172667	JANDALI AZZA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1518172667	JANDALI AZZA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518172667	JANDALI AZZA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1518180264	LEE, CHEONG C, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518180264	LEE, CHEONG C, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518183599	LIM RISKA KIEM L	2021	FFS	RENDERING	AGE 0-20	167	None	2,093	None	141	None	456	None	103	None	386	None	138	None	173	None
1518183599	LIM RISKA KIEM L	2021	FFS	RENDERING	AGE 21+	252	None	2,280	None	86	None	113	None	213	None	1,023	None	132	None	134	None
1518183599	LIM RISKA KIEM L	2021	PHP	RENDERING	AGE 0-20	17	None	186	None	16	None	65	None	None	1	None	2	16	None	22	None
1518183599	LIM RISKA KIEM L	2021	PHP	RENDERING	AGE 21+	20	None	152	None	18	None	30	None	15	None	45	None	16	None	16	None
1518191006	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518191006	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518192624	BUDARAPU SHIRISHA R	2021	FFS	RENDERING	AGE 0-20	416	None	2,044	None	245	None	793	None	125	None	338	None	318	None	322	None
1518192624	BUDARAPU SHIRISHA R	2021	FFS	RENDERING	AGE 21+	800	None	2,706	None	246	None	475	None	305	None	901	None	575	None	578	None
1518193275	FARIVAR DAVID	2021	FFS	RENDERING	AGE 21+	22	None	52	None	0	None	0	None	20	None	40	None	None	1	None	1
1518210772	OHANIAN GREGORY	2021	FFS	RENDERING	AGE 0-20	91	None	179	None	0	None	0	None	32	None	102	None	0	None	0	None
1518211093	LOPEZ SANCHEZ JACQUELINE V	2021	FFS	RENDERING	AGE 0-20	65	None	589	None	54	None	133	None	39	None	171	None	59	None	70	None
1518211093	LOPEZ SANCHEZ JACQUELINE V	2021	FFS	RENDERING	AGE 21+	147	None	951	None	53	None	103	None	104	None	378	None	110	None	110	None
1518213347	KOURNOUTAS OLGA	2021	FFS	RENDERING	AGE 0-20	37	None	251	None	35	None	106	None	None	1	None	2	36	None	36	None
1518213347	KOURNOUTAS OLGA	2021	FFS	RENDERING	AGE 21+	71	None	300	None	47	None	94	None	27	None	45	None	52	None	52	None
1518213479	LEE YEHOON	2021	FFS	RENDERING	AGE 0-20	2,071	None	22,401	None	1,822	None	4,252	None	828	None	3,238	None	1,913	None	1,961	None
1518218965	WANG WAN-JOU R	2021	FFS	RENDERING	AGE 0-20	166	None	1,314	None	127	None	474	None	51	None	103	None	147	None	158	None
1518218965	WANG WAN-JOU R	2021	FFS	RENDERING	AGE 21+	234	None	1,386	None	26	None	49	None	76	None	243	None	177	None	179	None
1518245604	LIM ELLA T	2021	GMC	RENDERING	AGE 0-20	11	None	24	None	None	1	None	1	11	None	14	None	0	None	0	None
1518245604	LIM ELLA T	2021	GMC	RENDERING	AGE 21+	70	None	141	None	30	None	34	None	36	None	55	None	51	None	52	None
1518262161	CHOI HYUNSUK	2021	FFS	RENDERING	AGE 0-20	835	None	9,281	None	551	None	1,587	None	550	None	2,921	None	541	None	600	None
1518262161	CHOI HYUNSUK	2021	FFS	RENDERING	AGE 21+	352	None	2,359	None	99	None	161	None	236	None	797	None	128	None	133	None
1518262161	CHOI HYUNSUK	2021	PHP	RENDERING	AGE 0-20	13	None	94	None	None	1	None	2	None	1	None	2	None	1	None	1
1518262161	CHOI HYUNSUK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1518267871	SANTOS RUBENCILLO H	2021	FFS	RENDERING	AGE 0-20	691	None	8,057	None	647	None	2,650	None	335	None	1,371	None	623	None	890	None
1518267871	SANTOS RUBENCILLO H	2021	FFS	RENDERING	AGE 21+	907	None	7,717	None	650	None	1,287	None	633	None	2,954	None	686	None	686	None
1518277565	TRAN KAREN C	2021	FFS	RENDERING	AGE 0-20	351	None	4,269	None	311	None	1,022	None	188	None	577	None	308	None	353	None
1518277565	TRAN KAREN C	2021	FFS	RENDERING	AGE 21+	257	None	2,113	None	133	None	249	None	160	None	754	None	189	None	189	None
1518310408	KHATRI SUVIDHA	2021	FFS	RENDERING	AGE 0-20	399	None	1,892	None	181	None	595	None	78	None	160	None	377	None	404	None
1518310408	KHATRI SUVIDHA	2021	FFS	RENDERING	AGE 21+	814	None	2,173	None	65	None	115	None	253	None	507	None	668	None	668	None
1518333855	LUU CASEY A	2021	FFS	RENDERING	AGE 0-20	272	None	467	None	0	None	0	None	74	None	171	None	0	None	0	None
1518333855	LUU CASEY A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518333855	LUU CASEY A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518333962	HAGHANI SOHA	2021	FFS	RENDERING	AGE 0-20	327	None	2,247	None	289	None	1,083	None	82	None	162	None	291	None	326	None
1518333962	HAGHANI SOHA	2021	FFS	RENDERING	AGE 21+	500	None	2,087	None	190	None	293	None	241	None	689	None	332	None	332	None
1518333962	HAGHANI SOHA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518333962	HAGHANI SOHA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518334663	KAFAEI MANA	2021	FFS	RENDERING	AGE 0-20	99	None	706	None	43	None	138	None	34	None	147	None	86	None	95	None
1518334663	KAFAEI MANA	2021	FFS	RENDERING	AGE 21+	309	None	2,256	None	97	None	169	None	207	None	855	None	266	None	267	None
1518340413	LEE GUN G	2021	FFS	RENDERING	AGE 0-20	79	None	793	None	70	None	225	None	42	None	132	None	75	None	111	None
1518340413	LEE GUN G	2021	FFS	RENDERING	AGE 21+	122	None	836	None	69	None	69	None	102	None	462	None	97	None	97	None
1518341825	THOMPSON MITCHELL A	2021	GMC	RENDERING	AGE 0-20	324	None	1,803	None	227	None	837	None	228	None	368	None	161	None	163	None
1518341825	THOMPSON MITCHELL A	2021	GMC	RENDERING	AGE 21+	692	None	3,365	None	234	None	840	None	512	None	1,397	None	299	None	299	None
1518354653	QUAN VAN-KHOA T	2021	FFS	RENDERING	AGE 0-20	519	None	3,452	None	429	None	1,122	None	270	None	503	None	390	None	406	None
1518387778	SAHABI KAMRAN	2021	FFS	RENDERING	AGE 0-20	16	None	101	None	None	1	None	2	None	1	None	2	13	None	13	None
1518387778	SAHABI KAMRAN	2021	FFS	RENDERING	AGE 21+	48	None	261	None	None	1	None	1	24	None	94	None	30	None	30	None
1518422740	MENG BO	2021	FFS	RENDERING	AGE 0-20	362	None	3,181	None	292	None	1,387	None	236	None	740	None	317	None	346	None
1518422740	MENG BO	2021	FFS	RENDERING	AGE 21+	661	None	3,536	None	122	None	199	None	470	None	1,833	None	490	None	492	None
1518447929	SOROUR DENTAL PRACTICE CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1518462449	NEIMAR TIFFANY A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1518479757	RWIGEMA DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518504497	DYE JONATHAN M	2021	FFS	RENDERING	AGE 0-20	317	None	2,375	None	140	None	742	None	214	None	537	None	88	None	89	None
1518504497	DYE JONATHAN M	2021	FFS	RENDERING	AGE 21+	393	None	1,435	None	0	None	0	None	391	None	1,209	None	0	None	0	None
1518541242	TRAN STEVEN D	2021	FFS	RENDERING	AGE 0-20	94	None	636	None	90	None	199	None	41	None	113	None	84	None	84	None
1518541242	TRAN STEVEN D	2021	FFS	RENDERING	AGE 21+	111	None	548	None	41	None	82	None	79	None	276	None	53	None	53	None
1518541242	TRAN STEVEN D	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1518553551	GARSDEAN RAMY A	2021	FFS	RENDERING	AGE 0-20	58	None	364	None	31	None	65	None	27	None	66	None	32	None	32	None
1518553551	GARSDEAN RAMY A	2021	FFS	RENDERING	AGE 21+	130	None	581	None	15	None	30	None	94	None	221	None	53	None	53	None
1518553551	GARSDEAN RAMY A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518577055	SHIM JOSEPH H	2021	FFS	RENDERING	AGE 0-20	592	None	2,782	None	337	None	713	None	292	None	596	None	433	None	433	None
1518577055	SHIM JOSEPH H	2021	FFS	RENDERING	AGE 21+	637	None	1,953	None	107	None	211	None	294	None	645	None	370	None	370	None
1518583764	LEE, SEUNG YEOP, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1518585116	KHORRAM, NASRIN, DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518633403	MIRZOYAN KALACH ARAXI	2021	FFS	RENDERING	AGE 0-20	105	None	622	None	86	None	207	None	53	None	145	None	86	None	86	None
1518942432	WILLIAMS-TREESH MARY N	2021	FFS	RENDERING	AGE 0-20	175	None	1,464	None	168	None	596	None	56	None	222	None	159	None	214	None
1518956986	HTOO, MYAT DDS	2021	FFS	RENDERING	AGE 0-20	39	None	418	None	39	None	109	None	18	None	72	None	36	None	37	None
1518956986	HTOO, MYAT DDS	2021	FFS	RENDERING	AGE 21+	67	None	627	None	59	None	109	None	39	None	168	None	59	None	59	None
1518995729	POAGE, JEFFREY A MD	2021	FFS	RENDERING	AGE 0-20	172	None	361	None	0	None	0	None	172	None	361	None	0	None	0	None
1518998442	SOMANI NEETA	2021	FFS	RENDERING	AGE 0-20	18	None	227	None	17	None	69	None	None	1	None	2	18	None	29	None
1518998442	SOMANI NEETA	2021	FFS	RENDERING	AGE 21+	44	None	492	None	28	None	56	None	35	None	206	None	30	None	30	None
1518998442	SOMANI NEETA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1528007234	LAU, BRUCE, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1528007234	LAU, BRUCE, DDS	2021	FFS	RENDERING	AGE 21+	61	None	265	None	20	None	21	None	45	None	149	None	33	None	33	None
1528020971	MAYEDA CHRIS Y	2021	FFS	RENDERING	AGE 0-20	2,030	None	14,229	None	1,392	None	4,073	None	1,443	None	4,666	None	1,498	None	1,667	None
1528020971	MAYEDA CHRIS Y	2021	FFS	RENDERING	AGE 21+	15	None	47	None	None	1	None	2	None	1	None	1	None	1	None	1
1528020971	MAYEDA CHRIS Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1528025798	SUAREZ, HERNANDO, DDS	2021	FFS	RENDERING	AGE 0-20	260	None	1,307	None	161	None	380	None	134	None	280	None	169	None	180	None
1528025798	SUAREZ, HERNANDO, DDS	2021	FFS	RENDERING	AGE 21+	325	None	1,476	None	65	None	65	None	234	None	632	None	153	None	153	None
1528025798	SUAREZ, HERNANDO, DDS	2021	PHP	RENDERING	AGE 0-20	140	None	681	None	98	None	215	None	68	None	120	None	102	None	105	None
1528025798	SUAREZ, HERNANDO, DDS	2021	PHP	RENDERING	AGE 21+	94	None	416	None	28	None	30	None	70	None	211	None	37	None	37	None
1528031788	ESPARZA, BLANCA DDS	2021	FFS	RENDERING	AGE 0-20	32	None	298	None	27	None	78	None	None	1	None	2	27	None	27	None
1528031788	ESPARZA, BLANCA DDS	2021	FFS	RENDERING	AGE 21+	25	None	92	None	None	1	None	1	None	1	None	2	13	None	13	None
1528035839	KHALILI, SUZANNE DDS	2021	FFS	RENDERING	AGE 0-20	36	None	394	None	31	None	60	None	21	None	113	None	25	None	26	None
1528035839	KHALILI, SUZANNE DDS	2021	FFS	RENDERING	AGE 21+	29	None	211	None	17	None	28	None	14	None	96	None	20	None	20	None
1528039138	MOSHIRI SOHRAB	2021	FFS	RENDERING	AGE 0-20	156	None	863	None	0	None	0	None	82	None	579	None	142	None	142	None
1528039138	MOSHIRI SOHRAB	2021	FFS	RENDERING	AGE 21+	335	None	1,284	None	0	None	0	None	123	None	654	None	314	None	314	None
1528045184	GOLLA KEERTHI	2021	FFS	RENDERING	AGE 0-20	28	None	131	None	24	None	62	None	None	1	None	2	13	None	13	None
1528045184	GOLLA KEERTHI	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1528069259	PAIK, RICHARD S DDS	2021	FFS	RENDERING	AGE 0-20	355	None	2,780	None	239	None	665	None	132	None	325	None	249	None	260	None
1528069259	PAIK, RICHARD S DDS	2021	FFS	RENDERING	AGE 21+	664	None	3,936	None	161	None	322	None	462	None	1,607	None	357	None	359	None
1528070703	KAPLAN, GREGORY D DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528072410	LOPEZ, JOSE L DDS	2021	FFS	RENDERING	AGE 0-20	315	None	4,771	None	286	None	1,080	None	164	None	766	None	289	None	336	None
1528072410	LOPEZ, JOSE L DDS	2021	FFS	RENDERING	AGE 21+	924	None	10,539	None	668	None	1,027	None	669	None	3,133	None	789	None	789	None
1528075967	LIU STEVEN K	2021	FFS	RENDERING	AGE 0-20	11	None	121	None	None	1	None	2	None	1	None	2	None	1	None	2
1528075967	LIU STEVEN K	2021	FFS	RENDERING	AGE 21+	38	None	468	None	36	None	71	None	35	None	230	None	36	None	36	None
1528081817	ALVAREZ MARTHA L	2021	FFS	RENDERING	AGE 0-20	90	None	1,027	None	74	None	226	None	58	None	456	None	84	None	105	None
1528081817	ALVAREZ MARTHA L	2021	FFS	RENDERING	AGE 21+	125	None	1,715	None	75	None	129	None	100	None	1,146	None	100	None	100	None
1528105079	VERT MICHAEL S	2021	FFS	RENDERING	AGE 0-20	1,044	None	7,963	None	750	None	1,984	None	655	None	2,338	None	631	None	674	None
1528105079	VERT MICHAEL S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528105079	VERT MICHAEL S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528105277	MIZRAJI GABRIEL M	2021	FFS	RENDERING	AGE 0-20	430	None	514	None	0	None	0	None	84	None	140	None	0	None	0	None
1528105277	MIZRAJI GABRIEL M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528105715	LEE RYAN SEIN C	2021	FFS	RENDERING	AGE 0-20	330	None	2,095	None	180	None	646	None	104	None	344	None	170	None	201	None
1528105715	LEE RYAN SEIN C	2021	FFS	RENDERING	AGE 21+	577	None	2,608	None	38	None	73	None	260	None	1,187	None	198	None	198	None
1528105715	LEE RYAN SEIN C	2021	PHP	RENDERING	AGE 0-20	127	None	1,103	None	104	None	420	None	49	None	115	None	90	None	104	None
1528105715	LEE RYAN SEIN C	2021	PHP	RENDERING	AGE 21+	164	None	808	None	19	None	23	None	84	None	263	None	86	None	93	None
1528107208	BAKER, TIMOTHY GEORGE, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1528109725	HONG, JAMES	2021	FFS	RENDERING	AGE 0-20	334	None	3,145	None	263	None	762	None	169	None	573	None	260	None	283	None
1528109725	HONG, JAMES	2021	FFS	RENDERING	AGE 21+	378	None	2,442	None	147	None	292	None	292	None	1,030	None	170	None	170	None
1528109725	HONG, JAMES	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528114063	SALES ANNA I	2021	FFS	RENDERING	AGE 0-20	38	None	197	None	27	None	73	None	25	None	46	None	27	None	27	None
1528115425	MEHTA MAYUR B	2021	FFS	RENDERING	AGE 0-20	391	None	5,532	None	346	None	1,434	None	161	None	491	None	371	None	477	None
1528115425	MEHTA MAYUR B	2021	FFS	RENDERING	AGE 21+	187	None	1,710	None	115	None	223	None	122	None	408	None	153	None	153	None
1528117165	ABBASSI FARAH	2021	FFS	RENDERING	AGE 0-20	58	None	221	None	0	None	0	None	31	None	41	None	55	None	55	None
1528117165	ABBASSI FARAH	2021	FFS	RENDERING	AGE 21+	13	None	41	None	0	None	0	None	0	None	0	None	13	None	13	None
1528120797	TONG, HONGSHENG, DDS	2021	FFS	RENDERING	AGE 0-20	592	None	1,611	None	0	None	0	None	278	None	898	None	0	None	0	None
1528121357	PEREIRA VALERIA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1528123981	KASHANI OMID R	2021	FFS	RENDERING	AGE 0-20	66	None	377	None	51	None	143	None	26	None	84	None	59	None	73	None
1528123981	KASHANI OMID R	2021	FFS	RENDERING	AGE 21+	118	None	465	None	46	None	84	None	70	None	204	None	52	None	53	None
1528127024	THIEDE,CRAIG C DDS	2021	FFS	RENDERING	AGE 0-20	22	None	53	None	0	None	0	None	12	None	38	None	None	1	None	1
1528127024	THIEDE,CRAIG C DDS	2021	FFS	RENDERING	AGE 21+	13	None	25	None	0	None	0	None	None	1	None	2	None	1	None	1
1528129822	GREENBERG VICKIE S	2021	FFS	RENDERING	AGE 0-20	27	None	47	None	0	None	0	None	11	None	20	None	0	None	0	None
1528129822	GREENBERG VICKIE S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528130986	JOVEN PIERRE JOJO D	2021	FFS	RENDERING	AGE 0-20	94	None	754	None	75	None	175	None	39	None	130	None	85	None	97	None
1528130986	JOVEN PIERRE JOJO D	2021	FFS	RENDERING	AGE 21+	240	None	1,627	None	88	None	174	None	150	None	578	None	181	None	181	None
1528134202	KAHNG JAMES Y	2021	FFS	RENDERING	AGE 0-20	21	None	123	None	21	None	34	None	12	None	36	None	21	None	22	None
1528134202	KAHNG JAMES Y	2021	FFS	RENDERING	AGE 21+	87	None	498	None	58	None	58	None	55	None	303	None	61	None	61	None
1528136876	ORTIZ-LUIS JOHN H	2021	FFS	RENDERING	AGE 0-20	17	None	141	None	17	None	48	None	None	1	None	2	16	None	21	None
1528136876	ORTIZ-LUIS JOHN H	2021	FFS	RENDERING	AGE 21+	32	None	214	None	30	None	53	None	15	None	59	None	31	None	31	None
1528137775	GOLDSTEIN ROSEMARIE	2021	FFS	RENDERING	AGE 0-20	33	None	676	None	33	None	77	None	33	None	425	None	33	None	33	None
1528138286	NGUYEN AN D	2021	FFS	RENDERING	AGE 0-20	17	None	42	None	None	1	None	1	None	1	None	1	None	1	None	1
1528138286	NGUYEN AN D	2021	FFS	RENDERING	AGE 21+	52	None	143	None	None	1	None	1	31	None	70	None	21	None	21	None
1528138286	NGUYEN AN D	2021	GMC	RENDERING	AGE 0-20	1,122	None	3,908	None	152	None	315	None	723	None	1,267	None	390	None	395	None
1528138286	NGUYEN AN D	2021	GMC	RENDERING	AGE 21+	480	None	2,400	None	60	None	66	None	269	None	505	None	184	None	185	None
1528138286	NGUYEN AN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1528143310	GLASS GREGORY R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528143310	GLASS GREGORY R	2021	FFS	RENDERING	AGE 21+	17	None	76	None	None	1	None	1	11	None	28	None	None	1	None	1
1528143690	AHMADPOUR, FIROOZEH, DDS	2021	FFS	RENDERING	AGE 0-20	79	None	655	None	69	None	175	None	23	None	88	None	78	None	85	None
1528143690	AHMADPOUR, FIROOZEH, DDS	2021	FFS	RENDERING	AGE 21+	348	None	1,275	None	168	None	177	None	99	None	362	None	316	None	316	None
1528155421	HANKINS JR WILLARD	2021	FFS	RENDERING	AGE 0-20	84	None	594	None	67	None	176	None	36	None	131	None	60	None	74	None
1528155421	HANKINS JR WILLARD	2021	FFS	RENDERING	AGE 21+	208	None	1,131	None	132	None	261	None	125	None	370	None	122	None	122	None
1528155819	KIM JOHNNY K	2021	FFS	RENDERING	AGE 0-20	151	None	1,213	None	125	None	368	None	108	None	511	None	129	None	159	None
1528155819	KIM JOHNNY K	2021	FFS	RENDERING	AGE 21+	393	None	3,959	None	241	None	458	None	349	None	2,633	None	303	None	303	None
1528155819	KIM, JOHN, DDS INC	2021	FFS	RENDERING	AGE 0-20	151	None	1,213	None	125	None	368	None	108	None	511	None	129	None	159	None
1528155819	KIM, JOHN, DDS INC	2021	FFS	RENDERING	AGE 21+	393	None	3,959	None	241	None	458	None	349	None	2,633	None	303	None	303	None
1528156049	HANNA IHAB M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528156049	HANNA IHAB M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1528156338	GABRIEL EMERENCIANA G	2021	FFS	RENDERING	AGE 0-20	199	None	2,254	None	177	None	718	None	99	None	339	None	187	None	272	None
1528156338	GABRIEL EMERENCIANA G	2021	FFS	RENDERING	AGE 21+	273	None	1,986	None	175	None	338	None	183	None	699	None	216	None	216	None
1528156338	GABRIEL EMERENCIANA G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528156338	GABRIEL EMERENCIANA G	2021	PHP	RENDERING	AGE 21+	35	None	297	None	29	None	58	None	25	None	119	None	32	None	32	None
1528162641	ALVAREZ BATLLE, MARINA, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	340	None	15	None	64	None	None	1	None	2	15	None	34	None
1528162641	ALVAREZ BATLLE, MARINA, DDS	2021	FFS	RENDERING	AGE 21+	61	None	982	None	39	None	78	None	27	None	158	None	57	None	114	None
1528163813	MKRTCHYAN, ARUTYUN, DDS	2021	FFS	RENDERING	AGE 0-20	249	None	1,589	None	185	None	613	None	77	None	175	None	187	None	187	None
1528163813	MKRTCHYAN, ARUTYUN, DDS	2021	FFS	RENDERING	AGE 21+	158	None	733	None	59	None	121	None	104	None	223	None	71	None	71	None
1528170917	SEPEHRIOUR BEHNAZ DDS	2021	FFS	RENDERING	AGE 0-20	548	None	7,530	None	489	None	1,435	None	247	None	750	None	498	None	619	None
1528170917	SEPEHRIOUR BEHNAZ DDS	2021	FFS	RENDERING	AGE 21+	567	None	5,084	None	224	None	438	None	355	None	1,298	None	346	None	348	None
1528171915	KOUZ RAMI	2021	FFS	RENDERING	AGE 0-20	19	None	72	None	11	None	19	None	None	1	None	2	13	None	13	None
1528171915	KOUZ RAMI	2021	FFS	RENDERING	AGE 21+	39	None	94	None	None	1	None	1	24	None	29	None	12	None	12	None
1528180866	KANG APRIL F	2021	FFS	RENDERING	AGE 0-20	247	None	4,146	None	243	None	1,109	None	109	None	340	None	244	None	368	None
1528180866	KANG APRIL F	2021	FFS	RENDERING	AGE 21+	232	None	2,660	None	191	None	377	None	138	None	542	None	205	None	207	None
1528181641	QUEIROZ LUCIANE I	2021	FFS	RENDERING	AGE 0-20	424	None	4,336	None	371	None	1,386	None	198	None	838	None	392	None	485	None
1528181641	QUEIROZ LUCIANE I	2021	FFS	RENDERING	AGE 21+	599	None	3,922	None	328	None	658	None	392	None	1,755	None	428	None	429	None
1528183316	HENKEN EDMOND H	2021	FFS	RENDERING	AGE 0-20	108	None	159	None	0	None	0	None	34	None	61	None	0	None	0	None
1528183316	HENKEN EDMOND H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528183316	HENKEN EDMOND H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528194289	BANEZ FELIZA H	2021	FFS	RENDERING	AGE 0-20	384	None	3,043	None	285	None	571	None	200	None	647	None	283	None	295	None
1528194289	BANEZ FELIZA H	2021	FFS	RENDERING	AGE 21+	580	None	3,351	None	159	None	259	None	390	None	1,480	None	332	None	336	None
1528195088	DUENES, ANGELA DDS	2021	FFS	RENDERING	AGE 0-20	84	None	564	None	76	None	171	None	11	None	41	None	74	None	82	None
1528195088	DUENES, ANGELA DDS	2021	FFS	RENDERING	AGE 21+	96	None	404	None	57	None	86	None	52	None	108	None	53	None	53	None
1528199270	KUNIHIRA, RICHARD, DDS	2021	FFS	RENDERING	AGE 0-20	178	None	1,634	None	160	None	509	None	70	None	528	None	163	None	225	None
1528199270	KUNIHIRA, RICHARD, DDS	2021	FFS	RENDERING	AGE 21+	104	None	565	None	84	None	155	None	31	None	166	None	89	None	89	None
1528205804	HUYNH TU V	2021	FFS	RENDERING	AGE 0-20	59	None	656	None	53	None	166	None	26	None	60	None	53	None	58	None
1528205804	HUYNH TU V	2021	FFS	RENDERING	AGE 21+	102	None	851	None	73	None	145	None	80	None	257	None	85	None	85	None
1528214228	OLIMPIADA JORN N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528224078	HERRERA BRENDA L	2021	FFS	RENDERING	AGE 21+	1,215	None	6,263	None	702	None	2,031	None	1,215	None	3,321	None	833	None	833	None
1528224078	HERRERA BRENDA L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1528241841	DONG, HUI, DDS	2021	FFS	RENDERING	AGE 0-20	809	None	4,807	None	766	None	2,374	None	214	None	433	None	755	None	894	None
1528241841	DONG, HUI, DDS	2021	FFS	RENDERING	AGE 21+	392	None	1,381	None	260	None	264	None	165	None	372	None	314	None	314	None
1528247061	JACKSON MARYAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528247061	JACKSON MARYAM	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528253903	RUDOY, LEO ARONI DDS	2021	FFS	RENDERING	AGE 0-20	604	None	9,156	None	555	None	2,490	None	286	None	1,235	None	554	None	803	None
1528253903	RUDOY, LEO ARONI DDS	2021	FFS	RENDERING	AGE 21+	431	None	3,555	None	258	None	487	None	290	None	1,286	None	237	None	237	None
1528261534	NASHED, MEDHAT N, DDS MS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528264173	JOHAL INAKSH	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1528272093	HONG BRIAN Y	2021	FFS	RENDERING	AGE 0-20	394	None	3,308	None	342	None	977	None	187	None	742	None	366	None	477	None
1528272093	HONG BRIAN Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1528274412	GEE JASON M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1528274412	GEE JASON M	2021	FFS	RENDERING	AGE 21+	13	None	67	None	None	1	None	1	None	1	None	2	None	1	None	1
1528275021	PHAM KIM T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528275021	PHAM KIM T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1528275021	PHAM KIM T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528275021	PHAM KIM T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1528275492	PRATT DOREEN M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528280252	VO, DINH L H, DDS	2021	FFS	RENDERING	AGE 21+	153	None	305	None	None	1	None	1	60	None	117	None	123	None	123	None
1528282373	AHDOUT NADER	2021	FFS	RENDERING	AGE 0-20	26	None	149	None	16	None	52	None	23	None	54	None	15	None	15	None
1528282373	AHDOUT NADER	2021	FFS	RENDERING	AGE 21+	182	None	1,706	None	58	None	58	None	168	None	1,094	None	100	None	100	None
1528282373	AHDOUT, NADER, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	149	None	16	None	52	None	23	None	54	None	15	None	15	None
1528282373	AHDOUT, NADER, DDS	2021	FFS	RENDERING	AGE 21+	182	None	1,706	None	58	None	58	None	168	None	1,094	None	100	None	100	None
1528289030	WU ANDREW C	2021	FFS	RENDERING	AGE 0-20	37	None	219	None	36	None	72	None	12	None	33	None	28	None	30	None
1528289030	WU ANDREW C	2021	FFS	RENDERING	AGE 21+	119	None	661	None	82	None	136	None	55	None	140	None	89	None	89	None
1528290699	REDDY SMITHA M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528290699	REDDY SMITHA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1528290699	REDDY SMITHA M	2021	PHP	RENDERING	AGE 21+	16	None	132	None	None	1	None	2	11	None	76	None	11	None	11	None
1528292158	SINGH RAMAN	2021	FFS	RENDERING	AGE 0-20	782	None	8,438	None	499	None	1,529	None	458	None	1,853	None	644	None	752	None
1528292158	SINGH RAMAN	2021	FFS	RENDERING	AGE 21+	845	None	8,395	None	326	None	651	None	563	None	3,059	None	603	None	605	None
1528294709	SHADI JONATHAN R	2021	FFS	RENDERING	AGE 0-20	318	None	1,513	None	0	None	0	None	272	None	1,274	None	118	None	118	None
1528294709	SHADI JONATHAN R	2021	FFS	RENDERING	AGE 21+	200	None	1,014	None	0	None	0	None	158	None	752	None	117	None	119	None
1528294709	SHADI JONATHAN R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1528294709	SHADI JONATHAN R	2021	PHP	RENDERING	AGE 21+	13	None	49	None	0	None	0	None	None	1	None	2	12	None	12	None
1528299260	SAVAGE JONATHAN R	2021	FFS	RENDERING	AGE 0-20	1,019	None	5,036	None	443	None	838	None	1,005	None	3,275	None	None	1	None	1
1528316205	BABAYAN TAMAR S	2021	FFS	RENDERING	AGE 0-20	230	None	769	None	0	None	0	None	93	None	290	None	None	1	None	1
1528316205	BABAYAN TAMAR S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1528317070	MA CHERRY L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1528317070	MA CHERRY L	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528317070	MA CHERRY L	2021	PHP	RENDERING	AGE 21+	55	None	204	None	None	1	None	1	36	None	103	None	33	None	34	None
1528333275	DENLEY ERICA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528333275	DENLEY ERICA M	2021	PHP	RENDERING	AGE 21+	41	None	339	None	13	None	15	None	25	None	86	None	26	None	26	None
1528336906	TREJO CANCHOLA JUAN ANTONIO	2021	FFS	RENDERING	AGE 0-20	114	None	1,340	None	103	None	359	None	59	None	307	None	99	None	113	None
1528336906	TREJO CANCHOLA JUAN ANTONIO	2021	FFS	RENDERING	AGE 21+	267	None	2,795	None	190	None	369	None	175	None	1,063	None	232	None	232	None
1528342573	BEHDIN VARAHRAM	2021	FFS	RENDERING	AGE 0-20	767	None	13,963	None	725	None	2,992	None	511	None	2,548	None	761	None	969	None
1528342573	BEHDIN VARAHRAM	2021	FFS	RENDERING	AGE 21+	602	None	8,463	None	519	None	1,031	None	327	None	1,365	None	548	None	548	None
1528346657	NASIBI, PEJMAN DDS	2021	FFS	RENDERING	AGE 0-20	175	None	382	None	None	1	None	1	23	None	55	None	0	None	0	None
1528346657	NASIBI, PEJMAN DDS	2021	FFS	RENDERING	AGE 21+	13	None	25	None	None	1	None	1	None	1	None	1	0	None	0	None
1528363207	COHEN, SEDGH, MANAVI & PAKRA	2021	PHP	RENDERING	AGE 0-20	51	None	242	None	27	None	77	None	None	1	None	2	23	None	23	None
1528363207	COHEN, SEDGH, MANAVI & PAKRA	2021	PHP	RENDERING	AGE 21+	59	None	225	None	12	None	19	None	20	None	42	None	24	None	24	None
1528366143	SAKAI NICOLE C	2021	FFS	RENDERING	AGE 0-20	484	None	780	None	0	None	0	None	377	None	571	None	0	None	0	None
1528377355	ALBELAIS AUSTREBERTO B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1528377355	ALBELAIS AUSTREBERTO B	2021	FFS	RENDERING	AGE 21+	30	None	168	None	11	None	11	None	19	None	68	None	20	None	20	None
1528398864	THURMAN MICHAEL M	2021	FFS	RENDERING	AGE 0-20	1,612	None	6,617	None	0	None	0	None	270	None	909	None	0	None	0	None
1528398864	THURMAN MICHAEL M	2021	FFS	RENDERING	AGE 21+	303	None	890	None	0	None	0	None	None	1	None	1	0	None	0	None
1528400561	MESERKHANI ARTIN	2021	FFS	RENDERING	AGE 0-20	260	None	771	None	0	None	0	None	81	None	245	None	0	None	0	None
1528400561	MESERKHANI ARTIN	2021	FFS	RENDERING	AGE 21+	25	None	48	None	0	None	0	None	None	1	None	1	None	1	None	1
1528409075	TRAN JOHN Q	2021	FFS	RENDERING	AGE 0-20	77	None	1,216	None	74	None	230	None	47	None	172	None	74	None	93	None
1528409075	TRAN JOHN Q	2021	FFS	RENDERING	AGE 21+	249	None	2,557	None	168	None	339	None	177	None	729	None	181	None	182	None
1528409869	CHEK ROBERTA VAN	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1528413234	PARK LYDIA E	2021	FFS	RENDERING	AGE 0-20	945	None	5,825	None	761	None	1,943	None	544	None	821	None	728	None	753	None
1528413705	BARR PEDRAM	2021	FFS	RENDERING	AGE 0-20	687	None	1,476	None	None	1	None	1	132	None	288	None	None	1	None	1
1528413705	BARR PEDRAM	2021	FFS	RENDERING	AGE 21+	31	None	50	None	0	None	0	None	None	1	None	1	0	None	0	None
1528413705	BARR PEDRAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528413705	BARR PEDRAM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528427853	ONG SIOE HWA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528430121	ELY JOSHUA	2021	FFS	RENDERING	AGE 0-20	120	None	345	None	None	1	None	1	119	None	334	None	None	1	None	1
1528430121	ELY JOSHUA	2021	FFS	RENDERING	AGE 21+	118	None	312	None	None	1	None	1	116	None	303	None	None	1	None	1
1528434537	NASSIRIPOUR SEPEHR	2021	FFS	RENDERING	AGE 0-20	3,157	None	27,834	None	2,709	None	8,041	None	1,927	None	4,791	None	2,674	None	3,128	None
1528434537	NASSIRIPOUR SEPEHR	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1528447398	CALCAGNO JACQUELINE A	2021	FFS	RENDERING	AGE 0-20	173	None	958	None	128	None	303	None	61	None	261	None	105	None	106	None
1528459559	PALAU MANUEL J	2021	FFS	RENDERING	AGE 0-20	514	None	9,886	None	475	None	1,643	None	348	None	1,637	None	482	None	648	None
1528459559	PALAU MANUEL J	2021	FFS	RENDERING	AGE 21+	268	None	3,766	None	127	None	188	None	215	None	1,289	None	210	None	210	None
1528485901	PASHKOWSKY LAURA K	2021	FFS	RENDERING	AGE 0-20	49	None	197	None	0	None	0	None	49	None	196	None	0	None	0	None
1528485901	PASHKOWSKY LAURA K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1528494085	KWON JOHN HEE C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1528494085	KWON JOHN HEE C	2021	PHP	RENDERING	AGE 21+	24	None	134	None	None	1	None	2	20	None	88	None	None	1	None	1
1528502648	KIM BOUNG Y	2021	FFS	RENDERING	AGE 0-20	83	None	465	None	63	None	182	None	44	None	92	None	50	None	58	None
1528502648	KIM BOUNG Y	2021	FFS	RENDERING	AGE 21+	308	None	1,416	None	154	None	279	None	201	None	505	None	159	None	161	None
1528502648	KIM BOUNG Y	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1528510799	YOON SEONGRO A	2021	FFS	RENDERING	AGE 0-20	946	None	8,973	None	651	None	1,898	None	471	None	1,150	None	675	None	722	None
1528510799	YOON SEONGRO A	2021	FFS	RENDERING	AGE 21+	637	None	4,356	None	224	None	356	None	423	None	1,179	None	332	None	338	None
1528531621	BELAYA ALESIA	2021	FFS	RENDERING	AGE 0-20	247	None	1,206	None	168	None	446	None	160	None	372	None	89	None	90	None
1528531621	BELAYA ALESIA	2021	FFS	RENDERING	AGE 21+	360	None	1,207	None	69	None	129	None	283	None	763	None	86	None	86	None
1528531621	BELAYA ALESIA	2021	PHP	RENDERING	AGE 0-20	35	None	189	None	23	None	71	None	19	None	57	None	21	None	21	None
1528531621	BELAYA ALESIA	2021	PHP	RENDERING	AGE 21+	32	None	122	None	None	1	None	2	25	None	80	None	None	1	None	1
1528534963	DR HUANG'S DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1528534963	DR HUANG'S DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1528535515	GUTIERREZ JENNIE M	2021	FFS	RENDERING	AGE 0-20	114	None	820	None	80	None	160	None	59	None	241	None	107	None	113	None
1528535515	GUTIERREZ JENNIE M	2021	FFS	RENDERING	AGE 21+	246	None	1,319	None	60	None	63	None	175	None	722	None	191	None	191	None
1528535515	GUTIERREZ JENNIE M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1528535515	GUTIERREZ JENNIE M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528572625	LE RICHARD H	2021	FFS	RENDERING	AGE 0-20	3,595	None	34,888	None	2,789	None	8,474	None	2,094	None	5,346	None	2,722	None	3,024	None
1528572625	LE RICHARD H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1528578036	SARRAF, KEIVAN, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1528590064	LEE PRISCILA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528590064	LEE PRISCILA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528590064	LEE PRISCILA	2021	GMC	RENDERING	AGE 0-20	369	None	2,814	None	279	None	786	None	172	None	346	None	280	None	333	None
1528590064	LEE PRISCILA	2021	GMC	RENDERING	AGE 21+	699	None	4,447	None	278	None	554	None	497	None	1,284	None	373	None	374	None
1528595972	SENAR MARTHA V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528595972	SENAR MARTHA V	2021	PHP	RENDERING	AGE 0-20	44	None	352	None	32	None	105	None	40	None	69	None	23	None	24	None
1528595972	SENAR MARTHA V	2021	PHP	RENDERING	AGE 21+	62	None	292	None	17	None	53	None	43	None	124	None	22	None	22	None
1528607876	KACHI NATALIA Z	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1528607876	KACHI NATALIA Z	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1528612041	TRAN JIMMY	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1528612041	TRAN JIMMY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1528612041	TRAN JIMMY	2021	GMC	RENDERING	AGE 0-20	307	None	2,134	None	195	None	739	None	179	None	328	None	223	None	242	None
1528612041	TRAN JIMMY	2021	GMC	RENDERING	AGE 21+	731	None	3,795	None	196	None	462	None	628	None	1,467	None	331	None	332	None
1528615614	COMROE MICHELLE R	2021	FFS	RENDERING	AGE 0-20	449	None	1,808	None	207	None	463	None	69	None	120	None	398	None	412	None
1528615614	COMROE MICHELLE R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1528620234	EDALATPAJOUH RYAN	2021	FFS	RENDERING	AGE 0-20	997	None	10,495	None	738	None	2,578	None	556	None	1,489	None	860	None	880	None
1528620234	EDALATPAJOUH RYAN	2021	FFS	RENDERING	AGE 21+	768	None	6,793	None	234	None	458	None	439	None	1,389	None	562	None	571	None
1528620234	EDALATPAJOUH RYAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528665981	SEKAYAN NAIRY	2021	FFS	RENDERING	AGE 0-20	225	None	1,240	None	172	None	483	None	80	None	189	None	186	None	200	None
1528665981	SEKAYAN NAIRY	2021	FFS	RENDERING	AGE 21+	99	None	395	None	14	None	27	None	58	None	182	None	56	None	57	None
1528665981	SEKAYAN NAIRY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1528665981	SEKAYAN NAIRY	2021	PHP	RENDERING	AGE 0-20	312	None	1,769	None	141	None	384	None	197	None	599	None	145	None	150	None
1528665981	SEKAYAN NAIRY	2021	PHP	RENDERING	AGE 21+	247	None	936	None	None	1	None	1	164	None	402	None	34	None	35	None
1528667524	THOPPIYIL SHAYMA L	2021	FFS	RENDERING	AGE 0-20	175	None	1,641	None	117	None	331	None	98	None	248	None	108	None	108	None
1528667524	THOPPIYIL SHAYMA L	2021	FFS	RENDERING	AGE 21+	99	None	566	None	22	None	25	None	70	None	176	None	25	None	25	None
1528720042	GAUCHAN KRISTINA	2021	FFS	RENDERING	AGE 0-20	51	None	340	None	41	None	86	None	25	None	68	None	46	None	46	None
1528720042	GAUCHAN KRISTINA	2021	FFS	RENDERING	AGE 21+	93	None	737	None	54	None	106	None	67	None	273	None	80	None	80	None
1538118880	COCCHI, MARK E, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1538118880	COCCHI, MARK E, DDS	2021	FFS	RENDERING	AGE 21+	13	None	34	None	11	None	11	None	None	1	None	2	0	None	0	None
1538128624	HABIBI SAMAN	2021	FFS	RENDERING	AGE 0-20	167	None	681	None	115	None	269	None	40	None	93	None	139	None	150	None
1538128624	HABIBI SAMAN	2021	FFS	RENDERING	AGE 21+	250	None	691	None	52	None	55	None	137	None	343	None	151	None	151	None
1538128624	HABIBI SAMAN	2021	PHP	RENDERING	AGE 0-20	25	None	97	None	14	None	27	None	None	1	None	2	20	None	20	None
1538128624	HABIBI SAMAN	2021	PHP	RENDERING	AGE 21+	18	None	47	None	None	1	None	1	None	1	None	2	12	None	12	None
1538129572	BERMAN, MARTHA, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	907	None	84	None	463	None	65	None	237	None	94	None	94	None
1538129572	BERMAN, MARTHA, DDS	2021	FFS	RENDERING	AGE 21+	340	None	1,332	None	59	None	93	None	192	None	744	None	263	None	264	None
1538129572	BERMAN, MARTHA, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1538129572	BERMAN, MARTHA, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1538129663	CHAN JOHN KWOK Y	2021	FFS	RENDERING	AGE 0-20	6,902	None	45,538	None	6,337	None	18,224	None	3,700	None	9,895	None	6,078	None	6,493	None
1538129663	CHAN JOHN KWOK Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1538139043	FORD HELEN E	2021	FFS	RENDERING	AGE 0-20	1,018	None	9,257	None	903	None	2,364	None	323	None	989	None	894	None	896	None
1538142849	SINGHAL, TARSEM & SINGHAL, S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538142849	SINGHAL, TARSEM & SINGHAL, S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538146618	TRAN, DON QUY DMD	2021	FFS	RENDERING	AGE 0-20	2,211	None	32,439	None	2,155	None	9,393	None	975	None	3,899	None	2,159	None	3,294	None
1538146618	TRAN, DON QUY DMD	2021	FFS	RENDERING	AGE 21+	127	None	1,106	None	101	None	198	None	83	None	342	None	103	None	103	None
1538152350	GARCIA-GUZMAN, FRANCISCO J,	2021	FFS	RENDERING	AGE 0-20	18	None	116	None	15	None	17	None	None	1	None	2	11	None	11	None
1538152350	GARCIA-GUZMAN, FRANCISCO J,	2021	FFS	RENDERING	AGE 21+	48	None	417	None	28	None	29	None	36	None	110	None	28	None	28	None
1538162425	POPE, BRUCE M DDS	2021	FFS	RENDERING	AGE 0-20	992	None	9,862	None	879	None	2,857	None	283	None	1,357	None	966	None	1,478	None
1538162425	POPE, BRUCE M DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538170519	NGUYEN LANKHANH D	2021	FFS	RENDERING	AGE 0-20	619	None	6,986	None	604	None	2,006	None	184	None	448	None	597	None	846	None
1538170519	NGUYEN LANKHANH D	2021	FFS	RENDERING	AGE 21+	14	None	105	None	14	None	27	None	None	1	None	1	14	None	14	None
1538173018	TRAN, THANG DINH, DDS	2021	FFS	RENDERING	AGE 0-20	46	None	280	None	45	None	159	None	13	None	32	None	46	None	59	None
1538173018	TRAN, THANG DINH, DDS	2021	FFS	RENDERING	AGE 21+	116	None	591	None	94	None	129	None	71	None	214	None	101	None	101	None
1538175781	FRAKER STEVEN D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538175781	FRAKER STEVEN D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538176425	WASSEM, JEFF D, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538176425	WASSEM, JEFF D, DDS	2021	FFS	RENDERING	AGE 21+	114	None	396	None	89	None	89	None	35	None	75	None	97	None	97	None
1538177340	KHALIL, MAMOUN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1538183967	FARIGHI ALIREZA	2021	FFS	RENDERING	AGE 0-20	196	None	2,957	None	188	None	758	None	63	None	201	None	184	None	245	None
1538183967	FARIGHI ALIREZA	2021	FFS	RENDERING	AGE 21+	357	None	4,670	None	164	None	324	None	280	None	1,546	None	271	None	271	None
1538185376	PECK LEON R	2021	FFS	RENDERING	AGE 0-20	226	None	1,042	None	0	None	0	None	197	None	581	None	194	None	194	None
1538185376	PECK LEON R	2021	FFS	RENDERING	AGE 21+	589	None	2,399	None	0	None	0	None	495	None	1,157	None	504	None	504	None
1538188016	LIGHT, JEFFREY G, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538188149	SINAIRAD JOSEPH	2021	FFS	RENDERING	AGE 0-20	2,295	None	16,865	None	320	None	559	None	269	None	368	None	142	None	142	None
1538188149	SINAIRAD JOSEPH	2021	FFS	RENDERING	AGE 21+	1,093	None	4,413	None	44	None	89	None	178	None	557	None	63	None	63	None
1538188149	SINAIRAD JOSEPH	2021	PHP	RENDERING	AGE 0-20	152	None	1,058	None	125	None	416	None	67	None	167	None	132	None	158	None
1538188149	SINAIRAD JOSEPH	2021	PHP	RENDERING	AGE 21+	107	None	502	None	30	None	44	None	76	None	269	None	67	None	67	None
1538188263	CHONG CARLOS R	2021	FFS	RENDERING	AGE 0-20	146	None	1,377	None	134	None	334	None	50	None	110	None	140	None	175	None
1538188263	CHONG CARLOS R	2021	FFS	RENDERING	AGE 21+	221	None	1,730	None	91	None	158	None	150	None	464	None	150	None	150	None
1538208426	NGUYEN MINH T	2021	FFS	RENDERING	AGE 0-20	33	None	323	None	30	None	59	None	None	1	None	2	33	None	36	None
1538208426	NGUYEN MINH T	2021	FFS	RENDERING	AGE 21+	90	None	871	None	37	None	37	None	38	None	106	None	46	None	46	None
1538208426	NGUYEN, MINH T, DDS	2021	FFS	RENDERING	AGE 0-20	33	None	323	None	30	None	59	None	None	1	None	2	33	None	36	None
1538208426	NGUYEN, MINH T, DDS	2021	FFS	RENDERING	AGE 21+	90	None	871	None	37	None	37	None	38	None	106	None	46	None	46	None
1538208467	ARCE AILEEN L	2021	FFS	RENDERING	AGE 0-20	41	None	596	None	37	None	138	None	22	None	80	None	38	None	50	None
1538208467	ARCE AILEEN L	2021	FFS	RENDERING	AGE 21+	325	None	2,836	None	141	None	273	None	271	None	1,495	None	207	None	207	None
1538212790	KHORRAM NASRIN	2021	FFS	RENDERING	AGE 0-20	63	None	522	None	28	None	53	None	27	None	111	None	53	None	57	None
1538212790	KHORRAM NASRIN	2021	FFS	RENDERING	AGE 21+	383	None	2,440	None	20	None	21	None	252	None	1,157	None	255	None	267	None
1538212790	KHORRAM NASRIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538212790	KHORRAM NASRIN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1538214846	GROSSMAN, JOHN ROBERT DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1538214846	GROSSMAN, JOHN ROBERT DDS	2021	FFS	RENDERING	AGE 21+	995	None	2,999	None	0	None	0	None	992	None	2,160	None	839	None	839	None
1538216536	HONG STANLEY S	2021	FFS	RENDERING	AGE 0-20	482	None	4,269	None	383	None	1,212	None	166	None	405	None	412	None	493	None
1538216536	HONG STANLEY S	2021	FFS	RENDERING	AGE 21+	612	None	2,971	None	125	None	247	None	399	None	1,047	None	330	None	332	None
1538217344	KIM, YOHAN DMD	2021	FFS	RENDERING	AGE 0-20	125	None	1,467	None	111	None	144	None	55	None	192	None	118	None	148	None
1538217344	KIM, YOHAN DMD	2021	FFS	RENDERING	AGE 21+	160	None	1,362	None	89	None	90	None	96	None	298	None	131	None	131	None
1538220314	WONG, LOWRY Y, DDS	2021	FFS	RENDERING	AGE 0-20	192	None	782	None	85	None	192	None	55	None	132	None	143	None	145	None
1538220314	WONG, LOWRY Y, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538221742	LAUREOLA MICHAEL V	2021	FFS	RENDERING	AGE 0-20	3,490	None	28,003	None	2,219	None	7,249	None	2,146	None	12,817	None	929	None	1,078	None
1538221742	LAUREOLA MICHAEL V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1538221742	LAUREOLA MICHAEL V	2021	PHP	RENDERING	AGE 0-20	48	None	547	None	25	None	73	None	45	None	261	None	0	None	0	None
1538224001	DUONG, TRI DUC DDS	2021	FFS	RENDERING	AGE 0-20	14	None	92	None	14	None	27	None	None	1	None	2	13	None	13	None
1538224001	DUONG, TRI DUC DDS	2021	FFS	RENDERING	AGE 21+	115	None	590	None	84	None	84	None	72	None	298	None	97	None	97	None
1538224001	DUONG, TRI DUC, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	92	None	14	None	27	None	None	1	None	2	13	None	13	None
1538224001	DUONG, TRI DUC, DDS	2021	FFS	RENDERING	AGE 21+	115	None	590	None	84	None	84	None	72	None	298	None	97	None	97	None
1538224456	ZHONG WEIQIANG	2021	FFS	RENDERING	AGE 0-20	287	None	1,279	None	161	None	472	None	16	None	43	None	248	None	277	None
1538224456	ZHONG WEIQIANG	2021	FFS	RENDERING	AGE 21+	644	None	2,276	None	184	None	348	None	196	None	718	None	515	None	515	None
1538224456	ZHONG WEIQIANG	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1538231592	CHEN RICHARD Z	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538233093	AGUSTIN MARIA A	2021	FFS	RENDERING	AGE 0-20	67	None	646	None	61	None	179	None	35	None	94	None	60	None	73	None
1538233093	AGUSTIN MARIA A	2021	FFS	RENDERING	AGE 21+	113	None	813	None	87	None	178	None	66	None	202	None	94	None	96	None
1538233432	BRAR JASLEEN K	2021	FFS	RENDERING	AGE 0-20	53	None	387	None	50	None	129	None	22	None	69	None	44	None	49	None
1538233432	BRAR JASLEEN K	2021	FFS	RENDERING	AGE 21+	121	None	595	None	65	None	121	None	57	None	203	None	92	None	92	None
1538233556	JAWALE RESHMA R	2021	FFS	RENDERING	AGE 0-20	2,382	None	22,212	None	2,002	None	5,373	None	997	None	1,973	None	2,027	None	2,371	None
1538233556	JAWALE RESHMA R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1538234919	PATEL, ANJANA A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1538234919	PATEL, ANJANA A, DDS	2021	FFS	RENDERING	AGE 21+	33	None	146	None	16	None	16	None	13	None	22	None	None	1	None	1
1538235320	HARIZ, SAM H, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	220	None	35	None	109	None	None	1	None	2	35	None	52	None
1538235320	HARIZ, SAM H, DDS	2021	FFS	RENDERING	AGE 21+	59	None	268	None	46	None	46	None	24	None	38	None	50	None	50	None
1538237953	MIRANDA JOSE FERDINA S	2021	FFS	RENDERING	AGE 0-20	14	None	121	None	11	None	19	None	None	1	None	2	None	1	None	1
1538237953	MIRANDA JOSE FERDINA S	2021	FFS	RENDERING	AGE 21+	19	None	107	None	None	1	None	1	None	1	None	2	12	None	12	None
1538238290	LOK LAWRENCE WIN C	2021	FFS	RENDERING	AGE 0-20	304	None	3,367	None	267	None	885	None	144	None	438	None	268	None	361	None
1538238290	LOK LAWRENCE WIN C	2021	FFS	RENDERING	AGE 21+	360	None	3,242	None	175	None	375	None	281	None	1,209	None	233	None	235	None
1538240247	ETEMADI DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	177	None	1,800	None	154	None	452	None	89	None	362	None	156	None	189	None
1538240247	ETEMADI DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	404	None	3,916	None	224	None	486	None	295	None	1,417	None	286	None	286	None
1538240247	ETEMADI DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538240247	ETEMADI KHASHAYAR	2021	FFS	RENDERING	AGE 0-20	177	None	1,800	None	154	None	452	None	89	None	362	None	156	None	189	None
1538240247	ETEMADI KHASHAYAR	2021	FFS	RENDERING	AGE 21+	404	None	3,916	None	224	None	486	None	295	None	1,417	None	286	None	286	None
1538240247	ETEMADI KHASHAYAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538247754	TETRADIS SOTIRIOS	2021	FFS	RENDERING	AGE 0-20	442	None	639	None	0	None	0	None	0	None	0	None	0	None	0	None
1538247754	TETRADIS SOTIRIOS	2021	FFS	RENDERING	AGE 21+	618	None	746	None	0	None	0	None	0	None	0	None	0	None	0	None
1538248703	NGUYEN, LIEU K, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538248703	NGUYEN, LIEU K, DDS	2021	FFS	RENDERING	AGE 21+	47	None	169	None	15	None	27	None	35	None	75	None	17	None	17	None
1538252382	CARLIN, GREG P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538252382	CARLIN, GREG P	2021	FFS	RENDERING	AGE 21+	64	None	345	None	38	None	38	None	45	None	123	None	42	None	42	None
1538255435	LEE, STEVE SIWOO, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	579	None	62	None	73	None	20	None	68	None	73	None	85	None
1538255435	LEE, STEVE SIWOO, DDS	2021	FFS	RENDERING	AGE 21+	168	None	1,197	None	67	None	68	None	63	None	233	None	127	None	129	None
1538259908	GRAY TODD A	2021	FFS	RENDERING	AGE 0-20	17	None	311	None	17	None	46	None	17	None	203	None	16	None	16	None
1538274998	MEJIA MOLINA JOSE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538277165	NAJMABADI, PEGGY DDS	2021	FFS	RENDERING	AGE 0-20	966	None	12,723	None	941	None	4,113	None	645	None	2,364	None	944	None	1,273	None
1538277165	NAJMABADI, PEGGY DDS	2021	FFS	RENDERING	AGE 21+	74	None	544	None	69	None	138	None	27	None	67	None	70	None	70	None
1538280185	PARHAM SOHAIL	2021	FFS	RENDERING	AGE 0-20	117	None	1,171	None	80	None	249	None	56	None	204	None	91	None	113	None
1538280185	PARHAM SOHAIL	2021	FFS	RENDERING	AGE 21+	135	None	698	None	13	None	19	None	83	None	289	None	91	None	91	None
1538280185	PARHAM SOHAIL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538280185	PARHAM SOHAIL	2021	PHP	RENDERING	AGE 21+	29	None	71	None	None	1	None	1	17	None	48	None	13	None	13	None
1538284583	CHIU, CATHERINE, DDS	2021	FFS	RENDERING	AGE 0-20	1,231	None	14,162	None	1,221	None	4,740	None	444	None	1,117	None	1,212	None	1,987	None
1538284583	CHIU, CATHERINE, DDS	2021	FFS	RENDERING	AGE 21+	47	None	279	None	40	None	74	None	14	None	21	None	41	None	41	None
1538291869	PINEDA MARITESS S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538298260	LE DANIEL T	2021	FFS	RENDERING	AGE 0-20	70	None	791	None	55	None	185	None	44	None	167	None	55	None	56	None
1538298260	LE DANIEL T	2021	FFS	RENDERING	AGE 21+	270	None	3,208	None	149	None	300	None	260	None	1,576	None	148	None	150	None
1538300249	KHADAVI RAHIMZA NATALIE D	2021	FFS	RENDERING	AGE 0-20	198	None	1,703	None	182	None	563	None	88	None	266	None	154	None	204	None
1538300249	KHADAVI RAHIMZA NATALIE D	2021	FFS	RENDERING	AGE 21+	130	None	714	None	50	None	79	None	90	None	286	None	77	None	77	None
1538303516	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1538303516	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1538308473	SADRI IMAN	2021	FFS	RENDERING	AGE 0-20	439	None	1,458	None	70	None	172	None	None	1	None	1	423	None	456	None
1538308473	SADRI IMAN	2021	FFS	RENDERING	AGE 21+	1,040	None	2,628	None	43	None	81	None	156	None	223	None	855	None	855	None
1538308473	SADRI IMAN	2021	PHP	RENDERING	AGE 0-20	11	None	79	None	None	1	None	2	0	None	0	None	None	1	None	1
1538308473	SADRI IMAN	2021	PHP	RENDERING	AGE 21+	37	None	147	None	None	1	None	1	None	1	None	2	24	None	24	None
1538322763	RUBIO MARTHA P	2021	FFS	RENDERING	AGE 0-20	33	None	153	None	None	1	None	1	22	None	68	None	None	1	None	1
1538322763	RUBIO MARTHA P	2021	FFS	RENDERING	AGE 21+	74	None	240	None	None	1	None	1	54	None	143	None	21	None	21	None
1538324306	OHANIAN DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	13	None	128	None	13	None	63	None	None	1	None	1	13	None	14	None
1538324306	OHANIAN DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538329123	DABIRI, MEHRTAJ, DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1538330386	CAWTHON III FLOYD J	2021	FFS	RENDERING	AGE 0-20	106	None	145	None	0	None	0	None	12	None	17	None	0	None	0	None
1538330386	CAWTHON III FLOYD J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538330386	CAWTHON III FLOYD J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1538333919	HENAO, GABRIEL	2021	FFS	RENDERING	AGE 0-20	506	None	4,514	None	404	None	1,500	None	301	None	1,025	None	391	None	585	None
1538333919	HENAO, GABRIEL	2021	FFS	RENDERING	AGE 21+	351	None	2,440	None	187	None	366	None	274	None	1,191	None	200	None	200	None
1538333919	HENAO, GABRIEL	2021	PHP	RENDERING	AGE 0-20	18	None	166	None	16	None	53	None	None	1	None	2	16	None	23	None
1538333919	HENAO, GABRIEL	2021	PHP	RENDERING	AGE 21+	13	None	77	None	None	1	None	2	None	1	None	2	None	1	None	1
1538352471	HAN DAVID S	2021	FFS	RENDERING	AGE 0-20	52	None	148	None	None	1	None	2	11	None	29	None	None	1	None	1
1538352471	HAN DAVID S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538352471	HAN DAVID S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1538359377	THOMAS, MARK	2021	FFS	RENDERING	AGE 0-20	1,640	None	18,407	None	1,314	None	4,386	None	1,047	None	3,620	None	1,328	None	1,570	None
1538359377	THOMAS, MARK	2021	FFS	RENDERING	AGE 21+	305	None	2,026	None	133	None	252	None	212	None	683	None	194	None	194	None
1538360235	GESICHO GLADYS K	2021	FFS	RENDERING	AGE 0-20	346	None	2,251	None	200	None	614	None	156	None	383	None	262	None	301	None
1538360235	GESICHO GLADYS K	2021	FFS	RENDERING	AGE 21+	828	None	3,796	None	335	None	662	None	460	None	1,331	None	571	None	573	None
1538360631	AVANTINO, KAREN, DDS	2021	FFS	RENDERING	AGE 21+	42	None	138	None	0	None	0	None	34	None	81	None	30	None	30	None
1538366125	LE QUYNHCHAU H	2021	FFS	RENDERING	AGE 0-20	199	None	2,037	None	177	None	446	None	62	None	127	None	178	None	208	None
1538366125	LE QUYNHCHAU H	2021	FFS	RENDERING	AGE 21+	480	None	3,916	None	298	None	593	None	336	None	1,250	None	348	None	348	None
1538372420	KABAKIAN NANOR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1538372420	KABAKIAN NANOR	2021	FFS	RENDERING	AGE 21+	69	None	769	None	43	None	86	None	60	None	284	None	49	None	49	None
1538376058	MOISIUC ANDREEA	2021	FFS	RENDERING	AGE 0-20	191	None	2,622	None	172	None	578	None	110	None	395	None	175	None	236	None
1538376058	MOISIUC ANDREEA	2021	FFS	RENDERING	AGE 21+	251	None	2,047	None	110	None	170	None	190	None	920	None	183	None	183	None
1538376520	COLLANTES ANA MARIA T	2021	FFS	RENDERING	AGE 0-20	376	None	5,159	None	351	None	1,332	None	200	None	522	None	346	None	427	None
1538376520	COLLANTES ANA MARIA T	2021	FFS	RENDERING	AGE 21+	527	None	5,383	None	362	None	722	None	407	None	1,837	None	406	None	406	None
1538378179	LUZAR JEFFERY R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538378179	LUZAR JEFFERY R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538378328	MONG SEAN S	2021	FFS	RENDERING	AGE 0-20	397	None	2,038	None	286	None	758	None	266	None	699	None	269	None	275	None
1538378328	MONG SEAN S	2021	FFS	RENDERING	AGE 21+	3,849	None	18,296	None	1,858	None	2,917	None	2,920	None	9,411	None	2,272	None	2,272	None
1538378328	MONG SEAN S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538379409	DELA FUENTE SUSANA G	2021	FFS	RENDERING	AGE 0-20	29	None	284	None	19	None	38	None	16	None	52	None	20	None	20	None
1538379409	DELA FUENTE SUSANA G	2021	FFS	RENDERING	AGE 21+	34	None	236	None	None	1	None	2	18	None	44	None	17	None	17	None
1538381645	GRIFFITH, KENNETH C DDS	2021	FFS	RENDERING	AGE 0-20	102	None	1,944	None	67	None	168	None	102	None	1,171	None	95	None	103	None
1538382825	GHASEMYEH MARYAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1538382825	GHASEMYEH MARYAM	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1538384870	CHERUKURI, SIVA S DDS	2021	FFS	RENDERING	AGE 0-20	4,219	None	42,677	None	3,986	None	11,613	None	478	None	656	None	3,987	None	5,337	None
1538384870	CHERUKURI, SIVA S DDS	2021	FFS	RENDERING	AGE 21+	113	None	804	None	91	None	177	None	21	None	31	None	89	None	89	None
1538385133	TAY PATRICIA	2021	FFS	RENDERING	AGE 0-20	1,873	None	31,079	None	1,811	None	8,855	None	1,319	None	4,788	None	1,789	None	2,935	None
1538385133	TAY PATRICIA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1538391263	SAPIR BENJAMIN P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538427182	CHHOTU KRUPAL B	2021	FFS	RENDERING	AGE 0-20	172	None	1,492	None	140	None	397	None	91	None	365	None	144	None	174	None
1538427182	CHHOTU KRUPAL B	2021	FFS	RENDERING	AGE 21+	454	None	2,828	None	164	None	328	None	344	None	1,311	None	338	None	338	None
1538447149	GOLSHANI ZARRIN	2021	FFS	RENDERING	AGE 0-20	100	None	1,034	None	80	None	220	None	40	None	94	None	89	None	89	None
1538447149	GOLSHANI ZARRIN	2021	FFS	RENDERING	AGE 21+	59	None	392	None	None	1	None	2	34	None	110	None	35	None	35	None
1538453956	KAUR SUKHMEET	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538456108	KADKHODA AFSANEH	2021	FFS	RENDERING	AGE 0-20	12	None	52	None	None	1	None	2	None	1	None	1	None	1	None	1
1538456108	KADKHODA AFSANEH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1538457775	VAN SICKLEN ANDREW J	2021	FFS	RENDERING	AGE 0-20	1,734	None	20,123	None	1,405	None	5,070	None	1,470	None	7,062	None	1,242	None	1,502	None
1538457775	VAN SICKLEN ANDREW J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1538462916	LIU JIN	2021	FFS	RENDERING	AGE 0-20	11	None	88	None	11	None	47	None	None	1	None	2	None	1	None	2
1538462916	LIU JIN	2021	FFS	RENDERING	AGE 21+	20	None	119	None	16	None	32	None	11	None	45	None	19	None	19	None
1538464771	KIM HYUN-JUNG	2021	FFS	RENDERING	AGE 0-20	304	None	2,738	None	223	None	582	None	170	None	449	None	209	None	225	None
1538464771	KIM HYUN-JUNG	2021	FFS	RENDERING	AGE 21+	122	None	641	None	35	None	71	None	89	None	260	None	50	None	50	None
1538490008	NGUYEN DUONG Q	2021	FFS	RENDERING	AGE 0-20	134	None	2,507	None	131	None	362	None	77	None	641	None	124	None	171	None
1538490008	NGUYEN DUONG Q	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538490214	MOMANI, AHMAD, DDS	2021	FFS	RENDERING	AGE 0-20	1,097	None	15,932	None	491	None	3,102	None	693	None	5,018	None	820	None	1,760	None
1538490214	MOMANI, AHMAD, DDS	2021	FFS	RENDERING	AGE 21+	2,383	None	25,758	None	388	None	1,464	None	1,563	None	14,522	None	1,528	None	3,068	None
1538490214	MOMANI, AHMAD, DDS	2021	GMC	RENDERING	AGE 0-20	14	None	268	None	None	1	None	2	None	1	None	2	12	None	28	None
1538490214	MOMANI, AHMAD, DDS	2021	GMC	RENDERING	AGE 21+	43	None	456	None	None	1	None	2	23	None	220	None	40	None	86	None
1538507322	GARDNER MICHAEL D	2021	FFS	RENDERING	AGE 0-20	117	None	1,377	None	96	None	352	None	56	None	152	None	101	None	129	None
1538507322	GARDNER MICHAEL D	2021	FFS	RENDERING	AGE 21+	160	None	993	None	63	None	111	None	101	None	364	None	124	None	124	None
1538507322	GARDNER MICHAEL D	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1538507322	GARDNER MICHAEL D	2021	PHP	RENDERING	AGE 21+	18	None	116	None	None	1	None	1	12	None	57	None	14	None	16	None
1538536719	NGUYEN DAO A	2021	FFS	RENDERING	AGE 0-20	361	None	2,301	None	268	None	1,011	None	153	None	299	None	291	None	295	None
1538536719	NGUYEN DAO A	2021	FFS	RENDERING	AGE 21+	433	None	1,378	None	105	None	202	None	185	None	408	None	268	None	268	None
1538541438	BUNNELL TIMOTHY J	2021	FFS	RENDERING	AGE 0-20	29	None	124	None	0	None	0	None	29	None	109	None	15	None	15	None
1538541438	BUNNELL TIMOTHY J	2021	FFS	RENDERING	AGE 21+	25	None	153	None	0	None	0	None	24	None	134	None	19	None	19	None
1538541701	VAHDATINIA SINA	2021	FFS	RENDERING	AGE 0-20	647	None	5,017	None	551	None	2,225	None	282	None	966	None	594	None	714	None
1538541701	VAHDATINIA SINA	2021	FFS	RENDERING	AGE 21+	924	None	4,087	None	270	None	302	None	553	None	2,027	None	700	None	700	None
1538542980	CHOW OLIVIA	2021	FFS	RENDERING	AGE 21+	19	None	51	None	0	None	0	None	11	None	27	None	None	1	None	1
1538544630	NGUYEN ANDREW T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1538544887	PATEL TEJAL P	2021	FFS	RENDERING	AGE 0-20	329	None	1,598	None	214	None	522	None	121	None	297	None	246	None	262	None
1538544887	PATEL TEJAL P	2021	FFS	RENDERING	AGE 21+	933	None	3,120	None	291	None	522	None	387	None	981	None	624	None	634	None
1538544887	PATEL TEJAL P	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1538544887	PATEL TEJAL P	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1538549605	BOUSHABA MOKHTAR	2021	FFS	RENDERING	AGE 0-20	14	None	61	None	None	1	None	1	12	None	38	None	None	1	None	1
1538549605	BOUSHABA MOKHTAR	2021	FFS	RENDERING	AGE 21+	30	None	69	None	None	1	None	1	25	None	32	None	None	1	None	1
1538551171	ZAKI, IRENE, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1538552351	KAUR CHETAN D	2021	FFS	RENDERING	AGE 0-20	82	None	666	None	50	None	102	None	39	None	136	None	51	None	51	None
1538552351	KAUR CHETAN D	2021	FFS	RENDERING	AGE 21+	21	None	89	None	None	1	None	1	11	None	22	None	11	None	11	None
1538552351	KAUR CHETAN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538555313	BASSON ROHIT	2021	FFS	RENDERING	AGE 0-20	131	None	1,672	None	115	None	478	None	64	None	288	None	113	None	130	None
1538555313	BASSON ROHIT	2021	FFS	RENDERING	AGE 21+	216	None	2,463	None	93	None	179	None	176	None	1,092	None	163	None	164	None
1538556683	MARQUEZ NEIL PATRICK E	2021	FFS	RENDERING	AGE 0-20	610	None	7,642	None	507	None	1,533	None	324	None	1,025	None	548	None	704	None
1538556683	MARQUEZ NEIL PATRICK E	2021	FFS	RENDERING	AGE 21+	543	None	3,982	None	221	None	439	None	422	None	1,342	None	324	None	324	None
1538559877	PANCHAL NANDITA R	2021	FFS	RENDERING	AGE 0-20	418	None	3,100	None	367	None	724	None	157	None	442	None	211	None	211	None
1538559877	PANCHAL NANDITA R	2021	FFS	RENDERING	AGE 21+	387	None	1,919	None	189	None	242	None	230	None	668	None	184	None	184	None
1538568522	NGUYEN PHUONG T	2021	FFS	RENDERING	AGE 0-20	110	None	249	None	0	None	0	None	106	None	216	None	None	1	None	1
1538568522	NGUYEN PHUONG T	2021	FFS	RENDERING	AGE 21+	318	None	857	None	0	None	0	None	310	None	783	None	None	1	None	1
1538568522	NGUYEN PHUONG T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538568522	NGUYEN PHUONG T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1538578984	SIDDIQI AMMAR	2021	FFS	RENDERING	AGE 0-20	558	None	1,146	None	0	None	0	None	61	None	138	None	0	None	0	None
1538578984	SIDDIQI AMMAR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538582564	AMBATA, NARISSA BAWALAN DDS	2021	FFS	RENDERING	AGE 0-20	101	None	794	None	91	None	280	None	54	None	125	None	81	None	103	None
1538582564	AMBATA, NARISSA BAWALAN DDS	2021	FFS	RENDERING	AGE 21+	158	None	1,092	None	100	None	200	None	116	None	345	None	105	None	105	None
1538582564	AMBATA, NARISSA BAWALAN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1538592639	GANDHI ANERI D	2021	FFS	RENDERING	AGE 0-20	13	None	71	None	13	None	30	None	None	1	None	1	13	None	15	None
1538592639	GANDHI ANERI D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538592639	GANDHI ANERI D	2021	PHP	RENDERING	AGE 0-20	65	None	591	None	50	None	217	None	51	None	117	None	43	None	48	None
1538601745	ANANYAN LIANA	2021	FFS	RENDERING	AGE 0-20	190	None	2,724	None	179	None	763	None	131	None	713	None	186	None	259	None
1538601745	ANANYAN LIANA	2021	FFS	RENDERING	AGE 21+	121	None	1,115	None	77	None	153	None	94	None	632	None	106	None	106	None
1538605829	CHIANG SAMANTHA H	2021	FFS	RENDERING	AGE 0-20	17	None	90	None	14	None	29	None	None	1	None	1	15	None	15	None
1538605829	CHIANG SAMANTHA H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538610142	SONG JASON	2021	GMC	RENDERING	AGE 0-20	111	None	474	None	57	None	107	None	29	None	59	None	84	None	84	None
1538610142	SONG JASON	2021	GMC	RENDERING	AGE 21+	200	None	785	None	59	None	101	None	144	None	382	None	94	None	95	None
1538624176	JOSSERAND ANDEE D	2021	FFS	RENDERING	AGE 0-20	3,054	None	26,735	None	2,639	None	8,223	None	2,122	None	7,097	None	2,652	None	2,811	None
1538624176	JOSSERAND ANDEE D	2021	FFS	RENDERING	AGE 21+	142	None	756	None	67	None	132	None	93	None	252	None	68	None	68	None
1538632013	BASTA HANY	2021	FFS	RENDERING	AGE 0-20	4,290	None	50,041	None	3,738	None	11,738	None	2,183	None	7,477	None	3,750	None	5,015	None
1538632013	BASTA HANY	2021	FFS	RENDERING	AGE 21+	42	None	334	None	26	None	51	None	23	None	62	None	27	None	27	None
1538632013	BASTA HANY	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1538645353	SHAYEGHI MARQUE AMABELLE	2021	FFS	RENDERING	AGE 0-20	126	None	479	None	37	None	82	None	58	None	112	None	69	None	70	None
1538645353	SHAYEGHI MARQUE AMABELLE	2021	FFS	RENDERING	AGE 21+	153	None	458	None	20	None	39	None	97	None	208	None	56	None	56	None
1538659206	LIM ASHLEY S	2021	PHP	RENDERING	AGE 0-20	106	None	853	None	99	None	350	None	38	None	48	None	88	None	108	None
1538659206	LIM ASHLEY S	2021	PHP	RENDERING	AGE 21+	75	None	497	None	56	None	124	None	53	None	115	None	54	None	62	None
1538665799	DUONG JULIA T	2021	FFS	RENDERING	AGE 0-20	358	None	1,555	None	95	None	224	None	276	None	826	None	156	None	157	None
1538665799	DUONG JULIA T	2021	FFS	RENDERING	AGE 21+	361	None	1,440	None	None	1	None	1	229	None	811	None	239	None	242	None
1538696935	LEE MICHAEL	2021	FFS	RENDERING	AGE 0-20	375	None	573	None	0	None	0	None	33	None	62	None	0	None	0	None
1538696935	LEE MICHAEL	2021	FFS	RENDERING	AGE 21+	12	None	16	None	0	None	0	None	None	1	None	1	None	1	None	1
1538696935	LEE MICHAEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538696935	LEE MICHAEL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538701057	SONG, YUN, DDS PROFESSIONAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1538727466	KHANBABAKHANI SINA	2021	FFS	RENDERING	AGE 0-20	629	None	3,238	None	418	None	1,410	None	246	None	460	None	396	None	405	None
1538727466	KHANBABAKHANI SINA	2021	FFS	RENDERING	AGE 21+	640	None	1,904	None	136	None	258	None	321	None	743	None	327	None	327	None
1538731138	NIAKAN MAHSA	2021	FFS	RENDERING	AGE 0-20	61	None	288	None	44	None	103	None	18	None	36	None	48	None	48	None
1538731138	NIAKAN MAHSA	2021	FFS	RENDERING	AGE 21+	152	None	464	None	33	None	40	None	83	None	154	None	70	None	70	None
1538731138	NIAKAN MAHSA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1538753280	ERUM SAIMA	2021	FFS	RENDERING	AGE 0-20	431	None	1,726	None	220	None	578	None	238	None	545	None	210	None	211	None
1538753280	ERUM SAIMA	2021	FFS	RENDERING	AGE 21+	701	None	2,173	None	76	None	133	None	490	None	1,280	None	272	None	272	None
1538763743	KIM, ELIES H, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538775028	SRAVAN KUMAR MEERA	2021	FFS	RENDERING	AGE 0-20	565	None	2,279	None	329	None	728	None	267	None	632	None	227	None	229	None
1538775028	SRAVAN KUMAR MEERA	2021	FFS	RENDERING	AGE 21+	940	None	2,786	None	261	None	470	None	537	None	1,276	None	302	None	305	None
1538779780	KANG HEEYUN	2021	FFS	RENDERING	AGE 0-20	658	None	4,143	None	413	None	1,119	None	222	None	504	None	602	None	658	None
1538779780	KANG HEEYUN	2021	FFS	RENDERING	AGE 21+	823	None	3,152	None	236	None	472	None	337	None	837	None	676	None	679	None
1538835731	SHEIKHOLAEMMEH FARNAZ	2021	FFS	RENDERING	AGE 0-20	164	None	883	None	113	None	331	None	62	None	87	None	130	None	130	None
1538835731	SHEIKHOLAEMMEH FARNAZ	2021	FFS	RENDERING	AGE 21+	93	None	236	None	11	None	17	None	31	None	54	None	57	None	57	None
1538835731	SHEIKHOLAEMMEH FARNAZ	2021	PHP	RENDERING	AGE 0-20	14	None	110	None	None	1	None	2	None	1	None	1	11	None	13	None
1538835731	SHEIKHOLAEMMEH FARNAZ	2021	PHP	RENDERING	AGE 21+	12	None	29	None	0	None	0	None	None	1	None	1	None	1	None	1
1548242415	SAPER CLIFFORD D	2021	FFS	RENDERING	AGE 0-20	26	None	37	None	0	None	0	None	None	1	None	2	0	None	0	None
1548277510	SOLIMAN SHAWKY A	2021	FFS	RENDERING	AGE 0-20	58	None	404	None	45	None	105	None	29	None	77	None	30	None	34	None
1548277510	SOLIMAN SHAWKY A	2021	FFS	RENDERING	AGE 21+	206	None	1,393	None	88	None	172	None	170	None	650	None	72	None	72	None
1548278500	YEH HUEY-JU G	2021	PHP	RENDERING	AGE 0-20	50	None	252	None	22	None	121	None	38	None	87	None	None	1	None	1
1548289002	WEISENBERG MARK J	2021	FFS	RENDERING	AGE 0-20	72	None	102	None	0	None	0	None	None	1	None	1	0	None	0	None
1548300403	OH, STEPHEN DDS	2021	FFS	RENDERING	AGE 0-20	59	None	615	None	54	None	245	None	40	None	153	None	47	None	61	None
1548300403	OH, STEPHEN DDS	2021	FFS	RENDERING	AGE 21+	192	None	1,660	None	151	None	302	None	123	None	692	None	166	None	166	None
1548300403	OH, STEPHEN, DDS	2021	FFS	RENDERING	AGE 0-20	59	None	1,230	None	54	None	490	None	40	None	306	None	47	None	122	None
1548300403	OH, STEPHEN, DDS	2021	FFS	RENDERING	AGE 21+	192	None	3,320	None	151	None	604	None	123	None	1,384	None	166	None	332	None
1548306996	NGUYEN TU-UYEN P	2021	FFS	RENDERING	AGE 0-20	506	None	3,290	None	417	None	1,545	None	156	None	183	None	477	None	520	None
1548306996	NGUYEN TU-UYEN P	2021	FFS	RENDERING	AGE 21+	689	None	1,943	None	78	None	154	None	164	None	201	None	500	None	500	None
1548307101	RUIZ JOSE L	2021	FFS	RENDERING	AGE 0-20	18	None	97	None	None	1	None	2	None	1	None	2	13	None	13	None
1548307101	RUIZ JOSE L	2021	FFS	RENDERING	AGE 21+	31	None	115	None	None	1	None	1	19	None	39	None	11	None	11	None
1548309677	MOE THOMAS K	2021	FFS	RENDERING	AGE 0-20	267	None	3,567	None	221	None	587	None	173	None	692	None	228	None	260	None
1548309677	MOE THOMAS K	2021	FFS	RENDERING	AGE 21+	329	None	3,708	None	125	None	246	None	244	None	1,254	None	223	None	223	None
1548309677	MOE THOMAS K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1548310790	YASHMERANI, FARJAM S DDS	2021	FFS	RENDERING	AGE 0-20	232	None	5,053	None	216	None	650	None	188	None	1,361	None	224	None	311	None
1548310790	YASHMERANI, FARJAM S DDS	2021	FFS	RENDERING	AGE 21+	214	None	3,311	None	160	None	321	None	178	None	1,085	None	175	None	175	None
1548311715	LIGAD MARIA MAGDAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1548311715	LIGAD MARIA MAGDAL	2021	FFS	RENDERING	AGE 21+	22	None	137	None	15	None	28	None	16	None	68	None	17	None	17	None
1548315567	GIAHI, HAMID DDS	2021	FFS	RENDERING	AGE 0-20	44	None	331	None	40	None	144	None	21	None	65	None	43	None	47	None
1548315567	GIAHI, HAMID DDS	2021	FFS	RENDERING	AGE 21+	78	None	505	None	49	None	98	None	48	None	209	None	58	None	58	None
1548315567	GIAHI, HAMID DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1548315567	GIAHI, HAMID DDS	2021	PHP	RENDERING	AGE 21+	12	None	70	None	None	1	None	2	None	1	None	2	None	1	None	1
1548316391	MCGRADY JODI A	2021	FFS	RENDERING	AGE 0-20	884	None	10,644	None	796	None	2,489	None	775	None	4,012	None	751	None	864	None
1548316391	MCGRADY JODI A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1548316649	YIN, XIAOCHEN DDS	2021	FFS	RENDERING	AGE 0-20	60	None	435	None	50	None	129	None	30	None	111	None	56	None	61	None
1548316649	YIN, XIAOCHEN DDS	2021	FFS	RENDERING	AGE 21+	215	None	1,022	None	135	None	138	None	148	None	400	None	169	None	170	None
1548316862	ZALTASH FALAMACK	2021	FFS	RENDERING	AGE 0-20	50	None	348	None	41	None	122	None	22	None	53	None	46	None	57	None
1548316862	ZALTASH FALAMACK	2021	FFS	RENDERING	AGE 21+	84	None	473	None	45	None	45	None	51	None	190	None	67	None	67	None
1548318660	BILECA, HRISTU DDS	2021	FFS	RENDERING	AGE 0-20	141	None	1,368	None	123	None	546	None	63	None	176	None	125	None	142	None
1548318660	BILECA, HRISTU DDS	2021	FFS	RENDERING	AGE 21+	340	None	2,670	None	225	None	444	None	226	None	755	None	224	None	224	None
1548321979	FOLMSBEE DIANA	2021	FFS	RENDERING	AGE 0-20	154	None	731	None	91	None	287	None	52	None	98	None	126	None	126	None
1548321979	FOLMSBEE DIANA	2021	FFS	RENDERING	AGE 21+	158	None	521	None	48	None	85	None	82	None	168	None	105	None	105	None
1548321979	FOLMSBEE DIANA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1548321979	FOLMSBEE DIANA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1548323231	POURYAVARI ROYA	2021	FFS	RENDERING	AGE 0-20	386	None	1,910	None	228	None	619	None	190	None	467	None	266	None	266	None
1548323231	POURYAVARI ROYA	2021	FFS	RENDERING	AGE 21+	476	None	1,440	None	50	None	85	None	211	None	604	None	278	None	280	None
1548323231	POURYAVARI ROYA	2021	PHP	RENDERING	AGE 0-20	84	None	576	None	54	None	243	None	33	None	99	None	58	None	60	None
1548323231	POURYAVARI ROYA	2021	PHP	RENDERING	AGE 21+	116	None	622	None	25	None	35	None	83	None	350	None	70	None	70	None
1548323397	JAHROMI MARJON B	2021	FFS	RENDERING	AGE 0-20	268	None	1,495	None	None	1	None	2	268	None	1,443	None	0	None	0	None
1548326572	BAUGH JR, WILSON B, DDS	2021	FFS	RENDERING	AGE 0-20	256	None	1,623	None	0	None	0	None	177	None	1,099	None	223	None	223	None
1548326572	BAUGH JR, WILSON B, DDS	2021	FFS	RENDERING	AGE 21+	422	None	2,634	None	0	None	0	None	306	None	1,731	None	343	None	343	None
1548326598	MARQUEZ, ELIZABETH DDS	2021	FFS	RENDERING	AGE 0-20	756	None	9,774	None	718	None	2,531	None	337	None	914	None	721	None	1,051	None
1548326598	MARQUEZ, ELIZABETH DDS	2021	FFS	RENDERING	AGE 21+	620	None	5,824	None	439	None	864	None	479	None	1,989	None	481	None	481	None
1548328966	NAWABI FEROZ M	2021	FFS	RENDERING	AGE 0-20	16	None	189	None	16	None	32	None	16	None	86	None	16	None	16	None
1548328966	NAWABI FEROZ M	2021	FFS	RENDERING	AGE 21+	42	None	379	None	39	None	39	None	42	None	193	None	29	None	29	None
1548328966	NAWABI FEROZ M	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1548328966	NAWABI FEROZ M	2021	GMC	RENDERING	AGE 21+	12	None	228	None	12	None	13	None	12	None	99	None	12	None	12	None
1548329311	LEE JAMES H	2021	FFS	RENDERING	AGE 0-20	157	None	1,584	None	123	None	274	None	77	None	223	None	120	None	140	None
1548329311	LEE JAMES H	2021	FFS	RENDERING	AGE 21+	381	None	3,215	None	195	None	199	None	275	None	976	None	250	None	250	None
1548332562	ROTTER, MARIA P, DMD	2021	FFS	RENDERING	AGE 0-20	22	None	195	None	17	None	56	None	13	None	57	None	19	None	22	None
1548332562	ROTTER, MARIA P, DMD	2021	FFS	RENDERING	AGE 21+	64	None	408	None	20	None	21	None	44	None	222	None	51	None	51	None
1548332562	ROTTER, MARIA P, DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1548332562	ROTTER, MARIA P, DMD	2021	PHP	RENDERING	AGE 21+	13	None	75	None	None	1	None	1	None	1	None	2	13	None	13	None
1548334949	CAMPOS-CORTES ARIADNA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1548335615	JAWALE SHAILESH	2021	FFS	RENDERING	AGE 0-20	636	None	5,945	None	528	None	1,634	None	201	None	521	None	564	None	716	None
1548335615	JAWALE SHAILESH	2021	FFS	RENDERING	AGE 21+	1,178	None	8,435	None	458	None	775	None	813	None	2,808	None	647	None	647	None
1548336548	LAM LAURA T	2021	FFS	RENDERING	AGE 0-20	193	None	2,224	None	192	None	923	None	88	None	218	None	192	None	304	None
1548336548	LAM LAURA T	2021	FFS	RENDERING	AGE 21+	164	None	1,152	None	137	None	272	None	93	None	356	None	139	None	139	None
1548337140	ZAPANTA ARLENE A	2021	FFS	RENDERING	AGE 0-20	16	None	111	None	13	None	27	None	None	1	None	2	13	None	14	None
1548337140	ZAPANTA ARLENE A	2021	FFS	RENDERING	AGE 21+	86	None	464	None	37	None	37	None	55	None	229	None	56	None	56	None
1548337983	JOSON GLENDA M	2021	FFS	RENDERING	AGE 0-20	84	None	833	None	60	None	255	None	43	None	138	None	83	None	112	None
1548337983	JOSON GLENDA M	2021	FFS	RENDERING	AGE 21+	138	None	1,345	None	92	None	180	None	98	None	528	None	113	None	113	None
1548349459	THU, ZAW MIN DDS	2021	FFS	RENDERING	AGE 0-20	174	None	3,161	None	161	None	487	None	159	None	1,895	None	137	None	175	None
1548349459	THU, ZAW MIN DDS	2021	FFS	RENDERING	AGE 21+	159	None	3,067	None	100	None	142	None	150	None	2,470	None	103	None	103	None
1548352685	FAJARDO, HENRY D, DMD	2021	FFS	RENDERING	AGE 0-20	88	None	504	None	82	None	104	None	37	None	109	None	77	None	97	None
1548352685	FAJARDO, HENRY D, DMD	2021	FFS	RENDERING	AGE 21+	255	None	1,082	None	91	None	91	None	168	None	559	None	106	None	106	None
1548356686	POKALA PARVATHI	2021	FFS	RENDERING	AGE 0-20	434	None	5,030	None	397	None	1,672	None	299	None	1,454	None	366	None	523	None
1548356686	POKALA PARVATHI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1548357262	RODEF, FARIBORZ	2021	FFS	RENDERING	AGE 0-20	2,212	None	16,884	None	1,702	None	4,848	None	1,663	None	4,044	None	1,505	None	1,565	None
1548357262	RODEF, FARIBORZ	2021	FFS	RENDERING	AGE 21+	12	None	72	None	None	1	None	2	None	1	None	2	None	1	None	1
1548357262	RODEF, FARIBORZ	2021	PHP	RENDERING	AGE 0-20	141	None	998	None	59	None	149	None	124	None	501	None	31	None	32	None
1548359227	VU, TOM	2021	FFS	RENDERING	AGE 0-20	138	None	1,416	None	130	None	517	None	85	None	212	None	129	None	168	None
1548359227	VU, TOM	2021	FFS	RENDERING	AGE 21+	249	None	1,998	None	167	None	295	None	214	None	786	None	201	None	201	None
1548364607	LOUIE-AU, MAY CHONG, DDS	2021	FFS	RENDERING	AGE 0-20	18	None	96	None	16	None	17	None	None	1	None	2	13	None	14	None
1548364607	LOUIE-AU, MAY CHONG, DDS	2021	FFS	RENDERING	AGE 21+	52	None	234	None	25	None	25	None	34	None	77	None	28	None	28	None
1548372550	PORCARO II, VINCENT J DDS	2021	FFS	RENDERING	AGE 0-20	58	None	182	None	37	None	39	None	31	None	68	None	32	None	33	None
1548372550	PORCARO II, VINCENT J DDS	2021	FFS	RENDERING	AGE 21+	499	None	2,214	None	149	None	151	None	449	None	1,620	None	148	None	150	None
1548372550	PORCARO II, VINCENT JOSEPH,	2021	FFS	RENDERING	AGE 0-20	58	None	182	None	37	None	39	None	31	None	68	None	32	None	33	None
1548372550	PORCARO II, VINCENT JOSEPH,	2021	FFS	RENDERING	AGE 21+	499	None	2,214	None	149	None	151	None	449	None	1,620	None	148	None	150	None
1548376957	FORTNEY-CICCARELLA, CHRISTIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1548383383	OHANIAN, ARMINE	2021	FFS	RENDERING	AGE 0-20	92	None	1,094	None	89	None	399	None	47	None	167	None	90	None	113	None
1548383383	OHANIAN, ARMINE	2021	FFS	RENDERING	AGE 21+	145	None	1,575	None	102	None	209	None	115	None	728	None	112	None	116	None
1548383383	OHANIAN, ARMINE	2021	PHP	RENDERING	AGE 0-20	14	None	104	None	14	None	47	None	None	1	None	1	14	None	14	None
1548383383	OHANIAN, ARMINE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548384902	DOAN LAMMAN T	2021	FFS	RENDERING	AGE 0-20	1,499	None	19,205	None	1,352	None	3,543	None	639	None	1,518	None	1,408	None	1,770	None
1548384902	DOAN LAMMAN T	2021	FFS	RENDERING	AGE 21+	284	None	2,044	None	132	None	273	None	202	None	470	None	147	None	147	None
1548386543	VILLAR MARIA G	2021	FFS	RENDERING	AGE 0-20	299	None	3,137	None	281	None	1,067	None	202	None	944	None	293	None	383	None
1548386543	VILLAR MARIA G	2021	FFS	RENDERING	AGE 21+	202	None	1,083	None	56	None	107	None	139	None	542	None	158	None	158	None
1548392160	CHUNG YOON S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1548392160	CHUNG YOON S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	2
1548399348	CATUIRA EVELYN V	2021	FFS	RENDERING	AGE 0-20	28	None	177	None	26	None	67	None	13	None	41	None	23	None	28	None
1548399348	CATUIRA EVELYN V	2021	FFS	RENDERING	AGE 21+	83	None	620	None	60	None	120	None	67	None	277	None	57	None	57	None
1548414147	LIANG HOWARD C	2021	FFS	RENDERING	AGE 0-20	189	None	860	None	0	None	0	None	146	None	221	None	175	None	175	None
1548414147	LIANG HOWARD C	2021	FFS	RENDERING	AGE 21+	571	None	2,203	None	0	None	0	None	96	None	124	None	537	None	537	None
1548414147	LIANG HOWARD C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1548414147	LIANG HOWARD C	2021	PHP	RENDERING	AGE 21+	104	None	215	None	0	None	0	None	73	None	95	None	90	None	92	None
1548414352	ROBIN STEPHEN L	2021	FFS	RENDERING	AGE 0-20	22	None	26	None	0	None	0	None	None	1	None	1	18	None	18	None
1548414352	ROBIN STEPHEN L	2021	FFS	RENDERING	AGE 21+	52	None	59	None	0	None	0	None	11	None	15	None	42	None	42	None
1548414352	ROBIN STEPHEN L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1548430580	BRAZA EDNA P	2021	FFS	RENDERING	AGE 0-20	22	None	124	None	19	None	34	None	None	1	None	2	21	None	22	None
1548430580	BRAZA EDNA P	2021	FFS	RENDERING	AGE 21+	79	None	338	None	51	None	51	None	45	None	119	None	63	None	63	None
1548438393	RAMYAR MEZGAN N	2021	FFS	RENDERING	AGE 0-20	292	None	2,676	None	252	None	770	None	157	None	357	None	247	None	306	None
1548438393	RAMYAR MEZGAN N	2021	FFS	RENDERING	AGE 21+	227	None	1,289	None	143	None	284	None	125	None	402	None	159	None	164	None
1548441942	KHALAF, JOHN PATRICK DDS	2021	FFS	RENDERING	AGE 0-20	97	None	514	None	None	1	None	1	97	None	512	None	None	1	None	1
1548442387	SINGH VINEETA	2021	FFS	RENDERING	AGE 0-20	487	None	2,130	None	287	None	759	None	133	None	240	None	340	None	348	None
1548442387	SINGH VINEETA	2021	FFS	RENDERING	AGE 21+	812	None	2,586	None	163	None	310	None	461	None	1,050	None	371	None	371	None
1548460785	SANTACRUZ FRANCISCO J	2021	FFS	RENDERING	AGE 0-20	49	None	733	None	47	None	140	None	20	None	117	None	46	None	69	None
1548460785	SANTACRUZ FRANCISCO J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1548468143	LEE SIMON H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1548468143	LEE SIMON H	2021	FFS	RENDERING	AGE 21+	95	None	264	None	0	None	0	None	91	None	160	None	None	1	None	1
1548477904	OCAMPO GARRY P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1548477904	OCAMPO GARRY P	2021	FFS	RENDERING	AGE 21+	23	None	121	None	16	None	16	None	None	1	None	2	16	None	16	None
1548478399	GUSHANSKY LARISSA	2021	FFS	RENDERING	AGE 0-20	170	None	1,690	None	112	None	355	None	83	None	242	None	139	None	148	None
1548478399	GUSHANSKY LARISSA	2021	FFS	RENDERING	AGE 21+	192	None	1,700	None	51	None	99	None	137	None	627	None	120	None	120	None
1548478399	GUSHANSKY LARISSA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548478399	GUSHANSKY LARISSA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548478886	KARAPETIAN OGANES	2021	FFS	RENDERING	AGE 0-20	101	None	562	None	50	None	130	None	51	None	200	None	91	None	104	None
1548478886	KARAPETIAN OGANES	2021	FFS	RENDERING	AGE 21+	659	None	3,752	None	121	None	241	None	474	None	2,034	None	518	None	518	None
1548482292	NGUYEN PHUONGTHAO N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548482292	NGUYEN PHUONGTHAO N	2021	FFS	RENDERING	AGE 21+	83	None	229	None	0	None	0	None	83	None	221	None	0	None	0	None
1548486707	SHARIFF FARHEEN	2021	FFS	RENDERING	AGE 0-20	85	None	1,342	None	81	None	318	None	47	None	168	None	80	None	123	None
1548486707	SHARIFF FARHEEN	2021	FFS	RENDERING	AGE 21+	77	None	532	None	33	None	33	None	52	None	244	None	63	None	63	None
1548489057	DELOS REYES NOEL M	2021	FFS	RENDERING	AGE 0-20	136	None	1,371	None	96	None	238	None	57	None	165	None	89	None	93	None
1548489057	DELOS REYES NOEL M	2021	FFS	RENDERING	AGE 21+	370	None	2,399	None	145	None	238	None	199	None	576	None	189	None	189	None
1548489974	ECHEVERRIA JULIETA Y	2021	FFS	RENDERING	AGE 0-20	286	None	4,004	None	275	None	788	None	117	None	305	None	274	None	362	None
1548489974	ECHEVERRIA JULIETA Y	2021	FFS	RENDERING	AGE 21+	217	None	1,780	None	158	None	166	None	126	None	423	None	175	None	177	None
1548490410	KOHANZADEH YORAM	2021	FFS	RENDERING	AGE 0-20	31	None	58	None	0	None	0	None	12	None	28	None	0	None	0	None
1548490410	KOHANZADEH YORAM	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1548506512	DONG, MICHAEL CUONG, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548506512	DONG, MICHAEL CUONG, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548507239	EHAB SAMAAN DDS,INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1548507239	EHAB SAMAAN DDS,INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1548507239	SAMAAN, EHAB, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1548507239	SAMAAN, EHAB, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1548512254	CRAWFORD, VICTOR XAVIER DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548519051	AGHAJANI KOOSHA	2021	FFS	RENDERING	AGE 0-20	869	None	10,910	None	794	None	3,889	None	435	None	1,008	None	833	None	1,172	None
1548519051	AGHAJANI KOOSHA	2021	FFS	RENDERING	AGE 21+	741	None	4,937	None	380	None	627	None	439	None	1,421	None	610	None	610	None
1548519051	AGHAJANI KOOSHA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1548543077	LIM ROBERT S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548563059	LEONG JEFFREY W	2021	FFS	RENDERING	AGE 0-20	277	None	494	None	0	None	0	None	89	None	238	None	0	None	0	None
1548563059	LEONG JEFFREY W	2021	FFS	RENDERING	AGE 21+	23	None	23	None	0	None	0	None	0	None	0	None	0	None	0	None
1548582026	MASTOUR PEDRAM E	2021	FFS	RENDERING	AGE 0-20	200	None	2,343	None	170	None	530	None	98	None	237	None	165	None	210	None
1548582026	MASTOUR PEDRAM E	2021	FFS	RENDERING	AGE 21+	346	None	2,237	None	104	None	171	None	241	None	941	None	195	None	195	None
1548583636	SAADATMANDI HOSSEIN	2021	FFS	RENDERING	AGE 0-20	17	None	37	None	0	None	0	None	17	None	24	None	0	None	0	None
1548583636	SAADATMANDI HOSSEIN	2021	FFS	RENDERING	AGE 21+	137	None	347	None	0	None	0	None	127	None	212	None	None	1	None	1
1548588486	LAALY FARAZ F	2021	FFS	RENDERING	AGE 0-20	20	None	140	None	None	1	None	2	None	1	None	2	12	None	12	None
1548588486	LAALY FARAZ F	2021	FFS	RENDERING	AGE 21+	29	None	153	None	None	1	None	2	19	None	74	None	None	1	None	1
1548594682	EMAMI SASCHA	2021	FFS	RENDERING	AGE 0-20	110	None	279	None	15	None	32	None	78	None	165	None	29	None	29	None
1548594682	EMAMI SASCHA	2021	FFS	RENDERING	AGE 21+	595	None	1,631	None	16	None	31	None	539	None	1,447	None	53	None	53	None
1548600844	CHOUDHRY VANILA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548600844	CHOUDHRY VANILA	2021	FFS	RENDERING	AGE 21+	14	None	56	None	None	1	None	1	None	1	None	2	13	None	13	None
1548608425	PATEL AJAYKUMAR	2021	FFS	RENDERING	AGE 0-20	23	None	186	None	15	None	39	None	None	1	None	2	17	None	17	None
1548608425	PATEL AJAYKUMAR	2021	FFS	RENDERING	AGE 21+	78	None	669	None	20	None	40	None	51	None	266	None	48	None	48	None
1548612963	PATEL DAVINA R	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1548616972	YOUN KIWON	2021	FFS	RENDERING	AGE 0-20	280	None	2,920	None	235	None	707	None	151	None	466	None	245	None	288	None
1548616972	YOUN KIWON	2021	FFS	RENDERING	AGE 21+	785	None	5,443	None	315	None	568	None	609	None	2,580	None	590	None	590	None
1548618648	VAJDA DEREK L	2021	FFS	RENDERING	AGE 0-20	52	None	145	None	None	1	None	1	48	None	126	None	None	1	None	1
1548618648	VAJDA DEREK L	2021	FFS	RENDERING	AGE 21+	158	None	500	None	0	None	0	None	153	None	474	None	None	1	None	1
1548629223	SIHOTA NAVJOT S	2021	FFS	RENDERING	AGE 0-20	492	None	3,698	None	429	None	1,701	None	249	None	614	None	430	None	522	None
1548629223	SIHOTA NAVJOT S	2021	FFS	RENDERING	AGE 21+	120	None	533	None	82	None	172	None	67	None	137	None	85	None	85	None
1548642846	DE LEON, MARIA P, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1548643521	HSIN HONG-YUAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548669534	HILO II, ELMER ENERIO DMD	2021	FFS	RENDERING	AGE 0-20	407	None	4,112	None	211	None	659	None	316	None	2,116	None	308	None	347	None
1548669534	HILO II, ELMER ENERIO DMD	2021	FFS	RENDERING	AGE 21+	468	None	3,101	None	152	None	278	None	380	None	1,881	None	333	None	333	None
1548669534	HILO II, ELMER ENERIO DMD	2021	GMC	RENDERING	AGE 0-20	902	None	4,322	None	902	None	3,422	None	None	1	None	1	0	None	0	None
1548669534	HILO II, ELMER ENERIO DMD	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1548669534	HILO II, ELMER ENERIO DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1548669534	HILO II, ELMER ENERIO DMD	2021	PHP	RENDERING	AGE 21+	20	None	187	None	None	1	None	2	11	None	137	None	17	None	17	None
1548673015	AHUJA DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1548676190	MARINI, SHABNAM	2021	FFS	RENDERING	AGE 0-20	2,726	None	32,929	None	2,575	None	12,597	None	2,183	None	9,589	None	2,401	None	2,982	None
1548676190	MARINI, SHABNAM	2021	FFS	RENDERING	AGE 21+	96	None	260	None	None	1	None	2	54	None	132	None	43	None	44	None
1548676190	MARINI, SHABNAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548682768	ZIED HEBA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548682768	ZIED HEBA	2021	FFS	RENDERING	AGE 21+	195	None	865	None	28	None	30	None	155	None	558	None	72	None	72	None
1548692643	CAPULONG REGINA A	2021	FFS	RENDERING	AGE 0-20	3,604	None	32,082	None	2,568	None	6,008	None	1,688	None	6,293	None	2,398	None	2,574	None
1548701378	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	12	None	124	None	11	None	30	None	None	1	None	1	12	None	12	None
1548701378	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548701378	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	12	None	124	None	11	None	30	None	None	1	None	1	12	None	12	None
1548701378	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548701626	PARK, DAVID, MPH DDS PROFESS	2021	PHP	RENDERING	AGE 0-20	56	None	391	None	43	None	178	None	30	None	43	None	40	None	40	None
1548701626	PARK, DAVID, MPH DDS PROFESS	2021	PHP	RENDERING	AGE 21+	38	None	133	None	11	None	21	None	31	None	55	None	None	1	None	1
1548718661	TORRES RAMON E	2021	FFS	RENDERING	AGE 0-20	43	None	179	None	19	None	46	None	26	None	52	None	21	None	25	None
1548718661	TORRES RAMON E	2021	FFS	RENDERING	AGE 21+	73	None	284	None	None	1	None	1	51	None	151	None	39	None	39	None
1548749187	HOOSHMAND PARIA	2021	FFS	RENDERING	AGE 0-20	3,573	None	23,849	None	2,441	None	5,672	None	1,775	None	3,827	None	2,428	None	2,458	None
1548764392	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 0-20	14	None	154	None	13	None	57	None	13	None	36	None	None	1	None	1
1548764392	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1548764392	ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.	2021	PHP	RENDERING	AGE 0-20	14	None	154	None	13	None	57	None	13	None	36	None	None	1	None	1
1548764392	ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1548801558	LU XUANYU	2021	FFS	RENDERING	AGE 0-20	202	None	428	None	None	1	None	1	126	None	286	None	None	1	None	1
1548808678	ANSARI BITA	2021	FFS	RENDERING	AGE 0-20	1,267	None	12,508	None	906	None	2,649	None	853	None	2,471	None	876	None	954	None
1548808678	ANSARI BITA	2021	FFS	RENDERING	AGE 21+	191	None	1,424	None	95	None	192	None	109	None	330	None	100	None	102	None
1548813116	EBRAHIM ARASH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548814841	YANG PAUL	2021	FFS	RENDERING	AGE 0-20	43	None	158	None	14	None	37	None	31	None	60	None	22	None	22	None
1548814841	YANG PAUL	2021	FFS	RENDERING	AGE 21+	203	None	698	None	None	1	None	2	169	None	397	None	71	None	71	None
1548872997	SIDAROUS NANCY M	2021	FFS	RENDERING	AGE 0-20	156	None	814	None	81	None	227	None	108	None	287	None	71	None	72	None
1548872997	SIDAROUS NANCY M	2021	FFS	RENDERING	AGE 21+	290	None	990	None	35	None	69	None	192	None	516	None	111	None	111	None
1548877483	GILL JANAM	2021	FFS	RENDERING	AGE 0-20	29	None	221	None	25	None	68	None	14	None	53	None	23	None	23	None
1548877483	GILL JANAM	2021	FFS	RENDERING	AGE 21+	62	None	270	None	21	None	21	None	37	None	116	None	34	None	34	None
1548884109	SAWIRES SOPHIA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1548884109	SAWIRES SOPHIA A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1548934342	TCHIROYAN SARINE W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1548934342	TCHIROYAN SARINE W	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1548938749	CHANG NAI-YUAN N	2021	FFS	RENDERING	AGE 0-20	20	None	106	None	12	None	37	None	16	None	54	None	None	1	None	1
1548938749	CHANG NAI-YUAN N	2021	FFS	RENDERING	AGE 21+	68	None	246	None	19	None	36	None	61	None	179	None	None	1	None	1
1558036459	DALLALZADEH STACEY L	2021	FFS	RENDERING	AGE 0-20	78	None	347	None	47	None	97	None	35	None	97	None	41	None	41	None
1558036459	DALLALZADEH STACEY L	2021	FFS	RENDERING	AGE 21+	133	None	380	None	24	None	50	None	52	None	127	None	60	None	60	None
1558322636	TRAN PHUONG N	2021	FFS	RENDERING	AGE 0-20	818	None	3,302	None	725	None	2,640	None	230	None	609	None	None	1	None	1
1558322636	TRAN PHUONG N	2021	FFS	RENDERING	AGE 21+	697	None	2,158	None	379	None	749	None	554	None	1,291	None	0	None	0	None
1558322636	TRAN PHUONG N	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1558343715	PHAN KHANHLAM K	2021	FFS	RENDERING	AGE 0-20	941	None	5,766	None	386	None	1,036	None	802	None	3,499	None	164	None	165	None
1558343715	PHAN KHANHLAM K	2021	FFS	RENDERING	AGE 21+	221	None	758	None	47	None	82	None	138	None	373	None	80	None	80	None
1558343715	PHAN KHANHLAM K	2021	PHP	RENDERING	AGE 0-20	63	None	283	None	38	None	100	None	48	None	163	None	None	1	None	1
1558351502	CAI, XIAOPANG	2021	FFS	RENDERING	AGE 0-20	344	None	2,848	None	312	None	1,061	None	207	None	700	None	308	None	357	None
1558351502	CAI, XIAOPANG	2021	FFS	RENDERING	AGE 21+	658	None	4,198	None	459	None	770	None	444	None	1,720	None	551	None	552	None
1558361691	SHAW, HARRY, DDS	2021	FFS	RENDERING	AGE 0-20	83	None	653	None	81	None	269	None	28	None	102	None	75	None	89	None
1558361691	SHAW, HARRY, DDS	2021	FFS	RENDERING	AGE 21+	61	None	441	None	46	None	92	None	36	None	182	None	52	None	52	None
1558371831	AKKAS ABDULLAH A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1558371831	AKKAS ABDULLAH A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1558401018	LEE DAVID H	2021	FFS	RENDERING	AGE 0-20	31	None	34	None	0	None	0	None	None	1	None	1	0	None	0	None
1558401018	LEE DAVID H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1558401018	LEE DAVID H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558403386	SUCHAK ATUL J	2021	FFS	RENDERING	AGE 0-20	84	None	471	None	77	None	211	None	33	None	72	None	70	None	100	None
1558403386	SUCHAK ATUL J	2021	FFS	RENDERING	AGE 21+	23	None	73	None	None	1	None	2	None	1	None	2	15	None	15	None
1558403386	SUCHAK ATUL J	2021	PHP	RENDERING	AGE 0-20	119	None	738	None	105	None	352	None	46	None	89	None	97	None	129	None
1558403386	SUCHAK ATUL J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1558403386	SUCHAK, ATUL J, DDS	2021	FFS	RENDERING	AGE 0-20	84	None	471	None	77	None	211	None	33	None	72	None	70	None	100	None
1558403386	SUCHAK, ATUL J, DDS	2021	FFS	RENDERING	AGE 21+	23	None	73	None	None	1	None	2	None	1	None	2	15	None	15	None
1558403386	SUCHAK, ATUL J, DDS	2021	PHP	RENDERING	AGE 0-20	119	None	738	None	105	None	352	None	46	None	89	None	97	None	129	None
1558403386	SUCHAK, ATUL J, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1558404897	NIP, CHARLES, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	79	None	None	1	None	2	28	None	38	None	None	1	None	1
1558404897	NIP, CHARLES, DDS	2021	FFS	RENDERING	AGE 21+	53	None	196	None	15	None	17	None	41	None	51	None	15	None	15	None
1558406520	MOGHIMI DAVID K	2021	FFS	RENDERING	AGE 0-20	182	None	911	None	78	None	142	None	75	None	175	None	148	None	155	None
1558406520	MOGHIMI DAVID K	2021	FFS	RENDERING	AGE 21+	448	None	2,254	None	78	None	110	None	229	None	716	None	310	None	310	None
1558406520	MOGHIMI DAVID K	2021	PHP	RENDERING	AGE 0-20	19	None	82	None	None	1	None	2	None	1	None	1	18	None	19	None
1558406520	MOGHIMI DAVID K	2021	PHP	RENDERING	AGE 21+	38	None	169	None	18	None	23	None	None	1	None	2	31	None	35	None
1558409458	LEE JUDY HAN	2021	FFS	RENDERING	AGE 0-20	136	None	890	None	109	None	275	None	81	None	223	None	94	None	116	None
1558409458	LEE JUDY HAN	2021	FFS	RENDERING	AGE 21+	258	None	1,215	None	147	None	289	None	159	None	355	None	168	None	168	None
1558410589	PHAN VINH D	2021	FFS	RENDERING	AGE 0-20	24	None	125	None	11	None	29	None	None	1	None	2	20	None	22	None
1558410589	PHAN VINH D	2021	FFS	RENDERING	AGE 21+	204	None	1,139	None	113	None	208	None	141	None	420	None	112	None	112	None
1558410589	PHAN VINH D	2021	GMC	RENDERING	AGE 0-20	162	None	1,121	None	148	None	466	None	88	None	157	None	151	None	167	None
1558410589	PHAN VINH D	2021	GMC	RENDERING	AGE 21+	252	None	1,560	None	161	None	343	None	161	None	510	None	191	None	194	None
1558413450	LE TRAM K	2021	FFS	RENDERING	AGE 0-20	42	None	290	None	32	None	97	None	24	None	70	None	29	None	29	None
1558413450	LE TRAM K	2021	FFS	RENDERING	AGE 21+	123	None	631	None	33	None	66	None	99	None	302	None	68	None	68	None
1558416065	TARSITANO, BEN F MD	2021	FFS	RENDERING	AGE 0-20	819	None	4,412	None	0	None	0	None	720	None	4,155	None	21	None	21	None
1558416065	TARSITANO, BEN F MD	2021	FFS	RENDERING	AGE 21+	25	None	84	None	0	None	0	None	20	None	69	None	None	1	None	1
1558416065	TARSITANO, BEN F, DDS	2021	FFS	RENDERING	AGE 0-20	819	None	4,412	None	0	None	0	None	720	None	4,155	None	21	None	21	None
1558416065	TARSITANO, BEN F, DDS	2021	FFS	RENDERING	AGE 21+	25	None	84	None	0	None	0	None	20	None	69	None	None	1	None	1
1558422246	AMOUR PIERRE J	2021	FFS	RENDERING	AGE 0-20	938	None	4,431	None	487	None	1,275	None	211	None	263	None	881	None	966	None
1558422246	AMOUR PIERRE J	2021	FFS	RENDERING	AGE 21+	1,612	None	5,192	None	174	None	294	None	648	None	1,403	None	1,244	None	1,246	None
1558422246	AMOUR PIERRE J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1558422246	AMOUR PIERRE J	2021	PHP	RENDERING	AGE 0-20	91	None	437	None	44	None	157	None	25	None	35	None	73	None	78	None
1558422246	AMOUR PIERRE J	2021	PHP	RENDERING	AGE 21+	121	None	419	None	14	None	28	None	76	None	190	None	71	None	72	None
1558426783	TRAN KIMDUNG T	2021	FFS	RENDERING	AGE 0-20	492	None	4,923	None	432	None	1,414	None	244	None	707	None	418	None	584	None
1558426783	TRAN KIMDUNG T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1558428748	KHATTAB, MOSTAFA, DDS	2021	FFS	RENDERING	AGE 0-20	60	None	524	None	49	None	131	None	34	None	112	None	53	None	57	None
1558428748	KHATTAB, MOSTAFA, DDS	2021	FFS	RENDERING	AGE 21+	176	None	1,277	None	85	None	140	None	127	None	520	None	118	None	118	None
1558431627	HERNANE, JANE DOLORES A, DDS	2021	PHP	RENDERING	AGE 0-20	97	None	579	None	92	None	339	None	29	None	60	None	94	None	118	None
1558450957	DE LA CRUZ JR MICHAEL M	2021	FFS	RENDERING	AGE 0-20	38	None	348	None	33	None	127	None	23	None	82	None	32	None	37	None
1558450957	DE LA CRUZ JR MICHAEL M	2021	FFS	RENDERING	AGE 21+	75	None	408	None	49	None	97	None	41	None	118	None	54	None	54	None
1558452607	JACOBS, MURRAY K DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558452607	JACOBS, MURRAY K DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1558454199	NGUYEN NOLEEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558454199	NGUYEN NOLEEN	2021	FFS	RENDERING	AGE 21+	42	None	284	None	26	None	48	None	13	None	46	None	33	None	33	None
1558466128	CAVE MARK D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558469890	GUTIERREZ, RICHARD, DDS	2021	FFS	RENDERING	AGE 0-20	500	None	1,324	None	0	None	0	None	251	None	809	None	0	None	0	None
1558473652	HERNANDEZ CARMEN L	2021	FFS	RENDERING	AGE 0-20	243	None	3,169	None	229	None	973	None	111	None	514	None	227	None	266	None
1558473652	HERNANDEZ CARMEN L	2021	FFS	RENDERING	AGE 21+	440	None	4,327	None	327	None	729	None	308	None	1,702	None	370	None	371	None
1558481721	HERRERA, RENE DDS	2021	FFS	RENDERING	AGE 0-20	232	None	1,870	None	81	None	210	None	114	None	531	None	195	None	212	None
1558481721	HERRERA, RENE DDS	2021	FFS	RENDERING	AGE 21+	288	None	2,459	None	None	1	None	1	201	None	1,259	None	202	None	202	None
1558482158	TOLENTINO, GREGORIO V DDS	2021	FFS	RENDERING	AGE 0-20	24	None	117	None	19	None	38	None	None	1	None	2	21	None	21	None
1558482158	TOLENTINO, GREGORIO V DDS	2021	FFS	RENDERING	AGE 21+	36	None	144	None	32	None	32	None	None	1	None	2	34	None	34	None
1558486860	NAMIAN & BORJIAN DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1558496174	PHAN PETER B	2021	PHP	RENDERING	AGE 0-20	20	None	210	None	17	None	86	None	11	None	21	None	19	None	21	None
1558496174	PHAN PETER B	2021	PHP	RENDERING	AGE 21+	67	None	386	None	19	None	95	None	46	None	139	None	48	None	90	None
1558498162	AL JIDUI, ABBAS HATIM DDS	2021	FFS	RENDERING	AGE 0-20	91	None	718	None	58	None	105	None	41	None	105	None	80	None	87	None
1558498162	AL JIDUI, ABBAS HATIM DDS	2021	FFS	RENDERING	AGE 21+	322	None	1,948	None	61	None	71	None	231	None	871	None	181	None	181	None
1558508978	POLLACK MICHAEL S	2021	FFS	RENDERING	AGE 0-20	183	None	351	None	0	None	0	None	108	None	203	None	0	None	0	None
1558508978	POLLACK MICHAEL S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1558516971	PELAEZ ADRIAN H	2021	FFS	RENDERING	AGE 0-20	16	None	121	None	15	None	53	None	None	1	None	1	15	None	15	None
1558516971	PELAEZ ADRIAN H	2021	FFS	RENDERING	AGE 21+	86	None	459	None	44	None	84	None	50	None	141	None	61	None	61	None
1558517342	MEDINA DAVID O	2021	FFS	RENDERING	AGE 0-20	356	None	4,375	None	298	None	968	None	177	None	701	None	317	None	385	None
1558517342	MEDINA DAVID O	2021	FFS	RENDERING	AGE 21+	664	None	5,007	None	350	None	698	None	472	None	1,841	None	453	None	456	None
1558528380	ANOSH, MOHAMMAD DR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558528380	ANOSH, MOHAMMAD DR	2021	FFS	RENDERING	AGE 21+	62	None	228	None	None	1	None	1	48	None	103	None	14	None	14	None
1558528380	ANOSH, MOHAMMAD DR	2021	GMC	RENDERING	AGE 0-20	101	None	468	None	56	None	123	None	63	None	79	None	54	None	55	None
1558528380	ANOSH, MOHAMMAD DR	2021	GMC	RENDERING	AGE 21+	264	None	1,010	None	58	None	61	None	194	None	320	None	96	None	97	None
1558531483	BORISSON SILVIA T	2021	FFS	RENDERING	AGE 0-20	391	None	3,017	None	355	None	1,165	None	134	None	284	None	357	None	367	None
1558531483	BORISSON SILVIA T	2021	FFS	RENDERING	AGE 21+	188	None	824	None	77	None	145	None	118	None	304	None	96	None	96	None
1558537597	SPERO VINCENT	2021	FFS	RENDERING	AGE 0-20	42	None	358	None	40	None	76	None	20	None	87	None	41	None	48	None
1558537597	SPERO VINCENT	2021	FFS	RENDERING	AGE 21+	186	None	1,691	None	122	None	123	None	139	None	693	None	145	None	145	None
1558548362	VARELA DAVID G	2021	FFS	RENDERING	AGE 21+	4,703	None	23,505	None	1,563	None	2,693	None	4,383	None	8,238	None	3,466	None	3,466	None
1558548362	VARELA DAVID G	2021	GMC	RENDERING	AGE 21+	50	None	279	None	32	None	43	None	49	None	106	None	46	None	47	None
1558552901	LEY BRIAN E	2021	FFS	RENDERING	AGE 0-20	45	None	635	None	38	None	146	None	35	None	173	None	40	None	64	None
1558552901	LEY BRIAN E	2021	FFS	RENDERING	AGE 21+	144	None	2,019	None	88	None	156	None	130	None	1,032	None	99	None	99	None
1558559401	OH JOOYOUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558559401	OH JOOYOUNG	2021	FFS	RENDERING	AGE 21+	20	None	46	None	None	1	None	1	15	None	17	None	None	1	None	1
1558559401	OH JOOYOUNG	2021	GMC	RENDERING	AGE 0-20	343	None	2,427	None	267	None	990	None	190	None	282	None	234	None	243	None
1558559401	OH JOOYOUNG	2021	GMC	RENDERING	AGE 21+	512	None	2,035	None	281	None	520	None	321	None	493	None	205	None	210	None
1558566737	BETITA GINA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558572859	ESPEJO JR ROBERTO V	2021	FFS	RENDERING	AGE 0-20	106	None	848	None	85	None	178	None	32	None	76	None	79	None	84	None
1558572859	ESPEJO JR ROBERTO V	2021	FFS	RENDERING	AGE 21+	196	None	1,043	None	79	None	79	None	129	None	289	None	70	None	70	None
1558573519	AN, SCOTT, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1558573931	POWER, DAWN	2021	FFS	RENDERING	AGE 0-20	293	None	6,061	None	275	None	1,149	None	211	None	1,107	None	281	None	402	None
1558573931	POWER, DAWN	2021	FFS	RENDERING	AGE 21+	135	None	1,713	None	57	None	100	None	105	None	527	None	104	None	104	None
1558576447	GONG RONG	2021	FFS	RENDERING	AGE 0-20	18	None	115	None	17	None	52	None	None	1	None	2	17	None	19	None
1558576447	GONG RONG	2021	FFS	RENDERING	AGE 21+	143	None	754	None	118	None	234	None	62	None	233	None	131	None	131	None
1558579144	WOO, BRIAN MICHAEL MD	2021	FFS	RENDERING	AGE 0-20	529	None	2,732	None	0	None	0	None	325	None	1,790	None	365	None	365	None
1558579144	WOO, BRIAN MICHAEL MD	2021	FFS	RENDERING	AGE 21+	537	None	2,355	None	None	1	None	1	360	None	1,571	None	354	None	354	None
1558580233	WESTCHESTER DENTAL CARE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1558584433	HARDER, CORIE GRACE, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	277	None	26	None	76	None	11	None	47	None	28	None	39	None
1558584433	HARDER, CORIE GRACE, DDS	2021	FFS	RENDERING	AGE 21+	76	None	385	None	25	None	41	None	33	None	155	None	67	None	67	None
1558585109	MANAVI, F, DDS INC	2021	PHP	RENDERING	AGE 0-20	52	None	268	None	28	None	93	None	None	1	None	2	26	None	26	None
1558585109	MANAVI, F, DDS INC	2021	PHP	RENDERING	AGE 21+	34	None	129	None	None	1	None	1	17	None	58	None	12	None	12	None
1558585117	KAZAZIAN, SONA, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	719	None	44	None	128	None	23	None	110	None	42	None	56	None
1558585117	KAZAZIAN, SONA, DDS	2021	FFS	RENDERING	AGE 21+	125	None	1,298	None	79	None	154	None	104	None	466	None	75	None	75	None
1558587121	PATEL SHAILESH K	2021	FFS	RENDERING	AGE 0-20	949	None	17,046	None	552	None	1,489	None	942	None	11,866	None	891	None	892	None
1558593277	SIDHU HARDEEP K	2021	FFS	RENDERING	AGE 0-20	116	None	1,137	None	104	None	368	None	41	None	148	None	102	None	126	None
1558593277	SIDHU HARDEEP K	2021	FFS	RENDERING	AGE 21+	341	None	2,512	None	262	None	520	None	191	None	1,042	None	295	None	295	None
1558593277	SIDHU HARDEEP K	2021	GMC	RENDERING	AGE 0-20	787	None	5,928	None	309	None	1,028	None	580	None	2,802	None	366	None	421	None
1558593277	SIDHU HARDEEP K	2021	GMC	RENDERING	AGE 21+	561	None	4,333	None	300	None	539	None	383	None	2,361	None	402	None	411	None
1558593277	SIDHU HARDEEP K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1558593590	AMATYA LIZA	2021	FFS	RENDERING	AGE 0-20	550	None	3,156	None	372	None	1,196	None	114	None	331	None	507	None	560	None
1558593590	AMATYA LIZA	2021	FFS	RENDERING	AGE 21+	959	None	3,302	None	186	None	341	None	404	None	1,013	None	701	None	702	None
1558594648	RAHIMIAN ABTIN	2021	FFS	RENDERING	AGE 0-20	841	None	5,160	None	589	None	1,357	None	480	None	894	None	511	None	517	None
1558594648	RAHIMIAN ABTIN	2021	FFS	RENDERING	AGE 21+	27	None	101	None	11	None	22	None	12	None	27	None	19	None	19	None
1558595298	JADID ALI C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1558596395	KHAEF RAMTIN	2021	FFS	RENDERING	AGE 0-20	189	None	980	None	125	None	332	None	77	None	183	None	162	None	162	None
1558596395	KHAEF RAMTIN	2021	FFS	RENDERING	AGE 21+	776	None	3,428	None	311	None	600	None	484	None	1,605	None	518	None	520	None
1558607739	MACIAS TORRES CESAR	2021	FFS	RENDERING	AGE 0-20	65	None	473	None	59	None	164	None	41	None	154	None	44	None	66	None
1558607739	MACIAS TORRES CESAR	2021	FFS	RENDERING	AGE 21+	41	None	237	None	27	None	27	None	31	None	136	None	26	None	26	None
1558615559	COHEN-GADOL VICTORIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1558615559	COHEN-GADOL VICTORIA	2021	FFS	RENDERING	AGE 21+	12	None	41	None	None	1	None	1	None	1	None	1	11	None	11	None
1558615559	COHEN-GADOL VICTORIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1558615559	COHEN-GADOL VICTORIA	2021	PHP	RENDERING	AGE 21+	43	None	190	None	30	None	36	None	15	None	32	None	43	None	45	None
1558625996	SONNICHSEN BRITTANY	2021	FFS	RENDERING	AGE 0-20	68	None	252	None	0	None	0	None	68	None	250	None	0	None	0	None
1558625996	SONNICHSEN BRITTANY	2021	FFS	RENDERING	AGE 21+	117	None	370	None	0	None	0	None	117	None	368	None	0	None	0	None
1558625996	SONNICHSEN BRITTANY	2021	PHP	RENDERING	AGE 0-20	11	None	56	None	0	None	0	None	11	None	56	None	0	None	0	None
1558625996	SONNICHSEN BRITTANY	2021	PHP	RENDERING	AGE 21+	37	None	213	None	0	None	0	None	28	None	190	None	20	None	20	None
1558631234	RODRIGUEZ SANDRA Y	2021	FFS	RENDERING	AGE 0-20	225	None	1,545	None	199	None	475	None	121	None	459	None	203	None	253	None
1558631234	RODRIGUEZ SANDRA Y	2021	FFS	RENDERING	AGE 21+	197	None	1,302	None	117	None	218	None	134	None	565	None	155	None	155	None
1558641720	VASA ANKIT J	2021	FFS	RENDERING	AGE 0-20	140	None	1,904	None	130	None	491	None	70	None	267	None	129	None	178	None
1558641720	VASA ANKIT J	2021	FFS	RENDERING	AGE 21+	331	None	3,387	None	197	None	383	None	224	None	817	None	218	None	218	None
1558641720	VASA ANKIT J	2021	PHP	RENDERING	AGE 0-20	16	None	166	None	14	None	65	None	None	1	None	1	15	None	23	None
1558641720	VASA ANKIT J	2021	PHP	RENDERING	AGE 21+	43	None	375	None	38	None	97	None	26	None	103	None	32	None	34	None
1558649830	TRINH AN N	2021	FFS	RENDERING	AGE 0-20	151	None	215	None	0	None	0	None	20	None	38	None	0	None	0	None
1558649830	TRINH AN N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1558649830	TRINH AN N	2021	GMC	RENDERING	AGE 0-20	43	None	174	None	0	None	0	None	42	None	139	None	0	None	0	None
1558649863	FRANCIS MARK LEE	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558651950	ARNOUK MAHER S	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558651950	ARNOUK MAHER S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558651950	ARNOUK MAHER S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1558652966	HANNANVASH NAJMEH	2021	FFS	RENDERING	AGE 0-20	264	None	3,466	None	203	None	1,037	None	170	None	610	None	262	None	420	None
1558671065	WOOD MARK C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1558671065	WOOD MARK C	2021	GMC	RENDERING	AGE 0-20	169	None	353	None	0	None	0	None	169	None	345	None	None	1	None	1
1558671065	WOOD MARK C	2021	GMC	RENDERING	AGE 21+	485	None	1,174	None	0	None	0	None	344	None	927	None	227	None	228	None
1558671065	WOOD MARK C	2021	PHP	RENDERING	AGE 0-20	14	None	45	None	0	None	0	None	14	None	45	None	0	None	0	None
1558671065	WOOD MARK C	2021	PHP	RENDERING	AGE 21+	34	None	92	None	0	None	0	None	20	None	56	None	30	None	31	None
1558679795	NG JULIA S	2021	FFS	RENDERING	AGE 0-20	124	None	1,550	None	101	None	363	None	52	None	159	None	104	None	130	None
1558679795	NG JULIA S	2021	FFS	RENDERING	AGE 21+	486	None	4,533	None	241	None	478	None	379	None	1,789	None	264	None	264	None
1558684365	AHMED, MOHAMED HAFEZ DDS	2021	FFS	RENDERING	AGE 0-20	17	None	120	None	None	1	None	2	13	None	48	None	11	None	12	None
1558684365	AHMED, MOHAMED HAFEZ DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1558684365	AHMED, MOHAMED HAFEZ DDS	2021	GMC	RENDERING	AGE 0-20	175	None	1,517	None	146	None	484	None	111	None	355	None	124	None	145	None
1558685248	TRINH THOMAS	2021	FFS	RENDERING	AGE 0-20	72	None	792	None	69	None	295	None	17	None	69	None	68	None	89	None
1558685248	TRINH THOMAS	2021	FFS	RENDERING	AGE 21+	118	None	1,011	None	85	None	168	None	70	None	263	None	90	None	90	None
1558685248	TRINH THOMAS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558685248	TRINH THOMAS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558727453	DE LOS SANTOS, VICTOR, DDS I	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1558727453	DE LOS SANTOS, VICTOR, DDS I	2021	PHP	RENDERING	AGE 21+	45	None	149	None	None	1	None	2	22	None	59	None	29	None	29	None
1558727453	VICTOR DE LOS SANTOS DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1558727453	VICTOR DE LOS SANTOS DDS INC	2021	PHP	RENDERING	AGE 21+	45	None	149	None	None	1	None	2	22	None	59	None	29	None	29	None
1558730192	ALYESH BENJAMIN	2021	FFS	RENDERING	AGE 0-20	60	None	625	None	49	None	245	None	29	None	101	None	56	None	76	None
1558730192	ALYESH BENJAMIN	2021	FFS	RENDERING	AGE 21+	205	None	1,548	None	64	None	128	None	172	None	834	None	161	None	161	None
1558730192	ALYESH BENJAMIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1558763771	S PARK DDS INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558763771	S PARK DDS INC	2021	GMC	RENDERING	AGE 21+	16	None	37	None	None	1	None	1	14	None	24	None	None	1	None	1
1558775718	SIMEL OZ	2021	FFS	RENDERING	AGE 0-20	58	None	309	None	0	None	0	None	58	None	305	None	0	None	0	None
1558775718	SIMEL OZ	2021	FFS	RENDERING	AGE 21+	69	None	329	None	0	None	0	None	69	None	326	None	0	None	0	None
1558779504	MA MICHELLE J	2021	FFS	RENDERING	AGE 0-20	253	None	1,905	None	231	None	711	None	92	None	289	None	240	None	274	None
1558779504	MA MICHELLE J	2021	FFS	RENDERING	AGE 21+	137	None	704	None	52	None	66	None	78	None	244	None	98	None	100	None
1558779504	MA MICHELLE J	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1558779504	MA MICHELLE J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1558779504	MA MICHELLE J	2021	PHP	RENDERING	AGE 0-20	418	None	2,666	None	203	None	695	None	236	None	769	None	223	None	225	None
1558779504	MA MICHELLE J	2021	PHP	RENDERING	AGE 21+	281	None	1,231	None	46	None	109	None	134	None	338	None	124	None	125	None
1558785949	CHAU DEBORAH H	2021	FFS	RENDERING	AGE 0-20	127	None	661	None	93	None	237	None	58	None	124	None	77	None	82	None
1558785949	CHAU DEBORAH H	2021	FFS	RENDERING	AGE 21+	128	None	434	None	29	None	45	None	70	None	165	None	77	None	77	None
1558791079	ZAK DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1558819706	NGUYEN ANTHONY	2021	FFS	RENDERING	AGE 0-20	273	None	1,193	None	228	None	522	None	70	None	136	None	232	None	248	None
1558819706	NGUYEN ANTHONY	2021	FFS	RENDERING	AGE 21+	234	None	766	None	114	None	126	None	131	None	256	None	133	None	133	None
1558833434	ALAZZAWI FARKAD K	2021	FFS	RENDERING	AGE 0-20	192	None	654	None	78	None	178	None	49	None	79	None	150	None	151	None
1558833434	ALAZZAWI FARKAD K	2021	FFS	RENDERING	AGE 21+	451	None	1,148	None	39	None	72	None	154	None	314	None	285	None	285	None
1558833434	ALAZZAWI FARKAD K	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1558833434	ALAZZAWI FARKAD K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1558848861	AL-ANI ASMAA HIKMAT I	2021	FFS	RENDERING	AGE 0-20	172	None	929	None	96	None	276	None	89	None	211	None	110	None	112	None
1558848861	AL-ANI ASMAA HIKMAT I	2021	FFS	RENDERING	AGE 21+	325	None	1,217	None	66	None	126	None	163	None	462	None	170	None	172	None
1558848861	AL-ANI ASMAA HIKMAT I	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1558848861	AL-ANI ASMAA HIKMAT I	2021	PHP	RENDERING	AGE 21+	12	None	48	None	None	1	None	1	None	1	None	2	None	1	None	1
1558852350	HUANG SHOU CHIA	2021	FFS	RENDERING	AGE 0-20	67	None	581	None	60	None	202	None	36	None	83	None	61	None	84	None
1558852350	HUANG SHOU CHIA	2021	FFS	RENDERING	AGE 21+	209	None	1,666	None	153	None	281	None	142	None	551	None	161	None	161	None
1558861138	BUI, VU, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1558867291	PARTI AMBIKA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1558867473	PARAJON-AFLATOO ELLIE	2021	FFS	RENDERING	AGE 0-20	268	None	2,953	None	227	None	1,194	None	202	None	669	None	249	None	369	None
1558867473	PARAJON-AFLATOO ELLIE	2021	FFS	RENDERING	AGE 21+	98	None	756	None	30	None	54	None	82	None	485	None	62	None	62	None
1558875633	SANDHU MANBIR K	2021	FFS	RENDERING	AGE 0-20	1,347	None	12,304	None	1,224	None	4,406	None	856	None	2,672	None	1,223	None	1,459	None
1558875633	SANDHU MANBIR K	2021	FFS	RENDERING	AGE 21+	271	None	1,424	None	98	None	191	None	206	None	551	None	142	None	142	None
1558881151	CHONG ISAAC	2021	FFS	RENDERING	AGE 0-20	171	None	1,469	None	133	None	385	None	77	None	144	None	132	None	132	None
1558881151	CHONG ISAAC	2021	FFS	RENDERING	AGE 21+	385	None	1,827	None	79	None	152	None	301	None	945	None	132	None	132	None
1558889055	LE VIVIAN T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558913533	ARNOLD MARA	2021	FFS	RENDERING	AGE 0-20	235	None	1,361	None	183	None	480	None	64	None	130	None	197	None	213	None
1558913533	ARNOLD MARA	2021	FFS	RENDERING	AGE 21+	392	None	1,503	None	173	None	339	None	164	None	425	None	262	None	262	None
1558933424	ALRZOOG RANA S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1558973230	ARORA JATIN	2021	GMC	RENDERING	AGE 0-20	95	None	465	None	61	None	140	None	20	None	37	None	67	None	67	None
1558973230	ARORA JATIN	2021	GMC	RENDERING	AGE 21+	244	None	1,034	None	50	None	101	None	136	None	216	None	129	None	129	None
1568016574	PATEL SHINALI	2021	FFS	RENDERING	AGE 0-20	228	None	1,329	None	186	None	557	None	115	None	258	None	137	None	144	None
1568016574	PATEL SHINALI	2021	FFS	RENDERING	AGE 21+	312	None	1,097	None	114	None	197	None	196	None	537	None	122	None	122	None
1568023265	FLORES ALICE KHIEU	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1568058725	CAPOTE CABRERA RONNYS	2021	FFS	RENDERING	AGE 0-20	105	None	582	None	40	None	136	None	60	None	137	None	64	None	64	None
1568058725	CAPOTE CABRERA RONNYS	2021	FFS	RENDERING	AGE 21+	257	None	1,078	None	38	None	68	None	170	None	591	None	134	None	134	None
1568078335	JAHANGIRI FARNAZ	2021	FFS	RENDERING	AGE 0-20	356	None	4,423	None	303	None	956	None	296	None	1,334	None	305	None	313	None
1568078335	JAHANGIRI FARNAZ	2021	FFS	RENDERING	AGE 21+	200	None	1,698	None	97	None	227	None	159	None	800	None	99	None	99	None
1568472991	KELLEYAN ANTRANIG G	2021	FFS	RENDERING	AGE 0-20	46	None	342	None	35	None	60	None	17	None	109	None	45	None	53	None
1568472991	KELLEYAN ANTRANIG G	2021	FFS	RENDERING	AGE 21+	78	None	395	None	None	1	None	1	42	None	220	None	62	None	62	None
1568472991	KELLEYAN ANTRANIG G	2021	PHP	RENDERING	AGE 0-20	28	None	113	None	17	None	23	None	None	1	None	2	27	None	28	None
1568472991	KELLEYAN ANTRANIG G	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1568485209	NGUYEN DUC H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1568490167	KU, MIN HYUN, DDS	2021	FFS	RENDERING	AGE 0-20	888	None	7,666	None	799	None	2,915	None	553	None	1,145	None	770	None	973	None
1568490167	KU, MIN HYUN, DDS	2021	FFS	RENDERING	AGE 21+	496	None	3,407	None	268	None	504	None	389	None	1,271	None	274	None	274	None
1568500627	ASADI, HOLLY	2021	FFS	RENDERING	AGE 0-20	62	None	265	None	48	None	52	None	13	None	19	None	27	None	27	None
1568500627	ASADI, HOLLY	2021	FFS	RENDERING	AGE 21+	43	None	146	None	16	None	16	None	None	1	None	1	30	None	30	None
1568500627	ASADI, HOLLY, DDS	2021	FFS	RENDERING	AGE 0-20	62	None	265	None	48	None	52	None	13	None	19	None	27	None	27	None
1568500627	ASADI, HOLLY, DDS	2021	FFS	RENDERING	AGE 21+	43	None	146	None	16	None	16	None	None	1	None	1	30	None	30	None
1568501047	CHUN JIHEE H	2021	FFS	RENDERING	AGE 0-20	1,935	None	24,203	None	1,564	None	4,652	None	1,381	None	5,628	None	1,551	None	1,672	None
1568501872	ROH, DEOGSOO DDS	2021	FFS	RENDERING	AGE 0-20	1,684	None	25,644	None	1,360	None	4,555	None	1,167	None	4,974	None	1,518	None	2,034	None
1568501872	ROH, DEOGSOO DDS	2021	FFS	RENDERING	AGE 21+	466	None	4,561	None	227	None	238	None	259	None	797	None	336	None	336	None
1568503142	SAUNDERS ROBIN G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1568503142	SAUNDERS ROBIN G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568505030	CONTOMPASIS PETER H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1568505303	MANAVI FARHAD	2021	FFS	RENDERING	AGE 0-20	649	None	1,582	None	71	None	205	None	None	1	None	2	21	None	23	None
1568505303	MANAVI FARHAD	2021	FFS	RENDERING	AGE 21+	682	None	1,305	None	44	None	67	None	53	None	93	None	21	None	21	None
1568505303	MANAVI FARHAD	2021	PHP	RENDERING	AGE 0-20	647	None	1,916	None	91	None	207	None	30	None	62	None	91	None	91	None
1568505303	MANAVI FARHAD	2021	PHP	RENDERING	AGE 21+	750	None	1,604	None	45	None	63	None	47	None	139	None	79	None	82	None
1568506798	SARKISSIAN RUZAN	2021	FFS	RENDERING	AGE 0-20	60	None	1,055	None	56	None	258	None	34	None	154	None	54	None	79	None
1568506798	SARKISSIAN RUZAN	2021	FFS	RENDERING	AGE 21+	291	None	3,082	None	198	None	310	None	244	None	1,417	None	227	None	228	None
1568506798	SARKISSIAN RUZAN	2021	PHP	RENDERING	AGE 0-20	35	None	343	None	27	None	128	None	18	None	56	None	35	None	50	None
1568506798	SARKISSIAN RUZAN	2021	PHP	RENDERING	AGE 21+	16	None	119	None	12	None	24	None	13	None	61	None	14	None	14	None
1568510725	DABBAGH, KYORK NERSES, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1568510725	DABBAGH, KYORK NERSES, DDS	2021	FFS	RENDERING	AGE 21+	108	None	678	None	36	None	36	None	99	None	476	None	97	None	97	None
1568512697	RAZI ARASH	2021	FFS	RENDERING	AGE 0-20	114	None	710	None	55	None	161	None	72	None	248	None	75	None	88	None
1568512697	RAZI ARASH	2021	FFS	RENDERING	AGE 21+	173	None	860	None	33	None	65	None	99	None	388	None	112	None	112	None
1568515906	FLORES, MICHAEL A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1568515906	FLORES, MICHAEL A, DDS	2021	PHP	RENDERING	AGE 0-20	31	None	222	None	26	None	94	None	30	None	33	None	19	None	19	None
1568515906	FLORES, MICHAEL A, DDS	2021	PHP	RENDERING	AGE 21+	25	None	98	None	None	1	None	2	17	None	29	None	None	1	None	1
1568520328	FOSMAN CODRUTA I	2021	FFS	RENDERING	AGE 0-20	141	None	906	None	99	None	303	None	46	None	151	None	119	None	137	None
1568520328	FOSMAN CODRUTA I	2021	FFS	RENDERING	AGE 21+	458	None	2,413	None	112	None	174	None	234	None	1,027	None	289	None	289	None
1568522126	WRIGHT RONALD L	2021	FFS	RENDERING	AGE 0-20	26	None	131	None	0	None	0	None	26	None	131	None	0	None	0	None
1568522126	WRIGHT RONALD L	2021	FFS	RENDERING	AGE 21+	75	None	308	None	0	None	0	None	75	None	304	None	0	None	0	None
1568527521	GUERGUIS IHAAB W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568527521	GUERGUIS IHAAB W	2021	FFS	RENDERING	AGE 21+	57	None	407	None	26	None	36	None	31	None	149	None	42	None	42	None
1568527760	BUI TRINH T	2021	FFS	RENDERING	AGE 0-20	591	None	7,345	None	505	None	1,507	None	337	None	1,356	None	524	None	560	None
1568527760	BUI TRINH T	2021	FFS	RENDERING	AGE 21+	311	None	3,355	None	84	None	167	None	201	None	988	None	220	None	220	None
1568531986	FAYNGOR LEONARD N	2021	FFS	RENDERING	AGE 0-20	33	None	264	None	32	None	134	None	None	1	None	2	32	None	41	None
1568531986	FAYNGOR LEONARD N	2021	FFS	RENDERING	AGE 21+	48	None	205	None	29	None	29	None	21	None	42	None	42	None	42	None
1568532323	FRANK STEVEN	2021	FFS	RENDERING	AGE 0-20	151	None	297	None	0	None	0	None	64	None	103	None	0	None	0	None
1568532323	FRANK STEVEN	2021	FFS	RENDERING	AGE 21+	21	None	43	None	0	None	0	None	0	None	0	None	0	None	0	None
1568532323	FRANK STEVEN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568535987	EATON JEFF M	2021	FFS	RENDERING	AGE 0-20	33	None	305	None	26	None	72	None	None	1	None	1	30	None	30	None
1568535987	EATON JEFF M	2021	FFS	RENDERING	AGE 21+	17	None	71	None	0	None	0	None	None	1	None	2	None	1	None	1
1568539856	GENDY, SAMEH	2021	FFS	RENDERING	AGE 0-20	72	None	1,105	None	69	None	258	None	30	None	105	None	72	None	101	None
1568539856	GENDY, SAMEH	2021	FFS	RENDERING	AGE 21+	112	None	1,124	None	66	None	77	None	87	None	453	None	84	None	86	None
1568541191	NGUYEN KHOI N	2021	FFS	RENDERING	AGE 0-20	108	None	1,130	None	87	None	247	None	48	None	135	None	99	None	121	None
1568541191	NGUYEN KHOI N	2021	FFS	RENDERING	AGE 21+	189	None	1,218	None	18	None	20	None	123	None	489	None	132	None	132	None
1568541191	NGUYEN KHOI N	2021	PHP	RENDERING	AGE 0-20	130	None	1,015	None	107	None	301	None	45	None	141	None	122	None	143	None
1568541191	NGUYEN KHOI N	2021	PHP	RENDERING	AGE 21+	387	None	2,063	None	44	None	47	None	212	None	875	None	312	None	339	None
1568550036	JACOUB, FAKHRY AZER DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568550952	AU, PHILIP W, DDS	2021	FFS	RENDERING	AGE 0-20	45	None	201	None	36	None	92	None	16	None	24	None	45	None	56	None
1568550952	AU, PHILIP W, DDS	2021	FFS	RENDERING	AGE 21+	176	None	819	None	120	None	222	None	98	None	260	None	157	None	157	None
1568559334	YAU LUCIA	2021	FFS	RENDERING	AGE 0-20	192	None	2,941	None	184	None	945	None	101	None	304	None	183	None	261	None
1568559334	YAU LUCIA	2021	FFS	RENDERING	AGE 21+	249	None	2,388	None	197	None	387	None	174	None	710	None	206	None	206	None
1568573327	MORARASU GEORGE M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1568581262	JULIAN, DR BENITO BUENO DMD	2021	FFS	RENDERING	AGE 0-20	231	None	3,278	None	218	None	882	None	89	None	259	None	218	None	269	None
1568581262	JULIAN, DR BENITO BUENO DMD	2021	FFS	RENDERING	AGE 21+	473	None	4,380	None	329	None	655	None	275	None	1,028	None	379	None	381	None
1568582534	CHOCKALINGAM, CHANDRA, DDS	2021	FFS	RENDERING	AGE 0-20	107	None	1,446	None	103	None	482	None	73	None	172	None	103	None	130	None
1568582534	CHOCKALINGAM, CHANDRA, DDS	2021	FFS	RENDERING	AGE 21+	261	None	2,746	None	153	None	306	None	205	None	892	None	208	None	209	None
1568582922	PILONES, MICHELLE A, DMD	2021	FFS	RENDERING	AGE 0-20	111	None	638	None	98	None	249	None	31	None	71	None	80	None	87	None
1568582922	PILONES, MICHELLE A, DMD	2021	FFS	RENDERING	AGE 21+	336	None	1,735	None	212	None	413	None	171	None	501	None	240	None	240	None
1568584555	KY, VEROCK DDS	2021	FFS	RENDERING	AGE 0-20	1,096	None	18,903	None	1,059	None	4,351	None	841	None	3,797	None	1,058	None	1,751	None
1568584555	KY, VEROCK DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568589208	JOHNSON JR, RAYMONT H DDS	2021	PHP	RENDERING	AGE 0-20	23	None	75	None	18	None	23	None	None	1	None	2	16	None	19	None
1568589208	JOHNSON JR, RAYMONT H DDS	2021	PHP	RENDERING	AGE 21+	60	None	186	None	24	None	29	None	32	None	108	None	19	None	20	None
1568595692	MUCCI JAMES	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568595692	MUCCI JAMES	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1568599165	HWANG, JUSTIN DUCKSIN DDS	2021	FFS	RENDERING	AGE 0-20	31	None	233	None	25	None	56	None	13	None	69	None	28	None	32	None
1568599165	HWANG, JUSTIN DUCKSIN DDS	2021	FFS	RENDERING	AGE 21+	541	None	4,077	None	281	None	555	None	353	None	1,800	None	421	None	421	None
1568619443	BHAT CHAITRA K	2021	FFS	RENDERING	AGE 0-20	51	None	274	None	38	None	82	None	17	None	35	None	37	None	38	None
1568619443	BHAT CHAITRA K	2021	FFS	RENDERING	AGE 21+	230	None	1,443	None	122	None	125	None	119	None	255	None	125	None	125	None
1568633139	NOSRATI-JAHROMI MAHIN	2021	FFS	RENDERING	AGE 0-20	19	None	132	None	16	None	40	None	None	1	None	2	15	None	15	None
1568633139	NOSRATI-JAHROMI MAHIN	2021	FFS	RENDERING	AGE 21+	119	None	949	None	78	None	162	None	81	None	412	None	97	None	99	None
1568633295	AGUSTIN MARIA VICTOR L	2021	FFS	RENDERING	AGE 0-20	1,181	None	5,921	None	584	None	1,354	None	380	None	792	None	1,138	None	1,283	None
1568633295	AGUSTIN MARIA VICTOR L	2021	FFS	RENDERING	AGE 21+	1,393	None	4,755	None	210	None	385	None	389	None	1,399	None	1,243	None	1,247	None
1568634384	AGUILAR CHAVEZ MYRNA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568637023	JUAREZ WILLIAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1568637023	JUAREZ WILLIAM	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1568640308	APUY CHRISTOPHER R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568642924	JOSEPH, DAVID B, A PROF DENT	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568654986	HUTTO, BRIAN K, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1568654986	HUTTO, BRIAN K, DDS	2021	FFS	RENDERING	AGE 21+	22	None	53	None	0	None	0	None	15	None	37	None	None	1	None	1
1568654986	HUTTO, BRIAN K, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568665909	NAZIRI PEYMAN	2021	FFS	RENDERING	AGE 0-20	219	None	2,982	None	196	None	760	None	163	None	713	None	200	None	235	None
1568665909	NAZIRI PEYMAN	2021	FFS	RENDERING	AGE 21+	471	None	4,509	None	224	None	449	None	443	None	2,341	None	267	None	268	None
1568665909	NAZIRI PEYMAN	2021	PHP	RENDERING	AGE 0-20	17	None	164	None	17	None	56	None	None	1	None	2	17	None	17	None
1568665909	NAZIRI PEYMAN	2021	PHP	RENDERING	AGE 21+	22	None	207	None	14	None	26	None	15	None	80	None	18	None	18	None
1568668044	TOM VIVIAN	2021	FFS	RENDERING	AGE 0-20	43	None	211	None	28	None	78	None	16	None	39	None	25	None	25	None
1568668150	CHANG SOONHYUK	2021	FFS	RENDERING	AGE 0-20	730	None	9,903	None	647	None	2,230	None	425	None	1,022	None	665	None	866	None
1568668150	CHANG SOONHYUK	2021	FFS	RENDERING	AGE 21+	379	None	2,703	None	131	None	250	None	230	None	699	None	273	None	273	None
1568668606	LEEDS LEYLA A	2021	PHP	RENDERING	AGE 0-20	27	None	165	None	24	None	93	None	17	None	19	None	11	None	11	None
1568668606	LEEDS LEYLA A	2021	PHP	RENDERING	AGE 21+	69	None	386	None	48	None	123	None	53	None	97	None	41	None	41	None
1568674539	TRINH PHUC P	2021	FFS	RENDERING	AGE 0-20	396	None	3,769	None	353	None	740	None	219	None	647	None	372	None	498	None
1568674539	TRINH PHUC P	2021	FFS	RENDERING	AGE 21+	451	None	3,184	None	306	None	307	None	288	None	726	None	351	None	352	None
1568678332	LY TUAN Q	2021	FFS	RENDERING	AGE 0-20	20	None	274	None	17	None	47	None	None	1	None	2	17	None	17	None
1568678332	LY TUAN Q	2021	FFS	RENDERING	AGE 21+	13	None	148	None	None	1	None	2	None	1	None	2	11	None	11	None
1568679280	GOMEZ-BABA SUSAN S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1568679280	GOMEZ-BABA SUSAN S	2021	FFS	RENDERING	AGE 21+	17	None	55	None	None	1	None	2	None	1	None	1	None	1	None	1
1568679371	KARIA ATUL V DDS	2021	FFS	RENDERING	AGE 0-20	313	None	3,249	None	244	None	888	None	188	None	582	None	263	None	276	None
1568679371	KARIA ATUL V DDS	2021	FFS	RENDERING	AGE 21+	732	None	6,051	None	257	None	260	None	558	None	1,849	None	466	None	466	None
1568682003	HO, CECILLE DMD	2021	FFS	RENDERING	AGE 0-20	1,216	None	15,254	None	1,086	None	3,661	None	633	None	1,702	None	1,080	None	1,277	None
1568682003	HO, CECILLE DMD	2021	FFS	RENDERING	AGE 21+	174	None	1,465	None	64	None	125	None	68	None	139	None	127	None	127	None
1568683142	HAVENS BRUCE A	2021	FFS	RENDERING	AGE 0-20	334	None	1,073	None	0	None	0	None	247	None	738	None	0	None	0	None
1568683142	HAVENS BRUCE A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568687382	NASHED MEDHAT N	2021	FFS	RENDERING	AGE 0-20	666	None	7,275	None	401	None	1,005	None	376	None	2,484	None	503	None	587	None
1568687382	NASHED MEDHAT N	2021	FFS	RENDERING	AGE 21+	111	None	720	None	33	None	57	None	62	None	225	None	85	None	85	None
1568687382	NASHED MEDHAT N	2021	PHP	RENDERING	AGE 0-20	75	None	1,036	None	32	None	66	None	75	None	756	None	None	1	None	1
1568688554	FARRELL TIM A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1568688554	FARRELL TIM A	2021	PHP	RENDERING	AGE 0-20	125	None	748	None	103	None	351	None	33	None	47	None	81	None	90	None
1568688554	FARRELL TIM A	2021	PHP	RENDERING	AGE 21+	12	None	56	None	None	1	None	2	None	1	None	1	None	1	None	1
1568689800	KELLY, TROY VINCENT	2021	FFS	RENDERING	AGE 0-20	409	None	3,546	None	385	None	1,423	None	235	None	864	None	393	None	450	None
1568689800	KELLY, TROY VINCENT	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568691848	BHATIA MITIN	2021	FFS	RENDERING	AGE 0-20	28	None	167	None	11	None	28	None	16	None	39	None	16	None	16	None
1568691848	BHATIA MITIN	2021	FFS	RENDERING	AGE 21+	92	None	324	None	21	None	31	None	66	None	149	None	42	None	42	None
1568717858	AGHBASHIAN, NOVA, DDS	2021	FFS	RENDERING	AGE 0-20	65	None	556	None	62	None	214	None	26	None	89	None	61	None	98	None
1568717858	AGHBASHIAN, NOVA, DDS	2021	FFS	RENDERING	AGE 21+	295	None	2,084	None	226	None	396	None	212	None	1,009	None	246	None	247	None
1568717858	AGHBASHIAN, NOVA, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1568719011	PARK ALLYSON J	2021	FFS	RENDERING	AGE 21+	39	None	129	None	None	1	None	1	31	None	76	None	14	None	14	None
1568752384	GARCIA JOSE L	2021	FFS	RENDERING	AGE 0-20	955	None	2,795	None	0	None	0	None	228	None	426	None	0	None	0	None
1568752384	GARCIA JOSE L	2021	FFS	RENDERING	AGE 21+	166	None	332	None	0	None	0	None	0	None	0	None	0	None	0	None
1568766012	MAHFOUZ GEREIS DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568787919	LAO ANTONIO A	2021	FFS	RENDERING	AGE 0-20	4,868	None	46,881	None	4,014	None	11,378	None	2,767	None	7,403	None	4,035	None	4,661	None
1568802130	KAUR HARMINDER	2021	FFS	RENDERING	AGE 0-20	310	None	1,239	None	222	None	739	None	169	None	388	None	35	None	35	None
1568802130	KAUR HARMINDER	2021	FFS	RENDERING	AGE 21+	993	None	3,478	None	142	None	211	None	876	None	2,962	None	116	None	116	None
1568835981	NAND SHIVAM S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1568835981	NAND SHIVAM S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568835981	NAND SHIVAM S	2021	GMC	RENDERING	AGE 0-20	744	None	7,731	None	728	None	3,555	None	401	None	660	None	715	None	861	None
1568835981	NAND SHIVAM S	2021	GMC	RENDERING	AGE 21+	742	None	4,598	None	557	None	1,150	None	505	None	1,484	None	423	None	424	None
1568848174	KU MARISSA F	2021	FFS	RENDERING	AGE 0-20	41	None	325	None	32	None	118	None	20	None	49	None	34	None	35	None
1568848174	KU MARISSA F	2021	FFS	RENDERING	AGE 21+	85	None	669	None	37	None	76	None	65	None	227	None	46	None	46	None
1568867596	GO JEONG CHUL	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568868149	LUONG BRIAN T	2021	FFS	RENDERING	AGE 0-20	358	None	714	None	0	None	0	None	110	None	328	None	0	None	0	None
1568871127	BURHOP VINCENT W	2021	FFS	RENDERING	AGE 0-20	15	None	104	None	11	None	42	None	None	1	None	1	12	None	12	None
1568871127	BURHOP VINCENT W	2021	FFS	RENDERING	AGE 21+	57	None	188	None	13	None	20	None	19	None	40	None	39	None	43	None
1568871127	BURHOP VINCENT W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1568871143	EL PROYECTO DEL BARRIO INC	2021	PHP	RENDERING	AGE 0-20	62	None	1,050	None	61	None	478	None	20	None	120	None	55	None	116	None
1568891794	LAI JOSEPH H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568891794	LAI JOSEPH H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1568896264	JARED GEORGE C	2021	FFS	RENDERING	AGE 0-20	101	None	659	None	80	None	288	None	52	None	190	None	65	None	77	None
1568896264	JARED GEORGE C	2021	FFS	RENDERING	AGE 21+	461	None	2,028	None	173	None	205	None	276	None	1,039	None	241	None	241	None
1568903318	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	29	None	219	None	19	None	59	None	None	1	None	1	26	None	27	None
1568903318	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	13	None	67	None	None	1	None	1	None	1	None	1	12	None	12	None
1568903318	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	29	None	219	None	19	None	59	None	None	1	None	1	26	None	27	None
1568903318	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	13	None	67	None	None	1	None	1	None	1	None	1	12	None	12	None
1568908481	HAGYEGI AUSTIN A	2021	FFS	RENDERING	AGE 0-20	21	None	86	None	None	1	None	2	14	None	46	None	None	1	None	1
1568908481	HAGYEGI AUSTIN A	2021	FFS	RENDERING	AGE 21+	40	None	151	None	0	None	0	None	33	None	105	None	None	1	None	1
1568917110	GHERMEZI, MORRIS NIMA DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1568935252	MERCADO VICTOR A	2021	FFS	RENDERING	AGE 0-20	791	None	4,804	None	610	None	1,442	None	357	None	809	None	738	None	779	None
1568935252	MERCADO VICTOR A	2021	FFS	RENDERING	AGE 21+	951	None	3,580	None	245	None	503	None	418	None	1,154	None	729	None	731	None
1568938520	MALLAVARAPU CHANDRIKA P	2021	FFS	RENDERING	AGE 0-20	568	None	2,110	None	292	None	612	None	155	None	323	None	362	None	370	None
1568938520	MALLAVARAPU CHANDRIKA P	2021	FFS	RENDERING	AGE 21+	659	None	1,709	None	142	None	273	None	234	None	496	None	365	None	365	None
1568940120	DIONISIO LADY ANN S	2021	FFS	RENDERING	AGE 0-20	1,532	None	19,803	None	1,233	None	3,460	None	1,173	None	7,758	None	1,147	None	1,324	None
1568940120	DIONISIO LADY ANN S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1568947042	SIBAL NIKHIL	2021	FFS	RENDERING	AGE 0-20	276	None	2,723	None	197	None	469	None	149	None	529	None	243	None	295	None
1568947042	SIBAL NIKHIL	2021	FFS	RENDERING	AGE 21+	802	None	4,506	None	273	None	282	None	471	None	1,848	None	636	None	637	None
1568956308	MANOSOV RONEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1568957983	NAMIRI-KALANTAR RYAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568961787	CHEN MICHELLE G	2021	FFS	RENDERING	AGE 0-20	369	None	1,668	None	143	None	449	None	49	None	113	None	307	None	331	None
1568961787	CHEN MICHELLE G	2021	FFS	RENDERING	AGE 21+	1,079	None	3,112	None	200	None	387	None	204	None	438	None	792	None	793	None
1568972917	KAHEN AARON	2021	FFS	RENDERING	AGE 0-20	53	None	361	None	29	None	57	None	27	None	74	None	35	None	35	None
1568972917	KAHEN AARON	2021	FFS	RENDERING	AGE 21+	96	None	476	None	21	None	38	None	63	None	185	None	51	None	51	None
1568987188	CHOW JOSHUA	2021	FFS	RENDERING	AGE 0-20	81	None	371	None	63	None	136	None	22	None	44	None	65	None	68	None
1568987188	CHOW JOSHUA	2021	FFS	RENDERING	AGE 21+	217	None	854	None	53	None	86	None	124	None	351	None	126	None	126	None
1578000204	PERRY-RUSSELL ANGELLIQUE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1578000204	PERRY-RUSSELL ANGELLIQUE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1578002044	DAVYDOV ANNA	2021	PHP	RENDERING	AGE 0-20	99	None	518	None	83	None	235	None	44	None	104	None	88	None	94	None
1578002044	DAVYDOV ANNA	2021	PHP	RENDERING	AGE 21+	141	None	806	None	62	None	138	None	122	None	483	None	76	None	76	None
1578002291	KAKAR LILA	2021	FFS	RENDERING	AGE 0-20	263	None	1,933	None	190	None	548	None	138	None	441	None	215	None	264	None
1578002291	KAKAR LILA	2021	FFS	RENDERING	AGE 21+	383	None	1,738	None	138	None	253	None	216	None	670	None	292	None	292	None
1578003463	GAGGI DINA S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1578003463	GAGGI DINA S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1578035333	YANG MICHAEL	2021	FFS	RENDERING	AGE 0-20	174	None	1,774	None	126	None	266	None	84	None	305	None	132	None	134	None
1578035333	YANG MICHAEL	2021	FFS	RENDERING	AGE 21+	262	None	1,682	None	89	None	162	None	158	None	693	None	134	None	134	None
1578040135	NGO TRACY M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1578040135	NGO TRACY M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578040135	NGO TRACY M	2021	GMC	RENDERING	AGE 0-20	608	None	3,990	None	409	None	1,661	None	361	None	611	None	331	None	338	None
1578040135	NGO TRACY M	2021	GMC	RENDERING	AGE 21+	622	None	2,847	None	134	None	286	None	508	None	1,456	None	234	None	234	None
1578088779	PARK SUNG WOOK	2021	FFS	RENDERING	AGE 0-20	47	None	550	None	45	None	125	None	22	None	104	None	47	None	62	None
1578088779	PARK SUNG WOOK	2021	FFS	RENDERING	AGE 21+	93	None	817	None	49	None	97	None	58	None	259	None	87	None	87	None
1578092854	RAM SHANNON C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578092854	RAM SHANNON C	2021	GMC	RENDERING	AGE 0-20	51	None	394	None	38	None	113	None	27	None	44	None	38	None	38	None
1578092854	RAM SHANNON C	2021	GMC	RENDERING	AGE 21+	98	None	463	None	40	None	78	None	47	None	74	None	66	None	66	None
1578098349	HARDY CHRISTOPHER M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1578108981	LAUREOLA, MICHAEL VINCENT, D	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1578108981	MICHAEL VINCENT LAUREOLA DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1578126793	JOSEPH EVAN M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578126793	JOSEPH EVAN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578136818	LOMELI RAQUEL	2021	FFS	RENDERING	AGE 0-20	17	None	56	None	None	1	None	2	None	1	None	2	13	None	13	None
1578136818	LOMELI RAQUEL	2021	FFS	RENDERING	AGE 21+	29	None	79	None	None	1	None	1	16	None	56	None	15	None	15	None
1578152302	SALIM HARITH	2021	FFS	RENDERING	AGE 0-20	428	None	4,860	None	361	None	1,278	None	260	None	1,114	None	414	None	479	None
1578152302	SALIM HARITH	2021	FFS	RENDERING	AGE 21+	765	None	7,328	None	432	None	836	None	600	None	3,140	None	672	None	674	None
1578165247	YANG MAICHAO	2021	FFS	RENDERING	AGE 0-20	349	None	1,650	None	234	None	645	None	155	None	376	None	171	None	172	None
1578165247	YANG MAICHAO	2021	FFS	RENDERING	AGE 21+	495	None	1,511	None	112	None	212	None	316	None	716	None	180	None	180	None
1578178109	MOSHREFI LINDA	2021	FFS	RENDERING	AGE 0-20	182	None	1,610	None	135	None	415	None	74	None	205	None	146	None	148	None
1578178109	MOSHREFI LINDA	2021	FFS	RENDERING	AGE 21+	256	None	1,156	None	49	None	89	None	178	None	412	None	115	None	124	None
1578512737	REZAIAMIRI, NADIA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1578512737	REZAIAMIRI, NADIA, DDS	2021	FFS	RENDERING	AGE 21+	36	None	606	None	27	None	54	None	26	None	310	None	31	None	62	None
1578534046	GIANQUINTO JARED R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578544300	CODEL ADRIAN M	2021	FFS	RENDERING	AGE 0-20	2,581	None	13,659	None	1,577	None	4,231	None	1,852	None	5,019	None	1,127	None	1,161	None
1578544300	CODEL ADRIAN M	2021	FFS	RENDERING	AGE 21+	135	None	388	None	28	None	49	None	93	None	214	None	47	None	47	None
1578556650	YANG, JOSEPH FU-SHOU, DDS	2021	FFS	RENDERING	AGE 0-20	88	None	1,208	None	83	None	466	None	32	None	174	None	78	None	178	None
1578556650	YANG, JOSEPH FU-SHOU, DDS	2021	FFS	RENDERING	AGE 21+	486	None	5,610	None	216	None	438	None	357	None	3,082	None	370	None	744	None
1578556650	YANG, JOSEPH FU-SHOU, DDS	2021	PHP	RENDERING	AGE 0-20	14	None	228	None	14	None	84	None	None	1	None	1	14	None	34	None
1578556650	YANG, JOSEPH FU-SHOU, DDS	2021	PHP	RENDERING	AGE 21+	26	None	272	None	14	None	32	None	16	None	120	None	21	None	42	None
1578573507	SCHNIEROW BURTON D	2021	FFS	RENDERING	AGE 0-20	186	None	296	None	168	None	198	None	21	None	60	None	None	1	None	1
1578573507	SCHNIEROW BURTON D	2021	FFS	RENDERING	AGE 21+	693	None	1,884	None	327	None	328	None	444	None	1,451	None	23	None	23	None
1578575643	LI, CASSY Y, DDS	2021	FFS	RENDERING	AGE 0-20	34	None	333	None	34	None	129	None	13	None	21	None	34	None	53	None
1578575643	LI, CASSY Y, DDS	2021	FFS	RENDERING	AGE 21+	62	None	456	None	27	None	28	None	41	None	165	None	51	None	55	None
1578575643	LI, CASSY Y, DDS	2021	PHP	RENDERING	AGE 0-20	80	None	556	None	78	None	219	None	28	None	59	None	72	None	78	None
1578575643	LI, CASSY Y, DDS	2021	PHP	RENDERING	AGE 21+	38	None	235	None	31	None	51	None	17	None	34	None	32	None	32	None
1578576294	GONZALEZ-DIAZ, GRISEL DDS	2021	FFS	RENDERING	AGE 0-20	307	None	2,993	None	233	None	650	None	194	None	422	None	233	None	240	None
1578576294	GONZALEZ-DIAZ, GRISEL DDS	2021	FFS	RENDERING	AGE 21+	236	None	1,797	None	78	None	156	None	158	None	430	None	117	None	117	None
1578591459	LEE, MICHAEL C MD	2021	FFS	RENDERING	AGE 0-20	342	None	1,266	None	None	1	None	1	342	None	1,264	None	0	None	0	None
1578591459	LEE, MICHAEL C MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578602637	KARNAKOVA OLGA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1578610903	JACINTO RUSSEL R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1578610903	JACINTO RUSSEL R	2021	FFS	RENDERING	AGE 21+	31	None	118	None	16	None	16	None	11	None	38	None	20	None	20	None
1578611216	BUI CECILIA M	2021	FFS	RENDERING	AGE 0-20	341	None	2,936	None	318	None	989	None	184	None	529	None	326	None	454	None
1578611216	BUI CECILIA M	2021	FFS	RENDERING	AGE 21+	617	None	5,299	None	498	None	910	None	449	None	2,223	None	516	None	516	None
1578611356	KIM KWANG-JIN	2021	FFS	RENDERING	AGE 0-20	35	None	271	None	32	None	70	None	None	1	None	2	33	None	33	None
1578611356	KIM KWANG-JIN	2021	FFS	RENDERING	AGE 21+	102	None	768	None	64	None	88	None	66	None	208	None	79	None	79	None
1578611356	KIM, KWANG JIN, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	271	None	32	None	70	None	None	1	None	2	33	None	33	None
1578611356	KIM, KWANG JIN, DDS	2021	FFS	RENDERING	AGE 21+	102	None	768	None	64	None	88	None	66	None	208	None	79	None	79	None
1578620407	SHAHROKH HEYDAR	2021	FFS	RENDERING	AGE 0-20	185	None	1,085	None	28	None	92	None	130	None	426	None	132	None	132	None
1578620407	SHAHROKH HEYDAR	2021	FFS	RENDERING	AGE 21+	565	None	3,300	None	107	None	218	None	461	None	1,559	None	351	None	355	None
1578620407	SHAHROKH HEYDAR	2021	PHP	RENDERING	AGE 0-20	70	None	717	None	62	None	240	None	38	None	57	None	64	None	64	None
1578620407	SHAHROKH HEYDAR	2021	PHP	RENDERING	AGE 21+	45	None	382	None	31	None	60	None	20	None	68	None	33	None	34	None
1578620407	SHAHROKH, HEYDAR, DDS	2021	FFS	RENDERING	AGE 0-20	185	None	1,085	None	28	None	92	None	130	None	426	None	132	None	132	None
1578620407	SHAHROKH, HEYDAR, DDS	2021	FFS	RENDERING	AGE 21+	565	None	3,300	None	107	None	218	None	461	None	1,559	None	351	None	355	None
1578620407	SHAHROKH, HEYDAR, DDS	2021	PHP	RENDERING	AGE 0-20	70	None	717	None	62	None	240	None	38	None	57	None	64	None	64	None
1578620407	SHAHROKH, HEYDAR, DDS	2021	PHP	RENDERING	AGE 21+	45	None	382	None	31	None	60	None	20	None	68	None	33	None	34	None
1578621801	SORRELL MARVIS Y	2021	FFS	RENDERING	AGE 0-20	26	None	57	None	0	None	0	None	21	None	52	None	0	None	0	None
1578622304	PARIKH SUJAL H	2021	FFS	RENDERING	AGE 0-20	473	None	7,335	None	451	None	1,742	None	209	None	687	None	458	None	582	None
1578622304	PARIKH SUJAL H	2021	FFS	RENDERING	AGE 21+	56	None	509	None	40	None	45	None	25	None	79	None	44	None	44	None
1578627592	KALEBJIAN, DENNIS M, DDS	2021	FFS	RENDERING	AGE 21+	16	None	43	None	14	None	15	None	None	1	None	1	13	None	13	None
1578629283	TIEN TIMOTHY H	2021	FFS	RENDERING	AGE 0-20	295	None	1,974	None	252	None	615	None	122	None	351	None	258	None	318	None
1578629283	TIEN TIMOTHY H	2021	FFS	RENDERING	AGE 21+	512	None	3,021	None	343	None	593	None	309	None	999	None	374	None	376	None
1578629614	LI FENG-CHIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1578631503	KIM EMMA Y	2021	FFS	RENDERING	AGE 0-20	55	None	347	None	36	None	66	None	42	None	108	None	36	None	40	None
1578631503	KIM EMMA Y	2021	FFS	RENDERING	AGE 21+	120	None	854	None	46	None	51	None	104	None	398	None	62	None	64	None
1578631800	REZKALLA ATEF R	2021	FFS	RENDERING	AGE 0-20	110	None	1,117	None	99	None	251	None	39	None	74	None	103	None	122	None
1578631800	REZKALLA ATEF R	2021	FFS	RENDERING	AGE 21+	239	None	1,272	None	109	None	143	None	122	None	247	None	179	None	181	None
1578631800	REZKALLA ATEF R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1578642393	HAME HEIDI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1578642393	HEIDI'S CHILDRENS DENTAL CNT	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1578657110	WRIGHT CARTER R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1578657110	WRIGHT CARTER R	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1578661617	VONTELA, VIMALA DEVI, DDS	2021	FFS	RENDERING	AGE 0-20	215	None	3,024	None	212	None	1,024	None	133	None	496	None	209	None	311	None
1578661617	VONTELA, VIMALA DEVI, DDS	2021	FFS	RENDERING	AGE 21+	374	None	4,425	None	316	None	605	None	267	None	1,626	None	336	None	336	None
1578673802	BUHLER, RONALD E, DDS	2021	FFS	RENDERING	AGE 0-20	38	None	332	None	21	None	48	None	29	None	90	None	31	None	42	None
1578673802	BUHLER, RONALD E, DDS	2021	FFS	RENDERING	AGE 21+	313	None	2,253	None	115	None	118	None	225	None	979	None	217	None	221	None
1578678389	SREENIVASAN DEEPA S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1578678389	SREENIVASAN DEEPA S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578684080	LEE KEUN C	2021	FFS	RENDERING	AGE 0-20	13	None	41	None	0	None	0	None	13	None	41	None	0	None	0	None
1578684080	LEE KEUN C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1578684346	MALEK SHAUN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1578685236	HARTOONIAN, ARMEN DMD CAGS	2021	FFS	RENDERING	AGE 0-20	413	None	3,590	None	325	None	673	None	74	None	117	None	349	None	357	None
1578685236	HARTOONIAN, ARMEN DMD CAGS	2021	FFS	RENDERING	AGE 21+	902	None	4,103	None	92	None	180	None	504	None	1,302	None	519	None	519	None
1578685236	HARTOONIAN, ARMEN DMD CAGS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1578685236	HARTOONIAN, ARMEN DMD CAGS	2021	PHP	RENDERING	AGE 21+	46	None	168	None	None	1	None	1	29	None	93	None	26	None	26	None
1578686945	TOMA THOMAS	2021	FFS	RENDERING	AGE 0-20	34	None	261	None	27	None	57	None	12	None	26	None	27	None	29	None
1578686945	TOMA THOMAS	2021	FFS	RENDERING	AGE 21+	50	None	343	None	29	None	61	None	25	None	39	None	36	None	38	None
1578687570	PATEL PANKAJ K	2021	FFS	RENDERING	AGE 0-20	1,081	None	3,578	None	13	None	41	None	1,077	None	3,457	None	19	None	19	None
1578687570	PATEL PANKAJ K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578698783	DASHIELL LILLIAN F	2021	FFS	RENDERING	AGE 0-20	2,698	None	21,661	None	2,169	None	4,764	None	656	None	1,124	None	2,539	None	2,684	None
1578698783	DASHIELL LILLIAN F	2021	FFS	RENDERING	AGE 21+	278	None	2,071	None	112	None	223	None	179	None	584	None	198	None	198	None
1578698858	PATEL PRAKASH P	2021	FFS	RENDERING	AGE 0-20	48	None	459	None	40	None	105	None	22	None	74	None	42	None	55	None
1578698858	PATEL PRAKASH P	2021	FFS	RENDERING	AGE 21+	103	None	884	None	37	None	37	None	68	None	281	None	76	None	76	None
1578698858	PATEL, PRAKASH P, DDS	2021	FFS	RENDERING	AGE 0-20	48	None	459	None	40	None	105	None	22	None	74	None	42	None	55	None
1578698858	PATEL, PRAKASH P, DDS	2021	FFS	RENDERING	AGE 21+	103	None	884	None	37	None	37	None	68	None	281	None	76	None	76	None
1578709283	EMRANI JINUS	2021	FFS	RENDERING	AGE 0-20	66	None	109	None	11	None	12	None	25	None	50	None	33	None	33	None
1578709283	EMRANI JINUS	2021	FFS	RENDERING	AGE 21+	184	None	369	None	None	1	None	1	134	None	280	None	55	None	55	None
1578711701	JOHNSTON ZINA F	2021	FFS	RENDERING	AGE 0-20	47	None	143	None	23	None	41	None	20	None	33	None	None	1	None	1
1578711701	JOHNSTON ZINA F	2021	FFS	RENDERING	AGE 21+	197	None	331	None	None	1	None	1	90	None	161	None	20	None	20	None
1578732582	RAVEENDRANATH SWAPNA	2021	FFS	RENDERING	AGE 0-20	29	None	143	None	29	None	65	None	None	1	None	1	23	None	25	None
1578732582	RAVEENDRANATH SWAPNA	2021	FFS	RENDERING	AGE 21+	119	None	504	None	75	None	149	None	31	None	69	None	86	None	87	None
1578742789	TER POGHOSSIAN VARTAN	2021	FFS	RENDERING	AGE 0-20	20	None	88	None	12	None	20	None	None	1	None	2	16	None	17	None
1578742789	TER POGHOSSIAN VARTAN	2021	FFS	RENDERING	AGE 21+	609	None	2,023	None	210	None	211	None	335	None	614	None	379	None	379	None
1578742953	DERAGOBIAN, RITA DDS	2021	FFS	RENDERING	AGE 0-20	92	None	789	None	80	None	270	None	34	None	133	None	85	None	113	None
1578742953	DERAGOBIAN, RITA DDS	2021	FFS	RENDERING	AGE 21+	197	None	1,378	None	94	None	119	None	148	None	850	None	145	None	145	None
1578745931	GANJU PRIYA T	2021	FFS	RENDERING	AGE 0-20	101	None	613	None	70	None	154	None	47	None	83	None	61	None	61	None
1578747820	SAUCEDO SERGIO P	2021	FFS	RENDERING	AGE 0-20	512	None	3,916	None	104	None	308	None	383	None	1,226	None	264	None	290	None
1578747820	SAUCEDO SERGIO P	2021	FFS	RENDERING	AGE 21+	746	None	4,661	None	43	None	44	None	543	None	1,971	None	415	None	416	None
1578749610	PARK ROBERT TAE H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578751046	DELOS REYES IMELDA F	2021	FFS	RENDERING	AGE 21+	18	None	38	None	None	1	None	1	11	None	13	None	None	1	None	1
1578752333	HINTON JULIANN M	2021	FFS	RENDERING	AGE 0-20	532	None	1,096	None	None	1	None	2	77	None	210	None	12	None	12	None
1578752333	HINTON JULIANN M	2021	FFS	RENDERING	AGE 21+	21	None	30	None	None	1	None	1	None	1	None	1	None	1	None	1
1578767604	LUDLOW THOMAS NELSON	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578770723	HALLORAN DOUGLAS R	2021	FFS	RENDERING	AGE 0-20	22	None	93	None	16	None	36	None	12	None	40	None	None	1	None	1
1578770723	HALLORAN DOUGLAS R	2021	FFS	RENDERING	AGE 21+	14	None	50	None	11	None	11	None	None	1	None	2	None	1	None	1
1578777272	AKHAVAN MOJDAH M	2021	FFS	RENDERING	AGE 0-20	74	None	98	None	0	None	0	None	37	None	42	None	0	None	0	None
1578778825	KIM JEONG D	2021	FFS	RENDERING	AGE 0-20	494	None	2,766	None	0	None	0	None	473	None	2,727	None	26	None	26	None
1578778825	KIM JEONG D	2021	FFS	RENDERING	AGE 21+	613	None	2,731	None	0	None	0	None	582	None	2,650	None	41	None	41	None
1578778825	KIM JEONG D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578778825	KIM JEONG D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1578781118	MAI VU V	2021	FFS	RENDERING	AGE 0-20	159	None	2,095	None	135	None	423	None	53	None	139	None	149	None	182	None
1578781118	MAI VU V	2021	FFS	RENDERING	AGE 21+	444	None	5,255	None	305	None	607	None	227	None	877	None	361	None	362	None
1578781548	NGUYEN TOAN D	2021	FFS	RENDERING	AGE 0-20	179	None	2,744	None	173	None	609	None	73	None	220	None	176	None	247	None
1578781548	NGUYEN TOAN D	2021	FFS	RENDERING	AGE 21+	368	None	3,324	None	275	None	549	None	247	None	881	None	318	None	318	None
1578781712	VANG, KAO N, DDS	2021	FFS	RENDERING	AGE 0-20	414	None	5,264	None	380	None	1,207	None	292	None	1,221	None	388	None	415	None
1578781712	VANG, KAO N, DDS	2021	FFS	RENDERING	AGE 21+	513	None	3,402	None	356	None	554	None	403	None	1,238	None	358	None	358	None
1578783916	LIM JOHN SANCHO	2021	PHP	RENDERING	AGE 0-20	17	None	70	None	12	None	33	None	None	1	None	2	15	None	17	None
1578783916	LIM JOHN SANCHO	2021	PHP	RENDERING	AGE 21+	31	None	62	None	None	1	None	1	None	1	None	2	25	None	25	None
1578787842	SUBRAMANIAN BRINDHA K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1578790465	LEE DIANA C	2021	FFS	RENDERING	AGE 0-20	11	None	37	None	None	1	None	2	None	1	None	2	0	None	0	None
1578790465	LEE DIANA C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1578791430	BARROW NATASHA C	2021	FFS	RENDERING	AGE 0-20	227	None	1,849	None	143	None	331	None	89	None	217	None	178	None	180	None
1578791430	BARROW NATASHA C	2021	FFS	RENDERING	AGE 21+	365	None	1,828	None	74	None	133	None	172	None	385	None	185	None	185	None
1578791430	BARROW NATASHA C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1578791430	BARROW NATASHA C	2021	PHP	RENDERING	AGE 21+	19	None	40	None	None	1	None	2	None	1	None	2	13	None	13	None
1578808788	YOUNG RAE KIM, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1578811683	RIMAN RAWAD M	2021	FFS	RENDERING	AGE 0-20	724	None	1,640	None	0	None	0	None	260	None	300	None	664	None	665	None
1578811683	RIMAN RAWAD M	2021	FFS	RENDERING	AGE 21+	854	None	2,203	None	0	None	0	None	355	None	693	None	749	None	750	None
1578832630	SKINNER, ROCHELLE	2021	FFS	RENDERING	AGE 0-20	48	None	656	None	41	None	208	None	28	None	124	None	42	None	59	None
1578832630	SKINNER, ROCHELLE	2021	FFS	RENDERING	AGE 21+	221	None	2,480	None	176	None	331	None	156	None	965	None	186	None	186	None
1578836706	ARRONA, RENEE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578845277	LEE WOONG	2021	FFS	RENDERING	AGE 0-20	3,813	None	22,897	None	3,186	None	8,192	None	1,880	None	4,060	None	3,113	None	3,279	None
1578847430	LIPPMAN-HOSKINS BONITA S	2021	FFS	RENDERING	AGE 0-20	516	None	1,041	None	0	None	0	None	231	None	586	None	0	None	0	None
1578847430	LIPPMAN-HOSKINS BONITA S	2021	FFS	RENDERING	AGE 21+	15	None	15	None	0	None	0	None	0	None	0	None	0	None	0	None
1578852448	PHAM, ANH TU, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1578855474	MARTINEZ ARIANNA G	2021	FFS	RENDERING	AGE 0-20	559	None	9,656	None	532	None	2,701	None	359	None	1,582	None	541	None	851	None
1578855474	MARTINEZ ARIANNA G	2021	FFS	RENDERING	AGE 21+	63	None	596	None	45	None	89	None	37	None	115	None	50	None	50	None
1578859567	HARTUNIAN ARINA V	2021	FFS	RENDERING	AGE 0-20	895	None	6,405	None	798	None	2,279	None	431	None	755	None	753	None	840	None
1578859567	HARTUNIAN ARINA V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578859567	HARTUNIAN ARINA V	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1578866430	CARMONA ENRIQUETA	2021	FFS	RENDERING	AGE 0-20	27	None	249	None	23	None	47	None	16	None	69	None	22	None	22	None
1578866430	CARMONA ENRIQUETA	2021	FFS	RENDERING	AGE 21+	64	None	590	None	17	None	31	None	48	None	240	None	43	None	43	None
1578872313	BONG JESSICA W	2021	FFS	RENDERING	AGE 0-20	131	None	860	None	63	None	290	None	99	None	403	None	50	None	50	None
1578872313	BONG JESSICA W	2021	FFS	RENDERING	AGE 21+	11	None	25	None	None	1	None	1	None	1	None	2	0	None	0	None
1578890950	LALWANI RENUKA D	2021	FFS	RENDERING	AGE 0-20	44	None	290	None	24	None	52	None	29	None	92	None	24	None	24	None
1578890950	LALWANI RENUKA D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1578893939	DE GUZMAN ANNA LYNN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1578896494	CHAUHAN ANURADHA	2021	FFS	RENDERING	AGE 0-20	3,612	None	22,524	None	3,411	None	8,923	None	1,472	None	1,756	None	3,486	None	3,841	None
1578896494	CHAUHAN ANURADHA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578898318	RASHTIAN, ROYA, DDS APC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578899886	YOCHIM JI M	2021	FFS	RENDERING	AGE 0-20	25	None	127	None	23	None	54	None	None	1	None	1	16	None	17	None
1578902128	CHRISTENSEN NATHAN F	2021	FFS	RENDERING	AGE 0-20	408	None	2,553	None	345	None	883	None	128	None	476	None	309	None	324	None
1578905253	ESCARENO JEANETTE	2021	PHP	RENDERING	AGE 0-20	92	None	566	None	49	None	72	None	88	None	256	None	48	None	49	None
1578905253	ESCARENO JEANETTE	2021	PHP	RENDERING	AGE 21+	127	None	594	None	None	1	None	1	125	None	423	None	None	1	None	1
1578908240	NGUYEN DO ANH N	2021	FFS	RENDERING	AGE 0-20	110	None	597	None	0	None	0	None	110	None	595	None	0	None	0	None
1578908240	NGUYEN DO ANH N	2021	FFS	RENDERING	AGE 21+	146	None	785	None	0	None	0	None	145	None	783	None	0	None	0	None
1578908240	NGUYEN DO ANH N	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578934717	REESOR JASON D	2021	FFS	RENDERING	AGE 0-20	471	None	2,657	None	194	None	334	None	238	None	707	None	362	None	371	None
1578934717	REESOR JASON D	2021	FFS	RENDERING	AGE 21+	2,444	None	13,850	None	311	None	347	None	1,140	None	3,899	None	1,829	None	1,829	None
1578937272	JHAWAR HARBIR S	2021	FFS	RENDERING	AGE 0-20	2,652	None	19,960	None	2,003	None	5,770	None	1,910	None	4,790	None	1,953	None	2,256	None
1578937272	JHAWAR HARBIR S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1578942025	MORGAN BROOKS T	2021	FFS	RENDERING	AGE 0-20	103	None	621	None	53	None	126	None	45	None	97	None	63	None	63	None
1578942025	MORGAN BROOKS T	2021	FFS	RENDERING	AGE 21+	319	None	1,366	None	43	None	80	None	249	None	774	None	109	None	110	None
1578955100	TREVINO VASQUEZ MARIA D	2021	FFS	RENDERING	AGE 0-20	50	None	148	None	25	None	50	None	27	None	42	None	20	None	20	None
1578955100	TREVINO VASQUEZ MARIA D	2021	FFS	RENDERING	AGE 21+	21	None	42	None	None	1	None	1	None	1	None	2	None	1	None	1
1578959342	LOPEZ LESLIE GRACE Q	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1578959342	LOPEZ LESLIE GRACE Q	2021	FFS	RENDERING	AGE 21+	17	None	174	None	None	1	None	2	13	None	113	None	13	None	13	None
1578964730	LOGRASSO RACHEL L	2021	FFS	RENDERING	AGE 0-20	1,884	None	22,215	None	1,688	None	5,738	None	1,110	None	3,663	None	1,677	None	1,866	None
1578964730	LOGRASSO RACHEL L	2021	FFS	RENDERING	AGE 21+	325	None	2,016	None	142	None	285	None	182	None	378	None	184	None	186	None
1578975587	WESTERHAUS DAVID JOHN W	2021	FFS	RENDERING	AGE 0-20	127	None	267	None	0	None	0	None	127	None	267	None	0	None	0	None
1578986543	KOH ROY ANTHONY KENNETH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1578993812	CHO PYUNG H	2021	FFS	RENDERING	AGE 0-20	252	None	1,387	None	131	None	303	None	146	None	398	None	153	None	176	None
1578993812	CHO PYUNG H	2021	FFS	RENDERING	AGE 21+	958	None	3,650	None	202	None	400	None	695	None	1,435	None	464	None	464	None
1588001218	AMROLLAHIE ALI	2021	FFS	RENDERING	AGE 0-20	767	None	4,900	None	0	None	0	None	686	None	4,555	None	169	None	169	None
1588001218	AMROLLAHIE ALI	2021	FFS	RENDERING	AGE 21+	749	None	3,377	None	0	None	0	None	572	None	2,747	None	309	None	309	None
1588007108	SHEHATA CHRISTINE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1588007108	SHEHATA CHRISTINE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1588013361	ISMAILYAN ANI H	2021	FFS	RENDERING	AGE 0-20	186	None	1,495	None	127	None	298	None	87	None	271	None	139	None	147	None
1588013361	ISMAILYAN ANI H	2021	FFS	RENDERING	AGE 21+	225	None	1,080	None	125	None	214	None	144	None	299	None	123	None	123	None
1588017107	TRAN CHRISTINA	2021	FFS	RENDERING	AGE 0-20	101	None	379	None	73	None	159	None	34	None	67	None	71	None	73	None
1588017107	TRAN CHRISTINA	2021	FFS	RENDERING	AGE 21+	70	None	201	None	21	None	23	None	52	None	78	None	26	None	26	None
1588022065	NGUYEN MARILYN M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588022065	NGUYEN MARILYN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588029086	SALEM, MEHRSEDEH JASMINE, DD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1588029086	SALEM, MEHRSEDEH JASMINE, DD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1588049332	TRAN, TODD, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588078224	LUGO, RICARDO MD	2021	FFS	RENDERING	AGE 0-20	50	None	164	None	0	None	0	None	50	None	163	None	0	None	0	None
1588078224	LUGO, RICARDO MD	2021	FFS	RENDERING	AGE 21+	204	None	477	None	0	None	0	None	204	None	473	None	0	None	0	None
1588078661	LEE JULIA Y	2021	FFS	RENDERING	AGE 0-20	576	None	2,513	None	236	None	725	None	301	None	1,015	None	556	None	759	None
1588078661	LEE JULIA Y	2021	FFS	RENDERING	AGE 21+	365	None	1,519	None	None	1	None	1	284	None	1,286	None	226	None	226	None
1588094908	PHAM DENNIS	2021	FFS	RENDERING	AGE 0-20	77	None	137	None	0	None	0	None	19	None	59	None	0	None	0	None
1588126189	CHUNG CHRISTOPHER G	2021	FFS	RENDERING	AGE 0-20	290	None	2,833	None	271	None	779	None	219	None	895	None	271	None	274	None
1588126189	CHUNG CHRISTOPHER G	2021	FFS	RENDERING	AGE 21+	256	None	1,692	None	124	None	261	None	161	None	812	None	177	None	185	None
1588126189	CHUNG CHRISTOPHER G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1588136535	KHALILI ABDUL AZEEM M	2021	FFS	RENDERING	AGE 0-20	3,434	None	63,325	None	2,965	None	11,479	None	2,559	None	13,614	None	2,845	None	4,172	None
1588136535	KHALILI ABDUL AZEEM M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1588136535	KHALILI ABDUL AZEEM M	2021	GMC	RENDERING	AGE 0-20	537	None	6,332	None	302	None	542	None	534	None	4,086	None	None	1	None	1
1588146559	AGRAWAL MUDITA	2021	FFS	RENDERING	AGE 0-20	109	None	455	None	71	None	142	None	53	None	148	None	43	None	43	None
1588146559	AGRAWAL MUDITA	2021	FFS	RENDERING	AGE 21+	290	None	966	None	91	None	166	None	168	None	444	None	109	None	109	None
1588161426	DAOUD KHALED I	2021	FFS	RENDERING	AGE 0-20	339	None	3,055	None	254	None	601	None	111	None	231	None	308	None	324	None
1588161426	DAOUD KHALED I	2021	FFS	RENDERING	AGE 21+	30	None	229	None	26	None	52	None	None	1	None	2	26	None	26	None
1588188353	PHAM FRANCES K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1588188353	PHAM FRANCES K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588189179	KIM HAYEUN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588210280	CHAN JANICE K	2021	FFS	RENDERING	AGE 0-20	26	None	172	None	20	None	42	None	None	1	None	2	23	None	23	None
1588210280	CHAN JANICE K	2021	FFS	RENDERING	AGE 21+	39	None	158	None	None	1	None	2	28	None	54	None	18	None	18	None
1588236236	KHOURY JEANINE C	2021	FFS	RENDERING	AGE 0-20	19	None	78	None	None	1	None	1	13	None	26	None	None	1	None	1
1588236236	KHOURY JEANINE C	2021	FFS	RENDERING	AGE 21+	39	None	165	None	None	1	None	1	21	None	47	None	22	None	23	None
1588236236	KHOURY JEANINE C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1588257265	PATEL RADHIKA P	2021	FFS	RENDERING	AGE 0-20	474	None	2,379	None	270	None	775	None	217	None	621	None	189	None	189	None
1588257265	PATEL RADHIKA P	2021	FFS	RENDERING	AGE 21+	435	None	1,634	None	96	None	186	None	279	None	762	None	136	None	136	None
1588257265	PATEL RADHIKA P	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588265011	RAMOS ARIAN ISABEL A	2021	FFS	RENDERING	AGE 0-20	52	None	395	None	45	None	144	None	31	None	99	None	34	None	34	None
1588265011	RAMOS ARIAN ISABEL A	2021	FFS	RENDERING	AGE 21+	29	None	143	None	None	1	None	1	20	None	75	None	14	None	14	None
1588273387	CHOUHAN HARMON	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1588273734	LAU ASHLEY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1588278360	HAN EUGENE Y	2021	FFS	RENDERING	AGE 0-20	525	None	3,407	None	369	None	1,512	None	140	None	395	None	489	None	537	None
1588278360	HAN EUGENE Y	2021	FFS	RENDERING	AGE 21+	800	None	3,137	None	289	None	571	None	345	None	849	None	615	None	616	None
1588279723	SAAD AKRAM A	2021	FFS	RENDERING	AGE 0-20	972	None	12,143	None	890	None	2,725	None	723	None	2,096	None	967	None	988	None
1588279723	SAAD AKRAM A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588332191	LE BRIAN P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1588616197	NGUYEN CHI Q	2021	FFS	RENDERING	AGE 0-20	59	None	459	None	58	None	151	None	None	1	None	2	52	None	65	None
1588616197	NGUYEN CHI Q	2021	FFS	RENDERING	AGE 21+	86	None	542	None	85	None	167	None	15	None	39	None	75	None	75	None
1588636310	MONCAYO MAX P	2021	FFS	RENDERING	AGE 0-20	112	None	576	None	0	None	0	None	109	None	568	None	None	1	None	1
1588636310	MONCAYO MAX P	2021	FFS	RENDERING	AGE 21+	127	None	603	None	0	None	0	None	120	None	581	None	None	1	None	1
1588672695	SAMUEL B BURG DDS & RICK	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1588672968	GREWAL DEEPINDER S	2021	FFS	RENDERING	AGE 0-20	4,124	None	31,267	None	3,560	None	11,014	None	2,483	None	5,211	None	3,508	None	3,872	None
1588672968	GREWAL DEEPINDER S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1588672968	GREWAL DEEPINDER S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1588684708	PHAM HAI TAN	2021	FFS	RENDERING	AGE 0-20	188	None	1,431	None	174	None	404	None	39	None	65	None	172	None	193	None
1588684708	PHAM HAI TAN	2021	FFS	RENDERING	AGE 21+	265	None	1,647	None	190	None	380	None	130	None	250	None	201	None	201	None
1588698450	ESCOBAR RONY	2021	FFS	RENDERING	AGE 0-20	19	None	102	None	None	1	None	2	12	None	42	None	None	1	None	1
1588698450	ESCOBAR RONY	2021	FFS	RENDERING	AGE 21+	119	None	668	None	13	None	21	None	94	None	491	None	32	None	32	None
1588701072	KESHISHYAN SARKIS	2021	FFS	RENDERING	AGE 0-20	38	None	336	None	37	None	148	None	11	None	22	None	38	None	57	None
1588701072	KESHISHYAN SARKIS	2021	FFS	RENDERING	AGE 21+	177	None	1,598	None	131	None	257	None	135	None	595	None	138	None	138	None
1588703839	RANKOVIC, ANA HELENA DDS	2021	FFS	RENDERING	AGE 0-20	30	None	226	None	29	None	59	None	None	1	None	2	22	None	23	None
1588703839	RANKOVIC, ANA HELENA DDS	2021	FFS	RENDERING	AGE 21+	141	None	935	None	96	None	182	None	78	None	323	None	96	None	96	None
1588703839	RANKOVIC, ANA HELENA DDS	2021	PHP	RENDERING	AGE 0-20	25	None	266	None	25	None	72	None	11	None	24	None	24	None	30	None
1588703839	RANKOVIC, ANA HELENA DDS	2021	PHP	RENDERING	AGE 21+	46	None	589	None	34	None	64	None	31	None	118	None	37	None	37	None
1588704233	LEE, KYONG MU, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588704233	LEE, KYONG MU, DDS	2021	FFS	RENDERING	AGE 21+	14	None	61	None	None	1	None	1	None	1	None	2	None	1	None	1
1588705891	KIM YUSEOK	2021	FFS	RENDERING	AGE 0-20	460	None	3,872	None	307	None	767	None	262	None	470	None	298	None	310	None
1588705891	KIM YUSEOK	2021	FFS	RENDERING	AGE 21+	577	None	2,947	None	36	None	71	None	437	None	1,035	None	203	None	204	None
1588707418	TRAN PHUOC T	2021	FFS	RENDERING	AGE 0-20	391	None	3,979	None	236	None	675	None	192	None	799	None	349	None	385	None
1588707418	TRAN PHUOC T	2021	FFS	RENDERING	AGE 21+	850	None	5,155	None	147	None	150	None	630	None	2,406	None	529	None	530	None
1588711527	SENZAKI, NORMAN, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	540	None	105	None	160	None	53	None	105	None	117	None	141	None
1588711527	SENZAKI, NORMAN, DDS	2021	FFS	RENDERING	AGE 21+	31	None	85	None	22	None	22	None	None	1	None	2	21	None	21	None
1588712665	OH, HYUNGRIM DDS	2021	FFS	RENDERING	AGE 0-20	30	None	205	None	24	None	49	None	15	None	35	None	26	None	31	None
1588712665	OH, HYUNGRIM DDS	2021	FFS	RENDERING	AGE 21+	101	None	562	None	33	None	33	None	61	None	235	None	77	None	77	None
1588718571	HUANG, RAYMOND S, DDS	2021	FFS	RENDERING	AGE 0-20	42	None	172	None	36	None	67	None	None	1	None	2	38	None	49	None
1588718571	HUANG, RAYMOND S, DDS	2021	FFS	RENDERING	AGE 21+	466	None	2,243	None	358	None	358	None	266	None	774	None	396	None	396	None
1588720536	KITTO, ROBERT DUDLEY, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	58	None	13	None	30	None	None	1	None	1	None	1	None	2
1588720536	KITTO, ROBERT DUDLEY, DDS	2021	FFS	RENDERING	AGE 21+	21	None	77	None	14	None	14	None	None	1	None	2	None	1	None	1
1588723415	LOERA, JAIME ACUNA DDS	2021	FFS	RENDERING	AGE 0-20	297	None	3,959	None	247	None	837	None	154	None	572	None	281	None	355	None
1588723415	LOERA, JAIME ACUNA DDS	2021	FFS	RENDERING	AGE 21+	972	None	8,692	None	405	None	601	None	742	None	3,151	None	711	None	712	None
1588726673	ROFAEL RAFIK R	2021	FFS	RENDERING	AGE 0-20	33	None	93	None	0	None	0	None	33	None	86	None	0	None	0	None
1588726673	ROFAEL RAFIK R	2021	FFS	RENDERING	AGE 21+	49	None	134	None	0	None	0	None	49	None	119	None	0	None	0	None
1588727556	BIGDELI, DR. FORUZAN DDS	2021	FFS	RENDERING	AGE 0-20	29	None	428	None	24	None	66	None	14	None	63	None	23	None	25	None
1588727556	BIGDELI, DR. FORUZAN DDS	2021	FFS	RENDERING	AGE 21+	155	None	1,395	None	48	None	95	None	128	None	569	None	62	None	62	None
1588732218	COBB, RODNEY LAMONT DDS	2021	FFS	RENDERING	AGE 0-20	47	None	382	None	25	None	112	None	33	None	113	None	30	None	33	None
1588732218	COBB, RODNEY LAMONT DDS	2021	FFS	RENDERING	AGE 21+	153	None	912	None	32	None	45	None	119	None	397	None	88	None	88	None
1588732218	COBB, RODNEY LAMONT DDS	2021	PHP	RENDERING	AGE 0-20	46	None	332	None	41	None	129	None	36	None	71	None	20	None	21	None
1588732218	COBB, RODNEY LAMONT DDS	2021	PHP	RENDERING	AGE 21+	184	None	1,018	None	102	None	227	None	151	None	350	None	89	None	91	None
1588732218	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	47	None	382	None	25	None	112	None	33	None	113	None	30	None	33	None
1588732218	UNKNOWN	2021	FFS	RENDERING	AGE 21+	153	None	912	None	32	None	45	None	119	None	397	None	88	None	88	None
1588732218	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	46	None	332	None	41	None	129	None	36	None	71	None	20	None	21	None
1588732218	UNKNOWN	2021	PHP	RENDERING	AGE 21+	184	None	1,018	None	102	None	227	None	151	None	350	None	89	None	91	None
1588732358	HAFFAR, SAMAR O, DDS	2021	FFS	RENDERING	AGE 0-20	169	None	1,935	None	137	None	472	None	65	None	201	None	156	None	184	None
1588732358	HAFFAR, SAMAR O, DDS	2021	FFS	RENDERING	AGE 21+	293	None	2,005	None	111	None	115	None	183	None	621	None	216	None	216	None
1588736755	ZAMANI, NAVID, DMD	2021	FFS	RENDERING	AGE 0-20	67	None	1,012	None	57	None	312	None	None	1	None	1	63	None	164	None
1588736755	ZAMANI, NAVID, DMD	2021	FFS	RENDERING	AGE 21+	574	None	3,414	None	89	None	182	None	108	None	964	None	481	None	962	None
1588737407	DESAI BHAKTI K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588737407	DESAI BHAKTI K	2021	FFS	RENDERING	AGE 21+	14	None	76	None	None	1	None	1	None	1	None	2	None	1	None	1
1588748750	LIN THERESA P	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588748750	LIN THERESA P	2021	PHP	RENDERING	AGE 21+	20	None	58	None	None	1	None	1	12	None	26	None	None	1	None	1
1588756530	SACRAMENTO NATIVE	2021	GMC	RENDERING	AGE 0-20	27	None	740	None	19	None	270	None	None	1	None	2	19	None	100	None
1588756530	SACRAMENTO NATIVE	2021	GMC	RENDERING	AGE 21+	74	None	1,245	None	16	None	235	None	57	None	555	None	14	None	70	None
1588763155	CLIFF WILLIAM CHRISTOPHER	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1588767669	ZURMATI FARID A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588771505	CHANG PHILIP M	2021	FFS	RENDERING	AGE 0-20	63	None	416	None	55	None	149	None	27	None	63	None	50	None	64	None
1588771505	CHANG PHILIP M	2021	FFS	RENDERING	AGE 21+	125	None	606	None	50	None	100	None	76	None	274	None	62	None	64	None
1588779144	SAFFARI-NAZARI, ABDOLREZA, D	2021	FFS	RENDERING	AGE 0-20	27	None	61	None	0	None	0	None	27	None	61	None	0	None	0	None
1588779144	SAFFARI-NAZARI, ABDOLREZA, D	2021	FFS	RENDERING	AGE 21+	1,333	None	6,418	None	41	None	48	None	1,316	None	5,346	None	282	None	283	None
1588779144	SAFFARI-NAZARI, ABDOLREZA, D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588779144	SAFFARI-NAZARI, ABDOLREZA, D	2021	PHP	RENDERING	AGE 21+	14	None	102	None	None	1	None	1	12	None	79	None	None	1	None	1
1588781637	MROCH, MARK J, DDS DENTAL CO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588781637	MROCH, MARK J, DDS DENTAL CO	2021	FFS	RENDERING	AGE 21+	173	None	1,047	None	126	None	248	None	168	None	509	None	134	None	134	None
1588783690	RAFIE REZA	2021	FFS	RENDERING	AGE 0-20	13	None	48	None	None	1	None	2	None	1	None	2	None	1	None	1
1588783690	RAFIE REZA	2021	FFS	RENDERING	AGE 21+	45	None	119	None	None	1	None	1	41	None	89	None	None	1	None	1
1588784185	LEE, JOON YEOB, DDS	2021	FFS	RENDERING	AGE 0-20	114	None	1,892	None	97	None	448	None	20	None	128	None	107	None	244	None
1588784185	LEE, JOON YEOB, DDS	2021	FFS	RENDERING	AGE 21+	439	None	5,960	None	247	None	980	None	268	None	2,000	None	338	None	676	None
1588793277	BARAKAT, JOHN H DDS	2021	FFS	RENDERING	AGE 0-20	70	None	384	None	49	None	125	None	39	None	109	None	54	None	66	None
1588793277	BARAKAT, JOHN H DDS	2021	FFS	RENDERING	AGE 21+	539	None	3,685	None	203	None	404	None	451	None	2,176	None	321	None	324	None
1588793277	BARAKAT, JOHN H DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1588794945	PAISO IRIS M	2021	PHP	RENDERING	AGE 0-20	61	None	560	None	56	None	353	None	50	None	79	None	55	None	62	None
1588794945	PAISO IRIS M	2021	PHP	RENDERING	AGE 21+	105	None	775	None	72	None	319	None	95	None	256	None	69	None	69	None
1588796874	YEE THOMAS L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1588796874	YEE THOMAS L	2021	GMC	RENDERING	AGE 0-20	948	None	10,847	None	779	None	4,147	None	330	None	724	None	732	None	867	None
1588803449	SAGHEZCHI, SOHAIL S MD	2021	FFS	RENDERING	AGE 0-20	74	None	261	None	None	1	None	1	44	None	193	None	37	None	37	None
1588803449	SAGHEZCHI, SOHAIL S MD	2021	FFS	RENDERING	AGE 21+	167	None	724	None	0	None	0	None	105	None	591	None	77	None	77	None
1588812853	TSAI PATRICK	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588821052	JOHNSON PAUL W	2021	FFS	RENDERING	AGE 21+	2,593	None	14,369	None	878	None	1,425	None	2,368	None	4,886	None	1,667	None	1,667	None
1588821052	JOHNSON PAUL W	2021	GMC	RENDERING	AGE 21+	54	None	391	None	39	None	54	None	53	None	103	None	45	None	45	None
1588825863	NOORI MEHRDAD	2021	FFS	RENDERING	AGE 0-20	241	None	2,749	None	162	None	632	None	150	None	650	None	170	None	199	None
1588825863	NOORI MEHRDAD	2021	FFS	RENDERING	AGE 21+	441	None	3,409	None	194	None	386	None	310	None	1,264	None	251	None	251	None
1588830962	SHAH NEAL P	2021	FFS	RENDERING	AGE 0-20	59	None	439	None	52	None	203	None	21	None	64	None	50	None	64	None
1588830962	SHAH NEAL P	2021	FFS	RENDERING	AGE 21+	105	None	482	None	30	None	30	None	56	None	185	None	84	None	84	None
1588835334	MOJICA JUDY L	2021	FFS	RENDERING	AGE 0-20	201	None	1,662	None	192	None	586	None	76	None	206	None	186	None	235	None
1588835334	MOJICA JUDY L	2021	FFS	RENDERING	AGE 21+	115	None	610	None	64	None	128	None	64	None	170	None	73	None	73	None
1588845564	BECK YANINA D	2021	FFS	RENDERING	AGE 0-20	164	None	863	None	101	None	245	None	93	None	227	None	103	None	109	None
1588845564	BECK YANINA D	2021	FFS	RENDERING	AGE 21+	204	None	760	None	33	None	63	None	122	None	388	None	102	None	102	None
1588860142	NAZARIAN, CARINEH DDS	2021	FFS	RENDERING	AGE 0-20	1,748	None	27,361	None	1,537	None	8,472	None	967	None	5,580	None	1,508	None	2,838	None
1588860142	NAZARIAN, CARINEH DDS	2021	FFS	RENDERING	AGE 21+	405	None	2,406	None	20	None	29	None	29	None	66	None	31	None	31	None
1588860142	NAZARIAN, CARINEH DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588864417	CHEN, JAMES CHAISHIN DDS	2021	FFS	RENDERING	AGE 0-20	172	None	1,271	None	148	None	373	None	73	None	245	None	161	None	205	None
1588864417	CHEN, JAMES CHAISHIN DDS	2021	FFS	RENDERING	AGE 21+	365	None	1,889	None	81	None	81	None	272	None	1,048	None	272	None	272	None
1588864417	CHEN, JAMES CHAISHIN DDS	2021	GMC	RENDERING	AGE 0-20	304	None	2,509	None	264	None	1,231	None	103	None	287	None	266	None	292	None
1588864417	CHEN, JAMES CHAISHIN DDS	2021	GMC	RENDERING	AGE 21+	472	None	2,513	None	186	None	189	None	347	None	1,164	None	286	None	289	None
1588870356	KOTAK, JAYANTI L, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1588870356	KOTAK, JAYANTI L, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1588875116	KIM DONG J	2021	FFS	RENDERING	AGE 0-20	70	None	603	None	54	None	163	None	45	None	145	None	60	None	72	None
1588875116	KIM DONG J	2021	FFS	RENDERING	AGE 21+	255	None	2,079	None	102	None	211	None	204	None	1,055	None	159	None	171	None
1588875173	EVANS-LOUKA BRENDA	2021	FFS	RENDERING	AGE 0-20	83	None	609	None	59	None	166	None	31	None	123	None	74	None	83	None
1588875173	EVANS-LOUKA BRENDA	2021	FFS	RENDERING	AGE 21+	422	None	1,891	None	113	None	131	None	240	None	751	None	321	None	323	None
1588877997	NGUYEN OLIVIA LAN H	2021	FFS	RENDERING	AGE 0-20	1,004	None	12,524	None	956	None	3,036	None	432	None	1,828	None	928	None	1,005	None
1588877997	NGUYEN OLIVIA LAN H	2021	FFS	RENDERING	AGE 21+	191	None	1,540	None	125	None	250	None	103	None	248	None	127	None	128	None
1588879100	ABADI, BEHZAD, DMD	2021	FFS	RENDERING	AGE 0-20	94	None	2,452	None	90	None	648	None	39	None	294	None	80	None	240	None
1588879100	ABADI, BEHZAD, DMD	2021	FFS	RENDERING	AGE 21+	305	None	4,106	None	206	None	656	None	186	None	1,522	None	221	None	442	None
1588879100	ABADI, BEHZAD, DMD	2021	PHP	RENDERING	AGE 0-20	15	None	218	None	11	None	76	None	None	1	None	2	13	None	32	None
1588879100	ABADI, BEHZAD, DMD	2021	PHP	RENDERING	AGE 21+	52	None	818	None	41	None	156	None	29	None	370	None	47	None	96	None
1588901979	ZAK, I, DDS PROF DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1588908305	SOUTH CENTRAL FAMILY HEALTH	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1588943088	MAMALIGER, JOSEF, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1588943088	MAMALIGER, JOSEF, DDS	2021	FFS	RENDERING	AGE 21+	63	None	239	None	16	None	18	None	35	None	96	None	34	None	34	None
1588967582	DURAN BENJAMIN A	2021	FFS	RENDERING	AGE 0-20	78	None	919	None	54	None	135	None	53	None	201	None	59	None	71	None
1588967582	DURAN BENJAMIN A	2021	FFS	RENDERING	AGE 21+	95	None	524	None	None	1	None	1	82	None	222	None	36	None	36	None
1588969703	KERI, N, DDS A PROF CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588971949	HOTHI MANMEET K	2021	FFS	RENDERING	AGE 0-20	321	None	1,239	None	164	None	381	None	185	None	428	None	92	None	92	None
1588971949	HOTHI MANMEET K	2021	FFS	RENDERING	AGE 21+	766	None	2,469	None	103	None	205	None	624	None	1,774	None	126	None	126	None
1588979744	KIM JOEL C	2021	FFS	RENDERING	AGE 0-20	943	None	11,610	None	868	None	2,429	None	551	None	1,929	None	883	None	925	None
1588979744	KIM JOEL C	2021	FFS	RENDERING	AGE 21+	103	None	734	None	64	None	126	None	44	None	131	None	74	None	74	None
1588995898	CHOI JAY W	2021	FFS	RENDERING	AGE 0-20	490	None	655	None	0	None	0	None	72	None	165	None	0	None	0	None
1588995898	CHOI JAY W	2021	FFS	RENDERING	AGE 21+	27	None	27	None	0	None	0	None	0	None	0	None	0	None	0	None
1598015257	NICHELINI JEFFREY A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598015257	NICHELINI JEFFREY A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1598019036	DR A CHANG DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598019739	ETEMADIEH ALI-REZA	2021	FFS	RENDERING	AGE 0-20	156	None	988	None	142	None	346	None	47	None	118	None	142	None	173	None
1598019739	ETEMADIEH ALI-REZA	2021	FFS	RENDERING	AGE 21+	247	None	1,266	None	137	None	150	None	155	None	472	None	156	None	156	None
1598043671	ATTRI BIRDEVINDER	2021	FFS	RENDERING	AGE 0-20	455	None	1,973	None	254	None	584	None	105	None	167	None	386	None	423	None
1598043671	ATTRI BIRDEVINDER	2021	FFS	RENDERING	AGE 21+	1,008	None	3,121	None	246	None	471	None	282	None	616	None	732	None	732	None
1598059339	DUGHMAN WADIE O	2021	FFS	RENDERING	AGE 0-20	45	None	320	None	29	None	69	None	21	None	67	None	33	None	33	None
1598059339	DUGHMAN WADIE O	2021	FFS	RENDERING	AGE 21+	341	None	1,998	None	92	None	185	None	263	None	882	None	150	None	151	None
1598069791	KOHANDEL-SHIRAZ ASAL S	2021	FFS	RENDERING	AGE 0-20	39	None	434	None	36	None	83	None	None	1	None	2	35	None	38	None
1598069791	KOHANDEL-SHIRAZ ASAL S	2021	FFS	RENDERING	AGE 21+	84	None	718	None	44	None	85	None	26	None	102	None	75	None	75	None
1598071516	YEN ALLISON S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598071516	YEN ALLISON S	2021	FFS	RENDERING	AGE 21+	49	None	89	None	0	None	0	None	49	None	89	None	0	None	0	None
1598071516	YEN ALLISON S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598078966	LE, LYAN, RDHAP	2021	FFS	RENDERING	AGE 21+	554	None	2,866	None	513	None	920	None	554	None	1,946	None	0	None	0	None
1598084832	SHAHGALDIAN CHRISTINE	2021	FFS	RENDERING	AGE 0-20	14	None	57	None	None	1	None	1	None	1	None	2	None	1	None	1
1598093643	TIEP SAMBATH S	2021	FFS	RENDERING	AGE 0-20	2,712	None	23,908	None	2,116	None	6,534	None	1,769	None	4,758	None	2,007	None	2,190	None
1598093643	TIEP SAMBATH S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598095572	TAHERI, MARK	2021	FFS	RENDERING	AGE 0-20	113	None	1,791	None	105	None	426	None	52	None	236	None	107	None	149	None
1598095572	TAHERI, MARK	2021	FFS	RENDERING	AGE 21+	316	None	3,278	None	224	None	424	None	222	None	1,092	None	237	None	237	None
1598095572	TAHERI, MARK	2021	PHP	RENDERING	AGE 0-20	25	None	137	None	21	None	56	None	None	1	None	1	24	None	27	None
1598095572	TAHERI, MARK	2021	PHP	RENDERING	AGE 21+	46	None	199	None	34	None	67	None	11	None	21	None	40	None	47	None
1598100810	OROZCO MANLIO F	2021	FFS	RENDERING	AGE 0-20	203	None	2,063	None	188	None	561	None	94	None	232	None	194	None	253	None
1598100810	OROZCO MANLIO F	2021	FFS	RENDERING	AGE 21+	239	None	1,485	None	146	None	292	None	161	None	382	None	170	None	170	None
1598102790	RUIZ GERALDINE E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598103947	ALEISSA DINA	2021	FFS	RENDERING	AGE 0-20	331	None	3,143	None	300	None	1,152	None	165	None	408	None	293	None	370	None
1598103947	ALEISSA DINA	2021	FFS	RENDERING	AGE 21+	562	None	3,757	None	305	None	565	None	395	None	1,522	None	371	None	371	None
1598120305	SAMI HAITHAM A	2021	FFS	RENDERING	AGE 0-20	3,152	None	29,296	None	2,296	None	7,490	None	1,871	None	6,405	None	2,301	None	2,553	None
1598120305	SAMI HAITHAM A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598120305	SAMI HAITHAM A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598126070	KHAUV DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598127052	PANNU VARINDER	2021	FFS	RENDERING	AGE 0-20	508	None	5,625	None	425	None	1,474	None	275	None	596	None	374	None	453	None
1598127052	PANNU VARINDER	2021	FFS	RENDERING	AGE 21+	410	None	2,597	None	113	None	222	None	244	None	663	None	234	None	234	None
1598131302	CHOE JEESOO J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598134769	CHOI SIDNEY S	2021	FFS	RENDERING	AGE 0-20	284	None	3,490	None	248	None	690	None	116	None	316	None	258	None	316	None
1598134769	CHOI SIDNEY S	2021	FFS	RENDERING	AGE 21+	627	None	6,522	None	334	None	673	None	381	None	1,082	None	429	None	429	None
1598137051	ELFERSI TALI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1598141137	MOQATTASH ALEXANDER S	2021	FFS	RENDERING	AGE 0-20	105	None	701	None	76	None	205	None	31	None	72	None	74	None	85	None
1598141137	MOQATTASH ALEXANDER S	2021	FFS	RENDERING	AGE 21+	162	None	726	None	34	None	36	None	69	None	194	None	112	None	113	None
1598143208	GEREN VICTORIA	2021	FFS	RENDERING	AGE 0-20	18	None	38	None	0	None	0	None	16	None	29	None	0	None	0	None
1598145898	LIN CHRISTOPHER C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1598145898	LIN CHRISTOPHER C	2021	FFS	RENDERING	AGE 21+	53	None	302	None	12	None	24	None	50	None	168	None	13	None	13	None
1598147506	CHO JESSICA J	2021	FFS	RENDERING	AGE 0-20	503	None	6,096	None	423	None	1,197	None	284	None	864	None	430	None	540	None
1598147506	CHO JESSICA J	2021	FFS	RENDERING	AGE 21+	214	None	1,485	None	77	None	134	None	122	None	334	None	130	None	130	None
1598149627	SAHAWNEH DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1598192668	JI SHANSHAN	2021	FFS	RENDERING	AGE 0-20	126	None	908	None	102	None	308	None	58	None	178	None	112	None	121	None
1598192668	JI SHANSHAN	2021	FFS	RENDERING	AGE 21+	62	None	272	None	19	None	34	None	38	None	103	None	36	None	36	None
1598192668	JI SHANSHAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1598192668	JI SHANSHAN	2021	PHP	RENDERING	AGE 0-20	158	None	915	None	68	None	189	None	110	None	334	None	72	None	72	None
1598192668	JI SHANSHAN	2021	PHP	RENDERING	AGE 21+	105	None	411	None	None	1	None	2	76	None	178	None	19	None	19	None
1598197592	KAUR NAVNEET	2021	FFS	RENDERING	AGE 0-20	273	None	1,413	None	178	None	561	None	82	None	203	None	196	None	203	None
1598197592	KAUR NAVNEET	2021	FFS	RENDERING	AGE 21+	500	None	1,482	None	86	None	169	None	258	None	566	None	254	None	258	None
1598197592	KAUR NAVNEET	2021	GMC	RENDERING	AGE 0-20	18	None	36	None	None	1	None	1	13	None	22	None	None	1	None	1
1598197592	KAUR NAVNEET	2021	GMC	RENDERING	AGE 21+	19	None	65	None	None	1	None	1	17	None	58	None	None	1	None	1
1598220790	MCLAREN SANDRA A	2021	FFS	RENDERING	AGE 0-20	61	None	227	None	35	None	42	None	52	None	112	None	34	None	34	None
1598220790	MCLAREN SANDRA A	2021	FFS	RENDERING	AGE 21+	617	None	3,004	None	149	None	152	None	562	None	1,733	None	344	None	344	None
1598232308	JIMENEZ, PETER N, DDS A PROF	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1598239170	KIM, JAMES MYUNG-JU, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1598248841	SOLER GEISER C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598248841	SOLER GEISER C	2021	FFS	RENDERING	AGE 21+	71	None	281	None	0	None	0	None	70	None	264	None	None	1	None	1
1598249609	NGUYEN, LINH H, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1598251324	SULAEMAN AARON A	2021	FFS	RENDERING	AGE 0-20	33	None	49	None	0	None	0	None	33	None	47	None	0	None	0	None
1598251324	SULAEMAN AARON A	2021	FFS	RENDERING	AGE 21+	59	None	192	None	None	1	None	1	58	None	186	None	0	None	0	None
1598268849	BAKER, RYAN B, DMD A PROFESS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1598277550	JANG, S, DDS INCORPORATED	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598277550	S. JANG DDS INCORPORATED	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598283525	BUI RACHEL B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598288664	TRAN AIMY T	2021	FFS	RENDERING	AGE 0-20	353	None	2,225	None	275	None	799	None	174	None	421	None	281	None	281	None
1598288664	TRAN AIMY T	2021	FFS	RENDERING	AGE 21+	216	None	901	None	65	None	125	None	132	None	332	None	134	None	136	None
1598302432	TORRES ALIX A	2021	FFS	RENDERING	AGE 0-20	65	None	448	None	25	None	42	None	35	None	106	None	38	None	40	None
1598302432	TORRES ALIX A	2021	FFS	RENDERING	AGE 21+	470	None	2,827	None	85	None	131	None	230	None	641	None	287	None	291	None
1598302432	TORRES ALIX A	2021	GMC	RENDERING	AGE 0-20	62	None	216	None	None	1	None	2	54	None	136	None	None	1	None	1
1598302432	TORRES ALIX A	2021	GMC	RENDERING	AGE 21+	986	None	7,251	None	947	None	1,605	None	587	None	1,481	None	561	None	574	None
1598312209	SHARMA ROMA	2021	FFS	RENDERING	AGE 0-20	458	None	2,299	None	306	None	665	None	199	None	540	None	356	None	360	None
1598312209	SHARMA ROMA	2021	FFS	RENDERING	AGE 21+	561	None	2,223	None	154	None	301	None	294	None	969	None	362	None	363	None
1598312209	SHARMA ROMA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598313918	KIM JAESUNG	2021	FFS	RENDERING	AGE 0-20	34	None	178	None	24	None	49	None	17	None	47	None	27	None	27	None
1598313918	KIM JAESUNG	2021	FFS	RENDERING	AGE 21+	218	None	1,099	None	141	None	270	None	120	None	419	None	172	None	172	None
1598315384	HESHMATI AREZOO	2021	FFS	RENDERING	AGE 0-20	1,728	None	16,844	None	1,448	None	5,012	None	1,106	None	3,716	None	1,414	None	1,653	None
1598315384	HESHMATI AREZOO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598320921	CHAW KYLE JASON	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598327710	ELLOWAY NATASHA N	2021	FFS	RENDERING	AGE 0-20	76	None	742	None	50	None	133	None	30	None	64	None	67	None	80	None
1598327710	ELLOWAY NATASHA N	2021	FFS	RENDERING	AGE 21+	158	None	818	None	24	None	35	None	95	None	234	None	99	None	101	None
1598327710	ELLOWAY NATASHA N	2021	PHP	RENDERING	AGE 0-20	17	None	127	None	16	None	46	None	None	1	None	2	16	None	16	None
1598327710	ELLOWAY NATASHA N	2021	PHP	RENDERING	AGE 21+	16	None	64	None	13	None	15	None	None	1	None	2	11	None	11	None
1598335275	MOHAMED EMAN N	2021	FFS	RENDERING	AGE 0-20	207	None	770	None	90	None	177	None	56	None	110	None	171	None	171	None
1598335275	MOHAMED EMAN N	2021	FFS	RENDERING	AGE 21+	361	None	969	None	27	None	51	None	98	None	200	None	263	None	263	None
1598356636	AHMED IMRAN	2021	PHP	RENDERING	AGE 0-20	52	None	470	None	43	None	201	None	48	None	85	None	37	None	37	None
1598373243	BHARMAL UMAIMA	2021	FFS	RENDERING	AGE 0-20	32	None	200	None	20	None	43	None	22	None	43	None	20	None	20	None
1598373243	BHARMAL UMAIMA	2021	FFS	RENDERING	AGE 21+	82	None	317	None	20	None	38	None	54	None	106	None	35	None	35	None
1598373243	BHARMAL UMAIMA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598373243	BHARMAL UMAIMA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1598384935	JACKSON CYNTHIA L	2021	FFS	RENDERING	AGE 0-20	644	None	872	None	None	1	None	1	181	None	247	None	0	None	0	None
1598395741	CANACARI, DENISE MARIE, RDHA	2021	GMC	RENDERING	AGE 0-20	17	None	64	None	17	None	64	None	0	None	0	None	0	None	0	None
1598396681	SEELI DIVYA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598396681	SEELI DIVYA R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598396681	SEELI DIVYA R	2021	GMC	RENDERING	AGE 0-20	88	None	144	None	0	None	0	None	83	None	124	None	None	1	None	1
1598396681	SEELI DIVYA R	2021	GMC	RENDERING	AGE 21+	29	None	111	None	0	None	0	None	16	None	24	None	None	1	None	1
1598438855	HASAN HASAN S	2021	FFS	RENDERING	AGE 0-20	76	None	280	None	41	None	81	None	35	None	68	None	44	None	44	None
1598438855	HASAN HASAN S	2021	FFS	RENDERING	AGE 21+	119	None	418	None	37	None	74	None	73	None	170	None	59	None	59	None
1598700361	SHAY IRIS S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598700361	SHAY IRIS S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598728347	LAD CHIMAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598733727	MACHADO, LESTER MD	2021	FFS	RENDERING	AGE 0-20	26	None	133	None	0	None	0	None	17	None	99	None	18	None	18	None
1598733727	MACHADO, LESTER, DDS MD	2021	FFS	RENDERING	AGE 0-20	26	None	133	None	0	None	0	None	17	None	99	None	18	None	18	None
1598758427	WADDY, SAVANNAH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1598784696	DR LIN DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598784696	DR LIN DDS INC	2021	FFS	RENDERING	AGE 21+	110	None	437	None	73	None	143	None	52	None	121	None	70	None	70	None
1598799199	WELIKALA MANOHARA	2021	FFS	RENDERING	AGE 0-20	740	None	7,690	None	711	None	2,778	None	160	None	313	None	687	None	1,071	None
1598799199	WELIKALA MANOHARA	2021	FFS	RENDERING	AGE 21+	318	None	2,109	None	238	None	242	None	141	None	274	None	234	None	236	None
1598802704	KHOSHROZEH MEHRDAD M	2021	FFS	RENDERING	AGE 0-20	556	None	1,747	None	26	None	58	None	278	None	430	None	316	None	317	None
1598802704	KHOSHROZEH MEHRDAD M	2021	FFS	RENDERING	AGE 21+	1,076	None	3,404	None	30	None	57	None	648	None	1,258	None	511	None	511	None
1598802704	KHOSHROZEH MEHRDAD M	2021	PHP	RENDERING	AGE 0-20	15	None	75	None	12	None	26	None	None	1	None	2	12	None	12	None
1598802704	KHOSHROZEH MEHRDAD M	2021	PHP	RENDERING	AGE 21+	153	None	786	None	104	None	213	None	71	None	286	None	130	None	132	None
1598803116	PARK DANIEL C	2021	FFS	RENDERING	AGE 0-20	304	None	2,310	None	266	None	742	None	182	None	441	None	279	None	335	None
1598803116	PARK DANIEL C	2021	FFS	RENDERING	AGE 21+	417	None	2,549	None	165	None	304	None	310	None	1,104	None	295	None	295	None
1598803801	REDJO - SETYONO, MELLISRI	2021	FFS	RENDERING	AGE 0-20	346	None	2,860	None	164	None	638	None	212	None	790	None	297	None	326	None
1598803801	REDJO - SETYONO, MELLISRI	2021	FFS	RENDERING	AGE 21+	358	None	3,541	None	212	None	417	None	241	None	1,193	None	289	None	289	None
1598804163	YOON DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	11	None	30	None	None	1	None	1	None	1	None	2	None	1	None	1
1598804163	YOON DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	84	None	225	None	29	None	34	None	30	None	52	None	53	None	53	None
1598804163	YOON DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1598806051	CHANG, CRISPIN M, DDS	2021	FFS	RENDERING	AGE 0-20	209	None	1,136	None	182	None	214	None	45	None	140	None	147	None	162	None
1598806051	CHANG, CRISPIN M, DDS	2021	FFS	RENDERING	AGE 21+	215	None	914	None	115	None	115	None	109	None	234	None	132	None	132	None
1598807489	BUYAMA ROLAND M	2021	FFS	RENDERING	AGE 0-20	1,353	None	13,957	None	1,341	None	5,863	None	551	None	1,532	None	1,345	None	2,191	None
1598811408	AUERBACH TODD	2021	FFS	RENDERING	AGE 0-20	234	None	2,322	None	170	None	440	None	126	None	357	None	184	None	190	None
1598811408	AUERBACH TODD	2021	FFS	RENDERING	AGE 21+	484	None	3,055	None	43	None	84	None	377	None	1,252	None	259	None	260	None
1598812737	BARAIYA, RAMJIBHAI H DDS	2021	FFS	RENDERING	AGE 0-20	684	None	10,179	None	591	None	1,698	None	442	None	1,941	None	621	None	757	None
1598812737	BARAIYA, RAMJIBHAI H DDS	2021	FFS	RENDERING	AGE 21+	979	None	11,225	None	279	None	541	None	816	None	4,276	None	691	None	693	None
1598812802	HART, HARRY A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598812802	HART, HARRY A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598816217	DUONG HOA Q	2021	FFS	RENDERING	AGE 0-20	61	None	1,043	None	59	None	199	None	56	None	317	None	55	None	62	None
1598816217	DUONG HOA Q	2021	FFS	RENDERING	AGE 21+	194	None	2,755	None	132	None	262	None	183	None	1,363	None	140	None	140	None
1598817546	BAIK JAMES Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598818148	TON THANH TAM N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1598819070	THAI HUNG M	2021	FFS	RENDERING	AGE 0-20	303	None	2,715	None	213	None	504	None	104	None	299	None	216	None	226	None
1598819070	THAI HUNG M	2021	FFS	RENDERING	AGE 21+	115	None	975	None	72	None	145	None	49	None	148	None	69	None	70	None
1598819120	POISET, MITCHELL, DDS A PROF	2021	FFS	RENDERING	AGE 0-20	354	None	3,769	None	286	None	847	None	292	None	1,675	None	231	None	283	None
1598819120	POISET, MITCHELL, DDS A PROF	2021	FFS	RENDERING	AGE 21+	15	None	62	None	15	None	28	None	None	1	None	2	11	None	11	None
1598819880	LE, TU C, DDS	2021	FFS	RENDERING	AGE 0-20	132	None	1,284	None	121	None	591	None	36	None	60	None	129	None	187	None
1598819880	LE, TU C, DDS	2021	FFS	RENDERING	AGE 21+	199	None	995	None	152	None	303	None	85	None	209	None	175	None	175	None
1598820953	PETCHPUD APIRADA K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1598820953	PETCHPUD APIRADA K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598820953	PETCHPUD APIRADA K	2021	PHP	RENDERING	AGE 0-20	116	None	659	None	98	None	304	None	56	None	79	None	57	None	59	None
1598820953	PETCHPUD APIRADA K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1598822462	WAINWRIGHT, CLIFFORD, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	82	None	None	1	None	2	None	1	None	2	12	None	13	None
1598822462	WAINWRIGHT, CLIFFORD, DDS	2021	FFS	RENDERING	AGE 21+	154	None	689	None	None	1	None	2	124	None	293	None	111	None	111	None
1598825507	GAFF NAZITA R	2021	FFS	RENDERING	AGE 0-20	52	None	360	None	32	None	63	None	20	None	38	None	37	None	38	None
1598825507	GAFF NAZITA R	2021	FFS	RENDERING	AGE 21+	82	None	315	None	13	None	26	None	56	None	128	None	35	None	35	None
1598828717	AKHAVAN TARLAN P	2021	FFS	RENDERING	AGE 0-20	308	None	3,086	None	266	None	798	None	199	None	353	None	268	None	284	None
1598828717	AKHAVAN TARLAN P	2021	FFS	RENDERING	AGE 21+	355	None	2,154	None	135	None	273	None	247	None	638	None	187	None	191	None
1598839102	AMERICAN DENTAL CENTER	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1598839102	AMERICAN DENTAL CENTER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1598839920	ZAND SUSAN K	2021	FFS	RENDERING	AGE 0-20	487	None	955	None	17	None	39	None	70	None	210	None	20	None	22	None
1598839920	ZAND SUSAN K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1598848079	SARAFIAN NORMAN	2021	FFS	RENDERING	AGE 0-20	157	None	1,655	None	154	None	770	None	52	None	137	None	153	None	213	None
1598848079	SARAFIAN NORMAN	2021	FFS	RENDERING	AGE 21+	186	None	1,401	None	158	None	309	None	94	None	318	None	172	None	172	None
1598848079	SARAFIAN, NORMAN, DDS INC	2021	FFS	RENDERING	AGE 0-20	157	None	1,655	None	154	None	770	None	52	None	137	None	153	None	213	None
1598848079	SARAFIAN, NORMAN, DDS INC	2021	FFS	RENDERING	AGE 21+	186	None	1,401	None	158	None	309	None	94	None	318	None	172	None	172	None
1598853061	DURKIN, ANNA V DDS	2021	FFS	RENDERING	AGE 0-20	79	None	485	None	65	None	213	None	23	None	80	None	72	None	80	None
1598853061	DURKIN, ANNA V DDS	2021	FFS	RENDERING	AGE 21+	301	None	1,401	None	109	None	216	None	153	None	671	None	235	None	236	None
1598854580	NGUYEN CANG H	2021	FFS	RENDERING	AGE 0-20	87	None	730	None	81	None	198	None	34	None	98	None	85	None	103	None
1598854580	NGUYEN CANG H	2021	FFS	RENDERING	AGE 21+	343	None	3,223	None	268	None	536	None	245	None	1,062	None	288	None	288	None
1598854648	BOBY, SEENA DDS	2021	FFS	RENDERING	AGE 0-20	234	None	2,220	None	223	None	715	None	66	None	172	None	209	None	268	None
1598854648	BOBY, SEENA DDS	2021	FFS	RENDERING	AGE 21+	335	None	1,684	None	117	None	221	None	236	None	770	None	183	None	183	None
1598854648	BOBY, SEENA, DDS	2021	FFS	RENDERING	AGE 0-20	234	None	2,220	None	223	None	715	None	66	None	172	None	209	None	268	None
1598854648	BOBY, SEENA, DDS	2021	FFS	RENDERING	AGE 21+	335	None	1,684	None	117	None	221	None	236	None	770	None	183	None	183	None
1598856957	MACHULE DARREN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598859910	OKTANYAN HAMBIK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598873853	WICK, ROBERT V	2021	FFS	RENDERING	AGE 0-20	24	None	88	None	None	1	None	1	14	None	39	None	18	None	18	None
1598873853	WICK, ROBERT V	2021	FFS	RENDERING	AGE 21+	176	None	895	None	55	None	87	None	116	None	452	None	163	None	164	None
1598878381	CHOU, KEVIN, DDS	2021	FFS	RENDERING	AGE 0-20	505	None	6,039	None	433	None	1,136	None	212	None	748	None	481	None	618	None
1598878381	CHOU, KEVIN, DDS	2021	FFS	RENDERING	AGE 21+	742	None	5,887	None	374	None	744	None	540	None	2,407	None	583	None	583	None
1598881831	PARTIYELI BITA K	2021	FFS	RENDERING	AGE 0-20	2,239	None	24,309	None	886	None	2,577	None	2,207	None	16,748	None	49	None	51	None
1598881831	PARTIYELI BITA K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1598881872	TAMADDON MOJGAN	2021	FFS	RENDERING	AGE 0-20	89	None	621	None	54	None	143	None	37	None	85	None	54	None	54	None
1598881872	TAMADDON MOJGAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1598884876	CLIGHER EDWARD D	2021	FFS	RENDERING	AGE 0-20	12	None	36	None	None	1	None	1	None	1	None	1	None	1	None	1
1598884876	CLIGHER EDWARD D	2021	FFS	RENDERING	AGE 21+	71	None	249	None	40	None	40	None	25	None	62	None	51	None	51	None
1598891988	LE, KHOA DAI DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598891988	LE, KHOA DAI DDS	2021	FFS	RENDERING	AGE 21+	74	None	583	None	49	None	87	None	46	None	110	None	57	None	57	None
1598897779	ALONZO OSCAR E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598899049	THEODOROU PETER J	2021	FFS	RENDERING	AGE 0-20	86	None	86	None	0	None	0	None	0	None	0	None	0	None	0	None
1598900680	HUANG STEVE C	2021	FFS	RENDERING	AGE 0-20	390	None	4,776	None	348	None	1,016	None	164	None	651	None	307	None	359	None
1598900680	HUANG STEVE C	2021	FFS	RENDERING	AGE 21+	519	None	4,184	None	329	None	628	None	303	None	1,173	None	405	None	405	None
1598902967	NGUYEN, DR KIET TUAN DMD	2021	FFS	RENDERING	AGE 0-20	220	None	1,998	None	219	None	781	None	44	None	99	None	219	None	285	None
1598902967	NGUYEN, DR KIET TUAN DMD	2021	FFS	RENDERING	AGE 21+	385	None	2,342	None	338	None	342	None	194	None	448	None	354	None	354	None
1598904922	QUAN LAWRENCE D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598904922	QUAN LAWRENCE D	2021	FFS	RENDERING	AGE 21+	15	None	36	None	None	1	None	1	14	None	25	None	None	1	None	1
1598912362	SAHL ERIK F	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1598912362	SAHL ERIK F	2021	FFS	RENDERING	AGE 21+	120	None	367	None	16	None	16	None	90	None	285	None	None	1	None	1
1598916058	KEAN KEVIN C	2021	FFS	RENDERING	AGE 0-20	123	None	902	None	77	None	176	None	33	None	80	None	92	None	92	None
1598916058	KEAN KEVIN C	2021	FFS	RENDERING	AGE 21+	237	None	884	None	68	None	133	None	119	None	248	None	143	None	143	None
1598925000	KATBAMNA, DIPAK, DDS	2021	FFS	RENDERING	AGE 0-20	418	None	3,466	None	329	None	1,134	None	241	None	755	None	181	None	202	None
1598925000	KATBAMNA, DIPAK, DDS	2021	FFS	RENDERING	AGE 21+	448	None	2,851	None	218	None	428	None	344	None	1,349	None	178	None	180	None
1598936676	SHIVANNA, SOUMYA, DDS	2021	FFS	RENDERING	AGE 0-20	94	None	1,058	None	89	None	248	None	None	1	None	2	90	None	113	None
1598936676	SHIVANNA, SOUMYA, DDS	2021	FFS	RENDERING	AGE 21+	233	None	2,306	None	169	None	333	None	138	None	645	None	200	None	200	None
1598938326	NAZERI MARYAM	2021	FFS	RENDERING	AGE 0-20	83	None	1,145	None	76	None	311	None	72	None	156	None	80	None	113	None
1598938326	NAZERI MARYAM	2021	FFS	RENDERING	AGE 21+	141	None	2,057	None	116	None	317	None	127	None	534	None	116	None	134	None
1598947681	TRANSITO NICOLAS	2021	FFS	RENDERING	AGE 0-20	96	None	649	None	87	None	247	None	27	None	62	None	92	None	113	None
1598947681	TRANSITO NICOLAS	2021	FFS	RENDERING	AGE 21+	82	None	343	None	27	None	54	None	36	None	98	None	63	None	63	None
1598947913	HO MONGLAN	2021	FFS	RENDERING	AGE 0-20	742	None	8,701	None	709	None	2,211	None	371	None	1,233	None	717	None	946	None
1598947913	HO MONGLAN	2021	FFS	RENDERING	AGE 21+	711	None	8,317	None	572	None	1,118	None	508	None	1,991	None	616	None	617	None
1598952525	AUGER TIM A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1598955874	LI SUM	2021	FFS	RENDERING	AGE 0-20	32	None	151	None	28	None	67	None	11	None	17	None	25	None	25	None
1598955874	LI SUM	2021	FFS	RENDERING	AGE 21+	187	None	1,021	None	125	None	125	None	122	None	343	None	57	None	57	None
1598958506	GEREB TODD A	2021	FFS	RENDERING	AGE 0-20	228	None	382	None	0	None	0	None	81	None	186	None	0	None	0	None
1598958506	GEREB TODD A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598960445	HAMMAM MOHAMED A	2021	FFS	RENDERING	AGE 0-20	102	None	880	None	64	None	122	None	53	None	136	None	74	None	74	None
1598960445	HAMMAM MOHAMED A	2021	FFS	RENDERING	AGE 21+	184	None	891	None	33	None	57	None	121	None	257	None	87	None	87	None
1598960445	HAMMAM MOHAMED A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598960445	HAMMAM MOHAMED A	2021	PHP	RENDERING	AGE 21+	12	None	44	None	None	1	None	2	None	1	None	1	None	1	None	1
1598960676	CLUFF ANA I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598960676	CLUFF ANA I	2021	FFS	RENDERING	AGE 21+	20	None	122	None	None	1	None	1	11	None	72	None	18	None	18	None
1598962144	HUYNH JULIE L	2021	FFS	RENDERING	AGE 0-20	1,656	None	17,466	None	1,318	None	4,528	None	1,357	None	3,748	None	1,263	None	1,595	None
1598962144	HUYNH JULIE L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598962441	SALDANA, RONALDO DDS	2021	FFS	RENDERING	AGE 0-20	120	None	1,622	None	114	None	441	None	59	None	212	None	112	None	174	None
1598962441	SALDANA, RONALDO DDS	2021	FFS	RENDERING	AGE 21+	351	None	3,411	None	242	None	486	None	267	None	1,178	None	268	None	268	None
1598963373	NGUYEN THACHTU L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1598963373	NGUYEN THACHTU L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1598964736	SANCHEZ GRACE T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1598965469	TANIOKA RALPH Y	2021	FFS	RENDERING	AGE 0-20	1,045	None	12,346	None	915	None	2,824	None	388	None	819	None	918	None	1,046	None
1598965469	TANIOKA RALPH Y	2021	FFS	RENDERING	AGE 21+	272	None	1,990	None	72	None	143	None	160	None	377	None	163	None	163	None
1598965915	GHORBANI MAJID	2021	FFS	RENDERING	AGE 0-20	59	None	289	None	15	None	41	None	38	None	77	None	45	None	45	None
1598965915	GHORBANI MAJID	2021	FFS	RENDERING	AGE 21+	199	None	1,074	None	42	None	84	None	159	None	501	None	105	None	105	None
1598970923	MELGOZA JOSE L	2021	FFS	RENDERING	AGE 0-20	595	None	5,346	None	420	None	1,266	None	329	None	598	None	417	None	429	None
1598970923	MELGOZA JOSE L	2021	FFS	RENDERING	AGE 21+	581	None	3,841	None	179	None	317	None	371	None	888	None	273	None	273	None
1598973752	CHIEN CHEN-FONG	2021	FFS	RENDERING	AGE 0-20	111	None	1,110	None	93	None	362	None	71	None	181	None	94	None	104	None
1598973752	CHIEN CHEN-FONG	2021	FFS	RENDERING	AGE 21+	457	None	5,141	None	219	None	437	None	425	None	2,416	None	293	None	293	None
1598975344	SEGOVIA RANDALL A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598975344	SEGOVIA RANDALL A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1598975476	SANTOS SHIRLEY O	2021	FFS	RENDERING	AGE 0-20	286	None	3,673	None	276	None	1,314	None	136	None	412	None	278	None	407	None
1598975476	SANTOS SHIRLEY O	2021	FFS	RENDERING	AGE 21+	17	None	101	None	15	None	30	None	None	1	None	1	12	None	12	None
1598975724	VERGARA HELEN T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598976029	PHAN HUY B	2021	FFS	RENDERING	AGE 0-20	186	None	1,916	None	172	None	478	None	51	None	105	None	163	None	180	None
1598976029	PHAN HUY B	2021	FFS	RENDERING	AGE 21+	395	None	3,471	None	285	None	567	None	277	None	990	None	100	None	100	None
1598986978	RAJASEKARAN, ANU	2021	FFS	RENDERING	AGE 0-20	17	None	242	None	16	None	106	None	None	1	None	1	17	None	21	None
1598986978	RAJASEKARAN, ANU	2021	FFS	RENDERING	AGE 21+	69	None	653	None	22	None	44	None	52	None	166	None	48	None	48	None
1598989436	ARTEAGA ANAMARIA	2021	FFS	RENDERING	AGE 0-20	189	None	1,454	None	118	None	360	None	101	None	311	None	135	None	135	None
1598989436	ARTEAGA ANAMARIA	2021	FFS	RENDERING	AGE 21+	167	None	727	None	28	None	33	None	110	None	362	None	63	None	64	None
1598991457	YAGHOUBI EDMOND	2021	FFS	RENDERING	AGE 0-20	6,712	None	58,432	None	6,074	None	17,301	None	3,255	None	4,049	None	6,422	None	7,492	None
1598991457	YAGHOUBI EDMOND	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1598991457	YAGHOUBI EDMOND	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1598993602	CHOI ANGELA J	2021	FFS	RENDERING	AGE 0-20	229	None	1,202	None	210	None	503	None	61	None	187	None	183	None	191	None
1598993602	CHOI ANGELA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1598993792	SOLOUKI, SHERRY DDS	2021	FFS	RENDERING	AGE 0-20	109	None	945	None	64	None	166	None	57	None	152	None	76	None	82	None
1598993792	SOLOUKI, SHERRY DDS	2021	FFS	RENDERING	AGE 21+	183	None	1,093	None	43	None	86	None	93	None	193	None	99	None	99	None
1598998817	SUE EUNSOO KO DDS, INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1609009729	NGUYEN, BAOCHI, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1609009729	NGUYEN, BAOCHI, RDHAP	2021	FFS	RENDERING	AGE 21+	71	None	509	None	66	None	310	None	70	None	199	None	0	None	0	None
1609010115	DANISHWAR AFSANA	2021	FFS	RENDERING	AGE 0-20	84	None	557	None	67	None	178	None	38	None	180	None	74	None	97	None
1609010115	DANISHWAR AFSANA	2021	FFS	RENDERING	AGE 21+	212	None	1,285	None	62	None	107	None	126	None	698	None	161	None	161	None
1609010115	DANISHWAR AFSANA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1609013366	SAMARAJ JAYAPRIYA	2021	FFS	RENDERING	AGE 0-20	85	None	655	None	41	None	115	None	55	None	198	None	35	None	37	None
1609013366	SAMARAJ JAYAPRIYA	2021	FFS	RENDERING	AGE 21+	362	None	2,827	None	105	None	183	None	325	None	1,640	None	104	None	104	None
1609022490	MEJIA JUAN M	2021	FFS	RENDERING	AGE 0-20	203	None	2,033	None	139	None	305	None	94	None	254	None	148	None	158	None
1609022490	MEJIA JUAN M	2021	FFS	RENDERING	AGE 21+	365	None	3,039	None	116	None	230	None	286	None	940	None	159	None	161	None
1609045939	SEPEHRIPOUR, BEHNAZ, DDS A P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1609049949	SOSA-TURCIOS LUIS F	2021	FFS	RENDERING	AGE 0-20	528	None	8,307	None	515	None	1,948	None	270	None	908	None	522	None	661	None
1609049949	SOSA-TURCIOS LUIS F	2021	FFS	RENDERING	AGE 21+	189	None	2,144	None	148	None	305	None	99	None	341	None	161	None	166	None
1609059070	MA MAY THET NAING DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1609067586	ESHAGHIAN ROGER	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1609067586	ESHAGHIAN ROGER	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1609068097	YOUNG, CHARLES J, DDS	2021	FFS	RENDERING	AGE 0-20	72	None	921	None	67	None	171	None	43	None	107	None	69	None	83	None
1609068097	YOUNG, CHARLES J, DDS	2021	FFS	RENDERING	AGE 21+	256	None	2,942	None	119	None	232	None	208	None	970	None	185	None	185	None
1609068576	GONZALEZ JACQUELINE M D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609071216	NADI MARIAM	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1609076199	IMRY EMESE T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609076199	IMRY EMESE T	2021	FFS	RENDERING	AGE 21+	25	None	94	None	None	1	None	1	23	None	65	None	None	1	None	1
1609077981	CHIEN, YIN	2021	FFS	RENDERING	AGE 0-20	214	None	2,352	None	178	None	262	None	93	None	303	None	205	None	241	None
1609077981	CHIEN, YIN	2021	FFS	RENDERING	AGE 21+	438	None	4,229	None	308	None	308	None	307	None	1,755	None	361	None	361	None
1609078138	OKUI MATTHEW JAMES	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1609078435	LAI YONG	2021	FFS	RENDERING	AGE 0-20	140	None	189	None	0	None	0	None	30	None	73	None	0	None	0	None
1609078435	LAI YONG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1609078435	LAI YONG	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1609078716	NGUYEN PHUONG-HANH N	2021	FFS	RENDERING	AGE 0-20	635	None	3,151	None	333	None	823	None	268	None	732	None	440	None	463	None
1609078716	NGUYEN PHUONG-HANH N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1609081132	ASATRYAN MHER	2021	FFS	RENDERING	AGE 0-20	55	None	452	None	43	None	156	None	27	None	80	None	53	None	59	None
1609081132	ASATRYAN MHER	2021	FFS	RENDERING	AGE 21+	209	None	1,576	None	118	None	234	None	161	None	718	None	131	None	132	None
1609081132	ASATRYAN MHER	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1609081454	KHAN FARAH S	2021	PHP	RENDERING	AGE 21+	19	None	71	None	None	1	None	1	13	None	30	None	11	None	12	None
1609082148	ABANILLA BELENDA V	2021	FFS	RENDERING	AGE 0-20	31	None	96	None	29	None	44	None	None	1	None	2	29	None	30	None
1609082148	ABANILLA BELENDA V	2021	FFS	RENDERING	AGE 21+	109	None	418	None	70	None	70	None	65	None	169	None	88	None	88	None
1609086966	ALVARENGA DAISY P	2021	FFS	RENDERING	AGE 0-20	441	None	5,839	None	429	None	1,968	None	260	None	813	None	427	None	624	None
1609086966	ALVARENGA DAISY P	2021	FFS	RENDERING	AGE 21+	264	None	1,749	None	178	None	353	None	172	None	475	None	203	None	203	None
1609090968	LAWRENCE R CHURCH DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1609096395	ISTAPHANOUS, GEORGE K MD	2021	FFS	RENDERING	AGE 0-20	366	None	1,239	None	0	None	0	None	366	None	1,239	None	0	None	0	None
1609096395	ISTAPHANOUS, GEORGE K MD	2021	FFS	RENDERING	AGE 21+	47	None	215	None	0	None	0	None	47	None	215	None	0	None	0	None
1609097757	MIKHASKO, OLGA, DDS	2021	FFS	RENDERING	AGE 0-20	46	None	301	None	42	None	144	None	15	None	46	None	43	None	61	None
1609097757	MIKHASKO, OLGA, DDS	2021	FFS	RENDERING	AGE 21+	168	None	857	None	84	None	168	None	83	None	285	None	132	None	132	None
1609097757	MIKHASKO, OLGA, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1609097757	MIKHASKO, OLGA, DDS	2021	PHP	RENDERING	AGE 0-20	40	None	312	None	39	None	197	None	None	1	None	2	39	None	55	None
1609097757	MIKHASKO, OLGA, DDS	2021	PHP	RENDERING	AGE 21+	91	None	449	None	71	None	189	None	30	None	90	None	80	None	83	None
1609117043	HUH YOO KYEOM	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609117043	HUH YOO KYEOM	2021	PHP	RENDERING	AGE 0-20	26	None	31	None	0	None	0	None	26	None	31	None	0	None	0	None
1609117043	HUH YOO KYEOM	2021	PHP	RENDERING	AGE 21+	91	None	131	None	0	None	0	None	90	None	128	None	None	1	None	1
1609160498	RAAD VERA F	2021	FFS	RENDERING	AGE 0-20	60	None	386	None	44	None	107	None	25	None	41	None	46	None	56	None
1609160498	RAAD VERA F	2021	FFS	RENDERING	AGE 21+	71	None	294	None	20	None	32	None	37	None	67	None	45	None	45	None
1609160498	RAAD VERA F	2021	PHP	RENDERING	AGE 0-20	109	None	638	None	89	None	223	None	43	None	107	None	98	None	118	None
1609160498	RAAD VERA F	2021	PHP	RENDERING	AGE 21+	108	None	477	None	31	None	55	None	69	None	182	None	74	None	74	None
1609176460	OMOTO KEVIN S	2021	FFS	RENDERING	AGE 0-20	43	None	181	None	40	None	86	None	None	1	None	2	40	None	46	None
1609176460	OMOTO KEVIN S	2021	FFS	RENDERING	AGE 21+	69	None	276	None	46	None	88	None	31	None	82	None	47	None	47	None
1609176478	KEYASHIAN JUSTIN M	2021	FFS	RENDERING	AGE 0-20	133	None	1,108	None	111	None	318	None	53	None	145	None	119	None	152	None
1609176478	KEYASHIAN JUSTIN M	2021	FFS	RENDERING	AGE 21+	259	None	1,188	None	83	None	83	None	143	None	385	None	201	None	205	None
1609188994	KALANTARI MIKAEYA R	2021	FFS	RENDERING	AGE 0-20	304	None	3,062	None	290	None	967	None	220	None	716	None	295	None	442	None
1609200492	NIEMANN DANIEL E	2021	FFS	RENDERING	AGE 0-20	106	None	363	None	0	None	0	None	105	None	330	None	24	None	24	None
1609200492	NIEMANN DANIEL E	2021	FFS	RENDERING	AGE 21+	60	None	192	None	0	None	0	None	57	None	163	None	17	None	17	None
1609200492	NIEMANN DANIEL E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609217736	LEE JAE B	2021	FFS	RENDERING	AGE 0-20	97	None	736	None	77	None	263	None	36	None	95	None	88	None	108	None
1609217736	LEE JAE B	2021	FFS	RENDERING	AGE 21+	559	None	3,739	None	340	None	678	None	348	None	1,122	None	450	None	452	None
1609223023	FARKASH JOSEPH M	2021	FFS	RENDERING	AGE 0-20	30	None	73	None	0	None	0	None	29	None	67	None	0	None	0	None
1609223023	FARKASH JOSEPH M	2021	FFS	RENDERING	AGE 21+	151	None	392	None	0	None	0	None	145	None	357	None	None	1	None	1
1609223023	FARKASH JOSEPH M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1609223023	FARKASH JOSEPH M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609226497	AGAHI SHAHRIAR H	2021	FFS	RENDERING	AGE 0-20	39	None	145	None	None	1	None	2	14	None	24	None	30	None	32	None
1609226497	AGAHI SHAHRIAR H	2021	FFS	RENDERING	AGE 21+	93	None	273	None	None	1	None	1	51	None	156	None	47	None	47	None
1609227842	BERGUIA CHRISTOPHER L	2021	FFS	RENDERING	AGE 0-20	3,078	None	20,759	None	2,118	None	5,654	None	2,424	None	7,049	None	1,434	None	1,472	None
1609228527	LIN THOMAS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609243617	TRINH TAN D	2021	FFS	RENDERING	AGE 0-20	583	None	3,258	None	452	None	1,073	None	198	None	381	None	525	None	594	None
1609243617	TRINH TAN D	2021	FFS	RENDERING	AGE 21+	688	None	2,388	None	198	None	390	None	263	None	615	None	501	None	501	None
1609246008	DERONIAN CHRISTIN V	2021	FFS	RENDERING	AGE 0-20	73	None	1,137	None	60	None	162	None	57	None	335	None	59	None	68	None
1609246008	DERONIAN CHRISTIN V	2021	FFS	RENDERING	AGE 21+	281	None	3,437	None	149	None	268	None	246	None	1,545	None	199	None	202	None
1609246792	HACOPIAN NINETTE	2021	FFS	RENDERING	AGE 0-20	1,316	None	2,750	None	None	1	None	1	420	None	855	None	0	None	0	None
1609246792	HACOPIAN NINETTE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609254143	SHEIKH AND SHELAT DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1609272939	CUMBY RYAN J	2021	FFS	RENDERING	AGE 0-20	11	None	44	None	None	1	None	2	None	1	None	1	None	1	None	1
1609272939	CUMBY RYAN J	2021	FFS	RENDERING	AGE 21+	14	None	47	None	None	1	None	1	None	1	None	2	None	1	None	1
1609272939	CUMBY RYAN J	2021	GMC	RENDERING	AGE 0-20	1,778	None	11,494	None	1,217	None	4,864	None	522	None	975	None	792	None	843	None
1609272939	CUMBY RYAN J	2021	GMC	RENDERING	AGE 21+	77	None	281	None	33	None	64	None	49	None	92	None	33	None	33	None
1609273101	CHILDREN'S DENTISTRY AND ORT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1609276591	LE LINDA T	2021	FFS	RENDERING	AGE 0-20	204	None	1,757	None	184	None	683	None	81	None	321	None	197	None	241	None
1609276591	LE LINDA T	2021	FFS	RENDERING	AGE 21+	303	None	1,845	None	225	None	372	None	154	None	718	None	276	None	278	None
1609281443	YEE VIVIAN E	2021	FFS	RENDERING	AGE 0-20	832	None	3,380	None	591	None	1,418	None	358	None	1,117	None	621	None	668	None
1609281443	YEE VIVIAN E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1609285691	DADGAR-YEGANEH, AMIR DDS	2021	FFS	RENDERING	AGE 0-20	221	None	496	None	0	None	0	None	59	None	97	None	0	None	0	None
1609285691	DADGAR-YEGANEH, AMIR DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609311042	KHALID HASAN W	2021	FFS	RENDERING	AGE 0-20	326	None	2,421	None	265	None	647	None	152	None	426	None	271	None	302	None
1609311042	KHALID HASAN W	2021	FFS	RENDERING	AGE 21+	1,202	None	8,392	None	635	None	1,119	None	833	None	3,229	None	818	None	823	None
1609319011	BALIAN, KAREEN, DMD	2021	FFS	RENDERING	AGE 0-20	897	None	9,095	None	762	None	2,346	None	277	None	670	None	842	None	1,035	None
1609319011	BALIAN, KAREEN, DMD	2021	FFS	RENDERING	AGE 21+	542	None	3,646	None	310	None	615	None	302	None	808	None	388	None	389	None
1609320241	DOUSTI MAHSA	2021	FFS	RENDERING	AGE 0-20	393	None	602	None	None	1	None	1	67	None	111	None	None	1	None	1
1609320241	DOUSTI MAHSA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1609320241	DOUSTI MAHSA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609365675	JAMEEL SAM H	2021	FFS	RENDERING	AGE 0-20	325	None	1,826	None	249	None	744	None	133	None	231	None	250	None	251	None
1609365675	JAMEEL SAM H	2021	FFS	RENDERING	AGE 21+	345	None	1,061	None	73	None	133	None	190	None	458	None	126	None	126	None
1609365675	JAMEEL SAM H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609365675	JAMEEL SAM H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609366186	JHALA TORAL N	2021	FFS	RENDERING	AGE 0-20	335	None	1,989	None	220	None	869	None	109	None	260	None	295	None	297	None
1609366186	JHALA TORAL N	2021	FFS	RENDERING	AGE 21+	911	None	2,943	None	138	None	267	None	351	None	926	None	633	None	636	None
1609366186	JHALA TORAL N	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609366186	JHALA TORAL N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609372598	JEON JENNY J	2021	FFS	RENDERING	AGE 0-20	403	None	482	None	0	None	0	None	288	None	347	None	0	None	0	None
1609391549	SINGH SOORAJ	2021	GMC	RENDERING	AGE 0-20	671	None	4,034	None	453	None	992	None	172	None	293	None	571	None	667	None
1609391549	SINGH SOORAJ	2021	GMC	RENDERING	AGE 21+	1,274	None	7,853	None	509	None	1,020	None	803	None	1,741	None	866	None	874	None
1609429273	JAMPALA NAVYA Y	2021	FFS	RENDERING	AGE 0-20	166	None	782	None	81	None	210	None	59	None	163	None	130	None	130	None
1609429273	JAMPALA NAVYA Y	2021	FFS	RENDERING	AGE 21+	486	None	1,694	None	114	None	207	None	217	None	570	None	345	None	347	None
1609429273	JAMPALA NAVYA Y	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1609445857	KOHANOFF MELODY	2021	FFS	RENDERING	AGE 0-20	208	None	1,312	None	166	None	434	None	110	None	274	None	164	None	164	None
1609445857	KOHANOFF MELODY	2021	FFS	RENDERING	AGE 21+	198	None	924	None	79	None	81	None	155	None	447	None	85	None	85	None
1609447036	MUBARIK JAMSHID	2021	FFS	RENDERING	AGE 0-20	110	None	545	None	23	None	52	None	68	None	162	None	42	None	42	None
1609447036	MUBARIK JAMSHID	2021	FFS	RENDERING	AGE 21+	203	None	794	None	18	None	33	None	144	None	417	None	76	None	76	None
1609479724	GOYAL RUCHI	2021	FFS	RENDERING	AGE 0-20	108	None	706	None	57	None	243	None	61	None	253	None	62	None	62	None
1609479724	GOYAL RUCHI	2021	FFS	RENDERING	AGE 21+	238	None	1,047	None	91	None	180	None	114	None	485	None	152	None	152	None
1609542422	OCHOA ALCALA BERNARDO	2021	FFS	RENDERING	AGE 0-20	18	None	135	None	13	None	27	None	None	1	None	1	13	None	13	None
1609542422	OCHOA ALCALA BERNARDO	2021	FFS	RENDERING	AGE 21+	14	None	71	None	None	1	None	1	None	1	None	2	None	1	None	1
1609800762	GUPTA REENA	2021	FFS	RENDERING	AGE 0-20	173	None	1,362	None	157	None	581	None	79	None	174	None	145	None	184	None
1609800762	GUPTA REENA	2021	FFS	RENDERING	AGE 21+	408	None	2,339	None	297	None	582	None	226	None	627	None	321	None	321	None
1609830603	CHEN PETER	2021	FFS	RENDERING	AGE 0-20	63	None	774	None	60	None	272	None	29	None	85	None	62	None	106	None
1609830603	CHEN PETER	2021	FFS	RENDERING	AGE 21+	74	None	527	None	63	None	125	None	44	None	179	None	68	None	68	None
1609831783	SANTIAGO FAITH V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1609831783	SANTIAGO FAITH V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1609861814	YANG, JUNGCHUN, DDS	2021	FFS	RENDERING	AGE 0-20	42	None	416	None	38	None	92	None	13	None	31	None	37	None	37	None
1609861814	YANG, JUNGCHUN, DDS	2021	FFS	RENDERING	AGE 21+	38	None	251	None	11	None	22	None	24	None	66	None	11	None	11	None
1609866888	BEAN, JEFFREY D, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1609866888	BEAN, JEFFREY D, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609867480	THAI, LINDA T, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	131	None	23	None	53	None	None	1	None	1	22	None	26	None
1609867480	THAI, LINDA T, DDS	2021	FFS	RENDERING	AGE 21+	83	None	511	None	61	None	120	None	57	None	122	None	63	None	63	None
1609873876	SHIFLETT KANOKNUCH S	2021	FFS	RENDERING	AGE 0-20	1,585	None	24,107	None	1,500	None	6,071	None	1,035	None	3,224	None	1,246	None	1,810	None
1609873876	SHIFLETT KANOKNUCH S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1609873876	SHIFLETT KANOKNUCH S	2021	PHP	RENDERING	AGE 0-20	13	None	107	None	None	1	None	2	13	None	71	None	0	None	0	None
1609890631	LEE, DAVID B, DDS	2021	FFS	RENDERING	AGE 0-20	266	None	1,526	None	154	None	525	None	107	None	302	None	194	None	205	None
1609890631	LEE, DAVID B, DDS	2021	FFS	RENDERING	AGE 21+	106	None	709	None	71	None	143	None	71	None	222	None	76	None	76	None
1609895184	LE DIEP H	2021	FFS	RENDERING	AGE 0-20	332	None	3,181	None	310	None	1,214	None	169	None	416	None	315	None	421	None
1609895184	LE DIEP H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1609895184	LE, DIEP H, DDS DENTAL CORPO	2021	FFS	RENDERING	AGE 0-20	332	None	3,181	None	310	None	1,214	None	169	None	416	None	315	None	421	None
1609895184	LE, DIEP H, DDS DENTAL CORPO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1609904366	VASQUEZ JERSON M	2021	FFS	RENDERING	AGE 0-20	463	None	3,176	None	307	None	690	None	119	None	261	None	396	None	415	None
1609904366	VASQUEZ JERSON M	2021	FFS	RENDERING	AGE 21+	765	None	3,442	None	162	None	302	None	376	None	1,128	None	575	None	581	None
1609904366	VASQUEZ JERSON M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1609905850	PHAN MINDY T	2021	FFS	RENDERING	AGE 0-20	1,473	None	18,714	None	1,300	None	5,069	None	1,070	None	4,110	None	1,274	None	1,813	None
1609905850	PHAN MINDY T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1609906403	HERNANDEZ-ZAMUDIO, JORGE, DD	2021	FFS	RENDERING	AGE 0-20	104	None	1,852	None	66	None	332	None	67	None	442	None	87	None	196	None
1609906403	HERNANDEZ-ZAMUDIO, JORGE, DD	2021	FFS	RENDERING	AGE 21+	145	None	1,828	None	21	None	82	None	123	None	906	None	78	None	156	None
1609906775	ZARRINNAM LILA	2021	FFS	RENDERING	AGE 0-20	64	None	387	None	57	None	171	None	25	None	76	None	52	None	60	None
1609906775	ZARRINNAM LILA	2021	FFS	RENDERING	AGE 21+	99	None	496	None	45	None	77	None	66	None	211	None	73	None	73	None
1609911361	GARMESTANI MARJAN	2021	FFS	RENDERING	AGE 0-20	837	None	6,478	None	592	None	1,460	None	471	None	1,400	None	557	None	559	None
1609911361	GARMESTANI MARJAN	2021	FFS	RENDERING	AGE 21+	367	None	1,618	None	40	None	80	None	247	None	559	None	145	None	145	None
1609911361	GARMESTANI MARJAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1609911361	GARMESTANI MARJAN	2021	PHP	RENDERING	AGE 0-20	26	None	170	None	20	None	64	None	18	None	48	None	16	None	16	None
1609911361	GARMESTANI MARJAN	2021	PHP	RENDERING	AGE 21+	29	None	97	None	None	1	None	2	20	None	42	None	13	None	13	None
1609911965	BROCKMAN LAWRENCE ARTHUR	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1609911965	BROCKMAN LAWRENCE ARTHUR	2021	PHP	RENDERING	AGE 21+	79	None	232	None	0	None	0	None	50	None	103	None	74	None	90	None
1609914209	EDWARDS JAMES B	2021	FFS	RENDERING	AGE 0-20	467	None	3,105	None	0	None	0	None	461	None	3,095	None	None	1	None	1
1609914209	EDWARDS JAMES B	2021	FFS	RENDERING	AGE 21+	616	None	4,461	None	0	None	0	None	594	None	4,390	None	37	None	37	None
1609919240	CONDE, NIMFA DDS	2021	FFS	RENDERING	AGE 0-20	410	None	5,925	None	384	None	1,276	None	276	None	1,321	None	391	None	588	None
1609919240	CONDE, NIMFA DDS	2021	FFS	RENDERING	AGE 21+	232	None	2,631	None	159	None	316	None	160	None	1,051	None	180	None	180	None
1609925320	KAM, CURTIS P., DDS	2021	FFS	RENDERING	AGE 0-20	678	None	2,986	None	339	None	786	None	295	None	692	None	434	None	442	None
1609925320	KAM, CURTIS P., DDS	2021	FFS	RENDERING	AGE 21+	11	None	24	None	None	1	None	1	None	1	None	1	None	1	None	1
1609925411	KIM, MICHELE DDS	2021	FFS	RENDERING	AGE 0-20	80	None	767	None	71	None	294	None	57	None	152	None	72	None	107	None
1609925411	KIM, MICHELE DDS	2021	FFS	RENDERING	AGE 21+	59	None	451	None	37	None	74	None	51	None	197	None	38	None	41	None
1609929934	LAT MARIA CRISTI C	2021	FFS	RENDERING	AGE 0-20	115	None	1,132	None	108	None	300	None	42	None	186	None	113	None	149	None
1609929934	LAT MARIA CRISTI C	2021	FFS	RENDERING	AGE 21+	96	None	878	None	66	None	70	None	50	None	204	None	81	None	81	None
1609930585	PETERS SANGLIM L	2021	FFS	RENDERING	AGE 0-20	385	None	3,855	None	315	None	782	None	211	None	814	None	326	None	374	None
1609930585	PETERS SANGLIM L	2021	FFS	RENDERING	AGE 21+	279	None	1,709	None	133	None	268	None	161	None	578	None	209	None	210	None
1609930700	ZOBAER MOHAMMED A	2021	FFS	RENDERING	AGE 0-20	55	None	245	None	40	None	132	None	None	1	None	2	47	None	48	None
1609930700	ZOBAER MOHAMMED A	2021	FFS	RENDERING	AGE 21+	195	None	718	None	98	None	187	None	63	None	170	None	166	None	166	None
1609931203	DICKEY, JAMES DDS	2021	FFS	RENDERING	AGE 0-20	867	None	10,466	None	750	None	2,126	None	564	None	2,426	None	676	None	874	None
1609931203	DICKEY, JAMES DDS	2021	FFS	RENDERING	AGE 21+	297	None	2,507	None	117	None	232	None	202	None	739	None	153	None	153	None
1609931203	DICKEY, JAMES E, DDS	2021	FFS	RENDERING	AGE 0-20	867	None	10,466	None	750	None	2,126	None	564	None	2,426	None	676	None	874	None
1609931203	DICKEY, JAMES E, DDS	2021	FFS	RENDERING	AGE 21+	297	None	2,507	None	117	None	232	None	202	None	739	None	153	None	153	None
1609942168	DINKHA, WILLIAM Z, DDS	2021	FFS	RENDERING	AGE 0-20	235	None	1,973	None	198	None	716	None	83	None	182	None	228	None	257	None
1609942168	DINKHA, WILLIAM Z, DDS	2021	FFS	RENDERING	AGE 21+	549	None	3,315	None	363	None	698	None	335	None	1,284	None	518	None	518	None
1609943125	ASUNCION, RAMIL LIMCAOCO DDM	2021	FFS	RENDERING	AGE 0-20	47	None	303	None	37	None	94	None	19	None	51	None	38	None	45	None
1609943125	ASUNCION, RAMIL LIMCAOCO DDM	2021	FFS	RENDERING	AGE 21+	268	None	1,314	None	158	None	309	None	141	None	426	None	184	None	184	None
1609945070	SANDOVAL QUINTERO PROF DENTA	2021	FFS	RENDERING	AGE 0-20	84	None	917	None	67	None	228	None	60	None	243	None	70	None	85	None
1609945070	SANDOVAL QUINTERO PROF DENTA	2021	FFS	RENDERING	AGE 21+	127	None	1,339	None	55	None	87	None	108	None	781	None	99	None	100	None
1609949635	AMISOLA, SHEILA	2021	FFS	RENDERING	AGE 0-20	1,621	None	22,794	None	1,525	None	6,186	None	1,098	None	4,832	None	1,514	None	2,059	None
1609949635	AMISOLA, SHEILA	2021	FFS	RENDERING	AGE 21+	54	None	355	None	47	None	94	None	18	None	89	None	49	None	49	None
1609952084	LE, YEN P DDS	2021	FFS	RENDERING	AGE 0-20	419	None	1,207	None	0	None	0	None	226	None	788	None	0	None	0	None
1609952084	LE, YEN P DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1609960632	CHOI, CHRISTOPHER B DDS	2021	FFS	RENDERING	AGE 0-20	72	None	985	None	68	None	195	None	22	None	106	None	66	None	76	None
1609960632	CHOI, CHRISTOPHER B DDS	2021	FFS	RENDERING	AGE 21+	488	None	6,070	None	328	None	329	None	289	None	1,816	None	422	None	422	None
1609961911	COLEMAN JR PAUL H	2021	FFS	RENDERING	AGE 0-20	30	None	73	None	17	None	32	None	None	1	None	2	21	None	21	None
1609961911	COLEMAN JR PAUL H	2021	FFS	RENDERING	AGE 21+	21	None	40	None	None	1	None	1	None	1	None	2	19	None	19	None
1609965821	NGUYEN NGOC CHI T	2021	FFS	RENDERING	AGE 0-20	83	None	560	None	64	None	287	None	38	None	87	None	67	None	71	None
1609965821	NGUYEN NGOC CHI T	2021	FFS	RENDERING	AGE 21+	129	None	656	None	80	None	152	None	73	None	250	None	94	None	94	None
1609965821	NGUYEN NGOC CHI T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1609966464	ACUMAN FRANCISCA G	2021	FFS	RENDERING	AGE 0-20	696	None	6,912	None	615	None	1,947	None	229	None	583	None	650	None	891	None
1609966464	ACUMAN FRANCISCA G	2021	FFS	RENDERING	AGE 21+	372	None	2,304	None	225	None	447	None	228	None	760	None	269	None	269	None
1609967173	AWBREY, LAWRENCE S, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	109	None	15	None	30	None	None	1	None	1	15	None	17	None
1609967173	AWBREY, LAWRENCE S, DDS	2021	FFS	RENDERING	AGE 21+	116	None	936	None	88	None	88	None	71	None	330	None	90	None	90	None
1609976307	LIN, WILLIAM W, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	176	None	19	None	57	None	13	None	40	None	22	None	27	None
1609976307	LIN, WILLIAM W, DDS	2021	FFS	RENDERING	AGE 21+	72	None	412	None	55	None	104	None	30	None	111	None	65	None	65	None
1609978121	MAKADIA, DINESH	2021	FFS	RENDERING	AGE 0-20	905	None	15,200	None	793	None	2,871	None	596	None	2,576	None	862	None	1,084	None
1609978121	MAKADIA, DINESH	2021	FFS	RENDERING	AGE 21+	1,054	None	14,619	None	370	None	729	None	837	None	4,695	None	781	None	782	None
1609985860	DE JOYA, RUTH S DMD	2021	FFS	RENDERING	AGE 0-20	214	None	1,683	None	212	None	822	None	69	None	170	None	211	None	256	None
1609985860	DE JOYA, RUTH S DMD	2021	FFS	RENDERING	AGE 21+	339	None	2,531	None	237	None	463	None	263	None	948	None	247	None	247	None
1609996107	ALCANTARA-BUENO MARIA S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1609996107	ALCANTARA-BUENO MARIA S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1609998319	YAVARI FOROUZAN	2021	FFS	RENDERING	AGE 0-20	21	None	145	None	20	None	78	None	None	1	None	2	20	None	23	None
1609998319	YAVARI FOROUZAN	2021	FFS	RENDERING	AGE 21+	91	None	493	None	38	None	38	None	64	None	227	None	63	None	63	None
1619001500	RODRIGUEZ, CRISTINA DDS	2021	FFS	RENDERING	AGE 0-20	59	None	486	None	43	None	160	None	20	None	63	None	47	None	50	None
1619001500	RODRIGUEZ, CRISTINA DDS	2021	FFS	RENDERING	AGE 21+	77	None	571	None	32	None	44	None	56	None	210	None	43	None	43	None
1619006400	NGUYEN ELIZABETH T	2021	FFS	RENDERING	AGE 0-20	99	None	888	None	82	None	236	None	51	None	171	None	87	None	111	None
1619007598	ASSATOURIANS ALBERT	2021	FFS	RENDERING	AGE 0-20	229	None	3,025	None	199	None	609	None	107	None	317	None	214	None	253	None
1619007598	ASSATOURIANS ALBERT	2021	FFS	RENDERING	AGE 21+	255	None	1,704	None	92	None	166	None	181	None	681	None	152	None	153	None
1619007598	ASSATOURIANS, ALBERT, DDS	2021	FFS	RENDERING	AGE 0-20	229	None	3,025	None	199	None	609	None	107	None	317	None	214	None	253	None
1619007598	ASSATOURIANS, ALBERT, DDS	2021	FFS	RENDERING	AGE 21+	255	None	1,704	None	92	None	166	None	181	None	681	None	152	None	153	None
1619013570	MIRAI ARMAN	2021	FFS	RENDERING	AGE 0-20	42	None	354	None	24	None	50	None	24	None	50	None	28	None	28	None
1619013570	MIRAI ARMAN	2021	FFS	RENDERING	AGE 21+	40	None	165	None	None	1	None	1	30	None	45	None	11	None	11	None
1619013570	MIRAI ARMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1619013570	MIRAI ARMAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619018967	CHANG, SZU-TSUNG, DDS	2021	FFS	RENDERING	AGE 0-20	265	None	2,871	None	192	None	682	None	161	None	492	None	198	None	220	None
1619018967	CHANG, SZU-TSUNG, DDS	2021	FFS	RENDERING	AGE 21+	511	None	3,306	None	195	None	395	None	383	None	1,059	None	250	None	253	None
1619018967	CHANG, SZU-TSUNG, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1619018967	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	265	None	2,871	None	192	None	682	None	161	None	492	None	198	None	220	None
1619018967	UNKNOWN	2021	FFS	RENDERING	AGE 21+	511	None	3,306	None	195	None	395	None	383	None	1,059	None	250	None	253	None
1619018967	UNKNOWN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1619021318	EFTEKHARZADEH SINA	2021	FFS	RENDERING	AGE 0-20	14	None	100	None	14	None	39	None	None	1	None	1	12	None	13	None
1619021318	EFTEKHARZADEH SINA	2021	FFS	RENDERING	AGE 21+	79	None	540	None	26	None	33	None	47	None	256	None	53	None	53	None
1619023983	MARTINEZ DANIEL	2021	FFS	RENDERING	AGE 0-20	4,332	None	43,014	None	3,968	None	11,698	None	2,652	None	8,690	None	3,976	None	4,955	None
1619023983	MARTINEZ DANIEL	2021	FFS	RENDERING	AGE 21+	75	None	598	None	44	None	87	None	38	None	85	None	51	None	51	None
1619023983	MARTINEZ DANIEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1619024775	BOUTROS ATEF A	2021	FFS	RENDERING	AGE 0-20	227	None	1,589	None	33	None	88	None	115	None	218	None	128	None	128	None
1619024775	BOUTROS ATEF A	2021	FFS	RENDERING	AGE 21+	96	None	623	None	17	None	29	None	49	None	102	None	50	None	50	None
1619025277	VAISMAN ANATOLY	2021	FFS	RENDERING	AGE 0-20	22	None	200	None	17	None	35	None	None	1	None	2	14	None	14	None
1619025277	VAISMAN ANATOLY	2021	FFS	RENDERING	AGE 21+	118	None	887	None	45	None	45	None	67	None	237	None	56	None	56	None
1619026374	WONG DAVID G	2021	FFS	RENDERING	AGE 0-20	228	None	311	None	0	None	0	None	18	None	24	None	0	None	0	None
1619026374	WONG DAVID G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619026895	OSMOLINSKI ERIC A	2021	FFS	RENDERING	AGE 0-20	333	None	1,512	None	0	None	0	None	317	None	1,275	None	42	None	45	None
1619026895	OSMOLINSKI ERIC A	2021	FFS	RENDERING	AGE 21+	441	None	2,021	None	0	None	0	None	419	None	1,587	None	79	None	81	None
1619026895	OSMOLINSKI ERIC A	2021	GMC	RENDERING	AGE 0-20	92	None	623	None	0	None	0	None	91	None	569	None	None	1	None	1
1619026895	OSMOLINSKI ERIC A	2021	GMC	RENDERING	AGE 21+	275	None	1,506	None	0	None	0	None	153	None	1,088	None	220	None	220	None
1619031119	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1619031119	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1619033255	HAGEY, DEBORAH A, RDHAP	2021	FFS	RENDERING	AGE 0-20	45	None	291	None	44	None	184	None	0	None	0	None	0	None	0	None
1619033255	HAGEY, DEBORAH A, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1619034998	SUH, INAE J DDS	2021	FFS	RENDERING	AGE 0-20	87	None	761	None	79	None	217	None	57	None	241	None	78	None	100	None
1619034998	SUH, INAE J DDS	2021	FFS	RENDERING	AGE 21+	105	None	757	None	66	None	67	None	90	None	464	None	71	None	71	None
1619035920	TRAN NGOC K	2021	FFS	RENDERING	AGE 0-20	238	None	1,511	None	185	None	495	None	98	None	285	None	191	None	216	None
1619035920	TRAN NGOC K	2021	FFS	RENDERING	AGE 21+	442	None	2,041	None	139	None	213	None	283	None	916	None	307	None	310	None
1619036472	YE CHONG K	2021	FFS	RENDERING	AGE 0-20	709	None	4,851	None	612	None	1,979	None	268	None	493	None	675	None	797	None
1619036472	YE CHONG K	2021	FFS	RENDERING	AGE 21+	903	None	3,792	None	255	None	501	None	434	None	1,291	None	676	None	677	None
1619036472	YE CHONG K	2021	PHP	RENDERING	AGE 0-20	16	None	106	None	12	None	33	None	None	1	None	2	11	None	12	None
1619036472	YE CHONG K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1619041001	TRAN MUN N	2021	FFS	RENDERING	AGE 0-20	167	None	2,094	None	155	None	626	None	87	None	261	None	146	None	191	None
1619041001	TRAN MUN N	2021	FFS	RENDERING	AGE 21+	201	None	1,306	None	140	None	283	None	135	None	355	None	55	None	55	None
1619053170	HACKMAN JESSICA Y	2021	FFS	RENDERING	AGE 0-20	79	None	245	None	None	1	None	1	75	None	235	None	0	None	0	None
1619053170	HACKMAN JESSICA Y	2021	FFS	RENDERING	AGE 21+	204	None	499	None	None	1	None	1	199	None	468	None	None	1	None	1
1619053501	CADAVID, FREDIA ISIS, DDS	2021	FFS	RENDERING	AGE 0-20	83	None	1,179	None	79	None	295	None	68	None	386	None	76	None	91	None
1619053501	CADAVID, FREDIA ISIS, DDS	2021	FFS	RENDERING	AGE 21+	133	None	1,459	None	85	None	170	None	116	None	873	None	103	None	103	None
1619056736	HONG, JUSTIN S DDS	2021	FFS	RENDERING	AGE 0-20	181	None	742	None	0	None	0	None	68	None	232	None	0	None	0	None
1619056736	HONG, JUSTIN S DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619060118	VITAL, JORGE E DDS	2021	FFS	RENDERING	AGE 0-20	249	None	1,261	None	217	None	505	None	88	None	198	None	231	None	284	None
1619060118	VITAL, JORGE E DDS	2021	FFS	RENDERING	AGE 21+	266	None	900	None	86	None	86	None	184	None	489	None	161	None	164	None
1619062619	FANAIAN, MASOUD DDS	2021	FFS	RENDERING	AGE 0-20	1,149	None	10,338	None	1,088	None	3,487	None	507	None	1,315	None	957	None	1,378	None
1619062619	FANAIAN, MASOUD DDS	2021	FFS	RENDERING	AGE 21+	282	None	1,625	None	168	None	176	None	137	None	424	None	230	None	236	None
1619065653	DUONG, BICH-HAI THI, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1619071883	RIVERA OSCAR R	2021	FFS	RENDERING	AGE 0-20	70	None	1,229	None	17	None	33	None	70	None	1,008	None	0	None	0	None
1619084621	SELIVERSTOVA VIKTORIYA V	2021	FFS	RENDERING	AGE 0-20	214	None	1,766	None	183	None	546	None	73	None	286	None	178	None	205	None
1619084621	SELIVERSTOVA VIKTORIYA V	2021	FFS	RENDERING	AGE 21+	19	None	74	None	13	None	26	None	None	1	None	1	14	None	14	None
1619084985	MCQUIRTER, JOSEPH L, DDS	2021	FFS	RENDERING	AGE 0-20	37	None	134	None	0	None	0	None	25	None	75	None	25	None	25	None
1619084985	MCQUIRTER, JOSEPH L, DDS	2021	FFS	RENDERING	AGE 21+	103	None	473	None	0	None	0	None	82	None	281	None	76	None	76	None
1619084985	MCQUIRTER, JOSEPH L, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1619096914	ARAKAKI JR HENRY Y	2021	FFS	RENDERING	AGE 0-20	4,692	None	37,141	None	4,141	None	11,729	None	2,666	None	5,844	None	3,878	None	4,209	None
1619100088	DESABELLE ALESSANDRA G	2021	FFS	RENDERING	AGE 0-20	1,465	None	13,803	None	1,381	None	5,152	None	695	None	1,758	None	1,405	None	1,753	None
1619100088	DESABELLE ALESSANDRA G	2021	FFS	RENDERING	AGE 21+	1,038	None	5,631	None	400	None	800	None	554	None	1,941	None	813	None	813	None
1619111465	CHUNG CHARLES H	2021	FFS	RENDERING	AGE 0-20	105	None	285	None	47	None	94	None	37	None	91	None	41	None	41	None
1619111465	CHUNG CHARLES H	2021	FFS	RENDERING	AGE 21+	261	None	564	None	45	None	61	None	129	None	293	None	101	None	101	None
1619111465	CHUNG CHARLES H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1619111465	CHUNG CHARLES H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1619120250	JANG SAEHOON	2021	FFS	RENDERING	AGE 0-20	622	None	6,384	None	520	None	1,630	None	383	None	1,111	None	566	None	706	None
1619120250	JANG SAEHOON	2021	FFS	RENDERING	AGE 21+	869	None	8,453	None	284	None	575	None	777	None	3,197	None	294	None	295	None
1619124203	BELLI DIANA M	2021	FFS	RENDERING	AGE 0-20	563	None	1,818	None	0	None	0	None	563	None	1,818	None	0	None	0	None
1619126943	BOLOORCHI, NEGAR DDS	2021	FFS	RENDERING	AGE 0-20	328	None	2,318	None	156	None	387	None	194	None	1,103	None	181	None	181	None
1619127180	SAFARI MEHRI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619127180	SAFARI MEHRI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619131307	ADEL M FRANSIS DDS INC	2021	PHP	RENDERING	AGE 0-20	30	None	219	None	25	None	90	None	12	None	27	None	27	None	27	None
1619131307	ADEL M FRANSIS DDS INC	2021	PHP	RENDERING	AGE 21+	19	None	79	None	None	1	None	1	None	1	None	2	16	None	16	None
1619132057	SERVAN DIAZ, EDUARDO W DDS	2021	FFS	RENDERING	AGE 0-20	337	None	5,340	None	331	None	1,430	None	204	None	561	None	334	None	468	None
1619132057	SERVAN DIAZ, EDUARDO W DDS	2021	FFS	RENDERING	AGE 21+	339	None	3,741	None	225	None	449	None	291	None	1,372	None	247	None	247	None
1619132057	SERVAN DIAZ, EDUARDO W DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619136512	MOLAYEM ARASH D	2021	FFS	RENDERING	AGE 0-20	1,690	None	18,433	None	1,470	None	4,332	None	917	None	3,802	None	1,407	None	1,533	None
1619136512	MOLAYEM ARASH D	2021	FFS	RENDERING	AGE 21+	115	None	682	None	31	None	62	None	43	None	115	None	74	None	74	None
1619136512	MOLAYEM ARASH D	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1619136512	MOLAYEM ARASH D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619149333	YAVARI MANSOUREH	2021	FFS	RENDERING	AGE 0-20	822	None	13,572	None	501	None	2,076	None	726	None	4,722	None	594	None	674	None
1619149333	YAVARI MANSOUREH	2021	FFS	RENDERING	AGE 21+	483	None	7,295	None	104	None	183	None	413	None	3,629	None	331	None	332	None
1619154507	PHAM MICHAEL T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1619161361	YAZDANI FARZAD	2021	FFS	RENDERING	AGE 0-20	358	None	2,910	None	315	None	1,363	None	78	None	222	None	332	None	430	None
1619161361	YAZDANI FARZAD	2021	FFS	RENDERING	AGE 21+	538	None	2,406	None	264	None	502	None	286	None	953	None	380	None	382	None
1619167053	DANOUKH VACHIK G	2021	FFS	RENDERING	AGE 0-20	136	None	1,085	None	118	None	371	None	60	None	199	None	127	None	172	None
1619167053	DANOUKH VACHIK G	2021	FFS	RENDERING	AGE 21+	481	None	3,622	None	298	None	529	None	376	None	1,686	None	339	None	339	None
1619171733	BANERJEE SHIKHA	2021	FFS	RENDERING	AGE 0-20	73	None	888	None	60	None	210	None	32	None	87	None	65	None	91	None
1619171733	BANERJEE SHIKHA	2021	FFS	RENDERING	AGE 21+	167	None	1,521	None	120	None	195	None	110	None	443	None	124	None	126	None
1619175452	HAN XIANG N	2021	FFS	RENDERING	AGE 0-20	110	None	792	None	94	None	308	None	73	None	185	None	103	None	116	None
1619175452	HAN XIANG N	2021	FFS	RENDERING	AGE 21+	214	None	1,256	None	110	None	220	None	138	None	517	None	181	None	183	None
1619176252	CUA GRACIA B	2021	FFS	RENDERING	AGE 0-20	240	None	290	None	0	None	0	None	24	None	34	None	0	None	0	None
1619176252	CUA GRACIA B	2021	FFS	RENDERING	AGE 21+	24	None	25	None	0	None	0	None	0	None	0	None	0	None	0	None
1619179900	CHOI HAROLD	2021	FFS	RENDERING	AGE 0-20	99	None	811	None	71	None	209	None	37	None	134	None	90	None	106	None
1619179900	CHOI HAROLD	2021	FFS	RENDERING	AGE 21+	604	None	3,634	None	223	None	425	None	333	None	1,098	None	403	None	403	None
1619179900	CHOI HAROLD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1619180023	YANG THEODORE M	2021	FFS	RENDERING	AGE 0-20	87	None	558	None	75	None	225	None	42	None	119	None	78	None	104	None
1619180023	YANG THEODORE M	2021	FFS	RENDERING	AGE 21+	209	None	971	None	119	None	238	None	118	None	247	None	147	None	147	None
1619180098	PATEL HIRENKUMAR	2021	FFS	RENDERING	AGE 0-20	101	None	1,195	None	95	None	352	None	38	None	114	None	94	None	102	None
1619180098	PATEL HIRENKUMAR	2021	FFS	RENDERING	AGE 21+	190	None	2,023	None	133	None	254	None	118	None	488	None	157	None	157	None
1619181070	DONG, MOO GIL, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	263	None	41	None	102	None	None	1	None	2	40	None	43	None
1619181070	DONG, MOO GIL, DDS	2021	FFS	RENDERING	AGE 21+	77	None	391	None	62	None	62	None	32	None	113	None	65	None	65	None
1619181138	BLANCO-SPAETH, LIGIA IDALIA,	2021	FFS	RENDERING	AGE 0-20	258	None	1,883	None	232	None	600	None	89	None	322	None	235	None	294	None
1619181138	BLANCO-SPAETH, LIGIA IDALIA,	2021	FFS	RENDERING	AGE 21+	296	None	2,164	None	220	None	419	None	193	None	1,009	None	246	None	246	None
1619181138	BLANCO-SPAETH, LIGIA IDALIA,	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619182037	SORIANO, ROY DAGAMAT DDS	2021	FFS	RENDERING	AGE 0-20	488	None	6,247	None	441	None	1,500	None	230	None	829	None	460	None	567	None
1619182037	SORIANO, ROY DAGAMAT DDS	2021	FFS	RENDERING	AGE 21+	914	None	9,109	None	332	None	671	None	723	None	3,187	None	717	None	723	None
1619182110	WONG, STEPHEN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619184223	REYES, MARTIN DDS	2021	FFS	RENDERING	AGE 0-20	247	None	2,501	None	210	None	591	None	127	None	424	None	198	None	221	None
1619184223	REYES, MARTIN DDS	2021	FFS	RENDERING	AGE 21+	472	None	4,047	None	173	None	280	None	332	None	1,609	None	278	None	278	None
1619184223	REYES, MARTIN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619184223	REYES, MARTIN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1619187390	MAUSETH SPENCER E	2021	FFS	RENDERING	AGE 0-20	236	None	2,297	None	228	None	951	None	154	None	463	None	203	None	281	None
1619187440	CHIU LI-CHUN	2021	FFS	RENDERING	AGE 0-20	69	None	384	None	66	None	190	None	21	None	52	None	64	None	91	None
1619187440	CHIU LI-CHUN	2021	FFS	RENDERING	AGE 21+	197	None	873	None	149	None	149	None	136	None	401	None	162	None	162	None
1619188638	ORTEGA, RODRIGO DDS	2021	FFS	RENDERING	AGE 0-20	73	None	592	None	46	None	73	None	27	None	74	None	56	None	61	None
1619188638	ORTEGA, RODRIGO DDS	2021	FFS	RENDERING	AGE 21+	213	None	1,664	None	13	None	18	None	122	None	415	None	132	None	133	None
1619188638	ORTEGA, RODRIGO DDS	2021	PHP	RENDERING	AGE 0-20	33	None	184	None	26	None	68	None	15	None	20	None	26	None	29	None
1619188638	ORTEGA, RODRIGO DDS	2021	PHP	RENDERING	AGE 21+	22	None	77	None	None	1	None	2	12	None	15	None	12	None	12	None
1619196318	BUENAVENTURA ESPERANZA S	2021	PHP	RENDERING	AGE 0-20	120	None	567	None	97	None	267	None	61	None	76	None	52	None	53	None
1619196318	BUENAVENTURA ESPERANZA S	2021	PHP	RENDERING	AGE 21+	11	None	41	None	None	1	None	2	None	1	None	1	None	1	None	1
1619199668	JOHNSON ELIZABETH A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1619199668	JOHNSON ELIZABETH A	2021	GMC	RENDERING	AGE 0-20	1,037	None	5,341	None	589	None	1,959	None	217	None	300	None	452	None	460	None
1619227352	LEE PAUL C	2021	FFS	RENDERING	AGE 0-20	523	None	1,310	None	0	None	0	None	235	None	711	None	0	None	0	None
1619227352	LEE PAUL C	2021	FFS	RENDERING	AGE 21+	17	None	23	None	0	None	0	None	17	None	17	None	0	None	0	None
1619230836	NOURI NILOUFAR	2021	FFS	RENDERING	AGE 0-20	269	None	399	None	0	None	0	None	53	None	116	None	None	1	None	1
1619230836	NOURI NILOUFAR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619230836	NOURI NILOUFAR	2021	PHP	RENDERING	AGE 0-20	19	None	70	None	0	None	0	None	18	None	58	None	0	None	0	None
1619230836	NOURI NILOUFAR	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1619243227	FATTOUCH, ROBERT DMD P.C.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619255692	SANDU RUBEN C	2021	FFS	RENDERING	AGE 0-20	2,227	None	23,650	None	1,836	None	5,744	None	1,349	None	3,940	None	1,752	None	2,000	None
1619255692	SANDU RUBEN C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1619265410	MONIZ STEPHANIE D	2021	FFS	RENDERING	AGE 0-20	126	None	2,557	None	122	None	339	None	126	None	1,527	None	118	None	118	None
1619281722	AWAD PAUL YOUSSEF	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1619285566	HUANG JANICE J	2021	FFS	RENDERING	AGE 0-20	29	None	90	None	0	None	0	None	29	None	90	None	0	None	0	None
1619289600	SABO JANA	2021	FFS	RENDERING	AGE 0-20	176	None	356	None	0	None	0	None	176	None	356	None	0	None	0	None
1619290905	WHYTE FADRA M	2021	FFS	RENDERING	AGE 0-20	15	None	76	None	11	None	24	None	None	1	None	2	None	1	None	1
1619296480	TRAN, JAMES HAI DDS	2021	FFS	RENDERING	AGE 0-20	81	None	733	None	76	None	266	None	43	None	122	None	71	None	87	None
1619296480	TRAN, JAMES HAI DDS	2021	FFS	RENDERING	AGE 21+	197	None	1,174	None	142	None	283	None	140	None	494	None	152	None	154	None
1619310430	AGUILAR RIOS CARLOS F	2021	FFS	RENDERING	AGE 0-20	151	None	814	None	94	None	225	None	74	None	234	None	112	None	116	None
1619310430	AGUILAR RIOS CARLOS F	2021	FFS	RENDERING	AGE 21+	413	None	1,848	None	85	None	85	None	253	None	962	None	291	None	291	None
1619317666	HUNG ERINA Y	2021	FFS	RENDERING	AGE 0-20	1,159	None	8,058	None	936	None	2,423	None	657	None	1,568	None	847	None	885	None
1619326279	SANDHU SAMITA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619335254	LEE DEANNA S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619335254	LEE DEANNA S	2021	GMC	RENDERING	AGE 0-20	19	None	93	None	None	1	None	2	None	1	None	2	13	None	13	None
1619335254	LEE DEANNA S	2021	GMC	RENDERING	AGE 21+	22	None	109	None	0	None	0	None	14	None	46	None	None	1	None	1
1619335254	LEE DEANNA S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1619336153	SALVANI ANGELINE M	2021	FFS	RENDERING	AGE 0-20	566	None	6,620	None	517	None	1,704	None	259	None	580	None	541	None	663	None
1619336153	SALVANI ANGELINE M	2021	FFS	RENDERING	AGE 21+	635	None	5,139	None	368	None	721	None	355	None	1,140	None	496	None	498	None
1619344710	PENAMON, BRITTNEY, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1619344710	PENAMON, BRITTNEY, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1619346517	AHMED DDS PC	2021	GMC	RENDERING	AGE 0-20	65	None	435	None	43	None	162	None	19	None	62	None	48	None	49	None
1619346517	AHMED DDS PC	2021	GMC	RENDERING	AGE 21+	83	None	418	None	16	None	30	None	41	None	160	None	45	None	47	None
1619350345	GAERLAN MARY LOU R	2021	FFS	RENDERING	AGE 0-20	84	None	478	None	49	None	86	None	51	None	148	None	48	None	48	None
1619350345	GAERLAN MARY LOU R	2021	FFS	RENDERING	AGE 21+	38	None	181	None	17	None	17	None	30	None	70	None	17	None	17	None
1619372570	OH SAEWON	2021	FFS	RENDERING	AGE 0-20	1,591	None	13,454	None	1,443	None	4,604	None	1,082	None	3,674	None	1,448	None	1,580	None
1619372570	OH SAEWON	2021	FFS	RENDERING	AGE 21+	168	None	739	None	107	None	213	None	82	None	248	None	117	None	117	None
1619372570	OH SAEWON	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1619376027	FAIT RYAN J	2021	FFS	RENDERING	AGE 0-20	41	None	309	None	40	None	106	None	None	1	None	2	39	None	39	None
1619386174	CHO, HYUNBAE DDS	2021	FFS	RENDERING	AGE 0-20	1,538	None	15,103	None	736	None	3,028	None	1,114	None	7,494	None	687	None	774	None
1619386174	CHO, HYUNBAE DDS	2021	FFS	RENDERING	AGE 21+	363	None	3,072	None	94	None	261	None	305	None	1,932	None	94	None	94	None
1619388238	NAIR, CYNTHIA LYNN, RDHAP	2021	FFS	RENDERING	AGE 21+	20	None	70	None	20	None	40	None	20	None	30	None	0	None	0	None
1619399326	SANDHU JASWINDER	2021	FFS	RENDERING	AGE 0-20	27	None	224	None	23	None	73	None	None	1	None	2	22	None	27	None
1619399326	SANDHU JASWINDER	2021	FFS	RENDERING	AGE 21+	110	None	789	None	64	None	119	None	61	None	218	None	80	None	80	None
1619400595	CHAMBERLAIN ANNA PAULA G	2021	FFS	RENDERING	AGE 0-20	367	None	2,344	None	301	None	931	None	274	None	538	None	274	None	320	None
1619400595	CHAMBERLAIN ANNA PAULA G	2021	PHP	RENDERING	AGE 0-20	19	None	94	None	12	None	33	None	19	None	58	None	0	None	0	None
1619422540	BABA DANA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619431483	MARQUEZ, ADRIANA, RDHAP	2021	FFS	RENDERING	AGE 0-20	23	None	58	None	23	None	58	None	0	None	0	None	0	None	0	None
1619431483	MARQUEZ, ADRIANA, RDHAP	2021	FFS	RENDERING	AGE 21+	42	None	95	None	41	None	80	None	None	1	None	2	0	None	0	None
1619433562	YOUSEF MADONA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619450020	PONI CARLOS A	2021	FFS	RENDERING	AGE 0-20	549	None	2,022	None	None	1	None	2	549	None	1,958	None	None	1	None	1
1619450020	PONI CARLOS A	2021	FFS	RENDERING	AGE 21+	91	None	246	None	0	None	0	None	91	None	246	None	0	None	0	None
1619450715	KIM ANNE	2021	FFS	RENDERING	AGE 0-20	461	None	1,606	None	175	None	540	None	192	None	506	None	433	None	526	None
1619450715	KIM ANNE	2021	FFS	RENDERING	AGE 21+	324	None	1,197	None	None	1	None	1	248	None	988	None	203	None	203	None
1619454253	RUIZ BYRON A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1619454253	RUIZ BYRON A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619454253	RUIZ BYRON A	2021	GMC	RENDERING	AGE 0-20	325	None	3,164	None	257	None	1,341	None	236	None	592	None	220	None	244	None
1619454253	RUIZ BYRON A	2021	GMC	RENDERING	AGE 21+	528	None	3,149	None	153	None	475	None	358	None	1,339	None	238	None	238	None
1619456928	WHITE MEMORIAL COMMUNITY	2021	PHP	RENDERING	AGE 0-20	174	None	686	None	166	None	209	None	13	None	17	None	164	None	179	None
1619456928	WHITE MEMORIAL COMMUNITY	2021	PHP	RENDERING	AGE 21+	18	None	76	None	None	1	None	1	None	1	None	1	None	1	None	1
1619464542	WISSA RAMY N	2021	FFS	RENDERING	AGE 0-20	235	None	1,297	None	133	None	302	None	100	None	223	None	192	None	192	None
1619464542	WISSA RAMY N	2021	FFS	RENDERING	AGE 21+	262	None	834	None	38	None	70	None	139	None	234	None	155	None	155	None
1619476470	LEE JUNG Y	2021	FFS	RENDERING	AGE 0-20	29	None	79	None	0	None	0	None	29	None	79	None	0	None	0	None
1619476470	LEE JUNG Y	2021	FFS	RENDERING	AGE 21+	148	None	528	None	0	None	0	None	148	None	528	None	0	None	0	None
1619488319	CHUNG MICHAEL L	2021	FFS	RENDERING	AGE 0-20	65	None	728	None	48	None	135	None	33	None	146	None	47	None	55	None
1619488319	CHUNG MICHAEL L	2021	FFS	RENDERING	AGE 21+	283	None	2,501	None	83	None	127	None	163	None	609	None	207	None	211	None
1619492469	JARA CASTRO RICARDO F	2021	FFS	RENDERING	AGE 0-20	29	None	201	None	14	None	42	None	24	None	105	None	14	None	14	None
1619492469	JARA CASTRO RICARDO F	2021	FFS	RENDERING	AGE 21+	82	None	768	None	40	None	77	None	74	None	426	None	48	None	48	None
1619494739	AVEDIAN SANGEBARANI TADEH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1619518289	PHAM RONALD	2021	FFS	RENDERING	AGE 0-20	154	None	635	None	99	None	203	None	47	None	117	None	121	None	122	None
1619518289	PHAM RONALD	2021	FFS	RENDERING	AGE 21+	804	None	3,106	None	286	None	525	None	426	None	1,194	None	557	None	557	None
1619518321	PARK JUN S	2021	FFS	RENDERING	AGE 0-20	16	None	66	None	None	1	None	2	11	None	15	None	None	1	None	1
1619518321	PARK JUN S	2021	FFS	RENDERING	AGE 21+	18	None	66	None	None	1	None	2	11	None	22	None	None	1	None	1
1619518321	PARK JUN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619518321	PARK JUN S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1619548930	JOGLEKAR ANAGHA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1619548930	JOGLEKAR ANAGHA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1619549573	SADIGHIM ARYAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1619549573	SADIGHIM ARYAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1619568847	VIRAMONTES VIRA EDUARDO	2021	FFS	RENDERING	AGE 0-20	462	None	3,251	None	260	None	476	None	218	None	621	None	353	None	356	None
1619568847	VIRAMONTES VIRA EDUARDO	2021	FFS	RENDERING	AGE 21+	602	None	2,714	None	110	None	126	None	354	None	855	None	384	None	388	None
1619640653	GUTIERREZ LUZ C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1619640653	GUTIERREZ LUZ C	2021	PHP	RENDERING	AGE 21+	22	None	59	None	None	1	None	1	16	None	29	None	None	1	None	1
1619939709	MACH, JANITA RDH DDS	2021	FFS	RENDERING	AGE 0-20	151	None	1,220	None	148	None	482	None	66	None	189	None	145	None	215	None
1619939709	MACH, JANITA RDH DDS	2021	FFS	RENDERING	AGE 21+	99	None	693	None	79	None	154	None	40	None	118	None	71	None	71	None
1619997517	SHIMIZU, PETER A, DDS	2021	FFS	RENDERING	AGE 0-20	354	None	1,797	None	322	None	911	None	165	None	217	None	176	None	187	None
1619997517	SHIMIZU, PETER A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1619997889	YOUNG, EDWARD Y DDS	2021	FFS	RENDERING	AGE 0-20	180	None	1,086	None	169	None	434	None	69	None	140	None	171	None	225	None
1619997889	YOUNG, EDWARD Y DDS	2021	FFS	RENDERING	AGE 21+	431	None	2,003	None	323	None	324	None	266	None	590	None	325	None	325	None
1629005335	BISHAY, PETER, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1629005335	BISHAY, PETER, DDS	2021	FFS	RENDERING	AGE 21+	58	None	624	None	19	None	66	None	39	None	336	None	46	None	92	None
1629007166	NAFISI SHOHREH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629027537	NIKRAZ, AMIR HOSSEIN DDS	2021	FFS	RENDERING	AGE 0-20	105	None	975	None	105	None	504	None	34	None	108	None	97	None	138	None
1629027537	NIKRAZ, AMIR HOSSEIN DDS	2021	FFS	RENDERING	AGE 21+	190	None	1,262	None	162	None	279	None	103	None	371	None	155	None	158	None
1629027537	NIKRAZ, AMIR HOSSEIN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629038625	MARTIN MICHELE G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1629038625	MARTIN MICHELE G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1629053798	MAC DOWELL JAMES H	2021	FFS	RENDERING	AGE 0-20	536	None	2,936	None	None	1	None	1	532	None	2,914	None	None	1	None	1
1629053798	MAC DOWELL JAMES H	2021	FFS	RENDERING	AGE 21+	1,051	None	5,034	None	0	None	0	None	1,044	None	4,994	None	None	1	None	1
1629053798	MAC DOWELL JAMES H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629062757	TRASK PHILIP A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629078795	YANG EUGENE Y	2021	FFS	RENDERING	AGE 0-20	36	None	247	None	32	None	95	None	11	None	38	None	34	None	42	None
1629078795	YANG EUGENE Y	2021	FFS	RENDERING	AGE 21+	100	None	544	None	74	None	74	None	54	None	175	None	90	None	90	None
1629079447	FENN KIRSTEN M	2021	FFS	RENDERING	AGE 0-20	214	None	399	None	0	None	0	None	53	None	123	None	60	None	60	None
1629079447	FENN KIRSTEN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1629091186	CHANG, CLIFF F, DDS	2021	FFS	RENDERING	AGE 21+	31	None	540	None	21	None	42	None	29	None	178	None	28	None	28	None
1629093463	SAAKIAN, YOURI	2021	FFS	RENDERING	AGE 0-20	16	None	142	None	14	None	57	None	12	None	55	None	15	None	16	None
1629093463	SAAKIAN, YOURI	2021	FFS	RENDERING	AGE 21+	249	None	2,216	None	159	None	314	None	220	None	1,369	None	204	None	204	None
1629100433	CHEE HUGH T	2021	FFS	RENDERING	AGE 0-20	344	None	3,186	None	309	None	819	None	192	None	701	None	196	None	257	None
1629100433	CHEE HUGH T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1629100896	VU CHAU H	2021	FFS	RENDERING	AGE 0-20	272	None	2,682	None	245	None	801	None	108	None	398	None	250	None	302	None
1629100896	VU CHAU H	2021	FFS	RENDERING	AGE 21+	211	None	1,706	None	100	None	182	None	126	None	652	None	159	None	159	None
1629103395	TORRES, ANTHONY M, DDS	2021	FFS	RENDERING	AGE 0-20	330	None	954	None	0	None	0	None	138	None	363	None	291	None	292	None
1629103395	TORRES, ANTHONY M, DDS	2021	FFS	RENDERING	AGE 21+	227	None	655	None	0	None	0	None	92	None	225	None	196	None	196	None
1629103395	TORRES, ANTHONY M, DDS	2021	PHP	RENDERING	AGE 0-20	26	None	118	None	0	None	0	None	26	None	117	None	None	1	None	1
1629103395	TORRES, ANTHONY M, DDS	2021	PHP	RENDERING	AGE 21+	79	None	349	None	0	None	0	None	45	None	272	None	66	None	69	None
1629107230	WESTWOOD NICHOLAS R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629107230	WESTWOOD NICHOLAS R	2021	FFS	RENDERING	AGE 21+	212	None	1,241	None	74	None	137	None	140	None	758	None	168	None	168	None
1629109996	KHORSANDI SAM S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629109996	KHORSANDI SAM S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1629109996	KHORSANDI, SAM S, DDS A PROF	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629109996	KHORSANDI, SAM S, DDS A PROF	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1629113857	KIM MICHELLE K	2021	FFS	RENDERING	AGE 0-20	61	None	422	None	54	None	140	None	23	None	72	None	52	None	63	None
1629113857	KIM MICHELLE K	2021	FFS	RENDERING	AGE 21+	199	None	1,133	None	95	None	114	None	111	None	477	None	153	None	153	None
1629115423	BEEDUBAIL RASHMI B	2021	FFS	RENDERING	AGE 0-20	24	None	169	None	22	None	65	None	14	None	41	None	23	None	29	None
1629115423	BEEDUBAIL RASHMI B	2021	FFS	RENDERING	AGE 21+	19	None	81	None	16	None	29	None	None	1	None	2	18	None	18	None
1629123633	NGUYEN, HOANG H, DDS	2021	FFS	RENDERING	AGE 0-20	133	None	561	None	109	None	134	None	42	None	106	None	129	None	155	None
1629123633	NGUYEN, HOANG H, DDS	2021	FFS	RENDERING	AGE 21+	421	None	1,633	None	263	None	263	None	186	None	437	None	385	None	385	None
1629128681	HONG, LOUIS DDS	2021	FFS	RENDERING	AGE 0-20	719	None	6,967	None	681	None	1,947	None	291	None	1,229	None	711	None	1,022	None
1629128681	HONG, LOUIS DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629128897	ASHTIANI SHAHRAM S	2021	FFS	RENDERING	AGE 0-20	328	None	2,110	None	206	None	549	None	134	None	446	None	282	None	313	None
1629128897	ASHTIANI SHAHRAM S	2021	FFS	RENDERING	AGE 21+	430	None	1,857	None	54	None	59	None	288	None	990	None	263	None	265	None
1629132063	SIMONIAN ROGER B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1629132063	SIMONIAN ROGER B	2021	FFS	RENDERING	AGE 21+	43	None	86	None	0	None	0	None	43	None	43	None	43	None	43	None
1629136080	YEE, WINSTON F DDS	2021	FFS	RENDERING	AGE 0-20	237	None	1,278	None	211	None	511	None	68	None	116	None	215	None	257	None
1629136080	YEE, WINSTON F DDS	2021	FFS	RENDERING	AGE 21+	435	None	2,207	None	231	None	459	None	271	None	515	None	264	None	268	None
1629137435	O'DONNELL RYAN DANIEL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1629139811	JAHANBANI SAFAEDDIN DDS	2021	FFS	RENDERING	AGE 0-20	187	None	2,858	None	172	None	637	None	71	None	239	None	173	None	246	None
1629139811	JAHANBANI SAFAEDDIN DDS	2021	FFS	RENDERING	AGE 21+	388	None	4,720	None	202	None	241	None	305	None	1,157	None	263	None	263	None
1629147038	YETENEKIAN-GETT ARAXI	2021	FFS	RENDERING	AGE 0-20	363	None	4,695	None	318	None	948	None	150	None	436	None	281	None	305	None
1629147038	YETENEKIAN-GETT ARAXI	2021	FFS	RENDERING	AGE 21+	473	None	3,595	None	207	None	371	None	239	None	784	None	306	None	307	None
1629152251	MINOOFAR ROBERT	2021	FFS	RENDERING	AGE 0-20	2,686	None	41,311	None	2,429	None	8,541	None	967	None	5,061	None	2,454	None	3,222	None
1629152251	MINOOFAR ROBERT	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629154166	SAUZA SAMUEL I	2021	FFS	RENDERING	AGE 0-20	520	None	7,424	None	510	None	1,503	None	197	None	655	None	440	None	658	None
1629154166	SAUZA SAMUEL I	2021	FFS	RENDERING	AGE 21+	185	None	1,108	None	73	None	74	None	90	None	303	None	65	None	65	None
1629160023	JERNIGAN JOAN Y	2021	FFS	RENDERING	AGE 0-20	382	None	6,358	None	370	None	1,611	None	145	None	485	None	377	None	565	None
1629160023	JERNIGAN JOAN Y	2021	FFS	RENDERING	AGE 21+	266	None	2,534	None	187	None	376	None	179	None	784	None	212	None	212	None
1629160023	JERNIGAN JOAN Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1629160023	JERNIGAN JOAN Y	2021	PHP	RENDERING	AGE 21+	21	None	183	None	19	None	40	None	12	None	62	None	18	None	18	None
1629161351	SUNG ERIC C	2021	FFS	RENDERING	AGE 0-20	47	None	279	None	22	None	37	None	37	None	171	None	24	None	24	None
1629161351	SUNG ERIC C	2021	FFS	RENDERING	AGE 21+	394	None	2,251	None	165	None	214	None	316	None	1,464	None	251	None	252	None
1629162110	WU AVA J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1629191457	HOM, HARRY Y, DDS	2021	FFS	RENDERING	AGE 21+	3,303	None	15,191	None	1,719	None	4,724	None	3,303	None	8,248	None	2,167	None	2,167	None
1629197330	SNYDER JAMES C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1629197330	SNYDER JAMES C	2021	FFS	RENDERING	AGE 21+	1,674	None	4,664	None	None	1	None	2	1,660	None	3,793	None	856	None	856	None
1629205174	DENTICO-OLIN, MARC MD	2021	FFS	RENDERING	AGE 0-20	99	None	464	None	0	None	0	None	76	None	355	None	65	None	65	None
1629205174	DENTICO-OLIN, MARC MD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1629209341	KIM JIN Y	2021	FFS	RENDERING	AGE 0-20	16	None	32	None	0	None	0	None	None	1	None	1	0	None	0	None
1629209341	KIM JIN Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1629215660	FAN KEVIN Y	2021	FFS	RENDERING	AGE 0-20	76	None	747	None	70	None	357	None	22	None	56	None	71	None	94	None
1629215660	FAN KEVIN Y	2021	FFS	RENDERING	AGE 21+	235	None	1,578	None	171	None	345	None	157	None	586	None	183	None	185	None
1629218003	SALISBURY JUSTIN P	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1629220868	POLICARPIO JAIME L	2021	FFS	RENDERING	AGE 0-20	33	None	254	None	22	None	44	None	18	None	56	None	17	None	19	None
1629220868	POLICARPIO JAIME L	2021	FFS	RENDERING	AGE 21+	60	None	295	None	None	1	None	1	43	None	131	None	22	None	22	None
1629247390	GUIRGUIS HEBA T	2021	FFS	RENDERING	AGE 0-20	19	None	133	None	18	None	50	None	None	1	None	2	18	None	20	None
1629247390	GUIRGUIS HEBA T	2021	FFS	RENDERING	AGE 21+	48	None	354	None	None	1	None	1	40	None	147	None	36	None	36	None
1629253679	GALSTIAN MARINA	2021	FFS	RENDERING	AGE 0-20	59	None	658	None	56	None	250	None	27	None	62	None	57	None	73	None
1629253679	GALSTIAN MARINA	2021	FFS	RENDERING	AGE 21+	363	None	3,078	None	262	None	514	None	248	None	993	None	294	None	296	None
1629257795	AHMADI MIKE M	2021	FFS	RENDERING	AGE 0-20	322	None	4,409	None	259	None	838	None	178	None	611	None	233	None	292	None
1629257795	AHMADI MIKE M	2021	FFS	RENDERING	AGE 21+	710	None	5,907	None	208	None	381	None	460	None	1,154	None	422	None	422	None
1629257795	AHMADI MIKE M	2021	PHP	RENDERING	AGE 0-20	15	None	108	None	14	None	36	None	None	1	None	1	14	None	16	None
1629260153	TIRGARI ASHKAN	2021	FFS	RENDERING	AGE 0-20	1,452	None	9,598	None	1,405	None	4,141	None	387	None	409	None	1,415	None	1,507	None
1629264031	PHAM, CAROL HUONG, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	102	None	12	None	29	None	None	1	None	1	12	None	16	None
1629264031	PHAM, CAROL HUONG, DDS	2021	FFS	RENDERING	AGE 21+	27	None	217	None	23	None	40	None	13	None	27	None	None	1	None	1
1629265087	HATTAR ELAINE G	2021	FFS	RENDERING	AGE 0-20	299	None	3,859	None	262	None	986	None	146	None	415	None	259	None	325	None
1629265087	HATTAR ELAINE G	2021	FFS	RENDERING	AGE 21+	271	None	1,944	None	89	None	174	None	207	None	801	None	159	None	162	None
1629265178	FONG CLARK L	2021	FFS	RENDERING	AGE 0-20	25	None	141	None	23	None	55	None	None	1	None	1	23	None	23	None
1629265178	FONG CLARK L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629265723	CACERES, JULIO DDS	2021	FFS	RENDERING	AGE 0-20	176	None	1,958	None	167	None	532	None	86	None	160	None	139	None	178	None
1629265723	CACERES, JULIO DDS	2021	FFS	RENDERING	AGE 21+	137	None	885	None	115	None	118	None	47	None	93	None	116	None	117	None
1629266408	DEL ROSARIO MAY J	2021	PHP	RENDERING	AGE 0-20	35	None	164	None	33	None	81	None	None	1	None	2	33	None	33	None
1629266408	DEL ROSARIO MAY J	2021	PHP	RENDERING	AGE 21+	65	None	307	None	39	None	40	None	33	None	176	None	49	None	50	None
1629277199	LUONG, TIEN, DDS	2021	FFS	RENDERING	AGE 0-20	181	None	1,581	None	172	None	676	None	74	None	166	None	175	None	234	None
1629277199	LUONG, TIEN, DDS	2021	FFS	RENDERING	AGE 21+	55	None	303	None	40	None	40	None	34	None	77	None	47	None	47	None
1629282611	BABADJANIAN EDWIN	2021	FFS	RENDERING	AGE 0-20	13	None	45	None	0	None	0	None	13	None	26	None	0	None	0	None
1629282611	BABADJANIAN EDWIN	2021	FFS	RENDERING	AGE 21+	50	None	110	None	0	None	0	None	50	None	63	None	0	None	0	None
1629282611	BABADJANIAN EDWIN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629282801	SCHMITT DONALD C	2021	FFS	RENDERING	AGE 0-20	141	None	833	None	131	None	255	None	51	None	139	None	128	None	186	None
1629282801	SCHMITT DONALD C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629284617	JANJIK TALIN	2021	FFS	RENDERING	AGE 0-20	3,009	None	26,182	None	2,801	None	8,077	None	1,331	None	2,595	None	2,799	None	3,271	None
1629287131	TOM JAMES W	2021	FFS	RENDERING	AGE 0-20	237	None	476	None	0	None	0	None	237	None	476	None	0	None	0	None
1629287131	TOM JAMES W	2021	FFS	RENDERING	AGE 21+	119	None	238	None	0	None	0	None	119	None	238	None	0	None	0	None
1629289798	TATULYAN SERGEY	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1629289798	TATULYAN SERGEY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629290846	HERNANDEZ SILVIA C	2021	FFS	RENDERING	AGE 0-20	453	None	5,556	None	389	None	941	None	217	None	785	None	379	None	488	None
1629290846	HERNANDEZ SILVIA C	2021	FFS	RENDERING	AGE 21+	378	None	2,921	None	202	None	204	None	220	None	739	None	246	None	246	None
1629293865	LIM HYUN-SOOK	2021	FFS	RENDERING	AGE 0-20	58	None	806	None	57	None	188	None	28	None	131	None	55	None	75	None
1629293865	LIM HYUN-SOOK	2021	FFS	RENDERING	AGE 21+	220	None	2,450	None	169	None	337	None	189	None	1,199	None	182	None	183	None
1629293865	LIM HYUN-SOOK	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1629293865	LIM HYUN-SOOK	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1629294608	JOE SOOHO	2021	FFS	RENDERING	AGE 0-20	1,600	None	22,371	None	1,474	None	6,371	None	910	None	2,832	None	1,467	None	1,669	None
1629294608	JOE SOOHO	2021	FFS	RENDERING	AGE 21+	751	None	7,272	None	378	None	756	None	579	None	1,887	None	466	None	466	None
1629295290	OKONKWO, EMMANUEL NNAJI DDS	2021	FFS	RENDERING	AGE 0-20	25	None	193	None	23	None	112	None	None	1	None	1	22	None	22	None
1629295290	OKONKWO, EMMANUEL NNAJI DDS	2021	FFS	RENDERING	AGE 21+	112	None	551	None	69	None	91	None	52	None	161	None	80	None	80	None
1629295290	OKONKWO, EMMANUEL NNAJI DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1629296199	ZAPANTA, ZAFIRO Q, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629296199	ZAPANTA, ZAFIRO Q, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629297403	NGUYEN, LOAN MAI, DDS	2021	FFS	RENDERING	AGE 0-20	310	None	5,502	None	275	None	906	None	151	None	966	None	223	None	542	None
1629297403	NGUYEN, LOAN MAI, DDS	2021	FFS	RENDERING	AGE 21+	678	None	9,630	None	489	None	978	None	458	None	3,068	None	479	None	958	None
1629302138	KIM JASON	2021	FFS	RENDERING	AGE 0-20	55	None	470	None	49	None	109	None	22	None	69	None	49	None	57	None
1629302138	KIM JASON	2021	FFS	RENDERING	AGE 21+	178	None	1,186	None	104	None	158	None	103	None	311	None	128	None	128	None
1629309042	PRAKASH PREETI	2021	FFS	RENDERING	AGE 21+	12	None	27	None	0	None	0	None	None	1	None	1	None	1	None	1
1629323043	RATIA HARPRADEEP	2021	FFS	RENDERING	AGE 0-20	866	None	4,103	None	597	None	1,302	None	339	None	576	None	683	None	702	None
1629323043	RATIA HARPRADEEP	2021	FFS	RENDERING	AGE 21+	923	None	2,795	None	197	None	353	None	339	None	765	None	513	None	513	None
1629325725	LU XIAOFANG Y	2021	FFS	RENDERING	AGE 0-20	89	None	930	None	81	None	297	None	60	None	207	None	78	None	97	None
1629325725	LU XIAOFANG Y	2021	FFS	RENDERING	AGE 21+	110	None	633	None	19	None	19	None	72	None	277	None	87	None	87	None
1629330972	HAN, PHUU P DDS	2021	FFS	RENDERING	AGE 0-20	101	None	949	None	95	None	361	None	56	None	171	None	93	None	113	None
1629330972	HAN, PHUU P DDS	2021	FFS	RENDERING	AGE 21+	137	None	854	None	95	None	176	None	105	None	378	None	100	None	100	None
1629336417	PHAN DEANA A	2021	FFS	RENDERING	AGE 0-20	232	None	1,439	None	218	None	481	None	67	None	140	None	161	None	171	None
1629336417	PHAN DEANA A	2021	FFS	RENDERING	AGE 21+	341	None	1,565	None	282	None	283	None	136	None	362	None	124	None	124	None
1629366240	MEADOR MATTHEW J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1629372669	FLORES, LIEZL S, DDS	2021	PHP	RENDERING	AGE 0-20	343	None	2,711	None	285	None	1,154	None	250	None	413	None	181	None	207	None
1629372669	FLORES, LIEZL S, DDS	2021	PHP	RENDERING	AGE 21+	94	None	548	None	65	None	146	None	82	None	155	None	21	None	23	None
1629403522	TENG CONAN J	2021	FFS	RENDERING	AGE 0-20	429	None	1,395	None	None	1	None	1	424	None	1,048	None	22	None	22	None
1629403522	TENG CONAN J	2021	FFS	RENDERING	AGE 21+	1,555	None	5,560	None	None	1	None	2	1,533	None	4,538	None	75	None	75	None
1629403522	TENG CONAN J	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1629403522	TENG CONAN J	2021	GMC	RENDERING	AGE 21+	27	None	73	None	0	None	0	None	25	None	68	None	None	1	None	1
1629403522	TENG CONAN J	2021	PHP	RENDERING	AGE 0-20	378	None	2,965	None	294	None	1,042	None	218	None	763	None	331	None	417	None
1629403522	TENG CONAN J	2021	PHP	RENDERING	AGE 21+	568	None	3,375	None	143	None	282	None	457	None	2,070	None	341	None	380	None
1629408489	HAMILTON LANCE D	2021	FFS	RENDERING	AGE 0-20	120	None	1,192	None	111	None	465	None	23	None	63	None	115	None	154	None
1629408489	HAMILTON LANCE D	2021	FFS	RENDERING	AGE 21+	364	None	2,541	None	247	None	498	None	207	None	708	None	293	None	295	None
1629435649	JAMIL MARWAN A	2021	FFS	RENDERING	AGE 0-20	79	None	718	None	46	None	122	None	58	None	306	None	62	None	67	None
1629435649	JAMIL MARWAN A	2021	FFS	RENDERING	AGE 21+	421	None	3,842	None	189	None	372	None	304	None	1,992	None	312	None	312	None
1629444898	VO ANDREW T	2021	FFS	RENDERING	AGE 0-20	855	None	7,264	None	680	None	1,740	None	418	None	1,142	None	642	None	649	None
1629444898	VO ANDREW T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1629459227	SAPPAL HARKEET	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1629474572	BOSTRE JERRY	2021	PHP	RENDERING	AGE 21+	23	None	76	None	23	None	56	None	None	1	None	2	0	None	0	None
1629509609	WOO SEUNG HEE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1629514997	DOWLATY MOHAMMAD M	2021	FFS	RENDERING	AGE 0-20	2,390	None	29,578	None	2,044	None	7,665	None	1,881	None	7,903	None	1,946	None	2,374	None
1629521703	POERWANTO HANSEL D	2021	FFS	RENDERING	AGE 0-20	226	None	1,300	None	159	None	344	None	108	None	165	None	186	None	196	None
1629521703	POERWANTO HANSEL D	2021	FFS	RENDERING	AGE 21+	571	None	2,302	None	94	None	170	None	406	None	830	None	239	None	239	None
1629521703	POERWANTO HANSEL D	2021	GMC	RENDERING	AGE 0-20	626	None	4,438	None	491	None	1,818	None	339	None	614	None	475	None	552	None
1629521703	POERWANTO HANSEL D	2021	GMC	RENDERING	AGE 21+	510	None	2,709	None	255	None	573	None	403	None	992	None	247	None	252	None
1629535463	ELNOKRASHY MONA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1629554530	ADAMS, EVA M, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1629554530	ADAMS, EVA M, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1629560727	LAM JESSICA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629560727	LAM JESSICA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1629594940	DAVIDOWITZ RACHELLE A	2021	FFS	RENDERING	AGE 0-20	1,346	None	10,644	None	1,114	None	3,179	None	792	None	1,595	None	1,106	None	1,208	None
1629594940	DAVIDOWITZ RACHELLE A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1629594940	DAVIDOWITZ RACHELLE A	2021	PHP	RENDERING	AGE 0-20	23	None	147	None	13	None	22	None	22	None	87	None	None	1	None	1
1629597562	NILAM SUPRITHA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1629597562	NILAM SUPRITHA	2021	FFS	RENDERING	AGE 21+	50	None	108	None	0	None	0	None	50	None	108	None	0	None	0	None
1629621206	GUTIERREZ STEPHANIE	2021	FFS	RENDERING	AGE 0-20	94	None	702	None	77	None	260	None	38	None	85	None	80	None	89	None
1629621206	GUTIERREZ STEPHANIE	2021	FFS	RENDERING	AGE 21+	143	None	846	None	81	None	142	None	102	None	338	None	82	None	82	None
1629622022	PATEL SHANE B	2021	FFS	RENDERING	AGE 0-20	100	None	822	None	78	None	235	None	45	None	135	None	95	None	118	None
1629622022	PATEL SHANE B	2021	FFS	RENDERING	AGE 21+	126	None	667	None	28	None	43	None	81	None	337	None	108	None	109	None
1629633037	I ZAK DDS PROF DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1629633037	ZAK, I, DDS PROF DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1629667720	WRIGHT KELI A	2021	FFS	RENDERING	AGE 0-20	111	None	994	None	85	None	177	None	43	None	98	None	92	None	92	None
1629667720	WRIGHT KELI A	2021	FFS	RENDERING	AGE 21+	67	None	479	None	29	None	56	None	42	None	92	None	39	None	39	None
1629675681	LI CALVIN K	2021	FFS	RENDERING	AGE 0-20	239	None	1,050	None	136	None	312	None	81	None	170	None	181	None	182	None
1629675681	LI CALVIN K	2021	FFS	RENDERING	AGE 21+	622	None	1,936	None	137	None	250	None	283	None	672	None	333	None	333	None
1629675681	LI CALVIN K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1629675681	LI CALVIN K	2021	PHP	RENDERING	AGE 21+	12	None	55	None	None	1	None	1	None	1	None	2	None	1	None	1
1629680053	SON IN GI	2021	FFS	RENDERING	AGE 0-20	2,242	None	29,240	None	2,083	None	6,050	None	1,704	None	5,286	None	2,115	None	2,239	None
1629680053	SON IN GI	2021	FFS	RENDERING	AGE 21+	42	None	420	None	25	None	52	None	21	None	87	None	33	None	33	None
1639131865	BUBLIK, OKSANA DDS	2021	FFS	RENDERING	AGE 0-20	246	None	2,019	None	235	None	948	None	100	None	228	None	239	None	280	None
1639131865	BUBLIK, OKSANA DDS	2021	FFS	RENDERING	AGE 21+	535	None	4,492	None	371	None	668	None	387	None	2,054	None	430	None	432	None
1639137284	LAMBERT, MICHAEL B, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639177389	PABLO CAROLINA G	2021	FFS	RENDERING	AGE 0-20	15	None	98	None	14	None	44	None	None	1	None	2	13	None	16	None
1639177389	PABLO CAROLINA G	2021	FFS	RENDERING	AGE 21+	56	None	374	None	41	None	80	None	31	None	156	None	50	None	50	None
1639180490	NGUYEN KIMCHI T	2021	FFS	RENDERING	AGE 0-20	19	None	91	None	14	None	34	None	None	1	None	1	14	None	15	None
1639180490	NGUYEN KIMCHI T	2021	FFS	RENDERING	AGE 21+	79	None	430	None	35	None	35	None	34	None	82	None	46	None	47	None
1639187800	LUNDGREN-KOSZEGHY KRISTIAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639193774	UPADHYAYA, AMISHA DDS	2021	FFS	RENDERING	AGE 0-20	28	None	271	None	24	None	57	None	None	1	None	2	28	None	30	None
1639193774	UPADHYAYA, AMISHA DDS	2021	FFS	RENDERING	AGE 21+	31	None	279	None	23	None	46	None	11	None	44	None	28	None	28	None
1639200298	TRAN, CUC THI, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	1,034	None	79	None	312	None	26	None	71	None	80	None	96	None
1639200298	TRAN, CUC THI, DDS	2021	FFS	RENDERING	AGE 21+	240	None	2,560	None	175	None	349	None	155	None	552	None	194	None	194	None
1639202195	RIOS SANDRA L	2021	FFS	RENDERING	AGE 0-20	339	None	4,426	None	292	None	946	None	197	None	596	None	307	None	414	None
1639202195	RIOS SANDRA L	2021	FFS	RENDERING	AGE 21+	749	None	4,888	None	592	None	1,174	None	508	None	1,802	None	689	None	689	None
1639204217	LOW GARY K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1639204217	LOW GARY K	2021	FFS	RENDERING	AGE 21+	35	None	101	None	11	None	11	None	25	None	50	None	12	None	12	None
1639205867	ALLEN ROSALINDA	2021	FFS	RENDERING	AGE 0-20	94	None	950	None	88	None	307	None	45	None	75	None	87	None	121	None
1639205867	ALLEN ROSALINDA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1639211899	RAVARI SAHAR N	2021	PHP	RENDERING	AGE 0-20	113	None	632	None	94	None	271	None	44	None	71	None	64	None	71	None
1639215536	H. REZA SHAHMOHAMADI DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1639215536	H. REZA SHAHMOHAMADI DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1639215536	REZA, H, A DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1639215536	REZA, H, A DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1639216245	LEE MI-A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1639217243	NGUYEN THIEN AN H	2021	FFS	RENDERING	AGE 0-20	39	None	234	None	26	None	57	None	29	None	89	None	None	1	None	1
1639217243	NGUYEN THIEN AN H	2021	FFS	RENDERING	AGE 21+	198	None	797	None	84	None	84	None	115	None	297	None	65	None	65	None
1639217318	HOLLOWAY TREVOR K	2021	FFS	RENDERING	AGE 0-20	406	None	1,798	None	0	None	0	None	406	None	1,798	None	0	None	0	None
1639219090	UDIN RICHARD D	2021	FFS	RENDERING	AGE 0-20	25	None	25	None	0	None	0	None	25	None	25	None	0	None	0	None
1639219090	UDIN RICHARD D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639219306	PESTANA FRANCISCO J	2021	FFS	RENDERING	AGE 0-20	299	None	1,585	None	0	None	0	None	187	None	1,120	None	232	None	232	None
1639219306	PESTANA FRANCISCO J	2021	FFS	RENDERING	AGE 21+	590	None	2,744	None	0	None	0	None	413	None	1,729	None	508	None	508	None
1639219306	PESTANA FRANCISCO J	2021	GMC	RENDERING	AGE 0-20	47	None	136	None	None	1	None	1	45	None	78	None	17	None	17	None
1639219306	PESTANA FRANCISCO J	2021	GMC	RENDERING	AGE 21+	123	None	509	None	0	None	0	None	104	None	282	None	110	None	113	None
1639221112	TAROIAN, HARMICK, DDS	2021	FFS	RENDERING	AGE 0-20	161	None	980	None	94	None	238	None	78	None	193	None	98	None	119	None
1639221112	TAROIAN, HARMICK, DDS	2021	FFS	RENDERING	AGE 21+	542	None	2,838	None	129	None	129	None	382	None	1,162	None	282	None	282	None
1639221112	TAROIAN, HARMICK, DDS	2021	PHP	RENDERING	AGE 0-20	138	None	800	None	115	None	271	None	37	None	135	None	126	None	138	None
1639221112	TAROIAN, HARMICK, DDS	2021	PHP	RENDERING	AGE 21+	425	None	2,156	None	187	None	220	None	196	None	783	None	338	None	357	None
1639222953	CHUNG MI Y	2021	FFS	RENDERING	AGE 0-20	234	None	2,031	None	220	None	781	None	159	None	441	None	58	None	60	None
1639222953	CHUNG MI Y	2021	FFS	RENDERING	AGE 21+	259	None	1,836	None	157	None	308	None	170	None	627	None	107	None	107	None
1639223803	LUGTU JOCELYN S	2021	FFS	RENDERING	AGE 0-20	410	None	4,330	None	385	None	1,379	None	150	None	648	None	389	None	464	None
1639223803	LUGTU JOCELYN S	2021	FFS	RENDERING	AGE 21+	254	None	1,804	None	161	None	321	None	111	None	455	None	208	None	208	None
1639225089	FERNANDES ANTONE L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1639226327	BASCH, ALEXANDER, DDS	2021	FFS	RENDERING	AGE 21+	13	None	51	None	None	1	None	1	None	1	None	2	None	1	None	1
1639230311	RABBANI SHIMON	2021	FFS	RENDERING	AGE 0-20	109	None	1,047	None	77	None	241	None	94	None	250	None	81	None	91	None
1639230311	RABBANI SHIMON	2021	FFS	RENDERING	AGE 21+	189	None	1,273	None	63	None	120	None	180	None	630	None	106	None	106	None
1639230311	RABBANI SHIMON	2021	PHP	RENDERING	AGE 0-20	12	None	130	None	None	1	None	2	None	1	None	2	None	1	None	1
1639230311	RABBANI SHIMON	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1639230311	RABBANI, SHIMON, DMD	2021	FFS	RENDERING	AGE 0-20	109	None	1,047	None	77	None	241	None	94	None	250	None	81	None	91	None
1639230311	RABBANI, SHIMON, DMD	2021	FFS	RENDERING	AGE 21+	189	None	1,273	None	63	None	120	None	180	None	630	None	106	None	106	None
1639230311	RABBANI, SHIMON, DMD	2021	PHP	RENDERING	AGE 0-20	12	None	130	None	None	1	None	2	None	1	None	2	None	1	None	1
1639230311	RABBANI, SHIMON, DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1639235245	HAN EDISON S	2021	FFS	RENDERING	AGE 0-20	66	None	465	None	51	None	150	None	29	None	97	None	58	None	63	None
1639235245	HAN EDISON S	2021	FFS	RENDERING	AGE 21+	257	None	1,318	None	98	None	191	None	178	None	483	None	153	None	153	None
1639235245	HAN EDISON S	2021	PHP	RENDERING	AGE 0-20	96	None	763	None	86	None	269	None	37	None	84	None	83	None	99	None
1639235245	HAN EDISON S	2021	PHP	RENDERING	AGE 21+	252	None	1,114	None	104	None	217	None	143	None	311	None	172	None	175	None
1639236870	SHODHAN HARIN P	2021	FFS	RENDERING	AGE 0-20	268	None	3,233	None	207	None	798	None	132	None	675	None	256	None	319	None
1639236870	SHODHAN HARIN P	2021	FFS	RENDERING	AGE 21+	589	None	4,940	None	278	None	466	None	411	None	2,311	None	489	None	489	None
1639240856	MIR MOHSEN	2021	FFS	RENDERING	AGE 0-20	249	None	2,184	None	107	None	131	None	24	None	69	None	122	None	145	None
1639240856	MIR MOHSEN	2021	FFS	RENDERING	AGE 21+	340	None	1,816	None	51	None	51	None	140	None	461	None	219	None	219	None
1639241888	QUEENSCARE HEALTH CENTERS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1639241888	QUEENSCARE HEALTH CENTERS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1639251135	ILIUTA, CRISTI-ANA, DDS	2021	FFS	RENDERING	AGE 0-20	221	None	1,502	None	211	None	767	None	68	None	145	None	190	None	229	None
1639251135	ILIUTA, CRISTI-ANA, DDS	2021	FFS	RENDERING	AGE 21+	145	None	942	None	125	None	240	None	53	None	190	None	113	None	113	None
1639275050	SHAH KIRAN K	2021	FFS	RENDERING	AGE 0-20	691	None	4,446	None	538	None	2,018	None	211	None	326	None	618	None	683	None
1639275050	SHAH KIRAN K	2021	FFS	RENDERING	AGE 21+	973	None	3,409	None	276	None	529	None	307	None	881	None	720	None	720	None
1639285190	PHAN, TINH T, DDS	2021	FFS	RENDERING	AGE 0-20	601	None	4,229	None	564	None	1,477	None	259	None	730	None	583	None	628	None
1639285190	PHAN, TINH T, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639292659	SON SEUNG CHEON	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1639292659	SON SEUNG CHEON	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1639293996	HASAN, SYED M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1639293996	HASAN, SYED M, DDS	2021	FFS	RENDERING	AGE 21+	46	None	233	None	19	None	19	None	28	None	76	None	29	None	29	None
1639295793	MERCADO DOLLY ESTABILLO	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639297757	PHAM, MARLEEN DDS	2021	FFS	RENDERING	AGE 0-20	12	None	80	None	11	None	23	None	None	1	None	2	None	1	None	2
1639297757	PHAM, MARLEEN DDS	2021	FFS	RENDERING	AGE 21+	127	None	1,367	None	103	None	104	None	109	None	701	None	107	None	107	None
1639298425	NGUYEN, HA HEATHER, DDS	2021	FFS	RENDERING	AGE 0-20	218	None	5,835	None	195	None	2,088	None	100	None	723	None	205	None	810	None
1639298425	NGUYEN, HA HEATHER, DDS	2021	FFS	RENDERING	AGE 21+	837	None	28,269	None	630	None	3,786	None	689	None	10,848	None	688	None	2,070	None
1639301716	NG CHARMAINE G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639301716	NG CHARMAINE G	2021	FFS	RENDERING	AGE 21+	217	None	457	None	0	None	0	None	208	None	240	None	None	1	None	1
1639325350	ANAND SAVNEET	2021	FFS	RENDERING	AGE 0-20	1,240	None	16,884	None	1,138	None	4,142	None	835	None	2,645	None	1,119	None	1,358	None
1639325350	ANAND SAVNEET	2021	FFS	RENDERING	AGE 21+	146	None	948	None	70	None	139	None	98	None	225	None	88	None	88	None
1639325731	WILLIAMS ROLAND P	2021	FFS	RENDERING	AGE 0-20	21	None	50	None	0	None	0	None	None	1	None	2	14	None	14	None
1639325731	WILLIAMS ROLAND P	2021	FFS	RENDERING	AGE 21+	100	None	314	None	0	None	0	None	92	None	221	None	None	1	None	1
1639325731	WILLIAMS ROLAND P	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1639325731	WILLIAMS ROLAND P	2021	PHP	RENDERING	AGE 21+	13	None	75	None	0	None	0	None	12	None	55	None	None	1	None	1
1639327836	LE TOMMY C	2021	FFS	RENDERING	AGE 0-20	486	None	7,414	None	464	None	1,512	None	229	None	866	None	474	None	664	None
1639327836	LE TOMMY C	2021	FFS	RENDERING	AGE 21+	296	None	2,874	None	196	None	395	None	212	None	1,024	None	235	None	236	None
1639330962	WILLIAMS NICHOLAS J	2021	FFS	RENDERING	AGE 0-20	2,898	None	30,539	None	2,563	None	7,964	None	837	None	2,750	None	2,581	None	2,901	None
1639330962	WILLIAMS NICHOLAS J	2021	FFS	RENDERING	AGE 21+	15	None	39	None	None	1	None	1	13	None	18	None	None	1	None	1
1639330962	WILLIAMS NICHOLAS J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1639334212	LANDA GENNADY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639340235	ROSE, CHADRON M MD	2021	FFS	RENDERING	AGE 0-20	13	None	26	None	0	None	0	None	13	None	26	None	0	None	0	None
1639345721	GUARIN, ADELAIDA R, DDS INC	2021	FFS	RENDERING	AGE 0-20	100	None	484	None	69	None	153	None	41	None	97	None	72	None	72	None
1639345721	GUARIN, ADELAIDA R, DDS INC	2021	FFS	RENDERING	AGE 21+	227	None	667	None	49	None	90	None	122	None	298	None	96	None	96	None
1639345721	GUARIN, ADELAIDA R, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1639345721	GUARIN, ADELAIDA R, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639350739	BAKHTAMIAN ALEN	2021	FFS	RENDERING	AGE 0-20	59	None	401	None	41	None	132	None	18	None	73	None	45	None	52	None
1639350739	BAKHTAMIAN ALEN	2021	FFS	RENDERING	AGE 21+	234	None	987	None	55	None	104	None	108	None	290	None	167	None	167	None
1639350739	BAKHTAMIAN ALEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1639350739	BAKHTAMIAN ALEN	2021	PHP	RENDERING	AGE 21+	16	None	81	None	None	1	None	2	None	1	None	2	11	None	12	None
1639359862	JOKMELS NALINI M	2021	FFS	RENDERING	AGE 0-20	172	None	1,200	None	156	None	453	None	67	None	200	None	117	None	120	None
1639359862	JOKMELS NALINI M	2021	FFS	RENDERING	AGE 21+	373	None	1,955	None	201	None	201	None	207	None	716	None	263	None	263	None
1639362270	LY TUAN T	2021	FFS	RENDERING	AGE 0-20	1,460	None	22,049	None	1,391	None	6,175	None	947	None	4,232	None	1,394	None	2,057	None
1639362270	LY TUAN T	2021	FFS	RENDERING	AGE 21+	11	None	71	None	None	1	None	2	None	1	None	1	None	1	None	1
1639362270	LY TUAN T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1639369812	HAMER, SVETLANA DDS	2021	FFS	RENDERING	AGE 0-20	978	None	11,862	None	782	None	2,651	None	642	None	2,894	None	744	None	820	None
1639369812	HAMER, SVETLANA DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1639369812	HAMER, SVETLANA DDS	2021	PHP	RENDERING	AGE 0-20	53	None	577	None	23	None	66	None	49	None	395	None	0	None	0	None
1639373400	FARHOUMAND MAHSHID	2021	FFS	RENDERING	AGE 0-20	62	None	889	None	51	None	216	None	33	None	91	None	52	None	67	None
1639373400	FARHOUMAND MAHSHID	2021	FFS	RENDERING	AGE 21+	290	None	7,687	None	187	None	332	None	260	None	2,330	None	186	None	186	None
1639375488	DENTALVILLE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1639375488	GLOSMAN, LEONID M, DDS A DEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1639379142	SHAHANGIAN SEYED J	2021	FFS	RENDERING	AGE 0-20	88	None	822	None	73	None	284	None	46	None	207	None	65	None	72	None
1639383870	ESPINOZA, SOFIA, DDS	2021	FFS	RENDERING	AGE 0-20	465	None	4,756	None	435	None	1,738	None	120	None	213	None	451	None	648	None
1639383870	ESPINOZA, SOFIA, DDS	2021	FFS	RENDERING	AGE 21+	304	None	2,239	None	261	None	522	None	111	None	227	None	272	None	272	None
1639387079	AZAD MESHIA	2021	FFS	RENDERING	AGE 0-20	339	None	3,100	None	253	None	874	None	224	None	830	None	254	None	313	None
1639388838	MADRILEJO PERPETUA G	2021	FFS	RENDERING	AGE 0-20	53	None	214	None	48	None	64	None	17	None	41	None	24	None	26	None
1639388838	MADRILEJO PERPETUA G	2021	FFS	RENDERING	AGE 21+	212	None	977	None	166	None	166	None	113	None	351	None	114	None	114	None
1639390107	PEREZ MARVIN D	2021	FFS	RENDERING	AGE 0-20	233	None	2,079	None	169	None	361	None	76	None	163	None	169	None	174	None
1639390107	PEREZ MARVIN D	2021	FFS	RENDERING	AGE 21+	384	None	1,700	None	73	None	80	None	267	None	564	None	126	None	126	None
1639390172	DIXON CHRISTOPHER L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1639398522	REYES, OLGA L DDS	2021	FFS	RENDERING	AGE 0-20	204	None	2,611	None	183	None	672	None	91	None	314	None	181	None	216	None
1639398522	REYES, OLGA L DDS	2021	FFS	RENDERING	AGE 21+	249	None	1,746	None	143	None	255	None	127	None	385	None	184	None	184	None
1639398522	REYES, OLGA L, DDS	2021	FFS	RENDERING	AGE 0-20	204	None	2,611	None	183	None	672	None	91	None	314	None	181	None	216	None
1639398522	REYES, OLGA L, DDS	2021	FFS	RENDERING	AGE 21+	249	None	1,746	None	143	None	255	None	127	None	385	None	184	None	184	None
1639451198	LEE RICHIE	2021	FFS	RENDERING	AGE 0-20	206	None	1,341	None	173	None	703	None	72	None	158	None	167	None	176	None
1639451198	LEE RICHIE	2021	FFS	RENDERING	AGE 21+	360	None	1,651	None	225	None	435	None	208	None	463	None	254	None	254	None
1639463888	IZVERNARI PAULA M	2021	FFS	RENDERING	AGE 0-20	36	None	199	None	24	None	62	None	20	None	44	None	18	None	19	None
1639463888	IZVERNARI PAULA M	2021	FFS	RENDERING	AGE 21+	54	None	287	None	23	None	43	None	34	None	107	None	31	None	31	None
1639464597	TRAVERS GRACE	2021	FFS	RENDERING	AGE 0-20	18	None	356	None	None	1	None	1	17	None	327	None	None	1	None	1
1639465784	CHIANG JER-WEI	2021	FFS	RENDERING	AGE 0-20	169	None	1,946	None	146	None	549	None	114	None	339	None	151	None	188	None
1639465784	CHIANG JER-WEI	2021	FFS	RENDERING	AGE 21+	202	None	1,556	None	118	None	237	None	155	None	617	None	133	None	135	None
1639466568	ALI HINA S	2021	FFS	RENDERING	AGE 0-20	1,932	None	30,931	None	1,846	None	7,897	None	1,345	None	4,059	None	1,873	None	2,661	None
1639466568	ALI HINA S	2021	FFS	RENDERING	AGE 21+	113	None	1,221	None	38	None	76	None	60	None	238	None	99	None	99	None
1639475023	TEVES SALAZAR GUSTAVO	2021	FFS	RENDERING	AGE 0-20	665	None	2,602	None	400	None	1,047	None	288	None	694	None	273	None	275	None
1639475023	TEVES SALAZAR GUSTAVO	2021	FFS	RENDERING	AGE 21+	1,975	None	7,361	None	261	None	476	None	1,681	None	6,046	None	305	None	305	None
1639485162	WESTFALL, APRIL LYN DMD	2021	FFS	RENDERING	AGE 0-20	980	None	9,748	None	912	None	2,618	None	81	None	105	None	930	None	1,191	None
1639485162	WESTFALL, APRIL LYN DMD	2021	FFS	RENDERING	AGE 21+	301	None	1,329	None	60	None	112	None	239	None	489	None	58	None	58	None
1639488034	EBRAHIMI NIMA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639496318	ELMAKI TELAL A	2021	FFS	RENDERING	AGE 0-20	141	None	1,039	None	77	None	171	None	74	None	220	None	80	None	81	None
1639496318	ELMAKI TELAL A	2021	FFS	RENDERING	AGE 21+	540	None	3,362	None	193	None	390	None	375	None	1,539	None	219	None	219	None
1639500242	SATTOUT OMAR	2021	FFS	RENDERING	AGE 0-20	123	None	297	None	None	1	None	1	122	None	284	None	None	1	None	1
1639500242	SATTOUT OMAR	2021	FFS	RENDERING	AGE 21+	852	None	2,478	None	17	None	19	None	833	None	2,391	None	21	None	21	None
1639500242	SATTOUT OMAR	2021	GMC	RENDERING	AGE 0-20	318	None	2,467	None	291	None	1,393	None	116	None	312	None	301	None	341	None
1639500242	SATTOUT OMAR	2021	GMC	RENDERING	AGE 21+	769	None	3,450	None	641	None	827	None	317	None	998	None	716	None	787	None
1639508278	ASHTIANY AZADEH	2021	FFS	RENDERING	AGE 0-20	19	None	111	None	None	1	None	2	17	None	51	None	None	1	None	1
1639508278	ASHTIANY AZADEH	2021	FFS	RENDERING	AGE 21+	84	None	529	None	19	None	31	None	70	None	291	None	47	None	47	None
1639514789	DAMASCUS ALEXANDER P	2021	FFS	RENDERING	AGE 21+	765	None	2,016	None	0	None	0	None	764	None	1,228	None	751	None	751	None
1639521404	KHAMO TARA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1639521404	KHAMO TARA	2021	FFS	RENDERING	AGE 21+	13	None	30	None	0	None	0	None	None	1	None	1	11	None	11	None
1639522428	YASMEEN FARAH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1639522428	YASMEEN FARAH	2021	GMC	RENDERING	AGE 0-20	530	None	6,435	None	511	None	2,161	None	361	None	890	None	509	None	672	None
1639522428	YASMEEN FARAH	2021	GMC	RENDERING	AGE 21+	535	None	4,712	None	296	None	527	None	397	None	1,753	None	417	None	421	None
1639527328	NAM CHRISTINE K	2021	FFS	RENDERING	AGE 0-20	428	None	4,656	None	394	None	1,184	None	316	None	1,352	None	389	None	497	None
1639527328	NAM CHRISTINE K	2021	FFS	RENDERING	AGE 21+	109	None	569	None	25	None	48	None	74	None	259	None	74	None	74	None
1639538994	HARLAN MIA	2021	PHP	RENDERING	AGE 0-20	21	None	122	None	19	None	59	None	17	None	24	None	14	None	14	None
1639538994	HARLAN MIA	2021	PHP	RENDERING	AGE 21+	45	None	301	None	32	None	91	None	35	None	97	None	23	None	23	None
1639557739	KIM HYUNJI	2021	FFS	RENDERING	AGE 0-20	75	None	408	None	52	None	106	None	36	None	135	None	59	None	59	None
1639557739	KIM HYUNJI	2021	FFS	RENDERING	AGE 21+	332	None	1,244	None	124	None	235	None	178	None	459	None	214	None	215	None
1639557861	SCHAEFFER JAMES P	2021	FFS	RENDERING	AGE 0-20	36	None	143	None	None	1	None	1	34	None	96	None	None	1	None	1
1639557861	SCHAEFFER JAMES P	2021	FFS	RENDERING	AGE 21+	94	None	239	None	None	1	None	1	91	None	170	None	None	1	None	1
1639577182	HEDAYAT LALEH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639577182	HEDAYAT LALEH	2021	FFS	RENDERING	AGE 21+	23	None	81	None	0	None	0	None	23	None	81	None	0	None	0	None
1639592371	DESAI MONICA J	2021	FFS	RENDERING	AGE 0-20	652	None	4,495	None	592	None	1,969	None	379	None	772	None	559	None	688	None
1639592371	DESAI MONICA J	2021	FFS	RENDERING	AGE 21+	17	None	63	None	None	1	None	2	None	1	None	2	None	1	None	1
1639592371	DESAI MONICA J	2021	PHP	RENDERING	AGE 0-20	56	None	390	None	52	None	173	None	33	None	56	None	47	None	53	None
1639592371	DESAI MONICA J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639599376	NGUYEN JUSTIN L	2021	FFS	RENDERING	AGE 0-20	49	None	175	None	0	None	0	None	49	None	173	None	0	None	0	None
1639599376	NGUYEN JUSTIN L	2021	FFS	RENDERING	AGE 21+	27	None	79	None	0	None	0	None	27	None	74	None	0	None	0	None
1639637986	PLEASANT KRISTY C	2021	FFS	RENDERING	AGE 0-20	1,124	None	5,168	None	577	None	1,244	None	538	None	958	None	870	None	908	None
1639637986	PLEASANT KRISTY C	2021	FFS	RENDERING	AGE 21+	934	None	3,130	None	165	None	323	None	464	None	1,072	None	567	None	567	None
1639648454	TRUONG KEN	2021	FFS	RENDERING	AGE 0-20	140	None	1,594	None	133	None	463	None	41	None	103	None	127	None	155	None
1639648454	TRUONG KEN	2021	FFS	RENDERING	AGE 21+	322	None	3,843	None	247	None	489	None	221	None	813	None	252	None	252	None
1639692692	PATEL ASMA M	2021	FFS	RENDERING	AGE 0-20	391	None	4,017	None	335	None	1,296	None	236	None	607	None	358	None	440	None
1639692692	PATEL ASMA M	2021	FFS	RENDERING	AGE 21+	713	None	4,133	None	388	None	751	None	484	None	1,501	None	518	None	528	None
1639695950	MOK SEEUN	2021	FFS	RENDERING	AGE 0-20	297	None	1,974	None	250	None	701	None	142	None	420	None	244	None	244	None
1639695950	MOK SEEUN	2021	FFS	RENDERING	AGE 21+	305	None	1,421	None	148	None	154	None	208	None	566	None	158	None	158	None
1639696396	SURA AMISHA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639704422	ARCALA ELLEN V	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1639704422	ARCALA ELLEN V	2021	FFS	RENDERING	AGE 21+	13	None	37	None	None	1	None	2	None	1	None	1	None	1	None	1
1639737414	TAN KATHERINE C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639771256	BOOSTANI NIMA	2021	FFS	RENDERING	AGE 0-20	293	None	2,714	None	218	None	496	None	114	None	253	None	242	None	242	None
1639771256	BOOSTANI NIMA	2021	FFS	RENDERING	AGE 21+	497	None	2,906	None	223	None	434	None	341	None	815	None	259	None	259	None
1639776073	BAUMAN STEPHANIE	2021	FFS	RENDERING	AGE 0-20	400	None	2,344	None	346	None	709	None	154	None	273	None	342	None	342	None
1639776073	BAUMAN STEPHANIE	2021	FFS	RENDERING	AGE 21+	166	None	734	None	69	None	135	None	129	None	295	None	75	None	75	None
1639785223	VAEZ MERCEDEH N	2021	FFS	RENDERING	AGE 0-20	14	None	36	None	None	1	None	1	14	None	18	None	None	1	None	1
1639785223	VAEZ MERCEDEH N	2021	FFS	RENDERING	AGE 21+	193	None	653	None	13	None	14	None	164	None	212	None	31	None	31	None
1639785223	VAEZ MERCEDEH N	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1639793284	LENNEY ALEXIA E	2021	FFS	RENDERING	AGE 0-20	21	None	94	None	20	None	40	None	None	1	None	2	None	1	None	1
1639793284	LENNEY ALEXIA E	2021	FFS	RENDERING	AGE 21+	62	None	241	None	23	None	41	None	37	None	96	None	36	None	36	None
1639794266	MADDOX MATTHEW I	2021	FFS	RENDERING	AGE 0-20	69	None	305	None	26	None	53	None	39	None	85	None	38	None	38	None
1639794266	MADDOX MATTHEW I	2021	FFS	RENDERING	AGE 21+	104	None	467	None	26	None	48	None	59	None	158	None	69	None	69	None
1649207440	SHAY, FRANK, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	238	None	25	None	63	None	17	None	80	None	22	None	29	None
1649207440	SHAY, FRANK, DDS	2021	FFS	RENDERING	AGE 21+	89	None	475	None	73	None	73	None	57	None	180	None	31	None	31	None
1649228628	YANG JIN H	2021	FFS	RENDERING	AGE 0-20	82	None	641	None	70	None	169	None	11	None	19	None	73	None	90	None
1649228628	YANG JIN H	2021	FFS	RENDERING	AGE 21+	61	None	482	None	42	None	67	None	16	None	35	None	56	None	56	None
1649228628	YANG JIN H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649228628	YANG JIN H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649230319	ACOSTA ADRIAN	2021	GMC	RENDERING	AGE 0-20	122	None	1,285	None	116	None	436	None	46	None	73	None	116	None	120	None
1649230319	ACOSTA ADRIAN	2021	GMC	RENDERING	AGE 21+	75	None	500	None	42	None	83	None	48	None	103	None	43	None	44	None
1649275074	SCIARRA, JOSEPH P, DDS	2021	FFS	RENDERING	AGE 0-20	283	None	1,863	None	256	None	669	None	110	None	476	None	234	None	297	None
1649275074	SCIARRA, JOSEPH P, DDS	2021	FFS	RENDERING	AGE 21+	23	None	91	None	15	None	29	None	13	None	31	None	14	None	14	None
1649275223	HONGO GARY S.	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1649280686	IRASUSTA CATHERINE S	2021	FFS	RENDERING	AGE 0-20	848	None	10,435	None	801	None	3,230	None	439	None	1,139	None	767	None	1,099	None
1649280686	IRASUSTA CATHERINE S	2021	FFS	RENDERING	AGE 21+	581	None	3,908	None	446	None	853	None	330	None	1,210	None	450	None	450	None
1649280686	IRASUSTA CATHERINE S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649290487	BELGUM, CYNTHIA LEIGH, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1649290487	BELGUM, CYNTHIA LEIGH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649298639	CHAVEZ, CARLOS DDS MS	2021	FFS	RENDERING	AGE 0-20	100	None	707	None	92	None	375	None	40	None	112	None	92	None	113	None
1649298639	CHAVEZ, CARLOS DDS MS	2021	FFS	RENDERING	AGE 21+	193	None	1,221	None	140	None	267	None	134	None	522	None	153	None	153	None
1649302126	RAKSHAK BHARAT	2021	FFS	RENDERING	AGE 0-20	69	None	647	None	52	None	122	None	26	None	112	None	55	None	67	None
1649302126	RAKSHAK BHARAT	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1649302126	RAKSHAK, BHARAT, DDS	2021	FFS	RENDERING	AGE 0-20	69	None	647	None	52	None	122	None	26	None	112	None	55	None	67	None
1649302126	RAKSHAK, BHARAT, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1649303389	CHEN RONNIE HONG J	2021	FFS	RENDERING	AGE 0-20	24	None	186	None	23	None	50	None	11	None	23	None	23	None	31	None
1649303389	CHEN RONNIE HONG J	2021	FFS	RENDERING	AGE 21+	71	None	360	None	49	None	49	None	38	None	108	None	19	None	19	None
1649309436	NGUYEN JOHN T	2021	FFS	RENDERING	AGE 0-20	102	None	737	None	79	None	183	None	54	None	196	None	77	None	86	None
1649309436	NGUYEN JOHN T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1649310269	CHUN FAITH H	2021	FFS	RENDERING	AGE 0-20	916	None	4,038	None	287	None	670	None	211	None	737	None	843	None	974	None
1649310269	CHUN FAITH H	2021	FFS	RENDERING	AGE 21+	769	None	2,384	None	81	None	154	None	253	None	676	None	557	None	559	None
1649310269	CHUN FAITH H	2021	PHP	RENDERING	AGE 0-20	107	None	222	None	30	None	71	None	12	None	19	None	100	None	109	None
1649310269	CHUN FAITH H	2021	PHP	RENDERING	AGE 21+	154	None	318	None	15	None	32	None	62	None	166	None	108	None	110	None
1649312018	RAD, MADJID-NOWFAR, DDS	2021	FFS	RENDERING	AGE 21+	26	None	247	None	15	None	16	None	21	None	157	None	18	None	18	None
1649314691	ALIKPALA ELIZABETH A	2021	FFS	RENDERING	AGE 0-20	696	None	6,176	None	444	None	1,300	None	494	None	1,672	None	447	None	521	None
1649314691	ALIKPALA ELIZABETH A	2021	FFS	RENDERING	AGE 21+	419	None	2,070	None	130	None	258	None	323	None	964	None	148	None	148	None
1649319765	CHAHAL GURNEET	2021	FFS	RENDERING	AGE 0-20	1,846	None	27,103	None	1,715	None	5,647	None	773	None	2,027	None	1,752	None	2,457	None
1649319765	CHAHAL GURNEET	2021	FFS	RENDERING	AGE 21+	55	None	205	None	26	None	27	None	20	None	48	None	53	None	55	None
1649321456	MOY, HOWARD WONG DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649322462	ACAL, ELENA MARIA DMD	2021	FFS	RENDERING	AGE 0-20	436	None	4,992	None	420	None	1,673	None	140	None	386	None	414	None	580	None
1649322462	ACAL, ELENA MARIA DMD	2021	FFS	RENDERING	AGE 21+	214	None	1,520	None	185	None	185	None	76	None	177	None	188	None	188	None
1649323726	GRIGORYAN MARIYA	2021	FFS	RENDERING	AGE 0-20	127	None	1,179	None	115	None	239	None	67	None	389	None	111	None	148	None
1649323726	GRIGORYAN MARIYA	2021	FFS	RENDERING	AGE 21+	154	None	879	None	58	None	58	None	100	None	436	None	110	None	110	None
1649332305	BOND, WENDELL B DDS	2021	FFS	RENDERING	AGE 0-20	449	None	2,861	None	401	None	1,481	None	165	None	481	None	437	None	543	None
1649332305	BOND, WENDELL B DDS	2021	FFS	RENDERING	AGE 21+	670	None	3,850	None	493	None	980	None	451	None	1,742	None	562	None	563	None
1649332305	BOND, WENDELL B, DDS	2021	FFS	RENDERING	AGE 0-20	449	None	2,861	None	401	None	1,481	None	165	None	481	None	437	None	543	None
1649332305	BOND, WENDELL B, DDS	2021	FFS	RENDERING	AGE 21+	670	None	3,850	None	493	None	980	None	451	None	1,742	None	562	None	563	None
1649335241	OBOH, PHILOMENA O DDS	2021	FFS	RENDERING	AGE 0-20	175	None	1,255	None	83	None	251	None	105	None	273	None	118	None	130	None
1649335241	OBOH, PHILOMENA O DDS	2021	FFS	RENDERING	AGE 21+	156	None	1,044	None	68	None	116	None	119	None	596	None	85	None	85	None
1649337239	MARTINEZ AQUILEO	2021	FFS	RENDERING	AGE 0-20	536	None	2,073	None	73	None	170	None	462	None	1,167	None	113	None	113	None
1649337239	MARTINEZ AQUILEO	2021	FFS	RENDERING	AGE 21+	406	None	2,031	None	32	None	51	None	368	None	1,516	None	69	None	69	None
1649338948	SURYA, METTA, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	488	None	27	None	108	None	26	None	107	None	30	None	40	None
1649338948	SURYA, METTA, DDS	2021	FFS	RENDERING	AGE 21+	50	None	374	None	18	None	29	None	34	None	145	None	31	None	31	None
1649339714	ANGELES DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1649339714	ANGELES DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1649339987	NEMAZEE, MASSOUD	2021	FFS	RENDERING	AGE 0-20	82	None	898	None	79	None	339	None	41	None	171	None	81	None	109	None
1649339987	NEMAZEE, MASSOUD	2021	FFS	RENDERING	AGE 21+	77	None	668	None	55	None	114	None	58	None	323	None	57	None	57	None
1649340761	GALFAYAN RUZANNA	2021	FFS	RENDERING	AGE 0-20	19	None	117	None	None	1	None	2	14	None	65	None	17	None	17	None
1649340761	GALFAYAN RUZANNA	2021	FFS	RENDERING	AGE 21+	287	None	1,727	None	87	None	87	None	249	None	1,148	None	191	None	191	None
1649340761	GALFAYAN, RUZANNA, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	117	None	None	1	None	2	14	None	65	None	17	None	17	None
1649340761	GALFAYAN, RUZANNA, DDS	2021	FFS	RENDERING	AGE 21+	287	None	1,727	None	87	None	87	None	249	None	1,148	None	191	None	191	None
1649347907	NGUYEN PHUONGHA L	2021	FFS	RENDERING	AGE 0-20	155	None	1,707	None	153	None	586	None	66	None	188	None	140	None	203	None
1649347907	NGUYEN PHUONGHA L	2021	FFS	RENDERING	AGE 21+	17	None	111	None	15	None	30	None	None	1	None	1	14	None	14	None
1649349879	KALLAOS STEPHEN S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1649349879	KALLAOS STEPHEN S	2021	FFS	RENDERING	AGE 21+	60	None	137	None	0	None	0	None	20	None	48	None	44	None	44	None
1649352410	EDWARDS THOMAS JOHN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1649356734	CHAN, HENRY DDS	2021	FFS	RENDERING	AGE 0-20	69	None	612	None	44	None	96	None	23	None	104	None	61	None	66	None
1649356734	CHAN, HENRY DDS	2021	FFS	RENDERING	AGE 21+	223	None	1,902	None	117	None	117	None	134	None	449	None	183	None	183	None
1649367350	HOGAN EVA L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1649368655	NGUYEN CAMTAM T	2021	FFS	RENDERING	AGE 0-20	47	None	471	None	46	None	116	None	17	None	60	None	38	None	63	None
1649368655	NGUYEN CAMTAM T	2021	FFS	RENDERING	AGE 21+	30	None	177	None	27	None	28	None	15	None	42	None	17	None	17	None
1649378886	PHAN, LUONG V, DMD	2021	FFS	RENDERING	AGE 0-20	63	None	275	None	61	None	129	None	21	None	41	None	54	None	60	None
1649378886	PHAN, LUONG V, DMD	2021	FFS	RENDERING	AGE 21+	151	None	686	None	124	None	161	None	90	None	199	None	127	None	127	None
1649392705	OVANESPOUR, RAZMIK, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	80	None	None	1	None	2	None	1	None	2	None	1	None	2
1649392705	OVANESPOUR, RAZMIK, DDS	2021	FFS	RENDERING	AGE 21+	272	None	2,171	None	133	None	228	None	229	None	1,242	None	140	None	140	None
1649394222	CHOY NORMAN LEE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649394248	LE LONG HOANG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649395690	WALKOW TODD M	2021	FFS	RENDERING	AGE 0-20	64	None	118	None	0	None	0	None	None	1	None	1	0	None	0	None
1649395690	WALKOW TODD M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1649397530	MORAN LUIS E	2021	FFS	RENDERING	AGE 0-20	1,383	None	22,680	None	1,336	None	5,810	None	766	None	2,308	None	1,339	None	1,910	None
1649397530	MORAN LUIS E	2021	FFS	RENDERING	AGE 21+	313	None	2,656	None	186	None	309	None	203	None	862	None	268	None	268	None
1649406638	RAHIMI RONAN	2021	FFS	RENDERING	AGE 21+	84	None	225	None	30	None	35	None	84	None	119	None	71	None	71	None
1649409855	CHOI JULIA J	2021	FFS	RENDERING	AGE 0-20	246	None	854	None	0	None	0	None	136	None	376	None	0	None	0	None
1649409855	CHOI JULIA J	2021	FFS	RENDERING	AGE 21+	20	None	53	None	0	None	0	None	20	None	20	None	0	None	0	None
1649414871	CORTES, CLAUDIA DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1649419854	LU, JENNIFER C DDS	2021	FFS	RENDERING	AGE 0-20	923	None	6,787	None	662	None	1,774	None	356	None	831	None	691	None	719	None
1649419854	LU, JENNIFER C DDS	2021	FFS	RENDERING	AGE 21+	659	None	2,523	None	157	None	275	None	311	None	650	None	330	None	333	None
1649419854	LU, JENNIFER C DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1649419854	LU, JENNIFER C DDS	2021	PHP	RENDERING	AGE 0-20	483	None	4,323	None	391	None	1,417	None	197	None	421	None	422	None	512	None
1649419854	LU, JENNIFER C DDS	2021	PHP	RENDERING	AGE 21+	621	None	3,132	None	215	None	500	None	298	None	788	None	421	None	433	None
1649425281	GEORGIADES TONI B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649425281	GEORGIADES TONI B	2021	FFS	RENDERING	AGE 21+	2,613	None	14,449	None	1,620	None	5,608	None	2,612	None	7,172	None	1,431	None	1,433	None
1649427147	TRAN, MIKE M, DDS	2021	FFS	RENDERING	AGE 0-20	247	None	2,829	None	222	None	499	None	134	None	480	None	234	None	277	None
1649427147	TRAN, MIKE M, DDS	2021	FFS	RENDERING	AGE 21+	505	None	4,190	None	371	None	407	None	372	None	1,723	None	421	None	427	None
1649427832	HOSSEINI SHADI	2021	FFS	RENDERING	AGE 0-20	21	None	93	None	None	1	None	1	12	None	37	None	None	1	None	1
1649427832	HOSSEINI SHADI	2021	FFS	RENDERING	AGE 21+	79	None	318	None	None	1	None	2	66	None	208	None	22	None	22	None
1649430539	BABAKHANOF PAUL	2021	FFS	RENDERING	AGE 0-20	23	None	172	None	16	None	46	None	11	None	45	None	17	None	18	None
1649430539	BABAKHANOF PAUL	2021	FFS	RENDERING	AGE 21+	84	None	444	None	23	None	45	None	58	None	201	None	52	None	52	None
1649438235	KHAZAEIZADEH REZA	2021	FFS	RENDERING	AGE 0-20	742	None	8,972	None	630	None	2,582	None	428	None	1,497	None	660	None	902	None
1649438235	KHAZAEIZADEH REZA	2021	FFS	RENDERING	AGE 21+	521	None	3,989	None	179	None	359	None	413	None	1,829	None	301	None	304	None
1649440595	SABAGH SUZAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649440595	SABAGH SUZAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1649445057	HEIR, NIMRAT, DDS	2021	FFS	RENDERING	AGE 0-20	137	None	274	None	0	None	0	None	80	None	193	None	0	None	0	None
1649445057	HEIR, NIMRAT, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1649445057	HEIR, NIMRAT, DDS	2021	GMC	RENDERING	AGE 0-20	310	None	1,778	None	140	None	386	None	305	None	997	None	0	None	0	None
1649445057	HEIR, NIMRAT, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1649445057	HEIR, NIMRAT, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649455627	AGGARWAL CHARU	2021	FFS	RENDERING	AGE 0-20	23	None	194	None	19	None	47	None	17	None	82	None	19	None	20	None
1649455627	AGGARWAL CHARU	2021	FFS	RENDERING	AGE 21+	45	None	328	None	32	None	32	None	36	None	201	None	40	None	40	None
1649455627	AGGARWAL CHARU	2021	PHP	RENDERING	AGE 0-20	25	None	218	None	23	None	48	None	15	None	56	None	23	None	29	None
1649455627	AGGARWAL CHARU	2021	PHP	RENDERING	AGE 21+	31	None	228	None	24	None	24	None	22	None	122	None	27	None	29	None
1649463233	KAYE, MAUREEN MARIE, RDHAP	2021	FFS	RENDERING	AGE 0-20	21	None	135	None	17	None	54	None	21	None	81	None	0	None	0	None
1649463233	KAYE, MAUREEN MARIE, RDHAP	2021	FFS	RENDERING	AGE 21+	395	None	3,196	None	388	None	1,472	None	395	None	1,724	None	0	None	0	None
1649465147	DEHNADI BORTAY	2021	FFS	RENDERING	AGE 0-20	30	None	71	None	0	None	0	None	30	None	71	None	0	None	0	None
1649465147	DEHNADI BORTAY	2021	FFS	RENDERING	AGE 21+	252	None	646	None	0	None	0	None	252	None	646	None	0	None	0	None
1649473083	HAROUNI EDDIE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649473083	HAROUNI EDDIE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1649474891	VALLEJO, RAUL J DDS	2021	FFS	RENDERING	AGE 0-20	45	None	409	None	25	None	72	None	18	None	64	None	44	None	51	None
1649474891	VALLEJO, RAUL J DDS	2021	FFS	RENDERING	AGE 21+	112	None	710	None	27	None	52	None	80	None	273	None	94	None	96	None
1649474891	VALLEJO, RAUL J DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1649476672	GUEVARA GABRIEL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649476672	GUEVARA GABRIEL S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1649476672	GUEVARA GABRIEL S	2021	GMC	RENDERING	AGE 0-20	334	None	2,346	None	230	None	904	None	184	None	323	None	224	None	247	None
1649476672	GUEVARA GABRIEL S	2021	GMC	RENDERING	AGE 21+	836	None	4,505	None	254	None	580	None	698	None	1,764	None	352	None	356	None
1649478769	SAUCEDO MARTHA V	2021	FFS	RENDERING	AGE 0-20	389	None	4,048	None	306	None	891	None	239	None	522	None	296	None	312	None
1649478769	SAUCEDO MARTHA V	2021	FFS	RENDERING	AGE 21+	343	None	2,547	None	124	None	247	None	233	None	636	None	158	None	158	None
1649486713	KAZEMI RAY R	2021	FFS	RENDERING	AGE 0-20	48	None	618	None	45	None	128	None	26	None	104	None	46	None	66	None
1649486713	KAZEMI RAY R	2021	FFS	RENDERING	AGE 21+	79	None	592	None	33	None	65	None	44	None	172	None	59	None	59	None
1649489279	GEVORGYAN NAIRA	2021	FFS	RENDERING	AGE 0-20	229	None	1,527	None	23	None	54	None	154	None	511	None	193	None	196	None
1649489279	GEVORGYAN NAIRA	2021	FFS	RENDERING	AGE 21+	174	None	1,141	None	110	None	217	None	117	None	465	None	137	None	137	None
1649489279	GEVORGYAN NAIRA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649490202	RAMIREZ, MONICA E, DDS	2021	FFS	RENDERING	AGE 0-20	580	None	5,845	None	399	None	1,194	None	395	None	1,190	None	386	None	414	None
1649490202	RAMIREZ, MONICA E, DDS	2021	FFS	RENDERING	AGE 21+	284	None	2,219	None	95	None	179	None	228	None	904	None	126	None	127	None
1649490202	RAMIREZ, MONICA E, DDS	2021	PHP	RENDERING	AGE 0-20	58	None	623	None	53	None	179	None	42	None	123	None	53	None	64	None
1649490202	RAMIREZ, MONICA E, DDS	2021	PHP	RENDERING	AGE 21+	61	None	393	None	15	None	17	None	44	None	164	None	43	None	44	None
1649491077	YUN, HYUN SOO	2021	FFS	RENDERING	AGE 0-20	171	None	1,787	None	163	None	413	None	104	None	509	None	152	None	165	None
1649491077	YUN, HYUN SOO	2021	FFS	RENDERING	AGE 21+	165	None	2,034	None	135	None	266	None	118	None	960	None	122	None	122	None
1649491093	BARRETO, FERNANDO, DDS	2021	FFS	RENDERING	AGE 0-20	13	None	85	None	13	None	32	None	None	1	None	1	13	None	15	None
1649491093	BARRETO, FERNANDO, DDS	2021	FFS	RENDERING	AGE 21+	53	None	302	None	31	None	47	None	29	None	97	None	41	None	41	None
1649495383	DILLWORTH DONALD A	2021	FFS	RENDERING	AGE 0-20	275	None	2,636	None	76	None	212	None	146	None	489	None	228	None	240	None
1649495383	DILLWORTH DONALD A	2021	FFS	RENDERING	AGE 21+	947	None	11,443	None	73	None	138	None	680	None	2,941	None	726	None	728	None
1649495987	JANFAZA, EDMOND, DDS	2021	FFS	RENDERING	AGE 0-20	102	None	943	None	101	None	326	None	52	None	118	None	100	None	131	None
1649495987	JANFAZA, EDMOND, DDS	2021	FFS	RENDERING	AGE 21+	125	None	864	None	102	None	201	None	69	None	228	None	75	None	75	None
1649496290	ALTAMIMI WESAM M	2021	FFS	RENDERING	AGE 0-20	109	None	875	None	60	None	163	None	76	None	260	None	78	None	79	None
1649496290	ALTAMIMI WESAM M	2021	FFS	RENDERING	AGE 21+	317	None	2,112	None	136	None	271	None	261	None	1,089	None	161	None	161	None
1649498296	BARKY ALICE	2021	FFS	RENDERING	AGE 0-20	198	None	1,555	None	136	None	426	None	100	None	207	None	189	None	249	None
1649498296	BARKY ALICE	2021	FFS	RENDERING	AGE 21+	169	None	773	None	46	None	91	None	87	None	182	None	127	None	127	None
1649498817	B. DEIRMENJIAN, DDS, INC.	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649498817	B. DEIRMENJIAN, DDS, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649498817	DEIRMENJIAN, B, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649498817	DEIRMENJIAN, B, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649499328	ANACTA TIU, MARIA ARLENE DDS	2021	FFS	RENDERING	AGE 0-20	1,095	None	18,966	None	1,063	None	4,923	None	650	None	1,669	None	1,074	None	1,636	None
1649499328	ANACTA TIU, MARIA ARLENE DDS	2021	FFS	RENDERING	AGE 21+	392	None	4,046	None	291	None	586	None	207	None	555	None	334	None	335	None
1649549130	REZAEI KALANTAR DANIAL	2021	FFS	RENDERING	AGE 0-20	403	None	6,129	None	355	None	1,434	None	285	None	1,288	None	371	None	510	None
1649549130	REZAEI KALANTAR DANIAL	2021	FFS	RENDERING	AGE 21+	397	None	3,095	None	221	None	446	None	271	None	1,060	None	282	None	282	None
1649562182	CITRUS HEIGHTS DENTAL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649565557	HERNANDEZ JERRY	2021	FFS	RENDERING	AGE 0-20	302	None	3,913	None	238	None	658	None	163	None	658	None	250	None	296	None
1649565557	HERNANDEZ JERRY	2021	FFS	RENDERING	AGE 21+	553	None	5,087	None	240	None	256	None	436	None	1,792	None	161	None	161	None
1649583931	KAVETY PALLAVI	2021	FFS	RENDERING	AGE 0-20	4,192	None	32,933	None	3,710	None	10,374	None	1,738	None	2,924	None	3,910	None	4,299	None
1649583931	KAVETY PALLAVI	2021	FFS	RENDERING	AGE 21+	16	None	67	None	None	1	None	2	None	1	None	1	12	None	12	None
1649583931	KAVETY PALLAVI	2021	PHP	RENDERING	AGE 0-20	17	None	63	None	None	1	None	1	11	None	11	None	None	1	None	1
1649615030	FARAHANI ATOUSA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1649622887	ARUNACHALAM RAJI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1649622887	ARUNACHALAM RAJI	2021	PHP	RENDERING	AGE 21+	18	None	204	None	None	1	None	2	None	1	None	1	17	None	21	None
1649648825	KHEYRDAN FERESHTEH	2021	FFS	RENDERING	AGE 0-20	214	None	1,191	None	102	None	316	None	185	None	426	None	29	None	30	None
1649648825	KHEYRDAN FERESHTEH	2021	FFS	RENDERING	AGE 21+	18	None	90	None	None	1	None	1	17	None	44	None	None	1	None	1
1649657388	LEDESMA NELDA LIM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649657388	LEDESMA NELDA LIM	2021	FFS	RENDERING	AGE 21+	16	None	127	None	None	1	None	1	11	None	33	None	None	1	None	1
1649659665	OBEIDAT BATOOL S	2021	FFS	RENDERING	AGE 0-20	182	None	470	None	None	1	None	2	179	None	437	None	None	1	None	1
1649659665	OBEIDAT BATOOL S	2021	FFS	RENDERING	AGE 21+	1,107	None	3,394	None	0	None	0	None	1,104	None	3,338	None	None	1	None	1
1649659665	OBEIDAT BATOOL S	2021	PHP	RENDERING	AGE 21+	15	None	42	None	0	None	0	None	15	None	42	None	0	None	0	None
1649670837	KUCHARSKI KAREN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649702556	LIN SEAN H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649702556	LIN SEAN H	2021	FFS	RENDERING	AGE 21+	24	None	54	None	None	1	None	1	None	1	None	2	17	None	17	None
1649714247	HANNA MICHAEL G	2021	FFS	RENDERING	AGE 0-20	170	None	1,097	None	108	None	394	None	68	None	209	None	158	None	162	None
1649714247	HANNA MICHAEL G	2021	FFS	RENDERING	AGE 21+	504	None	3,003	None	262	None	488	None	312	None	1,298	None	426	None	426	None
1649715863	NADEEM MUHAMMAD	2021	FFS	RENDERING	AGE 0-20	677	None	3,010	None	None	1	None	1	497	None	1,464	None	597	None	599	None
1649715863	NADEEM MUHAMMAD	2021	FFS	RENDERING	AGE 21+	2,713	None	14,061	None	0	None	0	None	2,131	None	6,790	None	2,369	None	2,376	None
1649715863	NADEEM MUHAMMAD	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1649718578	ANSARI MOHAM M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649718578	ANSARI MOHAM M	2021	GMC	RENDERING	AGE 0-20	181	None	1,277	None	129	None	516	None	129	None	274	None	105	None	105	None
1649718578	ANSARI MOHAM M	2021	GMC	RENDERING	AGE 21+	312	None	1,389	None	57	None	134	None	248	None	744	None	123	None	123	None
1649721135	SEFIDPOUR SHAHRYAR	2021	FFS	RENDERING	AGE 0-20	88	None	227	None	0	None	0	None	24	None	78	None	0	None	0	None
1649721135	SEFIDPOUR SHAHRYAR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649729831	LUU HARVEY A	2021	FFS	RENDERING	AGE 0-20	168	None	311	None	0	None	0	None	50	None	119	None	0	None	0	None
1649729831	LUU HARVEY A	2021	PHP	RENDERING	AGE 0-20	49	None	184	None	0	None	0	None	36	None	151	None	0	None	0	None
1649729831	LUU HARVEY A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1649731936	MERCHANT MOHEET M	2021	FFS	RENDERING	AGE 0-20	118	None	826	None	60	None	120	None	77	None	155	None	66	None	66	None
1649731936	MERCHANT MOHEET M	2021	FFS	RENDERING	AGE 21+	264	None	1,260	None	65	None	130	None	198	None	512	None	104	None	104	None
1649753849	MAI JENNIFER NA T	2021	FFS	RENDERING	AGE 0-20	105	None	948	None	96	None	273	None	56	None	120	None	104	None	107	None
1649753849	MAI JENNIFER NA T	2021	FFS	RENDERING	AGE 21+	426	None	4,063	None	304	None	603	None	301	None	1,329	None	409	None	409	None
1649768797	MOORTHY KAVITHA	2021	FFS	RENDERING	AGE 0-20	45	None	400	None	38	None	84	None	17	None	36	None	38	None	42	None
1649768797	MOORTHY KAVITHA	2021	FFS	RENDERING	AGE 21+	29	None	176	None	16	None	31	None	17	None	34	None	15	None	15	None
1649768862	MEHTA VIDIT H	2021	FFS	RENDERING	AGE 0-20	746	None	4,081	None	473	None	1,411	None	278	None	589	None	637	None	647	None
1649768862	MEHTA VIDIT H	2021	FFS	RENDERING	AGE 21+	941	None	3,252	None	250	None	478	None	391	None	949	None	624	None	625	None
1649768862	MEHTA VIDIT H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649790148	IRANPOUR DEHKOR MAHSA	2021	FFS	RENDERING	AGE 0-20	358	None	1,770	None	283	None	614	None	129	None	353	None	251	None	251	None
1649790148	IRANPOUR DEHKOR MAHSA	2021	FFS	RENDERING	AGE 21+	927	None	2,833	None	252	None	420	None	760	None	1,297	None	525	None	525	None
1649790148	IRANPOUR DEHKOR MAHSA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649791898	AL TEKREETI MOHAMMED	2021	FFS	RENDERING	AGE 0-20	145	None	1,055	None	98	None	230	None	82	None	348	None	98	None	104	None
1649791898	AL TEKREETI MOHAMMED	2021	FFS	RENDERING	AGE 21+	849	None	6,209	None	385	None	725	None	719	None	3,324	None	433	None	433	None
1649794009	FARGO BASSAM W	2021	FFS	RENDERING	AGE 0-20	62	None	288	None	21	None	85	None	24	None	49	None	42	None	44	None
1649794009	FARGO BASSAM W	2021	FFS	RENDERING	AGE 21+	242	None	965	None	24	None	27	None	119	None	406	None	163	None	163	None
1649796632	CHU WAYLAND	2021	FFS	RENDERING	AGE 21+	82	None	117	None	0	None	0	None	82	None	117	None	0	None	0	None
1649823808	MANE RAKSHA	2021	FFS	RENDERING	AGE 0-20	49	None	184	None	31	None	67	None	None	1	None	1	36	None	36	None
1649823808	MANE RAKSHA	2021	FFS	RENDERING	AGE 21+	118	None	299	None	19	None	24	None	25	None	46	None	73	None	73	None
1649823808	MANE RAKSHA	2021	PHP	RENDERING	AGE 0-20	19	None	57	None	15	None	34	None	None	1	None	1	18	None	18	None
1649823808	MANE RAKSHA	2021	PHP	RENDERING	AGE 21+	31	None	71	None	17	None	28	None	None	1	None	2	20	None	20	None
1649827924	ZAMA ROBERT I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1649827924	ZAMA ROBERT I	2021	FFS	RENDERING	AGE 21+	29	None	76	None	0	None	0	None	28	None	59	None	0	None	0	None
1649827924	ZAMA ROBERT I	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649827924	ZAMA ROBERT I	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1649866831	MAHBUB SYED F	2021	FFS	RENDERING	AGE 0-20	23	None	92	None	None	1	None	2	19	None	50	None	None	1	None	1
1649866831	MAHBUB SYED F	2021	FFS	RENDERING	AGE 21+	181	None	548	None	None	1	None	2	114	None	311	None	79	None	79	None
1649866831	MAHBUB SYED F	2021	GMC	RENDERING	AGE 0-20	52	None	270	None	None	1	None	2	30	None	74	None	23	None	23	None
1649866831	MAHBUB SYED F	2021	GMC	RENDERING	AGE 21+	127	None	473	None	None	1	None	2	101	None	292	None	36	None	36	None
1649877994	PHAM DONALD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1649877994	PHAM DONALD	2021	FFS	RENDERING	AGE 21+	16	None	55	None	None	1	None	1	11	None	32	None	None	1	None	1
1649881376	NGUYEN IRENE L	2021	FFS	RENDERING	AGE 0-20	12	None	114	None	11	None	49	None	None	1	None	2	11	None	12	None
1649881376	NGUYEN IRENE L	2021	FFS	RENDERING	AGE 21+	29	None	123	None	None	1	None	2	22	None	52	None	13	None	13	None
1649889239	TUMEN-ULZII TELMEN	2021	FFS	RENDERING	AGE 0-20	266	None	2,168	None	167	None	430	None	178	None	627	None	207	None	208	None
1649889239	TUMEN-ULZII TELMEN	2021	FFS	RENDERING	AGE 21+	609	None	4,352	None	272	None	528	None	480	None	1,823	None	373	None	377	None
1649943986	OREJUDOS MARIE ANTOIN D	2021	FFS	RENDERING	AGE 21+	306	None	709	None	16	None	22	None	306	None	572	None	115	None	115	None
1659048163	AL KHAYYAT MUSTAFA	2021	FFS	RENDERING	AGE 0-20	107	None	620	None	70	None	248	None	65	None	162	None	28	None	28	None
1659048163	AL KHAYYAT MUSTAFA	2021	FFS	RENDERING	AGE 21+	145	None	473	None	50	None	88	None	102	None	236	None	33	None	33	None
1659309300	H REZA SHAHMOHAMMADI DENTAL	2021	PHP	RENDERING	AGE 0-20	22	None	122	None	16	None	31	None	None	1	None	1	16	None	16	None
1659309300	H REZA SHAHMOHAMMADI DENTAL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1659309300	REZA, H, A DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 0-20	22	None	122	None	16	None	31	None	None	1	None	1	16	None	16	None
1659309300	REZA, H, A DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1659315133	KHALIL MICHAEL E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659315133	KHALIL MICHAEL E	2021	FFS	RENDERING	AGE 21+	27	None	123	None	0	None	0	None	26	None	110	None	0	None	0	None
1659315133	KHALIL MICHAEL E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1659315133	KHALIL MICHAEL E	2021	PHP	RENDERING	AGE 21+	85	None	380	None	None	1	None	1	55	None	217	None	53	None	54	None
1659323269	SUR, DANIEL DDS	2021	FFS	RENDERING	AGE 0-20	2,851	None	41,102	None	2,397	None	7,335	None	1,633	None	5,383	None	2,321	None	2,790	None
1659323269	SUR, DANIEL DDS	2021	FFS	RENDERING	AGE 21+	259	None	2,285	None	67	None	134	None	143	None	469	None	159	None	159	None
1659323269	SUR, DANIEL DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1659346013	HARRIS JAMES L	2021	FFS	RENDERING	AGE 0-20	189	None	753	None	54	None	130	None	71	None	184	None	135	None	138	None
1659346013	HARRIS JAMES L	2021	FFS	RENDERING	AGE 21+	507	None	1,510	None	62	None	120	None	241	None	551	None	294	None	294	None
1659349181	LU HENRY C	2021	FFS	RENDERING	AGE 0-20	13	None	74	None	0	None	0	None	12	None	34	None	0	None	0	None
1659349181	LU HENRY C	2021	FFS	RENDERING	AGE 21+	83	None	622	None	None	1	None	1	81	None	280	None	None	1	None	1
1659349181	LU HENRY C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659349181	LU HENRY C	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1659388833	AGUILAR, JOSE M, DDS	2021	FFS	RENDERING	AGE 0-20	119	None	1,181	None	82	None	196	None	71	None	239	None	106	None	114	None
1659388833	AGUILAR, JOSE M, DDS	2021	FFS	RENDERING	AGE 21+	231	None	1,475	None	86	None	89	None	154	None	538	None	143	None	143	None
1659399145	NEEDLE STEPHEN E	2021	FFS	RENDERING	AGE 0-20	14	None	42	None	0	None	0	None	None	1	None	2	None	1	None	1
1659399145	NEEDLE STEPHEN E	2021	FFS	RENDERING	AGE 21+	43	None	173	None	0	None	0	None	39	None	162	None	None	1	None	1
1659399145	NEEDLE STEPHEN E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1659399145	NEEDLE STEPHEN E	2021	PHP	RENDERING	AGE 21+	41	None	148	None	0	None	0	None	24	None	67	None	40	None	40	None
1659400307	TAMURA SCOTT L	2021	FFS	RENDERING	AGE 0-20	116	None	961	None	69	None	133	None	39	None	76	None	88	None	88	None
1659400307	TAMURA SCOTT L	2021	FFS	RENDERING	AGE 21+	221	None	1,354	None	35	None	67	None	93	None	226	None	128	None	128	None
1659401743	PATEL, JIGNESH DDS	2021	FFS	RENDERING	AGE 0-20	120	None	957	None	104	None	248	None	60	None	172	None	101	None	122	None
1659401743	PATEL, JIGNESH DDS	2021	FFS	RENDERING	AGE 21+	305	None	1,840	None	171	None	280	None	194	None	545	None	201	None	201	None
1659401743	PATEL, JIGNESH DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659401743	PATEL, JIGNESH DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659403301	GONZALEZ, MARIA YASMIN DDS	2021	FFS	RENDERING	AGE 0-20	88	None	678	None	83	None	201	None	22	None	48	None	74	None	79	None
1659403301	GONZALEZ, MARIA YASMIN DDS	2021	FFS	RENDERING	AGE 21+	91	None	472	None	36	None	65	None	63	None	170	None	54	None	54	None
1659404135	HEISCHOBER DONNA L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659404135	HEISCHOBER DONNA L	2021	GMC	RENDERING	AGE 0-20	616	None	3,005	None	282	None	533	None	337	None	999	None	289	None	318	None
1659404135	HEISCHOBER DONNA L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1659410199	OKBA ASHRAF M	2021	FFS	RENDERING	AGE 0-20	392	None	2,055	None	73	None	135	None	342	None	909	None	68	None	72	None
1659410199	OKBA ASHRAF M	2021	FFS	RENDERING	AGE 21+	297	None	1,246	None	16	None	21	None	267	None	552	None	26	None	26	None
1659416758	BHALLA POOJA	2021	FFS	RENDERING	AGE 0-20	47	None	324	None	18	None	23	None	16	None	35	None	40	None	46	None
1659416758	BHALLA POOJA	2021	FFS	RENDERING	AGE 21+	288	None	1,619	None	37	None	38	None	148	None	402	None	225	None	235	None
1659416998	YEH, WU-MING	2021	FFS	RENDERING	AGE 0-20	67	None	675	None	62	None	370	None	21	None	80	None	62	None	86	None
1659416998	YEH, WU-MING	2021	FFS	RENDERING	AGE 21+	283	None	2,548	None	216	None	433	None	233	None	1,275	None	231	None	252	None
1659416998	YEH, WU-MING, DDS	2021	FFS	RENDERING	AGE 0-20	67	None	675	None	62	None	370	None	21	None	80	None	62	None	86	None
1659416998	YEH, WU-MING, DDS	2021	FFS	RENDERING	AGE 21+	283	None	2,548	None	216	None	433	None	233	None	1,275	None	231	None	252	None
1659417400	HAN BOKYUNG	2021	FFS	RENDERING	AGE 0-20	97	None	841	None	94	None	378	None	37	None	100	None	93	None	141	None
1659417400	HAN BOKYUNG	2021	FFS	RENDERING	AGE 21+	55	None	275	None	46	None	47	None	23	None	71	None	47	None	47	None
1659422194	SHIRAZI DAVID E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659423895	NGUYEN LOAN K	2021	FFS	RENDERING	AGE 0-20	17	None	125	None	16	None	40	None	None	1	None	1	16	None	20	None
1659423895	NGUYEN LOAN K	2021	FFS	RENDERING	AGE 21+	77	None	456	None	64	None	68	None	39	None	108	None	65	None	65	None
1659425247	SAHABI, KAMRAN, DDS A PROF D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659427904	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659427904	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659438133	TIONOWIDJAJA, ENTY DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659438133	TIONOWIDJAJA, ENTY DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1659438166	HUANG YUNGTA	2021	FFS	RENDERING	AGE 0-20	380	None	4,795	None	364	None	1,470	None	205	None	578	None	377	None	606	None
1659438166	HUANG YUNGTA	2021	FFS	RENDERING	AGE 21+	330	None	3,364	None	278	None	560	None	225	None	959	None	299	None	302	None
1659438901	PHAM DUNG M	2021	FFS	RENDERING	AGE 0-20	16	None	43	None	None	1	None	2	0	None	0	None	None	1	None	1
1659438901	PHAM DUNG M	2021	FFS	RENDERING	AGE 21+	23	None	50	None	None	1	None	1	12	None	31	None	0	None	0	None
1659439503	REDDY MICHAEL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1659439503	REDDY MICHAEL S	2021	FFS	RENDERING	AGE 21+	44	None	86	None	None	1	None	1	35	None	65	None	None	1	None	1
1659440105	PADRON LORENZO MINERVO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1659440105	PADRON LORENZO MINERVO	2021	GMC	RENDERING	AGE 0-20	474	None	4,517	None	421	None	1,666	None	306	None	702	None	398	None	489	None
1659440105	PADRON LORENZO MINERVO	2021	GMC	RENDERING	AGE 21+	201	None	1,194	None	100	None	189	None	124	None	369	None	129	None	137	None
1659444214	TRAN TRUNG L	2021	FFS	RENDERING	AGE 0-20	58	None	397	None	42	None	115	None	28	None	69	None	41	None	44	None
1659444214	TRAN TRUNG L	2021	FFS	RENDERING	AGE 21+	98	None	545	None	40	None	78	None	71	None	209	None	44	None	44	None
1659446862	PAPAZIAN EDWIN	2021	FFS	RENDERING	AGE 0-20	93	None	639	None	72	None	129	None	43	None	114	None	84	None	98	None
1659446862	PAPAZIAN EDWIN	2021	FFS	RENDERING	AGE 21+	273	None	2,067	None	98	None	98	None	185	None	692	None	192	None	192	None
1659446870	MULCHANDANI, R M, DDS	2021	FFS	RENDERING	AGE 0-20	47	None	592	None	41	None	117	None	35	None	99	None	38	None	42	None
1659446870	MULCHANDANI, R M, DDS	2021	FFS	RENDERING	AGE 21+	331	None	5,085	None	210	None	410	None	320	None	2,137	None	243	None	243	None
1659446870	MULCHANDANI, RAMESH DDS	2021	FFS	RENDERING	AGE 0-20	47	None	592	None	41	None	117	None	35	None	99	None	38	None	42	None
1659446870	MULCHANDANI, RAMESH DDS	2021	FFS	RENDERING	AGE 21+	331	None	5,085	None	210	None	410	None	320	None	2,137	None	243	None	243	None
1659448116	NGUYEN RICHARD T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1659448116	NGUYEN RICHARD T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1659452514	ROUHANI MORVARID	2021	FFS	RENDERING	AGE 0-20	182	None	995	None	141	None	271	None	66	None	179	None	153	None	187	None
1659452514	ROUHANI MORVARID	2021	FFS	RENDERING	AGE 21+	430	None	2,160	None	103	None	103	None	207	None	813	None	304	None	309	None
1659452514	ROUHANI MORVARID	2021	PHP	RENDERING	AGE 0-20	58	None	437	None	49	None	89	None	28	None	92	None	50	None	61	None
1659452514	ROUHANI MORVARID	2021	PHP	RENDERING	AGE 21+	191	None	1,267	None	74	None	86	None	99	None	361	None	158	None	173	None
1659454643	DUNNE MARTIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1659455434	MANN, HARJIT S DDS	2021	FFS	RENDERING	AGE 0-20	109	None	929	None	95	None	295	None	20	None	79	None	75	None	85	None
1659455434	MANN, HARJIT S DDS	2021	FFS	RENDERING	AGE 21+	190	None	949	None	93	None	99	None	74	None	330	None	153	None	154	None
1659465391	DANG HUNG N	2021	FFS	RENDERING	AGE 0-20	648	None	7,477	None	589	None	1,947	None	398	None	1,446	None	594	None	729	None
1659465391	DANG HUNG N	2021	FFS	RENDERING	AGE 21+	640	None	6,269	None	398	None	785	None	469	None	2,717	None	463	None	463	None
1659466456	DOOSTAN, AFSHIN, DDS INC	2021	FFS	RENDERING	AGE 0-20	145	None	1,288	None	137	None	504	None	60	None	194	None	130	None	183	None
1659466456	DOOSTAN, AFSHIN, DDS INC	2021	FFS	RENDERING	AGE 21+	317	None	2,042	None	191	None	326	None	205	None	803	None	238	None	238	None
1659474229	ANDERSON RACHEL M	2021	FFS	RENDERING	AGE 0-20	1,606	None	10,574	None	1,341	None	3,459	None	919	None	1,503	None	1,279	None	1,325	None
1659487254	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	25	None	368	None	24	None	67	None	None	1	None	2	23	None	25	None
1659487254	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	91	None	1,214	None	62	None	124	None	63	None	387	None	72	None	72	None
1659492171	AGPALO NICK A	2021	FFS	RENDERING	AGE 0-20	31	None	186	None	27	None	31	None	14	None	55	None	24	None	26	None
1659492171	AGPALO NICK A	2021	FFS	RENDERING	AGE 21+	172	None	965	None	106	None	106	None	109	None	406	None	134	None	134	None
1659505980	JULIUS HELENE J	2021	FFS	RENDERING	AGE 0-20	20	None	169	None	12	None	30	None	None	1	None	2	15	None	18	None
1659505980	JULIUS HELENE J	2021	FFS	RENDERING	AGE 21+	91	None	585	None	39	None	68	None	68	None	308	None	46	None	46	None
1659505980	JULIUS HELENE J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659505980	JULIUS HELENE J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1659507440	VILLEGAS GLORIA E	2021	FFS	RENDERING	AGE 0-20	28	None	247	None	22	None	68	None	14	None	40	None	24	None	30	None
1659507440	VILLEGAS GLORIA E	2021	FFS	RENDERING	AGE 21+	86	None	673	None	33	None	63	None	68	None	420	None	62	None	62	None
1659522811	BOZIR IRENE B	2021	FFS	RENDERING	AGE 0-20	68	None	641	None	64	None	213	None	26	None	70	None	66	None	99	None
1659522985	PUA CHONA L	2021	FFS	RENDERING	AGE 0-20	123	None	782	None	108	None	236	None	27	None	75	None	103	None	103	None
1659526366	PATEL INDRAVADAN D	2021	FFS	RENDERING	AGE 0-20	147	None	2,115	None	131	None	395	None	94	None	436	None	142	None	185	None
1659526366	PATEL INDRAVADAN D	2021	FFS	RENDERING	AGE 21+	128	None	1,303	None	90	None	185	None	71	None	547	None	115	None	117	None
1659529360	CAPIRAL MARIA RHODOR L	2021	FFS	RENDERING	AGE 0-20	19	None	121	None	15	None	28	None	14	None	43	None	None	1	None	2
1659529360	CAPIRAL MARIA RHODOR L	2021	FFS	RENDERING	AGE 21+	33	None	188	None	None	1	None	1	31	None	127	None	None	1	None	1
1659529360	CAPIRAL MARIA RHODOR L	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1659538379	OLAFSEN, GREGORY E, DDS	2021	FFS	RENDERING	AGE 0-20	377	None	8,282	None	326	None	1,908	None	178	None	1,142	None	344	None	872	None
1659538379	OLAFSEN, GREGORY E, DDS	2021	FFS	RENDERING	AGE 21+	359	None	5,614	None	145	None	446	None	268	None	1,832	None	249	None	500	None
1659561744	LEIZEROVITZ, KIRA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1659561744	LEIZEROVITZ, KIRA, RDHAP	2021	FFS	RENDERING	AGE 21+	1,258	None	5,362	None	1,080	None	2,356	None	1,257	None	2,995	None	0	None	0	None
1659571495	SOSA ROSSANNE M	2021	FFS	RENDERING	AGE 0-20	302	None	2,994	None	289	None	983	None	202	None	781	None	292	None	440	None
1659571495	SOSA ROSSANNE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1659573335	IMANUEL, SIMON DMD	2021	FFS	RENDERING	AGE 0-20	450	None	3,819	None	382	None	1,432	None	132	None	332	None	401	None	467	None
1659573335	IMANUEL, SIMON DMD	2021	FFS	RENDERING	AGE 21+	471	None	2,136	None	81	None	143	None	228	None	672	None	343	None	345	None
1659573939	BAUMAN, JAY E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1659573939	BAUMAN, JAY E	2021	FFS	RENDERING	AGE 21+	13	None	50	None	None	1	None	1	None	1	None	1	None	1	None	1
1659575207	WANG PAUL I	2021	FFS	RENDERING	AGE 0-20	146	None	938	None	126	None	279	None	62	None	199	None	125	None	143	None
1659575207	WANG PAUL I	2021	FFS	RENDERING	AGE 21+	242	None	1,231	None	174	None	316	None	109	None	360	None	197	None	197	None
1659578953	RASHEDI MARJAN	2021	FFS	RENDERING	AGE 0-20	6,779	None	113,041	None	6,146	None	29,923	None	5,348	None	32,282	None	6,468	None	10,311	None
1659578953	RASHEDI MARJAN	2021	FFS	RENDERING	AGE 21+	182	None	932	None	41	None	71	None	128	None	386	None	148	None	154	None
1659579407	TUDOSE JULIAN M	2021	FFS	RENDERING	AGE 0-20	265	None	2,501	None	235	None	1,047	None	85	None	192	None	226	None	299	None
1659579407	TUDOSE JULIAN M	2021	FFS	RENDERING	AGE 21+	393	None	2,339	None	154	None	154	None	291	None	1,178	None	262	None	262	None
1659580710	ANTWAN DUNYA G	2021	FFS	RENDERING	AGE 0-20	149	None	1,003	None	106	None	327	None	67	None	209	None	130	None	141	None
1659580710	ANTWAN DUNYA G	2021	FFS	RENDERING	AGE 21+	504	None	2,748	None	227	None	432	None	302	None	1,254	None	409	None	409	None
1659586261	DOMINGUEZ LILIAN Z	2021	FFS	RENDERING	AGE 0-20	39	None	240	None	35	None	67	None	17	None	57	None	34	None	34	None
1659586261	DOMINGUEZ LILIAN Z	2021	FFS	RENDERING	AGE 21+	79	None	397	None	27	None	28	None	62	None	265	None	34	None	34	None
1659586717	RYUMAN, DAVID KEUNJOO	2021	FFS	RENDERING	AGE 21+	17	None	42	None	None	1	None	1	None	1	None	2	16	None	16	None
1659589257	SLUTSKY DORA	2021	FFS	RENDERING	AGE 0-20	62	None	351	None	57	None	167	None	None	1	None	2	42	None	51	None
1659589257	SLUTSKY DORA	2021	FFS	RENDERING	AGE 21+	354	None	3,029	None	193	None	193	None	255	None	1,178	None	54	None	54	None
1659591055	HUANG BRIAN C	2021	FFS	RENDERING	AGE 0-20	141	None	490	None	0	None	0	None	141	None	490	None	0	None	0	None
1659591055	HUANG BRIAN C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659591055	HUANG BRIAN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659599124	DEIRMENJIAN, SANDRA, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1659599470	NOROOZI, MARJAN, DDS	2021	FFS	RENDERING	AGE 0-20	55	None	651	None	54	None	283	None	25	None	83	None	54	None	64	None
1659599470	NOROOZI, MARJAN, DDS	2021	FFS	RENDERING	AGE 21+	161	None	1,091	None	125	None	244	None	114	None	487	None	139	None	139	None
1659600682	PARK SUE J	2021	FFS	RENDERING	AGE 0-20	14	None	48	None	0	None	0	None	14	None	48	None	0	None	0	None
1659613610	HAM SUNDO	2021	FFS	RENDERING	AGE 0-20	20	None	167	None	16	None	65	None	16	None	56	None	20	None	20	None
1659613610	HAM SUNDO	2021	FFS	RENDERING	AGE 21+	225	None	1,200	None	94	None	187	None	110	None	541	None	213	None	213	None
1659623064	LU KEVIN C	2021	FFS	RENDERING	AGE 0-20	41	None	321	None	34	None	124	None	20	None	73	None	34	None	41	None
1659623064	LU KEVIN C	2021	FFS	RENDERING	AGE 21+	167	None	958	None	75	None	75	None	120	None	486	None	108	None	108	None
1659632099	RATON REBECCA A	2021	FFS	RENDERING	AGE 0-20	13	None	140	None	None	1	None	2	None	1	None	2	None	1	None	1
1659632099	RATON REBECCA A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1659637973	DEYO LAURA	2021	FFS	RENDERING	AGE 0-20	2,963	None	4,531	None	0	None	0	None	117	None	365	None	0	None	0	None
1659637973	DEYO LAURA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1659660835	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	253	None	4,510	None	244	None	1,253	None	77	None	217	None	243	None	384	None
1659660835	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	527	None	6,342	None	449	None	896	None	369	None	1,489	None	448	None	448	None
1659662757	CHAWLA HARJOT S	2021	FFS	RENDERING	AGE 0-20	638	None	7,006	None	604	None	2,416	None	428	None	2,078	None	538	None	737	None
1659662757	CHAWLA HARJOT S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659671733	SANTILLANA, ERIX F, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1659671733	SANTILLANA, ERIX F, DDS	2021	FFS	RENDERING	AGE 21+	50	None	348	None	None	1	None	1	31	None	259	None	40	None	40	None
1659678779	MILLER KHANDA A	2021	FFS	RENDERING	AGE 0-20	39	None	224	None	31	None	72	None	21	None	54	None	32	None	37	None
1659678779	MILLER KHANDA A	2021	FFS	RENDERING	AGE 21+	175	None	1,041	None	106	None	186	None	111	None	398	None	136	None	136	None
1659682565	HABASHY JAMES	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659682565	HABASHY JAMES	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659682565	HABASHY JAMES	2021	GMC	RENDERING	AGE 0-20	188	None	432	None	0	None	0	None	178	None	390	None	18	None	21	None
1659682565	HABASHY JAMES	2021	GMC	RENDERING	AGE 21+	408	None	891	None	0	None	0	None	263	None	663	None	189	None	190	None
1659682565	HABASHY JAMES	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1659682565	HABASHY JAMES	2021	PHP	RENDERING	AGE 21+	53	None	119	None	0	None	0	None	33	None	73	None	45	None	45	None
1659691616	ETEMAD ABRAK	2021	FFS	RENDERING	AGE 0-20	29	None	180	None	18	None	43	None	12	None	38	None	25	None	25	None
1659691616	ETEMAD ABRAK	2021	FFS	RENDERING	AGE 21+	123	None	783	None	59	None	69	None	84	None	362	None	91	None	93	None
1659705176	SANDHU GURJOT K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1659706877	ELNAGGAR TAMER A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659709962	NAZARIAN SAMAN	2021	FFS	RENDERING	AGE 0-20	1,160	None	13,394	None	872	None	2,575	None	655	None	2,068	None	914	None	998	None
1659709962	NAZARIAN SAMAN	2021	FFS	RENDERING	AGE 21+	718	None	6,275	None	103	None	205	None	541	None	2,093	None	337	None	337	None
1659709962	NAZARIAN SAMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659710432	MOURADIAN VICTORIA	2021	FFS	RENDERING	AGE 0-20	1,120	None	12,560	None	786	None	2,236	None	764	None	4,452	None	719	None	769	None
1659710432	MOURADIAN VICTORIA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1659710432	MOURADIAN VICTORIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1659713618	HANNA JOSEPH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659730182	SANTOS IVAN J	2021	FFS	RENDERING	AGE 0-20	135	None	1,120	None	76	None	219	None	89	None	365	None	90	None	103	None
1659730182	SANTOS IVAN J	2021	FFS	RENDERING	AGE 21+	617	None	3,647	None	205	None	403	None	496	None	2,339	None	284	None	286	None
1659757375	SONG JONATHAN T	2021	FFS	RENDERING	AGE 0-20	14	None	135	None	13	None	47	None	None	1	None	2	11	None	14	None
1659757375	SONG JONATHAN T	2021	FFS	RENDERING	AGE 21+	23	None	311	None	12	None	21	None	16	None	112	None	12	None	12	None
1659768802	RASHEDI DMD PC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659768802	RASHEDI DMD PC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659778702	NARIN INCI	2021	FFS	RENDERING	AGE 0-20	316	None	3,589	None	286	None	705	None	173	None	713	None	295	None	348	None
1659778702	NARIN INCI	2021	FFS	RENDERING	AGE 21+	1,126	None	9,867	None	781	None	1,552	None	933	None	5,110	None	857	None	857	None
1659780328	KUO CHLOE N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659780328	KUO CHLOE N	2021	PHP	RENDERING	AGE 0-20	11	None	50	None	None	1	None	2	None	1	None	1	None	1	None	1
1659780328	KUO CHLOE N	2021	PHP	RENDERING	AGE 21+	97	None	406	None	None	1	None	1	76	None	266	None	51	None	51	None
1659789097	HUNG SOOJEONG	2021	FFS	RENDERING	AGE 0-20	31	None	299	None	27	None	64	None	16	None	38	None	28	None	34	None
1659789097	HUNG SOOJEONG	2021	FFS	RENDERING	AGE 21+	48	None	309	None	18	None	18	None	22	None	42	None	31	None	31	None
1659792927	JUNG SONG W	2021	FFS	RENDERING	AGE 0-20	124	None	775	None	108	None	348	None	54	None	181	None	116	None	149	None
1659792927	JUNG SONG W	2021	FFS	RENDERING	AGE 21+	290	None	1,920	None	167	None	248	None	208	None	917	None	233	None	233	None
1659801496	HUYNH HAI N	2021	FFS	RENDERING	AGE 0-20	3,188	None	31,063	None	2,734	None	7,768	None	1,974	None	4,645	None	2,714	None	2,860	None
1659808293	HADID LAILA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659808293	HADID LAILA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659820637	BAE LIM DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1659829141	LEE, SANG E, DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659832780	KIM JAMIE M	2021	FFS	RENDERING	AGE 0-20	18	None	36	None	0	None	0	None	18	None	33	None	0	None	0	None
1659832780	KIM JAMIE M	2021	GMC	RENDERING	AGE 0-20	304	None	762	None	0	None	0	None	304	None	686	None	0	None	0	None
1659874436	PHAM ANTHONY T	2021	FFS	RENDERING	AGE 0-20	123	None	454	None	35	None	71	None	89	None	177	None	32	None	34	None
1659874436	PHAM ANTHONY T	2021	FFS	RENDERING	AGE 21+	214	None	822	None	39	None	70	None	188	None	518	None	46	None	46	None
1659885473	HA KYOUNG T	2021	FFS	RENDERING	AGE 0-20	23	None	197	None	19	None	56	None	11	None	25	None	19	None	28	None
1659885473	HA KYOUNG T	2021	FFS	RENDERING	AGE 21+	337	None	1,713	None	78	None	128	None	269	None	879	None	190	None	190	None
1659890358	CHADHA SHAWN	2021	FFS	RENDERING	AGE 0-20	2,385	None	39,830	None	2,243	None	9,001	None	1,607	None	4,580	None	2,293	None	3,273	None
1659890358	CHADHA SHAWN	2021	FFS	RENDERING	AGE 21+	16	None	66	None	None	1	None	1	12	None	19	None	None	1	None	1
1659892024	ZAMAN IFRANA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659895753	KHOOSHAB SAHAR	2021	FFS	RENDERING	AGE 0-20	42	None	397	None	36	None	123	None	13	None	34	None	34	None	34	None
1659895753	KHOOSHAB SAHAR	2021	FFS	RENDERING	AGE 21+	304	None	2,582	None	227	None	446	None	119	None	421	None	273	None	273	None
1659924736	ROYEA OLIVIA M	2021	FFS	RENDERING	AGE 0-20	2,648	None	41,104	None	2,544	None	12,788	None	1,961	None	5,997	None	2,477	None	3,489	None
1659924736	ROYEA OLIVIA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1659926939	PATEL MANALI S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659929149	DANESH DAVITA	2021	FFS	RENDERING	AGE 0-20	1,041	None	7,938	None	660	None	1,762	None	787	None	2,432	None	489	None	497	None
1659933257	ALWARDI AMNA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1659933257	ALWARDI AMNA	2021	FFS	RENDERING	AGE 21+	27	None	92	None	15	None	18	None	17	None	43	None	14	None	14	None
1659965309	YOON ANDREW J	2021	FFS	RENDERING	AGE 0-20	94	None	579	None	74	None	181	None	29	None	63	None	80	None	84	None
1659965309	YOON ANDREW J	2021	FFS	RENDERING	AGE 21+	63	None	230	None	18	None	33	None	27	None	51	None	51	None	51	None
1659965309	YOON ANDREW J	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1659965309	YOON ANDREW J	2021	PHP	RENDERING	AGE 0-20	186	None	1,147	None	82	None	300	None	128	None	301	None	96	None	96	None
1659965309	YOON ANDREW J	2021	PHP	RENDERING	AGE 21+	254	None	1,124	None	22	None	57	None	226	None	409	None	38	None	39	None
1659965754	SINGH HARINDER P	2021	FFS	RENDERING	AGE 0-20	218	None	627	None	112	None	284	None	146	None	262	None	24	None	24	None
1659965754	SINGH HARINDER P	2021	FFS	RENDERING	AGE 21+	245	None	605	None	70	None	120	None	186	None	362	None	34	None	34	None
1659969756	HABEEB HASANAIN M	2021	FFS	RENDERING	AGE 0-20	11	None	33	None	None	1	None	1	None	1	None	2	None	1	None	1
1659969756	HABEEB HASANAIN M	2021	FFS	RENDERING	AGE 21+	17	None	44	None	None	1	None	1	12	None	24	None	None	1	None	1
1659969756	HABEEB HASANAIN M	2021	GMC	RENDERING	AGE 0-20	946	None	4,067	None	91	None	253	None	458	None	846	None	499	None	525	None
1659969756	HABEEB HASANAIN M	2021	GMC	RENDERING	AGE 21+	435	None	2,546	None	26	None	27	None	306	None	650	None	157	None	160	None
1659969756	HABEEB HASANAIN M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1659970861	CHUANG SHARROW	2021	FFS	RENDERING	AGE 0-20	276	None	1,293	None	143	None	306	None	119	None	306	None	170	None	173	None
1659970861	CHUANG SHARROW	2021	FFS	RENDERING	AGE 21+	444	None	1,422	None	66	None	129	None	210	None	511	None	230	None	231	None
1669044244	LE AUSTIN N	2021	FFS	RENDERING	AGE 0-20	163	None	781	None	116	None	283	None	64	None	165	None	102	None	102	None
1669044244	LE AUSTIN N	2021	FFS	RENDERING	AGE 21+	213	None	619	None	45	None	88	None	131	None	260	None	83	None	83	None
1669044244	LE AUSTIN N	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669083390	PENNER HOPE E	2021	FFS	RENDERING	AGE 0-20	2,065	None	16,173	None	1,746	None	4,877	None	1,464	None	4,796	None	1,802	None	1,818	None
1669099842	DEV MANPREET S	2021	FFS	RENDERING	AGE 0-20	22	None	84	None	12	None	17	None	None	1	None	2	17	None	17	None
1669099842	DEV MANPREET S	2021	FFS	RENDERING	AGE 21+	73	None	202	None	12	None	13	None	44	None	81	None	34	None	34	None
1669404257	ZEHTAB HAMID R	2021	FFS	RENDERING	AGE 0-20	40	None	503	None	38	None	166	None	20	None	145	None	39	None	52	None
1669404257	ZEHTAB HAMID R	2021	FFS	RENDERING	AGE 21+	94	None	937	None	69	None	126	None	78	None	546	None	79	None	79	None
1669420303	ELLERTSON III DON R	2021	FFS	RENDERING	AGE 0-20	250	None	2,835	None	214	None	553	None	109	None	348	None	235	None	293	None
1669420303	ELLERTSON III DON R	2021	FFS	RENDERING	AGE 21+	406	None	3,098	None	62	None	99	None	308	None	1,483	None	318	None	318	None
1669420303	ELLERTSON III DON R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1669420303	ELLERTSON III DON R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1669461802	ALASSY HATEM	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1669474334	KIM DAN Y	2021	FFS	RENDERING	AGE 0-20	203	None	1,114	None	125	None	321	None	43	None	95	None	179	None	195	None
1669474334	KIM DAN Y	2021	FFS	RENDERING	AGE 21+	376	None	1,295	None	None	1	None	2	212	None	568	None	263	None	270	None
1669477931	NATH RANJIVENDRA	2021	FFS	RENDERING	AGE 0-20	69	None	654	None	64	None	180	None	17	None	37	None	64	None	73	None
1669477931	NATH RANJIVENDRA	2021	FFS	RENDERING	AGE 21+	113	None	723	None	60	None	106	None	64	None	192	None	78	None	78	None
1669481297	SLIPOCK BARRY J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1669481297	SLIPOCK BARRY J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1669488771	CRANON, DARYL, DDS	2021	FFS	RENDERING	AGE 0-20	117	None	434	None	76	None	84	None	50	None	102	None	70	None	70	None
1669488771	CRANON, DARYL, DDS	2021	FFS	RENDERING	AGE 21+	1,028	None	3,753	None	346	None	346	None	682	None	1,563	None	548	None	548	None
1669493169	NAVARRO ROSEMARY E	2021	FFS	RENDERING	AGE 0-20	526	None	6,736	None	413	None	1,245	None	223	None	827	None	461	None	585	None
1669493169	NAVARRO ROSEMARY E	2021	FFS	RENDERING	AGE 21+	484	None	3,556	None	116	None	215	None	291	None	1,018	None	337	None	337	None
1669501482	LASHGARI, NAYER, COSMETIC &	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1669502753	WARD, MICHAEL R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1669502753	WARD, MICHAEL R, DDS	2021	FFS	RENDERING	AGE 21+	16	None	37	None	12	None	12	None	None	1	None	1	None	1	None	1
1669503397	SHAH KOSHA J	2021	FFS	RENDERING	AGE 0-20	111	None	1,743	None	101	None	332	None	79	None	421	None	109	None	152	None
1669503397	SHAH KOSHA J	2021	FFS	RENDERING	AGE 21+	444	None	7,541	None	302	None	544	None	383	None	3,714	None	324	None	324	None
1669503900	TORRES, ARIEL ADEA DMD	2021	FFS	RENDERING	AGE 0-20	1,073	None	16,228	None	1,011	None	3,271	None	576	None	2,051	None	1,020	None	1,381	None
1669503900	TORRES, ARIEL ADEA DMD	2021	FFS	RENDERING	AGE 21+	696	None	6,818	None	558	None	1,112	None	449	None	2,038	None	596	None	597	None
1669511986	MAKATI, MUSTAFA AHMEDALI	2021	FFS	RENDERING	AGE 0-20	45	None	366	None	39	None	143	None	21	None	45	None	43	None	43	None
1669511986	MAKATI, MUSTAFA AHMEDALI	2021	FFS	RENDERING	AGE 21+	138	None	877	None	85	None	163	None	88	None	205	None	110	None	110	None
1669511986	MAKATI, MUSTAFA AHMEDALI, DD	2021	FFS	RENDERING	AGE 0-20	45	None	366	None	39	None	143	None	21	None	45	None	43	None	43	None
1669511986	MAKATI, MUSTAFA AHMEDALI, DD	2021	FFS	RENDERING	AGE 21+	138	None	877	None	85	None	163	None	88	None	205	None	110	None	110	None
1669512349	FERGUSON JAMIE M	2021	FFS	RENDERING	AGE 0-20	108	None	975	None	90	None	253	None	47	None	116	None	104	None	123	None
1669512349	FERGUSON JAMIE M	2021	FFS	RENDERING	AGE 21+	342	None	2,450	None	190	None	376	None	190	None	832	None	308	None	311	None
1669517009	MEDENCEVIC CATALINA M	2021	FFS	RENDERING	AGE 0-20	147	None	1,551	None	126	None	343	None	54	None	135	None	128	None	152	None
1669517009	MEDENCEVIC CATALINA M	2021	FFS	RENDERING	AGE 21+	324	None	1,886	None	113	None	217	None	240	None	648	None	163	None	163	None
1669517363	AMERIPOUR SHAHRAM	2021	FFS	RENDERING	AGE 0-20	892	None	12,074	None	808	None	3,394	None	479	None	1,521	None	791	None	1,076	None
1669517363	AMERIPOUR SHAHRAM	2021	FFS	RENDERING	AGE 21+	625	None	4,571	None	267	None	280	None	418	None	1,291	None	404	None	404	None
1669518098	TAHGHIGHI NASIR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1669518098	TAHGHIGHI NASIR	2021	FFS	RENDERING	AGE 21+	50	None	190	None	None	1	None	2	29	None	87	None	33	None	33	None
1669518098	TAHGHIGHI NASIR	2021	PHP	RENDERING	AGE 0-20	18	None	161	None	18	None	61	None	None	1	None	2	18	None	19	None
1669518098	TAHGHIGHI NASIR	2021	PHP	RENDERING	AGE 21+	47	None	464	None	25	None	46	None	36	None	279	None	41	None	45	None
1669522025	JAMAL MANAR M	2021	FFS	RENDERING	AGE 0-20	565	None	4,716	None	364	None	1,085	None	275	None	841	None	439	None	475	None
1669522025	JAMAL MANAR M	2021	FFS	RENDERING	AGE 21+	1,478	None	9,960	None	431	None	600	None	1,024	None	3,961	None	970	None	974	None
1669522025	JAMAL MANAR M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1669522025	JAMAL MANAR M	2021	PHP	RENDERING	AGE 0-20	75	None	489	None	54	None	96	None	31	None	60	None	57	None	57	None
1669522025	JAMAL MANAR M	2021	PHP	RENDERING	AGE 21+	67	None	340	None	25	None	25	None	34	None	114	None	45	None	45	None
1669523478	SWE MIN	2021	FFS	RENDERING	AGE 0-20	84	None	1,103	None	65	None	259	None	51	None	237	None	79	None	82	None
1669523478	SWE MIN	2021	FFS	RENDERING	AGE 21+	256	None	2,596	None	143	None	233	None	195	None	757	None	209	None	209	None
1669524153	KIN, JIN-HYUK DDS	2021	FFS	RENDERING	AGE 0-20	837	None	8,069	None	671	None	1,723	None	406	None	757	None	651	None	719	None
1669524153	KIN, JIN-HYUK DDS	2021	FFS	RENDERING	AGE 21+	668	None	3,509	None	183	None	365	None	414	None	921	None	356	None	356	None
1669530978	YIN LIMIN	2021	FFS	RENDERING	AGE 0-20	132	None	1,042	None	117	None	396	None	69	None	200	None	122	None	157	None
1669530978	YIN LIMIN	2021	FFS	RENDERING	AGE 21+	255	None	1,551	None	152	None	302	None	174	None	645	None	222	None	222	None
1669532545	NGUYEN BINH H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1669532545	NGUYEN BINH H	2021	PHP	RENDERING	AGE 0-20	111	None	1,249	None	93	None	449	None	101	None	160	None	80	None	83	None
1669532545	NGUYEN BINH H	2021	PHP	RENDERING	AGE 21+	124	None	779	None	53	None	141	None	87	None	241	None	56	None	56	None
1669533311	NGUYEN, TUAN H, DDS	2021	FFS	RENDERING	AGE 0-20	799	None	10,875	None	791	None	3,425	None	307	None	990	None	790	None	1,248	None
1669533311	NGUYEN, TUAN H, DDS	2021	FFS	RENDERING	AGE 21+	31	None	242	None	22	None	44	None	15	None	45	None	None	1	None	1
1669534442	LIU YIWEN	2021	FFS	RENDERING	AGE 0-20	77	None	484	None	72	None	171	None	13	None	29	None	62	None	77	None
1669534442	LIU YIWEN	2021	FFS	RENDERING	AGE 21+	80	None	357	None	61	None	61	None	26	None	44	None	58	None	58	None
1669534848	EMBRY SHAHRZAD M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1669534848	EMBRY SHAHRZAD M	2021	FFS	RENDERING	AGE 21+	58	None	147	None	None	1	None	1	58	None	139	None	None	1	None	1
1669534848	EMBRY SHAHRZAD M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1669534848	EMBRY SHAHRZAD M	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1669534848	EMBRY SHAHRZAD M	2021	PHP	RENDERING	AGE 0-20	523	None	4,050	None	395	None	1,401	None	296	None	1,100	None	438	None	524	None
1669534848	EMBRY SHAHRZAD M	2021	PHP	RENDERING	AGE 21+	465	None	3,441	None	161	None	334	None	365	None	2,153	None	353	None	375	None
1669538625	GODFREY JR, M F, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669538625	GODFREY JR, M F, DDS	2021	GMC	RENDERING	AGE 0-20	1,087	None	8,782	None	684	None	1,784	None	682	None	2,881	None	644	None	690	None
1669538625	GODFREY JR, M F, DDS	2021	GMC	RENDERING	AGE 21+	791	None	3,359	None	150	None	305	None	522	None	1,104	None	295	None	295	None
1669538724	PRONSTROLLER JANICE S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1669538724	PRONSTROLLER JANICE S	2021	FFS	RENDERING	AGE 21+	16	None	236	None	12	None	23	None	14	None	47	None	13	None	13	None
1669542775	MARASHLI SALAHEDDIN	2021	FFS	RENDERING	AGE 0-20	91	None	1,473	None	87	None	424	None	70	None	295	None	87	None	105	None
1669542775	MARASHLI SALAHEDDIN	2021	FFS	RENDERING	AGE 21+	197	None	2,180	None	150	None	385	None	178	None	1,026	None	154	None	155	None
1669544862	IBRAHIM ENITAN C	2021	FFS	RENDERING	AGE 0-20	317	None	2,063	None	184	None	508	None	131	None	378	None	239	None	263	None
1669544862	IBRAHIM ENITAN C	2021	FFS	RENDERING	AGE 21+	374	None	1,431	None	30	None	35	None	192	None	448	None	219	None	221	None
1669544862	IBRAHIM ENITAN C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669547816	NOLLIE GLORIA J	2021	GMC	RENDERING	AGE 0-20	115	None	433	None	0	None	0	None	115	None	377	None	0	None	0	None
1669547816	NOLLIE GLORIA J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669556445	HEINRICH BRUCE S	2021	FFS	RENDERING	AGE 0-20	1,109	None	2,618	None	0	None	0	None	267	None	812	None	0	None	0	None
1669556445	HEINRICH BRUCE S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1669556445	HEINRICH BRUCE S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669568168	MORRIS PAUL J	2021	FFS	RENDERING	AGE 0-20	3,138	None	34,297	None	2,572	None	9,968	None	2,274	None	14,705	None	2,124	None	2,213	None
1669568168	MORRIS PAUL J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1669569463	KANG DAVID M	2021	FFS	RENDERING	AGE 0-20	420	None	2,539	None	310	None	784	None	236	None	1,465	None	246	None	258	None
1669569463	KANG DAVID M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669569463	KANG DAVID M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1669579330	HUMES ROXAN C	2021	FFS	RENDERING	AGE 0-20	163	None	367	None	0	None	0	None	84	None	233	None	0	None	0	None
1669579330	HUMES ROXAN C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669591459	HO BRENDA J	2021	FFS	RENDERING	AGE 0-20	1,110	None	13,071	None	998	None	3,473	None	461	None	2,726	None	1,064	None	1,563	None
1669591459	HO BRENDA J	2021	GMC	RENDERING	AGE 0-20	299	None	2,644	None	140	None	429	None	295	None	1,677	None	None	1	None	1
1669618062	SON CHRISTINE A	2021	FFS	RENDERING	AGE 0-20	192	None	906	None	None	1	None	1	192	None	890	None	None	1	None	1
1669620803	HUE CINDY B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1669626511	BAHA JOSEPH S	2021	FFS	RENDERING	AGE 0-20	144	None	868	None	111	None	259	None	35	None	74	None	121	None	135	None
1669626511	BAHA JOSEPH S	2021	FFS	RENDERING	AGE 21+	309	None	1,402	None	74	None	125	None	178	None	565	None	216	None	216	None
1669626511	BAHA JOSEPH S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669626511	BAHA JOSEPH S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669628327	LIU ALISON I	2021	FFS	RENDERING	AGE 0-20	482	None	3,047	None	449	None	1,236	None	40	None	44	None	444	None	464	None
1669628327	LIU ALISON I	2021	FFS	RENDERING	AGE 21+	207	None	653	None	126	None	127	None	13	None	36	None	152	None	152	None
1669629614	DADASHZADEH IRENE T	2021	FFS	RENDERING	AGE 0-20	173	None	732	None	35	None	82	None	104	None	267	None	119	None	120	None
1669629614	DADASHZADEH IRENE T	2021	FFS	RENDERING	AGE 21+	358	None	1,341	None	None	1	None	1	207	None	577	None	277	None	277	None
1669639548	KAKOLI PAYMAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1669639548	KAKOLI PAYMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1669639548	KAKOLI PAYMAN	2021	PHP	RENDERING	AGE 21+	67	None	159	None	0	None	0	None	43	None	60	None	56	None	57	None
1669644969	HOU, JUDY C DDS	2021	FFS	RENDERING	AGE 0-20	112	None	334	None	None	1	None	1	50	None	155	None	68	None	68	None
1669644969	HOU, JUDY C DDS	2021	FFS	RENDERING	AGE 21+	11	None	21	None	0	None	0	None	0	None	0	None	11	None	11	None
1669648580	EZE KENECHUKWU O	2021	FFS	RENDERING	AGE 0-20	1,748	None	22,610	None	1,543	None	4,922	None	926	None	2,100	None	1,476	None	1,843	None
1669648580	EZE KENECHUKWU O	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1669648580	EZE KENECHUKWU O	2021	GMC	RENDERING	AGE 0-20	3,931	None	41,936	None	3,241	None	12,451	None	3,080	None	7,183	None	2,899	None	3,961	None
1669651337	THAN HOANG T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1669651337	THAN HOANG T	2021	PHP	RENDERING	AGE 21+	19	None	71	None	None	1	None	2	11	None	17	None	None	1	None	1
1669670931	AZZEH EZZ	2021	FFS	RENDERING	AGE 0-20	307	None	779	None	0	None	0	None	64	None	220	None	0	None	0	None
1669670931	AZZEH EZZ	2021	FFS	RENDERING	AGE 21+	39	None	40	None	0	None	0	None	None	1	None	1	0	None	0	None
1669675005	DR PATEL & DR SITWALA	2021	FFS	RENDERING	AGE 0-20	78	None	1,320	None	69	None	368	None	42	None	109	None	69	None	100	None
1669675005	DR PATEL & DR SITWALA	2021	FFS	RENDERING	AGE 21+	85	None	979	None	41	None	83	None	64	None	258	None	45	None	45	None
1669675005	SITWALA PREETI R	2021	FFS	RENDERING	AGE 0-20	78	None	1,320	None	69	None	368	None	42	None	109	None	69	None	100	None
1669675005	SITWALA PREETI R	2021	FFS	RENDERING	AGE 21+	85	None	979	None	41	None	83	None	64	None	258	None	45	None	45	None
1669685228	ROLDAN ROSE E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669686614	CHUN CHRISTINA	2021	FFS	RENDERING	AGE 0-20	15	None	88	None	14	None	32	None	None	1	None	1	13	None	13	None
1669688586	PATEL KEYURKUMAR R	2021	FFS	RENDERING	AGE 0-20	44	None	293	None	44	None	105	None	20	None	104	None	40	None	49	None
1669688586	PATEL KEYURKUMAR R	2021	FFS	RENDERING	AGE 21+	119	None	841	None	41	None	41	None	82	None	576	None	96	None	96	None
1669692091	HOBOCK KIRK M	2021	FFS	RENDERING	AGE 0-20	560	None	3,857	None	433	None	1,228	None	234	None	681	None	506	None	601	None
1669692091	HOBOCK KIRK M	2021	FFS	RENDERING	AGE 21+	773	None	3,363	None	223	None	370	None	439	None	1,601	None	545	None	555	None
1669693057	GUINN, KAREN E, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1669693198	GALEB, JASNA M, DDS	2021	FFS	RENDERING	AGE 0-20	50	None	461	None	46	None	195	None	35	None	153	None	42	None	55	None
1669693198	GALEB, JASNA M, DDS	2021	FFS	RENDERING	AGE 21+	128	None	768	None	98	None	177	None	70	None	339	None	109	None	109	None
1669693479	RAVAEI, RAMIN, DMD INC	2021	PHP	RENDERING	AGE 0-20	20	None	169	None	18	None	56	None	None	1	None	1	20	None	22	None
1669693479	RAVAEI, RAMIN, DMD INC	2021	PHP	RENDERING	AGE 21+	25	None	123	None	None	1	None	2	11	None	21	None	17	None	19	None
1669695292	PHAM CATHERINE C	2021	FFS	RENDERING	AGE 0-20	93	None	660	None	90	None	215	None	35	None	74	None	86	None	86	None
1669695292	PHAM CATHERINE C	2021	FFS	RENDERING	AGE 21+	399	None	2,843	None	185	None	370	None	321	None	1,184	None	202	None	203	None
1669699815	BUI, TUYET-VAN THI, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	118	None	13	None	35	None	None	1	None	2	13	None	17	None
1669699815	BUI, TUYET-VAN THI, DDS	2021	FFS	RENDERING	AGE 21+	63	None	561	None	34	None	35	None	49	None	255	None	44	None	44	None
1669713665	AMIN-PATEL SAHIL D	2021	FFS	RENDERING	AGE 21+	11	None	16	None	0	None	0	None	None	1	None	1	None	1	None	1
1669724589	DENISOV VALERIY	2021	FFS	RENDERING	AGE 0-20	171	None	778	None	104	None	215	None	72	None	149	None	113	None	118	None
1669724589	DENISOV VALERIY	2021	FFS	RENDERING	AGE 21+	635	None	2,531	None	155	None	310	None	437	None	1,032	None	339	None	341	None
1669724589	DENISOV VALERIY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669740429	HAZANY ROBERT	2021	FFS	RENDERING	AGE 0-20	115	None	969	None	99	None	255	None	35	None	117	None	103	None	137	None
1669740429	HAZANY ROBERT	2021	FFS	RENDERING	AGE 21+	291	None	2,447	None	90	None	175	None	182	None	925	None	207	None	210	None
1669740429	HAZANY ROBERT	2021	PHP	RENDERING	AGE 0-20	61	None	368	None	50	None	86	None	14	None	54	None	60	None	73	None
1669740429	HAZANY ROBERT	2021	PHP	RENDERING	AGE 21+	82	None	529	None	36	None	63	None	33	None	164	None	68	None	69	None
1669744850	VIRAY CHRISTOPHER Q	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669750972	ZINABADI ALVAND	2021	FFS	RENDERING	AGE 0-20	51	None	225	None	29	None	72	None	19	None	60	None	35	None	35	None
1669750972	ZINABADI ALVAND	2021	FFS	RENDERING	AGE 21+	189	None	933	None	38	None	67	None	110	None	462	None	130	None	135	None
1669751640	WU JENNIFER C	2021	FFS	RENDERING	AGE 0-20	283	None	3,294	None	262	None	838	None	119	None	259	None	224	None	249	None
1669751640	WU JENNIFER C	2021	FFS	RENDERING	AGE 21+	207	None	1,381	None	117	None	227	None	125	None	278	None	111	None	111	None
1669752150	ADAMIAN MELINA	2021	FFS	RENDERING	AGE 0-20	225	None	735	None	0	None	0	None	16	None	55	None	0	None	0	None
1669752150	ADAMIAN MELINA	2021	FFS	RENDERING	AGE 21+	66	None	187	None	0	None	0	None	0	None	0	None	0	None	0	None
1669752150	ADAMIAN MELINA	2021	PHP	RENDERING	AGE 0-20	32	None	166	None	0	None	0	None	30	None	60	None	0	None	0	None
1669761359	SUDAN ANISHA	2021	FFS	RENDERING	AGE 0-20	421	None	4,699	None	383	None	1,189	None	209	None	835	None	383	None	406	None
1669761359	SUDAN ANISHA	2021	FFS	RENDERING	AGE 21+	312	None	2,916	None	206	None	408	None	214	None	989	None	215	None	215	None
1669782249	DO MARIA T	2021	FFS	RENDERING	AGE 0-20	132	None	1,089	None	123	None	368	None	93	None	131	None	107	None	115	None
1669786869	FUENTES LILIA	2021	PHP	RENDERING	AGE 0-20	26	None	198	None	20	None	25	None	25	None	79	None	20	None	25	None
1669786869	FUENTES LILIA	2021	PHP	RENDERING	AGE 21+	19	None	85	None	0	None	0	None	19	None	62	None	0	None	0	None
1669787701	KOHANOF KAVEH	2021	FFS	RENDERING	AGE 0-20	36	None	215	None	26	None	93	None	None	1	None	2	29	None	32	None
1669787701	KOHANOF KAVEH	2021	FFS	RENDERING	AGE 21+	173	None	601	None	29	None	29	None	51	None	216	None	121	None	124	None
1669787701	KOHANOF KAVEH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669795472	BECERRA FERNANDO	2021	FFS	RENDERING	AGE 0-20	215	None	1,058	None	39	None	129	None	188	None	600	None	65	None	74	None
1669795472	BECERRA FERNANDO	2021	FFS	RENDERING	AGE 21+	326	None	1,521	None	27	None	32	None	275	None	882	None	139	None	139	None
1669799896	SOUTH CENTRAL FAMILY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669820783	YANG MICHELLE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669821633	LEE PETER BYUNG C	2021	FFS	RENDERING	AGE 0-20	200	None	480	None	0	None	0	None	40	None	116	None	0	None	0	None
1669821633	LEE PETER BYUNG C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669830584	HO CHRISTINE K	2021	FFS	RENDERING	AGE 0-20	207	None	1,053	None	131	None	430	None	88	None	267	None	98	None	98	None
1669830584	HO CHRISTINE K	2021	FFS	RENDERING	AGE 21+	378	None	1,360	None	99	None	187	None	227	None	659	None	141	None	141	None
1669834404	MAYES ANDIS A	2021	FFS	RENDERING	AGE 0-20	1,710	None	26,330	None	1,271	None	5,168	None	1,542	None	11,143	None	1,249	None	1,428	None
1669834404	MAYES ANDIS A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1669834404	MAYES ANDIS A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669843496	LEWIN ENRIQUE	2021	FFS	RENDERING	AGE 0-20	271	None	2,722	None	216	None	950	None	178	None	521	None	237	None	267	None
1669843496	LEWIN ENRIQUE	2021	FFS	RENDERING	AGE 21+	425	None	2,117	None	87	None	149	None	268	None	808	None	272	None	272	None
1669843496	LEWIN ENRIQUE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669847992	CRANDALL AMARA B	2021	FFS	RENDERING	AGE 0-20	521	None	924	None	0	None	0	None	244	None	512	None	0	None	0	None
1669847992	CRANDALL AMARA B	2021	FFS	RENDERING	AGE 21+	24	None	24	None	0	None	0	None	0	None	0	None	0	None	0	None
1669847992	CRANDALL AMARA B	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669847992	CRANDALL AMARA B	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669847992	CRANDALL AMARA B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669857884	ZOLMAJD HAGHIGH ELAHEH	2021	FFS	RENDERING	AGE 0-20	239	None	1,344	None	166	None	493	None	80	None	194	None	212	None	214	None
1669857884	ZOLMAJD HAGHIGH ELAHEH	2021	FFS	RENDERING	AGE 21+	459	None	1,706	None	124	None	241	None	211	None	566	None	333	None	333	None
1669857884	ZOLMAJD HAGHIGH ELAHEH	2021	PHP	RENDERING	AGE 0-20	51	None	314	None	41	None	118	None	33	None	98	None	42	None	44	None
1669857884	ZOLMAJD HAGHIGH ELAHEH	2021	PHP	RENDERING	AGE 21+	154	None	961	None	85	None	176	None	104	None	527	None	118	None	126	None
1669862173	PORTEOUS LAWRENCE E	2021	FFS	RENDERING	AGE 0-20	55	None	227	None	40	None	71	None	20	None	43	None	47	None	49	None
1669862173	PORTEOUS LAWRENCE E	2021	FFS	RENDERING	AGE 21+	130	None	429	None	65	None	67	None	51	None	96	None	94	None	96	None
1669880399	MAGTOTO ALIDA GRACE M	2021	GMC	RENDERING	AGE 0-20	1,524	None	9,654	None	860	None	3,081	None	442	None	629	None	811	None	851	None
1669888004	NANDA PATRICIA M	2021	FFS	RENDERING	AGE 0-20	3,635	None	26,361	None	3,192	None	8,967	None	2,176	None	4,525	None	3,113	None	3,410	None
1669888004	NANDA PATRICIA M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1669889903	CHAMOUN CHERESTINA	2021	FFS	RENDERING	AGE 0-20	1,118	None	2,512	None	0	None	0	None	1,118	None	2,512	None	0	None	0	None
1669889903	CHAMOUN CHERESTINA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669901286	BERRYHILL JEREME D	2021	FFS	RENDERING	AGE 0-20	83	None	395	None	51	None	86	None	None	1	None	2	69	None	76	None
1669901286	BERRYHILL JEREME D	2021	FFS	RENDERING	AGE 21+	303	None	1,080	None	67	None	71	None	135	None	306	None	222	None	226	None
1669901286	BERRYHILL JEREME D	2021	PHP	RENDERING	AGE 0-20	62	None	257	None	41	None	68	None	20	None	41	None	53	None	58	None
1669901286	BERRYHILL JEREME D	2021	PHP	RENDERING	AGE 21+	164	None	574	None	26	None	26	None	81	None	227	None	131	None	134	None
1669912721	CHUNG JI NI	2021	FFS	RENDERING	AGE 0-20	1,636	None	11,174	None	1,269	None	3,252	None	909	None	2,113	None	1,174	None	1,188	None
1669912721	CHUNG JI NI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669912721	CHUNG JI NI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669914420	LIM SHANNA L	2021	FFS	RENDERING	AGE 0-20	190	None	1,814	None	156	None	401	None	76	None	218	None	158	None	163	None
1669914420	LIM SHANNA L	2021	FFS	RENDERING	AGE 21+	378	None	1,769	None	92	None	191	None	291	None	796	None	126	None	128	None
1669950069	LEE OUK H	2021	FFS	RENDERING	AGE 0-20	130	None	847	None	43	None	102	None	69	None	210	None	83	None	83	None
1669950069	LEE OUK H	2021	FFS	RENDERING	AGE 21+	374	None	1,673	None	25	None	42	None	237	None	633	None	188	None	188	None
1669966099	KASHANCHI SALOUMEH S	2021	FFS	RENDERING	AGE 0-20	194	None	1,048	None	127	None	273	None	66	None	203	None	170	None	186	None
1669966099	KASHANCHI SALOUMEH S	2021	FFS	RENDERING	AGE 21+	671	None	2,507	None	144	None	281	None	242	None	717	None	492	None	492	None
1669966099	KASHANCHI SALOUMEH S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669966099	KASHANCHI SALOUMEH S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1669998449	HING KYLE B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679041008	HTET SOE M	2021	PHP	RENDERING	AGE 0-20	15	None	28	None	None	1	None	1	None	1	None	1	None	1	None	1
1679041008	HTET SOE M	2021	PHP	RENDERING	AGE 21+	66	None	119	None	None	1	None	1	38	None	60	None	24	None	24	None
1679068415	AGUILAR KATHLEEN R	2021	FFS	RENDERING	AGE 0-20	445	None	6,851	None	391	None	1,653	None	290	None	1,029	None	396	None	553	None
1679068415	AGUILAR KATHLEEN R	2021	FFS	RENDERING	AGE 21+	310	None	3,395	None	202	None	415	None	243	None	1,273	None	222	None	224	None
1679137335	CUEVAS ALLISON ANN	2021	FFS	RENDERING	AGE 21+	26	None	162	None	26	None	73	None	22	None	89	None	0	None	0	None
1679162523	FAWZY MOURAD S	2021	FFS	RENDERING	AGE 0-20	82	None	296	None	34	None	72	None	27	None	49	None	59	None	59	None
1679162523	FAWZY MOURAD S	2021	FFS	RENDERING	AGE 21+	203	None	649	None	48	None	95	None	84	None	167	None	136	None	136	None
1679166144	DAVTYAN MERI	2021	FFS	RENDERING	AGE 0-20	265	None	1,229	None	184	None	406	None	71	None	149	None	204	None	214	None
1679166144	DAVTYAN MERI	2021	FFS	RENDERING	AGE 21+	431	None	1,211	None	76	None	137	None	185	None	425	None	174	None	174	None
1679166144	DAVTYAN MERI	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1679178990	AKBARI SANAZ	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1679178990	AKBARI SANAZ	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1679183602	FAHLIOGULLARI-S HAYAT	2021	FFS	RENDERING	AGE 0-20	196	None	1,074	None	129	None	296	None	87	None	210	None	138	None	141	None
1679183602	FAHLIOGULLARI-S HAYAT	2021	FFS	RENDERING	AGE 21+	314	None	1,316	None	96	None	154	None	161	None	465	None	191	None	191	None
1679246888	BHATT SHIVALI J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1679500359	GREEN NEAL C	2021	FFS	RENDERING	AGE 0-20	20	None	108	None	15	None	28	None	13	None	33	None	16	None	16	None
1679500359	GREEN NEAL C	2021	FFS	RENDERING	AGE 21+	54	None	254	None	18	None	18	None	41	None	116	None	38	None	38	None
1679504310	SHIM ELAINE T	2021	FFS	RENDERING	AGE 0-20	34	None	398	None	33	None	149	None	22	None	95	None	34	None	48	None
1679504310	SHIM ELAINE T	2021	FFS	RENDERING	AGE 21+	101	None	825	None	77	None	142	None	77	None	413	None	85	None	85	None
1679512453	NASR RANDA R	2021	FFS	RENDERING	AGE 0-20	84	None	392	None	54	None	155	None	12	None	30	None	81	None	92	None
1679512453	NASR RANDA R	2021	FFS	RENDERING	AGE 21+	160	None	600	None	29	None	52	None	81	None	267	None	132	None	134	None
1679514798	DEL ROSARIO SUSAN	2021	PHP	RENDERING	AGE 0-20	24	None	133	None	16	None	33	None	11	None	18	None	15	None	15	None
1679514798	DEL ROSARIO SUSAN	2021	PHP	RENDERING	AGE 21+	96	None	530	None	16	None	16	None	74	None	321	None	44	None	44	None
1679531826	REDFORD MARK W.	2021	GMC	RENDERING	AGE 0-20	302	None	1,899	None	258	None	680	None	101	None	345	None	230	None	259	None
1679531826	REDFORD MARK W.	2021	GMC	RENDERING	AGE 21+	523	None	2,587	None	153	None	172	None	276	None	1,054	None	344	None	356	None
1679546741	LEE MICHAEL H	2021	FFS	RENDERING	AGE 0-20	32	None	365	None	30	None	109	None	13	None	39	None	31	None	46	None
1679546741	LEE MICHAEL H	2021	FFS	RENDERING	AGE 21+	32	None	235	None	25	None	25	None	28	None	76	None	28	None	28	None
1679546998	ROTH LAWRENCE E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1679546998	ROTH LAWRENCE E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679574495	HARDY GRACE S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1679575468	POLK-CONSTANTINO, ELIZABETH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679584270	LIN JOHN S	2021	FFS	RENDERING	AGE 0-20	307	None	2,494	None	149	None	605	None	260	None	971	None	130	None	154	None
1679584270	LIN JOHN S	2021	FFS	RENDERING	AGE 21+	348	None	2,436	None	116	None	230	None	319	None	1,263	None	133	None	133	None
1679587349	CALEY JAMES P	2021	FFS	RENDERING	AGE 0-20	122	None	1,037	None	113	None	301	None	58	None	144	None	108	None	115	None
1679587349	CALEY JAMES P	2021	FFS	RENDERING	AGE 21+	193	None	1,522	None	114	None	231	None	146	None	580	None	124	None	124	None
1679594113	SHAW MICHAEL P.	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1679604722	SUAREZ, GLADYS INES, DDS	2021	FFS	RENDERING	AGE 0-20	48	None	342	None	43	None	90	None	21	None	53	None	32	None	32	None
1679604722	SUAREZ, GLADYS INES, DDS	2021	FFS	RENDERING	AGE 21+	16	None	153	None	None	1	None	2	14	None	47	None	None	1	None	1
1679607790	APPS FELESHIA LA T	2021	FFS	RENDERING	AGE 0-20	173	None	1,197	None	154	None	506	None	51	None	128	None	152	None	152	None
1679610190	PHAM HA T	2021	FFS	RENDERING	AGE 0-20	350	None	3,215	None	227	None	534	None	202	None	1,415	None	169	None	174	None
1679610190	PHAM HA T	2021	GMC	RENDERING	AGE 0-20	595	None	7,723	None	448	None	1,083	None	518	None	4,797	None	182	None	187	None
1679611933	ECLAVEA, REYNALDO DIMASIN	2021	FFS	RENDERING	AGE 0-20	21	None	149	None	18	None	44	None	13	None	57	None	19	None	23	None
1679611933	ECLAVEA, REYNALDO DIMASIN	2021	FFS	RENDERING	AGE 21+	115	None	1,016	None	71	None	113	None	97	None	602	None	93	None	93	None
1679614234	RAPOPORT, ALLA DDS	2021	FFS	RENDERING	AGE 0-20	42	None	404	None	38	None	133	None	31	None	111	None	35	None	50	None
1679614234	RAPOPORT, ALLA DDS	2021	FFS	RENDERING	AGE 21+	115	None	829	None	57	None	101	None	97	None	470	None	74	None	74	None
1679615264	AIDIE ALFRED	2021	FFS	RENDERING	AGE 0-20	35	None	442	None	33	None	117	None	15	None	48	None	33	None	37	None
1679615264	AIDIE ALFRED	2021	FFS	RENDERING	AGE 21+	516	None	4,943	None	334	None	627	None	357	None	1,064	None	411	None	411	None
1679618557	YEO, ELIOT M., DDS	2021	FFS	RENDERING	AGE 0-20	25	None	274	None	16	None	32	None	None	1	None	2	20	None	40	None
1679618557	YEO, ELIOT M., DDS	2021	FFS	RENDERING	AGE 21+	61	None	860	None	30	None	60	None	28	None	124	None	33	None	66	None
1679623524	DUONG TAI D	2021	FFS	RENDERING	AGE 0-20	347	None	2,581	None	328	None	1,256	None	79	None	200	None	333	None	394	None
1679623524	DUONG TAI D	2021	FFS	RENDERING	AGE 21+	309	None	1,804	None	246	None	489	None	165	None	506	None	258	None	258	None
1679624902	REAL RAZ SUSAN R	2021	FFS	RENDERING	AGE 0-20	230	None	1,524	None	189	None	362	None	78	None	184	None	214	None	275	None
1679624902	REAL RAZ SUSAN R	2021	FFS	RENDERING	AGE 21+	248	None	1,510	None	115	None	115	None	142	None	324	None	172	None	172	None
1679627665	PHUNG, KIM KHUE THI,DDS	2021	FFS	RENDERING	AGE 0-20	194	None	2,487	None	172	None	546	None	135	None	394	None	160	None	231	None
1679627665	PHUNG, KIM KHUE THI,DDS	2021	FFS	RENDERING	AGE 21+	301	None	1,566	None	190	None	190	None	245	None	551	None	132	None	132	None
1679630750	CHANGELA BHAVIN C	2021	FFS	RENDERING	AGE 0-20	129	None	1,468	None	119	None	397	None	46	None	101	None	129	None	157	None
1679630750	CHANGELA BHAVIN C	2021	FFS	RENDERING	AGE 21+	260	None	1,762	None	126	None	245	None	120	None	405	None	225	None	225	None
1679630750	CHANGELA BHAVIN C	2021	PHP	RENDERING	AGE 0-20	30	None	268	None	27	None	62	None	None	1	None	2	29	None	34	None
1679630750	CHANGELA BHAVIN C	2021	PHP	RENDERING	AGE 21+	37	None	240	None	22	None	39	None	None	1	None	2	35	None	37	None
1679634885	WANG QIANMIN	2021	FFS	RENDERING	AGE 0-20	321	None	4,455	None	166	None	552	None	219	None	1,129	None	311	None	385	None
1679634885	WANG QIANMIN	2021	FFS	RENDERING	AGE 21+	138	None	1,226	None	76	None	153	None	91	None	273	None	96	None	97	None
1679637821	MASOUM, SEDIGHEH, DDS	2021	FFS	RENDERING	AGE 0-20	96	None	1,510	None	91	None	513	None	76	None	339	None	94	None	177	None
1679637821	MASOUM, SEDIGHEH, DDS	2021	FFS	RENDERING	AGE 21+	101	None	1,272	None	60	None	117	None	94	None	676	None	70	None	70	None
1679639264	ZSCHASCHEL, DIANA E DDS	2021	FFS	RENDERING	AGE 0-20	117	None	1,025	None	95	None	331	None	60	None	246	None	96	None	121	None
1679639264	ZSCHASCHEL, DIANA E DDS	2021	FFS	RENDERING	AGE 21+	259	None	1,578	None	159	None	304	None	167	None	681	None	188	None	189	None
1679639280	CHO, HOWARD K, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	26	None	None	1	None	1	None	1	None	1	None	1	None	1
1679639280	CHO, HOWARD K, DDS	2021	FFS	RENDERING	AGE 21+	84	None	485	None	60	None	60	None	45	None	170	None	73	None	73	None
1679639454	TRAN BINH N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679641146	SOROUR, SELVANA DMD	2021	FFS	RENDERING	AGE 0-20	383	None	4,033	None	264	None	868	None	309	None	1,627	None	235	None	245	None
1679641146	SOROUR, SELVANA DMD	2021	FFS	RENDERING	AGE 21+	65	None	404	None	17	None	47	None	28	None	100	None	38	None	40	None
1679641146	SOROUR, SELVANA DMD	2021	PHP	RENDERING	AGE 0-20	14	None	109	None	None	1	None	2	13	None	56	None	None	1	None	1
1679641146	SOROUR, SELVANA DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1679641955	THOMAS WILLIAM A	2021	FFS	RENDERING	AGE 0-20	343	None	1,054	None	0	None	0	None	329	None	857	None	44	None	44	None
1679641955	THOMAS WILLIAM A	2021	FFS	RENDERING	AGE 21+	511	None	1,292	None	0	None	0	None	511	None	1,217	None	0	None	0	None
1679642367	DAO, SONY DDS	2021	FFS	RENDERING	AGE 0-20	805	None	10,350	None	752	None	1,499	None	503	None	2,209	None	765	None	877	None
1679642367	DAO, SONY DDS	2021	FFS	RENDERING	AGE 21+	561	None	5,353	None	426	None	577	None	443	None	2,235	None	473	None	475	None
1679642367	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	805	None	10,350	None	752	None	1,499	None	503	None	2,209	None	765	None	877	None
1679642367	UNKNOWN	2021	FFS	RENDERING	AGE 21+	561	None	5,353	None	426	None	577	None	443	None	2,235	None	473	None	475	None
1679643001	RADULOVICH RADOJE S	2021	FFS	RENDERING	AGE 0-20	54	None	436	None	51	None	176	None	13	None	45	None	38	None	41	None
1679643001	RADULOVICH RADOJE S	2021	FFS	RENDERING	AGE 21+	143	None	951	None	123	None	179	None	60	None	201	None	116	None	116	None
1679643084	YANG DAVID W	2021	FFS	RENDERING	AGE 0-20	265	None	3,563	None	245	None	702	None	101	None	472	None	255	None	295	None
1679643084	YANG DAVID W	2021	FFS	RENDERING	AGE 21+	240	None	2,302	None	144	None	279	None	149	None	649	None	204	None	206	None
1679645675	KIM, JUNG-JOO, DDS	2021	FFS	RENDERING	AGE 0-20	189	None	1,676	None	182	None	285	None	51	None	168	None	185	None	216	None
1679645675	KIM, JUNG-JOO, DDS	2021	FFS	RENDERING	AGE 21+	186	None	1,587	None	155	None	155	None	107	None	442	None	164	None	164	None
1679647341	TRIEU, KIM-CHI THI DDS	2021	FFS	RENDERING	AGE 0-20	50	None	467	None	47	None	151	None	40	None	107	None	48	None	76	None
1679647341	TRIEU, KIM-CHI THI DDS	2021	FFS	RENDERING	AGE 21+	41	None	273	None	30	None	30	None	32	None	103	None	33	None	33	None
1679650360	PEREIRA SERGIO C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1679650360	PEREIRA SERGIO C	2021	FFS	RENDERING	AGE 21+	71	None	276	None	24	None	43	None	45	None	82	None	38	None	38	None
1679650360	PEREIRA SERGIO C	2021	GMC	RENDERING	AGE 0-20	329	None	2,323	None	272	None	957	None	193	None	319	None	268	None	290	None
1679650360	PEREIRA SERGIO C	2021	GMC	RENDERING	AGE 21+	594	None	3,355	None	318	None	620	None	399	None	1,194	None	360	None	367	None
1679652812	ALKWADRI ANAS	2021	FFS	RENDERING	AGE 0-20	396	None	4,356	None	347	None	1,324	None	203	None	957	None	368	None	419	None
1679652812	ALKWADRI ANAS	2021	FFS	RENDERING	AGE 21+	1,189	None	8,580	None	139	None	254	None	915	None	5,452	None	874	None	876	None
1679657159	OKAM, ADORA ANNE DDS	2021	FFS	RENDERING	AGE 0-20	327	None	4,073	None	289	None	1,138	None	156	None	615	None	307	None	333	None
1679657159	OKAM, ADORA ANNE DDS	2021	FFS	RENDERING	AGE 21+	335	None	2,227	None	182	None	367	None	254	None	870	None	228	None	230	None
1679659163	SAHAKIANS, ALLEN, RDHAP	2021	PHP	RENDERING	AGE 21+	48	None	149	None	48	None	81	None	25	None	68	None	0	None	0	None
1679660484	DO DOMINIC	2021	FFS	RENDERING	AGE 0-20	34	None	237	None	20	None	55	None	16	None	36	None	20	None	23	None
1679660484	DO DOMINIC	2021	FFS	RENDERING	AGE 21+	91	None	571	None	29	None	55	None	64	None	218	None	45	None	45	None
1679660971	WONG, STEVEN, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1679662894	ALQUIROS-COLLOS MARILOU C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1679662894	ALQUIROS-COLLOS MARILOU C	2021	FFS	RENDERING	AGE 21+	22	None	150	None	13	None	13	None	14	None	61	None	14	None	14	None
1679664114	ZOLLMAN STEVEN R	2021	FFS	RENDERING	AGE 0-20	525	None	2,326	None	374	None	1,144	None	320	None	886	None	52	None	52	None
1679664114	ZOLLMAN STEVEN R	2021	FFS	RENDERING	AGE 21+	702	None	2,049	None	237	None	437	None	543	None	1,356	None	54	None	54	None
1679666507	GALVAN JR ASTERIO A DMD	2021	FFS	RENDERING	AGE 0-20	258	None	3,202	None	234	None	960	None	103	None	325	None	240	None	324	None
1679666507	GALVAN JR ASTERIO A DMD	2021	FFS	RENDERING	AGE 21+	451	None	5,180	None	330	None	650	None	325	None	1,500	None	352	None	352	None
1679678551	MORRIS DARRYL L	2021	FFS	RENDERING	AGE 0-20	281	None	1,668	None	0	None	0	None	198	None	1,196	None	233	None	233	None
1679678551	MORRIS DARRYL L	2021	FFS	RENDERING	AGE 21+	456	None	2,164	None	0	None	0	None	294	None	1,425	None	331	None	331	None
1679678585	HUTCHINSON SUNNY Y	2021	FFS	RENDERING	AGE 0-20	39	None	124	None	0	None	0	None	29	None	98	None	0	None	0	None
1679678585	HUTCHINSON SUNNY Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1679688964	BUI, DAI H, DDS	2021	FFS	RENDERING	AGE 0-20	64	None	433	None	53	None	122	None	29	None	64	None	52	None	58	None
1679688964	BUI, DAI H, DDS	2021	FFS	RENDERING	AGE 21+	103	None	615	None	57	None	112	None	69	None	226	None	68	None	68	None
1679689772	LUM ROBERT M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1679689772	LUM ROBERT M	2021	FFS	RENDERING	AGE 21+	16	None	98	None	11	None	22	None	13	None	23	None	11	None	11	None
1679691570	LONGAKIT, MARNA MAE T, DDS	2021	FFS	RENDERING	AGE 0-20	128	None	932	None	116	None	352	None	39	None	165	None	121	None	147	None
1679691570	LONGAKIT, MARNA MAE T, DDS	2021	FFS	RENDERING	AGE 21+	388	None	2,733	None	311	None	615	None	202	None	811	None	336	None	336	None
1679694491	PATEL RITA V	2021	FFS	RENDERING	AGE 0-20	922	None	13,119	None	869	None	3,163	None	415	None	1,768	None	893	None	1,291	None
1679694491	PATEL RITA V	2021	FFS	RENDERING	AGE 21+	448	None	2,717	None	182	None	195	None	235	None	526	None	323	None	323	None
1679696967	GASPARIAN JIRAIR	2021	FFS	RENDERING	AGE 0-20	63	None	363	None	37	None	76	None	35	None	94	None	57	None	60	None
1679696967	GASPARIAN JIRAIR	2021	FFS	RENDERING	AGE 21+	390	None	2,486	None	144	None	285	None	317	None	1,493	None	307	None	307	None
1679700561	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	167	None	1,782	None	142	None	431	None	90	None	318	None	139	None	181	None
1679700561	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	194	None	1,316	None	105	None	186	None	129	None	440	None	129	None	130	None
1679704266	STERMER DAVID H	2021	FFS	RENDERING	AGE 0-20	203	None	1,065	None	123	None	327	None	71	None	148	None	174	None	174	None
1679704266	STERMER DAVID H	2021	FFS	RENDERING	AGE 21+	423	None	1,693	None	101	None	174	None	219	None	604	None	267	None	268	None
1679704266	STERMER DAVID H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1679704266	STERMER DAVID H	2021	PHP	RENDERING	AGE 0-20	32	None	180	None	16	None	64	None	None	1	None	2	23	None	23	None
1679704266	STERMER DAVID H	2021	PHP	RENDERING	AGE 21+	56	None	198	None	None	1	None	2	37	None	107	None	24	None	24	None
1679706766	VO NGOC LAN T	2021	FFS	RENDERING	AGE 0-20	42	None	206	None	40	None	86	None	18	None	46	None	36	None	44	None
1679706766	VO NGOC LAN T	2021	FFS	RENDERING	AGE 21+	127	None	612	None	77	None	122	None	73	None	204	None	80	None	80	None
1679722078	TIWANA HARPREET S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1679722078	TIWANA HARPREET S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679722078	TIWANA HARPREET S	2021	GMC	RENDERING	AGE 0-20	1,027	None	8,093	None	893	None	3,076	None	504	None	1,431	None	914	None	1,099	None
1679722078	TIWANA HARPREET S	2021	GMC	RENDERING	AGE 21+	1,076	None	6,545	None	857	None	1,762	None	691	None	2,437	None	854	None	888	None
1679726186	MIZRAHI PARVAZ F	2021	FFS	RENDERING	AGE 0-20	245	None	783	None	None	1	None	1	158	None	568	None	178	None	178	None
1679726186	MIZRAHI PARVAZ F	2021	FFS	RENDERING	AGE 21+	217	None	608	None	0	None	0	None	210	None	499	None	None	1	None	1
1679736425	WOO, IAN MS, DDS, MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1679736425	WOO, IAN MS, DDS, MD	2021	PHP	RENDERING	AGE 0-20	13	None	33	None	0	None	0	None	11	None	26	None	None	1	None	1
1679736425	WOO, IAN MS, DDS, MD	2021	PHP	RENDERING	AGE 21+	46	None	129	None	0	None	0	None	29	None	73	None	44	None	46	None
1679750046	JERUSALEM JOCELYN T	2021	FFS	RENDERING	AGE 0-20	75	None	456	None	52	None	77	None	39	None	144	None	56	None	59	None
1679750046	JERUSALEM JOCELYN T	2021	FFS	RENDERING	AGE 21+	237	None	1,210	None	124	None	124	None	149	None	604	None	82	None	82	None
1679752653	SUMILAT JAMES M	2021	FFS	RENDERING	AGE 0-20	225	None	2,235	None	211	None	634	None	51	None	130	None	215	None	279	None
1679752653	SUMILAT JAMES M	2021	FFS	RENDERING	AGE 21+	241	None	2,004	None	97	None	110	None	179	None	666	None	177	None	182	None
1679752653	SUMILAT JAMES M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1679764765	KANG KELIE H	2021	FFS	RENDERING	AGE 0-20	559	None	2,978	None	335	None	743	None	154	None	496	None	512	None	529	None
1679764765	KANG KELIE H	2021	FFS	RENDERING	AGE 21+	1,152	None	3,676	None	195	None	376	None	418	None	920	None	882	None	882	None
1679770663	KHAN JABEEN M	2021	FFS	RENDERING	AGE 0-20	143	None	2,234	None	141	None	543	None	49	None	148	None	141	None	193	None
1679770663	KHAN JABEEN M	2021	FFS	RENDERING	AGE 21+	237	None	1,794	None	190	None	378	None	165	None	472	None	201	None	201	None
1679775043	ANDERSON-CURTIN KAREN E	2021	FFS	RENDERING	AGE 0-20	123	None	585	None	0	None	0	None	123	None	585	None	0	None	0	None
1679783765	SAKO DANIEL H	2021	FFS	RENDERING	AGE 0-20	15	None	93	None	11	None	30	None	None	1	None	1	12	None	12	None
1679783765	SAKO DANIEL H	2021	FFS	RENDERING	AGE 21+	29	None	89	None	None	1	None	1	22	None	45	None	None	1	None	1
1679784508	MEGALLY, AHMED R.	2021	FFS	RENDERING	AGE 0-20	254	None	1,520	None	186	None	690	None	128	None	350	None	116	None	122	None
1679784508	MEGALLY, AHMED R.	2021	FFS	RENDERING	AGE 21+	338	None	1,661	None	88	None	138	None	287	None	958	None	95	None	95	None
1679784912	ASATANI PAUL M	2021	FFS	RENDERING	AGE 0-20	26	None	146	None	None	1	None	2	16	None	69	None	None	1	None	1
1679784912	ASATANI PAUL M	2021	FFS	RENDERING	AGE 21+	70	None	210	None	None	1	None	1	53	None	104	None	None	1	None	1
1679789127	HARRIS LLOYD R	2021	FFS	RENDERING	AGE 0-20	26	None	144	None	15	None	41	None	18	None	57	None	15	None	15	None
1679789127	HARRIS LLOYD R	2021	FFS	RENDERING	AGE 21+	904	None	5,028	None	449	None	671	None	692	None	2,556	None	555	None	555	None
1679796064	GARCIA CARLOS F	2021	FFS	RENDERING	AGE 0-20	91	None	598	None	45	None	104	None	71	None	191	None	31	None	31	None
1679796064	GARCIA CARLOS F	2021	FFS	RENDERING	AGE 21+	426	None	3,107	None	117	None	172	None	357	None	1,511	None	192	None	192	None
1679798953	MALEKZADEH ROYA	2021	FFS	RENDERING	AGE 0-20	13	None	66	None	None	1	None	2	None	1	None	2	12	None	14	None
1679798953	MALEKZADEH ROYA	2021	FFS	RENDERING	AGE 21+	55	None	157	None	None	1	None	1	30	None	72	None	33	None	33	None
1679799928	CHAKAR, JOSEPH M, DDS	2021	FFS	RENDERING	AGE 0-20	97	None	940	None	83	None	204	None	23	None	76	None	91	None	105	None
1679799928	CHAKAR, JOSEPH M, DDS	2021	FFS	RENDERING	AGE 21+	199	None	1,174	None	65	None	65	None	93	None	307	None	159	None	161	None
1679813471	ZAK DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	19	None	50	None	None	1	None	2	None	1	None	2	None	1	None	1
1679813471	ZAK DENTAL CORP	2021	PHP	RENDERING	AGE 21+	16	None	46	None	None	1	None	1	None	1	None	1	None	1	None	1
1679822860	SANDHU HARKESHWAR S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1679822860	SANDHU HARKESHWAR S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679822860	SANDHU HARKESHWAR S	2021	GMC	RENDERING	AGE 0-20	459	None	3,302	None	373	None	1,205	None	270	None	439	None	375	None	407	None
1679822860	SANDHU HARKESHWAR S	2021	GMC	RENDERING	AGE 21+	810	None	3,092	None	303	None	361	None	579	None	1,257	None	384	None	388	None
1679823330	CHU SALLY C	2021	FFS	RENDERING	AGE 0-20	48	None	750	None	46	None	120	None	48	None	390	None	46	None	46	None
1679823330	CHU SALLY C	2021	FFS	RENDERING	AGE 21+	183	None	2,236	None	168	None	168	None	182	None	1,335	None	98	None	98	None
1679823330	CHU SALLY C	2021	GMC	RENDERING	AGE 0-20	14	None	397	None	13	None	38	None	14	None	157	None	14	None	14	None
1679823330	CHU SALLY C	2021	GMC	RENDERING	AGE 21+	12	None	284	None	11	None	11	None	11	None	107	None	11	None	11	None
1679834311	CHUNG DOYON	2021	FFS	RENDERING	AGE 0-20	407	None	481	None	0	None	0	None	48	None	84	None	0	None	0	None
1679834311	CHUNG DOYON	2021	FFS	RENDERING	AGE 21+	17	None	17	None	0	None	0	None	0	None	0	None	0	None	0	None
1679838528	KAROLL RAYNA T	2021	FFS	RENDERING	AGE 0-20	846	None	5,736	None	695	None	2,013	None	544	None	1,510	None	640	None	723	None
1679838528	KAROLL RAYNA T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1679848733	DESAI AMIT J	2021	FFS	RENDERING	AGE 0-20	439	None	3,129	None	359	None	1,424	None	144	None	259	None	410	None	479	None
1679848733	DESAI AMIT J	2021	FFS	RENDERING	AGE 21+	565	None	1,924	None	107	None	197	None	255	None	568	None	371	None	371	None
1679848733	DESAI AMIT J	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679848733	DESAI AMIT J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679853261	KAUR HARSIMRAN	2021	FFS	RENDERING	AGE 0-20	34	None	262	None	29	None	124	None	15	None	46	None	34	None	34	None
1679853261	KAUR HARSIMRAN	2021	FFS	RENDERING	AGE 21+	34	None	150	None	16	None	30	None	17	None	57	None	31	None	31	None
1679857759	AMEEN RAJESH Y	2021	FFS	RENDERING	AGE 0-20	71	None	603	None	55	None	132	None	37	None	61	None	49	None	49	None
1679857759	AMEEN RAJESH Y	2021	FFS	RENDERING	AGE 21+	13	None	41	None	None	1	None	1	None	1	None	2	None	1	None	1
1679858559	TABACHNIK NADIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679858559	TABACHNIK NADIA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1679868921	JIZE NICHOLAS R	2021	FFS	RENDERING	AGE 0-20	172	None	1,814	None	170	None	745	None	98	None	282	None	168	None	260	None
1679874341	REES IVAN D	2021	FFS	RENDERING	AGE 0-20	300	None	1,322	None	None	1	None	1	300	None	1,305	None	None	1	None	1
1679874341	REES IVAN D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679874341	REES IVAN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679880710	MOKHAYERI, SAEED, DDS	2021	FFS	RENDERING	AGE 0-20	175	None	1,391	None	124	None	530	None	74	None	219	None	150	None	191	None
1679880710	MOKHAYERI, SAEED, DDS	2021	FFS	RENDERING	AGE 21+	368	None	1,761	None	137	None	270	None	281	None	876	None	212	None	212	None
1679914162	MORADI DAVID R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679917439	TO, MICHELLE P, DDS A PROFES	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679942924	KING CARLOS J	2021	FFS	RENDERING	AGE 0-20	99	None	1,131	None	84	None	299	None	41	None	139	None	84	None	96	None
1679942924	KING CARLOS J	2021	FFS	RENDERING	AGE 21+	347	None	3,428	None	193	None	388	None	254	None	1,073	None	216	None	216	None
1679951289	LIU WEN L	2021	FFS	RENDERING	AGE 0-20	120	None	1,195	None	112	None	411	None	63	None	159	None	116	None	147	None
1679951289	LIU WEN L	2021	FFS	RENDERING	AGE 21+	272	None	3,196	None	217	None	416	None	211	None	1,057	None	229	None	229	None
1679971790	YAU ROBERT	2021	FFS	RENDERING	AGE 0-20	15	None	76	None	0	None	0	None	12	None	70	None	None	1	None	1
1679971790	YAU ROBERT	2021	FFS	RENDERING	AGE 21+	22	None	51	None	0	None	0	None	15	None	37	None	None	1	None	1
1679981898	MOLTA JAIRO H	2021	FFS	RENDERING	AGE 0-20	415	None	5,673	None	408	None	1,792	None	187	None	407	None	407	None	578	None
1679981898	MOLTA JAIRO H	2021	FFS	RENDERING	AGE 21+	263	None	2,030	None	224	None	450	None	124	None	376	None	236	None	236	None
1679982094	MA MICHAEL H	2021	FFS	RENDERING	AGE 0-20	181	None	1,044	None	162	None	356	None	49	None	123	None	169	None	189	None
1679982094	MA MICHAEL H	2021	FFS	RENDERING	AGE 21+	99	None	450	None	30	None	33	None	46	None	166	None	79	None	79	None
1679982094	MA MICHAEL H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1679982094	MA MICHAEL H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1679982094	MA MICHAEL H	2021	PHP	RENDERING	AGE 0-20	183	None	975	None	85	None	227	None	88	None	228	None	100	None	101	None
1679982094	MA MICHAEL H	2021	PHP	RENDERING	AGE 21+	183	None	742	None	15	None	15	None	70	None	194	None	76	None	77	None
1679988547	MANN HARMEET K	2021	FFS	RENDERING	AGE 0-20	1,394	None	11,776	None	1,127	None	3,587	None	1,122	None	4,023	None	1,061	None	1,131	None
1679988547	MANN HARMEET K	2021	FFS	RENDERING	AGE 21+	19	None	48	None	12	None	22	None	None	1	None	2	0	None	0	None
1679988547	MANN HARMEET K	2021	GMC	RENDERING	AGE 0-20	73	None	347	None	25	None	83	None	67	None	253	None	None	1	None	1
1679988547	MANN HARMEET K	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1689000721	TURABELIDZE ANNA	2021	FFS	RENDERING	AGE 0-20	1,477	None	12,199	None	988	None	2,545	None	1,011	None	2,653	None	922	None	945	None
1689000721	TURABELIDZE ANNA	2021	FFS	RENDERING	AGE 21+	29	None	143	None	None	1	None	2	None	1	None	1	27	None	27	None
1689004665	MOSHAVERINIA ALIREZA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689004665	MOSHAVERINIA ALIREZA	2021	FFS	RENDERING	AGE 21+	46	None	87	None	None	1	None	1	37	None	62	None	None	1	None	1
1689015430	SHI CHRISTOPHER Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1689015430	SHI CHRISTOPHER Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689016255	KIM AILEEN S	2021	FFS	RENDERING	AGE 0-20	585	None	1,225	None	0	None	0	None	164	None	519	None	0	None	0	None
1689016255	KIM AILEEN S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1689025025	GHODOUSI NORA N	2021	FFS	RENDERING	AGE 0-20	1,077	None	10,139	None	863	None	2,316	None	639	None	2,389	None	746	None	754	None
1689025025	GHODOUSI NORA N	2021	FFS	RENDERING	AGE 21+	33	None	194	None	None	1	None	1	None	1	None	2	24	None	24	None
1689025025	GHODOUSI NORA N	2021	PHP	RENDERING	AGE 0-20	52	None	539	None	15	None	44	None	47	None	406	None	None	1	None	1
1689025694	OH YUN HWAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1689031130	PINKY KIRANDEEP K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689031130	PINKY KIRANDEEP K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689031130	PINKY KIRANDEEP K	2021	GMC	RENDERING	AGE 0-20	534	None	4,005	None	343	None	1,370	None	377	None	1,340	None	381	None	413	None
1689031130	PINKY KIRANDEEP K	2021	GMC	RENDERING	AGE 21+	488	None	2,895	None	82	None	145	None	368	None	1,901	None	316	None	319	None
1689031130	PINKY KIRANDEEP K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689031130	PINKY KIRANDEEP K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689033482	DING CINDY	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689035420	VU TRANG TIFFAN T	2021	FFS	RENDERING	AGE 0-20	4,166	None	62,136	None	4,020	None	16,972	None	3,071	None	8,996	None	4,011	None	5,994	None
1689035420	VU TRANG TIFFAN T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689040115	DESAI NAMAN J	2021	FFS	RENDERING	AGE 0-20	396	None	1,958	None	0	None	0	None	286	None	1,340	None	354	None	354	None
1689040115	DESAI NAMAN J	2021	FFS	RENDERING	AGE 21+	377	None	1,632	None	0	None	0	None	272	None	1,018	None	340	None	341	None
1689044521	HORMOZ GOLIAN DDS APC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1689050296	NGUYEN ELAINE A	2021	FFS	RENDERING	AGE 21+	50	None	181	None	19	None	31	None	50	None	69	None	39	None	39	None
1689050296	NGUYEN ELAINE A	2021	PHP	RENDERING	AGE 0-20	18	None	94	None	12	None	53	None	None	1	None	1	None	1	None	2
1689050296	NGUYEN ELAINE A	2021	PHP	RENDERING	AGE 21+	55	None	326	None	20	None	78	None	38	None	137	None	36	None	65	None
1689050346	NGUYEN NANCY NAM T	2021	FFS	RENDERING	AGE 0-20	27	None	143	None	17	None	43	None	17	None	35	None	17	None	17	None
1689050346	NGUYEN NANCY NAM T	2021	FFS	RENDERING	AGE 21+	31	None	151	None	15	None	30	None	21	None	58	None	15	None	15	None
1689054504	KHORSHIDI FARAZ M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689073272	CHU BRIAN E	2021	FFS	RENDERING	AGE 0-20	819	None	2,284	None	None	1	None	2	819	None	2,210	None	12	None	12	None
1689073272	CHU BRIAN E	2021	FFS	RENDERING	AGE 21+	237	None	427	None	None	1	None	1	237	None	414	None	0	None	0	None
1689073272	CHU BRIAN E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689075764	GONZALEZ GABRIEL A	2021	FFS	RENDERING	AGE 0-20	1,756	None	14,762	None	1,397	None	4,207	None	754	None	1,382	None	1,309	None	1,315	None
1689075764	GONZALEZ GABRIEL A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1689080012	ABRAHAMIAN NAREH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1689080012	ABRAHAMIAN NAREH	2021	FFS	RENDERING	AGE 21+	42	None	390	None	17	None	34	None	39	None	253	None	30	None	30	None
1689080012	ABRAHAMIAN NAREH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1689080012	ABRAHAMIAN NAREH	2021	PHP	RENDERING	AGE 21+	18	None	360	None	18	None	105	None	13	None	157	None	18	None	23	None
1689092116	FLOYD, TINA M, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1689128043	SHAH AVANI	2021	FFS	RENDERING	AGE 0-20	209	None	1,683	None	156	None	439	None	56	None	104	None	178	None	212	None
1689128043	SHAH AVANI	2021	FFS	RENDERING	AGE 21+	242	None	1,102	None	37	None	74	None	123	None	413	None	178	None	182	None
1689128043	SHAH AVANI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689128043	SHAH AVANI	2021	PHP	RENDERING	AGE 0-20	93	None	789	None	69	None	169	None	15	None	24	None	84	None	106	None
1689128043	SHAH AVANI	2021	PHP	RENDERING	AGE 21+	77	None	391	None	11	None	20	None	32	None	152	None	63	None	66	None
1689138547	HUYNH QUAN P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1689138547	HUYNH QUAN P	2021	FFS	RENDERING	AGE 21+	58	None	119	None	0	None	0	None	58	None	119	None	0	None	0	None
1689157703	POTDAR HEMALI S	2021	FFS	RENDERING	AGE 0-20	98	None	810	None	84	None	292	None	65	None	143	None	83	None	91	None
1689157703	POTDAR HEMALI S	2021	FFS	RENDERING	AGE 21+	56	None	349	None	28	None	52	None	47	None	139	None	16	None	16	None
1689160533	QURESHI MARYAM R	2021	FFS	RENDERING	AGE 0-20	72	None	638	None	54	None	145	None	29	None	64	None	47	None	47	None
1689160533	QURESHI MARYAM R	2021	FFS	RENDERING	AGE 21+	95	None	508	None	36	None	77	None	58	None	115	None	39	None	39	None
1689169005	ABADIAN BAHAREH	2021	PHP	RENDERING	AGE 0-20	60	None	547	None	51	None	250	None	34	None	68	None	49	None	55	None
1689169005	ABADIAN BAHAREH	2021	PHP	RENDERING	AGE 21+	153	None	913	None	66	None	174	None	116	None	381	None	96	None	96	None
1689191769	ZALATIMO TYLER T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1689191769	ZALATIMO TYLER T	2021	FFS	RENDERING	AGE 21+	19	None	49	None	0	None	0	None	14	None	28	None	None	1	None	1
1689215998	LEE YOUNJIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689215998	LEE YOUNJIN	2021	FFS	RENDERING	AGE 21+	40	None	173	None	None	1	None	2	35	None	96	None	15	None	15	None
1689220667	MISHAEEL SHIVA	2021	FFS	RENDERING	AGE 0-20	22	None	91	None	None	1	None	1	21	None	81	None	None	1	None	1
1689220667	MISHAEEL SHIVA	2021	FFS	RENDERING	AGE 21+	61	None	210	None	0	None	0	None	61	None	209	None	0	None	0	None
1689236796	TAKEBAYASHI DAN	2021	FFS	RENDERING	AGE 0-20	3,849	None	29,245	None	2,569	None	6,448	None	2,617	None	7,749	None	2,492	None	2,600	None
1689236796	TAKEBAYASHI DAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689281263	PATEL KITESH	2021	FFS	RENDERING	AGE 0-20	1,719	None	16,394	None	1,376	None	3,926	None	823	None	1,877	None	1,379	None	1,435	None
1689281263	PATEL KITESH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689281263	PATEL KITESH	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1689299471	BATRA ABHISHEK	2021	FFS	RENDERING	AGE 0-20	517	None	4,682	None	414	None	1,090	None	268	None	841	None	386	None	400	None
1689342057	DR RUSEN BARSTOW FRIENDLY SM	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689347452	TALAKOUB NAGHME	2021	FFS	RENDERING	AGE 0-20	29	None	244	None	23	None	74	None	14	None	26	None	24	None	24	None
1689347452	TALAKOUB NAGHME	2021	FFS	RENDERING	AGE 21+	22	None	89	None	None	1	None	1	16	None	40	None	None	1	None	1
1689621823	BALIKYAN MICHAEL G	2021	FFS	RENDERING	AGE 0-20	97	None	827	None	93	None	264	None	29	None	98	None	89	None	112	None
1689621823	BALIKYAN MICHAEL G	2021	FFS	RENDERING	AGE 21+	269	None	2,069	None	147	None	240	None	189	None	955	None	180	None	182	None
1689621823	BALIKYAN MICHAEL G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1689621823	BALIKYAN MICHAEL G	2021	PHP	RENDERING	AGE 21+	23	None	120	None	None	1	None	2	13	None	51	None	22	None	24	None
1689636896	PERLEY, DAVID, DDS	2021	FFS	RENDERING	AGE 0-20	49	None	271	None	45	None	84	None	19	None	40	None	47	None	49	None
1689636896	PERLEY, DAVID, DDS	2021	FFS	RENDERING	AGE 21+	154	None	890	None	112	None	117	None	93	None	282	None	127	None	127	None
1689653966	TRAN TRONG T	2021	FFS	RENDERING	AGE 0-20	100	None	1,100	None	97	None	270	None	45	None	115	None	98	None	143	None
1689653966	TRAN TRONG T	2021	FFS	RENDERING	AGE 21+	160	None	1,146	None	135	None	135	None	86	None	281	None	144	None	144	None
1689654873	PHAM NATALIE N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689671547	BHOOT, NAINA DDS	2021	FFS	RENDERING	AGE 0-20	89	None	821	None	89	None	297	None	52	None	150	None	88	None	129	None
1689671547	BHOOT, NAINA DDS	2021	FFS	RENDERING	AGE 21+	181	None	1,409	None	132	None	258	None	151	None	570	None	144	None	144	None
1689686842	NGUYEN CAO T	2021	FFS	RENDERING	AGE 0-20	81	None	350	None	71	None	79	None	31	None	66	None	70	None	78	None
1689686842	NGUYEN CAO T	2021	FFS	RENDERING	AGE 21+	398	None	1,593	None	197	None	197	None	229	None	530	None	287	None	287	None
1689693087	BAST, BRIAN T MD	2021	FFS	RENDERING	AGE 0-20	240	None	1,014	None	0	None	0	None	153	None	745	None	134	None	135	None
1689693087	BAST, BRIAN T MD	2021	FFS	RENDERING	AGE 21+	1,651	None	5,137	None	0	None	0	None	1,231	None	3,665	None	683	None	683	None
1689695181	CHAN LINDA	2021	FFS	RENDERING	AGE 0-20	167	None	994	None	146	None	500	None	57	None	116	None	141	None	142	None
1689695181	CHAN LINDA	2021	FFS	RENDERING	AGE 21+	129	None	482	None	57	None	112	None	80	None	142	None	72	None	72	None
1689703407	GUTGARTS, EDUARD M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689703407	GUTGARTS, EDUARD M, DDS	2021	FFS	RENDERING	AGE 21+	237	None	1,323	None	86	None	86	None	192	None	729	None	144	None	145	None
1689704017	DANG NGUYEN T	2021	FFS	RENDERING	AGE 0-20	250	None	2,712	None	240	None	785	None	79	None	225	None	246	None	406	None
1689704017	DANG NGUYEN T	2021	FFS	RENDERING	AGE 21+	32	None	171	None	29	None	32	None	None	1	None	2	21	None	21	None
1689704231	CHEN, SUNG SEN, DDS	2021	FFS	RENDERING	AGE 0-20	13	None	100	None	13	None	27	None	None	1	None	2	11	None	12	None
1689704231	CHEN, SUNG SEN, DDS	2021	FFS	RENDERING	AGE 21+	35	None	186	None	26	None	26	None	25	None	90	None	25	None	25	None
1689705071	OLANO BOTERO LUISA F	2021	FFS	RENDERING	AGE 0-20	1,076	None	13,982	None	927	None	2,431	None	487	None	1,626	None	927	None	1,119	None
1689705071	OLANO BOTERO LUISA F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689710626	JUAREZ MATA, ELVIA	2021	FFS	RENDERING	AGE 0-20	1,623	None	15,536	None	1,208	None	3,618	None	730	None	2,327	None	1,004	None	1,123	None
1689710626	JUAREZ MATA, ELVIA	2021	FFS	RENDERING	AGE 21+	1,424	None	9,215	None	485	None	887	None	1,028	None	3,969	None	580	None	587	None
1689711822	JO, DAVID J DDS	2021	FFS	RENDERING	AGE 0-20	603	None	1,532	None	0	None	0	None	292	None	973	None	0	None	0	None
1689711822	JO, DAVID J DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689714172	LEE SCOTT M	2021	FFS	RENDERING	AGE 0-20	3,393	None	56,288	None	3,332	None	12,962	None	1,319	None	2,890	None	3,317	None	5,148	None
1689714172	LEE SCOTT M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689718108	AFSHAR SIAMAK	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689718108	AFSHAR SIAMAK	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1689720740	KIM, SOODONG DDS	2021	FFS	RENDERING	AGE 0-20	739	None	5,429	None	570	None	1,392	None	325	None	980	None	623	None	633	None
1689720740	KIM, SOODONG DDS	2021	FFS	RENDERING	AGE 21+	829	None	3,892	None	260	None	392	None	482	None	1,373	None	526	None	528	None
1689720740	KIM, SOODONG DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689721334	GILL HARPREET S	2021	FFS	RENDERING	AGE 0-20	20	None	70	None	None	1	None	2	18	None	45	None	None	1	None	1
1689721334	GILL HARPREET S	2021	FFS	RENDERING	AGE 21+	21	None	77	None	None	1	None	2	14	None	32	None	None	1	None	1
1689721540	HUANG PHILLIP I	2021	PHP	RENDERING	AGE 0-20	21	None	119	None	16	None	40	None	None	1	None	2	18	None	23	None
1689721540	HUANG PHILLIP I	2021	PHP	RENDERING	AGE 21+	24	None	128	None	13	None	18	None	None	1	None	2	21	None	25	None
1689724619	KURTZ, JAMES L, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	106	None	0	None	0	None	None	1	None	2	20	None	20	None
1689724619	KURTZ, JAMES L, DDS	2021	FFS	RENDERING	AGE 21+	39	None	149	None	None	1	None	1	14	None	17	None	25	None	25	None
1689725046	NOORVASH TARANEH	2021	FFS	RENDERING	AGE 0-20	535	None	1,126	None	0	None	0	None	212	None	633	None	0	None	0	None
1689725046	NOORVASH TARANEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689725046	NOORVASH TARANEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1689729014	ROH, SEON	2021	FFS	RENDERING	AGE 0-20	64	None	270	None	61	None	71	None	28	None	70	None	49	None	54	None
1689729014	ROH, SEON	2021	FFS	RENDERING	AGE 21+	269	None	1,142	None	135	None	135	None	213	None	652	None	122	None	122	None
1689729014	ROH, SEON	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689729014	ROH, SEON	2021	PHP	RENDERING	AGE 21+	23	None	87	None	13	None	13	None	None	1	None	2	14	None	14	None
1689730970	ZAMORA, MIGUEL, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1689730970	ZAMORA, MIGUEL, RDHAP	2021	FFS	RENDERING	AGE 21+	177	None	809	None	176	None	468	None	157	None	335	None	0	None	0	None
1689733685	DO, KENT NAM DMD	2021	FFS	RENDERING	AGE 0-20	1,220	None	16,563	None	1,092	None	3,598	None	830	None	2,017	None	1,140	None	1,416	None
1689734816	BALAGTAS MARIA C	2021	FFS	RENDERING	AGE 0-20	82	None	1,007	None	80	None	275	None	31	None	168	None	79	None	109	None
1689734816	BALAGTAS MARIA C	2021	FFS	RENDERING	AGE 21+	112	None	819	None	71	None	125	None	78	None	328	None	76	None	76	None
1689734816	BALAGTAS, MARIA C, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	1,007	None	80	None	275	None	31	None	168	None	79	None	109	None
1689734816	BALAGTAS, MARIA C, DDS	2021	FFS	RENDERING	AGE 21+	112	None	819	None	71	None	125	None	78	None	328	None	76	None	76	None
1689737512	SIDDAPPA SAVITHA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689738106	HWANG, CHIAO-TZE, DDS	2021	FFS	RENDERING	AGE 0-20	71	None	469	None	64	None	156	None	13	None	31	None	66	None	69	None
1689738106	HWANG, CHIAO-TZE, DDS	2021	FFS	RENDERING	AGE 21+	18	None	113	None	None	1	None	2	None	1	None	2	12	None	12	None
1689740664	LEBOVICH VADIM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689740664	LEBOVICH VADIM	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1689741092	HANASAB HERSEL	2021	FFS	RENDERING	AGE 0-20	1,199	None	15,242	None	1,093	None	4,443	None	450	None	1,061	None	1,098	None	1,313	None
1689741092	HANASAB HERSEL	2021	FFS	RENDERING	AGE 21+	840	None	4,606	None	350	None	420	None	526	None	1,465	None	564	None	572	None
1689741092	HANASAB HERSEL	2021	PHP	RENDERING	AGE 0-20	171	None	1,757	None	154	None	479	None	45	None	92	None	161	None	185	None
1689741092	HANASAB HERSEL	2021	PHP	RENDERING	AGE 21+	102	None	522	None	37	None	45	None	53	None	153	None	76	None	79	None
1689741159	NGO TUNG S	2021	FFS	RENDERING	AGE 0-20	288	None	2,971	None	252	None	1,037	None	60	None	144	None	256	None	256	None
1689741159	NGO TUNG S	2021	FFS	RENDERING	AGE 21+	95	None	611	None	41	None	82	None	66	None	159	None	53	None	53	None
1689741613	ELSAYED AHMED E	2021	FFS	RENDERING	AGE 0-20	962	None	13,546	None	852	None	4,209	None	469	None	1,056	None	897	None	1,243	None
1689741613	ELSAYED AHMED E	2021	FFS	RENDERING	AGE 21+	342	None	2,122	None	80	None	119	None	212	None	799	None	246	None	246	None
1689742553	MIKHAIL SONIA B	2021	FFS	RENDERING	AGE 0-20	78	None	533	None	42	None	147	None	45	None	199	None	49	None	49	None
1689742553	MIKHAIL SONIA B	2021	FFS	RENDERING	AGE 21+	47	None	164	None	None	1	None	1	35	None	90	None	18	None	18	None
1689742967	MADHURE VEENA S	2021	FFS	RENDERING	AGE 0-20	41	None	683	None	41	None	145	None	11	None	27	None	41	None	71	None
1689742967	MADHURE VEENA S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689747834	SHIH, RICHARD DDS	2021	FFS	RENDERING	AGE 0-20	20	None	151	None	19	None	64	None	None	1	None	2	17	None	21	None
1689747834	SHIH, RICHARD DDS	2021	FFS	RENDERING	AGE 21+	94	None	526	None	78	None	156	None	40	None	96	None	87	None	87	None
1689749947	GREENWAY, KURT J, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1689760175	SAISHO KENJI B	2021	FFS	RENDERING	AGE 0-20	4,437	None	42,884	None	3,356	None	11,745	None	3,392	None	19,250	None	2,539	None	2,632	None
1689760175	SAISHO KENJI B	2021	FFS	RENDERING	AGE 21+	11	None	40	None	None	1	None	2	None	1	None	1	None	1	None	1
1689768137	BATESOLE MARK K	2021	FFS	RENDERING	AGE 0-20	59	None	247	None	0	None	0	None	15	None	21	None	0	None	0	None
1689768137	BATESOLE MARK K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1689769515	MARTINEZ LILIA	2021	FFS	RENDERING	AGE 0-20	146	None	1,516	None	78	None	223	None	87	None	286	None	132	None	165	None
1689769515	MARTINEZ LILIA	2021	FFS	RENDERING	AGE 21+	98	None	934	None	72	None	114	None	63	None	388	None	91	None	91	None
1689770299	SUSANTO HANNY	2021	FFS	RENDERING	AGE 0-20	61	None	463	None	60	None	188	None	20	None	57	None	53	None	58	None
1689770299	SUSANTO HANNY	2021	FFS	RENDERING	AGE 21+	17	None	103	None	14	None	31	None	None	1	None	2	13	None	15	None
1689785271	BANAWIS MICHAEL B	2021	FFS	RENDERING	AGE 0-20	1,994	None	28,752	None	1,794	None	7,078	None	1,433	None	6,114	None	1,758	None	2,244	None
1689785271	BANAWIS MICHAEL B	2021	FFS	RENDERING	AGE 21+	404	None	2,670	None	216	None	398	None	227	None	714	None	280	None	281	None
1689786899	QUINCI PIERO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689786972	TOURTLOTTE, CHRISTINA L, DDS	2021	FFS	RENDERING	AGE 0-20	488	None	4,746	None	476	None	1,541	None	240	None	771	None	367	None	491	None
1689786972	TOURTLOTTE, CHRISTINA L, DDS	2021	FFS	RENDERING	AGE 21+	44	None	223	None	33	None	64	None	20	None	47	None	24	None	24	None
1689788598	THOMPSON, KENNETH D, DDS	2021	FFS	RENDERING	AGE 0-20	18	None	89	None	14	None	19	None	11	None	32	None	14	None	16	None
1689788598	THOMPSON, KENNETH D, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1689789711	VERCELES, ROBERT TIMOTHY, DD	2021	FFS	RENDERING	AGE 21+	78	None	204	None	None	1	None	1	77	None	120	None	78	None	78	None
1689798274	LUONG DEAN	2021	FFS	RENDERING	AGE 0-20	15	None	95	None	None	1	None	2	None	1	None	2	None	1	None	1
1689798274	LUONG DEAN	2021	FFS	RENDERING	AGE 21+	94	None	536	None	63	None	67	None	56	None	173	None	65	None	65	None
1689799736	LEE, STEPHEN M, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	111	None	21	None	63	None	None	1	None	1	14	None	18	None
1689799736	LEE, STEPHEN M, DDS	2021	FFS	RENDERING	AGE 21+	118	None	499	None	95	None	156	None	64	None	147	None	55	None	55	None
1689808651	HE PING M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1689809410	SHAH AQEELA S	2021	FFS	RENDERING	AGE 0-20	99	None	677	None	86	None	219	None	32	None	88	None	86	None	96	None
1689809410	SHAH AQEELA S	2021	FFS	RENDERING	AGE 21+	82	None	488	None	45	None	90	None	48	None	98	None	59	None	59	None
1689814535	HWANG JEFFREY M	2021	FFS	RENDERING	AGE 0-20	63	None	138	None	0	None	0	None	28	None	83	None	0	None	0	None
1689814535	HWANG JEFFREY M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689815417	GURZ MURAT	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1689818056	KRIER, NICHOLAS J MD	2021	FFS	RENDERING	AGE 0-20	42	None	94	None	0	None	0	None	42	None	94	None	0	None	0	None
1689818635	ROCES MARIA VICTORIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1689820128	BUTALA, SHAILESH MANHARLAL,	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1689820128	BUTALA, SHAILESH MANHARLAL,	2021	FFS	RENDERING	AGE 21+	24	None	132	None	17	None	17	None	17	None	49	None	21	None	21	None
1689820342	DAVID M CASHMAN	2021	FFS	RENDERING	AGE 0-20	214	None	1,842	None	54	None	146	None	205	None	1,680	None	None	1	None	1
1689820342	DAVID M CASHMAN	2021	FFS	RENDERING	AGE 21+	123	None	717	None	None	1	None	1	116	None	697	None	None	1	None	1
1689825804	FRANCE GARY L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1689825804	FRANCE GARY L	2021	PHP	RENDERING	AGE 0-20	167	None	2,227	None	157	None	690	None	119	None	331	None	161	None	219	None
1689825804	FRANCE GARY L	2021	PHP	RENDERING	AGE 21+	108	None	495	None	16	None	19	None	59	None	190	None	88	None	89	None
1689832677	RASTEGAR-PANAH ARASH	2021	FFS	RENDERING	AGE 0-20	40	None	253	None	32	None	62	None	19	None	49	None	38	None	44	None
1689832677	RASTEGAR-PANAH ARASH	2021	FFS	RENDERING	AGE 21+	90	None	395	None	43	None	49	None	34	None	111	None	77	None	77	None
1689848327	SHWEISH ARIANA	2021	FFS	RENDERING	AGE 0-20	284	None	361	None	0	None	0	None	39	None	78	None	0	None	0	None
1689848327	SHWEISH ARIANA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1689848327	SHWEISH ARIANA	2021	PHP	RENDERING	AGE 0-20	18	None	31	None	0	None	0	None	16	None	25	None	0	None	0	None
1689850315	LEE SANG E	2021	FFS	RENDERING	AGE 0-20	597	None	5,768	None	497	None	1,644	None	363	None	970	None	448	None	469	None
1689850315	LEE SANG E	2021	FFS	RENDERING	AGE 21+	702	None	5,824	None	207	None	326	None	546	None	2,382	None	357	None	359	None
1689854648	CANCIO, JUAN POCHOLO DDS	2021	FFS	RENDERING	AGE 0-20	413	None	5,082	None	372	None	1,155	None	252	None	719	None	312	None	416	None
1689854648	CANCIO, JUAN POCHOLO DDS	2021	FFS	RENDERING	AGE 21+	389	None	3,053	None	215	None	218	None	259	None	1,279	None	218	None	218	None
1689862146	LEE JINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1689862146	LEE JINA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1689864985	LEE, EMILY DDS	2021	FFS	RENDERING	AGE 0-20	28	None	124	None	22	None	55	None	None	1	None	2	24	None	24	None
1689864985	LEE, EMILY DDS	2021	FFS	RENDERING	AGE 21+	23	None	83	None	11	None	22	None	15	None	36	None	12	None	12	None
1689868242	AGUILAR JACQUELINE D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1689868242	AGUILAR JACQUELINE D	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1689868564	HART HARRY A	2021	FFS	RENDERING	AGE 0-20	328	None	3,192	None	251	None	623	None	151	None	503	None	296	None	324	None
1689868564	HART HARRY A	2021	FFS	RENDERING	AGE 21+	830	None	6,081	None	269	None	523	None	641	None	3,235	None	565	None	566	None
1689868564	HART, HARRY A, DDS	2021	FFS	RENDERING	AGE 0-20	328	None	3,192	None	251	None	623	None	151	None	503	None	296	None	324	None
1689868564	HART, HARRY A, DDS	2021	FFS	RENDERING	AGE 21+	830	None	6,081	None	269	None	523	None	641	None	3,235	None	565	None	566	None
1689875395	BAAG JI H	2021	FFS	RENDERING	AGE 0-20	11	None	16	None	None	1	None	1	None	1	None	1	None	1	None	1
1689875395	BAAG JI H	2021	FFS	RENDERING	AGE 21+	122	None	185	None	0	None	0	None	118	None	162	None	None	1	None	1
1689875395	BAAG JI H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689875395	BAAG JI H	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1689875395	BAAG JI H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1689875395	BAAG JI H	2021	PHP	RENDERING	AGE 21+	51	None	82	None	None	1	None	1	46	None	65	None	None	1	None	2
1689886459	TREVINO, EDWARD A, DDS	2021	FFS	RENDERING	AGE 0-20	352	None	6,544	None	312	None	1,738	None	148	None	848	None	320	None	886	None
1689886459	TREVINO, EDWARD A, DDS	2021	FFS	RENDERING	AGE 21+	390	None	4,194	None	165	None	330	None	241	None	1,366	None	261	None	522	None
1689888711	REZKALLA, ATEF R, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1689890915	BUI MICHELLE T	2021	FFS	RENDERING	AGE 0-20	76	None	830	None	74	None	228	None	42	None	133	None	73	None	103	None
1689890915	BUI MICHELLE T	2021	FFS	RENDERING	AGE 21+	48	None	312	None	31	None	59	None	30	None	81	None	41	None	41	None
1689893372	MINYE LASZLO E	2021	FFS	RENDERING	AGE 0-20	38	None	105	None	0	None	0	None	38	None	104	None	0	None	0	None
1689893372	MINYE LASZLO E	2021	FFS	RENDERING	AGE 21+	145	None	513	None	0	None	0	None	144	None	484	None	None	1	None	1
1689895666	KORBATOV VLADIMIR Y	2021	FFS	RENDERING	AGE 21+	274	None	929	None	48	None	48	None	202	None	415	None	117	None	117	None
1689897720	ELENES, DANIEL, DDS	2021	FFS	RENDERING	AGE 0-20	336	None	10,958	None	292	None	2,194	None	232	None	1,870	None	315	None	860	None
1689897720	ELENES, DANIEL, DDS	2021	FFS	RENDERING	AGE 21+	464	None	10,740	None	124	None	402	None	373	None	4,356	None	344	None	688	None
1689903346	ESHAGHIAN, SIAMAK DDS	2021	FFS	RENDERING	AGE 0-20	482	None	2,203	None	0	None	0	None	482	None	2,203	None	0	None	0	None
1689908923	MOAWAD, KATERINA	2021	FFS	RENDERING	AGE 0-20	838	None	8,356	None	623	None	2,270	None	648	None	2,404	None	601	None	653	None
1689908923	MOAWAD, KATERINA	2021	FFS	RENDERING	AGE 21+	53	None	292	None	17	None	41	None	34	None	118	None	22	None	22	None
1689913105	BANERJEE DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1689913113	VALLE JULIA J	2021	FFS	RENDERING	AGE 0-20	392	None	4,353	None	367	None	1,243	None	232	None	873	None	366	None	509	None
1689913113	VALLE JULIA J	2021	FFS	RENDERING	AGE 21+	384	None	2,751	None	246	None	470	None	276	None	1,228	None	306	None	306	None
1689914012	PERI JONATHAN	2021	FFS	RENDERING	AGE 0-20	263	None	999	None	0	None	0	None	219	None	819	None	82	None	82	None
1689914012	PERI JONATHAN	2021	FFS	RENDERING	AGE 21+	793	None	2,761	None	0	None	0	None	699	None	2,208	None	222	None	223	None
1689914012	PERI JONATHAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1689914012	PERI JONATHAN	2021	PHP	RENDERING	AGE 21+	47	None	141	None	0	None	0	None	39	None	114	None	21	None	22	None
1689917072	GONZALEZ-ESPINO CARLOS E	2021	FFS	RENDERING	AGE 21+	19	None	23	None	0	None	0	None	19	None	23	None	0	None	0	None
1689919995	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	24	None	58	None	None	1	None	1	0	None	0	None	None	1	None	1
1689919995	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	33	None	61	None	0	None	0	None	None	1	None	1	None	1	None	1
1689919995	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	24	None	58	None	None	1	None	1	0	None	0	None	None	1	None	1
1689919995	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	33	None	61	None	0	None	0	None	None	1	None	1	None	1	None	1
1689924276	TABACHNIK GENNADY	2021	FFS	RENDERING	AGE 0-20	547	None	4,712	None	353	None	1,109	None	377	None	880	None	336	None	346	None
1689924276	TABACHNIK GENNADY	2021	FFS	RENDERING	AGE 21+	116	None	621	None	29	None	58	None	83	None	219	None	34	None	34	None
1689933178	LEDOUX ANNIE C	2021	PHP	RENDERING	AGE 0-20	26	None	129	None	19	None	40	None	None	1	None	2	19	None	19	None
1689933178	LEDOUX ANNIE C	2021	PHP	RENDERING	AGE 21+	159	None	788	None	54	None	54	None	99	None	330	None	94	None	94	None
1689952376	NEELAGIRI KRISHNA	2021	FFS	RENDERING	AGE 0-20	529	None	2,091	None	339	None	684	None	86	None	124	None	437	None	442	None
1689952376	NEELAGIRI KRISHNA	2021	FFS	RENDERING	AGE 21+	694	None	1,659	None	129	None	251	None	285	None	408	None	400	None	402	None
1689953911	DAVIDSON JOSHUA E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1689958787	HONG BEVERLY Y	2021	FFS	RENDERING	AGE 0-20	1,238	None	23,067	None	684	None	1,729	None	1,238	None	14,434	None	1,224	None	1,227	None
1689964694	ALANIZ ROSA M	2021	FFS	RENDERING	AGE 0-20	536	None	7,316	None	509	None	1,265	None	244	None	801	None	524	None	636	None
1689964694	ALANIZ ROSA M	2021	FFS	RENDERING	AGE 21+	330	None	3,326	None	217	None	440	None	170	None	544	None	264	None	264	None
1689964694	ALANIZ ROSA M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1689985905	ANDRES PATRICIO N	2021	FFS	RENDERING	AGE 0-20	636	None	8,791	None	604	None	2,431	None	422	None	1,859	None	595	None	918	None
1689998437	LE GREGORY E	2021	FFS	RENDERING	AGE 0-20	85	None	430	None	67	None	158	None	24	None	122	None	48	None	48	None
1689998437	LE GREGORY E	2021	FFS	RENDERING	AGE 21+	265	None	1,156	None	118	None	197	None	107	None	514	None	182	None	182	None
1689998650	HUBER CHRISTOPHER C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689998650	HUBER CHRISTOPHER C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1699000950	BAGHDASARIAN STELLA	2021	FFS	RENDERING	AGE 0-20	48	None	311	None	29	None	64	None	25	None	111	None	40	None	46	None
1699000950	BAGHDASARIAN STELLA	2021	FFS	RENDERING	AGE 21+	58	None	230	None	18	None	31	None	38	None	114	None	28	None	28	None
1699006346	BABAAN ROZHEH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1699013235	PULVER ROSS	2021	FFS	RENDERING	AGE 0-20	227	None	419	None	0	None	0	None	114	None	222	None	0	None	0	None
1699013235	PULVER ROSS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699013235	PULVER ROSS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699013235	PULVER ROSS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1699021071	KIM ERIN I	2021	FFS	RENDERING	AGE 0-20	351	None	3,483	None	246	None	705	None	171	None	685	None	315	None	384	None
1699021071	KIM ERIN I	2021	FFS	RENDERING	AGE 21+	284	None	1,528	None	47	None	47	None	145	None	545	None	210	None	212	None
1699021071	KIM ERIN I	2021	PHP	RENDERING	AGE 0-20	87	None	765	None	68	None	234	None	32	None	99	None	80	None	99	None
1699021071	KIM ERIN I	2021	PHP	RENDERING	AGE 21+	51	None	270	None	None	1	None	1	25	None	93	None	44	None	46	None
1699022400	KAUR MONINDER	2021	FFS	RENDERING	AGE 0-20	142	None	1,338	None	135	None	602	None	32	None	120	None	127	None	154	None
1699022400	KAUR MONINDER	2021	FFS	RENDERING	AGE 21+	362	None	2,343	None	304	None	584	None	193	None	625	None	313	None	313	None
1699025270	KIM HAE SUK	2021	FFS	RENDERING	AGE 0-20	606	None	9,136	None	590	None	2,405	None	248	None	794	None	596	None	876	None
1699025270	KIM HAE SUK	2021	FFS	RENDERING	AGE 21+	176	None	1,532	None	152	None	299	None	94	None	319	None	158	None	158	None
1699025270	KIM HAE SUK	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1699028621	NGUYEN HUNG T	2021	FFS	RENDERING	AGE 0-20	12	None	205	None	12	None	92	None	None	1	None	1	11	None	16	None
1699028621	NGUYEN HUNG T	2021	FFS	RENDERING	AGE 21+	16	None	112	None	15	None	30	None	None	1	None	1	16	None	16	None
1699031898	ELENBERGER LISA A	2021	GMC	RENDERING	AGE 0-20	97	None	444	None	26	None	74	None	91	None	214	None	0	None	0	None
1699058461	KUMAR, RAKESH DDS	2021	FFS	RENDERING	AGE 0-20	909	None	13,115	None	836	None	2,723	None	510	None	2,434	None	864	None	1,172	None
1699058461	KUMAR, RAKESH DDS	2021	FFS	RENDERING	AGE 21+	766	None	6,240	None	435	None	865	None	450	None	2,288	None	647	None	647	None
1699069245	SADEGHI REZA	2021	FFS	RENDERING	AGE 0-20	22	None	173	None	16	None	37	None	13	None	39	None	18	None	23	None
1699069245	SADEGHI REZA	2021	FFS	RENDERING	AGE 21+	36	None	272	None	22	None	22	None	26	None	104	None	31	None	31	None
1699072314	KREKIAN ANIFA	2021	FFS	RENDERING	AGE 0-20	116	None	727	None	83	None	227	None	54	None	177	None	99	None	103	None
1699072314	KREKIAN ANIFA	2021	FFS	RENDERING	AGE 21+	219	None	797	None	51	None	61	None	89	None	282	None	165	None	165	None
1699072314	KREKIAN ANIFA	2021	PHP	RENDERING	AGE 0-20	37	None	118	None	22	None	41	None	None	1	None	1	31	None	32	None
1699072314	KREKIAN ANIFA	2021	PHP	RENDERING	AGE 21+	83	None	197	None	20	None	24	None	27	None	68	None	67	None	69	None
1699095505	RATTAN TEJDEEP S	2021	FFS	RENDERING	AGE 0-20	26	None	91	None	14	None	24	None	None	1	None	2	14	None	14	None
1699095505	RATTAN TEJDEEP S	2021	FFS	RENDERING	AGE 21+	80	None	242	None	13	None	14	None	35	None	93	None	64	None	64	None
1699101295	NGUYEN BAO-CHAU L	2021	FFS	RENDERING	AGE 0-20	204	None	2,732	None	197	None	794	None	110	None	338	None	199	None	274	None
1699101295	NGUYEN BAO-CHAU L	2021	FFS	RENDERING	AGE 21+	532	None	5,797	None	387	None	775	None	424	None	1,903	None	410	None	410	None
1699107300	DIANAT ARSHAM	2021	FFS	RENDERING	AGE 0-20	471	None	6,712	None	432	None	1,887	None	193	None	398	None	441	None	576	None
1699107300	DIANAT ARSHAM	2021	FFS	RENDERING	AGE 21+	334	None	2,795	None	112	None	175	None	218	None	740	None	209	None	209	None
1699109330	HWANG HUN	2021	FFS	RENDERING	AGE 0-20	12	None	59	None	None	1	None	2	None	1	None	1	12	None	14	None
1699109330	HWANG HUN	2021	FFS	RENDERING	AGE 21+	118	None	638	None	69	None	139	None	78	None	294	None	39	None	39	None
1699121210	MEJIA GUADALUPE A	2021	FFS	RENDERING	AGE 0-20	276	None	3,118	None	238	None	654	None	126	None	451	None	249	None	337	None
1699121210	MEJIA GUADALUPE A	2021	FFS	RENDERING	AGE 21+	182	None	1,260	None	78	None	155	None	132	None	537	None	124	None	124	None
1699132001	QUIDWAI SAMINA J	2021	FFS	RENDERING	AGE 0-20	738	None	6,186	None	614	None	1,548	None	136	None	253	None	633	None	700	None
1699132001	QUIDWAI SAMINA J	2021	FFS	RENDERING	AGE 21+	680	None	5,076	None	300	None	529	None	448	None	1,111	None	356	None	358	None
1699153429	CHUNG MIRIAM	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1699153742	GORGEES SARAH	2021	FFS	RENDERING	AGE 21+	1,420	None	7,795	None	303	None	405	None	1,379	None	4,301	None	853	None	884	None
1699153742	GORGEES SARAH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1699168583	ISSAKHARIAN MICHAEL	2021	FFS	RENDERING	AGE 0-20	397	None	1,157	None	0	None	0	None	390	None	1,107	None	None	1	None	1
1699168583	ISSAKHARIAN MICHAEL	2021	FFS	RENDERING	AGE 21+	668	None	1,691	None	0	None	0	None	649	None	1,542	None	19	None	19	None
1699168583	ISSAKHARIAN MICHAEL	2021	GMC	RENDERING	AGE 0-20	62	None	130	None	0	None	0	None	61	None	123	None	None	1	None	1
1699168583	ISSAKHARIAN MICHAEL	2021	GMC	RENDERING	AGE 21+	119	None	206	None	0	None	0	None	92	None	163	None	31	None	31	None
1699168583	ISSAKHARIAN MICHAEL	2021	PHP	RENDERING	AGE 0-20	27	None	66	None	0	None	0	None	24	None	58	None	None	1	None	1
1699168583	ISSAKHARIAN MICHAEL	2021	PHP	RENDERING	AGE 21+	77	None	193	None	None	1	None	1	33	None	95	None	62	None	62	None
1699189431	LEE JUDYTH G	2021	FFS	RENDERING	AGE 0-20	916	None	7,619	None	821	None	2,460	None	406	None	1,988	None	759	None	958	None
1699189431	LEE JUDYTH G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1699213439	PACYGA PATRICK J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699214478	ASHMORE, GLENN C, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1699214478	ASHMORE, GLENN C, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1699219329	KHALID MUSTAFA W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699219329	KHALID MUSTAFA W	2021	FFS	RENDERING	AGE 21+	71	None	489	None	40	None	41	None	51	None	290	None	63	None	63	None
1699221622	CHO JAEWOO	2021	FFS	RENDERING	AGE 0-20	12	None	42	None	0	None	0	None	12	None	42	None	0	None	0	None
1699221622	CHO JAEWOO	2021	FFS	RENDERING	AGE 21+	12	None	37	None	0	None	0	None	12	None	35	None	None	1	None	1
1699250837	POGHOSYAN ROZA	2021	FFS	RENDERING	AGE 0-20	138	None	886	None	105	None	245	None	57	None	148	None	107	None	113	None
1699250837	POGHOSYAN ROZA	2021	FFS	RENDERING	AGE 21+	494	None	2,754	None	277	None	552	None	288	None	816	None	299	None	301	None
1699254060	DIEPLINGER ALESSANDRA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699254060	DIEPLINGER ALESSANDRA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1699258830	CONWAY RAIVYN M	2021	FFS	RENDERING	AGE 0-20	18	None	65	None	12	None	28	None	None	1	None	1	None	1	None	1
1699258830	CONWAY RAIVYN M	2021	FFS	RENDERING	AGE 21+	25	None	59	None	None	1	None	2	13	None	23	None	None	1	None	1
1699260935	HERNANDEZ MORAL RODOLFO	2021	FFS	RENDERING	AGE 0-20	80	None	510	None	64	None	164	None	43	None	140	None	61	None	66	None
1699260935	HERNANDEZ MORAL RODOLFO	2021	FFS	RENDERING	AGE 21+	99	None	528	None	59	None	116	None	61	None	197	None	71	None	72	None
1699261495	LIM KWANG MIN	2021	FFS	RENDERING	AGE 0-20	33	None	241	None	15	None	33	None	20	None	48	None	19	None	20	None
1699261495	LIM KWANG MIN	2021	FFS	RENDERING	AGE 21+	204	None	1,413	None	37	None	48	None	107	None	333	None	130	None	130	None
1699261495	LIM KWANG MIN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1699261495	LIM KWANG MIN	2021	GMC	RENDERING	AGE 21+	791	None	7,584	None	773	None	1,763	None	512	None	1,826	None	485	None	489	None
1699265157	CLAYTON COURTNEY M	2021	FFS	RENDERING	AGE 0-20	1,682	None	2,699	None	0	None	0	None	348	None	930	None	0	None	0	None
1699265157	CLAYTON COURTNEY M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699265157	CLAYTON COURTNEY M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699265157	CLAYTON COURTNEY M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699265157	CLAYTON COURTNEY M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1699265157	CLAYTON COURTNEY M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699277293	IBRAHIM JACKLYN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1699307835	KAUR SIMRANPREET	2021	FFS	RENDERING	AGE 0-20	119	None	364	None	22	None	58	None	105	None	231	None	14	None	14	None
1699307835	KAUR SIMRANPREET	2021	FFS	RENDERING	AGE 21+	72	None	226	None	None	1	None	1	67	None	157	None	None	1	None	1
1699308585	AL KAISSEY QUSSAY A	2021	FFS	RENDERING	AGE 0-20	347	None	1,525	None	66	None	181	None	209	None	472	None	213	None	228	None
1699308585	AL KAISSEY QUSSAY A	2021	FFS	RENDERING	AGE 21+	865	None	2,804	None	67	None	131	None	546	None	1,084	None	409	None	410	None
1699308585	AL KAISSEY QUSSAY A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1699308585	AL KAISSEY QUSSAY A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699320671	MIZRAHI YEHONATAN	2021	FFS	RENDERING	AGE 0-20	357	None	2,380	None	282	None	744	None	174	None	567	None	296	None	318	None
1699320671	MIZRAHI YEHONATAN	2021	FFS	RENDERING	AGE 21+	234	None	1,011	None	49	None	78	None	143	None	442	None	133	None	133	None
1699320671	MIZRAHI YEHONATAN	2021	PHP	RENDERING	AGE 0-20	361	None	2,134	None	138	None	468	None	253	None	717	None	155	None	158	None
1699320671	MIZRAHI YEHONATAN	2021	PHP	RENDERING	AGE 21+	294	None	1,227	None	32	None	61	None	233	None	571	None	62	None	62	None
1699322099	CHEUNG KA CHUN	2021	FFS	RENDERING	AGE 0-20	41	None	692	None	33	None	162	None	32	None	155	None	35	None	40	None
1699322099	CHEUNG KA CHUN	2021	FFS	RENDERING	AGE 21+	67	None	861	None	44	None	86	None	50	None	209	None	56	None	56	None
1699322099	CHEUNG KA CHUN	2021	PHP	RENDERING	AGE 0-20	24	None	206	None	22	None	101	None	11	None	18	None	22	None	24	None
1699322099	CHEUNG KA CHUN	2021	PHP	RENDERING	AGE 21+	27	None	175	None	20	None	45	None	17	None	49	None	15	None	15	None
1699323568	PIPALIA MAHEK D	2021	FFS	RENDERING	AGE 0-20	1,116	None	8,308	None	760	None	2,071	None	809	None	2,434	None	637	None	655	None
1699323568	PIPALIA MAHEK D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699327353	HADID NAWAR	2021	FFS	RENDERING	AGE 0-20	1,184	None	6,103	None	671	None	1,976	None	278	None	370	None	1,114	None	1,262	None
1699327353	HADID NAWAR	2021	FFS	RENDERING	AGE 21+	1,117	None	3,871	None	190	None	362	None	359	None	1,213	None	875	None	877	None
1699331454	ARCHIE NICHOLAS A	2021	FFS	RENDERING	AGE 0-20	392	None	2,756	None	341	None	917	None	236	None	520	None	332	None	339	None
1699331454	ARCHIE NICHOLAS A	2021	FFS	RENDERING	AGE 21+	332	None	1,643	None	131	None	243	None	208	None	675	None	233	None	234	None
1699331454	ARCHIE NICHOLAS A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1699331454	ARCHIE NICHOLAS A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1699335497	ZADFAR MILAD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699335497	ZADFAR MILAD	2021	FFS	RENDERING	AGE 21+	58	None	211	None	None	1	None	2	54	None	165	None	None	1	None	1
1699345371	SHAKIBA PAYMAUN	2021	FFS	RENDERING	AGE 0-20	53	None	365	None	39	None	78	None	26	None	95	None	38	None	38	None
1699345371	SHAKIBA PAYMAUN	2021	FFS	RENDERING	AGE 21+	140	None	789	None	74	None	145	None	98	None	303	None	82	None	82	None
1699345843	HINGU SAAJAN S	2021	FFS	RENDERING	AGE 0-20	99	None	378	None	67	None	153	None	43	None	120	None	24	None	24	None
1699345843	HINGU SAAJAN S	2021	FFS	RENDERING	AGE 21+	206	None	567	None	56	None	83	None	157	None	377	None	27	None	27	None
1699345843	HINGU SAAJAN S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1699345843	HINGU SAAJAN S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699389460	THU LIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1699389460	THU LIN	2021	FFS	RENDERING	AGE 21+	22	None	97	None	None	1	None	2	17	None	55	None	None	1	None	1
1699389460	THU LIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699753319	KOKA SREENIVAS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699753319	KOKA SREENIVAS	2021	FFS	RENDERING	AGE 21+	105	None	371	None	12	None	12	None	69	None	232	None	63	None	63	None
1699770966	ELNOKRASHY KARIM AHMAD S	2021	FFS	RENDERING	AGE 0-20	2,544	None	47,282	None	2,483	None	10,902	None	1,501	None	5,511	None	2,493	None	3,820	None
1699770966	ELNOKRASHY KARIM AHMAD S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699771154	LEE PETER Y	2021	FFS	RENDERING	AGE 0-20	47	None	452	None	42	None	132	None	31	None	98	None	43	None	56	None
1699771154	LEE PETER Y	2021	FFS	RENDERING	AGE 21+	83	None	558	None	59	None	118	None	49	None	151	None	70	None	70	None
1699778258	WORK JANICE R	2021	FFS	RENDERING	AGE 0-20	62	None	605	None	51	None	183	None	25	None	111	None	48	None	69	None
1699778258	WORK JANICE R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699778258	WORK JANICE R	2021	GMC	RENDERING	AGE 0-20	180	None	1,217	None	52	None	181	None	180	None	824	None	None	1	None	1
1699778258	WORK JANICE R	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1699803049	KOO BERNARD W	2021	PHP	RENDERING	AGE 0-20	45	None	158	None	18	None	32	None	22	None	36	None	25	None	25	None
1699803049	KOO BERNARD W	2021	PHP	RENDERING	AGE 21+	141	None	442	None	30	None	30	None	92	None	179	None	58	None	58	None
1699804492	KENNEDY, BOBBY DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699804492	KENNEDY, BOBBY DDS	2021	GMC	RENDERING	AGE 0-20	313	None	2,475	None	275	None	1,024	None	106	None	145	None	290	None	382	None
1699804492	KENNEDY, BOBBY DDS	2021	GMC	RENDERING	AGE 21+	301	None	1,207	None	112	None	135	None	168	None	306	None	191	None	195	None
1699804492	KENNEDY, BOBBY DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1699805028	HOANG, LIEN BICH DDS	2021	FFS	RENDERING	AGE 0-20	209	None	2,160	None	187	None	527	None	72	None	170	None	179	None	193	None
1699805028	HOANG, LIEN BICH DDS	2021	FFS	RENDERING	AGE 21+	343	None	2,629	None	241	None	480	None	132	None	298	None	258	None	260	None
1699810325	DJAYA TANTRA	2021	FFS	RENDERING	AGE 0-20	166	None	1,922	None	146	None	321	None	98	None	467	None	138	None	165	None
1699810325	DJAYA TANTRA	2021	FFS	RENDERING	AGE 21+	345	None	2,627	None	218	None	223	None	232	None	944	None	240	None	240	None
1699810325	DJAYA TANTRA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699812180	MOHAMED MOHAMED H	2021	GMC	RENDERING	AGE 0-20	407	None	3,016	None	357	None	1,175	None	102	None	231	None	373	None	446	None
1699812180	MOHAMED MOHAMED H	2021	GMC	RENDERING	AGE 21+	875	None	3,387	None	489	None	651	None	330	None	803	None	742	None	849	None
1699816108	LOPEZ-SHAMS MARIA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699816108	LOPEZ-SHAMS MARIA C	2021	GMC	RENDERING	AGE 0-20	1,634	None	13,008	None	1,069	None	4,552	None	659	None	1,383	None	950	None	1,050	None
1699816116	DAO, MICHAEL TUAN, DMD	2021	FFS	RENDERING	AGE 0-20	277	None	3,092	None	229	None	428	None	190	None	467	None	219	None	240	None
1699816116	DAO, MICHAEL TUAN, DMD	2021	FFS	RENDERING	AGE 21+	502	None	4,965	None	292	None	292	None	403	None	1,380	None	324	None	324	None
1699816116	DAO, MICHAEL TUAN, DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1699816173	OH, SAEKYU, DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1699816173	SAEKYU OH D.M.D DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1699817916	YESSAIAN, ANOUSH, DDS	2021	FFS	RENDERING	AGE 0-20	144	None	1,167	None	117	None	336	None	55	None	170	None	137	None	159	None
1699817916	YESSAIAN, ANOUSH, DDS	2021	FFS	RENDERING	AGE 21+	336	None	2,551	None	179	None	357	None	252	None	948	None	237	None	237	None
1699817916	YESSAIAN, ANOUSH, DDS	2021	PHP	RENDERING	AGE 0-20	51	None	479	None	51	None	196	None	23	None	77	None	50	None	57	None
1699817916	YESSAIAN, ANOUSH, DDS	2021	PHP	RENDERING	AGE 21+	72	None	541	None	70	None	211	None	29	None	118	None	67	None	67	None
1699821017	FARR, EVAN, DDS	2021	FFS	RENDERING	AGE 0-20	100	None	715	None	0	None	0	None	None	1	None	1	86	None	86	None
1699821017	FARR, EVAN, DDS	2021	FFS	RENDERING	AGE 21+	632	None	4,097	None	None	1	None	1	103	None	103	None	427	None	427	None
1699822718	PATEL, PRAFUL DDS	2021	FFS	RENDERING	AGE 0-20	44	None	450	None	38	None	161	None	29	None	70	None	40	None	47	None
1699822718	PATEL, PRAFUL DDS	2021	FFS	RENDERING	AGE 21+	97	None	679	None	57	None	57	None	84	None	264	None	67	None	67	None
1699822767	DAYRIT LUZVIMINDA V	2021	FFS	RENDERING	AGE 0-20	419	None	3,480	None	368	None	920	None	197	None	667	None	375	None	427	None
1699822767	DAYRIT LUZVIMINDA V	2021	FFS	RENDERING	AGE 21+	579	None	3,940	None	343	None	522	None	404	None	1,634	None	401	None	401	None
1699823104	DR. CHUN PANG KIR DDS	2021	FFS	RENDERING	AGE 0-20	13	None	65	None	None	1	None	2	None	1	None	1	None	1	None	1
1699823104	DR. CHUN PANG KIR DDS	2021	FFS	RENDERING	AGE 21+	193	None	755	None	65	None	65	None	147	None	379	None	69	None	69	None
1699827980	HMUROVIC BRUCE H	2021	FFS	RENDERING	AGE 21+	1,028	None	3,623	None	553	None	1,229	None	1,025	None	1,970	None	376	None	376	None
1699829499	CHMIELEWSKI, LEELA	2021	FFS	RENDERING	AGE 0-20	127	None	2,064	None	121	None	508	None	80	None	254	None	123	None	200	None
1699829499	CHMIELEWSKI, LEELA	2021	FFS	RENDERING	AGE 21+	175	None	2,352	None	131	None	262	None	163	None	808	None	141	None	141	None
1699830653	GONZALES, YOLANDA DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1699830653	GONZALES, YOLANDA DMD	2021	FFS	RENDERING	AGE 21+	44	None	157	None	19	None	20	None	24	None	43	None	20	None	20	None
1699830653	GONZALES, YOLANDA DMD	2021	GMC	RENDERING	AGE 0-20	372	None	3,708	None	332	None	1,788	None	359	None	730	None	329	None	429	None
1699830653	GONZALES, YOLANDA DMD	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699831065	DER BOGHOSIAN-I RUPEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699831065	DER BOGHOSIAN-I RUPEN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1699834432	MAYALIDAG SALIH M	2021	FFS	RENDERING	AGE 0-20	47	None	490	None	39	None	90	None	37	None	212	None	46	None	58	None
1699834432	MAYALIDAG SALIH M	2021	FFS	RENDERING	AGE 21+	123	None	826	None	65	None	66	None	89	None	442	None	94	None	95	None
1699837823	ZARINNIA MATT	2021	FFS	RENDERING	AGE 0-20	22	None	103	None	18	None	33	None	None	1	None	1	18	None	19	None
1699837823	ZARINNIA MATT	2021	FFS	RENDERING	AGE 21+	151	None	613	None	54	None	54	None	79	None	242	None	108	None	108	None
1699839720	MACARAIG, MILAGROS J DDS	2021	FFS	RENDERING	AGE 0-20	15	None	102	None	13	None	28	None	None	1	None	2	14	None	15	None
1699839720	MACARAIG, MILAGROS J DDS	2021	FFS	RENDERING	AGE 21+	39	None	194	None	27	None	52	None	16	None	39	None	38	None	38	None
1699843219	AHMED SAMEENA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1699843219	AHMED SAMEENA	2021	FFS	RENDERING	AGE 21+	26	None	108	None	None	1	None	1	11	None	43	None	14	None	14	None
1699843219	AHMED SAMEENA	2021	GMC	RENDERING	AGE 0-20	427	None	4,819	None	416	None	2,137	None	149	None	540	None	394	None	509	None
1699843219	AHMED SAMEENA	2021	GMC	RENDERING	AGE 21+	621	None	4,721	None	474	None	1,195	None	310	None	1,268	None	429	None	466	None
1699843847	AGHCHAY MARYAM N	2021	FFS	RENDERING	AGE 0-20	83	None	854	None	68	None	187	None	31	None	74	None	70	None	82	None
1699843847	AGHCHAY MARYAM N	2021	FFS	RENDERING	AGE 21+	158	None	905	None	None	1	None	2	103	None	273	None	99	None	99	None
1699844068	NGO THANH H	2021	FFS	RENDERING	AGE 0-20	27	None	249	None	27	None	94	None	None	1	None	2	23	None	30	None
1699844068	NGO THANH H	2021	FFS	RENDERING	AGE 21+	74	None	520	None	51	None	97	None	50	None	217	None	56	None	56	None
1699844068	NGO THANH H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1699844373	LEE, MYOUNG C	2021	FFS	RENDERING	AGE 0-20	12	None	48	None	11	None	21	None	0	None	0	None	12	None	18	None
1699844373	LEE, MYOUNG C	2021	FFS	RENDERING	AGE 21+	181	None	1,002	None	133	None	136	None	129	None	496	None	148	None	150	None
1699852152	NGUYEN THIEN C	2021	FFS	RENDERING	AGE 0-20	24	None	163	None	21	None	44	None	None	1	None	2	21	None	22	None
1699852152	NGUYEN THIEN C	2021	FFS	RENDERING	AGE 21+	108	None	923	None	51	None	83	None	76	None	362	None	70	None	70	None
1699854935	BUENDIA JAVIER R	2021	FFS	RENDERING	AGE 0-20	77	None	712	None	76	None	351	None	14	None	42	None	73	None	92	None
1699854935	BUENDIA JAVIER R	2021	FFS	RENDERING	AGE 21+	79	None	454	None	46	None	91	None	42	None	122	None	65	None	65	None
1699855593	DANG, HUY QUOC, DDS	2021	FFS	RENDERING	AGE 0-20	48	None	270	None	37	None	95	None	15	None	61	None	46	None	56	None
1699855593	DANG, HUY QUOC, DDS	2021	FFS	RENDERING	AGE 21+	115	None	623	None	84	None	163	None	44	None	220	None	106	None	106	None
1699857185	CAO, ANTHONY DDS	2021	FFS	RENDERING	AGE 0-20	689	None	10,281	None	653	None	2,516	None	437	None	1,607	None	640	None	810	None
1699857185	CAO, ANTHONY DDS	2021	FFS	RENDERING	AGE 21+	359	None	3,269	None	247	None	489	None	288	None	1,185	None	259	None	259	None
1699857185	CAO, ANTHONY DDS	2021	PHP	RENDERING	AGE 0-20	43	None	433	None	42	None	190	None	22	None	70	None	42	None	57	None
1699857185	CAO, ANTHONY DDS	2021	PHP	RENDERING	AGE 21+	124	None	984	None	115	None	319	None	76	None	356	None	117	None	122	None
1699858597	LOK WHELAN W	2021	FFS	RENDERING	AGE 0-20	23	None	209	None	21	None	41	None	None	1	None	2	21	None	21	None
1699858597	LOK WHELAN W	2021	FFS	RENDERING	AGE 21+	46	None	272	None	19	None	37	None	31	None	86	None	27	None	27	None
1699858597	LOK WHELAN W	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699858597	LOK WHELAN W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699863407	DINH, CHRISTOPHER M, DDS	2021	FFS	RENDERING	AGE 0-20	128	None	734	None	86	None	199	None	23	None	54	None	115	None	125	None
1699863407	DINH, CHRISTOPHER M, DDS	2021	FFS	RENDERING	AGE 21+	284	None	996	None	60	None	109	None	93	None	289	None	236	None	236	None
1699864348	CHOI ANDREA K	2021	FFS	RENDERING	AGE 0-20	91	None	843	None	83	None	325	None	36	None	98	None	86	None	111	None
1699864348	CHOI ANDREA K	2021	FFS	RENDERING	AGE 21+	161	None	916	None	69	None	137	None	107	None	312	None	111	None	111	None
1699867226	CHAN, WEI W, DDS	2021	FFS	RENDERING	AGE 0-20	114	None	3,352	None	109	None	640	None	62	None	354	None	102	None	244	None
1699867226	CHAN, WEI W, DDS	2021	FFS	RENDERING	AGE 21+	197	None	5,258	None	151	None	602	None	160	None	1,338	None	158	None	316	None
1699869966	ARSLANIAN VAHAKEN R	2021	FFS	RENDERING	AGE 0-20	2,891	None	45,687	None	968	None	2,625	None	2,891	None	30,500	None	2,048	None	2,067	None
1699875518	GHARAKHANIAN NARBEH	2021	FFS	RENDERING	AGE 0-20	347	None	1,867	None	0	None	0	None	347	None	1,839	None	None	1	None	1
1699875518	GHARAKHANIAN NARBEH	2021	FFS	RENDERING	AGE 21+	404	None	2,023	None	0	None	0	None	404	None	2,004	None	None	1	None	1
1699875518	GHARAKHANIAN NARBEH	2021	PHP	RENDERING	AGE 0-20	29	None	100	None	0	None	0	None	27	None	88	None	None	1	None	1
1699875518	GHARAKHANIAN NARBEH	2021	PHP	RENDERING	AGE 21+	75	None	236	None	0	None	0	None	50	None	157	None	57	None	59	None
1699878546	GOROSPE DENNIS LISING	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699882183	REGALADO ALOIS L	2021	FFS	RENDERING	AGE 0-20	177	None	1,837	None	134	None	321	None	114	None	394	None	138	None	142	None
1699882183	REGALADO ALOIS L	2021	FFS	RENDERING	AGE 21+	227	None	1,628	None	68	None	130	None	149	None	392	None	143	None	143	None
1699882498	DIAZ DAVID M	2021	FFS	RENDERING	AGE 0-20	1,218	None	8,242	None	1,072	None	3,214	None	613	None	1,495	None	1,045	None	1,090	None
1699882498	DIAZ DAVID M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1699882498	DIAZ, DAVID M, DDS	2021	FFS	RENDERING	AGE 0-20	1,218	None	16,484	None	1,072	None	6,428	None	613	None	2,990	None	1,045	None	2,180	None
1699882498	DIAZ, DAVID M, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1699883223	LE MEN THI H	2021	FFS	RENDERING	AGE 0-20	118	None	1,045	None	95	None	278	None	76	None	361	None	94	None	106	None
1699883223	LE MEN THI H	2021	FFS	RENDERING	AGE 21+	302	None	2,256	None	119	None	216	None	219	None	1,176	None	201	None	204	None
1699894642	MARTINEZ ROSSY M	2021	FFS	RENDERING	AGE 0-20	20	None	146	None	19	None	53	None	None	1	None	2	19	None	20	None
1699894642	MARTINEZ ROSSY M	2021	FFS	RENDERING	AGE 21+	15	None	81	None	None	1	None	2	None	1	None	2	None	1	None	1
1699897819	LAI JAMES K	2021	FFS	RENDERING	AGE 0-20	104	None	976	None	89	None	212	None	46	None	117	None	98	None	116	None
1699897819	LAI JAMES K	2021	FFS	RENDERING	AGE 21+	198	None	1,823	None	154	None	298	None	129	None	437	None	166	None	166	None
1699899203	TRAN TRANG Q	2021	FFS	RENDERING	AGE 0-20	1,858	None	20,088	None	1,578	None	4,865	None	1,079	None	2,724	None	1,490	None	1,688	None
1699899203	TRAN TRANG Q	2021	FFS	RENDERING	AGE 21+	20	None	135	None	11	None	20	None	None	1	None	2	11	None	11	None
1699903609	CHING HELEN H	2021	FFS	RENDERING	AGE 0-20	1,123	None	9,049	None	814	None	2,231	None	692	None	2,622	None	689	None	772	None
1699905430	SHAH AMIT A	2021	FFS	RENDERING	AGE 0-20	140	None	2,162	None	92	None	370	None	122	None	971	None	74	None	113	None
1699920678	ISMAIL EHAB F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699923375	ABAI SIAMAK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699925453	PARK AND KIM DENTAL CORPORAT	2021	GMC	RENDERING	AGE 0-20	13	None	19	None	0	None	0	None	None	1	None	1	13	None	13	None
1699925453	PARK AND KIM DENTAL CORPORAT	2021	GMC	RENDERING	AGE 21+	21	None	33	None	0	None	0	None	14	None	16	None	17	None	17	None
1699925982	AGHILI MICHELLE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699931394	SOURIAL NASH	2021	FFS	RENDERING	AGE 0-20	696	None	8,390	None	660	None	2,658	None	406	None	760	None	653	None	795	None
1699935049	LEVI ROYA E	2021	FFS	RENDERING	AGE 0-20	20	None	103	None	17	None	44	None	None	1	None	1	20	None	20	None
1699935049	LEVI ROYA E	2021	FFS	RENDERING	AGE 21+	49	None	176	None	34	None	34	None	None	1	None	2	48	None	48	None
1699946384	LEE JULIANA Y	2021	FFS	RENDERING	AGE 21+	2,236	None	6,575	None	20	None	30	None	2,235	None	5,176	None	1,364	None	1,365	None
1699948398	DUONG QUYEN T	2021	FFS	RENDERING	AGE 0-20	192	None	1,318	None	177	None	294	None	91	None	230	None	175	None	229	None
1699948398	DUONG QUYEN T	2021	FFS	RENDERING	AGE 21+	233	None	1,489	None	167	None	167	None	149	None	401	None	166	None	166	None
1699950949	SOLEIMANI SOHEIL A	2021	FFS	RENDERING	AGE 0-20	111	None	1,158	None	92	None	336	None	62	None	267	None	90	None	107	None
1699950949	SOLEIMANI SOHEIL A	2021	FFS	RENDERING	AGE 21+	149	None	831	None	40	None	49	None	94	None	405	None	125	None	128	None
1699952887	SANTOS MANOLET B	2021	FFS	RENDERING	AGE 0-20	96	None	785	None	93	None	348	None	33	None	150	None	79	None	114	None
1699952887	SANTOS MANOLET B	2021	FFS	RENDERING	AGE 21+	267	None	1,732	None	48	None	48	None	206	None	1,135	None	153	None	153	None
1699957696	FAJARDO JOSE AGAPITO T	2021	FFS	RENDERING	AGE 0-20	48	None	465	None	45	None	141	None	21	None	53	None	46	None	67	None
1699957696	FAJARDO JOSE AGAPITO T	2021	FFS	RENDERING	AGE 21+	61	None	401	None	41	None	80	None	44	None	155	None	43	None	43	None
1699963751	MINASSIAN PATRICK	2021	FFS	RENDERING	AGE 0-20	38	None	283	None	25	None	51	None	22	None	47	None	29	None	35	None
1699963751	MINASSIAN PATRICK	2021	FFS	RENDERING	AGE 21+	1,093	None	7,808	None	424	None	425	None	880	None	3,187	None	764	None	765	None
1699966515	ZALA MITESH B	2021	FFS	RENDERING	AGE 0-20	1,144	None	11,763	None	686	None	3,052	None	986	None	3,246	None	697	None	1,028	None
1699966515	ZALA MITESH B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1699973644	FISHER MARK	2021	FFS	RENDERING	AGE 0-20	70	None	640	None	64	None	221	None	25	None	69	None	68	None	83	None
1699973644	FISHER MARK	2021	FFS	RENDERING	AGE 21+	466	None	4,601	None	343	None	685	None	381	None	2,193	None	269	None	270	None
1699978320	NOURI, HAMID DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1699978320	NOURI, HAMID DDS	2021	FFS	RENDERING	AGE 21+	39	None	240	None	None	1	None	1	33	None	195	None	17	None	17	None
1699978320	NOURI, HAMID DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699978320	NOURI, HAMID DDS	2021	PHP	RENDERING	AGE 21+	12	None	47	None	None	1	None	1	None	1	None	2	None	1	None	1
1699978320	NOURI, HAMID, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1699978320	NOURI, HAMID, DDS	2021	FFS	RENDERING	AGE 21+	39	None	240	None	None	1	None	1	33	None	195	None	17	None	17	None
1699978320	NOURI, HAMID, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699978320	NOURI, HAMID, DDS	2021	PHP	RENDERING	AGE 21+	12	None	47	None	None	1	None	1	None	1	None	2	None	1	None	1
1700021094	GONZALES, RHODA L, RDHAP	2021	FFS	RENDERING	AGE 0-20	19	None	35	None	19	None	35	None	0	None	0	None	0	None	0	None
1700021094	GONZALES, RHODA L, RDHAP	2021	FFS	RENDERING	AGE 21+	336	None	2,033	None	255	None	891	None	336	None	1,142	None	0	None	0	None
1700030384	ZADEH ALI	2021	FFS	RENDERING	AGE 0-20	982	None	19,628	None	553	None	1,796	None	982	None	11,765	None	600	None	600	None
1700038643	SOLTANI SAM	2021	FFS	RENDERING	AGE 0-20	73	None	542	None	64	None	192	None	27	None	89	None	60	None	80	None
1700038643	SOLTANI SAM	2021	FFS	RENDERING	AGE 21+	321	None	2,220	None	205	None	361	None	230	None	786	None	188	None	188	None
1700050507	DEZA, ANTHONY DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700050507	DEZA, ANTHONY DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700050507	DEZA, ANTHONY W, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1700050507	DEZA, ANTHONY W, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700051968	MILLARE PASCO CONNIE	2021	PHP	RENDERING	AGE 0-20	30	None	209	None	20	None	59	None	14	None	23	None	24	None	27	None
1700051968	MILLARE PASCO CONNIE	2021	PHP	RENDERING	AGE 21+	82	None	415	None	29	None	29	None	57	None	182	None	52	None	52	None
1700057429	NGUYEN TU Q	2021	FFS	RENDERING	AGE 0-20	18	None	58	None	None	1	None	1	18	None	56	None	0	None	0	None
1700057429	NGUYEN TU Q	2021	FFS	RENDERING	AGE 21+	47	None	113	None	0	None	0	None	47	None	113	None	0	None	0	None
1700059086	ALOIAN, ALBERT, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1700059086	ALOIAN, ALBERT, DDS	2021	FFS	RENDERING	AGE 21+	34	None	164	None	17	None	23	None	20	None	52	None	12	None	14	None
1700066230	TADEO ENMER I	2021	FFS	RENDERING	AGE 0-20	166	None	2,006	None	109	None	305	None	124	None	681	None	112	None	123	None
1700066230	TADEO ENMER I	2021	FFS	RENDERING	AGE 21+	309	None	2,796	None	68	None	119	None	245	None	1,580	None	187	None	190	None
1700068426	ADORABLE RICA C	2021	FFS	RENDERING	AGE 0-20	25	None	258	None	23	None	56	None	None	1	None	2	22	None	25	None
1700068426	ADORABLE RICA C	2021	FFS	RENDERING	AGE 21+	97	None	1,254	None	65	None	119	None	75	None	359	None	82	None	82	None
1700070372	LAZAR KEYVAN	2021	PHP	RENDERING	AGE 0-20	15	None	101	None	None	1	None	1	14	None	28	None	None	1	None	1
1700070372	LAZAR KEYVAN	2021	PHP	RENDERING	AGE 21+	43	None	318	None	23	None	30	None	32	None	41	None	38	None	39	None
1700070455	KIM DANIEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700070455	KIM DANIEL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1700070455	KIM DANIEL	2021	GMC	RENDERING	AGE 0-20	522	None	946	None	None	1	None	1	501	None	886	None	31	None	32	None
1700070455	KIM DANIEL	2021	GMC	RENDERING	AGE 21+	1,007	None	1,699	None	0	None	0	None	770	None	1,107	None	570	None	591	None
1700087590	ALAMEDA HEALTH SYSTEM	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700087590	ALAMEDA HEALTH SYSTEM	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700089364	TZOU, JERRY, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700089364	TZOU, JERRY, DDS	2021	PHP	RENDERING	AGE 0-20	13	None	77	None	None	1	None	2	None	1	None	1	None	1	None	2
1700089364	TZOU, JERRY, DDS	2021	PHP	RENDERING	AGE 21+	131	None	347	None	31	None	44	None	98	None	249	None	22	None	22	None
1700108610	HAKHAMIAN, ARASH, DDS	2021	FFS	RENDERING	AGE 0-20	102	None	340	None	91	None	265	None	11	None	27	None	14	None	16	None
1700108610	HAKHAMIAN, ARASH, DDS	2021	FFS	RENDERING	AGE 21+	201	None	577	None	33	None	54	None	122	None	364	None	44	None	44	None
1700112471	LEE SYLVIA S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1700112471	LEE SYLVIA S	2021	FFS	RENDERING	AGE 21+	14	None	82	None	None	1	None	1	None	1	None	2	13	None	13	None
1700115342	KIM SONG K	2021	FFS	RENDERING	AGE 0-20	268	None	3,823	None	243	None	755	None	104	None	510	None	250	None	339	None
1700115342	KIM SONG K	2021	FFS	RENDERING	AGE 21+	335	None	3,402	None	247	None	593	None	193	None	972	None	290	None	291	None
1700129418	MADAPU NAMRATHA	2021	FFS	RENDERING	AGE 0-20	997	None	2,995	None	0	None	0	None	997	None	2,995	None	0	None	0	None
1700132305	SRIRAM VISHALAKSHI	2021	FFS	RENDERING	AGE 0-20	44	None	98	None	None	1	None	1	40	None	85	None	None	1	None	1
1700132305	SRIRAM VISHALAKSHI	2021	FFS	RENDERING	AGE 21+	270	None	756	None	0	None	0	None	268	None	746	None	None	1	None	1
1700133618	WILLIAMS ANGENETTA MARIE	2021	PHP	RENDERING	AGE 21+	12	None	48	None	12	None	28	None	None	1	None	2	0	None	0	None
1700137577	YOO JOHN	2021	FFS	RENDERING	AGE 0-20	3,930	None	29,865	None	2,064	None	7,009	None	3,133	None	11,604	None	1,769	None	2,202	None
1700137577	YOO JOHN	2021	FFS	RENDERING	AGE 21+	901	None	3,659	None	283	None	375	None	688	None	1,882	None	138	None	138	None
1700152659	FERRER VESNA-LEA S	2021	FFS	RENDERING	AGE 0-20	38	None	98	None	0	None	0	None	26	None	57	None	0	None	0	None
1700156122	LOTFI VARGHAH	2021	FFS	RENDERING	AGE 0-20	116	None	130	None	0	None	0	None	None	1	None	2	0	None	0	None
1700156122	LOTFI VARGHAH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700156122	LOTFI VARGHAH	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700156122	LOTFI VARGHAH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700159050	YEGANEH-TAJIAN ELENA A	2021	FFS	RENDERING	AGE 0-20	1,842	None	22,438	None	1,737	None	6,009	None	1,197	None	5,841	None	1,663	None	1,898	None
1700159050	YEGANEH-TAJIAN ELENA A	2021	FFS	RENDERING	AGE 21+	598	None	4,411	None	382	None	769	None	329	None	1,569	None	419	None	419	None
1700159050	YEGANEH-TAJIAN ELENA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1700165917	DURSCHLAG MATTHEW E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1700165917	DURSCHLAG MATTHEW E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700178860	DUNLOP NASEM M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700179066	KEVIN L FLEMING DDS APC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1700181880	NDIDI UKA DDS	2021	FFS	RENDERING	AGE 0-20	29	None	169	None	27	None	62	None	None	1	None	2	20	None	20	None
1700181880	NDIDI UKA DDS	2021	FFS	RENDERING	AGE 21+	74	None	326	None	11	None	13	None	44	None	190	None	40	None	40	None
1700181880	NDIDI UKA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1700181880	NDIDI UKA DDS	2021	PHP	RENDERING	AGE 21+	27	None	124	None	None	1	None	1	None	1	None	2	19	None	19	None
1700211000	WU TRAVIS D	2021	FFS	RENDERING	AGE 0-20	643	None	4,712	None	588	None	1,919	None	241	None	590	None	545	None	657	None
1700211000	WU TRAVIS D	2021	FFS	RENDERING	AGE 21+	316	None	1,905	None	167	None	282	None	234	None	667	None	190	None	190	None
1700245248	LEE SAE C	2021	FFS	RENDERING	AGE 0-20	675	None	7,683	None	600	None	1,907	None	502	None	1,901	None	605	None	631	None
1700245248	LEE SAE C	2021	FFS	RENDERING	AGE 21+	35	None	215	None	20	None	36	None	21	None	86	None	28	None	29	None
1700252426	YAU JENNIFER H	2021	FFS	RENDERING	AGE 0-20	31	None	66	None	0	None	0	None	None	1	None	1	None	1	None	1
1700252426	YAU JENNIFER H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1700255981	ARIF AYESHA	2021	FFS	RENDERING	AGE 0-20	1,977	None	18,875	None	1,540	None	4,474	None	1,050	None	3,128	None	1,481	None	1,761	None
1700255981	ARIF AYESHA	2021	FFS	RENDERING	AGE 21+	13	None	107	None	None	1	None	2	None	1	None	2	None	1	None	1
1700255981	ARIF AYESHA	2021	GMC	RENDERING	AGE 0-20	105	None	615	None	81	None	230	None	84	None	149	None	70	None	70	None
1700269172	LIM YOUNG S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1700269172	LIM YOUNG S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1700277407	KIM JOHN S	2021	FFS	RENDERING	AGE 0-20	57	None	333	None	39	None	82	None	20	None	45	None	52	None	54	None
1700277407	KIM JOHN S	2021	FFS	RENDERING	AGE 21+	788	None	3,653	None	152	None	304	None	436	None	1,288	None	652	None	652	None
1700301728	YANG DAVID C	2021	FFS	RENDERING	AGE 0-20	24	None	189	None	19	None	62	None	13	None	47	None	19	None	19	None
1700301728	YANG DAVID C	2021	FFS	RENDERING	AGE 21+	210	None	1,915	None	117	None	227	None	164	None	873	None	139	None	139	None
1700307071	DIEGO VIRGINIA	2021	FFS	RENDERING	AGE 0-20	95	None	885	None	67	None	209	None	31	None	52	None	70	None	78	None
1700307071	DIEGO VIRGINIA	2021	FFS	RENDERING	AGE 21+	119	None	691	None	18	None	21	None	67	None	173	None	58	None	58	None
1700307071	DIEGO VIRGINIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1700307071	DIEGO VIRGINIA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1700334265	KISS MIHAI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700334265	KISS MIHAI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1700334265	KISS MIHAI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1700388907	KULYK CHRISTINA	2021	FFS	RENDERING	AGE 0-20	6,178	None	48,894	None	4,833	None	14,397	None	3,648	None	7,957	None	4,568	None	4,795	None
1700388907	KULYK CHRISTINA	2021	FFS	RENDERING	AGE 21+	28	None	117	None	None	1	None	2	None	1	None	1	None	1	None	1
1700439668	KANG SUMIN	2021	FFS	RENDERING	AGE 0-20	2,749	None	19,555	None	2,038	None	5,872	None	1,961	None	4,848	None	1,982	None	2,258	None
1700439668	KANG SUMIN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1700445152	MIRANDA-OGLESBY CECILIA	2021	FFS	RENDERING	AGE 0-20	331	None	1,712	None	244	None	934	None	192	None	532	None	37	None	37	None
1700445152	MIRANDA-OGLESBY CECILIA	2021	FFS	RENDERING	AGE 21+	317	None	1,037	None	121	None	220	None	242	None	614	None	39	None	39	None
1700445152	MIRANDA-OGLESBY CECILIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700449600	GONZALEZ JESICA	2021	FFS	RENDERING	AGE 0-20	26	None	126	None	16	None	37	None	17	None	31	None	12	None	12	None
1700457975	YOMTOUBIAN JONATHAN N	2021	FFS	RENDERING	AGE 0-20	100	None	566	None	78	None	202	None	37	None	79	None	78	None	78	None
1700457975	YOMTOUBIAN JONATHAN N	2021	FFS	RENDERING	AGE 21+	52	None	221	None	13	None	22	None	28	None	66	None	32	None	32	None
1700457975	YOMTOUBIAN JONATHAN N	2021	PHP	RENDERING	AGE 0-20	158	None	1,133	None	118	None	370	None	56	None	144	None	121	None	121	None
1700457975	YOMTOUBIAN JONATHAN N	2021	PHP	RENDERING	AGE 21+	89	None	446	None	13	None	22	None	38	None	65	None	40	None	40	None
1700494119	ACHERMAN MARIA I	2021	FFS	RENDERING	AGE 0-20	189	None	1,579	None	143	None	337	None	72	None	168	None	164	None	178	None
1700494119	ACHERMAN MARIA I	2021	FFS	RENDERING	AGE 21+	252	None	1,309	None	46	None	88	None	122	None	390	None	177	None	183	None
1700494119	ACHERMAN MARIA I	2021	PHP	RENDERING	AGE 0-20	17	None	112	None	11	None	31	None	None	1	None	2	15	None	18	None
1700494119	ACHERMAN MARIA I	2021	PHP	RENDERING	AGE 21+	42	None	244	None	14	None	32	None	22	None	85	None	38	None	41	None
1700498722	VELLATURI SRAVANA J	2021	FFS	RENDERING	AGE 0-20	545	None	2,372	None	316	None	789	None	153	None	285	None	360	None	366	None
1700498722	VELLATURI SRAVANA J	2021	FFS	RENDERING	AGE 21+	356	None	1,005	None	91	None	181	None	123	None	249	None	215	None	215	None
1700806924	VELAZQUEZ, JOSE	2021	FFS	RENDERING	AGE 0-20	277	None	2,869	None	211	None	444	None	170	None	631	None	235	None	267	None
1700806924	VELAZQUEZ, JOSE	2021	FFS	RENDERING	AGE 21+	753	None	5,984	None	43	None	43	None	575	None	2,949	None	546	None	546	None
1700852415	APUY ROBERT C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1700895166	FARAJZADEH EDWARD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1700904745	BAKER JAMES E	2021	FFS	RENDERING	AGE 0-20	179	None	1,213	None	114	None	337	None	56	None	99	None	146	None	147	None
1700904745	BAKER JAMES E	2021	FFS	RENDERING	AGE 21+	254	None	1,037	None	44	None	72	None	156	None	258	None	125	None	126	None
1700904745	BAKER JAMES E	2021	PHP	RENDERING	AGE 0-20	26	None	167	None	18	None	40	None	11	None	14	None	22	None	22	None
1700904745	BAKER JAMES E	2021	PHP	RENDERING	AGE 21+	70	None	250	None	21	None	27	None	29	None	57	None	48	None	49	None
1700905866	BALARIE, CHRISTIAN DDS	2021	FFS	RENDERING	AGE 0-20	261	None	2,674	None	248	None	979	None	148	None	405	None	250	None	314	None
1700905866	BALARIE, CHRISTIAN DDS	2021	FFS	RENDERING	AGE 21+	312	None	2,324	None	242	None	439	None	203	None	815	None	271	None	273	None
1700907946	MIKKELSEN, FRANK DDS	2021	FFS	RENDERING	AGE 0-20	213	None	1,329	None	198	None	387	None	75	None	139	None	201	None	253	None
1700907946	MIKKELSEN, FRANK DDS	2021	FFS	RENDERING	AGE 21+	169	None	958	None	109	None	109	None	105	None	367	None	131	None	131	None
1700908134	KHOSHBIN SHARAREH S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700908134	KHOSHBIN SHARAREH S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1700908217	ASLANI HOSSEIN D	2021	FFS	RENDERING	AGE 0-20	28	None	212	None	22	None	57	None	13	None	39	None	25	None	33	None
1700908217	ASLANI HOSSEIN D	2021	FFS	RENDERING	AGE 21+	146	None	924	None	64	None	115	None	107	None	319	None	82	None	82	None
1700909157	PHAM, ANH TU DDS	2021	FFS	RENDERING	AGE 0-20	106	None	1,425	None	103	None	346	None	44	None	142	None	104	None	129	None
1700909157	PHAM, ANH TU DDS	2021	FFS	RENDERING	AGE 21+	192	None	2,368	None	143	None	294	None	136	None	543	None	161	None	161	None
1700909553	KIM, YOON SUNG, DDS	2021	FFS	RENDERING	AGE 0-20	179	None	1,473	None	139	None	303	None	30	None	46	None	153	None	166	None
1700909553	KIM, YOON SUNG, DDS	2021	FFS	RENDERING	AGE 21+	253	None	1,091	None	83	None	166	None	131	None	243	None	138	None	138	None
1700917879	PIDKOVA ROMAN Z	2021	FFS	RENDERING	AGE 0-20	1,197	None	16,959	None	1,067	None	4,098	None	732	None	2,199	None	1,064	None	1,346	None
1700917879	PIDKOVA ROMAN Z	2021	FFS	RENDERING	AGE 21+	315	None	3,280	None	221	None	438	None	207	None	707	None	250	None	250	None
1700917986	ACOSTA-CUEVAS JOSE	2021	FFS	RENDERING	AGE 0-20	20	None	217	None	20	None	55	None	None	1	None	2	20	None	28	None
1700917986	ACOSTA-CUEVAS JOSE	2021	FFS	RENDERING	AGE 21+	66	None	360	None	53	None	75	None	26	None	96	None	62	None	62	None
1700920824	DEZHAM, HASSAN M, DDS	2021	FFS	RENDERING	AGE 0-20	75	None	933	None	67	None	326	None	26	None	77	None	65	None	84	None
1700920824	DEZHAM, HASSAN M, DDS	2021	FFS	RENDERING	AGE 21+	155	None	957	None	71	None	139	None	96	None	208	None	102	None	102	None
1700920824	DEZHAM, HASSAN M, DDS	2021	GMC	RENDERING	AGE 0-20	1,350	None	17,193	None	1,274	None	6,850	None	475	None	1,256	None	1,279	None	1,822	None
1700920824	DEZHAM, HASSAN M, DDS	2021	GMC	RENDERING	AGE 21+	612	None	4,403	None	382	None	796	None	431	None	1,271	None	444	None	454	None
1700921723	SMITH, BRANDON B, DDS	2021	FFS	RENDERING	AGE 0-20	78	None	1,178	None	65	None	123	None	47	None	173	None	74	None	96	None
1700921723	SMITH, BRANDON B, DDS	2021	FFS	RENDERING	AGE 21+	214	None	2,545	None	66	None	66	None	153	None	614	None	63	None	63	None
1700924271	NARIO ELVIRA S	2021	FFS	RENDERING	AGE 0-20	48	None	418	None	44	None	104	None	21	None	98	None	40	None	45	None
1700924271	NARIO ELVIRA S	2021	FFS	RENDERING	AGE 21+	253	None	1,648	None	111	None	215	None	170	None	629	None	181	None	181	None
1700924974	NGUYEN, LINH HOANG, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	106	None	15	None	38	None	None	1	None	1	16	None	20	None
1700924974	NGUYEN, LINH HOANG, DDS	2021	FFS	RENDERING	AGE 21+	59	None	429	None	49	None	98	None	32	None	55	None	53	None	53	None
1700925112	ABDI, BEHZAD DDS	2021	FFS	RENDERING	AGE 0-20	715	None	13,746	None	706	None	3,447	None	343	None	1,029	None	681	None	1,060	None
1700925112	ABDI, BEHZAD DDS	2021	FFS	RENDERING	AGE 21+	272	None	3,890	None	227	None	451	None	160	None	760	None	241	None	242	None
1700925112	ABDI, BEHZAD, DDS	2021	FFS	RENDERING	AGE 0-20	715	None	13,746	None	706	None	3,447	None	343	None	1,029	None	681	None	1,060	None
1700925112	ABDI, BEHZAD, DDS	2021	FFS	RENDERING	AGE 21+	272	None	3,890	None	227	None	451	None	160	None	760	None	241	None	242	None
1700926706	OLSHANSKY VICTORIA	2021	FFS	RENDERING	AGE 0-20	24	None	155	None	18	None	87	None	None	1	None	2	13	None	13	None
1700926706	OLSHANSKY VICTORIA	2021	FFS	RENDERING	AGE 21+	294	None	2,022	None	118	None	232	None	233	None	1,491	None	108	None	108	None
1700927340	FERNANDEZ, OMAR JESUS, DDS I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1700927340	FERNANDEZ, OMAR JESUS, DDS I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700928223	CHEEMA, SANDEEP SINGH	2021	FFS	RENDERING	AGE 0-20	54	None	579	None	47	None	190	None	42	None	178	None	49	None	52	None
1700928223	CHEEMA, SANDEEP SINGH	2021	FFS	RENDERING	AGE 21+	302	None	4,004	None	180	None	356	None	278	None	3,122	None	233	None	233	None
1700933207	KUREGHIAN NAIRI	2021	FFS	RENDERING	AGE 0-20	20	None	132	None	16	None	43	None	12	None	41	None	15	None	20	None
1700933207	KUREGHIAN NAIRI	2021	FFS	RENDERING	AGE 21+	96	None	511	None	39	None	63	None	68	None	238	None	52	None	52	None
1700934171	PRESKAR, MICHAEL H, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1700935475	BARTKOWSKI KRISTINA A	2021	FFS	RENDERING	AGE 0-20	58	None	242	None	32	None	73	None	19	None	40	None	42	None	42	None
1700935475	BARTKOWSKI KRISTINA A	2021	FFS	RENDERING	AGE 21+	136	None	420	None	25	None	45	None	66	None	147	None	85	None	85	None
1700935475	BARTKOWSKI KRISTINA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1700935475	BARTKOWSKI KRISTINA A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1700936333	ZHAO, HUI DDS	2021	FFS	RENDERING	AGE 0-20	220	None	3,019	None	190	None	689	None	123	None	319	None	189	None	237	None
1700936333	ZHAO, HUI DDS	2021	FFS	RENDERING	AGE 21+	15	None	97	None	None	1	None	2	None	1	None	2	None	1	None	1
1700939444	KHACHI NANCY	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1700939444	KHACHI NANCY	2021	FFS	RENDERING	AGE 21+	66	None	552	None	45	None	80	None	51	None	263	None	53	None	53	None
1700941622	DIO MARIVEL G	2021	FFS	RENDERING	AGE 0-20	152	None	188	None	0	None	0	None	149	None	182	None	0	None	0	None
1700941622	DIO MARIVEL G	2021	FFS	RENDERING	AGE 21+	522	None	687	None	0	None	0	None	514	None	676	None	None	1	None	1
1700941622	DIO MARIVEL G	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1700941622	DIO MARIVEL G	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700941622	DIO MARIVEL G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1700941622	DIO MARIVEL G	2021	PHP	RENDERING	AGE 21+	17	None	26	None	0	None	0	None	17	None	26	None	0	None	0	None
1700942992	FANG JURIE D	2021	FFS	RENDERING	AGE 0-20	44	None	402	None	41	None	97	None	25	None	80	None	37	None	40	None
1700942992	FANG JURIE D	2021	FFS	RENDERING	AGE 21+	95	None	843	None	75	None	137	None	54	None	234	None	24	None	24	None
1700948049	MARTINEZ HECTOR L	2021	FFS	RENDERING	AGE 0-20	11	None	69	None	None	1	None	1	None	1	None	2	None	1	None	1
1700948049	MARTINEZ HECTOR L	2021	FFS	RENDERING	AGE 21+	71	None	428	None	25	None	50	None	45	None	258	None	50	None	50	None
1700948387	THAI MINDI C	2021	FFS	RENDERING	AGE 0-20	800	None	7,985	None	748	None	2,379	None	417	None	1,141	None	578	None	764	None
1700948387	THAI MINDI C	2021	FFS	RENDERING	AGE 21+	627	None	3,203	None	422	None	836	None	341	None	733	None	138	None	139	None
1700952801	JU, KEVIN, DENTAL CORPORATIO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700954260	SOLANO ALFREDO	2021	FFS	RENDERING	AGE 0-20	279	None	2,917	None	217	None	507	None	113	None	252	None	226	None	252	None
1700954260	SOLANO ALFREDO	2021	FFS	RENDERING	AGE 21+	199	None	1,387	None	28	None	31	None	127	None	344	None	102	None	102	None
1700954385	AFAR BIJAN	2021	FFS	RENDERING	AGE 0-20	21	None	126	None	13	None	25	None	12	None	48	None	12	None	15	None
1700954385	AFAR BIJAN	2021	FFS	RENDERING	AGE 21+	60	None	296	None	25	None	32	None	38	None	132	None	31	None	31	None
1700961737	KAM SHERYL A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700961752	ILAGAN-AVERGONZ JESSICA Z	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700964251	TO TRANG H	2021	FFS	RENDERING	AGE 0-20	13	None	102	None	12	None	51	None	0	None	0	None	13	None	21	None
1700964251	TO TRANG H	2021	FFS	RENDERING	AGE 21+	64	None	487	None	41	None	82	None	43	None	248	None	54	None	54	None
1700967098	ELISHA, JOSEPH O MD	2021	FFS	RENDERING	AGE 0-20	502	None	1,619	None	0	None	0	None	502	None	1,619	None	0	None	0	None
1700972171	MATSUI KATSUKO	2021	FFS	RENDERING	AGE 0-20	411	None	3,104	None	276	None	725	None	263	None	1,299	None	337	None	367	None
1700972171	MATSUI KATSUKO	2021	FFS	RENDERING	AGE 21+	1,157	None	7,514	None	615	None	1,205	None	778	None	4,138	None	838	None	849	None
1700972379	WONG NAOMI JOANNE Y	2021	FFS	RENDERING	AGE 0-20	35	None	206	None	31	None	63	None	13	None	41	None	33	None	38	None
1700972379	WONG NAOMI JOANNE Y	2021	FFS	RENDERING	AGE 21+	95	None	444	None	48	None	48	None	47	None	93	None	64	None	64	None
1700972379	WONG, ANTHONY, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	206	None	31	None	63	None	13	None	41	None	33	None	38	None
1700972379	WONG, ANTHONY, DDS	2021	FFS	RENDERING	AGE 21+	95	None	444	None	48	None	48	None	47	None	93	None	64	None	64	None
1700991478	FERRADAS ALEC VALENCIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1700998101	RABIZADEH, D S DDS INC	2021	PHP	RENDERING	AGE 0-20	24	None	165	None	23	None	85	None	None	1	None	1	24	None	25	None
1700998101	RABIZADEH, D S DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710008321	LUKE CHINTANA V	2021	FFS	RENDERING	AGE 0-20	17	None	105	None	14	None	39	None	None	1	None	2	12	None	12	None
1710008321	LUKE CHINTANA V	2021	FFS	RENDERING	AGE 21+	38	None	233	None	26	None	41	None	25	None	124	None	27	None	27	None
1710008321	LUKE, CHINTANA V, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	105	None	14	None	39	None	None	1	None	2	12	None	12	None
1710008321	LUKE, CHINTANA V, DDS	2021	FFS	RENDERING	AGE 21+	38	None	233	None	26	None	41	None	25	None	124	None	27	None	27	None
1710009162	SHAH SHALINI M	2021	FFS	RENDERING	AGE 0-20	527	None	5,147	None	464	None	1,484	None	322	None	1,388	None	352	None	404	None
1710009162	SHAH SHALINI M	2021	FFS	RENDERING	AGE 21+	184	None	899	None	70	None	77	None	98	None	327	None	97	None	97	None
1710013925	NGUYEN, THANHLONG THI DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1710013925	NGUYEN, THANHLONG THI DDS	2021	FFS	RENDERING	AGE 21+	20	None	65	None	None	1	None	1	16	None	23	None	None	1	None	1
1710014667	KAPLAN ALEXANDER	2021	FFS	RENDERING	AGE 0-20	66	None	224	None	55	None	110	None	12	None	29	None	22	None	24	None
1710014667	KAPLAN ALEXANDER	2021	FFS	RENDERING	AGE 21+	1,022	None	3,635	None	315	None	614	None	782	None	2,462	None	175	None	175	None
1710016134	BARBOSA IRUBIEL A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710016514	PARK JIN S	2021	FFS	RENDERING	AGE 0-20	51	None	257	None	49	None	63	None	11	None	26	None	24	None	24	None
1710016514	PARK JIN S	2021	FFS	RENDERING	AGE 21+	84	None	404	None	54	None	54	None	47	None	119	None	18	None	18	None
1710017058	NGAU CHRISTOPHER	2021	FFS	RENDERING	AGE 0-20	651	None	6,709	None	540	None	1,756	None	362	None	1,001	None	507	None	579	None
1710017058	NGAU CHRISTOPHER	2021	FFS	RENDERING	AGE 21+	318	None	2,370	None	175	None	351	None	194	None	696	None	196	None	196	None
1710017611	TORKAMAN ARSHID	2021	FFS	RENDERING	AGE 0-20	673	None	7,855	None	435	None	1,254	None	302	None	1,238	None	625	None	739	None
1710017611	TORKAMAN ARSHID	2021	FFS	RENDERING	AGE 21+	839	None	6,994	None	161	None	312	None	541	None	1,965	None	681	None	683	None
1710018726	WU PETER C	2021	FFS	RENDERING	AGE 0-20	611	None	4,969	None	595	None	2,366	None	165	None	506	None	592	None	678	None
1710018726	WU PETER C	2021	FFS	RENDERING	AGE 21+	222	None	1,097	None	121	None	242	None	143	None	322	None	125	None	125	None
1710019161	HUANG JOSEPH	2021	FFS	RENDERING	AGE 0-20	130	None	1,067	None	112	None	349	None	65	None	207	None	120	None	147	None
1710019161	HUANG JOSEPH	2021	FFS	RENDERING	AGE 21+	596	None	3,436	None	438	None	870	None	308	None	809	None	520	None	520	None
1710019385	DE LOS SANTOS, VICTOR, DDS	2021	FFS	RENDERING	AGE 0-20	41	None	444	None	33	None	140	None	16	None	70	None	30	None	64	None
1710019385	DE LOS SANTOS, VICTOR, DDS	2021	FFS	RENDERING	AGE 21+	145	None	1,194	None	52	None	140	None	90	None	464	None	79	None	158	None
1710019385	DE LOS SANTOS, VICTOR, DDS	2021	PHP	RENDERING	AGE 0-20	26	None	344	None	18	None	78	None	12	None	78	None	21	None	44	None
1710019385	DE LOS SANTOS, VICTOR, DDS	2021	PHP	RENDERING	AGE 21+	108	None	966	None	43	None	126	None	71	None	424	None	55	None	112	None
1710020235	JU ZECHENG	2021	FFS	RENDERING	AGE 0-20	286	None	2,806	None	246	None	844	None	177	None	619	None	269	None	384	None
1710020235	JU ZECHENG	2021	FFS	RENDERING	AGE 21+	264	None	2,080	None	177	None	358	None	192	None	810	None	197	None	199	None
1710020987	VARGAS RONALDO C	2021	FFS	RENDERING	AGE 0-20	50	None	454	None	46	None	101	None	20	None	62	None	45	None	57	None
1710020987	VARGAS RONALDO C	2021	FFS	RENDERING	AGE 21+	140	None	1,125	None	90	None	97	None	69	None	311	None	110	None	110	None
1710022082	POURATI DALIA	2021	FFS	RENDERING	AGE 0-20	299	None	2,737	None	197	None	727	None	163	None	399	None	257	None	276	None
1710022082	POURATI DALIA	2021	FFS	RENDERING	AGE 21+	564	None	3,851	None	238	None	488	None	379	None	1,312	None	348	None	348	None
1710024914	LIMA, MARIA HELENA, DDS	2021	FFS	RENDERING	AGE 0-20	456	None	9,851	None	419	None	1,490	None	376	None	1,871	None	427	None	608	None
1710024914	LIMA, MARIA HELENA, DDS	2021	FFS	RENDERING	AGE 21+	245	None	4,271	None	148	None	282	None	223	None	1,773	None	170	None	170	None
1710028535	PHAN, HOANG YEN T, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	65	None	None	1	None	2	None	1	None	1	None	1	None	1
1710028535	PHAN, HOANG YEN T, DDS	2021	FFS	RENDERING	AGE 21+	15	None	80	None	None	1	None	1	None	1	None	2	None	1	None	1
1710030804	RUIZ MARIA VICTOR M	2021	FFS	RENDERING	AGE 0-20	206	None	4,109	None	194	None	812	None	149	None	1,324	None	194	None	238	None
1710030804	RUIZ MARIA VICTOR M	2021	FFS	RENDERING	AGE 21+	66	None	897	None	47	None	98	None	43	None	328	None	50	None	52	None
1710031208	SOLANKI SANTOSH S	2021	FFS	RENDERING	AGE 0-20	231	None	2,802	None	220	None	1,033	None	79	None	205	None	222	None	297	None
1710031208	SOLANKI SANTOSH S	2021	FFS	RENDERING	AGE 21+	210	None	1,629	None	142	None	153	None	135	None	553	None	174	None	174	None
1710032156	HULL TROY EDWARD	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1710032552	AYYUBI MUHAMMAD N	2021	FFS	RENDERING	AGE 0-20	212	None	2,323	None	177	None	614	None	115	None	449	None	202	None	279	None
1710032552	AYYUBI MUHAMMAD N	2021	FFS	RENDERING	AGE 21+	306	None	2,188	None	180	None	359	None	178	None	809	None	246	None	246	None
1710034566	KOM, KOSAL DDS	2021	FFS	RENDERING	AGE 0-20	24	None	102	None	18	None	39	None	None	1	None	2	13	None	13	None
1710034566	KOM, KOSAL DDS	2021	FFS	RENDERING	AGE 21+	211	None	1,055	None	107	None	107	None	150	None	477	None	119	None	119	None
1710035910	OHANNESSIAN, MANUEL	2021	FFS	RENDERING	AGE 0-20	680	None	8,962	None	620	None	2,224	None	325	None	1,127	None	608	None	757	None
1710035910	OHANNESSIAN, MANUEL	2021	FFS	RENDERING	AGE 21+	689	None	4,574	None	142	None	247	None	517	None	1,883	None	390	None	392	None
1710036181	ARAKELYAN, ARAM, DDS	2021	FFS	RENDERING	AGE 0-20	41	None	2,466	None	25	None	540	None	37	None	1,470	None	28	None	174	None
1710036181	ARAKELYAN, ARAM, DDS	2021	FFS	RENDERING	AGE 21+	635	None	50,226	None	228	None	2,694	None	618	None	42,852	None	316	None	1,896	None
1710039102	DE CRUZ, ZOILA M, DDS	2021	FFS	RENDERING	AGE 0-20	199	None	1,725	None	192	None	516	None	51	None	135	None	191	None	276	None
1710039102	DE CRUZ, ZOILA M, DDS	2021	FFS	RENDERING	AGE 21+	243	None	1,462	None	159	None	163	None	137	None	517	None	207	None	209	None
1710039102	DE CRUZ, ZOILA M, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1710039102	DE CRUZ, ZOILA M, DDS	2021	PHP	RENDERING	AGE 21+	12	None	102	None	None	1	None	1	None	1	None	2	11	None	11	None
1710042478	KHODADADI SOHEIL	2021	FFS	RENDERING	AGE 0-20	57	None	314	None	53	None	132	None	16	None	30	None	55	None	68	None
1710042478	KHODADADI SOHEIL	2021	FFS	RENDERING	AGE 21+	283	None	1,339	None	152	None	303	None	139	None	419	None	235	None	235	None
1710042478	KHODADADI SOHEIL	2021	PHP	RENDERING	AGE 0-20	114	None	595	None	106	None	237	None	46	None	112	None	108	None	121	None
1710042478	KHODADADI SOHEIL	2021	PHP	RENDERING	AGE 21+	776	None	3,508	None	477	None	947	None	366	None	1,166	None	652	None	661	None
1710042478	KHODADADI, SOHEIL DDS	2021	FFS	RENDERING	AGE 0-20	57	None	314	None	53	None	132	None	16	None	30	None	55	None	68	None
1710042478	KHODADADI, SOHEIL DDS	2021	FFS	RENDERING	AGE 21+	283	None	1,339	None	152	None	303	None	139	None	419	None	235	None	235	None
1710042478	KHODADADI, SOHEIL DDS	2021	PHP	RENDERING	AGE 0-20	114	None	595	None	106	None	237	None	46	None	112	None	108	None	121	None
1710042478	KHODADADI, SOHEIL DDS	2021	PHP	RENDERING	AGE 21+	776	None	3,508	None	477	None	947	None	366	None	1,166	None	652	None	661	None
1710043864	MARASIGAN LUTGARDA P	2021	FFS	RENDERING	AGE 0-20	430	None	3,873	None	349	None	975	None	265	None	755	None	339	None	415	None
1710043864	MARASIGAN LUTGARDA P	2021	FFS	RENDERING	AGE 21+	174	None	1,007	None	87	None	174	None	105	None	333	None	102	None	102	None
1710045463	PARK JI Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710054465	NGO VU JIMMY A	2021	FFS	RENDERING	AGE 0-20	313	None	658	None	0	None	0	None	136	None	403	None	0	None	0	None
1710054796	BROWNSTONE DONNI B	2021	GMC	RENDERING	AGE 0-20	1,465	None	7,153	None	785	None	2,434	None	299	None	339	None	636	None	642	None
1710059993	KUNWAR RAVINDER	2021	FFS	RENDERING	AGE 0-20	38	None	275	None	30	None	61	None	19	None	82	None	32	None	34	None
1710059993	KUNWAR RAVINDER	2021	FFS	RENDERING	AGE 21+	83	None	511	None	38	None	71	None	56	None	211	None	56	None	58	None
1710065719	AMBARACHYAN ARMEN	2021	FFS	RENDERING	AGE 0-20	19	None	104	None	17	None	36	None	None	1	None	2	15	None	16	None
1710065719	AMBARACHYAN ARMEN	2021	FFS	RENDERING	AGE 21+	122	None	473	None	39	None	50	None	56	None	167	None	79	None	79	None
1710065719	AMBARACHYAN ARMEN	2021	PHP	RENDERING	AGE 0-20	44	None	257	None	37	None	87	None	14	None	41	None	44	None	58	None
1710065719	AMBARACHYAN ARMEN	2021	PHP	RENDERING	AGE 21+	36	None	148	None	17	None	25	None	None	1	None	2	29	None	32	None
1710069349	NOUNEH, AYMAN DDS	2021	FFS	RENDERING	AGE 0-20	72	None	489	None	55	None	152	None	41	None	129	None	58	None	73	None
1710069349	NOUNEH, AYMAN DDS	2021	FFS	RENDERING	AGE 21+	204	None	1,301	None	48	None	69	None	169	None	645	None	133	None	133	None
1710072103	SHWARTZMAN IAN	2021	FFS	RENDERING	AGE 0-20	38	None	343	None	38	None	157	None	22	None	71	None	37	None	39	None
1710072103	SHWARTZMAN IAN	2021	FFS	RENDERING	AGE 21+	132	None	567	None	73	None	74	None	79	None	232	None	97	None	98	None
1710075783	MORADIANS STEPAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710075783	MORADIANS STEPAN	2021	FFS	RENDERING	AGE 21+	85	None	802	None	58	None	118	None	53	None	117	None	61	None	61	None
1710078472	AKOPYAN, DIANA, DDS	2021	PHP	RENDERING	AGE 21+	31	None	124	None	None	1	None	1	19	None	60	None	21	None	21	None
1710078829	KIM EUNOCK	2021	PHP	RENDERING	AGE 0-20	32	None	160	None	22	None	50	None	None	1	None	2	19	None	19	None
1710078829	KIM EUNOCK	2021	PHP	RENDERING	AGE 21+	19	None	67	None	None	1	None	1	12	None	25	None	None	1	None	1
1710082623	BELL, ALFRED PAUL S, DDS	2021	FFS	RENDERING	AGE 0-20	2,150	None	22,709	None	2,048	None	7,937	None	1,455	None	5,329	None	2,076	None	2,944	None
1710082623	BELL, ALFRED PAUL S, DDS	2021	FFS	RENDERING	AGE 21+	88	None	458	None	71	None	83	None	27	None	79	None	70	None	70	None
1710082623	BELL, ALFRED PAUL S, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1710085808	MCINTYRE, ROBERT A, DDS	2021	FFS	RENDERING	AGE 0-20	109	None	615	None	105	None	398	None	26	None	65	None	80	None	117	None
1710085808	MCINTYRE, ROBERT A, DDS	2021	FFS	RENDERING	AGE 21+	352	None	1,610	None	271	None	457	None	253	None	905	None	167	None	169	None
1710086764	MALLI, JASJEET, DDS	2021	FFS	RENDERING	AGE 0-20	1,023	None	3,121	None	1,003	None	2,546	None	44	None	69	None	21	None	21	None
1710086764	MALLI, JASJEET, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1710089321	PARRILLA, LEON R DDS	2021	FFS	RENDERING	AGE 0-20	381	None	3,145	None	329	None	735	None	199	None	532	None	317	None	346	None
1710089321	PARRILLA, LEON R DDS	2021	FFS	RENDERING	AGE 21+	476	None	3,372	None	286	None	539	None	322	None	934	None	311	None	313	None
1710093406	SETAREH KATAYOUN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710098736	BATNIJI SOBHI A	2021	FFS	RENDERING	AGE 0-20	32	None	155	None	26	None	31	None	None	1	None	2	30	None	35	None
1710098736	BATNIJI SOBHI A	2021	FFS	RENDERING	AGE 21+	118	None	562	None	85	None	85	None	53	None	218	None	101	None	103	None
1710098736	BATNIJI, SOBHI A, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	155	None	26	None	31	None	None	1	None	2	30	None	35	None
1710098736	BATNIJI, SOBHI A, DDS	2021	FFS	RENDERING	AGE 21+	118	None	562	None	85	None	85	None	53	None	218	None	101	None	103	None
1710101365	MANAVI, F, DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1710101365	MANAVI, F, DENTAL CORPORATIO	2021	PHP	RENDERING	AGE 21+	17	None	51	None	None	1	None	1	None	1	None	2	None	1	None	1
1710103312	BARCONEY, LINDA DDS	2021	FFS	RENDERING	AGE 0-20	1,074	None	12,784	None	1,013	None	3,543	None	736	None	2,962	None	1,012	None	1,349	None
1710103312	BARCONEY, LINDA DDS	2021	FFS	RENDERING	AGE 21+	92	None	567	None	14	None	24	None	45	None	158	None	73	None	73	None
1710103312	BARCONEY, LINDA DDS	2021	PHP	RENDERING	AGE 0-20	17	None	155	None	16	None	42	None	17	None	78	None	None	1	None	1
1710103486	HUMPHRIES SAGE M	2021	FFS	RENDERING	AGE 0-20	22	None	64	None	0	None	0	None	19	None	54	None	None	1	None	1
1710106844	YIM, NORMAN W, DDS	2021	FFS	RENDERING	AGE 21+	68	None	326	None	49	None	49	None	52	None	124	None	60	None	64	None
1710113964	SHAH KRUTIKA A	2021	FFS	RENDERING	AGE 0-20	23	None	102	None	12	None	48	None	13	None	34	None	None	1	None	1
1710113964	SHAH KRUTIKA A	2021	FFS	RENDERING	AGE 21+	49	None	134	None	None	1	None	2	37	None	79	None	None	1	None	1
1710116397	GBENOBA ROWENA S	2021	FFS	RENDERING	AGE 0-20	79	None	761	None	73	None	288	None	39	None	226	None	72	None	85	None
1710116397	GBENOBA ROWENA S	2021	FFS	RENDERING	AGE 21+	153	None	1,023	None	90	None	174	None	95	None	451	None	132	None	134	None
1710123104	TON DIEUTRANG N	2021	FFS	RENDERING	AGE 0-20	87	None	712	None	84	None	268	None	45	None	189	None	69	None	95	None
1710123104	TON DIEUTRANG N	2021	FFS	RENDERING	AGE 21+	111	None	889	None	71	None	71	None	86	None	557	None	77	None	77	None
1710131362	ABRAHAM PAMELA	2021	FFS	RENDERING	AGE 0-20	1,288	None	11,920	None	1,191	None	4,441	None	796	None	2,535	None	1,168	None	1,474	None
1710135181	CANLAS RUDELY CECIL L	2021	FFS	RENDERING	AGE 0-20	2,056	None	14,895	None	1,343	None	3,788	None	1,229	None	2,598	None	1,299	None	1,324	None
1710135181	CANLAS RUDELY CECIL L	2021	FFS	RENDERING	AGE 21+	257	None	913	None	21	None	33	None	202	None	472	None	91	None	91	None
1710137252	ZAKARIYA MASHEIL	2021	FFS	RENDERING	AGE 0-20	31	None	224	None	23	None	53	None	19	None	57	None	22	None	25	None
1710137252	ZAKARIYA MASHEIL	2021	FFS	RENDERING	AGE 21+	174	None	1,129	None	119	None	215	None	110	None	430	None	140	None	145	None
1710137690	FULLER CAMERON E	2021	FFS	RENDERING	AGE 0-20	2,262	None	25,531	None	2,178	None	9,729	None	1,526	None	4,235	None	2,104	None	2,720	None
1710141783	TAM KEITH H	2021	FFS	RENDERING	AGE 0-20	98	None	1,100	None	97	None	368	None	26	None	84	None	97	None	158	None
1710141783	TAM KEITH H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710178488	CHUA JULIET T	2021	FFS	RENDERING	AGE 0-20	112	None	970	None	101	None	310	None	55	None	173	None	103	None	145	None
1710178488	CHUA JULIET T	2021	FFS	RENDERING	AGE 21+	232	None	1,939	None	168	None	336	None	172	None	631	None	180	None	180	None
1710179502	MKRTCHYAN SILVA	2021	FFS	RENDERING	AGE 0-20	40	None	281	None	29	None	41	None	17	None	45	None	31	None	34	None
1710179502	MKRTCHYAN SILVA	2021	FFS	RENDERING	AGE 21+	144	None	877	None	68	None	68	None	81	None	306	None	92	None	92	None
1710182514	NARANJA DARWIN D	2021	FFS	RENDERING	AGE 0-20	32	None	172	None	28	None	55	None	13	None	34	None	26	None	26	None
1710182514	NARANJA DARWIN D	2021	FFS	RENDERING	AGE 21+	128	None	539	None	102	None	159	None	48	None	115	None	99	None	99	None
1710189600	HYUN DANIEL	2021	FFS	RENDERING	AGE 0-20	144	None	933	None	127	None	207	None	63	None	250	None	102	None	129	None
1710189600	HYUN DANIEL	2021	FFS	RENDERING	AGE 21+	195	None	922	None	88	None	88	None	118	None	383	None	77	None	77	None
1710192299	NGUYEN, TRUONG XUAN, DDS	2021	FFS	RENDERING	AGE 0-20	125	None	900	None	122	None	369	None	36	None	98	None	111	None	141	None
1710192299	NGUYEN, TRUONG XUAN, DDS	2021	FFS	RENDERING	AGE 21+	262	None	1,609	None	211	None	422	None	111	None	302	None	211	None	211	None
1710193826	ARSHADNIA, SHAHRIAR DDS	2021	FFS	RENDERING	AGE 0-20	431	None	1,956	None	271	None	622	None	94	None	178	None	372	None	384	None
1710193826	ARSHADNIA, SHAHRIAR DDS	2021	FFS	RENDERING	AGE 21+	595	None	2,153	None	66	None	117	None	305	None	893	None	363	None	363	None
1710193826	ARSHADNIA, SHAHRIAR DDS	2021	PHP	RENDERING	AGE 0-20	78	None	227	None	31	None	76	None	14	None	22	None	70	None	75	None
1710193826	ARSHADNIA, SHAHRIAR DDS	2021	PHP	RENDERING	AGE 21+	205	None	783	None	42	None	57	None	101	None	377	None	164	None	168	None
1710194964	MEHRVARZI, MEHRDOKHT DDS	2021	FFS	RENDERING	AGE 0-20	27	None	153	None	19	None	25	None	12	None	34	None	25	None	31	None
1710194964	MEHRVARZI, MEHRDOKHT DDS	2021	FFS	RENDERING	AGE 21+	75	None	324	None	26	None	27	None	31	None	88	None	64	None	64	None
1710197876	SUELDO ALBERTO	2021	FFS	RENDERING	AGE 0-20	97	None	1,006	None	66	None	161	None	70	None	304	None	57	None	65	None
1710197876	SUELDO ALBERTO	2021	FFS	RENDERING	AGE 21+	202	None	1,514	None	34	None	65	None	167	None	901	None	103	None	103	None
1710230206	AFIFI TAREQ M	2021	FFS	RENDERING	AGE 0-20	77	None	810	None	63	None	224	None	31	None	146	None	68	None	86	None
1710230206	AFIFI TAREQ M	2021	FFS	RENDERING	AGE 21+	118	None	981	None	60	None	111	None	82	None	404	None	91	None	91	None
1710230206	AFIFI TAREQ M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1710246640	NGUYEN ANTHONY H	2021	FFS	RENDERING	AGE 0-20	314	None	495	None	0	None	0	None	63	None	158	None	0	None	0	None
1710246640	NGUYEN ANTHONY H	2021	FFS	RENDERING	AGE 21+	16	None	16	None	0	None	0	None	0	None	0	None	0	None	0	None
1710246798	PARK, TRACY, DDS A PROFESSIO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710254784	VALLADARES LAZO ELISEO E	2021	FFS	RENDERING	AGE 0-20	135	None	595	None	92	None	208	None	68	None	196	None	84	None	90	None
1710254784	VALLADARES LAZO ELISEO E	2021	FFS	RENDERING	AGE 21+	204	None	735	None	87	None	151	None	137	None	319	None	107	None	107	None
1710265251	LUWIHARTO, SHEILA TEDJA DDS	2021	FFS	RENDERING	AGE 0-20	1,011	None	2,475	None	None	1	None	1	575	None	1,164	None	0	None	0	None
1710265251	LUWIHARTO, SHEILA TEDJA DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710274204	VIET HO H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1710274204	VIET HO H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710275375	AGHAZADEHSANAI NONA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710275375	AGHAZADEHSANAI NONA	2021	PHP	RENDERING	AGE 21+	14	None	29	None	0	None	0	None	13	None	19	None	0	None	0	None
1710288147	OLSON WILLIAM A	2021	FFS	RENDERING	AGE 0-20	19	None	50	None	None	1	None	1	None	1	None	2	0	None	0	None
1710288147	OLSON WILLIAM A	2021	FFS	RENDERING	AGE 21+	75	None	184	None	0	None	0	None	52	None	94	None	0	None	0	None
1710328950	FIROOZI HAMED	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1710344148	EYVAZI DENTAL CORP	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1710354055	BOTROS, NADER, DDS PROF CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710381561	KASSEM LAMISE G	2021	FFS	RENDERING	AGE 0-20	57	None	252	None	54	None	74	None	None	1	None	2	47	None	57	None
1710381561	KASSEM LAMISE G	2021	FFS	RENDERING	AGE 21+	87	None	338	None	40	None	42	None	43	None	92	None	64	None	66	None
1710383724	LIM VIVIAN	2021	FFS	RENDERING	AGE 0-20	161	None	431	None	0	None	0	None	154	None	384	None	None	1	None	1
1710383724	LIM VIVIAN	2021	FFS	RENDERING	AGE 21+	382	None	1,080	None	0	None	0	None	371	None	956	None	24	None	24	None
1710383724	LIM VIVIAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1710383724	LIM VIVIAN	2021	PHP	RENDERING	AGE 21+	25	None	54	None	0	None	0	None	16	None	43	None	11	None	11	None
1710386974	BAKHSHALIAN NEEMA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710386974	BAKHSHALIAN NEEMA	2021	FFS	RENDERING	AGE 21+	28	None	71	None	0	None	0	None	28	None	71	None	0	None	0	None
1710388368	UPPAL DENTAL GROUP INC	2021	FFS	RENDERING	AGE 21+	26	None	195	None	0	None	0	None	12	None	109	None	18	None	20	None
1710388715	LEE JOON H	2021	FFS	RENDERING	AGE 0-20	2,457	None	40,497	None	2,336	None	10,497	None	1,668	None	7,152	None	2,405	None	3,865	None
1710388715	LEE JOON H	2021	FFS	RENDERING	AGE 21+	315	None	1,922	None	214	None	419	None	150	None	410	None	267	None	267	None
1710392881	DEAN JENNIFER A	2021	FFS	RENDERING	AGE 0-20	23	None	79	None	0	None	0	None	23	None	71	None	0	None	0	None
1710392881	DEAN JENNIFER A	2021	FFS	RENDERING	AGE 21+	33	None	136	None	0	None	0	None	33	None	110	None	0	None	0	None
1710392881	DEAN JENNIFER A	2021	GMC	RENDERING	AGE 0-20	137	None	678	None	None	1	None	1	134	None	552	None	20	None	21	None
1710392881	DEAN JENNIFER A	2021	GMC	RENDERING	AGE 21+	342	None	1,856	None	22	None	23	None	259	None	1,241	None	313	None	313	None
1710393327	ABDULLAH MINA M	2021	FFS	RENDERING	AGE 0-20	355	None	3,758	None	302	None	1,116	None	169	None	716	None	301	None	388	None
1710393327	ABDULLAH MINA M	2021	FFS	RENDERING	AGE 21+	806	None	7,950	None	528	None	1,019	None	582	None	3,427	None	562	None	564	None
1710395983	BELL JAMES	2021	FFS	RENDERING	AGE 0-20	969	None	6,469	None	899	None	2,674	None	583	None	791	None	852	None	859	None
1710395983	BELL JAMES	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710395983	BELL JAMES	2021	GMC	RENDERING	AGE 0-20	16	None	24	None	None	1	None	1	15	None	15	None	None	1	None	1
1710395983	BELL JAMES	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710395983	BELL JAMES	2021	PHP	RENDERING	AGE 0-20	16	None	113	None	14	None	50	None	None	1	None	1	16	None	18	None
1710401088	TAMSUT ERIC	2021	FFS	RENDERING	AGE 0-20	127	None	473	None	58	None	138	None	46	None	85	None	73	None	73	None
1710401088	TAMSUT ERIC	2021	FFS	RENDERING	AGE 21+	261	None	700	None	37	None	72	None	125	None	253	None	127	None	127	None
1710401088	TAMSUT ERIC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710401088	TAMSUT ERIC	2021	PHP	RENDERING	AGE 0-20	13	None	45	None	None	1	None	2	None	1	None	1	None	1	None	1
1710401088	TAMSUT ERIC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1710407630	SHARMA ANUPAMA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710409800	KANG JIYEA	2021	FFS	RENDERING	AGE 0-20	444	None	2,461	None	342	None	1,080	None	171	None	336	None	341	None	362	None
1710409800	KANG JIYEA	2021	FFS	RENDERING	AGE 21+	801	None	2,644	None	224	None	383	None	341	None	781	None	536	None	536	None
1710409800	KANG JIYEA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1710409800	KANG JIYEA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710409800	KANG JIYEA	2021	PHP	RENDERING	AGE 21+	13	None	41	None	None	1	None	1	None	1	None	2	None	1	None	1
1710414982	SEXENIAN ARAM	2021	FFS	RENDERING	AGE 0-20	295	None	2,008	None	279	None	947	None	100	None	155	None	280	None	286	None
1710416847	RAMIREZ LETICIA D	2021	FFS	RENDERING	AGE 0-20	392	None	3,589	None	283	None	808	None	195	None	533	None	303	None	380	None
1710416847	RAMIREZ LETICIA D	2021	FFS	RENDERING	AGE 21+	416	None	2,242	None	105	None	194	None	298	None	901	None	204	None	204	None
1710418538	SINGH, RAMAN, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710429584	NWACHOKOR TRAVIS E	2021	FFS	RENDERING	AGE 0-20	54	None	413	None	35	None	80	None	29	None	79	None	34	None	34	None
1710429584	NWACHOKOR TRAVIS E	2021	FFS	RENDERING	AGE 21+	218	None	1,075	None	64	None	126	None	161	None	450	None	78	None	78	None
1710433552	KAFRI PEYMAN	2021	FFS	RENDERING	AGE 0-20	215	None	1,891	None	159	None	532	None	126	None	486	None	196	None	233	None
1710433552	KAFRI PEYMAN	2021	FFS	RENDERING	AGE 21+	298	None	2,206	None	149	None	274	None	213	None	1,054	None	242	None	242	None
1710433552	KAFRI PEYMAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1710440599	CHENG ERIC	2021	FFS	RENDERING	AGE 0-20	20	None	171	None	16	None	34	None	None	1	None	2	15	None	15	None
1710440599	CHENG ERIC	2021	FFS	RENDERING	AGE 21+	47	None	231	None	None	1	None	2	34	None	76	None	26	None	26	None
1710440599	CHENG ERIC	2021	PHP	RENDERING	AGE 0-20	11	None	62	None	None	1	None	2	None	1	None	1	None	1	None	1
1710440599	CHENG ERIC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1710464060	HYUNG-JU JOHN KIM DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1710464060	KIM, HYUNG-JU JOHN, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1710466248	KIM SUE V	2021	FFS	RENDERING	AGE 0-20	568	None	1,742	None	0	None	0	None	187	None	454	None	0	None	0	None
1710466248	KIM SUE V	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710466248	KIM SUE V	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710468160	ABRAHAM AZADEH	2021	FFS	RENDERING	AGE 0-20	48	None	161	None	38	None	93	None	11	None	20	None	17	None	17	None
1710468160	ABRAHAM AZADEH	2021	FFS	RENDERING	AGE 21+	163	None	444	None	49	None	72	None	128	None	321	None	17	None	17	None
1710468160	ABRAHAM AZADEH	2021	PHP	RENDERING	AGE 0-20	25	None	210	None	21	None	85	None	17	None	54	None	22	None	27	None
1710468160	ABRAHAM AZADEH	2021	PHP	RENDERING	AGE 21+	31	None	159	None	None	1	None	2	15	None	58	None	24	None	27	None
1710480058	SHARMA KASHYAP	2021	FFS	RENDERING	AGE 0-20	274	None	1,646	None	136	None	372	None	102	None	286	None	214	None	219	None
1710480058	SHARMA KASHYAP	2021	FFS	RENDERING	AGE 21+	454	None	1,745	None	46	None	78	None	264	None	745	None	283	None	284	None
1710480389	ALETA ANNA LYN S	2021	FFS	RENDERING	AGE 0-20	211	None	878	None	97	None	218	None	109	None	285	None	122	None	126	None
1710480389	ALETA ANNA LYN S	2021	FFS	RENDERING	AGE 21+	420	None	1,505	None	111	None	213	None	251	None	695	None	214	None	214	None
1710480629	MANGAT CRYSTAL K	2021	FFS	RENDERING	AGE 0-20	12	None	35	None	12	None	29	None	None	1	None	1	None	1	None	1
1710480629	MANGAT CRYSTAL K	2021	FFS	RENDERING	AGE 21+	61	None	161	None	21	None	30	None	47	None	103	None	0	None	0	None
1710480629	MANGAT CRYSTAL K	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1710480629	MANGAT CRYSTAL K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1710483664	DO STEPHANIE H	2021	FFS	RENDERING	AGE 0-20	64	None	512	None	55	None	170	None	37	None	113	None	54	None	69	None
1710483664	DO STEPHANIE H	2021	FFS	RENDERING	AGE 21+	143	None	902	None	62	None	121	None	122	None	461	None	70	None	70	None
1710491352	LEE KYUUN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710526280	KAUR AMARDEEP	2021	FFS	RENDERING	AGE 0-20	218	None	899	None	86	None	192	None	92	None	227	None	155	None	158	None
1710526280	KAUR AMARDEEP	2021	FFS	RENDERING	AGE 21+	513	None	1,602	None	108	None	195	None	230	None	565	None	304	None	304	None
1710529367	MONTILLA HANSEL	2021	FFS	RENDERING	AGE 0-20	268	None	1,329	None	140	None	370	None	86	None	229	None	214	None	255	None
1710529367	MONTILLA HANSEL	2021	FFS	RENDERING	AGE 21+	416	None	1,432	None	37	None	56	None	229	None	615	None	230	None	234	None
1710529367	MONTILLA HANSEL	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1710529367	MONTILLA HANSEL	2021	PHP	RENDERING	AGE 0-20	137	None	505	None	72	None	224	None	41	None	98	None	113	None	123	None
1710529367	MONTILLA HANSEL	2021	PHP	RENDERING	AGE 21+	123	None	348	None	17	None	18	None	65	None	196	None	79	None	82	None
1710530035	CARABALLO CAITLIN M	2021	FFS	RENDERING	AGE 0-20	221	None	1,248	None	174	None	390	None	59	None	158	None	207	None	217	None
1710530035	CARABALLO CAITLIN M	2021	FFS	RENDERING	AGE 21+	441	None	2,069	None	201	None	395	None	234	None	755	None	328	None	328	None
1710533401	DEHDAR NASAB NEGIN	2021	FFS	RENDERING	AGE 0-20	70	None	487	None	43	None	121	None	49	None	164	None	41	None	43	None
1710533401	DEHDAR NASAB NEGIN	2021	FFS	RENDERING	AGE 21+	116	None	750	None	34	None	72	None	109	None	484	None	30	None	30	None
1710545637	PARK SI-EUN	2021	FFS	RENDERING	AGE 0-20	81	None	411	None	44	None	99	None	46	None	126	None	43	None	43	None
1710545637	PARK SI-EUN	2021	FFS	RENDERING	AGE 21+	131	None	509	None	26	None	50	None	84	None	234	None	47	None	47	None
1710559190	MULUK SAVANI SANJA	2021	FFS	RENDERING	AGE 0-20	259	None	1,081	None	173	None	531	None	118	None	252	None	87	None	87	None
1710559190	MULUK SAVANI SANJA	2021	FFS	RENDERING	AGE 21+	141	None	439	None	41	None	69	None	90	None	255	None	33	None	33	None
1710584172	YAGHOBIAN NIMA	2021	FFS	RENDERING	AGE 0-20	653	None	3,360	None	388	None	1,096	None	263	None	676	None	581	None	634	None
1710584172	YAGHOBIAN NIMA	2021	FFS	RENDERING	AGE 21+	724	None	2,554	None	102	None	184	None	420	None	1,149	None	512	None	512	None
1710584172	YAGHOBIAN NIMA	2021	PHP	RENDERING	AGE 0-20	86	None	333	None	47	None	141	None	31	None	64	None	68	None	69	None
1710584172	YAGHOBIAN NIMA	2021	PHP	RENDERING	AGE 21+	136	None	339	None	24	None	54	None	73	None	163	None	78	None	81	None
1710587563	SOJOODI SABA	2021	FFS	RENDERING	AGE 0-20	232	None	1,175	None	94	None	357	None	125	None	302	None	148	None	149	None
1710587563	SOJOODI SABA	2021	FFS	RENDERING	AGE 21+	358	None	1,183	None	62	None	111	None	184	None	459	None	207	None	207	None
1710949979	JORDAN RICHARD C.K.	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710973227	MCCARTHY JENNIFER FOX	2021	GMC	RENDERING	AGE 0-20	198	None	2,091	None	117	None	312	None	197	None	1,289	None	None	1	None	1
1710975172	DALAL, DR MRUGESH V DDS	2021	FFS	RENDERING	AGE 0-20	229	None	1,121	None	15	None	32	None	163	None	449	None	191	None	196	None
1710975172	DALAL, DR MRUGESH V DDS	2021	FFS	RENDERING	AGE 21+	66	None	474	None	27	None	27	None	45	None	191	None	45	None	46	None
1710975172	DALAL, DR MRUGESH V DDS	2021	PHP	RENDERING	AGE 0-20	28	None	136	None	18	None	43	None	None	1	None	2	20	None	24	None
1710975172	DALAL, DR MRUGESH V DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1710987797	GHAZARIAN SHAHEN	2021	FFS	RENDERING	AGE 0-20	14	None	60	None	None	1	None	2	None	1	None	2	None	1	None	1
1710987797	GHAZARIAN SHAHEN	2021	FFS	RENDERING	AGE 21+	78	None	422	None	36	None	36	None	56	None	203	None	43	None	43	None
1710987797	GHAZARIAN SHAHEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1710987797	GHAZARIAN SHAHEN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1710990940	KIM YOUNG W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710990940	KIM YOUNG W	2021	FFS	RENDERING	AGE 21+	13	None	37	None	0	None	0	None	13	None	37	None	0	None	0	None
1710995881	DO DUC H	2021	FFS	RENDERING	AGE 0-20	394	None	2,519	None	346	None	1,027	None	161	None	422	None	360	None	450	None
1710995881	DO DUC H	2021	FFS	RENDERING	AGE 21+	861	None	4,578	None	519	None	915	None	557	None	2,208	None	594	None	595	None
1720053325	ELGENDI HAITHAM H	2021	FFS	RENDERING	AGE 0-20	153	None	1,551	None	137	None	444	None	35	None	75	None	138	None	138	None
1720053325	ELGENDI HAITHAM H	2021	FFS	RENDERING	AGE 21+	156	None	959	None	48	None	100	None	95	None	247	None	84	None	86	None
1720071426	BEBER DAVID J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1720071640	PHAN BINH T	2021	FFS	RENDERING	AGE 0-20	50	None	416	None	39	None	111	None	25	None	57	None	43	None	52	None
1720071640	PHAN BINH T	2021	FFS	RENDERING	AGE 21+	134	None	1,013	None	89	None	173	None	89	None	308	None	99	None	99	None
1720085194	TRINH, BRIAN BINH, DDS	2021	FFS	RENDERING	AGE 0-20	18	None	165	None	17	None	44	None	None	1	None	1	17	None	18	None
1720085194	TRINH, BRIAN BINH, DDS	2021	FFS	RENDERING	AGE 21+	49	None	548	None	40	None	80	None	29	None	90	None	40	None	42	None
1720097264	PHAM JOHN C	2021	FFS	RENDERING	AGE 0-20	261	None	1,988	None	216	None	702	None	97	None	284	None	217	None	248	None
1720097264	PHAM JOHN C	2021	FFS	RENDERING	AGE 21+	595	None	4,019	None	291	None	518	None	392	None	1,625	None	429	None	429	None
1720097264	PHAM JOHN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720097264	PHAM JOHN C	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720099930	TRAN ANN	2021	FFS	RENDERING	AGE 0-20	16	None	98	None	15	None	22	None	None	1	None	2	14	None	19	None
1720099930	TRAN ANN	2021	FFS	RENDERING	AGE 21+	81	None	480	None	57	None	57	None	58	None	285	None	63	None	63	None
1720099930	TRAN, ANN B, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	98	None	15	None	22	None	None	1	None	2	14	None	19	None
1720099930	TRAN, ANN B, DDS	2021	FFS	RENDERING	AGE 21+	81	None	480	None	57	None	57	None	58	None	285	None	63	None	63	None
1720100886	NAM DANIEL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1720100886	NAM DANIEL S	2021	FFS	RENDERING	AGE 21+	104	None	526	None	None	1	None	1	83	None	371	None	59	None	59	None
1720106511	LUCIANO, ANGELITA Y, DDS	2021	FFS	RENDERING	AGE 0-20	276	None	2,911	None	260	None	773	None	135	None	397	None	261	None	386	None
1720106511	LUCIANO, ANGELITA Y, DDS	2021	FFS	RENDERING	AGE 21+	92	None	605	None	65	None	65	None	50	None	130	None	73	None	73	None
1720108293	DINH ROBERT T	2021	FFS	RENDERING	AGE 0-20	63	None	934	None	60	None	170	None	19	None	90	None	59	None	83	None
1720108293	DINH ROBERT T	2021	FFS	RENDERING	AGE 21+	94	None	1,081	None	77	None	153	None	38	None	228	None	77	None	77	None
1720113756	SHAH BHAVI K	2021	FFS	RENDERING	AGE 0-20	68	None	415	None	45	None	137	None	39	None	82	None	50	None	52	None
1720113756	SHAH BHAVI K	2021	FFS	RENDERING	AGE 21+	167	None	795	None	40	None	70	None	129	None	414	None	88	None	88	None
1720113756	SHAH BHAVI K	2021	PHP	RENDERING	AGE 0-20	288	None	2,980	None	226	None	1,030	None	172	None	869	None	255	None	307	None
1720113756	SHAH BHAVI K	2021	PHP	RENDERING	AGE 21+	299	None	2,038	None	95	None	159	None	234	None	1,128	None	237	None	267	None
1720115033	FAMILY HEALTH CARE CENTERS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1720115033	FAMILY HEALTH CARE CENTERS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720117245	LI KENNETH YIU K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720117245	LI KENNETH YIU K	2021	FFS	RENDERING	AGE 21+	11	None	53	None	None	1	None	1	None	1	None	2	None	1	None	1
1720120538	JOSHI, ACHYUT DDS	2021	FFS	RENDERING	AGE 0-20	819	None	7,870	None	787	None	2,887	None	425	None	1,114	None	806	None	1,101	None
1720120538	JOSHI, ACHYUT DDS	2021	FFS	RENDERING	AGE 21+	617	None	4,174	None	320	None	591	None	431	None	1,742	None	461	None	462	None
1720120801	AHMADNIA SHERVIN	2021	FFS	RENDERING	AGE 0-20	197	None	1,601	None	181	None	474	None	62	None	182	None	189	None	259	None
1720120801	AHMADNIA SHERVIN	2021	FFS	RENDERING	AGE 21+	1,054	None	6,219	None	629	None	629	None	680	None	1,924	None	778	None	778	None
1720123268	DOSHI, ABHAY	2021	FFS	RENDERING	AGE 0-20	485	None	4,658	None	203	None	545	None	363	None	919	None	214	None	264	None
1720123268	DOSHI, ABHAY	2021	FFS	RENDERING	AGE 21+	933	None	8,647	None	97	None	194	None	599	None	1,311	None	644	None	644	None
1720126261	KUMAR, PARESH B DDS	2021	FFS	RENDERING	AGE 0-20	237	None	2,561	None	209	None	369	None	83	None	362	None	131	None	145	None
1720126261	KUMAR, PARESH B DDS	2021	FFS	RENDERING	AGE 21+	435	None	5,256	None	293	None	293	None	398	None	2,311	None	157	None	157	None
1720127962	BACA, NORMA A DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1720127962	BACA, NORMA A DDS	2021	FFS	RENDERING	AGE 21+	43	None	133	None	None	1	None	2	27	None	43	None	16	None	16	None
1720128374	ROTHSTEIN TORREY M	2021	FFS	RENDERING	AGE 0-20	194	None	865	None	146	None	304	None	58	None	101	None	135	None	137	None
1720128374	ROTHSTEIN TORREY M	2021	FFS	RENDERING	AGE 21+	116	None	402	None	25	None	42	None	76	None	130	None	47	None	47	None
1720130834	WEE, SUNGCHUN DDS	2021	FFS	RENDERING	AGE 0-20	234	None	1,504	None	190	None	359	None	89	None	233	None	182	None	200	None
1720130834	WEE, SUNGCHUN DDS	2021	FFS	RENDERING	AGE 21+	347	None	1,933	None	70	None	70	None	272	None	971	None	194	None	194	None
1720130859	VAFADAR MAKAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720130859	VAFADAR MAKAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1720132525	CHMIELEWSKI, WALDEMAR	2021	FFS	RENDERING	AGE 0-20	76	None	660	None	61	None	261	None	24	None	38	None	67	None	69	None
1720132525	CHMIELEWSKI, WALDEMAR	2021	FFS	RENDERING	AGE 21+	375	None	2,622	None	161	None	321	None	218	None	589	None	213	None	214	None
1720132525	CHMIELEWSKI, WALDEMAR	2021	PHP	RENDERING	AGE 0-20	29	None	299	None	26	None	142	None	None	1	None	2	28	None	33	None
1720132525	CHMIELEWSKI, WALDEMAR	2021	PHP	RENDERING	AGE 21+	42	None	254	None	22	None	46	None	25	None	69	None	23	None	23	None
1720134091	LUIS MODESTO F	2021	FFS	RENDERING	AGE 0-20	1,521	None	16,271	None	1,444	None	5,594	None	930	None	3,465	None	1,463	None	2,029	None
1720134091	LUIS MODESTO F	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720139793	CHIEN JUSTIN M	2021	FFS	RENDERING	AGE 0-20	57	None	297	None	55	None	80	None	24	None	65	None	55	None	58	None
1720139793	CHIEN JUSTIN M	2021	FFS	RENDERING	AGE 21+	123	None	571	None	71	None	74	None	75	None	196	None	83	None	83	None
1720139793	CHIEN, JUSTIN, DDS	2021	FFS	RENDERING	AGE 0-20	57	None	297	None	55	None	80	None	24	None	65	None	55	None	58	None
1720139793	CHIEN, JUSTIN, DDS	2021	FFS	RENDERING	AGE 21+	123	None	571	None	71	None	74	None	75	None	196	None	83	None	83	None
1720140627	ASLANIAN YERVANT G	2021	FFS	RENDERING	AGE 0-20	34	None	93	None	0	None	0	None	33	None	91	None	None	1	None	1
1720140627	ASLANIAN YERVANT G	2021	FFS	RENDERING	AGE 21+	31	None	100	None	0	None	0	None	31	None	99	None	0	None	0	None
1720140627	ASLANIAN YERVANT G	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1720142003	GUEDIKIAN RAFFI	2021	FFS	RENDERING	AGE 0-20	295	None	4,136	None	258	None	775	None	167	None	666	None	224	None	287	None
1720142003	GUEDIKIAN RAFFI	2021	FFS	RENDERING	AGE 21+	322	None	2,794	None	114	None	116	None	248	None	1,343	None	187	None	187	None
1720142102	MARQUEZ JR, CLARO M, DMD	2021	FFS	RENDERING	AGE 0-20	78	None	999	None	76	None	219	None	30	None	89	None	72	None	96	None
1720142102	MARQUEZ JR, CLARO M, DMD	2021	FFS	RENDERING	AGE 21+	272	None	3,128	None	183	None	365	None	206	None	680	None	213	None	213	None
1720144033	DALE, DARLA D	2021	FFS	RENDERING	AGE 0-20	200	None	567	None	199	None	549	None	None	1	None	1	0	None	0	None
1720144033	DALE, DARLA D	2021	FFS	RENDERING	AGE 21+	155	None	336	None	136	None	246	None	None	1	None	2	0	None	0	None
1720148661	YAR SEAN	2021	FFS	RENDERING	AGE 0-20	100	None	892	None	81	None	209	None	46	None	200	None	82	None	104	None
1720148661	YAR SEAN	2021	FFS	RENDERING	AGE 21+	182	None	993	None	48	None	85	None	80	None	344	None	151	None	151	None
1720154370	PIEDRA ISABELLA	2021	FFS	RENDERING	AGE 0-20	27	None	507	None	17	None	47	None	27	None	351	None	25	None	25	None
1720154370	PIEDRA ISABELLA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720154651	SMOLKIN DARREN	2021	FFS	RENDERING	AGE 21+	44	None	156	None	0	None	0	None	44	None	156	None	0	None	0	None
1720154651	SMOLKIN DARREN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720156060	SHAFAJOO HENRY	2021	FFS	RENDERING	AGE 0-20	31	None	192	None	22	None	85	None	None	1	None	2	27	None	27	None
1720156060	SHAFAJOO HENRY	2021	FFS	RENDERING	AGE 21+	65	None	205	None	16	None	25	None	24	None	60	None	45	None	45	None
1720156060	SHAFAJOO HENRY	2021	PHP	RENDERING	AGE 0-20	39	None	198	None	23	None	31	None	11	None	55	None	30	None	30	None
1720156060	SHAFAJOO HENRY	2021	PHP	RENDERING	AGE 21+	73	None	252	None	None	1	None	1	26	None	89	None	53	None	53	None
1720161441	CANUTO MARIA ANA S	2021	FFS	RENDERING	AGE 0-20	44	None	246	None	37	None	78	None	18	None	39	None	34	None	38	None
1720161441	CANUTO MARIA ANA S	2021	FFS	RENDERING	AGE 21+	64	None	420	None	41	None	41	None	38	None	84	None	39	None	39	None
1720164627	KRUPA GARY M	2021	GMC	RENDERING	AGE 0-20	124	None	665	None	98	None	202	None	35	None	56	None	108	None	108	None
1720164627	KRUPA GARY M	2021	GMC	RENDERING	AGE 21+	210	None	735	None	39	None	39	None	71	None	106	None	158	None	159	None
1720165921	MACHHADANI AIHAM	2021	PHP	RENDERING	AGE 0-20	12	None	21	None	0	None	0	None	12	None	20	None	None	1	None	1
1720165921	MACHHADANI AIHAM	2021	PHP	RENDERING	AGE 21+	117	None	177	None	None	1	None	1	72	None	93	None	72	None	73	None
1720173115	NICHOLS, RICK J, DDS	2021	FFS	RENDERING	AGE 0-20	907	None	6,745	None	853	None	2,807	None	582	None	1,399	None	842	None	904	None
1720173115	NICHOLS, RICK J, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1720174832	BELTON MICHAEL J	2021	FFS	RENDERING	AGE 0-20	244	None	1,002	None	0	None	0	None	166	None	580	None	200	None	200	None
1720174832	BELTON MICHAEL J	2021	FFS	RENDERING	AGE 21+	315	None	1,130	None	0	None	0	None	183	None	556	None	264	None	264	None
1720174832	BELTON MICHAEL J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720175003	NGUYEN MANUEL P	2021	FFS	RENDERING	AGE 0-20	208	None	1,848	None	192	None	814	None	53	None	113	None	195	None	291	None
1720175003	NGUYEN MANUEL P	2021	FFS	RENDERING	AGE 21+	199	None	1,113	None	156	None	310	None	93	None	246	None	166	None	166	None
1720175722	AJDAHARIAN, HAROUTUNE DDS	2021	FFS	RENDERING	AGE 0-20	18	None	129	None	13	None	30	None	13	None	57	None	17	None	19	None
1720175722	AJDAHARIAN, HAROUTUNE DDS	2021	FFS	RENDERING	AGE 21+	395	None	2,101	None	147	None	263	None	341	None	1,122	None	325	None	325	None
1720181779	TIU, DENNIS L, DDS	2021	FFS	RENDERING	AGE 0-20	350	None	3,742	None	251	None	944	None	202	None	527	None	210	None	224	None
1720181779	TIU, DENNIS L, DDS	2021	FFS	RENDERING	AGE 21+	606	None	3,129	None	78	None	154	None	552	None	1,715	None	61	None	61	None
1720186919	MORVARID ABDOLRAZZAGH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720186919	MORVARID ABDOLRAZZAGH	2021	FFS	RENDERING	AGE 21+	35	None	201	None	14	None	14	None	26	None	120	None	23	None	23	None
1720188741	RASKIN, PAUL DAVID, DDS	2021	FFS	RENDERING	AGE 21+	70	None	152	None	0	None	0	None	67	None	128	None	24	None	24	None
1720195084	ASAAD, MAHER	2021	FFS	RENDERING	AGE 0-20	119	None	844	None	114	None	286	None	42	None	73	None	101	None	117	None
1720195084	ASAAD, MAHER	2021	FFS	RENDERING	AGE 21+	263	None	1,872	None	147	None	149	None	209	None	840	None	179	None	179	None
1720204134	SHAHRIARI, HOMA	2021	FFS	RENDERING	AGE 0-20	71	None	686	None	62	None	217	None	17	None	47	None	68	None	82	None
1720204134	SHAHRIARI, HOMA	2021	FFS	RENDERING	AGE 21+	313	None	2,782	None	114	None	226	None	245	None	1,155	None	223	None	225	None
1720204134	SHAHRIARI, HOMA	2021	PHP	RENDERING	AGE 0-20	50	None	360	None	46	None	118	None	12	None	40	None	48	None	61	None
1720204134	SHAHRIARI, HOMA	2021	PHP	RENDERING	AGE 21+	79	None	482	None	24	None	38	None	55	None	223	None	61	None	61	None
1720207954	CHAN WAYMAN M	2021	FFS	RENDERING	AGE 0-20	3,395	None	31,608	None	2,647	None	6,714	None	1,934	None	10,443	None	2,429	None	2,546	None
1720207954	CHAN WAYMAN M	2021	FFS	RENDERING	AGE 21+	29	None	175	None	17	None	34	None	13	None	47	None	22	None	22	None
1720208671	SATA MEGHA B	2021	FFS	RENDERING	AGE 0-20	734	None	4,946	None	666	None	2,096	None	417	None	961	None	629	None	737	None
1720208671	SATA MEGHA B	2021	FFS	RENDERING	AGE 21+	18	None	70	None	11	None	20	None	None	1	None	2	None	1	None	1
1720208671	SATA MEGHA B	2021	PHP	RENDERING	AGE 0-20	53	None	371	None	46	None	146	None	37	None	83	None	42	None	47	None
1720208721	KNIGHT, FRED W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720208721	KNIGHT, FRED W, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720227267	MALONE JR, DORMAN R, DDS	2021	FFS	RENDERING	AGE 0-20	78	None	505	None	67	None	170	None	46	None	132	None	71	None	81	None
1720227267	MALONE JR, DORMAN R, DDS	2021	FFS	RENDERING	AGE 21+	194	None	1,215	None	105	None	206	None	141	None	533	None	145	None	145	None
1720239197	MOLKARA MOZHGAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1720239197	MOLKARA MOZHGAN	2021	FFS	RENDERING	AGE 21+	44	None	235	None	16	None	16	None	33	None	164	None	32	None	32	None
1720239866	KIM SOYOUNG L	2021	FFS	RENDERING	AGE 0-20	500	None	7,102	None	461	None	1,796	None	224	None	624	None	481	None	596	None
1720239866	KIM SOYOUNG L	2021	FFS	RENDERING	AGE 21+	440	None	3,672	None	204	None	402	None	299	None	1,092	None	341	None	341	None
1720243140	TRAN, PHONG THANH, DDS	2021	FFS	RENDERING	AGE 0-20	30	None	304	None	27	None	96	None	None	1	None	2	28	None	72	None
1720243140	TRAN, PHONG THANH, DDS	2021	FFS	RENDERING	AGE 21+	53	None	446	None	34	None	68	None	17	None	40	None	43	None	86	None
1720254667	YOUNG ROYCE J	2021	FFS	RENDERING	AGE 0-20	187	None	1,139	None	99	None	215	None	132	None	501	None	147	None	167	None
1720254667	YOUNG ROYCE J	2021	FFS	RENDERING	AGE 21+	68	None	301	None	31	None	40	None	33	None	143	None	62	None	62	None
1720257017	TAN, TSAI-HUA, DDS INC	2021	FFS	RENDERING	AGE 0-20	53	None	260	None	48	None	65	None	16	None	45	None	44	None	54	None
1720257017	TAN, TSAI-HUA, DDS INC	2021	FFS	RENDERING	AGE 21+	116	None	449	None	80	None	81	None	46	None	130	None	75	None	76	None
1720270937	MINASYAN ARMEN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1720275217	KHOSROVANI ALI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1720275217	KHOSROVANI ALI	2021	FFS	RENDERING	AGE 21+	43	None	171	None	31	None	31	None	None	1	None	2	39	None	39	None
1720280456	LALEZARZADEH, DDS CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1720282791	SMITH, SHIRLEY M, RDHAP	2021	FFS	RENDERING	AGE 21+	105	None	697	None	103	None	375	None	105	None	322	None	0	None	0	None
1720288400	DAVIDIAN RAFI	2021	FFS	RENDERING	AGE 0-20	145	None	2,231	None	120	None	507	None	108	None	754	None	132	None	205	None
1720288400	DAVIDIAN RAFI	2021	FFS	RENDERING	AGE 21+	224	None	2,465	None	130	None	260	None	188	None	1,481	None	173	None	175	None
1720291826	KNITER SINAIDA	2021	FFS	RENDERING	AGE 0-20	40	None	454	None	37	None	98	None	24	None	143	None	39	None	50	None
1720291826	KNITER SINAIDA	2021	FFS	RENDERING	AGE 21+	472	None	5,689	None	351	None	605	None	428	None	2,798	None	396	None	396	None
1720292998	GAROFALO, ANTHONY PHILIP DMD	2021	FFS	RENDERING	AGE 0-20	676	None	7,112	None	388	None	1,121	None	65	None	73	None	656	None	817	None
1720292998	GAROFALO, ANTHONY PHILIP DMD	2021	FFS	RENDERING	AGE 21+	1,058	None	6,428	None	41	None	46	None	247	None	311	None	922	None	922	None
1720295348	MAFI SHIDROKH	2021	PHP	RENDERING	AGE 0-20	119	None	936	None	100	None	373	None	107	None	206	None	38	None	41	None
1720295348	MAFI SHIDROKH	2021	PHP	RENDERING	AGE 21+	154	None	955	None	105	None	287	None	139	None	309	None	43	None	44	None
1720297302	ARAKELIAN ARTOUR	2021	FFS	RENDERING	AGE 0-20	19	None	165	None	17	None	37	None	None	1	None	2	14	None	18	None
1720297302	ARAKELIAN ARTOUR	2021	FFS	RENDERING	AGE 21+	58	None	305	None	20	None	22	None	32	None	114	None	43	None	43	None
1720297542	ESTRADA-GUEVARA, MARIA G, DD	2021	FFS	RENDERING	AGE 0-20	265	None	3,456	None	249	None	902	None	140	None	433	None	257	None	313	None
1720297542	ESTRADA-GUEVARA, MARIA G, DD	2021	FFS	RENDERING	AGE 21+	568	None	4,717	None	236	None	459	None	442	None	1,859	None	438	None	438	None
1720297542	ESTRADA-GUEVARA, MARIA G, DD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720299969	CHOU KATY	2021	FFS	RENDERING	AGE 0-20	633	None	7,619	None	603	None	2,239	None	242	None	541	None	594	None	810	None
1720299969	CHOU KATY	2021	FFS	RENDERING	AGE 21+	508	None	3,647	None	333	None	652	None	331	None	1,206	None	392	None	392	None
1720300163	NEWTON, MARY RENE, RDHAP	2021	FFS	RENDERING	AGE 21+	16	None	47	None	15	None	32	None	13	None	15	None	0	None	0	None
1720306921	DUGAN RONALD M	2021	FFS	RENDERING	AGE 0-20	463	None	5,456	None	350	None	948	None	258	None	675	None	374	None	434	None
1720306921	DUGAN RONALD M	2021	FFS	RENDERING	AGE 21+	309	None	2,468	None	61	None	71	None	224	None	642	None	180	None	180	None
1720310279	FERESHTEH SANAZ	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720310279	FERESHTEH SANAZ	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720324494	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	29	None	89	None	12	None	17	None	None	1	None	1	13	None	13	None
1720324494	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	37	None	82	None	0	None	0	None	None	1	None	2	None	1	None	1
1720324494	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	29	None	89	None	12	None	17	None	None	1	None	1	13	None	13	None
1720324494	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	37	None	82	None	0	None	0	None	None	1	None	2	None	1	None	1
1720338809	GHARIBIAN, ANDRE DDS	2021	FFS	RENDERING	AGE 0-20	3,436	None	41,438	None	3,391	None	15,627	None	2,007	None	10,344	None	3,415	None	5,015	None
1720338809	GHARIBIAN, ANDRE DDS	2021	FFS	RENDERING	AGE 21+	36	None	251	None	25	None	50	None	20	None	89	None	26	None	26	None
1720342439	OVSEPYAN TIGRAN	2021	FFS	RENDERING	AGE 0-20	249	None	2,781	None	206	None	678	None	89	None	256	None	232	None	297	None
1720342439	OVSEPYAN TIGRAN	2021	FFS	RENDERING	AGE 21+	311	None	1,486	None	97	None	188	None	160	None	485	None	226	None	226	None
1720342439	OVSEPYAN TIGRAN	2021	PHP	RENDERING	AGE 0-20	92	None	825	None	77	None	342	None	21	None	59	None	91	None	119	None
1720342439	OVSEPYAN TIGRAN	2021	PHP	RENDERING	AGE 21+	164	None	870	None	46	None	92	None	70	None	339	None	150	None	159	None
1720354731	POU, SARAH LAURA DDS	2021	FFS	RENDERING	AGE 0-20	113	None	1,087	None	90	None	231	None	60	None	214	None	87	None	92	None
1720354731	POU, SARAH LAURA DDS	2021	FFS	RENDERING	AGE 21+	82	None	423	None	33	None	55	None	55	None	178	None	53	None	53	None
1720363401	DIWANA RAJESHWARI	2021	FFS	RENDERING	AGE 0-20	1,131	None	18,123	None	659	None	1,771	None	1,124	None	12,252	None	1,058	None	1,058	None
1720363401	DIWANA RAJESHWARI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720363401	DIWANA RAJESHWARI	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720363401	DIWANA RAJESHWARI	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720367303	LOVE WILLIAM JOHN V	2021	FFS	RENDERING	AGE 0-20	138	None	599	None	77	None	195	None	40	None	257	None	80	None	94	None
1720367303	LOVE WILLIAM JOHN V	2021	FFS	RENDERING	AGE 21+	85	None	437	None	32	None	49	None	47	None	275	None	60	None	60	None
1720375629	KANG HYEJUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720375629	KANG HYEJUNG	2021	PHP	RENDERING	AGE 0-20	175	None	865	None	145	None	432	None	86	None	124	None	81	None	83	None
1720375629	KANG HYEJUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1720380595	KAUR ARSHDEEP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720383532	KAKOLI NELI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1720383532	KAKOLI NELI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720395536	ASURZA HUGO R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720395536	ASURZA HUGO R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1720396427	CHOI WILLIAM M	2021	FFS	RENDERING	AGE 0-20	1,708	None	14,638	None	1,538	None	5,229	None	630	None	1,932	None	1,534	None	1,980	None
1720396427	CHOI WILLIAM M	2021	FFS	RENDERING	AGE 21+	2,432	None	13,375	None	1,757	None	3,355	None	1,093	None	3,180	None	1,924	None	1,924	None
1720413735	TRUONG RICHARD T	2021	FFS	RENDERING	AGE 0-20	99	None	745	None	86	None	173	None	46	None	127	None	91	None	117	None
1720413735	TRUONG RICHARD T	2021	FFS	RENDERING	AGE 21+	167	None	1,031	None	116	None	116	None	82	None	259	None	139	None	139	None
1720413735	TRUONG RICHARD T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720415409	HARRIS TIFFANY B	2021	FFS	RENDERING	AGE 0-20	286	None	2,986	None	226	None	618	None	138	None	389	None	225	None	270	None
1720415409	HARRIS TIFFANY B	2021	FFS	RENDERING	AGE 21+	297	None	1,616	None	107	None	207	None	236	None	698	None	86	None	87	None
1720415698	AU YOUNG KELVIN S	2021	FFS	RENDERING	AGE 21+	22	None	219	None	20	None	20	None	18	None	86	None	19	None	19	None
1720426174	ELGAMAL SHIERF M	2021	FFS	RENDERING	AGE 0-20	36	None	177	None	26	None	48	None	None	1	None	2	36	None	39	None
1720426174	ELGAMAL SHIERF M	2021	FFS	RENDERING	AGE 21+	94	None	416	None	26	None	26	None	46	None	174	None	87	None	87	None
1720431489	MEYER KATERINA A	2021	FFS	RENDERING	AGE 0-20	5,106	None	50,792	None	4,711	None	16,408	None	3,349	None	13,641	None	4,782	None	6,099	None
1720431489	MEYER KATERINA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720440936	YU YANG-YANG	2021	FFS	RENDERING	AGE 0-20	100	None	718	None	59	None	200	None	62	None	193	None	69	None	73	None
1720440936	YU YANG-YANG	2021	FFS	RENDERING	AGE 21+	366	None	1,809	None	54	None	92	None	266	None	780	None	223	None	223	None
1720446511	PARFITT JOSHUA J	2021	FFS	RENDERING	AGE 0-20	38	None	92	None	0	None	0	None	38	None	92	None	0	None	0	None
1720446511	PARFITT JOSHUA J	2021	FFS	RENDERING	AGE 21+	95	None	256	None	0	None	0	None	94	None	254	None	0	None	0	None
1720446511	PARFITT JOSHUA J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1720477813	SETINA, JENNIFER L, RDHAP	2021	FFS	RENDERING	AGE 21+	331	None	2,493	None	323	None	837	None	331	None	1,557	None	0	None	0	None
1720481112	KIM HOWARD	2021	PHP	RENDERING	AGE 0-20	18	None	91	None	11	None	33	None	11	None	19	None	None	1	None	1
1720481112	KIM HOWARD	2021	PHP	RENDERING	AGE 21+	41	None	226	None	12	None	22	None	34	None	108	None	19	None	19	None
1720485618	CHOI SUN	2021	FFS	RENDERING	AGE 0-20	318	None	4,004	None	265	None	714	None	162	None	723	None	287	None	341	None
1720485618	CHOI SUN	2021	FFS	RENDERING	AGE 21+	608	None	5,049	None	153	None	163	None	466	None	1,872	None	380	None	380	None
1720505126	BANKIAN GILDA	2021	FFS	RENDERING	AGE 0-20	957	None	10,301	None	870	None	3,521	None	650	None	2,741	None	875	None	1,203	None
1720505126	BANKIAN GILDA	2021	FFS	RENDERING	AGE 21+	187	None	959	None	90	None	179	None	126	None	417	None	105	None	105	None
1720517980	NG TIMOTHY KWOK CHU	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1720523004	URRUCHI ENRIQUE	2021	FFS	RENDERING	AGE 0-20	212	None	1,537	None	153	None	372	None	80	None	206	None	153	None	175	None
1720523004	URRUCHI ENRIQUE	2021	FFS	RENDERING	AGE 21+	575	None	2,822	None	172	None	311	None	396	None	1,186	None	290	None	290	None
1720530645	LANGE RYAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720530645	LANGE RYAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720541311	TRUONG MINDY	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720541311	TRUONG MINDY	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720549306	YOONG PHILIP L	2021	FFS	RENDERING	AGE 0-20	388	None	2,362	None	305	None	748	None	205	None	417	None	283	None	287	None
1720572787	KHACHATRYAN HAMLET	2021	FFS	RENDERING	AGE 0-20	439	None	3,724	None	348	None	1,157	None	305	None	1,191	None	330	None	337	None
1720572787	KHACHATRYAN HAMLET	2021	FFS	RENDERING	AGE 21+	234	None	894	None	43	None	70	None	146	None	412	None	104	None	104	None
1720584790	TRAN, LINDA L, DDS A PROFESS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1720626435	DHALIWAL MANRAJ K	2021	FFS	RENDERING	AGE 0-20	4,464	None	57,794	None	3,687	None	9,664	None	2,074	None	8,722	None	3,632	None	4,462	None
1720626435	DHALIWAL MANRAJ K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1720626435	DHALIWAL MANRAJ K	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1720640055	BRAWLEY DUNG T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1720640055	BRAWLEY DUNG T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720640055	BRAWLEY DUNG T	2021	GMC	RENDERING	AGE 0-20	783	None	4,005	None	653	None	2,272	None	313	None	424	None	303	None	324	None
1720640055	BRAWLEY DUNG T	2021	GMC	RENDERING	AGE 21+	351	None	1,620	None	84	None	171	None	291	None	819	None	142	None	142	None
1720640055	BRAWLEY DUNG T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1720640683	MORIOKA DALLAS K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1720648280	LIU JESSICA E	2021	FFS	RENDERING	AGE 0-20	670	None	1,553	None	0	None	0	None	468	None	884	None	0	None	0	None
1720648280	LIU JESSICA E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1720684061	TARAR SAAD M	2021	FFS	RENDERING	AGE 0-20	248	None	796	None	61	None	157	None	109	None	203	None	126	None	130	None
1720684061	TARAR SAAD M	2021	FFS	RENDERING	AGE 21+	857	None	2,100	None	61	None	120	None	380	None	682	None	457	None	459	None
1730105206	PHAN, HAI THANH DDS	2021	FFS	RENDERING	AGE 0-20	239	None	1,823	None	223	None	1,104	None	69	None	166	None	229	None	263	None
1730105206	PHAN, HAI THANH DDS	2021	FFS	RENDERING	AGE 21+	350	None	1,539	None	242	None	484	None	188	None	359	None	286	None	286	None
1730119249	KILZI MICHAEL G	2021	FFS	RENDERING	AGE 0-20	97	None	1,083	None	82	None	304	None	63	None	210	None	90	None	124	None
1730119249	KILZI MICHAEL G	2021	FFS	RENDERING	AGE 21+	186	None	1,795	None	101	None	185	None	136	None	723	None	143	None	143	None
1730154394	CHANG, CHEE DDS	2021	FFS	RENDERING	AGE 0-20	17	None	111	None	12	None	31	None	None	1	None	2	11	None	14	None
1730154394	CHANG, CHEE DDS	2021	FFS	RENDERING	AGE 21+	108	None	505	None	34	None	50	None	78	None	203	None	68	None	68	None
1730154394	CHANG, CHEE DDS	2021	GMC	RENDERING	AGE 0-20	387	None	1,823	None	247	None	754	None	111	None	240	None	333	None	351	None
1730154394	CHANG, CHEE DDS	2021	GMC	RENDERING	AGE 21+	568	None	2,439	None	199	None	302	None	376	None	1,096	None	310	None	310	None
1730169392	GRIGORYAN, MHER DDS	2021	FFS	RENDERING	AGE 0-20	403	None	7,394	None	386	None	1,865	None	303	None	1,953	None	390	None	545	None
1730169392	GRIGORYAN, MHER DDS	2021	FFS	RENDERING	AGE 21+	298	None	3,682	None	210	None	416	None	251	None	1,787	None	233	None	233	None
1730175977	BENTZ, SHELBY L MD	2021	FFS	RENDERING	AGE 0-20	152	None	359	None	0	None	0	None	152	None	359	None	0	None	0	None
1730181587	FRANCO-CASTELLANOS, LUIS R,	2021	FFS	RENDERING	AGE 0-20	27	None	221	None	27	None	51	None	16	None	92	None	25	None	27	None
1730181587	FRANCO-CASTELLANOS, LUIS R,	2021	FFS	RENDERING	AGE 21+	77	None	463	None	44	None	44	None	35	None	231	None	71	None	71	None
1730203712	PATAM MARLICE A	2021	PHP	RENDERING	AGE 0-20	14	None	80	None	0	None	0	None	14	None	67	None	0	None	0	None
1730203712	PATAM MARLICE A	2021	PHP	RENDERING	AGE 21+	13	None	47	None	0	None	0	None	None	1	None	2	None	1	None	1
1730205626	BERONILLA, EMEGIO G, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1730205626	BERONILLA, EMEGIO G, DMD	2021	FFS	RENDERING	AGE 21+	32	None	70	None	16	None	16	None	14	None	25	None	21	None	21	None
1730205709	KIRSHBAUM, GERALD M DDS	2021	FFS	RENDERING	AGE 0-20	465	None	6,612	None	444	None	2,035	None	321	None	1,026	None	440	None	707	None
1730205709	KIRSHBAUM, GERALD M DDS	2021	FFS	RENDERING	AGE 21+	40	None	286	None	30	None	55	None	25	None	55	None	29	None	29	None
1730210659	GAGNEJA RAJESH K	2021	FFS	RENDERING	AGE 0-20	44	None	525	None	44	None	146	None	24	None	112	None	35	None	50	None
1730210659	GAGNEJA RAJESH K	2021	FFS	RENDERING	AGE 21+	43	None	316	None	32	None	35	None	29	None	132	None	34	None	35	None
1730211772	CHAE, CHRISTOPHER P DDS	2021	FFS	RENDERING	AGE 0-20	67	None	410	None	17	None	38	None	53	None	202	None	59	None	63	None
1730211772	CHAE, CHRISTOPHER P DDS	2021	FFS	RENDERING	AGE 21+	328	None	1,777	None	53	None	54	None	221	None	929	None	282	None	282	None
1730211772	CHAE, CHRISTOPHER P DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730212952	NGUYEN HANH N	2021	FFS	RENDERING	AGE 0-20	3,439	None	39,633	None	3,070	None	9,837	None	1,980	None	6,840	None	3,007	None	3,670	None
1730212952	NGUYEN HANH N	2021	FFS	RENDERING	AGE 21+	113	None	322	None	28	None	42	None	65	None	173	None	43	None	43	None
1730214909	BADEA MARIUS P	2021	FFS	RENDERING	AGE 0-20	160	None	838	None	None	1	None	1	None	1	None	2	None	1	None	1
1730214909	BADEA MARIUS P	2021	FFS	RENDERING	AGE 21+	133	None	567	None	None	1	None	1	None	1	None	2	None	1	None	1
1730216599	MICHAEL CARMY G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1730216599	MICHAEL CARMY G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1730218637	ROSTKER INNA	2021	FFS	RENDERING	AGE 21+	32	None	69	None	0	None	0	None	32	None	52	None	None	1	None	1
1730219486	ZAMPIGHI, OLGA BALLESTEROS,	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1730220104	SHAMSIAN, SHAHIN, DDS	2021	FFS	RENDERING	AGE 0-20	72	None	503	None	54	None	134	None	29	None	63	None	62	None	70	None
1730220104	SHAMSIAN, SHAHIN, DDS	2021	FFS	RENDERING	AGE 21+	129	None	881	None	33	None	33	None	53	None	146	None	107	None	107	None
1730220104	SHAMSIAN, SHAHIN, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1730220104	SHAMSIAN, SHAHIN, DDS	2021	GMC	RENDERING	AGE 21+	11	None	39	None	None	1	None	1	None	1	None	2	None	1	None	1
1730220104	SHAMSIAN, SHAHIN, DDS	2021	PHP	RENDERING	AGE 0-20	125	None	831	None	105	None	266	None	36	None	74	None	118	None	143	None
1730220104	SHAMSIAN, SHAHIN, DDS	2021	PHP	RENDERING	AGE 21+	177	None	823	None	57	None	58	None	45	None	110	None	159	None	169	None
1730225145	DIAS SOFIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730225475	FAT, WILLIAM J, DDS	2021	FFS	RENDERING	AGE 0-20	54	None	254	None	52	None	101	None	17	None	43	None	52	None	70	None
1730225475	FAT, WILLIAM J, DDS	2021	FFS	RENDERING	AGE 21+	153	None	623	None	87	None	87	None	71	None	217	None	123	None	123	None
1730226291	SHENG ANNE MU H	2021	FFS	RENDERING	AGE 0-20	2,671	None	27,511	None	2,394	None	8,378	None	1,655	None	4,427	None	2,279	None	2,654	None
1730226291	SHENG ANNE MU H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1730226291	SHENG ANNE MU H	2021	PHP	RENDERING	AGE 0-20	30	None	215	None	27	None	83	None	21	None	65	None	18	None	18	None
1730229832	TAN WINNIE	2021	PHP	RENDERING	AGE 0-20	30	None	299	None	23	None	107	None	29	None	43	None	21	None	22	None
1730229832	TAN WINNIE	2021	PHP	RENDERING	AGE 21+	48	None	210	None	None	1	None	2	38	None	97	None	14	None	14	None
1730235250	KIM YOUNGJOO	2021	FFS	RENDERING	AGE 0-20	334	None	2,205	None	292	None	991	None	94	None	187	None	262	None	316	None
1730235250	KIM YOUNGJOO	2021	FFS	RENDERING	AGE 21+	13	None	45	None	None	1	None	1	None	1	None	1	None	1	None	1
1730235607	SUMMERS SHAWN J	2021	PHP	RENDERING	AGE 0-20	17	None	125	None	15	None	63	None	16	None	21	None	None	1	None	1
1730235607	SUMMERS SHAWN J	2021	PHP	RENDERING	AGE 21+	135	None	792	None	100	None	329	None	109	None	167	None	89	None	89	None
1730235623	BUI KIM T	2021	FFS	RENDERING	AGE 0-20	27	None	163	None	26	None	60	None	None	1	None	2	26	None	30	None
1730238098	NGUYEN, HOP T, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	242	None	13	None	58	None	None	1	None	2	12	None	24	None
1730238098	NGUYEN, HOP T, DDS	2021	FFS	RENDERING	AGE 21+	180	None	2,666	None	100	None	400	None	143	None	906	None	138	None	276	None
1730240367	ALABYAN ANAIT	2021	FFS	RENDERING	AGE 0-20	195	None	1,131	None	170	None	424	None	105	None	272	None	179	None	253	None
1730240367	ALABYAN ANAIT	2021	FFS	RENDERING	AGE 21+	378	None	2,142	None	166	None	169	None	292	None	1,215	None	256	None	256	None
1730241498	TOMA OMEED B	2021	FFS	RENDERING	AGE 0-20	46	None	256	None	33	None	79	None	21	None	46	None	32	None	33	None
1730241498	TOMA OMEED B	2021	FFS	RENDERING	AGE 21+	322	None	1,341	None	129	None	190	None	190	None	531	None	194	None	194	None
1730244476	MAZI, FARHAD DDS	2021	FFS	RENDERING	AGE 0-20	1,776	None	20,043	None	1,534	None	5,898	None	932	None	2,614	None	1,476	None	1,617	None
1730244476	MAZI, FARHAD DDS	2021	FFS	RENDERING	AGE 21+	1,728	None	11,577	None	943	None	1,855	None	1,196	None	4,463	None	1,134	None	1,134	None
1730244476	MAZI, FARHAD, DDS	2021	FFS	RENDERING	AGE 0-20	1,776	None	20,043	None	1,534	None	5,898	None	932	None	2,614	None	1,476	None	1,617	None
1730244476	MAZI, FARHAD, DDS	2021	FFS	RENDERING	AGE 21+	1,728	None	11,577	None	943	None	1,855	None	1,196	None	4,463	None	1,134	None	1,134	None
1730245218	RIOS, ANA VERONICA, DDS	2021	FFS	RENDERING	AGE 0-20	91	None	982	None	81	None	227	None	48	None	163	None	73	None	99	None
1730245218	RIOS, ANA VERONICA, DDS	2021	FFS	RENDERING	AGE 21+	82	None	609	None	42	None	80	None	48	None	205	None	57	None	57	None
1730247354	MOTAKEF MEHDI	2021	FFS	RENDERING	AGE 0-20	182	None	429	None	None	1	None	1	53	None	123	None	51	None	52	None
1730247354	MOTAKEF MEHDI	2021	FFS	RENDERING	AGE 21+	110	None	306	None	0	None	0	None	53	None	101	None	73	None	78	None
1730251109	ZAHIRFAR, AMIN A, DDS	2021	FFS	RENDERING	AGE 0-20	119	None	1,929	None	111	None	622	None	73	None	268	None	114	None	151	None
1730251109	ZAHIRFAR, AMIN A, DDS	2021	FFS	RENDERING	AGE 21+	189	None	2,806	None	132	None	265	None	176	None	1,023	None	143	None	144	None
1730251851	KERI NAZLI	2021	FFS	RENDERING	AGE 0-20	47	None	257	None	32	None	77	None	22	None	74	None	21	None	21	None
1730253485	HIRANO STEPHEN F	2021	FFS	RENDERING	AGE 0-20	526	None	5,114	None	479	None	1,775	None	378	None	1,024	None	460	None	607	None
1730260209	JEAN CHARNG-SHING	2021	FFS	RENDERING	AGE 0-20	190	None	1,919	None	175	None	425	None	83	None	207	None	160	None	196	None
1730260209	JEAN CHARNG-SHING	2021	FFS	RENDERING	AGE 21+	215	None	2,076	None	156	None	156	None	139	None	441	None	144	None	144	None
1730262676	TRAN PETER	2021	FFS	RENDERING	AGE 0-20	80	None	646	None	72	None	171	None	45	None	176	None	76	None	84	None
1730262676	TRAN PETER	2021	FFS	RENDERING	AGE 21+	146	None	1,133	None	72	None	144	None	108	None	453	None	104	None	104	None
1730262676	TRAN, PETER, DDS	2021	FFS	RENDERING	AGE 0-20	80	None	646	None	72	None	171	None	45	None	176	None	76	None	84	None
1730262676	TRAN, PETER, DDS	2021	FFS	RENDERING	AGE 21+	146	None	1,133	None	72	None	144	None	108	None	453	None	104	None	104	None
1730266974	SIRIWAT, P PENNY, DDS MS	2021	FFS	RENDERING	AGE 0-20	110	None	501	None	0	None	0	None	70	None	261	None	0	None	0	None
1730266974	SIRIWAT, P. PENNY MD	2021	FFS	RENDERING	AGE 0-20	110	None	501	None	0	None	0	None	70	None	261	None	0	None	0	None
1730268681	VELUPPILLAI SIVAPPIRIYAI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1730268681	VELUPPILLAI SIVAPPIRIYAI	2021	FFS	RENDERING	AGE 21+	73	None	142	None	0	None	0	None	41	None	83	None	56	None	56	None
1730274135	LE, THUAN N, DDS	2021	FFS	RENDERING	AGE 0-20	24	None	91	None	0	None	0	None	15	None	56	None	11	None	11	None
1730277120	NGUYEN DA-HUONG T	2021	FFS	RENDERING	AGE 0-20	156	None	1,898	None	146	None	484	None	55	None	112	None	147	None	191	None
1730277120	NGUYEN DA-HUONG T	2021	FFS	RENDERING	AGE 21+	61	None	439	None	43	None	86	None	30	None	45	None	43	None	43	None
1730279431	DEMIRDJI SAMUEL A	2021	FFS	RENDERING	AGE 0-20	508	None	1,139	None	0	None	0	None	186	None	620	None	0	None	0	None
1730279431	DEMIRDJI SAMUEL A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1730279431	DEMIRDJI SAMUEL A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730282989	HATAMI RAMIN R	2021	FFS	RENDERING	AGE 0-20	32	None	325	None	24	None	73	None	None	1	None	2	30	None	33	None
1730282989	HATAMI RAMIN R	2021	FFS	RENDERING	AGE 21+	94	None	733	None	15	None	17	None	53	None	177	None	76	None	76	None
1730287418	PATEL, JAYANTILAL G, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1730287418	PATEL, JAYANTILAL G, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1730287418	PATEL, JAYANTILAL G, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1730301417	REDDY, NAGA REKHA, DDS	2021	FFS	RENDERING	AGE 0-20	70	None	587	None	64	None	166	None	22	None	63	None	66	None	83	None
1730301417	REDDY, NAGA REKHA, DDS	2021	FFS	RENDERING	AGE 21+	99	None	815	None	61	None	61	None	71	None	337	None	70	None	70	None
1730301441	STAHL LISA J	2021	FFS	RENDERING	AGE 0-20	2,487	None	22,735	None	2,231	None	8,501	None	1,551	None	5,190	None	2,265	None	2,739	None
1730305111	LARRY V HAMER DDS PROF CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1730305715	NGUYEN THANH N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1730305715	NGUYEN, THANH NGOC, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1730306622	BAUTISTA NICANOR	2021	FFS	RENDERING	AGE 0-20	96	None	1,106	None	85	None	230	None	44	None	153	None	80	None	97	None
1730306622	BAUTISTA NICANOR	2021	FFS	RENDERING	AGE 21+	151	None	1,026	None	63	None	64	None	107	None	387	None	87	None	87	None
1730306952	ALTEIR NIZAR M	2021	FFS	RENDERING	AGE 0-20	127	None	1,141	None	87	None	194	None	74	None	311	None	98	None	103	None
1730306952	ALTEIR NIZAR M	2021	FFS	RENDERING	AGE 21+	339	None	2,905	None	93	None	94	None	281	None	1,385	None	195	None	195	None
1730307380	NGUYEN-TU MAI T	2021	FFS	RENDERING	AGE 0-20	760	None	6,524	None	587	None	2,069	None	477	None	1,119	None	583	None	669	None
1730307380	NGUYEN-TU MAI T	2021	FFS	RENDERING	AGE 21+	86	None	762	None	61	None	116	None	53	None	172	None	63	None	63	None
1730312836	ZAKHARY PETER M	2021	FFS	RENDERING	AGE 0-20	32	None	83	None	None	1	None	1	27	None	50	None	None	1	None	1
1730312836	ZAKHARY PETER M	2021	FFS	RENDERING	AGE 21+	48	None	155	None	None	1	None	2	30	None	60	None	20	None	20	None
1730313677	CHIANG CHUEN C	2021	FFS	RENDERING	AGE 0-20	25	None	64	None	0	None	0	None	22	None	59	None	0	None	0	None
1730324757	WYATT MELVA S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730347204	LAALY FRANK	2021	FFS	RENDERING	AGE 0-20	168	None	467	None	0	None	0	None	167	None	453	None	0	None	0	None
1730347204	LAALY FRANK	2021	FFS	RENDERING	AGE 21+	104	None	256	None	None	1	None	1	103	None	247	None	None	1	None	1
1730358409	KOLETIC STELLA	2021	FFS	RENDERING	AGE 0-20	1,858	None	18,231	None	1,703	None	5,216	None	1,200	None	3,060	None	1,573	None	1,665	None
1730358409	KOLETIC STELLA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1730368168	SANCHEZ DEYANIRA	2021	FFS	RENDERING	AGE 0-20	2,776	None	28,364	None	2,629	None	9,650	None	1,645	None	6,580	None	2,587	None	3,600	None
1730368168	SANCHEZ DEYANIRA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1730368267	GUINDY YOUSSEF E	2021	FFS	RENDERING	AGE 0-20	124	None	772	None	50	None	187	None	112	None	148	None	58	None	77	None
1730368267	GUINDY YOUSSEF E	2021	FFS	RENDERING	AGE 21+	392	None	1,259	None	51	None	101	None	371	None	616	None	130	None	131	None
1730368267	GUINDY YOUSSEF E	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730368267	GUINDY YOUSSEF E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730368267	GUINDY YOUSSEF E	2021	PHP	RENDERING	AGE 21+	18	None	53	None	None	1	None	1	17	None	44	None	None	1	None	1
1730371618	GERNHOFER KORY M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730376476	LEE HOWARD	2021	FFS	RENDERING	AGE 0-20	21	None	63	None	0	None	0	None	12	None	27	None	0	None	0	None
1730377425	RODRIGUES SMITA J	2021	FFS	RENDERING	AGE 0-20	780	None	11,725	None	731	None	3,255	None	278	None	654	None	748	None	1,150	None
1730377425	RODRIGUES SMITA J	2021	FFS	RENDERING	AGE 21+	467	None	4,246	None	380	None	758	None	199	None	360	None	400	None	400	None
1730379314	DAO LOAN K	2021	PHP	RENDERING	AGE 0-20	142	None	694	None	106	None	333	None	80	None	124	None	64	None	71	None
1730379314	DAO LOAN K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1730383365	KOROURI AMIR	2021	FFS	RENDERING	AGE 0-20	117	None	892	None	79	None	205	None	63	None	141	None	79	None	79	None
1730383365	KOROURI AMIR	2021	FFS	RENDERING	AGE 21+	750	None	4,227	None	295	None	585	None	419	None	950	None	430	None	430	None
1730387689	CHO, KWANG H, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	15	None	0	None	0	None	None	1	None	1	0	None	0	None
1730392895	HUYNH, TAI	2021	FFS	RENDERING	AGE 0-20	35	None	345	None	31	None	96	None	28	None	152	None	28	None	34	None
1730392895	HUYNH, TAI	2021	FFS	RENDERING	AGE 21+	242	None	2,299	None	187	None	373	None	224	None	1,363	None	196	None	196	None
1730396508	MAROON JOHN P	2021	FFS	RENDERING	AGE 0-20	117	None	1,329	None	108	None	346	None	73	None	380	None	115	None	146	None
1730396508	MAROON JOHN P	2021	FFS	RENDERING	AGE 21+	415	None	3,519	None	327	None	649	None	279	None	1,491	None	363	None	365	None
1730410051	ESTRADA ROSA M	2021	FFS	RENDERING	AGE 0-20	434	None	890	None	0	None	0	None	44	None	100	None	None	1	None	1
1730410051	ESTRADA ROSA M	2021	FFS	RENDERING	AGE 21+	27	None	29	None	0	None	0	None	None	1	None	1	0	None	0	None
1730419664	SHANMUGHAM CHITRA V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730419664	SHANMUGHAM CHITRA V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1730424193	GHONEIM EMAN A	2021	FFS	RENDERING	AGE 0-20	127	None	1,291	None	112	None	468	None	102	None	321	None	114	None	165	None
1730424193	GHONEIM EMAN A	2021	GMC	RENDERING	AGE 0-20	1,495	None	24,217	None	1,472	None	9,327	None	1,268	None	5,860	None	1,436	None	2,458	None
1730427907	STEWART PATRYCJA Z	2021	FFS	RENDERING	AGE 0-20	1,758	None	14,108	None	1,323	None	2,925	None	641	None	2,145	None	1,243	None	1,299	None
1730427907	STEWART PATRYCJA Z	2021	FFS	RENDERING	AGE 21+	211	None	1,814	None	96	None	163	None	158	None	750	None	159	None	159	None
1730434325	KATHIRIYA BHUMIKA	2021	FFS	RENDERING	AGE 0-20	611	None	5,337	None	405	None	1,201	None	427	None	1,107	None	383	None	394	None
1730434325	KATHIRIYA BHUMIKA	2021	FFS	RENDERING	AGE 21+	81	None	537	None	33	None	64	None	51	None	136	None	33	None	33	None
1730440553	MAHAL NARINDERJIT S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1730440553	MAHAL NARINDERJIT S	2021	FFS	RENDERING	AGE 21+	43	None	185	None	None	1	None	1	38	None	93	None	None	1	None	1
1730446972	RUPAREL PANNA B	2021	FFS	RENDERING	AGE 0-20	85	None	557	None	75	None	233	None	16	None	48	None	79	None	79	None
1730458712	HANITABATABAEI FARZANEH	2021	FFS	RENDERING	AGE 0-20	220	None	1,566	None	155	None	217	None	89	None	170	None	158	None	158	None
1730458712	HANITABATABAEI FARZANEH	2021	FFS	RENDERING	AGE 21+	253	None	1,200	None	59	None	62	None	140	None	312	None	134	None	134	None
1730467903	BECKER MAGNOLIA J	2021	FFS	RENDERING	AGE 0-20	900	None	9,698	None	765	None	3,096	None	707	None	4,435	None	556	None	625	None
1730467903	BECKER MAGNOLIA J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1730467903	BECKER MAGNOLIA J	2021	PHP	RENDERING	AGE 0-20	403	None	3,408	None	236	None	731	None	390	None	2,574	None	15	None	15	None
1730481318	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 0-20	171	None	1,958	None	155	None	790	None	167	None	317	None	148	None	157	None
1730481318	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 21+	161	None	924	None	61	None	156	None	123	None	308	None	67	None	70	None
1730481318	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	171	None	1,958	None	155	None	790	None	167	None	317	None	148	None	157	None
1730481318	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 21+	161	None	924	None	61	None	156	None	123	None	308	None	67	None	70	None
1730483710	BROWN, JUDITH RENEE, RDHAP	2021	FFS	RENDERING	AGE 0-20	48	None	89	None	48	None	89	None	0	None	0	None	0	None	0	None
1730483710	BROWN, JUDITH RENEE, RDHAP	2021	FFS	RENDERING	AGE 21+	73	None	377	None	69	None	210	None	73	None	167	None	0	None	0	None
1730492869	VOSSOUGHI ROUZBEH	2021	FFS	RENDERING	AGE 0-20	310	None	649	None	0	None	0	None	122	None	381	None	0	None	0	None
1730499930	LEE JING W	2021	FFS	RENDERING	AGE 0-20	379	None	2,848	None	307	None	853	None	163	None	475	None	323	None	365	None
1730499930	LEE JING W	2021	FFS	RENDERING	AGE 21+	678	None	3,773	None	277	None	543	None	447	None	1,351	None	469	None	476	None
1730501040	MALIK NAZIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730501040	MALIK NAZIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1730505777	TOM, ADELINE, DDS	2021	FFS	RENDERING	AGE 0-20	81	None	783	None	80	None	311	None	37	None	78	None	72	None	120	None
1730505777	TOM, ADELINE, DDS	2021	FFS	RENDERING	AGE 21+	41	None	208	None	36	None	71	None	19	None	30	None	33	None	33	None
1730520024	AZIZZADEH JAMSHID	2021	FFS	RENDERING	AGE 0-20	45	None	419	None	34	None	85	None	33	None	138	None	41	None	51	None
1730520024	AZIZZADEH JAMSHID	2021	FFS	RENDERING	AGE 21+	87	None	529	None	31	None	31	None	52	None	230	None	75	None	75	None
1730531666	YOO CHRISTOPHER J	2021	FFS	RENDERING	AGE 0-20	129	None	1,092	None	104	None	225	None	47	None	106	None	106	None	111	None
1730531666	YOO CHRISTOPHER J	2021	FFS	RENDERING	AGE 21+	246	None	1,687	None	120	None	240	None	155	None	499	None	135	None	135	None
1730576554	PAXMAN JEFFREY S	2021	FFS	RENDERING	AGE 0-20	13	None	64	None	0	None	0	None	None	1	None	2	11	None	12	None
1730576554	PAXMAN JEFFREY S	2021	FFS	RENDERING	AGE 21+	43	None	168	None	0	None	0	None	18	None	95	None	33	None	34	None
1730578428	NAJM ANAS A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730578923	LEE SO YEON	2021	FFS	RENDERING	AGE 0-20	1,367	None	5,582	None	538	None	1,760	None	592	None	2,296	None	1,207	None	1,504	None
1730578923	LEE SO YEON	2021	FFS	RENDERING	AGE 21+	939	None	3,554	None	None	1	None	1	699	None	3,033	None	513	None	513	None
1730582644	AMIN SAMIR P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1730582644	AMIN SAMIR P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1730597071	IM DEBRA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1730597071	IM DEBRA J	2021	PHP	RENDERING	AGE 21+	27	None	148	None	None	1	None	1	19	None	83	None	21	None	21	None
1730603481	CABRERA ARELLAN JORGE R	2021	FFS	RENDERING	AGE 0-20	617	None	5,332	None	414	None	1,240	None	290	None	901	None	482	None	545	None
1730603481	CABRERA ARELLAN JORGE R	2021	FFS	RENDERING	AGE 21+	804	None	4,053	None	147	None	158	None	456	None	1,683	None	530	None	532	None
1730606781	DUONG RAYMOND	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730607425	LEONCIO BERNADETTE F	2021	PHP	RENDERING	AGE 0-20	83	None	844	None	71	None	341	None	79	None	130	None	60	None	61	None
1730607425	LEONCIO BERNADETTE F	2021	PHP	RENDERING	AGE 21+	137	None	756	None	43	None	129	None	104	None	274	None	49	None	50	None
1730614694	VELA GONZALES JOSE L	2021	FFS	RENDERING	AGE 0-20	449	None	4,810	None	417	None	1,675	None	149	None	474	None	378	None	500	None
1730614694	VELA GONZALES JOSE L	2021	FFS	RENDERING	AGE 21+	404	None	2,611	None	238	None	452	None	226	None	846	None	271	None	271	None
1730630500	SARYAN KHACHATUR	2021	FFS	RENDERING	AGE 0-20	20	None	98	None	12	None	24	None	14	None	31	None	16	None	16	None
1730630500	SARYAN KHACHATUR	2021	FFS	RENDERING	AGE 21+	279	None	1,975	None	130	None	246	None	226	None	1,106	None	167	None	175	None
1730635434	JOSHI ABHISHEK	2021	FFS	RENDERING	AGE 0-20	30	None	285	None	30	None	96	None	24	None	57	None	24	None	26	None
1730635434	JOSHI ABHISHEK	2021	FFS	RENDERING	AGE 21+	1,471	None	12,479	None	1,068	None	2,450	None	1,234	None	3,258	None	1,278	None	1,284	None
1730676875	SHALABY ABBY G	2021	FFS	RENDERING	AGE 21+	37	None	134	None	None	1	None	1	27	None	93	None	13	None	13	None
1730682154	MORGAN, DANIEL, DDS INC II	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730704495	JUNG & 3 KIMS DENTAL GROUP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1730742115	KIM RICHARD H	2021	FFS	RENDERING	AGE 0-20	354	None	2,770	None	222	None	576	None	222	None	545	None	226	None	229	None
1730742115	KIM RICHARD H	2021	FFS	RENDERING	AGE 21+	273	None	1,891	None	47	None	94	None	163	None	347	None	163	None	163	None
1730742115	KIM RICHARD H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1730767666	DUPALO ELENA V	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1730767666	DUPALO ELENA V	2021	FFS	RENDERING	AGE 21+	74	None	594	None	61	None	121	None	40	None	122	None	69	None	69	None
1730792771	RANJAN ABHISHEK	2021	FFS	RENDERING	AGE 0-20	1,095	None	5,021	None	152	None	222	None	1,075	None	4,426	None	0	None	0	None
1730792797	PATAO DEREK H	2021	FFS	RENDERING	AGE 0-20	69	None	251	None	30	None	74	None	35	None	66	None	42	None	42	None
1730792797	PATAO DEREK H	2021	FFS	RENDERING	AGE 21+	116	None	281	None	15	None	29	None	59	None	119	None	53	None	53	None
1730792797	PATAO DEREK H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1730792797	PATAO DEREK H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1730797614	WATU BRITTANY S	2021	FFS	RENDERING	AGE 0-20	55	None	456	None	48	None	161	None	30	None	69	None	50	None	51	None
1730797614	WATU BRITTANY S	2021	FFS	RENDERING	AGE 21+	63	None	438	None	45	None	90	None	52	None	138	None	21	None	21	None
1740238492	MARCUS, DANIEL W, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	27	None	None	1	None	1	None	1	None	2	0	None	0	None
1740238492	MARCUS, DANIEL W, DDS	2021	FFS	RENDERING	AGE 21+	66	None	164	None	0	None	0	None	66	None	164	None	0	None	0	None
1740245646	WONG SIMON	2021	FFS	RENDERING	AGE 0-20	34	None	162	None	20	None	49	None	12	None	27	None	29	None	34	None
1740245646	WONG SIMON	2021	FFS	RENDERING	AGE 21+	356	None	2,163	None	125	None	243	None	244	None	1,093	None	255	None	258	None
1740259027	JONES JR JULIUS R	2021	PHP	RENDERING	AGE 0-20	27	None	181	None	21	None	77	None	19	None	33	None	None	1	None	1
1740259027	JONES JR JULIUS R	2021	PHP	RENDERING	AGE 21+	120	None	476	None	57	None	140	None	101	None	155	None	41	None	46	None
1740272970	BROUHTCHENKO, SERGIEI DDS	2021	FFS	RENDERING	AGE 0-20	749	None	6,765	None	722	None	2,563	None	271	None	543	None	740	None	1,192	None
1740272970	BROUHTCHENKO, SERGIEI DDS	2021	FFS	RENDERING	AGE 21+	578	None	2,833	None	329	None	633	None	270	None	598	None	492	None	494	None
1740277193	MAC FRANK X	2021	FFS	RENDERING	AGE 21+	96	None	291	None	0	None	0	None	96	None	277	None	0	None	0	None
1740304674	ROSALES, DR VERONICA DDS	2021	FFS	RENDERING	AGE 0-20	59	None	951	None	55	None	220	None	21	None	51	None	58	None	90	None
1740304674	ROSALES, DR VERONICA DDS	2021	FFS	RENDERING	AGE 21+	115	None	1,204	None	84	None	167	None	88	None	403	None	97	None	97	None
1740305291	NICHOLS, EDWARD LEE DDS	2021	FFS	RENDERING	AGE 0-20	39	None	360	None	31	None	84	None	20	None	87	None	38	None	47	None
1740305291	NICHOLS, EDWARD LEE DDS	2021	FFS	RENDERING	AGE 21+	179	None	1,090	None	66	None	66	None	132	None	620	None	141	None	141	None
1740320472	MANI, PETER DDS	2021	FFS	RENDERING	AGE 0-20	122	None	781	None	107	None	424	None	46	None	89	None	116	None	145	None
1740320472	MANI, PETER DDS	2021	FFS	RENDERING	AGE 21+	340	None	1,793	None	137	None	269	None	212	None	699	None	256	None	256	None
1740320480	GHOZLAN AYMAN M	2021	FFS	RENDERING	AGE 0-20	1,297	None	13,301	None	1,222	None	5,761	None	358	None	743	None	1,274	None	1,702	None
1740320480	GHOZLAN AYMAN M	2021	FFS	RENDERING	AGE 21+	1,856	None	11,783	None	1,488	None	2,967	None	928	None	2,707	None	1,659	None	1,660	None
1740322197	SITWALA PREETI R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1740322197	SITWALA PREETI R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740323930	HIMMELBERG DOUGLAS L	2021	FFS	RENDERING	AGE 0-20	229	None	250	None	0	None	0	None	16	None	18	None	0	None	0	None
1740323930	HIMMELBERG DOUGLAS L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740323930	HIMMELBERG DOUGLAS L	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740323930	HIMMELBERG DOUGLAS L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740323930	HIMMELBERG DOUGLAS L	2021	PHP	RENDERING	AGE 0-20	11	None	14	None	0	None	0	None	None	1	None	2	0	None	0	None
1740323930	HIMMELBERG DOUGLAS L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740324300	KOTHARI RAMESH	2021	FFS	RENDERING	AGE 0-20	11	None	52	None	None	1	None	2	None	1	None	2	None	1	None	1
1740324300	KOTHARI RAMESH	2021	FFS	RENDERING	AGE 21+	25	None	96	None	None	1	None	1	15	None	47	None	16	None	16	None
1740324854	ASATRYAN, MIKE G, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1740324854	ASATRYAN, MIKE G, DDS	2021	FFS	RENDERING	AGE 21+	301	None	1,091	None	103	None	103	None	231	None	612	None	75	None	75	None
1740331933	WIJEWARDENE CLERA S	2021	FFS	RENDERING	AGE 0-20	145	None	530	None	76	None	153	None	32	None	63	None	113	None	113	None
1740331933	WIJEWARDENE CLERA S	2021	FFS	RENDERING	AGE 21+	431	None	1,341	None	84	None	145	None	200	None	503	None	253	None	254	None
1740331933	WIJEWARDENE CLERA S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740331933	WIJEWARDENE CLERA S	2021	PHP	RENDERING	AGE 0-20	171	None	1,563	None	142	None	546	None	96	None	392	None	148	None	186	None
1740331933	WIJEWARDENE CLERA S	2021	PHP	RENDERING	AGE 21+	169	None	1,084	None	79	None	150	None	123	None	583	None	115	None	122	None
1740338839	KARIC, AMIR, DDS	2021	FFS	RENDERING	AGE 0-20	143	None	393	None	None	1	None	1	142	None	349	None	None	1	None	1
1740338839	KARIC, AMIR, DDS	2021	FFS	RENDERING	AGE 21+	60	None	158	None	None	1	None	1	60	None	145	None	None	1	None	1
1740339852	HADUONG, HAN DDS	2021	FFS	RENDERING	AGE 0-20	17	None	202	None	16	None	35	None	None	1	None	1	16	None	19	None
1740339852	HADUONG, HAN DDS	2021	FFS	RENDERING	AGE 21+	11	None	97	None	None	1	None	1	None	1	None	1	None	1	None	1
1740343730	HUNG K. DO, DDS, INC.	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1740343730	HUNG K. DO, DDS, INC.	2021	GMC	RENDERING	AGE 21+	15	None	65	None	0	None	0	None	None	1	None	1	13	None	13	None
1740349877	SABBAGHZADEH ALI R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1740358787	PETROVA KORNELIA L	2021	FFS	RENDERING	AGE 0-20	459	None	2,717	None	303	None	729	None	222	None	541	None	393	None	448	None
1740358787	PETROVA KORNELIA L	2021	FFS	RENDERING	AGE 21+	609	None	2,595	None	179	None	341	None	300	None	879	None	480	None	480	None
1740358787	PETROVA KORNELIA L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740358787	PETROVA KORNELIA L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1740366681	DRAKHSHANI SOHEIL	2021	FFS	RENDERING	AGE 0-20	14	None	123	None	12	None	28	None	None	1	None	2	13	None	13	None
1740366681	DRAKHSHANI SOHEIL	2021	FFS	RENDERING	AGE 21+	291	None	2,350	None	162	None	318	None	219	None	882	None	208	None	208	None
1740366681	DRAKHSHANI, SOHEIL, DDS INC	2021	FFS	RENDERING	AGE 0-20	14	None	123	None	12	None	28	None	None	1	None	2	13	None	13	None
1740366681	DRAKHSHANI, SOHEIL, DDS INC	2021	FFS	RENDERING	AGE 21+	291	None	2,350	None	162	None	318	None	219	None	882	None	208	None	208	None
1740367309	KOBAYAKAWA, YOKO, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	57	None	None	1	None	2	0	None	0	None	None	1	None	2
1740367309	KOBAYAKAWA, YOKO, DDS	2021	FFS	RENDERING	AGE 21+	15	None	53	None	15	None	15	None	None	1	None	1	15	None	15	None
1740367440	HERMANSJAH, LITA, DDS	2021	FFS	RENDERING	AGE 0-20	113	None	1,234	None	100	None	421	None	59	None	161	None	104	None	125	None
1740367440	HERMANSJAH, LITA, DDS	2021	FFS	RENDERING	AGE 21+	176	None	1,527	None	103	None	210	None	151	None	594	None	53	None	53	None
1740377126	KUECKELS BRENDA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740382415	MG, KYAW KYAW DDS	2021	FFS	RENDERING	AGE 0-20	163	None	1,403	None	148	None	372	None	60	None	150	None	158	None	196	None
1740382415	MG, KYAW KYAW DDS	2021	FFS	RENDERING	AGE 21+	227	None	1,973	None	95	None	188	None	134	None	547	None	194	None	199	None
1740387752	COLE, NEAL, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1740390236	ZAKHARY EMIL A	2021	FFS	RENDERING	AGE 0-20	616	None	7,625	None	515	None	1,933	None	388	None	995	None	488	None	586	None
1740390236	ZAKHARY EMIL A	2021	FFS	RENDERING	AGE 21+	1,218	None	12,494	None	394	None	578	None	1,147	None	5,213	None	683	None	689	None
1740392521	PATEL, PARITOSH, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1740392521	PATEL, PARITOSH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740398171	LEUNG, DENNIS C, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1740398171	LEUNG, DENNIS C, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1740398353	KU TRACY	2021	FFS	RENDERING	AGE 0-20	80	None	1,078	None	75	None	258	None	49	None	164	None	74	None	96	None
1740398353	KU TRACY	2021	FFS	RENDERING	AGE 21+	311	None	2,012	None	219	None	221	None	197	None	559	None	245	None	247	None
1740403948	CHUN DENNIS P	2021	FFS	RENDERING	AGE 0-20	323	None	3,354	None	256	None	804	None	163	None	361	None	255	None	257	None
1740403948	CHUN DENNIS P	2021	FFS	RENDERING	AGE 21+	70	None	431	None	21	None	42	None	45	None	88	None	36	None	36	None
1740404110	DANG, CHERI AMANDA DMD	2021	FFS	RENDERING	AGE 0-20	63	None	277	None	35	None	90	None	31	None	91	None	33	None	33	None
1740404490	NGUYEN DUC THANH H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740407451	ANCHETA MIA L	2021	FFS	RENDERING	AGE 0-20	453	None	7,062	None	436	None	1,714	None	222	None	503	None	443	None	607	None
1740407451	ANCHETA MIA L	2021	FFS	RENDERING	AGE 21+	253	None	2,533	None	172	None	349	None	185	None	652	None	196	None	196	None
1740408657	PHAM PAUL	2021	FFS	RENDERING	AGE 0-20	1,369	None	11,204	None	1,060	None	2,718	None	690	None	1,625	None	1,021	None	1,109	None
1740408657	PHAM PAUL	2021	FFS	RENDERING	AGE 21+	514	None	3,122	None	242	None	476	None	374	None	1,155	None	264	None	264	None
1740409374	NGUYEN HOANG C	2021	FFS	RENDERING	AGE 0-20	383	None	2,565	None	329	None	1,161	None	96	None	239	None	343	None	379	None
1740409374	NGUYEN HOANG C	2021	FFS	RENDERING	AGE 21+	355	None	1,823	None	73	None	148	None	231	None	899	None	207	None	207	None
1740409820	MIRABILE JASON D	2021	FFS	RENDERING	AGE 0-20	158	None	864	None	147	None	318	None	47	None	220	None	124	None	152	None
1740409820	MIRABILE JASON D	2021	FFS	RENDERING	AGE 21+	768	None	2,947	None	518	None	518	None	365	None	1,466	None	330	None	330	None
1740424100	MICHAEL ABAIAN DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1740424100	MICHAEL ABAIAN DDS INC	2021	PHP	RENDERING	AGE 21+	29	None	140	None	None	1	None	1	15	None	53	None	17	None	17	None
1740425677	WONG AMY	2021	FFS	RENDERING	AGE 0-20	232	None	953	None	11	None	31	None	231	None	877	None	None	1	None	1
1740425677	WONG AMY	2021	FFS	RENDERING	AGE 21+	61	None	155	None	0	None	0	None	61	None	155	None	0	None	0	None
1740426162	BAYRAMYAN DDS DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740427756	OGISAKA JR JAMES H	2021	FFS	RENDERING	AGE 0-20	39	None	249	None	21	None	58	None	19	None	43	None	22	None	22	None
1740427756	OGISAKA JR JAMES H	2021	FFS	RENDERING	AGE 21+	160	None	619	None	34	None	64	None	96	None	257	None	42	None	42	None
1740433614	CHOI KEUM K	2021	FFS	RENDERING	AGE 0-20	11	None	24	None	0	None	0	None	None	1	None	2	None	1	None	1
1740433614	CHOI KEUM K	2021	FFS	RENDERING	AGE 21+	16	None	28	None	0	None	0	None	14	None	24	None	None	1	None	1
1740436450	TRAN, HUY XUAN, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740436450	TRAN, HUY XUAN, DDS	2021	GMC	RENDERING	AGE 0-20	56	None	283	None	25	None	78	None	43	None	61	None	25	None	25	None
1740436450	TRAN, HUY XUAN, DDS	2021	GMC	RENDERING	AGE 21+	298	None	1,688	None	73	None	104	None	283	None	714	None	55	None	77	None
1740450808	SANCHEZ GARY ERIC F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740451012	BECERRA KAREN	2021	FFS	RENDERING	AGE 21+	252	None	850	None	127	None	210	None	138	None	305	None	68	None	68	None
1740458041	HASHEMI KOOROUSH B	2021	FFS	RENDERING	AGE 0-20	384	None	2,299	None	246	None	590	None	152	None	443	None	346	None	368	None
1740458041	HASHEMI KOOROUSH B	2021	FFS	RENDERING	AGE 21+	856	None	3,056	None	130	None	253	None	382	None	1,080	None	359	None	359	None
1740458223	LUO LEI	2021	FFS	RENDERING	AGE 0-20	68	None	369	None	51	None	121	None	35	None	87	None	53	None	53	None
1740458223	LUO LEI	2021	FFS	RENDERING	AGE 21+	275	None	1,357	None	134	None	182	None	197	None	601	None	240	None	240	None
1740461417	KIM HAESUNG	2021	FFS	RENDERING	AGE 0-20	81	None	732	None	63	None	153	None	38	None	87	None	69	None	80	None
1740461417	KIM HAESUNG	2021	FFS	RENDERING	AGE 21+	152	None	1,061	None	77	None	148	None	107	None	370	None	97	None	97	None
1740467513	ALCARAZ ALEXANDER R	2021	FFS	RENDERING	AGE 0-20	158	None	1,058	None	118	None	333	None	99	None	624	None	82	None	83	None
1740467513	ALCARAZ ALEXANDER R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1740472950	SHYN, SUNG SOO, DDS	2021	FFS	RENDERING	AGE 0-20	1,264	None	6,070	None	0	None	0	None	294	None	1,828	None	0	None	0	None
1740472950	SHYN, SUNG SOO, DDS	2021	FFS	RENDERING	AGE 21+	13	None	26	None	0	None	0	None	0	None	0	None	0	None	0	None
1740477470	ROBLES, MARIO DDS	2021	FFS	RENDERING	AGE 0-20	86	None	976	None	80	None	234	None	66	None	214	None	79	None	86	None
1740477470	ROBLES, MARIO DDS	2021	FFS	RENDERING	AGE 21+	77	None	903	None	46	None	90	None	62	None	296	None	63	None	63	None
1740489046	BHAKTA, VIHAR PRAVIN DMD	2021	FFS	RENDERING	AGE 0-20	1,179	None	20,595	None	1,116	None	5,009	None	778	None	3,095	None	1,119	None	1,559	None
1740489046	BHAKTA, VIHAR PRAVIN DMD	2021	FFS	RENDERING	AGE 21+	691	None	5,772	None	351	None	689	None	492	None	1,694	None	485	None	485	None
1740489046	BHAKTA, VIHAR PRAVIN DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740489186	HA-TANG CARMEN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1740490226	LEEYOON, JUNGJIN, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	159	None	14	None	41	None	15	None	46	None	19	None	24	None
1740490226	LEEYOON, JUNGJIN, DDS	2021	FFS	RENDERING	AGE 21+	92	None	773	None	72	None	115	None	71	None	359	None	79	None	79	None
1740492081	CRAWFORD LARRY B	2021	FFS	RENDERING	AGE 0-20	154	None	283	None	0	None	0	None	31	None	83	None	0	None	0	None
1740494673	CHOI, JOHN Y, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	79	None	14	None	35	None	None	1	None	1	14	None	18	None
1740494673	CHOI, JOHN Y, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1740494905	CHOW IVAN K	2021	FFS	RENDERING	AGE 21+	43	None	280	None	34	None	34	None	33	None	108	None	34	None	34	None
1740497809	ZINATI, LADAN, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740500701	SILVA, ALBERTINA DDS	2021	FFS	RENDERING	AGE 0-20	44	None	427	None	42	None	125	None	25	None	71	None	39	None	50	None
1740500701	SILVA, ALBERTINA DDS	2021	FFS	RENDERING	AGE 21+	118	None	813	None	34	None	65	None	83	None	423	None	88	None	88	None
1740502426	HACKIM ROBERT G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740519024	ABTIN DILSHAD F	2021	FFS	RENDERING	AGE 0-20	49	None	243	None	36	None	91	None	16	None	39	None	38	None	39	None
1740519024	ABTIN DILSHAD F	2021	FFS	RENDERING	AGE 21+	312	None	1,070	None	87	None	166	None	158	None	400	None	218	None	220	None
1740519024	ABTIN DILSHAD F	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1740519024	ABTIN DILSHAD F	2021	PHP	RENDERING	AGE 21+	41	None	224	None	None	1	None	2	28	None	147	None	12	None	12	None
1740526771	RASHEDI, MARJAN, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740530849	LEE STEPHANIE P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740533074	KAFRI SHAYAN	2021	FFS	RENDERING	AGE 0-20	311	None	3,786	None	276	None	828	None	128	None	369	None	275	None	299	None
1740533074	KAFRI SHAYAN	2021	FFS	RENDERING	AGE 21+	599	None	4,032	None	145	None	286	None	422	None	1,395	None	283	None	283	None
1740540756	OH JOOHEE	2021	FFS	RENDERING	AGE 0-20	17	None	106	None	None	1	None	2	None	1	None	2	11	None	11	None
1740540756	OH JOOHEE	2021	FFS	RENDERING	AGE 21+	51	None	177	None	None	1	None	2	27	None	39	None	28	None	28	None
1740540756	OH JOOHEE	2021	GMC	RENDERING	AGE 0-20	813	None	6,884	None	726	None	2,657	None	481	None	713	None	685	None	740	None
1740540756	OH JOOHEE	2021	GMC	RENDERING	AGE 21+	931	None	4,571	None	648	None	1,276	None	561	None	1,002	None	525	None	539	None
1740547264	HUR CHA A	2021	PHP	RENDERING	AGE 0-20	22	None	150	None	20	None	63	None	19	None	29	None	0	None	0	None
1740584242	SHARIFI SARVENAZ	2021	FFS	RENDERING	AGE 0-20	1,163	None	3,564	None	None	1	None	1	1,163	None	3,534	None	None	1	None	1
1740584242	SHARIFI SARVENAZ	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740587229	CARVAJAL WENDY J	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740593417	CANNON WILLIAM J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740594175	MAHDAVI ELHAM	2021	FFS	RENDERING	AGE 0-20	104	None	1,483	None	101	None	359	None	50	None	184	None	76	None	119	None
1740594175	MAHDAVI ELHAM	2021	FFS	RENDERING	AGE 21+	137	None	1,353	None	51	None	52	None	121	None	663	None	98	None	98	None
1740609700	DIAZ, ARCELI P, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1740613066	CADET SOPHIA E	2021	FFS	RENDERING	AGE 0-20	766	None	3,934	None	557	None	1,554	None	338	None	714	None	472	None	485	None
1740613066	CADET SOPHIA E	2021	FFS	RENDERING	AGE 21+	847	None	2,775	None	118	None	214	None	491	None	1,280	None	409	None	409	None
1740613066	CADET SOPHIA E	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1740629864	MCKENNA NICHOLE D	2021	GMC	RENDERING	AGE 0-20	18	None	89	None	None	1	None	2	None	1	None	2	None	1	None	1
1740629864	MCKENNA NICHOLE D	2021	GMC	RENDERING	AGE 21+	18	None	61	None	0	None	0	None	12	None	30	None	None	1	None	1
1740629864	MCKENNA NICHOLE D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740642768	MAVI SHAMIR S	2021	FFS	RENDERING	AGE 0-20	289	None	2,501	None	191	None	539	None	171	None	324	None	190	None	220	None
1740642768	MAVI SHAMIR S	2021	FFS	RENDERING	AGE 21+	369	None	1,999	None	67	None	131	None	285	None	793	None	157	None	157	None
1740647916	DOMINICIS ZITA A	2021	FFS	RENDERING	AGE 0-20	729	None	7,289	None	563	None	1,615	None	410	None	1,147	None	586	None	606	None
1740647916	DOMINICIS ZITA A	2021	FFS	RENDERING	AGE 21+	286	None	2,217	None	67	None	71	None	195	None	511	None	112	None	113	None
1740647916	DOMINICIS ZITA A	2021	GMC	RENDERING	AGE 0-20	238	None	240	None	0	None	0	None	238	None	240	None	0	None	0	None
1740647916	DOMINICIS ZITA A	2021	GMC	RENDERING	AGE 21+	72	None	73	None	0	None	0	None	72	None	73	None	0	None	0	None
1740647916	DOMINICIS ZITA A	2021	PHP	RENDERING	AGE 0-20	127	None	459	None	42	None	151	None	110	None	125	None	38	None	38	None
1740647916	DOMINICIS ZITA A	2021	PHP	RENDERING	AGE 21+	120	None	214	None	11	None	30	None	100	None	115	None	11	None	11	None
1740658699	HOVHANNISYAN ARMAN	2021	FFS	RENDERING	AGE 0-20	20	None	175	None	16	None	28	None	None	1	None	2	18	None	20	None
1740658699	HOVHANNISYAN ARMAN	2021	FFS	RENDERING	AGE 21+	55	None	355	None	None	1	None	1	32	None	158	None	44	None	44	None
1740660505	MORENO LOURDES	2021	FFS	RENDERING	AGE 0-20	74	None	559	None	44	None	91	None	37	None	85	None	44	None	44	None
1740660505	MORENO LOURDES	2021	FFS	RENDERING	AGE 21+	115	None	415	None	14	None	14	None	88	None	219	None	26	None	26	None
1740665504	SAHAWNEH DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740684562	ARNOUK MARIAM C	2021	FFS	RENDERING	AGE 0-20	216	None	1,918	None	117	None	364	None	64	None	204	None	207	None	247	None
1740684562	ARNOUK MARIAM C	2021	FFS	RENDERING	AGE 21+	380	None	1,626	None	81	None	148	None	128	None	414	None	318	None	318	None
1740685478	MAN CHUN PIU	2021	FFS	RENDERING	AGE 0-20	732	None	5,235	None	499	None	1,449	None	455	None	1,571	None	609	None	660	None
1740685478	MAN CHUN PIU	2021	FFS	RENDERING	AGE 21+	557	None	3,035	None	209	None	355	None	389	None	1,466	None	380	None	382	None
1740685478	MAN CHUN PIU	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740693852	HEMMAT OMID	2021	FFS	RENDERING	AGE 0-20	406	None	3,526	None	93	None	249	None	218	None	660	None	373	None	404	None
1740693852	HEMMAT OMID	2021	FFS	RENDERING	AGE 21+	2,063	None	18,035	None	219	None	432	None	1,186	None	3,352	None	1,742	None	1,749	None
1740695071	DINH MARY	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1740696558	BAEK CHRISTINA	2021	FFS	RENDERING	AGE 0-20	806	None	3,155	None	0	None	0	None	806	None	3,151	None	None	1	None	1
1740696558	BAEK CHRISTINA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1740696970	ROA JANESE A	2021	FFS	RENDERING	AGE 0-20	6,602	None	61,362	None	6,403	None	18,711	None	2,522	None	3,232	None	6,480	None	7,957	None
1740696970	ROA JANESE A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1740702075	NGUYEN LANDON L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740715051	STAFFORD RICHARD F	2021	FFS	RENDERING	AGE 0-20	13	None	41	None	0	None	0	None	13	None	41	None	0	None	0	None
1740719012	ARABPOUR FATEMEH	2021	FFS	RENDERING	AGE 0-20	43	None	53	None	0	None	0	None	37	None	42	None	None	1	None	1
1740719012	ARABPOUR FATEMEH	2021	FFS	RENDERING	AGE 21+	131	None	173	None	0	None	0	None	102	None	124	None	29	None	29	None
1740719012	ARABPOUR FATEMEH	2021	PHP	RENDERING	AGE 0-20	21	None	43	None	None	1	None	1	19	None	34	None	None	1	None	1
1740719012	ARABPOUR FATEMEH	2021	PHP	RENDERING	AGE 21+	126	None	177	None	0	None	0	None	72	None	91	None	81	None	83	None
1740720648	SALEHPOUR ALI	2021	FFS	RENDERING	AGE 0-20	44	None	141	None	0	None	0	None	43	None	140	None	None	1	None	1
1740720648	SALEHPOUR ALI	2021	FFS	RENDERING	AGE 21+	91	None	236	None	0	None	0	None	88	None	225	None	None	1	None	1
1740720648	SALEHPOUR ALI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740726769	CAO DIEM	2021	FFS	RENDERING	AGE 0-20	86	None	880	None	77	None	265	None	62	None	230	None	82	None	103	None
1740726769	CAO DIEM	2021	FFS	RENDERING	AGE 21+	160	None	1,926	None	105	None	198	None	128	None	921	None	133	None	133	None
1740732429	GUZMAN DANIEL	2021	FFS	RENDERING	AGE 21+	30	None	97	None	0	None	0	None	30	None	97	None	0	None	0	None
1740747880	BAE DAVID H	2021	PHP	RENDERING	AGE 0-20	58	None	555	None	45	None	254	None	55	None	88	None	33	None	34	None
1740747880	BAE DAVID H	2021	PHP	RENDERING	AGE 21+	126	None	589	None	28	None	80	None	99	None	242	None	33	None	34	None
1740764729	NAGHIBI AZADI	2021	FFS	RENDERING	AGE 0-20	302	None	577	None	0	None	0	None	272	None	372	None	57	None	57	None
1740764729	NAGHIBI AZADI	2021	FFS	RENDERING	AGE 21+	611	None	999	None	0	None	0	None	583	None	851	None	34	None	34	None
1740764729	NAGHIBI AZADI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740767904	SARKIS RAMI A	2021	FFS	RENDERING	AGE 0-20	297	None	3,137	None	260	None	653	None	161	None	714	None	270	None	320	None
1740767904	SARKIS RAMI A	2021	FFS	RENDERING	AGE 21+	972	None	8,764	None	584	None	1,153	None	862	None	4,809	None	621	None	621	None
1740772037	NGO TIFFANY D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1740772037	NGO TIFFANY D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740773423	GONG JASON R	2021	FFS	RENDERING	AGE 0-20	41	None	426	None	38	None	126	None	20	None	79	None	34	None	40	None
1740773423	GONG JASON R	2021	FFS	RENDERING	AGE 21+	111	None	1,002	None	58	None	114	None	83	None	391	None	77	None	77	None
1740798446	GIBBONS JARED E	2021	FFS	RENDERING	AGE 0-20	24	None	241	None	18	None	48	None	None	1	None	2	19	None	19	None
1740798446	GIBBONS JARED E	2021	FFS	RENDERING	AGE 21+	145	None	917	None	69	None	137	None	94	None	262	None	73	None	73	None
1740804228	RASUL AHMAD M	2021	FFS	RENDERING	AGE 0-20	65	None	113	None	0	None	0	None	19	None	46	None	0	None	0	None
1740804228	RASUL AHMAD M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740804228	RASUL AHMAD M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740804228	RASUL AHMAD M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740810597	KUMAR VINOD	2021	FFS	RENDERING	AGE 0-20	471	None	2,200	None	256	None	550	None	151	None	360	None	382	None	382	None
1740810597	KUMAR VINOD	2021	FFS	RENDERING	AGE 21+	899	None	3,076	None	192	None	363	None	363	None	955	None	626	None	626	None
1740810597	KUMAR VINOD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740816958	GUO CHANG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740816958	GUO CHANG	2021	GMC	RENDERING	AGE 0-20	53	None	216	None	17	None	38	None	12	None	13	None	30	None	30	None
1740816958	GUO CHANG	2021	GMC	RENDERING	AGE 21+	121	None	378	None	20	None	40	None	60	None	69	None	47	None	47	None
1740822972	SAFAIE YAZDI MOHAMMAD	2021	FFS	RENDERING	AGE 0-20	115	None	257	None	0	None	0	None	54	None	177	None	76	None	78	None
1740822972	SAFAIE YAZDI MOHAMMAD	2021	FFS	RENDERING	AGE 21+	248	None	658	None	None	1	None	1	187	None	548	None	96	None	96	None
1740823657	BELAY DANIEL W	2021	FFS	RENDERING	AGE 0-20	311	None	1,468	None	144	None	552	None	78	None	176	None	252	None	252	None
1740823657	BELAY DANIEL W	2021	FFS	RENDERING	AGE 21+	498	None	1,566	None	84	None	160	None	259	None	553	None	306	None	306	None
1740836782	HSU ANNIE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1740836782	HSU ANNIE	2021	FFS	RENDERING	AGE 21+	43	None	201	None	22	None	44	None	21	None	70	None	23	None	23	None
1740859412	VO DIEP T	2021	FFS	RENDERING	AGE 0-20	330	None	1,438	None	217	None	632	None	141	None	347	None	113	None	113	None
1740859412	VO DIEP T	2021	FFS	RENDERING	AGE 21+	460	None	1,484	None	178	None	311	None	256	None	658	None	165	None	165	None
1740886993	MOHAMDZADEH FIROOZEH Z	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1740886993	MOHAMDZADEH FIROOZEH Z	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1740886993	MOHAMDZADEH FIROOZEH Z	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1740895150	AABEDI CHANTELLE	2021	FFS	RENDERING	AGE 0-20	271	None	1,463	None	177	None	457	None	118	None	293	None	208	None	220	None
1740895150	AABEDI CHANTELLE	2021	FFS	RENDERING	AGE 21+	453	None	1,624	None	92	None	170	None	208	None	498	None	283	None	283	None
1740895150	AABEDI CHANTELLE	2021	PHP	RENDERING	AGE 0-20	60	None	247	None	36	None	120	None	21	None	36	None	49	None	51	None
1740895150	AABEDI CHANTELLE	2021	PHP	RENDERING	AGE 21+	111	None	330	None	20	None	57	None	47	None	129	None	79	None	83	None
1750323887	VANG SU NHIA Y	2021	FFS	RENDERING	AGE 0-20	663	None	7,642	None	636	None	2,403	None	421	None	1,076	None	640	None	880	None
1750323887	VANG SU NHIA Y	2021	FFS	RENDERING	AGE 21+	714	None	6,759	None	499	None	860	None	573	None	1,940	None	572	None	572	None
1750340634	YUN, STEVE C MD	2021	FFS	RENDERING	AGE 0-20	35	None	132	None	0	None	0	None	35	None	132	None	0	None	0	None
1750340634	YUN, STEVE C MD	2021	FFS	RENDERING	AGE 21+	17	None	52	None	0	None	0	None	17	None	52	None	0	None	0	None
1750362976	WYNN SOE L	2021	FFS	RENDERING	AGE 0-20	406	None	3,883	None	396	None	1,679	None	145	None	301	None	394	None	489	None
1750362976	WYNN SOE L	2021	FFS	RENDERING	AGE 21+	566	None	4,457	None	404	None	813	None	386	None	1,411	None	425	None	428	None
1750372264	TOFIGH, RAHIM, DDS MS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1750372264	TOFIGH, RAHIM, DDS MS	2021	FFS	RENDERING	AGE 21+	21	None	111	None	None	1	None	1	None	1	None	2	21	None	21	None
1750384327	HU, KE, DDS	2021	FFS	RENDERING	AGE 0-20	67	None	497	None	54	None	249	None	25	None	39	None	58	None	63	None
1750384327	HU, KE, DDS	2021	FFS	RENDERING	AGE 21+	87	None	524	None	62	None	142	None	61	None	108	None	65	None	65	None
1750403465	YANAGI MAY M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750406377	GILMORE LORETTA	2021	FFS	RENDERING	AGE 0-20	14	None	63	None	0	None	0	None	14	None	62	None	0	None	0	None
1750406377	GILMORE LORETTA	2021	FFS	RENDERING	AGE 21+	12	None	64	None	0	None	0	None	12	None	63	None	0	None	0	None
1750413886	MAO TAI K	2021	FFS	RENDERING	AGE 0-20	195	None	3,168	None	190	None	882	None	76	None	275	None	188	None	292	None
1750413886	MAO TAI K	2021	FFS	RENDERING	AGE 21+	287	None	2,541	None	219	None	396	None	194	None	731	None	234	None	234	None
1750414298	DOAN HUONG N	2021	FFS	RENDERING	AGE 0-20	612	None	4,344	None	572	None	2,106	None	229	None	618	None	570	None	753	None
1750414298	DOAN HUONG N	2021	FFS	RENDERING	AGE 21+	538	None	2,900	None	336	None	408	None	379	None	1,195	None	391	None	391	None
1750414629	SACHDEVA KANWAR DEEP S	2021	FFS	RENDERING	AGE 0-20	1,066	None	2,450	None	0	None	0	None	309	None	922	None	54	None	55	None
1750414629	SACHDEVA KANWAR DEEP S	2021	FFS	RENDERING	AGE 21+	12	None	14	None	0	None	0	None	None	1	None	1	None	1	None	1
1750414629	SACHDEVA KANWAR DEEP S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750416178	SHAHIDI, ALI S DDS	2021	FFS	RENDERING	AGE 0-20	26	None	140	None	15	None	32	None	12	None	65	None	18	None	18	None
1750416178	SHAHIDI, ALI S DDS	2021	FFS	RENDERING	AGE 21+	44	None	156	None	None	1	None	1	23	None	63	None	21	None	21	None
1750416178	SHAHIDI, ALI S DDS	2021	PHP	RENDERING	AGE 0-20	20	None	90	None	16	None	60	None	None	1	None	1	20	None	26	None
1750416178	SHAHIDI, ALI S DDS	2021	PHP	RENDERING	AGE 21+	30	None	89	None	None	1	None	2	None	1	None	1	28	None	30	None
1750419578	GUPTA SHILPA	2021	FFS	RENDERING	AGE 0-20	708	None	5,735	None	567	None	2,229	None	371	None	834	None	680	None	827	None
1750419578	GUPTA SHILPA	2021	FFS	RENDERING	AGE 21+	892	None	4,018	None	272	None	468	None	439	None	1,377	None	675	None	675	None
1750420014	GONZALEZ, MARIA C DDS	2021	FFS	RENDERING	AGE 0-20	167	None	1,956	None	148	None	530	None	59	None	140	None	130	None	155	None
1750420014	GONZALEZ, MARIA C DDS	2021	FFS	RENDERING	AGE 21+	138	None	906	None	63	None	122	None	85	None	168	None	36	None	36	None
1750420162	NAZIRI AMANOLLAH	2021	FFS	RENDERING	AGE 0-20	45	None	448	None	39	None	88	None	11	None	20	None	39	None	40	None
1750420162	NAZIRI AMANOLLAH	2021	FFS	RENDERING	AGE 21+	168	None	1,367	None	106	None	136	None	104	None	292	None	112	None	115	None
1750420162	NAZIRI AMANOLLAH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1750420162	NAZIRI AMANOLLAH	2021	PHP	RENDERING	AGE 21+	13	None	96	None	None	1	None	1	None	1	None	2	None	1	None	1
1750423695	KOBROSSI MARCELLE E	2021	FFS	RENDERING	AGE 0-20	534	None	2,496	None	351	None	944	None	91	None	99	None	481	None	518	None
1750423695	KOBROSSI MARCELLE E	2021	FFS	RENDERING	AGE 21+	843	None	2,431	None	194	None	330	None	235	None	605	None	583	None	583	None
1750423695	KOBROSSI MARCELLE E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1750423695	KOBROSSI MARCELLE E	2021	PHP	RENDERING	AGE 21+	29	None	114	None	None	1	None	2	13	None	32	None	17	None	17	None
1750430559	MASHNI MICHAEL	2021	FFS	RENDERING	AGE 0-20	19	None	72	None	0	None	0	None	19	None	72	None	0	None	0	None
1750430880	CHU PEK S	2021	FFS	RENDERING	AGE 0-20	15	None	82	None	13	None	38	None	None	1	None	1	13	None	19	None
1750430880	CHU PEK S	2021	FFS	RENDERING	AGE 21+	37	None	179	None	23	None	46	None	23	None	43	None	25	None	25	None
1750431524	MASANGYA, MARITESSA INOVIO,	2021	FFS	RENDERING	AGE 0-20	93	None	1,075	None	90	None	387	None	44	None	167	None	85	None	123	None
1750431524	MASANGYA, MARITESSA INOVIO,	2021	FFS	RENDERING	AGE 21+	214	None	1,378	None	185	None	308	None	126	None	483	None	197	None	201	None
1750434825	KESHAV NILESH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1750434825	KESHAV NILESH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1750434825	KESHAV NILESH	2021	GMC	RENDERING	AGE 0-20	70	None	408	None	54	None	190	None	45	None	62	None	45	None	48	None
1750434825	KESHAV NILESH	2021	GMC	RENDERING	AGE 21+	75	None	184	None	19	None	35	None	45	None	65	None	20	None	20	None
1750436697	NGUYEN, LIEN HUONG D, DDS	2021	FFS	RENDERING	AGE 0-20	128	None	1,443	None	105	None	289	None	58	None	158	None	114	None	130	None
1750436697	NGUYEN, LIEN HUONG D, DDS	2021	FFS	RENDERING	AGE 21+	288	None	2,965	None	192	None	194	None	210	None	744	None	232	None	233	None
1750437109	KHAKSHOOY SIAMAK	2021	FFS	RENDERING	AGE 0-20	167	None	1,430	None	126	None	392	None	37	None	81	None	156	None	166	None
1750437109	KHAKSHOOY SIAMAK	2021	FFS	RENDERING	AGE 21+	580	None	3,676	None	187	None	347	None	373	None	1,381	None	407	None	407	None
1750437109	KHAKSHOOY SIAMAK	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1750437109	KHAKSHOOY SIAMAK	2021	PHP	RENDERING	AGE 21+	25	None	170	None	12	None	21	None	13	None	50	None	23	None	25	None
1750437711	POSTMA, LINDA SUE, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1750438016	MHASKAR, SUPRIYA D DDS	2021	FFS	RENDERING	AGE 0-20	87	None	1,264	None	84	None	327	None	32	None	60	None	85	None	127	None
1750438016	MHASKAR, SUPRIYA D DDS	2021	FFS	RENDERING	AGE 21+	74	None	559	None	13	None	23	None	65	None	308	None	54	None	54	None
1750443875	DIONISIO MARIA SALOME C	2021	FFS	RENDERING	AGE 0-20	18	None	82	None	11	None	26	None	None	1	None	2	14	None	14	None
1750443875	DIONISIO MARIA SALOME C	2021	FFS	RENDERING	AGE 21+	44	None	98	None	None	1	None	1	12	None	23	None	26	None	26	None
1750443875	DIONISIO MARIA SALOME C	2021	GMC	RENDERING	AGE 0-20	402	None	2,006	None	227	None	715	None	159	None	338	None	246	None	251	None
1750443875	DIONISIO MARIA SALOME C	2021	GMC	RENDERING	AGE 21+	350	None	1,130	None	38	None	69	None	174	None	453	None	114	None	115	None
1750448197	MARINO ANTHONY	2021	FFS	RENDERING	AGE 0-20	17	None	21	None	0	None	0	None	None	1	None	1	0	None	0	None
1750448197	MARINO ANTHONY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750448197	MARINO ANTHONY	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750448197	MARINO ANTHONY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750448361	LIZAN BERNARDITA N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1750448361	LIZAN BERNARDITA N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1750449302	LEONAKIS GEORGE L	2021	FFS	RENDERING	AGE 0-20	13	None	31	None	0	None	0	None	13	None	31	None	0	None	0	None
1750449302	LEONAKIS GEORGE L	2021	FFS	RENDERING	AGE 21+	34	None	71	None	0	None	0	None	34	None	66	None	0	None	0	None
1750449997	HANNANI BAHRAM	2021	FFS	RENDERING	AGE 0-20	152	None	1,477	None	116	None	245	None	47	None	125	None	132	None	143	None
1750449997	HANNANI BAHRAM	2021	FFS	RENDERING	AGE 21+	331	None	2,477	None	84	None	85	None	207	None	568	None	223	None	224	None
1750449997	HANNANI BAHRAM	2021	PHP	RENDERING	AGE 0-20	19	None	124	None	17	None	42	None	None	1	None	1	17	None	17	None
1750449997	HANNANI BAHRAM	2021	PHP	RENDERING	AGE 21+	43	None	184	None	23	None	30	None	None	1	None	2	28	None	28	None
1750454609	LEE DUK-SUN	2021	FFS	RENDERING	AGE 0-20	636	None	5,262	None	604	None	1,770	None	382	None	1,104	None	615	None	698	None
1750454609	LEE DUK-SUN	2021	FFS	RENDERING	AGE 21+	290	None	1,729	None	149	None	297	None	177	None	675	None	237	None	237	None
1750455549	SHAH, UDAY N, DDS	2021	FFS	RENDERING	AGE 0-20	104	None	1,387	None	98	None	391	None	52	None	177	None	93	None	112	None
1750455549	SHAH, UDAY N, DDS	2021	FFS	RENDERING	AGE 21+	173	None	1,478	None	124	None	245	None	116	None	494	None	134	None	134	None
1750456554	TANDYA ARDINI	2021	FFS	RENDERING	AGE 0-20	14	None	139	None	14	None	39	None	None	1	None	2	12	None	17	None
1750456554	TANDYA ARDINI	2021	FFS	RENDERING	AGE 21+	27	None	250	None	26	None	38	None	19	None	121	None	19	None	19	None
1750456554	TANDYA, ARDINI, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	139	None	14	None	39	None	None	1	None	2	12	None	17	None
1750456554	TANDYA, ARDINI, DDS	2021	FFS	RENDERING	AGE 21+	27	None	250	None	26	None	38	None	19	None	121	None	19	None	19	None
1750458147	SHAH JALPAN M	2021	FFS	RENDERING	AGE 0-20	495	None	1,427	None	0	None	0	None	168	None	565	None	0	None	0	None
1750458147	SHAH JALPAN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1750461430	NAYUDU APARNAVALLI C	2021	FFS	RENDERING	AGE 0-20	196	None	1,566	None	159	None	755	None	81	None	248	None	181	None	202	None
1750461430	NAYUDU APARNAVALLI C	2021	FFS	RENDERING	AGE 21+	553	None	2,910	None	323	None	572	None	315	None	1,012	None	422	None	422	None
1750464608	JOSHI, BHASKAR DDS	2021	FFS	RENDERING	AGE 0-20	406	None	2,338	None	366	None	922	None	121	None	253	None	369	None	485	None
1750464608	JOSHI, BHASKAR DDS	2021	FFS	RENDERING	AGE 21+	431	None	1,814	None	196	None	196	None	345	None	726	None	113	None	113	None
1750465068	MUSLEH, LINA YACOUB DDS	2021	FFS	RENDERING	AGE 0-20	193	None	1,643	None	178	None	807	None	64	None	203	None	184	None	284	None
1750465068	MUSLEH, LINA YACOUB DDS	2021	FFS	RENDERING	AGE 21+	333	None	2,463	None	235	None	467	None	222	None	1,111	None	275	None	275	None
1750478467	SHARMA, S N, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1750479218	KIM YOUNG	2021	FFS	RENDERING	AGE 0-20	103	None	576	None	52	None	117	None	36	None	93	None	81	None	87	None
1750479218	KIM YOUNG	2021	FFS	RENDERING	AGE 21+	271	None	1,329	None	57	None	110	None	158	None	420	None	182	None	182	None
1750481586	THOMAS-PUGH BRENDA L	2021	FFS	RENDERING	AGE 0-20	1,023	None	23,354	None	711	None	2,061	None	1,022	None	12,880	None	963	None	975	None
1750483103	HOMEIRA FIROOZEH DDS & MAHVA	2021	PHP	RENDERING	AGE 0-20	13	None	41	None	None	1	None	2	None	1	None	1	None	1	None	1
1750483103	HOMEIRA FIROOZEH DDS & MAHVA	2021	PHP	RENDERING	AGE 21+	18	None	51	None	None	1	None	1	None	1	None	2	13	None	13	None
1750487328	BHATT SHAILESHKUMA M	2021	FFS	RENDERING	AGE 0-20	718	None	9,040	None	515	None	1,590	None	626	None	2,601	None	615	None	721	None
1750487328	BHATT SHAILESHKUMA M	2021	FFS	RENDERING	AGE 21+	1,051	None	9,351	None	223	None	422	None	963	None	4,868	None	681	None	681	None
1750491536	BENYAMINI, DAN P, DDS INC	2021	PHP	RENDERING	AGE 0-20	15	None	123	None	14	None	61	None	None	1	None	2	12	None	12	None
1750491536	BENYAMINI, DAN P, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1750501540	LEE, DAE WON DDS	2021	FFS	RENDERING	AGE 0-20	204	None	2,997	None	191	None	839	None	97	None	368	None	197	None	244	None
1750501540	LEE, DAE WON DDS	2021	FFS	RENDERING	AGE 21+	232	None	2,432	None	142	None	284	None	195	None	1,107	None	173	None	173	None
1750506754	BOSQUE JUAN CARLOS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1750509261	NEHRU, AMRIT L, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	268	None	19	None	109	None	None	1	None	2	21	None	24	None
1750509261	NEHRU, AMRIT L, DDS	2021	FFS	RENDERING	AGE 21+	70	None	515	None	43	None	43	None	43	None	173	None	65	None	65	None
1750544748	CHIANG WESLEY M	2021	FFS	RENDERING	AGE 0-20	380	None	847	None	0	None	0	None	117	None	319	None	0	None	0	None
1750544748	CHIANG WESLEY M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1750549549	MALLETTE KERMIT J	2021	FFS	RENDERING	AGE 0-20	219	None	867	None	118	None	244	None	74	None	156	None	194	None	202	None
1750549549	MALLETTE KERMIT J	2021	FFS	RENDERING	AGE 21+	684	None	2,784	None	192	None	352	None	358	None	1,326	None	495	None	497	None
1750549549	MALLETTE KERMIT J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750549549	MALLETTE KERMIT J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1750549549	MALLETTE KERMIT J	2021	PHP	RENDERING	AGE 21+	11	None	40	None	None	1	None	1	None	1	None	2	None	1	None	1
1750549820	CHUNG PING-LIN B	2021	FFS	RENDERING	AGE 0-20	166	None	558	None	0	None	0	None	31	None	104	None	0	None	0	None
1750549820	CHUNG PING-LIN B	2021	FFS	RENDERING	AGE 21+	15	None	30	None	0	None	0	None	0	None	0	None	0	None	0	None
1750551057	LIAO JUSTIN HSI C	2021	FFS	RENDERING	AGE 0-20	27	None	309	None	27	None	87	None	11	None	39	None	27	None	29	None
1750551057	LIAO JUSTIN HSI C	2021	FFS	RENDERING	AGE 21+	54	None	429	None	33	None	65	None	38	None	189	None	44	None	44	None
1750553889	ANTIPOV ALEXANDER V	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1750553889	ANTIPOV ALEXANDER V	2021	FFS	RENDERING	AGE 21+	14	None	75	None	0	None	0	None	13	None	67	None	None	1	None	1
1750553889	ANTIPOV ALEXANDER V	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1750555728	KAMANIN VLADISLAV	2021	FFS	RENDERING	AGE 0-20	13	None	29	None	0	None	0	None	13	None	29	None	0	None	0	None
1750555728	KAMANIN VLADISLAV	2021	FFS	RENDERING	AGE 21+	185	None	292	None	0	None	0	None	185	None	292	None	0	None	0	None
1750562385	MASHREGHI, ALIREZA DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1750562385	MASHREGHI, ALIREZA DDS	2021	FFS	RENDERING	AGE 21+	7,707	None	90,514	None	3,819	None	8,980	None	6,014	None	16,741	None	4,312	None	4,312	None
1750562385	MASHREGHI, ALIREZA DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1750563664	BEIZAEE ARASH A	2021	FFS	RENDERING	AGE 21+	34	None	102	None	0	None	0	None	29	None	69	None	None	1	None	1
1750569497	YING KATHY	2021	FFS	RENDERING	AGE 0-20	1,716	None	18,802	None	1,633	None	4,527	None	760	None	964	None	1,661	None	1,981	None
1750572335	SCHULER, STANTON DDS	2021	FFS	RENDERING	AGE 0-20	1,719	None	32,660	None	1,568	None	7,435	None	1,444	None	9,304	None	1,660	None	2,609	None
1750573366	MALEKZADEH REZA	2021	FFS	RENDERING	AGE 0-20	43	None	358	None	39	None	101	None	22	None	103	None	35	None	43	None
1750573366	MALEKZADEH REZA	2021	FFS	RENDERING	AGE 21+	204	None	1,648	None	98	None	163	None	163	None	1,041	None	118	None	118	None
1750579371	SOSA JOSE M	2021	FFS	RENDERING	AGE 0-20	13	None	151	None	12	None	15	None	None	1	None	2	11	None	11	None
1750579371	SOSA JOSE M	2021	FFS	RENDERING	AGE 21+	94	None	865	None	68	None	68	None	64	None	345	None	77	None	77	None
1750580288	BALDERSTON JR, CARREL D, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1750580288	BALDERSTON JR, CARREL D, DDS	2021	FFS	RENDERING	AGE 21+	263	None	2,626	None	0	None	0	None	225	None	2,323	None	147	None	147	None
1750580585	ARAUJO ENRIQUE A	2021	FFS	RENDERING	AGE 0-20	12	None	93	None	12	None	24	None	None	1	None	2	11	None	12	None
1750580585	ARAUJO ENRIQUE A	2021	FFS	RENDERING	AGE 21+	36	None	222	None	14	None	14	None	28	None	88	None	28	None	28	None
1750581260	LOZADA JAIME L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750581260	LOZADA JAIME L	2021	FFS	RENDERING	AGE 21+	24	None	63	None	0	None	0	None	16	None	49	None	0	None	0	None
1750588877	ROBINS GREGORY E	2021	FFS	RENDERING	AGE 0-20	108	None	681	None	91	None	189	None	50	None	142	None	91	None	106	None
1750588877	ROBINS GREGORY E	2021	FFS	RENDERING	AGE 21+	219	None	1,000	None	81	None	81	None	138	None	438	None	138	None	140	None
1750590014	WONG JASON GILBERT	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750590014	WONG JASON GILBERT	2021	PHP	RENDERING	AGE 21+	18	None	26	None	0	None	0	None	None	1	None	1	16	None	16	None
1750590741	VELEZ, MARTHA I, DDS	2021	FFS	RENDERING	AGE 0-20	292	None	3,902	None	275	None	876	None	154	None	394	None	281	None	348	None
1750590741	VELEZ, MARTHA I, DDS	2021	FFS	RENDERING	AGE 21+	396	None	3,333	None	250	None	531	None	262	None	978	None	287	None	287	None
1750593018	KIM STEVEN S	2021	FFS	RENDERING	AGE 0-20	86	None	1,173	None	55	None	179	None	53	None	174	None	75	None	87	None
1750593018	KIM STEVEN S	2021	FFS	RENDERING	AGE 21+	260	None	2,419	None	104	None	205	None	187	None	672	None	207	None	207	None
1750593026	HAKAKHA FIROZ	2021	FFS	RENDERING	AGE 0-20	107	None	558	None	89	None	246	None	40	None	129	None	85	None	87	None
1750593026	HAKAKHA FIROZ	2021	FFS	RENDERING	AGE 21+	546	None	2,759	None	415	None	415	None	333	None	1,191	None	460	None	461	None
1750593026	HAKAKHA FIROZ	2021	PHP	RENDERING	AGE 0-20	57	None	263	None	52	None	136	None	14	None	33	None	57	None	60	None
1750593026	HAKAKHA FIROZ	2021	PHP	RENDERING	AGE 21+	435	None	2,086	None	381	None	412	None	213	None	690	None	411	None	444	None
1750621280	YABAR RENE	2021	FFS	RENDERING	AGE 0-20	171	None	566	None	0	None	0	None	52	None	178	None	0	None	0	None
1750621280	YABAR RENE	2021	FFS	RENDERING	AGE 21+	16	None	30	None	0	None	0	None	0	None	0	None	0	None	0	None
1750638078	LEE STEVE C	2021	FFS	RENDERING	AGE 0-20	419	None	2,255	None	315	None	881	None	148	None	271	None	277	None	303	None
1750638078	LEE STEVE C	2021	FFS	RENDERING	AGE 21+	294	None	1,244	None	157	None	314	None	148	None	313	None	149	None	149	None
1750645420	HOLLAND, ROSARIO I, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750659983	PHAM-NGUYEN DAO K	2021	FFS	RENDERING	AGE 0-20	30	None	374	None	25	None	110	None	18	None	59	None	24	None	36	None
1750659983	PHAM-NGUYEN DAO K	2021	FFS	RENDERING	AGE 21+	47	None	537	None	41	None	80	None	40	None	173	None	42	None	42	None
1750664926	DERBOGHOSIAN SM GENOVEBA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1750664926	DERBOGHOSIAN SM GENOVEBA C	2021	FFS	RENDERING	AGE 21+	16	None	53	None	None	1	None	1	15	None	35	None	None	1	None	1
1750674420	CHUNG MAN LEE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1750676755	FARSHIDI FARZIN S	2021	FFS	RENDERING	AGE 0-20	436	None	2,298	None	None	1	None	1	307	None	1,522	None	391	None	393	None
1750676755	FARSHIDI FARZIN S	2021	FFS	RENDERING	AGE 21+	644	None	2,733	None	0	None	0	None	410	None	1,639	None	551	None	552	None
1750728937	HUSAIN KEREEM H	2021	FFS	RENDERING	AGE 0-20	1,490	None	16,873	None	1,270	None	3,861	None	933	None	2,930	None	1,224	None	1,521	None
1750728937	HUSAIN KEREEM H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750728937	HUSAIN KEREEM H	2021	GMC	RENDERING	AGE 0-20	16	None	113	None	None	1	None	2	16	None	34	None	0	None	0	None
1750728937	HUSAIN KEREEM H	2021	PHP	RENDERING	AGE 0-20	81	None	510	None	31	None	85	None	78	None	286	None	None	1	None	1
1750734075	EDALAT, PORIA	2021	FFS	RENDERING	AGE 0-20	288	None	1,546	None	212	None	684	None	79	None	152	None	248	None	272	None
1750734075	EDALAT, PORIA	2021	FFS	RENDERING	AGE 21+	562	None	1,798	None	130	None	235	None	222	None	535	None	366	None	366	None
1750734075	EDALAT, PORIA	2021	PHP	RENDERING	AGE 0-20	63	None	249	None	37	None	139	None	12	None	13	None	50	None	51	None
1750734075	EDALAT, PORIA	2021	PHP	RENDERING	AGE 21+	154	None	485	None	39	None	102	None	66	None	168	None	104	None	107	None
1750737037	LIN HSIN-CHING	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1750737037	LIN HSIN-CHING	2021	FFS	RENDERING	AGE 21+	18	None	62	None	None	1	None	1	17	None	61	None	0	None	0	None
1750738043	TOOR SUKHMANI	2021	FFS	RENDERING	AGE 0-20	404	None	3,059	None	244	None	925	None	96	None	197	None	378	None	452	None
1750738043	TOOR SUKHMANI	2021	FFS	RENDERING	AGE 21+	569	None	3,153	None	230	None	404	None	230	None	838	None	482	None	488	None
1750739348	AMIREH-MABANGA, LIONA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1750739348	AMIREH-MABANGA, LIONA, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1750739983	ADAMI MUSTAFA	2021	FFS	RENDERING	AGE 0-20	206	None	502	None	0	None	0	None	205	None	486	None	0	None	0	None
1750739983	ADAMI MUSTAFA	2021	FFS	RENDERING	AGE 21+	1,067	None	3,545	None	0	None	0	None	1,065	None	3,462	None	None	1	None	1
1750740015	PASCAL JEFFERY H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1750740015	PASCAL JEFFERY H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1750740015	PASCAL JEFFERY H	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1750740015	PASCAL JEFFERY H	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1750740015	PASCAL JEFFERY H	2021	PHP	RENDERING	AGE 0-20	206	None	1,779	None	167	None	681	None	116	None	435	None	181	None	227	None
1750740015	PASCAL JEFFERY H	2021	PHP	RENDERING	AGE 21+	227	None	1,318	None	66	None	124	None	153	None	635	None	177	None	194	None
1750740072	SONG SOO K	2021	FFS	RENDERING	AGE 0-20	199	None	2,595	None	142	None	358	None	129	None	992	None	181	None	202	None
1750747234	VILLACIS DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1750747234	VILLACIS DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1750765160	FERGUSON LACEY P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1750765160	FERGUSON LACEY P	2021	FFS	RENDERING	AGE 21+	316	None	1,447	None	0	None	0	None	229	None	1,149	None	134	None	134	None
1750766093	HAYHRE KARAMBIR K	2021	FFS	RENDERING	AGE 0-20	141	None	638	None	84	None	186	None	62	None	140	None	89	None	89	None
1750766093	HAYHRE KARAMBIR K	2021	FFS	RENDERING	AGE 21+	229	None	684	None	29	None	51	None	128	None	297	None	113	None	113	None
1750766093	HAYHRE KARAMBIR K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1750772166	ROH, DEOGSOO, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750797288	HE, GUOBIN, DDS	2021	FFS	RENDERING	AGE 0-20	68	None	374	None	61	None	149	None	14	None	51	None	67	None	80	None
1750797288	HE, GUOBIN, DDS	2021	FFS	RENDERING	AGE 21+	379	None	2,241	None	240	None	496	None	236	None	868	None	318	None	324	None
1750799961	PATEL BINTA A	2021	FFS	RENDERING	AGE 0-20	256	None	1,708	None	210	None	664	None	83	None	226	None	246	None	275	None
1750799961	PATEL BINTA A	2021	FFS	RENDERING	AGE 21+	707	None	2,655	None	125	None	247	None	348	None	950	None	478	None	479	None
1750799961	PATEL BINTA A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1750800199	JAN, KEVIN L, DDS	2021	FFS	RENDERING	AGE 0-20	168	None	1,250	None	164	None	553	None	69	None	179	None	152	None	204	None
1750800199	JAN, KEVIN L, DDS	2021	FFS	RENDERING	AGE 21+	316	None	1,795	None	210	None	395	None	195	None	788	None	261	None	261	None
1750803979	SCHULER, STANTON, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1750804910	GARAGOUSIAN ARIGA	2021	FFS	RENDERING	AGE 0-20	6,282	None	117,865	None	6,156	None	29,974	None	4,131	None	20,593	None	6,195	None	10,166	None
1750806477	MEHTA NISHIT J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1750806733	SHAH HETAL P	2021	FFS	RENDERING	AGE 0-20	477	None	2,396	None	267	None	710	None	123	None	284	None	425	None	457	None
1750806733	SHAH HETAL P	2021	FFS	RENDERING	AGE 21+	950	None	3,177	None	150	None	278	None	417	None	1,074	None	720	None	722	None
1750807970	VALDEZ MARIA SOCORRO ILAGAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1750808689	KATIREDDY SRUJANA	2021	FFS	RENDERING	AGE 0-20	138	None	771	None	90	None	345	None	57	None	112	None	90	None	90	None
1750808689	KATIREDDY SRUJANA	2021	FFS	RENDERING	AGE 21+	300	None	951	None	78	None	151	None	146	None	366	None	98	None	98	None
1750814059	RUHRKRAUT NICHOLAS J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750836177	VASILI RANJITHA	2021	FFS	RENDERING	AGE 0-20	503	None	2,733	None	334	None	1,196	None	126	None	296	None	409	None	428	None
1750836177	VASILI RANJITHA	2021	FFS	RENDERING	AGE 21+	1,196	None	4,264	None	348	None	631	None	510	None	1,279	None	828	None	829	None
1750836177	VASILI RANJITHA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750836177	VASILI RANJITHA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750845368	ARANGUREN GUSTAVO H	2021	FFS	RENDERING	AGE 0-20	262	None	1,255	None	165	None	487	None	74	None	132	None	204	None	234	None
1750845368	ARANGUREN GUSTAVO H	2021	FFS	RENDERING	AGE 21+	449	None	1,387	None	70	None	96	None	206	None	519	None	273	None	275	None
1750845368	ARANGUREN GUSTAVO H	2021	PHP	RENDERING	AGE 0-20	108	None	468	None	68	None	223	None	21	None	39	None	90	None	109	None
1750845368	ARANGUREN GUSTAVO H	2021	PHP	RENDERING	AGE 21+	97	None	292	None	14	None	16	None	48	None	161	None	63	None	64	None
1750847265	TRAN VIVIAN A	2021	FFS	RENDERING	AGE 0-20	34	None	229	None	19	None	59	None	21	None	76	None	18	None	22	None
1750847265	TRAN VIVIAN A	2021	FFS	RENDERING	AGE 21+	77	None	355	None	None	1	None	2	62	None	208	None	28	None	28	None
1750854477	ELSEISI TAREK G	2021	FFS	RENDERING	AGE 0-20	383	None	1,730	None	231	None	677	None	188	None	387	None	180	None	180	None
1750854477	ELSEISI TAREK G	2021	FFS	RENDERING	AGE 21+	520	None	1,393	None	94	None	163	None	292	None	642	None	173	None	173	None
1750854477	ELSEISI TAREK G	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1750854477	ELSEISI TAREK G	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1750867487	RATANATHARATHOR KIATKACHORN	2021	FFS	RENDERING	AGE 0-20	329	None	2,222	None	255	None	637	None	157	None	478	None	286	None	293	None
1750867487	RATANATHARATHOR KIATKACHORN	2021	FFS	RENDERING	AGE 21+	294	None	1,372	None	111	None	193	None	210	None	607	None	179	None	179	None
1750873923	MOVAHED BASHIRI BAHAR	2021	FFS	RENDERING	AGE 0-20	17	None	40	None	0	None	0	None	11	None	26	None	None	1	None	1
1750881512	SHAH NEHAL M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750881512	SHAH NEHAL M	2021	FFS	RENDERING	AGE 21+	68	None	103	None	0	None	0	None	67	None	94	None	0	None	0	None
1750881512	SHAH NEHAL M	2021	GMC	RENDERING	AGE 0-20	27	None	46	None	None	1	None	1	18	None	27	None	None	1	None	1
1750881512	SHAH NEHAL M	2021	GMC	RENDERING	AGE 21+	103	None	156	None	None	1	None	1	78	None	126	None	0	None	0	None
1750881512	SHAH NEHAL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1750881512	SHAH NEHAL M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1750905840	THAKKAR RINKAL B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750934303	JUMOC ABIGAIL A	2021	FFS	RENDERING	AGE 0-20	189	None	1,794	None	158	None	534	None	92	None	196	None	166	None	169	None
1750934303	JUMOC ABIGAIL A	2021	FFS	RENDERING	AGE 21+	221	None	1,429	None	126	None	248	None	99	None	283	None	152	None	152	None
1750934956	TULLY NATHAN D	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1750943536	ROWLISON MELISSA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750998969	JACQUES CHRISTIE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760044366	TABANFAR MATTHEW	2021	FFS	RENDERING	AGE 0-20	2,920	None	25,682	None	2,037	None	6,070	None	1,989	None	6,218	None	1,781	None	1,821	None
1760044366	TABANFAR MATTHEW	2021	FFS	RENDERING	AGE 21+	380	None	2,311	None	165	None	327	None	225	None	611	None	202	None	202	None
1760080998	KIM TOKIN	2021	FFS	RENDERING	AGE 0-20	44	None	410	None	36	None	82	None	17	None	47	None	33	None	34	None
1760080998	KIM TOKIN	2021	FFS	RENDERING	AGE 21+	69	None	445	None	18	None	35	None	50	None	157	None	27	None	27	None
1760097489	MEHTA POOJA D	2021	FFS	RENDERING	AGE 0-20	86	None	312	None	45	None	111	None	51	None	110	None	13	None	13	None
1760097489	MEHTA POOJA D	2021	FFS	RENDERING	AGE 21+	115	None	284	None	19	None	37	None	89	None	184	None	11	None	11	None
1760155527	KIM KENNETH W	2021	FFS	RENDERING	AGE 0-20	60	None	375	None	48	None	114	None	31	None	114	None	47	None	47	None
1760155527	KIM KENNETH W	2021	FFS	RENDERING	AGE 21+	116	None	543	None	41	None	82	None	90	None	291	None	55	None	55	None
1760418818	PIERSON, GRAYSON A, DDS	2021	FFS	RENDERING	AGE 0-20	1,404	None	12,008	None	1,248	None	4,122	None	940	None	2,712	None	1,218	None	1,464	None
1760418818	PIERSON, GRAYSON A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1760470769	PARK SUNGHAE	2021	FFS	RENDERING	AGE 0-20	158	None	1,454	None	116	None	325	None	85	None	258	None	110	None	124	None
1760470769	PARK SUNGHAE	2021	FFS	RENDERING	AGE 21+	304	None	1,803	None	110	None	149	None	204	None	628	None	166	None	166	None
1760490999	SANTA MARIA GLENDA Y	2021	FFS	RENDERING	AGE 0-20	94	None	452	None	29	None	64	None	73	None	206	None	43	None	44	None
1760490999	SANTA MARIA GLENDA Y	2021	FFS	RENDERING	AGE 21+	232	None	1,017	None	50	None	99	None	181	None	593	None	86	None	86	None
1760508535	SCHLANG ELLIOT P	2021	FFS	RENDERING	AGE 0-20	110	None	828	None	100	None	427	None	21	None	37	None	99	None	99	None
1760514178	WONG, LESLIE A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1760514178	WONG, LESLIE A, DDS	2021	FFS	RENDERING	AGE 21+	40	None	329	None	28	None	51	None	31	None	141	None	36	None	36	None
1760516736	SHIN YONG J	2021	FFS	RENDERING	AGE 0-20	135	None	1,877	None	105	None	429	None	86	None	407	None	115	None	128	None
1760516736	SHIN YONG J	2021	FFS	RENDERING	AGE 21+	278	None	2,184	None	134	None	134	None	194	None	667	None	198	None	198	None
1760517395	CUISIA ZENAIDA ELVI S	2021	FFS	RENDERING	AGE 0-20	12,159	None	134,921	None	10,651	None	39,259	None	7,560	None	29,117	None	10,272	None	12,553	None
1760517395	CUISIA ZENAIDA ELVI S	2021	FFS	RENDERING	AGE 21+	51	None	249	None	30	None	59	None	12	None	28	None	29	None	30	None
1760519805	THAN HUY T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1760519805	THAN HUY T	2021	PHP	RENDERING	AGE 0-20	178	None	1,988	None	158	None	838	None	171	None	299	None	137	None	139	None
1760519805	THAN HUY T	2021	PHP	RENDERING	AGE 21+	84	None	601	None	50	None	168	None	62	None	186	None	36	None	36	None
1760521587	GIOMETTI, ROBERT E, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	126	None	None	1	None	1	None	1	None	2	18	None	21	None
1760521587	GIOMETTI, ROBERT E, DDS	2021	FFS	RENDERING	AGE 21+	111	None	945	None	32	None	32	None	61	None	262	None	90	None	91	None
1760522312	CHU, ANNABELLA, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1760522312	CHU, ANNABELLA, DMD	2021	FFS	RENDERING	AGE 21+	23	None	82	None	None	1	None	1	17	None	42	None	11	None	11	None
1760523922	MACDOWELL, MANA, DDS	2021	FFS	RENDERING	AGE 0-20	57	None	355	None	55	None	202	None	15	None	24	None	55	None	76	None
1760523922	MACDOWELL, MANA, DDS	2021	FFS	RENDERING	AGE 21+	130	None	805	None	97	None	194	None	81	None	205	None	100	None	100	None
1760523930	KOO JOHNNY H	2021	FFS	RENDERING	AGE 0-20	105	None	655	None	85	None	229	None	27	None	61	None	73	None	76	None
1760523930	KOO JOHNNY H	2021	FFS	RENDERING	AGE 21+	127	None	564	None	53	None	88	None	68	None	203	None	76	None	77	None
1760524656	PATEL BHAVNA	2021	FFS	RENDERING	AGE 0-20	473	None	3,246	None	373	None	1,420	None	104	None	159	None	449	None	505	None
1760524656	PATEL BHAVNA	2021	FFS	RENDERING	AGE 21+	530	None	1,815	None	176	None	312	None	162	None	476	None	402	None	402	None
1760533889	WAN, LYNN, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1760535686	REFAAT YOUHANNA S	2021	FFS	RENDERING	AGE 0-20	389	None	2,371	None	297	None	1,232	None	74	None	152	None	300	None	336	None
1760535686	REFAAT YOUHANNA S	2021	FFS	RENDERING	AGE 21+	612	None	1,951	None	146	None	254	None	258	None	505	None	366	None	366	None
1760535686	REFAAT YOUHANNA S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1760540942	TASSARA GIANCARLO G	2021	FFS	RENDERING	AGE 0-20	314	None	803	None	None	1	None	1	102	None	333	None	None	1	None	1
1760540942	TASSARA GIANCARLO G	2021	FFS	RENDERING	AGE 21+	16	None	22	None	0	None	0	None	None	1	None	1	None	1	None	1
1760544845	CHANG JOAO F	2021	FFS	RENDERING	AGE 0-20	38	None	157	None	14	None	28	None	26	None	56	None	13	None	14	None
1760544845	CHANG JOAO F	2021	FFS	RENDERING	AGE 21+	207	None	765	None	25	None	25	None	192	None	419	None	25	None	25	None
1760546337	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760546337	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	36	None	354	None	30	None	98	None	None	1	None	1	34	None	34	None
1760546337	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	61	None	217	None	19	None	41	None	12	None	14	None	47	None	49	None
1760546337	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760546337	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	36	None	354	None	30	None	98	None	None	1	None	1	34	None	34	None
1760546337	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	61	None	217	None	19	None	41	None	12	None	14	None	47	None	49	None
1760546501	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760546501	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	692	None	4,864	None	371	None	1,471	None	164	None	268	None	431	None	439	None
1760546501	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	1,077	None	3,847	None	137	None	257	None	277	None	323	None	342	None	343	None
1760546501	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760546501	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	692	None	4,864	None	371	None	1,471	None	164	None	268	None	431	None	439	None
1760546501	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	1,077	None	3,847	None	137	None	257	None	277	None	323	None	342	None	343	None
1760550131	MOULIK BHASWATI	2021	FFS	RENDERING	AGE 0-20	53	None	641	None	50	None	183	None	12	None	45	None	52	None	71	None
1760550131	MOULIK BHASWATI	2021	FFS	RENDERING	AGE 21+	107	None	772	None	92	None	180	None	45	None	157	None	95	None	95	None
1760550784	TU, TOM D, DDS	2021	FFS	RENDERING	AGE 0-20	734	None	9,348	None	709	None	2,372	None	204	None	666	None	717	None	825	None
1760550784	TU, TOM D, DDS	2021	FFS	RENDERING	AGE 21+	335	None	2,745	None	218	None	456	None	188	None	483	None	250	None	255	None
1760561450	PARK STEPHEN J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1760562599	MAXWELL MARK F	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1760574867	LUBCZUK ANDRZEJ	2021	FFS	RENDERING	AGE 0-20	423	None	4,078	None	311	None	741	None	168	None	712	None	329	None	380	None
1760574867	LUBCZUK ANDRZEJ	2021	FFS	RENDERING	AGE 21+	860	None	5,540	None	301	None	427	None	544	None	2,335	None	452	None	452	None
1760578769	NADI HAMID R	2021	FFS	RENDERING	AGE 0-20	27	None	224	None	24	None	91	None	15	None	46	None	23	None	27	None
1760578769	NADI HAMID R	2021	FFS	RENDERING	AGE 21+	180	None	979	None	86	None	86	None	115	None	445	None	139	None	139	None
1760578769	NADI HAMID R	2021	PHP	RENDERING	AGE 0-20	41	None	266	None	35	None	92	None	11	None	22	None	37	None	42	None
1760578769	NADI HAMID R	2021	PHP	RENDERING	AGE 21+	35	None	177	None	14	None	21	None	17	None	46	None	28	None	29	None
1760579080	TRAN HUEY Q	2021	FFS	RENDERING	AGE 0-20	66	None	412	None	45	None	93	None	27	None	78	None	51	None	52	None
1760579080	TRAN HUEY Q	2021	FFS	RENDERING	AGE 21+	152	None	753	None	36	None	41	None	74	None	284	None	98	None	99	None
1760580724	ROMANO, CLAUDIA DDS	2021	FFS	RENDERING	AGE 0-20	68	None	870	None	56	None	133	None	48	None	228	None	54	None	54	None
1760580724	ROMANO, CLAUDIA DDS	2021	FFS	RENDERING	AGE 21+	199	None	2,154	None	92	None	179	None	175	None	1,031	None	99	None	99	None
1760580724	ROMANO, CLAUDIA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1760580724	ROMANO, CLAUDIA DDS	2021	PHP	RENDERING	AGE 21+	15	None	172	None	None	1	None	2	14	None	110	None	None	1	None	1
1760586101	NGUYEN, TUYEN Q, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	123	None	14	None	14	None	None	1	None	2	None	1	None	1
1760586101	NGUYEN, TUYEN Q, DDS	2021	FFS	RENDERING	AGE 21+	63	None	520	None	55	None	57	None	41	None	132	None	50	None	52	None
1760588925	AQUINO, MARY FELICITY	2021	FFS	RENDERING	AGE 0-20	32	None	301	None	28	None	73	None	20	None	67	None	29	None	36	None
1760588925	AQUINO, MARY FELICITY	2021	FFS	RENDERING	AGE 21+	93	None	551	None	49	None	50	None	57	None	196	None	56	None	56	None
1760601173	VILDERMAN YULY	2021	FFS	RENDERING	AGE 21+	58	None	159	None	13	None	13	None	37	None	65	None	30	None	30	None
1760603526	LEON CARLOS F	2021	FFS	RENDERING	AGE 0-20	140	None	1,949	None	135	None	307	None	72	None	262	None	134	None	152	None
1760603526	LEON CARLOS F	2021	FFS	RENDERING	AGE 21+	18	None	189	None	18	None	26	None	None	1	None	2	18	None	18	None
1760604656	JOYNER, ARLENE DDS	2021	FFS	RENDERING	AGE 0-20	67	None	597	None	52	None	167	None	21	None	30	None	50	None	50	None
1760604656	JOYNER, ARLENE DDS	2021	FFS	RENDERING	AGE 21+	11	None	52	None	None	1	None	1	None	1	None	1	None	1	None	1
1760606677	MEDINA LETICIA	2021	FFS	RENDERING	AGE 0-20	228	None	3,677	None	224	None	815	None	117	None	304	None	224	None	297	None
1760607626	WANG KEH-JENQ	2021	FFS	RENDERING	AGE 0-20	15	None	66	None	12	None	34	None	None	1	None	1	14	None	17	None
1760607626	WANG KEH-JENQ	2021	FFS	RENDERING	AGE 21+	49	None	191	None	18	None	36	None	45	None	71	None	41	None	41	None
1760616510	HOLBROOK DAVID M	2021	FFS	RENDERING	AGE 0-20	44	None	45	None	0	None	0	None	26	None	26	None	0	None	0	None
1760616510	HOLBROOK DAVID M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1760618367	BLASUCCI MADELENA	2021	FFS	RENDERING	AGE 0-20	17	None	32	None	16	None	30	None	None	1	None	1	0	None	0	None
1760618367	BLASUCCI MADELENA	2021	FFS	RENDERING	AGE 21+	30	None	57	None	None	1	None	2	19	None	38	None	0	None	0	None
1760618367	BLASUCCI MADELENA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1760618367	BLASUCCI MADELENA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1760633341	BAYSIDE ORAL SURGERY GRP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760633341	ELDER, M, DDS A PROFESSIONAL	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1760633341	UNKNOWN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760636195	LA DENTAL	2021	FFS	RENDERING	AGE 0-20	435	None	4,219	None	430	None	1,422	None	158	None	338	None	418	None	623	None
1760636195	LA DENTAL	2021	FFS	RENDERING	AGE 21+	159	None	796	None	143	None	143	None	68	None	140	None	147	None	147	None
1760636484	MKHEYAN, NUNE DDS	2021	FFS	RENDERING	AGE 0-20	27	None	248	None	27	None	71	None	None	1	None	2	23	None	26	None
1760636484	MKHEYAN, NUNE DDS	2021	FFS	RENDERING	AGE 21+	144	None	1,134	None	93	None	94	None	121	None	477	None	113	None	113	None
1760636484	MKHEYAN, NUNE DDS	2021	PHP	RENDERING	AGE 0-20	17	None	169	None	16	None	93	None	None	1	None	1	17	None	20	None
1760636484	MKHEYAN, NUNE DDS	2021	PHP	RENDERING	AGE 21+	20	None	110	None	18	None	19	None	None	1	None	2	20	None	20	None
1760649487	PEREZ YACZAIRA	2021	FFS	RENDERING	AGE 0-20	511	None	4,400	None	393	None	1,353	None	258	None	831	None	429	None	479	None
1760649487	PEREZ YACZAIRA	2021	FFS	RENDERING	AGE 21+	501	None	2,951	None	165	None	170	None	370	None	1,387	None	311	None	311	None
1760651731	MONTGOMERY AIMEE L	2021	FFS	RENDERING	AGE 0-20	64	None	296	None	None	1	None	1	64	None	287	None	None	1	None	1
1760651731	MONTGOMERY AIMEE L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1760662209	CHANG, ALICIA	2021	FFS	RENDERING	AGE 0-20	112	None	927	None	94	None	283	None	64	None	200	None	91	None	108	None
1760662209	CHANG, ALICIA	2021	FFS	RENDERING	AGE 21+	289	None	1,408	None	105	None	165	None	176	None	535	None	185	None	185	None
1760662209	CHANG, ALICIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1760672570	CONROY BARTON W	2021	FFS	RENDERING	AGE 0-20	419	None	598	None	0	None	0	None	95	None	202	None	0	None	0	None
1760672570	CONROY BARTON W	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1760672570	CONROY BARTON W	2021	PHP	RENDERING	AGE 0-20	14	None	55	None	0	None	0	None	11	None	51	None	0	None	0	None
1760672570	CONROY BARTON W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760678270	BARZIVAND, PAYAM DDS	2021	FFS	RENDERING	AGE 0-20	200	None	2,664	None	182	None	657	None	89	None	327	None	196	None	257	None
1760678270	BARZIVAND, PAYAM DDS	2021	FFS	RENDERING	AGE 21+	463	None	3,486	None	295	None	594	None	305	None	1,228	None	348	None	349	None
1760690945	JOSEPHS WESLEY Y	2021	FFS	RENDERING	AGE 0-20	19	None	127	None	13	None	28	None	None	1	None	1	14	None	15	None
1760690945	JOSEPHS WESLEY Y	2021	FFS	RENDERING	AGE 21+	72	None	271	None	22	None	44	None	43	None	67	None	37	None	37	None
1760693931	NGUYEN ADELINE H	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1760695217	DAGHER, ZIAD DDS	2021	FFS	RENDERING	AGE 0-20	341	None	3,535	None	321	None	1,375	None	100	None	279	None	311	None	447	None
1760695217	DAGHER, ZIAD DDS	2021	FFS	RENDERING	AGE 21+	302	None	1,905	None	110	None	221	None	171	None	732	None	237	None	237	None
1760698914	CHANG PAUL CHENG Y	2021	FFS	RENDERING	AGE 0-20	17	None	101	None	14	None	27	None	None	1	None	2	16	None	18	None
1760698914	CHANG PAUL CHENG Y	2021	FFS	RENDERING	AGE 21+	59	None	383	None	16	None	16	None	36	None	147	None	50	None	51	None
1760698914	CHANG PAUL CHENG Y	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1760712269	SHIM JERRY H	2021	FFS	RENDERING	AGE 0-20	286	None	465	None	0	None	0	None	23	None	72	None	0	None	0	None
1760712269	SHIM JERRY H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1760712269	SHIM JERRY H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760720619	KHOSTEGYAN ARPIN V	2021	FFS	RENDERING	AGE 0-20	45	None	245	None	31	None	64	None	27	None	85	None	29	None	32	None
1760720619	KHOSTEGYAN ARPIN V	2021	FFS	RENDERING	AGE 21+	141	None	829	None	53	None	68	None	105	None	508	None	62	None	64	None
1760721104	GILL RAMANDEEP K	2021	GMC	RENDERING	AGE 0-20	21	None	66	None	14	None	16	None	19	None	20	None	None	1	None	1
1760721104	GILL RAMANDEEP K	2021	GMC	RENDERING	AGE 21+	314	None	923	None	148	None	176	None	59	None	181	None	307	None	311	None
1760725048	DEREGHISHIAN, MELINEH DDS	2021	FFS	RENDERING	AGE 0-20	524	None	1,242	None	0	None	0	None	317	None	799	None	0	None	0	None
1760750087	MAJANO VALERIE L	2021	GMC	RENDERING	AGE 0-20	68	None	287	None	64	None	133	None	56	None	64	None	22	None	22	None
1760750087	MAJANO VALERIE L	2021	GMC	RENDERING	AGE 21+	256	None	1,534	None	233	None	581	None	238	None	524	None	81	None	106	None
1760750087	MAJANO VALERIE L	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760780910	NGHIEM, TAN, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760788095	WEEKS, ANDREW C MD	2021	FFS	RENDERING	AGE 0-20	245	None	1,103	None	0	None	0	None	202	None	799	None	123	None	131	None
1760788095	WEEKS, ANDREW C MD	2021	FFS	RENDERING	AGE 21+	364	None	1,956	None	0	None	0	None	333	None	1,468	None	185	None	191	None
1760796023	EDALAT HOSSEIN	2021	FFS	RENDERING	AGE 0-20	92	None	378	None	0	None	0	None	69	None	150	None	77	None	77	None
1760796023	EDALAT HOSSEIN	2021	FFS	RENDERING	AGE 21+	755	None	3,526	None	0	None	0	None	500	None	1,360	None	666	None	666	None
1760797047	LARA, SANDRA DDS	2021	FFS	RENDERING	AGE 0-20	257	None	729	None	0	None	0	None	169	None	219	None	235	None	237	None
1760797047	LARA, SANDRA DDS	2021	FFS	RENDERING	AGE 21+	955	None	2,665	None	None	1	None	1	628	None	818	None	803	None	803	None
1760797815	KIM, HYUN JUNE DDS	2021	FFS	RENDERING	AGE 0-20	260	None	3,069	None	248	None	1,280	None	170	None	738	None	250	None	328	None
1760797815	KIM, HYUN JUNE DDS	2021	FFS	RENDERING	AGE 21+	202	None	1,684	None	153	None	305	None	162	None	794	None	158	None	158	None
1760798094	TRAN NGUYEN D	2021	FFS	RENDERING	AGE 0-20	489	None	5,998	None	463	None	1,652	None	209	None	666	None	473	None	532	None
1760798094	TRAN NGUYEN D	2021	FFS	RENDERING	AGE 21+	381	None	3,723	None	281	None	560	None	267	None	1,257	None	304	None	304	None
1760808158	ARAD, ARASH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1760821615	MAJOR AMANDA	2021	FFS	RENDERING	AGE 0-20	844	None	3,713	None	675	None	1,551	None	423	None	749	None	565	None	604	None
1760854087	GOLABY SANAJANY SIAVASH	2021	FFS	RENDERING	AGE 0-20	46	None	179	None	22	None	37	None	14	None	22	None	33	None	33	None
1760854087	GOLABY SANAJANY SIAVASH	2021	FFS	RENDERING	AGE 21+	31	None	77	None	None	1	None	1	13	None	26	None	15	None	15	None
1760854087	GOLABY SANAJANY SIAVASH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1760854087	GOLABY SANAJANY SIAVASH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1760857189	SIDHU GURJOT K	2021	FFS	RENDERING	AGE 0-20	73	None	313	None	69	None	138	None	None	1	None	1	72	None	72	None
1760857189	SIDHU GURJOT K	2021	FFS	RENDERING	AGE 21+	352	None	1,730	None	260	None	523	None	97	None	492	None	340	None	341	None
1760858153	LEE, YONGHEE DDS	2021	FFS	RENDERING	AGE 0-20	259	None	3,104	None	228	None	1,098	None	101	None	287	None	256	None	340	None
1760858153	LEE, YONGHEE DDS	2021	FFS	RENDERING	AGE 21+	528	None	4,901	None	151	None	304	None	388	None	2,044	None	455	None	455	None
1760862031	RANDHAWA AMANDEEP K	2021	FFS	RENDERING	AGE 0-20	539	None	3,269	None	359	None	1,520	None	117	None	233	None	487	None	528	None
1760862031	RANDHAWA AMANDEEP K	2021	FFS	RENDERING	AGE 21+	1,181	None	3,560	None	214	None	413	None	360	None	925	None	989	None	989	None
1760869184	WADIA, JASVEEN DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1760869184	WADIA, JASVEEN DDS	2021	FFS	RENDERING	AGE 21+	34	None	114	None	0	None	0	None	20	None	26	None	15	None	15	None
1760869184	WADIA, JASVEEN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760869184	WADIA, JASVEEN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1760869796	NESS DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1760881619	HALAKA SAMIR B	2021	FFS	RENDERING	AGE 0-20	28	None	171	None	22	None	50	None	12	None	47	None	21	None	21	None
1760881619	HALAKA SAMIR B	2021	FFS	RENDERING	AGE 21+	115	None	741	None	63	None	125	None	79	None	274	None	87	None	87	None
1760896336	MERCADO MARCUS ALLAN PERRERAS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1760906861	PANCHOLI MEGHANA K	2021	FFS	RENDERING	AGE 0-20	254	None	1,235	None	137	None	387	None	94	None	200	None	206	None	216	None
1760906861	PANCHOLI MEGHANA K	2021	FFS	RENDERING	AGE 21+	291	None	759	None	24	None	47	None	105	None	231	None	179	None	179	None
1760906887	PARK, SHERIE, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1760906887	PARK, SHERIE, DDS INC	2021	PHP	RENDERING	AGE 21+	17	None	82	None	None	1	None	2	None	1	None	1	16	None	16	None
1760908230	WESTERN DENTAL SERVICE, INC	2021	PHP	RENDERING	AGE 0-20	34	None	250	None	32	None	89	None	None	1	None	1	34	None	38	None
1760908230	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	34	None	250	None	32	None	89	None	None	1	None	1	34	None	38	None
1760921878	BAYAT-MOKHTARI SIAMAK	2021	FFS	RENDERING	AGE 0-20	411	None	1,608	None	160	None	408	None	274	None	596	None	160	None	161	None
1760921878	BAYAT-MOKHTARI SIAMAK	2021	FFS	RENDERING	AGE 21+	1,024	None	3,092	None	52	None	91	None	913	None	2,434	None	138	None	138	None
1760921878	BAYAT-MOKHTARI SIAMAK	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760921878	BAYAT-MOKHTARI SIAMAK	2021	PHP	RENDERING	AGE 0-20	32	None	151	None	18	None	56	None	12	None	19	None	24	None	25	None
1760921878	BAYAT-MOKHTARI SIAMAK	2021	PHP	RENDERING	AGE 21+	56	None	191	None	None	1	None	2	49	None	129	None	14	None	14	None
1760922363	HO MICHELLE D	2021	FFS	RENDERING	AGE 0-20	162	None	1,166	None	120	None	301	None	41	None	104	None	151	None	151	None
1760922363	HO MICHELLE D	2021	FFS	RENDERING	AGE 21+	99	None	550	None	23	None	36	None	44	None	105	None	75	None	79	None
1760931687	ROSALES RANDY A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760931687	ROSALES RANDY A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1760946719	CALA LUCAS A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1760946719	CALA LUCAS A	2021	FFS	RENDERING	AGE 21+	51	None	109	None	0	None	0	None	51	None	109	None	0	None	0	None
1760969760	NG NICHOLAS C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1760969760	NG NICHOLAS C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1760994214	YOUNG KEANE W	2021	FFS	RENDERING	AGE 0-20	15	None	77	None	None	1	None	2	12	None	21	None	None	1	None	1
1760994214	YOUNG KEANE W	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1770002511	KIM JOO H	2021	FFS	RENDERING	AGE 0-20	335	None	2,332	None	203	None	416	None	162	None	291	None	203	None	207	None
1770002511	KIM JOO H	2021	FFS	RENDERING	AGE 21+	472	None	2,232	None	104	None	202	None	301	None	749	None	213	None	213	None
1770002511	KIM JOO H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1770002511	KIM JOO H	2021	PHP	RENDERING	AGE 21+	20	None	57	None	None	1	None	1	16	None	33	None	None	1	None	1
1770006728	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 0-20	122	None	1,498	None	107	None	713	None	108	None	202	None	88	None	103	None
1770006728	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 21+	133	None	1,007	None	49	None	190	None	104	None	363	None	68	None	86	None
1770006728	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	122	None	1,498	None	107	None	713	None	108	None	202	None	88	None	103	None
1770006728	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 21+	133	None	1,007	None	49	None	190	None	104	None	363	None	68	None	86	None
1770017956	HALLAJIAN LUCY T	2021	FFS	RENDERING	AGE 0-20	452	None	1,345	None	230	None	503	None	148	None	448	None	247	None	255	None
1770017956	HALLAJIAN LUCY T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1770017956	HALLAJIAN LUCY T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770028847	ZHAO, HONG, DDS	2021	FFS	RENDERING	AGE 0-20	103	None	991	None	101	None	399	None	38	None	124	None	102	None	132	None
1770028847	ZHAO, HONG, DDS	2021	FFS	RENDERING	AGE 21+	245	None	2,294	None	218	None	434	None	122	None	471	None	220	None	220	None
1770029217	SUNDAR JYOTSNA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770040974	KEATHLEY, COREY MICHELE, RDH	2021	FFS	RENDERING	AGE 0-20	94	None	131	None	94	None	131	None	0	None	0	None	0	None	0	None
1770040974	KEATHLEY, COREY MICHELE, RDH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1770048621	MCCLURE KAITLIN N	2021	FFS	RENDERING	AGE 0-20	131	None	771	None	128	None	316	None	44	None	48	None	128	None	128	None
1770065963	HOANG MICHAEL T	2021	FFS	RENDERING	AGE 0-20	21	None	26	None	0	None	0	None	21	None	22	None	0	None	0	None
1770067571	TRAN KEVIN K	2021	FFS	RENDERING	AGE 0-20	213	None	1,923	None	109	None	220	None	112	None	370	None	171	None	186	None
1770067571	TRAN KEVIN K	2021	FFS	RENDERING	AGE 21+	424	None	2,481	None	73	None	120	None	287	None	909	None	264	None	266	None
1770067571	TRAN KEVIN K	2021	PHP	RENDERING	AGE 0-20	27	None	146	None	23	None	41	None	14	None	30	None	20	None	20	None
1770067571	TRAN KEVIN K	2021	PHP	RENDERING	AGE 21+	58	None	282	None	18	None	30	None	39	None	114	None	36	None	37	None
1770068934	AHMAD SHEHZAD	2021	FFS	RENDERING	AGE 0-20	577	None	2,347	None	202	None	785	None	146	None	236	None	380	None	394	None
1770068934	AHMAD SHEHZAD	2021	FFS	RENDERING	AGE 21+	1,130	None	2,793	None	63	None	121	None	399	None	696	None	607	None	608	None
1770101081	ADIB HABIB	2021	FFS	RENDERING	AGE 0-20	205	None	1,016	None	91	None	272	None	110	None	330	None	154	None	162	None
1770101081	ADIB HABIB	2021	FFS	RENDERING	AGE 21+	533	None	2,140	None	111	None	195	None	300	None	962	None	404	None	405	None
1770101081	ADIB HABIB	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1770101081	ADIB HABIB	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1770123515	NIK ELHAM	2021	FFS	RENDERING	AGE 0-20	314	None	2,241	None	212	None	482	None	115	None	201	None	221	None	222	None
1770123515	NIK ELHAM	2021	FFS	RENDERING	AGE 21+	369	None	1,790	None	141	None	271	None	176	None	374	None	221	None	221	None
1770130767	SHOKER GURMAN S	2021	FFS	RENDERING	AGE 0-20	163	None	892	None	100	None	194	None	77	None	173	None	110	None	110	None
1770130767	SHOKER GURMAN S	2021	FFS	RENDERING	AGE 21+	737	None	3,975	None	233	None	243	None	494	None	1,187	None	296	None	296	None
1770130767	SHOKER GURMAN S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770133308	KRISHNAKUMAR MINI	2021	FFS	RENDERING	AGE 0-20	488	None	2,707	None	331	None	974	None	281	None	820	None	289	None	304	None
1770133308	KRISHNAKUMAR MINI	2021	FFS	RENDERING	AGE 21+	599	None	2,049	None	184	None	294	None	310	None	900	None	308	None	310	None
1770137549	TA DANIEL Q	2021	FFS	RENDERING	AGE 0-20	38	None	225	None	31	None	86	None	13	None	27	None	32	None	32	None
1770137549	TA DANIEL Q	2021	FFS	RENDERING	AGE 21+	17	None	70	None	None	1	None	2	None	1	None	1	None	1	None	1
1770139966	BOYLE KRISTY L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1770139966	BOYLE KRISTY L	2021	PHP	RENDERING	AGE 0-20	118	None	844	None	86	None	287	None	110	None	194	None	69	None	69	None
1770139966	BOYLE KRISTY L	2021	PHP	RENDERING	AGE 21+	113	None	443	None	18	None	45	None	88	None	207	None	21	None	21	None
1770146516	YIP JASON	2021	FFS	RENDERING	AGE 0-20	81	None	604	None	70	None	243	None	36	None	114	None	68	None	69	None
1770146516	YIP JASON	2021	FFS	RENDERING	AGE 21+	423	None	2,459	None	240	None	476	None	285	None	964	None	273	None	273	None
1770146714	CARRASCO SANDOV JOSE E	2021	PHP	RENDERING	AGE 0-20	95	None	781	None	80	None	276	None	93	None	189	None	74	None	79	None
1770146714	CARRASCO SANDOV JOSE E	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1770190175	KOHAN JOSHUA	2021	FFS	RENDERING	AGE 0-20	1,023	None	7,169	None	243	None	610	None	997	None	3,232	None	92	None	96	None
1770190175	KOHAN JOSHUA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770191041	CHUNG SO H	2021	FFS	RENDERING	AGE 0-20	3,062	None	23,707	None	2,345	None	6,244	None	2,090	None	4,896	None	2,283	None	2,364	None
1770191041	CHUNG SO H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1770196024	BIBERA KEVIN T	2021	FFS	RENDERING	AGE 0-20	27	None	143	None	12	None	42	None	None	1	None	2	22	None	22	None
1770196024	BIBERA KEVIN T	2021	FFS	RENDERING	AGE 21+	27	None	86	None	None	1	None	1	None	1	None	2	16	None	16	None
1770196024	BIBERA KEVIN T	2021	PHP	RENDERING	AGE 0-20	16	None	69	None	13	None	34	None	None	1	None	1	11	None	11	None
1770196024	BIBERA KEVIN T	2021	PHP	RENDERING	AGE 21+	14	None	39	None	None	1	None	1	None	1	None	2	None	1	None	1
1770199275	GHIAM CHANTELLE A	2021	FFS	RENDERING	AGE 0-20	147	None	162	None	0	None	0	None	11	None	12	None	0	None	0	None
1770199275	GHIAM CHANTELLE A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770518326	MONIAGA ESTHER M	2021	FFS	RENDERING	AGE 0-20	45	None	532	None	41	None	166	None	23	None	90	None	38	None	47	None
1770518326	MONIAGA ESTHER M	2021	FFS	RENDERING	AGE 21+	87	None	1,010	None	56	None	108	None	69	None	408	None	61	None	61	None
1770565327	SINGHAL, TARSEM L, DDS	2021	FFS	RENDERING	AGE 0-20	48	None	431	None	41	None	98	None	17	None	63	None	47	None	53	None
1770565327	SINGHAL, TARSEM L, DDS	2021	FFS	RENDERING	AGE 21+	121	None	700	None	31	None	32	None	82	None	288	None	88	None	88	None
1770601502	MUSTAFA, ABRAHIM DDS, INC	2021	PHP	RENDERING	AGE 0-20	86	None	427	None	62	None	164	None	36	None	80	None	66	None	68	None
1770601502	MUSTAFA, ABRAHIM DDS, INC	2021	PHP	RENDERING	AGE 21+	44	None	163	None	17	None	19	None	22	None	46	None	29	None	29	None
1770604209	GORMAN, JEFFREY S DMD	2021	FFS	RENDERING	AGE 0-20	600	None	5,073	None	564	None	1,726	None	270	None	423	None	570	None	797	None
1770604209	GORMAN, JEFFREY S DMD	2021	FFS	RENDERING	AGE 21+	484	None	2,755	None	310	None	619	None	237	None	419	None	355	None	355	None
1770606519	LANCASTER DENTAL CARE ASSOC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770606519	SAIDARA, KAMRAN RON, DDS, A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770609760	MEHTA, SHUBHADA V, DDS	2021	FFS	RENDERING	AGE 0-20	50	None	380	None	49	None	140	None	13	None	33	None	49	None	67	None
1770609760	MEHTA, SHUBHADA V, DDS	2021	FFS	RENDERING	AGE 21+	34	None	301	None	28	None	49	None	16	None	44	None	32	None	32	None
1770611956	CHU WAN YI	2021	FFS	RENDERING	AGE 0-20	135	None	919	None	112	None	451	None	50	None	85	None	111	None	115	None
1770611956	CHU WAN YI	2021	FFS	RENDERING	AGE 21+	222	None	1,284	None	144	None	287	None	121	None	266	None	175	None	175	None
1770613598	VASQUEZ JOSE ANGELO R	2021	FFS	RENDERING	AGE 0-20	1,338	None	23,185	None	1,305	None	6,102	None	1,027	None	4,556	None	1,294	None	1,994	None
1770613598	VASQUEZ JOSE ANGELO R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1770615692	DICKEY, JAMES E, DDS A PROFE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770615700	TRINH LINH N	2021	FFS	RENDERING	AGE 0-20	31	None	217	None	31	None	135	None	None	1	None	1	31	None	38	None
1770615700	TRINH LINH N	2021	FFS	RENDERING	AGE 21+	112	None	668	None	77	None	152	None	84	None	313	None	85	None	85	None
1770617003	TEBOUL DANIEL	2021	FFS	RENDERING	AGE 0-20	14	None	68	None	None	1	None	2	None	1	None	2	None	1	None	1
1770617003	TEBOUL DANIEL	2021	FFS	RENDERING	AGE 21+	151	None	623	None	21	None	43	None	116	None	362	None	51	None	51	None
1770617003	TEBOUL DANIEL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770618308	TRAN DIANE P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1770618308	TRAN DIANE P	2021	FFS	RENDERING	AGE 21+	21	None	184	None	13	None	18	None	16	None	65	None	13	None	13	None
1770619694	PATEL UMA M	2021	FFS	RENDERING	AGE 0-20	142	None	883	None	142	None	288	None	25	None	78	None	122	None	143	None
1770619694	PATEL UMA M	2021	FFS	RENDERING	AGE 21+	180	None	985	None	165	None	165	None	32	None	92	None	168	None	168	None
1770621591	DERAKSHAN RAY	2021	FFS	RENDERING	AGE 0-20	29	None	255	None	28	None	81	None	12	None	44	None	28	None	43	None
1770621591	DERAKSHAN RAY	2021	FFS	RENDERING	AGE 21+	126	None	941	None	99	None	100	None	85	None	349	None	78	None	78	None
1770622052	GONZALEZ PEDRO P	2021	FFS	RENDERING	AGE 0-20	450	None	5,806	None	380	None	1,135	None	257	None	1,033	None	393	None	516	None
1770622052	GONZALEZ PEDRO P	2021	FFS	RENDERING	AGE 21+	989	None	11,152	None	512	None	894	None	846	None	4,763	None	653	None	653	None
1770622052	GONZALEZ PEDRO P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770622052	GONZALEZ PEDRO P	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770624876	PATEL, CHATTAN DDS	2021	FFS	RENDERING	AGE 0-20	306	None	4,103	None	282	None	1,483	None	170	None	545	None	287	None	373	None
1770624876	PATEL, CHATTAN DDS	2021	FFS	RENDERING	AGE 21+	270	None	1,731	None	192	None	274	None	162	None	448	None	216	None	216	None
1770625337	CASTANEDA, CAROLINA, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1770625337	CASTANEDA, CAROLINA, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770625337	CASTANEDA, CAROLINA, DDS INC	2021	PHP	RENDERING	AGE 0-20	18	None	95	None	12	None	29	None	None	1	None	1	11	None	12	None
1770625337	CASTANEDA, CAROLINA, DDS INC	2021	PHP	RENDERING	AGE 21+	46	None	159	None	13	None	15	None	38	None	81	None	21	None	21	None
1770626962	OH MICHAEL C	2021	FFS	RENDERING	AGE 0-20	129	None	813	None	90	None	208	None	77	None	215	None	101	None	104	None
1770626962	OH MICHAEL C	2021	FFS	RENDERING	AGE 21+	205	None	1,065	None	94	None	184	None	153	None	457	None	104	None	104	None
1770640914	SHODHAN KEYUR P	2021	FFS	RENDERING	AGE 0-20	535	None	8,330	None	436	None	2,417	None	206	None	776	None	494	None	609	None
1770640914	SHODHAN KEYUR P	2021	FFS	RENDERING	AGE 21+	747	None	8,440	None	157	None	231	None	481	None	2,629	None	583	None	597	None
1770641771	ELIDO, MARILOU D DMD	2021	FFS	RENDERING	AGE 0-20	45	None	535	None	44	None	169	None	17	None	47	None	44	None	69	None
1770641771	ELIDO, MARILOU D DMD	2021	FFS	RENDERING	AGE 21+	57	None	461	None	47	None	92	None	24	None	52	None	52	None	52	None
1770641771	ELIDO, MARILOU D, DMD INC	2021	FFS	RENDERING	AGE 0-20	45	None	535	None	44	None	169	None	17	None	47	None	44	None	69	None
1770641771	ELIDO, MARILOU D, DMD INC	2021	FFS	RENDERING	AGE 21+	57	None	461	None	47	None	92	None	24	None	52	None	52	None	52	None
1770642548	BORRERO, JANJIK RODEF DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770649337	BORQUEZ RANDOLPH A	2021	FFS	RENDERING	AGE 0-20	22	None	71	None	None	1	None	2	14	None	15	None	None	1	None	1
1770649337	BORQUEZ RANDOLPH A	2021	FFS	RENDERING	AGE 21+	64	None	146	None	None	1	None	2	52	None	61	None	None	1	None	1
1770649998	HOU ANNA L	2021	FFS	RENDERING	AGE 0-20	167	None	2,512	None	163	None	517	None	76	None	227	None	165	None	247	None
1770649998	HOU ANNA L	2021	FFS	RENDERING	AGE 21+	286	None	3,502	None	233	None	464	None	204	None	895	None	251	None	251	None
1770649998	HOU ANNA L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1770651051	KIWAN, SALEEM	2021	FFS	RENDERING	AGE 0-20	270	None	3,624	None	234	None	918	None	104	None	261	None	227	None	300	None
1770651051	KIWAN, SALEEM	2021	FFS	RENDERING	AGE 21+	400	None	3,065	None	131	None	245	None	295	None	1,238	None	284	None	284	None
1770659716	WOHN KUMZOO	2021	FFS	RENDERING	AGE 0-20	403	None	3,218	None	327	None	1,229	None	140	None	346	None	385	None	525	None
1770659716	WOHN KUMZOO	2021	FFS	RENDERING	AGE 21+	468	None	2,108	None	177	None	317	None	239	None	727	None	324	None	324	None
1770659716	WOHN KUMZOO	2021	PHP	RENDERING	AGE 0-20	14	None	41	None	None	1	None	2	None	1	None	1	None	1	None	1
1770659716	WOHN KUMZOO	2021	PHP	RENDERING	AGE 21+	14	None	32	None	0	None	0	None	13	None	30	None	None	1	None	1
1770659773	SALAZAR-LINAYAO MARY JANE	2021	FFS	RENDERING	AGE 0-20	1,876	None	16,232	None	1,369	None	2,977	None	525	None	3,157	None	1,265	None	1,279	None
1770659773	SALAZAR-LINAYAO MARY JANE	2021	FFS	RENDERING	AGE 21+	168	None	999	None	48	None	95	None	116	None	299	None	92	None	92	None
1770660987	SAWAYA IBRAHIM ASSAAD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1770662306	NGUYEN, THAI Q, DDS	2021	FFS	RENDERING	AGE 0-20	81	None	639	None	74	None	174	None	31	None	108	None	77	None	83	None
1770662306	NGUYEN, THAI Q, DDS	2021	FFS	RENDERING	AGE 21+	144	None	955	None	90	None	179	None	96	None	231	None	99	None	100	None
1770663452	XA DIANA T	2021	FFS	RENDERING	AGE 0-20	71	None	715	None	60	None	170	None	42	None	140	None	65	None	92	None
1770663452	XA DIANA T	2021	FFS	RENDERING	AGE 21+	199	None	1,668	None	90	None	173	None	145	None	721	None	128	None	128	None
1770667941	YAN, MARTHA Z DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770672719	CHANG YOONHO	2021	FFS	RENDERING	AGE 0-20	239	None	2,372	None	198	None	591	None	128	None	492	None	188	None	224	None
1770672719	CHANG YOONHO	2021	FFS	RENDERING	AGE 21+	547	None	3,823	None	83	None	160	None	442	None	1,856	None	322	None	324	None
1770673550	DRAGO JOSE A	2021	FFS	RENDERING	AGE 0-20	268	None	4,007	None	247	None	923	None	102	None	423	None	260	None	350	None
1770673550	DRAGO JOSE A	2021	FFS	RENDERING	AGE 21+	196	None	1,546	None	84	None	91	None	111	None	388	None	151	None	151	None
1770673709	PARK BYUNG K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1770673709	PARK, BYUNG-KYU, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1770676470	RODRIGUES OLIVIA M	2021	FFS	RENDERING	AGE 0-20	11	None	62	None	None	1	None	2	None	1	None	2	None	1	None	1
1770676470	RODRIGUES OLIVIA M	2021	FFS	RENDERING	AGE 21+	50	None	172	None	17	None	34	None	29	None	37	None	20	None	20	None
1770676470	RODRIGUES OLIVIA M	2021	GMC	RENDERING	AGE 0-20	408	None	2,203	None	332	None	824	None	241	None	367	None	316	None	335	None
1770676470	RODRIGUES OLIVIA M	2021	GMC	RENDERING	AGE 21+	313	None	1,162	None	113	None	215	None	222	None	392	None	121	None	122	None
1770677858	HATTAR, FAHED DAHER DDS	2021	FFS	RENDERING	AGE 0-20	377	None	5,427	None	329	None	1,303	None	177	None	673	None	367	None	481	None
1770677858	HATTAR, FAHED DAHER DDS	2021	FFS	RENDERING	AGE 21+	445	None	4,603	None	238	None	241	None	320	None	1,611	None	365	None	365	None
1770677858	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	377	None	5,427	None	329	None	1,303	None	177	None	673	None	367	None	481	None
1770677858	UNKNOWN	2021	FFS	RENDERING	AGE 21+	445	None	4,603	None	238	None	241	None	320	None	1,611	None	365	None	365	None
1770679789	KHAN REHANA	2021	FFS	RENDERING	AGE 0-20	17	None	33	None	0	None	0	None	None	1	None	2	0	None	0	None
1770679789	KHAN REHANA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1770681736	HTWE, HTWE, DDS	2021	FFS	RENDERING	AGE 0-20	208	None	1,643	None	200	None	725	None	76	None	225	None	203	None	234	None
1770681736	HTWE, HTWE, DDS	2021	FFS	RENDERING	AGE 21+	182	None	1,012	None	153	None	305	None	101	None	310	None	153	None	153	None
1770689044	AHN, YONG SUK, DDS	2021	FFS	RENDERING	AGE 0-20	138	None	1,150	None	130	None	329	None	62	None	187	None	132	None	160	None
1770689044	AHN, YONG SUK, DDS	2021	FFS	RENDERING	AGE 21+	104	None	668	None	56	None	111	None	44	None	130	None	99	None	99	None
1770689184	DARBRO MATTHEW P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770689952	CHI, TONY	2021	FFS	RENDERING	AGE 0-20	271	None	1,271	None	0	None	0	None	187	None	838	None	216	None	217	None
1770689952	CHI, TONY	2021	FFS	RENDERING	AGE 21+	102	None	374	None	0	None	0	None	84	None	264	None	50	None	50	None
1770690828	YOO, JOON S, DDS	2021	FFS	RENDERING	AGE 0-20	367	None	3,171	None	367	None	935	None	171	None	455	None	367	None	558	None
1770690828	YOO, JOON S, DDS	2021	FFS	RENDERING	AGE 21+	189	None	967	None	156	None	156	None	78	None	289	None	167	None	167	None
1770691545	HASHIMOTO, W W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1770691545	HASHIMOTO, W W, DDS	2021	FFS	RENDERING	AGE 21+	30	None	102	None	12	None	15	None	19	None	27	None	13	None	13	None
1770695447	XU, JING DDS	2021	FFS	RENDERING	AGE 0-20	94	None	1,307	None	88	None	379	None	48	None	179	None	93	None	104	None
1770695447	XU, JING DDS	2021	FFS	RENDERING	AGE 21+	200	None	2,028	None	144	None	288	None	151	None	665	None	160	None	160	None
1770702680	PAIK EUN J	2021	FFS	RENDERING	AGE 0-20	139	None	1,990	None	137	None	650	None	84	None	247	None	138	None	196	None
1770702680	PAIK EUN J	2021	FFS	RENDERING	AGE 21+	223	None	2,514	None	144	None	255	None	183	None	1,129	None	183	None	183	None
1770705741	FOWLER, NELLY	2021	FFS	RENDERING	AGE 0-20	87	None	986	None	79	None	175	None	35	None	204	None	73	None	79	None
1770705741	FOWLER, NELLY	2021	FFS	RENDERING	AGE 21+	89	None	774	None	55	None	98	None	24	None	130	None	82	None	82	None
1770706558	WANGPICHIT KALLAYA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1770707978	LE, YEN DDS	2021	FFS	RENDERING	AGE 0-20	37	None	311	None	35	None	104	None	14	None	24	None	33	None	33	None
1770707978	LE, YEN DDS	2021	FFS	RENDERING	AGE 21+	216	None	1,198	None	70	None	140	None	179	None	573	None	73	None	73	None
1770708646	NOOR ASMATH S	2021	FFS	RENDERING	AGE 0-20	73	None	547	None	51	None	131	None	44	None	188	None	65	None	74	None
1770708646	NOOR ASMATH S	2021	FFS	RENDERING	AGE 21+	246	None	1,668	None	68	None	68	None	173	None	843	None	191	None	191	None
1770716672	MANALESE JOSE J	2021	FFS	RENDERING	AGE 0-20	248	None	1,597	None	125	None	279	None	123	None	659	None	200	None	205	None
1770716672	MANALESE JOSE J	2021	FFS	RENDERING	AGE 21+	657	None	3,579	None	164	None	267	None	424	None	1,977	None	423	None	423	None
1770717480	MAGHIRAN, DR VIVIEN M, DENTA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1770728511	ALMASI GOURGEN	2021	FFS	RENDERING	AGE 0-20	32	None	178	None	15	None	30	None	15	None	53	None	24	None	25	None
1770728511	ALMASI GOURGEN	2021	FFS	RENDERING	AGE 21+	459	None	2,375	None	122	None	239	None	321	None	1,052	None	358	None	358	None
1770750424	BAO, LOC DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770758344	ROH JEONG-HO	2021	FFS	RENDERING	AGE 0-20	282	None	3,236	None	203	None	322	None	198	None	645	None	230	None	267	None
1770758344	ROH JEONG-HO	2021	FFS	RENDERING	AGE 21+	883	None	8,538	None	293	None	294	None	673	None	2,446	None	598	None	598	None
1770758344	ROH JEONG-HO	2021	PHP	RENDERING	AGE 0-20	36	None	374	None	35	None	65	None	15	None	41	None	33	None	37	None
1770759045	CENICEROS-BRUNE LILA S	2021	FFS	RENDERING	AGE 0-20	78	None	290	None	37	None	82	None	20	None	31	None	62	None	63	None
1770759045	CENICEROS-BRUNE LILA S	2021	FFS	RENDERING	AGE 21+	354	None	1,027	None	67	None	126	None	130	None	269	None	203	None	203	None
1770759045	CENICEROS-BRUNE LILA S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770759045	CENICEROS-BRUNE LILA S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770762718	HAKIMI JASMIN	2021	FFS	RENDERING	AGE 0-20	51	None	572	None	48	None	143	None	27	None	62	None	47	None	47	None
1770762718	HAKIMI JASMIN	2021	FFS	RENDERING	AGE 21+	96	None	587	None	31	None	61	None	59	None	131	None	47	None	47	None
1770768327	DHOLAKIYA, P, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770768327	P DHOLAKIYA DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770769416	WOO STEVEN	2021	FFS	RENDERING	AGE 0-20	13	None	57	None	11	None	12	None	None	1	None	2	11	None	13	None
1770769416	WOO STEVEN	2021	FFS	RENDERING	AGE 21+	68	None	256	None	47	None	47	None	31	None	71	None	56	None	56	None
1770771560	SHALABY TAMER	2021	FFS	RENDERING	AGE 0-20	88	None	535	None	71	None	164	None	28	None	82	None	59	None	69	None
1770771560	SHALABY TAMER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770772287	VU, DANIEL T DDS	2021	FFS	RENDERING	AGE 0-20	498	None	3,273	None	481	None	1,086	None	228	None	500	None	479	None	539	None
1770772287	VU, DANIEL T DDS	2021	FFS	RENDERING	AGE 21+	272	None	1,549	None	237	None	472	None	145	None	272	None	237	None	237	None
1770775181	KHAMSEI LEILA	2021	FFS	RENDERING	AGE 0-20	390	None	2,293	None	295	None	934	None	67	None	96	None	382	None	446	None
1770775181	KHAMSEI LEILA	2021	FFS	RENDERING	AGE 21+	394	None	1,084	None	50	None	94	None	77	None	190	None	340	None	340	None
1770775181	KHAMSEI LEILA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770776213	LUU LONG G	2021	FFS	RENDERING	AGE 0-20	309	None	459	None	0	None	0	None	62	None	145	None	0	None	0	None
1770776213	LUU LONG G	2021	FFS	RENDERING	AGE 21+	30	None	30	None	0	None	0	None	0	None	0	None	0	None	0	None
1770776213	LUU LONG G	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770776213	LUU LONG G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770790594	KANG MO K	2021	FFS	RENDERING	AGE 0-20	164	None	215	None	0	None	0	None	164	None	215	None	0	None	0	None
1770790594	KANG MO K	2021	FFS	RENDERING	AGE 21+	478	None	623	None	0	None	0	None	478	None	623	None	0	None	0	None
1770793051	PARTOVI, LADAN	2021	FFS	RENDERING	AGE 0-20	423	None	3,555	None	348	None	917	None	160	None	295	None	374	None	446	None
1770793051	PARTOVI, LADAN	2021	FFS	RENDERING	AGE 21+	265	None	1,416	None	73	None	141	None	121	None	296	None	185	None	185	None
1770793051	PARTOVI, LADAN	2021	PHP	RENDERING	AGE 0-20	399	None	3,001	None	337	None	1,084	None	138	None	285	None	360	None	435	None
1770793051	PARTOVI, LADAN	2021	PHP	RENDERING	AGE 21+	254	None	1,044	None	53	None	99	None	124	None	348	None	169	None	174	None
1770795320	JANI RAKHIBAHEN T	2021	FFS	RENDERING	AGE 0-20	111	None	1,165	None	99	None	344	None	52	None	164	None	100	None	131	None
1770795320	JANI RAKHIBAHEN T	2021	FFS	RENDERING	AGE 21+	238	None	1,751	None	143	None	271	None	166	None	639	None	174	None	174	None
1770796831	PHAM, TU THANH, DDS	2021	FFS	RENDERING	AGE 0-20	194	None	1,176	None	181	None	483	None	55	None	136	None	143	None	177	None
1770796831	PHAM, TU THANH, DDS	2021	FFS	RENDERING	AGE 21+	579	None	3,105	None	222	None	222	None	376	None	1,180	None	286	None	286	None
1770796831	PHAM, TU THANH, DDS	2021	PHP	RENDERING	AGE 0-20	27	None	227	None	25	None	96	None	18	None	40	None	25	None	34	None
1770796831	PHAM, TU THANH, DDS	2021	PHP	RENDERING	AGE 21+	34	None	222	None	24	None	40	None	15	None	83	None	28	None	31	None
1770797672	WEBSTER RICHARD B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770806689	PAZOOKY, SHARONE DDS	2021	FFS	RENDERING	AGE 0-20	3,877	None	46,213	None	3,321	None	12,316	None	2,649	None	11,587	None	3,094	None	4,082	None
1770806689	PAZOOKY, SHARONE DDS	2021	FFS	RENDERING	AGE 21+	312	None	3,157	None	223	None	312	None	168	None	837	None	227	None	227	None
1770806689	PAZOOKY, SHARONE DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1770810343	SEPARZADEH RAPHAEL	2021	FFS	RENDERING	AGE 0-20	132	None	195	None	0	None	0	None	57	None	87	None	0	None	0	None
1770810343	SEPARZADEH RAPHAEL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770810343	SEPARZADEH RAPHAEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1770810343	SEPARZADEH RAPHAEL	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770815953	FELDKAMP III IRVING M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770815953	FELDKAMP III IRVING M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770818031	CARO MANUEL Z	2021	FFS	RENDERING	AGE 0-20	64	None	299	None	29	None	74	None	37	None	70	None	34	None	42	None
1770818031	CARO MANUEL Z	2021	FFS	RENDERING	AGE 21+	139	None	530	None	56	None	56	None	71	None	105	None	83	None	83	None
1770826463	DANG NAM T	2021	FFS	RENDERING	AGE 0-20	681	None	3,748	None	250	None	837	None	230	None	817	None	645	None	680	None
1770826463	DANG NAM T	2021	FFS	RENDERING	AGE 21+	832	None	2,010	None	18	None	34	None	136	None	257	None	704	None	704	None
1770837643	OLSON JOSEPH M	2021	FFS	RENDERING	AGE 0-20	17	None	106	None	None	1	None	2	None	1	None	2	11	None	11	None
1770837643	OLSON JOSEPH M	2021	FFS	RENDERING	AGE 21+	22	None	82	None	None	1	None	1	15	None	35	None	13	None	13	None
1770844268	HOMAPOUR HOMAN	2021	FFS	RENDERING	AGE 0-20	1,303	None	16,529	None	994	None	3,415	None	684	None	2,308	None	1,065	None	1,175	None
1770844268	HOMAPOUR HOMAN	2021	FFS	RENDERING	AGE 21+	617	None	5,793	None	215	None	235	None	401	None	1,354	None	298	None	301	None
1770858565	SHAFIEI NIKKI	2021	FFS	RENDERING	AGE 0-20	533	None	12,967	None	216	None	419	None	524	None	8,929	None	15	None	15	None
1770864548	BHULLAR HAR	2021	FFS	RENDERING	AGE 0-20	20	None	129	None	11	None	30	None	None	1	None	2	17	None	17	None
1770864548	BHULLAR HAR	2021	FFS	RENDERING	AGE 21+	252	None	1,176	None	96	None	181	None	119	None	285	None	221	None	221	None
1770867822	JUN DANIEL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770867822	JUN DANIEL S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1770867822	JUN DANIEL S	2021	GMC	RENDERING	AGE 0-20	895	None	7,228	None	710	None	2,147	None	270	None	475	None	734	None	881	None
1770867822	JUN DANIEL S	2021	GMC	RENDERING	AGE 21+	1,135	None	7,341	None	580	None	1,159	None	695	None	1,570	None	738	None	744	None
1770877524	RWIGEMA JEAN-PIERRE M	2021	FFS	RENDERING	AGE 0-20	275	None	1,877	None	172	None	447	None	143	None	517	None	198	None	238	None
1770877524	RWIGEMA JEAN-PIERRE M	2021	FFS	RENDERING	AGE 21+	493	None	3,080	None	101	None	191	None	403	None	1,792	None	222	None	222	None
1770877524	RWIGEMA JEAN-PIERRE M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770877524	RWIGEMA JEAN-PIERRE M	2021	PHP	RENDERING	AGE 0-20	150	None	1,490	None	136	None	344	None	101	None	395	None	144	None	161	None
1770877524	RWIGEMA JEAN-PIERRE M	2021	PHP	RENDERING	AGE 21+	159	None	1,116	None	48	None	91	None	118	None	588	None	116	None	118	None
1770882854	ARMENTA, SELINA MARIE, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770882854	ARMENTA, SELINA MARIE, RDHAP	2021	FFS	RENDERING	AGE 21+	128	None	582	None	116	None	128	None	128	None	433	None	0	None	0	None
1770885493	SIMONTACCHI-GBO MICHAEL E	2021	FFS	RENDERING	AGE 0-20	245	None	893	None	0	None	0	None	78	None	234	None	0	None	0	None
1770885493	SIMONTACCHI-GBO MICHAEL E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1770896797	SOMANI AMIT S	2021	FFS	RENDERING	AGE 0-20	141	None	1,067	None	86	None	171	None	60	None	127	None	105	None	105	None
1770896797	SOMANI AMIT S	2021	FFS	RENDERING	AGE 21+	675	None	1,791	None	64	None	131	None	579	None	950	None	141	None	141	None
1770896797	SOMANI AMIT S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1770898702	SHAROBIEM ROBERT N	2021	FFS	RENDERING	AGE 0-20	321	None	1,719	None	0	None	0	None	312	None	1,674	None	12	None	12	None
1770898702	SHAROBIEM ROBERT N	2021	FFS	RENDERING	AGE 21+	804	None	3,807	None	0	None	0	None	784	None	3,641	None	62	None	64	None
1770898702	SHAROBIEM ROBERT N	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1770898702	SHAROBIEM ROBERT N	2021	PHP	RENDERING	AGE 21+	38	None	84	None	0	None	0	None	26	None	58	None	22	None	22	None
1770899304	MARTINEZ ANDRES K	2021	FFS	RENDERING	AGE 0-20	756	None	11,106	None	737	None	3,493	None	511	None	1,888	None	728	None	1,073	None
1770907826	LEE RACHEL S	2021	FFS	RENDERING	AGE 0-20	232	None	461	None	0	None	0	None	63	None	138	None	0	None	0	None
1770907826	LEE RACHEL S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1770915035	TRAN THINH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1770915035	TRAN THINH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1770923245	NGUYEN ANDREW T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770929572	HAROUNI SAMAN	2021	FFS	RENDERING	AGE 0-20	507	None	2,696	None	0	None	0	None	448	None	2,493	None	77	None	77	None
1770929572	HAROUNI SAMAN	2021	FFS	RENDERING	AGE 21+	491	None	2,137	None	0	None	0	None	385	None	1,741	None	145	None	145	None
1770929572	HAROUNI SAMAN	2021	PHP	RENDERING	AGE 0-20	47	None	189	None	0	None	0	None	44	None	158	None	None	1	None	1
1770929572	HAROUNI SAMAN	2021	PHP	RENDERING	AGE 21+	172	None	600	None	0	None	0	None	112	None	399	None	115	None	117	None
1770933525	LEE JINTAEK	2021	FFS	RENDERING	AGE 0-20	30	None	264	None	None	1	None	2	30	None	196	None	None	1	None	2
1770937096	ABOLMAALI SARA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1770937997	HEO YOON-YOUNG	2021	FFS	RENDERING	AGE 0-20	778	None	1,893	None	0	None	0	None	445	None	1,112	None	0	None	0	None
1770937997	HEO YOON-YOUNG	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770940421	WU DANNY	2021	FFS	RENDERING	AGE 0-20	19	None	111	None	15	None	37	None	None	1	None	2	14	None	14	None
1770940421	WU DANNY	2021	FFS	RENDERING	AGE 21+	24	None	88	None	11	None	22	None	14	None	25	None	15	None	15	None
1770940520	ABRAHAM SHAWN	2021	FFS	RENDERING	AGE 0-20	518	None	681	None	0	None	0	None	338	None	424	None	0	None	0	None
1770962144	PHAM HOA H	2021	FFS	RENDERING	AGE 0-20	17	None	85	None	12	None	32	None	None	1	None	1	15	None	15	None
1770967713	PATEL SAMEER M	2021	FFS	RENDERING	AGE 0-20	371	None	4,488	None	332	None	1,070	None	187	None	500	None	333	None	414	None
1770967713	PATEL SAMEER M	2021	FFS	RENDERING	AGE 21+	712	None	6,028	None	371	None	731	None	462	None	1,312	None	529	None	529	None
1770968463	BALOUCH AMIR	2021	PHP	RENDERING	AGE 0-20	175	None	999	None	141	None	487	None	73	None	104	None	94	None	108	None
1770968463	BALOUCH AMIR	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1770978223	ABARO, RONALD CRUZ, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770978223	ABARO, RONALD CRUZ, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1770983959	SONGHORIAN ROBIN	2021	FFS	RENDERING	AGE 0-20	134	None	633	None	49	None	123	None	75	None	231	None	118	None	126	None
1770983959	SONGHORIAN ROBIN	2021	FFS	RENDERING	AGE 21+	213	None	1,261	None	60	None	115	None	160	None	809	None	155	None	155	None
1770983983	WU WEI-YEN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1770983983	WU WEI-YEN	2021	PHP	RENDERING	AGE 0-20	45	None	392	None	36	None	137	None	23	None	33	None	38	None	41	None
1770983983	WU WEI-YEN	2021	PHP	RENDERING	AGE 21+	79	None	464	None	31	None	48	None	42	None	85	None	45	None	49	None
1770987612	REITTER JEAN F	2021	FFS	RENDERING	AGE 0-20	68	None	483	None	61	None	117	None	27	None	60	None	60	None	78	None
1770987612	REITTER JEAN F	2021	FFS	RENDERING	AGE 21+	336	None	2,553	None	249	None	249	None	208	None	607	None	268	None	268	None
1770998569	DROZDZ RAFAL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770998569	DROZDZ RAFAL	2021	GMC	RENDERING	AGE 0-20	501	None	3,337	None	333	None	1,149	None	172	None	322	None	415	None	503	None
1770998569	DROZDZ RAFAL	2021	GMC	RENDERING	AGE 21+	934	None	6,303	None	491	None	970	None	700	None	2,371	None	606	None	610	None
1770999856	REIS MELANIE	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780001511	LEE MARY Y	2021	FFS	RENDERING	AGE 0-20	441	None	1,822	None	256	None	602	None	54	None	97	None	375	None	410	None
1780001511	LEE MARY Y	2021	FFS	RENDERING	AGE 21+	609	None	1,491	None	20	None	29	None	112	None	238	None	390	None	390	None
1780001511	LEE MARY Y	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780001511	LEE MARY Y	2021	PHP	RENDERING	AGE 0-20	75	None	175	None	34	None	58	None	None	1	None	1	68	None	71	None
1780001511	LEE MARY Y	2021	PHP	RENDERING	AGE 21+	117	None	242	None	None	1	None	1	32	None	79	None	90	None	94	None
1780025833	AMIN KAVITA S	2021	FFS	RENDERING	AGE 0-20	15	None	117	None	15	None	43	None	None	1	None	2	14	None	14	None
1780025833	AMIN KAVITA S	2021	FFS	RENDERING	AGE 21+	35	None	264	None	22	None	48	None	24	None	121	None	25	None	25	None
1780067488	HALDIPUR SHWETA D	2021	GMC	RENDERING	AGE 0-20	64	None	173	None	28	None	57	None	11	None	11	None	33	None	33	None
1780067488	HALDIPUR SHWETA D	2021	GMC	RENDERING	AGE 21+	87	None	219	None	16	None	32	None	40	None	48	None	31	None	31	None
1780074468	JINJUWADIA MILAN P	2021	FFS	RENDERING	AGE 0-20	718	None	4,132	None	578	None	1,621	None	188	None	257	None	668	None	775	None
1780074468	JINJUWADIA MILAN P	2021	FFS	RENDERING	AGE 21+	670	None	2,122	None	140	None	256	None	256	None	669	None	427	None	427	None
1780074534	SCHULTZ NEIL E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780078246	IBARRA, ALEJANDRO MD	2021	FFS	RENDERING	AGE 0-20	36	None	88	None	0	None	0	None	36	None	88	None	0	None	0	None
1780084806	ABRAHAM ERINI	2021	FFS	RENDERING	AGE 0-20	44	None	542	None	30	None	83	None	29	None	92	None	44	None	44	None
1780084806	ABRAHAM ERINI	2021	FFS	RENDERING	AGE 21+	65	None	670	None	53	None	106	None	40	None	179	None	55	None	55	None
1780086017	WONG WENDY	2021	FFS	RENDERING	AGE 0-20	150	None	664	None	99	None	241	None	40	None	80	None	131	None	137	None
1780086017	WONG WENDY	2021	FFS	RENDERING	AGE 21+	147	None	452	None	33	None	54	None	70	None	140	None	92	None	92	None
1780086017	WONG WENDY	2021	PHP	RENDERING	AGE 0-20	35	None	123	None	26	None	56	None	None	1	None	2	32	None	32	None
1780086017	WONG WENDY	2021	PHP	RENDERING	AGE 21+	40	None	79	None	None	1	None	1	20	None	39	None	26	None	26	None
1780090589	CHEN EN	2021	FFS	RENDERING	AGE 0-20	48	None	350	None	35	None	91	None	44	None	116	None	24	None	27	None
1780090589	CHEN EN	2021	FFS	RENDERING	AGE 21+	30	None	188	None	None	1	None	1	27	None	116	None	None	1	None	1
1780095216	CHIU, CHRISTOPHER DDS	2021	FFS	RENDERING	AGE 0-20	1,176	None	11,867	None	862	None	2,388	None	639	None	3,747	None	853	None	1,009	None
1780102350	WONG RICHARD C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780108696	ALOKA HUSSAM	2021	FFS	RENDERING	AGE 0-20	1,372	None	6,755	None	853	None	2,034	None	546	None	789	None	1,153	None	1,228	None
1780108696	ALOKA HUSSAM	2021	FFS	RENDERING	AGE 21+	997	None	3,243	None	318	None	614	None	386	None	904	None	630	None	632	None
1780120451	QAZI ZUMNA M	2021	FFS	RENDERING	AGE 0-20	362	None	1,681	None	164	None	429	None	86	None	160	None	313	None	332	None
1780120451	QAZI ZUMNA M	2021	FFS	RENDERING	AGE 21+	709	None	2,410	None	52	None	79	None	211	None	519	None	513	None	522	None
1780120451	QAZI ZUMNA M	2021	PHP	RENDERING	AGE 0-20	160	None	1,428	None	117	None	384	None	89	None	426	None	133	None	154	None
1780120451	QAZI ZUMNA M	2021	PHP	RENDERING	AGE 21+	184	None	1,179	None	62	None	130	None	114	None	588	None	134	None	140	None
1780134254	HEMMAT SOHA	2021	FFS	RENDERING	AGE 0-20	2,454	None	19,569	None	1,882	None	5,434	None	1,529	None	3,444	None	1,801	None	1,870	None
1780134254	HEMMAT SOHA	2021	FFS	RENDERING	AGE 21+	22	None	70	None	None	1	None	2	None	1	None	2	None	1	None	1
1780137091	NGUYEN ANTHONY D	2021	FFS	RENDERING	AGE 0-20	578	None	2,185	None	437	None	1,031	None	194	None	426	None	457	None	483	None
1780137091	NGUYEN ANTHONY D	2021	FFS	RENDERING	AGE 21+	627	None	2,373	None	244	None	492	None	456	None	1,222	None	312	None	312	None
1780163063	TSAI CHING	2021	FFS	RENDERING	AGE 0-20	536	None	2,619	None	333	None	892	None	201	None	444	None	351	None	357	None
1780163063	TSAI CHING	2021	FFS	RENDERING	AGE 21+	907	None	3,068	None	177	None	320	None	472	None	1,362	None	514	None	514	None
1780163212	VUONG LAM K	2021	FFS	RENDERING	AGE 0-20	501	None	985	None	0	None	0	None	295	None	651	None	0	None	0	None
1780163212	VUONG LAM K	2021	FFS	RENDERING	AGE 21+	12	None	12	None	0	None	0	None	0	None	0	None	0	None	0	None
1780163212	VUONG LAM K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780175513	JING LIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1780182824	VERA EDUARDO A	2021	FFS	RENDERING	AGE 0-20	99	None	290	None	36	None	101	None	64	None	116	None	20	None	20	None
1780182824	VERA EDUARDO A	2021	FFS	RENDERING	AGE 21+	243	None	565	None	42	None	61	None	215	None	467	None	None	1	None	1
1780188581	KIM CHAE HYUN	2021	FFS	RENDERING	AGE 0-20	97	None	967	None	88	None	227	None	41	None	166	None	87	None	92	None
1780188581	KIM CHAE HYUN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1780197558	ROSTAMI ROZA	2021	FFS	RENDERING	AGE 0-20	118	None	964	None	57	None	170	None	76	None	249	None	87	None	87	None
1780197558	ROSTAMI ROZA	2021	FFS	RENDERING	AGE 21+	150	None	723	None	22	None	43	None	103	None	256	None	90	None	90	None
1780239475	NGUYEN PHUC Q	2021	FFS	RENDERING	AGE 0-20	127	None	786	None	74	None	173	None	68	None	144	None	78	None	78	None
1780239475	NGUYEN PHUC Q	2021	FFS	RENDERING	AGE 21+	126	None	464	None	22	None	40	None	76	None	177	None	41	None	41	None
1780245720	FONG ARIANA M	2021	FFS	RENDERING	AGE 0-20	200	None	1,398	None	175	None	657	None	120	None	212	None	169	None	175	None
1780245720	FONG ARIANA M	2021	FFS	RENDERING	AGE 21+	133	None	568	None	73	None	146	None	76	None	156	None	86	None	86	None
1780273524	MEHANNY LAURA K	2021	FFS	RENDERING	AGE 0-20	506	None	2,285	None	314	None	842	None	379	None	1,031	None	101	None	101	None
1780273524	MEHANNY LAURA K	2021	FFS	RENDERING	AGE 21+	416	None	1,348	None	135	None	271	None	302	None	788	None	73	None	73	None
1780278655	MUSTAFA HASAN M	2021	FFS	RENDERING	AGE 0-20	304	None	1,494	None	178	None	495	None	127	None	298	None	212	None	213	None
1780278655	MUSTAFA HASAN M	2021	FFS	RENDERING	AGE 21+	588	None	1,657	None	119	None	222	None	282	None	540	None	242	None	244	None
1780278655	MUSTAFA HASAN M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780283481	VALENCIA HERNAN MONICA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1780283481	VALENCIA HERNAN MONICA	2021	FFS	RENDERING	AGE 21+	13	None	31	None	None	1	None	1	None	1	None	1	None	1	None	1
1780296368	MISNER JEFF L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1780604397	BUEHLER, SEAN P, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	578	None	29	None	79	None	31	None	399	None	0	None	0	None
1780604397	BUEHLER, SEAN P, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1780618173	BUI THANH-HA T	2021	FFS	RENDERING	AGE 0-20	23	None	147	None	21	None	60	None	None	1	None	2	19	None	20	None
1780633735	MATEVOSIAN, EDWARD, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1780633735	MATEVOSIAN, EDWARD, DDS	2021	FFS	RENDERING	AGE 21+	75	None	1,116	None	39	None	84	None	70	None	854	None	45	None	96	None
1780633735	MATEVOSIAN, EDWARD, DDS	2021	PHP	RENDERING	AGE 21+	28	None	472	None	22	None	46	None	23	None	330	None	22	None	46	None
1780668681	CHOI LISA YUN JOU P	2021	FFS	RENDERING	AGE 0-20	1,931	None	31,626	None	1,799	None	7,290	None	1,355	None	5,310	None	1,799	None	2,495	None
1780668681	CHOI LISA YUN JOU P	2021	FFS	RENDERING	AGE 21+	58	None	322	None	17	None	22	None	33	None	138	None	46	None	46	None
1780668681	CHOI LISA YUN JOU P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1780687533	ALVARADO FRANK A	2021	FFS	RENDERING	AGE 0-20	49	None	207	None	18	None	44	None	19	None	47	None	35	None	39	None
1780687533	ALVARADO FRANK A	2021	FFS	RENDERING	AGE 21+	94	None	257	None	None	1	None	2	38	None	79	None	46	None	46	None
1780687533	ALVARADO FRANK A	2021	PHP	RENDERING	AGE 0-20	19	None	68	None	None	1	None	2	None	1	None	2	14	None	14	None
1780687533	ALVARADO FRANK A	2021	PHP	RENDERING	AGE 21+	26	None	53	None	None	1	None	1	11	None	24	None	16	None	18	None
1780702936	HAROONIAN OMID	2021	FFS	RENDERING	AGE 0-20	24	None	399	None	23	None	66	None	14	None	49	None	22	None	30	None
1780702936	HAROONIAN OMID	2021	FFS	RENDERING	AGE 21+	121	None	1,946	None	72	None	132	None	101	None	614	None	98	None	98	None
1780711580	RODRIGUEZ, IRINA DDS	2021	FFS	RENDERING	AGE 0-20	217	None	2,472	None	201	None	576	None	71	None	228	None	210	None	274	None
1780711580	RODRIGUEZ, IRINA DDS	2021	FFS	RENDERING	AGE 21+	341	None	2,701	None	154	None	261	None	228	None	1,028	None	259	None	259	None
1780711622	SHAFIE SEYED A	2021	FFS	RENDERING	AGE 0-20	307	None	2,535	None	221	None	659	None	100	None	259	None	238	None	248	None
1780711622	SHAFIE SEYED A	2021	FFS	RENDERING	AGE 21+	453	None	1,907	None	87	None	130	None	287	None	717	None	221	None	223	None
1780715391	HTWE TIN TIN	2021	FFS	RENDERING	AGE 0-20	105	None	807	None	80	None	179	None	51	None	132	None	74	None	80	None
1780715391	HTWE TIN TIN	2021	FFS	RENDERING	AGE 21+	169	None	1,096	None	84	None	85	None	122	None	307	None	76	None	77	None
1780721852	PARK JAMES K	2021	FFS	RENDERING	AGE 0-20	333	None	3,383	None	326	None	1,165	None	98	None	407	None	321	None	471	None
1780721852	PARK JAMES K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1780726224	RIVAS, EMILIO, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	118	None	22	None	25	None	None	1	None	2	19	None	22	None
1780726224	RIVAS, EMILIO, DDS	2021	FFS	RENDERING	AGE 21+	52	None	256	None	43	None	43	None	34	None	96	None	41	None	41	None
1780739367	KIM, JESSE, DDS	2021	FFS	RENDERING	AGE 0-20	229	None	3,586	None	218	None	1,061	None	166	None	621	None	222	None	311	None
1780739367	KIM, JESSE, DDS	2021	FFS	RENDERING	AGE 21+	377	None	2,913	None	300	None	598	None	226	None	987	None	338	None	338	None
1780740753	BARRERA, ORIETTA M, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1780740753	BARRERA, ORIETTA M, RDHAP	2021	FFS	RENDERING	AGE 21+	1,617	None	7,078	None	1,439	None	4,139	None	1,613	None	2,939	None	0	None	0	None
1780748137	HANASAB, HERSEL DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1780748137	HANASAB, HERSEL DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780748137	HANASAB, HERSEL DDS INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1780748137	HANASAB, HERSEL DDS INC	2021	PHP	RENDERING	AGE 0-20	40	None	270	None	35	None	88	None	None	1	None	2	37	None	38	None
1780748137	HANASAB, HERSEL DDS INC	2021	PHP	RENDERING	AGE 21+	26	None	99	None	None	1	None	1	None	1	None	2	22	None	22	None
1780750794	NIKAEEN ATOOSA	2021	FFS	RENDERING	AGE 0-20	177	None	267	None	11	None	32	None	None	1	None	2	15	None	19	None
1780751727	BALISHA, CHARLES K, DDS	2021	FFS	RENDERING	AGE 0-20	333	None	3,062	None	313	None	1,034	None	92	None	248	None	322	None	408	None
1780751727	BALISHA, CHARLES K, DDS	2021	FFS	RENDERING	AGE 21+	41	None	286	None	39	None	77	None	17	None	41	None	39	None	39	None
1780756346	DRACHENBERG ROLANDO G	2021	FFS	RENDERING	AGE 0-20	511	None	2,782	None	364	None	845	None	255	None	621	None	342	None	365	None
1780756346	DRACHENBERG ROLANDO G	2021	FFS	RENDERING	AGE 21+	351	None	1,745	None	143	None	275	None	268	None	755	None	139	None	139	None
1780765198	FUNG, HAROLD K, DMD	2021	FFS	RENDERING	AGE 0-20	105	None	662	None	95	None	252	None	35	None	98	None	100	None	147	None
1780765198	FUNG, HAROLD K, DMD	2021	FFS	RENDERING	AGE 21+	272	None	1,317	None	103	None	103	None	134	None	407	None	185	None	185	None
1780769067	AFLATOONI ROYA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1780769067	AFLATOONI ROYA	2021	FFS	RENDERING	AGE 21+	22	None	98	None	14	None	14	None	13	None	44	None	19	None	19	None
1780774182	MANCHANDIA, BELLA DDS	2021	FFS	RENDERING	AGE 0-20	11	None	62	None	None	1	None	2	None	1	None	1	None	1	None	1
1780774182	MANCHANDIA, BELLA DDS	2021	FFS	RENDERING	AGE 21+	11	None	35	None	None	1	None	1	None	1	None	1	None	1	None	1
1780774182	MANCHANDIA, BELLA DDS	2021	PHP	RENDERING	AGE 0-20	20	None	126	None	16	None	36	None	None	1	None	2	18	None	20	None
1780774182	MANCHANDIA, BELLA DDS	2021	PHP	RENDERING	AGE 21+	16	None	53	None	None	1	None	1	None	1	None	1	12	None	12	None
1780776922	NGUYEN THUAN A	2021	FFS	RENDERING	AGE 0-20	48	None	327	None	36	None	83	None	25	None	68	None	47	None	49	None
1780776922	NGUYEN THUAN A	2021	FFS	RENDERING	AGE 21+	528	None	3,064	None	244	None	472	None	321	None	1,207	None	502	None	524	None
1780790014	TOLENTINO, LETICIA RIVERA	2021	FFS	RENDERING	AGE 0-20	41	None	319	None	38	None	52	None	22	None	104	None	39	None	39	None
1780790014	TOLENTINO, LETICIA RIVERA	2021	FFS	RENDERING	AGE 21+	210	None	1,643	None	140	None	140	None	162	None	878	None	167	None	167	None
1780790014	TOLENTINO, LETICIA RIVERA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1780790113	RO, SUNG K, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1780790113	RO, SUNG K, DDS	2021	FFS	RENDERING	AGE 21+	18	None	109	None	14	None	14	None	11	None	27	None	18	None	18	None
1780794529	GARCES ALVARO	2021	FFS	RENDERING	AGE 0-20	90	None	580	None	62	None	161	None	52	None	227	None	51	None	51	None
1780794529	GARCES ALVARO	2021	FFS	RENDERING	AGE 21+	212	None	1,054	None	70	None	95	None	157	None	631	None	63	None	63	None
1780797092	ZONOOZI, AMY DDS	2021	FFS	RENDERING	AGE 0-20	187	None	1,771	None	173	None	630	None	94	None	374	None	179	None	226	None
1780797092	ZONOOZI, AMY DDS	2021	FFS	RENDERING	AGE 21+	430	None	3,303	None	297	None	558	None	294	None	1,418	None	349	None	349	None
1780801399	DOMENECH DAMARIS N	2021	FFS	RENDERING	AGE 0-20	709	None	11,150	None	640	None	2,142	None	392	None	1,742	None	653	None	721	None
1780801399	DOMENECH DAMARIS N	2021	FFS	RENDERING	AGE 21+	473	None	5,030	None	243	None	410	None	265	None	991	None	315	None	315	None
1780804310	KARIMIAN VARTAN	2021	FFS	RENDERING	AGE 0-20	35	None	189	None	31	None	70	None	16	None	25	None	32	None	35	None
1780804310	KARIMIAN VARTAN	2021	FFS	RENDERING	AGE 21+	400	None	2,062	None	288	None	363	None	271	None	718	None	348	None	350	None
1780804328	NAKOUD MAHER	2021	FFS	RENDERING	AGE 0-20	196	None	1,492	None	173	None	490	None	97	None	302	None	180	None	252	None
1780804328	NAKOUD MAHER	2021	FFS	RENDERING	AGE 21+	646	None	4,744	None	450	None	889	None	447	None	1,749	None	502	None	505	None
1780817577	LAUREOLA MELISSA L	2021	PHP	RENDERING	AGE 0-20	15	None	100	None	None	1	None	2	12	None	16	None	None	1	None	1
1780817577	LAUREOLA MELISSA L	2021	PHP	RENDERING	AGE 21+	23	None	79	None	None	1	None	2	14	None	26	None	None	1	None	1
1780824557	MALEKI, KOUROSH DDS	2021	FFS	RENDERING	AGE 0-20	462	None	4,278	None	362	None	1,159	None	187	None	489	None	365	None	378	None
1780824557	MALEKI, KOUROSH DDS	2021	FFS	RENDERING	AGE 21+	500	None	3,010	None	206	None	404	None	308	None	818	None	240	None	240	None
1780833202	VIRK GEETIKA	2021	FFS	RENDERING	AGE 0-20	633	None	3,784	None	499	None	1,426	None	155	None	232	None	602	None	698	None
1780833202	VIRK GEETIKA	2021	FFS	RENDERING	AGE 21+	558	None	1,885	None	194	None	357	None	198	None	486	None	417	None	419	None
1780835520	HABASHY KEN N	2021	FFS	RENDERING	AGE 0-20	73	None	707	None	64	None	77	None	27	None	74	None	70	None	77	None
1780835520	HABASHY KEN N	2021	FFS	RENDERING	AGE 21+	308	None	2,855	None	152	None	153	None	211	None	776	None	203	None	203	None
1780836411	TAKARLEKIAN HAGOP J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1780836411	TAKARLEKIAN HAGOP J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1780847301	PAHLAVAN PAYMON	2021	FFS	RENDERING	AGE 0-20	2,257	None	25,158	None	2,178	None	7,616	None	1,531	None	5,382	None	2,209	None	3,287	None
1780848887	AGADZHANOV EDVIN	2021	FFS	RENDERING	AGE 0-20	107	None	1,415	None	94	None	255	None	67	None	608	None	101	None	132	None
1780848887	AGADZHANOV EDVIN	2021	FFS	RENDERING	AGE 21+	134	None	921	None	41	None	79	None	85	None	498	None	94	None	94	None
1780862771	SAFE FARHAD F	2021	FFS	RENDERING	AGE 0-20	41	None	158	None	24	None	25	None	13	None	35	None	27	None	28	None
1780862771	SAFE FARHAD F	2021	FFS	RENDERING	AGE 21+	72	None	399	None	39	None	39	None	35	None	187	None	53	None	53	None
1780863266	NEMATOLLAHI ROYA	2021	FFS	RENDERING	AGE 0-20	40	None	349	None	34	None	97	None	29	None	108	None	29	None	37	None
1780863266	NEMATOLLAHI ROYA	2021	FFS	RENDERING	AGE 21+	119	None	779	None	68	None	129	None	83	None	369	None	94	None	94	None
1780883504	NA SANG E	2021	FFS	RENDERING	AGE 0-20	59	None	964	None	57	None	253	None	19	None	66	None	58	None	73	None
1780883504	NA SANG E	2021	FFS	RENDERING	AGE 21+	51	None	457	None	41	None	84	None	23	None	68	None	45	None	46	None
1780890699	MAYA PATRICIA	2021	FFS	RENDERING	AGE 0-20	328	None	3,934	None	259	None	702	None	167	None	643	None	263	None	300	None
1780890699	MAYA PATRICIA	2021	FFS	RENDERING	AGE 21+	402	None	3,928	None	109	None	203	None	340	None	1,592	None	169	None	172	None
1780890756	IYENGAR, SURESH S, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1780890756	IYENGAR, SURESH S, DDS	2021	FFS	RENDERING	AGE 21+	45	None	152	None	24	None	24	None	24	None	53	None	31	None	31	None
1780893297	NGUYEN RICHARD A	2021	FFS	RENDERING	AGE 0-20	17	None	135	None	None	1	None	2	None	1	None	2	15	None	17	None
1780893297	NGUYEN RICHARD A	2021	FFS	RENDERING	AGE 21+	65	None	469	None	29	None	29	None	39	None	235	None	57	None	58	None
1780895904	MOON HOLLY J	2021	FFS	RENDERING	AGE 0-20	58	None	58	None	0	None	0	None	0	None	0	None	0	None	0	None
1780895904	MOON HOLLY J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780899260	LIPUMANO-PICAZO, LERIDA F, D	2021	FFS	RENDERING	AGE 0-20	276	None	1,509	None	201	None	446	None	108	None	411	None	193	None	195	None
1780899260	LIPUMANO-PICAZO, LERIDA F, D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780907378	TRIMOR-VELASCO, MILAGROS DDS	2021	FFS	RENDERING	AGE 0-20	123	None	888	None	107	None	362	None	63	None	218	None	103	None	128	None
1780907378	TRIMOR-VELASCO, MILAGROS DDS	2021	FFS	RENDERING	AGE 21+	188	None	1,323	None	89	None	89	None	141	None	768	None	147	None	147	None
1780910604	HART FAMILY DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780910604	HART, HARRY A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780916163	AYALA SERGIO	2021	FFS	RENDERING	AGE 0-20	56	None	140	None	0	None	0	None	56	None	82	None	0	None	0	None
1780916163	AYALA SERGIO	2021	FFS	RENDERING	AGE 21+	294	None	587	None	0	None	0	None	293	None	370	None	None	1	None	1
1780964528	ESSAPOUR ANTONIO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1780964528	ESSAPOUR ANTONIO	2021	FFS	RENDERING	AGE 21+	15	None	96	None	None	1	None	1	None	1	None	2	11	None	11	None
1780968727	MUKHERJEE RIKU	2021	FFS	RENDERING	AGE 0-20	120	None	1,980	None	103	None	418	None	91	None	1,248	None	112	None	142	None
1780968727	MUKHERJEE RIKU	2021	FFS	RENDERING	AGE 21+	337	None	7,964	None	185	None	329	None	309	None	7,075	None	268	None	268	None
1780978767	TAJBAKHSH MOJDEH	2021	FFS	RENDERING	AGE 0-20	1,420	None	18,533	None	1,232	None	3,967	None	990	None	3,893	None	1,221	None	1,350	None
1780978767	TAJBAKHSH MOJDEH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1780979393	AL-HADDADIN HANAN S	2021	FFS	RENDERING	AGE 0-20	454	None	2,268	None	307	None	708	None	181	None	316	None	376	None	385	None
1780979393	AL-HADDADIN HANAN S	2021	FFS	RENDERING	AGE 21+	481	None	1,396	None	54	None	107	None	169	None	370	None	309	None	309	None
1780979393	AL-HADDADIN HANAN S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780980003	TRAN PHU T	2021	FFS	RENDERING	AGE 0-20	108	None	589	None	93	None	302	None	53	None	164	None	99	None	110	None
1780980003	TRAN PHU T	2021	FFS	RENDERING	AGE 21+	50	None	104	None	25	None	25	None	24	None	43	None	36	None	36	None
1780980177	SOLIVEN, SAMUEL G, DDS	2021	FFS	RENDERING	AGE 0-20	37	None	226	None	30	None	81	None	15	None	42	None	31	None	35	None
1780980177	SOLIVEN, SAMUEL G, DDS	2021	FFS	RENDERING	AGE 21+	481	None	5,287	None	324	None	642	None	399	None	2,547	None	366	None	369	None
1780999565	TABIBNIA GIZEL	2021	FFS	RENDERING	AGE 0-20	254	None	524	None	0	None	0	None	51	None	148	None	0	None	0	None
1780999565	TABIBNIA GIZEL	2021	FFS	RENDERING	AGE 21+	17	None	17	None	0	None	0	None	0	None	0	None	0	None	0	None
1780999565	TABIBNIA GIZEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790012433	OUZOUNIAN, AMALIA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1790012433	OUZOUNIAN, AMALIA, RDHAP	2021	FFS	RENDERING	AGE 21+	1,374	None	5,353	None	1,298	None	1,549	None	1,372	None	3,728	None	0	None	0	None
1790020824	IVANOV PAVEL IVANOV	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1790030633	HWANG KELLY J	2021	FFS	RENDERING	AGE 0-20	348	None	3,611	None	318	None	1,113	None	186	None	418	None	316	None	405	None
1790030633	HWANG KELLY J	2021	FFS	RENDERING	AGE 21+	471	None	2,800	None	227	None	444	None	322	None	1,011	None	339	None	339	None
1790032019	HA, JEE HOON	2021	FFS	RENDERING	AGE 0-20	162	None	362	None	0	None	0	None	161	None	274	None	0	None	0	None
1790032019	HA, JEE HOON	2021	FFS	RENDERING	AGE 21+	145	None	394	None	0	None	0	None	145	None	315	None	0	None	0	None
1790040228	CHIANG JACK C	2021	FFS	RENDERING	AGE 0-20	46	None	272	None	28	None	55	None	19	None	52	None	41	None	41	None
1790040228	CHIANG JACK C	2021	FFS	RENDERING	AGE 21+	57	None	219	None	None	1	None	1	32	None	92	None	36	None	36	None
1790046282	DELAKYAN SPARTAK	2021	FFS	RENDERING	AGE 0-20	235	None	2,553	None	179	None	464	None	109	None	453	None	231	None	278	None
1790046282	DELAKYAN SPARTAK	2021	FFS	RENDERING	AGE 21+	490	None	3,354	None	134	None	269	None	244	None	915	None	427	None	427	None
1790087567	VONG HENRY SAI M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1790087567	VONG HENRY SAI M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790090215	ZIAIE MATIN ELHAM	2021	FFS	RENDERING	AGE 0-20	59	None	83	None	0	None	0	None	None	1	None	1	0	None	0	None
1790090215	ZIAIE MATIN ELHAM	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790093599	NELSON TYLER E	2021	FFS	RENDERING	AGE 0-20	100	None	494	None	0	None	0	None	48	None	304	None	98	None	98	None
1790093599	NELSON TYLER E	2021	FFS	RENDERING	AGE 21+	155	None	635	None	0	None	0	None	88	None	342	None	148	None	149	None
1790101244	ELMASRI ANDREW M	2021	FFS	RENDERING	AGE 0-20	352	None	1,277	None	0	None	0	None	351	None	1,273	None	0	None	0	None
1790101244	ELMASRI ANDREW M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1790101244	ELMASRI ANDREW M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790111573	VALLIS SILVIA S	2021	FFS	RENDERING	AGE 0-20	82	None	384	None	74	None	208	None	None	1	None	2	79	None	105	None
1790111573	VALLIS SILVIA S	2021	FFS	RENDERING	AGE 21+	130	None	495	None	88	None	169	None	50	None	86	None	120	None	120	None
1790113017	MESHKINFAM, SHARONA DDS	2021	FFS	RENDERING	AGE 0-20	69	None	511	None	42	None	103	None	20	None	54	None	46	None	50	None
1790113017	MESHKINFAM, SHARONA DDS	2021	FFS	RENDERING	AGE 21+	87	None	411	None	16	None	27	None	36	None	127	None	56	None	56	None
1790119402	LA-PHAM KINH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790130821	YOST QUINN A	2021	FFS	RENDERING	AGE 0-20	1,970	None	16,723	None	1,518	None	3,957	None	1,258	None	3,180	None	1,332	None	1,370	None
1790139616	PATHAK ROHAN	2021	FFS	RENDERING	AGE 0-20	23	None	155	None	None	1	None	2	11	None	54	None	21	None	21	None
1790139616	PATHAK ROHAN	2021	FFS	RENDERING	AGE 21+	132	None	418	None	None	1	None	1	52	None	127	None	99	None	100	None
1790149193	PATEL PAYAL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790162014	JACOBSON WILLIAM A	2021	GMC	RENDERING	AGE 0-20	74	None	496	None	61	None	219	None	32	None	56	None	50	None	54	None
1790162014	JACOBSON WILLIAM A	2021	GMC	RENDERING	AGE 21+	185	None	1,406	None	138	None	306	None	153	None	546	None	77	None	104	None
1790167336	EDALAT SINA	2021	FFS	RENDERING	AGE 0-20	177	None	1,524	None	151	None	719	None	65	None	128	None	166	None	193	None
1790167336	EDALAT SINA	2021	FFS	RENDERING	AGE 21+	376	None	2,043	None	134	None	258	None	203	None	697	None	290	None	292	None
1790167336	EDALAT SINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1790167336	EDALAT SINA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790169613	ESMERALDO VICTOR C	2021	FFS	RENDERING	AGE 0-20	136	None	435	None	12	None	36	None	136	None	337	None	13	None	13	None
1790169613	ESMERALDO VICTOR C	2021	FFS	RENDERING	AGE 21+	292	None	1,095	None	None	1	None	1	284	None	1,023	None	None	1	None	1
1790169613	ESMERALDO VICTOR C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790185361	BANTY LAURA M	2021	FFS	RENDERING	AGE 0-20	703	None	6,412	None	469	None	1,398	None	519	None	1,816	None	405	None	452	None
1790185361	BANTY LAURA M	2021	FFS	RENDERING	AGE 21+	240	None	1,007	None	53	None	103	None	200	None	545	None	52	None	52	None
1790200657	BHATT ABHIRAJ K	2021	FFS	RENDERING	AGE 0-20	1,026	None	6,636	None	656	None	1,610	None	654	None	1,477	None	645	None	646	None
1790202588	JANNATI HENGAMEH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1790202745	RABII BAHAREH	2021	FFS	RENDERING	AGE 0-20	694	None	9,903	None	666	None	2,772	None	547	None	1,921	None	663	None	998	None
1790202745	RABII BAHAREH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790202745	RABII BAHAREH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790211506	LI XIAO	2021	FFS	RENDERING	AGE 0-20	435	None	5,805	None	399	None	1,176	None	207	None	644	None	393	None	488	None
1790211506	LI XIAO	2021	FFS	RENDERING	AGE 21+	167	None	1,970	None	135	None	274	None	93	None	367	None	135	None	137	None
1790214484	LEE LINDA M	2021	FFS	RENDERING	AGE 0-20	2,683	None	41,770	None	2,434	None	9,664	None	2,276	None	11,868	None	2,371	None	3,028	None
1790214484	LEE LINDA M	2021	FFS	RENDERING	AGE 21+	67	None	549	None	30	None	64	None	55	None	246	None	33	None	33	None
1790215697	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790215697	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790215697	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790215697	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790217115	KIM JENNIFER E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790217669	ISSA TIKLAT	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1790217669	ISSA TIKLAT	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790226470	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	30	None	298	None	24	None	94	None	None	1	None	2	27	None	29	None
1790226470	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	31	None	102	None	None	1	None	2	None	1	None	2	20	None	20	None
1790226470	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	30	None	298	None	24	None	94	None	None	1	None	2	27	None	29	None
1790226470	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	31	None	102	None	None	1	None	2	None	1	None	2	20	None	20	None
1790233567	HSIEH JOHANNA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1790233567	HSIEH JOHANNA	2021	GMC	RENDERING	AGE 0-20	682	None	4,521	None	468	None	1,214	None	213	None	318	None	559	None	678	None
1790233567	HSIEH JOHANNA	2021	GMC	RENDERING	AGE 21+	1,180	None	7,188	None	446	None	884	None	753	None	1,724	None	746	None	750	None
1790257517	NUNEZURIBE LILIA M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790260933	KARAVAN SAMUEL V	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1790263465	DR PARK DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1790263465	DR PARK DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	18	None	68	None	None	1	None	2	13	None	30	None	None	1	None	1
1790280980	WESTFALL, A, DENTAL CORPORAT	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790291151	SERI MADHAVI S	2021	FFS	RENDERING	AGE 0-20	399	None	2,006	None	223	None	827	None	79	None	149	None	343	None	375	None
1790291151	SERI MADHAVI S	2021	FFS	RENDERING	AGE 21+	1,125	None	3,573	None	281	None	527	None	352	None	959	None	738	None	738	None
1790295632	JANG, S, DDS INCORPORATED	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790295632	S. JANG DDS INCORPORATED	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790296986	KHALILINEJAD KAMBIZ	2021	FFS	RENDERING	AGE 0-20	502	None	2,267	None	0	None	0	None	379	None	514	None	415	None	425	None
1790296986	KHALILINEJAD KAMBIZ	2021	FFS	RENDERING	AGE 21+	912	None	2,207	None	0	None	0	None	641	None	899	None	635	None	635	None
1790296986	KHALILINEJAD KAMBIZ	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1790318558	CHOI ANDREW S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790318558	CHOI ANDREW S	2021	FFS	RENDERING	AGE 21+	12	None	45	None	None	1	None	1	None	1	None	2	None	1	None	1
1790344935	SAED DAVID I	2021	FFS	RENDERING	AGE 0-20	19	None	62	None	12	None	18	None	None	1	None	2	16	None	16	None
1790344935	SAED DAVID I	2021	FFS	RENDERING	AGE 21+	49	None	131	None	None	1	None	1	21	None	61	None	34	None	34	None
1790350973	TRANNGUYEN JOHN N	2021	FFS	RENDERING	AGE 0-20	39	None	287	None	32	None	81	None	32	None	67	None	31	None	31	None
1790350973	TRANNGUYEN JOHN N	2021	FFS	RENDERING	AGE 21+	69	None	391	None	35	None	71	None	52	None	192	None	52	None	54	None
1790350973	TRANNGUYEN JOHN N	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1790355063	HOSSEINZADEH NASRIN	2021	FFS	RENDERING	AGE 0-20	124	None	636	None	79	None	226	None	56	None	160	None	82	None	82	None
1790355063	HOSSEINZADEH NASRIN	2021	FFS	RENDERING	AGE 21+	334	None	1,183	None	93	None	129	None	196	None	502	None	186	None	186	None
1790355063	HOSSEINZADEH NASRIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790355063	HOSSEINZADEH NASRIN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790358422	GUEVARRA-SHAMS GENELLE	2021	GMC	RENDERING	AGE 0-20	466	None	2,766	None	299	None	1,177	None	174	None	274	None	188	None	188	None
1790358935	WU KEVIN E	2021	FFS	RENDERING	AGE 0-20	126	None	870	None	113	None	268	None	87	None	204	None	98	None	99	None
1790358935	WU KEVIN E	2021	FFS	RENDERING	AGE 21+	103	None	446	None	35	None	64	None	68	None	193	None	47	None	47	None
1790358935	WU KEVIN E	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790358968	ARNOUK YARA C	2021	FFS	RENDERING	AGE 0-20	179	None	950	None	120	None	252	None	90	None	206	None	127	None	127	None
1790358968	ARNOUK YARA C	2021	FFS	RENDERING	AGE 21+	242	None	796	None	41	None	75	None	126	None	257	None	125	None	125	None
1790378719	NATARAJAN SUBASHINI	2021	FFS	RENDERING	AGE 0-20	700	None	2,671	None	454	None	945	None	306	None	619	None	237	None	239	None
1790378719	NATARAJAN SUBASHINI	2021	FFS	RENDERING	AGE 21+	218	None	689	None	59	None	109	None	111	None	251	None	65	None	65	None
1790378719	NATARAJAN SUBASHINI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1790378719	NATARAJAN SUBASHINI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790392298	UM BO RAM	2021	FFS	RENDERING	AGE 0-20	231	None	2,206	None	151	None	347	None	158	None	831	None	161	None	175	None
1790392298	UM BO RAM	2021	FFS	RENDERING	AGE 21+	334	None	3,425	None	125	None	238	None	281	None	1,731	None	191	None	191	None
1790728764	ROWHANI SHIRIN A	2021	PHP	RENDERING	AGE 0-20	417	None	4,037	None	368	None	1,888	None	357	None	700	None	228	None	263	None
1790728764	ROWHANI SHIRIN A	2021	PHP	RENDERING	AGE 21+	74	None	563	None	58	None	162	None	68	None	162	None	24	None	26	None
1790756245	PHAM, DAVID C, DDS MS	2021	FFS	RENDERING	AGE 0-20	184	None	540	None	None	1	None	1	55	None	180	None	49	None	49	None
1790756245	PHAM, DAVID C, DDS MS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1790767564	TRAN TODD V	2021	FFS	RENDERING	AGE 0-20	1,170	None	15,880	None	969	None	2,569	None	479	None	1,878	None	1,047	None	1,249	None
1790767564	TRAN TODD V	2021	FFS	RENDERING	AGE 21+	844	None	6,546	None	320	None	336	None	469	None	1,641	None	702	None	704	None
1790770592	JOSE, MARIA LILIBETH, DDS	2021	FFS	RENDERING	AGE 0-20	225	None	1,985	None	225	None	1,174	None	47	None	103	None	223	None	359	None
1790770592	JOSE, MARIA LILIBETH, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790782811	HIROTA, MISAKO, DMD	2021	FFS	RENDERING	AGE 0-20	23	None	162	None	21	None	39	None	None	1	None	2	21	None	24	None
1790782811	HIROTA, MISAKO, DMD	2021	FFS	RENDERING	AGE 21+	42	None	246	None	31	None	31	None	22	None	43	None	30	None	30	None
1790793818	HOFFMAN, IRVING D, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790793818	HOFFMAN, IRVING D, DDS	2021	FFS	RENDERING	AGE 21+	14	None	54	None	None	1	None	1	None	1	None	1	None	1	None	1
1790797546	HALILI, MARINELA G, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790797868	YAMASHITA DENNIS D	2021	FFS	RENDERING	AGE 0-20	207	None	662	None	0	None	0	None	192	None	631	None	None	1	None	1
1790797868	YAMASHITA DENNIS D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1790800589	ASAF JAMES J	2021	FFS	RENDERING	AGE 0-20	13	None	100	None	11	None	19	None	None	1	None	2	None	1	None	1
1790800589	ASAF JAMES J	2021	FFS	RENDERING	AGE 21+	116	None	757	None	37	None	44	None	105	None	441	None	60	None	62	None
1790803732	BUI, NEWTON N, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	90	None	22	None	25	None	None	1	None	1	19	None	21	None
1790803732	BUI, NEWTON N, DDS	2021	FFS	RENDERING	AGE 21+	146	None	758	None	116	None	116	None	79	None	160	None	66	None	66	None
1790803906	RADAIDEH, HANI MORSHED DDS	2021	FFS	RENDERING	AGE 0-20	91	None	866	None	85	None	439	None	43	None	107	None	81	None	94	None
1790803906	RADAIDEH, HANI MORSHED DDS	2021	FFS	RENDERING	AGE 21+	316	None	2,757	None	229	None	462	None	271	None	1,599	None	211	None	212	None
1790803906	RADAIDEH, HANI MORSHED DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1790810174	GIANNOTTI KAREN A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790824894	MARTIR, ROWENA DMD	2021	FFS	RENDERING	AGE 0-20	158	None	1,947	None	146	None	572	None	97	None	307	None	146	None	202	None
1790824894	MARTIR, ROWENA DMD	2021	FFS	RENDERING	AGE 21+	151	None	1,314	None	106	None	209	None	90	None	387	None	120	None	120	None
1790827467	BORJIAN, MARYAM	2021	FFS	RENDERING	AGE 0-20	115	None	1,619	None	103	None	447	None	64	None	220	None	103	None	139	None
1790827467	BORJIAN, MARYAM	2021	FFS	RENDERING	AGE 21+	124	None	737	None	49	None	97	None	78	None	247	None	97	None	97	None
1790827996	MARTINEZ GABRIEL G	2021	FFS	RENDERING	AGE 0-20	349	None	3,807	None	268	None	853	None	192	None	635	None	291	None	326	None
1790827996	MARTINEZ GABRIEL G	2021	FFS	RENDERING	AGE 21+	588	None	4,604	None	116	None	207	None	485	None	1,906	None	335	None	337	None
1790836435	NGUYEN, TIENG KIM DDS	2021	FFS	RENDERING	AGE 0-20	38	None	167	None	31	None	65	None	11	None	26	None	33	None	37	None
1790836435	NGUYEN, TIENG KIM DDS	2021	FFS	RENDERING	AGE 21+	412	None	1,999	None	282	None	282	None	320	None	918	None	220	None	220	None
1790838449	NGUYEN, HUU T NP	2021	FFS	RENDERING	AGE 0-20	112	None	1,087	None	106	None	348	None	50	None	239	None	109	None	153	None
1790838449	NGUYEN, HUU T NP	2021	FFS	RENDERING	AGE 21+	65	None	593	None	50	None	55	None	39	None	282	None	62	None	62	None
1790838902	GASPARIAN ARMEN	2021	PHP	RENDERING	AGE 0-20	19	None	161	None	16	None	36	None	None	1	None	2	19	None	24	None
1790839108	TAROIAN HAMLET	2021	FFS	RENDERING	AGE 0-20	375	None	3,329	None	300	None	796	None	130	None	290	None	264	None	272	None
1790839108	TAROIAN HAMLET	2021	FFS	RENDERING	AGE 21+	209	None	1,384	None	26	None	52	None	113	None	286	None	96	None	96	None
1790842417	ROGERS TERRI L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1790842417	ROGERS TERRI L	2021	PHP	RENDERING	AGE 21+	27	None	146	None	None	1	None	1	23	None	80	None	None	1	None	1
1790842672	PHILLIPS, HENRY DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790843613	WAKEFIELD ALAN T	2021	FFS	RENDERING	AGE 0-20	478	None	2,012	None	338	None	886	None	200	None	448	None	202	None	206	None
1790843613	WAKEFIELD ALAN T	2021	FFS	RENDERING	AGE 21+	830	None	2,813	None	157	None	301	None	569	None	1,581	None	269	None	269	None
1790850527	ARIAS, HENIDE DDS	2021	FFS	RENDERING	AGE 0-20	82	None	1,072	None	73	None	220	None	32	None	122	None	71	None	93	None
1790850527	ARIAS, HENIDE DDS	2021	FFS	RENDERING	AGE 21+	76	None	700	None	46	None	88	None	51	None	159	None	48	None	48	None
1790852952	PEZESHKIAN PAYAM	2021	FFS	RENDERING	AGE 0-20	237	None	1,675	None	163	None	353	None	59	None	143	None	212	None	235	None
1790852952	PEZESHKIAN PAYAM	2021	FFS	RENDERING	AGE 21+	232	None	850	None	25	None	28	None	94	None	267	None	169	None	172	None
1790853034	SORAYA SHAHPOUR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790853034	SORAYA SHAHPOUR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1790853570	SOLOW DOUGLAS C	2021	FFS	RENDERING	AGE 0-20	1,746	None	11,866	None	1,013	None	3,056	None	988	None	3,475	None	1,190	None	1,417	None
1790853570	SOLOW DOUGLAS C	2021	FFS	RENDERING	AGE 21+	3,707	None	16,015	None	736	None	948	None	2,943	None	9,110	None	1,501	None	1,511	None
1790853570	SOLOW DOUGLAS C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790862340	ARIAS JANET M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1790862340	ARIAS JANET M	2021	PHP	RENDERING	AGE 0-20	59	None	531	None	46	None	207	None	49	None	83	None	33	None	35	None
1790862340	ARIAS JANET M	2021	PHP	RENDERING	AGE 21+	89	None	480	None	33	None	99	None	65	None	218	None	29	None	29	None
1790864882	MORTEZAIE-FARD GOLSHAN	2021	FFS	RENDERING	AGE 0-20	110	None	1,448	None	99	None	367	None	73	None	297	None	103	None	131	None
1790864882	MORTEZAIE-FARD GOLSHAN	2021	FFS	RENDERING	AGE 21+	133	None	1,394	None	50	None	99	None	111	None	505	None	88	None	88	None
1790870236	YAMAZAKI KIYOMI	2021	FFS	RENDERING	AGE 0-20	260	None	2,712	None	238	None	719	None	123	None	269	None	221	None	245	None
1790870236	YAMAZAKI KIYOMI	2021	FFS	RENDERING	AGE 21+	68	None	592	None	50	None	89	None	30	None	69	None	50	None	50	None
1790870582	ESGUERRA CAROLINA P	2021	FFS	RENDERING	AGE 0-20	192	None	1,197	None	184	None	460	None	81	None	213	None	179	None	223	None
1790870582	ESGUERRA CAROLINA P	2021	FFS	RENDERING	AGE 21+	193	None	918	None	148	None	150	None	98	None	232	None	150	None	150	None
1790875284	MUIR KYUNGIEE G	2021	FFS	RENDERING	AGE 0-20	34	None	258	None	34	None	116	None	None	1	None	2	34	None	52	None
1790875284	MUIR KYUNGIEE G	2021	FFS	RENDERING	AGE 21+	45	None	226	None	35	None	70	None	18	None	31	None	40	None	40	None
1790899664	MICHERI JOSEPH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790902781	MARCELO ELIZABETH D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790926608	FAHMY EMAD S	2021	FFS	RENDERING	AGE 0-20	40	None	279	None	39	None	140	None	13	None	26	None	40	None	53	None
1790926608	FAHMY EMAD S	2021	FFS	RENDERING	AGE 21+	51	None	281	None	32	None	51	None	29	None	87	None	43	None	43	None
1790926608	FAHMY EMAD S	2021	PHP	RENDERING	AGE 0-20	163	None	1,335	None	154	None	791	None	55	None	74	None	154	None	209	None
1790926608	FAHMY EMAD S	2021	PHP	RENDERING	AGE 21+	92	None	402	None	55	None	135	None	24	None	55	None	80	None	80	None
1790959476	CARHUAMACA LATO ARTURO	2021	FFS	RENDERING	AGE 0-20	40	None	83	None	0	None	0	None	40	None	83	None	0	None	0	None
1790959476	CARHUAMACA LATO ARTURO	2021	FFS	RENDERING	AGE 21+	124	None	380	None	0	None	0	None	122	None	361	None	None	1	None	1
1790963577	PARROQUIN MARTHA P	2021	FFS	RENDERING	AGE 0-20	96	None	817	None	83	None	206	None	35	None	129	None	87	None	103	None
1790963577	PARROQUIN MARTHA P	2021	FFS	RENDERING	AGE 21+	150	None	1,031	None	58	None	106	None	95	None	393	None	112	None	112	None
1790963890	OCTOMAN CELIA P	2021	FFS	RENDERING	AGE 0-20	141	None	1,189	None	108	None	235	None	72	None	360	None	105	None	118	None
1790963890	OCTOMAN CELIA P	2021	FFS	RENDERING	AGE 21+	576	None	3,697	None	283	None	454	None	418	None	2,017	None	261	None	263	None
1790969517	DABROWSKA ANNA H	2021	FFS	RENDERING	AGE 0-20	63	None	787	None	58	None	206	None	36	None	114	None	56	None	68	None
1790969517	DABROWSKA ANNA H	2021	FFS	RENDERING	AGE 21+	275	None	3,300	None	57	None	77	None	250	None	1,739	None	192	None	194	None
1790973121	ZAVALA JOHN A.	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1790973212	BELEN MARIA SHARON B	2021	PHP	RENDERING	AGE 0-20	91	None	781	None	80	None	352	None	59	None	125	None	68	None	77	None
1790973212	BELEN MARIA SHARON B	2021	PHP	RENDERING	AGE 21+	185	None	1,160	None	102	None	208	None	150	None	567	None	105	None	105	None
1790975597	KANUGA SHUKAN C	2021	FFS	RENDERING	AGE 0-20	1,082	None	13,933	None	985	None	4,528	None	858	None	3,773	None	947	None	1,449	None
1790975597	KANUGA SHUKAN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1790981983	JIMENEZ LINDA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790981983	JIMENEZ LINDA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1790991917	GASPARIAN ROBERT DDS	2021	FFS	RENDERING	AGE 0-20	93	None	554	None	69	None	182	None	57	None	171	None	78	None	82	None
1790991917	GASPARIAN ROBERT DDS	2021	FFS	RENDERING	AGE 21+	360	None	2,702	None	131	None	257	None	305	None	1,507	None	232	None	232	None
1790994341	WELSH, GREGG DDS	2021	FFS	RENDERING	AGE 0-20	373	None	2,262	None	0	None	0	None	245	None	1,588	None	337	None	337	None
1790994341	WELSH, GREGG DDS	2021	FFS	RENDERING	AGE 21+	435	None	2,768	None	0	None	0	None	264	None	2,018	None	376	None	376	None
1801006879	HWYNN TANI M	2021	FFS	RENDERING	AGE 0-20	32	None	320	None	32	None	117	None	15	None	42	None	32	None	51	None
1801006879	HWYNN TANI M	2021	FFS	RENDERING	AGE 21+	153	None	1,082	None	110	None	218	None	122	None	450	None	120	None	120	None
1801008495	TRINH MATT-PHUOC Q	2021	FFS	RENDERING	AGE 0-20	586	None	6,579	None	528	None	1,807	None	461	None	2,041	None	533	None	656	None
1801008495	TRINH MATT-PHUOC Q	2021	FFS	RENDERING	AGE 21+	266	None	1,821	None	93	None	156	None	201	None	997	None	184	None	184	None
1801009428	CARDONA DOLOROSA B	2021	FFS	RENDERING	AGE 0-20	165	None	2,095	None	155	None	478	None	83	None	269	None	150	None	220	None
1801009428	CARDONA DOLOROSA B	2021	FFS	RENDERING	AGE 21+	234	None	2,193	None	135	None	135	None	165	None	595	None	174	None	174	None
1801026919	FLORES JEFFREY V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1801026919	FLORES JEFFREY V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801033949	SANIEI-ABADEH NILOUFAR	2021	FFS	RENDERING	AGE 0-20	439	None	1,904	None	336	None	788	None	126	None	291	None	298	None	306	None
1801033949	SANIEI-ABADEH NILOUFAR	2021	FFS	RENDERING	AGE 21+	680	None	1,988	None	246	None	473	None	326	None	825	None	282	None	282	None
1801033998	OH DANIEL Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1801033998	OH DANIEL Y	2021	FFS	RENDERING	AGE 21+	38	None	243	None	32	None	63	None	14	None	26	None	32	None	32	None
1801044680	RAO SMITHA	2021	FFS	RENDERING	AGE 0-20	2,270	None	27,249	None	2,093	None	8,146	None	1,322	None	4,984	None	2,060	None	2,479	None
1801044680	RAO SMITHA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801053871	CASTRO ELSA C	2021	FFS	RENDERING	AGE 0-20	27	None	232	None	25	None	73	None	20	None	75	None	26	None	30	None
1801053871	CASTRO ELSA C	2021	FFS	RENDERING	AGE 21+	26	None	181	None	22	None	42	None	None	1	None	2	24	None	24	None
1801063763	BALACHANDRAN NATHERA	2021	FFS	RENDERING	AGE 0-20	423	None	5,309	None	412	None	1,812	None	223	None	786	None	408	None	650	None
1801063763	BALACHANDRAN NATHERA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1801070131	ANGELES KATRINA G	2021	FFS	RENDERING	AGE 0-20	786	None	6,884	None	770	None	2,347	None	129	None	340	None	781	None	781	None
1801070131	ANGELES KATRINA G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801077904	SHEIKH HASEEB N	2021	FFS	RENDERING	AGE 0-20	4,399	None	73,883	None	3,983	None	14,558	None	2,811	None	5,957	None	3,910	None	4,655	None
1801082151	CERVANTES JORGE D	2021	FFS	RENDERING	AGE 0-20	453	None	4,991	None	358	None	1,174	None	256	None	587	None	342	None	364	None
1801082151	CERVANTES JORGE D	2021	FFS	RENDERING	AGE 21+	420	None	3,206	None	149	None	297	None	292	None	793	None	195	None	197	None
1801083803	AUDI AMAL M	2021	FFS	RENDERING	AGE 0-20	220	None	1,156	None	111	None	419	None	64	None	148	None	157	None	176	None
1801083803	AUDI AMAL M	2021	FFS	RENDERING	AGE 21+	442	None	1,253	None	20	None	34	None	157	None	277	None	269	None	269	None
1801083803	AUDI AMAL M	2021	PHP	RENDERING	AGE 0-20	124	None	480	None	54	None	214	None	25	None	49	None	101	None	105	None
1801083803	AUDI AMAL M	2021	PHP	RENDERING	AGE 21+	275	None	623	None	32	None	34	None	82	None	216	None	201	None	207	None
1801085782	FATEMI, MOJDEH DDS	2021	FFS	RENDERING	AGE 0-20	56	None	449	None	42	None	126	None	25	None	81	None	52	None	56	None
1801085782	FATEMI, MOJDEH DDS	2021	FFS	RENDERING	AGE 21+	123	None	1,126	None	57	None	58	None	101	None	682	None	92	None	92	None
1801085782	FATEMI, MOJDEH DDS	2021	PHP	RENDERING	AGE 0-20	11	None	69	None	None	1	None	2	None	1	None	2	None	1	None	1
1801085782	FATEMI, MOJDEH DDS	2021	PHP	RENDERING	AGE 21+	39	None	200	None	17	None	25	None	25	None	87	None	30	None	30	None
1801087176	HAKIMI, S SEAN, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801089925	KIM, CHUNG DDS	2021	FFS	RENDERING	AGE 0-20	73	None	343	None	64	None	78	None	37	None	117	None	66	None	70	None
1801089925	KIM, CHUNG DDS	2021	FFS	RENDERING	AGE 21+	87	None	385	None	52	None	52	None	69	None	197	None	24	None	24	None
1801092648	BLACK JR JAMES T	2021	FFS	RENDERING	AGE 0-20	49	None	392	None	32	None	47	None	20	None	50	None	46	None	49	None
1801092648	BLACK JR JAMES T	2021	FFS	RENDERING	AGE 21+	480	None	3,517	None	84	None	85	None	271	None	933	None	362	None	362	None
1801092648	BLACK JR JAMES T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801092648	BLACK JR JAMES T	2021	PHP	RENDERING	AGE 21+	35	None	204	None	14	None	16	None	21	None	105	None	29	None	29	None
1801108907	INDELICATO MARCELLO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801116611	MOLINA, JOSE ALBERTO, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801118567	OLEX, ALLISON	2021	FFS	RENDERING	AGE 0-20	1,706	None	13,016	None	1,427	None	4,128	None	942	None	2,815	None	1,370	None	1,538	None
1801118567	OLEX, ALLISON	2021	FFS	RENDERING	AGE 21+	75	None	313	None	22	None	24	None	42	None	75	None	35	None	35	None
1801118567	OLEX, ALLISON	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801121975	CARO JANET A	2021	FFS	RENDERING	AGE 0-20	245	None	1,810	None	233	None	611	None	50	None	80	None	214	None	287	None
1801121975	CARO JANET A	2021	FFS	RENDERING	AGE 21+	276	None	1,459	None	199	None	225	None	118	None	229	None	195	None	196	None
1801136494	BOURKLIAN JACK	2021	FFS	RENDERING	AGE 0-20	587	None	2,923	None	408	None	880	None	198	None	339	None	513	None	538	None
1801136494	BOURKLIAN JACK	2021	FFS	RENDERING	AGE 21+	933	None	3,415	None	202	None	356	None	459	None	1,291	None	636	None	636	None
1801136494	BOURKLIAN JACK	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801143458	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801143458	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1801143458	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801143458	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1801153820	ABICHAKER GEORGE	2021	FFS	RENDERING	AGE 0-20	4,150	None	7,869	None	None	1	None	2	261	None	775	None	None	1	None	1
1801153820	ABICHAKER GEORGE	2021	FFS	RENDERING	AGE 21+	19	None	25	None	0	None	0	None	None	1	None	1	0	None	0	None
1801160635	BINGHAM, CHERYL D, DDS INC	2021	PHP	RENDERING	AGE 0-20	26	None	125	None	22	None	53	None	11	None	17	None	22	None	22	None
1801160635	BINGHAM, CHERYL D, DDS INC	2021	PHP	RENDERING	AGE 21+	17	None	49	None	None	1	None	2	None	1	None	2	None	1	None	1
1801165279	BAUM BRADLEY J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1801204029	YACOOB DANIEL D	2021	FFS	RENDERING	AGE 0-20	90	None	238	None	0	None	0	None	89	None	221	None	None	1	None	1
1801204029	YACOOB DANIEL D	2021	FFS	RENDERING	AGE 21+	208	None	617	None	0	None	0	None	207	None	570	None	None	1	None	1
1801204508	TANEJA NIDHI	2021	FFS	RENDERING	AGE 0-20	103	None	688	None	73	None	171	None	46	None	171	None	63	None	63	None
1801213442	PARK DDS MPH INC	2021	GMC	RENDERING	AGE 0-20	15	None	48	None	None	1	None	2	None	1	None	2	None	1	None	1
1801213442	PARK DDS MPH INC	2021	GMC	RENDERING	AGE 21+	21	None	50	None	None	1	None	1	16	None	20	None	None	1	None	1
1801230453	RIAZ SAMREEN F	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801230453	RIAZ SAMREEN F	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1801255773	RAHNAMA RAHI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801255773	RAHNAMA RAHI	2021	PHP	RENDERING	AGE 21+	32	None	60	None	0	None	0	None	26	None	32	None	21	None	21	None
1801277645	AGHEVLI CRYSTAL A	2021	FFS	RENDERING	AGE 0-20	14	None	62	None	None	1	None	2	None	1	None	2	0	None	0	None
1801277645	AGHEVLI CRYSTAL A	2021	FFS	RENDERING	AGE 21+	35	None	81	None	13	None	18	None	26	None	59	None	0	None	0	None
1801285200	CHEBBI, KAIS DDS	2021	FFS	RENDERING	AGE 0-20	999	None	11,696	None	914	None	3,047	None	421	None	755	None	884	None	1,042	None
1801285200	CHEBBI, KAIS DDS	2021	FFS	RENDERING	AGE 21+	333	None	2,306	None	182	None	364	None	178	None	395	None	194	None	194	None
1801290291	LU JOHN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1801290291	LU JOHN	2021	FFS	RENDERING	AGE 21+	62	None	322	None	None	1	None	1	31	None	64	None	31	None	35	None
1801290291	LU JOHN	2021	GMC	RENDERING	AGE 21+	103	None	552	None	97	None	121	None	69	None	124	None	34	None	34	None
1801290796	AMBACH GERHARD G	2021	FFS	RENDERING	AGE 0-20	563	None	4,126	None	445	None	1,597	None	205	None	455	None	471	None	471	None
1801290796	AMBACH GERHARD G	2021	FFS	RENDERING	AGE 21+	618	None	2,532	None	152	None	280	None	352	None	941	None	352	None	352	None
1801290796	AMBACH GERHARD G	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1801294301	CAMPILLO PERALT PATRICIA C	2021	FFS	RENDERING	AGE 0-20	142	None	219	None	0	None	0	None	19	None	56	None	0	None	0	None
1801294301	CAMPILLO PERALT PATRICIA C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1801294301	CAMPILLO PERALT PATRICIA C	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801294301	CAMPILLO PERALT PATRICIA C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1801319157	KIM DONGHAN	2021	FFS	RENDERING	AGE 0-20	440	None	2,546	None	164	None	376	None	228	None	622	None	286	None	298	None
1801319157	KIM DONGHAN	2021	FFS	RENDERING	AGE 21+	575	None	2,477	None	154	None	301	None	298	None	832	None	410	None	414	None
1801319157	KIM DONGHAN	2021	PHP	RENDERING	AGE 21+	11	None	35	None	None	1	None	2	None	1	None	1	None	1	None	1
1801335237	ROCHA PALAFOX JORGE A	2021	FFS	RENDERING	AGE 0-20	14	None	48	None	None	1	None	1	None	1	None	2	None	1	None	1
1801335237	ROCHA PALAFOX JORGE A	2021	FFS	RENDERING	AGE 21+	77	None	269	None	None	1	None	1	75	None	250	None	None	1	None	1
1801338868	PARK, D SANGHO, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801338868	PARK, D SANGHO, DDS INC	2021	PHP	RENDERING	AGE 0-20	14	None	99	None	11	None	38	None	None	1	None	2	11	None	11	None
1801338868	PARK, D SANGHO, DDS INC	2021	PHP	RENDERING	AGE 21+	24	None	108	None	None	1	None	2	19	None	69	None	None	1	None	1
1801341607	SHABANI GAZELLE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1801341607	SHABANI GAZELLE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801343124	TA SERENA	2021	FFS	RENDERING	AGE 0-20	25	None	156	None	21	None	61	None	None	1	None	2	24	None	29	None
1801343124	TA SERENA	2021	FFS	RENDERING	AGE 21+	67	None	337	None	41	None	70	None	28	None	76	None	46	None	46	None
1801360441	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	669	None	5,282	None	565	None	2,054	None	102	None	216	None	616	None	667	None
1801360441	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	259	None	979	None	71	None	131	None	95	None	155	None	161	None	162	None
1801360441	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	669	None	5,282	None	565	None	2,054	None	102	None	216	None	616	None	667	None
1801360441	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	259	None	979	None	71	None	131	None	95	None	155	None	161	None	162	None
1801381017	LEE, RYAN SEIN C, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1801381017	LEE, RYAN SEIN C, DDS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1801403886	POULDAR EDWIN J	2021	FFS	RENDERING	AGE 0-20	195	None	1,852	None	105	None	229	None	111	None	373	None	117	None	119	None
1801403886	POULDAR EDWIN J	2021	FFS	RENDERING	AGE 21+	206	None	1,377	None	41	None	77	None	127	None	365	None	102	None	102	None
1801416417	LIN CHIA CHING	2021	FFS	RENDERING	AGE 0-20	99	None	590	None	61	None	162	None	37	None	77	None	62	None	62	None
1801416417	LIN CHIA CHING	2021	FFS	RENDERING	AGE 21+	206	None	683	None	42	None	68	None	108	None	251	None	80	None	80	None
1801416417	LIN CHIA CHING	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1801416417	LIN CHIA CHING	2021	PHP	RENDERING	AGE 21+	11	None	32	None	None	1	None	1	None	1	None	2	None	1	None	1
1801453337	SHANABO DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1801465356	AHUJA SHARVIKA	2021	FFS	RENDERING	AGE 0-20	166	None	612	None	108	None	254	None	67	None	172	None	62	None	62	None
1801465356	AHUJA SHARVIKA	2021	FFS	RENDERING	AGE 21+	310	None	873	None	82	None	157	None	189	None	464	None	98	None	98	None
1801467535	ABDEL-RAHIM OMAR	2021	FFS	RENDERING	AGE 0-20	448	None	3,153	None	285	None	611	None	184	None	335	None	303	None	303	None
1801467535	ABDEL-RAHIM OMAR	2021	FFS	RENDERING	AGE 21+	380	None	1,737	None	96	None	196	None	250	None	545	None	161	None	161	None
1801480298	BILVA GOWRI	2021	FFS	RENDERING	AGE 0-20	254	None	1,084	None	78	None	240	None	163	None	390	None	92	None	93	None
1801480298	BILVA GOWRI	2021	FFS	RENDERING	AGE 21+	617	None	1,869	None	74	None	142	None	385	None	897	None	218	None	218	None
1801481494	RANSBY CHERIE U	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1801481494	RANSBY CHERIE U	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1801481494	RANSBY CHERIE U	2021	GMC	RENDERING	AGE 0-20	647	None	2,583	None	96	None	274	None	308	None	463	None	320	None	322	None
1801481494	RANSBY CHERIE U	2021	GMC	RENDERING	AGE 21+	186	None	1,016	None	23	None	29	None	98	None	164	None	63	None	63	None
1801481494	RANSBY CHERIE U	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801481643	DOGRA RAJESH	2021	FFS	RENDERING	AGE 0-20	35	None	102	None	None	1	None	2	None	1	None	2	20	None	20	None
1801481643	DOGRA RAJESH	2021	FFS	RENDERING	AGE 21+	206	None	530	None	31	None	56	None	91	None	158	None	76	None	76	None
1801481643	DOGRA RAJESH	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801493432	LAI GREGORY J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801493432	LAI GREGORY J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1801498902	KATZ ERICA J	2021	FFS	RENDERING	AGE 0-20	730	None	7,522	None	614	None	1,874	None	573	None	1,520	None	590	None	683	None
1801498902	KATZ ERICA J	2021	FFS	RENDERING	AGE 21+	712	None	5,765	None	370	None	745	None	542	None	2,784	None	418	None	418	None
1801498902	KATZ ERICA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801498902	KATZ ERICA J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1801801659	DEHGHAN KHASHAYAR	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801805635	PUGEDA SERENA G	2021	GMC	RENDERING	AGE 0-20	172	None	1,077	None	149	None	478	None	21	None	27	None	152	None	181	None
1801805635	PUGEDA SERENA G	2021	GMC	RENDERING	AGE 21+	233	None	1,146	None	139	None	265	None	79	None	222	None	162	None	166	None
1801812474	SADRIAN SEDIGHEH R	2021	FFS	RENDERING	AGE 0-20	595	None	5,567	None	562	None	2,076	None	350	None	998	None	540	None	773	None
1801812474	SADRIAN SEDIGHEH R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1801819065	WEN ZHUANG	2021	FFS	RENDERING	AGE 0-20	1,373	None	22,277	None	1,257	None	4,385	None	737	None	4,970	None	1,243	None	1,684	None
1801819065	WEN ZHUANG	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1801820261	HWANG, GLORIA W MD	2021	FFS	RENDERING	AGE 0-20	53	None	168	None	0	None	0	None	53	None	168	None	0	None	0	None
1801820261	HWANG, GLORIA W MD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801827001	REZA HAMID	2021	FFS	RENDERING	AGE 0-20	635	None	6,281	None	524	None	1,998	None	209	None	609	None	500	None	625	None
1801827001	REZA HAMID	2021	FFS	RENDERING	AGE 21+	1,321	None	9,306	None	387	None	780	None	865	None	3,172	None	764	None	769	None
1801827001	REZA HAMID	2021	PHP	RENDERING	AGE 0-20	122	None	1,135	None	110	None	383	None	42	None	105	None	114	None	124	None
1801827001	REZA HAMID	2021	PHP	RENDERING	AGE 21+	167	None	1,331	None	112	None	276	None	83	None	252	None	126	None	132	None
1801832704	PARCEL, GARY V, DDS	2021	FFS	RENDERING	AGE 0-20	50	None	283	None	42	None	102	None	20	None	74	None	44	None	50	None
1801832704	PARCEL, GARY V, DDS	2021	FFS	RENDERING	AGE 21+	252	None	1,123	None	144	None	144	None	167	None	483	None	188	None	188	None
1801858592	AMINPOUR BABAK	2021	FFS	RENDERING	AGE 0-20	293	None	1,337	None	None	1	None	1	241	None	1,035	None	136	None	136	None
1801858592	AMINPOUR BABAK	2021	FFS	RENDERING	AGE 21+	445	None	1,754	None	0	None	0	None	369	None	1,287	None	191	None	197	None
1801858592	AMINPOUR BABAK	2021	PHP	RENDERING	AGE 0-20	45	None	225	None	None	1	None	1	45	None	190	None	None	1	None	1
1801858592	AMINPOUR BABAK	2021	PHP	RENDERING	AGE 21+	122	None	474	None	None	1	None	1	79	None	267	None	104	None	108	None
1801876842	CHAO MARK T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1801876842	CHAO MARK T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801881743	VAN, JOHN	2021	FFS	RENDERING	AGE 0-20	36	None	142	None	19	None	36	None	14	None	29	None	31	None	33	None
1801881743	VAN, JOHN	2021	FFS	RENDERING	AGE 21+	1,246	None	8,154	None	1,054	None	2,224	None	872	None	2,480	None	1,124	None	1,130	None
1801905708	THAI, JEANETTE H DDS	2021	FFS	RENDERING	AGE 0-20	730	None	10,586	None	713	None	3,457	None	496	None	1,931	None	717	None	1,162	None
1801905708	THAI, JEANETTE H DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801908298	BUSAN, MIA MARIOARA, DDS	2021	FFS	RENDERING	AGE 0-20	41	None	277	None	36	None	93	None	11	None	28	None	38	None	48	None
1801908298	BUSAN, MIA MARIOARA, DDS	2021	FFS	RENDERING	AGE 21+	148	None	1,108	None	104	None	189	None	99	None	326	None	111	None	113	None
1801909858	FAHMY MONA A	2021	FFS	RENDERING	AGE 0-20	163	None	1,166	None	133	None	325	None	59	None	214	None	147	None	161	None
1801909858	FAHMY MONA A	2021	FFS	RENDERING	AGE 21+	287	None	1,214	None	100	None	127	None	159	None	482	None	191	None	191	None
1801917711	PEREZ JR HENRY J	2021	FFS	RENDERING	AGE 0-20	349	None	2,606	None	318	None	1,229	None	120	None	255	None	262	None	354	None
1801917711	PEREZ JR HENRY J	2021	FFS	RENDERING	AGE 21+	489	None	2,815	None	297	None	301	None	309	None	1,040	None	293	None	297	None
1801921291	TOMASZEWSKI CHRISTINE V	2021	FFS	RENDERING	AGE 0-20	1,568	None	8,360	None	1,351	None	3,533	None	884	None	1,703	None	1,148	None	1,277	None
1801921291	TOMASZEWSKI CHRISTINE V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1801922273	MALLEMPALLI, MANIMANJARI, DD	2021	FFS	RENDERING	AGE 0-20	108	None	740	None	93	None	245	None	48	None	139	None	76	None	90	None
1801922273	MALLEMPALLI, MANIMANJARI, DD	2021	FFS	RENDERING	AGE 21+	381	None	1,894	None	128	None	173	None	241	None	907	None	247	None	247	None
1801923743	ELHUSSINY NAEIL K	2021	FFS	RENDERING	AGE 0-20	180	None	464	None	0	None	0	None	176	None	449	None	None	1	None	1
1801923743	ELHUSSINY NAEIL K	2021	FFS	RENDERING	AGE 21+	1,869	None	6,609	None	None	1	None	1	1,862	None	6,562	None	None	1	None	1
1801923743	ELHUSSINY NAEIL K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1801923743	ELHUSSINY NAEIL K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1801923743	ELHUSSINY NAEIL K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1801929393	MIKAELIAN TATIANA	2021	FFS	RENDERING	AGE 0-20	1,533	None	21,184	None	1,412	None	5,460	None	1,032	None	2,969	None	1,405	None	1,805	None
1801929393	MIKAELIAN TATIANA	2021	FFS	RENDERING	AGE 21+	433	None	4,200	None	291	None	752	None	306	None	1,083	None	288	None	290	None
1801930284	KOZIOL PAUL H	2021	FFS	RENDERING	AGE 0-20	16	None	139	None	16	None	66	None	None	1	None	1	16	None	23	None
1801930284	KOZIOL PAUL H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801931993	KAPLAN BETSY G	2021	FFS	RENDERING	AGE 0-20	247	None	1,653	None	239	None	815	None	116	None	249	None	216	None	280	None
1801931993	KAPLAN BETSY G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1801933585	BERRYHILL, ANDREA A, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	330	None	42	None	120	None	18	None	93	None	39	None	46	None
1801933585	BERRYHILL, ANDREA A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801935127	BHANDARI, YASHPAL S, DDS	2021	FFS	RENDERING	AGE 0-20	607	None	5,593	None	542	None	1,636	None	269	None	779	None	564	None	702	None
1801935127	BHANDARI, YASHPAL S, DDS	2021	FFS	RENDERING	AGE 21+	484	None	2,960	None	205	None	387	None	311	None	1,054	None	383	None	383	None
1801935127	BHANDARI, YASHPAL SINGH DDS	2021	FFS	RENDERING	AGE 0-20	607	None	5,593	None	542	None	1,636	None	269	None	779	None	564	None	702	None
1801935127	BHANDARI, YASHPAL SINGH DDS	2021	FFS	RENDERING	AGE 21+	484	None	2,960	None	205	None	387	None	311	None	1,054	None	383	None	383	None
1801936968	BYUN JUNG-WOOK	2021	FFS	RENDERING	AGE 0-20	324	None	2,336	None	194	None	530	None	211	None	376	None	189	None	195	None
1801936968	BYUN JUNG-WOOK	2021	FFS	RENDERING	AGE 21+	179	None	718	None	34	None	55	None	131	None	230	None	50	None	50	None
1801939459	KARIMI-HAJISHOR KAVEH	2021	FFS	RENDERING	AGE 0-20	85	None	360	None	43	None	123	None	26	None	62	None	50	None	51	None
1801939459	KARIMI-HAJISHOR KAVEH	2021	FFS	RENDERING	AGE 21+	176	None	574	None	34	None	53	None	67	None	177	None	99	None	104	None
1801939715	COHEN-SEDGH SOLEYMAN	2021	FFS	RENDERING	AGE 0-20	481	None	1,046	None	136	None	349	None	None	1	None	1	12	None	12	None
1801939715	COHEN-SEDGH SOLEYMAN	2021	FFS	RENDERING	AGE 21+	657	None	1,176	None	85	None	136	None	94	None	192	None	None	1	None	1
1801939715	COHEN-SEDGH SOLEYMAN	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1801939715	COHEN-SEDGH SOLEYMAN	2021	PHP	RENDERING	AGE 0-20	919	None	2,721	None	159	None	438	None	43	None	72	None	95	None	99	None
1801939715	COHEN-SEDGH SOLEYMAN	2021	PHP	RENDERING	AGE 21+	1,324	None	3,032	None	99	None	138	None	117	None	261	None	115	None	115	None
1801940010	RO, JUNE DDS	2021	FFS	RENDERING	AGE 0-20	1,386	None	15,677	None	808	None	1,736	None	823	None	7,533	None	658	None	684	None
1801940010	RO, JUNE DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801942172	LUTSKY JAY M	2021	FFS	RENDERING	AGE 0-20	3,380	None	30,105	None	3,130	None	11,010	None	1,990	None	6,518	None	3,052	None	3,769	None
1801942172	LUTSKY JAY M	2021	PHP	RENDERING	AGE 0-20	21	None	114	None	13	None	37	None	None	1	None	2	15	None	16	None
1801944814	BENITEZ, AARON B, RDHAP	2021	FFS	RENDERING	AGE 21+	30	None	92	None	29	None	30	None	30	None	62	None	0	None	0	None
1801945332	ARREOLA OMAR M	2021	FFS	RENDERING	AGE 0-20	226	None	1,165	None	103	None	279	None	86	None	355	None	152	None	155	None
1801945332	ARREOLA OMAR M	2021	FFS	RENDERING	AGE 21+	813	None	3,241	None	183	None	350	None	362	None	1,430	None	455	None	457	None
1801945332	ARREOLA OMAR M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1801945332	ARREOLA OMAR M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801947254	YEN, YU S, DDS	2021	FFS	RENDERING	AGE 0-20	70	None	327	None	61	None	168	None	18	None	35	None	19	None	19	None
1801947254	YEN, YU S, DDS	2021	FFS	RENDERING	AGE 21+	273	None	905	None	155	None	155	None	120	None	335	None	134	None	134	None
1801947254	YEN, YU-SONG DDS	2021	FFS	RENDERING	AGE 0-20	70	None	327	None	61	None	168	None	18	None	35	None	19	None	19	None
1801947254	YEN, YU-SONG DDS	2021	FFS	RENDERING	AGE 21+	273	None	905	None	155	None	155	None	120	None	335	None	134	None	134	None
1801947353	HILDER, RONALD R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801947353	HILDER, RONALD R, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1801947494	ENGSTROM, BERT F, DMD	2021	FFS	RENDERING	AGE 0-20	30	None	182	None	21	None	40	None	20	None	71	None	13	None	17	None
1801947494	ENGSTROM, BERT F, DMD	2021	FFS	RENDERING	AGE 21+	58	None	309	None	40	None	41	None	39	None	123	None	22	None	22	None
1801954391	TIMPLE LLEWELLYNE L	2021	FFS	RENDERING	AGE 0-20	2,550	None	32,653	None	2,356	None	9,296	None	1,776	None	6,383	None	2,403	None	3,243	None
1801954391	TIMPLE LLEWELLYNE L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1801957485	GHIAI MOJGAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1801957485	GHIAI MOJGAN	2021	PHP	RENDERING	AGE 21+	50	None	80	None	0	None	0	None	34	None	45	None	34	None	35	None
1801960067	CHUNG, JONG HOON, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	896	None	74	None	231	None	53	None	162	None	76	None	83	None
1801960067	CHUNG, JONG HOON, DDS	2021	FFS	RENDERING	AGE 21+	333	None	3,024	None	257	None	259	None	282	None	1,001	None	279	None	279	None
1801960067	CHUNG, JONG HOON, DDS	2021	PHP	RENDERING	AGE 0-20	14	None	100	None	14	None	33	None	None	1	None	2	14	None	17	None
1801963434	STRAUSS, RONALD E, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801963434	STRAUSS, RONALD E, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801970264	NAIK SUNEAL P	2021	FFS	RENDERING	AGE 0-20	775	None	6,135	None	582	None	2,459	None	316	None	843	None	656	None	728	None
1801970264	NAIK SUNEAL P	2021	FFS	RENDERING	AGE 21+	1,278	None	8,251	None	699	None	1,386	None	884	None	3,884	None	882	None	882	None
1801982004	CHIN, WING, DMD	2021	FFS	RENDERING	AGE 21+	28	None	379	None	25	None	48	None	26	None	194	None	24	None	24	None
1801983440	VALLARINE, ALAN J, DDS	2021	FFS	RENDERING	AGE 0-20	347	None	7,899	None	307	None	2,589	None	178	None	705	None	257	None	786	None
1801983440	VALLARINE, ALAN J, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801984307	PONGHIRUN CHARMANE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1801984307	PONGHIRUN CHARMANE	2021	FFS	RENDERING	AGE 21+	49	None	313	None	38	None	39	None	28	None	129	None	40	None	40	None
1801988795	RAMIREZ, DAVID M, DDS	2021	FFS	RENDERING	AGE 0-20	136	None	1,081	None	116	None	273	None	62	None	354	None	111	None	123	None
1801988795	RAMIREZ, DAVID M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1801990130	NGUYEN LONG B	2021	FFS	RENDERING	AGE 0-20	140	None	706	None	104	None	178	None	72	None	194	None	63	None	64	None
1801990130	NGUYEN LONG B	2021	FFS	RENDERING	AGE 21+	192	None	883	None	107	None	107	None	125	None	331	None	49	None	49	None
1801994892	OAK SARA J	2021	FFS	RENDERING	AGE 21+	23	None	72	None	0	None	0	None	16	None	36	None	None	1	None	1
1801994959	MAHBOUB, MADJID, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	206	None	24	None	52	None	None	1	None	1	15	None	17	None
1801994959	MAHBOUB, MADJID, DDS	2021	FFS	RENDERING	AGE 21+	81	None	999	None	66	None	130	None	40	None	122	None	64	None	64	None
1801996970	HAN, JIN SOO, DDS	2021	FFS	RENDERING	AGE 0-20	83	None	1,490	None	70	None	340	None	36	None	262	None	66	None	160	None
1801996970	HAN, JIN SOO, DDS	2021	FFS	RENDERING	AGE 21+	164	None	2,696	None	94	None	188	None	104	None	820	None	122	None	244	None
1801999396	GHALY HANY I	2021	FFS	RENDERING	AGE 0-20	330	None	3,691	None	276	None	674	None	122	None	380	None	304	None	341	None
1801999396	GHALY HANY I	2021	FFS	RENDERING	AGE 21+	455	None	3,822	None	149	None	150	None	294	None	997	None	329	None	329	None
1811007420	MANANGAN SUSAN BRAVO	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811010721	LAM, MICHAEL DDS	2021	FFS	RENDERING	AGE 0-20	262	None	2,684	None	211	None	439	None	85	None	281	None	239	None	264	None
1811010721	LAM, MICHAEL DDS	2021	FFS	RENDERING	AGE 21+	786	None	6,396	None	316	None	317	None	481	None	1,764	None	576	None	578	None
1811017031	SOURIALLE ANTOINE O	2021	FFS	RENDERING	AGE 0-20	69	None	800	None	51	None	172	None	31	None	90	None	45	None	54	None
1811017031	SOURIALLE ANTOINE O	2021	FFS	RENDERING	AGE 21+	45	None	352	None	22	None	34	None	22	None	51	None	22	None	22	None
1811019342	HANEFIELD JR HAROLD R	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811019342	HANEFIELD JR HAROLD R	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1811021728	GARCIA CARLOS F	2021	FFS	RENDERING	AGE 0-20	134	None	1,531	None	118	None	316	None	49	None	113	None	118	None	145	None
1811021728	GARCIA CARLOS F	2021	FFS	RENDERING	AGE 21+	233	None	1,665	None	122	None	241	None	151	None	372	None	135	None	135	None
1811022023	LE, KIM QUOC DDS	2021	FFS	RENDERING	AGE 0-20	31	None	286	None	29	None	31	None	12	None	26	None	30	None	32	None
1811022023	LE, KIM QUOC DDS	2021	FFS	RENDERING	AGE 21+	55	None	619	None	41	None	42	None	23	None	48	None	50	None	51	None
1811023104	YAZDANI SOHRAB	2021	FFS	RENDERING	AGE 0-20	106	None	1,044	None	90	None	239	None	63	None	290	None	95	None	101	None
1811023104	YAZDANI SOHRAB	2021	FFS	RENDERING	AGE 21+	188	None	2,335	None	89	None	177	None	157	None	1,018	None	88	None	88	None
1811023104	YAZDANI SOHRAB	2021	PHP	RENDERING	AGE 0-20	39	None	340	None	35	None	77	None	17	None	69	None	37	None	41	None
1811023104	YAZDANI SOHRAB	2021	PHP	RENDERING	AGE 21+	171	None	1,179	None	42	None	83	None	57	None	326	None	129	None	129	None
1811024227	PAREGIAN, SAM, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1811025604	KIM, KIHO, DDS	2021	FFS	RENDERING	AGE 0-20	24	None	175	None	23	None	37	None	None	1	None	2	23	None	28	None
1811025604	KIM, KIHO, DDS	2021	FFS	RENDERING	AGE 21+	11	None	75	None	None	1	None	1	None	1	None	1	11	None	11	None
1811027006	GAMINCHI FARINOUSH	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1811027006	GAMINCHI FARINOUSH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1811027006	GAMINCHI, FARINOUSH, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1811027006	GAMINCHI, FARINOUSH, DMD INC	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1811031057	MANZANA MARY ROSE B	2021	FFS	RENDERING	AGE 0-20	737	None	9,837	None	655	None	1,985	None	535	None	3,236	None	452	None	493	None
1811031057	MANZANA MARY ROSE B	2021	FFS	RENDERING	AGE 21+	31	None	335	None	None	1	None	2	22	None	121	None	17	None	17	None
1811033517	DUONG BAOCHAU T	2021	PHP	RENDERING	AGE 0-20	75	None	534	None	51	None	199	None	68	None	108	None	40	None	40	None
1811033517	DUONG BAOCHAU T	2021	PHP	RENDERING	AGE 21+	90	None	265	None	11	None	30	None	66	None	91	None	18	None	18	None
1811033541	KRAMER MARK B	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1811033541	KRAMER MARK B	2021	FFS	RENDERING	AGE 21+	17	None	43	None	None	1	None	1	None	1	None	2	None	1	None	1
1811033699	TAMAYO ENRIQUE	2021	FFS	RENDERING	AGE 0-20	211	None	4,224	None	201	None	672	None	168	None	993	None	202	None	286	None
1811033699	TAMAYO ENRIQUE	2021	FFS	RENDERING	AGE 21+	178	None	1,784	None	103	None	207	None	128	None	460	None	135	None	136	None
1811033814	TRAN DANIEL D	2021	FFS	RENDERING	AGE 0-20	169	None	2,594	None	162	None	858	None	58	None	150	None	164	None	192	None
1811033814	TRAN DANIEL D	2021	FFS	RENDERING	AGE 21+	518	None	6,533	None	424	None	849	None	404	None	1,363	None	453	None	455	None
1811035207	YANG GERYOUNG	2021	FFS	RENDERING	AGE 0-20	12	None	38	None	None	1	None	2	None	1	None	1	None	1	None	1
1811035207	YANG GERYOUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1811035207	YANG GERYOUNG	2021	GMC	RENDERING	AGE 0-20	500	None	2,662	None	420	None	619	None	233	None	639	None	466	None	520	None
1811035207	YANG GERYOUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1811036775	GHOBRIAL EMEEL N	2021	FFS	RENDERING	AGE 0-20	254	None	2,977	None	227	None	613	None	119	None	365	None	239	None	323	None
1811036775	GHOBRIAL EMEEL N	2021	FFS	RENDERING	AGE 21+	195	None	1,523	None	44	None	86	None	130	None	577	None	155	None	155	None
1811037435	SUMARDI, KUSUMO DDS	2021	FFS	RENDERING	AGE 0-20	49	None	446	None	48	None	114	None	19	None	54	None	45	None	53	None
1811037435	SUMARDI, KUSUMO DDS	2021	FFS	RENDERING	AGE 21+	135	None	942	None	74	None	146	None	73	None	214	None	106	None	106	None
1811037542	GOMEZ, MICHAEL RAYMOND DDS	2021	FFS	RENDERING	AGE 0-20	16	None	104	None	15	None	37	None	None	1	None	2	13	None	15	None
1811037542	GOMEZ, MICHAEL RAYMOND DDS	2021	FFS	RENDERING	AGE 21+	28	None	185	None	16	None	32	None	16	None	40	None	19	None	19	None
1811037989	LE HUAN CUA CHRISTOPHE E	2021	FFS	RENDERING	AGE 0-20	553	None	4,970	None	439	None	1,336	None	376	None	925	None	469	None	476	None
1811041650	TRAN, PHI KIM DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1811041650	TRAN, PHI KIM DDS	2021	FFS	RENDERING	AGE 21+	91	None	764	None	69	None	139	None	87	None	241	None	70	None	71	None
1811046261	NAKASHIAN, BRUCE, DDS	2021	FFS	RENDERING	AGE 0-20	148	None	1,233	None	133	None	382	None	59	None	165	None	134	None	176	None
1811046261	NAKASHIAN, BRUCE, DDS	2021	FFS	RENDERING	AGE 21+	218	None	1,940	None	141	None	277	None	179	None	657	None	166	None	166	None
1811052343	UNTALAN, NORMAN ROY DDS	2021	FFS	RENDERING	AGE 0-20	236	None	4,196	None	227	None	984	None	147	None	671	None	228	None	302	None
1811052343	UNTALAN, NORMAN ROY DDS	2021	FFS	RENDERING	AGE 21+	159	None	2,282	None	111	None	229	None	128	None	808	None	121	None	125	None
1811053804	PRASAD, N K M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1811053804	PRASAD, N K M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1811061344	PATTANAYAK PRANATEE	2021	FFS	RENDERING	AGE 0-20	158	None	1,612	None	155	None	537	None	71	None	216	None	152	None	214	None
1811061344	PATTANAYAK PRANATEE	2021	FFS	RENDERING	AGE 21+	271	None	1,588	None	207	None	413	None	150	None	380	None	218	None	218	None
1811063902	PHUI LENH S	2021	FFS	RENDERING	AGE 0-20	620	None	5,285	None	487	None	1,671	None	168	None	525	None	543	None	614	None
1811063902	PHUI LENH S	2021	FFS	RENDERING	AGE 21+	612	None	2,337	None	79	None	88	None	291	None	864	None	410	None	427	None
1811064934	CANTRELL TONIA L	2021	FFS	RENDERING	AGE 0-20	486	None	4,283	None	459	None	1,564	None	199	None	748	None	448	None	644	None
1811064934	CANTRELL TONIA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1811065089	KWONG, OWEN DDS	2021	FFS	RENDERING	AGE 0-20	134	None	1,070	None	115	None	267	None	60	None	97	None	111	None	111	None
1811065089	KWONG, OWEN DDS	2021	FFS	RENDERING	AGE 21+	62	None	265	None	16	None	32	None	46	None	111	None	21	None	21	None
1811065527	FITZPATRICK MARY L	2021	FFS	RENDERING	AGE 0-20	372	None	3,826	None	356	None	1,302	None	111	None	250	None	359	None	558	None
1811065527	FITZPATRICK MARY L	2021	FFS	RENDERING	AGE 21+	279	None	1,720	None	135	None	137	None	206	None	595	None	152	None	152	None
1811071004	KIM, NICHOLAS H DDS	2021	FFS	RENDERING	AGE 0-20	1,995	None	24,549	None	1,473	None	4,091	None	828	None	7,675	None	1,372	None	1,509	None
1811071004	KIM, NICHOLAS H DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1811071004	KIM, NICHOLAS H, DDS	2021	FFS	RENDERING	AGE 0-20	1,995	None	49,098	None	1,473	None	8,182	None	828	None	15,350	None	1,372	None	3,018	None
1811071004	KIM, NICHOLAS H, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1811079106	CHAN, KENNETH K, DDS A PROFE	2021	FFS	RENDERING	AGE 0-20	11	None	87	None	None	1	None	2	None	1	None	1	None	1	None	2
1811079106	CHAN, KENNETH K, DDS A PROFE	2021	FFS	RENDERING	AGE 21+	23	None	135	None	13	None	25	None	16	None	59	None	15	None	15	None
1811079551	MORRIS DAVID E	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1811090384	CAMPOS LUCELLY	2021	FFS	RENDERING	AGE 21+	62	None	194	None	None	1	None	1	36	None	73	None	32	None	32	None
1811095888	TRAN, THUY-LINH HOANG, DDS	2021	FFS	RENDERING	AGE 0-20	63	None	445	None	63	None	196	None	19	None	35	None	63	None	95	None
1811095888	TRAN, THUY-LINH HOANG, DDS	2021	FFS	RENDERING	AGE 21+	69	None	318	None	65	None	132	None	19	None	38	None	66	None	66	None
1811097991	SINGH ANITA C	2021	FFS	RENDERING	AGE 0-20	259	None	1,821	None	241	None	762	None	75	None	188	None	250	None	286	None
1811097991	SINGH ANITA C	2021	FFS	RENDERING	AGE 21+	394	None	1,783	None	98	None	98	None	258	None	870	None	129	None	129	None
1811097991	SINGH, ANITA C, DDS	2021	FFS	RENDERING	AGE 0-20	259	None	1,821	None	241	None	762	None	75	None	188	None	250	None	286	None
1811097991	SINGH, ANITA C, DDS	2021	FFS	RENDERING	AGE 21+	394	None	1,783	None	98	None	98	None	258	None	870	None	129	None	129	None
1811102346	JEON PETER D	2021	FFS	RENDERING	AGE 0-20	125	None	353	None	0	None	0	None	116	None	292	None	0	None	0	None
1811104524	SHAY MARK	2021	FFS	RENDERING	AGE 0-20	70	None	299	None	41	None	108	None	30	None	49	None	44	None	44	None
1811104524	SHAY MARK	2021	FFS	RENDERING	AGE 21+	94	None	278	None	16	None	32	None	49	None	118	None	40	None	40	None
1811106131	LEE MINDO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811106131	LEE MINDO	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811106131	LEE MINDO	2021	PHP	RENDERING	AGE 21+	42	None	134	None	0	None	0	None	33	None	48	None	35	None	37	None
1811107709	MASHHADIAN SHAHRAM Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1811107709	MASHHADIAN SHAHRAM Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811107980	NGUYEN THOMAS T	2021	FFS	RENDERING	AGE 0-20	241	None	3,370	None	222	None	900	None	109	None	242	None	222	None	277	None
1811107980	NGUYEN THOMAS T	2021	FFS	RENDERING	AGE 21+	449	None	3,615	None	236	None	456	None	335	None	1,224	None	318	None	318	None
1811107980	NGUYEN THOMAS T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1811107980	NGUYEN THOMAS T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1811129851	SALWAN MEENAKSHI	2021	FFS	RENDERING	AGE 0-20	243	None	1,959	None	158	None	542	None	145	None	392	None	165	None	165	None
1811129851	SALWAN MEENAKSHI	2021	FFS	RENDERING	AGE 21+	197	None	922	None	31	None	61	None	121	None	385	None	104	None	104	None
1811155187	FILLER TRACY D	2021	FFS	RENDERING	AGE 0-20	1,127	None	15,429	None	1,017	None	4,799	None	907	None	4,721	None	982	None	1,309	None
1811155187	FILLER TRACY D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1811157894	ROSATO LUZ ADRIANA	2021	FFS	RENDERING	AGE 0-20	61	None	466	None	47	None	118	None	29	None	88	None	49	None	53	None
1811160880	PHAM RICHARD K	2021	FFS	RENDERING	AGE 0-20	25	None	135	None	21	None	39	None	None	1	None	1	22	None	22	None
1811160880	PHAM RICHARD K	2021	FFS	RENDERING	AGE 21+	35	None	122	None	11	None	18	None	16	None	37	None	21	None	23	None
1811161292	FERNANDO JOANNE LYNNE S	2021	FFS	RENDERING	AGE 0-20	189	None	1,805	None	186	None	709	None	68	None	186	None	185	None	264	None
1811161292	FERNANDO JOANNE LYNNE S	2021	FFS	RENDERING	AGE 21+	172	None	1,349	None	123	None	240	None	103	None	463	None	130	None	130	None
1811170681	MICHAEL, DALIA DDS	2021	FFS	RENDERING	AGE 0-20	199	None	1,707	None	184	None	465	None	121	None	538	None	192	None	206	None
1811170681	MICHAEL, DALIA DDS	2021	FFS	RENDERING	AGE 21+	313	None	1,876	None	272	None	537	None	129	None	369	None	267	None	271	None
1811172711	SAYOC VINCENT A	2021	FFS	RENDERING	AGE 0-20	41	None	266	None	36	None	60	None	21	None	82	None	31	None	33	None
1811172711	SAYOC VINCENT A	2021	FFS	RENDERING	AGE 21+	152	None	957	None	109	None	109	None	97	None	518	None	97	None	97	None
1811176399	TRAN, SON, DDS	2021	FFS	RENDERING	AGE 0-20	93	None	696	None	72	None	206	None	38	None	64	None	72	None	80	None
1811176399	TRAN, SON, DDS	2021	FFS	RENDERING	AGE 21+	341	None	2,012	None	192	None	379	None	256	None	767	None	185	None	185	None
1811180839	AZIMI SHIDEH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1811180839	AZIMI SHIDEH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1811180961	EDWARDS RICHARD L	2021	FFS	RENDERING	AGE 0-20	92	None	173	None	0	None	0	None	76	None	88	None	21	None	21	None
1811180961	EDWARDS RICHARD L	2021	FFS	RENDERING	AGE 21+	184	None	399	None	0	None	0	None	120	None	147	None	59	None	59	None
1811181613	ELSAYESS PERIHAN	2021	FFS	RENDERING	AGE 0-20	508	None	4,322	None	329	None	825	None	213	None	447	None	376	None	392	None
1811181613	ELSAYESS PERIHAN	2021	FFS	RENDERING	AGE 21+	609	None	2,682	None	165	None	319	None	308	None	474	None	380	None	382	None
1811184708	AMORES ARLENE F	2021	FFS	RENDERING	AGE 0-20	923	None	6,317	None	454	None	1,067	None	665	None	2,160	None	170	None	175	None
1811184708	AMORES ARLENE F	2021	FFS	RENDERING	AGE 21+	147	None	1,011	None	50	None	105	None	100	None	302	None	84	None	84	None
1811185648	CHEN JIANYE	2021	FFS	RENDERING	AGE 0-20	57	None	680	None	54	None	209	None	12	None	34	None	52	None	66	None
1811185648	CHEN JIANYE	2021	FFS	RENDERING	AGE 21+	121	None	1,039	None	106	None	201	None	47	None	128	None	111	None	111	None
1811192180	TOLEDO MARCELO G	2021	FFS	RENDERING	AGE 0-20	687	None	3,946	None	564	None	1,519	None	348	None	1,059	None	566	None	690	None
1811192180	TOLEDO MARCELO G	2021	FFS	RENDERING	AGE 21+	2,049	None	10,745	None	929	None	1,709	None	1,531	None	5,022	None	1,360	None	1,360	None
1811192180	TOLEDO MARCELO G	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811198476	NAMSINH LILY A	2021	FFS	RENDERING	AGE 0-20	388	None	2,139	None	261	None	538	None	222	None	593	None	262	None	274	None
1811198476	NAMSINH LILY A	2021	FFS	RENDERING	AGE 21+	669	None	3,399	None	254	None	434	None	508	None	1,689	None	303	None	303	None
1811253180	FALAKASSA SHEREEN A	2021	FFS	RENDERING	AGE 0-20	26	None	60	None	0	None	0	None	14	None	44	None	0	None	0	None
1811253180	FALAKASSA SHEREEN A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1811255474	HUANG DAVID T	2021	FFS	RENDERING	AGE 0-20	157	None	971	None	105	None	267	None	115	None	351	None	102	None	105	None
1811255474	HUANG DAVID T	2021	FFS	RENDERING	AGE 21+	373	None	2,251	None	105	None	212	None	335	None	1,587	None	144	None	144	None
1811255474	HUANG DAVID T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811255474	HUANG DAVID T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811257280	NASSERI NOSAR NADER	2021	FFS	RENDERING	AGE 0-20	304	None	1,340	None	None	1	None	1	300	None	1,230	None	67	None	67	None
1811257280	NASSERI NOSAR NADER	2021	FFS	RENDERING	AGE 21+	67	None	286	None	0	None	0	None	66	None	273	None	None	1	None	1
1811263734	KHOSHBIN SARA	2021	FFS	RENDERING	AGE 0-20	1,330	None	8,815	None	1,076	None	2,709	None	732	None	1,542	None	1,056	None	1,083	None
1811277015	NGUYEN ANTHONY MINH T	2021	FFS	RENDERING	AGE 0-20	164	None	1,921	None	155	None	551	None	118	None	460	None	158	None	243	None
1811277015	NGUYEN ANTHONY MINH T	2021	FFS	RENDERING	AGE 21+	240	None	1,898	None	171	None	339	None	169	None	789	None	183	None	183	None
1811278013	AMINLOO, GITA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1811278013	AMINLOO, GITA, RDHAP	2021	FFS	RENDERING	AGE 21+	256	None	975	None	243	None	437	None	256	None	538	None	0	None	0	None
1811278435	NIRANJAN REMYA	2021	FFS	RENDERING	AGE 0-20	220	None	1,528	None	174	None	487	None	151	None	239	None	144	None	144	None
1811278435	NIRANJAN REMYA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811281033	OURSHALIMI ORNA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811281462	MOBILIA ANDREA J	2021	FFS	RENDERING	AGE 0-20	169	None	1,724	None	154	None	572	None	85	None	280	None	151	None	186	None
1811281462	MOBILIA ANDREA J	2021	FFS	RENDERING	AGE 21+	157	None	1,092	None	62	None	126	None	110	None	418	None	112	None	118	None
1811285430	MOEZZI NEDA	2021	FFS	RENDERING	AGE 0-20	28	None	124	None	14	None	30	None	None	1	None	2	26	None	26	None
1811285430	MOEZZI NEDA	2021	FFS	RENDERING	AGE 21+	34	None	80	None	None	1	None	1	13	None	20	None	20	None	20	None
1811303555	JOHNSON BETTY M	2021	FFS	RENDERING	AGE 0-20	323	None	3,004	None	164	None	782	None	211	None	930	None	123	None	123	None
1811303555	JOHNSON BETTY M	2021	FFS	RENDERING	AGE 21+	91	None	292	None	0	None	0	None	91	None	195	None	0	None	0	None
1811320781	PEREZ FERRERUEL ISABEL	2021	FFS	RENDERING	AGE 0-20	80	None	876	None	66	None	215	None	57	None	180	None	73	None	89	None
1811320781	PEREZ FERRERUEL ISABEL	2021	FFS	RENDERING	AGE 21+	159	None	1,456	None	59	None	93	None	135	None	773	None	109	None	109	None
1811322365	KYURKCHYAN ELIZABETH	2021	FFS	RENDERING	AGE 0-20	636	None	4,778	None	557	None	1,711	None	492	None	1,349	None	554	None	655	None
1811322365	KYURKCHYAN ELIZABETH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1811325525	GUMANGAN RHODELIA J	2021	FFS	RENDERING	AGE 0-20	376	None	2,236	None	188	None	474	None	253	None	655	None	186	None	186	None
1811329485	CRAIG ANTHONY J	2021	FFS	RENDERING	AGE 0-20	212	None	1,148	None	165	None	364	None	29	None	48	None	193	None	216	None
1811329485	CRAIG ANTHONY J	2021	FFS	RENDERING	AGE 21+	567	None	1,727	None	63	None	83	None	259	None	580	None	391	None	391	None
1811351604	CHEN ERIC C	2021	FFS	RENDERING	AGE 0-20	128	None	218	None	0	None	0	None	27	None	73	None	None	1	None	1
1811351604	CHEN ERIC C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1811351604	CHEN ERIC C	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811355035	DOROUDIANTEHRAN BETSABEH	2021	FFS	RENDERING	AGE 0-20	349	None	1,473	None	151	None	404	None	30	None	48	None	315	None	364	None
1811355035	DOROUDIANTEHRAN BETSABEH	2021	FFS	RENDERING	AGE 21+	661	None	1,797	None	114	None	201	None	156	None	251	None	533	None	535	None
1811355134	PEJMAN-GONZALEZ NATASHA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1811355134	PEJMAN-GONZALEZ NATASHA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1811364755	MASTIKIAN HAIG	2021	FFS	RENDERING	AGE 0-20	657	None	9,221	None	576	None	2,132	None	512	None	2,382	None	576	None	651	None
1811365042	NAIMAN VICTORIYA	2021	FFS	RENDERING	AGE 0-20	70	None	379	None	42	None	94	None	41	None	93	None	35	None	44	None
1811365042	NAIMAN VICTORIYA	2021	FFS	RENDERING	AGE 21+	140	None	801	None	25	None	36	None	100	None	422	None	80	None	80	None
1811365042	NAIMAN VICTORIYA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811372089	ASWANI, POOJA, DENTAL CORPOR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811402761	HASSAN SHERIF A	2021	FFS	RENDERING	AGE 0-20	2,836	None	21,715	None	2,059	None	5,016	None	1,532	None	3,862	None	2,036	None	2,285	None
1811402761	HASSAN SHERIF A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1811408123	NGUYEN JULIE K	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1811449168	KIM LAURI J	2021	FFS	RENDERING	AGE 0-20	90	None	98	None	0	None	0	None	0	None	0	None	0	None	0	None
1811449168	KIM LAURI J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1811449168	KIM LAURI J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811449168	KIM LAURI J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811473770	SHAHRI SOHEIL	2021	FFS	RENDERING	AGE 0-20	141	None	1,154	None	113	None	372	None	67	None	201	None	122	None	138	None
1811473770	SHAHRI SOHEIL	2021	FFS	RENDERING	AGE 21+	117	None	582	None	52	None	91	None	66	None	204	None	87	None	87	None
1811473770	SHAHRI SOHEIL	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811473770	SHAHRI SOHEIL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811473770	SHAHRI SOHEIL	2021	PHP	RENDERING	AGE 0-20	271	None	1,637	None	113	None	413	None	193	None	533	None	121	None	121	None
1811473770	SHAHRI SOHEIL	2021	PHP	RENDERING	AGE 21+	435	None	2,148	None	41	None	91	None	398	None	1,017	None	52	None	52	None
1811475908	LE PETER	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1811475908	LE PETER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1811477763	ALTUNIS CHRIS E	2021	FFS	RENDERING	AGE 0-20	303	None	1,312	None	197	None	485	None	40	None	77	None	245	None	260	None
1811477763	ALTUNIS CHRIS E	2021	FFS	RENDERING	AGE 21+	759	None	2,580	None	224	None	407	None	305	None	831	None	486	None	486	None
1811477763	ALTUNIS CHRIS E	2021	PHP	RENDERING	AGE 0-20	14	None	48	None	None	1	None	1	None	1	None	1	11	None	11	None
1811477763	ALTUNIS CHRIS E	2021	PHP	RENDERING	AGE 21+	24	None	68	None	None	1	None	1	None	1	None	2	13	None	14	None
1811507213	PATEL MALVIKA P	2021	FFS	RENDERING	AGE 0-20	31	None	154	None	18	None	61	None	None	1	None	2	24	None	30	None
1811507213	PATEL MALVIKA P	2021	FFS	RENDERING	AGE 21+	117	None	349	None	20	None	37	None	50	None	126	None	84	None	84	None
1811507320	SINGH SHRUTI	2021	FFS	RENDERING	AGE 0-20	362	None	1,589	None	283	None	628	None	149	None	324	None	176	None	179	None
1811507320	SINGH SHRUTI	2021	FFS	RENDERING	AGE 21+	687	None	2,258	None	222	None	433	None	480	None	1,209	None	191	None	191	None
1811507320	SINGH SHRUTI	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1811509458	KHAN ABRAR J	2021	FFS	RENDERING	AGE 0-20	471	None	1,906	None	164	None	426	None	191	None	423	None	342	None	343	None
1811509458	KHAN ABRAR J	2021	FFS	RENDERING	AGE 21+	1,022	None	2,737	None	114	None	210	None	459	None	870	None	615	None	615	None
1811530488	MARCINKOWSKI ADRIA	2021	FFS	RENDERING	AGE 0-20	23	None	127	None	14	None	39	None	15	None	43	None	11	None	11	None
1811530488	MARCINKOWSKI ADRIA	2021	FFS	RENDERING	AGE 21+	142	None	533	None	35	None	68	None	117	None	323	None	24	None	24	None
1811537962	NGUYEN AN D	2021	FFS	RENDERING	AGE 0-20	894	None	1,383	None	0	None	0	None	291	None	648	None	0	None	0	None
1811537962	NGUYEN AN D	2021	FFS	RENDERING	AGE 21+	50	None	52	None	0	None	0	None	None	1	None	1	0	None	0	None
1811537962	NGUYEN AN D	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811537962	NGUYEN AN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811537962	NGUYEN AN D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811559974	HOSHIYAR DIARY D	2021	FFS	RENDERING	AGE 0-20	411	None	2,425	None	347	None	982	None	123	None	319	None	368	None	425	None
1811559974	HOSHIYAR DIARY D	2021	FFS	RENDERING	AGE 21+	464	None	1,699	None	110	None	137	None	270	None	676	None	320	None	320	None
1811559974	HOSHIYAR DIARY D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1811582331	SAJJAD AYESHA	2021	FFS	RENDERING	AGE 0-20	666	None	3,039	None	436	None	940	None	401	None	1,136	None	183	None	183	None
1811582331	SAJJAD AYESHA	2021	FFS	RENDERING	AGE 21+	706	None	2,425	None	210	None	411	None	512	None	1,371	None	144	None	144	None
1811582331	SAJJAD AYESHA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811594096	BAGHBANIAN RAHA	2021	FFS	RENDERING	AGE 0-20	22	None	111	None	11	None	23	None	None	1	None	2	None	1	None	1
1811594096	BAGHBANIAN RAHA	2021	FFS	RENDERING	AGE 21+	38	None	117	None	None	1	None	1	25	None	48	None	11	None	11	None
1811905896	KHAUV, KIM LANG, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	243	None	27	None	44	None	None	1	None	2	27	None	30	None
1811905896	KHAUV, KIM LANG, DDS	2021	FFS	RENDERING	AGE 21+	45	None	314	None	20	None	21	None	20	None	58	None	39	None	39	None
1811908809	SPROUL VAN N	2021	FFS	RENDERING	AGE 0-20	619	None	6,590	None	593	None	2,040	None	145	None	391	None	585	None	775	None
1811908809	SPROUL VAN N	2021	FFS	RENDERING	AGE 21+	21	None	187	None	18	None	36	None	None	1	None	2	18	None	18	None
1811915069	ZAIDE FLORENCE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1811915069	ZAIDE FLORENCE M	2021	FFS	RENDERING	AGE 21+	38	None	137	None	22	None	43	None	14	None	37	None	26	None	26	None
1811917636	PARK PHILLIP S	2021	FFS	RENDERING	AGE 0-20	100	None	868	None	96	None	286	None	28	None	110	None	97	None	144	None
1811917636	PARK PHILLIP S	2021	FFS	RENDERING	AGE 21+	171	None	943	None	144	None	144	None	64	None	223	None	155	None	156	None
1811985567	GATES LUCAS F	2021	FFS	RENDERING	AGE 0-20	37	None	77	None	0	None	0	None	36	None	71	None	None	1	None	1
1811985567	GATES LUCAS F	2021	FFS	RENDERING	AGE 21+	358	None	939	None	0	None	0	None	356	None	926	None	None	1	None	1
1811985567	GATES LUCAS F	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811985567	GATES LUCAS F	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811985567	GATES LUCAS F	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1811985567	GATES LUCAS F	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1811999519	OKAMOTO MUNEKUNI	2021	FFS	RENDERING	AGE 0-20	34	None	222	None	24	None	72	None	14	None	20	None	23	None	28	None
1811999519	OKAMOTO MUNEKUNI	2021	FFS	RENDERING	AGE 21+	182	None	792	None	48	None	94	None	122	None	329	None	89	None	89	None
1811999519	OKAMOTO MUNEKUNI	2021	PHP	RENDERING	AGE 0-20	84	None	629	None	69	None	248	None	48	None	85	None	67	None	73	None
1811999519	OKAMOTO MUNEKUNI	2021	PHP	RENDERING	AGE 21+	242	None	1,144	None	149	None	309	None	147	None	462	None	143	None	143	None
1821008863	EVRIGENIS, GREGORY W DDS	2021	FFS	RENDERING	AGE 0-20	264	None	358	None	0	None	0	None	131	None	179	None	0	None	0	None
1821008863	EVRIGENIS, GREGORY W DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821008863	EVRIGENIS, GREGORY W DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821011354	TRAN, QUYNH DDS	2021	FFS	RENDERING	AGE 0-20	264	None	3,310	None	214	None	738	None	190	None	884	None	241	None	362	None
1821011354	TRAN, QUYNH DDS	2021	FFS	RENDERING	AGE 21+	154	None	1,220	None	31	None	38	None	109	None	467	None	119	None	143	None
1821011776	HER, POGE DDS	2021	FFS	RENDERING	AGE 0-20	77	None	572	None	72	None	213	None	42	None	123	None	72	None	94	None
1821011776	HER, POGE DDS	2021	FFS	RENDERING	AGE 21+	210	None	1,333	None	151	None	274	None	138	None	512	None	184	None	184	None
1821011776	HER, POGE, DDS	2021	FFS	RENDERING	AGE 0-20	77	None	572	None	72	None	213	None	42	None	123	None	72	None	94	None
1821011776	HER, POGE, DDS	2021	FFS	RENDERING	AGE 21+	210	None	1,333	None	151	None	274	None	138	None	512	None	184	None	184	None
1821021890	PUEN ROYANNA J	2021	FFS	RENDERING	AGE 0-20	626	None	4,805	None	477	None	1,171	None	280	None	966	None	476	None	533	None
1821021890	PUEN ROYANNA J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821024613	ELIAS RAMI C	2021	FFS	RENDERING	AGE 0-20	50	None	289	None	38	None	86	None	22	None	84	None	26	None	26	None
1821024613	ELIAS RAMI C	2021	FFS	RENDERING	AGE 21+	127	None	489	None	28	None	43	None	90	None	291	None	39	None	39	None
1821052796	CHRISTENSEN RUSSELL E	2021	FFS	RENDERING	AGE 0-20	117	None	135	None	0	None	0	None	None	1	None	2	0	None	0	None
1821052796	CHRISTENSEN RUSSELL E	2021	FFS	RENDERING	AGE 21+	190	None	218	None	0	None	0	None	None	1	None	1	0	None	0	None
1821052796	CHRISTENSEN RUSSELL E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821055344	BARBOSA DECIO A	2021	FFS	RENDERING	AGE 21+	656	None	2,015	None	212	None	235	None	646	None	1,249	None	427	None	429	None
1821055344	BARBOSA DECIO A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821057415	MOFTAKHAR FARSHAD	2021	FFS	RENDERING	AGE 0-20	22	None	158	None	21	None	24	None	None	1	None	2	20	None	23	None
1821057415	MOFTAKHAR FARSHAD	2021	FFS	RENDERING	AGE 21+	168	None	940	None	84	None	84	None	100	None	373	None	134	None	134	None
1821062829	KOTRUSH JWAN	2021	FFS	RENDERING	AGE 0-20	58	None	612	None	47	None	200	None	29	None	189	None	52	None	57	None
1821062829	KOTRUSH JWAN	2021	FFS	RENDERING	AGE 21+	209	None	1,898	None	135	None	264	None	145	None	988	None	169	None	169	None
1821065897	RAMIREZ, FERDINAND DDS	2021	FFS	RENDERING	AGE 0-20	193	None	1,606	None	168	None	388	None	61	None	170	None	149	None	183	None
1821065897	RAMIREZ, FERDINAND DDS	2021	FFS	RENDERING	AGE 21+	255	None	1,506	None	143	None	145	None	168	None	540	None	143	None	144	None
1821103169	LAY, GILBERT KHIN DDS	2021	FFS	RENDERING	AGE 0-20	101	None	730	None	94	None	216	None	62	None	225	None	68	None	70	None
1821103169	LAY, GILBERT KHIN DDS	2021	FFS	RENDERING	AGE 21+	281	None	2,199	None	211	None	211	None	226	None	1,215	None	171	None	171	None
1821103169	LAY, GILBERT KHIN DDS	2021	PHP	RENDERING	AGE 0-20	61	None	465	None	61	None	140	None	32	None	141	None	54	None	65	None
1821103169	LAY, GILBERT KHIN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821103169	LAY, GILBERT KHIN, DDS	2021	FFS	RENDERING	AGE 0-20	101	None	730	None	94	None	216	None	62	None	225	None	68	None	70	None
1821103169	LAY, GILBERT KHIN, DDS	2021	FFS	RENDERING	AGE 21+	281	None	2,199	None	211	None	211	None	226	None	1,215	None	171	None	171	None
1821103169	LAY, GILBERT KHIN, DDS	2021	PHP	RENDERING	AGE 0-20	61	None	465	None	61	None	140	None	32	None	141	None	54	None	65	None
1821103169	LAY, GILBERT KHIN, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821105446	NESS DOUGLAS G	2021	FFS	RENDERING	AGE 0-20	657	None	1,744	None	83	None	125	None	606	None	1,338	None	16	None	18	None
1821105446	NESS DOUGLAS G	2021	FFS	RENDERING	AGE 21+	1,345	None	4,113	None	143	None	143	None	1,255	None	3,245	None	29	None	29	None
1821121096	FRANCIS STEVEN L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1821121096	FRANCIS STEVEN L	2021	FFS	RENDERING	AGE 21+	21	None	81	None	14	None	14	None	None	1	None	2	15	None	15	None
1821125634	NGUYEN QUYNH C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1821125634	NGUYEN QUYNH C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1821130352	KERAMATI SABINEH	2021	FFS	RENDERING	AGE 21+	18	None	61	None	None	1	None	1	16	None	54	None	None	1	None	1
1821135179	SINGH, G R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821135179	SINGH, G R, DDS	2021	FFS	RENDERING	AGE 21+	29	None	99	None	13	None	13	None	20	None	36	None	15	None	15	None
1821135385	SPENCER, RICHARD O, DDS	2021	FFS	RENDERING	AGE 0-20	1,055	None	18,155	None	472	None	1,263	None	1,055	None	11,756	None	478	None	483	None
1821137969	SETIA, THEO W, DDS	2021	FFS	RENDERING	AGE 0-20	57	None	353	None	52	None	129	None	20	None	40	None	51	None	54	None
1821137969	SETIA, THEO W, DDS	2021	FFS	RENDERING	AGE 21+	130	None	796	None	87	None	88	None	103	None	362	None	89	None	89	None
1821141128	SAUCEDO, REUBEN DDS	2021	FFS	RENDERING	AGE 0-20	267	None	3,465	None	238	None	630	None	142	None	438	None	247	None	314	None
1821141128	SAUCEDO, REUBEN DDS	2021	FFS	RENDERING	AGE 21+	334	None	3,551	None	172	None	343	None	233	None	923	None	244	None	248	None
1821141128	SAUCEDO, REUBEN I, DDS	2021	FFS	RENDERING	AGE 0-20	267	None	3,465	None	238	None	630	None	142	None	438	None	247	None	314	None
1821141128	SAUCEDO, REUBEN I, DDS	2021	FFS	RENDERING	AGE 21+	334	None	3,551	None	172	None	343	None	233	None	923	None	244	None	248	None
1821142233	CHAR, LAWRENCE H, DDS	2021	FFS	RENDERING	AGE 0-20	289	None	3,640	None	274	None	1,129	None	121	None	256	None	275	None	335	None
1821142233	CHAR, LAWRENCE H, DDS	2021	FFS	RENDERING	AGE 21+	219	None	2,156	None	172	None	344	None	140	None	626	None	188	None	188	None
1821142233	HEI FEI CHAR, LAWRENCE DDS	2021	FFS	RENDERING	AGE 0-20	289	None	3,640	None	274	None	1,129	None	121	None	256	None	275	None	335	None
1821142233	HEI FEI CHAR, LAWRENCE DDS	2021	FFS	RENDERING	AGE 21+	219	None	2,156	None	172	None	344	None	140	None	626	None	188	None	188	None
1821145079	NGUYEN, ANTHONY DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821145079	NGUYEN, ANTHONY DDS	2021	FFS	RENDERING	AGE 21+	24	None	117	None	None	1	None	1	17	None	20	None	None	1	None	1
1821145681	YEUNG JONATHAN C	2021	FFS	RENDERING	AGE 0-20	49	None	278	None	39	None	63	None	15	None	55	None	44	None	52	None
1821145681	YEUNG JONATHAN C	2021	FFS	RENDERING	AGE 21+	74	None	400	None	48	None	48	None	49	None	166	None	62	None	62	None
1821145681	YEUNG JONATHAN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1821145681	YEUNG JONATHAN C	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821145939	FARRELL-RODRIGUEZ, KIMBERLY	2021	FFS	RENDERING	AGE 0-20	42	None	285	None	42	None	171	None	39	None	96	None	0	None	0	None
1821145939	FARRELL-RODRIGUEZ, KIMBERLY	2021	FFS	RENDERING	AGE 21+	347	None	2,112	None	317	None	860	None	311	None	1,153	None	0	None	0	None
1821146416	REDMOND MICHAEL J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821154006	TRINH STEVE P	2021	FFS	RENDERING	AGE 0-20	128	None	1,435	None	116	None	330	None	67	None	214	None	119	None	165	None
1821154006	TRINH STEVE P	2021	FFS	RENDERING	AGE 21+	228	None	2,137	None	154	None	312	None	170	None	725	None	180	None	180	None
1821156191	MARSHALL ROSANNA B	2021	FFS	RENDERING	AGE 0-20	477	None	2,852	None	313	None	1,033	None	114	None	332	None	451	None	510	None
1821156191	MARSHALL ROSANNA B	2021	FFS	RENDERING	AGE 21+	1,135	None	4,870	None	243	None	435	None	540	None	1,930	None	834	None	834	None
1821158726	PATEL ANJANA V	2021	FFS	RENDERING	AGE 0-20	653	None	4,398	None	532	None	1,794	None	218	None	436	None	590	None	660	None
1821158726	PATEL ANJANA V	2021	FFS	RENDERING	AGE 21+	713	None	2,775	None	208	None	372	None	271	None	768	None	530	None	530	None
1821158726	PATEL ANJANA V	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1821158726	PATEL ANJANA V	2021	PHP	RENDERING	AGE 0-20	15	None	94	None	11	None	34	None	None	1	None	2	12	None	14	None
1821158726	PATEL ANJANA V	2021	PHP	RENDERING	AGE 21+	19	None	77	None	None	1	None	1	None	1	None	2	15	None	16	None
1821159468	MEHRVARZI SHAHRIAR	2021	FFS	RENDERING	AGE 0-20	118	None	445	None	None	1	None	2	108	None	262	None	38	None	38	None
1821159468	MEHRVARZI SHAHRIAR	2021	FFS	RENDERING	AGE 21+	589	None	2,404	None	None	1	None	1	562	None	1,746	None	127	None	131	None
1821159468	MEHRVARZI SHAHRIAR	2021	GMC	RENDERING	AGE 0-20	533	None	3,352	None	394	None	1,313	None	274	None	449	None	373	None	388	None
1821159468	MEHRVARZI SHAHRIAR	2021	GMC	RENDERING	AGE 21+	1,262	None	4,367	None	533	None	728	None	875	None	2,103	None	470	None	483	None
1821166075	OGANESYAN ARSEN	2021	FFS	RENDERING	AGE 0-20	36	None	240	None	28	None	37	None	21	None	93	None	17	None	17	None
1821166075	OGANESYAN ARSEN	2021	FFS	RENDERING	AGE 21+	241	None	1,109	None	93	None	100	None	175	None	484	None	126	None	126	None
1821166075	OGANESYAN, ARSEN, DDS	2021	FFS	RENDERING	AGE 0-20	36	None	240	None	28	None	37	None	21	None	93	None	17	None	17	None
1821166075	OGANESYAN, ARSEN, DDS	2021	FFS	RENDERING	AGE 21+	241	None	1,109	None	93	None	100	None	175	None	484	None	126	None	126	None
1821170374	HOANG, SCOTT A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1821170374	HOANG, SCOTT A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821175514	CHOI MARK K	2021	FFS	RENDERING	AGE 0-20	261	None	1,787	None	238	None	680	None	83	None	488	None	231	None	292	None
1821175514	CHOI MARK K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821176389	DOROTHEO NOEL T	2021	FFS	RENDERING	AGE 0-20	16	None	115	None	None	1	None	2	13	None	47	None	13	None	13	None
1821176389	DOROTHEO NOEL T	2021	FFS	RENDERING	AGE 21+	58	None	342	None	21	None	41	None	44	None	130	None	38	None	39	None
1821178062	O'BRAITIS RICHARD J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821178344	BERDICHEVSKY MIKHAIL	2021	FFS	RENDERING	AGE 0-20	209	None	1,251	None	166	None	460	None	66	None	204	None	168	None	194	None
1821178344	BERDICHEVSKY MIKHAIL	2021	FFS	RENDERING	AGE 21+	1,784	None	13,051	None	1,116	None	2,112	None	1,123	None	3,028	None	1,298	None	1,299	None
1821178344	BERDICHEVSKY MIKHAIL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821181843	PARTOVI, FARANGIS, DDS	2021	FFS	RENDERING	AGE 0-20	22	None	41	None	None	1	None	1	13	None	17	None	None	1	None	1
1821181843	PARTOVI, FARANGIS, DDS	2021	FFS	RENDERING	AGE 21+	224	None	538	None	11	None	11	None	170	None	380	None	68	None	69	None
1821181843	PARTOVI, FARANGIS, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821181843	PARTOVI, FARANGIS, DDS	2021	PHP	RENDERING	AGE 21+	40	None	109	None	None	1	None	1	13	None	71	None	28	None	29	None
1821182312	YUILLE KATRINA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821182312	YUILLE KATRINA C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821185844	GRANDHI ANUPAMA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821202375	LEE, JAMES L, DDS	2021	FFS	RENDERING	AGE 0-20	32	None	320	None	30	None	92	None	19	None	55	None	29	None	43	None
1821202375	LEE, JAMES L, DDS	2021	FFS	RENDERING	AGE 21+	54	None	332	None	40	None	73	None	30	None	115	None	47	None	47	None
1821203282	KIM DONG M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821203282	KIM DONG M	2021	FFS	RENDERING	AGE 21+	27	None	134	None	23	None	45	None	18	None	46	None	20	None	20	None
1821203811	HWANG DANIEL W	2021	FFS	RENDERING	AGE 0-20	933	None	12,345	None	867	None	3,332	None	486	None	1,772	None	878	None	1,217	None
1821203811	HWANG DANIEL W	2021	FFS	RENDERING	AGE 21+	894	None	7,569	None	424	None	819	None	651	None	2,920	None	663	None	664	None
1821207507	BRUST, KENNETH JAMES, DDS	2021	FFS	RENDERING	AGE 0-20	84	None	918	None	74	None	203	None	14	None	18	None	79	None	100	None
1821207507	BRUST, KENNETH JAMES, DDS	2021	FFS	RENDERING	AGE 21+	157	None	1,038	None	95	None	176	None	83	None	231	None	125	None	125	None
1821208141	EMANUEL DONNY A	2021	FFS	RENDERING	AGE 0-20	483	None	5,708	None	428	None	1,765	None	210	None	667	None	458	None	496	None
1821208141	EMANUEL DONNY A	2021	FFS	RENDERING	AGE 21+	474	None	4,693	None	260	None	516	None	307	None	1,695	None	370	None	370	None
1821208240	CHUNG KYUNG H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821210915	AZAULA, NER H, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	62	None	11	None	18	None	None	1	None	2	None	1	None	1
1821210915	AZAULA, NER H, DDS	2021	FFS	RENDERING	AGE 21+	127	None	748	None	56	None	59	None	105	None	387	None	72	None	72	None
1821211798	BAGHERPOUR MAHNAZ	2021	FFS	RENDERING	AGE 0-20	14	None	48	None	None	1	None	1	11	None	20	None	None	1	None	1
1821211798	BAGHERPOUR MAHNAZ	2021	FFS	RENDERING	AGE 21+	64	None	148	None	None	1	None	2	55	None	104	None	None	1	None	1
1821214784	DEUKMEDJIAN PHAEDRA	2021	FFS	RENDERING	AGE 0-20	438	None	3,272	None	391	None	1,165	None	157	None	551	None	405	None	576	None
1821214784	DEUKMEDJIAN PHAEDRA	2021	FFS	RENDERING	AGE 21+	21	None	88	None	15	None	24	None	None	1	None	2	11	None	15	None
1821218298	RAMCHANDANI MANISHA H	2021	FFS	RENDERING	AGE 0-20	248	None	1,890	None	239	None	869	None	62	None	150	None	248	None	248	None
1821218298	RAMCHANDANI MANISHA H	2021	PHP	RENDERING	AGE 0-20	37	None	345	None	36	None	134	None	15	None	33	None	36	None	37	None
1821230582	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1821230582	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	102	None	819	None	60	None	217	None	None	1	None	1	92	None	93	None
1821230582	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	165	None	530	None	41	None	67	None	25	None	54	None	117	None	117	None
1821230582	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1821230582	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	102	None	819	None	60	None	217	None	None	1	None	1	92	None	93	None
1821230582	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	165	None	530	None	41	None	67	None	25	None	54	None	117	None	117	None
1821238841	JAFARINEJAD MEHDI A	2021	FFS	RENDERING	AGE 0-20	122	None	517	None	16	None	36	None	98	None	245	None	115	None	115	None
1821238841	JAFARINEJAD MEHDI A	2021	FFS	RENDERING	AGE 21+	440	None	1,828	None	50	None	88	None	304	None	951	None	391	None	391	None
1821243551	CHUNG JOO SUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821247347	HEYRANI, NAHAL D.D.S	2021	FFS	RENDERING	AGE 0-20	356	None	4,388	None	305	None	1,019	None	138	None	736	None	335	None	412	None
1821247347	HEYRANI, NAHAL D.D.S	2021	FFS	RENDERING	AGE 21+	281	None	1,703	None	78	None	118	None	139	None	676	None	241	None	241	None
1821248444	NAZARYAN, LEONIS, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	346	None	33	None	104	None	24	None	146	None	38	None	50	None
1821248444	NAZARYAN, LEONIS, DDS	2021	FFS	RENDERING	AGE 21+	372	None	3,331	None	276	None	551	None	272	None	2,146	None	303	None	303	None
1821249269	HAKOPYAN VAHAGN	2021	FFS	RENDERING	AGE 0-20	17	None	128	None	16	None	35	None	None	1	None	2	14	None	16	None
1821249269	HAKOPYAN VAHAGN	2021	FFS	RENDERING	AGE 21+	92	None	504	None	24	None	24	None	66	None	299	None	65	None	66	None
1821249426	TAN MINTRA	2021	FFS	RENDERING	AGE 0-20	892	None	10,144	None	867	None	3,415	None	364	None	1,198	None	853	None	1,007	None
1821249426	TAN MINTRA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1821249426	TAN MINTRA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1821250796	MORRIS LATOYA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1821250796	MORRIS LATOYA C	2021	FFS	RENDERING	AGE 21+	85	None	722	None	57	None	105	None	70	None	255	None	64	None	64	None
1821259292	BELUSKO PAUL B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821259292	BELUSKO PAUL B	2021	FFS	RENDERING	AGE 21+	278	None	1,898	None	0	None	0	None	214	None	1,635	None	146	None	146	None
1821260795	PUGEDA JAMES ROCEL G	2021	GMC	RENDERING	AGE 0-20	277	None	1,918	None	245	None	604	None	53	None	84	None	246	None	322	None
1821260795	PUGEDA JAMES ROCEL G	2021	GMC	RENDERING	AGE 21+	157	None	715	None	81	None	84	None	63	None	170	None	103	None	105	None
1821270547	VARGAS-LOO, MARIA DULCE DMD	2021	FFS	RENDERING	AGE 0-20	92	None	801	None	90	None	296	None	43	None	121	None	90	None	140	None
1821270547	VARGAS-LOO, MARIA DULCE DMD	2021	FFS	RENDERING	AGE 21+	78	None	543	None	56	None	103	None	53	None	203	None	66	None	66	None
1821281809	DOVE, EDWARD E, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1821281809	EDWARD E DOVE, DDS PC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1821291246	COY CRAIG G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1821291246	COY CRAIG G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1821303538	GOODMAN BROCK A	2021	FFS	RENDERING	AGE 0-20	39	None	130	None	0	None	0	None	32	None	114	None	0	None	0	None
1821308990	LIN HAO Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1821308990	LIN HAO Y	2021	FFS	RENDERING	AGE 21+	14	None	85	None	None	1	None	2	None	1	None	2	13	None	13	None
1821308990	LIN HAO Y	2021	PHP	RENDERING	AGE 0-20	33	None	484	None	33	None	267	None	None	1	None	1	33	None	54	None
1821308990	LIN HAO Y	2021	PHP	RENDERING	AGE 21+	63	None	485	None	63	None	146	None	35	None	135	None	61	None	77	None
1821312273	REZNIK, BELLA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821312273	REZNIK, BELLA, DDS	2021	FFS	RENDERING	AGE 21+	45	None	175	None	23	None	23	None	28	None	58	None	None	1	None	1
1821318288	RABIEE AMIR R	2021	FFS	RENDERING	AGE 0-20	2,841	None	30,010	None	2,459	None	6,736	None	1,507	None	4,169	None	2,410	None	2,773	None
1821318288	RABIEE AMIR R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821333428	LEE CHRISTINA S	2021	FFS	RENDERING	AGE 0-20	145	None	1,509	None	120	None	310	None	59	None	163	None	136	None	171	None
1821333428	LEE CHRISTINA S	2021	FFS	RENDERING	AGE 21+	163	None	1,169	None	78	None	139	None	105	None	469	None	123	None	123	None
1821333477	BROWN RALPH D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821333477	BROWN RALPH D	2021	FFS	RENDERING	AGE 21+	11	None	33	None	None	1	None	1	None	1	None	1	None	1	None	1
1821341942	MUNJPARA DHARABEN R	2021	FFS	RENDERING	AGE 0-20	78	None	460	None	56	None	156	None	32	None	80	None	59	None	63	None
1821341942	MUNJPARA DHARABEN R	2021	FFS	RENDERING	AGE 21+	283	None	1,388	None	134	None	260	None	183	None	510	None	195	None	195	None
1821386285	MAKAN SIRISH	2021	FFS	RENDERING	AGE 0-20	83	None	433	None	0	None	0	None	83	None	424	None	0	None	0	None
1821386285	MAKAN SIRISH	2021	FFS	RENDERING	AGE 21+	133	None	674	None	0	None	0	None	133	None	665	None	0	None	0	None
1821386285	MAKAN SIRISH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821386285	MAKAN SIRISH	2021	PHP	RENDERING	AGE 0-20	94	None	523	None	0	None	0	None	94	None	522	None	0	None	0	None
1821386285	MAKAN SIRISH	2021	PHP	RENDERING	AGE 21+	133	None	723	None	None	1	None	1	133	None	722	None	0	None	0	None
1821402538	NIGOGHOSIAN JOHNNY V	2021	FFS	RENDERING	AGE 0-20	96	None	544	None	31	None	65	None	45	None	134	None	78	None	85	None
1821402538	NIGOGHOSIAN JOHNNY V	2021	FFS	RENDERING	AGE 21+	411	None	1,962	None	61	None	116	None	214	None	695	None	307	None	307	None
1821402538	NIGOGHOSIAN JOHNNY V	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821402983	RODRIGUEZ SOFIA	2021	FFS	RENDERING	AGE 0-20	163	None	1,828	None	144	None	447	None	97	None	349	None	142	None	176	None
1821402983	RODRIGUEZ SOFIA	2021	FFS	RENDERING	AGE 21+	325	None	3,639	None	136	None	200	None	274	None	1,658	None	234	None	234	None
1821402983	RODRIGUEZ SOFIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821403312	GILL SANGRAM S	2021	FFS	RENDERING	AGE 0-20	815	None	10,555	None	707	None	2,708	None	407	None	1,270	None	774	None	992	None
1821403312	GILL SANGRAM S	2021	FFS	RENDERING	AGE 21+	789	None	6,330	None	213	None	414	None	481	None	1,818	None	591	None	593	None
1821411968	LENISE N YARBER DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821412834	NGUYEN AIMEE V	2021	FFS	RENDERING	AGE 0-20	108	None	137	None	0	None	0	None	None	1	None	2	0	None	0	None
1821412834	NGUYEN AIMEE V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821412834	NGUYEN AIMEE V	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821412834	NGUYEN AIMEE V	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821415852	KIM VIRGINIA H	2021	FFS	RENDERING	AGE 0-20	2,379	None	3,547	None	0	None	0	None	45	None	98	None	0	None	0	None
1821415852	KIM VIRGINIA H	2021	FFS	RENDERING	AGE 21+	16	None	18	None	0	None	0	None	None	1	None	1	0	None	0	None
1821441809	HAMED MAJD NAZLI	2021	FFS	RENDERING	AGE 0-20	43	None	384	None	34	None	135	None	24	None	89	None	36	None	50	None
1821441809	HAMED MAJD NAZLI	2021	FFS	RENDERING	AGE 21+	161	None	1,632	None	100	None	192	None	124	None	1,004	None	116	None	117	None
1821455668	LE-NGUYEN IVANE	2021	FFS	RENDERING	AGE 0-20	59	None	504	None	40	None	125	None	35	None	80	None	36	None	36	None
1821455668	LE-NGUYEN IVANE	2021	FFS	RENDERING	AGE 21+	47	None	318	None	20	None	33	None	25	None	69	None	27	None	27	None
1821464801	MIKAYELYAN MISAK	2021	FFS	RENDERING	AGE 0-20	31	None	164	None	18	None	41	None	20	None	66	None	23	None	24	None
1821464801	MIKAYELYAN MISAK	2021	FFS	RENDERING	AGE 21+	606	None	3,647	None	228	None	407	None	460	None	1,818	None	469	None	469	None
1821466822	PALACIOS, CONSUELO DDS	2021	FFS	RENDERING	AGE 0-20	415	None	1,642	None	49	None	101	None	362	None	1,167	None	51	None	67	None
1821466822	PALACIOS, CONSUELO DDS	2021	FFS	RENDERING	AGE 21+	651	None	1,905	None	None	1	None	2	609	None	1,612	None	34	None	34	None
1821466822	PALACIOS, CONSUELO DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1821466822	PALACIOS, CONSUELO DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821467655	MELZER SAMANTHA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821472275	CHENG JULIANA L	2021	FFS	RENDERING	AGE 0-20	29	None	33	None	0	None	0	None	0	None	0	None	0	None	0	None
1821479171	DIWAN RITESH	2021	FFS	RENDERING	AGE 0-20	31	None	258	None	28	None	91	None	12	None	52	None	27	None	41	None
1821479171	DIWAN RITESH	2021	FFS	RENDERING	AGE 21+	74	None	429	None	35	None	66	None	64	None	189	None	33	None	33	None
1821495573	LEE JR JOHN	2021	FFS	RENDERING	AGE 0-20	151	None	1,312	None	130	None	361	None	85	None	203	None	114	None	128	None
1821495573	LEE JR JOHN	2021	FFS	RENDERING	AGE 21+	172	None	925	None	78	None	154	None	105	None	311	None	125	None	125	None
1821505496	HERNANDEZ CARLOS M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1821521428	KAJEH PAYAM P	2021	FFS	RENDERING	AGE 0-20	176	None	447	None	0	None	0	None	176	None	447	None	0	None	0	None
1821521428	KAJEH PAYAM P	2021	FFS	RENDERING	AGE 21+	112	None	438	None	0	None	0	None	112	None	438	None	0	None	0	None
1821525767	VACURA SARRIS BRITTANY N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1821525767	VACURA SARRIS BRITTANY N	2021	GMC	RENDERING	AGE 0-20	1,278	None	6,758	None	758	None	2,631	None	356	None	510	None	513	None	523	None
1821525767	VACURA SARRIS BRITTANY N	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821526419	MORADZADEH, DR ALEXANDER S,	2021	PHP	RENDERING	AGE 0-20	83	None	873	None	82	None	348	None	35	None	101	None	78	None	84	None
1821526419	MORADZADEH, DR ALEXANDER S,	2021	PHP	RENDERING	AGE 21+	83	None	471	None	20	None	44	None	51	None	181	None	50	None	51	None
1821543547	SUNG, DAHYE DDS	2021	FFS	RENDERING	AGE 0-20	853	None	9,607	None	692	None	2,561	None	401	None	806	None	696	None	786	None
1821543547	SUNG, DAHYE DDS	2021	FFS	RENDERING	AGE 21+	504	None	2,691	None	148	None	295	None	313	None	733	None	273	None	273	None
1821547498	CHUNG ROBERT M	2021	PHP	RENDERING	AGE 0-20	28	None	127	None	20	None	39	None	None	1	None	1	17	None	17	None
1821547498	CHUNG ROBERT M	2021	PHP	RENDERING	AGE 21+	14	None	40	None	0	None	0	None	None	1	None	2	None	1	None	1
1821557851	ORTIZ MARIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1821568254	LIGANS ERIK C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1821568254	LIGANS ERIK C	2021	FFS	RENDERING	AGE 21+	11	None	58	None	None	1	None	1	None	1	None	2	None	1	None	1
1821576232	YUN YOUNGHO	2021	FFS	RENDERING	AGE 0-20	21	None	101	None	19	None	40	None	None	1	None	2	18	None	18	None
1821576232	YUN YOUNGHO	2021	FFS	RENDERING	AGE 21+	70	None	273	None	46	None	89	None	16	None	42	None	61	None	64	None
1821583048	KIM HAK KYUN	2021	FFS	RENDERING	AGE 0-20	74	None	180	None	0	None	0	None	74	None	180	None	0	None	0	None
1821583048	KIM HAK KYUN	2021	FFS	RENDERING	AGE 21+	445	None	1,080	None	None	1	None	1	443	None	1,071	None	None	1	None	1
1821586249	HOVASAPIAN ANGINEH	2021	FFS	RENDERING	AGE 0-20	1,367	None	8,272	None	1,227	None	2,894	None	653	None	1,150	None	1,218	None	1,236	None
1821586249	HOVASAPIAN ANGINEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1821588039	KIM NAMGU	2021	FFS	RENDERING	AGE 0-20	76	None	77	None	0	None	0	None	None	1	None	1	0	None	0	None
1821588039	KIM NAMGU	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821598988	CHOI HOYONG	2021	FFS	RENDERING	AGE 0-20	237	None	1,076	None	119	None	269	None	62	None	111	None	204	None	204	None
1821598988	CHOI HOYONG	2021	FFS	RENDERING	AGE 21+	375	None	1,213	None	91	None	187	None	123	None	266	None	265	None	265	None
1821598988	CHOI HOYONG	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821616913	RAHIMDEL ALEXANDER	2021	FFS	RENDERING	AGE 0-20	62	None	277	None	21	None	44	None	39	None	108	None	33	None	33	None
1821616913	RAHIMDEL ALEXANDER	2021	FFS	RENDERING	AGE 21+	148	None	530	None	21	None	41	None	86	None	283	None	59	None	59	None
1821628900	CHOE MARK Y	2021	FFS	RENDERING	AGE 0-20	495	None	2,404	None	431	None	932	None	87	None	108	None	427	None	428	None
1821628900	CHOE MARK Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1821686999	OZAWA SAIDO	2021	FFS	RENDERING	AGE 0-20	136	None	616	None	75	None	194	None	95	None	231	None	38	None	38	None
1821686999	OZAWA SAIDO	2021	FFS	RENDERING	AGE 21+	174	None	575	None	35	None	66	None	137	None	347	None	40	None	40	None
1821686999	OZAWA SAIDO	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821686999	OZAWA SAIDO	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1821689100	GONZALEZ FONSEC MICHELE A	2021	FFS	RENDERING	AGE 0-20	992	None	8,812	None	852	None	1,945	None	291	None	651	None	879	None	881	None
1821689100	GONZALEZ FONSEC MICHELE A	2021	FFS	RENDERING	AGE 21+	20	None	80	None	None	1	None	2	None	1	None	2	13	None	13	None
1821699133	AHMAD AYESHA I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1821699133	AHMAD AYESHA I	2021	GMC	RENDERING	AGE 0-20	192	None	934	None	142	None	448	None	155	None	183	None	54	None	55	None
1821699133	AHMAD AYESHA I	2021	GMC	RENDERING	AGE 21+	211	None	814	None	22	None	41	None	173	None	350	None	61	None	70	None
1821699133	AHMAD AYESHA I	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831104355	SALMAN, ASAD H DDS	2021	FFS	RENDERING	AGE 0-20	780	None	6,015	None	694	None	1,289	None	290	None	1,017	None	698	None	749	None
1831104355	SALMAN, ASAD H DDS	2021	FFS	RENDERING	AGE 21+	933	None	8,189	None	523	None	523	None	714	None	2,603	None	532	None	532	None
1831105105	PETTY, RICHARD A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1831105105	PETTY, RICHARD A, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831117712	WEIBERT RICHARD JOSEPH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831150150	ALFONSO, EMMANUEL, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	119	None	17	None	34	None	None	1	None	2	18	None	18	None
1831150150	ALFONSO, EMMANUEL, DDS	2021	FFS	RENDERING	AGE 21+	22	None	117	None	14	None	28	None	None	1	None	2	17	None	17	None
1831152453	GARCIA, ELIZABETH DDS	2021	FFS	RENDERING	AGE 0-20	53	None	655	None	48	None	87	None	37	None	358	None	49	None	54	None
1831152453	GARCIA, ELIZABETH DDS	2021	FFS	RENDERING	AGE 21+	110	None	842	None	50	None	50	None	78	None	461	None	97	None	97	None
1831200666	BOTZBACH, RICHARD L II	2021	FFS	RENDERING	AGE 0-20	227	None	678	None	0	None	0	None	79	None	266	None	64	None	65	None
1831200666	BOTZBACH, RICHARD L II	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831209493	ACHESON GUY EDWARD	2021	GMC	RENDERING	AGE 0-20	14	None	103	None	None	1	None	2	None	1	None	2	None	1	None	1
1831209493	ACHESON GUY EDWARD	2021	GMC	RENDERING	AGE 21+	13	None	143	None	None	1	None	2	13	None	104	None	None	1	None	1
1831227495	SANCHEZ. RALPH DDS	2021	FFS	RENDERING	AGE 0-20	140	None	834	None	124	None	305	None	41	None	109	None	134	None	149	None
1831227495	SANCHEZ. RALPH DDS	2021	FFS	RENDERING	AGE 21+	267	None	1,404	None	197	None	392	None	133	None	298	None	235	None	235	None
1831230994	JEON, YEONG ROK DDS	2021	FFS	RENDERING	AGE 0-20	384	None	4,600	None	380	None	1,811	None	317	None	1,329	None	382	None	666	None
1831230994	JEON, YEONG ROK DDS	2021	FFS	RENDERING	AGE 21+	171	None	1,188	None	130	None	259	None	141	None	470	None	136	None	136	None
1831233204	KISS SIMONA D	2021	FFS	RENDERING	AGE 0-20	33	None	241	None	33	None	118	None	None	1	None	1	30	None	36	None
1831233204	KISS SIMONA D	2021	FFS	RENDERING	AGE 21+	104	None	488	None	73	None	73	None	28	None	78	None	92	None	92	None
1831238005	FAISON, JARI	2021	FFS	RENDERING	AGE 0-20	622	None	6,564	None	500	None	1,988	None	356	None	1,438	None	583	None	687	None
1831238005	FAISON, JARI	2021	FFS	RENDERING	AGE 21+	74	None	541	None	34	None	67	None	58	None	203	None	52	None	52	None
1831238005	FAISON, JARI	2021	PHP	RENDERING	AGE 0-20	20	None	153	None	None	1	None	2	18	None	77	None	None	1	None	1
1831238609	VEERA, HAREESH DDS	2021	FFS	RENDERING	AGE 0-20	205	None	2,510	None	172	None	704	None	110	None	269	None	182	None	196	None
1831238609	VEERA, HAREESH DDS	2021	FFS	RENDERING	AGE 21+	189	None	1,385	None	45	None	49	None	143	None	435	None	123	None	123	None
1831240084	HOANG MICHELLE T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1831240084	HOANG MICHELLE T	2021	FFS	RENDERING	AGE 21+	43	None	243	None	27	None	54	None	32	None	109	None	27	None	27	None
1831244268	LIM JANE S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1831244359	MENDICINI EVELINA	2021	FFS	RENDERING	AGE 0-20	602	None	1,303	None	0	None	0	None	297	None	797	None	0	None	0	None
1831244359	MENDICINI EVELINA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831246578	SHAHNUBARYAN ARTUR	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1831250489	SABBAGH, AHMAD OMAR DDS	2021	FFS	RENDERING	AGE 0-20	45	None	556	None	35	None	171	None	23	None	106	None	42	None	54	None
1831250489	SABBAGH, AHMAD OMAR DDS	2021	FFS	RENDERING	AGE 21+	226	None	1,695	None	111	None	214	None	148	None	820	None	187	None	187	None
1831252105	CHOE YONGCHUN	2021	FFS	RENDERING	AGE 0-20	85	None	521	None	77	None	178	None	24	None	70	None	81	None	94	None
1831252105	CHOE YONGCHUN	2021	FFS	RENDERING	AGE 21+	189	None	963	None	92	None	182	None	71	None	216	None	157	None	157	None
1831255413	FALABELLA JUAN P	2021	FFS	RENDERING	AGE 0-20	211	None	3,918	None	206	None	771	None	104	None	447	None	209	None	323	None
1831255413	FALABELLA JUAN P	2021	FFS	RENDERING	AGE 21+	175	None	1,764	None	153	None	287	None	88	None	348	None	166	None	166	None
1831259605	KOHANBASH AMIN	2021	FFS	RENDERING	AGE 0-20	567	None	3,355	None	497	None	1,728	None	329	None	1,059	None	491	None	535	None
1831259605	KOHANBASH AMIN	2021	FFS	RENDERING	AGE 21+	314	None	1,697	None	150	None	302	None	263	None	1,222	None	171	None	171	None
1831259605	KOHANBASH AMIN	2021	PHP	RENDERING	AGE 0-20	38	None	340	None	35	None	110	None	14	None	72	None	35	None	39	None
1831259605	KOHANBASH AMIN	2021	PHP	RENDERING	AGE 21+	64	None	364	None	32	None	46	None	49	None	217	None	46	None	46	None
1831260249	NGO, HUY T, DDS	2021	FFS	RENDERING	AGE 0-20	181	None	1,924	None	177	None	746	None	47	None	108	None	169	None	217	None
1831260249	NGO, HUY T, DDS	2021	FFS	RENDERING	AGE 21+	399	None	3,149	None	319	None	639	None	211	None	486	None	370	None	371	None
1831260496	MIRANDA-MAURICI ROSALINDA A	2021	FFS	RENDERING	AGE 0-20	146	None	2,254	None	144	None	461	None	67	None	180	None	144	None	202	None
1831260496	MIRANDA-MAURICI ROSALINDA A	2021	FFS	RENDERING	AGE 21+	127	None	1,445	None	99	None	179	None	105	None	357	None	103	None	103	None
1831261866	LEE YOUNGSYL O	2021	FFS	RENDERING	AGE 0-20	151	None	745	None	97	None	297	None	53	None	103	None	114	None	116	None
1831261866	LEE YOUNGSYL O	2021	FFS	RENDERING	AGE 21+	378	None	1,112	None	68	None	124	None	158	None	391	None	220	None	220	None
1831261866	LEE YOUNGSYL O	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831261866	LEE YOUNGSYL O	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831261866	LEE YOUNGSYL O	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1831261866	LEE YOUNGSYL O	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1831263086	REDDY KRISHNA M	2021	FFS	RENDERING	AGE 0-20	48	None	346	None	41	None	99	None	18	None	36	None	27	None	28	None
1831263086	REDDY KRISHNA M	2021	FFS	RENDERING	AGE 21+	121	None	782	None	69	None	135	None	83	None	252	None	71	None	71	None
1831263086	REDDY KRISHNA M	2021	PHP	RENDERING	AGE 0-20	25	None	197	None	22	None	59	None	11	None	31	None	23	None	27	None
1831263086	REDDY KRISHNA M	2021	PHP	RENDERING	AGE 21+	58	None	351	None	40	None	87	None	38	None	103	None	53	None	62	None
1831263086	REDDY, KRISHNA M, DDS	2021	FFS	RENDERING	AGE 0-20	48	None	346	None	41	None	99	None	18	None	36	None	27	None	28	None
1831263086	REDDY, KRISHNA M, DDS	2021	FFS	RENDERING	AGE 21+	121	None	782	None	69	None	135	None	83	None	252	None	71	None	71	None
1831263086	REDDY, KRISHNA M, DDS	2021	PHP	RENDERING	AGE 0-20	25	None	197	None	22	None	59	None	11	None	31	None	23	None	27	None
1831263086	REDDY, KRISHNA M, DDS	2021	PHP	RENDERING	AGE 21+	58	None	351	None	40	None	87	None	38	None	103	None	53	None	62	None
1831265651	KIM, KEON JUNG DDS	2021	FFS	RENDERING	AGE 0-20	265	None	2,358	None	221	None	659	None	159	None	523	None	242	None	319	None
1831265651	KIM, KEON JUNG DDS	2021	FFS	RENDERING	AGE 21+	516	None	3,735	None	303	None	606	None	387	None	1,613	None	364	None	364	None
1831267053	PHAM FRANK P	2021	FFS	RENDERING	AGE 0-20	215	None	2,543	None	202	None	639	None	66	None	206	None	201	None	234	None
1831267053	PHAM FRANK P	2021	FFS	RENDERING	AGE 21+	189	None	1,708	None	103	None	200	None	122	None	481	None	119	None	119	None
1831267525	CHALIAN RAFFI G	2021	FFS	RENDERING	AGE 0-20	12	None	74	None	None	1	None	2	None	1	None	2	None	1	None	2
1831267525	CHALIAN RAFFI G	2021	FFS	RENDERING	AGE 21+	42	None	196	None	24	None	24	None	24	None	92	None	29	None	29	None
1831269489	FAYOUMI M HASSAN	2021	FFS	RENDERING	AGE 0-20	361	None	3,407	None	241	None	802	None	239	None	1,026	None	285	None	318	None
1831269489	FAYOUMI M HASSAN	2021	FFS	RENDERING	AGE 21+	720	None	4,512	None	38	None	56	None	592	None	3,273	None	316	None	318	None
1831269935	SHIN JOON WOO J	2021	FFS	RENDERING	AGE 0-20	2,251	None	26,077	None	2,132	None	8,848	None	941	None	4,388	None	2,135	None	2,857	None
1831269935	SHIN JOON WOO J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1831285170	RAZI SAGHI S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831285170	RAZI SAGHI S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1831285329	CHIANG PETER C J	2021	FFS	RENDERING	AGE 0-20	3,438	None	33,865	None	2,778	None	9,189	None	2,458	None	14,718	None	2,421	None	2,489	None
1831285329	CHIANG PETER C J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1831287424	MAJD NOOSHIN	2021	FFS	RENDERING	AGE 0-20	85	None	284	None	0	None	0	None	35	None	123	None	0	None	0	None
1831287424	MAJD NOOSHIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1831287721	MORENO, JACOB DDS	2021	FFS	RENDERING	AGE 0-20	356	None	3,289	None	292	None	1,254	None	139	None	356	None	281	None	341	None
1831287721	MORENO, JACOB DDS	2021	FFS	RENDERING	AGE 21+	242	None	1,249	None	86	None	161	None	162	None	398	None	119	None	119	None
1831297092	RASHTIAN, ROYA DDS	2021	FFS	RENDERING	AGE 0-20	187	None	2,771	None	181	None	722	None	50	None	132	None	180	None	276	None
1831297092	RASHTIAN, ROYA DDS	2021	FFS	RENDERING	AGE 21+	197	None	1,957	None	72	None	144	None	112	None	412	None	153	None	153	None
1831297092	RASHTIAN, ROYA DDS	2021	PHP	RENDERING	AGE 0-20	28	None	138	None	26	None	68	None	None	1	None	1	27	None	28	None
1831297092	RASHTIAN, ROYA DDS	2021	PHP	RENDERING	AGE 21+	12	None	41	None	None	1	None	1	None	1	None	2	11	None	11	None
1831299643	VALDEZ, ROBERT J, DDS	2021	FFS	RENDERING	AGE 0-20	39	None	180	None	26	None	53	None	11	None	52	None	35	None	36	None
1831299643	VALDEZ, ROBERT J, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1831302389	REALON MARYSOL B	2021	FFS	RENDERING	AGE 0-20	55	None	274	None	44	None	86	None	21	None	54	None	40	None	40	None
1831302975	NGUYEN, TRAM THUY, DMD	2021	FFS	RENDERING	AGE 0-20	215	None	3,576	None	208	None	960	None	117	None	389	None	206	None	292	None
1831302975	NGUYEN, TRAM THUY, DMD	2021	FFS	RENDERING	AGE 21+	382	None	4,021	None	280	None	559	None	249	None	953	None	299	None	299	None
1831304823	SHAH, PRABHUDAS JATIN DDS	2021	FFS	RENDERING	AGE 0-20	77	None	701	None	57	None	156	None	41	None	102	None	57	None	57	None
1831304823	SHAH, PRABHUDAS JATIN DDS	2021	FFS	RENDERING	AGE 21+	290	None	3,260	None	103	None	201	None	217	None	824	None	182	None	183	None
1831305010	RASUL MAMOONA S	2021	FFS	RENDERING	AGE 0-20	11	None	55	None	None	1	None	2	None	1	None	1	None	1	None	1
1831305010	RASUL MAMOONA S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1831307396	YAMPOLSKY, VLADIMIR DDS	2021	FFS	RENDERING	AGE 0-20	1,142	None	15,177	None	1,117	None	4,678	None	406	None	1,247	None	1,094	None	1,282	None
1831307396	YAMPOLSKY, VLADIMIR DDS	2021	FFS	RENDERING	AGE 21+	698	None	6,742	None	432	None	868	None	532	None	2,297	None	445	None	448	None
1831307396	YAMPOLSKY, VLADIMIR DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1831307396	YAMPOLSKY, VLADIMIR DDS	2021	PHP	RENDERING	AGE 21+	20	None	106	None	11	None	20	None	None	1	None	2	14	None	14	None
1831309681	LUU TRINH-THUC T	2021	FFS	RENDERING	AGE 0-20	40	None	218	None	38	None	77	None	11	None	21	None	40	None	46	None
1831309681	LUU TRINH-THUC T	2021	FFS	RENDERING	AGE 21+	89	None	403	None	73	None	73	None	34	None	72	None	77	None	77	None
1831310663	LIU STANLEY	2021	FFS	RENDERING	AGE 21+	57	None	161	None	None	1	None	1	45	None	101	None	20	None	20	None
1831312198	NGUYEN, LAWRENCE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1831312644	KIM YONG Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1831312644	KIM YONG Y	2021	FFS	RENDERING	AGE 21+	48	None	162	None	25	None	25	None	28	None	57	None	23	None	23	None
1831314590	AMIR MICHAEL	2021	FFS	RENDERING	AGE 0-20	111	None	1,272	None	109	None	338	None	None	1	None	1	109	None	117	None
1831314590	AMIR MICHAEL	2021	FFS	RENDERING	AGE 21+	20	None	159	None	15	None	29	None	None	1	None	1	15	None	15	None
1831318054	NGUYEN TRUNG Q	2021	FFS	RENDERING	AGE 0-20	14	None	103	None	12	None	26	None	None	1	None	2	None	1	None	2
1831318054	NGUYEN TRUNG Q	2021	FFS	RENDERING	AGE 21+	40	None	261	None	13	None	25	None	None	1	None	2	31	None	31	None
1831321751	NGUYEN KIEN HUNG V	2021	FFS	RENDERING	AGE 0-20	89	None	407	None	21	None	53	None	70	None	185	None	18	None	18	None
1831321751	NGUYEN KIEN HUNG V	2021	FFS	RENDERING	AGE 21+	171	None	572	None	12	None	22	None	152	None	425	None	26	None	26	None
1831334929	JOHNSON TYLER JACK C	2021	FFS	RENDERING	AGE 0-20	164	None	697	None	0	None	0	None	164	None	697	None	0	None	0	None
1831339316	KHAMSI YOUSEF R	2021	FFS	RENDERING	AGE 0-20	397	None	4,432	None	365	None	915	None	90	None	305	None	376	None	470	None
1831339316	KHAMSI YOUSEF R	2021	FFS	RENDERING	AGE 21+	1,489	None	11,273	None	925	None	1,836	None	847	None	3,104	None	1,150	None	1,155	None
1831340959	JANG SABRINA Y	2021	FFS	RENDERING	AGE 0-20	537	None	3,464	None	383	None	804	None	156	None	483	None	431	None	450	None
1831340959	JANG SABRINA Y	2021	GMC	RENDERING	AGE 0-20	117	None	1,017	None	70	None	148	None	100	None	679	None	14	None	14	None
1831348705	HERRERA, MERCEDES DDS	2021	FFS	RENDERING	AGE 0-20	1,682	None	21,368	None	1,625	None	6,619	None	895	None	2,312	None	1,638	None	2,030	None
1831348705	HERRERA, MERCEDES DDS	2021	FFS	RENDERING	AGE 21+	1,019	None	8,073	None	790	None	1,580	None	544	None	1,576	None	854	None	865	None
1831356112	MASSA DEXTER S	2021	FFS	RENDERING	AGE 0-20	112	None	893	None	90	None	218	None	63	None	384	None	87	None	94	None
1831356112	MASSA DEXTER S	2021	FFS	RENDERING	AGE 21+	418	None	4,016	None	247	None	475	None	286	None	2,551	None	240	None	255	None
1831370972	RAHBAR FIROOZEH	2021	FFS	RENDERING	AGE 0-20	27	None	49	None	0	None	0	None	None	1	None	2	0	None	0	None
1831373729	UMALI MARGARITA I	2021	FFS	RENDERING	AGE 0-20	2,177	None	27,903	None	1,894	None	5,476	None	1,355	None	4,887	None	1,824	None	2,089	None
1831373729	UMALI MARGARITA I	2021	FFS	RENDERING	AGE 21+	173	None	1,148	None	33	None	66	None	103	None	329	None	113	None	113	None
1831373729	UMALI MARGARITA I	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1831373877	PAPEHN NEGEEN	2021	FFS	RENDERING	AGE 0-20	245	None	1,666	None	111	None	237	None	147	None	419	None	159	None	170	None
1831373877	PAPEHN NEGEEN	2021	FFS	RENDERING	AGE 21+	129	None	826	None	77	None	140	None	78	None	229	None	79	None	79	None
1831386671	OH SANGDUK	2021	FFS	RENDERING	AGE 0-20	43	None	206	None	40	None	78	None	16	None	25	None	41	None	50	None
1831386671	OH SANGDUK	2021	FFS	RENDERING	AGE 21+	97	None	533	None	76	None	81	None	57	None	172	None	85	None	85	None
1831386689	OSSAIAN CAROLINE	2021	FFS	RENDERING	AGE 0-20	24	None	110	None	19	None	42	None	None	1	None	1	23	None	23	None
1831386689	OSSAIAN CAROLINE	2021	FFS	RENDERING	AGE 21+	77	None	462	None	31	None	58	None	38	None	223	None	67	None	70	None
1831387307	WANG CHARLES	2021	FFS	RENDERING	AGE 0-20	28	None	233	None	24	None	85	None	None	1	None	2	20	None	23	None
1831387307	WANG CHARLES	2021	FFS	RENDERING	AGE 21+	114	None	697	None	40	None	71	None	77	None	338	None	76	None	76	None
1831387307	WANG CHARLES	2021	PHP	RENDERING	AGE 0-20	17	None	103	None	15	None	37	None	None	1	None	2	17	None	22	None
1831387307	WANG CHARLES	2021	PHP	RENDERING	AGE 21+	45	None	208	None	None	1	None	2	19	None	71	None	38	None	40	None
1831390228	FILLMORE, GALEN M MD	2021	FFS	RENDERING	AGE 0-20	554	None	1,493	None	0	None	0	None	283	None	897	None	0	None	0	None
1831390293	MOLINA SONIA E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831395425	BONNER KENNETH	2021	FFS	RENDERING	AGE 0-20	55	None	361	None	31	None	63	None	27	None	69	None	29	None	29	None
1831395425	BONNER KENNETH	2021	FFS	RENDERING	AGE 21+	149	None	798	None	45	None	66	None	124	None	332	None	43	None	45	None
1831403468	GODOY ANA V	2021	FFS	RENDERING	AGE 0-20	426	None	3,952	None	304	None	812	None	254	None	841	None	335	None	379	None
1831403468	GODOY ANA V	2021	FFS	RENDERING	AGE 21+	535	None	2,845	None	176	None	326	None	442	None	1,472	None	239	None	241	None
1831415520	CHOI SEONG H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831446400	HAN EUGENE	2021	FFS	RENDERING	AGE 0-20	173	None	378	None	0	None	0	None	113	None	126	None	None	1	None	1
1831446400	HAN EUGENE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1831457118	DANG, ELAINE DDS	2021	FFS	RENDERING	AGE 21+	867	None	3,620	None	284	None	494	None	849	None	1,276	None	576	None	576	None
1831457118	DANG, ELAINE DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1831473719	CHOW ELAINE N	2021	FFS	RENDERING	AGE 0-20	256	None	512	None	0	None	0	None	207	None	439	None	0	None	0	None
1831473719	CHOW ELAINE N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1831473719	CHOW ELAINE N	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831478734	ELIMELECH DAVID	2021	PHP	RENDERING	AGE 0-20	39	None	231	None	34	None	119	None	24	None	33	None	23	None	25	None
1831478734	ELIMELECH DAVID	2021	PHP	RENDERING	AGE 21+	81	None	451	None	57	None	140	None	59	None	156	None	45	None	45	None
1831498757	MAHOOTY, MAHASTY, RDHAP	2021	FFS	RENDERING	AGE 21+	335	None	1,645	None	334	None	746	None	334	None	899	None	0	None	0	None
1831505288	CHIN DAVID A	2021	FFS	RENDERING	AGE 0-20	30	None	164	None	30	None	89	None	None	1	None	1	30	None	37	None
1831505288	CHIN DAVID A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1831530039	SHAMTOUB GABREAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1831530039	SHAMTOUB GABREAL	2021	FFS	RENDERING	AGE 21+	65	None	355	None	0	None	0	None	57	None	108	None	50	None	50	None
1831530039	SHAMTOUB GABREAL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1831530039	SHAMTOUB GABREAL	2021	PHP	RENDERING	AGE 21+	91	None	607	None	38	None	43	None	59	None	78	None	82	None	82	None
1831542778	ELKHATIEB AMRO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1831542778	ELKHATIEB AMRO	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831545052	SOLTANI SAHAND S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1831545052	SOLTANI SAHAND S	2021	FFS	RENDERING	AGE 21+	14	None	36	None	None	1	None	1	14	None	24	None	None	1	None	1
1831545052	SOLTANI SAHAND S	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1831545052	SOLTANI SAHAND S	2021	GMC	RENDERING	AGE 21+	11	None	29	None	None	1	None	1	None	1	None	2	None	1	None	1
1831571694	MORIGUCHI KRISTIN M	2021	FFS	RENDERING	AGE 0-20	240	None	1,480	None	197	None	581	None	155	None	277	None	167	None	168	None
1831571694	MORIGUCHI KRISTIN M	2021	PHP	RENDERING	AGE 0-20	52	None	311	None	34	None	131	None	38	None	79	None	21	None	21	None
1831571694	MORIGUCHI KRISTIN M	2021	PHP	RENDERING	AGE 21+	53	None	206	None	24	None	47	None	44	None	67	None	14	None	14	None
1831590231	PETRI ODETA	2021	FFS	RENDERING	AGE 0-20	99	None	1,549	None	98	None	376	None	46	None	110	None	94	None	137	None
1831590231	PETRI ODETA	2021	FFS	RENDERING	AGE 21+	113	None	986	None	80	None	166	None	73	None	264	None	85	None	85	None
1831596816	DIAZ DOMINIQUE	2021	PHP	RENDERING	AGE 21+	26	None	114	None	26	None	61	None	22	None	53	None	0	None	0	None
1831596857	LIM LINDA M	2021	FFS	RENDERING	AGE 0-20	1,950	None	27,832	None	1,821	None	7,289	None	1,203	None	3,513	None	1,805	None	2,598	None
1831596857	LIM LINDA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1831596857	LIM LINDA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1831609403	RAPER LUSHELL A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1831624410	MAYALL ISHA K	2021	FFS	RENDERING	AGE 0-20	351	None	2,680	None	313	None	840	None	126	None	275	None	304	None	307	None
1831624410	MAYALL ISHA K	2021	FFS	RENDERING	AGE 21+	37	None	207	None	22	None	22	None	21	None	85	None	29	None	29	None
1831632421	JAFARI HELIA	2021	FFS	RENDERING	AGE 0-20	14	None	35	None	0	None	0	None	14	None	14	None	0	None	0	None
1831632421	JAFARI HELIA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1831635317	DEZA ROLANDO ABRAHAM N	2021	FFS	RENDERING	AGE 0-20	261	None	2,779	None	251	None	819	None	145	None	420	None	202	None	226	None
1831635317	DEZA ROLANDO ABRAHAM N	2021	FFS	RENDERING	AGE 21+	378	None	2,385	None	170	None	335	None	235	None	939	None	305	None	306	None
1831638329	LE VIET Q	2021	FFS	RENDERING	AGE 0-20	67	None	485	None	23	None	51	None	45	None	160	None	36	None	36	None
1831638329	LE VIET Q	2021	FFS	RENDERING	AGE 21+	17	None	121	None	None	1	None	1	14	None	61	None	None	1	None	1
1831640523	TILLAPAUGH SAMANTHA KEI D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831644053	SAVITTIERI MARCO A	2021	FFS	RENDERING	AGE 0-20	168	None	572	None	0	None	0	None	168	None	572	None	0	None	0	None
1831646637	RAMIREZ, DANIEL DDS	2021	FFS	RENDERING	AGE 0-20	94	None	1,389	None	92	None	493	None	29	None	112	None	93	None	114	None
1831646637	RAMIREZ, DANIEL DDS	2021	FFS	RENDERING	AGE 21+	357	None	4,967	None	326	None	953	None	185	None	887	None	325	None	326	None
1831664630	AP TRUONG DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1831668961	LEE, DONGHEE, DDS	2021	FFS	RENDERING	AGE 21+	55	None	133	None	None	1	None	1	25	None	52	None	37	None	37	None
1831676675	WEBBER, FONDA, DDS INC	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1831676675	WEBBER, FONDA, DDS INC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831684836	MACIAS ALMAZAN DANIEL	2021	FFS	RENDERING	AGE 0-20	93	None	309	None	0	None	0	None	82	None	103	None	46	None	46	None
1831684836	MACIAS ALMAZAN DANIEL	2021	FFS	RENDERING	AGE 21+	445	None	1,412	None	0	None	0	None	382	None	554	None	179	None	179	None
1831684836	MACIAS ALMAZAN DANIEL	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831684836	MACIAS ALMAZAN DANIEL	2021	PHP	RENDERING	AGE 21+	16	None	35	None	None	1	None	1	15	None	32	None	0	None	0	None
1831690403	NAND, SHIVAM, DMD INC	2021	GMC	RENDERING	AGE 0-20	88	None	777	None	86	None	372	None	83	None	91	None	85	None	89	None
1831690403	NAND, SHIVAM, DMD INC	2021	GMC	RENDERING	AGE 21+	335	None	1,436	None	41	None	43	None	219	None	560	None	169	None	169	None
1831717230	INOUYE DANIEL S	2021	FFS	RENDERING	AGE 0-20	50	None	177	None	29	None	69	None	16	None	41	None	28	None	28	None
1831717230	INOUYE DANIEL S	2021	FFS	RENDERING	AGE 21+	186	None	483	None	30	None	54	None	110	None	251	None	72	None	72	None
1831717230	INOUYE DANIEL S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1831717230	INOUYE DANIEL S	2021	PHP	RENDERING	AGE 21+	19	None	75	None	None	1	None	1	14	None	33	None	None	1	None	1
1831754100	CHUNG, NA EUN, DMD	2021	FFS	RENDERING	AGE 21+	38	None	138	None	None	1	None	1	24	None	50	None	16	None	16	None
1831760842	GUNADI JESSICA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1831797489	NESKIN LILY	2021	FFS	RENDERING	AGE 0-20	64	None	336	None	54	None	112	None	49	None	74	None	44	None	44	None
1831797489	NESKIN LILY	2021	FFS	RENDERING	AGE 21+	159	None	690	None	57	None	86	None	117	None	341	None	92	None	92	None
1831864776	SHIN HOKYUNG	2021	FFS	RENDERING	AGE 0-20	72	None	304	None	45	None	94	None	17	None	33	None	57	None	57	None
1831864776	SHIN HOKYUNG	2021	FFS	RENDERING	AGE 21+	194	None	621	None	53	None	96	None	88	None	209	None	110	None	112	None
1831864776	SHIN HOKYUNG	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1831864776	SHIN HOKYUNG	2021	PHP	RENDERING	AGE 21+	43	None	217	None	12	None	22	None	25	None	104	None	30	None	31	None
1841201506	TRUONG TIFFANY U	2021	FFS	RENDERING	AGE 0-20	680	None	5,620	None	636	None	2,478	None	264	None	590	None	645	None	812	None
1841201506	TRUONG TIFFANY U	2021	FFS	RENDERING	AGE 21+	392	None	1,788	None	159	None	314	None	184	None	440	None	271	None	271	None
1841216561	SU JUI-MIN	2021	FFS	RENDERING	AGE 0-20	563	None	4,653	None	515	None	1,614	None	229	None	956	None	534	None	667	None
1841216561	SU JUI-MIN	2021	FFS	RENDERING	AGE 21+	282	None	1,477	None	153	None	288	None	162	None	579	None	234	None	235	None
1841218229	BERGER, JOEL S MD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1841224029	PIANSAY JEAN EMILE F	2021	FFS	RENDERING	AGE 0-20	104	None	606	None	100	None	192	None	45	None	117	None	94	None	115	None
1841224029	PIANSAY JEAN EMILE F	2021	FFS	RENDERING	AGE 21+	242	None	1,238	None	195	None	195	None	168	None	464	None	189	None	189	None
1841248580	ABARI MOHSEN ROBIN F	2021	FFS	RENDERING	AGE 0-20	986	None	3,213	None	0	None	0	None	122	None	348	None	657	None	657	None
1841248580	ABARI MOHSEN ROBIN F	2021	FFS	RENDERING	AGE 21+	389	None	494	None	0	None	0	None	17	None	20	None	35	None	35	None
1841250065	RAMOS, MA THERESA, DMD	2021	FFS	RENDERING	AGE 0-20	93	None	901	None	82	None	276	None	37	None	119	None	85	None	110	None
1841250065	RAMOS, MA THERESA, DMD	2021	FFS	RENDERING	AGE 21+	141	None	1,139	None	108	None	215	None	88	None	328	None	112	None	112	None
1841253564	MARDIROSIAN, HOVIK, DDS	2021	FFS	RENDERING	AGE 0-20	65	None	379	None	34	None	136	None	25	None	60	None	38	None	38	None
1841253564	MARDIROSIAN, HOVIK, DDS	2021	FFS	RENDERING	AGE 21+	83	None	290	None	None	1	None	2	42	None	93	None	33	None	33	None
1841253564	MARDIROSIAN, HOVIK, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841253564	MARDIROSIAN, HOVIK, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1841290020	TAN ROSE MARIE L	2021	FFS	RENDERING	AGE 0-20	20	None	145	None	17	None	39	None	14	None	55	None	17	None	18	None
1841290020	TAN ROSE MARIE L	2021	FFS	RENDERING	AGE 21+	91	None	667	None	65	None	128	None	56	None	326	None	75	None	75	None
1841290020	TAN, ROSE MARIE L, DDS	2021	FFS	RENDERING	AGE 0-20	20	None	145	None	17	None	39	None	14	None	55	None	17	None	18	None
1841290020	TAN, ROSE MARIE L, DDS	2021	FFS	RENDERING	AGE 21+	91	None	667	None	65	None	128	None	56	None	326	None	75	None	75	None
1841301371	ELDER, MAHR DDS MD	2021	FFS	RENDERING	AGE 0-20	131	None	828	None	0	None	0	None	115	None	796	None	18	None	18	None
1841301371	ELDER, MAHR DDS MD	2021	FFS	RENDERING	AGE 21+	202	None	1,889	None	0	None	0	None	170	None	1,810	None	39	None	41	None
1841307501	MCGAUGHEY, JOHN WARREN DDS	2021	FFS	RENDERING	AGE 0-20	23	None	81	None	15	None	19	None	None	1	None	2	14	None	14	None
1841307501	MCGAUGHEY, JOHN WARREN DDS	2021	FFS	RENDERING	AGE 21+	220	None	1,188	None	106	None	106	None	171	None	519	None	103	None	103	None
1841311966	AUNG BANYA	2021	FFS	RENDERING	AGE 0-20	32	None	103	None	25	None	50	None	14	None	29	None	24	None	24	None
1841311966	AUNG BANYA	2021	FFS	RENDERING	AGE 21+	42	None	92	None	None	1	None	1	29	None	64	None	17	None	17	None
1841315611	NGUYEN BRANDON T	2021	FFS	RENDERING	AGE 0-20	298	None	4,135	None	291	None	889	None	129	None	421	None	282	None	361	None
1841315611	NGUYEN BRANDON T	2021	FFS	RENDERING	AGE 21+	253	None	2,092	None	191	None	195	None	154	None	742	None	214	None	216	None
1841319936	PAPADOPOULOS, M, DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1841319936	PAPADOPOULOS, M, DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1841320405	TON, JULIANNE MAI DDS	2021	FFS	RENDERING	AGE 0-20	75	None	606	None	73	None	205	None	34	None	126	None	73	None	99	None
1841320405	TON, JULIANNE MAI DDS	2021	FFS	RENDERING	AGE 21+	120	None	744	None	92	None	92	None	83	None	263	None	96	None	96	None
1841320652	CHEUNG, WAI, DDS	2021	FFS	RENDERING	AGE 0-20	73	None	589	None	66	None	204	None	36	None	71	None	69	None	104	None
1841320652	CHEUNG, WAI, DDS	2021	FFS	RENDERING	AGE 21+	168	None	1,147	None	130	None	255	None	111	None	426	None	149	None	149	None
1841321742	RAMOS RICHARD D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841321742	RAMOS RICHARD D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1841325164	GHAZARYAN GHAZAR M	2021	FFS	RENDERING	AGE 0-20	99	None	732	None	78	None	203	None	55	None	333	None	86	None	105	None
1841325164	GHAZARYAN GHAZAR M	2021	FFS	RENDERING	AGE 21+	687	None	7,781	None	364	None	716	None	614	None	5,705	None	464	None	464	None
1841326295	NAGUIB KARIM R	2021	FFS	RENDERING	AGE 0-20	474	None	5,465	None	406	None	1,456	None	275	None	1,434	None	425	None	506	None
1841326295	NAGUIB KARIM R	2021	FFS	RENDERING	AGE 21+	516	None	2,879	None	147	None	261	None	345	None	1,279	None	357	None	358	None
1841329364	KLPAKCHIAN, ARSEN	2021	FFS	RENDERING	AGE 0-20	104	None	640	None	70	None	173	None	44	None	147	None	93	None	108	None
1841329364	KLPAKCHIAN, ARSEN	2021	FFS	RENDERING	AGE 21+	769	None	5,270	None	217	None	396	None	629	None	2,601	None	542	None	542	None
1841330156	ZERMENO, JOSE M, DDS	2021	FFS	RENDERING	AGE 0-20	456	None	4,817	None	377	None	1,035	None	199	None	451	None	404	None	461	None
1841330156	ZERMENO, JOSE M, DDS	2021	FFS	RENDERING	AGE 21+	609	None	3,978	None	203	None	354	None	439	None	1,244	None	389	None	391	None
1841330511	CHEING ANTHONY J	2021	FFS	RENDERING	AGE 0-20	99	None	872	None	96	None	279	None	37	None	137	None	99	None	112	None
1841330511	CHEING ANTHONY J	2021	FFS	RENDERING	AGE 21+	141	None	1,073	None	103	None	205	None	72	None	175	None	117	None	117	None
1841332384	KYAW ZAY Y	2021	FFS	RENDERING	AGE 0-20	145	None	800	None	89	None	247	None	62	None	219	None	120	None	125	None
1841332384	KYAW ZAY Y	2021	FFS	RENDERING	AGE 21+	262	None	958	None	50	None	73	None	158	None	435	None	149	None	149	None
1841332384	KYAW ZAY Y	2021	PHP	RENDERING	AGE 0-20	41	None	186	None	27	None	79	None	None	1	None	2	29	None	30	None
1841332384	KYAW ZAY Y	2021	PHP	RENDERING	AGE 21+	96	None	325	None	22	None	24	None	47	None	177	None	73	None	77	None
1841336856	MA LIN	2021	FFS	RENDERING	AGE 0-20	60	None	423	None	31	None	59	None	31	None	74	None	40	None	42	None
1841336856	MA LIN	2021	FFS	RENDERING	AGE 21+	98	None	594	None	41	None	41	None	60	None	208	None	56	None	56	None
1841336898	CHEN PETER	2021	FFS	RENDERING	AGE 0-20	2,308	None	35,277	None	2,052	None	7,058	None	1,687	None	8,264	None	1,875	None	2,315	None
1841338530	PEARA, DONALD DDS	2021	FFS	RENDERING	AGE 0-20	32	None	115	None	0	None	0	None	11	None	59	None	28	None	28	None
1841338530	PEARA, DONALD DDS	2021	FFS	RENDERING	AGE 21+	142	None	832	None	0	None	0	None	65	None	588	None	123	None	123	None
1841340460	LIM JOSEPH J	2021	FFS	RENDERING	AGE 0-20	45	None	225	None	24	None	69	None	21	None	58	None	28	None	28	None
1841340460	LIM JOSEPH J	2021	FFS	RENDERING	AGE 21+	223	None	772	None	51	None	97	None	147	None	388	None	110	None	110	None
1841344389	STANLEY, STEVEN F, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1841344389	STANLEY, STEVEN F, DDS	2021	FFS	RENDERING	AGE 21+	61	None	292	None	46	None	46	None	36	None	109	None	49	None	49	None
1841347176	FARZAD PHILIP	2021	FFS	RENDERING	AGE 0-20	15	None	101	None	11	None	40	None	None	1	None	2	None	1	None	2
1841347176	FARZAD PHILIP	2021	FFS	RENDERING	AGE 21+	48	None	258	None	32	None	63	None	24	None	71	None	37	None	37	None
1841349669	REDDY NIRUP	2021	FFS	RENDERING	AGE 0-20	1,098	None	16,960	None	857	None	3,280	None	626	None	2,188	None	1,032	None	1,316	None
1841349669	REDDY NIRUP	2021	FFS	RENDERING	AGE 21+	2,425	None	27,659	None	560	None	1,105	None	1,661	None	7,726	None	2,070	None	2,070	None
1841351376	FAY WILLIAM W	2021	FFS	RENDERING	AGE 0-20	76	None	84	None	0	None	0	None	0	None	0	None	0	None	0	None
1841351376	FAY WILLIAM W	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1841351376	FAY WILLIAM W	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841351376	FAY WILLIAM W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841355401	LEONIS, VANGE, RDHAP	2021	FFS	RENDERING	AGE 21+	22	None	36	None	12	None	12	None	22	None	22	None	0	None	0	None
1841355401	UNKNOWN	2021	FFS	RENDERING	AGE 21+	22	None	36	None	12	None	12	None	22	None	22	None	0	None	0	None
1841355633	SHABTAIE RAMIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1841355633	SHABTAIE RAMIN	2021	PHP	RENDERING	AGE 21+	16	None	52	None	0	None	0	None	13	None	34	None	16	None	17	None
1841359981	HAMOUD MONEM	2021	FFS	RENDERING	AGE 0-20	27	None	135	None	None	1	None	2	14	None	52	None	26	None	26	None
1841359981	HAMOUD MONEM	2021	FFS	RENDERING	AGE 21+	117	None	469	None	None	1	None	1	63	None	248	None	92	None	92	None
1841359981	HAMOUD MONEM	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1841359981	HAMOUD MONEM	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1841362019	VANJARAPU SANJAY K	2021	FFS	RENDERING	AGE 0-20	506	None	3,707	None	462	None	1,373	None	164	None	221	None	489	None	559	None
1841362019	VANJARAPU SANJAY K	2021	FFS	RENDERING	AGE 21+	652	None	2,760	None	299	None	589	None	228	None	584	None	580	None	583	None
1841363264	BHULLAR NAMRATA K	2021	FFS	RENDERING	AGE 0-20	150	None	783	None	104	None	261	None	48	None	67	None	143	None	145	None
1841377546	LOWE, LAWRENCE A, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	81	None	11	None	19	None	None	1	None	2	11	None	15	None
1841377546	LOWE, LAWRENCE A, DDS	2021	FFS	RENDERING	AGE 21+	91	None	374	None	41	None	41	None	65	None	154	None	33	None	33	None
1841382603	HOANG ELIZABETH T	2021	FFS	RENDERING	AGE 21+	15	None	43	None	0	None	0	None	11	None	25	None	None	1	None	1
1841382603	HOANG ELIZABETH T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841382603	HOANG ELIZABETH T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1841386422	KIM BRIAN S.	2021	GMC	RENDERING	AGE 0-20	20	None	201	None	15	None	42	None	11	None	36	None	16	None	22	None
1841386422	KIM BRIAN S.	2021	GMC	RENDERING	AGE 21+	35	None	147	None	13	None	26	None	21	None	58	None	17	None	17	None
1841395043	CHAN GENY-ANA R	2021	FFS	RENDERING	AGE 0-20	110	None	1,410	None	86	None	259	None	59	None	189	None	93	None	114	None
1841395043	CHAN GENY-ANA R	2021	FFS	RENDERING	AGE 21+	197	None	1,328	None	34	None	46	None	117	None	394	None	117	None	117	None
1841395217	TRUONG, PHUONGTU DDS	2021	FFS	RENDERING	AGE 0-20	104	None	1,242	None	95	None	306	None	46	None	121	None	96	None	115	None
1841395217	TRUONG, PHUONGTU DDS	2021	FFS	RENDERING	AGE 21+	304	None	2,757	None	209	None	417	None	204	None	656	None	245	None	245	None
1841415379	HENRIKSEN SCOTT L	2021	FFS	RENDERING	AGE 0-20	64	None	289	None	55	None	124	None	15	None	55	None	47	None	59	None
1841415379	HENRIKSEN SCOTT L	2021	FFS	RENDERING	AGE 21+	63	None	205	None	39	None	39	None	15	None	45	None	54	None	54	None
1841419116	MOUA MICKEY C	2021	FFS	RENDERING	AGE 21+	2,082	None	12,700	None	862	None	1,732	None	2,078	None	6,524	None	1,843	None	1,843	None
1841419959	TSOLAKYAN, ARAM, DDS	2021	FFS	RENDERING	AGE 0-20	22	None	76	None	None	1	None	2	13	None	29	None	18	None	18	None
1841419959	TSOLAKYAN, ARAM, DDS	2021	FFS	RENDERING	AGE 21+	139	None	488	None	57	None	65	None	77	None	202	None	86	None	86	None
1841419959	TSOLAKYAN, ARAM, DDS	2021	PHP	RENDERING	AGE 0-20	33	None	103	None	21	None	25	None	11	None	16	None	29	None	29	None
1841419959	TSOLAKYAN, ARAM, DDS	2021	PHP	RENDERING	AGE 21+	163	None	624	None	90	None	110	None	53	None	161	None	147	None	149	None
1841433695	DAVID TOMA DDS, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1841433695	TOMA, DAVID, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1841435062	DONABEDIAN KHAJADOUR	2021	FFS	RENDERING	AGE 0-20	27	None	180	None	20	None	49	None	13	None	61	None	26	None	26	None
1841435062	DONABEDIAN KHAJADOUR	2021	FFS	RENDERING	AGE 21+	195	None	1,343	None	80	None	131	None	145	None	764	None	158	None	158	None
1841438702	SAHYAN ABRAHAM	2021	FFS	RENDERING	AGE 0-20	148	None	1,171	None	68	None	102	None	87	None	376	None	90	None	93	None
1841438702	SAHYAN ABRAHAM	2021	FFS	RENDERING	AGE 21+	429	None	2,979	None	50	None	64	None	343	None	1,901	None	188	None	188	None
1841442308	KIM HELEN D	2021	FFS	RENDERING	AGE 0-20	30	None	336	None	29	None	74	None	12	None	41	None	30	None	36	None
1841442308	KIM HELEN D	2021	FFS	RENDERING	AGE 21+	181	None	1,342	None	152	None	152	None	127	None	509	None	167	None	167	None
1841442308	KIM HELEN D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1841443546	LI MIN	2021	FFS	RENDERING	AGE 0-20	257	None	2,437	None	201	None	544	None	117	None	338	None	206	None	229	None
1841443546	LI MIN	2021	FFS	RENDERING	AGE 21+	436	None	3,488	None	155	None	311	None	349	None	1,496	None	227	None	227	None
1841444585	OHANNESSIAN, MANUEL, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1841451606	CHEN, WEI KUO DDS	2021	FFS	RENDERING	AGE 0-20	16	None	70	None	None	1	None	2	None	1	None	2	11	None	12	None
1841451606	CHEN, WEI KUO DDS	2021	FFS	RENDERING	AGE 21+	27	None	104	None	11	None	20	None	22	None	41	None	11	None	11	None
1841465721	TRAN DIENAN N	2021	PHP	RENDERING	AGE 0-20	22	None	142	None	18	None	32	None	None	1	None	1	18	None	18	None
1841465721	TRAN DIENAN N	2021	PHP	RENDERING	AGE 21+	123	None	735	None	66	None	66	None	72	None	243	None	101	None	101	None
1841472875	TANG YAT Y	2021	FFS	RENDERING	AGE 0-20	2,800	None	39,198	None	2,767	None	15,231	None	915	None	3,616	None	2,786	None	4,574	None
1841472875	TANG YAT Y	2021	FFS	RENDERING	AGE 21+	51	None	321	None	46	None	92	None	11	None	20	None	47	None	47	None
1841477387	STEPHAN WALEED A	2021	FFS	RENDERING	AGE 0-20	161	None	1,105	None	133	None	376	None	81	None	112	None	137	None	150	None
1841477387	STEPHAN WALEED A	2021	FFS	RENDERING	AGE 21+	478	None	2,476	None	170	None	290	None	275	None	739	None	290	None	292	None
1841480555	GROSLEIB JAMES W	2021	FFS	RENDERING	AGE 0-20	12	None	44	None	None	1	None	2	0	None	0	None	None	1	None	1
1841480555	GROSLEIB JAMES W	2021	FFS	RENDERING	AGE 21+	100	None	415	None	46	None	47	None	47	None	155	None	74	None	74	None
1841485208	KUNDURU, ARVINDA REDDY, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841485208	KUNDURU, ARVINDA REDDY, DDS	2021	FFS	RENDERING	AGE 21+	19	None	126	None	11	None	20	None	14	None	69	None	15	None	15	None
1841485620	KEUROGHLIAN APEL	2021	FFS	RENDERING	AGE 0-20	259	None	944	None	0	None	0	None	257	None	937	None	0	None	0	None
1841485620	KEUROGHLIAN APEL	2021	FFS	RENDERING	AGE 21+	213	None	671	None	0	None	0	None	207	None	662	None	0	None	0	None
1841485620	KEUROGHLIAN APEL	2021	PHP	RENDERING	AGE 0-20	58	None	156	None	0	None	0	None	55	None	131	None	None	1	None	1
1841485620	KEUROGHLIAN APEL	2021	PHP	RENDERING	AGE 21+	278	None	740	None	None	1	None	1	181	None	469	None	194	None	210	None
1841485877	SHAHSAVARI KAMRAN	2021	FFS	RENDERING	AGE 0-20	278	None	3,234	None	191	None	568	None	128	None	547	None	239	None	282	None
1841485877	SHAHSAVARI KAMRAN	2021	FFS	RENDERING	AGE 21+	190	None	1,300	None	35	None	52	None	117	None	397	None	128	None	128	None
1841487964	YOO, DAVID DMD	2021	FFS	RENDERING	AGE 0-20	273	None	1,716	None	226	None	690	None	149	None	360	None	134	None	149	None
1841487964	YOO, DAVID DMD	2021	FFS	RENDERING	AGE 21+	292	None	1,230	None	95	None	164	None	194	None	550	None	135	None	135	None
1841490703	MAYOR CARLOS A	2021	FFS	RENDERING	AGE 21+	20	None	66	None	None	1	None	1	18	None	49	None	None	1	None	1
1841492287	ALIJANI MICHAEL M	2021	FFS	RENDERING	AGE 0-20	5,428	None	66,905	None	4,920	None	16,038	None	2,361	None	3,320	None	4,504	None	4,944	None
1841492287	ALIJANI MICHAEL M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1841498607	OBEID WAEL H	2021	FFS	RENDERING	AGE 0-20	57	None	550	None	54	None	287	None	21	None	57	None	54	None	77	None
1841498607	OBEID WAEL H	2021	FFS	RENDERING	AGE 21+	62	None	389	None	19	None	30	None	39	None	144	None	42	None	42	None
1841498607	OBEID WAEL H	2021	PHP	RENDERING	AGE 0-20	78	None	722	None	78	None	431	None	27	None	51	None	77	None	94	None
1841498607	OBEID WAEL H	2021	PHP	RENDERING	AGE 21+	29	None	134	None	20	None	33	None	None	1	None	2	25	None	25	None
1841499571	FARNAD FARIBORZ A	2021	FFS	RENDERING	AGE 0-20	550	None	2,510	None	0	None	0	None	372	None	1,567	None	480	None	480	None
1841499571	FARNAD FARIBORZ A	2021	FFS	RENDERING	AGE 21+	944	None	3,968	None	0	None	0	None	532	None	2,314	None	833	None	833	None
1841508488	CHERNIS NATALIYA	2021	FFS	RENDERING	AGE 0-20	1,919	None	17,824	None	1,626	None	4,899	None	1,258	None	2,695	None	1,588	None	1,736	None
1841543360	PADILLA, MARIA J, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1841548849	ANWAR ADNAN	2021	FFS	RENDERING	AGE 0-20	489	None	1,995	None	97	None	246	None	463	None	1,068	None	38	None	38	None
1841548849	ANWAR ADNAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1841548849	ANWAR ADNAN	2021	GMC	RENDERING	AGE 0-20	1,991	None	10,285	None	1,121	None	3,663	None	534	None	719	None	908	None	939	None
1841551991	SAGMAN SAAD FAIZ B	2021	FFS	RENDERING	AGE 0-20	88	None	750	None	65	None	149	None	51	None	170	None	66	None	67	None
1841551991	SAGMAN SAAD FAIZ B	2021	FFS	RENDERING	AGE 21+	379	None	2,279	None	157	None	290	None	294	None	1,053	None	219	None	219	None
1841551991	SAGMAN SAAD FAIZ B	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1841570777	SANFORD KAMILAH A	2021	FFS	RENDERING	AGE 0-20	817	None	2,151	None	None	1	None	1	279	None	722	None	0	None	0	None
1841570777	SANFORD KAMILAH A	2021	FFS	RENDERING	AGE 21+	19	None	19	None	0	None	0	None	0	None	0	None	0	None	0	None
1841570777	SANFORD KAMILAH A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841578390	JOURABCHI, MICKEL DDS	2021	FFS	RENDERING	AGE 0-20	340	None	665	None	None	1	None	1	72	None	192	None	None	1	None	1
1841578390	JOURABCHI, MICKEL DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841580453	VILLA ALESSANDRO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1841580453	VILLA ALESSANDRO	2021	FFS	RENDERING	AGE 21+	51	None	85	None	None	1	None	1	22	None	37	None	35	None	35	None
1841596673	MAHMOUDIANI REZA	2021	FFS	RENDERING	AGE 0-20	56	None	386	None	32	None	79	None	28	None	56	None	37	None	37	None
1841596673	MAHMOUDIANI REZA	2021	FFS	RENDERING	AGE 21+	57	None	236	None	14	None	14	None	33	None	58	None	16	None	16	None
1841596673	MAHMOUDIANI REZA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1841597457	LUBO, SAHYLI V, DDS	2021	FFS	RENDERING	AGE 0-20	109	None	1,025	None	77	None	205	None	56	None	209	None	81	None	86	None
1841597457	LUBO, SAHYLI V, DDS	2021	FFS	RENDERING	AGE 21+	129	None	715	None	30	None	39	None	95	None	316	None	66	None	66	None
1841597457	LUBO, SAHYLI VERONICE DDS	2021	FFS	RENDERING	AGE 0-20	109	None	1,025	None	77	None	205	None	56	None	209	None	81	None	86	None
1841597457	LUBO, SAHYLI VERONICE DDS	2021	FFS	RENDERING	AGE 21+	129	None	715	None	30	None	39	None	95	None	316	None	66	None	66	None
1841597473	MANOEL ZARMINE	2021	FFS	RENDERING	AGE 0-20	59	None	356	None	46	None	137	None	33	None	115	None	49	None	66	None
1841597473	MANOEL ZARMINE	2021	FFS	RENDERING	AGE 21+	259	None	1,673	None	101	None	201	None	220	None	1,135	None	187	None	187	None
1841601085	HOANG VIET X	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1841601085	HOANG VIET X	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1841601192	GOMEZ ERIKA	2021	FFS	RENDERING	AGE 0-20	2,526	None	27,798	None	2,206	None	6,532	None	1,530	None	4,212	None	2,207	None	2,399	None
1841601192	GOMEZ ERIKA	2021	FFS	RENDERING	AGE 21+	315	None	1,873	None	123	None	252	None	200	None	517	None	147	None	147	None
1841601192	GOMEZ ERIKA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841604659	TOMKINSON TYLER C	2021	FFS	RENDERING	AGE 0-20	130	None	420	None	0	None	0	None	130	None	420	None	0	None	0	None
1841604659	TOMKINSON TYLER C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841607694	KINGRA SUKHDEEP K	2021	FFS	RENDERING	AGE 0-20	222	None	1,554	None	198	None	648	None	81	None	223	None	168	None	182	None
1841607694	KINGRA SUKHDEEP K	2021	FFS	RENDERING	AGE 21+	417	None	2,349	None	199	None	393	None	284	None	1,140	None	314	None	320	None
1841607827	NIKOGHOSYAN YULIA	2021	FFS	RENDERING	AGE 0-20	59	None	438	None	54	None	197	None	17	None	70	None	55	None	59	None
1841607827	NIKOGHOSYAN YULIA	2021	FFS	RENDERING	AGE 21+	253	None	1,758	None	124	None	245	None	188	None	1,014	None	221	None	221	None
1841607850	NARANG SAPNA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841631611	ABAZARNIA NADIA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1841631611	ABAZARNIA NADIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1841631611	ABAZARNIA NADIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1841631611	ABAZARNIA NADIA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1841636248	CHOI ANNIE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841636248	CHOI ANNIE	2021	FFS	RENDERING	AGE 21+	15	None	33	None	None	1	None	1	None	1	None	2	None	1	None	1
1841638624	DRS SALEM & SOLIMAN DNTL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1841638624	DRS SALEM AND SOLIMAN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1841641172	DASON RACHEL M	2021	FFS	RENDERING	AGE 0-20	558	None	2,111	None	None	1	None	2	558	None	2,074	None	None	1	None	1
1841641172	DASON RACHEL M	2021	FFS	RENDERING	AGE 21+	92	None	309	None	None	1	None	1	92	None	301	None	None	1	None	1
1841649001	GANDHI ANKUR D	2021	FFS	RENDERING	AGE 0-20	4,422	None	33,680	None	3,427	None	10,482	None	2,591	None	6,407	None	3,214	None	3,523	None
1841649001	GANDHI ANKUR D	2021	FFS	RENDERING	AGE 21+	30	None	149	None	17	None	33	None	None	1	None	2	19	None	19	None
1841673936	KIM DAVID H	2021	FFS	RENDERING	AGE 0-20	1,374	None	12,854	None	1,181	None	4,545	None	405	None	1,290	None	1,205	None	1,386	None
1841673936	KIM DAVID H	2021	FFS	RENDERING	AGE 21+	679	None	3,147	None	263	None	517	None	361	None	1,057	None	383	None	383	None
1841673936	KIM DAVID H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841673936	KIM DAVID H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841676418	TA ASHLEY	2021	FFS	RENDERING	AGE 0-20	43	None	67	None	0	None	0	None	None	1	None	1	0	None	0	None
1841676418	TA ASHLEY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1841694759	NIDAMARTHI APARNA	2021	FFS	RENDERING	AGE 0-20	1,059	None	3,929	None	307	None	519	None	229	None	243	None	1,009	None	1,076	None
1841694759	NIDAMARTHI APARNA	2021	FFS	RENDERING	AGE 21+	1,553	None	3,654	None	26	None	49	None	31	None	44	None	1,212	None	1,216	None
1841710316	GARABEDIAN RAFFIE	2021	FFS	RENDERING	AGE 0-20	62	None	201	None	0	None	0	None	60	None	182	None	None	1	None	1
1841710316	GARABEDIAN RAFFIE	2021	FFS	RENDERING	AGE 21+	335	None	1,120	None	None	1	None	1	324	None	855	None	73	None	73	None
1841716792	HONG HANNAH SU Y	2021	FFS	RENDERING	AGE 0-20	66	None	540	None	57	None	136	None	31	None	90	None	55	None	64	None
1841716792	HONG HANNAH SU Y	2021	FFS	RENDERING	AGE 21+	133	None	1,132	None	102	None	136	None	73	None	255	None	101	None	101	None
1841717790	DHERI JASPREET K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841741360	SONG ESTHER H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841741360	SONG ESTHER H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841741360	SONG ESTHER H	2021	GMC	RENDERING	AGE 0-20	23	None	85	None	None	1	None	2	None	1	None	1	13	None	13	None
1841741360	SONG ESTHER H	2021	GMC	RENDERING	AGE 21+	26	None	103	None	0	None	0	None	14	None	31	None	16	None	17	None
1841741782	ORDOVEZA PATRISHA T	2021	FFS	RENDERING	AGE 0-20	3,071	None	26,346	None	2,702	None	8,446	None	1,940	None	7,432	None	2,752	None	3,002	None
1841742954	TRUONG ANDY	2021	FFS	RENDERING	AGE 0-20	317	None	5,484	None	306	None	1,013	None	158	None	556	None	308	None	486	None
1841742954	TRUONG ANDY	2021	FFS	RENDERING	AGE 21+	213	None	2,361	None	171	None	337	None	128	None	398	None	183	None	183	None
1841744083	PHAM EVELYN Q	2021	FFS	RENDERING	AGE 0-20	801	None	6,847	None	723	None	2,487	None	479	None	970	None	712	None	875	None
1841744083	PHAM EVELYN Q	2021	FFS	RENDERING	AGE 21+	386	None	2,146	None	212	None	399	None	251	None	545	None	235	None	235	None
1841748811	PHAM LAN D	2021	FFS	RENDERING	AGE 0-20	110	None	631	None	82	None	202	None	59	None	92	None	78	None	78	None
1841772050	HO KEVIN W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1841774668	BLOM JACOB B	2021	GMC	RENDERING	AGE 0-20	34	None	100	None	20	None	44	None	None	1	None	1	11	None	11	None
1841774668	BLOM JACOB B	2021	GMC	RENDERING	AGE 21+	16	None	32	None	None	1	None	1	None	1	None	1	None	1	None	1
1841774734	GREEN RICHARD D	2021	FFS	RENDERING	AGE 0-20	244	None	2,118	None	221	None	551	None	79	None	206	None	227	None	275	None
1841774734	GREEN RICHARD D	2021	FFS	RENDERING	AGE 21+	247	None	1,481	None	173	None	350	None	117	None	413	None	197	None	197	None
1841789724	GANAS ARIELLE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1841797297	PARK DAHEE	2021	FFS	RENDERING	AGE 0-20	315	None	1,676	None	168	None	438	None	90	None	298	None	237	None	252	None
1841797297	PARK DAHEE	2021	FFS	RENDERING	AGE 21+	706	None	2,681	None	182	None	334	None	351	None	880	None	447	None	448	None
1841802667	ABDELRAHMAN LAILA A	2021	FFS	RENDERING	AGE 0-20	270	None	1,434	None	196	None	619	None	157	None	408	None	70	None	70	None
1841802667	ABDELRAHMAN LAILA A	2021	FFS	RENDERING	AGE 21+	352	None	1,378	None	132	None	252	None	275	None	695	None	69	None	69	None
1841802667	ABDELRAHMAN LAILA A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1841807336	BUN CHANVATTANAK	2021	FFS	RENDERING	AGE 0-20	316	None	1,320	None	102	None	214	None	160	None	378	None	219	None	220	None
1841807336	BUN CHANVATTANAK	2021	FFS	RENDERING	AGE 21+	887	None	2,614	None	83	None	154	None	402	None	928	None	601	None	601	None
1841846433	SIONAT, P, DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1841848413	SCOTT ZACHARY D	2021	FFS	RENDERING	AGE 0-20	341	None	1,809	None	220	None	545	None	90	None	210	None	316	None	351	None
1841848413	SCOTT ZACHARY D	2021	FFS	RENDERING	AGE 21+	762	None	3,072	None	211	None	415	None	344	None	946	None	573	None	573	None
1841852837	LEON KATHLEEN L	2021	FFS	RENDERING	AGE 0-20	1,805	None	15,866	None	1,342	None	3,220	None	984	None	2,617	None	1,318	None	1,334	None
1841881760	ABDELAZIZ AMR A	2021	FFS	RENDERING	AGE 0-20	59	None	88	None	0	None	0	None	57	None	83	None	None	1	None	1
1841881760	ABDELAZIZ AMR A	2021	FFS	RENDERING	AGE 21+	241	None	313	None	0	None	0	None	240	None	310	None	None	1	None	1
1841881760	ABDELAZIZ AMR A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841881760	ABDELAZIZ AMR A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841891314	AMINI NELDA	2021	FFS	RENDERING	AGE 0-20	211	None	853	None	103	None	306	None	40	None	69	None	168	None	169	None
1841891314	AMINI NELDA	2021	FFS	RENDERING	AGE 21+	450	None	1,181	None	39	None	51	None	178	None	323	None	267	None	267	None
1841891314	AMINI NELDA	2021	PHP	RENDERING	AGE 0-20	91	None	259	None	46	None	101	None	24	None	48	None	75	None	75	None
1841891314	AMINI NELDA	2021	PHP	RENDERING	AGE 21+	133	None	305	None	25	None	26	None	35	None	79	None	107	None	109	None
1851066310	NASSAR HEBA F	2021	FFS	RENDERING	AGE 0-20	66	None	652	None	57	None	169	None	25	None	80	None	53	None	53	None
1851066310	NASSAR HEBA F	2021	FFS	RENDERING	AGE 21+	134	None	926	None	51	None	102	None	81	None	240	None	79	None	81	None
1851305338	BUI MICHAEL	2021	FFS	RENDERING	AGE 0-20	12	None	63	None	None	1	None	2	None	1	None	1	12	None	12	None
1851305338	BUI MICHAEL	2021	FFS	RENDERING	AGE 21+	68	None	498	None	56	None	114	None	38	None	241	None	68	None	70	None
1851305908	APPLEFIELD PAUL S	2021	PHP	RENDERING	AGE 0-20	29	None	109	None	24	None	55	None	None	1	None	2	13	None	13	None
1851307789	PALLARES BERNARD J	2021	FFS	RENDERING	AGE 0-20	26	None	128	None	18	None	32	None	None	1	None	2	18	None	18	None
1851307789	PALLARES BERNARD J	2021	FFS	RENDERING	AGE 21+	41	None	128	None	11	None	12	None	27	None	47	None	13	None	13	None
1851315741	SUFI GURMINDERAJI S	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851315741	SUFI GURMINDERAJI S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851319842	AHMED, NASIR, DDS	2021	FFS	RENDERING	AGE 0-20	220	None	2,348	None	216	None	875	None	106	None	265	None	195	None	225	None
1851319842	AHMED, NASIR, DDS	2021	FFS	RENDERING	AGE 21+	104	None	798	None	65	None	123	None	66	None	261	None	75	None	75	None
1851320170	MOBLEY DELMAR R	2021	FFS	RENDERING	AGE 0-20	31	None	73	None	0	None	0	None	15	None	39	None	0	None	0	None
1851398010	RAHNAMA HOUMAN	2021	FFS	RENDERING	AGE 0-20	239	None	2,553	None	216	None	658	None	137	None	463	None	222	None	258	None
1851398010	RAHNAMA HOUMAN	2021	FFS	RENDERING	AGE 21+	629	None	4,776	None	317	None	329	None	498	None	1,826	None	458	None	458	None
1851400816	GOZINI MAHNAZ	2021	FFS	RENDERING	AGE 0-20	59	None	484	None	57	None	264	None	35	None	82	None	56	None	78	None
1851400816	GOZINI MAHNAZ	2021	FFS	RENDERING	AGE 21+	293	None	1,630	None	225	None	449	None	215	None	658	None	232	None	233	None
1851411367	PREMIERE MAXILLOFACIAL SURGEONS, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1851412001	TOUR RAMIN	2021	FFS	RENDERING	AGE 0-20	29	None	178	None	26	None	43	None	21	None	111	None	11	None	11	None
1851412001	TOUR RAMIN	2021	FFS	RENDERING	AGE 21+	36	None	186	None	21	None	24	None	18	None	119	None	17	None	17	None
1851412001	TOUR RAMIN	2021	PHP	RENDERING	AGE 0-20	147	None	640	None	138	None	323	None	32	None	76	None	146	None	169	None
1851412001	TOUR RAMIN	2021	PHP	RENDERING	AGE 21+	67	None	248	None	47	None	49	None	20	None	81	None	64	None	68	None
1851417190	SONI NEETA R	2021	FFS	RENDERING	AGE 21+	28	None	107	None	0	None	0	None	28	None	105	None	None	1	None	1
1851419808	GABBAY, ALAIN GERARD DDS	2021	FFS	RENDERING	AGE 0-20	176	None	1,526	None	129	None	310	None	81	None	314	None	167	None	200	None
1851419808	GABBAY, ALAIN GERARD DDS	2021	FFS	RENDERING	AGE 21+	630	None	5,099	None	187	None	187	None	497	None	2,841	None	463	None	467	None
1851422471	ARAFILES, YVONNE P, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1851422471	ARAFILES, YVONNE P, DMD	2021	FFS	RENDERING	AGE 21+	722	None	3,819	None	128	None	143	None	671	None	1,695	None	653	None	654	None
1851425334	PHAM THERESA U	2021	FFS	RENDERING	AGE 0-20	218	None	713	None	0	None	0	None	218	None	713	None	0	None	0	None
1851425334	PHAM THERESA U	2021	FFS	RENDERING	AGE 21+	12	None	38	None	0	None	0	None	12	None	38	None	0	None	0	None
1851425771	KY L DO DDS DENTAL CORP	2021	PHP	RENDERING	AGE 0-20	38	None	263	None	36	None	72	None	None	1	None	2	34	None	35	None
1851428213	MAGAR, SALWA DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1851428213	MAGAR, SALWA DDS	2021	FFS	RENDERING	AGE 21+	31	None	142	None	16	None	18	None	24	None	50	None	21	None	21	None
1851428411	HAROUNI JACK	2021	FFS	RENDERING	AGE 0-20	276	None	1,768	None	218	None	600	None	115	None	342	None	211	None	250	None
1851428411	HAROUNI JACK	2021	FFS	RENDERING	AGE 21+	574	None	2,827	None	164	None	264	None	349	None	1,292	None	411	None	412	None
1851432447	PHAM, TRAN LAN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1851432447	PHAM, TRAN LAN, DDS	2021	FFS	RENDERING	AGE 21+	99	None	682	None	71	None	78	None	79	None	333	None	24	None	24	None
1851433205	LIN, JAMES S, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	38	None	0	None	0	None	None	1	None	2	0	None	0	None
1851440952	ADAMS, BRUCE W, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	82	None	19	None	19	None	None	1	None	2	25	None	25	None
1851440952	ADAMS, BRUCE W, DDS	2021	FFS	RENDERING	AGE 21+	730	None	3,794	None	622	None	623	None	351	None	1,706	None	550	None	551	None
1851443451	HUANG MENGYA	2021	FFS	RENDERING	AGE 0-20	626	None	6,317	None	451	None	1,501	None	384	None	1,198	None	512	None	631	None
1851443451	HUANG MENGYA	2021	FFS	RENDERING	AGE 21+	719	None	4,535	None	232	None	462	None	536	None	2,047	None	451	None	453	None
1851444947	GALANG MARIA M	2021	FFS	RENDERING	AGE 0-20	1,715	None	16,378	None	1,426	None	4,051	None	1,090	None	3,804	None	1,434	None	1,548	None
1851444947	GALANG MARIA M	2021	FFS	RENDERING	AGE 21+	485	None	2,529	None	154	None	297	None	256	None	855	None	263	None	263	None
1851444947	GALANG MARIA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851444947	GALANG MARIA M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851446660	DHULIYA VISHAL R	2021	FFS	RENDERING	AGE 0-20	111	None	1,522	None	105	None	442	None	34	None	74	None	108	None	142	None
1851446660	DHULIYA VISHAL R	2021	FFS	RENDERING	AGE 21+	127	None	1,266	None	78	None	155	None	103	None	225	None	105	None	105	None
1851447650	KIM DANIEL D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851447650	KIM DANIEL D	2021	FFS	RENDERING	AGE 21+	27	None	32	None	0	None	0	None	27	None	31	None	0	None	0	None
1851450993	AGHAKHANI ARASH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1851450993	AGHAKHANI ARASH	2021	GMC	RENDERING	AGE 0-20	3,383	None	27,088	None	3,356	None	6,183	None	3,374	None	14,252	None	None	1	None	1
1851450993	AGHAKHANI ARASH	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1851451108	BERRY DOROTHEA J	2021	FFS	RENDERING	AGE 0-20	805	None	4,170	None	None	1	None	1	782	None	4,025	None	34	None	34	None
1851451108	BERRY DOROTHEA J	2021	FFS	RENDERING	AGE 21+	1,127	None	5,821	None	0	None	0	None	1,089	None	5,538	None	91	None	92	None
1851451108	BERRY DOROTHEA J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851451108	BERRY DOROTHEA J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851451108	BERRY DOROTHEA J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1851453427	GHAZARYAN NJDEH N	2021	FFS	RENDERING	AGE 0-20	2,039	None	18,039	None	1,733	None	5,227	None	1,348	None	3,371	None	1,668	None	1,711	None
1851453427	GHAZARYAN NJDEH N	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851453542	SHAH MAULIK M	2021	FFS	RENDERING	AGE 0-20	405	None	7,184	None	375	None	1,614	None	194	None	489	None	391	None	480	None
1851453542	SHAH MAULIK M	2021	FFS	RENDERING	AGE 21+	754	None	7,715	None	474	None	944	None	258	None	768	None	658	None	660	None
1851460976	FRIDMAN NINA	2021	FFS	RENDERING	AGE 0-20	76	None	824	None	75	None	388	None	31	None	96	None	74	None	97	None
1851460976	FRIDMAN NINA	2021	FFS	RENDERING	AGE 21+	362	None	3,419	None	224	None	604	None	346	None	2,015	None	324	None	329	None
1851461016	NGUYEN, TIEP VAN, DDS	2021	FFS	RENDERING	AGE 0-20	102	None	974	None	73	None	138	None	44	None	114	None	76	None	86	None
1851461016	NGUYEN, TIEP VAN, DDS	2021	FFS	RENDERING	AGE 21+	75	None	406	None	22	None	23	None	48	None	135	None	39	None	41	None
1851462147	NGUYEN HOANG M	2021	FFS	RENDERING	AGE 0-20	559	None	2,798	None	283	None	908	None	220	None	464	None	393	None	393	None
1851462147	NGUYEN HOANG M	2021	FFS	RENDERING	AGE 21+	679	None	2,107	None	140	None	259	None	206	None	486	None	437	None	437	None
1851462147	NGUYEN HOANG M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851462147	NGUYEN HOANG M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851462147	NGUYEN HOANG M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851469134	NAKHLA ANN ABD E	2021	FFS	RENDERING	AGE 0-20	1,150	None	9,824	None	426	None	1,481	None	773	None	1,955	None	941	None	1,054	None
1851469134	NAKHLA ANN ABD E	2021	FFS	RENDERING	AGE 21+	1,129	None	5,915	None	113	None	227	None	643	None	1,561	None	785	None	786	None
1851469985	KHERADYAR HAMID C	2021	FFS	RENDERING	AGE 0-20	60	None	541	None	49	None	104	None	21	None	98	None	55	None	60	None
1851469985	KHERADYAR HAMID C	2021	FFS	RENDERING	AGE 21+	285	None	2,236	None	113	None	114	None	227	None	1,125	None	168	None	168	None
1851469985	KHERADYAR HAMID C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1851476089	MISNER REBECCA S	2021	FFS	RENDERING	AGE 0-20	382	None	3,064	None	251	None	637	None	220	None	630	None	242	None	246	None
1851484794	GILL HARPREET K	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1851484794	GILL HARPREET K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851485916	STAUDHAMMER DEBRA J	2021	FFS	RENDERING	AGE 0-20	11	None	37	None	None	1	None	2	None	1	None	1	None	1	None	1
1851485916	STAUDHAMMER DEBRA J	2021	FFS	RENDERING	AGE 21+	41	None	122	None	None	1	None	1	28	None	100	None	0	None	0	None
1851486989	EUREKA COMM HEALTH CTR	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851486989	HUMBOLDT OPEN DOOR CLINIC	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851487300	LEE JEFFEREY SZEAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851487995	RAWLINS JOSEPH T	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1851487995	RAWLINS JOSEPH T	2021	GMC	RENDERING	AGE 0-20	638	None	7,031	None	422	None	1,256	None	632	None	4,080	None	16	None	17	None
1851493084	VILLACIS DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	56	None	478	None	51	None	123	None	25	None	83	None	48	None	55	None
1851493084	VILLACIS DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	96	None	561	None	41	None	41	None	62	None	226	None	54	None	54	None
1851493084	VILLACIS DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	2
1851493084	VILLACIS DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	50	None	262	None	26	None	32	None	31	None	118	None	35	None	38	None
1851493084	VILLACIS SASKIA M	2021	FFS	RENDERING	AGE 0-20	56	None	478	None	51	None	123	None	25	None	83	None	48	None	55	None
1851493084	VILLACIS SASKIA M	2021	FFS	RENDERING	AGE 21+	96	None	561	None	41	None	41	None	62	None	226	None	54	None	54	None
1851493084	VILLACIS SASKIA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	2
1851493084	VILLACIS SASKIA M	2021	PHP	RENDERING	AGE 21+	50	None	262	None	26	None	32	None	31	None	118	None	35	None	38	None
1851495147	GOODIS, MITCHELL	2021	FFS	RENDERING	AGE 0-20	1,581	None	14,947	None	1,338	None	4,684	None	684	None	2,192	None	1,380	None	1,965	None
1851495147	GOODIS, MITCHELL	2021	FFS	RENDERING	AGE 21+	580	None	3,920	None	46	None	86	None	516	None	2,607	None	313	None	315	None
1851495147	GOODIS, MITCHELL	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1851496335	CHING CLAYTON V	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1851496335	CHING CLAYTON V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1851497630	BATHEJA AMIT	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1851497630	BATHEJA AMIT	2021	PHP	RENDERING	AGE 21+	53	None	143	None	0	None	0	None	29	None	39	None	47	None	48	None
1851499966	ONG, WILLIAM DDS	2021	FFS	RENDERING	AGE 0-20	350	None	2,653	None	331	None	1,165	None	141	None	363	None	328	None	456	None
1851499966	ONG, WILLIAM DDS	2021	FFS	RENDERING	AGE 21+	973	None	7,168	None	675	None	1,348	None	689	None	2,903	None	745	None	745	None
1851500441	KRIPALANI, NISHA DDS	2021	FFS	RENDERING	AGE 0-20	50	None	363	None	35	None	98	None	17	None	82	None	46	None	55	None
1851500441	KRIPALANI, NISHA DDS	2021	FFS	RENDERING	AGE 21+	99	None	687	None	47	None	49	None	54	None	229	None	84	None	85	None
1851503429	AKPINAR, REYHAN DDS	2021	FFS	RENDERING	AGE 0-20	870	None	8,784	None	470	None	1,435	None	464	None	958	None	705	None	845	None
1851503429	AKPINAR, REYHAN DDS	2021	FFS	RENDERING	AGE 21+	1,000	None	6,842	None	115	None	234	None	472	None	1,035	None	722	None	723	None
1851504112	DOWAIDARI, MOHAMED KAYS, DDS	2021	FFS	RENDERING	AGE 0-20	185	None	4,568	None	164	None	1,624	None	104	None	854	None	161	None	414	None
1851504112	DOWAIDARI, MOHAMED KAYS, DDS	2021	FFS	RENDERING	AGE 21+	544	None	11,286	None	414	None	1,640	None	406	None	5,950	None	473	None	972	None
1851504484	ORDILLAS-MANGRO JESUSA A	2021	FFS	RENDERING	AGE 0-20	34	None	208	None	11	None	33	None	15	None	70	None	21	None	21	None
1851504484	ORDILLAS-MANGRO JESUSA A	2021	FFS	RENDERING	AGE 21+	122	None	488	None	21	None	36	None	65	None	212	None	70	None	70	None
1851505507	YU JACK T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1851505507	YU JACK T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851505507	YU JACK T	2021	PHP	RENDERING	AGE 21+	13	None	30	None	0	None	0	None	None	1	None	2	13	None	13	None
1851522064	NGUYEN JULIE C	2021	FFS	RENDERING	AGE 0-20	1,532	None	10,715	None	1,158	None	2,949	None	883	None	2,161	None	1,059	None	1,087	None
1851523682	COUTO CRYSTIANE B	2021	FFS	RENDERING	AGE 0-20	71	None	77	None	0	None	0	None	17	None	20	None	0	None	0	None
1851523682	COUTO CRYSTIANE B	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1851524961	CABRERA MIRIAM R	2021	FFS	RENDERING	AGE 0-20	126	None	796	None	115	None	328	None	38	None	95	None	111	None	125	None
1851524961	CABRERA MIRIAM R	2021	FFS	RENDERING	AGE 21+	287	None	1,753	None	167	None	328	None	192	None	809	None	210	None	210	None
1851524961	CABRERA MIRIAM R	2021	PHP	RENDERING	AGE 0-20	71	None	701	None	58	None	152	None	36	None	100	None	62	None	73	None
1851524961	CABRERA MIRIAM R	2021	PHP	RENDERING	AGE 21+	216	None	1,782	None	42	None	77	None	157	None	685	None	182	None	194	None
1851526628	ESPEJO-CHHIT JENNIFER A	2021	FFS	RENDERING	AGE 0-20	13	None	95	None	None	1	None	2	None	1	None	1	None	1	None	1
1851526628	ESPEJO-CHHIT JENNIFER A	2021	FFS	RENDERING	AGE 21+	15	None	63	None	None	1	None	1	12	None	25	None	None	1	None	1
1851527253	LE RYAN N	2021	FFS	RENDERING	AGE 0-20	18	None	99	None	None	1	None	2	None	1	None	2	13	None	13	None
1851527253	LE RYAN N	2021	FFS	RENDERING	AGE 21+	56	None	192	None	0	None	0	None	46	None	157	None	None	1	None	1
1851527253	LE RYAN N	2021	PHP	RENDERING	AGE 0-20	153	None	954	None	113	None	295	None	59	None	225	None	111	None	128	None
1851527253	LE RYAN N	2021	PHP	RENDERING	AGE 21+	369	None	1,382	None	34	None	41	None	177	None	583	None	257	None	264	None
1851527576	NG SERAN	2021	FFS	RENDERING	AGE 0-20	1,781	None	25,457	None	1,694	None	7,358	None	1,289	None	5,156	None	1,042	None	1,372	None
1851527576	NG SERAN	2021	FFS	RENDERING	AGE 21+	142	None	1,171	None	121	None	240	None	56	None	139	None	125	None	125	None
1851527576	NG SERAN	2021	PHP	RENDERING	AGE 0-20	21	None	266	None	11	None	42	None	20	None	130	None	None	1	None	1
1851532568	OGAN ELENA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851537039	KRUIZENGA MEGHANNE E	2021	FFS	RENDERING	AGE 0-20	230	None	1,807	None	201	None	587	None	145	None	351	None	199	None	212	None
1851537039	KRUIZENGA MEGHANNE E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851539464	MAKAR GEORGE E	2021	FFS	RENDERING	AGE 0-20	21	None	200	None	18	None	57	None	11	None	36	None	19	None	19	None
1851539464	MAKAR GEORGE E	2021	FFS	RENDERING	AGE 21+	86	None	620	None	20	None	31	None	64	None	254	None	58	None	58	None
1851542294	NASIRI-ANSARI AMITISS	2021	FFS	RENDERING	AGE 0-20	44	None	409	None	34	None	82	None	24	None	99	None	38	None	44	None
1851542294	NASIRI-ANSARI AMITISS	2021	FFS	RENDERING	AGE 21+	54	None	375	None	26	None	49	None	33	None	129	None	37	None	37	None
1851550248	KIM, JEFFREY DDS	2021	FFS	RENDERING	AGE 0-20	257	None	2,931	None	210	None	695	None	169	None	629	None	224	None	257	None
1851550248	KIM, JEFFREY DDS	2021	FFS	RENDERING	AGE 21+	442	None	4,253	None	258	None	510	None	369	None	1,327	None	327	None	327	None
1851557532	DOMINICS JR LUIS R	2021	PHP	RENDERING	AGE 0-20	74	None	513	None	46	None	142	None	68	None	160	None	38	None	38	None
1851557532	DOMINICS JR LUIS R	2021	PHP	RENDERING	AGE 21+	117	None	553	None	32	None	53	None	93	None	270	None	29	None	29	None
1851562102	JOSEPH SINAIRAD DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851562102	JOSEPH SINAIRAD DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1851562102	JOSEPH SINAIRAD DDS INC	2021	PHP	RENDERING	AGE 21+	12	None	66	None	None	1	None	1	11	None	45	None	None	1	None	1
1851562102	SINAIRAD, JOSEPH, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851562102	SINAIRAD, JOSEPH, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1851562102	SINAIRAD, JOSEPH, DDS INC	2021	PHP	RENDERING	AGE 21+	12	None	66	None	None	1	None	1	11	None	45	None	None	1	None	1
1851569735	GONZALEZ, ROLANDO DDS	2021	FFS	RENDERING	AGE 0-20	143	None	1,185	None	118	None	344	None	79	None	191	None	121	None	139	None
1851569735	GONZALEZ, ROLANDO DDS	2021	FFS	RENDERING	AGE 21+	227	None	1,351	None	104	None	193	None	146	None	429	None	137	None	137	None
1851571764	KAUSHAL POONAM S	2021	FFS	RENDERING	AGE 0-20	1,441	None	11,363	None	1,270	None	5,281	None	495	None	770	None	1,385	None	1,652	None
1851571764	KAUSHAL POONAM S	2021	FFS	RENDERING	AGE 21+	1,164	None	3,778	None	243	None	457	None	377	None	586	None	921	None	921	None
1851571764	KAUSHAL POONAM S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851583983	GURSES NERGIS A	2021	FFS	RENDERING	AGE 0-20	313	None	2,957	None	294	None	907	None	64	None	145	None	286	None	369	None
1851583983	GURSES NERGIS A	2021	FFS	RENDERING	AGE 21+	513	None	2,613	None	381	None	385	None	197	None	597	None	446	None	446	None
1851586093	LE THIMY D	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1851588297	TADLE GUIA C	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1851598015	FLORENDO JONATHAN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1851603625	PAKZAMIR DELARAM	2021	FFS	RENDERING	AGE 0-20	2,899	None	34,205	None	2,566	None	9,173	None	1,576	None	4,773	None	2,539	None	2,946	None
1851603625	PAKZAMIR DELARAM	2021	FFS	RENDERING	AGE 21+	361	None	2,032	None	136	None	269	None	226	None	491	None	155	None	155	None
1851609333	ARROYO MERCEDES P	2021	FFS	RENDERING	AGE 0-20	577	None	6,198	None	434	None	1,247	None	304	None	882	None	466	None	558	None
1851609333	ARROYO MERCEDES P	2021	FFS	RENDERING	AGE 21+	673	None	4,804	None	187	None	347	None	504	None	1,731	None	388	None	388	None
1851613715	ALINGOG RENE R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1851617013	CODDINGTON KENNETH S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1851617013	CODDINGTON KENNETH S	2021	FFS	RENDERING	AGE 21+	13	None	32	None	None	1	None	1	11	None	26	None	0	None	0	None
1851617013	CODDINGTON KENNETH S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1851623672	TSAI JESSICA I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851637144	PANNU SUMEET	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1851637144	PANNU SUMEET	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851688626	HOUSKE JR CHESLEY R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1851688626	HOUSKE JR CHESLEY R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1851696587	WEI CHANG, YEH	2021	FFS	RENDERING	AGE 0-20	237	None	384	None	None	1	None	1	44	None	138	None	0	None	0	None
1851698245	MOORE, AMY, RDHAP	2021	FFS	RENDERING	AGE 21+	204	None	2,101	None	181	None	433	None	204	None	1,668	None	0	None	0	None
1851698484	RYAN WATKINS DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1851705560	NIGOGHOSIAN HARRY V	2021	FFS	RENDERING	AGE 0-20	27	None	230	None	16	None	34	None	17	None	92	None	23	None	24	None
1851705560	NIGOGHOSIAN HARRY V	2021	FFS	RENDERING	AGE 21+	154	None	667	None	29	None	53	None	68	None	268	None	109	None	109	None
1851715924	MARAIS, PHILIP G, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	236	None	31	None	80	None	None	1	None	1	30	None	40	None
1851715924	MARAIS, PHILIP G, DDS	2021	FFS	RENDERING	AGE 21+	78	None	373	None	48	None	94	None	30	None	101	None	64	None	64	None
1851723472	PATEL MILI R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1851724629	AMINI FARNAZ	2021	FFS	RENDERING	AGE 0-20	260	None	2,832	None	252	None	1,058	None	83	None	165	None	253	None	329	None
1851724629	AMINI FARNAZ	2021	FFS	RENDERING	AGE 21+	264	None	2,588	None	160	None	328	None	196	None	986	None	198	None	202	None
1851724629	AMINI FARNAZ	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851724686	EGHLIMI NILOUFAR	2021	FFS	RENDERING	AGE 0-20	77	None	370	None	37	None	125	None	27	None	78	None	58	None	59	None
1851724686	EGHLIMI NILOUFAR	2021	FFS	RENDERING	AGE 21+	165	None	553	None	14	None	23	None	88	None	268	None	112	None	112	None
1851725030	BAYAT SHAYAN M	2021	FFS	RENDERING	AGE 0-20	966	None	8,465	None	735	None	2,923	None	78	None	128	None	882	None	976	None
1851725030	BAYAT SHAYAN M	2021	FFS	RENDERING	AGE 21+	2,652	None	20,412	None	477	None	952	None	1,489	None	4,301	None	1,776	None	1,778	None
1851725436	TU TOM K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1851725436	TU TOM K	2021	PHP	RENDERING	AGE 21+	25	None	132	None	16	None	35	None	18	None	39	None	11	None	11	None
1851763569	CHOI EUNICE	2021	FFS	RENDERING	AGE 0-20	22	None	161	None	13	None	29	None	12	None	36	None	13	None	13	None
1851763569	CHOI EUNICE	2021	FFS	RENDERING	AGE 21+	71	None	306	None	None	1	None	1	67	None	257	None	None	1	None	1
1851765069	MINOOFAR MAZIAR	2021	FFS	RENDERING	AGE 0-20	39	None	400	None	28	None	93	None	21	None	46	None	32	None	32	None
1851765069	MINOOFAR MAZIAR	2021	FFS	RENDERING	AGE 21+	26	None	131	None	None	1	None	2	17	None	40	None	None	1	None	1
1851774285	BRAR ARPANPREET K	2021	FFS	RENDERING	AGE 0-20	49	None	315	None	27	None	71	None	18	None	60	None	41	None	46	None
1851774285	BRAR ARPANPREET K	2021	FFS	RENDERING	AGE 21+	368	None	1,452	None	71	None	106	None	154	None	472	None	282	None	283	None
1851774285	BRAR ARPANPREET K	2021	GMC	RENDERING	AGE 0-20	14	None	44	None	None	1	None	1	12	None	16	None	None	1	None	1
1851774285	BRAR ARPANPREET K	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1851777510	CHANG MICHAEL W	2021	FFS	RENDERING	AGE 0-20	3,658	None	42,219	None	3,268	None	10,557	None	1,952	None	4,686	None	3,200	None	3,400	None
1851777510	CHANG MICHAEL W	2021	FFS	RENDERING	AGE 21+	204	None	1,544	None	96	None	196	None	94	None	282	None	148	None	149	None
1851784268	LEE ALEXANDER W	2021	FFS	RENDERING	AGE 0-20	230	None	1,874	None	181	None	539	None	153	None	392	None	183	None	217	None
1851791131	LIM DOO Y	2021	FFS	RENDERING	AGE 0-20	129	None	1,443	None	104	None	316	None	103	None	569	None	98	None	104	None
1851791131	LIM DOO Y	2021	FFS	RENDERING	AGE 21+	763	None	8,680	None	360	None	705	None	719	None	6,081	None	407	None	407	None
1851831416	LEE KIRA C	2021	FFS	RENDERING	AGE 0-20	31	None	123	None	None	1	None	2	26	None	65	None	None	1	None	1
1851831416	LEE KIRA C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1851832703	MENESES ZAMBRAN ANA P	2021	FFS	RENDERING	AGE 0-20	216	None	550	None	None	1	None	1	209	None	297	None	18	None	18	None
1851832703	MENESES ZAMBRAN ANA P	2021	FFS	RENDERING	AGE 21+	825	None	2,177	None	0	None	0	None	786	None	1,120	None	59	None	59	None
1851832703	MENESES ZAMBRAN ANA P	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1851832703	MENESES ZAMBRAN ANA P	2021	PHP	RENDERING	AGE 21+	68	None	106	None	0	None	0	None	33	None	38	None	49	None	52	None
1851865349	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	546	None	4,322	None	381	None	1,786	None	139	None	169	None	422	None	456	None
1851865349	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	468	None	1,669	None	81	None	205	None	286	None	390	None	188	None	189	None
1851865349	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	546	None	4,322	None	381	None	1,786	None	139	None	169	None	422	None	456	None
1851865349	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	468	None	1,669	None	81	None	205	None	286	None	390	None	188	None	189	None
1851873434	AZARI NEGIN N	2021	FFS	RENDERING	AGE 0-20	132	None	490	None	75	None	163	None	73	None	141	None	38	None	38	None
1851873434	AZARI NEGIN N	2021	FFS	RENDERING	AGE 21+	137	None	405	None	24	None	43	None	90	None	167	None	40	None	40	None
1851873434	AZARI NEGIN N	2021	PHP	RENDERING	AGE 0-20	16	None	55	None	None	1	None	2	None	1	None	2	None	1	None	1
1851873434	AZARI NEGIN N	2021	PHP	RENDERING	AGE 21+	33	None	95	None	None	1	None	1	28	None	75	None	None	1	None	1
1851878045	TAGLE-CASTRO PA MARIA J	2021	FFS	RENDERING	AGE 0-20	783	None	4,874	None	594	None	1,695	None	345	None	787	None	656	None	841	None
1851878045	TAGLE-CASTRO PA MARIA J	2021	FFS	RENDERING	AGE 21+	1,089	None	4,657	None	271	None	396	None	622	None	1,976	None	743	None	747	None
1851878045	TAGLE-CASTRO PA MARIA J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851887012	MOON SCOTT D	2021	FFS	RENDERING	AGE 0-20	143	None	1,085	None	119	None	260	None	55	None	212	None	123	None	137	None
1851887012	MOON SCOTT D	2021	FFS	RENDERING	AGE 21+	508	None	4,953	None	312	None	506	None	375	None	2,102	None	346	None	348	None
1851901151	BEHNAM ALEX	2021	FFS	RENDERING	AGE 0-20	29	None	110	None	18	None	38	None	None	1	None	1	22	None	22	None
1851901151	BEHNAM ALEX	2021	FFS	RENDERING	AGE 21+	34	None	76	None	None	1	None	1	None	1	None	2	18	None	18	None
1851901151	BEHNAM ALEX	2021	PHP	RENDERING	AGE 0-20	19	None	54	None	11	None	25	None	None	1	None	1	15	None	15	None
1851901151	BEHNAM ALEX	2021	PHP	RENDERING	AGE 21+	13	None	24	None	None	1	None	1	None	1	None	1	None	1	None	1
1851926596	KINSER TRAVIS W	2021	FFS	RENDERING	AGE 0-20	214	None	479	None	0	None	0	None	214	None	428	None	0	None	0	None
1851940126	BARAKAZYAN ARTUR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851953418	LIN YANGDA	2021	FFS	RENDERING	AGE 0-20	384	None	1,656	None	183	None	456	None	131	None	243	None	273	None	274	None
1851953418	LIN YANGDA	2021	FFS	RENDERING	AGE 21+	463	None	1,244	None	60	None	117	None	169	None	309	None	285	None	285	None
1851953418	LIN YANGDA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851953418	LIN YANGDA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1851984546	KANG JIMIN K	2021	FFS	RENDERING	AGE 0-20	433	None	794	None	0	None	0	None	165	None	343	None	0	None	0	None
1851984546	KANG JIMIN K	2021	FFS	RENDERING	AGE 21+	34	None	35	None	0	None	0	None	0	None	0	None	0	None	0	None
1851984546	KANG JIMIN K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1851985014	BARIA DIVYANA R	2021	FFS	RENDERING	AGE 0-20	19	None	60	None	None	1	None	1	17	None	58	None	0	None	0	None
1851985014	BARIA DIVYANA R	2021	FFS	RENDERING	AGE 21+	141	None	532	None	0	None	0	None	141	None	532	None	0	None	0	None
1851987549	ELSEMARY & SALEM DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851987549	ELSEMARY AND SALEM DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851991152	DANDEMPALLY ARTHI	2021	FFS	RENDERING	AGE 0-20	1,288	None	21,468	None	1,132	None	3,840	None	642	None	2,957	None	1,232	None	1,646	None
1861001885	BERGER ROBERT E	2021	FFS	RENDERING	AGE 0-20	45	None	55	None	0	None	0	None	None	1	None	1	0	None	0	None
1861030900	MIKHAIL LILIAN A	2021	FFS	RENDERING	AGE 0-20	1,172	None	8,517	None	969	None	3,593	None	602	None	1,425	None	1,004	None	1,064	None
1861030900	MIKHAIL LILIAN A	2021	FFS	RENDERING	AGE 21+	773	None	2,555	None	127	None	239	None	305	None	664	None	565	None	566	None
1861030900	MIKHAIL LILIAN A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1861035651	MELIK-BAKHSHYAN RIMA	2021	FFS	RENDERING	AGE 0-20	104	None	658	None	70	None	214	None	59	None	131	None	76	None	76	None
1861035651	MELIK-BAKHSHYAN RIMA	2021	FFS	RENDERING	AGE 21+	129	None	575	None	53	None	105	None	91	None	204	None	70	None	70	None
1861065211	SAHNI KARAN D	2021	FFS	RENDERING	AGE 0-20	167	None	512	None	12	None	14	None	76	None	155	None	116	None	116	None
1861065211	SAHNI KARAN D	2021	FFS	RENDERING	AGE 21+	343	None	1,137	None	0	None	0	None	173	None	441	None	211	None	212	None
1861089120	ZEKI ROULA K	2021	FFS	RENDERING	AGE 0-20	2,827	None	32,242	None	2,106	None	6,299	None	2,081	None	9,235	None	2,170	None	2,408	None
1861089120	ZEKI ROULA K	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1861091167	LEE CLARE H	2021	FFS	RENDERING	AGE 0-20	2,129	None	12,482	None	899	None	1,988	None	1,571	None	3,438	None	881	None	919	None
1861091167	LEE CLARE H	2021	FFS	RENDERING	AGE 21+	57	None	313	None	21	None	42	None	47	None	88	None	18	None	18	None
1861166597	RODMAN MATTHEW J	2021	FFS	RENDERING	AGE 0-20	29	None	131	None	15	None	33	None	16	None	26	None	15	None	15	None
1861166597	RODMAN MATTHEW J	2021	FFS	RENDERING	AGE 21+	63	None	243	None	12	None	24	None	49	None	97	None	21	None	21	None
1861402737	LEE JU-YOUNG	2021	FFS	RENDERING	AGE 0-20	623	None	8,246	None	586	None	2,016	None	216	None	593	None	591	None	809	None
1861402737	LEE JU-YOUNG	2021	FFS	RENDERING	AGE 21+	665	None	3,584	None	205	None	363	None	382	None	1,166	None	427	None	431	None
1861402737	LEE JU-YOUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861406712	RUDASHEVSKY, YEVGENY, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861406712	RUDASHEVSKY, YEVGENY, DDS	2021	FFS	RENDERING	AGE 21+	60	None	345	None	38	None	38	None	44	None	154	None	34	None	34	None
1861422529	AMIGON REMEDIOS A	2021	PHP	RENDERING	AGE 0-20	80	None	533	None	39	None	67	None	76	None	244	None	36	None	40	None
1861422529	AMIGON REMEDIOS A	2021	PHP	RENDERING	AGE 21+	109	None	539	None	None	1	None	2	105	None	356	None	None	1	None	1
1861426827	BEGINO RUBEN H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861426827	BEGINO RUBEN H	2021	FFS	RENDERING	AGE 21+	20	None	73	None	0	None	0	None	20	None	73	None	0	None	0	None
1861440836	STRINGER DALE E	2021	FFS	RENDERING	AGE 0-20	137	None	500	None	0	None	0	None	68	None	303	None	90	None	90	None
1861440836	STRINGER DALE E	2021	FFS	RENDERING	AGE 21+	126	None	479	None	0	None	0	None	64	None	298	None	87	None	87	None
1861458713	THAKUR, BHAVANA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1861458713	THAKUR, BHAVANA, DDS	2021	FFS	RENDERING	AGE 21+	160	None	1,098	None	124	None	247	None	85	None	285	None	140	None	140	None
1861487985	RAMIREZ MINH PHUONG N	2021	FFS	RENDERING	AGE 0-20	2,035	None	36,232	None	2,010	None	11,419	None	929	None	2,106	None	2,009	None	3,798	None
1861487985	RAMIREZ MINH PHUONG N	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1861500480	PHAN PHUOC H	2021	FFS	RENDERING	AGE 0-20	186	None	608	None	0	None	0	None	181	None	298	None	25	None	25	None
1861500480	PHAN PHUOC H	2021	FFS	RENDERING	AGE 21+	906	None	3,230	None	0	None	0	None	902	None	1,412	None	None	1	None	1
1861500480	PHAN PHUOC H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861500480	PHAN PHUOC H	2021	PHP	RENDERING	AGE 21+	82	None	214	None	0	None	0	None	59	None	96	None	50	None	51	None
1861508764	JONES, JULIUS R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861508764	JONES, JULIUS R, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1861510570	BLAKE JOHN L	2021	FFS	RENDERING	AGE 0-20	865	None	4,483	None	826	None	2,666	None	608	None	880	None	42	None	42	None
1861510570	BLAKE JOHN L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1861510570	BLAKE JOHN L	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1861511420	NGUYEN, KENNETH THI DDS	2021	FFS	RENDERING	AGE 0-20	82	None	567	None	75	None	183	None	42	None	135	None	67	None	74	None
1861511420	NGUYEN, KENNETH THI DDS	2021	FFS	RENDERING	AGE 21+	124	None	735	None	94	None	94	None	82	None	321	None	96	None	96	None
1861512428	BANDALA JOSE L	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1861520215	DOVALI MARTHA E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1861521577	NGUYEN DIANE D	2021	FFS	RENDERING	AGE 0-20	161	None	2,513	None	154	None	656	None	111	None	422	None	155	None	202	None
1861521577	NGUYEN DIANE D	2021	FFS	RENDERING	AGE 21+	398	None	4,285	None	276	None	611	None	344	None	2,000	None	301	None	301	None
1861521692	FRENCH, MICHAEL L, DDS	2021	FFS	RENDERING	AGE 0-20	195	None	1,499	None	167	None	470	None	80	None	249	None	164	None	184	None
1861521692	FRENCH, MICHAEL L, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1861521874	EINOLLAHI, VAHID, DDS	2021	FFS	RENDERING	AGE 0-20	210	None	2,026	None	179	None	597	None	107	None	391	None	171	None	230	None
1861521874	EINOLLAHI, VAHID, DDS	2021	FFS	RENDERING	AGE 21+	219	None	1,876	None	82	None	97	None	163	None	940	None	148	None	148	None
1861523482	TRAN PAULINE P	2021	FFS	RENDERING	AGE 0-20	41	None	453	None	40	None	115	None	16	None	51	None	37	None	46	None
1861523482	TRAN PAULINE P	2021	FFS	RENDERING	AGE 21+	152	None	999	None	69	None	69	None	108	None	360	None	114	None	114	None
1861530461	CAMHI ROBERT A	2021	FFS	RENDERING	AGE 0-20	1,675	None	4,798	None	None	1	None	1	1,552	None	1,603	None	125	None	136	None
1861530461	CAMHI ROBERT A	2021	FFS	RENDERING	AGE 21+	4,151	None	12,785	None	None	1	None	1	3,801	None	4,021	None	384	None	384	None
1861531618	LINARES, FLORIDALMA DDS	2021	FFS	RENDERING	AGE 0-20	73	None	830	None	66	None	233	None	27	None	92	None	67	None	69	None
1861531618	LINARES, FLORIDALMA DDS	2021	FFS	RENDERING	AGE 21+	241	None	1,816	None	89	None	176	None	148	None	598	None	173	None	173	None
1861537516	KASHANI JAMSHID A	2021	FFS	RENDERING	AGE 0-20	154	None	1,498	None	134	None	351	None	55	None	146	None	151	None	193	None
1861537516	KASHANI JAMSHID A	2021	FFS	RENDERING	AGE 21+	231	None	1,229	None	128	None	237	None	109	None	274	None	184	None	185	None
1861542268	SOE KYAW K	2021	FFS	RENDERING	AGE 0-20	162	None	1,909	None	158	None	781	None	13	None	28	None	152	None	233	None
1861542268	SOE KYAW K	2021	FFS	RENDERING	AGE 21+	152	None	1,393	None	136	None	271	None	29	None	40	None	139	None	139	None
1861543092	NADERI SARA Z	2021	FFS	RENDERING	AGE 0-20	31	None	226	None	31	None	81	None	13	None	36	None	27	None	36	None
1861543092	NADERI SARA Z	2021	FFS	RENDERING	AGE 21+	65	None	278	None	36	None	48	None	34	None	95	None	39	None	39	None
1861545170	RAJABIAN REZA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1861546020	WONG SAMUEL S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861546020	WONG SAMUEL S	2021	FFS	RENDERING	AGE 21+	21	None	134	None	11	None	22	None	None	1	None	2	None	1	None	1
1861552176	PATEL, ARSHOK RAMAN DDS	2021	FFS	RENDERING	AGE 0-20	452	None	4,435	None	426	None	1,329	None	163	None	543	None	409	None	595	None
1861552176	PATEL, ARSHOK RAMAN DDS	2021	FFS	RENDERING	AGE 21+	538	None	3,871	None	273	None	280	None	376	None	2,079	None	447	None	455	None
1861552812	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	431	None	2,573	None	411	None	896	None	129	None	376	None	411	None	552	None
1861552812	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	905	None	3,119	None	572	None	572	None	361	None	877	None	418	None	418	None
1861560104	KALANDOOR, MANGALA DDS	2021	FFS	RENDERING	AGE 0-20	139	None	1,628	None	134	None	629	None	62	None	212	None	135	None	189	None
1861560104	KALANDOOR, MANGALA DDS	2021	FFS	RENDERING	AGE 21+	422	None	3,266	None	367	None	729	None	215	None	890	None	379	None	379	None
1861560120	HADADEEN ZAIDOON M	2021	FFS	RENDERING	AGE 0-20	137	None	1,315	None	90	None	291	None	101	None	283	None	117	None	124	None
1861560120	HADADEEN ZAIDOON M	2021	FFS	RENDERING	AGE 21+	240	None	1,183	None	74	None	145	None	185	None	528	None	124	None	124	None
1861560443	GUSILATAR RICHARD P	2021	FFS	RENDERING	AGE 0-20	120	None	1,240	None	85	None	223	None	75	None	239	None	85	None	98	None
1861560443	GUSILATAR RICHARD P	2021	FFS	RENDERING	AGE 21+	418	None	3,435	None	190	None	341	None	331	None	1,293	None	236	None	236	None
1861562837	LIU, VIVIAN C, DDS	2021	FFS	RENDERING	AGE 0-20	84	None	665	None	83	None	272	None	25	None	49	None	83	None	101	None
1861567349	LEE, KANG Y, DDS	2021	FFS	RENDERING	AGE 0-20	198	None	591	None	62	None	163	None	86	None	138	None	112	None	113	None
1861567349	LEE, KANG Y, DDS	2021	FFS	RENDERING	AGE 21+	489	None	983	None	29	None	45	None	292	None	518	None	204	None	204	None
1861573339	MEIGS ANA M	2021	FFS	RENDERING	AGE 0-20	113	None	1,105	None	102	None	366	None	54	None	207	None	109	None	150	None
1861573339	MEIGS ANA M	2021	FFS	RENDERING	AGE 21+	335	None	2,167	None	223	None	444	None	204	None	876	None	293	None	293	None
1861582801	LEE SEONG W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861582801	LEE SEONG W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861588063	DHILLON, SONIA, DDS	2021	FFS	RENDERING	AGE 0-20	125	None	1,380	None	118	None	554	None	37	None	97	None	117	None	171	None
1861588063	DHILLON, SONIA, DDS	2021	FFS	RENDERING	AGE 21+	50	None	267	None	40	None	76	None	None	1	None	2	37	None	37	None
1861591844	AU, VERNON T K, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1861600124	SHRESTHA ROSI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1861600322	MARASHI NILOFAR	2021	FFS	RENDERING	AGE 0-20	3,119	None	40,317	None	2,948	None	10,844	None	2,141	None	6,063	None	2,946	None	3,607	None
1861600322	MARASHI NILOFAR	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1861600322	MARASHI NILOFAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1861603615	NGUYEN TRACY T	2021	FFS	RENDERING	AGE 0-20	131	None	1,299	None	124	None	438	None	28	None	46	None	124	None	156	None
1861603615	NGUYEN TRACY T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861605339	JACKSON, MELODY L, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	0	None	0	None
1861605339	JACKSON, MELODY L, RDHAP	2021	FFS	RENDERING	AGE 21+	44	None	94	None	44	None	86	None	None	1	None	1	0	None	0	None
1861606758	WU, LAWRENCE, DDS	2021	FFS	RENDERING	AGE 0-20	188	None	3,182	None	184	None	970	None	34	None	292	None	183	None	472	None
1861606758	WU, LAWRENCE, DDS	2021	FFS	RENDERING	AGE 21+	260	None	3,434	None	214	None	852	None	59	None	276	None	246	None	492	None
1861608358	KUO ELISA L	2021	FFS	RENDERING	AGE 0-20	100	None	684	None	97	None	314	None	38	None	84	None	98	None	156	None
1861608358	KUO ELISA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861608671	KIM, KENNETH HYON MO DDS	2021	FFS	RENDERING	AGE 0-20	180	None	898	None	145	None	324	None	29	None	74	None	174	None	188	None
1861608671	KIM, KENNETH HYON MO DDS	2021	FFS	RENDERING	AGE 21+	116	None	488	None	93	None	94	None	53	None	115	None	100	None	100	None
1861612020	NAFTALIN LEONARD W	2021	FFS	RENDERING	AGE 0-20	299	None	941	None	0	None	0	None	299	None	941	None	0	None	0	None
1861612020	NAFTALIN LEONARD W	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1861612954	HASHEM, MD ABUL, DDS	2021	FFS	RENDERING	AGE 0-20	31	None	188	None	30	None	67	None	13	None	32	None	24	None	27	None
1861612954	HASHEM, MD ABUL, DDS	2021	FFS	RENDERING	AGE 21+	127	None	770	None	78	None	78	None	85	None	366	None	86	None	86	None
1861616195	COHEN-SEDGH, SOL, DENTAL COR	2021	PHP	RENDERING	AGE 0-20	33	None	94	None	12	None	27	None	None	1	None	1	11	None	11	None
1861616195	COHEN-SEDGH, SOL, DENTAL COR	2021	PHP	RENDERING	AGE 21+	25	None	70	None	None	1	None	1	None	1	None	2	None	1	None	1
1861616500	CHEN JEFFREY C	2021	FFS	RENDERING	AGE 0-20	13	None	56	None	12	None	30	None	None	1	None	1	12	None	15	None
1861616500	CHEN JEFFREY C	2021	FFS	RENDERING	AGE 21+	57	None	248	None	36	None	72	None	25	None	39	None	42	None	42	None
1861624389	NEFT AMBER L	2021	PHP	RENDERING	AGE 0-20	157	None	1,478	None	153	None	624	None	137	None	260	None	79	None	88	None
1861624389	NEFT AMBER L	2021	PHP	RENDERING	AGE 21+	236	None	1,497	None	156	None	357	None	225	None	482	None	82	None	83	None
1861624645	ZAISER, SEREANA, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1861632010	MARDIROSIAN ARMEN	2021	FFS	RENDERING	AGE 0-20	42	None	472	None	38	None	149	None	24	None	53	None	40	None	51	None
1861632010	MARDIROSIAN ARMEN	2021	FFS	RENDERING	AGE 21+	148	None	1,175	None	20	None	39	None	121	None	679	None	109	None	109	None
1861632010	MARDIROSIAN ARMEN	2021	PHP	RENDERING	AGE 0-20	88	None	630	None	71	None	256	None	21	None	56	None	84	None	102	None
1861632010	MARDIROSIAN ARMEN	2021	PHP	RENDERING	AGE 21+	46	None	231	None	None	1	None	2	37	None	81	None	28	None	31	None
1861632234	BYRNES MARILUCI C	2021	FFS	RENDERING	AGE 0-20	686	None	5,913	None	624	None	2,005	None	441	None	1,164	None	501	None	575	None
1861640302	MAKHMALBAF ALI O	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1861640302	MAKHMALBAF ALI O	2021	FFS	RENDERING	AGE 21+	29	None	135	None	None	1	None	1	11	None	63	None	18	None	18	None
1861640302	MAKHMALBAF ALI O	2021	PHP	RENDERING	AGE 0-20	21	None	121	None	19	None	56	None	None	1	None	1	20	None	22	None
1861640302	MAKHMALBAF ALI O	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861646689	RIZI EFTEKHARI, MINA DDS	2021	FFS	RENDERING	AGE 0-20	1,486	None	17,041	None	1,306	None	4,079	None	707	None	3,333	None	1,304	None	1,460	None
1861646689	RIZI EFTEKHARI, MINA DDS	2021	FFS	RENDERING	AGE 21+	547	None	4,361	None	324	None	634	None	351	None	1,346	None	344	None	344	None
1861648941	TRINH KAREN N	2021	FFS	RENDERING	AGE 0-20	537	None	2,908	None	456	None	964	None	190	None	410	None	418	None	459	None
1861648941	TRINH KAREN N	2021	FFS	RENDERING	AGE 21+	526	None	2,473	None	209	None	233	None	259	None	682	None	216	None	216	None
1861649790	HAN THEO M	2021	FFS	RENDERING	AGE 0-20	331	None	2,834	None	309	None	766	None	67	None	150	None	305	None	368	None
1861649790	HAN THEO M	2021	FFS	RENDERING	AGE 21+	318	None	2,491	None	213	None	213	None	148	None	460	None	226	None	226	None
1861652935	UDALL BROOK M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1861655417	LUCERO, MARTHA R, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1861655417	LUCERO, MARTHA R, DDS	2021	FFS	RENDERING	AGE 21+	13	None	80	None	None	1	None	1	None	1	None	2	None	1	None	1
1861662603	BANGSIL, LEA	2021	FFS	RENDERING	AGE 0-20	64	None	684	None	47	None	121	None	36	None	143	None	56	None	62	None
1861662603	BANGSIL, LEA	2021	FFS	RENDERING	AGE 21+	103	None	798	None	None	1	None	2	77	None	357	None	65	None	65	None
1861669533	HUQ SYEDA S	2021	FFS	RENDERING	AGE 0-20	255	None	1,344	None	118	None	340	None	174	None	380	None	145	None	149	None
1861669533	HUQ SYEDA S	2021	FFS	RENDERING	AGE 21+	339	None	1,389	None	55	None	109	None	235	None	592	None	179	None	186	None
1861689408	MAHER RAMIN	2021	FFS	RENDERING	AGE 0-20	754	None	7,717	None	696	None	2,425	None	468	None	1,243	None	591	None	731	None
1861689408	MAHER RAMIN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861689721	FARKAS, DAVID E, DDS	2021	FFS	RENDERING	AGE 0-20	178	None	1,244	None	130	None	389	None	63	None	134	None	150	None	172	None
1861689721	FARKAS, DAVID E, DDS	2021	FFS	RENDERING	AGE 21+	304	None	1,663	None	69	None	69	None	163	None	593	None	253	None	253	None
1861698813	LI DAVID Y	2021	FFS	RENDERING	AGE 0-20	116	None	668	None	108	None	286	None	25	None	48	None	105	None	132	None
1861698813	LI DAVID Y	2021	FFS	RENDERING	AGE 21+	828	None	4,530	None	703	None	1,399	None	377	None	1,015	None	718	None	718	None
1861699167	FRANCO ZORRO DIANA M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861704124	FOGARTY KATIE W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1861704124	FOGARTY KATIE W	2021	FFS	RENDERING	AGE 21+	13	None	28	None	0	None	0	None	None	1	None	2	None	1	None	1
1861710378	REDDEN VALENTINA	2021	FFS	RENDERING	AGE 0-20	184	None	1,722	None	167	None	509	None	67	None	195	None	161	None	220	None
1861710378	REDDEN VALENTINA	2021	FFS	RENDERING	AGE 21+	250	None	2,257	None	161	None	291	None	179	None	812	None	181	None	181	None
1861710378	REDDEN VALENTINA	2021	PHP	RENDERING	AGE 0-20	21	None	207	None	20	None	80	None	None	1	None	2	20	None	25	None
1861710378	REDDEN VALENTINA	2021	PHP	RENDERING	AGE 21+	30	None	172	None	26	None	45	None	15	None	59	None	27	None	29	None
1861723942	HAKIM DAVID L	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1861723942	HAKIM DAVID L	2021	FFS	RENDERING	AGE 21+	76	None	182	None	0	None	0	None	74	None	160	None	None	1	None	1
1861730343	SHARMA NIVEDITA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1861730343	SHARMA NIVEDITA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1861732034	BAYARDO LUIS	2021	FFS	RENDERING	AGE 0-20	383	None	4,911	None	355	None	1,404	None	190	None	705	None	364	None	499	None
1861732034	BAYARDO LUIS	2021	FFS	RENDERING	AGE 21+	583	None	4,669	None	398	None	413	None	385	None	1,505	None	472	None	474	None
1861732034	BAYARDO LUIS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1861756553	YANG WENDY	2021	FFS	RENDERING	AGE 0-20	1,771	None	13,877	None	1,202	None	3,385	None	1,100	None	3,630	None	1,072	None	1,098	None
1861756553	YANG WENDY	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1861764318	TORBATI SHAILA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861771909	LAI YU-CHING	2021	FFS	RENDERING	AGE 0-20	160	None	189	None	0	None	0	None	17	None	27	None	0	None	0	None
1861771909	LAI YU-CHING	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1861780181	NAYYAR AMIT	2021	FFS	RENDERING	AGE 0-20	210	None	3,068	None	202	None	703	None	96	None	281	None	199	None	262	None
1861780181	NAYYAR AMIT	2021	FFS	RENDERING	AGE 21+	235	None	2,193	None	175	None	346	None	177	None	801	None	192	None	192	None
1861786154	DHILLON SUKHJINDER S	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1861786154	DHILLON SUKHJINDER S	2021	FFS	RENDERING	AGE 21+	42	None	152	None	None	1	None	1	38	None	135	None	None	1	None	1
1861786154	DHILLON SUKHJINDER S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861789513	COHEN SEDGH MANAVI & PAKRAVA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1861789513	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 0-20	52	None	193	None	18	None	35	None	None	1	None	2	25	None	28	None
1861789513	COHEN SEDGH MANAVI & PAKRAVA	2021	PHP	RENDERING	AGE 21+	86	None	308	None	23	None	31	None	19	None	53	None	27	None	28	None
1861789513	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1861789513	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	52	None	193	None	18	None	35	None	None	1	None	2	25	None	28	None
1861789513	COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	86	None	308	None	23	None	31	None	19	None	53	None	27	None	28	None
1861789968	ZHOU BING	2021	FFS	RENDERING	AGE 0-20	183	None	2,098	None	137	None	530	None	110	None	362	None	138	None	147	None
1861789968	ZHOU BING	2021	FFS	RENDERING	AGE 21+	762	None	8,440	None	454	None	912	None	596	None	2,564	None	498	None	498	None
1861789968	ZHOU BING	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1861789968	ZHOU BING	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861805954	CHOI WESLEY W	2021	FFS	RENDERING	AGE 0-20	15	None	85	None	14	None	42	None	None	1	None	1	13	None	13	None
1861825895	SPIVAK STEVEN R	2021	FFS	RENDERING	AGE 0-20	230	None	1,785	None	212	None	819	None	96	None	190	None	209	None	240	None
1861825895	SPIVAK STEVEN R	2021	FFS	RENDERING	AGE 21+	412	None	2,396	None	160	None	297	None	309	None	1,089	None	224	None	226	None
1861833998	DR KERI A PROFESSIONAL CORPO	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1861839243	LORENZ BROCK J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1861851453	JIMENEZ ALEJANDRO	2021	FFS	RENDERING	AGE 0-20	156	None	1,526	None	128	None	483	None	58	None	133	None	136	None	158	None
1861851453	JIMENEZ ALEJANDRO	2021	FFS	RENDERING	AGE 21+	227	None	1,224	None	59	None	114	None	148	None	481	None	151	None	151	None
1861851628	LU STEVEN	2021	FFS	RENDERING	AGE 21+	52	None	66	None	0	None	0	None	52	None	66	None	0	None	0	None
1861860975	BACHOUR OLGA	2021	FFS	RENDERING	AGE 0-20	385	None	2,401	None	371	None	781	None	46	None	75	None	370	None	377	None
1861860975	BACHOUR OLGA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1861869976	WAHEED MARYAM	2021	FFS	RENDERING	AGE 0-20	96	None	898	None	77	None	211	None	43	None	116	None	90	None	112	None
1861869976	WAHEED MARYAM	2021	FFS	RENDERING	AGE 21+	224	None	1,590	None	74	None	122	None	138	None	516	None	175	None	179	None
1861881021	HE JULIE Z	2021	FFS	RENDERING	AGE 0-20	3,322	None	38,305	None	3,105	None	11,205	None	2,127	None	5,232	None	3,095	None	3,515	None
1861881021	HE JULIE Z	2021	FFS	RENDERING	AGE 21+	14	None	113	None	None	1	None	2	None	1	None	2	None	1	None	1
1861881021	HE JULIE Z	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1861893844	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1861893844	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1861893844	ST JOHNS WELL CHILD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1861893844	ST JOHNS WELL CHILD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1861894529	CHO EUNMEE L	2021	FFS	RENDERING	AGE 0-20	1,455	None	17,821	None	1,333	None	6,799	None	1,233	None	5,470	None	1,311	None	1,725	None
1861894529	CHO EUNMEE L	2021	FFS	RENDERING	AGE 21+	341	None	3,166	None	178	None	492	None	312	None	1,646	None	177	None	177	None
1861895088	CHOI JEREMIAH J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861895088	CHOI JEREMIAH J	2021	FFS	RENDERING	AGE 21+	28	None	91	None	0	None	0	None	28	None	91	None	0	None	0	None
1861899627	DUNLAP LUZ N	2021	FFS	RENDERING	AGE 0-20	192	None	806	None	29	None	72	None	156	None	351	None	179	None	183	None
1861899627	DUNLAP LUZ N	2021	FFS	RENDERING	AGE 21+	176	None	571	None	30	None	30	None	124	None	357	None	96	None	96	None
1861912909	MIN DAVID W	2021	FFS	RENDERING	AGE 0-20	16	None	187	None	16	None	37	None	None	1	None	2	16	None	16	None
1861912909	MIN DAVID W	2021	FFS	RENDERING	AGE 21+	24	None	144	None	None	1	None	2	11	None	18	None	None	1	None	1
1861912909	MIN DAVID W	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1861918831	ABNER EMIL	2021	FFS	RENDERING	AGE 0-20	712	None	6,906	None	529	None	1,204	None	296	None	758	None	561	None	622	None
1861918831	ABNER EMIL	2021	FFS	RENDERING	AGE 21+	891	None	4,916	None	256	None	427	None	453	None	1,130	None	488	None	488	None
1861918831	ABNER EMIL	2021	PHP	RENDERING	AGE 0-20	26	None	127	None	11	None	37	None	15	None	29	None	None	1	None	1
1861918831	ABNER EMIL	2021	PHP	RENDERING	AGE 21+	24	None	82	None	None	1	None	1	17	None	36	None	None	1	None	1
1861921413	ALMUSAWI, MAHA, DDS INC	2021	GMC	RENDERING	AGE 0-20	439	None	4,814	None	419	None	2,073	None	293	None	500	None	418	None	481	None
1861928426	JOSEFSSON EVALINA	2021	FFS	RENDERING	AGE 0-20	2,010	None	17,843	None	1,581	None	5,429	None	1,415	None	6,073	None	1,436	None	1,602	None
1861928426	JOSEFSSON EVALINA	2021	PHP	RENDERING	AGE 0-20	92	None	843	None	44	None	148	None	89	None	609	None	None	1	None	1
1861955809	FARAHANI MAHSHID A	2021	FFS	RENDERING	AGE 0-20	136	None	761	None	32	None	69	None	133	None	436	None	None	1	None	1
1861955809	FARAHANI MAHSHID A	2021	FFS	RENDERING	AGE 21+	33	None	134	None	0	None	0	None	33	None	79	None	0	None	0	None
1861955809	FARAHANI MAHSHID A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861957870	KIM DIANA M	2021	FFS	RENDERING	AGE 0-20	131	None	1,445	None	97	None	288	None	81	None	290	None	112	None	126	None
1861957870	KIM DIANA M	2021	FFS	RENDERING	AGE 21+	231	None	1,942	None	73	None	114	None	188	None	850	None	149	None	151	None
1861968919	CHOW DAVID L	2021	FFS	RENDERING	AGE 0-20	673	None	2,937	None	414	None	994	None	264	None	626	None	365	None	367	None
1861968919	CHOW DAVID L	2021	FFS	RENDERING	AGE 21+	1,288	None	4,255	None	304	None	563	None	672	None	1,698	None	605	None	605	None
1861968919	CHOW DAVID L	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1861971616	HAZIM FARAH I	2021	FFS	RENDERING	AGE 0-20	254	None	2,367	None	200	None	568	None	134	None	444	None	187	None	202	None
1861971616	HAZIM FARAH I	2021	FFS	RENDERING	AGE 21+	433	None	2,443	None	174	None	363	None	268	None	694	None	267	None	273	None
1861978454	VENKATESH ANCHITA	2021	FFS	RENDERING	AGE 0-20	15	None	29	None	0	None	0	None	15	None	21	None	None	1	None	1
1861978454	VENKATESH ANCHITA	2021	FFS	RENDERING	AGE 21+	307	None	777	None	20	None	21	None	258	None	426	None	70	None	70	None
1871004531	KIM AHREUM	2021	FFS	RENDERING	AGE 0-20	205	None	2,878	None	189	None	601	None	80	None	374	None	203	None	286	None
1871004531	KIM AHREUM	2021	FFS	RENDERING	AGE 21+	496	None	5,729	None	299	None	491	None	341	None	2,141	None	369	None	369	None
1871029603	JAVIER VALADEZ, DDS, INC.	2021	FFS	RENDERING	AGE 21+	24	None	76	None	None	1	None	1	19	None	57	None	None	1	None	1
1871035840	TOY DOUGLAS D	2021	FFS	RENDERING	AGE 0-20	140	None	599	None	52	None	147	None	49	None	146	None	88	None	89	None
1871035840	TOY DOUGLAS D	2021	FFS	RENDERING	AGE 21+	286	None	756	None	38	None	69	None	159	None	363	None	112	None	112	None
1871035840	TOY DOUGLAS D	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1871035840	TOY DOUGLAS D	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1871046797	RIVERA RICARDO A	2021	FFS	RENDERING	AGE 0-20	1,200	None	16,434	None	1,074	None	4,086	None	723	None	2,147	None	1,074	None	1,334	None
1871046797	RIVERA RICARDO A	2021	FFS	RENDERING	AGE 21+	398	None	3,846	None	216	None	429	None	306	None	1,495	None	265	None	265	None
1871046797	RIVERA RICARDO A	2021	PHP	RENDERING	AGE 0-20	39	None	297	None	36	None	107	None	15	None	47	None	36	None	41	None
1871046797	RIVERA RICARDO A	2021	PHP	RENDERING	AGE 21+	36	None	174	None	19	None	38	None	21	None	65	None	24	None	24	None
1871072736	PEREIRA MARIANA D	2021	PHP	RENDERING	AGE 0-20	102	None	695	None	61	None	153	None	91	None	214	None	62	None	62	None
1871072736	PEREIRA MARIANA D	2021	PHP	RENDERING	AGE 21+	131	None	553	None	None	1	None	2	108	None	324	None	17	None	17	None
1871085670	DHILLON RANDEEP S	2021	FFS	RENDERING	AGE 0-20	183	None	1,249	None	136	None	556	None	101	None	179	None	116	None	128	None
1871085670	DHILLON RANDEEP S	2021	FFS	RENDERING	AGE 21+	259	None	1,098	None	60	None	117	None	192	None	583	None	121	None	121	None
1871091173	MANN, SANDEEP KAUR, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1871103119	ALPATTY RONDA	2021	FFS	RENDERING	AGE 0-20	46	None	134	None	33	None	78	None	18	None	32	None	0	None	0	None
1871103119	ALPATTY RONDA	2021	FFS	RENDERING	AGE 21+	22	None	36	None	None	1	None	1	14	None	16	None	0	None	0	None
1871103358	AZDAIR JAMIE A	2021	FFS	RENDERING	AGE 0-20	53	None	437	None	36	None	78	None	31	None	68	None	36	None	36	None
1871103358	AZDAIR JAMIE A	2021	FFS	RENDERING	AGE 21+	60	None	376	None	15	None	30	None	47	None	121	None	26	None	26	None
1871107193	TUTUNARU EUGEN	2021	GMC	RENDERING	AGE 0-20	478	None	4,877	None	417	None	1,471	None	220	None	390	None	415	None	482	None
1871107193	TUTUNARU EUGEN	2021	GMC	RENDERING	AGE 21+	732	None	4,642	None	349	None	679	None	440	None	968	None	488	None	492	None
1871107201	HOANG JONATHAN V	2021	FFS	RENDERING	AGE 0-20	252	None	2,409	None	191	None	568	None	149	None	586	None	202	None	202	None
1871107201	HOANG JONATHAN V	2021	FFS	RENDERING	AGE 21+	221	None	1,366	None	91	None	173	None	155	None	495	None	166	None	166	None
1871108647	SAGHIAN DAVID	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1871118844	HAKOBYAN ZARUHI	2021	FFS	RENDERING	AGE 0-20	1,412	None	14,521	None	1,287	None	4,973	None	1,051	None	3,284	None	1,304	None	1,635	None
1871127704	LEE BRIAN	2021	FFS	RENDERING	AGE 0-20	80	None	333	None	51	None	119	None	29	None	52	None	41	None	41	None
1871127704	LEE BRIAN	2021	FFS	RENDERING	AGE 21+	27	None	72	None	None	1	None	1	20	None	26	None	None	1	None	1
1871143594	DAYAN LAUREN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871143594	DAYAN LAUREN	2021	FFS	RENDERING	AGE 21+	62	None	71	None	0	None	0	None	62	None	71	None	0	None	0	None
1871146951	DARDASHTI SASON	2021	FFS	RENDERING	AGE 0-20	736	None	6,454	None	496	None	1,316	None	355	None	1,327	None	484	None	498	None
1871146951	DARDASHTI SASON	2021	FFS	RENDERING	AGE 21+	983	None	5,978	None	297	None	425	None	674	None	2,398	None	512	None	517	None
1871146951	DARDASHTI SASON	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1871146951	DARDASHTI SASON	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1871153460	AMARNATH ANEESHA R	2021	FFS	RENDERING	AGE 0-20	423	None	2,711	None	368	None	974	None	164	None	535	None	273	None	273	None
1871505289	SPRAGUE RICHARD E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871505289	SPRAGUE RICHARD E	2021	GMC	RENDERING	AGE 0-20	339	None	1,031	None	60	None	71	None	324	None	539	None	35	None	35	None
1871505289	SPRAGUE RICHARD E	2021	GMC	RENDERING	AGE 21+	2,020	None	5,737	None	397	None	436	None	1,248	None	1,712	None	1,415	None	1,459	None
1871505289	SPRAGUE RICHARD E	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1871505289	SPRAGUE RICHARD E	2021	PHP	RENDERING	AGE 21+	19	None	31	None	0	None	0	None	None	1	None	2	16	None	16	None
1871506360	MANSOUR, ENGELLA S, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	150	None	24	None	79	None	None	1	None	2	22	None	26	None
1871506360	MANSOUR, ENGELLA S, DDS	2021	FFS	RENDERING	AGE 21+	221	None	1,140	None	127	None	128	None	129	None	570	None	213	None	213	None
1871509711	LEUNG JENNY A	2021	FFS	RENDERING	AGE 0-20	375	None	2,081	None	319	None	812	None	151	None	251	None	317	None	320	None
1871509711	LEUNG JENNY A	2021	FFS	RENDERING	AGE 21+	220	None	798	None	75	None	145	None	103	None	242	None	130	None	130	None
1871526764	HORNER GERALD D	2021	FFS	RENDERING	AGE 0-20	1,759	None	11,511	None	0	None	0	None	1,161	None	7,340	None	1,521	None	1,521	None
1871526764	HORNER GERALD D	2021	FFS	RENDERING	AGE 21+	2,637	None	18,045	None	0	None	0	None	1,442	None	10,381	None	2,324	None	2,325	None
1871533760	SHAGRAMANOVA KRISTINA	2021	FFS	RENDERING	AGE 0-20	370	None	1,134	None	0	None	0	None	161	None	371	None	330	None	330	None
1871533760	SHAGRAMANOVA KRISTINA	2021	FFS	RENDERING	AGE 21+	518	None	1,858	None	0	None	0	None	206	None	426	None	460	None	463	None
1871533760	SHAGRAMANOVA KRISTINA	2021	PHP	RENDERING	AGE 0-20	34	None	150	None	0	None	0	None	32	None	68	None	None	1	None	1
1871533760	SHAGRAMANOVA KRISTINA	2021	PHP	RENDERING	AGE 21+	252	None	890	None	0	None	0	None	137	None	185	None	243	None	261	None
1871539221	WHITE MICHAEL J	2021	FFS	RENDERING	AGE 0-20	160	None	1,004	None	88	None	283	None	80	None	255	None	105	None	116	None
1871539221	WHITE MICHAEL J	2021	FFS	RENDERING	AGE 21+	212	None	711	None	47	None	72	None	111	None	299	None	104	None	104	None
1871541540	KIM KYUNG M	2021	FFS	RENDERING	AGE 0-20	58	None	555	None	57	None	173	None	15	None	40	None	40	None	43	None
1871541540	KIM KYUNG M	2021	FFS	RENDERING	AGE 21+	117	None	750	None	61	None	98	None	86	None	231	None	69	None	69	None
1871584763	DENDINGER, JOAN E, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1871584763	DENDINGER, JOAN E, DDS	2021	FFS	RENDERING	AGE 21+	20	None	81	None	None	1	None	1	19	None	36	None	None	1	None	1
1871585984	PHAN, VAN THU, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	208	None	25	None	76	None	11	None	44	None	26	None	29	None
1871585984	PHAN, VAN THU, DDS	2021	FFS	RENDERING	AGE 21+	208	None	1,217	None	138	None	163	None	129	None	508	None	146	None	146	None
1871602904	TANIOKA DARRON T	2021	FFS	RENDERING	AGE 0-20	163	None	1,687	None	131	None	762	None	81	None	155	None	136	None	155	None
1871602904	TANIOKA DARRON T	2021	FFS	RENDERING	AGE 21+	340	None	2,483	None	196	None	368	None	228	None	702	None	235	None	235	None
1871610097	CHOYKOVA, PAVLINA B, DDS	2021	FFS	RENDERING	AGE 0-20	350	None	2,639	None	264	None	689	None	164	None	379	None	273	None	306	None
1871610097	CHOYKOVA, PAVLINA B, DDS	2021	FFS	RENDERING	AGE 21+	241	None	1,236	None	51	None	96	None	168	None	399	None	117	None	117	None
1871611863	GRINBERG, INESSA, DDS	2021	FFS	RENDERING	AGE 0-20	73	None	407	None	69	None	143	None	21	None	77	None	63	None	82	None
1871611863	GRINBERG, INESSA, DDS	2021	FFS	RENDERING	AGE 21+	396	None	1,994	None	306	None	306	None	189	None	631	None	356	None	356	None
1871623132	LU, DAVID C, DDS	2021	FFS	RENDERING	AGE 0-20	19	None	118	None	17	None	27	None	None	1	None	2	16	None	18	None
1871623132	LU, DAVID C, DDS	2021	FFS	RENDERING	AGE 21+	94	None	455	None	49	None	49	None	61	None	169	None	57	None	57	None
1871623686	MOZAFFARI JAMACK	2021	FFS	RENDERING	AGE 0-20	908	None	7,470	None	864	None	2,691	None	493	None	1,071	None	861	None	961	None
1871623686	MOZAFFARI JAMACK	2021	FFS	RENDERING	AGE 21+	370	None	2,708	None	269	None	598	None	238	None	724	None	282	None	282	None
1871629097	FENG BO	2021	FFS	RENDERING	AGE 0-20	412	None	3,677	None	379	None	1,345	None	198	None	587	None	403	None	480	None
1871629097	FENG BO	2021	FFS	RENDERING	AGE 21+	624	None	3,516	None	415	None	828	None	395	None	1,244	None	251	None	251	None
1871629097	FENG BO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871630673	MIYAMOTO YOICHIRO ROY	2021	FFS	RENDERING	AGE 0-20	522	None	681	None	0	None	0	None	102	None	186	None	0	None	0	None
1871630673	MIYAMOTO YOICHIRO ROY	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871633438	BENGO GLORIA D	2021	FFS	RENDERING	AGE 0-20	93	None	1,376	None	93	None	351	None	43	None	231	None	93	None	131	None
1871633438	BENGO GLORIA D	2021	FFS	RENDERING	AGE 21+	33	None	319	None	25	None	50	None	20	None	108	None	28	None	28	None
1871633594	NGUYEN THUY-MAI	2021	FFS	RENDERING	AGE 0-20	207	None	1,953	None	204	None	450	None	27	None	63	None	203	None	269	None
1871633594	NGUYEN THUY-MAI	2021	FFS	RENDERING	AGE 21+	390	None	3,359	None	326	None	326	None	139	None	255	None	338	None	338	None
1871634493	ROMERO PEDRO A	2021	FFS	RENDERING	AGE 0-20	799	None	11,790	None	763	None	2,642	None	416	None	1,510	None	775	None	1,178	None
1871634493	ROMERO PEDRO A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1871634493	ROMERO PEDRO A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871637553	BUI TAN D	2021	FFS	RENDERING	AGE 0-20	33	None	238	None	31	None	78	None	13	None	47	None	32	None	38	None
1871637553	BUI TAN D	2021	FFS	RENDERING	AGE 21+	158	None	1,066	None	123	None	239	None	93	None	339	None	138	None	138	None
1871639948	LEE SANGMOK	2021	FFS	RENDERING	AGE 0-20	23	None	130	None	17	None	17	None	12	None	52	None	22	None	22	None
1871639948	LEE SANGMOK	2021	FFS	RENDERING	AGE 21+	95	None	384	None	51	None	51	None	51	None	110	None	74	None	74	None
1871641092	MARSHAK, DAVID M, DDS	2021	FFS	RENDERING	AGE 0-20	200	None	310	None	None	1	None	1	23	None	45	None	0	None	0	None
1871641092	MARSHAK, DAVID M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1871641092	MARSHAK, DAVID M, DDS	2021	PHP	RENDERING	AGE 0-20	28	None	76	None	0	None	0	None	27	None	60	None	0	None	0	None
1871641092	MARSHAK, DAVID M, DDS	2021	PHP	RENDERING	AGE 21+	17	None	40	None	0	None	0	None	16	None	33	None	0	None	0	None
1871641597	BLAND EMILY G	2021	FFS	RENDERING	AGE 0-20	128	None	1,006	None	105	None	297	None	61	None	222	None	115	None	126	None
1871641597	BLAND EMILY G	2021	FFS	RENDERING	AGE 21+	358	None	2,231	None	123	None	123	None	239	None	1,180	None	271	None	271	None
1871643288	ROBLES CHRISTLINE S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1871643288	ROBLES CHRISTLINE S	2021	FFS	RENDERING	AGE 21+	717	None	4,736	None	325	None	713	None	700	None	2,479	None	468	None	469	None
1871643288	ROBLES CHRISTLINE S	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1871645101	SHAH, KISHORE	2021	FFS	RENDERING	AGE 0-20	229	None	3,076	None	215	None	695	None	121	None	444	None	173	None	202	None
1871645101	SHAH, KISHORE	2021	FFS	RENDERING	AGE 21+	432	None	3,956	None	265	None	381	None	337	None	1,733	None	280	None	280	None
1871645101	SHAH, KISHORE	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1871645101	SHAH, KISHORE	2021	PHP	RENDERING	AGE 0-20	122	None	956	None	105	None	353	None	54	None	126	None	108	None	120	None
1871645101	SHAH, KISHORE	2021	PHP	RENDERING	AGE 21+	120	None	801	None	78	None	104	None	79	None	288	None	83	None	85	None
1871645101	SHAH, KISHORE DDS	2021	FFS	RENDERING	AGE 0-20	229	None	3,076	None	215	None	695	None	121	None	444	None	173	None	202	None
1871645101	SHAH, KISHORE DDS	2021	FFS	RENDERING	AGE 21+	432	None	3,956	None	265	None	381	None	337	None	1,733	None	280	None	280	None
1871645101	SHAH, KISHORE DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1871645101	SHAH, KISHORE DDS	2021	PHP	RENDERING	AGE 0-20	122	None	956	None	105	None	353	None	54	None	126	None	108	None	120	None
1871645101	SHAH, KISHORE DDS	2021	PHP	RENDERING	AGE 21+	120	None	801	None	78	None	104	None	79	None	288	None	83	None	85	None
1871648311	ORTEGA JR ANTHONY	2021	FFS	RENDERING	AGE 0-20	93	None	445	None	70	None	154	None	20	None	59	None	70	None	75	None
1871648311	ORTEGA JR ANTHONY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1871648543	ABZUG MARK M	2021	FFS	RENDERING	AGE 0-20	86	None	198	None	24	None	74	None	31	None	55	None	0	None	0	None
1871648543	ABZUG MARK M	2021	FFS	RENDERING	AGE 21+	1,051	None	4,206	None	508	None	1,918	None	672	None	1,501	None	None	1	None	1
1871650473	WOLFORD MARIANNE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871650903	MONIRI NAHID B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1871652933	TAASAN, MARLON C, DMD	2021	FFS	RENDERING	AGE 0-20	550	None	1,179	None	16	None	29	None	None	1	None	2	530	None	535	None
1871652933	TAASAN, MARLON C, DMD	2021	FFS	RENDERING	AGE 21+	777	None	1,767	None	45	None	45	None	44	None	117	None	720	None	721	None
1871652933	TAASAN, MARLON C, DMD	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1871653667	NGUYEN ANISHA A	2021	FFS	RENDERING	AGE 0-20	44	None	477	None	33	None	105	None	27	None	185	None	42	None	44	None
1871653667	NGUYEN ANISHA A	2021	FFS	RENDERING	AGE 21+	135	None	1,533	None	77	None	139	None	98	None	811	None	120	None	120	None
1871653667	NGUYEN ANISHA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871653667	NGUYEN ANISHA A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871658955	DASON SAM D	2021	FFS	RENDERING	AGE 0-20	82	None	408	None	46	None	102	None	34	None	90	None	35	None	35	None
1871658955	DASON SAM D	2021	FFS	RENDERING	AGE 21+	126	None	728	None	15	None	22	None	91	None	341	None	77	None	77	None
1871660308	RABAH REFAD J	2021	FFS	RENDERING	AGE 0-20	76	None	896	None	68	None	258	None	22	None	69	None	73	None	88	None
1871660308	RABAH REFAD J	2021	FFS	RENDERING	AGE 21+	127	None	987	None	71	None	149	None	76	None	245	None	104	None	105	None
1871660670	SADJADI AMIR DMD	2021	FFS	RENDERING	AGE 0-20	202	None	1,443	None	130	None	392	None	60	None	154	None	158	None	176	None
1871660670	SADJADI AMIR DMD	2021	FFS	RENDERING	AGE 21+	359	None	1,760	None	85	None	135	None	212	None	618	None	226	None	236	None
1871660670	SADJADI AMIR DMD	2021	PHP	RENDERING	AGE 0-20	103	None	694	None	62	None	132	None	42	None	147	None	91	None	97	None
1871660670	SADJADI AMIR DMD	2021	PHP	RENDERING	AGE 21+	73	None	337	None	13	None	18	None	34	None	124	None	50	None	50	None
1871661736	ABO ELALA AIMAN A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871661736	ABO ELALA AIMAN A	2021	FFS	RENDERING	AGE 21+	13	None	38	None	None	1	None	1	None	1	None	2	None	1	None	1
1871685164	TALEBZADEH, NOJAN MD	2021	FFS	RENDERING	AGE 0-20	829	None	3,804	None	0	None	0	None	450	None	2,665	None	467	None	469	None
1871685164	TALEBZADEH, NOJAN MD	2021	FFS	RENDERING	AGE 21+	1,358	None	5,314	None	0	None	0	None	589	None	3,352	None	837	None	841	None
1871688465	ARREDONDO MANUEL R	2021	FFS	RENDERING	AGE 0-20	72	None	860	None	64	None	299	None	23	None	87	None	67	None	93	None
1871688465	ARREDONDO MANUEL R	2021	FFS	RENDERING	AGE 21+	251	None	2,058	None	173	None	176	None	165	None	618	None	192	None	192	None
1871689935	ROSE DANIEL LEE	2021	GMC	RENDERING	AGE 0-20	24	None	85	None	0	None	0	None	23	None	39	None	None	1	None	1
1871689935	ROSE DANIEL LEE	2021	GMC	RENDERING	AGE 21+	146	None	627	None	0	None	0	None	89	None	173	None	144	None	147	None
1871694638	BURQUEZ, FLORENCIO T, DDS	2021	FFS	RENDERING	AGE 0-20	112	None	1,038	None	104	None	302	None	42	None	192	None	107	None	128	None
1871694638	BURQUEZ, FLORENCIO T, DDS	2021	FFS	RENDERING	AGE 21+	369	None	2,135	None	316	None	559	None	208	None	780	None	356	None	356	None
1871700997	CHOU YU W	2021	FFS	RENDERING	AGE 0-20	744	None	10,329	None	733	None	3,023	None	425	None	1,435	None	732	None	1,201	None
1871700997	CHOU YU W	2021	PHP	RENDERING	AGE 0-20	24	None	307	None	14	None	43	None	23	None	144	None	0	None	0	None
1871703926	TRABOULSI NADA J	2021	FFS	RENDERING	AGE 0-20	36	None	270	None	31	None	117	None	12	None	22	None	33	None	46	None
1871703926	TRABOULSI NADA J	2021	FFS	RENDERING	AGE 21+	78	None	529	None	47	None	88	None	42	None	119	None	65	None	65	None
1871707083	AMALIA SERASPI OSMA DMD	2021	FFS	RENDERING	AGE 0-20	428	None	6,137	None	348	None	1,333	None	307	None	1,424	None	340	None	433	None
1871707083	AMALIA SERASPI OSMA DMD	2021	FFS	RENDERING	AGE 21+	262	None	1,830	None	139	None	265	None	157	None	512	None	182	None	184	None
1871707083	AMALIA SERASPI OSMA DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1871710772	WITKOSKY GARY	2021	FFS	RENDERING	AGE 0-20	637	None	1,427	None	0	None	0	None	634	None	665	None	0	None	0	None
1871710772	WITKOSKY GARY	2021	FFS	RENDERING	AGE 21+	1,874	None	5,259	None	0	None	0	None	1,777	None	2,347	None	None	1	None	1
1871711937	OU SU-HWEI	2021	FFS	RENDERING	AGE 0-20	53	None	487	None	46	None	148	None	25	None	75	None	44	None	51	None
1871711937	OU SU-HWEI	2021	FFS	RENDERING	AGE 21+	95	None	896	None	70	None	72	None	70	None	298	None	73	None	74	None
1871724138	KHAN SARAH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1871724138	KHAN SARAH	2021	FFS	RENDERING	AGE 21+	19	None	58	None	None	1	None	1	13	None	31	None	None	1	None	1
1871742965	OH IN S	2021	FFS	RENDERING	AGE 0-20	69	None	436	None	17	None	31	None	34	None	103	None	57	None	58	None
1871742965	OH IN S	2021	FFS	RENDERING	AGE 21+	318	None	1,620	None	21	None	22	None	173	None	541	None	230	None	236	None
1871743781	JEONG NORAN	2021	FFS	RENDERING	AGE 0-20	131	None	1,100	None	124	None	266	None	51	None	155	None	129	None	171	None
1871743781	JEONG NORAN	2021	FFS	RENDERING	AGE 21+	218	None	1,297	None	159	None	159	None	124	None	511	None	180	None	180	None
1871743781	JEONG NORAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871743781	JEONG NORAN	2021	PHP	RENDERING	AGE 21+	18	None	129	None	15	None	16	None	None	1	None	2	17	None	17	None
1871744029	BURTCH PERRY D	2021	FFS	RENDERING	AGE 0-20	142	None	2,424	None	102	None	309	None	142	None	1,607	None	130	None	130	None
1871744029	BURTCH PERRY D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1871745075	HOYBJERG CHRISTIAN J	2021	FFS	RENDERING	AGE 0-20	655	None	1,623	None	0	None	0	None	157	None	510	None	0	None	0	None
1871745075	HOYBJERG CHRISTIAN J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1871746669	PAREDES ALFREDO R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1871747774	NAGAL ROGELIO C	2021	FFS	RENDERING	AGE 0-20	20	None	192	None	14	None	21	None	11	None	74	None	14	None	16	None
1871747774	NAGAL ROGELIO C	2021	FFS	RENDERING	AGE 21+	101	None	913	None	57	None	59	None	79	None	486	None	64	None	65	None
1871751339	KOLLING ERIN A	2021	FFS	RENDERING	AGE 0-20	3,410	None	46,734	None	2,790	None	8,480	None	1,672	None	10,943	None	2,670	None	3,331	None
1871755652	AHUJA, DR HC, DDS A PROFESSI	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1871755652	AHUJA, DR HC, DDS A PROFESSI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1871755959	DIVELBISS JOSHUA WEBB	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871765321	SHAW JEFFREY S	2021	FFS	RENDERING	AGE 0-20	54	None	442	None	48	None	142	None	35	None	71	None	48	None	48	None
1871765321	SHAW JEFFREY S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1871773101	PARK HYUN J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871775858	TRAN MINH H	2021	FFS	RENDERING	AGE 0-20	55	None	335	None	48	None	107	None	15	None	34	None	49	None	51	None
1871775858	TRAN MINH H	2021	FFS	RENDERING	AGE 21+	305	None	1,851	None	185	None	186	None	175	None	400	None	230	None	230	None
1871784546	WANG LINGLI	2021	FFS	RENDERING	AGE 0-20	27	None	239	None	25	None	98	None	15	None	53	None	27	None	36	None
1871784546	WANG LINGLI	2021	FFS	RENDERING	AGE 21+	37	None	199	None	27	None	36	None	24	None	73	None	35	None	37	None
1871784546	WANG LINGLI	2021	PHP	RENDERING	AGE 0-20	20	None	138	None	19	None	61	None	12	None	25	None	19	None	29	None
1871784546	WANG LINGLI	2021	PHP	RENDERING	AGE 21+	26	None	110	None	23	None	34	None	None	1	None	2	26	None	27	None
1871787275	TOTH WILLIAM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1871793620	MALKOUNIAN RAFFI S	2021	FFS	RENDERING	AGE 0-20	32	None	177	None	23	None	52	None	14	None	38	None	32	None	37	None
1871793620	MALKOUNIAN RAFFI S	2021	FFS	RENDERING	AGE 21+	406	None	1,831	None	140	None	278	None	269	None	685	None	338	None	342	None
1871796912	OLSEN, DEBRA, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1871796912	OLSEN, DEBRA, RDHAP	2021	FFS	RENDERING	AGE 21+	173	None	856	None	165	None	500	None	137	None	356	None	0	None	0	None
1871803742	AGABABYAN MARGARITA	2021	FFS	RENDERING	AGE 0-20	141	None	1,434	None	132	None	387	None	37	None	144	None	124	None	160	None
1871803742	AGABABYAN MARGARITA	2021	FFS	RENDERING	AGE 21+	198	None	1,614	None	128	None	245	None	113	None	439	None	139	None	139	None
1871808352	KAUR HARNEET	2021	FFS	RENDERING	AGE 0-20	49	None	141	None	16	None	36	None	None	1	None	1	36	None	37	None
1871808352	KAUR HARNEET	2021	FFS	RENDERING	AGE 21+	521	None	1,527	None	70	None	133	None	177	None	414	None	341	None	343	None
1871808352	KAUR HARNEET	2021	GMC	RENDERING	AGE 0-20	32	None	153	None	None	1	None	1	None	1	None	2	21	None	21	None
1871808352	KAUR HARNEET	2021	GMC	RENDERING	AGE 21+	199	None	630	None	19	None	28	None	87	None	262	None	66	None	66	None
1871808352	KAUR HARNEET	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1871809269	ALVARADO OLGA G	2021	FFS	RENDERING	AGE 0-20	1,856	None	17,290	None	1,587	None	5,315	None	1,229	None	3,731	None	1,514	None	1,820	None
1871809269	ALVARADO OLGA G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1871816686	QUINTANA CASTRI YVAN C	2021	FFS	RENDERING	AGE 0-20	287	None	2,122	None	263	None	870	None	123	None	524	None	269	None	363	None
1871816686	QUINTANA CASTRI YVAN C	2021	FFS	RENDERING	AGE 21+	421	None	2,469	None	228	None	229	None	283	None	1,505	None	331	None	331	None
1871829234	ZIADEH SENAN K	2021	PHP	RENDERING	AGE 0-20	16	None	75	None	0	None	0	None	None	1	None	2	0	None	0	None
1871832097	SALWAN RITU	2021	FFS	RENDERING	AGE 0-20	11	None	82	None	11	None	29	None	None	1	None	2	11	None	11	None
1871844423	JEONG DONG J	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1871845362	HINGU, MONAL, RDHAP	2021	FFS	RENDERING	AGE 21+	610	None	3,014	None	581	None	1,124	None	610	None	1,890	None	0	None	0	None
1871845636	SHAHBAZIAN PIROUZ	2021	FFS	RENDERING	AGE 0-20	59	None	133	None	0	None	0	None	56	None	127	None	None	1	None	1
1871845636	SHAHBAZIAN PIROUZ	2021	FFS	RENDERING	AGE 21+	335	None	1,043	None	0	None	0	None	335	None	1,042	None	0	None	0	None
1871888123	AL-RAWI WISAM	2021	FFS	RENDERING	AGE 0-20	163	None	519	None	44	None	111	None	79	None	147	None	76	None	76	None
1871888123	AL-RAWI WISAM	2021	FFS	RENDERING	AGE 21+	406	None	944	None	40	None	76	None	251	None	418	None	129	None	129	None
1871890038	SONG, EUGENE DDS INC	2021	FFS	RENDERING	AGE 0-20	214	None	2,882	None	197	None	676	None	95	None	274	None	211	None	251	None
1871890038	SONG, EUGENE DDS INC	2021	FFS	RENDERING	AGE 21+	492	None	5,391	None	370	None	737	None	301	None	1,093	None	428	None	428	None
1871891564	ABBINK KRISTEN M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1871891564	ABBINK KRISTEN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1871901165	TAK CYNTHIA K	2021	FFS	RENDERING	AGE 0-20	52	None	444	None	45	None	160	None	33	None	75	None	38	None	51	None
1871901165	TAK CYNTHIA K	2021	FFS	RENDERING	AGE 21+	107	None	561	None	31	None	61	None	88	None	231	None	54	None	54	None
1871901827	VIDOVICH CASEY C	2021	FFS	RENDERING	AGE 0-20	365	None	1,537	None	None	1	None	1	365	None	1,513	None	None	1	None	1
1871901827	VIDOVICH CASEY C	2021	FFS	RENDERING	AGE 21+	73	None	229	None	0	None	0	None	73	None	229	None	0	None	0	None
1871904896	WANG RAYMOND S	2021	FFS	RENDERING	AGE 0-20	2,040	None	17,553	None	1,815	None	6,017	None	1,313	None	3,711	None	1,855	None	2,133	None
1871904896	WANG RAYMOND S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1871904896	WANG RAYMOND S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871911032	KELLY PONO K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1871911032	KELLY PONO K	2021	FFS	RENDERING	AGE 21+	1,422	None	3,870	None	None	1	None	1	1,416	None	3,326	None	536	None	536	None
1871917872	LIN GUO-HAO	2021	FFS	RENDERING	AGE 0-20	93	None	262	None	None	1	None	1	57	None	177	None	74	None	78	None
1871917872	LIN GUO-HAO	2021	FFS	RENDERING	AGE 21+	622	None	1,880	None	16	None	16	None	341	None	1,269	None	453	None	465	None
1871926501	ELVIA JUAREZ A DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871926501	JUAREZ, ELVIA, A DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871930545	THURMAN BRIAN D	2021	FFS	RENDERING	AGE 0-20	345	None	1,442	None	0	None	0	None	35	None	110	None	0	None	0	None
1871930545	THURMAN BRIAN D	2021	FFS	RENDERING	AGE 21+	41	None	113	None	0	None	0	None	0	None	0	None	0	None	0	None
1871934125	LOPEZ WEENA	2021	FFS	RENDERING	AGE 0-20	509	None	1,963	None	167	None	512	None	154	None	361	None	337	None	354	None
1871934125	LOPEZ WEENA	2021	FFS	RENDERING	AGE 21+	414	None	1,280	None	72	None	130	None	248	None	612	None	135	None	135	None
1871934125	LOPEZ WEENA	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871934125	LOPEZ WEENA	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1871934125	LOPEZ WEENA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1871934125	LOPEZ WEENA	2021	PHP	RENDERING	AGE 21+	16	None	27	None	0	None	0	None	11	None	13	None	None	1	None	1
1871946764	AFSHAR NIMA	2021	FFS	RENDERING	AGE 0-20	85	None	247	None	None	1	None	1	83	None	222	None	None	1	None	1
1871946764	AFSHAR NIMA	2021	FFS	RENDERING	AGE 21+	670	None	1,818	None	0	None	0	None	669	None	1,765	None	None	1	None	1
1871946764	AFSHAR NIMA	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1871946764	AFSHAR NIMA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871946764	AFSHAR NIMA	2021	PHP	RENDERING	AGE 0-20	309	None	2,839	None	253	None	1,079	None	162	None	660	None	264	None	351	None
1871946764	AFSHAR NIMA	2021	PHP	RENDERING	AGE 21+	404	None	3,089	None	167	None	366	None	299	None	1,840	None	305	None	327	None
1871950378	AKHAVAN JONATHAN A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1871955336	CHI KWANG H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871955336	CHI KWANG H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1871963090	RUMINSON JONATHAN W	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1871964742	KIM RACHELLE	2021	FFS	RENDERING	AGE 0-20	312	None	1,435	None	0	None	0	None	312	None	1,412	None	None	1	None	1
1871966622	AGHAJANI, JASMINE, DDS	2021	FFS	RENDERING	AGE 0-20	62	None	440	None	55	None	143	None	32	None	189	None	53	None	53	None
1871966622	AGHAJANI, JASMINE, DDS	2021	FFS	RENDERING	AGE 21+	236	None	1,792	None	153	None	154	None	143	None	1,132	None	181	None	181	None
1871966622	AGHAJANI, JASMINE, DDS	2021	PHP	RENDERING	AGE 0-20	20	None	86	None	16	None	32	None	None	1	None	1	18	None	19	None
1871966622	AGHAJANI, JASMINE, DDS	2021	PHP	RENDERING	AGE 21+	76	None	457	None	55	None	56	None	36	None	219	None	60	None	60	None
1871970947	KHANDELWAL RAGHAV	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871970947	KHANDELWAL RAGHAV	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1871977744	NASER AYMAN	2021	FFS	RENDERING	AGE 0-20	101	None	1,036	None	90	None	314	None	85	None	239	None	91	None	115	None
1871977744	NASER AYMAN	2021	FFS	RENDERING	AGE 21+	523	None	5,307	None	366	None	728	None	460	None	2,767	None	468	None	471	None
1871977975	KISLING ASHLEY	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1871977975	KISLING ASHLEY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1871979351	DESAI HIMANI V	2021	FFS	RENDERING	AGE 0-20	388	None	2,303	None	286	None	878	None	90	None	144	None	372	None	413	None
1871979351	DESAI HIMANI V	2021	FFS	RENDERING	AGE 21+	450	None	1,477	None	93	None	157	None	172	None	371	None	342	None	342	None
1871979351	DESAI HIMANI V	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1871979351	DESAI HIMANI V	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1871992065	GOPAL MALA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1871993238	KADIVETI VENKATESWARL	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881030062	FIELDS KRISTEN A	2021	FFS	RENDERING	AGE 0-20	142	None	953	None	101	None	209	None	44	None	108	None	114	None	121	None
1881030062	FIELDS KRISTEN A	2021	FFS	RENDERING	AGE 21+	94	None	341	None	21	None	39	None	26	None	54	None	73	None	74	None
1881030872	HUSSEIN THAYER F	2021	FFS	RENDERING	AGE 0-20	65	None	409	None	49	None	112	None	30	None	99	None	56	None	60	None
1881030872	HUSSEIN THAYER F	2021	FFS	RENDERING	AGE 21+	246	None	1,557	None	72	None	144	None	197	None	897	None	174	None	174	None
1881030880	KANG JESSICA K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881046084	HARUTYUNYAN DAVIT	2021	FFS	RENDERING	AGE 0-20	529	None	3,987	None	315	None	744	None	239	None	593	None	332	None	338	None
1881046084	HARUTYUNYAN DAVIT	2021	FFS	RENDERING	AGE 21+	874	None	4,047	None	163	None	322	None	624	None	1,640	None	323	None	327	None
1881046084	HARUTYUNYAN DAVIT	2021	PHP	RENDERING	AGE 0-20	13	None	71	None	None	1	None	2	None	1	None	2	None	1	None	1
1881046084	HARUTYUNYAN DAVIT	2021	PHP	RENDERING	AGE 21+	39	None	128	None	None	1	None	2	25	None	68	None	15	None	15	None
1881052777	HARRISON MIA A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1881052777	HARRISON MIA A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1881056992	USTAREZ ANDREA T	2021	FFS	RENDERING	AGE 0-20	2,889	None	41,290	None	2,658	None	11,349	None	2,287	None	6,945	None	2,617	None	4,011	None
1881062727	TAHMASBI DEZFUL KOOSHYAR	2021	FFS	RENDERING	AGE 0-20	96	None	782	None	66	None	160	None	53	None	192	None	74	None	88	None
1881062727	TAHMASBI DEZFUL KOOSHYAR	2021	FFS	RENDERING	AGE 21+	289	None	1,654	None	53	None	61	None	224	None	931	None	147	None	147	None
1881062727	TAHMASBI DEZFUL KOOSHYAR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1881066637	MCCARDLE JEFFREY EDWARD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881078913	SAHAWNEH DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1881078913	SAHAWNEH DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881079507	SASTIEL SHANNE J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881085934	OFIR ALON	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881087765	JUE LAURIE A	2021	FFS	RENDERING	AGE 0-20	52	None	269	None	48	None	110	None	None	1	None	1	47	None	50	None
1881087765	JUE LAURIE A	2021	FFS	RENDERING	AGE 21+	40	None	258	None	32	None	51	None	24	None	66	None	29	None	29	None
1881130227	THAI JENNY	2021	FFS	RENDERING	AGE 0-20	5,420	None	58,577	None	4,726	None	13,792	None	3,344	None	11,136	None	4,651	None	5,709	None
1881130227	THAI JENNY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881169886	ZAZUETA ANTONIO	2021	FFS	RENDERING	AGE 0-20	35	None	259	None	14	None	34	None	23	None	72	None	12	None	13	None
1881169886	ZAZUETA ANTONIO	2021	FFS	RENDERING	AGE 21+	93	None	542	None	21	None	38	None	66	None	249	None	35	None	35	None
1881233708	MOVAFAGHI RAMIN	2021	FFS	RENDERING	AGE 0-20	367	None	3,236	None	308	None	757	None	175	None	764	None	319	None	364	None
1881233708	MOVAFAGHI RAMIN	2021	FFS	RENDERING	AGE 21+	1,070	None	8,692	None	664	None	1,312	None	806	None	3,985	None	743	None	743	None
1881248458	FORUTAN SOLMAZ	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1881249068	BARAKAT ANDRE J	2021	FFS	RENDERING	AGE 0-20	116	None	890	None	95	None	288	None	72	None	294	None	102	None	131	None
1881249068	BARAKAT ANDRE J	2021	FFS	RENDERING	AGE 21+	295	None	1,781	None	77	None	150	None	211	None	1,035	None	204	None	208	None
1881266401	ZAMAN CAROLINE	2021	FFS	RENDERING	AGE 0-20	109	None	722	None	105	None	285	None	68	None	102	None	99	None	99	None
1881266401	ZAMAN CAROLINE	2021	FFS	RENDERING	AGE 21+	90	None	403	None	34	None	59	None	51	None	147	None	49	None	49	None
1881266401	ZAMAN CAROLINE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1881356962	NGUYEN TERESA M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881628832	PAGES HARRY J	2021	FFS	RENDERING	AGE 0-20	216	None	1,310	None	140	None	306	None	60	None	168	None	176	None	183	None
1881628832	PAGES HARRY J	2021	FFS	RENDERING	AGE 21+	310	None	1,312	None	67	None	108	None	151	None	349	None	203	None	203	None
1881657310	LIN CHRISTINA H	2021	FFS	RENDERING	AGE 0-20	164	None	1,391	None	155	None	461	None	54	None	165	None	150	None	171	None
1881686251	YEUNG HELEN K	2021	FFS	RENDERING	AGE 0-20	159	None	1,191	None	145	None	441	None	77	None	151	None	152	None	152	None
1881686251	YEUNG HELEN K	2021	PHP	RENDERING	AGE 0-20	21	None	178	None	19	None	58	None	16	None	38	None	19	None	19	None
1881692424	TRUONG QUYNH-TRAM T	2021	FFS	RENDERING	AGE 0-20	612	None	7,861	None	523	None	1,585	None	310	None	1,131	None	530	None	656	None
1881692424	TRUONG QUYNH-TRAM T	2021	FFS	RENDERING	AGE 21+	187	None	1,317	None	73	None	88	None	113	None	480	None	126	None	126	None
1881715993	AZIZIAN, SHAHRAM, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1881715993	AZIZIAN, SHAHRAM, DDS	2021	FFS	RENDERING	AGE 21+	32	None	291	None	16	None	16	None	27	None	174	None	17	None	17	None
1881715993	AZIZIAN, SHAHRAM, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1881715993	AZIZIAN, SHAHRAM, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1881717882	MONIZ, SHARILYN T, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881717882	MONIZ, SHARILYN T, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1881731834	DAVID-SANTOS MARIA P	2021	FFS	RENDERING	AGE 0-20	73	None	1,118	None	64	None	219	None	28	None	116	None	71	None	103	None
1881731834	DAVID-SANTOS MARIA P	2021	FFS	RENDERING	AGE 21+	121	None	866	None	95	None	96	None	50	None	288	None	111	None	111	None
1881732659	ANG VEROME L	2021	FFS	RENDERING	AGE 0-20	917	None	6,345	None	547	None	1,449	None	738	None	2,970	None	475	None	492	None
1881732659	ANG VEROME L	2021	FFS	RENDERING	AGE 21+	25	None	54	None	None	1	None	1	14	None	31	None	12	None	12	None
1881732659	ANG VEROME L	2021	GMC	RENDERING	AGE 0-20	799	None	3,099	None	111	None	304	None	517	None	1,335	None	258	None	265	None
1881732659	ANG VEROME L	2021	GMC	RENDERING	AGE 21+	295	None	1,245	None	17	None	17	None	193	None	370	None	89	None	89	None
1881734481	SHABANZADEH DAVID	2021	PHP	RENDERING	AGE 0-20	174	None	1,725	None	146	None	543	None	47	None	93	None	142	None	182	None
1881734481	SHABANZADEH DAVID	2021	PHP	RENDERING	AGE 21+	453	None	4,420	None	327	None	712	None	279	None	1,012	None	378	None	480	None
1881736684	BARAKZOY MOSTAFA	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1881738094	CULLAMPE, WASHINGTON, DDS	2021	FFS	RENDERING	AGE 0-20	271	None	2,577	None	214	None	587	None	73	None	185	None	230	None	238	None
1881738094	CULLAMPE, WASHINGTON, DDS	2021	FFS	RENDERING	AGE 21+	201	None	1,248	None	45	None	90	None	112	None	335	None	134	None	134	None
1881738193	INLAND EMPIRE ORTHODONTICS I	2021	FFS	RENDERING	AGE 0-20	1,504	None	5,955	None	0	None	0	None	347	None	1,053	None	0	None	0	None
1881738193	INLAND EMPIRE ORTHODONTICS I	2021	FFS	RENDERING	AGE 21+	105	None	303	None	0	None	0	None	0	None	0	None	0	None	0	None
1881740165	BUI KURT K	2021	FFS	RENDERING	AGE 0-20	184	None	266	None	0	None	0	None	30	None	87	None	0	None	0	None
1881740165	BUI KURT K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1881740199	TAM, SCOTT F, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	162	None	16	None	61	None	None	1	None	2	16	None	22	None
1881740199	TAM, SCOTT F, DDS	2021	FFS	RENDERING	AGE 21+	48	None	329	None	42	None	84	None	23	None	46	None	41	None	41	None
1881740280	AYALA, RODRIGO	2021	FFS	RENDERING	AGE 0-20	313	None	2,557	None	128	None	276	None	195	None	534	None	211	None	222	None
1881740280	AYALA, RODRIGO	2021	FFS	RENDERING	AGE 21+	1,344	None	10,218	None	281	None	569	None	996	None	3,201	None	851	None	857	None
1881743037	FENG, CHENG-PO, DDS	2021	FFS	RENDERING	AGE 0-20	161	None	751	None	68	None	163	None	159	None	396	None	59	None	73	None
1881743037	FENG, CHENG-PO, DDS	2021	FFS	RENDERING	AGE 21+	370	None	1,316	None	87	None	171	None	359	None	903	None	93	None	93	None
1881743219	ROTHMAN, DAVID L, DDS	2021	FFS	RENDERING	AGE 0-20	74	None	428	None	72	None	207	None	19	None	72	None	67	None	95	None
1881743219	ROTHMAN, DAVID L, DDS	2021	FFS	RENDERING	AGE 21+	28	None	85	None	24	None	47	None	None	1	None	1	22	None	22	None
1881744415	ONYANGO OMARI	2021	FFS	RENDERING	AGE 0-20	363	None	2,437	None	332	None	1,030	None	124	None	659	None	299	None	380	None
1881744415	ONYANGO OMARI	2021	FFS	RENDERING	AGE 21+	246	None	1,233	None	33	None	36	None	155	None	730	None	171	None	171	None
1881745347	ABBAS HAYTHAM M	2021	FFS	RENDERING	AGE 0-20	17	None	85	None	None	1	None	2	None	1	None	2	12	None	12	None
1881745347	ABBAS HAYTHAM M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881745347	ABBAS HAYTHAM M	2021	GMC	RENDERING	AGE 0-20	316	None	1,726	None	97	None	264	None	299	None	1,380	None	14	None	14	None
1881745347	ABBAS HAYTHAM M	2021	GMC	RENDERING	AGE 21+	34	None	72	None	None	1	None	1	22	None	28	None	None	1	None	1
1881747012	YACAMAN FANNY	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1881751758	MENG HSIAO-YEN	2021	FFS	RENDERING	AGE 0-20	1,037	None	2,375	None	0	None	0	None	306	None	740	None	0	None	0	None
1881751758	MENG HSIAO-YEN	2021	FFS	RENDERING	AGE 21+	37	None	46	None	0	None	0	None	None	1	None	1	0	None	0	None
1881751758	MENG HSIAO-YEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1881751758	MENG HSIAO-YEN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1881752129	NAING MA M	2021	FFS	RENDERING	AGE 0-20	818	None	11,504	None	708	None	2,408	None	416	None	1,547	None	728	None	848	None
1881752129	NAING MA M	2021	FFS	RENDERING	AGE 21+	1,060	None	8,803	None	600	None	608	None	689	None	2,978	None	729	None	730	None
1881755791	MIN GRACE	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881755791	MIN GRACE	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1881757672	CURTIN JOSEPH A	2021	FFS	RENDERING	AGE 0-20	2,815	None	26,885	None	2,290	None	6,138	None	983	None	5,532	None	2,410	None	2,767	None
1881757672	CURTIN JOSEPH A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1881757672	CURTIN JOSEPH A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881760114	JAUL DOUGLAS H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881760114	JAUL DOUGLAS H	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1881760114	JAUL DOUGLAS H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881760858	YESAYAN, EDUARD, DDS	2021	FFS	RENDERING	AGE 0-20	548	None	3,346	None	425	None	1,129	None	123	None	306	None	483	None	602	None
1881760858	YESAYAN, EDUARD, DDS	2021	FFS	RENDERING	AGE 21+	1,023	None	4,219	None	275	None	539	None	513	None	1,577	None	688	None	688	None
1881760858	YESAYAN, EDUARD, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881764637	DANG, DIEP KIM DDS	2021	FFS	RENDERING	AGE 0-20	284	None	2,969	None	278	None	1,022	None	146	None	628	None	276	None	483	None
1881764637	DANG, DIEP KIM DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1881766848	APPLETON, STANTON DDS	2021	FFS	RENDERING	AGE 0-20	233	None	5,528	None	160	None	413	None	233	None	3,793	None	232	None	232	None
1881766848	APPLETON, STANTON DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881768521	TRAN ROBIN THUCAN P	2021	FFS	RENDERING	AGE 0-20	37	None	294	None	33	None	100	None	None	1	None	2	36	None	52	None
1881768521	TRAN ROBIN THUCAN P	2021	FFS	RENDERING	AGE 21+	48	None	276	None	39	None	78	None	17	None	69	None	45	None	45	None
1881769800	JAUREGUI, JOSE H DDS	2021	FFS	RENDERING	AGE 0-20	491	None	7,276	None	471	None	1,431	None	197	None	539	None	472	None	692	None
1881769800	JAUREGUI, JOSE H DDS	2021	FFS	RENDERING	AGE 21+	623	None	5,561	None	408	None	816	None	364	None	1,350	None	492	None	492	None
1881769834	LUU, TREVOR DUC DMD	2021	FFS	RENDERING	AGE 0-20	68	None	477	None	41	None	101	None	46	None	142	None	40	None	48	None
1881769834	LUU, TREVOR DUC DMD	2021	FFS	RENDERING	AGE 21+	275	None	1,569	None	133	None	252	None	200	None	626	None	156	None	156	None
1881777605	BUDIMAN, HERMAN, DDS	2021	FFS	RENDERING	AGE 0-20	124	None	848	None	114	None	276	None	34	None	95	None	120	None	152	None
1881777605	BUDIMAN, HERMAN, DDS	2021	FFS	RENDERING	AGE 21+	166	None	1,004	None	115	None	119	None	67	None	151	None	143	None	143	None
1881777969	FISCHER KENNETH J	2021	FFS	RENDERING	AGE 0-20	184	None	240	None	0	None	0	None	91	None	125	None	0	None	0	None
1881777969	FISCHER KENNETH J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1881777969	FISCHER KENNETH J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881777969	FISCHER KENNETH J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881780096	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	350	None	3,717	None	310	None	1,193	None	144	None	330	None	336	None	472	None
1881780096	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	436	None	2,412	None	150	None	291	None	308	None	1,170	None	337	None	339	None
1881781201	MADOULIAN, ASMIK, DDS	2021	FFS	RENDERING	AGE 0-20	39	None	277	None	29	None	45	None	23	None	76	None	21	None	23	None
1881781201	MADOULIAN, ASMIK, DDS	2021	FFS	RENDERING	AGE 21+	318	None	2,586	None	174	None	177	None	280	None	1,144	None	100	None	101	None
1881785376	GANDHI BHAVIN S	2021	FFS	RENDERING	AGE 0-20	572	None	2,622	None	233	None	557	None	386	None	1,096	None	219	None	222	None
1881785376	GANDHI BHAVIN S	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1881789113	MAUNGMAUNG, TIN, DDS	2021	FFS	RENDERING	AGE 0-20	63	None	653	None	49	None	142	None	38	None	174	None	56	None	67	None
1881789113	MAUNGMAUNG, TIN, DDS	2021	FFS	RENDERING	AGE 21+	142	None	1,193	None	85	None	168	None	104	None	553	None	110	None	110	None
1881794568	HEGDE HARDALLY H	2021	FFS	RENDERING	AGE 0-20	96	None	506	None	51	None	113	None	61	None	153	None	82	None	93	None
1881794568	HEGDE HARDALLY H	2021	FFS	RENDERING	AGE 21+	206	None	1,101	None	75	None	75	None	139	None	510	None	157	None	159	None
1881805844	ALIREZAEI RAMBOD R	2021	PHP	RENDERING	AGE 0-20	14	None	28	None	0	None	0	None	13	None	21	None	None	1	None	1
1881805844	ALIREZAEI RAMBOD R	2021	PHP	RENDERING	AGE 21+	178	None	325	None	None	1	None	2	106	None	131	None	169	None	174	None
1881807477	PARK NO H	2021	FFS	RENDERING	AGE 0-20	33	None	97	None	22	None	27	None	21	None	43	None	21	None	21	None
1881807477	PARK NO H	2021	FFS	RENDERING	AGE 21+	1,004	None	3,214	None	202	None	230	None	653	None	2,050	None	569	None	569	None
1881808095	OH, JENNY DDS	2021	FFS	RENDERING	AGE 0-20	60	None	570	None	41	None	93	None	36	None	156	None	54	None	60	None
1881808095	OH, JENNY DDS	2021	FFS	RENDERING	AGE 21+	180	None	1,397	None	56	None	91	None	118	None	476	None	121	None	121	None
1881809812	TORRES CARLOS R	2021	FFS	RENDERING	AGE 0-20	559	None	6,432	None	471	None	989	None	270	None	903	None	377	None	464	None
1881809812	TORRES CARLOS R	2021	FFS	RENDERING	AGE 21+	517	None	4,354	None	307	None	353	None	323	None	1,027	None	310	None	310	None
1881814101	MORCOS, SAMIR CHARLES, DDS	2021	FFS	RENDERING	AGE 0-20	85	None	595	None	65	None	148	None	40	None	128	None	73	None	74	None
1881814101	MORCOS, SAMIR CHARLES, DDS	2021	FFS	RENDERING	AGE 21+	268	None	1,314	None	113	None	113	None	174	None	464	None	155	None	155	None
1881814242	AHMADZADEH FARIBA	2021	FFS	RENDERING	AGE 0-20	197	None	2,914	None	190	None	775	None	86	None	212	None	190	None	256	None
1881814242	AHMADZADEH FARIBA	2021	FFS	RENDERING	AGE 21+	163	None	1,418	None	108	None	176	None	101	None	424	None	128	None	128	None
1881814242	AHMADZADEH FARIBA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1881814242	AHMADZADEH FARIBA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1881815686	PENTECOST, TIMOTHY M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1881817369	HOVHANNISYAN, TIGRAN, DDS	2021	FFS	RENDERING	AGE 0-20	14	None	97	None	11	None	29	None	None	1	None	2	14	None	15	None
1881817369	HOVHANNISYAN, TIGRAN, DDS	2021	FFS	RENDERING	AGE 21+	121	None	655	None	47	None	51	None	97	None	275	None	41	None	41	None
1881819225	GOWDA ROOPA S	2021	FFS	RENDERING	AGE 0-20	332	None	4,641	None	307	None	1,029	None	161	None	465	None	324	None	376	None
1881819225	GOWDA ROOPA S	2021	FFS	RENDERING	AGE 21+	377	None	3,588	None	125	None	249	None	300	None	1,444	None	130	None	130	None
1881826170	PEJMAN-ZADEH PARISA	2021	FFS	RENDERING	AGE 0-20	1,932	None	21,637	None	1,650	None	5,965	None	1,469	None	7,808	None	1,551	None	1,750	None
1881826170	PEJMAN-ZADEH PARISA	2021	FFS	RENDERING	AGE 21+	100	None	528	None	49	None	96	None	61	None	196	None	59	None	61	None
1881829521	FORD DRUECIEL	2021	FFS	RENDERING	AGE 0-20	4,092	None	35,162	None	2,288	None	6,083	None	3,171	None	15,720	None	1,815	None	1,820	None
1881829521	FORD DRUECIEL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881847762	LEE SHIRLEY T	2021	FFS	RENDERING	AGE 0-20	144	None	1,683	None	117	None	339	None	94	None	485	None	114	None	131	None
1881847762	LEE SHIRLEY T	2021	FFS	RENDERING	AGE 21+	222	None	1,877	None	47	None	49	None	137	None	735	None	157	None	159	None
1881851921	TURCO KATERINA	2021	FFS	RENDERING	AGE 0-20	58	None	495	None	43	None	154	None	26	None	88	None	43	None	45	None
1881851921	TURCO KATERINA	2021	FFS	RENDERING	AGE 21+	126	None	898	None	73	None	153	None	89	None	275	None	76	None	78	None
1881864262	PHAN MATT T	2021	FFS	RENDERING	AGE 0-20	25	None	167	None	18	None	47	None	13	None	26	None	18	None	18	None
1881864262	PHAN MATT T	2021	FFS	RENDERING	AGE 21+	34	None	186	None	14	None	28	None	17	None	48	None	21	None	21	None
1881873552	ACEVEDO LIDYA S	2021	FFS	RENDERING	AGE 0-20	211	None	1,376	None	134	None	198	None	94	None	438	None	191	None	220	None
1881873552	ACEVEDO LIDYA S	2021	FFS	RENDERING	AGE 21+	419	None	2,072	None	74	None	74	None	183	None	931	None	342	None	342	None
1881874170	NISSEN PAUL A	2021	FFS	RENDERING	AGE 0-20	621	None	3,908	None	337	None	708	None	239	None	599	None	503	None	540	None
1881874170	NISSEN PAUL A	2021	FFS	RENDERING	AGE 21+	776	None	3,334	None	193	None	276	None	424	None	1,334	None	534	None	547	None
1881874212	NGUYEN CUONG DDS	2021	FFS	RENDERING	AGE 0-20	37	None	332	None	32	None	107	None	11	None	34	None	36	None	49	None
1881874212	NGUYEN CUONG DDS	2021	FFS	RENDERING	AGE 21+	209	None	1,143	None	95	None	190	None	116	None	454	None	168	None	168	None
1881878882	ZARRINNEGAR MANSOUREH	2021	FFS	RENDERING	AGE 0-20	19	None	199	None	17	None	77	None	0	None	0	None	19	None	23	None
1881878882	ZARRINNEGAR MANSOUREH	2021	FFS	RENDERING	AGE 21+	16	None	46	None	None	1	None	1	None	1	None	1	13	None	13	None
1881880169	NAKAMATSU CRAIG YOSHIO	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881886448	VALENCIA JUAN C	2021	FFS	RENDERING	AGE 0-20	176	None	1,412	None	123	None	245	None	120	None	521	None	141	None	172	None
1881886448	VALENCIA JUAN C	2021	FFS	RENDERING	AGE 21+	331	None	1,954	None	105	None	107	None	246	None	896	None	197	None	197	None
1881889392	LU KENNETH	2021	FFS	RENDERING	AGE 0-20	837	None	6,882	None	798	None	2,637	None	264	None	712	None	818	None	818	None
1881889392	LU KENNETH	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1881893634	RHEE SUNKI	2021	FFS	RENDERING	AGE 0-20	34	None	237	None	30	None	84	None	None	1	None	2	22	None	27	None
1881893634	RHEE SUNKI	2021	FFS	RENDERING	AGE 21+	101	None	440	None	56	None	112	None	25	None	76	None	58	None	58	None
1881894855	THOMAS, VARTAN L	2021	FFS	RENDERING	AGE 0-20	62	None	790	None	48	None	230	None	31	None	110	None	60	None	67	None
1881894855	THOMAS, VARTAN L	2021	FFS	RENDERING	AGE 21+	232	None	2,091	None	61	None	119	None	135	None	562	None	192	None	192	None
1881895571	AZARINFAR FARAMARZ A	2021	FFS	RENDERING	AGE 0-20	152	None	215	None	0	None	0	None	49	None	97	None	116	None	117	None
1881895571	AZARINFAR FARAMARZ A	2021	FFS	RENDERING	AGE 21+	337	None	682	None	0	None	0	None	215	None	498	None	177	None	177	None
1881897452	YU CHEOL H	2021	FFS	RENDERING	AGE 0-20	117	None	515	None	21	None	63	None	46	None	113	None	93	None	99	None
1881897452	YU CHEOL H	2021	FFS	RENDERING	AGE 21+	143	None	398	None	None	1	None	1	77	None	153	None	71	None	71	None
1881900157	DENTAL PARK	2021	PHP	RENDERING	AGE 0-20	61	None	428	None	60	None	183	None	17	None	39	None	61	None	62	None
1881900157	DENTAL PARK	2021	PHP	RENDERING	AGE 21+	31	None	165	None	17	None	33	None	None	1	None	1	27	None	27	None
1881901437	HERMO, IRENE B, DDS	2021	FFS	RENDERING	AGE 0-20	159	None	1,782	None	141	None	499	None	68	None	239	None	153	None	198	None
1881901437	HERMO, IRENE B, DDS	2021	FFS	RENDERING	AGE 21+	514	None	4,403	None	373	None	726	None	359	None	1,456	None	418	None	418	None
1881907145	CARROLL SHARI H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1881907145	CARROLL SHARI H	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881912459	MORENO JULIO G	2021	FFS	RENDERING	AGE 0-20	75	None	344	None	52	None	91	None	35	None	97	None	56	None	58	None
1881912459	MORENO JULIO G	2021	FFS	RENDERING	AGE 21+	118	None	476	None	49	None	69	None	70	None	188	None	71	None	71	None
1881912459	MORENO JULIO G	2021	PHP	RENDERING	AGE 0-20	16	None	68	None	None	1	None	2	13	None	22	None	None	1	None	1
1881912459	MORENO JULIO G	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1881916047	AHIMIE ODUFALU EKINOMO U	2021	FFS	RENDERING	AGE 0-20	37	None	317	None	36	None	162	None	16	None	31	None	36	None	48	None
1881916047	AHIMIE ODUFALU EKINOMO U	2021	FFS	RENDERING	AGE 21+	102	None	680	None	50	None	93	None	65	None	326	None	86	None	86	None
1881918571	HUBER JR DONALD E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1881918571	HUBER JR DONALD E	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1881952745	JOACHIM-ROMERO, DIANNE, RDHA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1881959914	ZAMANI SOSEH	2021	FFS	RENDERING	AGE 0-20	293	None	422	None	0	None	0	None	53	None	130	None	None	1	None	1
1881959914	ZAMANI SOSEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881963742	DALL'OLMO FABRIZIO	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1881963742	DALL'OLMO FABRIZIO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1881975381	VASA SCARLET S	2021	FFS	RENDERING	AGE 0-20	16	None	157	None	14	None	49	None	None	1	None	2	15	None	16	None
1881975381	VASA SCARLET S	2021	FFS	RENDERING	AGE 21+	15	None	135	None	11	None	20	None	None	1	None	2	13	None	13	None
1881994689	ALMUSAWI MAHA S	2021	FFS	RENDERING	AGE 0-20	21	None	165	None	20	None	79	None	12	None	18	None	20	None	20	None
1881994689	ALMUSAWI MAHA S	2021	GMC	RENDERING	AGE 0-20	3,344	None	59,430	None	3,194	None	24,308	None	2,478	None	7,354	None	3,189	None	5,934	None
1891006128	LIN WINSTON	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891030730	KERI DDS A PROFESSIONAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891038527	CESENA KRISTINA M	2021	FFS	RENDERING	AGE 0-20	2,276	None	14,289	None	1,475	None	3,927	None	1,756	None	4,837	None	947	None	961	None
1891048500	KHAJAVI, SUZAN DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1891048500	KHAJAVI, SUZAN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1891060547	GUERRERO II ENCARNACION S	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1891060547	GUERRERO II ENCARNACION S	2021	FFS	RENDERING	AGE 21+	18	None	111	None	None	1	None	1	None	1	None	2	12	None	12	None
1891068516	GARZA, ESMERALDA, RDHAP	2021	FFS	RENDERING	AGE 0-20	43	None	296	None	41	None	200	None	0	None	0	None	0	None	0	None
1891068516	GARZA, ESMERALDA, RDHAP	2021	FFS	RENDERING	AGE 21+	84	None	344	None	76	None	149	None	31	None	132	None	0	None	0	None
1891084836	NIETO ANGELICA M	2021	FFS	RENDERING	AGE 0-20	55	None	254	None	26	None	96	None	14	None	29	None	43	None	43	None
1891084836	NIETO ANGELICA M	2021	FFS	RENDERING	AGE 21+	92	None	223	None	12	None	23	None	32	None	59	None	58	None	58	None
1891119061	HAIMOF RYAN J	2021	FFS	RENDERING	AGE 0-20	314	None	411	None	0	None	0	None	41	None	69	None	0	None	0	None
1891119061	HAIMOF RYAN J	2021	FFS	RENDERING	AGE 21+	15	None	15	None	0	None	0	None	0	None	0	None	0	None	0	None
1891119061	HAIMOF RYAN J	2021	PHP	RENDERING	AGE 0-20	30	None	124	None	0	None	0	None	26	None	100	None	0	None	0	None
1891119061	HAIMOF RYAN J	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1891120432	BARONIAN LISA	2021	FFS	RENDERING	AGE 0-20	1,610	None	11,401	None	1,371	None	4,404	None	875	None	2,263	None	1,335	None	1,431	None
1891120432	BARONIAN LISA	2021	FFS	RENDERING	AGE 21+	31	None	105	None	None	1	None	1	18	None	50	None	None	1	None	1
1891121695	CORPODIAN COREY D	2021	FFS	RENDERING	AGE 0-20	143	None	267	None	0	None	0	None	30	None	94	None	0	None	0	None
1891121695	CORPODIAN COREY D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891128245	SHARMA MANU	2021	FFS	RENDERING	AGE 0-20	303	None	2,037	None	230	None	731	None	130	None	348	None	261	None	292	None
1891128245	SHARMA MANU	2021	FFS	RENDERING	AGE 21+	714	None	3,152	None	253	None	469	None	364	None	1,110	None	531	None	533	None
1891128245	SHARMA MANU	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1891128245	SHARMA MANU	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1891144184	DACKER GARRETT Y	2021	FFS	RENDERING	AGE 0-20	76	None	129	None	0	None	0	None	22	None	43	None	0	None	0	None
1891144184	DACKER GARRETT Y	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891154282	ATTALLA ERENE	2021	FFS	RENDERING	AGE 0-20	161	None	309	None	79	None	79	None	44	None	95	None	135	None	135	None
1891154282	ATTALLA ERENE	2021	FFS	RENDERING	AGE 21+	284	None	573	None	29	None	29	None	153	None	374	None	156	None	156	None
1891164760	NAGEL ANNE E	2021	FFS	RENDERING	AGE 0-20	277	None	1,598	None	259	None	554	None	32	None	34	None	257	None	262	None
1891164760	NAGEL ANNE E	2021	FFS	RENDERING	AGE 21+	140	None	451	None	87	None	88	None	18	None	48	None	95	None	95	None
1891169124	THODUPUNOORI VEDASRI	2021	FFS	RENDERING	AGE 0-20	359	None	2,163	None	241	None	787	None	119	None	321	None	256	None	263	None
1891169124	THODUPUNOORI VEDASRI	2021	FFS	RENDERING	AGE 21+	617	None	1,849	None	96	None	179	None	369	None	839	None	255	None	255	None
1891170221	SHAKER MARIAM A	2021	FFS	RENDERING	AGE 0-20	2,104	None	31,764	None	1,924	None	7,124	None	1,619	None	6,665	None	1,995	None	2,491	None
1891182507	KEUROGHLIAN ARMAND	2021	FFS	RENDERING	AGE 0-20	711	None	2,064	None	0	None	0	None	709	None	1,696	None	12	None	12	None
1891182507	KEUROGHLIAN ARMAND	2021	FFS	RENDERING	AGE 21+	1,139	None	3,204	None	0	None	0	None	1,124	None	2,491	None	90	None	90	None
1891182507	KEUROGHLIAN ARMAND	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1891182507	KEUROGHLIAN ARMAND	2021	PHP	RENDERING	AGE 21+	59	None	160	None	0	None	0	None	31	None	99	None	51	None	52	None
1891193140	BUBLIK, OKSANA, DDS A DENTAL	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891195053	TODOROV BOYAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1891195053	TODOROV BOYAN	2021	PHP	RENDERING	AGE 0-20	32	None	164	None	18	None	51	None	14	None	39	None	22	None	24	None
1891195053	TODOROV BOYAN	2021	PHP	RENDERING	AGE 21+	24	None	82	None	None	1	None	1	None	1	None	2	17	None	20	None
1891198339	ZAMANI, PAYAM DDS	2021	FFS	RENDERING	AGE 0-20	103	None	344	None	0	None	0	None	18	None	50	None	0	None	0	None
1891198339	ZAMANI, PAYAM DDS	2021	FFS	RENDERING	AGE 21+	36	None	106	None	0	None	0	None	0	None	0	None	35	None	35	None
1891211421	CHEN ELIOTT L	2021	FFS	RENDERING	AGE 0-20	168	None	2,034	None	147	None	417	None	78	None	301	None	162	None	198	None
1891211421	CHEN ELIOTT L	2021	FFS	RENDERING	AGE 21+	380	None	3,172	None	141	None	259	None	281	None	1,116	None	298	None	298	None
1891218715	CHUNG YOUNG H	2021	FFS	RENDERING	AGE 0-20	47	None	222	None	None	1	None	1	46	None	143	None	0	None	0	None
1891218715	CHUNG YOUNG H	2021	FFS	RENDERING	AGE 21+	135	None	567	None	None	1	None	2	134	None	391	None	None	1	None	1
1891226890	JUNG BETHANY A	2021	FFS	RENDERING	AGE 0-20	608	None	1,097	None	0	None	0	None	268	None	324	None	0	None	0	None
1891226890	JUNG BETHANY A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891242756	BHARDWAJ RITU	2021	FFS	RENDERING	AGE 0-20	669	None	3,338	None	333	None	1,070	None	228	None	511	None	572	None	612	None
1891242756	BHARDWAJ RITU	2021	FFS	RENDERING	AGE 21+	716	None	1,934	None	82	None	128	None	143	None	388	None	563	None	565	None
1891271441	ABDUL RASSOOL MERYAM S	2021	FFS	RENDERING	AGE 0-20	11	None	44	None	None	1	None	2	None	1	None	1	None	1	None	1
1891271441	ABDUL RASSOOL MERYAM S	2021	FFS	RENDERING	AGE 21+	75	None	250	None	None	1	None	1	32	None	99	None	53	None	53	None
1891274205	MEHTA MANALI	2021	FFS	RENDERING	AGE 0-20	144	None	826	None	94	None	245	None	45	None	110	None	110	None	111	None
1891274205	MEHTA MANALI	2021	FFS	RENDERING	AGE 21+	331	None	1,196	None	36	None	56	None	176	None	464	None	194	None	194	None
1891281085	GALVEZ JONATHAN P	2021	FFS	RENDERING	AGE 0-20	43	None	226	None	24	None	56	None	22	None	48	None	28	None	28	None
1891281085	GALVEZ JONATHAN P	2021	FFS	RENDERING	AGE 21+	161	None	548	None	36	None	67	None	112	None	254	None	62	None	62	None
1891281085	GALVEZ JONATHAN P	2021	PHP	RENDERING	AGE 0-20	75	None	503	None	53	None	182	None	44	None	101	None	53	None	55	None
1891281085	GALVEZ JONATHAN P	2021	PHP	RENDERING	AGE 21+	90	None	413	None	42	None	97	None	63	None	196	None	39	None	39	None
1891281242	MARASHI ZOHREH	2021	FFS	RENDERING	AGE 21+	34	None	101	None	None	1	None	1	18	None	45	None	22	None	22	None
1891299723	VILCHEZ HELEN J	2021	FFS	RENDERING	AGE 0-20	2,476	None	38,176	None	2,356	None	10,038	None	2,007	None	7,948	None	2,369	None	3,560	None
1891300471	CHIEN CYNTHIA	2021	FFS	RENDERING	AGE 0-20	104	None	960	None	86	None	311	None	44	None	124	None	84	None	103	None
1891300471	CHIEN CYNTHIA	2021	FFS	RENDERING	AGE 21+	240	None	1,944	None	101	None	201	None	205	None	836	None	114	None	114	None
1891307625	ALIDOUSTI SHAHR FAEZEH	2021	FFS	RENDERING	AGE 0-20	152	None	1,897	None	123	None	403	None	93	None	368	None	123	None	142	None
1891307625	ALIDOUSTI SHAHR FAEZEH	2021	FFS	RENDERING	AGE 21+	259	None	1,657	None	123	None	242	None	202	None	618	None	106	None	106	None
1891345112	PEDRAM MICHAEL	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1891345112	PEDRAM MICHAEL	2021	FFS	RENDERING	AGE 21+	29	None	75	None	0	None	0	None	29	None	73	None	0	None	0	None
1891385050	SAN NICOLAS ESTHER C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1891468682	SODHI NAVDEEP KAUR	2021	FFS	RENDERING	AGE 0-20	128	None	617	None	89	None	256	None	59	None	148	None	55	None	55	None
1891468682	SODHI NAVDEEP KAUR	2021	FFS	RENDERING	AGE 21+	299	None	946	None	84	None	159	None	187	None	468	None	84	None	84	None
1891705349	LE, KEVIN THAI HOANG DDS	2021	FFS	RENDERING	AGE 0-20	11	None	71	None	None	1	None	2	None	1	None	2	None	1	None	1
1891705349	LE, KEVIN THAI HOANG DDS	2021	FFS	RENDERING	AGE 21+	81	None	757	None	54	None	108	None	79	None	344	None	67	None	67	None
1891706636	MA, JAMES C, DDS	2021	FFS	RENDERING	AGE 0-20	310	None	2,307	None	251	None	706	None	141	None	470	None	267	None	333	None
1891706636	MA, JAMES C, DDS	2021	FFS	RENDERING	AGE 21+	355	None	1,859	None	142	None	271	None	201	None	632	None	283	None	285	None
1891713566	SOLAK LEVON	2021	FFS	RENDERING	AGE 0-20	126	None	1,076	None	86	None	185	None	42	None	99	None	99	None	99	None
1891713566	SOLAK LEVON	2021	FFS	RENDERING	AGE 21+	277	None	1,449	None	115	None	194	None	155	None	409	None	152	None	152	None
1891714754	NGUYEN, PHUNG K, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1891714754	NGUYEN, PHUNG K, DDS	2021	FFS	RENDERING	AGE 21+	27	None	203	None	22	None	44	None	14	None	26	None	16	None	16	None
1891719217	BAYRAKDARIAN ISHKHAN	2021	FFS	RENDERING	AGE 0-20	2,772	None	7,401	None	0	None	0	None	1,180	None	2,870	None	0	None	0	None
1891719217	BAYRAKDARIAN ISHKHAN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891748158	HUYNH, VU T MD	2021	FFS	RENDERING	AGE 0-20	71	None	145	None	0	None	0	None	71	None	145	None	0	None	0	None
1891796884	ALEJANDRINO-BUE MARIE E	2021	FFS	RENDERING	AGE 0-20	189	None	1,399	None	179	None	536	None	48	None	108	None	166	None	239	None
1891796884	ALEJANDRINO-BUE MARIE E	2021	FFS	RENDERING	AGE 21+	214	None	1,247	None	180	None	355	None	90	None	275	None	182	None	182	None
1891801502	BAUMAN, DAVID G, DDS	2021	FFS	RENDERING	AGE 0-20	223	None	2,795	None	217	None	716	None	72	None	192	None	211	None	271	None
1891801825	MALOO HUZAIFA H	2021	FFS	RENDERING	AGE 0-20	394	None	2,598	None	172	None	405	None	178	None	530	None	356	None	372	None
1891801825	MALOO HUZAIFA H	2021	FFS	RENDERING	AGE 21+	394	None	1,989	None	21	None	41	None	274	None	912	None	294	None	299	None
1891803714	PENG ERIC C	2021	FFS	RENDERING	AGE 0-20	292	None	3,268	None	279	None	911	None	97	None	256	None	285	None	390	None
1891803714	PENG ERIC C	2021	FFS	RENDERING	AGE 21+	349	None	3,356	None	251	None	498	None	238	None	792	None	262	None	262	None
1891812038	KARIA, PIYUSH TULSIDA DDS	2021	FFS	RENDERING	AGE 0-20	107	None	1,360	None	91	None	261	None	41	None	157	None	77	None	85	None
1891812038	KARIA, PIYUSH TULSIDA DDS	2021	FFS	RENDERING	AGE 21+	232	None	2,145	None	68	None	69	None	122	None	447	None	157	None	157	None
1891814224	NGUYEN, NHUNG N T, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1891814224	NGUYEN, NHUNG N T, DDS	2021	FFS	RENDERING	AGE 21+	13	None	54	None	None	1	None	1	None	1	None	2	None	1	None	1
1891814687	ASSIL FARIBA	2021	FFS	RENDERING	AGE 0-20	69	None	375	None	17	None	19	None	30	None	74	None	55	None	60	None
1891814687	ASSIL FARIBA	2021	FFS	RENDERING	AGE 21+	361	None	1,982	None	31	None	32	None	211	None	684	None	260	None	274	None
1891815346	GARCIA CARLOS A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891815346	GARCIA CARLOS A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1891818274	BOYADJIAN, ALINE, DDS	2021	FFS	RENDERING	AGE 0-20	41	None	447	None	38	None	94	None	28	None	145	None	38	None	43	None
1891818274	BOYADJIAN, ALINE, DDS	2021	FFS	RENDERING	AGE 21+	168	None	1,764	None	104	None	175	None	151	None	931	None	117	None	117	None
1891820445	DO TRI M	2021	FFS	RENDERING	AGE 0-20	27	None	134	None	15	None	36	None	None	1	None	2	12	None	14	None
1891820445	DO TRI M	2021	FFS	RENDERING	AGE 21+	59	None	366	None	47	None	66	None	22	None	73	None	54	None	54	None
1891821765	FULLER, CLAYTON S, DDS	2021	FFS	RENDERING	AGE 0-20	372	None	1,147	None	0	None	0	None	80	None	256	None	0	None	0	None
1891821765	FULLER, CLAYTON S, DDS	2021	FFS	RENDERING	AGE 21+	36	None	70	None	0	None	0	None	0	None	0	None	0	None	0	None
1891828778	JIMENEZ PETER N	2021	FFS	RENDERING	AGE 0-20	2,206	None	30,570	None	2,045	None	8,381	None	1,634	None	5,925	None	2,058	None	2,865	None
1891828778	JIMENEZ PETER N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1891833372	THANT, AUNG MYO DDS	2021	FFS	RENDERING	AGE 0-20	236	None	2,416	None	221	None	917	None	130	None	407	None	229	None	267	None
1891833372	THANT, AUNG MYO DDS	2021	FFS	RENDERING	AGE 21+	147	None	1,044	None	77	None	150	None	97	None	424	None	108	None	109	None
1891833372	THANT, AUNG MYO DDS	2021	PHP	RENDERING	AGE 0-20	91	None	909	None	89	None	354	None	42	None	129	None	90	None	109	None
1891833372	THANT, AUNG MYO DDS	2021	PHP	RENDERING	AGE 21+	40	None	217	None	16	None	18	None	20	None	89	None	39	None	39	None
1891834941	JAVIDAN MAZDYAS MITRA	2021	FFS	RENDERING	AGE 0-20	110	None	522	None	67	None	155	None	59	None	129	None	61	None	61	None
1891834941	JAVIDAN MAZDYAS MITRA	2021	FFS	RENDERING	AGE 21+	207	None	855	None	37	None	70	None	155	None	475	None	60	None	60	None
1891837449	KISSEVICH ZSOLT H GEN PTR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1891845236	DAOUDIAN MEHRAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1891845236	DAOUDIAN MEHRAN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1891845236	DAOUDIAN MEHRAN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1891845236	DAOUDIAN MEHRAN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1891846523	PARK SANGHO	2021	FFS	RENDERING	AGE 0-20	2,362	None	33,091	None	2,279	None	6,612	None	1,502	None	9,041	None	1,686	None	1,883	None
1891846523	PARK SANGHO	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1891847596	AKHBARI CYRUS M	2021	FFS	RENDERING	AGE 0-20	1,017	None	9,534	None	937	None	3,299	None	360	None	462	None	948	None	1,115	None
1891847596	AKHBARI CYRUS M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891848248	ENCARNACION, TIM D, DDS	2021	FFS	RENDERING	AGE 0-20	74	None	542	None	63	None	135	None	29	None	98	None	68	None	73	None
1891848248	ENCARNACION, TIM D, DDS	2021	FFS	RENDERING	AGE 21+	168	None	1,187	None	46	None	48	None	117	None	504	None	131	None	131	None
1891848453	GALVAN DE BARBOSA, ADRIANA,	2021	FFS	RENDERING	AGE 0-20	12	None	226	None	None	1	None	2	None	1	None	2	11	None	22	None
1891848453	GALVAN DE BARBOSA, ADRIANA,	2021	FFS	RENDERING	AGE 21+	59	None	866	None	20	None	76	None	38	None	338	None	44	None	88	None
1891848842	DUARTE EYNALD A	2021	FFS	RENDERING	AGE 0-20	43	None	323	None	21	None	25	None	29	None	192	None	29	None	29	None
1891848842	DUARTE EYNALD A	2021	FFS	RENDERING	AGE 21+	96	None	545	None	33	None	33	None	49	None	317	None	61	None	61	None
1891848842	DUARTE EYNALD A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1891848842	DUARTE EYNALD A	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	2
1891849873	WONG LYNNE M	2021	FFS	RENDERING	AGE 0-20	184	None	207	None	0	None	0	None	0	None	0	None	0	None	0	None
1891849873	WONG LYNNE M	2021	FFS	RENDERING	AGE 21+	1,355	None	1,880	None	0	None	0	None	None	1	None	1	None	1	None	1
1891852398	PHAN, LYNDON TRONGLAN DDS	2021	FFS	RENDERING	AGE 0-20	544	None	7,864	None	530	None	1,910	None	120	None	289	None	530	None	750	None
1891852398	PHAN, LYNDON TRONGLAN DDS	2021	FFS	RENDERING	AGE 21+	218	None	1,473	None	160	None	319	None	98	None	294	None	164	None	164	None
1891854691	HO VANANH T	2021	FFS	RENDERING	AGE 0-20	870	None	7,919	None	663	None	2,619	None	382	None	1,905	None	781	None	899	None
1891854691	HO VANANH T	2021	FFS	RENDERING	AGE 21+	905	None	4,204	None	167	None	342	None	382	None	1,626	None	619	None	625	None
1891854691	HO VANANH T	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891854691	HO VANANH T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1891854691	HO VANANH T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1891856589	ISKANDER AFAF E	2021	FFS	RENDERING	AGE 0-20	179	None	1,535	None	121	None	373	None	80	None	254	None	157	None	178	None
1891856589	ISKANDER AFAF E	2021	FFS	RENDERING	AGE 21+	308	None	1,592	None	44	None	46	None	167	None	602	None	221	None	226	None
1891856589	ISKANDER AFAF E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891856753	NIKFARJAM DAVID S	2021	FFS	RENDERING	AGE 0-20	1,195	None	9,946	None	1,143	None	4,079	None	416	None	1,672	None	1,083	None	1,572	None
1891856753	NIKFARJAM DAVID S	2021	PHP	RENDERING	AGE 0-20	45	None	373	None	18	None	51	None	43	None	242	None	None	1	None	1
1891858106	BROOKS, CAROL J DDS	2021	FFS	RENDERING	AGE 0-20	16	None	81	None	13	None	30	None	None	1	None	1	12	None	14	None
1891858106	BROOKS, CAROL J DDS	2021	FFS	RENDERING	AGE 21+	125	None	531	None	46	None	50	None	64	None	212	None	69	None	69	None
1891859666	PATEL KIRIT R	2021	FFS	RENDERING	AGE 0-20	291	None	4,371	None	281	None	1,201	None	141	None	257	None	275	None	338	None
1891859666	PATEL KIRIT R	2021	FFS	RENDERING	AGE 21+	896	None	10,438	None	681	None	1,142	None	508	None	1,839	None	791	None	791	None
1891862918	LAMPASI JAMES P	2021	FFS	RENDERING	AGE 0-20	116	None	767	None	80	None	170	None	53	None	203	None	72	None	77	None
1891862918	LAMPASI JAMES P	2021	FFS	RENDERING	AGE 21+	207	None	1,011	None	82	None	136	None	103	None	338	None	143	None	143	None
1891865499	PARK, CHARLES C, DDS	2021	FFS	RENDERING	AGE 0-20	77	None	737	None	61	None	149	None	45	None	145	None	66	None	72	None
1891865499	PARK, CHARLES C, DDS	2021	FFS	RENDERING	AGE 21+	98	None	580	None	22	None	26	None	73	None	247	None	57	None	61	None
1891868766	TRAN, THU ANH DMD	2021	FFS	RENDERING	AGE 0-20	108	None	1,982	None	104	None	372	None	72	None	326	None	106	None	163	None
1891868766	TRAN, THU ANH DMD	2021	FFS	RENDERING	AGE 21+	117	None	1,271	None	93	None	183	None	75	None	407	None	106	None	106	None
1891870796	AMBARTSUMYAN, HASMIK	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1891870796	AMBARTSUMYAN, HASMIK	2021	FFS	RENDERING	AGE 21+	316	None	2,278	None	155	None	155	None	275	None	1,781	None	127	None	127	None
1891874897	MARATHE KAUSTUBH K	2021	FFS	RENDERING	AGE 0-20	75	None	520	None	67	None	168	None	31	None	108	None	57	None	70	None
1891874897	MARATHE KAUSTUBH K	2021	FFS	RENDERING	AGE 21+	97	None	455	None	32	None	35	None	61	None	208	None	60	None	60	None
1891881751	DAWOOD NAJLAA F	2021	FFS	RENDERING	AGE 0-20	227	None	1,298	None	180	None	522	None	72	None	177	None	193	None	219	None
1891881751	DAWOOD NAJLAA F	2021	FFS	RENDERING	AGE 21+	289	None	1,103	None	130	None	248	None	139	None	360	None	212	None	215	None
1891883880	ELO JEFFREY A	2021	FFS	RENDERING	AGE 0-20	51	None	202	None	0	None	0	None	51	None	196	None	0	None	0	None
1891883880	ELO JEFFREY A	2021	FFS	RENDERING	AGE 21+	123	None	344	None	0	None	0	None	123	None	338	None	0	None	0	None
1891893152	CHANG YAOJEN	2021	FFS	RENDERING	AGE 0-20	291	None	3,339	None	235	None	912	None	184	None	534	None	237	None	267	None
1891893152	CHANG YAOJEN	2021	FFS	RENDERING	AGE 21+	496	None	3,735	None	243	None	492	None	356	None	1,038	None	293	None	294	None
1891893152	CHANG YAOJEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1891893152	CHANG YAOJEN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891896395	FAN SHEUNG-LUNG	2021	FFS	RENDERING	AGE 0-20	28	None	225	None	26	None	76	None	13	None	25	None	27	None	37	None
1891896395	FAN SHEUNG-LUNG	2021	FFS	RENDERING	AGE 21+	94	None	785	None	72	None	122	None	59	None	296	None	81	None	81	None
1891900221	PLEYTO, XERES DESIREE A DDS	2021	FFS	RENDERING	AGE 0-20	32	None	230	None	26	None	75	None	13	None	32	None	28	None	36	None
1891900221	PLEYTO, XERES DESIREE A DDS	2021	FFS	RENDERING	AGE 21+	74	None	383	None	42	None	77	None	42	None	117	None	45	None	45	None
1891900221	PLEYTO, XERES DESIREE A DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1891902326	ESFANDIARI FARSHID F	2021	FFS	RENDERING	AGE 0-20	127	None	1,210	None	118	None	560	None	56	None	215	None	113	None	135	None
1891902326	ESFANDIARI FARSHID F	2021	FFS	RENDERING	AGE 21+	325	None	1,897	None	179	None	333	None	206	None	720	None	246	None	248	None
1891902326	ESFANDIARI FARSHID F	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891904397	GALLASTEGUI ALBERTO	2021	FFS	RENDERING	AGE 0-20	1,072	None	5,708	None	639	None	1,840	None	651	None	2,168	None	460	None	494	None
1891904397	GALLASTEGUI ALBERTO	2021	FFS	RENDERING	AGE 21+	2,416	None	11,615	None	598	None	1,192	None	2,167	None	8,054	None	451	None	451	None
1891905626	EMAMISADR II, MAHVASH DDS	2021	FFS	RENDERING	AGE 0-20	39	None	132	None	34	None	35	None	12	None	41	None	21	None	21	None
1891905626	EMAMISADR II, MAHVASH DDS	2021	FFS	RENDERING	AGE 21+	172	None	810	None	24	None	24	None	131	None	533	None	113	None	113	None
1891905626	EMAMISADR II, MAHVASH DDS	2021	PHP	RENDERING	AGE 0-20	24	None	82	None	19	None	31	None	None	1	None	1	19	None	21	None
1891905626	EMAMISADR II, MAHVASH DDS	2021	PHP	RENDERING	AGE 21+	46	None	162	None	16	None	16	None	20	None	63	None	40	None	40	None
1891906640	PRUSS MARIA E	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1891909081	SUNGLAO JESSAMINE T	2021	FFS	RENDERING	AGE 0-20	18	None	193	None	17	None	80	None	None	1	None	2	17	None	21	None
1891909081	SUNGLAO JESSAMINE T	2021	FFS	RENDERING	AGE 21+	56	None	304	None	46	None	48	None	33	None	150	None	47	None	47	None
1891912168	FRIENDLY ENDODONTICS INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1891914495	HUGHES, BRENNAN, DMD A PROFE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1891914495	HUGHES, BRENNAN, DMD A PROFE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1891915492	BERHANU-DEMISSI AMSALE	2021	FFS	RENDERING	AGE 0-20	66	None	323	None	43	None	88	None	32	None	50	None	44	None	45	None
1891915492	BERHANU-DEMISSI AMSALE	2021	FFS	RENDERING	AGE 21+	193	None	742	None	57	None	109	None	135	None	289	None	67	None	67	None
1891917860	RAOUF, MEDHAT M, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	121	None	14	None	47	None	None	1	None	1	14	None	18	None
1891917860	RAOUF, MEDHAT M, DDS	2021	FFS	RENDERING	AGE 21+	66	None	420	None	43	None	86	None	43	None	170	None	51	None	51	None
1891927505	MAGALLANES ELIZABETH	2021	PHP	RENDERING	AGE 0-20	214	None	1,408	None	181	None	698	None	81	None	115	None	134	None	154	None
1891927505	MAGALLANES ELIZABETH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1891937249	GUERRERO FERNANDES, ANDRE V	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1891941654	SAADAT DARA	2021	FFS	RENDERING	AGE 0-20	545	None	1,530	None	0	None	0	None	55	None	135	None	0	None	0	None
1891941654	SAADAT DARA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891942652	KARIMI MAHYAR A	2021	FFS	RENDERING	AGE 0-20	54	None	304	None	0	None	0	None	54	None	304	None	0	None	0	None
1891942652	KARIMI MAHYAR A	2021	FFS	RENDERING	AGE 21+	69	None	486	None	0	None	0	None	69	None	484	None	0	None	0	None
1891945978	SALES VIVIAN R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1891945978	SALES VIVIAN R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1891960480	SAAD, RIMON V DDS	2021	FFS	RENDERING	AGE 0-20	498	None	8,273	None	483	None	2,094	None	255	None	857	None	485	None	695	None
1891960480	SAAD, RIMON V DDS	2021	FFS	RENDERING	AGE 21+	301	None	2,392	None	193	None	383	None	212	None	749	None	241	None	241	None
1891960480	SAAD, RIMON V, DDS	2021	FFS	RENDERING	AGE 0-20	498	None	8,273	None	483	None	2,094	None	255	None	857	None	485	None	695	None
1891960480	SAAD, RIMON V, DDS	2021	FFS	RENDERING	AGE 21+	301	None	2,392	None	193	None	383	None	212	None	749	None	241	None	241	None
1891962270	NGUYEN HOPE ANN T	2021	FFS	RENDERING	AGE 0-20	369	None	2,695	None	271	None	681	None	187	None	750	None	243	None	270	None
1891962809	LEE EUNICE J	2021	FFS	RENDERING	AGE 0-20	4,611	None	34,471	None	4,118	None	10,529	None	1,905	None	3,897	None	4,184	None	4,484	None
1891962809	LEE EUNICE J	2021	FFS	RENDERING	AGE 21+	11	None	42	None	None	1	None	1	0	None	0	None	None	1	None	1
1891962809	LEE EUNICE J	2021	PHP	RENDERING	AGE 0-20	30	None	203	None	11	None	21	None	24	None	91	None	None	1	None	1
1891964565	LU, WENBO, DDS	2021	FFS	RENDERING	AGE 0-20	311	None	1,341	None	96	None	290	None	163	None	442	None	113	None	113	None
1891964565	LU, WENBO, DDS	2021	FFS	RENDERING	AGE 21+	384	None	1,371	None	71	None	128	None	237	None	682	None	133	None	134	None
1891964565	LU, WENBO, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1891967766	RODRIGUEZ-PUGED PAULYN C	2021	GMC	RENDERING	AGE 0-20	103	None	706	None	81	None	265	None	19	None	31	None	86	None	104	None
1891967766	RODRIGUEZ-PUGED PAULYN C	2021	GMC	RENDERING	AGE 21+	42	None	210	None	19	None	36	None	16	None	27	None	25	None	29	None
1891973095	ASIDERA, SALINA S DDS	2021	FFS	RENDERING	AGE 0-20	151	None	2,200	None	135	None	432	None	105	None	405	None	141	None	187	None
1891973095	ASIDERA, SALINA S DDS	2021	FFS	RENDERING	AGE 21+	222	None	2,311	None	113	None	197	None	182	None	1,012	None	156	None	156	None
1891973533	ARMENIAN BAYRAMYAN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891978508	SHARIFZADEH ALIREZA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1891978508	SHARIFZADEH ALIREZA	2021	FFS	RENDERING	AGE 21+	19	None	129	None	15	None	30	None	14	None	38	None	16	None	16	None
1891980116	GERSHFELD JULIAN G	2021	FFS	RENDERING	AGE 0-20	31	None	144	None	27	None	69	None	None	1	None	2	26	None	27	None
1891980116	GERSHFELD JULIAN G	2021	FFS	RENDERING	AGE 21+	111	None	487	None	45	None	86	None	69	None	186	None	74	None	74	None
1891980116	GERSHFELD JULIAN G	2021	PHP	RENDERING	AGE 0-20	36	None	274	None	29	None	112	None	11	None	54	None	33	None	42	None
1891980116	GERSHFELD JULIAN G	2021	PHP	RENDERING	AGE 21+	129	None	860	None	38	None	53	None	83	None	509	None	108	None	116	None
1891995320	LEONG EDWARD C	2021	FFS	RENDERING	AGE 0-20	111	None	1,089	None	100	None	304	None	46	None	152	None	108	None	143	None
1891995320	LEONG EDWARD C	2021	FFS	RENDERING	AGE 21+	194	None	1,468	None	135	None	135	None	129	None	456	None	157	None	157	None
1902006554	SHIM CHARLES	2021	FFS	RENDERING	AGE 0-20	934	None	16,300	None	915	None	3,681	None	666	None	3,565	None	913	None	1,224	None
1902006554	SHIM CHARLES	2021	FFS	RENDERING	AGE 21+	13	None	82	None	None	1	None	2	None	1	None	1	None	1	None	1
1902014160	KAO GEORGE H	2021	FFS	RENDERING	AGE 0-20	22	None	162	None	17	None	55	None	12	None	27	None	19	None	23	None
1902014160	KAO GEORGE H	2021	FFS	RENDERING	AGE 21+	79	None	676	None	65	None	132	None	70	None	291	None	68	None	69	None
1902015803	SOLEIMANI KATAYOUN	2021	FFS	RENDERING	AGE 0-20	31	None	223	None	24	None	63	None	12	None	46	None	30	None	32	None
1902015803	SOLEIMANI KATAYOUN	2021	FFS	RENDERING	AGE 21+	138	None	1,073	None	79	None	147	None	82	None	303	None	119	None	119	None
1902016876	DE JESUS DEXTER R	2021	FFS	RENDERING	AGE 0-20	164	None	2,048	None	139	None	387	None	68	None	261	None	158	None	197	None
1902016876	DE JESUS DEXTER R	2021	FFS	RENDERING	AGE 21+	198	None	1,603	None	59	None	112	None	131	None	554	None	160	None	162	None
1902019805	EISENHOFER, KAREN F DDS	2021	FFS	RENDERING	AGE 0-20	19	None	135	None	14	None	30	None	None	1	None	2	13	None	13	None
1902019805	EISENHOFER, KAREN F DDS	2021	FFS	RENDERING	AGE 21+	25	None	131	None	None	1	None	2	14	None	34	None	14	None	14	None
1902019805	EISENHOFER, KAREN F DDS	2021	PHP	RENDERING	AGE 0-20	78	None	569	None	67	None	232	None	51	None	88	None	38	None	42	None
1902019805	EISENHOFER, KAREN F DDS	2021	PHP	RENDERING	AGE 21+	80	None	313	None	45	None	75	None	65	None	89	None	25	None	25	None
1902019870	SALEEB, NADIA DDS	2021	FFS	RENDERING	AGE 0-20	62	None	532	None	57	None	221	None	30	None	88	None	60	None	72	None
1902019870	SALEEB, NADIA DDS	2021	FFS	RENDERING	AGE 21+	187	None	1,394	None	85	None	86	None	148	None	684	None	141	None	142	None
1902020456	PAKRAVAN, FARID, DDS II INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1902020456	PAKRAVAN, FARID, DDS II INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1902020977	PACHECO ROBERTO A	2021	FFS	RENDERING	AGE 0-20	128	None	1,793	None	114	None	306	None	36	None	111	None	119	None	145	None
1902020977	PACHECO ROBERTO A	2021	FFS	RENDERING	AGE 21+	78	None	715	None	52	None	52	None	34	None	101	None	59	None	59	None
1902025919	NGUYEN DOUGLAS DUC T	2021	FFS	RENDERING	AGE 0-20	354	None	847	None	0	None	0	None	115	None	407	None	64	None	64	None
1902025919	NGUYEN DOUGLAS DUC T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1902026388	RAD, MOSTAFA DMD	2021	FFS	RENDERING	AGE 0-20	686	None	8,237	None	664	None	3,248	None	320	None	952	None	666	None	986	None
1902026388	RAD, MOSTAFA DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902034432	DEEPAK RAHIL DDS	2021	FFS	RENDERING	AGE 0-20	979	None	11,149	None	883	None	3,674	None	515	None	1,413	None	901	None	1,041	None
1902034432	DEEPAK RAHIL DDS	2021	FFS	RENDERING	AGE 21+	898	None	5,979	None	306	None	611	None	610	None	2,343	None	684	None	686	None
1902034432	DEEPAK RAHIL DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1902044183	PIERSON KENNETH D	2021	FFS	RENDERING	AGE 0-20	733	None	15,285	None	387	None	986	None	731	None	11,476	None	668	None	671	None
1902055536	NIRMALA RAMACHANDRAN DDS	2021	FFS	RENDERING	AGE 0-20	456	None	4,346	None	300	None	1,016	None	334	None	1,060	None	282	None	309	None
1902055536	NIRMALA RAMACHANDRAN DDS	2021	FFS	RENDERING	AGE 21+	1,109	None	6,669	None	389	None	885	None	916	None	3,334	None	384	None	390	None
1902055783	KIRAKOSIAN, LOUSINE, DDS	2021	FFS	RENDERING	AGE 0-20	56	None	572	None	43	None	128	None	36	None	112	None	46	None	47	None
1902055783	KIRAKOSIAN, LOUSINE, DDS	2021	FFS	RENDERING	AGE 21+	286	None	3,250	None	160	None	287	None	236	None	1,411	None	203	None	203	None
1902059728	HONG, JENNIFER WU	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902063498	MEIMBAN, BEDAN, DDS	2021	FFS	RENDERING	AGE 0-20	46	None	350	None	43	None	136	None	25	None	76	None	40	None	54	None
1902063498	MEIMBAN, BEDAN, DDS	2021	FFS	RENDERING	AGE 21+	158	None	1,259	None	86	None	163	None	135	None	650	None	93	None	93	None
1902082381	KHAN AMNA	2021	FFS	RENDERING	AGE 0-20	132	None	685	None	85	None	222	None	45	None	95	None	102	None	116	None
1902082381	KHAN AMNA	2021	FFS	RENDERING	AGE 21+	237	None	796	None	57	None	104	None	149	None	398	None	93	None	93	None
1902082381	KHAN AMNA	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902082381	KHAN AMNA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902082381	KHAN AMNA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902085855	SHIH YEN S	2021	FFS	RENDERING	AGE 0-20	25	None	171	None	13	None	39	None	13	None	38	None	15	None	16	None
1902085855	SHIH YEN S	2021	FFS	RENDERING	AGE 21+	64	None	416	None	34	None	54	None	52	None	208	None	27	None	27	None
1902086895	SHIR NUSHIN	2021	FFS	RENDERING	AGE 0-20	12	None	54	None	None	1	None	2	0	None	0	None	12	None	12	None
1902086895	SHIR NUSHIN	2021	FFS	RENDERING	AGE 21+	22	None	95	None	0	None	0	None	None	1	None	2	16	None	16	None
1902086895	SHIR NUSHIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1902095706	LAHMANI JASON M	2021	FFS	RENDERING	AGE 0-20	126	None	573	None	13	None	24	None	118	None	224	None	None	1	None	1
1902095706	LAHMANI JASON M	2021	FFS	RENDERING	AGE 21+	32	None	107	None	None	1	None	1	23	None	33	None	None	1	None	1
1902095706	LAHMANI JASON M	2021	PHP	RENDERING	AGE 0-20	34	None	219	None	28	None	102	None	11	None	33	None	27	None	29	None
1902095706	LAHMANI JASON M	2021	PHP	RENDERING	AGE 21+	22	None	106	None	None	1	None	2	18	None	71	None	None	1	None	1
1902095813	TAITZ, ORLY	2021	FFS	RENDERING	AGE 0-20	96	None	1,024	None	94	None	603	None	35	None	57	None	74	None	91	None
1902095813	TAITZ, ORLY	2021	FFS	RENDERING	AGE 21+	233	None	1,940	None	156	None	304	None	166	None	1,226	None	175	None	175	None
1902096720	FULLER MARILYN C	2021	FFS	RENDERING	AGE 0-20	13	None	47	None	None	1	None	2	None	1	None	2	None	1	None	1
1902096720	FULLER MARILYN C	2021	FFS	RENDERING	AGE 21+	13	None	50	None	None	1	None	1	None	1	None	2	None	1	None	1
1902109234	SIMAN AFSOON	2021	FFS	RENDERING	AGE 0-20	113	None	939	None	81	None	197	None	64	None	153	None	92	None	101	None
1902109234	SIMAN AFSOON	2021	FFS	RENDERING	AGE 21+	271	None	1,300	None	50	None	51	None	186	None	440	None	125	None	125	None
1902109234	SIMAN AFSOON	2021	PHP	RENDERING	AGE 0-20	73	None	768	None	49	None	134	None	32	None	69	None	55	None	72	None
1902109234	SIMAN AFSOON	2021	PHP	RENDERING	AGE 21+	79	None	461	None	21	None	23	None	54	None	124	None	42	None	45	None
1902127558	SEHEULT STUART R	2021	FFS	RENDERING	AGE 0-20	489	None	3,161	None	83	None	286	None	489	None	2,583	None	0	None	0	None
1902127558	SEHEULT STUART R	2021	FFS	RENDERING	AGE 21+	825	None	4,850	None	133	None	179	None	825	None	4,075	None	0	None	0	None
1902128390	KOBAYASHI ROXANNE N	2021	FFS	RENDERING	AGE 0-20	404	None	4,290	None	333	None	1,148	None	191	None	573	None	336	None	376	None
1902128390	KOBAYASHI ROXANNE N	2021	FFS	RENDERING	AGE 21+	596	None	4,210	None	180	None	355	None	427	None	1,645	None	396	None	396	None
1902156367	JUNGMAN ROBERT W	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902165202	YOON MIYOUNG	2021	FFS	RENDERING	AGE 0-20	71	None	866	None	62	None	290	None	31	None	88	None	69	None	95	None
1902165202	YOON MIYOUNG	2021	FFS	RENDERING	AGE 21+	137	None	1,231	None	97	None	194	None	83	None	276	None	113	None	113	None
1902173362	CHEN BETTY	2021	FFS	RENDERING	AGE 0-20	227	None	413	None	0	None	0	None	79	None	220	None	0	None	0	None
1902185846	RODEF DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1902192719	GRANGER, SHANNON L MD	2021	FFS	RENDERING	AGE 0-20	509	None	1,895	None	0	None	0	None	509	None	1,895	None	0	None	0	None
1902192719	GRANGER, SHANNON L MD	2021	FFS	RENDERING	AGE 21+	19	None	66	None	0	None	0	None	19	None	66	None	0	None	0	None
1902193774	GHANOUNI SEPAND	2021	FFS	RENDERING	AGE 0-20	300	None	778	None	None	1	None	2	None	1	None	2	None	1	None	1
1902193774	GHANOUNI SEPAND	2021	FFS	RENDERING	AGE 21+	67	None	141	None	None	1	None	1	None	1	None	1	None	1	None	1
1902193774	GHANOUNI SEPAND	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1902202823	MANOUCHEHRI & RODEF DENTAL C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902208796	SINGH ARUNA	2021	FFS	RENDERING	AGE 0-20	110	None	483	None	46	None	98	None	34	None	118	None	77	None	81	None
1902208796	SINGH ARUNA	2021	FFS	RENDERING	AGE 21+	348	None	1,265	None	59	None	107	None	207	None	584	None	214	None	214	None
1902244668	MATTAR DINA	2021	FFS	RENDERING	AGE 0-20	119	None	1,477	None	109	None	468	None	55	None	196	None	116	None	192	None
1902244668	MATTAR DINA	2021	FFS	RENDERING	AGE 21+	138	None	949	None	84	None	158	None	79	None	291	None	116	None	120	None
1902253479	LEHRER IAN S	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1902261746	KO YI J	2021	FFS	RENDERING	AGE 0-20	216	None	2,096	None	190	None	675	None	163	None	486	None	191	None	244	None
1902261746	KO YI J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1902267479	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 0-20	429	None	10,022	None	315	None	3,364	None	410	None	2,640	None	274	None	620	None
1902267479	ALTAMED HEALTH SERVICES	2021	PHP	RENDERING	AGE 21+	280	None	4,810	None	66	None	312	None	242	None	2,604	None	96	None	210	None
1902267479	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 0-20	429	None	5,011	None	315	None	1,682	None	410	None	1,320	None	274	None	310	None
1902267479	ALTAMED HEALTH SERVICES CORP	2021	PHP	RENDERING	AGE 21+	280	None	2,405	None	66	None	156	None	242	None	1,302	None	96	None	105	None
1902268600	HWANG EUNICE Y	2021	FFS	RENDERING	AGE 0-20	643	None	7,217	None	617	None	2,337	None	414	None	1,300	None	604	None	778	None
1902268600	HWANG EUNICE Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1902270507	DAWOUD SOLIMAN HANY M	2021	FFS	RENDERING	AGE 0-20	1,153	None	7,123	None	1,007	None	3,157	None	471	None	782	None	1,000	None	1,053	None
1902270507	DAWOUD SOLIMAN HANY M	2021	FFS	RENDERING	AGE 21+	1,319	None	4,909	None	532	None	893	None	632	None	1,685	None	780	None	781	None
1902270507	DAWOUD SOLIMAN HANY M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1902286552	NASIRI AVISHAN K	2021	FFS	RENDERING	AGE 0-20	51	None	613	None	34	None	131	None	38	None	148	None	48	None	67	None
1902286552	NASIRI AVISHAN K	2021	FFS	RENDERING	AGE 21+	194	None	1,859	None	85	None	163	None	126	None	811	None	159	None	162	None
1902288285	CHU HOWARD	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902295900	SALIMI SIMA	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902296395	MIRMARASHI & MAKHMALBAF	2021	PHP	RENDERING	AGE 0-20	15	None	89	None	13	None	39	None	None	1	None	1	14	None	14	None
1902296395	MIRMARASHI & MAKHMALBAF	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1902301021	LIN KYLE S	2021	FFS	RENDERING	AGE 0-20	92	None	651	None	72	None	152	None	35	None	85	None	72	None	72	None
1902301021	LIN KYLE S	2021	FFS	RENDERING	AGE 21+	63	None	222	None	None	1	None	2	44	None	85	None	23	None	23	None
1902306665	ADAMI DIBA	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1902319197	BLAS BLANCA	2021	FFS	RENDERING	AGE 21+	41	None	60	None	17	None	17	None	24	None	43	None	0	None	0	None
1902319676	LEE JANICE S	2021	FFS	RENDERING	AGE 0-20	931	None	1,387	None	0	None	0	None	603	None	892	None	0	None	0	None
1902329402	CHAK ELIZABETH T	2021	FFS	RENDERING	AGE 0-20	178	None	1,843	None	158	None	431	None	74	None	205	None	155	None	155	None
1902329402	CHAK ELIZABETH T	2021	FFS	RENDERING	AGE 21+	151	None	891	None	73	None	144	None	121	None	266	None	79	None	79	None
1902329873	GADDIS JORDAN	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1902329873	GADDIS JORDAN	2021	FFS	RENDERING	AGE 21+	184	None	2,673	None	95	None	187	None	157	None	1,500	None	149	None	149	None
1902336472	VO CATHY N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902336472	VO CATHY N	2021	GMC	RENDERING	AGE 0-20	1,226	None	15,339	None	1,097	None	5,384	None	894	None	2,190	None	1,098	None	1,487	None
1902336472	VO CATHY N	2021	GMC	RENDERING	AGE 21+	99	None	658	None	68	None	140	None	44	None	85	None	79	None	80	None
1902349442	ZAKHAROVA EKATERINA G	2021	FFS	RENDERING	AGE 0-20	105	None	109	None	0	None	0	None	None	1	None	1	0	None	0	None
1902349442	ZAKHAROVA EKATERINA G	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1902381452	MAGANA SUSANA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1902381452	MAGANA SUSANA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1902403900	KAUR ARVIND	2021	FFS	RENDERING	AGE 0-20	160	None	697	None	99	None	234	None	49	None	103	None	114	None	114	None
1902403900	KAUR ARVIND	2021	FFS	RENDERING	AGE 21+	318	None	1,030	None	56	None	108	None	145	None	351	None	185	None	185	None
1902403900	KAUR ARVIND	2021	PHP	RENDERING	AGE 0-20	15	None	86	None	13	None	32	None	None	1	None	2	None	1	None	2
1902403900	KAUR ARVIND	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1902412935	KHAJAVI MANA	2021	FFS	RENDERING	AGE 0-20	292	None	1,368	None	189	None	454	None	144	None	386	None	189	None	195	None
1902412935	KHAJAVI MANA	2021	FFS	RENDERING	AGE 21+	413	None	1,314	None	96	None	180	None	252	None	614	None	208	None	208	None
1902412935	KHAJAVI MANA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1902426950	LUONG YEN HAI N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902463821	KIM JIN S	2021	FFS	RENDERING	AGE 0-20	297	None	2,603	None	268	None	922	None	202	None	599	None	271	None	317	None
1902463821	KIM JIN S	2021	FFS	RENDERING	AGE 21+	348	None	1,969	None	181	None	338	None	254	None	941	None	251	None	253	None
1902463821	KIM JIN S	2021	PHP	RENDERING	AGE 0-20	18	None	217	None	18	None	101	None	None	1	None	2	17	None	23	None
1902463821	KIM JIN S	2021	PHP	RENDERING	AGE 21+	21	None	198	None	21	None	76	None	13	None	77	None	17	None	18	None
1902468705	DAMASCO MARICHRIS V	2021	FFS	RENDERING	AGE 0-20	4,511	None	40,530	None	3,562	None	8,464	None	1,612	None	5,268	None	3,455	None	3,714	None
1902477979	SHENOUDA SANDRA A	2021	FFS	RENDERING	AGE 0-20	188	None	1,066	None	110	None	321	None	92	None	236	None	140	None	140	None
1902477979	SHENOUDA SANDRA A	2021	FFS	RENDERING	AGE 21+	165	None	521	None	16	None	30	None	78	None	157	None	103	None	103	None
1902490048	WU BEIBEI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1902490048	WU BEIBEI	2021	FFS	RENDERING	AGE 21+	81	None	452	None	53	None	101	None	47	None	197	None	65	None	65	None
1902493182	ZIJOUDI SAM	2021	FFS	RENDERING	AGE 0-20	280	None	1,325	None	152	None	330	None	142	None	400	None	152	None	155	None
1902493182	ZIJOUDI SAM	2021	FFS	RENDERING	AGE 21+	843	None	3,007	None	159	None	297	None	462	None	1,229	None	448	None	450	None
1902493182	ZIJOUDI SAM	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902824279	PETERS SCOTT S	2021	FFS	RENDERING	AGE 0-20	97	None	901	None	81	None	300	None	37	None	109	None	76	None	84	None
1902824279	PETERS SCOTT S	2021	FFS	RENDERING	AGE 21+	619	None	5,044	None	240	None	450	None	440	None	2,216	None	399	None	402	None
1902865215	NGUYEN LIEN P	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1902865215	NGUYEN LIEN P	2021	FFS	RENDERING	AGE 21+	11	None	35	None	None	1	None	1	None	1	None	2	None	1	None	1
1902868862	CATALAN BEAVERLY G	2021	FFS	RENDERING	AGE 0-20	61	None	566	None	56	None	186	None	28	None	96	None	56	None	66	None
1902868862	CATALAN BEAVERLY G	2021	FFS	RENDERING	AGE 21+	161	None	1,337	None	74	None	126	None	117	None	595	None	120	None	120	None
1902884125	STUCKEN CHARLES R	2021	FFS	RENDERING	AGE 0-20	40	None	604	None	40	None	103	None	27	None	117	None	35	None	46	None
1902884125	STUCKEN CHARLES R	2021	FFS	RENDERING	AGE 21+	53	None	383	None	41	None	79	None	31	None	78	None	48	None	48	None
1902884729	AMMAR, AWNIE DDS	2021	FFS	RENDERING	AGE 0-20	586	None	6,180	None	573	None	2,686	None	180	None	469	None	581	None	915	None
1902884729	AMMAR, AWNIE DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1902903909	MOVASSAGHI ALIREZA	2021	FFS	RENDERING	AGE 0-20	1,509	None	15,364	None	1,140	None	3,189	None	348	None	746	None	1,190	None	1,426	None
1902903909	MOVASSAGHI ALIREZA	2021	FFS	RENDERING	AGE 21+	1,851	None	10,387	None	647	None	653	None	872	None	1,772	None	1,011	None	1,012	None
1902903909	MOVASSAGHI ALIREZA	2021	PHP	RENDERING	AGE 0-20	23	None	241	None	20	None	45	None	None	1	None	1	22	None	26	None
1902903909	MOVASSAGHI ALIREZA	2021	PHP	RENDERING	AGE 21+	34	None	203	None	16	None	20	None	13	None	35	None	22	None	25	None
1902903909	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	1,509	None	15,364	None	1,140	None	3,189	None	348	None	746	None	1,190	None	1,426	None
1902903909	UNKNOWN	2021	FFS	RENDERING	AGE 21+	1,851	None	10,387	None	647	None	653	None	872	None	1,772	None	1,011	None	1,012	None
1902903909	UNKNOWN	2021	PHP	RENDERING	AGE 0-20	23	None	241	None	20	None	45	None	None	1	None	1	22	None	26	None
1902903909	UNKNOWN	2021	PHP	RENDERING	AGE 21+	34	None	203	None	16	None	20	None	13	None	35	None	22	None	25	None
1902905532	EDWARDS LYNN M	2021	FFS	RENDERING	AGE 0-20	108	None	604	None	76	None	110	None	99	None	326	None	76	None	78	None
1902905532	EDWARDS LYNN M	2021	FFS	RENDERING	AGE 21+	615	None	3,279	None	189	None	194	None	564	None	2,067	None	369	None	369	None
1902923592	KAUR TIA	2021	FFS	RENDERING	AGE 0-20	347	None	2,488	None	247	None	647	None	197	None	451	None	254	None	281	None
1902923592	KAUR TIA	2021	GMC	RENDERING	AGE 0-20	986	None	6,235	None	689	None	1,745	None	827	None	1,919	None	305	None	314	None
1902928740	SAHAKIAN AIDA	2021	FFS	RENDERING	AGE 0-20	202	None	1,648	None	188	None	852	None	50	None	212	None	197	None	217	None
1902928740	SAHAKIAN AIDA	2021	FFS	RENDERING	AGE 21+	804	None	6,020	None	521	None	1,002	None	553	None	3,225	None	638	None	638	None
1902930936	JARA JAVIER E	2021	FFS	RENDERING	AGE 0-20	16	None	169	None	14	None	27	None	None	1	None	2	None	1	None	2
1902930936	JARA JAVIER E	2021	FFS	RENDERING	AGE 21+	16	None	167	None	13	None	19	None	None	1	None	2	11	None	11	None
1902932338	LEE RICHARD S	2021	FFS	RENDERING	AGE 0-20	286	None	2,160	None	243	None	609	None	156	None	506	None	264	None	312	None
1902932338	LEE RICHARD S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902933831	KANDKHOROV EMMANUEL B	2021	FFS	RENDERING	AGE 0-20	79	None	795	None	75	None	259	None	27	None	130	None	76	None	101	None
1902933831	KANDKHOROV EMMANUEL B	2021	FFS	RENDERING	AGE 21+	199	None	1,471	None	138	None	278	None	134	None	580	None	158	None	159	None
1902935331	BARAKAT, NAJWA A DDS	2021	FFS	RENDERING	AGE 0-20	51	None	389	None	46	None	133	None	21	None	80	None	37	None	50	None
1902935331	BARAKAT, NAJWA A DDS	2021	FFS	RENDERING	AGE 21+	190	None	1,264	None	132	None	132	None	139	None	468	None	128	None	128	None
1902936602	AHN SUK YOUNG	2021	FFS	RENDERING	AGE 0-20	97	None	536	None	80	None	193	None	56	None	186	None	45	None	48	None
1902939143	ADAMES RENATA B	2021	FFS	RENDERING	AGE 0-20	486	None	8,507	None	461	None	1,756	None	343	None	1,513	None	465	None	658	None
1902939143	ADAMES RENATA B	2021	FFS	RENDERING	AGE 21+	199	None	1,797	None	92	None	179	None	150	None	689	None	134	None	140	None
1902941669	ONGKORAHARDJO ANDRIANI	2021	FFS	RENDERING	AGE 0-20	787	None	11,704	None	739	None	2,671	None	354	None	1,527	None	759	None	1,066	None
1902941669	ONGKORAHARDJO ANDRIANI	2021	FFS	RENDERING	AGE 21+	30	None	255	None	20	None	40	None	17	None	31	None	21	None	21	None
1902947419	NOURIAN SHAHRAM R	2021	FFS	RENDERING	AGE 0-20	25	None	182	None	22	None	63	None	None	1	None	2	21	None	26	None
1902947419	NOURIAN SHAHRAM R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1902947419	NOURIAN SHAHRAM R	2021	PHP	RENDERING	AGE 0-20	35	None	130	None	30	None	59	None	None	1	None	1	27	None	29	None
1902947419	NOURIAN SHAHRAM R	2021	PHP	RENDERING	AGE 21+	16	None	53	None	None	1	None	1	None	1	None	2	11	None	11	None
1902951056	DAVIS, ALLEN G, DDS	2021	FFS	RENDERING	AGE 0-20	270	None	791	None	0	None	0	None	104	None	348	None	0	None	0	None
1902951056	DAVIS, ALLEN G, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1902951577	NGUYEN, WILLIAM, DDS MSD	2021	FFS	RENDERING	AGE 0-20	107	None	114	None	0	None	0	None	None	1	None	1	0	None	0	None
1902951577	NGUYEN, WILLIAM, DDS MSD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1902951577	NGUYEN, WILLIAM, DDS MSD	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902951577	NGUYEN, WILLIAM, DDS MSD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902952633	AIVAZIAN, STEVE, DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902954506	RAHIMI, ALEX	2021	FFS	RENDERING	AGE 0-20	495	None	3,907	None	199	None	584	None	354	None	1,276	None	189	None	191	None
1902954506	RAHIMI, ALEX	2021	FFS	RENDERING	AGE 21+	434	None	2,748	None	124	None	248	None	297	None	930	None	125	None	125	None
1902957145	DABIR PRIYADARSHAN A	2021	FFS	RENDERING	AGE 0-20	451	None	3,669	None	362	None	1,087	None	333	None	1,193	None	333	None	424	None
1902957145	DABIR PRIYADARSHAN A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1902957608	LABIB, FARSHAD, DDS	2021	FFS	RENDERING	AGE 0-20	55	None	244	None	41	None	42	None	16	None	29	None	48	None	50	None
1902957608	LABIB, FARSHAD, DDS	2021	FFS	RENDERING	AGE 21+	402	None	2,119	None	162	None	162	None	275	None	1,151	None	307	None	307	None
1902959083	PYLEN EUGENE	2021	FFS	RENDERING	AGE 0-20	2,487	None	27,449	None	2,230	None	8,777	None	1,436	None	3,958	None	2,152	None	2,437	None
1902959083	PYLEN EUGENE	2021	FFS	RENDERING	AGE 21+	833	None	4,388	None	347	None	688	None	488	None	1,293	None	513	None	546	None
1902959083	PYLEN EUGENE	2021	PHP	RENDERING	AGE 0-20	37	None	257	None	36	None	123	None	13	None	24	None	26	None	29	None
1902959083	PYLEN EUGENE	2021	PHP	RENDERING	AGE 21+	11	None	63	None	None	1	None	1	None	1	None	1	None	1	None	1
1902959091	VO SANDRA H	2021	FFS	RENDERING	AGE 0-20	477	None	7,575	None	462	None	2,201	None	332	None	1,069	None	470	None	708	None
1902959091	VO SANDRA H	2021	FFS	RENDERING	AGE 21+	769	None	8,391	None	565	None	1,138	None	678	None	3,545	None	612	None	620	None
1902959513	HUTCHINS ELWIN R	2021	FFS	RENDERING	AGE 0-20	89	None	777	None	86	None	341	None	29	None	68	None	76	None	109	None
1902959513	HUTCHINS ELWIN R	2021	FFS	RENDERING	AGE 21+	103	None	587	None	67	None	128	None	65	None	233	None	46	None	46	None
1902959901	MONTIEL, ALAIN ANDREA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1902959901	MONTIEL, ALAIN ANDREA, DDS	2021	FFS	RENDERING	AGE 21+	1,416	None	15,039	None	0	None	0	None	1,415	None	5,347	None	801	None	801	None
1902963051	KOHLI GAGANDEEP S	2021	FFS	RENDERING	AGE 0-20	129	None	1,047	None	106	None	351	None	45	None	149	None	111	None	140	None
1902963051	KOHLI GAGANDEEP S	2021	FFS	RENDERING	AGE 21+	312	None	1,414	None	113	None	203	None	133	None	382	None	231	None	231	None
1902964059	BUI PHUONG-LY T	2021	FFS	RENDERING	AGE 0-20	345	None	3,476	None	240	None	779	None	219	None	890	None	213	None	243	None
1902964059	BUI PHUONG-LY T	2021	FFS	RENDERING	AGE 21+	314	None	2,367	None	166	None	334	None	247	None	830	None	185	None	189	None
1902964836	BAYAT PAUL	2021	FFS	RENDERING	AGE 0-20	21	None	89	None	14	None	56	None	None	1	None	2	0	None	0	None
1902964836	BAYAT PAUL	2021	FFS	RENDERING	AGE 21+	73	None	180	None	20	None	32	None	49	None	97	None	0	None	0	None
1902965759	GHOBASHY AYMAN M	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1902967904	LUCIO, JULITA MENDOZA, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1902967904	LUCIO, JULITA MENDOZA, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1902972938	DAO TU T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902972938	DAO TU T	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902973290	TRAN THE-HAO M	2021	FFS	RENDERING	AGE 0-20	1,966	None	12,190	None	1,941	None	4,336	None	1,868	None	2,820	None	529	None	629	None
1902973290	TRAN THE-HAO M	2021	FFS	RENDERING	AGE 21+	339	None	2,251	None	204	None	403	None	218	None	845	None	267	None	267	None
1902973290	TRAN THE-HAO M	2021	PHP	RENDERING	AGE 0-20	51	None	608	None	49	None	206	None	41	None	132	None	44	None	53	None
1902973290	TRAN THE-HAO M	2021	PHP	RENDERING	AGE 21+	80	None	556	None	43	None	86	None	63	None	283	None	61	None	61	None
1902977069	MOON, HYE WON DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1902983497	TOM, RANDALL WILLIAM, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1902989361	LOPEZ-QUIZON AMELIA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912004250	LEE KANG K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1912004250	LEE KANG K	2021	FFS	RENDERING	AGE 21+	35	None	229	None	29	None	58	None	19	None	68	None	34	None	34	None
1912007600	MODI, TEJAS K DDS	2021	FFS	RENDERING	AGE 0-20	1,034	None	12,277	None	831	None	2,960	None	332	None	829	None	896	None	1,004	None
1912007600	MODI, TEJAS K DDS	2021	FFS	RENDERING	AGE 21+	825	None	6,870	None	222	None	437	None	496	None	1,335	None	572	None	573	None
1912008889	ADAMIAN JOSEPH	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912020215	BUI, THUY T, DDS., INC	2021	FFS	RENDERING	AGE 0-20	84	None	634	None	79	None	331	None	17	None	34	None	78	None	113	None
1912020215	BUI, THUY T, DDS., INC	2021	FFS	RENDERING	AGE 21+	12	None	66	None	None	1	None	2	None	1	None	1	None	1	None	1
1912020959	ALROUSAN, SABA A, DDS	2021	FFS	RENDERING	AGE 0-20	73	None	384	None	51	None	147	None	21	None	40	None	63	None	69	None
1912020959	ALROUSAN, SABA A, DDS	2021	FFS	RENDERING	AGE 21+	369	None	1,257	None	66	None	129	None	163	None	376	None	244	None	244	None
1912020959	ALROUSAN, SABA A, DDS	2021	GMC	RENDERING	AGE 0-20	181	None	1,077	None	71	None	222	None	73	None	171	None	106	None	106	None
1912020959	ALROUSAN, SABA A, DDS	2021	GMC	RENDERING	AGE 21+	282	None	1,241	None	42	None	80	None	164	None	550	None	124	None	124	None
1912020959	ALROUSAN, SABA A, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912021924	BORHANI FARDAD	2021	FFS	RENDERING	AGE 0-20	291	None	893	None	None	1	None	1	290	None	883	None	None	1	None	1
1912021924	BORHANI FARDAD	2021	FFS	RENDERING	AGE 21+	370	None	1,352	None	0	None	0	None	370	None	1,352	None	0	None	0	None
1912028002	KHODAVERDIAN NJDEH	2021	FFS	RENDERING	AGE 0-20	26	None	271	None	22	None	50	None	17	None	73	None	23	None	25	None
1912028002	KHODAVERDIAN NJDEH	2021	FFS	RENDERING	AGE 21+	282	None	3,495	None	195	None	373	None	233	None	1,587	None	205	None	205	None
1912028002	KHODAVERDIAN NJDEH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1912028002	KHODAVERDIAN NJDEH	2021	PHP	RENDERING	AGE 21+	15	None	99	None	None	1	None	2	12	None	48	None	None	1	None	1
1912033465	HSZIEH KEVIN CHIH W	2021	FFS	RENDERING	AGE 0-20	97	None	2,330	None	49	None	92	None	97	None	1,129	None	96	None	96	None
1912045113	TING PEGGY K	2021	FFS	RENDERING	AGE 0-20	226	None	2,054	None	114	None	279	None	159	None	534	None	127	None	133	None
1912045113	TING PEGGY K	2021	FFS	RENDERING	AGE 21+	490	None	3,169	None	100	None	203	None	361	None	1,051	None	206	None	206	None
1912047549	HUNG, KENT, DMD	2021	FFS	RENDERING	AGE 0-20	90	None	1,075	None	82	None	341	None	37	None	109	None	82	None	96	None
1912047549	HUNG, KENT, DMD	2021	FFS	RENDERING	AGE 21+	205	None	1,726	None	112	None	209	None	101	None	324	None	123	None	123	None
1912047549	HUNG, KENT, DMD	2021	PHP	RENDERING	AGE 0-20	32	None	382	None	30	None	132	None	None	1	None	2	30	None	35	None
1912047549	HUNG, KENT, DMD	2021	PHP	RENDERING	AGE 21+	56	None	604	None	51	None	114	None	29	None	76	None	42	None	42	None
1912048562	CHTCHYAN, SUREN A, DDS	2021	FFS	RENDERING	AGE 0-20	75	None	637	None	34	None	96	None	51	None	276	None	43	None	43	None
1912048562	CHTCHYAN, SUREN A, DDS	2021	FFS	RENDERING	AGE 21+	451	None	2,838	None	127	None	254	None	355	None	1,314	None	220	None	220	None
1912054271	MENDIVIL, GUY W DDS	2021	FFS	RENDERING	AGE 0-20	773	None	2,333	None	0	None	0	None	465	None	1,316	None	18	None	18	None
1912054271	MENDIVIL, GUY W DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912056722	SHAH, RAJUL M DDS	2021	FFS	RENDERING	AGE 0-20	302	None	3,877	None	258	None	1,046	None	122	None	440	None	270	None	320	None
1912056722	SHAH, RAJUL M DDS	2021	FFS	RENDERING	AGE 21+	475	None	3,642	None	237	None	463	None	312	None	1,269	None	377	None	381	None
1912061417	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1912061417	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1912062019	WONG DENNIS DAVID	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912063546	HAN JOHNNY S	2021	FFS	RENDERING	AGE 0-20	30	None	187	None	18	None	39	None	20	None	53	None	18	None	20	None
1912063546	HAN JOHNNY S	2021	FFS	RENDERING	AGE 21+	98	None	564	None	32	None	56	None	79	None	245	None	34	None	34	None
1912064361	SHIEH PAUL S	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912064361	SHIEH, PAUL S, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912064429	KIM, SOO Y., DDS	2021	FFS	RENDERING	AGE 0-20	53	None	384	None	49	None	152	None	30	None	134	None	43	None	53	None
1912064429	KIM, SOO Y., DDS	2021	FFS	RENDERING	AGE 21+	153	None	1,033	None	104	None	200	None	101	None	559	None	106	None	106	None
1912064551	BOWMAN, DAVID C, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	25	None	None	1	None	2	None	1	None	1	0	None	0	None
1912064551	BOWMAN, DAVID C, DDS	2021	FFS	RENDERING	AGE 21+	65	None	206	None	25	None	40	None	54	None	103	None	None	1	None	1
1912064668	DUMALAOG-CRUZ JOSEPHINE	2021	FFS	RENDERING	AGE 0-20	36	None	370	None	30	None	119	None	13	None	40	None	28	None	32	None
1912064668	DUMALAOG-CRUZ JOSEPHINE	2021	FFS	RENDERING	AGE 21+	34	None	201	None	None	1	None	2	28	None	93	None	13	None	13	None
1912065202	YEE, GILBERT S, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912065202	YEE, GILBERT S, DDS	2021	FFS	RENDERING	AGE 21+	260	None	1,333	None	76	None	76	None	155	None	355	None	121	None	121	None
1912066713	FADEM, BLAIR, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912069170	NOURI SHAHRAM	2021	FFS	RENDERING	AGE 0-20	46	None	380	None	36	None	82	None	20	None	92	None	42	None	48	None
1912069170	NOURI SHAHRAM	2021	FFS	RENDERING	AGE 21+	192	None	1,544	None	52	None	103	None	142	None	861	None	144	None	144	None
1912069899	VILLARROEL FERNANDO J	2021	FFS	RENDERING	AGE 0-20	128	None	952	None	78	None	295	None	70	None	250	None	97	None	98	None
1912069899	VILLARROEL FERNANDO J	2021	FFS	RENDERING	AGE 21+	109	None	530	None	11	None	22	None	89	None	264	None	52	None	52	None
1912072935	DONG, BRIAN W, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1912072935	DONG, BRIAN W, DDS	2021	FFS	RENDERING	AGE 21+	11	None	136	None	None	1	None	2	None	1	None	2	None	1	None	1
1912075094	WU XIAO F	2021	FFS	RENDERING	AGE 0-20	15	None	17	None	0	None	0	None	None	1	None	1	0	None	0	None
1912075094	WU XIAO F	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912075094	WU XIAO F	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912080409	NGHIEM VIET Q	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1912080409	NGHIEM VIET Q	2021	FFS	RENDERING	AGE 21+	14	None	73	None	11	None	11	None	None	1	None	2	11	None	11	None
1912080409	NGHIEM, VIET QUOC, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1912080409	NGHIEM, VIET QUOC, DDS	2021	FFS	RENDERING	AGE 21+	14	None	73	None	11	None	11	None	None	1	None	2	11	None	11	None
1912087164	HATT HOLLY D	2021	FFS	RENDERING	AGE 0-20	13	None	71	None	0	None	0	None	None	1	None	2	None	1	None	1
1912087164	HATT HOLLY D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1912096116	LOTUACO, RAYMOND, DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1912096116	LOTUACO, RAYMOND, DDS INC	2021	PHP	RENDERING	AGE 21+	12	None	79	None	None	1	None	2	None	1	None	2	11	None	11	None
1912103912	BUI JAMES Q	2021	FFS	RENDERING	AGE 0-20	47	None	368	None	40	None	108	None	24	None	68	None	41	None	48	None
1912103912	BUI JAMES Q	2021	FFS	RENDERING	AGE 21+	81	None	524	None	58	None	115	None	41	None	123	None	66	None	66	None
1912108564	CHAN, SIU WAN, DDS	2021	FFS	RENDERING	AGE 0-20	453	None	5,618	None	421	None	1,131	None	216	None	680	None	418	None	503	None
1912108564	CHAN, SIU WAN, DDS	2021	FFS	RENDERING	AGE 21+	108	None	695	None	45	None	90	None	66	None	196	None	52	None	52	None
1912112442	JANKU YVETTA	2021	FFS	RENDERING	AGE 0-20	40	None	230	None	31	None	66	None	None	1	None	1	40	None	40	None
1912112442	JANKU YVETTA	2021	FFS	RENDERING	AGE 21+	52	None	239	None	None	1	None	1	11	None	38	None	51	None	51	None
1912112681	TOMKORIA ANITA K	2021	FFS	RENDERING	AGE 0-20	14	None	51	None	0	None	0	None	14	None	24	None	0	None	0	None
1912112681	TOMKORIA ANITA K	2021	FFS	RENDERING	AGE 21+	140	None	457	None	0	None	0	None	139	None	184	None	0	None	0	None
1912113598	KIM BERNARD E	2021	FFS	RENDERING	AGE 0-20	373	None	2,523	None	326	None	821	None	94	None	276	None	316	None	342	None
1912113598	KIM BERNARD E	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912114059	MANOUCHEHRI ALI	2021	FFS	RENDERING	AGE 0-20	5,896	None	85,334	None	5,731	None	25,101	None	3,900	None	14,198	None	5,773	None	8,767	None
1912114059	MANOUCHEHRI ALI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912114059	MANOUCHEHRI ALI	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912116104	PARK JIM S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912116104	PARK JIM S	2021	GMC	RENDERING	AGE 0-20	188	None	752	None	188	None	188	None	188	None	188	None	0	None	0	None
1912116104	PARK JIM S	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1912116104	PARK JIM S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1912117078	RIVAS CARLOS A	2021	FFS	RENDERING	AGE 0-20	481	None	4,717	None	386	None	945	None	200	None	662	None	368	None	410	None
1912117078	RIVAS CARLOS A	2021	FFS	RENDERING	AGE 21+	537	None	4,103	None	168	None	272	None	331	None	1,099	None	314	None	314	None
1912118480	PHAN PAULINE L	2021	FFS	RENDERING	AGE 0-20	62	None	527	None	59	None	160	None	24	None	78	None	58	None	80	None
1912118480	PHAN PAULINE L	2021	FFS	RENDERING	AGE 21+	78	None	414	None	49	None	51	None	46	None	156	None	59	None	59	None
1912123035	DUONG THANG V	2021	FFS	RENDERING	AGE 0-20	186	None	1,929	None	176	None	616	None	95	None	316	None	165	None	214	None
1912123035	DUONG THANG V	2021	FFS	RENDERING	AGE 21+	247	None	1,836	None	113	None	121	None	173	None	731	None	176	None	176	None
1912127093	ALHASSAN MELATH K	2021	FFS	RENDERING	AGE 0-20	312	None	1,320	None	196	None	465	None	24	None	48	None	288	None	313	None
1912127093	ALHASSAN MELATH K	2021	FFS	RENDERING	AGE 21+	1,092	None	3,135	None	246	None	472	None	182	None	435	None	904	None	905	None
1912127093	ALHASSAN MELATH K	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1912127093	ALHASSAN MELATH K	2021	PHP	RENDERING	AGE 0-20	34	None	203	None	26	None	79	None	22	None	41	None	27	None	30	None
1912127093	ALHASSAN MELATH K	2021	PHP	RENDERING	AGE 21+	112	None	463	None	27	None	55	None	76	None	243	None	62	None	64	None
1912145871	KOUTCHEK-SPERO FARRAH	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1912145871	KOUTCHEK-SPERO FARRAH	2021	FFS	RENDERING	AGE 21+	78	None	421	None	None	1	None	1	76	None	410	None	None	1	None	1
1912146598	HO MICHAEL H	2021	FFS	RENDERING	AGE 0-20	118	None	1,276	None	82	None	212	None	84	None	356	None	95	None	116	None
1912146598	HO MICHAEL H	2021	FFS	RENDERING	AGE 21+	504	None	4,424	None	221	None	420	None	416	None	2,161	None	346	None	348	None
1912153297	CORTES CLAUDIA P	2021	FFS	RENDERING	AGE 0-20	632	None	10,043	None	615	None	2,137	None	432	None	1,440	None	622	None	890	None
1912153297	CORTES CLAUDIA P	2021	FFS	RENDERING	AGE 21+	357	None	1,898	None	278	None	291	None	176	None	536	None	348	None	349	None
1912155276	SUBIDO ANDREW S	2021	FFS	RENDERING	AGE 0-20	394	None	809	None	0	None	0	None	394	None	809	None	0	None	0	None
1912163692	DUONG, MICHELLE DDS	2021	FFS	RENDERING	AGE 0-20	331	None	7,158	None	327	None	2,189	None	264	None	1,404	None	323	None	506	None
1912163692	DUONG, MICHELLE DDS	2021	FFS	RENDERING	AGE 21+	358	None	5,183	None	272	None	759	None	311	None	1,887	None	273	None	273	None
1912164468	PRATER SHAHRZAD S	2021	FFS	RENDERING	AGE 0-20	33	None	99	None	0	None	0	None	None	1	None	2	0	None	0	None
1912164468	PRATER SHAHRZAD S	2021	FFS	RENDERING	AGE 21+	14	None	26	None	0	None	0	None	0	None	0	None	0	None	0	None
1912164609	RODRIGUEZ EFREN P	2021	FFS	RENDERING	AGE 0-20	50	None	228	None	42	None	53	None	14	None	45	None	29	None	31	None
1912164609	RODRIGUEZ EFREN P	2021	FFS	RENDERING	AGE 21+	149	None	792	None	98	None	98	None	76	None	171	None	69	None	69	None
1912167479	GORTHI BHARATHI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1912179904	SAHAKI IRINA M	2021	FFS	RENDERING	AGE 0-20	17	None	140	None	16	None	52	None	None	1	None	2	15	None	24	None
1912179904	SAHAKI IRINA M	2021	FFS	RENDERING	AGE 21+	136	None	725	None	71	None	142	None	59	None	181	None	109	None	109	None
1912179904	SAHAKI IRINA M	2021	PHP	RENDERING	AGE 0-20	40	None	305	None	36	None	98	None	11	None	45	None	40	None	54	None
1912179904	SAHAKI IRINA M	2021	PHP	RENDERING	AGE 21+	130	None	759	None	93	None	188	None	58	None	149	None	111	None	116	None
1912190992	MASSOUDIAN GITI	2021	FFS	RENDERING	AGE 0-20	927	None	11,082	None	814	None	2,849	None	662	None	2,187	None	803	None	930	None
1912190992	MASSOUDIAN GITI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1912190992	MASSOUDIAN GITI	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1912191073	NGUYEN STEPHANIE-T	2021	FFS	RENDERING	AGE 0-20	1,821	None	14,399	None	888	None	2,885	None	1,722	None	10,068	None	134	None	135	None
1912191073	NGUYEN STEPHANIE-T	2021	FFS	RENDERING	AGE 21+	63	None	199	None	0	None	0	None	61	None	169	None	0	None	0	None
1912191073	NGUYEN STEPHANIE-T	2021	PHP	RENDERING	AGE 0-20	180	None	2,136	None	125	None	535	None	143	None	1,042	None	147	None	185	None
1912191073	NGUYEN STEPHANIE-T	2021	PHP	RENDERING	AGE 21+	133	None	1,101	None	54	None	119	None	108	None	745	None	95	None	96	None
1912195280	RABANAL TERESA C	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1912195280	RABANAL TERESA C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912203100	ELNAGGAR MAGED M	2021	FFS	RENDERING	AGE 0-20	301	None	2,562	None	223	None	581	None	133	None	424	None	274	None	314	None
1912203100	ELNAGGAR MAGED M	2021	FFS	RENDERING	AGE 21+	1,082	None	7,057	None	323	None	641	None	817	None	2,835	None	705	None	705	None
1912212952	CHARNG, STEVEN DDS	2021	FFS	RENDERING	AGE 0-20	17	None	72	None	16	None	34	None	None	1	None	2	15	None	15	None
1912212952	CHARNG, STEVEN DDS	2021	FFS	RENDERING	AGE 21+	124	None	628	None	88	None	171	None	62	None	210	None	106	None	106	None
1912223439	LEQUANG MATHIEU	2021	FFS	RENDERING	AGE 0-20	118	None	391	None	75	None	160	None	53	None	127	None	74	None	79	None
1912223439	LEQUANG MATHIEU	2021	FFS	RENDERING	AGE 21+	714	None	2,392	None	206	None	414	None	616	None	1,746	None	230	None	230	None
1912238601	ECHEVERRY CESAR A	2021	FFS	RENDERING	AGE 0-20	15	None	58	None	None	1	None	2	None	1	None	1	None	1	None	1
1912238601	ECHEVERRY CESAR A	2021	FFS	RENDERING	AGE 21+	25	None	109	None	13	None	24	None	None	1	None	2	15	None	15	None
1912243601	ATALLA JOSEPH MINA Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1912243601	ATALLA JOSEPH MINA Y	2021	FFS	RENDERING	AGE 21+	33	None	124	None	None	1	None	1	17	None	45	None	24	None	24	None
1912246356	PARK, JINO DDS	2021	FFS	RENDERING	AGE 0-20	1,080	None	23,927	None	772	None	2,520	None	1,076	None	13,685	None	1,063	None	1,091	None
1912246356	PARK, JINO DDS	2021	FFS	RENDERING	AGE 21+	50	None	374	None	36	None	59	None	34	None	187	None	40	None	40	None
1912255860	RAZAVI TARANEH	2021	FFS	RENDERING	AGE 0-20	32	None	191	None	26	None	63	None	17	None	25	None	22	None	22	None
1912255860	RAZAVI TARANEH	2021	FFS	RENDERING	AGE 21+	91	None	528	None	31	None	53	None	73	None	210	None	37	None	37	None
1912255860	RAZAVI TARANEH	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1912264300	KIM, JOEL, DMD INC	2021	FFS	RENDERING	AGE 0-20	13	None	70	None	None	1	None	2	None	1	None	2	0	None	0	None
1912281700	MUN HYO J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912281700	MUN HYO J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1912282203	NGUYEN THOMAS B	2021	FFS	RENDERING	AGE 0-20	2,656	None	24,382	None	2,326	None	8,382	None	1,634	None	6,752	None	2,268	None	2,678	None
1912282203	NGUYEN THOMAS B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1912282880	CHAU FOUY K	2021	FFS	RENDERING	AGE 0-20	383	None	655	None	0	None	0	None	83	None	214	None	None	1	None	1
1912282880	CHAU FOUY K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912290412	LEUNG CHARLES C	2021	FFS	RENDERING	AGE 0-20	375	None	6,033	None	233	None	607	None	342	None	3,829	None	285	None	285	None
1912290412	LEUNG CHARLES C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1912290412	LEUNG CHARLES C	2021	GMC	RENDERING	AGE 0-20	1,739	None	17,774	None	608	None	1,376	None	1,694	None	6,540	None	41	None	43	None
1912290412	LEUNG CHARLES C	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1912291741	ERFAN ROJIN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912291741	ERFAN ROJIN	2021	PHP	RENDERING	AGE 21+	16	None	112	None	0	None	0	None	16	None	112	None	0	None	0	None
1912297771	RYAN SUSAN L	2021	FFS	RENDERING	AGE 0-20	599	None	13,229	None	573	None	1,340	None	599	None	8,994	None	573	None	573	None
1912297771	RYAN SUSAN L	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1912322751	SHQAIR SARAH T	2021	FFS	RENDERING	AGE 0-20	5,409	None	52,427	None	4,601	None	11,960	None	1,530	None	3,750	None	4,385	None	5,010	None
1912322751	SHQAIR SARAH T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912322983	BAE ERICA	2021	FFS	RENDERING	AGE 0-20	63	None	457	None	62	None	165	None	19	None	63	None	62	None	83	None
1912322983	BAE ERICA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1912346719	SPASOV STANISLAV N	2021	PHP	RENDERING	AGE 0-20	51	None	299	None	42	None	109	None	21	None	54	None	36	None	36	None
1912352360	CHOI HYUNJIN	2021	FFS	RENDERING	AGE 0-20	12	None	46	None	None	1	None	1	12	None	32	None	None	1	None	1
1912352360	CHOI HYUNJIN	2021	FFS	RENDERING	AGE 21+	29	None	95	None	0	None	0	None	29	None	95	None	0	None	0	None
1912362633	MNATSAKANYAN BELLA	2021	FFS	RENDERING	AGE 0-20	99	None	783	None	92	None	276	None	47	None	242	None	96	None	136	None
1912362633	MNATSAKANYAN BELLA	2021	FFS	RENDERING	AGE 21+	418	None	3,087	None	311	None	599	None	334	None	1,497	None	362	None	362	None
1912367012	RODEF DENTAL OFFICE OF RESED	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1912367673	HUA SPENCER S	2021	PHP	RENDERING	AGE 0-20	30	None	135	None	21	None	55	None	15	None	52	None	22	None	22	None
1912367673	HUA SPENCER S	2021	PHP	RENDERING	AGE 21+	48	None	265	None	15	None	36	None	41	None	165	None	29	None	29	None
1912380312	SATVAT NAZILA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1912380312	SATVAT NAZILA	2021	FFS	RENDERING	AGE 21+	106	None	563	None	19	None	19	None	58	None	349	None	85	None	85	None
1912384819	HUANG SHIANG B	2021	FFS	RENDERING	AGE 0-20	5,005	None	49,144	None	4,134	None	10,819	None	2,786	None	7,393	None	4,006	None	4,450	None
1912384819	HUANG SHIANG B	2021	FFS	RENDERING	AGE 21+	14	None	51	None	None	1	None	1	None	1	None	1	None	1	None	1
1912404146	LAI ALBERT	2021	FFS	RENDERING	AGE 0-20	691	None	4,986	None	514	None	2,020	None	267	None	935	None	584	None	655	None
1912404146	LAI ALBERT	2021	FFS	RENDERING	AGE 21+	820	None	3,367	None	197	None	372	None	346	None	1,266	None	537	None	539	None
1912404708	KIKLIS ZOE D	2021	FFS	RENDERING	AGE 0-20	130	None	1,002	None	114	None	416	None	37	None	119	None	120	None	132	None
1912404708	KIKLIS ZOE D	2021	FFS	RENDERING	AGE 21+	98	None	463	None	41	None	75	None	62	None	170	None	68	None	68	None
1912404708	KIKLIS ZOE D	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1912404708	KIKLIS ZOE D	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1912404708	KIKLIS ZOE D	2021	PHP	RENDERING	AGE 0-20	215	None	1,344	None	80	None	367	None	158	None	435	None	81	None	81	None
1912404708	KIKLIS ZOE D	2021	PHP	RENDERING	AGE 21+	420	None	2,010	None	46	None	114	None	378	None	862	None	48	None	48	None
1912421736	PANDHER NAVKIRANDEEP K	2021	FFS	RENDERING	AGE 0-20	518	None	2,879	None	267	None	905	None	227	None	494	None	424	None	454	None
1912421736	PANDHER NAVKIRANDEEP K	2021	FFS	RENDERING	AGE 21+	792	None	2,138	None	41	None	82	None	269	None	659	None	506	None	507	None
1912427766	GUPTA PRATIK V	2021	FFS	RENDERING	AGE 0-20	96	None	377	None	60	None	125	None	53	None	152	None	None	1	None	1
1912427766	GUPTA PRATIK V	2021	FFS	RENDERING	AGE 21+	189	None	508	None	42	None	63	None	157	None	375	None	None	1	None	1
1912427766	GUPTA PRATIK V	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1912427766	GUPTA PRATIK V	2021	PHP	RENDERING	AGE 21+	16	None	43	None	None	1	None	1	16	None	31	None	0	None	0	None
1912440546	SALIMNIA AARON	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912440546	SALIMNIA AARON	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1912445016	NICHAL KETKI	2021	FFS	RENDERING	AGE 0-20	25	None	134	None	18	None	34	None	None	1	None	2	16	None	16	None
1912445016	NICHAL KETKI	2021	FFS	RENDERING	AGE 21+	97	None	403	None	21	None	31	None	36	None	112	None	61	None	63	None
1912455262	CHANG MATTHEW T	2021	FFS	RENDERING	AGE 0-20	15	None	105	None	13	None	36	None	11	None	31	None	13	None	13	None
1912455262	CHANG MATTHEW T	2021	FFS	RENDERING	AGE 21+	50	None	241	None	33	None	66	None	27	None	80	None	40	None	40	None
1912461930	CALVO JEAN M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1912471400	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	559	None	5,123	None	432	None	1,606	None	195	None	444	None	470	None	480	None
1912471400	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	366	None	1,525	None	51	None	106	None	236	None	494	None	185	None	186	None
1912471400	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	559	None	5,123	None	432	None	1,606	None	195	None	444	None	470	None	480	None
1912471400	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	366	None	1,525	None	51	None	106	None	236	None	494	None	185	None	186	None
1912486846	MUGATASH IMAD T	2021	FFS	RENDERING	AGE 0-20	5,221	None	46,066	None	3,929	None	9,136	None	1,923	None	5,225	None	3,669	None	3,793	None
1912486846	MUGATASH IMAD T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912486846	MUGATASH IMAD T	2021	GMC	RENDERING	AGE 0-20	89	None	482	None	36	None	55	None	88	None	209	None	None	1	None	1
1912486846	MUGATASH IMAD T	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912486846	MUGATASH IMAD T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1912488362	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912488362	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912489394	GOLNAZARIAN TALIN	2021	FFS	RENDERING	AGE 0-20	1,922	None	11,410	None	1,684	None	4,101	None	960	None	1,651	None	1,665	None	1,684	None
1912489394	GOLNAZARIAN TALIN	2021	FFS	RENDERING	AGE 21+	18	None	56	None	0	None	0	None	18	None	54	None	None	1	None	1
1912491481	MANN SAVERA	2021	FFS	RENDERING	AGE 0-20	172	None	759	None	93	None	200	None	55	None	110	None	136	None	137	None
1912491481	MANN SAVERA	2021	FFS	RENDERING	AGE 21+	321	None	929	None	74	None	132	None	125	None	284	None	197	None	197	None
1912497967	CHANG YONG S	2021	FFS	RENDERING	AGE 0-20	24	None	134	None	19	None	48	None	None	1	None	2	19	None	19	None
1912497967	CHANG YONG S	2021	FFS	RENDERING	AGE 21+	60	None	306	None	11	None	16	None	42	None	133	None	23	None	23	None
1912505538	OLMOS CESAR PEREZ	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912511056	MOSHASHAEI SHERVIN	2021	FFS	RENDERING	AGE 0-20	43	None	350	None	25	None	55	None	16	None	43	None	33	None	33	None
1912511056	MOSHASHAEI SHERVIN	2021	FFS	RENDERING	AGE 21+	76	None	565	None	34	None	67	None	45	None	106	None	41	None	41	None
1912517509	MODARRES CYRUS A	2021	FFS	RENDERING	AGE 0-20	636	None	4,037	None	456	None	1,743	None	207	None	497	None	523	None	580	None
1912517509	MODARRES CYRUS A	2021	FFS	RENDERING	AGE 21+	548	None	1,803	None	130	None	192	None	216	None	457	None	331	None	331	None
1912517509	MODARRES CYRUS A	2021	PHP	RENDERING	AGE 0-20	22	None	69	None	15	None	33	None	None	1	None	1	17	None	17	None
1912517509	MODARRES CYRUS A	2021	PHP	RENDERING	AGE 21+	32	None	54	None	None	1	None	1	None	1	None	2	22	None	22	None
1912521402	BARZEGAR AZIN	2021	FFS	RENDERING	AGE 0-20	260	None	1,638	None	165	None	368	None	118	None	433	None	199	None	222	None
1912521402	BARZEGAR AZIN	2021	FFS	RENDERING	AGE 21+	438	None	2,244	None	103	None	202	None	267	None	793	None	251	None	257	None
1912530585	SABOKPEY SARA B	2021	FFS	RENDERING	AGE 0-20	122	None	731	None	96	None	236	None	56	None	131	None	90	None	94	None
1912530585	SABOKPEY SARA B	2021	FFS	RENDERING	AGE 21+	89	None	343	None	36	None	69	None	59	None	121	None	39	None	39	None
1912533597	AL SAMMARRAIE MOHLAB N	2021	PHP	RENDERING	AGE 0-20	100	None	934	None	88	None	383	None	96	None	143	None	66	None	67	None
1912533597	AL SAMMARRAIE MOHLAB N	2021	PHP	RENDERING	AGE 21+	122	None	704	None	40	None	106	None	93	None	203	None	44	None	44	None
1912535071	HWANG DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1912548942	BOURAS LAUREN MARIE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1912550021	KIM HENRY K	2021	FFS	RENDERING	AGE 0-20	1,834	None	9,792	None	231	None	624	None	1,784	None	7,362	None	413	None	420	None
1912579186	GIRGIS MARK E	2021	FFS	RENDERING	AGE 0-20	150	None	725	None	112	None	266	None	39	None	84	None	114	None	118	None
1912579186	GIRGIS MARK E	2021	FFS	RENDERING	AGE 21+	250	None	780	None	62	None	108	None	118	None	283	None	115	None	115	None
1912579186	GIRGIS MARK E	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1912579186	GIRGIS MARK E	2021	PHP	RENDERING	AGE 21+	21	None	133	None	11	None	29	None	12	None	45	None	None	1	None	2
1912960873	DINKHA ROMMEL YOUEL	2021	FFS	RENDERING	AGE 21+	138	None	619	None	74	None	116	None	95	None	294	None	130	None	137	None
1912991563	VALDEZ VALERIA	2021	FFS	RENDERING	AGE 0-20	67	None	637	None	62	None	200	None	25	None	68	None	58	None	81	None
1912991563	VALDEZ VALERIA	2021	FFS	RENDERING	AGE 21+	287	None	2,118	None	218	None	436	None	186	None	691	None	244	None	244	None
1912997842	ALVAREZ JORGE A	2021	FFS	RENDERING	AGE 0-20	103	None	1,027	None	91	None	200	None	30	None	86	None	94	None	94	None
1912997842	ALVAREZ JORGE A	2021	FFS	RENDERING	AGE 21+	122	None	661	None	51	None	101	None	83	None	195	None	71	None	71	None
1922010016	NAUMESCU, ION	2021	FFS	RENDERING	AGE 0-20	619	None	6,963	None	609	None	3,260	None	257	None	728	None	613	None	945	None
1922010016	NAUMESCU, ION	2021	FFS	RENDERING	AGE 21+	544	None	4,295	None	363	None	730	None	363	None	1,155	None	453	None	453	None
1922023753	ANTOLIN, RALPH CALUAG DMD	2021	FFS	RENDERING	AGE 0-20	100	None	747	None	97	None	304	None	42	None	105	None	91	None	109	None
1922023753	ANTOLIN, RALPH CALUAG DMD	2021	FFS	RENDERING	AGE 21+	134	None	1,149	None	86	None	160	None	92	None	352	None	88	None	88	None
1922029727	NGUYEN, PAULINE	2021	FFS	RENDERING	AGE 0-20	203	None	1,650	None	175	None	348	None	43	None	103	None	189	None	218	None
1922029727	NGUYEN, PAULINE	2021	FFS	RENDERING	AGE 21+	410	None	1,807	None	77	None	115	None	171	None	533	None	308	None	316	None
1922029727	NGUYEN, PAULINE	2021	PHP	RENDERING	AGE 0-20	58	None	471	None	52	None	88	None	17	None	38	None	54	None	64	None
1922029727	NGUYEN, PAULINE	2021	PHP	RENDERING	AGE 21+	59	None	314	None	11	None	12	None	28	None	95	None	46	None	50	None
1922074137	TRAN DUC M	2021	FFS	RENDERING	AGE 0-20	110	None	1,413	None	108	None	411	None	65	None	201	None	109	None	176	None
1922074137	TRAN DUC M	2021	FFS	RENDERING	AGE 21+	128	None	1,566	None	123	None	243	None	91	None	359	None	122	None	122	None
1922084276	ACKERMAN, JACK DDS	2021	FFS	RENDERING	AGE 0-20	58	None	204	None	35	None	69	None	24	None	55	None	41	None	41	None
1922084276	ACKERMAN, JACK DDS	2021	FFS	RENDERING	AGE 21+	130	None	542	None	43	None	84	None	102	None	213	None	66	None	66	None
1922086057	ORIOLA ADEFUNMILOLA T	2021	FFS	RENDERING	AGE 0-20	736	None	11,226	None	703	None	2,887	None	193	None	767	None	722	None	1,088	None
1922086057	ORIOLA ADEFUNMILOLA T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1922086651	MATULIAN, GAYANE A, DDS	2021	FFS	RENDERING	AGE 0-20	17	None	101	None	17	None	47	None	None	1	None	2	17	None	19	None
1922086651	MATULIAN, GAYANE A, DDS	2021	FFS	RENDERING	AGE 21+	110	None	732	None	68	None	105	None	97	None	459	None	79	None	79	None
1922093145	MONCADA SERGIO	2021	FFS	RENDERING	AGE 0-20	278	None	3,746	None	263	None	728	None	177	None	637	None	268	None	370	None
1922093145	MONCADA SERGIO	2021	FFS	RENDERING	AGE 21+	245	None	2,320	None	149	None	298	None	171	None	611	None	177	None	177	None
1922097898	ASHMORE GLENN C	2021	FFS	RENDERING	AGE 0-20	644	None	4,966	None	520	None	1,522	None	241	None	532	None	526	None	542	None
1922097898	ASHMORE GLENN C	2021	FFS	RENDERING	AGE 21+	1,453	None	9,381	None	800	None	1,554	None	709	None	2,223	None	959	None	982	None
1922104942	CHUNG TONY Y	2021	FFS	RENDERING	AGE 0-20	26	None	118	None	0	None	0	None	20	None	75	None	23	None	23	None
1922104942	CHUNG TONY Y	2021	FFS	RENDERING	AGE 21+	82	None	264	None	0	None	0	None	69	None	173	None	68	None	68	None
1922120336	WATASE SCOT K	2021	FFS	RENDERING	AGE 0-20	89	None	956	None	87	None	308	None	35	None	138	None	56	None	84	None
1922120336	WATASE SCOT K	2021	FFS	RENDERING	AGE 21+	12	None	66	None	None	1	None	2	None	1	None	1	None	1	None	1
1922121045	NISS, PAVEL	2021	FFS	RENDERING	AGE 0-20	580	None	6,678	None	567	None	2,537	None	315	None	1,244	None	571	None	846	None
1922121045	NISS, PAVEL	2021	FFS	RENDERING	AGE 21+	199	None	1,443	None	163	None	325	None	131	None	518	None	167	None	167	None
1922122233	PANJRATH, NAVJYOT, DDS	2021	FFS	RENDERING	AGE 0-20	164	None	1,794	None	157	None	650	None	54	None	175	None	153	None	219	None
1922122233	PANJRATH, NAVJYOT, DDS	2021	FFS	RENDERING	AGE 21+	26	None	158	None	23	None	46	None	None	1	None	2	19	None	19	None
1922127703	DUONG DEREK D	2021	FFS	RENDERING	AGE 0-20	21	None	128	None	19	None	43	None	None	1	None	2	17	None	17	None
1922127703	DUONG DEREK D	2021	FFS	RENDERING	AGE 21+	64	None	395	None	43	None	83	None	23	None	72	None	56	None	56	None
1922130749	KAGALWALA AMI J	2021	FFS	RENDERING	AGE 0-20	57	None	616	None	54	None	243	None	21	None	73	None	55	None	69	None
1922130749	KAGALWALA AMI J	2021	FFS	RENDERING	AGE 21+	11	None	64	None	None	1	None	1	None	1	None	2	None	1	None	1
1922131671	SAINI, AMARPREET SINGH DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1922131671	SAINI, AMARPREET SINGH DDS	2021	GMC	RENDERING	AGE 0-20	1,214	None	17,756	None	1,195	None	8,312	None	571	None	952	None	1,192	None	1,816	None
1922131671	SAINI, AMARPREET SINGH DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1922131671	SAINI, AMARPREET SINGH DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1922131671	SAINI, AMARPREET SINGH DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1922132216	HADDAD, RAJI, DDS	2021	FFS	RENDERING	AGE 0-20	441	None	6,594	None	408	None	1,628	None	135	None	347	None	431	None	627	None
1922132216	HADDAD, RAJI, DDS	2021	FFS	RENDERING	AGE 21+	219	None	1,378	None	93	None	169	None	113	None	277	None	154	None	154	None
1922139690	HAKIMI HOOMAN	2021	FFS	RENDERING	AGE 0-20	94	None	691	None	81	None	184	None	38	None	116	None	88	None	101	None
1922139690	HAKIMI HOOMAN	2021	FFS	RENDERING	AGE 21+	198	None	1,042	None	120	None	122	None	98	None	377	None	151	None	151	None
1922140391	DUENES, JOSE DDS	2021	FFS	RENDERING	AGE 0-20	103	None	781	None	73	None	171	None	52	None	138	None	82	None	90	None
1922140391	DUENES, JOSE DDS	2021	FFS	RENDERING	AGE 21+	168	None	954	None	34	None	53	None	138	None	503	None	82	None	82	None
1922144211	TRUONG, ANH-THU DDS	2021	FFS	RENDERING	AGE 21+	36	None	131	None	0	None	0	None	36	None	131	None	0	None	0	None
1922145044	HAMDAN HADI D	2021	FFS	RENDERING	AGE 0-20	3,873	None	58,449	None	3,754	None	18,190	None	2,610	None	11,019	None	3,752	None	4,612	None
1922145044	HAMDAN HADI D	2021	FFS	RENDERING	AGE 21+	3,773	None	38,758	None	2,851	None	5,668	None	2,914	None	17,246	None	3,183	None	3,183	None
1922146620	SCHMIERER, MICHAEL H, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1922157288	DIAZ EDUARDO	2021	FFS	RENDERING	AGE 0-20	27	None	101	None	12	None	28	None	17	None	28	None	None	1	None	1
1922157288	DIAZ EDUARDO	2021	FFS	RENDERING	AGE 21+	76	None	225	None	20	None	36	None	55	None	112	None	16	None	16	None
1922160050	XA JENNIFER T	2021	FFS	RENDERING	AGE 0-20	119	None	1,477	None	111	None	387	None	37	None	91	None	115	None	145	None
1922160050	XA JENNIFER T	2021	FFS	RENDERING	AGE 21+	212	None	1,489	None	118	None	235	None	81	None	195	None	67	None	67	None
1922164128	MELAMED, RAMIN F, DDS	2021	FFS	RENDERING	AGE 0-20	311	None	2,347	None	284	None	839	None	107	None	362	None	290	None	371	None
1922164128	MELAMED, RAMIN F, DDS	2021	FFS	RENDERING	AGE 21+	389	None	2,338	None	173	None	173	None	244	None	914	None	290	None	290	None
1922174895	SCHNIEROW, BURTON, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922174994	GONZALEZ RENEE L	2021	FFS	RENDERING	AGE 0-20	202	None	1,963	None	113	None	298	None	110	None	368	None	152	None	164	None
1922174994	GONZALEZ RENEE L	2021	FFS	RENDERING	AGE 21+	894	None	6,723	None	312	None	617	None	675	None	2,431	None	395	None	398	None
1922176775	POCASANGRE OLIV VICTORIA C	2021	FFS	RENDERING	AGE 0-20	866	None	10,618	None	763	None	2,798	None	420	None	1,268	None	801	None	1,082	None
1922176775	POCASANGRE OLIV VICTORIA C	2021	FFS	RENDERING	AGE 21+	632	None	5,127	None	341	None	677	None	466	None	1,741	None	456	None	457	None
1922178821	VASQUEZ, ISABELITA V, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1922178821	VASQUEZ, ISABELITA V, DDS	2021	FFS	RENDERING	AGE 21+	45	None	229	None	28	None	56	None	31	None	110	None	25	None	25	None
1922187020	RYDER MARK I	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1922188150	PODSTRELENY STJEPAN S	2021	FFS	RENDERING	AGE 0-20	742	None	5,360	None	0	None	0	None	586	None	3,977	None	645	None	645	None
1922188150	PODSTRELENY STJEPAN S	2021	FFS	RENDERING	AGE 21+	1,475	None	10,882	None	0	None	0	None	1,046	None	8,051	None	1,223	None	1,223	None
1922193465	GALGANO PETER A	2021	FFS	RENDERING	AGE 0-20	706	None	991	None	0	None	0	None	149	None	328	None	0	None	0	None
1922193465	GALGANO PETER A	2021	FFS	RENDERING	AGE 21+	19	None	19	None	0	None	0	None	0	None	0	None	0	None	0	None
1922193465	GALGANO PETER A	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922200229	DO, MELINH T, DDS	2021	FFS	RENDERING	AGE 0-20	1,628	None	47,110	None	1,519	None	12,434	None	928	None	5,672	None	1,511	None	4,250	None
1922200229	DO, MELINH T, DDS	2021	FFS	RENDERING	AGE 21+	543	None	12,870	None	303	None	1,216	None	432	None	3,402	None	310	None	620	None
1922203512	JAVAHERIAN, MEHRAN DDS	2021	FFS	RENDERING	AGE 0-20	959	None	7,118	None	439	None	1,458	None	662	None	2,025	None	407	None	431	None
1922203512	JAVAHERIAN, MEHRAN DDS	2021	FFS	RENDERING	AGE 21+	1,157	None	7,331	None	365	None	679	None	858	None	2,998	None	464	None	465	None
1922203512	JAVAHERIAN, MEHRAN DDS	2021	PHP	RENDERING	AGE 0-20	59	None	538	None	48	None	170	None	29	None	68	None	57	None	68	None
1922203512	JAVAHERIAN, MEHRAN DDS	2021	PHP	RENDERING	AGE 21+	80	None	568	None	36	None	75	None	48	None	164	None	66	None	72	None
1922203835	LOPEZ, MANUEL DDS	2021	FFS	RENDERING	AGE 0-20	12	None	76	None	None	1	None	2	None	1	None	1	None	1	None	1
1922203835	LOPEZ, MANUEL DDS	2021	FFS	RENDERING	AGE 21+	104	None	371	None	27	None	54	None	85	None	251	None	30	None	30	None
1922219237	ZAKHARY, GEORGE M MD	2021	FFS	RENDERING	AGE 0-20	649	None	3,342	None	0	None	0	None	406	None	2,290	None	418	None	418	None
1922219237	ZAKHARY, GEORGE M MD	2021	FFS	RENDERING	AGE 21+	552	None	2,506	None	0	None	0	None	337	None	1,659	None	390	None	390	None
1922241223	DELEON NELSON R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1922241223	DELEON NELSON R	2021	FFS	RENDERING	AGE 21+	48	None	174	None	38	None	38	None	14	None	43	None	43	None	43	None
1922262054	MEHTA ROSHANI P	2021	PHP	RENDERING	AGE 0-20	49	None	324	None	29	None	31	None	47	None	153	None	29	None	31	None
1922262054	MEHTA ROSHANI P	2021	PHP	RENDERING	AGE 21+	71	None	340	None	0	None	0	None	71	None	243	None	0	None	0	None
1922275916	MACK CRUZ INGRID R	2021	FFS	RENDERING	AGE 0-20	122	None	2,039	None	116	None	378	None	80	None	278	None	114	None	160	None
1922275916	MACK CRUZ INGRID R	2021	FFS	RENDERING	AGE 21+	131	None	1,277	None	89	None	178	None	105	None	323	None	93	None	93	None
1922282979	LE THUAN Q	2021	FFS	RENDERING	AGE 0-20	5,695	None	63,286	None	5,160	None	16,878	None	5,182	None	24,926	None	4,676	None	5,939	None
1922282979	LE THUAN Q	2021	FFS	RENDERING	AGE 21+	16	None	106	None	12	None	17	None	16	None	58	None	None	1	None	1
1922283936	PAKRAVAN, FARID, PROFESSIONA	2021	PHP	RENDERING	AGE 0-20	67	None	195	None	None	1	None	2	None	1	None	2	None	1	None	1
1922283936	PAKRAVAN, FARID, PROFESSIONA	2021	PHP	RENDERING	AGE 21+	76	None	176	None	None	1	None	1	19	None	35	None	None	1	None	1
1922293398	PARK BOJUN	2021	FFS	RENDERING	AGE 0-20	306	None	5,545	None	288	None	1,177	None	183	None	636	None	295	None	415	None
1922293398	PARK BOJUN	2021	FFS	RENDERING	AGE 21+	373	None	4,134	None	162	None	321	None	294	None	1,424	None	269	None	269	None
1922293570	AL-SALTI RULA ABDEL H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1922293570	AL-SALTI RULA ABDEL H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1922296623	KIM JIN-YOUNG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922297183	TRIEU, LLOYD DDS	2021	FFS	RENDERING	AGE 0-20	447	None	3,714	None	311	None	740	None	189	None	669	None	346	None	386	None
1922297183	TRIEU, LLOYD DDS	2021	FFS	RENDERING	AGE 21+	541	None	3,280	None	245	None	442	None	327	None	1,249	None	359	None	359	None
1922298074	HAKIMI SOHAIL S	2021	FFS	RENDERING	AGE 0-20	16	None	114	None	None	1	None	2	None	1	None	2	None	1	None	2
1922298074	HAKIMI SOHAIL S	2021	FFS	RENDERING	AGE 21+	128	None	589	None	18	None	31	None	73	None	262	None	80	None	80	None
1922298074	HAKIMI SOHAIL S	2021	PHP	RENDERING	AGE 0-20	58	None	386	None	42	None	104	None	24	None	92	None	54	None	62	None
1922298074	HAKIMI SOHAIL S	2021	PHP	RENDERING	AGE 21+	92	None	369	None	22	None	36	None	35	None	121	None	79	None	82	None
1922303163	VERDUGO RICHARD A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1922308105	KIM KEI Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1922308105	KIM KEI Y	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1922309574	BARRETT ADRIENNE V	2021	FFS	RENDERING	AGE 0-20	4,513	None	36,775	None	3,905	None	11,052	None	2,724	None	6,620	None	3,622	None	3,950	None
1922310267	CANTON-MORAN SONIA G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922310267	CANTON-MORAN SONIA G	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1922312529	SHAHROKH BABAK	2021	FFS	RENDERING	AGE 0-20	36	None	241	None	22	None	72	None	18	None	86	None	28	None	31	None
1922312529	SHAHROKH BABAK	2021	FFS	RENDERING	AGE 21+	218	None	1,596	None	98	None	177	None	163	None	991	None	158	None	159	None
1922313659	GOMEZ RENE	2021	FFS	RENDERING	AGE 0-20	533	None	2,953	None	299	None	1,085	None	121	None	290	None	484	None	517	None
1922313659	GOMEZ RENE	2021	FFS	RENDERING	AGE 21+	1,194	None	3,736	None	214	None	383	None	380	None	833	None	928	None	930	None
1922313659	GOMEZ RENE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1922314855	HABLANI SANGITA	2021	FFS	RENDERING	AGE 0-20	212	None	2,023	None	141	None	522	None	148	None	383	None	151	None	183	None
1922314855	HABLANI SANGITA	2021	FFS	RENDERING	AGE 21+	233	None	1,843	None	120	None	236	None	167	None	640	None	173	None	173	None
1922318047	OPEN DOOR COMMUNITY HEALTH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1922319169	NUNEZ AUSTIN	2021	FFS	RENDERING	AGE 0-20	18	None	403	None	17	None	38	None	18	None	244	None	17	None	17	None
1922319292	FOO SUANHOW H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1922319292	FOO SUANHOW H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922319292	FOO SUANHOW H	2021	PHP	RENDERING	AGE 21+	23	None	47	None	0	None	0	None	16	None	23	None	17	None	17	None
1922329721	HSIEH JASON C	2021	FFS	RENDERING	AGE 0-20	36	None	255	None	15	None	39	None	28	None	70	None	14	None	14	None
1922329721	HSIEH JASON C	2021	FFS	RENDERING	AGE 21+	42	None	251	None	None	1	None	1	35	None	110	None	None	1	None	1
1922338151	MCGRAW, ROBERT P III MD	2021	FFS	RENDERING	AGE 0-20	32	None	99	None	0	None	0	None	32	None	99	None	0	None	0	None
1922339688	DHILLON RAJWINDER S	2021	GMC	RENDERING	AGE 21+	18	None	32	None	None	1	None	1	18	None	22	None	0	None	0	None
1922341841	TALUKDER, IEHAB N MD	2021	FFS	RENDERING	AGE 0-20	23	None	51	None	0	None	0	None	23	None	51	None	0	None	0	None
1922346717	MONTANO, LEONA, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1922352269	MASSEY MYRON L	2021	FFS	RENDERING	AGE 0-20	283	None	1,904	None	246	None	535	None	114	None	339	None	247	None	279	None
1922352269	MASSEY MYRON L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1922359058	HAKIMIRAD BONNY	2021	FFS	RENDERING	AGE 0-20	1,777	None	22,804	None	1,680	None	5,222	None	1,032	None	4,796	None	1,673	None	1,998	None
1922359058	HAKIMIRAD BONNY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1922360866	TAJIK KATAYOUN	2021	FFS	RENDERING	AGE 0-20	729	None	4,551	None	551	None	1,475	None	358	None	1,218	None	498	None	498	None
1922360866	TAJIK KATAYOUN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1922360866	TAJIK KATAYOUN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922369305	ALANES MICHAEL Y	2021	FFS	RENDERING	AGE 0-20	13	None	38	None	0	None	0	None	13	None	38	None	0	None	0	None
1922380310	DR JEFFREY A SALADIN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1922380310	DR. JEFFREY A. SALADIN, DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1922392034	URENA FELIX E	2021	FFS	RENDERING	AGE 0-20	314	None	1,899	None	122	None	350	None	139	None	346	None	188	None	200	None
1922392034	URENA FELIX E	2021	FFS	RENDERING	AGE 21+	361	None	1,706	None	68	None	139	None	284	None	834	None	114	None	116	None
1922392760	CHUNG HAEWON	2021	FFS	RENDERING	AGE 0-20	664	None	5,952	None	433	None	1,086	None	395	None	1,096	None	486	None	520	None
1922392760	CHUNG HAEWON	2021	FFS	RENDERING	AGE 21+	445	None	2,137	None	34	None	64	None	298	None	1,025	None	246	None	248	None
1922404425	ZAU ELENA C	2021	FFS	RENDERING	AGE 0-20	61	None	520	None	50	None	227	None	20	None	70	None	48	None	54	None
1922404425	ZAU ELENA C	2021	FFS	RENDERING	AGE 21+	228	None	1,626	None	91	None	141	None	156	None	759	None	170	None	177	None
1922404425	ZAU ELENA C	2021	PHP	RENDERING	AGE 0-20	31	None	155	None	26	None	48	None	None	1	None	2	19	None	19	None
1922404425	ZAU ELENA C	2021	PHP	RENDERING	AGE 21+	96	None	428	None	25	None	27	None	44	None	182	None	72	None	72	None
1922406883	WESTERN DENTAL SERVICE, INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922406883	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922408202	HUNDAL-SANDHU HARPREET K	2021	FFS	RENDERING	AGE 0-20	1,193	None	8,621	None	1,127	None	3,315	None	568	None	1,924	None	1,068	None	1,070	None
1922408202	HUNDAL-SANDHU HARPREET K	2021	FFS	RENDERING	AGE 21+	351	None	1,333	None	155	None	300	None	167	None	513	None	180	None	180	None
1922408830	SHAMSIAN SHAHRIYAR	2021	FFS	RENDERING	AGE 0-20	3,769	None	34,019	None	3,330	None	10,831	None	2,134	None	5,340	None	3,297	None	4,088	None
1922408830	SHAMSIAN SHAHRIYAR	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1922408830	SHAMSIAN SHAHRIYAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922408830	SHAMSIAN SHAHRIYAR	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1922422070	PADILLA MIGUEL A	2021	FFS	RENDERING	AGE 0-20	2,705	None	37,484	None	2,429	None	10,730	None	1,864	None	5,571	None	2,402	None	3,544	None
1922422070	PADILLA MIGUEL A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1922455914	PARK, D, MPH DENTAL INC	2021	PHP	RENDERING	AGE 0-20	27	None	188	None	22	None	77	None	None	1	None	2	23	None	23	None
1922455914	PARK, D, MPH DENTAL INC	2021	PHP	RENDERING	AGE 21+	17	None	70	None	None	1	None	2	None	1	None	1	11	None	11	None
1922465053	BAKER RYAN B	2021	FFS	RENDERING	AGE 0-20	6,944	None	122,221	None	6,587	None	29,797	None	5,083	None	18,152	None	6,684	None	10,876	None
1922465053	BAKER RYAN B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1922465053	BAKER RYAN B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1922480540	VU KATY N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1922480540	VU KATY N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922484328	COMPLETO SOFIA	2021	FFS	RENDERING	AGE 0-20	2,261	None	20,557	None	1,240	None	3,138	None	1,935	None	6,412	None	1,129	None	1,162	None
1922484328	COMPLETO SOFIA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1922484328	COMPLETO SOFIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1922484682	TRAMEL, TRAVIS D, RDHAP	2021	FFS	RENDERING	AGE 0-20	353	None	854	None	353	None	854	None	0	None	0	None	0	None	0	None
1922484682	TRAMEL, TRAVIS D, RDHAP	2021	FFS	RENDERING	AGE 21+	21	None	41	None	20	None	40	None	None	1	None	1	0	None	0	None
1922485408	KIM ANDREW	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922485408	KIM ANDREW	2021	PHP	RENDERING	AGE 0-20	95	None	523	None	70	None	196	None	38	None	42	None	63	None	76	None
1922485408	KIM ANDREW	2021	PHP	RENDERING	AGE 21+	50	None	256	None	22	None	42	None	38	None	78	None	27	None	27	None
1922494517	MASI ADRIANA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1922501592	PONCE, JOSE E, RDHAP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1922501592	PONCE, JOSE E, RDHAP	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1922518240	NGO ERIC H	2021	FFS	RENDERING	AGE 0-20	123	None	863	None	59	None	130	None	65	None	176	None	84	None	91	None
1922518240	NGO ERIC H	2021	FFS	RENDERING	AGE 21+	295	None	1,729	None	101	None	198	None	206	None	511	None	164	None	164	None
1922543347	HYDER SYED T	2021	FFS	RENDERING	AGE 0-20	2,707	None	27,179	None	2,474	None	9,468	None	2,044	None	7,946	None	2,443	None	2,856	None
1922543347	HYDER SYED T	2021	FFS	RENDERING	AGE 21+	787	None	2,346	None	296	None	449	None	712	None	1,133	None	432	None	432	None
1922543347	HYDER SYED T	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1922543347	HYDER SYED T	2021	GMC	RENDERING	AGE 21+	12	None	70	None	0	None	0	None	None	1	None	2	None	1	None	1
1922569557	SONG CATHARINE J	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1922586726	KIM JU MYUNG	2021	FFS	RENDERING	AGE 0-20	137	None	1,080	None	30	None	70	None	87	None	198	None	93	None	93	None
1922586726	KIM JU MYUNG	2021	FFS	RENDERING	AGE 21+	510	None	4,030	None	26	None	53	None	308	None	670	None	372	None	374	None
1922651389	MASHHOON NIMA	2021	FFS	RENDERING	AGE 0-20	508	None	3,851	None	333	None	731	None	211	None	595	None	405	None	424	None
1922651389	MASHHOON NIMA	2021	FFS	RENDERING	AGE 21+	1,201	None	6,192	None	382	None	674	None	632	None	2,056	None	913	None	914	None
1922678945	WAHBI HUSSAM N	2021	FFS	RENDERING	AGE 0-20	65	None	469	None	40	None	89	None	30	None	66	None	40	None	40	None
1922678945	WAHBI HUSSAM N	2021	FFS	RENDERING	AGE 21+	102	None	424	None	11	None	22	None	74	None	176	None	30	None	30	None
1922678945	WAHBI HUSSAM N	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922764612	KIM REBECCA Y	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1922764612	KIM REBECCA Y	2021	FFS	RENDERING	AGE 21+	38	None	105	None	None	1	None	2	27	None	50	None	None	1	None	1
1932101706	SULAEMAN, WIJAYA DDS MAGD	2021	FFS	RENDERING	AGE 0-20	1,256	None	10,055	None	1,037	None	3,643	None	629	None	1,211	None	1,105	None	1,207	None
1932101706	SULAEMAN, WIJAYA DDS MAGD	2021	FFS	RENDERING	AGE 21+	1,287	None	6,937	None	684	None	1,370	None	819	None	2,148	None	544	None	544	None
1932101706	SULAEMAN, WIJAYA DDS MAGD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932115870	PATEL MAKBULAHMED I	2021	FFS	RENDERING	AGE 0-20	216	None	1,549	None	149	None	263	None	105	None	268	None	161	None	171	None
1932115870	PATEL MAKBULAHMED I	2021	FFS	RENDERING	AGE 21+	658	None	4,077	None	193	None	302	None	452	None	1,414	None	388	None	400	None
1932125937	VU JOSEPH T	2021	FFS	RENDERING	AGE 0-20	64	None	713	None	58	None	142	None	15	None	32	None	51	None	64	None
1932125937	VU JOSEPH T	2021	FFS	RENDERING	AGE 21+	233	None	1,273	None	76	None	76	None	104	None	267	None	171	None	171	None
1932127156	GALLIA LOUIS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932127156	GALLIA LOUIS	2021	GMC	RENDERING	AGE 0-20	239	None	1,058	None	86	None	86	None	210	None	662	None	103	None	104	None
1932127156	GALLIA LOUIS	2021	GMC	RENDERING	AGE 21+	870	None	4,232	None	283	None	284	None	478	None	2,555	None	674	None	680	None
1932127156	GALLIA LOUIS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932156700	SAEDI ARASH J	2021	FFS	RENDERING	AGE 0-20	102	None	1,218	None	94	None	264	None	39	None	106	None	90	None	113	None
1932156700	SAEDI ARASH J	2021	FFS	RENDERING	AGE 21+	318	None	2,302	None	197	None	380	None	193	None	633	None	268	None	268	None
1932156700	SAEDI ARASH J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932156700	SAEDI ARASH J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932159019	ALEEMUDDIN PERVEEN	2021	FFS	RENDERING	AGE 0-20	207	None	2,659	None	190	None	716	None	97	None	468	None	193	None	224	None
1932159019	ALEEMUDDIN PERVEEN	2021	FFS	RENDERING	AGE 21+	253	None	2,901	None	121	None	239	None	194	None	1,399	None	184	None	184	None
1932161684	JIN WEIMIN	2021	FFS	RENDERING	AGE 0-20	227	None	548	None	0	None	0	None	227	None	542	None	0	None	0	None
1932161684	JIN WEIMIN	2021	FFS	RENDERING	AGE 21+	1,616	None	4,329	None	None	1	None	1	1,610	None	4,251	None	None	1	None	1
1932163847	YUEN, CURTIS C, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	220	None	21	None	128	None	None	1	None	2	21	None	58	None
1932163847	YUEN, CURTIS C, DDS	2021	FFS	RENDERING	AGE 21+	54	None	360	None	36	None	72	None	25	None	74	None	38	None	76	None
1932191830	PUTRUS, WAIEL	2021	FFS	RENDERING	AGE 0-20	462	None	4,147	None	447	None	2,216	None	206	None	419	None	397	None	496	None
1932191830	PUTRUS, WAIEL	2021	FFS	RENDERING	AGE 21+	1,364	None	12,257	None	1,012	None	2,013	None	913	None	3,288	None	1,090	None	1,090	None
1932209723	TRAN LOC	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1932209723	TRAN LOC	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1932219979	LOPP JAY S	2021	FFS	RENDERING	AGE 0-20	332	None	2,740	None	272	None	686	None	126	None	361	None	295	None	326	None
1932219979	LOPP JAY S	2021	FFS	RENDERING	AGE 21+	623	None	4,490	None	296	None	555	None	305	None	1,016	None	451	None	451	None
1932220464	RANGNATH, ADINARAYANAPPA D,	2021	FFS	RENDERING	AGE 0-20	23	None	163	None	20	None	49	None	None	1	None	2	17	None	19	None
1932220464	RANGNATH, ADINARAYANAPPA D,	2021	FFS	RENDERING	AGE 21+	42	None	280	None	17	None	29	None	22	None	105	None	33	None	34	None
1932220464	RANGNATH, ADINARAYANAPPA D,	2021	PHP	RENDERING	AGE 0-20	49	None	271	None	42	None	113	None	13	None	20	None	49	None	83	None
1932220464	RANGNATH, ADINARAYANAPPA D,	2021	PHP	RENDERING	AGE 21+	51	None	326	None	18	None	40	None	23	None	80	None	51	None	105	None
1932220522	YETURU, KRUPAKAR	2021	FFS	RENDERING	AGE 0-20	216	None	3,077	None	201	None	821	None	107	None	474	None	179	None	233	None
1932220522	YETURU, KRUPAKAR	2021	FFS	RENDERING	AGE 21+	265	None	2,085	None	134	None	267	None	168	None	684	None	181	None	181	None
1932223518	OGA, DONALD H, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932223518	OGA, DONALD H, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932224706	BERNARDO, MARIA P, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	383	None	39	None	160	None	15	None	56	None	39	None	56	None
1932224706	BERNARDO, MARIA P, DDS	2021	FFS	RENDERING	AGE 21+	81	None	445	None	50	None	99	None	49	None	231	None	22	None	22	None
1932226115	GUZMAN, JOSE LUIS DDS	2021	FFS	RENDERING	AGE 0-20	81	None	808	None	71	None	178	None	42	None	187	None	72	None	87	None
1932226115	GUZMAN, JOSE LUIS DDS	2021	FFS	RENDERING	AGE 21+	372	None	2,328	None	225	None	423	None	237	None	930	None	307	None	308	None
1932234515	LEE, HAN WOOK, DDS	2021	FFS	RENDERING	AGE 0-20	29	None	253	None	26	None	73	None	None	1	None	2	27	None	36	None
1932234515	LEE, HAN WOOK, DDS	2021	FFS	RENDERING	AGE 21+	84	None	598	None	48	None	94	None	29	None	82	None	72	None	74	None
1932235918	CHAU, NORMAN KAM-KEUNG, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	164	None	17	None	17	None	None	1	None	2	22	None	22	None
1932235918	CHAU, NORMAN KAM-KEUNG, DDS	2021	FFS	RENDERING	AGE 21+	840	None	5,667	None	329	None	335	None	485	None	1,657	None	653	None	667	None
1932249950	CALLOWAY, VOLLIE A DDS	2021	FFS	RENDERING	AGE 0-20	63	None	380	None	57	None	219	None	25	None	43	None	57	None	70	None
1932249950	CALLOWAY, VOLLIE A DDS	2021	FFS	RENDERING	AGE 21+	85	None	510	None	31	None	31	None	71	None	223	None	43	None	43	None
1932252517	HADDAD-HADAYA NAJAH J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1932252517	HADDAD-HADAYA NAJAH J	2021	FFS	RENDERING	AGE 21+	94	None	464	None	37	None	66	None	73	None	218	None	66	None	68	None
1932254513	FARID BASSEM	2021	FFS	RENDERING	AGE 0-20	20	None	77	None	0	None	0	None	20	None	66	None	None	1	None	1
1932254513	FARID BASSEM	2021	FFS	RENDERING	AGE 21+	114	None	347	None	None	1	None	1	109	None	249	None	33	None	33	None
1932254513	FARID BASSEM	2021	PHP	RENDERING	AGE 0-20	14	None	88	None	0	None	0	None	None	1	None	2	0	None	0	None
1932254513	FARID BASSEM	2021	PHP	RENDERING	AGE 21+	56	None	281	None	0	None	0	None	47	None	236	None	None	1	None	1
1932260601	COSTANZA VICTOR J	2021	FFS	RENDERING	AGE 0-20	1,795	None	10,350	None	1,544	None	4,072	None	1,037	None	2,333	None	1,367	None	1,611	None
1932260601	COSTANZA VICTOR J	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932261823	HORMATI, ABBAS A, DDS	2021	FFS	RENDERING	AGE 0-20	23	None	279	None	23	None	86	None	17	None	42	None	20	None	34	None
1932261823	HORMATI, ABBAS A, DDS	2021	FFS	RENDERING	AGE 21+	34	None	235	None	20	None	40	None	17	None	69	None	29	None	29	None
1932266277	SNOW, GILBERT H, DDS	2021	FFS	RENDERING	AGE 0-20	1,521	None	16,728	None	0	None	0	None	448	None	4,383	None	None	1	None	1
1932266277	SNOW, GILBERT H, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1932266277	SNOW, GILBERT H, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1932267614	ENG ERIC K	2021	FFS	RENDERING	AGE 0-20	88	None	664	None	35	None	116	None	32	None	231	None	37	None	37	None
1932267614	ENG ERIC K	2021	FFS	RENDERING	AGE 21+	60	None	330	None	25	None	50	None	24	None	80	None	26	None	26	None
1932268828	TAN TSAI-HUA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932274271	RIANO-ASIAIN CHARITO	2021	FFS	RENDERING	AGE 0-20	88	None	437	None	38	None	107	None	30	None	113	None	79	None	90	None
1932274271	RIANO-ASIAIN CHARITO	2021	FFS	RENDERING	AGE 21+	221	None	917	None	100	None	100	None	88	None	332	None	179	None	179	None
1932275062	SETAREH SEPEHR	2021	FFS	RENDERING	AGE 0-20	278	None	3,304	None	209	None	824	None	161	None	541	None	248	None	296	None
1932275062	SETAREH SEPEHR	2021	FFS	RENDERING	AGE 21+	448	None	3,403	None	232	None	473	None	325	None	1,239	None	329	None	334	None
1932275062	SETAREH SEPEHR	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1932284775	NG EMIL SIU H	2021	FFS	RENDERING	AGE 21+	19	None	72	None	None	1	None	2	12	None	24	None	13	None	13	None
1932299070	TRAN DANNY V	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1932299070	TRAN DANNY V	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1932307329	HAYATT SAMUEL	2021	FFS	RENDERING	AGE 0-20	42	None	297	None	40	None	98	None	17	None	73	None	42	None	52	None
1932307329	HAYATT SAMUEL	2021	FFS	RENDERING	AGE 21+	174	None	739	None	83	None	151	None	71	None	224	None	158	None	158	None
1932308236	GUESS MICHAEL B	2021	FFS	RENDERING	AGE 0-20	533	None	743	None	None	1	None	1	89	None	105	None	None	1	None	1
1932308236	GUESS MICHAEL B	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932308236	GUESS MICHAEL B	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1932309499	KIM HENRY HYUCK K	2021	FFS	RENDERING	AGE 0-20	15	None	60	None	11	None	18	None	None	1	None	1	11	None	11	None
1932309499	KIM HENRY HYUCK K	2021	GMC	RENDERING	AGE 0-20	2,499	None	18,987	None	2,222	None	6,476	None	1,717	None	3,437	None	2,229	None	3,428	None
1932309499	KIM HENRY HYUCK K	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1932313970	KRAVCHUK, LYUDMILA, DDS	2021	FFS	RENDERING	AGE 0-20	25	None	179	None	21	None	49	None	14	None	45	None	22	None	25	None
1932313970	KRAVCHUK, LYUDMILA, DDS	2021	FFS	RENDERING	AGE 21+	406	None	2,406	None	208	None	406	None	342	None	1,199	None	259	None	259	None
1932314077	AL-JANEDI MOHDSAMEER Y	2021	FFS	RENDERING	AGE 0-20	23	None	69	None	None	1	None	2	11	None	19	None	None	1	None	1
1932314077	AL-JANEDI MOHDSAMEER Y	2021	FFS	RENDERING	AGE 21+	173	None	518	None	63	None	88	None	102	None	249	None	37	None	37	None
1932314077	AL-JANEDI MOHDSAMEER Y	2021	PHP	RENDERING	AGE 0-20	73	None	736	None	67	None	241	None	62	None	95	None	66	None	69	None
1932314077	AL-JANEDI MOHDSAMEER Y	2021	PHP	RENDERING	AGE 21+	318	None	1,805	None	254	None	414	None	277	None	618	None	229	None	233	None
1932316270	HUNG THAI DENTAL CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1932316270	THAI, HUNG, DENTAL CORPORATI	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1932317716	ABD ALLAH ALAA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932317716	ABD ALLAH ALAA R	2021	FFS	RENDERING	AGE 21+	99	None	291	None	0	None	0	None	94	None	282	None	None	1	None	1
1932317716	ABD ALLAH ALAA R	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1932317716	ABD ALLAH ALAA R	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1932317716	ABD ALLAH ALAA R	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1932319217	ELEPANO BENEDICTO L	2021	FFS	RENDERING	AGE 0-20	124	None	712	None	51	None	106	None	58	None	137	None	80	None	86	None
1932319217	ELEPANO BENEDICTO L	2021	FFS	RENDERING	AGE 21+	443	None	2,147	None	53	None	80	None	271	None	708	None	241	None	241	None
1932327129	QUAN, KHUE HANH, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	88	None	14	None	31	None	None	1	None	1	14	None	17	None
1932327129	QUAN, KHUE HANH, DDS	2021	FFS	RENDERING	AGE 21+	59	None	295	None	52	None	62	None	22	None	52	None	55	None	55	None
1932329356	PAEZ RONALD A	2021	FFS	RENDERING	AGE 0-20	531	None	5,268	None	463	None	1,587	None	179	None	474	None	465	None	519	None
1932329356	PAEZ RONALD A	2021	FFS	RENDERING	AGE 21+	656	None	3,394	None	90	None	167	None	472	None	1,526	None	370	None	370	None
1932329356	PAEZ RONALD A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1932335320	VALDEZ VIVIENE L	2021	FFS	RENDERING	AGE 0-20	43	None	345	None	33	None	101	None	15	None	132	None	37	None	40	None
1932335320	VALDEZ VIVIENE L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932340320	WONG VINCENT	2021	FFS	RENDERING	AGE 0-20	1,406	None	15,898	None	1,377	None	6,639	None	476	None	2,743	None	1,388	None	2,056	None
1932340320	WONG VINCENT	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1932340320	WONG VINCENT	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932340767	CHONG DARRYL C	2021	FFS	RENDERING	AGE 0-20	30	None	220	None	24	None	74	None	None	1	None	2	28	None	32	None
1932340767	CHONG DARRYL C	2021	FFS	RENDERING	AGE 21+	85	None	639	None	50	None	50	None	61	None	213	None	58	None	58	None
1932343647	LEETRAKUL, TIMOTHY, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932343647	LEETRAKUL, TIMOTHY, DDS	2021	FFS	RENDERING	AGE 21+	102	None	465	None	54	None	54	None	71	None	149	None	63	None	63	None
1932355385	YOUSSEFI DAVID	2021	FFS	RENDERING	AGE 0-20	90	None	878	None	84	None	231	None	46	None	126	None	83	None	99	None
1932355385	YOUSSEFI DAVID	2021	FFS	RENDERING	AGE 21+	330	None	3,433	None	201	None	394	None	234	None	922	None	242	None	242	None
1932365111	LY MAI T	2021	FFS	RENDERING	AGE 0-20	492	None	4,341	None	457	None	1,236	None	27	None	37	None	459	None	555	None
1932365111	LY MAI T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1932367794	TRAN NHAN	2021	FFS	RENDERING	AGE 0-20	88	None	765	None	54	None	117	None	56	None	199	None	56	None	58	None
1932367794	TRAN NHAN	2021	FFS	RENDERING	AGE 21+	613	None	4,329	None	244	None	474	None	445	None	1,752	None	377	None	381	None
1932375300	BOOTEHSAZ, ROBERT DMD	2021	FFS	RENDERING	AGE 0-20	40	None	585	None	40	None	173	None	16	None	46	None	39	None	65	None
1932375300	BOOTEHSAZ, ROBERT DMD	2021	FFS	RENDERING	AGE 21+	164	None	1,301	None	112	None	213	None	109	None	421	None	130	None	130	None
1932375300	BOOTEHSAZ, ROBERT DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1932375300	BOOTEHSAZ, ROBERT DMD	2021	PHP	RENDERING	AGE 21+	21	None	112	None	19	None	41	None	12	None	21	None	14	None	14	None
1932376381	GILBERT STEVEN R	2021	FFS	RENDERING	AGE 0-20	18	None	37	None	0	None	0	None	18	None	19	None	18	None	18	None
1932376381	GILBERT STEVEN R	2021	FFS	RENDERING	AGE 21+	1,377	None	3,394	None	76	None	93	None	1,354	None	2,220	None	1,056	None	1,058	None
1932376381	GILBERT STEVEN R	2021	PHP	RENDERING	AGE 21+	16	None	33	None	None	1	None	1	16	None	17	None	15	None	15	None
1932380201	BUCHLER AMY E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1932386976	LEE BILL HO L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932394475	LU XIAOYU	2021	FFS	RENDERING	AGE 0-20	123	None	652	None	32	None	63	None	84	None	156	None	60	None	61	None
1932394475	LU XIAOYU	2021	FFS	RENDERING	AGE 21+	794	None	3,979	None	99	None	194	None	634	None	1,401	None	345	None	345	None
1932394806	PATEL SHEFALI V	2021	FFS	RENDERING	AGE 0-20	928	None	11,132	None	865	None	3,479	None	451	None	983	None	870	None	1,118	None
1932394806	PATEL SHEFALI V	2021	FFS	RENDERING	AGE 21+	914	None	5,518	None	542	None	1,079	None	582	None	1,489	None	683	None	683	None
1932395910	CHEN BENSON	2021	FFS	RENDERING	AGE 0-20	1,115	None	5,483	None	585	None	1,823	None	223	None	337	None	1,011	None	1,148	None
1932395910	CHEN BENSON	2021	FFS	RENDERING	AGE 21+	1,068	None	3,661	None	323	None	609	None	229	None	617	None	879	None	880	None
1932395910	CHEN BENSON	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932401783	MATIN MANI	2021	FFS	RENDERING	AGE 0-20	390	None	5,933	None	336	None	1,454	None	269	None	1,011	None	358	None	435	None
1932401783	MATIN MANI	2021	FFS	RENDERING	AGE 21+	274	None	4,136	None	160	None	319	None	246	None	1,773	None	205	None	207	None
1932403375	OSMAN NAWAL M	2021	FFS	RENDERING	AGE 0-20	793	None	6,203	None	560	None	1,469	None	350	None	813	None	542	None	604	None
1932403375	OSMAN NAWAL M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932410842	AGATSTEIN JACOB T	2021	FFS	RENDERING	AGE 0-20	12	None	35	None	0	None	0	None	12	None	32	None	0	None	0	None
1932410842	AGATSTEIN JACOB T	2021	FFS	RENDERING	AGE 21+	32	None	113	None	0	None	0	None	32	None	112	None	0	None	0	None
1932410842	AGATSTEIN JACOB T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1932410842	AGATSTEIN JACOB T	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1932411022	TRUJILLO AIMEE K	2021	FFS	RENDERING	AGE 0-20	89	None	656	None	72	None	192	None	33	None	88	None	74	None	88	None
1932411022	TRUJILLO AIMEE K	2021	FFS	RENDERING	AGE 21+	67	None	252	None	25	None	30	None	31	None	67	None	44	None	44	None
1932414091	GURM PAWANDEEP K	2021	FFS	RENDERING	AGE 0-20	1,261	None	2,314	None	0	None	0	None	362	None	914	None	0	None	0	None
1932414091	GURM PAWANDEEP K	2021	FFS	RENDERING	AGE 21+	24	None	24	None	0	None	0	None	0	None	0	None	0	None	0	None
1932414091	GURM PAWANDEEP K	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932414091	GURM PAWANDEEP K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1932418464	CHUN FREDERICK	2021	FFS	RENDERING	AGE 0-20	863	None	17,466	None	521	None	1,375	None	863	None	12,642	None	803	None	808	None
1932450616	PANDYA TORAL S	2021	FFS	RENDERING	AGE 0-20	16	None	60	None	None	1	None	2	None	1	None	2	None	1	None	1
1932450616	PANDYA TORAL S	2021	FFS	RENDERING	AGE 21+	44	None	169	None	None	1	None	2	26	None	58	None	29	None	29	None
1932450616	PANDYA TORAL S	2021	GMC	RENDERING	AGE 0-20	302	None	1,834	None	239	None	677	None	171	None	363	None	218	None	220	None
1932450616	PANDYA TORAL S	2021	GMC	RENDERING	AGE 21+	290	None	1,740	None	111	None	215	None	209	None	785	None	206	None	210	None
1932451994	JONES JENNIFER L	2021	FFS	RENDERING	AGE 0-20	330	None	2,144	None	0	None	0	None	254	None	1,523	None	318	None	318	None
1932451994	JONES JENNIFER L	2021	FFS	RENDERING	AGE 21+	591	None	3,027	None	0	None	0	None	466	None	1,933	None	544	None	544	None
1932458684	RODRIGUEZ CATRINA F	2021	FFS	RENDERING	AGE 0-20	121	None	1,200	None	94	None	349	None	59	None	147	None	96	None	96	None
1932458684	RODRIGUEZ CATRINA F	2021	FFS	RENDERING	AGE 21+	206	None	1,098	None	17	None	33	None	172	None	496	None	85	None	85	None
1932469137	QAYYUM SHAMOON	2021	FFS	RENDERING	AGE 0-20	194	None	449	None	0	None	0	None	193	None	446	None	None	1	None	1
1932469137	QAYYUM SHAMOON	2021	FFS	RENDERING	AGE 21+	989	None	2,663	None	0	None	0	None	984	None	2,635	None	None	1	None	1
1932469137	QAYYUM SHAMOON	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932469137	QAYYUM SHAMOON	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932469137	QAYYUM SHAMOON	2021	PHP	RENDERING	AGE 21+	27	None	99	None	0	None	0	None	27	None	99	None	0	None	0	None
1932486081	BOUHAIRI, KARIM, DDS	2021	FFS	RENDERING	AGE 0-20	104	None	615	None	93	None	304	None	38	None	101	None	98	None	121	None
1932486081	BOUHAIRI, KARIM, DDS	2021	FFS	RENDERING	AGE 21+	231	None	1,265	None	155	None	306	None	146	None	552	None	183	None	183	None
1932487246	PENALBA WILBERTO I	2021	FFS	RENDERING	AGE 0-20	42	None	208	None	40	None	115	None	None	1	None	2	32	None	36	None
1932487246	PENALBA WILBERTO I	2021	FFS	RENDERING	AGE 21+	30	None	90	None	17	None	19	None	None	1	None	2	18	None	18	None
1932487410	ONEA DOREL	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1932487410	ONEA DOREL	2021	GMC	RENDERING	AGE 21+	16	None	58	None	0	None	0	None	15	None	45	None	None	1	None	1
1932496700	SONBOLIAN FERESHTEH A	2021	FFS	RENDERING	AGE 0-20	3,750	None	35,511	None	3,471	None	11,532	None	2,247	None	5,945	None	3,462	None	3,820	None
1932496700	SONBOLIAN FERESHTEH A	2021	FFS	RENDERING	AGE 21+	24	None	172	None	None	1	None	2	13	None	27	None	16	None	16	None
1932498706	HARDYK BENJAMIN J	2021	FFS	RENDERING	AGE 0-20	96	None	274	None	0	None	0	None	None	1	None	2	0	None	0	None
1932498706	HARDYK BENJAMIN J	2021	FFS	RENDERING	AGE 21+	14	None	28	None	0	None	0	None	0	None	0	None	0	None	0	None
1932501996	VALLEY COMMUNITY HEALTHCARE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932501996	VALLEY COMMUNITY HEALTHCARE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932503083	KALDAWI ISABELLE J	2021	FFS	RENDERING	AGE 0-20	1,680	None	13,574	None	1,243	None	3,370	None	887	None	1,895	None	1,219	None	1,238	None
1932504503	PARSA SHAHAB	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932508942	SHUGAN LYNNETTE	2021	FFS	RENDERING	AGE 0-20	605	None	4,470	None	470	None	1,015	None	163	None	465	None	427	None	427	None
1932508942	SHUGAN LYNNETTE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1932518107	MIRZAIANS ARA A	2021	FFS	RENDERING	AGE 0-20	29	None	128	None	0	None	0	None	29	None	128	None	0	None	0	None
1932518107	MIRZAIANS ARA A	2021	FFS	RENDERING	AGE 21+	29	None	120	None	0	None	0	None	29	None	120	None	0	None	0	None
1932531803	PONUGOTI SWATHI	2021	FFS	RENDERING	AGE 0-20	886	None	4,508	None	558	None	1,731	None	92	None	172	None	828	None	910	None
1932531803	PONUGOTI SWATHI	2021	FFS	RENDERING	AGE 21+	1,171	None	3,086	None	157	None	304	None	355	None	559	None	845	None	845	None
1932531803	PONUGOTI SWATHI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1932553633	KERI KM DENTAL GROUP APC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1932559713	LEE WONJOON	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932559713	LEE WONJOON	2021	FFS	RENDERING	AGE 21+	54	None	121	None	None	1	None	1	None	1	None	1	50	None	50	None
1932568144	PALMER MARTIN K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1932568144	PALMER MARTIN K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1932607678	LE VALERIE B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932611035	CHANG SOO J	2021	FFS	RENDERING	AGE 0-20	28	None	118	None	14	None	21	None	None	1	None	1	None	1	None	1
1932611035	CHANG SOO J	2021	FFS	RENDERING	AGE 21+	88	None	210	None	19	None	19	None	58	None	78	None	12	None	12	None
1932622917	LOPEZ MATTHEW	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1932640786	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932640786	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932648300	LIU CHANG	2021	FFS	RENDERING	AGE 0-20	12	None	106	None	12	None	29	None	None	1	None	2	0	None	0	None
1932648300	LIU CHANG	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1932667367	GURJAR DHRUVA A	2021	FFS	RENDERING	AGE 0-20	280	None	1,317	None	151	None	372	None	184	None	506	None	62	None	62	None
1932667367	GURJAR DHRUVA A	2021	FFS	RENDERING	AGE 21+	443	None	1,779	None	125	None	215	None	329	None	1,043	None	101	None	101	None
1932693199	JABAITI TARIQ	2021	FFS	RENDERING	AGE 0-20	149	None	1,441	None	111	None	270	None	82	None	384	None	135	None	159	None
1932693199	JABAITI TARIQ	2021	FFS	RENDERING	AGE 21+	555	None	4,926	None	207	None	411	None	413	None	2,273	None	404	None	404	None
1932703790	ABRAHAM, DR AZADEH, DENTAL I	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932703790	ABRAHAM, DR AZADEH, DENTAL I	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932705381	FAILAEV ITZHAK	2021	FFS	RENDERING	AGE 0-20	66	None	470	None	41	None	150	None	17	None	34	None	57	None	59	None
1932705381	FAILAEV ITZHAK	2021	FFS	RENDERING	AGE 21+	36	None	166	None	None	1	None	2	15	None	39	None	26	None	26	None
1932719036	SANGHVI APEKSHA	2021	GMC	RENDERING	AGE 0-20	76	None	437	None	47	None	106	None	20	None	26	None	55	None	55	None
1932719036	SANGHVI APEKSHA	2021	GMC	RENDERING	AGE 21+	121	None	418	None	30	None	60	None	67	None	92	None	50	None	50	None
1932761871	PATWARI HARSH R	2021	FFS	RENDERING	AGE 0-20	2,427	None	34,961	None	2,278	None	9,714	None	1,473	None	4,960	None	2,277	None	3,074	None
1932761871	PATWARI HARSH R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1932792652	ZAW MAUNG M	2021	FFS	RENDERING	AGE 0-20	209	None	1,019	None	143	None	417	None	152	None	508	None	31	None	31	None
1932792652	ZAW MAUNG M	2021	FFS	RENDERING	AGE 21+	626	None	2,149	None	314	None	579	None	454	None	1,467	None	34	None	34	None
1932860426	TRAN KEVIN M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942202742	DEBBANEH GEORGE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942202742	DEBBANEH GEORGE	2021	FFS	RENDERING	AGE 21+	25	None	64	None	15	None	15	None	None	1	None	1	25	None	25	None
1942209770	BOEN KYUNG L	2021	FFS	RENDERING	AGE 0-20	205	None	1,646	None	153	None	387	None	76	None	189	None	163	None	171	None
1942209770	BOEN KYUNG L	2021	FFS	RENDERING	AGE 21+	282	None	1,357	None	39	None	77	None	195	None	595	None	139	None	139	None
1942211073	MEHTA, DIPA, DDS	2021	FFS	RENDERING	AGE 21+	21	None	55	None	0	None	0	None	21	None	40	None	15	None	15	None
1942213418	OH, JOON HWAN DDS	2021	FFS	RENDERING	AGE 0-20	110	None	1,591	None	98	None	338	None	53	None	161	None	100	None	125	None
1942213418	OH, JOON HWAN DDS	2021	FFS	RENDERING	AGE 21+	252	None	2,779	None	182	None	361	None	154	None	503	None	209	None	209	None
1942216809	PATEL, SANJAY VASANGEE	2021	FFS	RENDERING	AGE 0-20	66	None	304	None	43	None	114	None	27	None	63	None	53	None	53	None
1942216809	PATEL, SANJAY VASANGEE	2021	FFS	RENDERING	AGE 21+	454	None	2,279	None	85	None	85	None	403	None	1,647	None	186	None	186	None
1942218045	ADLI CAMILLE Q	2021	FFS	RENDERING	AGE 0-20	84	None	1,123	None	77	None	266	None	38	None	177	None	64	None	79	None
1942224118	LEE JULIA H	2021	FFS	RENDERING	AGE 0-20	150	None	1,446	None	150	None	471	None	53	None	171	None	150	None	237	None
1942224118	LEE JULIA H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942227590	RAJABALLY FAREEDA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942228036	BANG, ROBERT DDS	2021	FFS	RENDERING	AGE 0-20	1,310	None	18,238	None	1,178	None	4,735	None	528	None	1,936	None	1,272	None	1,682	None
1942228036	BANG, ROBERT DDS	2021	FFS	RENDERING	AGE 21+	12	None	102	None	None	1	None	2	None	1	None	1	None	1	None	1
1942229273	WOO DONNA J	2021	FFS	RENDERING	AGE 0-20	79	None	676	None	68	None	163	None	41	None	140	None	68	None	70	None
1942229273	WOO DONNA J	2021	FFS	RENDERING	AGE 21+	145	None	826	None	74	None	153	None	110	None	406	None	98	None	100	None
1942247184	YANG KATHERINE H	2021	FFS	RENDERING	AGE 0-20	1,031	None	7,604	None	868	None	2,421	None	651	None	1,676	None	789	None	813	None
1942264403	COX DARREN P	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942264403	COX DARREN P	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942281746	DUDAR, BRIAN WESLEY, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942330469	NGUYEN QUOC T	2021	FFS	RENDERING	AGE 0-20	122	None	1,260	None	112	None	550	None	28	None	60	None	51	None	58	None
1942331673	CHONG ROBYN E	2021	PHP	RENDERING	AGE 0-20	34	None	213	None	23	None	76	None	None	1	None	2	19	None	26	None
1942331673	CHONG ROBYN E	2021	PHP	RENDERING	AGE 21+	36	None	148	None	None	1	None	2	22	None	67	None	15	None	17	None
1942332556	AIVAZ JOHN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942332556	AIVAZ JOHN	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1942335526	LOW, WILLARD H, DDS	2021	FFS	RENDERING	AGE 0-20	21	None	102	None	19	None	41	None	None	1	None	1	19	None	29	None
1942335526	LOW, WILLARD H, DDS	2021	FFS	RENDERING	AGE 21+	68	None	229	None	44	None	44	None	37	None	69	None	41	None	41	None
1942340633	KURUVADI SANJAY	2021	FFS	RENDERING	AGE 0-20	388	None	683	None	0	None	0	None	167	None	375	None	0	None	0	None
1942348560	PAWLAK JOHN C	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942350558	TON THAT, CUONG, DDS	2021	FFS	RENDERING	AGE 0-20	164	None	1,119	None	156	None	205	None	52	None	129	None	154	None	191	None
1942350558	TON THAT, CUONG, DDS	2021	FFS	RENDERING	AGE 21+	494	None	2,927	None	336	None	336	None	286	None	598	None	353	None	353	None
1942356415	VU THAI Q	2021	FFS	RENDERING	AGE 0-20	472	None	4,970	None	375	None	904	None	179	None	546	None	393	None	468	None
1942356415	VU THAI Q	2021	FFS	RENDERING	AGE 21+	223	None	1,976	None	107	None	213	None	131	None	452	None	135	None	135	None
1942361175	ALHAOUASLI, HASSAN DDS	2021	FFS	RENDERING	AGE 0-20	42	None	439	None	38	None	169	None	14	None	27	None	41	None	47	None
1942361175	ALHAOUASLI, HASSAN DDS	2021	FFS	RENDERING	AGE 21+	73	None	783	None	61	None	120	None	45	None	229	None	66	None	66	None
1942368121	NEYDLIN, BORIS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1942368121	NEYDLIN, BORIS	2021	FFS	RENDERING	AGE 21+	278	None	2,506	None	148	None	280	None	256	None	1,526	None	190	None	190	None
1942376975	VO HANH N	2021	FFS	RENDERING	AGE 0-20	581	None	2,844	None	284	None	1,016	None	165	None	244	None	535	None	566	None
1942376975	VO HANH N	2021	FFS	RENDERING	AGE 21+	892	None	2,573	None	66	None	120	None	367	None	704	None	617	None	619	None
1942376975	VO HANH N	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942376975	VO HANH N	2021	PHP	RENDERING	AGE 0-20	44	None	219	None	19	None	53	None	14	None	50	None	33	None	35	None
1942376975	VO HANH N	2021	PHP	RENDERING	AGE 21+	70	None	252	None	None	1	None	1	48	None	162	None	30	None	31	None
1942377312	TRUONG JENNIFER H	2021	FFS	RENDERING	AGE 0-20	629	None	6,991	None	589	None	2,044	None	286	None	788	None	584	None	802	None
1942377312	TRUONG JENNIFER H	2021	FFS	RENDERING	AGE 21+	283	None	1,646	None	85	None	165	None	165	None	573	None	210	None	210	None
1942377445	CABALINAN JANETTE S	2021	FFS	RENDERING	AGE 0-20	85	None	1,157	None	79	None	346	None	82	None	376	None	76	None	103	None
1942377445	CABALINAN JANETTE S	2021	FFS	RENDERING	AGE 21+	149	None	1,669	None	110	None	219	None	144	None	872	None	110	None	110	None
1942392485	ZAREH NEGEENDOKHT	2021	FFS	RENDERING	AGE 0-20	259	None	3,106	None	219	None	826	None	127	None	455	None	234	None	335	None
1942392485	ZAREH NEGEENDOKHT	2021	FFS	RENDERING	AGE 21+	255	None	1,588	None	65	None	98	None	184	None	667	None	173	None	173	None
1942396361	GILL RICHARD J	2021	FFS	RENDERING	AGE 0-20	82	None	594	None	77	None	269	None	42	None	116	None	78	None	83	None
1942396361	GILL RICHARD J	2021	FFS	RENDERING	AGE 21+	381	None	2,746	None	282	None	487	None	290	None	1,493	None	327	None	329	None
1942396817	PATINO STELLA P	2021	FFS	RENDERING	AGE 0-20	31	None	190	None	17	None	40	None	13	None	41	None	28	None	30	None
1942396817	PATINO STELLA P	2021	FFS	RENDERING	AGE 21+	97	None	789	None	44	None	71	None	75	None	394	None	75	None	75	None
1942406145	PAK-SUH, YOUNG HEE DMD	2021	FFS	RENDERING	AGE 0-20	618	None	7,319	None	551	None	1,656	None	445	None	1,449	None	538	None	543	None
1942410501	PARK, DAVID S DDS, MPH	2021	FFS	RENDERING	AGE 0-20	564	None	3,316	None	338	None	981	None	327	None	696	None	370	None	403	None
1942410501	PARK, DAVID S DDS, MPH	2021	FFS	RENDERING	AGE 21+	1,562	None	6,244	None	437	None	852	None	1,089	None	2,641	None	756	None	764	None
1942410501	PARK, DAVID S DDS, MPH	2021	GMC	RENDERING	AGE 0-20	245	None	1,008	None	234	None	270	None	233	None	242	None	12	None	12	None
1942410501	PARK, DAVID S DDS, MPH	2021	GMC	RENDERING	AGE 21+	84	None	188	None	17	None	30	None	66	None	94	None	14	None	14	None
1942410501	PARK, DAVID S DDS, MPH	2021	PHP	RENDERING	AGE 0-20	528	None	3,706	None	363	None	1,258	None	353	None	732	None	344	None	366	None
1942410501	PARK, DAVID S DDS, MPH	2021	PHP	RENDERING	AGE 21+	583	None	2,744	None	306	None	654	None	418	None	1,069	None	283	None	284	None
1942412374	WALICKI RICHARD J	2021	FFS	RENDERING	AGE 21+	357	None	921	None	17	None	18	None	356	None	629	None	274	None	274	None
1942412374	WALICKI RICHARD J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1942415906	YAM CHAP H	2021	FFS	RENDERING	AGE 0-20	188	None	1,745	None	157	None	567	None	88	None	326	None	156	None	180	None
1942415906	YAM CHAP H	2021	FFS	RENDERING	AGE 21+	338	None	2,201	None	169	None	332	None	180	None	774	None	229	None	231	None
1942418264	DONG QUANLI	2021	FFS	RENDERING	AGE 0-20	593	None	6,240	None	555	None	1,804	None	230	None	805	None	568	None	701	None
1942418264	DONG QUANLI	2021	FFS	RENDERING	AGE 21+	946	None	6,825	None	743	None	1,471	None	463	None	2,132	None	881	None	881	None
1942419080	STEWART, CARINA G, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	0	None	0	None
1942419080	STEWART, CARINA G, DDS	2021	FFS	RENDERING	AGE 21+	34	None	251	None	27	None	27	None	29	None	106	None	21	None	21	None
1942423546	RABIZADEH DAVID S	2021	FFS	RENDERING	AGE 0-20	746	None	5,451	None	608	None	2,080	None	382	None	1,116	None	594	None	673	None
1942423546	RABIZADEH DAVID S	2021	FFS	RENDERING	AGE 21+	1,123	None	5,465	None	236	None	301	None	799	None	2,847	None	677	None	692	None
1942423546	RABIZADEH DAVID S	2021	PHP	RENDERING	AGE 0-20	51	None	345	None	43	None	148	None	14	None	32	None	44	None	52	None
1942423546	RABIZADEH DAVID S	2021	PHP	RENDERING	AGE 21+	77	None	353	None	18	None	20	None	46	None	159	None	60	None	62	None
1942435656	TAKALE MADHURI S	2021	FFS	RENDERING	AGE 0-20	174	None	1,504	None	168	None	503	None	56	None	128	None	167	None	221	None
1942435656	TAKALE MADHURI S	2021	FFS	RENDERING	AGE 21+	173	None	988	None	105	None	109	None	116	None	358	None	129	None	129	None
1942437322	FARUKHI NAILA R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1942442827	MARTEL ALEX	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1942454673	JAMAH HANI S	2021	FFS	RENDERING	AGE 0-20	142	None	675	None	82	None	190	None	82	None	162	None	75	None	93	None
1942454673	JAMAH HANI S	2021	FFS	RENDERING	AGE 21+	356	None	1,358	None	156	None	163	None	235	None	538	None	168	None	170	None
1942457106	LOURENCO AURY A	2021	FFS	RENDERING	AGE 0-20	46	None	411	None	43	None	136	None	19	None	75	None	45	None	58	None
1942457106	LOURENCO AURY A	2021	FFS	RENDERING	AGE 21+	66	None	473	None	45	None	86	None	34	None	177	None	54	None	54	None
1942464656	AHUJA HARKISHAN C	2021	FFS	RENDERING	AGE 0-20	689	None	1,957	None	0	None	0	None	364	None	1,231	None	0	None	0	None
1942469689	HAKIMZADEH PASHA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1942469689	HAKIMZADEH PASHA	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1942479639	MURALIDHARAN ASHA	2021	FFS	RENDERING	AGE 0-20	469	None	2,992	None	349	None	1,158	None	152	None	357	None	433	None	485	None
1942479639	MURALIDHARAN ASHA	2021	FFS	RENDERING	AGE 21+	635	None	2,589	None	193	None	354	None	300	None	901	None	477	None	477	None
1942480603	AZARIAN JACKLYN	2021	FFS	RENDERING	AGE 0-20	59	None	367	None	46	None	125	None	30	None	80	None	54	None	63	None
1942480603	AZARIAN JACKLYN	2021	FFS	RENDERING	AGE 21+	337	None	2,420	None	220	None	427	None	244	None	882	None	269	None	269	None
1942491758	CORTES OSCAR H	2021	FFS	RENDERING	AGE 0-20	57	None	568	None	53	None	134	None	15	None	29	None	51	None	65	None
1942491758	CORTES OSCAR H	2021	FFS	RENDERING	AGE 21+	55	None	305	None	28	None	55	None	30	None	68	None	41	None	41	None
1942495510	KOO KAYLA	2021	FFS	RENDERING	AGE 0-20	334	None	3,442	None	293	None	1,160	None	150	None	449	None	309	None	398	None
1942495510	KOO KAYLA	2021	FFS	RENDERING	AGE 21+	230	None	1,518	None	139	None	278	None	143	None	399	None	167	None	167	None
1942502596	RIVERO CARLOS A	2021	FFS	RENDERING	AGE 0-20	14	None	36	None	0	None	0	None	14	None	36	None	0	None	0	None
1942502596	RIVERO CARLOS A	2021	FFS	RENDERING	AGE 21+	42	None	162	None	0	None	0	None	42	None	159	None	0	None	0	None
1942502596	RIVERO CARLOS A	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942536628	AGUIRRE ALVARO A	2021	FFS	RENDERING	AGE 0-20	115	None	1,115	None	87	None	311	None	70	None	220	None	89	None	99	None
1942536628	AGUIRRE ALVARO A	2021	FFS	RENDERING	AGE 21+	260	None	1,890	None	36	None	67	None	229	None	892	None	104	None	104	None
1942538160	ATHANASIUS PAUL	2021	FFS	RENDERING	AGE 0-20	29	None	249	None	23	None	61	None	14	None	48	None	26	None	35	None
1942538160	ATHANASIUS PAUL	2021	FFS	RENDERING	AGE 21+	84	None	538	None	45	None	76	None	51	None	134	None	70	None	70	None
1942550835	SOULEMA ALBERT L	2021	FFS	RENDERING	AGE 0-20	219	None	448	None	0	None	0	None	16	None	28	None	0	None	0	None
1942550835	SOULEMA ALBERT L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942551726	ZHU LING	2021	FFS	RENDERING	AGE 21+	13	None	68	None	None	1	None	2	None	1	None	2	None	1	None	1
1942553748	LEE MIN H	2021	FFS	RENDERING	AGE 0-20	3,460	None	28,450	None	2,529	None	8,243	None	2,687	None	9,211	None	2,237	None	2,556	None
1942553748	LEE MIN H	2021	FFS	RENDERING	AGE 21+	456	None	1,880	None	53	None	77	None	301	None	905	None	166	None	166	None
1942553748	LEE MIN H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1942554654	GREENE ADRIANA N	2021	FFS	RENDERING	AGE 0-20	283	None	2,059	None	273	None	756	None	90	None	345	None	275	None	360	None
1942554654	GREENE ADRIANA N	2021	FFS	RENDERING	AGE 21+	25	None	151	None	16	None	32	None	14	None	45	None	19	None	19	None
1942556410	BEHNAM KRISTINA Y	2021	FFS	RENDERING	AGE 0-20	1,415	None	12,814	None	1,322	None	4,376	None	590	None	1,159	None	1,309	None	1,827	None
1942556410	BEHNAM KRISTINA Y	2021	FFS	RENDERING	AGE 21+	37	None	213	None	24	None	48	None	21	None	36	None	24	None	24	None
1942558614	HSIEH, CHRISTINA DDS	2021	FFS	RENDERING	AGE 0-20	683	None	7,100	None	446	None	1,291	None	544	None	2,623	None	286	None	329	None
1942558614	HSIEH, CHRISTINA DDS	2021	PHP	RENDERING	AGE 0-20	33	None	427	None	11	None	30	None	32	None	294	None	None	1	None	1
1942565148	ZUNIGA FAUSTINO	2021	FFS	RENDERING	AGE 0-20	1,024	None	10,792	None	863	None	2,169	None	504	None	2,189	None	959	None	1,146	None
1942568928	WU YUEN R	2021	FFS	RENDERING	AGE 0-20	44	None	106	None	0	None	0	None	44	None	106	None	0	None	0	None
1942579313	SALEM SYLVIA A	2021	FFS	RENDERING	AGE 0-20	25	None	222	None	24	None	108	None	None	1	None	2	23	None	31	None
1942579313	SALEM SYLVIA A	2021	FFS	RENDERING	AGE 21+	101	None	854	None	64	None	123	None	76	None	407	None	80	None	80	None
1942580923	LAO VIVIEN	2021	FFS	RENDERING	AGE 0-20	4,438	None	36,695	None	3,541	None	11,463	None	2,747	None	7,316	None	3,329	None	3,735	None
1942580923	LAO VIVIEN	2021	FFS	RENDERING	AGE 21+	28	None	137	None	14	None	28	None	13	None	21	None	15	None	15	None
1942582937	YARBER LENISE N	2021	FFS	RENDERING	AGE 0-20	2,470	None	44,119	None	2,371	None	9,884	None	1,775	None	8,150	None	2,327	None	3,454	None
1942582937	YARBER LENISE N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942582937	YARBER LENISE N	2021	PHP	RENDERING	AGE 0-20	21	None	292	None	None	1	None	2	19	None	150	None	12	None	12	None
1942598552	LAM LUCILLE	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942598552	LAM LUCILLE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1942598552	LAM LUCILLE	2021	GMC	RENDERING	AGE 0-20	327	None	2,893	None	315	None	1,005	None	99	None	279	None	316	None	350	None
1942598552	LAM LUCILLE	2021	GMC	RENDERING	AGE 21+	258	None	1,839	None	182	None	394	None	182	None	620	None	171	None	171	None
1942598552	LAM LUCILLE	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1942598552	LAM LUCILLE	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942611074	ALETOMEH MORVARID	2021	FFS	RENDERING	AGE 0-20	1,536	None	21,958	None	1,411	None	5,539	None	958	None	3,703	None	1,431	None	2,004	None
1942611074	ALETOMEH MORVARID	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942625330	CAMPOS GLADYS ADELI M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1942681069	WILLIS AVI	2021	FFS	RENDERING	AGE 0-20	5,144	None	40,984	None	3,966	None	12,137	None	3,124	None	6,967	None	3,753	None	3,963	None
1942681069	WILLIS AVI	2021	FFS	RENDERING	AGE 21+	20	None	103	None	13	None	24	None	None	1	None	1	15	None	15	None
1942682711	LIN YUNQI R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	0	None	0	None
1942682711	LIN YUNQI R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1942699160	KIM YOUNGSAM	2021	FFS	RENDERING	AGE 0-20	18	None	98	None	14	None	28	None	None	1	None	2	16	None	16	None
1942699160	KIM YOUNGSAM	2021	FFS	RENDERING	AGE 21+	58	None	286	None	44	None	88	None	12	None	40	None	46	None	46	None
1942717343	BAKRAMIAN, JILBERT, DDS	2021	FFS	RENDERING	AGE 0-20	80	None	2,072	None	68	None	556	None	79	None	1,106	None	73	None	150	None
1942717343	BAKRAMIAN, JILBERT, DDS	2021	FFS	RENDERING	AGE 21+	344	None	11,118	None	210	None	840	None	336	None	9,174	None	227	None	458	None
1942721410	CROWDEN, CANDACE LYNN, RDHAP	2021	FFS	RENDERING	AGE 0-20	78	None	337	None	78	None	337	None	0	None	0	None	0	None	0	None
1942721410	CROWDEN, CANDACE LYNN, RDHAP	2021	FFS	RENDERING	AGE 21+	286	None	1,051	None	263	None	471	None	130	None	580	None	0	None	0	None
1942725205	MUJUMDAR AADITI J	2021	FFS	RENDERING	AGE 0-20	61	None	638	None	56	None	116	None	24	None	64	None	56	None	59	None
1942725205	MUJUMDAR AADITI J	2021	FFS	RENDERING	AGE 21+	118	None	948	None	61	None	62	None	67	None	177	None	74	None	74	None
1942729405	MEHTA JUHI U	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942729405	MEHTA JUHI U	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1942741798	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	14	None	119	None	None	1	None	2	None	1	None	1	13	None	13	None
1942741798	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	21	None	93	None	None	1	None	2	14	None	28	None	17	None	17	None
1942741798	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	14	None	119	None	None	1	None	2	None	1	None	1	13	None	13	None
1942741798	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	21	None	93	None	None	1	None	2	14	None	28	None	17	None	17	None
1942743182	DEHGHAN SARANG	2021	FFS	RENDERING	AGE 0-20	37	None	203	None	26	None	73	None	18	None	35	None	27	None	28	None
1942743182	DEHGHAN SARANG	2021	FFS	RENDERING	AGE 21+	73	None	241	None	22	None	42	None	58	None	109	None	30	None	30	None
1942743182	DEHGHAN SARANG	2021	PHP	RENDERING	AGE 0-20	18	None	82	None	14	None	27	None	None	1	None	2	16	None	16	None
1942743182	DEHGHAN SARANG	2021	PHP	RENDERING	AGE 21+	30	None	96	None	None	1	None	1	15	None	36	None	None	1	None	1
1942754080	NADIPALLY SWETHA	2021	FFS	RENDERING	AGE 0-20	75	None	489	None	46	None	113	None	34	None	83	None	50	None	50	None
1942754080	NADIPALLY SWETHA	2021	FFS	RENDERING	AGE 21+	164	None	612	None	12	None	23	None	84	None	224	None	94	None	94	None
1942755673	LUTHER JOHN R	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942770490	MORCOS JULIA	2021	FFS	RENDERING	AGE 0-20	2,288	None	27,593	None	2,139	None	6,304	None	760	None	1,793	None	2,151	None	2,744	None
1942770490	MORCOS JULIA	2021	FFS	RENDERING	AGE 21+	14	None	123	None	11	None	22	None	None	1	None	1	11	None	11	None
1942781224	SIDHU ARSHPREET K	2021	FFS	RENDERING	AGE 0-20	253	None	1,117	None	174	None	361	None	59	None	120	None	213	None	222	None
1942781224	SIDHU ARSHPREET K	2021	FFS	RENDERING	AGE 21+	406	None	1,262	None	131	None	223	None	166	None	370	None	195	None	195	None
1942781224	SIDHU ARSHPREET K	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1942781224	SIDHU ARSHPREET K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1942795703	JABERI SAMIRA	2021	FFS	RENDERING	AGE 0-20	428	None	2,334	None	316	None	718	None	168	None	372	None	319	None	350	None
1942795703	JABERI SAMIRA	2021	FFS	RENDERING	AGE 21+	641	None	2,430	None	176	None	282	None	425	None	1,269	None	346	None	346	None
1942815402	STONE JENNIFER NICOLE	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942832308	PARK TIMOTHY C	2021	FFS	RENDERING	AGE 0-20	65	None	434	None	55	None	141	None	43	None	153	None	56	None	61	None
1942832308	PARK TIMOTHY C	2021	FFS	RENDERING	AGE 21+	256	None	1,953	None	112	None	208	None	217	None	1,315	None	165	None	167	None
1942847033	SALMAN YVONNE M	2021	FFS	RENDERING	AGE 0-20	4,659	None	41,202	None	3,377	None	9,013	None	3,150	None	10,063	None	3,386	None	3,697	None
1942847033	SALMAN YVONNE M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942859145	STEFAN RAGY A	2021	FFS	RENDERING	AGE 0-20	3,169	None	30,556	None	2,612	None	8,267	None	1,759	None	4,367	None	2,565	None	2,912	None
1942859145	STEFAN RAGY A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1942859145	STEFAN RAGY A	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1942862735	IRAWAN BRYANT A	2021	FFS	RENDERING	AGE 0-20	293	None	1,331	None	107	None	452	None	44	None	67	None	268	None	293	None
1942862735	IRAWAN BRYANT A	2021	FFS	RENDERING	AGE 21+	1,043	None	3,165	None	187	None	355	None	293	None	705	None	809	None	809	None
1942863477	BASTAR TINA	2021	FFS	RENDERING	AGE 0-20	33	None	253	None	20	None	55	None	19	None	54	None	15	None	15	None
1952308199	KHAN IFTIKHAR A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1952308199	KHAN IFTIKHAR A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1952311276	NGUYEN, DE G, DDS	2021	FFS	RENDERING	AGE 0-20	47	None	200	None	41	None	94	None	None	1	None	2	42	None	43	None
1952311276	NGUYEN, DE G, DDS	2021	FFS	RENDERING	AGE 21+	738	None	3,233	None	115	None	229	None	427	None	1,190	None	562	None	562	None
1952313702	STOMEL, THEODORE, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1952314445	SLAVEN JOEL	2021	FFS	RENDERING	AGE 0-20	155	None	1,091	None	129	None	468	None	51	None	127	None	126	None	141	None
1952314445	SLAVEN JOEL	2021	FFS	RENDERING	AGE 21+	218	None	906	None	58	None	102	None	142	None	443	None	116	None	117	None
1952314445	SLAVEN JOEL	2021	PHP	RENDERING	AGE 0-20	31	None	159	None	23	None	57	None	None	1	None	2	26	None	27	None
1952314445	SLAVEN JOEL	2021	PHP	RENDERING	AGE 21+	75	None	259	None	21	None	35	None	32	None	86	None	50	None	50	None
1952327652	NGUYEN TRACY T	2021	FFS	RENDERING	AGE 0-20	56	None	526	None	54	None	150	None	None	1	None	1	56	None	85	None
1952327652	NGUYEN TRACY T	2021	FFS	RENDERING	AGE 21+	67	None	353	None	52	None	52	None	11	None	27	None	58	None	58	None
1952328502	RAJABALLY, MOHAMAD I, DDS	2021	FFS	RENDERING	AGE 0-20	90	None	757	None	78	None	301	None	25	None	84	None	74	None	80	None
1952328502	RAJABALLY, MOHAMAD I, DDS	2021	FFS	RENDERING	AGE 21+	232	None	1,720	None	124	None	243	None	131	None	366	None	153	None	153	None
1952364747	CENTRO DE SALUD DE LA COMMUN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1952364747	CENTRO DE SALUD DE LA COMUNI	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1952399248	LEE, TREVA D, DDS	2021	FFS	RENDERING	AGE 0-20	13	None	75	None	12	None	22	None	None	1	None	1	None	1	None	1
1952399248	LEE, TREVA D, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1952409211	SABET, JOSEPH, DDS	2021	FFS	RENDERING	AGE 0-20	82	None	706	None	65	None	187	None	51	None	237	None	62	None	63	None
1952409211	SABET, JOSEPH, DDS	2021	FFS	RENDERING	AGE 21+	361	None	3,547	None	248	None	249	None	338	None	1,972	None	225	None	226	None
1952409211	SABET, JOSEPH, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1952409211	SABET, JOSEPH, DDS	2021	PHP	RENDERING	AGE 0-20	101	None	656	None	83	None	164	None	43	None	159	None	87	None	90	None
1952409211	SABET, JOSEPH, DDS	2021	PHP	RENDERING	AGE 21+	410	None	2,891	None	245	None	317	None	269	None	1,289	None	288	None	324	None
1952413353	HOU ROBERT C	2021	FFS	RENDERING	AGE 0-20	13	None	60	None	0	None	0	None	13	None	60	None	0	None	0	None
1952413353	HOU ROBERT C	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1952417719	NG FRANK L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1952420762	SAMANIEGO SONYA A	2021	FFS	RENDERING	AGE 0-20	68	None	346	None	31	None	51	None	46	None	115	None	31	None	33	None
1952420762	SAMANIEGO SONYA A	2021	FFS	RENDERING	AGE 21+	30	None	181	None	16	None	16	None	24	None	78	None	16	None	16	None
1952421919	NGO TRACY	2021	FFS	RENDERING	AGE 0-20	112	None	1,848	None	104	None	379	None	55	None	283	None	101	None	130	None
1952421919	NGO TRACY	2021	FFS	RENDERING	AGE 21+	99	None	1,245	None	57	None	114	None	69	None	568	None	84	None	84	None
1952421919	NGO TRACY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1952426066	CHEN, HOWARD Y, DDS	2021	FFS	RENDERING	AGE 0-20	106	None	246	None	0	None	0	None	93	None	124	None	0	None	0	None
1952426066	CHEN, HOWARD Y, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952428054	AYE MAUNG M	2021	FFS	RENDERING	AGE 0-20	19	None	137	None	17	None	64	None	None	1	None	1	19	None	22	None
1952428054	AYE MAUNG M	2021	FFS	RENDERING	AGE 21+	66	None	327	None	55	None	110	None	15	None	37	None	62	None	62	None
1952431256	LARIN, LILIA DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952438731	LOW LAWRENCE G	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1952438731	LOW LAWRENCE G	2021	FFS	RENDERING	AGE 21+	12	None	69	None	None	1	None	1	None	1	None	2	None	1	None	1
1952442089	POUYAN MEHRA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952442337	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952442337	ZINATI, BEHROOZ, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952448078	ILLICH VANJA I	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952448078	ILLICH VANJA I	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952448078	ILLICH VANJA I	2021	GMC	RENDERING	AGE 0-20	80	None	488	None	40	None	113	None	54	None	198	None	53	None	54	None
1952448078	ILLICH VANJA I	2021	GMC	RENDERING	AGE 21+	102	None	653	None	26	None	44	None	74	None	422	None	77	None	77	None
1952448078	ILLICH VANJA I	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952448078	ILLICH VANJA I	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952449795	LE STEVEN T	2021	FFS	RENDERING	AGE 0-20	1,821	None	13,694	None	1,606	None	4,809	None	1,038	None	3,174	None	1,557	None	1,619	None
1952449795	LE STEVEN T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952450611	SALAMI DARVISH A	2021	FFS	RENDERING	AGE 0-20	358	None	5,305	None	310	None	1,282	None	173	None	546	None	316	None	398	None
1952450611	SALAMI DARVISH A	2021	FFS	RENDERING	AGE 21+	235	None	1,394	None	79	None	157	None	130	None	327	None	98	None	98	None
1952451106	SATUITO, MARY C P, DMD INC	2021	FFS	RENDERING	AGE 0-20	31	None	120	None	None	1	None	1	31	None	118	None	0	None	0	None
1952453391	BEHROOZAN YOSI P	2021	FFS	RENDERING	AGE 0-20	73	None	698	None	69	None	314	None	17	None	27	None	70	None	108	None
1952453391	BEHROOZAN YOSI P	2021	FFS	RENDERING	AGE 21+	55	None	369	None	42	None	77	None	35	None	124	None	44	None	44	None
1952454019	AMBROSIO BERNABE BARR U	2021	FFS	RENDERING	AGE 0-20	97	None	735	None	91	None	217	None	35	None	128	None	87	None	101	None
1952454019	AMBROSIO BERNABE BARR U	2021	FFS	RENDERING	AGE 21+	134	None	732	None	100	None	196	None	60	None	165	None	100	None	100	None
1952459257	ZEROUNIAN, LENA, DDS	2021	FFS	RENDERING	AGE 0-20	139	None	1,284	None	124	None	162	None	40	None	97	None	131	None	166	None
1952459257	ZEROUNIAN, LENA, DDS	2021	FFS	RENDERING	AGE 21+	198	None	1,186	None	78	None	78	None	127	None	452	None	151	None	151	None
1952459257	ZEROUNIAN, LENA, DDS	2021	PHP	RENDERING	AGE 0-20	67	None	258	None	51	None	54	None	16	None	29	None	61	None	65	None
1952459257	ZEROUNIAN, LENA, DDS	2021	PHP	RENDERING	AGE 21+	156	None	639	None	54	None	56	None	74	None	202	None	132	None	134	None
1952468217	ZHANG JIN	2021	FFS	RENDERING	AGE 0-20	40	None	432	None	37	None	88	None	22	None	88	None	38	None	40	None
1952468217	ZHANG JIN	2021	FFS	RENDERING	AGE 21+	221	None	1,740	None	168	None	337	None	156	None	510	None	186	None	186	None
1952471930	PIPKIN MARIFI M	2021	FFS	RENDERING	AGE 0-20	622	None	9,129	None	570	None	1,986	None	388	None	1,487	None	579	None	795	None
1952471930	PIPKIN MARIFI M	2021	FFS	RENDERING	AGE 21+	716	None	5,593	None	333	None	659	None	539	None	2,346	None	491	None	491	None
1952474132	LEE ANDY W.	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952478604	ALVAREZ ALAN M	2021	FFS	RENDERING	AGE 0-20	636	None	4,763	None	553	None	1,599	None	291	None	479	None	543	None	570	None
1952478604	ALVAREZ ALAN M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1952483117	JINJUWADIA KAMLESH R	2021	FFS	RENDERING	AGE 0-20	131	None	1,296	None	125	None	457	None	36	None	118	None	126	None	181	None
1952483117	JINJUWADIA KAMLESH R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952484925	SANTOS, JOEL M, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	61	None	12	None	15	None	None	1	None	1	12	None	15	None
1952484925	SANTOS, JOEL M, DDS	2021	FFS	RENDERING	AGE 21+	98	None	410	None	51	None	51	None	63	None	141	None	39	None	39	None
1952494437	TRAN LISA T	2021	FFS	RENDERING	AGE 0-20	275	None	2,170	None	172	None	525	None	107	None	157	None	177	None	179	None
1952494437	TRAN LISA T	2021	FFS	RENDERING	AGE 21+	399	None	1,426	None	89	None	170	None	251	None	344	None	171	None	171	None
1952497448	MURILLO MARIELENA	2021	FFS	RENDERING	AGE 0-20	6,677	None	45,131	None	6,088	None	19,950	None	3,842	None	6,410	None	5,924	None	6,629	None
1952497448	MURILLO MARIELENA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1952505802	BANGALAN RINGO V	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952505802	BANGALAN RINGO V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952506818	MIRHOSSEINI SEYED H	2021	FFS	RENDERING	AGE 0-20	93	None	495	None	81	None	223	None	24	None	48	None	91	None	108	None
1952506818	MIRHOSSEINI SEYED H	2021	FFS	RENDERING	AGE 21+	110	None	702	None	60	None	62	None	65	None	192	None	79	None	81	None
1952509754	YAZDI MEHRAN H	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952509754	YAZDI MEHRAN H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952509754	YAZDI MEHRAN H	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952509754	YAZDI MEHRAN H	2021	PHP	RENDERING	AGE 21+	28	None	55	None	0	None	0	None	20	None	38	None	16	None	16	None
1952513269	TRIVEDI, KIRAN S DDS	2021	FFS	RENDERING	AGE 0-20	186	None	2,692	None	176	None	554	None	71	None	218	None	171	None	234	None
1952513269	TRIVEDI, KIRAN S DDS	2021	FFS	RENDERING	AGE 21+	254	None	2,448	None	157	None	179	None	128	None	456	None	219	None	219	None
1952514713	LIM WALTER T	2021	FFS	RENDERING	AGE 0-20	337	None	1,691	None	239	None	505	None	156	None	388	None	251	None	254	None
1952514713	LIM WALTER T	2021	FFS	RENDERING	AGE 21+	329	None	1,165	None	127	None	254	None	213	None	416	None	142	None	142	None
1952519241	DELOS REYES IRMA R	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952533655	HAN SU I	2021	FFS	RENDERING	AGE 0-20	405	None	1,854	None	265	None	663	None	105	None	139	None	363	None	404	None
1952533655	HAN SU I	2021	FFS	RENDERING	AGE 21+	811	None	2,095	None	120	None	231	None	182	None	431	None	615	None	615	None
1952533655	HAN SU I	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1952539637	BORNA MAHSHID	2021	FFS	RENDERING	AGE 0-20	584	None	5,889	None	494	None	1,330	None	286	None	830	None	392	None	420	None
1952539637	BORNA MAHSHID	2021	FFS	RENDERING	AGE 21+	386	None	3,258	None	88	None	164	None	276	None	1,098	None	180	None	180	None
1952539637	BORNA MAHSHID	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1952551814	PASCUAL ALBERT L	2021	FFS	RENDERING	AGE 0-20	407	None	893	None	None	1	None	1	41	None	134	None	None	1	None	1
1952551814	PASCUAL ALBERT L	2021	FFS	RENDERING	AGE 21+	73	None	82	None	0	None	0	None	0	None	0	None	0	None	0	None
1952558454	PHAM LANCHI N	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952558454	PHAM LANCHI N	2021	PHP	RENDERING	AGE 0-20	64	None	544	None	64	None	153	None	63	None	155	None	59	None	77	None
1952566564	MOHAJERANI KATAYOUN	2021	FFS	RENDERING	AGE 0-20	44	None	321	None	23	None	68	None	26	None	69	None	24	None	24	None
1952566564	MOHAJERANI KATAYOUN	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1952568040	AWAD ANGEL M	2021	FFS	RENDERING	AGE 0-20	22	None	111	None	15	None	55	None	11	None	12	None	16	None	16	None
1952568040	AWAD ANGEL M	2021	FFS	RENDERING	AGE 21+	95	None	281	None	None	1	None	2	42	None	68	None	55	None	56	None
1952568040	AWAD ANGEL M	2021	GMC	RENDERING	AGE 0-20	2,030	None	15,827	None	1,207	None	5,838	None	1,232	None	4,880	None	1,238	None	1,423	None
1952568040	AWAD ANGEL M	2021	GMC	RENDERING	AGE 21+	1,754	None	10,115	None	459	None	849	None	1,215	None	5,733	None	879	None	885	None
1952568040	AWAD ANGEL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952568040	AWAD ANGEL M	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952575029	BARZALLO, EDWIN O DDS	2021	FFS	RENDERING	AGE 0-20	86	None	961	None	80	None	178	None	40	None	125	None	83	None	93	None
1952575029	BARZALLO, EDWIN O DDS	2021	FFS	RENDERING	AGE 21+	166	None	1,343	None	96	None	182	None	119	None	454	None	135	None	139	None
1952582868	KARAPETIAN, HAMLET, DMD INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952591869	LOPEZ PATRICIA Y	2021	FFS	RENDERING	AGE 0-20	130	None	934	None	109	None	245	None	62	None	161	None	103	None	126	None
1952591869	LOPEZ PATRICIA Y	2021	FFS	RENDERING	AGE 21+	113	None	630	None	80	None	98	None	73	None	220	None	81	None	83	None
1952594103	MURO EMILIO	2021	FFS	RENDERING	AGE 0-20	384	None	3,207	None	343	None	1,267	None	137	None	381	None	353	None	425	None
1952594103	MURO EMILIO	2021	FFS	RENDERING	AGE 21+	752	None	4,455	None	365	None	727	None	440	None	1,384	None	588	None	588	None
1952594293	PLAMENAC JOVAN D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952594293	PLAMENAC JOVAN D	2021	FFS	RENDERING	AGE 21+	50	None	267	None	13	None	13	None	32	None	75	None	38	None	38	None
1952598765	CRUZ ELEANORE S	2021	FFS	RENDERING	AGE 0-20	407	None	5,456	None	382	None	1,416	None	196	None	492	None	393	None	553	None
1952598765	CRUZ ELEANORE S	2021	FFS	RENDERING	AGE 21+	418	None	2,680	None	203	None	204	None	173	None	540	None	364	None	365	None
1952607483	SIMPSON, MARIA ELENA RANGEL,	2021	FFS	RENDERING	AGE 21+	385	None	4,020	None	375	None	1,115	None	385	None	2,531	None	0	None	0	None
1952618175	PAQUIN, BRENDA JUNE, RDHAP	2021	FFS	RENDERING	AGE 21+	67	None	314	None	66	None	168	None	66	None	146	None	0	None	0	None
1952631418	MAJD, MICHELLE M, DDS	2021	FFS	RENDERING	AGE 0-20	60	None	635	None	52	None	209	None	35	None	151	None	54	None	74	None
1952631418	MAJD, MICHELLE M, DDS	2021	FFS	RENDERING	AGE 21+	271	None	2,170	None	185	None	363	None	205	None	979	None	219	None	219	None
1952652166	SHAYGAN FARZAD	2021	FFS	RENDERING	AGE 0-20	25	None	131	None	22	None	44	None	None	1	None	2	22	None	28	None
1952652166	SHAYGAN FARZAD	2021	FFS	RENDERING	AGE 21+	63	None	187	None	27	None	27	None	15	None	24	None	50	None	50	None
1952656621	HUYNH ANDREW V	2021	FFS	RENDERING	AGE 0-20	421	None	3,111	None	341	None	873	None	163	None	569	None	326	None	368	None
1952663080	NOH WILLIAM H	2021	FFS	RENDERING	AGE 0-20	232	None	654	None	0	None	0	None	230	None	629	None	None	1	None	1
1952663080	NOH WILLIAM H	2021	FFS	RENDERING	AGE 21+	454	None	1,409	None	0	None	0	None	448	None	1,344	None	None	1	None	1
1952663080	NOH WILLIAM H	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952663080	NOH WILLIAM H	2021	PHP	RENDERING	AGE 21+	45	None	138	None	0	None	0	None	41	None	113	None	15	None	15	None
1952683864	JOESTING MICHAEL D	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1952696486	VAN HOUTEN TERA L	2021	FFS	RENDERING	AGE 0-20	45	None	236	None	33	None	70	None	27	None	64	None	30	None	30	None
1952696486	VAN HOUTEN TERA L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1952698474	SHOREIBAH NOURELDIN H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952698474	SHOREIBAH NOURELDIN H	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1952700346	BIGDELI, FARIBA	2021	FFS	RENDERING	AGE 0-20	101	None	1,022	None	92	None	360	None	58	None	182	None	96	None	135	None
1952700346	BIGDELI, FARIBA	2021	FFS	RENDERING	AGE 21+	229	None	1,667	None	158	None	299	None	147	None	560	None	183	None	185	None
1952717381	GABRIEL SAMUEL NABIL DMD	2021	FFS	RENDERING	AGE 0-20	91	None	1,031	None	75	None	237	None	45	None	172	None	85	None	101	None
1952717381	GABRIEL SAMUEL NABIL DMD	2021	FFS	RENDERING	AGE 21+	243	None	1,807	None	113	None	224	None	170	None	678	None	207	None	207	None
1952717381	GABRIEL SAMUEL NABIL DMD	2021	PHP	RENDERING	AGE 0-20	18	None	196	None	18	None	63	None	None	1	None	2	18	None	21	None
1952717381	GABRIEL SAMUEL NABIL DMD	2021	PHP	RENDERING	AGE 21+	60	None	405	None	40	None	78	None	32	None	107	None	48	None	49	None
1952718702	BANNER, WADE DMD	2021	FFS	RENDERING	AGE 0-20	113	None	791	None	43	None	116	None	53	None	165	None	92	None	98	None
1952718702	BANNER, WADE DMD	2021	FFS	RENDERING	AGE 21+	658	None	3,872	None	143	None	253	None	465	None	1,366	None	550	None	556	None
1952718702	BANNER, WADE DMD	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1952727281	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952727281	WESTERN DENTAL SERVICES, INC	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952750382	MISTRY SHREENA C	2021	FFS	RENDERING	AGE 0-20	178	None	982	None	116	None	241	None	58	None	155	None	114	None	114	None
1952750861	NGUYEN LINH M	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1952750861	NGUYEN LINH M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952750861	NGUYEN LINH M	2021	PHP	RENDERING	AGE 0-20	83	None	605	None	63	None	249	None	69	None	93	None	43	None	43	None
1952750861	NGUYEN LINH M	2021	PHP	RENDERING	AGE 21+	138	None	425	None	21	None	53	None	100	None	149	None	28	None	28	None
1952753683	NGO NICOLE	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1952753683	NGO NICOLE	2021	GMC	RENDERING	AGE 21+	20	None	40	None	0	None	0	None	20	None	20	None	0	None	0	None
1952753683	NGO NICOLE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952753683	NGO NICOLE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1952766297	MAHDI AMAR M	2021	FFS	RENDERING	AGE 0-20	179	None	588	None	52	None	183	None	23	None	32	None	138	None	138	None
1952766297	MAHDI AMAR M	2021	FFS	RENDERING	AGE 21+	547	None	1,671	None	28	None	49	None	304	None	902	None	307	None	307	None
1952766297	MAHDI AMAR M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1952766297	MAHDI AMAR M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1952769465	VAN LAURA V	2021	FFS	RENDERING	AGE 0-20	438	None	3,117	None	269	None	755	None	302	None	988	None	168	None	169	None
1952769465	VAN LAURA V	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952777377	DINH ANDREW T	2021	FFS	RENDERING	AGE 0-20	912	None	1,483	None	0	None	0	None	190	None	540	None	0	None	0	None
1952777377	DINH ANDREW T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952777377	DINH ANDREW T	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1952781205	JAIN GINEE	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952781205	JAIN GINEE	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1952782070	DOUGLAS KIM DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1952783136	PATEL ROSHNI R	2021	FFS	RENDERING	AGE 0-20	207	None	1,176	None	68	None	220	None	125	None	377	None	131	None	134	None
1952783136	PATEL ROSHNI R	2021	FFS	RENDERING	AGE 21+	366	None	1,190	None	28	None	54	None	185	None	480	None	203	None	203	None
1952787285	FABIYI SIMIADE I	2021	FFS	RENDERING	AGE 0-20	20	None	40	None	0	None	0	None	20	None	21	None	None	1	None	1
1952787285	FABIYI SIMIADE I	2021	FFS	RENDERING	AGE 21+	228	None	638	None	15	None	15	None	193	None	288	None	43	None	43	None
1952808339	SOTO SONIA	2021	FFS	RENDERING	AGE 0-20	182	None	822	None	114	None	257	None	46	None	109	None	143	None	143	None
1952808339	SOTO SONIA	2021	FFS	RENDERING	AGE 21+	486	None	1,710	None	160	None	298	None	252	None	625	None	229	None	229	None
1952808339	SOTO SONIA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952808339	SOTO SONIA	2021	PHP	RENDERING	AGE 21+	15	None	58	None	None	1	None	1	None	1	None	2	None	1	None	1
1952810095	SMALL JOCELYN	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952817264	KHALIL FADY A	2021	FFS	RENDERING	AGE 0-20	707	None	5,408	None	478	None	1,080	None	263	None	560	None	475	None	476	None
1952817264	KHALIL FADY A	2021	FFS	RENDERING	AGE 21+	140	None	366	None	18	None	24	None	38	None	85	None	91	None	91	None
1952817264	KHALIL FADY A	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952817264	KHALIL FADY A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1952824880	JEIROUDI MOHAMMED T	2021	FFS	RENDERING	AGE 0-20	382	None	409	None	0	None	0	None	27	None	43	None	0	None	0	None
1952824880	JEIROUDI MOHAMMED T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952827032	SANDHU KAMAL PREET K	2021	FFS	RENDERING	AGE 0-20	125	None	485	None	48	None	179	None	77	None	191	None	34	None	34	None
1952827032	SANDHU KAMAL PREET K	2021	FFS	RENDERING	AGE 21+	350	None	1,089	None	48	None	92	None	220	None	587	None	111	None	112	None
1952838773	MARABEH ABDELRAZEQ J	2021	FFS	RENDERING	AGE 0-20	219	None	1,677	None	127	None	293	None	120	None	348	None	145	None	150	None
1952838773	MARABEH ABDELRAZEQ J	2021	FFS	RENDERING	AGE 21+	942	None	5,876	None	305	None	573	None	706	None	2,386	None	388	None	390	None
1952841389	VILLALTA JENNIFER Y	2021	FFS	RENDERING	AGE 0-20	735	None	6,345	None	647	None	1,995	None	500	None	1,429	None	577	None	629	None
1952841793	KIM SAMUEL S	2021	FFS	RENDERING	AGE 0-20	976	None	7,792	None	819	None	2,902	None	589	None	1,327	None	720	None	776	None
1952841793	KIM SAMUEL S	2021	FFS	RENDERING	AGE 21+	159	None	881	None	61	None	97	None	79	None	177	None	96	None	96	None
1952841793	KIM SAMUEL S	2021	PHP	RENDERING	AGE 0-20	52	None	433	None	42	None	115	None	16	None	34	None	43	None	46	None
1952841793	KIM SAMUEL S	2021	PHP	RENDERING	AGE 21+	94	None	449	None	31	None	49	None	43	None	104	None	64	None	64	None
1952854176	ABBASSI, SUMMY A, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	84	None	14	None	31	None	None	1	None	2	14	None	16	None
1952854176	ABBASSI, SUMMY A, DDS	2021	FFS	RENDERING	AGE 21+	145	None	673	None	107	None	207	None	82	None	179	None	119	None	119	None
1952857237	ABADESCO AUTUMN	2021	PHP	RENDERING	AGE 0-20	130	None	1,015	None	130	None	466	None	47	None	73	None	117	None	134	None
1952857237	ABADESCO AUTUMN	2021	PHP	RENDERING	AGE 21+	56	None	456	None	56	None	166	None	38	None	121	None	35	None	37	None
1952859043	DANGARIA SMIT J	2021	FFS	RENDERING	AGE 0-20	4,520	None	61,403	None	4,459	None	20,218	None	3,598	None	18,565	None	4,489	None	6,358	None
1952859043	DANGARIA SMIT J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1952881302	ATTAR ANAS	2021	FFS	RENDERING	AGE 0-20	288	None	793	None	0	None	0	None	288	None	769	None	0	None	0	None
1952881302	ATTAR ANAS	2021	FFS	RENDERING	AGE 21+	1,441	None	4,081	None	0	None	0	None	1,440	None	4,016	None	None	1	None	1
1952881302	ATTAR ANAS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1952881302	ATTAR ANAS	2021	PHP	RENDERING	AGE 21+	30	None	113	None	0	None	0	None	30	None	112	None	None	1	None	1
1952898959	SHERGILL AMARPREET S	2021	FFS	RENDERING	AGE 0-20	489	None	4,023	None	444	None	1,271	None	174	None	356	None	456	None	517	None
1952898959	SHERGILL AMARPREET S	2021	FFS	RENDERING	AGE 21+	304	None	1,876	None	169	None	331	None	175	None	452	None	254	None	254	None
1952909087	ELSHERIF AHMED I	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1952909087	ELSHERIF AHMED I	2021	FFS	RENDERING	AGE 21+	58	None	103	None	0	None	0	None	58	None	103	None	0	None	0	None
1952911158	DARAS NOOR A	2021	FFS	RENDERING	AGE 0-20	418	None	1,805	None	181	None	525	None	237	None	414	None	201	None	202	None
1952911158	DARAS NOOR A	2021	FFS	RENDERING	AGE 21+	386	None	861	None	37	None	75	None	274	None	414	None	92	None	92	None
1952958258	HOURANY JOSEPH	2021	FFS	RENDERING	AGE 0-20	771	None	1,342	None	0	None	0	None	191	None	477	None	0	None	0	None
1952958258	HOURANY JOSEPH	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952958258	HOURANY JOSEPH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952971970	RUDRARAJU HEMANTH	2021	GMC	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1952990350	ZADA LOUND	2021	FFS	RENDERING	AGE 0-20	100	None	456	None	44	None	134	None	51	None	134	None	50	None	50	None
1952990350	ZADA LOUND	2021	FFS	RENDERING	AGE 21+	211	None	754	None	22	None	38	None	148	None	439	None	82	None	82	None
1952993263	KHAN ASGHAR H	2021	FFS	RENDERING	AGE 0-20	312	None	1,468	None	183	None	625	None	164	None	337	None	133	None	133	None
1952993263	KHAN ASGHAR H	2021	FFS	RENDERING	AGE 21+	652	None	2,278	None	196	None	379	None	404	None	980	None	210	None	210	None
1962010983	KAPIL AMRIT P	2021	FFS	RENDERING	AGE 0-20	3,511	None	29,520	None	2,874	None	6,710	None	1,055	None	2,549	None	2,681	None	2,681	None
1962010983	KAPIL AMRIT P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1962014282	PENA GEOFFREY G	2021	FFS	RENDERING	AGE 0-20	193	None	1,409	None	176	None	685	None	82	None	167	None	174	None	174	None
1962014282	PENA GEOFFREY G	2021	FFS	RENDERING	AGE 21+	12	None	41	None	None	1	None	2	None	1	None	1	None	1	None	1
1962014282	PENA GEOFFREY G	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1962048033	NGUYEN MARTIN D	2021	FFS	RENDERING	AGE 0-20	18	None	58	None	0	None	0	None	11	None	16	None	17	None	17	None
1962048033	NGUYEN MARTIN D	2021	FFS	RENDERING	AGE 21+	362	None	1,537	None	11	None	22	None	296	None	632	None	302	None	310	None
1962048033	NGUYEN MARTIN D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1962054700	BENDAS JASON A	2021	FFS	RENDERING	AGE 0-20	110	None	339	None	45	None	112	None	61	None	99	None	23	None	23	None
1962054700	BENDAS JASON A	2021	FFS	RENDERING	AGE 21+	132	None	378	None	42	None	82	None	96	None	197	None	16	None	16	None
1962058313	FULL SEAN M	2021	FFS	RENDERING	AGE 0-20	219	None	1,269	None	115	None	230	None	53	None	141	None	184	None	199	None
1962058313	FULL SEAN M	2021	FFS	RENDERING	AGE 21+	238	None	1,155	None	40	None	53	None	133	None	396	None	145	None	150	None
1962058313	FULL SEAN M	2021	PHP	RENDERING	AGE 0-20	38	None	207	None	23	None	52	None	None	1	None	2	28	None	31	None
1962058313	FULL SEAN M	2021	PHP	RENDERING	AGE 21+	32	None	109	None	None	1	None	1	20	None	53	None	13	None	13	None
1962060194	YOUNG DANIEL J	2021	FFS	RENDERING	AGE 0-20	1,372	None	22,072	None	1,273	None	5,169	None	1,089	None	4,481	None	1,283	None	1,719	None
1962064675	KIM KYUWAN	2021	FFS	RENDERING	AGE 0-20	4,227	None	35,828	None	2,729	None	7,501	None	3,037	None	11,721	None	2,679	None	2,850	None
1962171561	WU ALLAN R	2021	FFS	RENDERING	AGE 0-20	30	None	114	None	20	None	40	None	11	None	17	None	17	None	17	None
1962171561	WU ALLAN R	2021	FFS	RENDERING	AGE 21+	104	None	248	None	17	None	25	None	49	None	103	None	42	None	42	None
1962171561	WU ALLAN R	2021	PHP	RENDERING	AGE 21+	12	None	31	None	None	1	None	1	None	1	None	2	None	1	None	1
1962411579	YABAR WILMER	2021	FFS	RENDERING	AGE 0-20	644	None	5,495	None	418	None	1,332	None	405	None	1,169	None	429	None	472	None
1962411579	YABAR WILMER	2021	FFS	RENDERING	AGE 21+	739	None	3,395	None	210	None	383	None	570	None	1,656	None	349	None	349	None
1962414276	BERKEY, MARGARET M, DDS	2021	FFS	RENDERING	AGE 21+	11	None	27	None	None	1	None	1	None	1	None	1	None	1	None	1
1962416859	TAYLOR DAVID M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1962416859	TAYLOR DAVID M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1962490029	LIN, MICHAEL P, DDS	2021	FFS	RENDERING	AGE 0-20	15	None	100	None	14	None	48	None	None	1	None	1	15	None	18	None
1962490029	LIN, MICHAEL P, DDS	2021	FFS	RENDERING	AGE 21+	88	None	538	None	56	None	110	None	71	None	222	None	66	None	66	None
1962500926	WIN, MYO, DDS	2021	FFS	RENDERING	AGE 0-20	145	None	1,258	None	128	None	462	None	87	None	340	None	131	None	142	None
1962500926	WIN, MYO, DDS	2021	FFS	RENDERING	AGE 21+	286	None	1,896	None	161	None	322	None	248	None	975	None	199	None	199	None
1962506972	PHARAR, VIJAY	2021	FFS	RENDERING	AGE 0-20	282	None	4,895	None	276	None	1,333	None	125	None	417	None	276	None	423	None
1962506972	PHARAR, VIJAY	2021	FFS	RENDERING	AGE 21+	127	None	1,304	None	64	None	128	None	111	None	527	None	75	None	75	None
1962506972	PHARAR, VIJAY	2021	PHP	RENDERING	AGE 0-20	109	None	966	None	99	None	362	None	58	None	114	None	98	None	122	None
1962506972	PHARAR, VIJAY	2021	PHP	RENDERING	AGE 21+	124	None	1,123	None	81	None	163	None	64	None	201	None	93	None	93	None
1962514695	SON JEONG H	2021	FFS	RENDERING	AGE 0-20	384	None	3,080	None	334	None	1,382	None	145	None	385	None	355	None	431	None
1962514695	SON JEONG H	2021	FFS	RENDERING	AGE 21+	468	None	2,550	None	335	None	335	None	318	None	918	None	352	None	352	None
1962514828	GEORGESCU, IONEL, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1962514828	GEORGESCU, IONEL, DDS	2021	FFS	RENDERING	AGE 21+	219	None	528	None	54	None	81	None	219	None	296	None	151	None	151	None
1962514828	GEORGESCU, IONEL, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1962515015	HUANG DONALD C	2021	FFS	RENDERING	AGE 0-20	1,246	None	11,316	None	1,213	None	3,227	None	328	None	725	None	1,219	None	1,792	None
1962515015	HUANG DONALD C	2021	FFS	RENDERING	AGE 21+	165	None	977	None	107	None	107	None	76	None	151	None	124	None	124	None
1962515601	NAZERI FERRIS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1962515601	NAZERI FERRIS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1962519801	CABRERA, ERIK DDS	2021	FFS	RENDERING	AGE 0-20	151	None	1,609	None	150	None	551	None	49	None	135	None	148	None	186	None
1962519801	CABRERA, ERIK DDS	2021	FFS	RENDERING	AGE 21+	176	None	1,102	None	103	None	183	None	115	None	384	None	141	None	142	None
1962520452	PLATON ANA	2021	FFS	RENDERING	AGE 0-20	132	None	842	None	99	None	317	None	45	None	140	None	119	None	132	None
1962520452	PLATON ANA	2021	FFS	RENDERING	AGE 21+	169	None	643	None	40	None	70	None	77	None	277	None	130	None	130	None
1962520734	SORAYA KRISTIN A	2021	FFS	RENDERING	AGE 0-20	112	None	1,942	None	104	None	458	None	56	None	148	None	99	None	144	None
1962520734	SORAYA KRISTIN A	2021	FFS	RENDERING	AGE 21+	278	None	3,022	None	185	None	361	None	157	None	409	None	211	None	211	None
1962522151	TEBBI DANIEL F	2021	FFS	RENDERING	AGE 0-20	13	None	69	None	None	1	None	1	None	1	None	2	None	1	None	1
1962522151	TEBBI DANIEL F	2021	FFS	RENDERING	AGE 21+	55	None	276	None	19	None	19	None	27	None	114	None	35	None	35	None
1962522185	TRUONG, VY T, DDS	2021	FFS	RENDERING	AGE 0-20	286	None	3,088	None	271	None	1,191	None	156	None	507	None	272	None	378	None
1962522185	TRUONG, VY T, DDS	2021	FFS	RENDERING	AGE 21+	652	None	6,226	None	517	None	1,035	None	451	None	1,530	None	551	None	553	None
1962529057	ZBROJIK, SERGEI, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1962529057	ZBROJIK, SERGEI, DDS	2021	FFS	RENDERING	AGE 21+	204	None	2,018	None	126	None	126	None	201	None	1,401	None	132	None	132	None
1962529479	LIN JAMES K	2021	FFS	RENDERING	AGE 0-20	558	None	8,584	None	537	None	1,421	None	255	None	1,117	None	547	None	726	None
1962529479	LIN JAMES K	2021	FFS	RENDERING	AGE 21+	632	None	7,938	None	407	None	414	None	419	None	1,599	None	508	None	510	None
1962532267	WIREDJA HERU	2021	FFS	RENDERING	AGE 0-20	143	None	1,332	None	133	None	280	None	76	None	267	None	137	None	153	None
1962532267	WIREDJA HERU	2021	FFS	RENDERING	AGE 21+	282	None	1,930	None	220	None	222	None	193	None	729	None	238	None	238	None
1962541292	KHACHATRIAN ARTOUR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1962541292	KHACHATRIAN ARTOUR	2021	FFS	RENDERING	AGE 21+	120	None	943	None	80	None	155	None	81	None	519	None	101	None	101	None
1962543694	BARRY JENNIFER E	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1962545673	PHAM, REGINA T, DDS	2021	FFS	RENDERING	AGE 0-20	131	None	1,434	None	120	None	501	None	69	None	230	None	121	None	154	None
1962545673	PHAM, REGINA T, DDS	2021	FFS	RENDERING	AGE 21+	376	None	2,903	None	277	None	279	None	252	None	1,028	None	296	None	296	None
1962550137	AQUINO LOURDES S	2021	FFS	RENDERING	AGE 0-20	20	None	113	None	17	None	44	None	None	1	None	2	16	None	19	None
1962550137	AQUINO LOURDES S	2021	FFS	RENDERING	AGE 21+	60	None	293	None	36	None	36	None	39	None	125	None	36	None	36	None
1962550178	ISHIDA, PHYLLIS M, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962550178	ISHIDA, PHYLLIS M, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1962556506	BORNA IRAJ	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1962556506	BORNA IRAJ	2021	FFS	RENDERING	AGE 21+	362	None	2,465	None	135	None	136	None	313	None	1,248	None	282	None	284	None
1962557850	CHAO, ALICE H Y, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1962557850	CHAO, ALICE H Y, DDS	2021	FFS	RENDERING	AGE 21+	87	None	472	None	51	None	53	None	86	None	239	None	56	None	58	None
1962558221	HO LILLIAN HIEN T	2021	FFS	RENDERING	AGE 0-20	41	None	71	None	0	None	0	None	None	1	None	2	0	None	0	None
1962560722	REGALA, ADONIS	2021	FFS	RENDERING	AGE 0-20	38	None	350	None	18	None	40	None	18	None	57	None	34	None	34	None
1962560722	REGALA, ADONIS	2021	FFS	RENDERING	AGE 21+	145	None	1,047	None	48	None	97	None	80	None	293	None	93	None	97	None
1962561910	ROTHSTEIN RICHARD H	2021	FFS	RENDERING	AGE 0-20	17	None	88	None	15	None	27	None	None	1	None	1	None	1	None	1
1962561910	ROTHSTEIN RICHARD H	2021	FFS	RENDERING	AGE 21+	111	None	495	None	73	None	73	None	59	None	170	None	28	None	28	None
1962564013	GAD MONA	2021	FFS	RENDERING	AGE 0-20	700	None	8,703	None	583	None	2,153	None	485	None	2,249	None	598	None	683	None
1962564013	GAD MONA	2021	FFS	RENDERING	AGE 21+	446	None	2,342	None	100	None	187	None	339	None	1,361	None	191	None	193	None
1962565119	ZARRINNEGAR GHOLAM-REZA J	2021	FFS	RENDERING	AGE 0-20	61	None	676	None	54	None	246	None	23	None	38	None	49	None	69	None
1962565119	ZARRINNEGAR GHOLAM-REZA J	2021	FFS	RENDERING	AGE 21+	49	None	270	None	17	None	27	None	31	None	101	None	32	None	32	None
1962570689	SALEM MAHMOUD M	2021	FFS	RENDERING	AGE 0-20	1,279	None	7,422	None	546	None	2,055	None	250	None	396	None	1,195	None	1,334	None
1962570689	SALEM MAHMOUD M	2021	FFS	RENDERING	AGE 21+	1,421	None	4,232	None	176	None	328	None	433	None	1,186	None	1,052	None	1,054	None
1962571034	QUIZON NICOLAS PEDR L	2021	FFS	RENDERING	AGE 0-20	55	None	431	None	48	None	114	None	19	None	73	None	37	None	46	None
1962571034	QUIZON NICOLAS PEDR L	2021	FFS	RENDERING	AGE 21+	203	None	1,227	None	118	None	118	None	136	None	493	None	132	None	132	None
1962572214	MANESH, BABAK, DDS	2021	FFS	RENDERING	AGE 0-20	26	None	181	None	26	None	60	None	None	1	None	2	20	None	21	None
1962572214	MANESH, BABAK, DDS	2021	FFS	RENDERING	AGE 21+	126	None	924	None	67	None	67	None	100	None	349	None	88	None	88	None
1962572453	SOBERO, ANA M, DDS	2021	FFS	RENDERING	AGE 0-20	652	None	7,840	None	607	None	2,072	None	251	None	670	None	628	None	859	None
1962572453	SOBERO, ANA M, DDS	2021	FFS	RENDERING	AGE 21+	561	None	3,226	None	380	None	382	None	334	None	968	None	438	None	438	None
1962599233	LEE STEVE S	2021	FFS	RENDERING	AGE 0-20	17	None	169	None	16	None	30	None	None	1	None	2	15	None	17	None
1962599233	LEE STEVE S	2021	FFS	RENDERING	AGE 21+	44	None	341	None	31	None	31	None	23	None	72	None	23	None	23	None
1962604033	SHAYE MICHAEL A	2021	FFS	RENDERING	AGE 0-20	54	None	449	None	42	None	163	None	17	None	73	None	51	None	70	None
1962604033	SHAYE MICHAEL A	2021	FFS	RENDERING	AGE 21+	210	None	1,385	None	58	None	115	None	148	None	674	None	141	None	141	None
1962605568	PAUL STEVEN F	2021	FFS	RENDERING	AGE 0-20	50	None	303	None	0	None	0	None	50	None	303	None	0	None	0	None
1962605568	PAUL STEVEN F	2021	FFS	RENDERING	AGE 21+	89	None	535	None	0	None	0	None	88	None	531	None	None	1	None	1
1962606301	LAI JAMES	2021	FFS	RENDERING	AGE 0-20	1,344	None	9,590	None	623	None	1,987	None	1,175	None	3,374	None	454	None	475	None
1962610436	SNAPIR IDAN	2021	FFS	RENDERING	AGE 0-20	16	None	84	None	None	1	None	2	None	1	None	1	15	None	15	None
1962610436	SNAPIR IDAN	2021	FFS	RENDERING	AGE 21+	61	None	172	None	None	1	None	1	None	1	None	2	57	None	57	None
1962616052	DUONG BICH-HAI T	2021	FFS	RENDERING	AGE 0-20	13	None	109	None	13	None	27	None	None	1	None	2	13	None	20	None
1962616052	DUONG BICH-HAI T	2021	FFS	RENDERING	AGE 21+	156	None	682	None	118	None	120	None	76	None	244	None	61	None	61	None
1962616540	ENG JR WELLINGTON R	2021	FFS	RENDERING	AGE 0-20	54	None	416	None	35	None	91	None	14	None	43	None	45	None	45	None
1962616540	ENG JR WELLINGTON R	2021	FFS	RENDERING	AGE 21+	83	None	334	None	None	1	None	2	56	None	125	None	44	None	44	None
1962619064	JAMAL DENTAL CORPORATION	2021	PHP	RENDERING	AGE 0-20	17	None	92	None	11	None	21	None	None	1	None	1	13	None	13	None
1962619064	JAMAL DENTAL CORPORATION	2021	PHP	RENDERING	AGE 21+	18	None	76	None	None	1	None	1	11	None	21	None	13	None	13	None
1962619403	CARDENAS JOSE L	2021	FFS	RENDERING	AGE 0-20	760	None	7,390	None	608	None	2,127	None	262	None	1,081	None	703	None	821	None
1962619403	CARDENAS JOSE L	2021	FFS	RENDERING	AGE 21+	747	None	4,590	None	236	None	333	None	419	None	1,620	None	556	None	567	None
1962619692	MAHMOUDIAN MEHRAN R	2021	FFS	RENDERING	AGE 0-20	73	None	708	None	53	None	168	None	33	None	76	None	54	None	60	None
1962619692	MAHMOUDIAN MEHRAN R	2021	FFS	RENDERING	AGE 21+	269	None	1,977	None	117	None	235	None	194	None	599	None	171	None	171	None
1962624759	REDER TERESA G	2021	FFS	RENDERING	AGE 0-20	127	None	989	None	122	None	418	None	55	None	146	None	117	None	125	None
1962624759	REDER TERESA G	2021	FFS	RENDERING	AGE 21+	146	None	875	None	61	None	62	None	103	None	483	None	92	None	94	None
1962625418	MANAVI, FARHAD, DDS INC	2021	PHP	RENDERING	AGE 0-20	30	None	105	None	11	None	30	None	None	1	None	1	11	None	11	None
1962625418	MANAVI, FARHAD, DDS INC	2021	PHP	RENDERING	AGE 21+	19	None	73	None	None	1	None	1	None	1	None	2	None	1	None	1
1962627315	KATTADIYIL MATHEW T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1962627315	KATTADIYIL MATHEW T	2021	FFS	RENDERING	AGE 21+	122	None	351	None	None	1	None	1	46	None	195	None	64	None	64	None
1962658955	ABDELHADI HATEM B	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1962658955	ABDELHADI HATEM B	2021	FFS	RENDERING	AGE 21+	26	None	56	None	0	None	0	None	20	None	46	None	None	1	None	1
1962661611	NICOLAS EPIFANIA V	2021	FFS	RENDERING	AGE 0-20	362	None	2,754	None	275	None	599	None	217	None	867	None	230	None	245	None
1962661611	NICOLAS EPIFANIA V	2021	FFS	RENDERING	AGE 21+	630	None	3,409	None	261	None	460	None	425	None	1,736	None	402	None	403	None
1962661611	NICOLAS, EPIFANIA V, DDS INC	2021	FFS	RENDERING	AGE 0-20	362	None	2,754	None	275	None	599	None	217	None	867	None	230	None	245	None
1962661611	NICOLAS, EPIFANIA V, DDS INC	2021	FFS	RENDERING	AGE 21+	630	None	3,409	None	261	None	460	None	425	None	1,736	None	402	None	403	None
1962664862	KIM YOUNG B	2021	FFS	RENDERING	AGE 0-20	75	None	433	None	71	None	171	None	22	None	47	None	75	None	99	None
1962664862	KIM YOUNG B	2021	FFS	RENDERING	AGE 21+	277	None	1,087	None	205	None	352	None	126	None	226	None	115	None	115	None
1962673681	NADELLA DEEPIKA	2021	FFS	RENDERING	AGE 0-20	448	None	2,066	None	289	None	656	None	143	None	387	None	305	None	311	None
1962673681	NADELLA DEEPIKA	2021	FFS	RENDERING	AGE 21+	586	None	1,869	None	122	None	229	None	317	None	844	None	284	None	286	None
1962687715	MACIAS FRANCISCO J	2021	FFS	RENDERING	AGE 0-20	28	None	169	None	24	None	53	None	19	None	68	None	16	None	17	None
1962687715	MACIAS FRANCISCO J	2021	FFS	RENDERING	AGE 21+	46	None	259	None	33	None	36	None	37	None	134	None	31	None	31	None
1962709881	BOSCO, MAY H, RDHAP	2021	FFS	RENDERING	AGE 21+	86	None	266	None	85	None	177	None	68	None	89	None	0	None	0	None
1962717637	KIMURA JENNIFER K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962717637	KIMURA JENNIFER K	2021	FFS	RENDERING	AGE 21+	12	None	38	None	None	1	None	1	None	1	None	2	0	None	0	None
1962717637	KIMURA JENNIFER K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1962718395	BOPARAI MANVEEN	2021	FFS	RENDERING	AGE 0-20	11	None	98	None	None	1	None	2	None	1	None	2	11	None	11	None
1962718395	BOPARAI MANVEEN	2021	FFS	RENDERING	AGE 21+	19	None	60	None	None	1	None	1	11	None	27	None	12	None	12	None
1962719120	TRAN KHOI D	2021	FFS	RENDERING	AGE 0-20	38	None	74	None	0	None	0	None	38	None	74	None	0	None	0	None
1962719120	TRAN KHOI D	2021	FFS	RENDERING	AGE 21+	823	None	3,123	None	0	None	0	None	822	None	3,095	None	None	1	None	1
1962719120	TRAN KHOI D	2021	GMC	RENDERING	AGE 0-20	252	None	562	None	0	None	0	None	252	None	562	None	0	None	0	None
1962719120	TRAN KHOI D	2021	GMC	RENDERING	AGE 21+	1,379	None	4,726	None	0	None	0	None	1,379	None	4,721	None	0	None	0	None
1962719120	TRAN KHOI D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1962762716	MADRID FINA Y	2021	FFS	RENDERING	AGE 0-20	67	None	590	None	62	None	173	None	67	None	138	None	64	None	78	None
1962762716	MADRID FINA Y	2021	FFS	RENDERING	AGE 21+	192	None	1,273	None	103	None	202	None	191	None	551	None	162	None	162	None
1962776237	FORNEY RYAN D	2021	FFS	RENDERING	AGE 0-20	181	None	1,175	None	0	None	0	None	176	None	1,129	None	11	None	11	None
1962776237	FORNEY RYAN D	2021	FFS	RENDERING	AGE 21+	293	None	1,701	None	None	1	None	1	272	None	1,563	None	29	None	29	None
1962776237	FORNEY RYAN D	2021	GMC	RENDERING	AGE 0-20	30	None	88	None	None	1	None	1	30	None	62	None	0	None	0	None
1962776237	FORNEY RYAN D	2021	GMC	RENDERING	AGE 21+	188	None	672	None	21	None	22	None	148	None	439	None	74	None	76	None
1962790592	DEMISSIE ELIAS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1962790592	DEMISSIE ELIAS	2021	GMC	RENDERING	AGE 0-20	399	None	2,410	None	268	None	581	None	158	None	334	None	342	None	365	None
1962790592	DEMISSIE ELIAS	2021	GMC	RENDERING	AGE 21+	755	None	4,089	None	333	None	664	None	503	None	1,387	None	485	None	487	None
1962801886	NGO QUYNH NHI P	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962801886	NGO QUYNH NHI P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1962804195	K KANG J LEE & P KANG DDS IN	2021	PHP	RENDERING	AGE 0-20	14	None	116	None	13	None	41	None	None	1	None	1	14	None	15	None
1962804195	K KANG J LEE & P KANG DDS IN	2021	PHP	RENDERING	AGE 21+	18	None	119	None	None	1	None	2	None	1	None	2	14	None	14	None
1962823260	ESPINO ELIZABETH A	2021	FFS	RENDERING	AGE 0-20	232	None	2,720	None	194	None	690	None	114	None	371	None	195	None	227	None
1962823260	ESPINO ELIZABETH A	2021	FFS	RENDERING	AGE 21+	379	None	2,405	None	159	None	316	None	272	None	980	None	201	None	201	None
1962823906	CHU ALVIN	2021	PHP	RENDERING	AGE 0-20	18	None	140	None	12	None	39	None	None	1	None	2	15	None	20	None
1962823906	CHU ALVIN	2021	PHP	RENDERING	AGE 21+	58	None	248	None	13	None	13	None	41	None	142	None	33	None	33	None
1962826487	BARRERA JACLYN R	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1962836650	SHOUHED, JONATHAN DDS	2021	FFS	RENDERING	AGE 0-20	12	None	63	None	None	1	None	2	None	1	None	1	None	1	None	1
1962836650	SHOUHED, JONATHAN DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1962840546	PAGE ESSENCE K	2021	FFS	RENDERING	AGE 0-20	106	None	819	None	99	None	253	None	38	None	97	None	103	None	103	None
1962840546	PAGE ESSENCE K	2021	GMC	RENDERING	AGE 0-20	93	None	93	None	0	None	0	None	93	None	93	None	0	None	0	None
1962840546	PAGE ESSENCE K	2021	GMC	RENDERING	AGE 21+	87	None	87	None	0	None	0	None	87	None	87	None	0	None	0	None
1962840546	PAGE ESSENCE K	2021	PHP	RENDERING	AGE 0-20	60	None	222	None	22	None	59	None	48	None	53	None	22	None	23	None
1962840546	PAGE ESSENCE K	2021	PHP	RENDERING	AGE 21+	61	None	61	None	0	None	0	None	61	None	61	None	0	None	0	None
1962842575	LIM RICHARD S	2021	FFS	RENDERING	AGE 0-20	256	None	3,837	None	239	None	1,134	None	97	None	370	None	251	None	369	None
1962842575	LIM RICHARD S	2021	FFS	RENDERING	AGE 21+	402	None	3,451	None	246	None	487	None	256	None	1,072	None	360	None	360	None
1962848796	RAY COURTNEY G	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1962858423	LIU HUI	2021	FFS	RENDERING	AGE 0-20	94	None	864	None	80	None	178	None	36	None	96	None	78	None	78	None
1962858423	LIU HUI	2021	FFS	RENDERING	AGE 21+	129	None	739	None	65	None	123	None	78	None	203	None	79	None	79	None
1962876714	TSAO ARIEL	2021	FFS	RENDERING	AGE 0-20	170	None	1,390	None	136	None	369	None	56	None	186	None	151	None	161	None
1962882167	LEUNG, CHERISH K, DMD	2021	FFS	RENDERING	AGE 0-20	349	None	3,605	None	316	None	1,201	None	260	None	1,107	None	318	None	446	None
1962882167	LEUNG, CHERISH K, DMD	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1962883843	LEUNG CHRISTINE P	2021	PHP	RENDERING	AGE 0-20	75	None	704	None	63	None	354	None	32	None	55	None	57	None	75	None
1962883843	LEUNG CHRISTINE P	2021	PHP	RENDERING	AGE 21+	176	None	973	None	88	None	217	None	134	None	389	None	101	None	103	None
1962889006	SRIKUREJA SUTHEEP D	2021	FFS	RENDERING	AGE 0-20	87	None	591	None	76	None	181	None	29	None	72	None	70	None	70	None
1962889006	SRIKUREJA SUTHEEP D	2021	FFS	RENDERING	AGE 21+	52	None	288	None	30	None	60	None	22	None	74	None	39	None	39	None
1962940874	BOTROUS, MATTA, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962946004	WEST JONATHAN R	2021	FFS	RENDERING	AGE 0-20	1,258	None	2,596	None	0	None	0	None	663	None	1,404	None	0	None	0	None
1962957233	KONOVALENKO ZHANNA	2021	FFS	RENDERING	AGE 0-20	80	None	242	None	0	None	0	None	26	None	59	None	0	None	0	None
1962957233	KONOVALENKO ZHANNA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1962993824	LIU GARY G	2021	FFS	RENDERING	AGE 0-20	141	None	876	None	115	None	293	None	86	None	132	None	111	None	111	None
1972047538	GUPTA BHAWNA	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1972047538	GUPTA BHAWNA	2021	FFS	RENDERING	AGE 21+	24	None	57	None	None	1	None	1	15	None	34	None	None	1	None	1
1972050201	BOKHOOR, ASHLEY DMD	2021	FFS	RENDERING	AGE 0-20	1,517	None	13,442	None	856	None	2,469	None	1,341	None	4,638	None	720	None	813	None
1972050201	BOKHOOR, ASHLEY DMD	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972050847	LEE YOONJUNG	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972050847	LEE YOONJUNG	2021	FFS	RENDERING	AGE 21+	33	None	105	None	0	None	0	None	32	None	104	None	None	1	None	1
1972050847	LEE YOONJUNG	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972050847	LEE YOONJUNG	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972098259	LEFKOF MONICA N	2021	FFS	RENDERING	AGE 0-20	261	None	1,431	None	201	None	607	None	72	None	137	None	211	None	236	None
1972098259	LEFKOF MONICA N	2021	FFS	RENDERING	AGE 21+	410	None	1,496	None	56	None	63	None	204	None	638	None	226	None	226	None
1972098259	LEFKOF MONICA N	2021	PHP	RENDERING	AGE 0-20	78	None	435	None	63	None	186	None	19	None	28	None	72	None	79	None
1972098259	LEFKOF MONICA N	2021	PHP	RENDERING	AGE 21+	132	None	506	None	29	None	37	None	51	None	176	None	104	None	112	None
1972129427	HEINZ MATTHEW J	2021	FFS	RENDERING	AGE 0-20	39	None	109	None	0	None	0	None	36	None	102	None	None	1	None	1
1972129427	HEINZ MATTHEW J	2021	FFS	RENDERING	AGE 21+	181	None	508	None	0	None	0	None	170	None	477	None	12	None	12	None
1972142040	AHMADI MOSHTAGH FARNAM	2021	FFS	RENDERING	AGE 0-20	856	None	5,030	None	750	None	2,001	None	141	None	480	None	797	None	947	None
1972142040	AHMADI MOSHTAGH FARNAM	2021	FFS	RENDERING	AGE 21+	1,654	None	9,674	None	494	None	977	None	1,001	None	5,016	None	1,199	None	1,201	None
1972142040	AHMADI MOSHTAGH FARNAM	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1972145233	SUNG YUN	2021	FFS	RENDERING	AGE 0-20	34	None	244	None	29	None	89	None	16	None	55	None	32	None	32	None
1972145233	SUNG YUN	2021	FFS	RENDERING	AGE 21+	173	None	1,012	None	111	None	220	None	88	None	356	None	130	None	130	None
1972147940	CUACO BEGAZO CATHERINE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1972147940	CUACO BEGAZO CATHERINE M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1972155398	CHOI DOOYONG	2021	FFS	RENDERING	AGE 0-20	483	None	1,964	None	188	None	498	None	120	None	235	None	409	None	409	None
1972155398	CHOI DOOYONG	2021	FFS	RENDERING	AGE 21+	696	None	2,112	None	110	None	186	None	275	None	666	None	446	None	446	None
1972155398	CHOI DOOYONG	2021	PHP	RENDERING	AGE 0-20	23	None	109	None	None	1	None	2	None	1	None	2	16	None	16	None
1972155398	CHOI DOOYONG	2021	PHP	RENDERING	AGE 21+	29	None	82	None	None	1	None	1	17	None	36	None	17	None	18	None
1972156420	YANG JESSICA R	2021	FFS	RENDERING	AGE 0-20	383	None	2,547	None	269	None	655	None	238	None	420	None	253	None	258	None
1972165736	SON JEEMIN	2021	FFS	RENDERING	AGE 0-20	227	None	1,100	None	150	None	381	None	92	None	191	None	152	None	166	None
1972165736	SON JEEMIN	2021	FFS	RENDERING	AGE 21+	349	None	1,204	None	80	None	91	None	186	None	523	None	223	None	223	None
1972165736	SON JEEMIN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1972165736	SON JEEMIN	2021	PHP	RENDERING	AGE 0-20	236	None	1,482	None	123	None	395	None	116	None	253	None	154	None	154	None
1972165736	SON JEEMIN	2021	PHP	RENDERING	AGE 21+	316	None	1,296	None	28	None	35	None	162	None	510	None	188	None	193	None
1972199883	LE STEVEN	2021	FFS	RENDERING	AGE 0-20	3,302	None	58,103	None	3,243	None	13,581	None	2,255	None	8,586	None	3,263	None	4,649	None
1972199883	LE STEVEN	2021	FFS	RENDERING	AGE 21+	338	None	3,586	None	256	None	536	None	192	None	766	None	293	None	293	None
1972514669	LEE SOO N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972521573	SEJPAL, MAHESH A, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1972521573	SEJPAL, MAHESH A, DDS	2021	FFS	RENDERING	AGE 21+	39	None	214	None	23	None	23	None	25	None	64	None	21	None	21	None
1972521680	ZANDERS III CHARLES	2021	PHP	RENDERING	AGE 21+	38	None	138	None	None	1	None	1	28	None	58	None	15	None	18	None
1972525855	BEZIMYANSKY NELLY	2021	FFS	RENDERING	AGE 0-20	16	None	227	None	15	None	60	None	None	1	None	2	13	None	14	None
1972525855	BEZIMYANSKY NELLY	2021	FFS	RENDERING	AGE 21+	15	None	85	None	11	None	22	None	11	None	28	None	None	1	None	1
1972531754	PATEL VIMAL M	2021	FFS	RENDERING	AGE 0-20	798	None	11,394	None	711	None	2,878	None	240	None	863	None	754	None	995	None
1972531754	PATEL VIMAL M	2021	FFS	RENDERING	AGE 21+	578	None	4,518	None	342	None	678	None	301	None	1,130	None	478	None	478	None
1972531754	PATEL VIMAL M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1972540318	GOLYAD AFSHIN	2021	FFS	RENDERING	AGE 0-20	28	None	213	None	27	None	108	None	None	1	None	1	28	None	38	None
1972540318	GOLYAD AFSHIN	2021	FFS	RENDERING	AGE 21+	181	None	1,137	None	140	None	270	None	93	None	234	None	146	None	146	None
1972541654	KOUSHAKJIAN HOURY	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1972541654	KOUSHAKJIAN HOURY	2021	PHP	RENDERING	AGE 0-20	34	None	193	None	25	None	41	None	16	None	16	None	25	None	25	None
1972541654	KOUSHAKJIAN HOURY	2021	PHP	RENDERING	AGE 21+	173	None	742	None	38	None	40	None	80	None	276	None	100	None	100	None
1972561603	MARCINKOWSKI, LIDIA	2021	FFS	RENDERING	AGE 0-20	109	None	1,479	None	101	None	342	None	51	None	145	None	101	None	130	None
1972561603	MARCINKOWSKI, LIDIA	2021	FFS	RENDERING	AGE 21+	183	None	1,650	None	110	None	220	None	131	None	460	None	138	None	138	None
1972561900	TARIGHATI MICHAEL M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1972561900	TARIGHATI MICHAEL M	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1972576130	ESPARZA, OSCAR DDS	2021	FFS	RENDERING	AGE 0-20	74	None	472	None	36	None	73	None	15	None	31	None	56	None	59	None
1972576130	ESPARZA, OSCAR DDS	2021	FFS	RENDERING	AGE 21+	80	None	346	None	None	1	None	1	36	None	52	None	50	None	50	None
1972576866	KWON OH J	2021	FFS	RENDERING	AGE 0-20	517	None	4,486	None	431	None	1,230	None	253	None	552	None	442	None	452	None
1972576866	KWON OH J	2021	FFS	RENDERING	AGE 21+	429	None	2,091	None	137	None	269	None	279	None	765	None	248	None	248	None
1972601110	GHIASSI NADER D	2021	FFS	RENDERING	AGE 0-20	126	None	996	None	120	None	337	None	32	None	136	None	111	None	158	None
1972601110	GHIASSI NADER D	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1972608123	MANSOURI PARNAZ B	2021	FFS	RENDERING	AGE 0-20	339	None	2,839	None	296	None	887	None	113	None	565	None	281	None	351	None
1972608123	MANSOURI PARNAZ B	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1972614527	MAZZA, DANIEL G, DDS	2021	FFS	RENDERING	AGE 0-20	44	None	226	None	33	None	82	None	17	None	47	None	33	None	39	None
1972614527	MAZZA, DANIEL G, DDS	2021	FFS	RENDERING	AGE 21+	73	None	358	None	28	None	56	None	59	None	153	None	30	None	30	None
1972623486	EPPERSON GEORGE E	2021	FFS	RENDERING	AGE 21+	45	None	269	None	26	None	38	None	27	None	107	None	27	None	28	None
1972628196	CRAWFORD SR, MICHAEL D DDS	2021	FFS	RENDERING	AGE 0-20	61	None	434	None	46	None	102	None	39	None	129	None	52	None	56	None
1972628196	CRAWFORD SR, MICHAEL D DDS	2021	FFS	RENDERING	AGE 21+	371	None	2,581	None	134	None	134	None	326	None	1,494	None	225	None	225	None
1972628576	LOPEZ, EDWARD	2021	FFS	RENDERING	AGE 0-20	40	None	171	None	38	None	77	None	None	1	None	1	37	None	37	None
1972628576	LOPEZ, EDWARD	2021	FFS	RENDERING	AGE 21+	214	None	1,069	None	97	None	101	None	142	None	553	None	139	None	139	None
1972628576	LOPEZ, EDWARD	2021	PHP	RENDERING	AGE 0-20	33	None	232	None	32	None	104	None	None	1	None	1	33	None	43	None
1972628576	LOPEZ, EDWARD	2021	PHP	RENDERING	AGE 21+	67	None	333	None	38	None	39	None	25	None	71	None	54	None	55	None
1972628576	LOPEZ, EDWARD, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	171	None	38	None	77	None	None	1	None	1	37	None	37	None
1972628576	LOPEZ, EDWARD, DDS	2021	FFS	RENDERING	AGE 21+	214	None	1,069	None	97	None	101	None	142	None	553	None	139	None	139	None
1972628576	LOPEZ, EDWARD, DDS	2021	PHP	RENDERING	AGE 0-20	33	None	232	None	32	None	104	None	None	1	None	1	33	None	43	None
1972628576	LOPEZ, EDWARD, DDS	2021	PHP	RENDERING	AGE 21+	67	None	333	None	38	None	39	None	25	None	71	None	54	None	55	None
1972630374	JANG WEONSUK	2021	FFS	RENDERING	AGE 0-20	28	None	221	None	22	None	91	None	18	None	52	None	22	None	28	None
1972630374	JANG WEONSUK	2021	FFS	RENDERING	AGE 21+	207	None	1,508	None	106	None	211	None	168	None	805	None	130	None	130	None
1972632073	CHOE, HAN KYOUNG, DDS	2021	FFS	RENDERING	AGE 0-20	149	None	1,386	None	129	None	565	None	61	None	237	None	129	None	144	None
1972632073	CHOE, HAN KYOUNG, DDS	2021	FFS	RENDERING	AGE 21+	252	None	1,720	None	71	None	111	None	183	None	867	None	189	None	190	None
1972634277	WALTER DANIEL JAMES	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1972638641	DEMPSEY, MELISSA A	2021	FFS	RENDERING	AGE 0-20	1,501	None	3,818	None	0	None	0	None	757	None	2,236	None	0	None	0	None
1972643260	GRAY, NINA M DMD	2021	FFS	RENDERING	AGE 0-20	2,466	None	44,550	None	2,318	None	8,662	None	1,941	None	9,715	None	2,297	None	2,986	None
1972643260	GRAY, NINA M DMD	2021	FFS	RENDERING	AGE 21+	26	None	180	None	None	1	None	2	19	None	43	None	None	1	None	1
1972643500	MURTHY NAGARAJA P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972643799	ORONCE, MARIA THERESA D, DMD	2021	FFS	RENDERING	AGE 0-20	333	None	3,726	None	313	None	1,106	None	305	None	1,239	None	283	None	342	None
1972643799	ORONCE, MARIA THERESA D, DMD	2021	FFS	RENDERING	AGE 21+	485	None	3,735	None	383	None	744	None	401	None	1,440	None	373	None	375	None
1972643856	LEE, SUNG YOUNG, DMD	2021	FFS	RENDERING	AGE 0-20	110	None	984	None	101	None	339	None	72	None	252	None	101	None	128	None
1972643856	LEE, SUNG YOUNG, DMD	2021	FFS	RENDERING	AGE 21+	183	None	1,182	None	108	None	227	None	130	None	508	None	128	None	134	None
1972644052	TRIEU, MY HANH	2021	FFS	RENDERING	AGE 0-20	18	None	311	None	18	None	83	None	None	1	None	2	18	None	27	None
1972644052	TRIEU, MY HANH	2021	FFS	RENDERING	AGE 21+	91	None	1,045	None	65	None	122	None	62	None	227	None	69	None	70	None
1972644524	RAMIREZ, WILLIAM A DDS	2021	FFS	RENDERING	AGE 0-20	155	None	1,337	None	103	None	288	None	58	None	117	None	102	None	104	None
1972644524	RAMIREZ, WILLIAM A DDS	2021	FFS	RENDERING	AGE 21+	276	None	1,437	None	67	None	67	None	174	None	480	None	98	None	98	None
1972648061	HANNA, HANNA SALIB DDS	2021	FFS	RENDERING	AGE 0-20	65	None	536	None	54	None	190	None	28	None	75	None	61	None	82	None
1972648061	HANNA, HANNA SALIB DDS	2021	FFS	RENDERING	AGE 21+	121	None	1,272	None	39	None	78	None	95	None	368	None	86	None	86	None
1972648061	HANNA, HANNA SALIB DDS	2021	PHP	RENDERING	AGE 0-20	20	None	98	None	17	None	40	None	None	1	None	1	18	None	19	None
1972648061	HANNA, HANNA SALIB DDS	2021	PHP	RENDERING	AGE 21+	18	None	92	None	0	None	0	None	None	1	None	2	None	1	None	1
1972655009	SALMASSIAN REZA	2021	FFS	RENDERING	AGE 0-20	281	None	547	None	0	None	0	None	96	None	232	None	0	None	0	None
1972655009	SALMASSIAN REZA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1972656320	KOUNANG, YVONNE P, DDS	2021	FFS	RENDERING	AGE 0-20	180	None	2,182	None	154	None	461	None	100	None	350	None	165	None	189	None
1972656320	KOUNANG, YVONNE P, DDS	2021	FFS	RENDERING	AGE 21+	378	None	3,391	None	124	None	215	None	280	None	1,415	None	304	None	304	None
1972659548	SABOUNJIAN JACK H	2021	FFS	RENDERING	AGE 0-20	51	None	365	None	44	None	152	None	25	None	85	None	43	None	56	None
1972659548	SABOUNJIAN JACK H	2021	FFS	RENDERING	AGE 21+	303	None	1,814	None	144	None	282	None	261	None	1,078	None	170	None	170	None
1972659860	TIN HAN	2021	FFS	RENDERING	AGE 0-20	65	None	683	None	63	None	233	None	31	None	85	None	63	None	105	None
1972659860	TIN HAN	2021	FFS	RENDERING	AGE 21+	323	None	3,903	None	271	None	543	None	247	None	1,179	None	277	None	277	None
1972660694	CHENARD TORIN L	2021	FFS	RENDERING	AGE 0-20	55	None	93	None	0	None	0	None	50	None	60	None	0	None	0	None
1972664985	AZIZ MANAL M	2021	FFS	RENDERING	AGE 0-20	94	None	848	None	89	None	399	None	19	None	29	None	91	None	122	None
1972664985	AZIZ MANAL M	2021	FFS	RENDERING	AGE 21+	342	None	2,738	None	235	None	466	None	243	None	1,029	None	272	None	272	None
1972667863	KOLCHANSKY MARK	2021	FFS	RENDERING	AGE 0-20	11	None	110	None	11	None	24	None	None	1	None	1	11	None	12	None
1972667863	KOLCHANSKY MARK	2021	FFS	RENDERING	AGE 21+	38	None	319	None	26	None	50	None	27	None	92	None	30	None	30	None
1972668499	GONZALEZ JOSE R	2021	FFS	RENDERING	AGE 0-20	859	None	7,449	None	590	None	1,593	None	342	None	997	None	739	None	830	None
1972668499	GONZALEZ JOSE R	2021	FFS	RENDERING	AGE 21+	1,341	None	7,395	None	364	None	690	None	773	None	2,498	None	995	None	995	None
1972671014	AMRO, ABDULGHANI DDS	2021	FFS	RENDERING	AGE 0-20	654	None	6,404	None	426	None	1,614	None	369	None	1,222	None	422	None	575	None
1972671014	AMRO, ABDULGHANI DDS	2021	FFS	RENDERING	AGE 21+	392	None	2,038	None	19	None	20	None	311	None	888	None	131	None	131	None
1972672319	LOW, TED T, DDS	2021	FFS	RENDERING	AGE 0-20	27	None	173	None	23	None	27	None	None	1	None	2	25	None	30	None
1972672319	LOW, TED T, DDS	2021	FFS	RENDERING	AGE 21+	176	None	1,265	None	145	None	145	None	105	None	244	None	147	None	147	None
1972676740	ZUMAETA GINETTE O	2021	FFS	RENDERING	AGE 0-20	64	None	292	None	43	None	78	None	30	None	91	None	46	None	46	None
1972676740	ZUMAETA GINETTE O	2021	FFS	RENDERING	AGE 21+	144	None	508	None	37	None	52	None	119	None	288	None	45	None	45	None
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	FFS	RENDERING	AGE 21+	39	None	118	None	32	None	32	None	12	None	32	None	24	None	24	None
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	PHP	RENDERING	AGE 0-20	127	None	828	None	100	None	369	None	93	None	139	None	62	None	64	None
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	PHP	RENDERING	AGE 21+	235	None	1,121	None	124	None	309	None	205	None	369	None	90	None	91	None
1972679884	SACHDEV, DEEPAK K DDS	2021	FFS	RENDERING	AGE 0-20	1,004	None	10,532	None	870	None	3,115	None	381	None	1,281	None	927	None	1,301	None
1972679884	SACHDEV, DEEPAK K DDS	2021	FFS	RENDERING	AGE 21+	1,173	None	11,760	None	415	None	827	None	853	None	3,725	None	772	None	775	None
1972679884	SACHDEV, DEEPAK K DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972696383	GUEVARA, DORIS A, DDS	2021	FFS	RENDERING	AGE 0-20	145	None	1,257	None	135	None	431	None	70	None	273	None	141	None	180	None
1972696383	GUEVARA, DORIS A, DDS	2021	FFS	RENDERING	AGE 21+	246	None	1,766	None	112	None	220	None	182	None	845	None	203	None	204	None
1972700029	LALUZ JOSE A	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1972703122	PINTO ANGEL J	2021	FFS	RENDERING	AGE 0-20	32	None	104	None	None	1	None	2	22	None	35	None	13	None	13	None
1972703122	PINTO ANGEL J	2021	FFS	RENDERING	AGE 21+	97	None	205	None	None	1	None	2	50	None	76	None	43	None	43	None
1972703122	PINTO ANGEL J	2021	GMC	RENDERING	AGE 0-20	642	None	3,450	None	277	None	953	None	357	None	700	None	343	None	369	None
1972703122	PINTO ANGEL J	2021	GMC	RENDERING	AGE 21+	503	None	1,572	None	81	None	142	None	243	None	565	None	143	None	144	None
1972703122	PINTO ANGEL J	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972703122	PINTO ANGEL J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1972703775	ALUNING, MARIA CECILIA DDS	2021	FFS	RENDERING	AGE 0-20	74	None	833	None	61	None	178	None	28	None	66	None	70	None	91	None
1972703775	ALUNING, MARIA CECILIA DDS	2021	FFS	RENDERING	AGE 21+	334	None	3,089	None	145	None	241	None	246	None	1,147	None	272	None	272	None
1972723849	EYVAZI ALEXI	2021	FFS	RENDERING	AGE 0-20	20	None	156	None	18	None	38	None	None	1	None	1	17	None	18	None
1972723849	EYVAZI ALEXI	2021	FFS	RENDERING	AGE 21+	58	None	334	None	21	None	38	None	39	None	84	None	35	None	35	None
1972723849	EYVAZI ALEXI	2021	PHP	RENDERING	AGE 0-20	22	None	139	None	20	None	49	None	22	None	26	None	14	None	14	None
1972723849	EYVAZI ALEXI	2021	PHP	RENDERING	AGE 21+	42	None	382	None	38	None	85	None	37	None	55	None	32	None	34	None
1972725844	KIM PETER M	2021	FFS	RENDERING	AGE 0-20	170	None	1,889	None	154	None	375	None	63	None	185	None	154	None	184	None
1972725844	KIM PETER M	2021	FFS	RENDERING	AGE 21+	587	None	4,600	None	309	None	625	None	415	None	1,290	None	397	None	397	None
1972727279	MIN, AUNG MYO DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1972727279	MIN, AUNG MYO DDS	2021	FFS	RENDERING	AGE 21+	83	None	857	None	69	None	76	None	70	None	310	None	75	None	75	None
1972739696	BEDROSIAN, ARAX, RDHAP	2021	FFS	RENDERING	AGE 21+	31	None	148	None	0	None	0	None	31	None	128	None	0	None	0	None
1972742468	VILLADA, ALEJANDRA, DDS CORP	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972742922	AUJLA NINA K	2021	FFS	RENDERING	AGE 0-20	295	None	1,291	None	175	None	616	None	166	None	428	None	93	None	93	None
1972742922	AUJLA NINA K	2021	FFS	RENDERING	AGE 21+	1,055	None	3,625	None	121	None	200	None	794	None	2,517	None	365	None	367	None
1972751378	HENDRICKSON RACHEL L	2021	FFS	RENDERING	AGE 0-20	24	None	136	None	18	None	39	None	None	1	None	2	17	None	19	None
1972751378	HENDRICKSON RACHEL L	2021	FFS	RENDERING	AGE 21+	49	None	174	None	12	None	13	None	33	None	79	None	19	None	19	None
1972754406	CHU BRIAN S	2021	FFS	RENDERING	AGE 0-20	904	None	7,958	None	749	None	2,384	None	647	None	1,874	None	722	None	792	None
1972754406	CHU BRIAN S	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972755304	ALBERT ROBERT D	2021	PHP	RENDERING	AGE 0-20	193	None	1,611	None	167	None	617	None	150	None	280	None	80	None	86	None
1972755304	ALBERT ROBERT D	2021	PHP	RENDERING	AGE 21+	258	None	1,296	None	155	None	293	None	218	None	389	None	89	None	93	None
1972760338	MON MORALES DEISY	2021	FFS	RENDERING	AGE 0-20	89	None	821	None	69	None	150	None	39	None	109	None	77	None	82	None
1972760338	MON MORALES DEISY	2021	FFS	RENDERING	AGE 21+	263	None	2,147	None	67	None	134	None	154	None	532	None	206	None	206	None
1972772457	MIRMARASHI BABAK	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1972772457	MIRMARASHI BABAK	2021	FFS	RENDERING	AGE 21+	24	None	91	None	None	1	None	1	None	1	None	2	20	None	20	None
1972772457	MIRMARASHI BABAK	2021	PHP	RENDERING	AGE 0-20	20	None	119	None	17	None	52	None	None	1	None	1	18	None	20	None
1972772457	MIRMARASHI BABAK	2021	PHP	RENDERING	AGE 21+	90	None	347	None	71	None	118	None	16	None	50	None	62	None	63	None
1972780328	MOTAMED SHAHRIAR	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1972783066	GU YIXIONG	2021	FFS	RENDERING	AGE 0-20	33	None	227	None	23	None	53	None	16	None	40	None	27	None	30	None
1972783066	GU YIXIONG	2021	FFS	RENDERING	AGE 21+	43	None	178	None	18	None	18	None	32	None	63	None	21	None	21	None
1972783868	SANDERSON, VANESSA A DDS	2021	FFS	RENDERING	AGE 0-20	1,685	None	18,248	None	1,335	None	4,455	None	999	None	3,979	None	1,226	None	1,319	None
1972783868	SANDERSON, VANESSA A DDS	2021	FFS	RENDERING	AGE 21+	524	None	2,910	None	156	None	300	None	249	None	686	None	306	None	308	None
1972783868	SANDERSON, VANESSA A DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972783868	SANDERSON, VANESSA A DDS	2021	PHP	RENDERING	AGE 0-20	61	None	565	None	53	None	194	None	39	None	162	None	41	None	49	None
1972783868	SANDERSON, VANESSA A DDS	2021	PHP	RENDERING	AGE 21+	47	None	174	None	15	None	29	None	24	None	63	None	32	None	32	None
1972793651	KANG HYO S	2021	FFS	RENDERING	AGE 0-20	26	None	312	None	19	None	36	None	18	None	242	None	17	None	17	None
1972793651	KANG HYO S	2021	FFS	RENDERING	AGE 21+	124	None	1,206	None	30	None	36	None	96	None	1,031	None	67	None	67	None
1972795813	NGUYEN CLARA V	2021	FFS	RENDERING	AGE 0-20	44	None	374	None	41	None	128	None	13	None	55	None	39	None	46	None
1972795813	NGUYEN CLARA V	2021	FFS	RENDERING	AGE 21+	88	None	508	None	58	None	77	None	52	None	203	None	66	None	66	None
1972795953	MASSOUMI SAYEH E	2021	FFS	RENDERING	AGE 0-20	508	None	6,930	None	440	None	1,657	None	329	None	1,317	None	461	None	603	None
1972795953	MASSOUMI SAYEH E	2021	FFS	RENDERING	AGE 21+	504	None	3,691	None	217	None	420	None	337	None	1,455	None	388	None	388	None
1972840296	WEBB BRANDON J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1972840296	WEBB BRANDON J	2021	GMC	RENDERING	AGE 0-20	70	None	319	None	0	None	0	None	63	None	107	None	None	1	None	1
1972840296	WEBB BRANDON J	2021	GMC	RENDERING	AGE 21+	211	None	871	None	0	None	0	None	103	None	147	None	180	None	183	None
1972845113	ST JOHN'S WELL CHILD & FAMIL	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1972845113	ST JOHNS WELL CHILD AND	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	0	None	0	None
1972851798	KWON SOON R	2021	FFS	RENDERING	AGE 0-20	214	None	1,030	None	154	None	459	None	125	None	335	None	42	None	44	None
1972851798	KWON SOON R	2021	FFS	RENDERING	AGE 21+	419	None	1,517	None	108	None	182	None	312	None	955	None	110	None	110	None
1972855658	NAFISI NIKZAD	2021	FFS	RENDERING	AGE 0-20	16	None	93	None	11	None	21	None	None	1	None	2	14	None	14	None
1972855658	NAFISI NIKZAD	2021	FFS	RENDERING	AGE 21+	55	None	305	None	17	None	30	None	19	None	29	None	35	None	35	None
1972855658	NAFISI NIKZAD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1972855658	NAFISI NIKZAD	2021	PHP	RENDERING	AGE 21+	18	None	95	None	11	None	21	None	None	1	None	2	13	None	13	None
1972863413	KARIMYAN, ALTINA, DDS A DENT	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972868982	GALLAGHER DESMOND P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972881068	SVIATOCHA VALENTINE	2021	GMC	RENDERING	AGE 0-20	50	None	86	None	14	None	15	None	49	None	68	None	None	1	None	1
1972881068	SVIATOCHA VALENTINE	2021	GMC	RENDERING	AGE 21+	321	None	535	None	91	None	95	None	263	None	330	None	105	None	107	None
1972881738	NGUYEN THAO M	2021	FFS	RENDERING	AGE 0-20	767	None	7,186	None	701	None	2,333	None	497	None	1,453	None	716	None	974	None
1972881738	NGUYEN THAO M	2021	FFS	RENDERING	AGE 21+	369	None	2,378	None	258	None	509	None	239	None	752	None	271	None	271	None
1972884328	ELLENBERGER, JAMES D, DDS	2021	FFS	RENDERING	AGE 0-20	134	None	1,560	None	115	None	444	None	55	None	204	None	117	None	146	None
1972884328	ELLENBERGER, JAMES D, DDS	2021	FFS	RENDERING	AGE 21+	114	None	845	None	90	None	180	None	57	None	139	None	98	None	98	None
1972891760	YANG SAMSON	2021	FFS	RENDERING	AGE 0-20	39	None	327	None	36	None	109	None	13	None	63	None	33	None	42	None
1972891760	YANG SAMSON	2021	FFS	RENDERING	AGE 21+	211	None	1,452	None	155	None	304	None	138	None	597	None	166	None	166	None
1972894673	ABRAHAM MINA T	2021	FFS	RENDERING	AGE 0-20	99	None	459	None	65	None	129	None	33	None	100	None	80	None	81	None
1972894673	ABRAHAM MINA T	2021	FFS	RENDERING	AGE 21+	306	None	1,442	None	51	None	54	None	140	None	724	None	243	None	246	None
1972894673	ABRAHAM MINA T	2021	PHP	RENDERING	AGE 0-20	25	None	134	None	21	None	42	None	None	1	None	2	25	None	28	None
1972894673	ABRAHAM MINA T	2021	PHP	RENDERING	AGE 21+	147	None	608	None	36	None	38	None	58	None	216	None	126	None	134	None
1972919215	GHANOONI, GOLNAZ	2021	FFS	RENDERING	AGE 0-20	518	None	3,164	None	304	None	854	None	151	None	165	None	473	None	475	None
1972919215	GHANOONI, GOLNAZ	2021	FFS	RENDERING	AGE 21+	13	None	32	None	0	None	0	None	11	None	27	None	None	1	None	1
1972926632	LALEHZARI, ELSA SARAH	2021	FFS	RENDERING	AGE 0-20	391	None	1,374	None	75	None	111	None	324	None	638	None	105	None	109	None
1972926632	LALEHZARI, ELSA SARAH	2021	FFS	RENDERING	AGE 21+	600	None	1,832	None	36	None	36	None	556	None	1,031	None	94	None	94	None
1972926632	LALEHZARI, ELSA SARAH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1972926632	LALEHZARI, ELSA SARAH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1972930873	CHRISTINE SHAHGALDIAN DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972936961	TURI, VERONIKA DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972941292	LI TONY TIAN L	2021	FFS	RENDERING	AGE 0-20	603	None	3,279	None	0	None	0	None	599	None	3,219	None	None	1	None	1
1972941292	LI TONY TIAN L	2021	FFS	RENDERING	AGE 21+	896	None	4,516	None	0	None	0	None	889	None	4,451	None	0	None	0	None
1972941292	LI TONY TIAN L	2021	PHP	RENDERING	AGE 0-20	28	None	191	None	0	None	0	None	27	None	187	None	None	1	None	1
1972941292	LI TONY TIAN L	2021	PHP	RENDERING	AGE 21+	32	None	200	None	0	None	0	None	31	None	195	None	None	1	None	1
1972942514	VU, ANDREW DMD	2021	FFS	RENDERING	AGE 0-20	621	None	6,085	None	494	None	1,903	None	457	None	1,647	None	484	None	591	None
1972942514	VU, ANDREW DMD	2021	FFS	RENDERING	AGE 21+	373	None	2,743	None	154	None	306	None	328	None	1,381	None	193	None	193	None
1972949246	KASHANI, KOUROSH A, DDS	2021	FFS	RENDERING	AGE 0-20	70	None	553	None	62	None	156	None	24	None	48	None	63	None	78	None
1972949246	KASHANI, KOUROSH A, DDS	2021	FFS	RENDERING	AGE 21+	225	None	1,223	None	136	None	271	None	104	None	250	None	193	None	193	None
1972954071	COMPREHENSIVE COMMUNITY	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1972955524	CHU SUSAN H	2021	FFS	RENDERING	AGE 0-20	33	None	211	None	27	None	89	None	23	None	56	None	26	None	26	None
1972955524	CHU SUSAN H	2021	FFS	RENDERING	AGE 21+	12	None	31	None	None	1	None	1	None	1	None	2	None	1	None	1
1972955524	CHU SUSAN H	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1972955524	CHU SUSAN H	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972955524	CHU SUSAN H	2021	PHP	RENDERING	AGE 0-20	415	None	5,180	None	334	None	2,923	None	253	None	1,066	None	346	None	452	None
1972955524	CHU SUSAN H	2021	PHP	RENDERING	AGE 21+	700	None	5,875	None	306	None	730	None	571	None	3,824	None	493	None	534	None
1972964260	KIM SEUNG H	2021	FFS	RENDERING	AGE 0-20	134	None	1,318	None	119	None	365	None	42	None	136	None	110	None	148	None
1972964260	KIM SEUNG H	2021	FFS	RENDERING	AGE 21+	336	None	3,056	None	199	None	377	None	216	None	1,112	None	242	None	245	None
1972964559	HAMZEH RAZAN	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972989887	SIMHAIRY LUAY B	2021	FFS	RENDERING	AGE 0-20	278	None	3,965	None	221	None	774	None	199	None	1,162	None	240	None	294	None
1972989887	SIMHAIRY LUAY B	2021	FFS	RENDERING	AGE 21+	839	None	10,321	None	466	None	911	None	669	None	4,650	None	648	None	651	None
1972991503	HAN MIN SOO	2021	FFS	RENDERING	AGE 0-20	81	None	734	None	49	None	99	None	44	None	216	None	79	None	86	None
1972991503	HAN MIN SOO	2021	FFS	RENDERING	AGE 21+	161	None	1,269	None	38	None	45	None	123	None	650	None	123	None	123	None
1972993673	HUYNH TRANG T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1972993673	HUYNH TRANG T	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982000923	HAWATMEH DENTAL PC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1982000923	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1982001152	JUNG SUNGKUK	2021	FFS	RENDERING	AGE 0-20	157	None	1,118	None	138	None	387	None	74	None	181	None	135	None	151	None
1982001152	JUNG SUNGKUK	2021	FFS	RENDERING	AGE 21+	197	None	1,646	None	126	None	249	None	122	None	612	None	165	None	165	None
1982002531	KIM PAUL T	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1982002531	KIM PAUL T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1982010401	YOON HEE J	2021	FFS	RENDERING	AGE 0-20	1,229	None	9,151	None	1,035	None	2,917	None	645	None	1,195	None	998	None	1,079	None
1982010401	YOON HEE J	2021	FFS	RENDERING	AGE 21+	172	None	659	None	None	1	None	1	170	None	648	None	None	1	None	1
1982010427	WU TIFFANY C	2021	FFS	RENDERING	AGE 0-20	1,522	None	12,685	None	1,277	None	3,392	None	819	None	2,202	None	1,243	None	1,286	None
1982010427	WU TIFFANY C	2021	FFS	RENDERING	AGE 21+	17	None	68	None	None	1	None	1	12	None	24	None	None	1	None	1
1982010427	WU TIFFANY C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982013074	ALARCON DANIELLE C	2021	PHP	RENDERING	AGE 0-20	193	None	2,263	None	166	None	862	None	182	None	501	None	134	None	148	None
1982013074	ALARCON DANIELLE C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1982018909	RYU HAE R	2021	FFS	RENDERING	AGE 0-20	417	None	3,710	None	366	None	910	None	183	None	485	None	374	None	413	None
1982018909	RYU HAE R	2021	FFS	RENDERING	AGE 21+	729	None	5,415	None	384	None	725	None	424	None	1,115	None	507	None	507	None
1982029583	ANGELES CESARIO A	2021	FFS	RENDERING	AGE 0-20	34	None	132	None	32	None	34	None	13	None	36	None	32	None	35	None
1982029583	ANGELES CESARIO A	2021	FFS	RENDERING	AGE 21+	113	None	422	None	75	None	75	None	44	None	88	None	89	None	89	None
1982031589	KIM JUNG M	2021	FFS	RENDERING	AGE 0-20	235	None	290	None	0	None	0	None	26	None	47	None	0	None	0	None
1982031589	KIM JUNG M	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1982031589	KIM JUNG M	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982031589	KIM JUNG M	2021	PHP	RENDERING	AGE 0-20	13	None	38	None	0	None	0	None	13	None	35	None	0	None	0	None
1982053161	KOH YOUNGSEONG	2021	FFS	RENDERING	AGE 0-20	94	None	941	None	75	None	231	None	49	None	205	None	89	None	113	None
1982053161	KOH YOUNGSEONG	2021	FFS	RENDERING	AGE 21+	201	None	1,590	None	128	None	241	None	128	None	649	None	165	None	165	None
1982058632	SHIN JENNIFER HAE S	2021	FFS	RENDERING	AGE 0-20	1,759	None	22,643	None	1,698	None	7,222	None	1,477	None	8,317	None	1,679	None	1,993	None
1982058632	SHIN JENNIFER HAE S	2021	FFS	RENDERING	AGE 21+	123	None	718	None	26	None	49	None	89	None	419	None	104	None	104	None
1982058632	SHIN JENNIFER HAE S	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1982058855	MARDIROSIAN, ARMEN, DDS INC	2021	PHP	RENDERING	AGE 0-20	14	None	74	None	11	None	29	None	None	1	None	1	12	None	13	None
1982058855	MARDIROSIAN, ARMEN, DDS INC	2021	PHP	RENDERING	AGE 21+	21	None	106	None	None	1	None	2	16	None	39	None	17	None	18	None
1982061743	SAYEEDI SYED Z	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1982061743	SAYEEDI SYED Z	2021	FFS	RENDERING	AGE 21+	70	None	200	None	None	1	None	2	56	None	160	None	None	1	None	1
1982061743	SAYEEDI SYED Z	2021	GMC	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982061743	SAYEEDI SYED Z	2021	GMC	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982061743	SAYEEDI SYED Z	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1982062410	FARAHANI NILOOFAR J	2021	FFS	RENDERING	AGE 0-20	206	None	1,004	None	185	None	449	None	39	None	96	None	188	None	197	None
1982062410	FARAHANI NILOOFAR J	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982070207	MOON, LOUIS DDS	2021	FFS	RENDERING	AGE 0-20	951	None	11,188	None	851	None	2,589	None	486	None	1,470	None	871	None	1,014	None
1982070207	MOON, LOUIS DDS	2021	FFS	RENDERING	AGE 21+	570	None	3,201	None	159	None	297	None	428	None	1,155	None	261	None	264	None
1982085650	MUSSER, JAMES DDS	2021	FFS	RENDERING	AGE 0-20	429	None	5,878	None	331	None	812	None	397	None	3,509	None	273	None	284	None
1982085650	MUSSER, JAMES DDS	2021	GMC	RENDERING	AGE 0-20	95	None	1,096	None	76	None	143	None	91	None	618	None	37	None	37	None
1982088589	ZARKESH NASIM	2021	FFS	RENDERING	AGE 0-20	771	None	6,409	None	598	None	1,800	None	531	None	1,552	None	565	None	590	None
1982088589	ZARKESH NASIM	2021	PHP	RENDERING	AGE 0-20	12	None	74	None	None	1	None	1	None	1	None	2	None	1	None	1
1982091393	HANDOG CORALINDA M	2021	FFS	RENDERING	AGE 0-20	59	None	423	None	51	None	143	None	29	None	134	None	51	None	64	None
1982091393	HANDOG CORALINDA M	2021	FFS	RENDERING	AGE 21+	226	None	1,267	None	126	None	247	None	139	None	517	None	186	None	186	None
1982101663	BUNCH JR BRUCE A	2021	FFS	RENDERING	AGE 0-20	516	None	3,741	None	283	None	719	None	405	None	1,371	None	218	None	218	None
1982107868	LA NOIRE BORIS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982107868	LA NOIRE BORIS	2021	FFS	RENDERING	AGE 21+	46	None	222	None	26	None	43	None	24	None	55	None	38	None	38	None
1982115168	EBRAMI DANIEL J	2021	FFS	RENDERING	AGE 0-20	66	None	745	None	52	None	151	None	30	None	70	None	50	None	51	None
1982115168	EBRAMI DANIEL J	2021	FFS	RENDERING	AGE 21+	103	None	692	None	36	None	72	None	62	None	145	None	48	None	48	None
1982122099	LE KEVIN D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982122099	LE KEVIN D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1982122099	LE KEVIN D	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982122099	LE KEVIN D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982129599	CHAN CLAYTON J	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982130472	BAHMANYAR ATIYA	2021	FFS	RENDERING	AGE 0-20	3,302	None	61,245	None	3,027	None	14,423	None	2,220	None	8,097	None	3,115	None	5,199	None
1982130472	BAHMANYAR ATIYA	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982145611	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 0-20	18	None	105	None	None	1	None	2	None	1	None	1	14	None	14	None
1982145611	WESTERN DENTAL SERVICES INC	2021	PHP	RENDERING	AGE 21+	31	None	131	None	None	1	None	2	None	1	None	1	27	None	28	None
1982145611	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 0-20	18	None	105	None	None	1	None	2	None	1	None	1	14	None	14	None
1982145611	WESTERN DENTAL SERVICES, INC.	2021	PHP	RENDERING	AGE 21+	31	None	131	None	None	1	None	2	None	1	None	1	27	None	28	None
1982161188	HAYASHI-WELLS RIE	2021	FFS	RENDERING	AGE 0-20	17	None	75	None	None	1	None	2	None	1	None	2	13	None	13	None
1982161188	HAYASHI-WELLS RIE	2021	FFS	RENDERING	AGE 21+	68	None	319	None	37	None	66	None	44	None	143	None	44	None	44	None
1982178828	HYUNG-JU JOHN KIM DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1982178828	HYUNG-JU JOHN KIM DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982178828	KIM, HYUNG-JU JOHN, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1982178828	KIM, HYUNG-JU JOHN, DDS INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982184024	HOOSHMAND PAYAM	2021	FFS	RENDERING	AGE 0-20	386	None	2,143	None	302	None	851	None	117	None	347	None	348	None	351	None
1982184024	HOOSHMAND PAYAM	2021	FFS	RENDERING	AGE 21+	775	None	2,488	None	115	None	207	None	293	None	872	None	621	None	621	None
1982184024	HOOSHMAND PAYAM	2021	PHP	RENDERING	AGE 0-20	49	None	228	None	29	None	78	None	17	None	31	None	38	None	38	None
1982184024	HOOSHMAND PAYAM	2021	PHP	RENDERING	AGE 21+	62	None	267	None	None	1	None	2	39	None	146	None	44	None	45	None
1982187555	KHOO EMERALD	2021	FFS	RENDERING	AGE 0-20	189	None	606	None	72	None	185	None	139	None	333	None	77	None	77	None
1982187555	KHOO EMERALD	2021	FFS	RENDERING	AGE 21+	249	None	795	None	55	None	56	None	195	None	658	None	81	None	81	None
1982188207	DUBUNI RASHA	2021	FFS	RENDERING	AGE 21+	363	None	872	None	None	1	None	1	363	None	713	None	154	None	154	None
1982188207	DUBUNI RASHA	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982194205	ZOMA ODY	2021	FFS	RENDERING	AGE 0-20	936	None	4,758	None	678	None	1,714	None	308	None	455	None	772	None	835	None
1982194205	ZOMA ODY	2021	FFS	RENDERING	AGE 21+	1,277	None	4,222	None	240	None	403	None	695	None	1,703	None	727	None	727	None
1982194205	ZOMA ODY	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982248944	AOYAGI NOZOMI	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982248944	AOYAGI NOZOMI	2021	FFS	RENDERING	AGE 21+	13	None	54	None	None	1	None	1	None	1	None	2	None	1	None	1
1982296612	NIU CHRISTOPHER	2021	FFS	RENDERING	AGE 0-20	1,270	None	9,991	None	1,161	None	3,372	None	852	None	1,983	None	1,156	None	1,225	None
1982296612	NIU CHRISTOPHER	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982296612	NIU CHRISTOPHER	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982603551	GONZALEZ-MENDEZ DAVID	2021	FFS	RENDERING	AGE 0-20	44	None	173	None	19	None	28	None	20	None	70	None	28	None	28	None
1982603551	GONZALEZ-MENDEZ DAVID	2021	FFS	RENDERING	AGE 21+	74	None	218	None	None	1	None	1	38	None	117	None	46	None	46	None
1982611646	HAMADA DAVID Z	2021	FFS	RENDERING	AGE 0-20	24	None	55	None	0	None	0	None	24	None	54	None	0	None	0	None
1982611646	HAMADA DAVID Z	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1982611810	BUI, HIEN QUANG DMD	2021	FFS	RENDERING	AGE 0-20	43	None	459	None	39	None	137	None	14	None	27	None	39	None	57	None
1982611810	BUI, HIEN QUANG DMD	2021	FFS	RENDERING	AGE 21+	189	None	1,675	None	127	None	239	None	96	None	392	None	155	None	155	None
1982614095	NARULA GURDIP S	2021	FFS	RENDERING	AGE 0-20	93	None	1,259	None	75	None	193	None	55	None	147	None	72	None	82	None
1982614095	NARULA GURDIP S	2021	FFS	RENDERING	AGE 21+	344	None	3,351	None	124	None	214	None	279	None	983	None	133	None	135	None
1982615910	MEHTA MAHENDRAKUMA	2021	FFS	RENDERING	AGE 0-20	50	None	589	None	34	None	100	None	25	None	70	None	47	None	62	None
1982615910	MEHTA MAHENDRAKUMA	2021	FFS	RENDERING	AGE 21+	134	None	775	None	27	None	27	None	98	None	428	None	80	None	80	None
1982615910	MEHTA MAHENDRAKUMA	2021	PHP	RENDERING	AGE 0-20	48	None	427	None	33	None	63	None	15	None	44	None	45	None	48	None
1982615910	MEHTA MAHENDRAKUMA	2021	PHP	RENDERING	AGE 21+	54	None	388	None	None	1	None	1	27	None	108	None	45	None	46	None
1982625141	CLIBON GREGORY D	2021	FFS	RENDERING	AGE 0-20	35	None	181	None	28	None	63	None	11	None	20	None	23	None	23	None
1982625141	CLIBON GREGORY D	2021	FFS	RENDERING	AGE 21+	122	None	659	None	28	None	28	None	79	None	316	None	95	None	95	None
1982625711	LEE SUNGHO	2021	FFS	RENDERING	AGE 0-20	234	None	1,853	None	217	None	768	None	105	None	363	None	219	None	272	None
1982625711	LEE SUNGHO	2021	FFS	RENDERING	AGE 21+	494	None	3,658	None	312	None	621	None	373	None	1,830	None	381	None	381	None
1982643110	KIM JONE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1982662490	CHEUNG, MATTHEW C, DDS	2021	FFS	RENDERING	AGE 0-20	38	None	311	None	35	None	76	None	33	None	104	None	36	None	41	None
1982662490	CHEUNG, MATTHEW C, DDS	2021	FFS	RENDERING	AGE 21+	173	None	1,532	None	119	None	119	None	171	None	826	None	137	None	137	None
1982667234	MENDOZA, LIDIA A, DDS	2021	FFS	RENDERING	AGE 0-20	772	None	9,490	None	523	None	1,267	None	559	None	2,858	None	514	None	547	None
1982674529	KAPLAN GREGORY D	2021	FFS	RENDERING	AGE 0-20	180	None	764	None	131	None	204	None	73	None	156	None	111	None	111	None
1982674529	KAPLAN GREGORY D	2021	FFS	RENDERING	AGE 21+	726	None	2,895	None	345	None	345	None	341	None	727	None	479	None	479	None
1982674529	KAPLAN GREGORY D	2021	PHP	RENDERING	AGE 0-20	184	None	1,025	None	170	None	321	None	61	None	160	None	108	None	108	None
1982674529	KAPLAN GREGORY D	2021	PHP	RENDERING	AGE 21+	340	None	2,286	None	253	None	432	None	182	None	499	None	246	None	247	None
1982675963	TRAN VINH N	2021	FFS	RENDERING	AGE 0-20	295	None	2,496	None	247	None	603	None	90	None	201	None	248	None	278	None
1982675963	TRAN VINH N	2021	FFS	RENDERING	AGE 21+	232	None	1,118	None	113	None	220	None	89	None	215	None	158	None	159	None
1982689998	KULLAR AMRIT P	2021	FFS	RENDERING	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1982704524	BARSAM RAFFI	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1982705133	ORTIZ ANA R	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982707907	DEZA, ROCIO DE JESUS, DDS	2021	FFS	RENDERING	AGE 0-20	484	None	13,533	None	350	None	3,975	None	277	None	1,764	None	313	None	978	None
1982707907	DEZA, ROCIO DE JESUS, DDS	2021	FFS	RENDERING	AGE 21+	331	None	6,444	None	105	None	621	None	236	None	1,965	None	124	None	372	None
1982712741	KRUPP JEFFREY D.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982713137	PATEL, KETAN C, DDS	2021	FFS	RENDERING	AGE 0-20	35	None	485	None	32	None	136	None	13	None	47	None	34	None	39	None
1982713137	PATEL, KETAN C, DDS	2021	FFS	RENDERING	AGE 21+	137	None	843	None	81	None	159	None	64	None	238	None	126	None	126	None
1982723631	QUACH, ANH-THU THI DDS	2021	FFS	RENDERING	AGE 0-20	103	None	860	None	100	None	233	None	24	None	74	None	91	None	108	None
1982723631	QUACH, ANH-THU THI DDS	2021	FFS	RENDERING	AGE 21+	220	None	1,539	None	157	None	187	None	147	None	707	None	124	None	125	None
1982726196	SARMICANIC, MARIAM, DMD	2021	FFS	RENDERING	AGE 0-20	33	None	238	None	28	None	35	None	11	None	24	None	28	None	35	None
1982726196	SARMICANIC, MARIAM, DMD	2021	FFS	RENDERING	AGE 21+	307	None	1,798	None	155	None	155	None	219	None	599	None	132	None	132	None
1982729778	KOLODNER TATYANA	2021	FFS	RENDERING	AGE 0-20	22	None	114	None	18	None	50	None	None	1	None	2	18	None	19	None
1982729778	KOLODNER TATYANA	2021	FFS	RENDERING	AGE 21+	76	None	300	None	54	None	54	None	47	None	135	None	47	None	47	None
1982733200	LI CATHERINE C	2021	FFS	RENDERING	AGE 0-20	183	None	1,321	None	164	None	501	None	63	None	135	None	165	None	183	None
1982733200	LI CATHERINE C	2021	FFS	RENDERING	AGE 21+	252	None	1,436	None	171	None	344	None	145	None	445	None	184	None	186	None
1982734364	LEE, JAE JIN, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982734364	LEE, JAE JIN, DDS	2021	FFS	RENDERING	AGE 21+	26	None	70	None	0	None	0	None	26	None	70	None	0	None	0	None
1982735940	COHEN GIANNI G	2021	FFS	RENDERING	AGE 0-20	156	None	1,013	None	101	None	250	None	81	None	194	None	101	None	105	None
1982735940	COHEN GIANNI G	2021	FFS	RENDERING	AGE 21+	49	None	351	None	37	None	74	None	24	None	60	None	39	None	39	None
1982736567	RAMOS, MARJORIE	2021	FFS	RENDERING	AGE 0-20	148	None	1,203	None	128	None	354	None	71	None	310	None	108	None	112	None
1982736567	RAMOS, MARJORIE	2021	FFS	RENDERING	AGE 21+	190	None	1,031	None	46	None	68	None	108	None	444	None	122	None	123	None
1982740296	ALVISSE CARLO S	2021	FFS	RENDERING	AGE 0-20	91	None	594	None	76	None	213	None	36	None	116	None	77	None	88	None
1982740296	ALVISSE CARLO S	2021	FFS	RENDERING	AGE 21+	228	None	1,251	None	122	None	122	None	162	None	569	None	140	None	142	None
1982740940	IBARRA LILIANA	2021	FFS	RENDERING	AGE 0-20	35	None	390	None	30	None	127	None	None	1	None	2	32	None	39	None
1982740940	IBARRA LILIANA	2021	FFS	RENDERING	AGE 21+	124	None	826	None	58	None	107	None	90	None	212	None	55	None	55	None
1982742466	FAISON, ALPONSO	2021	FFS	RENDERING	AGE 0-20	52	None	305	None	29	None	88	None	25	None	58	None	23	None	23	None
1982742466	FAISON, ALPONSO	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982742466	FAISON, ALPONSO	2021	PHP	RENDERING	AGE 0-20	21	None	73	None	None	1	None	2	15	None	15	None	None	1	None	1
1982742466	FAISON, ALPONSO	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982747671	FAMILY HEALTH CENTERS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1982749297	PHAM, DUNG Q, DDS	2021	FFS	RENDERING	AGE 0-20	256	None	1,781	None	240	None	686	None	71	None	223	None	240	None	312	None
1982749297	PHAM, DUNG Q, DDS	2021	FFS	RENDERING	AGE 21+	435	None	2,480	None	343	None	670	None	147	None	337	None	384	None	387	None
1982750741	BOOSTANFAR, SIMA, DMD	2021	FFS	RENDERING	AGE 0-20	19	None	65	None	17	None	37	None	None	1	None	1	14	None	14	None
1982750741	BOOSTANFAR, SIMA, DMD	2021	FFS	RENDERING	AGE 21+	66	None	218	None	21	None	23	None	24	None	55	None	35	None	35	None
1982750741	BOOSTANFAR, SIMA, DMD	2021	PHP	RENDERING	AGE 0-20	24	None	99	None	19	None	50	None	None	1	None	1	24	None	27	None
1982750741	BOOSTANFAR, SIMA, DMD	2021	PHP	RENDERING	AGE 21+	46	None	143	None	29	None	32	None	None	1	None	2	45	None	49	None
1982751541	VILLARAMA, EMERITO Y, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1982751541	VILLARAMA, EMERITO Y, DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1982754016	KANEMARU, KURTIS S, DDS	2021	FFS	RENDERING	AGE 0-20	12	None	90	None	11	None	39	None	None	1	None	2	11	None	11	None
1982754016	KANEMARU, KURTIS S, DDS	2021	FFS	RENDERING	AGE 21+	12	None	62	None	11	None	11	None	None	1	None	2	None	1	None	1
1982754180	KINERET STEPHEN E	2021	FFS	RENDERING	AGE 0-20	79	None	129	None	0	None	0	None	14	None	55	None	0	None	0	None
1982755419	HERFORD, ALAN S MD	2021	FFS	RENDERING	AGE 0-20	395	None	1,529	None	0	None	0	None	322	None	1,216	None	77	None	77	None
1982755419	HERFORD, ALAN S MD	2021	FFS	RENDERING	AGE 21+	614	None	2,272	None	0	None	0	None	490	None	1,901	None	65	None	65	None
1982755591	LE, MAI T, DDS	2021	FFS	RENDERING	AGE 0-20	611	None	6,051	None	488	None	1,158	None	293	None	897	None	560	None	612	None
1982755591	LE, MAI T, DDS	2021	FFS	RENDERING	AGE 21+	339	None	2,502	None	195	None	384	None	232	None	916	None	282	None	282	None
1982755591	LE, MAI T, DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982755591	LE, MAI T, DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1982759163	NGUYEN MINHTHU T	2021	FFS	RENDERING	AGE 0-20	1,081	None	11,869	None	842	None	2,601	None	750	None	2,962	None	749	None	813	None
1982759163	NGUYEN MINHTHU T	2021	FFS	RENDERING	AGE 21+	163	None	754	None	41	None	81	None	119	None	285	None	59	None	59	None
1982759163	NGUYEN MINHTHU T	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982759866	RAYGADA JAVIER	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982762985	NIKNAFS KOUROSH	2021	FFS	RENDERING	AGE 0-20	177	None	847	None	133	None	411	None	71	None	142	None	91	None	92	None
1982762985	NIKNAFS KOUROSH	2021	FFS	RENDERING	AGE 21+	304	None	1,139	None	61	None	106	None	226	None	841	None	70	None	70	None
1982762985	NIKNAFS KOUROSH	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1982762985	NIKNAFS KOUROSH	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982763223	GO STEVEN F	2021	FFS	RENDERING	AGE 0-20	17	None	112	None	None	1	None	2	12	None	64	None	12	None	13	None
1982763223	GO STEVEN F	2021	FFS	RENDERING	AGE 21+	40	None	181	None	25	None	26	None	20	None	81	None	31	None	31	None
1982765194	BARAKAT, ROBERT	2021	FFS	RENDERING	AGE 0-20	198	None	1,066	None	160	None	364	None	74	None	168	None	166	None	187	None
1982765194	BARAKAT, ROBERT	2021	FFS	RENDERING	AGE 21+	625	None	3,148	None	309	None	624	None	400	None	1,071	None	407	None	407	None
1982765194	BARAKAT, ROBERT	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982765194	BARAKAT, ROBERT H, DDS	2021	FFS	RENDERING	AGE 0-20	198	None	1,066	None	160	None	364	None	74	None	168	None	166	None	187	None
1982765194	BARAKAT, ROBERT H, DDS	2021	FFS	RENDERING	AGE 21+	625	None	3,148	None	309	None	624	None	400	None	1,071	None	407	None	407	None
1982765194	BARAKAT, ROBERT H, DDS	2021	GMC	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982772240	BAE PETER H	2021	FFS	RENDERING	AGE 0-20	175	None	1,854	None	154	None	427	None	101	None	237	None	159	None	159	None
1982772240	BAE PETER H	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982772737	FAGIN-HUTCHINGS MARK	2021	FFS	RENDERING	AGE 0-20	492	None	946	None	0	None	0	None	149	None	427	None	0	None	0	None
1982772737	FAGIN-HUTCHINGS MARK	2021	FFS	RENDERING	AGE 21+	13	None	13	None	0	None	0	None	0	None	0	None	0	None	0	None
1982772737	FAGIN-HUTCHINGS MARK	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982777058	RAMBHATLA SAROJINI K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982777058	RAMBHATLA SAROJINI K	2021	FFS	RENDERING	AGE 21+	109	None	251	None	0	None	0	None	106	None	237	None	14	None	14	None
1982777918	KIM, JOHN	2021	FFS	RENDERING	AGE 0-20	749	None	8,542	None	643	None	1,882	None	439	None	1,451	None	644	None	659	None
1982777918	KIM, JOHN	2021	FFS	RENDERING	AGE 21+	81	None	629	None	44	None	87	None	45	None	136	None	53	None	53	None
1982777918	KIM, JOHN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982778981	LEE HYUN YONG	2021	FFS	RENDERING	AGE 0-20	268	None	2,925	None	249	None	1,098	None	104	None	261	None	252	None	379	None
1982778981	LEE HYUN YONG	2021	FFS	RENDERING	AGE 21+	111	None	809	None	79	None	150	None	68	None	185	None	87	None	87	None
1982788626	COLBERT EARL J	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1982791786	TRAN KEN N	2021	FFS	RENDERING	AGE 0-20	934	None	4,825	None	685	None	1,583	None	417	None	976	None	679	None	741	None
1982791786	TRAN KEN N	2021	FFS	RENDERING	AGE 21+	1,413	None	5,839	None	553	None	1,105	None	1,009	None	2,450	None	597	None	597	None
1982792115	AGHA, MAISSA RSTOUM DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982793204	HAMEED ZAINAB M	2021	FFS	RENDERING	AGE 0-20	294	None	2,170	None	215	None	643	None	77	None	221	None	227	None	238	None
1982793204	HAMEED ZAINAB M	2021	FFS	RENDERING	AGE 21+	423	None	1,560	None	110	None	190	None	149	None	438	None	299	None	306	None
1982799276	NARGIZYAN HOVSEP	2021	FFS	RENDERING	AGE 0-20	806	None	6,094	None	364	None	868	None	410	None	989	None	559	None	588	None
1982799276	NARGIZYAN HOVSEP	2021	FFS	RENDERING	AGE 21+	2,152	None	11,152	None	493	None	496	None	1,319	None	3,881	None	1,327	None	1,327	None
1982814745	ALTAMED COMM HEALTH CLIN	2021	PHP	RENDERING	AGE 0-20	241	None	11,128	None	225	None	4,696	None	231	None	1,612	None	186	None	756	None
1982814745	ALTAMED COMM HEALTH CLIN	2021	PHP	RENDERING	AGE 21+	119	None	3,840	None	68	None	984	None	77	None	1,132	None	66	None	268	None
1982821666	KIM JAMES M	2021	FFS	RENDERING	AGE 0-20	1,061	None	13,181	None	975	None	2,695	None	705	None	2,518	None	949	None	982	None
1982821666	KIM JAMES M	2021	FFS	RENDERING	AGE 21+	53	None	442	None	31	None	62	None	27	None	95	None	37	None	37	None
1982823134	TRAN-VIET THUC	2021	FFS	RENDERING	AGE 0-20	136	None	1,275	None	109	None	398	None	86	None	190	None	105	None	124	None
1982823134	TRAN-VIET THUC	2021	FFS	RENDERING	AGE 21+	321	None	1,899	None	134	None	203	None	272	None	759	None	169	None	169	None
1982823134	TRAN-VIET THUC	2021	PHP	RENDERING	AGE 0-20	57	None	522	None	55	None	141	None	57	None	92	None	55	None	71	None
1982823134	TRAN-VIET THUC	2021	PHP	RENDERING	AGE 21+	83	None	652	None	57	None	88	None	82	None	200	None	58	None	62	None
1982823274	CHU WAI CHEUNG	2021	FFS	RENDERING	AGE 0-20	190	None	2,149	None	125	None	511	None	144	None	446	None	150	None	179	None
1982823274	CHU WAI CHEUNG	2021	FFS	RENDERING	AGE 21+	632	None	5,278	None	391	None	767	None	487	None	1,397	None	469	None	469	None
1982827572	NGUYEN, NHUNG NANCY DR	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982827572	NGUYEN, NHUNG NANCY DR	2021	FFS	RENDERING	AGE 21+	71	None	383	None	45	None	45	None	56	None	187	None	46	None	46	None
1982827762	TING, M M, DDS	2021	FFS	RENDERING	AGE 0-20	138	None	697	None	106	None	137	None	69	None	190	None	121	None	137	None
1982827762	TING, M M, DDS	2021	FFS	RENDERING	AGE 21+	811	None	5,484	None	575	None	579	None	500	None	2,169	None	670	None	674	None
1982849477	DEER JR EDWIN W	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1982852059	KARUNAKARAN PAULINE M	2021	GMC	RENDERING	AGE 0-20	14	None	37	None	13	None	31	None	None	1	None	1	None	1	None	1
1982852059	KARUNAKARAN PAULINE M	2021	GMC	RENDERING	AGE 21+	33	None	91	None	19	None	29	None	19	None	49	None	None	1	None	1
1982859914	BAHRAMI, NAVID, DDS	2021	FFS	RENDERING	AGE 0-20	11	None	104	None	None	1	None	2	None	1	None	1	None	1	None	1
1982859914	BAHRAMI, NAVID, DDS	2021	FFS	RENDERING	AGE 21+	25	None	188	None	19	None	19	None	15	None	67	None	16	None	16	None
1982861894	PAK JONGSON	2021	FFS	RENDERING	AGE 0-20	14	None	90	None	12	None	30	None	None	1	None	1	12	None	14	None
1982861894	PAK JONGSON	2021	FFS	RENDERING	AGE 21+	76	None	333	None	42	None	74	None	36	None	85	None	58	None	58	None
1982867271	HAJARIAN, HAMID CYRUS, DDS	2021	FFS	RENDERING	AGE 0-20	127	None	771	None	0	None	0	None	88	None	548	None	110	None	110	None
1982867271	HAJARIAN, HAMID CYRUS, DDS	2021	FFS	RENDERING	AGE 21+	258	None	1,225	None	0	None	0	None	119	None	755	None	226	None	226	None
1982883575	PETROPOULOS VICKI C	2021	FFS	RENDERING	AGE 21+	259	None	939	None	50	None	86	None	187	None	389	None	102	None	104	None
1982886875	BAY JR MANOJ S	2021	FFS	RENDERING	AGE 0-20	81	None	445	None	57	None	158	None	33	None	96	None	54	None	56	None
1982886875	BAY JR MANOJ S	2021	FFS	RENDERING	AGE 21+	170	None	541	None	56	None	70	None	86	None	227	None	94	None	94	None
1982886875	BAY JR MANOJ S	2021	PHP	RENDERING	AGE 0-20	18	None	126	None	14	None	47	None	None	1	None	2	14	None	14	None
1982886875	BAY JR MANOJ S	2021	PHP	RENDERING	AGE 21+	68	None	245	None	40	None	43	None	22	None	62	None	56	None	58	None
1982894804	BLANCO NUBIA A	2021	FFS	RENDERING	AGE 0-20	89	None	885	None	67	None	179	None	49	None	159	None	72	None	82	None
1982894804	BLANCO NUBIA A	2021	FFS	RENDERING	AGE 21+	167	None	1,110	None	51	None	65	None	99	None	286	None	112	None	112	None
1982894804	BLANCO NUBIA A	2021	PHP	RENDERING	AGE 0-20	18	None	64	None	None	1	None	2	None	1	None	1	None	1	None	1
1982894804	BLANCO NUBIA A	2021	PHP	RENDERING	AGE 21+	40	None	138	None	12	None	15	None	15	None	28	None	21	None	22	None
1982897534	VONGPHOE MICHAEL O	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982897872	TAVAKOL NILOO	2021	FFS	RENDERING	AGE 0-20	91	None	1,263	None	87	None	271	None	31	None	100	None	90	None	128	None
1982897872	TAVAKOL NILOO	2021	FFS	RENDERING	AGE 21+	96	None	661	None	69	None	129	None	36	None	73	None	73	None	73	None
1982903084	ARJMANDI MOJGAN	2021	FFS	RENDERING	AGE 0-20	30	None	203	None	27	None	78	None	23	None	56	None	None	1	None	1
1982903084	ARJMANDI MOJGAN	2021	FFS	RENDERING	AGE 21+	120	None	640	None	95	None	179	None	52	None	151	None	103	None	104	None
1982915799	XU SHAUN XUN	2021	FFS	RENDERING	AGE 0-20	55	None	455	None	46	None	144	None	26	None	79	None	52	None	61	None
1982915799	XU SHAUN XUN	2021	FFS	RENDERING	AGE 21+	132	None	901	None	83	None	166	None	100	None	420	None	100	None	100	None
1982922373	SAADIA A RANA, DDS, INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982922993	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 0-20	31	None	94	None	19	None	46	None	12	None	22	None	None	1	None	1
1982922993	ISSUED IN ERROR	2021	FFS	RENDERING	AGE 21+	91	None	292	None	35	None	53	None	58	None	103	None	27	None	27	None
1982937322	DR JEFFREY A SALADIN DENTAL	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1982943510	REAMS DOUGLAS H	2021	FFS	RENDERING	AGE 0-20	19	None	96	None	None	1	None	2	12	None	17	None	14	None	20	None
1982943510	REAMS DOUGLAS H	2021	FFS	RENDERING	AGE 21+	128	None	743	None	45	None	45	None	97	None	213	None	80	None	80	None
1982952198	PARK OLIVIA J	2021	FFS	RENDERING	AGE 0-20	450	None	5,799	None	418	None	1,245	None	307	None	1,148	None	360	None	474	None
1982952198	PARK OLIVIA J	2021	FFS	RENDERING	AGE 21+	333	None	2,842	None	207	None	401	None	249	None	1,112	None	251	None	251	None
1982958039	MAHESHWARI MUKESH K	2021	FFS	RENDERING	AGE 0-20	1,535	None	6,824	None	745	None	1,770	None	193	None	472	None	1,433	None	1,683	None
1982958039	MAHESHWARI MUKESH K	2021	FFS	RENDERING	AGE 21+	2,337	None	6,200	None	213	None	420	None	253	None	616	None	1,841	None	1,843	None
1982958930	NAYYAR NAMRATA	2021	FFS	RENDERING	AGE 0-20	95	None	468	None	64	None	81	None	88	None	268	None	61	None	62	None
1982958930	NAYYAR NAMRATA	2021	FFS	RENDERING	AGE 21+	571	None	2,899	None	190	None	200	None	525	None	1,784	None	322	None	322	None
1982962023	MESHKINFAM, BENJAMIN DDS	2021	FFS	RENDERING	AGE 0-20	401	None	4,389	None	364	None	1,312	None	194	None	718	None	388	None	537	None
1982962023	MESHKINFAM, BENJAMIN DDS	2021	FFS	RENDERING	AGE 21+	667	None	5,186	None	298	None	558	None	529	None	2,537	None	449	None	452	None
1982962023	MESHKINFAM, BENJAMIN DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1982964797	SEYEDEIN FARSHAD	2021	FFS	RENDERING	AGE 0-20	140	None	482	None	0	None	0	None	97	None	181	None	131	None	131	None
1982964797	SEYEDEIN FARSHAD	2021	FFS	RENDERING	AGE 21+	909	None	3,478	None	0	None	0	None	585	None	1,297	None	795	None	797	None
1982964797	SEYEDEIN FARSHAD	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1982964797	SEYEDEIN FARSHAD	2021	PHP	RENDERING	AGE 21+	31	None	81	None	0	None	0	None	17	None	24	None	26	None	26	None
1982981957	RAZI MIRIAM N	2021	FFS	RENDERING	AGE 0-20	90	None	526	None	38	None	104	None	75	None	229	None	17	None	17	None
1982986022	MARSHALL MELANIE D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1982986022	MARSHALL MELANIE D	2021	FFS	RENDERING	AGE 21+	211	None	644	None	34	None	34	None	199	None	426	None	118	None	118	None
1982986022	MARSHALL MELANIE D	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1992007512	KAMBOJ ANEIL P	2021	FFS	RENDERING	AGE 0-20	68	None	1,037	None	40	None	95	None	66	None	775	None	None	1	None	1
1992008080	MORGAN JASON H	2021	FFS	RENDERING	AGE 0-20	196	None	1,469	None	147	None	417	None	105	None	318	None	142	None	161	None
1992008080	MORGAN JASON H	2021	FFS	RENDERING	AGE 21+	499	None	2,586	None	98	None	109	None	347	None	1,120	None	294	None	294	None
1992009963	LEE, WOO YONG DDS	2021	FFS	RENDERING	AGE 0-20	1,059	None	14,653	None	983	None	3,572	None	588	None	1,950	None	986	None	1,114	None
1992009963	LEE, WOO YONG DDS	2021	FFS	RENDERING	AGE 21+	574	None	5,621	None	262	None	528	None	390	None	1,542	None	425	None	426	None
1992012074	AWASTHI MOHANA	2021	FFS	RENDERING	AGE 0-20	61	None	456	None	53	None	173	None	32	None	111	None	56	None	57	None
1992012074	AWASTHI MOHANA	2021	FFS	RENDERING	AGE 21+	215	None	1,013	None	154	None	302	None	105	None	282	None	184	None	184	None
1992013080	SHIN SANG G	2021	FFS	RENDERING	AGE 0-20	703	None	13,120	None	599	None	1,977	None	352	None	1,208	None	676	None	891	None
1992013080	SHIN SANG G	2021	FFS	RENDERING	AGE 21+	697	None	7,556	None	220	None	427	None	479	None	1,861	None	559	None	559	None
1992019319	PATEL, JALPA DMD	2021	FFS	RENDERING	AGE 0-20	1,170	None	14,027	None	1,069	None	3,777	None	693	None	2,156	None	1,068	None	1,384	None
1992019319	PATEL, JALPA DMD	2021	FFS	RENDERING	AGE 21+	399	None	2,718	None	220	None	418	None	280	None	1,136	None	330	None	331	None
1992020978	NELSON VERNE WILLIS B	2021	FFS	RENDERING	AGE 0-20	23	None	456	None	16	None	44	None	23	None	323	None	0	None	0	None
1992030209	NGUYEN HUY JUSTIN D	2021	FFS	RENDERING	AGE 21+	19	None	65	None	None	1	None	1	18	None	60	None	None	1	None	1
1992030415	KARTOUNIAN ANI A	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1992030415	KARTOUNIAN ANI A	2021	PHP	RENDERING	AGE 0-20	68	None	571	None	57	None	254	None	40	None	86	None	51	None	56	None
1992030415	KARTOUNIAN ANI A	2021	PHP	RENDERING	AGE 21+	148	None	955	None	105	None	255	None	101	None	324	None	97	None	99	None
1992057202	NOH GRACE	2021	FFS	RENDERING	AGE 0-20	37	None	66	None	0	None	0	None	20	None	38	None	None	1	None	1
1992057202	NOH GRACE	2021	FFS	RENDERING	AGE 21+	100	None	299	None	0	None	0	None	95	None	286	None	None	1	None	1
1992057202	NOH GRACE	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992059729	TAHERI MARJAN	2021	FFS	RENDERING	AGE 0-20	163	None	1,174	None	121	None	391	None	102	None	180	None	120	None	126	None
1992059729	TAHERI MARJAN	2021	FFS	RENDERING	AGE 21+	349	None	1,673	None	114	None	226	None	238	None	677	None	178	None	179	None
1992059729	TAHERI MARJAN	2021	PHP	RENDERING	AGE 0-20	358	None	3,286	None	300	None	1,309	None	236	None	489	None	288	None	331	None
1992059729	TAHERI MARJAN	2021	PHP	RENDERING	AGE 21+	314	None	1,971	None	204	None	486	None	194	None	638	None	199	None	201	None
1992066435	HYUNG-JU JOHN KIM DDS INC	2021	FFS	RENDERING	AGE 0-20	13	None	51	None	None	1	None	2	11	None	29	None	0	None	0	None
1992066435	KIM, HYUNG-JU JOHN, DDS INC	2021	FFS	RENDERING	AGE 0-20	13	None	51	None	None	1	None	2	11	None	29	None	0	None	0	None
1992072060	FUENTES COLASSE JESSICA V	2021	FFS	RENDERING	AGE 0-20	162	None	738	None	148	None	365	None	21	None	35	None	139	None	154	None
1992072060	FUENTES COLASSE JESSICA V	2021	FFS	RENDERING	AGE 21+	183	None	516	None	93	None	170	None	88	None	117	None	99	None	99	None
1992079081	WHITLEY JOHN C	2021	FFS	RENDERING	AGE 0-20	507	None	4,389	None	401	None	1,211	None	226	None	702	None	435	None	544	None
1992079081	WHITLEY JOHN C	2021	FFS	RENDERING	AGE 21+	731	None	4,162	None	172	None	204	None	497	None	1,854	None	499	None	500	None
1992079081	WHITLEY JOHN C	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	1
1992079081	WHITLEY JOHN C	2021	PHP	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1992079586	VALDEZ VIVIAN M	2021	FFS	RENDERING	AGE 0-20	17	None	86	None	11	None	23	None	None	1	None	2	None	1	None	1
1992079594	VALDEZ VANESSA M	2021	FFS	RENDERING	AGE 0-20	17	None	79	None	14	None	23	None	None	1	None	2	None	1	None	1
1992090856	DHARMA KANCHAN H	2021	FFS	RENDERING	AGE 0-20	125	None	1,072	None	107	None	294	None	75	None	172	None	108	None	130	None
1992090856	DHARMA KANCHAN H	2021	FFS	RENDERING	AGE 21+	153	None	846	None	62	None	123	None	89	None	285	None	86	None	86	None
1992103642	KIM PEACE P	2021	FFS	RENDERING	AGE 0-20	27	None	120	None	25	None	55	None	None	1	None	2	25	None	30	None
1992103642	KIM PEACE P	2021	FFS	RENDERING	AGE 21+	152	None	698	None	107	None	131	None	96	None	260	None	118	None	119	None
1992111223	KALAI RONEN	2021	FFS	RENDERING	AGE 0-20	2,940	None	36,584	None	2,581	None	8,936	None	1,643	None	6,186	None	2,658	None	3,403	None
1992111223	KALAI RONEN	2021	FFS	RENDERING	AGE 21+	16	None	88	None	None	1	None	1	None	1	None	1	11	None	11	None
1992111223	KALAI RONEN	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1992111637	KIM JANE G	2021	FFS	RENDERING	AGE 0-20	1,695	None	13,184	None	1,468	None	3,710	None	1,000	None	2,615	None	1,454	None	1,529	None
1992112940	ALKASEER MAAMON K	2021	FFS	RENDERING	AGE 0-20	188	None	1,002	None	None	1	None	1	129	None	302	None	120	None	120	None
1992112940	ALKASEER MAAMON K	2021	FFS	RENDERING	AGE 21+	866	None	3,848	None	None	1	None	2	650	None	1,658	None	428	None	428	None
1992121966	ISMATT FARYAL Z	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992121966	ISMATT FARYAL Z	2021	FFS	RENDERING	AGE 21+	25	None	106	None	None	1	None	2	13	None	46	None	13	None	13	None
1992127005	ROH GRACE S	2021	PHP	RENDERING	AGE 0-20	20	None	99	None	11	None	41	None	16	None	25	None	None	1	None	1
1992127005	ROH GRACE S	2021	PHP	RENDERING	AGE 21+	33	None	102	None	None	1	None	2	29	None	45	None	None	1	None	1
1992143663	BLECH STEVE M	2021	FFS	RENDERING	AGE 0-20	15	None	147	None	14	None	61	None	None	1	None	2	15	None	17	None
1992143663	BLECH STEVE M	2021	FFS	RENDERING	AGE 21+	73	None	560	None	51	None	102	None	49	None	205	None	63	None	63	None
1992157572	KWON TAE W	2021	FFS	RENDERING	AGE 0-20	2,009	None	5,533	None	0	None	0	None	984	None	2,488	None	0	None	0	None
1992179006	MIRZOYAN, YEGHISHEH, DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992192058	COHEN, JOHN, DDS DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	11	None	33	None	0	None	0	None	11	None	33	None	0	None	0	None
1992192058	JOHN COHEN D D S DENTAL CORPORATION	2021	FFS	RENDERING	AGE 0-20	11	None	33	None	0	None	0	None	11	None	33	None	0	None	0	None
1992193726	BODMAN RONA A	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992193726	BODMAN RONA A	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992193726	BODMAN RONA A	2021	PHP	RENDERING	AGE 0-20	147	None	1,048	None	97	None	342	None	132	None	173	None	78	None	78	None
1992193726	BODMAN RONA A	2021	PHP	RENDERING	AGE 21+	211	None	712	None	48	None	137	None	127	None	195	None	61	None	61	None
1992213623	LO LEE	2021	FFS	RENDERING	AGE 0-20	21	None	65	None	None	1	None	2	None	1	None	1	12	None	12	None
1992213623	LO LEE	2021	FFS	RENDERING	AGE 21+	128	None	312	None	None	1	None	2	30	None	65	None	79	None	79	None
1992213623	LO LEE	2021	GMC	RENDERING	AGE 0-20	234	None	1,483	None	145	None	558	None	134	None	390	None	175	None	189	None
1992213623	LO LEE	2021	GMC	RENDERING	AGE 21+	434	None	2,594	None	99	None	140	None	311	None	1,617	None	307	None	319	None
1992213623	LO LEE	2021	PHP	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992223440	MACHADO JESSICA P	2021	FFS	RENDERING	AGE 0-20	1,369	None	8,976	None	1,149	None	2,976	None	779	None	1,227	None	1,078	None	1,100	None
1992223440	MACHADO JESSICA P	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992242275	TADOKORO MIZUKI C	2021	FFS	RENDERING	AGE 0-20	68	None	578	None	32	None	103	None	35	None	85	None	52	None	53	None
1992242275	TADOKORO MIZUKI C	2021	FFS	RENDERING	AGE 21+	81	None	531	None	None	1	None	2	62	None	216	None	56	None	56	None
1992242275	TADOKORO MIZUKI C	2021	PHP	RENDERING	AGE 0-20	25	None	121	None	24	None	43	None	None	1	None	2	22	None	23	None
1992242275	TADOKORO MIZUKI C	2021	PHP	RENDERING	AGE 21+	25	None	135	None	17	None	24	None	19	None	66	None	16	None	16	None
1992250773	LUONG ELIZABETH	2021	FFS	RENDERING	AGE 0-20	84	None	623	None	71	None	215	None	23	None	57	None	73	None	91	None
1992250773	LUONG ELIZABETH	2021	FFS	RENDERING	AGE 21+	352	None	2,559	None	107	None	156	None	271	None	1,415	None	222	None	222	None
1992250773	LUONG ELIZABETH	2021	GMC	RENDERING	AGE 0-20	388	None	3,662	None	361	None	1,265	None	165	None	301	None	360	None	477	None
1992250773	LUONG ELIZABETH	2021	GMC	RENDERING	AGE 21+	430	None	3,542	None	200	None	324	None	317	None	1,453	None	318	None	327	None
1992279525	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1992279525	WESTERN DENTAL SERVICES INC	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992279525	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 0-20	865	None	5,851	None	524	None	1,675	None	75	None	103	None	648	None	665	None
1992279525	WESTERN DENTAL SERVICES INC	2021	GMC	RENDERING	AGE 21+	968	None	2,453	None	174	None	332	None	105	None	232	None	339	None	340	None
1992279525	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1992279525	WESTERN DENTAL SERVICES, INC.	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992279525	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 0-20	865	None	5,851	None	524	None	1,675	None	75	None	103	None	648	None	665	None
1992279525	WESTERN DENTAL SERVICES, INC.	2021	GMC	RENDERING	AGE 21+	968	None	2,453	None	174	None	332	None	105	None	232	None	339	None	340	None
1992280127	ADAMES, RENATA, DDS PROF DEN	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992289581	OBID RAHIJ	2021	FFS	RENDERING	AGE 0-20	36	None	255	None	22	None	71	None	26	None	89	None	31	None	31	None
1992289581	OBID RAHIJ	2021	FFS	RENDERING	AGE 21+	47	None	321	None	16	None	16	None	39	None	213	None	40	None	40	None
1992292007	EBRAHIMI NAHRIN V	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1992300628	SINGH SURDEEP	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1992303119	YOUNG NICHOLAS G	2021	FFS	RENDERING	AGE 0-20	17	None	76	None	None	1	None	2	12	None	21	None	None	1	None	1
1992303119	YOUNG NICHOLAS G	2021	FFS	RENDERING	AGE 21+	83	None	261	None	None	1	None	1	78	None	232	None	None	1	None	1
1992315998	PROSOLUPOVA TATYANA	2021	FFS	RENDERING	AGE 0-20	51	None	218	None	35	None	81	None	14	None	26	None	39	None	39	None
1992315998	PROSOLUPOVA TATYANA	2021	FFS	RENDERING	AGE 21+	98	None	282	None	None	1	None	2	45	None	97	None	53	None	55	None
1992315998	PROSOLUPOVA TATYANA	2021	PHP	RENDERING	AGE 0-20	31	None	85	None	22	None	35	None	None	1	None	2	23	None	25	None
1992315998	PROSOLUPOVA TATYANA	2021	PHP	RENDERING	AGE 21+	48	None	80	None	None	1	None	1	19	None	36	None	28	None	28	None
1992354237	QATTAN MAISSOUN Y	2021	FFS	RENDERING	AGE 0-20	17	None	78	None	16	None	38	None	None	1	None	1	12	None	17	None
1992354237	QATTAN MAISSOUN Y	2021	FFS	RENDERING	AGE 21+	43	None	171	None	23	None	37	None	29	None	112	None	11	None	11	None
1992367411	DESAI ROSHNI S	2021	FFS	RENDERING	AGE 0-20	541	None	3,799	None	137	None	288	None	537	None	2,345	None	30	None	31	None
1992367411	DESAI ROSHNI S	2021	FFS	RENDERING	AGE 21+	47	None	236	None	0	None	0	None	47	None	132	None	0	None	0	None
1992398432	GABRO RAGHEED A	2021	FFS	RENDERING	AGE 0-20	233	None	1,359	None	133	None	436	None	139	None	419	None	99	None	100	None
1992398432	GABRO RAGHEED A	2021	FFS	RENDERING	AGE 21+	614	None	2,244	None	111	None	213	None	399	None	1,132	None	240	None	240	None
1992398432	GABRO RAGHEED A	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992478267	MIKHAIL CHRISTINA M	2021	FFS	RENDERING	AGE 0-20	52	None	211	None	24	None	73	None	32	None	87	None	None	1	None	1
1992478267	MIKHAIL CHRISTINA M	2021	FFS	RENDERING	AGE 21+	135	None	404	None	29	None	51	None	104	None	263	None	18	None	18	None
1992478267	MIKHAIL CHRISTINA M	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1992478267	MIKHAIL CHRISTINA M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992703763	CAMPBELL, F.E.	2021	FFS	RENDERING	AGE 0-20	272	None	2,208	None	230	None	534	None	120	None	373	None	236	None	293	None
1992703763	CAMPBELL, F.E.	2021	FFS	RENDERING	AGE 21+	475	None	3,118	None	230	None	237	None	391	None	1,448	None	149	None	149	None
1992714273	KLEINSASSER, RICK J DDS	2021	FFS	RENDERING	AGE 0-20	3,332	None	26,674	None	3,085	None	8,713	None	1,779	None	3,486	None	2,903	None	3,114	None
1992714273	KLEINSASSER, RICK J DDS	2021	FFS	RENDERING	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1992723258	LIN KUEI-HUANG	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1992723258	LIN KUEI-HUANG	2021	FFS	RENDERING	AGE 21+	84	None	498	None	40	None	77	None	73	None	267	None	41	None	41	None
1992781611	SINGH HARJINDER	2021	FFS	RENDERING	AGE 0-20	397	None	1,353	None	None	1	None	1	229	None	628	None	351	None	354	None
1992781611	SINGH HARJINDER	2021	FFS	RENDERING	AGE 21+	1,674	None	6,686	None	0	None	0	None	1,215	None	3,496	None	1,492	None	1,500	None
1992797583	MACAOAY MARK C	2021	FFS	RENDERING	AGE 0-20	67	None	658	None	50	None	143	None	49	None	332	None	33	None	36	None
1992799613	CLAYMAN, LEWIS DDS MD	2021	FFS	RENDERING	AGE 0-20	300	None	1,922	None	0	None	0	None	282	None	1,840	None	42	None	42	None
1992799613	CLAYMAN, LEWIS DDS MD	2021	FFS	RENDERING	AGE 21+	665	None	4,300	None	0	None	0	None	503	None	3,597	None	348	None	356	None
1992801328	ANDRES-JAVIER MA LOURDES S	2021	FFS	RENDERING	AGE 0-20	106	None	722	None	85	None	250	None	52	None	164	None	98	None	105	None
1992801328	ANDRES-JAVIER MA LOURDES S	2021	FFS	RENDERING	AGE 21+	300	None	1,686	None	161	None	324	None	194	None	611	None	197	None	200	None
1992819593	TAYLOR AYONNA N	2021	FFS	RENDERING	AGE 0-20	11	None	73	None	None	1	None	2	None	1	None	1	11	None	11	None
1992819593	TAYLOR AYONNA N	2021	FFS	RENDERING	AGE 21+	83	None	641	None	49	None	75	None	65	None	315	None	54	None	54	None
1992820203	GRIGORIAN JACK H	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992823801	VU, TED KHOI, DDS	2021	FFS	RENDERING	AGE 0-20	106	None	876	None	70	None	165	None	50	None	162	None	70	None	72	None
1992823801	VU, TED KHOI, DDS	2021	FFS	RENDERING	AGE 21+	92	None	519	None	54	None	83	None	44	None	114	None	57	None	57	None
1992827828	AHN, MICHAEL M, DDS INC	2021	FFS	RENDERING	AGE 21+	15	None	31	None	0	None	0	None	13	None	14	None	None	1	None	1
1992828347	AKHAMZADEH SHERVIN	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992828347	AKHAMZADEH SHERVIN	2021	FFS	RENDERING	AGE 21+	74	None	244	None	0	None	0	None	74	None	244	None	0	None	0	None
1992828446	YU KYUNG S	2021	FFS	RENDERING	AGE 0-20	214	None	1,531	None	185	None	562	None	72	None	149	None	180	None	211	None
1992828446	YU KYUNG S	2021	FFS	RENDERING	AGE 21+	129	None	700	None	94	None	188	None	70	None	142	None	91	None	91	None
1992828446	YU KYUNG S	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1992828446	YU KYUNG S	2021	PHP	RENDERING	AGE 21+	13	None	82	None	None	1	None	2	None	1	None	2	11	None	14	None
1992830665	AU CLARENCE K	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1992830665	AU CLARENCE K	2021	FFS	RENDERING	AGE 21+	79	None	424	None	22	None	44	None	56	None	168	None	25	None	25	None
1992831408	DIAZ, ARCELI PEREZ	2021	FFS	RENDERING	AGE 0-20	339	None	3,787	None	327	None	1,325	None	137	None	481	None	325	None	432	None
1992831408	DIAZ, ARCELI PEREZ	2021	FFS	RENDERING	AGE 21+	511	None	4,088	None	334	None	670	None	366	None	1,417	None	339	None	343	None
1992831408	DIAZ, ARCELI PEREZ	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1992834840	PAUL TAHIR R	2021	FFS	RENDERING	AGE 0-20	5,083	None	90,171	None	4,653	None	21,589	None	2,947	None	14,320	None	4,749	None	7,533	None
1992834840	PAUL TAHIR R	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1992835235	PHAM, JACKLINE ANH-DAO, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	406	None	39	None	180	None	None	1	None	1	39	None	62	None
1992835235	PHAM, JACKLINE ANH-DAO, DDS	2021	FFS	RENDERING	AGE 21+	42	None	299	None	35	None	66	None	22	None	85	None	33	None	33	None
1992836217	HUANG SHIH-YUAN	2021	FFS	RENDERING	AGE 0-20	702	None	5,789	None	683	None	2,656	None	327	None	822	None	600	None	676	None
1992836217	HUANG SHIH-YUAN	2021	FFS	RENDERING	AGE 21+	222	None	1,014	None	103	None	206	None	161	None	323	None	110	None	110	None
1992836217	HUANG SHIH-YUAN	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992837652	RODRIGUEZ CRUZ, ALBERTO, DDS	2021	FFS	RENDERING	AGE 0-20	342	None	4,697	None	317	None	1,141	None	190	None	673	None	321	None	419	None
1992837652	RODRIGUEZ CRUZ, ALBERTO, DDS	2021	FFS	RENDERING	AGE 21+	417	None	4,550	None	288	None	609	None	322	None	1,517	None	288	None	294	None
1992837652	RODRIGUEZ, ALBERTO C	2021	FFS	RENDERING	AGE 0-20	342	None	4,697	None	317	None	1,141	None	190	None	673	None	321	None	419	None
1992837652	RODRIGUEZ, ALBERTO C	2021	FFS	RENDERING	AGE 21+	417	None	4,550	None	288	None	609	None	322	None	1,517	None	288	None	294	None
1992837652	UNKNOWN	2021	FFS	RENDERING	AGE 0-20	342	None	4,697	None	317	None	1,141	None	190	None	673	None	321	None	419	None
1992837652	UNKNOWN	2021	FFS	RENDERING	AGE 21+	417	None	4,550	None	288	None	609	None	322	None	1,517	None	288	None	294	None
1992840565	HUANG DANIEL C	2021	FFS	RENDERING	AGE 0-20	14	None	76	None	11	None	21	None	None	1	None	1	None	1	None	1
1992840565	HUANG DANIEL C	2021	FFS	RENDERING	AGE 21+	32	None	160	None	15	None	15	None	18	None	34	None	18	None	18	None
1992840920	ALEXANDER, LEONARDA DDS	2021	FFS	RENDERING	AGE 0-20	40	None	298	None	28	None	67	None	21	None	55	None	40	None	47	None
1992840920	ALEXANDER, LEONARDA DDS	2021	FFS	RENDERING	AGE 21+	185	None	1,641	None	117	None	203	None	139	None	860	None	147	None	149	None
1992840920	ALEXANDER, LEONARDA S, DDS	2021	FFS	RENDERING	AGE 0-20	40	None	298	None	28	None	67	None	21	None	55	None	40	None	47	None
1992840920	ALEXANDER, LEONARDA S, DDS	2021	FFS	RENDERING	AGE 21+	185	None	1,641	None	117	None	203	None	139	None	860	None	147	None	149	None
1992842421	NGUYEN, LY MAI, DDS	2021	FFS	RENDERING	AGE 0-20	71	None	904	None	71	None	252	None	16	None	42	None	71	None	90	None
1992842421	NGUYEN, LY MAI, DDS	2021	FFS	RENDERING	AGE 21+	26	None	167	None	26	None	26	None	None	1	None	2	26	None	26	None
1992843643	SADEGHI AMINOLLAH	2021	FFS	RENDERING	AGE 0-20	127	None	1,726	None	118	None	530	None	68	None	154	None	119	None	164	None
1992843643	SADEGHI AMINOLLAH	2021	FFS	RENDERING	AGE 21+	200	None	1,747	None	126	None	239	None	143	None	543	None	139	None	139	None
1992852206	FAELDAN, PARALUMAN V, DMD	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1992852206	FAELDAN, PARALUMAN V, DMD	2021	FFS	RENDERING	AGE 21+	43	None	185	None	21	None	22	None	34	None	82	None	19	None	19	None
1992856827	KO SUE E	2021	FFS	RENDERING	AGE 0-20	642	None	7,543	None	624	None	1,931	None	21	None	48	None	37	None	41	None
1992856827	KO SUE E	2021	FFS	RENDERING	AGE 21+	417	None	2,010	None	299	None	596	None	59	None	112	None	29	None	29	None
1992864011	ARCHIE THADDOUS L	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1992864011	ARCHIE THADDOUS L	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992864011	ARCHIE THADDOUS L	2021	GMC	RENDERING	AGE 0-20	201	None	1,158	None	191	None	535	None	47	None	95	None	189	None	193	None
1992864011	ARCHIE THADDOUS L	2021	GMC	RENDERING	AGE 21+	168	None	863	None	109	None	207	None	129	None	290	None	64	None	64	None
1992865711	GEORGIAN SONA	2021	FFS	RENDERING	AGE 0-20	20	None	94	None	15	None	20	None	None	1	None	2	18	None	19	None
1992865711	GEORGIAN SONA	2021	FFS	RENDERING	AGE 21+	36	None	171	None	21	None	21	None	16	None	51	None	29	None	29	None
1992868038	ESHAGHIAN, ROGER, DDS INC	2021	FFS	RENDERING	AGE 0-20	199	None	1,428	None	153	None	346	None	87	None	295	None	167	None	184	None
1992868038	ESHAGHIAN, ROGER, DDS INC	2021	FFS	RENDERING	AGE 21+	297	None	1,783	None	121	None	197	None	148	None	538	None	225	None	227	None
1992870356	CHOO, CHRISTOPHER C, DDS	2021	FFS	RENDERING	AGE 0-20	883	None	13,137	None	807	None	2,695	None	492	None	1,514	None	839	None	1,182	None
1992870356	CHOO, CHRISTOPHER C, DDS	2021	FFS	RENDERING	AGE 21+	89	None	629	None	44	None	75	None	46	None	104	None	42	None	42	None
1992873806	DONG KHAI VU D	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992873806	DONG KHAI VU D	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992875603	KIM LOUIS MIN K	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1992875603	KIM LOUIS MIN K	2021	FFS	RENDERING	AGE 21+	27	None	84	None	None	1	None	1	17	None	21	None	14	None	14	None
1992875603	KIM LOUIS MIN K	2021	GMC	RENDERING	AGE 0-20	908	None	7,109	None	818	None	3,004	None	489	None	820	None	803	None	1,026	None
1992875603	KIM LOUIS MIN K	2021	GMC	RENDERING	AGE 21+	882	None	4,871	None	543	None	1,190	None	553	None	1,438	None	520	None	530	None
1992880108	WITHAM BEVERLY ANN M	2021	FFS	RENDERING	AGE 0-20	22	None	133	None	19	None	60	None	None	1	None	2	21	None	23	None
1992880108	WITHAM BEVERLY ANN M	2021	FFS	RENDERING	AGE 21+	37	None	201	None	32	None	64	None	18	None	42	None	32	None	32	None
1992884431	CAMONES VICTOR R	2021	FFS	RENDERING	AGE 0-20	504	None	9,152	None	488	None	2,006	None	292	None	1,094	None	498	None	725	None
1992884431	CAMONES VICTOR R	2021	FFS	RENDERING	AGE 21+	427	None	4,250	None	359	None	720	None	265	None	885	None	388	None	390	None
1992886147	SEIN PETER T	2021	FFS	RENDERING	AGE 0-20	174	None	512	None	0	None	0	None	74	None	259	None	0	None	0	None
1992886147	SEIN PETER T	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1992886279	AZAD, MORRIS	2021	FFS	RENDERING	AGE 0-20	409	None	5,501	None	360	None	1,030	None	243	None	1,050	None	384	None	467	None
1992886279	AZAD, MORRIS	2021	FFS	RENDERING	AGE 21+	430	None	5,125	None	214	None	258	None	348	None	1,485	None	292	None	292	None
1992889448	GRIEVE, BRANDON L, DMD	2021	FFS	RENDERING	AGE 0-20	776	None	5,898	None	592	None	1,605	None	549	None	2,140	None	531	None	562	None
1992891790	PRABHU VIJAYA K	2021	FFS	RENDERING	AGE 0-20	86	None	530	None	71	None	197	None	33	None	104	None	74	None	84	None
1992891790	PRABHU VIJAYA K	2021	FFS	RENDERING	AGE 21+	305	None	1,655	None	117	None	146	None	208	None	746	None	220	None	220	None
1992892616	FARIBORZ RODEF DDS INC	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992892616	FARIBORZ RODEF DDS INC	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992894919	DAYANI, NADER, DDS	2021	FFS	RENDERING	AGE 0-20	16	None	32	None	0	None	0	None	0	None	0	None	0	None	0	None
1992898498	BUTAY NELSON S	2021	FFS	RENDERING	AGE 0-20	430	None	4,614	None	412	None	1,655	None	176	None	715	None	411	None	596	None
1992898498	BUTAY NELSON S	2021	FFS	RENDERING	AGE 21+	269	None	1,365	None	83	None	166	None	144	None	619	None	206	None	206	None
1992898621	LE TIFFANI T	2021	FFS	RENDERING	AGE 0-20	216	None	2,084	None	210	None	609	None	82	None	205	None	206	None	285	None
1992898621	LE TIFFANI T	2021	FFS	RENDERING	AGE 21+	157	None	810	None	117	None	117	None	72	None	153	None	46	None	46	None
1992900104	NGUYEN TAN Q	2021	FFS	RENDERING	AGE 0-20	18	None	76	None	None	1	None	2	13	None	32	None	None	1	None	1
1992900104	NGUYEN TAN Q	2021	FFS	RENDERING	AGE 21+	106	None	517	None	32	None	32	None	83	None	210	None	52	None	52	None
1992903553	BARDAKJIAN, KRIKOR, DDS	2021	FFS	RENDERING	AGE 0-20	97	None	902	None	77	None	181	None	54	None	266	None	85	None	91	None
1992903553	BARDAKJIAN, KRIKOR, DDS	2021	FFS	RENDERING	AGE 21+	532	None	4,844	None	318	None	608	None	398	None	2,744	None	395	None	395	None
1992905061	URREA JORGE A	2021	FFS	RENDERING	AGE 0-20	114	None	774	None	83	None	243	None	61	None	162	None	91	None	101	None
1992905061	URREA JORGE A	2021	FFS	RENDERING	AGE 21+	613	None	3,609	None	338	None	632	None	424	None	1,256	None	430	None	430	None
1992905806	HOANG, ANNIE-CRYSTALLINE A,	2021	FFS	RENDERING	AGE 0-20	180	None	2,756	None	173	None	996	None	74	None	590	None	169	None	434	None
1992906242	BIMBLI NIKOLIN S	2021	FFS	RENDERING	AGE 0-20	37	None	278	None	30	None	75	None	22	None	83	None	28	None	29	None
1992906242	BIMBLI NIKOLIN S	2021	FFS	RENDERING	AGE 21+	113	None	630	None	47	None	47	None	73	None	286	None	84	None	84	None
1992907265	DALAL ALPA A	2021	FFS	RENDERING	AGE 0-20	406	None	3,568	None	378	None	1,349	None	122	None	264	None	380	None	542	None
1992907265	DALAL ALPA A	2021	FFS	RENDERING	AGE 21+	514	None	3,085	None	348	None	687	None	278	None	743	None	404	None	404	None
1992907547	IDO-BACHOUR HOUDA	2021	FFS	RENDERING	AGE 0-20	1,211	None	12,500	None	1,195	None	4,623	None	495	None	985	None	1,194	None	1,813	None
1992907547	IDO-BACHOUR HOUDA	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1992907737	ESHAGH ZADEH BIJAN	2021	FFS	RENDERING	AGE 0-20	149	None	1,576	None	138	None	385	None	110	None	411	None	138	None	187	None
1992907737	ESHAGH ZADEH BIJAN	2021	FFS	RENDERING	AGE 21+	230	None	1,729	None	174	None	328	None	163	None	676	None	186	None	186	None
1992908156	SAYED MARK K M	2021	FFS	RENDERING	AGE 0-20	27	None	65	None	0	None	0	None	None	1	None	2	0	None	0	None
1992908800	JAMAL DENTAL CORPORATION	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1992911143	LEGGITT VARNER L	2021	FFS	RENDERING	AGE 0-20	102	None	241	None	0	None	0	None	36	None	67	None	0	None	0	None
1992914675	KOHANBASH, FARZAD, DDS	2021	FFS	RENDERING	AGE 0-20	187	None	2,292	None	167	None	381	None	99	None	270	None	168	None	188	None
1992914675	KOHANBASH, FARZAD, DDS	2021	FFS	RENDERING	AGE 21+	424	None	4,190	None	156	None	157	None	282	None	1,022	None	306	None	308	None
1992916852	PHAM LOC B	2021	FFS	RENDERING	AGE 0-20	121	None	1,065	None	104	None	268	None	39	None	82	None	104	None	128	None
1992916852	PHAM LOC B	2021	FFS	RENDERING	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1992917389	OUMNOV, SERGEY L, DDS	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1992917389	OUMNOV, SERGEY L, DDS	2021	FFS	RENDERING	AGE 21+	68	None	411	None	53	None	53	None	49	None	183	None	23	None	23	None
1992917645	CHING JASON S	2021	FFS	RENDERING	AGE 0-20	945	None	10,426	None	918	None	3,428	None	477	None	1,428	None	889	None	1,130	None
1992918890	SWADIPURA, ELLY, DDS	2021	FFS	RENDERING	AGE 0-20	33	None	309	None	32	None	158	None	11	None	21	None	27	None	32	None
1992918890	SWADIPURA, ELLY, DDS	2021	FFS	RENDERING	AGE 21+	31	None	198	None	18	None	36	None	20	None	60	None	22	None	22	None
1992919815	ROJAS LUZ M	2021	FFS	RENDERING	AGE 0-20	321	None	4,280	None	290	None	806	None	161	None	532	None	307	None	358	None
1992919815	ROJAS LUZ M	2021	FFS	RENDERING	AGE 21+	317	None	2,773	None	82	None	83	None	227	None	921	None	236	None	236	None
1992919815	ROJAS LUZ M	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992922868	DELA FUENTE-LEWIS, RIZA, DMD	2021	FFS	RENDERING	AGE 0-20	21	None	74	None	16	None	19	None	12	None	36	None	16	None	16	None
1992922868	DELA FUENTE-LEWIS, RIZA, DMD	2021	FFS	RENDERING	AGE 21+	55	None	155	None	33	None	33	None	31	None	61	None	34	None	34	None
1992927032	IRANI MEHRNAZ	2021	FFS	RENDERING	AGE 0-20	30	None	106	None	None	1	None	2	None	1	None	1	24	None	24	None
1992927032	IRANI MEHRNAZ	2021	FFS	RENDERING	AGE 21+	30	None	87	None	None	1	None	2	17	None	28	None	None	1	None	1
1992928642	OBANDO MARIA V	2021	FFS	RENDERING	AGE 0-20	49	None	530	None	46	None	145	None	32	None	115	None	47	None	50	None
1992928642	OBANDO MARIA V	2021	FFS	RENDERING	AGE 21+	54	None	581	None	31	None	62	None	49	None	251	None	35	None	35	None
1992933915	MIYAMASU PATRICK K	2021	FFS	RENDERING	AGE 0-20	238	None	1,257	None	190	None	411	None	97	None	146	None	197	None	197	None
1992933915	MIYAMASU PATRICK K	2021	FFS	RENDERING	AGE 21+	345	None	1,176	None	106	None	205	None	218	None	404	None	165	None	165	None
1992944219	LI, JINGJING DDS	2021	FFS	RENDERING	AGE 0-20	128	None	1,849	None	99	None	507	None	54	None	180	None	105	None	115	None
1992944219	LI, JINGJING DDS	2021	FFS	RENDERING	AGE 21+	387	None	9,133	None	203	None	405	None	314	None	4,306	None	267	None	267	None
1992944219	LI, JINGJING DDS	2021	PHP	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992944219	LI, JINGJING DDS	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1992945349	AVINASH AVINASH	2021	FFS	RENDERING	AGE 0-20	419	None	2,656	None	270	None	747	None	189	None	566	None	355	None	390	None
1992945349	AVINASH AVINASH	2021	FFS	RENDERING	AGE 21+	758	None	3,201	None	174	None	318	None	402	None	1,206	None	529	None	533	None
1992945349	AVINASH AVINASH	2021	GMC	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992945349	AVINASH AVINASH	2021	GMC	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992945349	AVINASH AVINASH	2021	PHP	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1992945349	AVINASH AVINASH	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1992946743	GEORGEI RANIA M	2021	FFS	RENDERING	AGE 0-20	151	None	1,532	None	137	None	822	None	38	None	88	None	141	None	165	None
1992946743	GEORGEI RANIA M	2021	FFS	RENDERING	AGE 21+	348	None	1,737	None	185	None	364	None	175	None	561	None	270	None	270	None
1992951941	OH, SAEKYU, DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1992951941	SAEKYU OH DMD DENTAL CORP	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1992954275	TUNG NATALIE N	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992954275	TUNG NATALIE N	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992955082	RAMOS BLANCA S	2021	FFS	RENDERING	AGE 0-20	18	None	82	None	None	1	None	2	None	1	None	1	12	None	13	None
1992955082	RAMOS BLANCA S	2021	FFS	RENDERING	AGE 21+	38	None	76	None	0	None	0	None	None	1	None	2	18	None	18	None
1992956650	CHEN MIKE M	2021	FFS	RENDERING	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1992956650	CHEN MIKE M	2021	FFS	RENDERING	AGE 21+	23	None	78	None	None	1	None	1	20	None	72	None	0	None	0	None
1992957864	BERNSTEIN RAEL I	2021	FFS	RENDERING	AGE 0-20	241	None	872	None	0	None	0	None	231	None	727	None	0	None	0	None
1992974240	FRIEDRICHSEN STEVEN W	2021	FFS	RENDERING	AGE 0-20	788	None	7,340	None	575	None	1,856	None	513	None	1,409	None	593	None	713	None
1992974240	FRIEDRICHSEN STEVEN W	2021	FFS	RENDERING	AGE 21+	2,040	None	12,391	None	646	None	893	None	1,676	None	5,765	None	1,119	None	1,119	None
1992976484	SAFARIAN ARMINE K	2021	FFS	RENDERING	AGE 0-20	282	None	384	None	0	None	0	None	66	None	124	None	0	None	0	None
1992976484	SAFARIAN ARMINE K	2021	FFS	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1992976484	SAFARIAN ARMINE K	2021	PHP	RENDERING	AGE 0-20	14	None	32	None	0	None	0	None	12	None	20	None	0	None	0	None
1992976484	SAFARIAN ARMINE K	2021	PHP	RENDERING	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992979165	CHO ERIC H	2021	FFS	RENDERING	AGE 0-20	58	None	569	None	56	None	248	None	27	None	107	None	57	None	70	None
1992979165	CHO ERIC H	2021	FFS	RENDERING	AGE 21+	167	None	1,291	None	121	None	239	None	126	None	649	None	135	None	135	None
1992987168	VYSOTSKY VLADIMIR	2021	FFS	RENDERING	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1992987168	VYSOTSKY VLADIMIR	2021	FFS	RENDERING	AGE 21+	43	None	179	None	23	None	28	None	26	None	76	None	28	None	28	None
1992988315	NICHOLS RUBIN	2021	FFS	RENDERING	AGE 0-20	41	None	442	None	36	None	90	None	19	None	76	None	36	None	41	None
1992988315	NICHOLS RUBIN	2021	FFS	RENDERING	AGE 21+	169	None	1,216	None	85	None	170	None	113	None	333	None	132	None	132	None
1992996045	TAMAYO CARLOS A	2021	FFS	RENDERING	AGE 0-20	78	None	771	None	74	None	205	None	29	None	126	None	78	None	109	None
1992996045	TAMAYO CARLOS A	2021	FFS	RENDERING	AGE 21+	78	None	501	None	64	None	65	None	34	None	126	None	68	None	68	None
1992997928	BAGHDASARIAN, LILIT E, DDS	2021	FFS	RENDERING	AGE 0-20	28	None	326	None	20	None	70	None	23	None	112	None	28	None	33	None
1992997928	BAGHDASARIAN, LILIT E, DDS	2021	FFS	RENDERING	AGE 21+	333	None	2,700	None	147	None	285	None	281	None	1,660	None	237	None	239	None
1992998371	ORENDAIN ALEJANDRO	2021	FFS	RENDERING	AGE 0-20	205	None	1,995	None	178	None	471	None	100	None	297	None	188	None	240	None
1992998371	ORENDAIN ALEJANDRO	2021	FFS	RENDERING	AGE 21+	330	None	1,879	None	192	None	387	None	186	None	461	None	240	None	242	None
1992998496	ZIESE SIRI K	2021	FFS	RENDERING	AGE 0-20	57	None	286	None	15	None	45	None	45	None	84	None	None	1	None	1
1992998496	ZIESE SIRI K	2021	FFS	RENDERING	AGE 21+	162	None	967	None	None	1	None	1	157	None	554	None	None	1	None	1
1003046848	THOMAS LOWELL G	2021	FFS	RENDERING SNC	AGE 0-20	191	None	549	None	191	None	549	None	0	None	0	None	191	None	549	None
1003046848	THOMAS LOWELL G	2021	FFS	RENDERING SNC	AGE 21+	279	None	761	None	279	None	761	None	0	None	0	None	279	None	761	None
1003065988	MEDINNUS MARK G	2021	FFS	RENDERING SNC	AGE 0-20	130	None	342	None	115	None	213	None	67	None	155	None	102	None	140	None
1003065988	MEDINNUS MARK G	2021	FFS	RENDERING SNC	AGE 21+	138	None	641	None	59	None	72	None	133	None	563	None	78	None	148	None
1003136649	MANSON MARIAN I	2021	FFS	RENDERING SNC	AGE 0-20	141	None	347	None	123	None	258	None	88	None	192	None	119	None	252	None
1003136649	MANSON MARIAN I	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1003161969	JOHNSON, MALIEKA T, DDS	2021	FFS	RENDERING SNC	AGE 0-20	133	None	262	None	107	None	154	None	38	None	73	None	78	None	89	None
1003161969	JOHNSON, MALIEKA T, DDS	2021	FFS	RENDERING SNC	AGE 21+	719	None	1,832	None	532	None	789	None	310	None	702	None	427	None	692	None
1003174467	YUE XUAN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1003212549	JO DANIEL J	2021	FFS	RENDERING SNC	AGE 21+	294	None	1,181	None	294	None	1,179	None	None	1	None	1	294	None	1,179	None
1003236886	COMBS JORDAN D	2021	FFS	RENDERING SNC	AGE 0-20	409	None	649	None	353	None	413	None	138	None	194	None	353	None	415	None
1003236886	COMBS JORDAN D	2021	FFS	RENDERING SNC	AGE 21+	1,345	None	2,381	None	1,087	None	1,275	None	733	None	966	None	1,093	None	1,290	None
1003254137	YANG, JOSEPH MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1003264870	CHO EUNKYO	2021	FFS	RENDERING SNC	AGE 0-20	565	None	685	None	425	None	497	None	140	None	166	None	261	None	293	None
1003264870	CHO EUNKYO	2021	FFS	RENDERING SNC	AGE 21+	71	None	95	None	28	None	35	None	23	None	31	None	26	None	33	None
1003310251	ARSHADI AVA CRYSTAL	2021	FFS	RENDERING SNC	AGE 0-20	821	None	1,130	None	727	None	953	None	93	None	104	None	615	None	793	None
1003310251	ARSHADI AVA CRYSTAL	2021	FFS	RENDERING SNC	AGE 21+	240	None	299	None	170	None	194	None	88	None	106	None	153	None	167	None
1003343708	MOORE YOUNAN ARLENE TEANA ZAKIA	2021	FFS	RENDERING SNC	AGE 0-20	533	None	2,397	None	476	None	1,507	None	199	None	819	None	485	None	1,267	None
1003343708	MOORE YOUNAN ARLENE TEANA ZAKIA	2021	FFS	RENDERING SNC	AGE 21+	422	None	2,229	None	250	None	643	None	207	None	858	None	373	None	1,358	None
1003369075	SHAHHAL SAMI I	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1003369075	SHAHHAL SAMI I	2021	FFS	RENDERING SNC	AGE 21+	34	None	87	None	11	None	13	None	27	None	66	None	13	None	16	None
1003394511	GOLANI RAHUL D	2021	FFS	RENDERING SNC	AGE 0-20	280	None	531	None	254	None	367	None	138	None	243	None	214	None	246	None
1003394511	GOLANI RAHUL D	2021	FFS	RENDERING SNC	AGE 21+	331	None	768	None	236	None	343	None	218	None	471	None	193	None	253	None
1003396128	SHYN STEPHANIE JER	2021	FFS	RENDERING SNC	AGE 0-20	1,018	None	1,357	None	883	None	1,097	None	162	None	204	None	620	None	701	None
1003396128	SHYN STEPHANIE JER	2021	FFS	RENDERING SNC	AGE 21+	499	None	731	None	258	None	294	None	264	None	380	None	209	None	236	None
1003415951	PHAM TAMMY L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1003415951	PHAM TAMMY L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1003478587	GROVER ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	135	None	439	None	82	None	174	None	95	None	335	None	86	None	179	None
1003478587	GROVER ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	360	None	1,557	None	202	None	429	None	317	None	1,278	None	224	None	597	None
1003498346	CHU ALLEN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1003820895	LEW EDWARD W	2021	FFS	RENDERING SNC	AGE 0-20	61	None	96	None	61	None	96	None	0	None	0	None	61	None	96	None
1003820895	LEW EDWARD W	2021	FFS	RENDERING SNC	AGE 21+	612	None	1,386	None	612	None	1,386	None	0	None	0	None	612	None	1,386	None
1003826009	CONSOLIDATED TRIBAL HEALTH P	2021	FFS	RENDERING SNC	AGE 0-20	19	None	32	None	17	None	30	None	None	1	None	1	17	None	30	None
1003826009	CONSOLIDATED TRIBAL HEALTH P	2021	FFS	RENDERING SNC	AGE 21+	19	None	31	None	18	None	30	None	None	1	None	1	18	None	30	None
1003879685	TRAN, TINH V MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1003919127	SADEGHI FAEZEH	2021	FFS	RENDERING SNC	AGE 0-20	776	None	1,011	None	679	None	812	None	177	None	217	None	584	None	670	None
1003919127	SADEGHI FAEZEH	2021	FFS	RENDERING SNC	AGE 21+	500	None	822	None	421	None	591	None	251	None	353	None	399	None	553	None
1003975566	TURNER KARLA M	2021	FFS	RENDERING SNC	AGE 0-20	52	None	103	None	52	None	101	None	None	1	None	1	52	None	101	None
1003975566	TURNER KARLA M	2021	FFS	RENDERING SNC	AGE 21+	156	None	522	None	156	None	520	None	81	None	236	None	156	None	520	None
1013043314	KELLEY, LEAH M MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1013043777	PARK DAVID Y	2021	FFS	RENDERING SNC	AGE 0-20	149	None	276	None	28	None	41	None	65	None	107	None	15	None	21	None
1013043777	PARK DAVID Y	2021	FFS	RENDERING SNC	AGE 21+	293	None	589	None	None	1	None	1	191	None	320	None	58	None	108	None
1013069996	CHACKO RENY	2021	FFS	RENDERING SNC	AGE 0-20	296	None	1,064	None	257	None	450	None	120	None	280	None	251	None	396	None
1013069996	CHACKO RENY	2021	FFS	RENDERING SNC	AGE 21+	248	None	1,016	None	133	None	177	None	158	None	551	None	117	None	148	None
1013085638	LA PLANT JR LLOYD P	2021	FFS	RENDERING SNC	AGE 0-20	925	None	1,293	None	867	None	1,144	None	224	None	299	None	823	None	992	None
1013085638	LA PLANT JR LLOYD P	2021	FFS	RENDERING SNC	AGE 21+	409	None	488	None	291	None	310	None	200	None	234	None	306	None	325	None
1013126622	JHAWAR VIBHA	2021	FFS	RENDERING SNC	AGE 0-20	141	None	166	None	117	None	133	None	57	None	66	None	88	None	97	None
1013126622	JHAWAR VIBHA	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1013168426	MARZAN MARIA ANITA ALMARIA	2021	FFS	RENDERING SNC	AGE 0-20	145	None	209	None	123	None	153	None	47	None	65	None	39	None	39	None
1013168426	MARZAN MARIA ANITA ALMARIA	2021	FFS	RENDERING SNC	AGE 21+	271	None	511	None	106	None	118	None	230	None	421	None	73	None	73	None
1013185636	LIBAO MARIA JUVY R	2021	FFS	RENDERING SNC	AGE 0-20	1,047	None	3,794	None	1,047	None	3,794	None	0	None	0	None	1,047	None	3,794	None
1013185636	LIBAO MARIA JUVY R	2021	FFS	RENDERING SNC	AGE 21+	492	None	1,956	None	492	None	1,956	None	0	None	0	None	492	None	1,956	None
1013225143	PARVIN NILOFAR	2021	FFS	RENDERING SNC	AGE 0-20	116	None	167	None	97	None	127	None	23	None	33	None	85	None	96	None
1013225143	PARVIN NILOFAR	2021	FFS	RENDERING SNC	AGE 21+	198	None	449	None	104	None	145	None	139	None	303	None	140	None	151	None
1013240381	MAXWELL FRANDSEN D	2021	FFS	RENDERING SNC	AGE 0-20	649	None	962	None	646	None	954	None	11	None	11	None	645	None	951	None
1013240381	MAXWELL FRANDSEN D	2021	FFS	RENDERING SNC	AGE 21+	516	None	791	None	510	None	771	None	24	None	27	None	509	None	764	None
1013257831	CELERI KIMBERLY JILL	2021	FFS	RENDERING SNC	AGE 0-20	266	None	437	None	266	None	437	None	None	1	None	1	0	None	0	None
1013257831	CELERI KIMBERLY JILL	2021	FFS	RENDERING SNC	AGE 21+	518	None	1,014	None	482	None	888	None	332	None	596	None	0	None	0	None
1013287440	SAYOC MA KRISELDA N	2021	FFS	RENDERING SNC	AGE 0-20	55	None	179	None	24	None	55	None	20	None	66	None	0	None	0	None
1013287440	SAYOC MA KRISELDA N	2021	FFS	RENDERING SNC	AGE 21+	279	None	2,023	None	71	None	148	None	187	None	905	None	97	None	712	None
1013342872	SMITH GREGORY M	2021	FFS	RENDERING SNC	AGE 0-20	477	None	878	None	448	None	680	None	255	None	446	None	429	None	551	None
1013342872	SMITH GREGORY M	2021	FFS	RENDERING SNC	AGE 21+	491	None	1,059	None	434	None	670	None	380	None	706	None	430	None	564	None
1013376029	OLOYE GABRIELLA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1013392083	PHIPPS DON	2021	FFS	RENDERING SNC	AGE 0-20	278	None	531	None	204	None	299	None	85	None	171	None	233	None	358	None
1013392083	PHIPPS DON	2021	FFS	RENDERING SNC	AGE 21+	735	None	2,221	None	320	None	488	None	361	None	818	None	524	None	1,285	None
1013396811	KEIKHAN EBRAHIM KATHY	2021	FFS	RENDERING SNC	AGE 0-20	13	None	26	None	None	1	None	2	0	None	0	None	11	None	18	None
1013396811	KEIKHAN EBRAHIM KATHY	2021	FFS	RENDERING SNC	AGE 21+	144	None	218	None	22	None	26	None	42	None	53	None	79	None	98	None
1013474501	TYREE KENNA ROSE	2021	FFS	RENDERING SNC	AGE 0-20	155	None	446	None	155	None	442	None	None	1	None	1	139	None	400	None
1013474501	TYREE KENNA ROSE	2021	FFS	RENDERING SNC	AGE 21+	239	None	799	None	238	None	797	None	92	None	396	None	155	None	377	None
1013482231	HINES MORGAN DANIELLE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1023001674	CHOI GABRIEL C	2021	FFS	RENDERING SNC	AGE 0-20	274	None	368	None	78	None	87	None	74	None	105	None	63	None	73	None
1023001674	CHOI GABRIEL C	2021	FFS	RENDERING SNC	AGE 21+	299	None	595	None	30	None	41	None	235	None	435	None	38	None	56	None
1023108578	SIT HOI Y	2021	FFS	RENDERING SNC	AGE 0-20	903	None	1,652	None	687	None	945	None	349	None	612	None	654	None	817	None
1023108578	SIT HOI Y	2021	FFS	RENDERING SNC	AGE 21+	964	None	2,927	None	489	None	589	None	683	None	1,695	None	119	None	413	None
1023131455	USUDE, TEDERHI TEDDY, DDS	2021	FFS	RENDERING SNC	AGE 0-20	450	None	620	None	386	None	491	None	98	None	129	None	334	None	383	None
1023131455	USUDE, TEDERHI TEDDY, DDS	2021	FFS	RENDERING SNC	AGE 21+	555	None	986	None	371	None	420	None	306	None	506	None	392	None	469	None
1023271053	CHEONG JANET	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1023338670	RITTENBACH KIRSTEN J	2021	FFS	RENDERING SNC	AGE 0-20	15	None	25	None	None	1	None	1	None	1	None	2	14	None	20	None
1023338670	RITTENBACH KIRSTEN J	2021	FFS	RENDERING SNC	AGE 21+	59	None	71	None	0	None	0	None	43	None	50	None	25	None	31	None
1023347614	JACOBSON SHABNAM	2021	FFS	RENDERING SNC	AGE 0-20	1,008	None	1,215	None	1,007	None	1,211	None	37	None	55	None	1,007	None	1,211	None
1023347614	JACOBSON SHABNAM	2021	FFS	RENDERING SNC	AGE 21+	326	None	670	None	323	None	646	None	194	None	357	None	323	None	645	None
1023405099	SABER SAGHAR	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1023405099	SABER SAGHAR	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1023425204	HURLEY TIMOTHY	2021	FFS	RENDERING SNC	AGE 0-20	871	None	1,330	None	635	None	776	None	460	None	643	None	626	None	723	None
1023425204	HURLEY TIMOTHY	2021	FFS	RENDERING SNC	AGE 21+	299	None	460	None	57	None	62	None	241	None	332	None	111	None	159	None
1023440955	BUSTOS JOSE L	2021	FFS	RENDERING SNC	AGE 0-20	297	None	453	None	199	None	242	None	97	None	159	None	214	None	308	None
1023440955	BUSTOS JOSE L	2021	FFS	RENDERING SNC	AGE 21+	846	None	2,180	None	434	None	570	None	661	None	1,512	None	645	None	1,524	None
1023480647	MCDONALD CHANETTE A	2021	FFS	RENDERING SNC	AGE 0-20	275	None	884	None	249	None	613	None	98	None	274	None	222	None	444	None
1023480647	MCDONALD CHANETTE A	2021	FFS	RENDERING SNC	AGE 21+	179	None	404	None	67	None	125	None	98	None	229	None	100	None	187	None
1023485125	SAFARIAN OSHIN	2021	FFS	RENDERING SNC	AGE 0-20	617	None	841	None	534	None	563	None	156	None	229	None	512	None	536	None
1023485125	SAFARIAN OSHIN	2021	FFS	RENDERING SNC	AGE 21+	230	None	449	None	105	None	121	None	148	None	256	None	126	None	154	None
1023494556	SINGH GURMEET	2021	FFS	RENDERING SNC	AGE 0-20	553	None	952	None	486	None	588	None	166	None	293	None	421	None	484	None
1023494556	SINGH GURMEET	2021	FFS	RENDERING SNC	AGE 21+	375	None	678	None	296	None	337	None	136	None	228	None	304	None	375	None
1023540994	MADRIGAL GUADALUPE	2021	FFS	RENDERING SNC	AGE 0-20	509	None	619	None	347	None	372	None	187	None	234	None	315	None	336	None
1023540994	MADRIGAL GUADALUPE	2021	FFS	RENDERING SNC	AGE 21+	855	None	1,317	None	617	None	780	None	398	None	569	None	612	None	773	None
1023540994	MADRIGAL GUADALUPE	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1023654381	REYES SIGHINOLF DANIEL F	2021	FFS	RENDERING SNC	AGE 0-20	229	None	462	None	229	None	462	None	0	None	0	None	229	None	462	None
1023654381	REYES SIGHINOLF DANIEL F	2021	FFS	RENDERING SNC	AGE 21+	210	None	462	None	210	None	462	None	0	None	0	None	210	None	462	None
1023662608	CARRARA ROBERT P	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1033115894	CHEN KIM CHIN P	2021	FFS	RENDERING SNC	AGE 0-20	88	None	94	None	18	None	18	None	13	None	14	None	15	None	15	None
1033115894	CHEN KIM CHIN P	2021	FFS	RENDERING SNC	AGE 21+	79	None	80	None	27	None	27	None	32	None	32	None	40	None	40	None
1033122296	HUOT JAMES M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1033140249	JORDAN SHANA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1033254792	NICA ANCA R	2021	FFS	RENDERING SNC	AGE 0-20	302	None	430	None	271	None	354	None	67	None	84	None	262	None	336	None
1033254792	NICA ANCA R	2021	FFS	RENDERING SNC	AGE 21+	254	None	374	None	160	None	202	None	101	None	143	None	155	None	194	None
1033272406	WELLMAN SUSAN M	2021	FFS	RENDERING SNC	AGE 0-20	210	None	316	None	0	None	0	None	None	1	None	1	0	None	0	None
1033272406	WELLMAN SUSAN M	2021	FFS	RENDERING SNC	AGE 21+	152	None	270	None	0	None	0	None	None	1	None	1	0	None	0	None
1033275029	REZAI, NESHAT, DDS	2021	FFS	RENDERING SNC	AGE 0-20	29	None	29	None	23	None	23	None	None	1	None	1	15	None	15	None
1033275029	REZAI, NESHAT, DDS	2021	FFS	RENDERING SNC	AGE 21+	28	None	28	None	None	1	None	1	17	None	17	None	None	1	None	1
1033285051	LE VINH M	2021	FFS	RENDERING SNC	AGE 0-20	1,271	None	2,191	None	740	None	854	None	569	None	983	None	716	None	821	None
1033285051	LE VINH M	2021	FFS	RENDERING SNC	AGE 21+	136	None	174	None	34	None	37	None	112	None	144	None	15	None	16	None
1033310727	ESCUTIN, PETER, DDS	2021	FFS	RENDERING SNC	AGE 0-20	148	None	347	None	148	None	347	None	0	None	0	None	148	None	347	None
1033310727	ESCUTIN, PETER, DDS	2021	FFS	RENDERING SNC	AGE 21+	139	None	420	None	139	None	420	None	0	None	0	None	139	None	420	None
1033357892	DIZON EUNICE	2021	FFS	RENDERING SNC	AGE 0-20	1,188	None	1,451	None	988	None	1,141	None	524	None	644	None	221	None	253	None
1033357892	DIZON EUNICE	2021	FFS	RENDERING SNC	AGE 21+	258	None	372	None	43	None	47	None	218	None	282	None	72	None	108	None
1033390091	DONRAD NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	679	None	1,489	None	571	None	987	None	385	None	663	None	405	None	534	None
1033390091	DONRAD NICOLE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1033499249	DORNBUSH, CAROLINE C, RDHAP	2021	FFS	RENDERING SNC	AGE 0-20	146	None	160	None	133	None	140	None	17	None	20	None	None	1	None	1
1033499249	DORNBUSH, CAROLINE C, RDHAP	2021	FFS	RENDERING SNC	AGE 21+	344	None	407	None	157	None	164	None	225	None	270	None	None	1	None	1
1033509799	TWILLING KIM	2021	FFS	RENDERING SNC	AGE 0-20	63	None	99	None	62	None	97	None	None	1	None	1	58	None	91	None
1033509799	TWILLING KIM	2021	FFS	RENDERING SNC	AGE 21+	257	None	519	None	221	None	446	None	43	None	72	None	192	None	386	None
1033509799	TWILLING KIM	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1033527825	VENTRESCA DOMINICK E	2021	FFS	RENDERING SNC	AGE 0-20	226	None	381	None	199	None	305	None	62	None	85	None	162	None	205	None
1033527825	VENTRESCA DOMINICK E	2021	FFS	RENDERING SNC	AGE 21+	299	None	608	None	217	None	333	None	174	None	287	None	180	None	249	None
1033527825	VENTRESCA DOMINICK E	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1033536800	WISEMAN CHARLES L	2021	FFS	RENDERING SNC	AGE 0-20	115	None	193	None	115	None	193	None	0	None	0	None	115	None	193	None
1033536800	WISEMAN CHARLES L	2021	FFS	RENDERING SNC	AGE 21+	588	None	1,135	None	586	None	1,132	None	None	1	None	1	586	None	1,132	None
1033559331	GOLCHOOBIAN TABASSOM P	2021	FFS	RENDERING SNC	AGE 0-20	234	None	480	None	163	None	276	None	66	None	130	None	132	None	158	None
1033559331	GOLCHOOBIAN TABASSOM P	2021	FFS	RENDERING SNC	AGE 21+	323	None	1,163	None	268	None	514	None	156	None	422	None	236	None	359	None
1033559398	CHIUEH WILLIAM L	2021	FFS	RENDERING SNC	AGE 0-20	168	None	316	None	141	None	173	None	71	None	117	None	134	None	156	None
1033559398	CHIUEH WILLIAM L	2021	FFS	RENDERING SNC	AGE 21+	527	None	1,556	None	259	None	357	None	411	None	1,128	None	232	None	270	None
1033583349	JOO KYUNG W	2021	FFS	RENDERING SNC	AGE 0-20	101	None	141	None	93	None	115	None	35	None	41	None	72	None	82	None
1033583349	JOO KYUNG W	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1033590948	OGTONG KATHERINE G	2021	FFS	RENDERING SNC	AGE 0-20	169	None	379	None	30	None	38	None	36	None	77	None	None	1	None	2
1033590948	OGTONG KATHERINE G	2021	FFS	RENDERING SNC	AGE 21+	178	None	606	None	40	None	79	None	78	None	229	None	None	1	None	1
1033671177	PALACIOS CARLOS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1033674098	PRIETO HILDA	2021	FFS	RENDERING SNC	AGE 0-20	336	None	815	None	219	None	316	None	176	None	368	None	100	None	100	None
1033674098	PRIETO HILDA	2021	FFS	RENDERING SNC	AGE 21+	493	None	1,468	None	192	None	259	None	399	None	1,094	None	88	None	104	None
1033674817	KIM YEON H	2021	FFS	RENDERING SNC	AGE 0-20	261	None	719	None	261	None	719	None	0	None	0	None	261	None	719	None
1033674817	KIM YEON H	2021	FFS	RENDERING SNC	AGE 21+	376	None	1,460	None	370	None	1,432	None	0	None	0	None	370	None	1,434	None
1033680186	CARDENAS MAURICIO A	2021	FFS	RENDERING SNC	AGE 0-20	68	None	178	None	39	None	46	None	41	None	94	None	39	None	46	None
1033680186	CARDENAS MAURICIO A	2021	FFS	RENDERING SNC	AGE 21+	271	None	1,191	None	156	None	175	None	226	None	822	None	164	None	200	None
1033681077	KNORR SHAFFER HYON	2021	FFS	RENDERING SNC	AGE 0-20	57	None	136	None	56	None	134	None	0	None	0	None	None	1	None	1
1033681077	KNORR SHAFFER HYON	2021	FFS	RENDERING SNC	AGE 21+	148	None	611	None	148	None	607	None	87	None	414	None	None	1	None	1
1033695085	GEHLOT ROSHNI	2021	FFS	RENDERING SNC	AGE 0-20	38	None	94	None	31	None	64	None	12	None	32	None	28	None	54	None
1033695085	GEHLOT ROSHNI	2021	FFS	RENDERING SNC	AGE 21+	23	None	59	None	None	1	None	2	15	None	42	None	None	1	None	2
1033781851	JI CHENQI	2021	FFS	RENDERING SNC	AGE 0-20	121	None	351	None	89	None	176	None	50	None	113	None	57	None	73	None
1033781851	JI CHENQI	2021	FFS	RENDERING SNC	AGE 21+	176	None	687	None	140	None	332	None	115	None	318	None	105	None	258	None
1043201726	TSO, VINCENT J, DMD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1043201726	TSO, VINCENT J, DMD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1043213036	GELLE GERALD G	2021	FFS	RENDERING SNC	AGE 0-20	196	None	211	None	61	None	65	None	35	None	41	None	55	None	58	None
1043213036	GELLE GERALD G	2021	FFS	RENDERING SNC	AGE 21+	232	None	264	None	26	None	26	None	152	None	175	None	89	None	91	None
1043233067	REID LAURA K	2021	FFS	RENDERING SNC	AGE 0-20	56	None	62	None	18	None	19	None	38	None	41	None	12	None	13	None
1043365679	MIRZAEIAN LOVIK	2021	FFS	RENDERING SNC	AGE 0-20	46	None	67	None	42	None	60	None	None	1	None	1	33	None	33	None
1043365679	MIRZAEIAN LOVIK	2021	FFS	RENDERING SNC	AGE 21+	89	None	147	None	65	None	92	None	29	None	39	None	57	None	59	None
1043388952	MODJESKI CATHERINE P	2021	FFS	RENDERING SNC	AGE 0-20	999	None	2,019	None	999	None	2,019	None	0	None	0	None	999	None	2,019	None
1043388952	MODJESKI CATHERINE P	2021	FFS	RENDERING SNC	AGE 21+	1,293	None	3,752	None	1,288	None	3,740	None	0	None	0	None	1,288	None	3,740	None
1043403611	SHTROM OLGA	2021	FFS	RENDERING SNC	AGE 0-20	1,590	None	3,064	None	1,497	None	2,157	None	324	None	495	None	1,491	None	2,187	None
1043403611	SHTROM OLGA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1043422520	DUONG KATIE V	2021	FFS	RENDERING SNC	AGE 0-20	573	None	794	None	511	None	637	None	253	None	371	None	395	None	480	None
1043422520	DUONG KATIE V	2021	FFS	RENDERING SNC	AGE 21+	523	None	746	None	440	None	575	None	371	None	522	None	405	None	522	None
1043430374	MURAKAWA MARY MASAKO	2021	FFS	RENDERING SNC	AGE 0-20	24	None	30	None	14	None	16	None	None	1	None	1	None	1	None	1
1043430374	MURAKAWA MARY MASAKO	2021	FFS	RENDERING SNC	AGE 21+	339	None	503	None	141	None	158	None	131	None	176	None	118	None	158	None
1043435530	CARLSON LARSON RUBY C	2021	FFS	RENDERING SNC	AGE 0-20	66	None	140	None	40	None	56	None	0	None	0	None	40	None	56	None
1043435530	CARLSON LARSON RUBY C	2021	FFS	RENDERING SNC	AGE 21+	79	None	153	None	66	None	122	None	0	None	0	None	66	None	122	None
1043453988	BRAVO CUSHING GHISELA E	2021	FFS	RENDERING SNC	AGE 0-20	548	None	607	None	427	None	455	None	402	None	447	None	347	None	366	None
1043453988	BRAVO CUSHING GHISELA E	2021	FFS	RENDERING SNC	AGE 21+	302	None	357	None	182	None	200	None	249	None	293	None	164	None	179	None
1043467202	LIU JASON K	2021	FFS	RENDERING SNC	AGE 0-20	13	None	19	None	None	1	None	2	None	1	None	1	None	1	None	2
1043467202	LIU JASON K	2021	FFS	RENDERING SNC	AGE 21+	249	None	503	None	168	None	257	None	141	None	222	None	190	None	335	None
1043468457	LUNA EUGENE P	2021	FFS	RENDERING SNC	AGE 0-20	802	None	1,110	None	585	None	720	None	311	None	381	None	435	None	533	None
1043468457	LUNA EUGENE P	2021	FFS	RENDERING SNC	AGE 21+	447	None	801	None	344	None	466	None	251	None	371	None	352	None	525	None
1043479777	HADAYA MONA T	2021	FFS	RENDERING SNC	AGE 0-20	422	None	827	None	418	None	801	None	67	None	114	None	412	None	787	None
1043479777	HADAYA MONA T	2021	FFS	RENDERING SNC	AGE 21+	142	None	264	None	139	None	251	None	64	None	120	None	138	None	251	None
1043541121	LIAO PHILIP	2021	FFS	RENDERING SNC	AGE 0-20	404	None	494	None	121	None	128	None	119	None	151	None	115	None	124	None
1043541121	LIAO PHILIP	2021	FFS	RENDERING SNC	AGE 21+	756	None	1,161	None	245	None	275	None	470	None	675	None	374	None	417	None
1043543051	LEE LAWRENCE	2021	FFS	RENDERING SNC	AGE 0-20	161	None	427	None	161	None	427	None	149	None	392	None	161	None	427	None
1043543051	LEE LAWRENCE	2021	FFS	RENDERING SNC	AGE 21+	200	None	524	None	200	None	524	None	195	None	504	None	200	None	524	None
1043578180	KUO BRIAN Y	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1043578180	KUO BRIAN Y	2021	FFS	RENDERING SNC	AGE 21+	68	None	146	None	18	None	24	None	36	None	67	None	35	None	55	None
1043581200	TOCA ALAIN	2021	FFS	RENDERING SNC	AGE 0-20	212	None	241	None	124	None	134	None	170	None	183	None	121	None	129	None
1043581200	TOCA ALAIN	2021	FFS	RENDERING SNC	AGE 21+	474	None	818	None	223	None	267	None	409	None	661	None	262	None	306	None
1043581200	TOCA ALAIN	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1043585391	CRESPIN BERTA LILIAN	2021	FFS	RENDERING SNC	AGE 0-20	791	None	1,204	None	665	None	952	None	715	None	989	None	289	None	348	None
1043585391	CRESPIN BERTA LILIAN	2021	FFS	RENDERING SNC	AGE 21+	626	None	1,308	None	426	None	700	None	492	None	952	None	294	None	341	None
1043627417	UCH SAKYA	2021	FFS	RENDERING SNC	AGE 0-20	757	None	1,695	None	677	None	1,211	None	192	None	324	None	602	None	781	None
1043627417	UCH SAKYA	2021	FFS	RENDERING SNC	AGE 21+	538	None	1,394	None	484	None	822	None	236	None	543	None	470	None	655	None
1043637010	HALL JOSHWIN R	2021	FFS	RENDERING SNC	AGE 0-20	204	None	292	None	168	None	217	None	42	None	56	None	156	None	166	None
1043637010	HALL JOSHWIN R	2021	FFS	RENDERING SNC	AGE 21+	202	None	313	None	59	None	62	None	80	None	132	None	65	None	76	None
1043640667	TURNER DEANDRA N	2021	FFS	RENDERING SNC	AGE 0-20	328	None	715	None	309	None	551	None	186	None	326	None	274	None	385	None
1043643513	EZZY ZAHRA H	2021	FFS	RENDERING SNC	AGE 0-20	223	None	333	None	160	None	192	None	85	None	127	None	171	None	193	None
1043643513	EZZY ZAHRA H	2021	FFS	RENDERING SNC	AGE 21+	317	None	595	None	59	None	72	None	217	None	358	None	43	None	57	None
1043661457	CHAABO, HANI MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1043665219	AGARI KIMIKO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1043680697	CHEN CONNIE F	2021	FFS	RENDERING SNC	AGE 0-20	21	None	25	None	21	None	25	None	0	None	0	None	21	None	25	None
1043680697	CHEN CONNIE F	2021	FFS	RENDERING SNC	AGE 21+	315	None	386	None	313	None	384	None	0	None	0	None	313	None	384	None
1043682370	SANDHU SUMEET K	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1043682370	SANDHU SUMEET K	2021	FFS	RENDERING SNC	AGE 21+	12	None	28	None	None	1	None	1	None	1	None	2	None	1	None	1
1043686140	CAI JENNIFER	2021	FFS	RENDERING SNC	AGE 0-20	275	None	903	None	226	None	599	None	111	None	410	None	230	None	518	None
1043686140	CAI JENNIFER	2021	FFS	RENDERING SNC	AGE 21+	556	None	2,142	None	325	None	878	None	436	None	1,547	None	275	None	642	None
1043687007	NGO TINA T	2021	FFS	RENDERING SNC	AGE 0-20	654	None	981	None	424	None	492	None	510	None	773	None	66	None	81	None
1043687007	NGO TINA T	2021	FFS	RENDERING SNC	AGE 21+	13	None	14	None	None	1	None	1	None	1	None	2	None	1	None	1
1043690696	LIEN KELLY	2021	FFS	RENDERING SNC	AGE 0-20	71	None	130	None	71	None	130	None	0	None	0	None	71	None	130	None
1043690696	LIEN KELLY	2021	FFS	RENDERING SNC	AGE 21+	667	None	1,698	None	667	None	1,698	None	0	None	0	None	667	None	1,698	None
1043773427	CANNON DARRIEL JOSEPH	2021	FFS	RENDERING SNC	AGE 0-20	17	None	27	None	0	None	0	None	None	1	None	1	None	1	None	2
1043773427	CANNON DARRIEL JOSEPH	2021	FFS	RENDERING SNC	AGE 21+	72	None	94	None	None	1	None	1	26	None	31	None	38	None	45	None
1043810617	JAIN ASHNA A	2021	FFS	RENDERING SNC	AGE 0-20	423	None	790	None	296	None	403	None	156	None	255	None	144	None	153	None
1043810617	JAIN ASHNA A	2021	FFS	RENDERING SNC	AGE 21+	637	None	1,680	None	374	None	569	None	407	None	919	None	245	None	337	None
1053085712	LOPEZ-ALVAREZ SANDY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1053085712	LOPEZ-ALVAREZ SANDY	2021	FFS	RENDERING SNC	AGE 21+	23	None	29	None	12	None	14	None	14	None	17	None	13	None	16	None
1053305037	CHINH CYNTHIA	2021	FFS	RENDERING SNC	AGE 0-20	549	None	971	None	460	None	638	None	281	None	528	None	90	None	99	None
1053305037	CHINH CYNTHIA	2021	FFS	RENDERING SNC	AGE 21+	755	None	1,410	None	408	None	496	None	443	None	816	None	184	None	335	None
1053329128	NELSON MICHAEL J	2021	FFS	RENDERING SNC	AGE 0-20	615	None	681	None	450	None	491	None	284	None	313	None	397	None	433	None
1053329128	NELSON MICHAEL J	2021	FFS	RENDERING SNC	AGE 21+	468	None	530	None	354	None	399	None	372	None	416	None	340	None	385	None
1053483339	MITCHELL CECILIA R	2021	FFS	RENDERING SNC	AGE 0-20	37	None	72	None	37	None	72	None	None	1	None	2	37	None	72	None
1053483339	MITCHELL CECILIA R	2021	FFS	RENDERING SNC	AGE 21+	194	None	583	None	194	None	581	None	89	None	172	None	194	None	581	None
1053485789	DE LA O II ABRAN	2021	FFS	RENDERING SNC	AGE 0-20	361	None	1,067	None	354	None	719	None	101	None	257	None	337	None	485	None
1053485789	DE LA O II ABRAN	2021	FFS	RENDERING SNC	AGE 21+	440	None	1,735	None	402	None	785	None	254	None	855	None	412	None	801	None
1053535328	HORCHIN RADD	2021	FFS	RENDERING SNC	AGE 0-20	616	None	1,270	None	607	None	1,103	None	118	None	191	None	582	None	709	None
1053535328	HORCHIN RADD	2021	FFS	RENDERING SNC	AGE 21+	426	None	1,032	None	397	None	652	None	210	None	408	None	382	None	488	None
1053544239	DELACERNA FELICE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053570036	TRAN HUONGLAN	2021	FFS	RENDERING SNC	AGE 0-20	24	None	32	None	23	None	27	None	None	1	None	1	21	None	24	None
1053570036	TRAN HUONGLAN	2021	FFS	RENDERING SNC	AGE 21+	170	None	249	None	130	None	152	None	95	None	122	None	129	None	152	None
1053583781	XIBILLE LILIA	2021	FFS	RENDERING SNC	AGE 0-20	592	None	991	None	481	None	685	None	159	None	243	None	188	None	213	None
1053583781	XIBILLE LILIA	2021	FFS	RENDERING SNC	AGE 21+	738	None	1,625	None	480	None	619	None	393	None	802	None	417	None	464	None
1053628461	HAN PIL	2021	FFS	RENDERING SNC	AGE 0-20	33	None	39	None	33	None	39	None	0	None	0	None	27	None	27	None
1053628461	HAN PIL	2021	FFS	RENDERING SNC	AGE 21+	16	None	16	None	None	1	None	1	None	1	None	1	None	1	None	1
1053635813	NGUYEN TIN TRI	2021	FFS	RENDERING SNC	AGE 0-20	19	None	27	None	None	1	None	1	None	1	None	1	11	None	12	None
1053635813	NGUYEN TIN TRI	2021	FFS	RENDERING SNC	AGE 21+	476	None	958	None	134	None	177	None	286	None	485	None	167	None	261	None
1053678870	LEE MARCUS	2021	FFS	RENDERING SNC	AGE 0-20	688	None	905	None	563	None	675	None	139	None	182	None	519	None	590	None
1053678870	LEE MARCUS	2021	FFS	RENDERING SNC	AGE 21+	483	None	776	None	378	None	497	None	177	None	258	None	365	None	480	None
1053706283	RAHBAR GELAREH	2021	FFS	RENDERING SNC	AGE 0-20	436	None	1,662	None	321	None	760	None	225	None	731	None	82	None	102	None
1053706283	RAHBAR GELAREH	2021	FFS	RENDERING SNC	AGE 21+	296	None	998	None	123	None	186	None	189	None	559	None	84	None	116	None
1053754473	SEIN, SAW MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1053771402	CHU SHU-YU	2021	FFS	RENDERING SNC	AGE 0-20	92	None	149	None	92	None	149	None	0	None	0	None	92	None	149	None
1053771402	CHU SHU-YU	2021	FFS	RENDERING SNC	AGE 21+	866	None	1,431	None	866	None	1,431	None	0	None	0	None	866	None	1,431	None
1053775064	AGUINALDO-WETTERHOLM SAMANTHA	2021	FFS	RENDERING SNC	AGE 0-20	523	None	624	None	442	None	509	None	80	None	87	None	408	None	462	None
1053775064	AGUINALDO-WETTERHOLM SAMANTHA	2021	FFS	RENDERING SNC	AGE 21+	259	None	393	None	156	None	185	None	149	None	197	None	154	None	225	None
1053780874	AUNG WAI H	2021	FFS	RENDERING SNC	AGE 0-20	2,206	None	2,971	None	2,177	None	2,887	None	65	None	91	None	2,147	None	2,818	None
1053780874	AUNG WAI H	2021	FFS	RENDERING SNC	AGE 21+	325	None	534	None	309	None	463	None	118	None	193	None	304	None	460	None
1053780874	AUNG WAI H	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1053791046	COSTANDI DIANE	2021	FFS	RENDERING SNC	AGE 0-20	32	None	62	None	None	1	None	1	23	None	52	None	0	None	0	None
1053791046	COSTANDI DIANE	2021	FFS	RENDERING SNC	AGE 21+	359	None	709	None	33	None	42	None	312	None	602	None	14	None	16	None
1053794990	TURLA JUSTINE A	2021	FFS	RENDERING SNC	AGE 0-20	17	None	22	None	11	None	12	None	0	None	0	None	None	1	None	1
1053794990	TURLA JUSTINE A	2021	FFS	RENDERING SNC	AGE 21+	42	None	67	None	24	None	29	None	14	None	17	None	18	None	19	None
1053807446	HAMIDI GYVE L	2021	FFS	RENDERING SNC	AGE 0-20	158	None	295	None	157	None	291	None	0	None	0	None	157	None	291	None
1053807446	HAMIDI GYVE L	2021	FFS	RENDERING SNC	AGE 21+	129	None	371	None	126	None	359	None	0	None	0	None	126	None	359	None
1053836189	NGUYEN JONATHAN H	2021	FFS	RENDERING SNC	AGE 0-20	454	None	866	None	426	None	656	None	135	None	222	None	356	None	412	None
1053836189	NGUYEN JONATHAN H	2021	FFS	RENDERING SNC	AGE 21+	399	None	1,158	None	366	None	676	None	234	None	605	None	340	None	487	None
1053845644	TEGARDEN MARISA M	2021	FFS	RENDERING SNC	AGE 0-20	153	None	369	None	153	None	369	None	None	1	None	1	0	None	0	None
1053845644	TEGARDEN MARISA M	2021	FFS	RENDERING SNC	AGE 21+	416	None	1,178	None	402	None	1,128	None	146	None	544	None	None	1	None	1
1053851345	MORRIS RENETTRA A	2021	FFS	RENDERING SNC	AGE 0-20	33	None	35	None	30	None	32	None	None	1	None	1	30	None	32	None
1053851345	MORRIS RENETTRA A	2021	FFS	RENDERING SNC	AGE 21+	61	None	95	None	56	None	89	None	None	1	None	1	55	None	88	None
1053970285	HA CAITLIN X	2021	FFS	RENDERING SNC	AGE 0-20	391	None	995	None	271	None	460	None	236	None	498	None	55	None	68	None
1053970285	HA CAITLIN X	2021	FFS	RENDERING SNC	AGE 21+	474	None	1,760	None	253	None	385	None	401	None	1,272	None	131	None	183	None
1063023703	KHAN MUHAMMAD SHERYAR	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063023703	KHAN MUHAMMAD SHERYAR	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1063056810	NEWTON NANCY LEE	2021	FFS	RENDERING SNC	AGE 0-20	60	None	120	None	60	None	120	None	0	None	0	None	None	1	None	1
1063056810	NEWTON NANCY LEE	2021	FFS	RENDERING SNC	AGE 21+	45	None	94	None	45	None	94	None	31	None	66	None	None	1	None	1
1063476307	KIDO REX Y	2021	FFS	RENDERING SNC	AGE 0-20	12	None	12	None	None	1	None	1	None	1	None	1	None	1	None	1
1063476307	KIDO REX Y	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	None	1	None	1
1063525947	PARVEEN, SHAISTA MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1063531481	PETERSON BRUCE MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	60	None	116	None	60	None	116	None	0	None	0	None	60	None	116	None
1063531481	PETERSON BRUCE MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	104	None	362	None	104	None	362	None	0	None	0	None	104	None	362	None
1063549228	WILLIAMS LESA R	2021	FFS	RENDERING SNC	AGE 0-20	257	None	398	None	253	None	390	None	0	None	0	None	253	None	390	None
1063549228	WILLIAMS LESA R	2021	FFS	RENDERING SNC	AGE 21+	229	None	374	None	226	None	366	None	0	None	0	None	226	None	366	None
1063553022	PARK JUN	2021	FFS	RENDERING SNC	AGE 0-20	458	None	550	None	396	None	467	None	101	None	108	None	312	None	350	None
1063553022	PARK JUN	2021	FFS	RENDERING SNC	AGE 21+	824	None	1,233	None	627	None	809	None	363	None	466	None	612	None	824	None
1063587483	PANATCH KIRANDEEP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1063587483	PANATCH KIRANDEEP	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1063605483	HUANG RYAN Z	2021	FFS	RENDERING SNC	AGE 0-20	90	None	155	None	50	None	64	None	37	None	48	None	31	None	38	None
1063605483	HUANG RYAN Z	2021	FFS	RENDERING SNC	AGE 21+	271	None	807	None	81	None	112	None	166	None	382	None	87	None	129	None
1063605780	LEE KYUNG E	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1063633790	BANH AMY Q	2021	FFS	RENDERING SNC	AGE 0-20	591	None	1,119	None	550	None	885	None	187	None	264	None	514	None	751	None
1063633790	BANH AMY Q	2021	FFS	RENDERING SNC	AGE 21+	668	None	1,437	None	406	None	598	None	503	None	1,028	None	214	None	256	None
1063675999	TRANG THIEN H	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063682268	NGUYEN BICH-NGOC	2021	FFS	RENDERING SNC	AGE 0-20	1,734	None	2,169	None	1,551	None	1,862	None	198	None	237	None	1,000	None	1,134	None
1063682268	NGUYEN BICH-NGOC	2021	FFS	RENDERING SNC	AGE 21+	848	None	1,084	None	235	None	261	None	587	None	723	None	220	None	241	None
1063697183	MILERA SHELLY A	2021	FFS	RENDERING SNC	AGE 0-20	181	None	310	None	171	None	241	None	71	None	109	None	150	None	167	None
1063697183	MILERA SHELLY A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1063757185	MANESH SAMAN K	2021	FFS	RENDERING SNC	AGE 0-20	347	None	1,208	None	347	None	1,208	None	0	None	0	None	347	None	1,208	None
1063757185	MANESH SAMAN K	2021	FFS	RENDERING SNC	AGE 21+	464	None	1,966	None	464	None	1,966	None	0	None	0	None	464	None	1,966	None
1063757185	MANESH SAMAN K	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1063757185	MANESH SAMAN K	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1063782746	BERAL KOUROSH M	2021	FFS	RENDERING SNC	AGE 0-20	481	None	520	None	437	None	464	None	73	None	82	None	430	None	456	None
1063782746	BERAL KOUROSH M	2021	FFS	RENDERING SNC	AGE 21+	490	None	563	None	452	None	509	None	68	None	74	None	440	None	494	None
1063790855	JOSHI TRIPTI T	2021	FFS	RENDERING SNC	AGE 0-20	392	None	740	None	369	None	501	None	133	None	276	None	306	None	356	None
1063790855	JOSHI TRIPTI T	2021	FFS	RENDERING SNC	AGE 21+	200	None	583	None	149	None	168	None	116	None	292	None	167	None	330	None
1063819928	POMEROY WILLIAM I	2021	FFS	RENDERING SNC	AGE 0-20	90	None	155	None	90	None	155	None	0	None	0	None	90	None	155	None
1063819928	POMEROY WILLIAM I	2021	FFS	RENDERING SNC	AGE 21+	731	None	1,843	None	731	None	1,843	None	0	None	0	None	731	None	1,843	None
1063836393	CHUNG PETER D	2021	FFS	RENDERING SNC	AGE 0-20	284	None	1,115	None	284	None	1,112	None	0	None	0	None	284	None	1,112	None
1063836393	CHUNG PETER D	2021	FFS	RENDERING SNC	AGE 21+	357	None	1,585	None	357	None	1,584	None	0	None	0	None	357	None	1,584	None
1063891513	NAJIBI ROD	2021	FFS	RENDERING SNC	AGE 0-20	382	None	500	None	324	None	362	None	41	None	59	None	325	None	352	None
1063891513	NAJIBI ROD	2021	FFS	RENDERING SNC	AGE 21+	268	None	622	None	176	None	184	None	134	None	309	None	207	None	256	None
1063938751	GARFINKEL DAVID	2021	FFS	RENDERING SNC	AGE 0-20	12	None	35	None	12	None	24	None	None	1	None	2	11	None	20	None
1063938751	GARFINKEL DAVID	2021	FFS	RENDERING SNC	AGE 21+	71	None	289	None	35	None	78	None	52	None	147	None	42	None	132	None
1063962975	SI SOO Y	2021	FFS	RENDERING SNC	AGE 0-20	944	None	3,037	None	944	None	3,037	None	0	None	0	None	944	None	3,037	None
1063962975	SI SOO Y	2021	FFS	RENDERING SNC	AGE 21+	305	None	1,595	None	305	None	1,595	None	None	1	None	1	305	None	1,595	None
1063984656	ABHISHEK FNU	2021	FFS	RENDERING SNC	AGE 0-20	842	None	1,747	None	297	None	443	None	253	None	504	None	298	None	435	None
1063984656	ABHISHEK FNU	2021	FFS	RENDERING SNC	AGE 21+	521	None	1,210	None	79	None	118	None	371	None	798	None	122	None	174	None
1073027991	DAVIS BRANDON	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1073027991	DAVIS BRANDON	2021	FFS	RENDERING SNC	AGE 21+	155	None	533	None	None	1	None	2	127	None	334	None	45	None	91	None
1073097176	KESARIA JEEL MURJIBHAI	2021	FFS	RENDERING SNC	AGE 0-20	627	None	1,543	None	598	None	1,221	None	173	None	331	None	585	None	822	None
1073097176	KESARIA JEEL MURJIBHAI	2021	FFS	RENDERING SNC	AGE 21+	611	None	1,752	None	579	None	1,025	None	278	None	689	None	567	None	901	None
1073169066	NGUYEN THOMAS T	2021	FFS	RENDERING SNC	AGE 21+	15	None	29	None	13	None	25	None	None	1	None	1	13	None	25	None
1073193348	WANG MARISSA	2021	FFS	RENDERING SNC	AGE 0-20	458	None	504	None	375	None	403	None	79	None	85	None	200	None	208	None
1073193348	WANG MARISSA	2021	FFS	RENDERING SNC	AGE 21+	59	None	61	None	19	None	19	None	27	None	28	None	15	None	15	None
1073540621	KIM SAM YONG H	2021	FFS	RENDERING SNC	AGE 0-20	156	None	421	None	123	None	169	None	97	None	302	None	122	None	168	None
1073540621	KIM SAM YONG H	2021	FFS	RENDERING SNC	AGE 21+	629	None	1,793	None	375	None	484	None	477	None	1,197	None	370	None	427	None
1073559464	YOUNAN, SELMA YOUSIF DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073559464	YOUNAN, SELMA YOUSIF DDS	2021	FFS	RENDERING SNC	AGE 21+	29	None	134	None	0	None	0	None	29	None	94	None	None	1	None	2
1073572426	CHANG TERESA J.	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1073581856	RAO, CHERUKUPALLI SRINIVAS,	2021	FFS	RENDERING SNC	AGE 0-20	24	None	31	None	None	1	None	1	12	None	15	None	None	1	None	1
1073581856	RAO, CHERUKUPALLI SRINIVAS,	2021	FFS	RENDERING SNC	AGE 21+	390	None	513	None	22	None	23	None	331	None	415	None	24	None	25	None
1073596185	DE LEON MELANIE R	2021	FFS	RENDERING SNC	AGE 0-20	818	None	1,641	None	767	None	1,221	None	223	None	405	None	745	None	927	None
1073596185	DE LEON MELANIE R	2021	FFS	RENDERING SNC	AGE 21+	431	None	892	None	400	None	542	None	134	None	314	None	393	None	496	None
1073619052	LIU CHEINGLI C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1073619052	LIU CHEINGLI C	2021	FFS	RENDERING SNC	AGE 21+	180	None	437	None	110	None	146	None	111	None	186	None	124	None	219	None
1073619862	SOHL, BERTRAM E MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1073650552	INNES SNEHA	2021	FFS	RENDERING SNC	AGE 0-20	116	None	127	None	86	None	91	None	18	None	22	None	None	1	None	1
1073650552	INNES SNEHA	2021	FFS	RENDERING SNC	AGE 21+	536	None	616	None	413	None	438	None	91	None	103	None	52	None	59	None
1073705455	RODRIGUEZ FERNANDO	2021	FFS	RENDERING SNC	AGE 0-20	18	None	28	None	13	None	14	None	None	1	None	2	12	None	15	None
1073705455	RODRIGUEZ FERNANDO	2021	FFS	RENDERING SNC	AGE 21+	309	None	606	None	284	None	429	None	179	None	298	None	282	None	421	None
1073707733	GIBSON CHRISTINE M	2021	FFS	RENDERING SNC	AGE 0-20	255	None	563	None	255	None	563	None	0	None	0	None	255	None	563	None
1073707733	GIBSON CHRISTINE M	2021	FFS	RENDERING SNC	AGE 21+	342	None	896	None	342	None	896	None	0	None	0	None	342	None	896	None
1073727236	LEE, HENRY H, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1073730289	TERLET ARIANE R.	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1073730289	TERLET ARIANE R.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1073745584	LEUNG HERMAN	2021	FFS	RENDERING SNC	AGE 0-20	108	None	310	None	51	None	76	None	74	None	192	None	26	None	39	None
1073745584	LEUNG HERMAN	2021	FFS	RENDERING SNC	AGE 21+	337	None	1,056	None	123	None	149	None	278	None	835	None	62	None	69	None
1073786166	LIAO CHRISTINA SUE	2021	FFS	RENDERING SNC	AGE 0-20	82	None	85	None	24	None	24	None	21	None	22	None	25	None	25	None
1073786166	LIAO CHRISTINA SUE	2021	FFS	RENDERING SNC	AGE 21+	58	None	59	None	26	None	26	None	23	None	23	None	23	None	23	None
1073796298	LIN STEPHANIE S	2021	FFS	RENDERING SNC	AGE 0-20	277	None	433	None	242	None	304	None	66	None	101	None	211	None	250	None
1073796298	LIN STEPHANIE S	2021	FFS	RENDERING SNC	AGE 21+	380	None	923	None	251	None	320	None	266	None	600	None	256	None	360	None
1073807426	CROSS RANDOLPH R	2021	FFS	RENDERING SNC	AGE 0-20	14	None	20	None	None	1	None	1	None	1	None	1	None	1	None	2
1073807426	CROSS RANDOLPH R	2021	FFS	RENDERING SNC	AGE 21+	41	None	52	None	0	None	0	None	28	None	34	None	13	None	15	None
1073907176	SUNRISE EYEWEAR AND	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1073907978	TA KAREN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1073927935	GHEIDARPOUR PARISA	2021	FFS	RENDERING SNC	AGE 0-20	304	None	837	None	261	None	502	None	120	None	317	None	240	None	422	None
1073927935	GHEIDARPOUR PARISA	2021	FFS	RENDERING SNC	AGE 21+	587	None	2,529	None	292	None	583	None	362	None	1,209	None	441	None	1,177	None
1073971461	MUROLO DANIEL	2021	FFS	RENDERING SNC	AGE 0-20	71	None	134	None	52	None	98	None	30	None	57	None	51	None	96	None
1073971461	MUROLO DANIEL	2021	FFS	RENDERING SNC	AGE 21+	14	None	25	None	None	1	None	2	None	1	None	2	None	1	None	2
1073980090	LIANG DIANE	2021	FFS	RENDERING SNC	AGE 0-20	114	None	248	None	91	None	174	None	27	None	58	None	95	None	166	None
1073980090	LIANG DIANE	2021	FFS	RENDERING SNC	AGE 21+	304	None	777	None	190	None	339	None	163	None	405	None	197	None	355	None
1083005508	LEE DANNY K	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1083005508	LEE DANNY K	2021	FFS	RENDERING SNC	AGE 21+	230	None	517	None	220	None	435	None	57	None	95	None	218	None	396	None
1083012520	DHALIWAL SATVIR K	2021	FFS	RENDERING SNC	AGE 0-20	12	None	18	None	None	1	None	1	None	1	None	1	None	1	None	1
1083012520	DHALIWAL SATVIR K	2021	FFS	RENDERING SNC	AGE 21+	66	None	132	None	27	None	28	None	29	None	52	None	31	None	36	None
1083021323	DHILLON MANINDER K	2021	FFS	RENDERING SNC	AGE 0-20	159	None	335	None	134	None	207	None	71	None	123	None	115	None	123	None
1083021323	DHILLON MANINDER K	2021	FFS	RENDERING SNC	AGE 21+	188	None	396	None	142	None	177	None	105	None	199	None	140	None	157	None
1083051981	MARAVILLAS MARY ANN	2021	FFS	RENDERING SNC	AGE 0-20	436	None	591	None	330	None	379	None	129	None	184	None	291	None	325	None
1083051981	MARAVILLAS MARY ANN	2021	FFS	RENDERING SNC	AGE 21+	124	None	166	None	80	None	88	None	54	None	78	None	80	None	86	None
1083107817	CASTELLANOS JENNIFER	2021	FFS	RENDERING SNC	AGE 0-20	220	None	232	None	78	None	81	None	83	None	88	None	59	None	63	None
1083107817	CASTELLANOS JENNIFER	2021	FFS	RENDERING SNC	AGE 21+	169	None	183	None	33	None	37	None	120	None	129	None	None	1	None	2
1083145544	MAYORGA STEPHANIE G	2021	FFS	RENDERING SNC	AGE 0-20	107	None	256	None	76	None	127	None	65	None	158	None	40	None	63	None
1083145544	MAYORGA STEPHANIE G	2021	FFS	RENDERING SNC	AGE 21+	251	None	792	None	52	None	81	None	213	None	604	None	84	None	159	None
1083155840	SPOONER NICOLE SUSAN	2021	FFS	RENDERING SNC	AGE 0-20	35	None	44	None	35	None	44	None	0	None	0	None	35	None	44	None
1083155840	SPOONER NICOLE SUSAN	2021	FFS	RENDERING SNC	AGE 21+	78	None	97	None	78	None	97	None	0	None	0	None	78	None	97	None
1083248942	DEVIRIAN CARLY ROSE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083252464	MACIAS DENISSE P	2021	FFS	RENDERING SNC	AGE 0-20	112	None	224	None	112	None	224	None	0	None	0	None	112	None	224	None
1083252464	MACIAS DENISSE P	2021	FFS	RENDERING SNC	AGE 21+	85	None	229	None	85	None	229	None	0	None	0	None	85	None	229	None
1083621213	HUANG CHEN-WEN	2021	FFS	RENDERING SNC	AGE 0-20	286	None	338	None	233	None	267	None	78	None	90	None	186	None	210	None
1083621213	HUANG CHEN-WEN	2021	FFS	RENDERING SNC	AGE 21+	502	None	762	None	331	None	455	None	263	None	316	None	305	None	449	None
1083632368	WISTROM DAVID W	2021	FFS	RENDERING SNC	AGE 0-20	294	None	372	None	294	None	372	None	0	None	0	None	294	None	372	None
1083632368	WISTROM DAVID W	2021	FFS	RENDERING SNC	AGE 21+	1,932	None	3,333	None	1,918	None	3,312	None	0	None	0	None	1,918	None	3,312	None
1083632806	ISAEFF, DALE M MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1083732010	SUDQI OMAR H	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083732010	SUDQI OMAR H	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083750657	PUZIN THOMAS W S	2021	FFS	RENDERING SNC	AGE 0-20	105	None	125	None	105	None	125	None	0	None	0	None	105	None	125	None
1083750657	PUZIN THOMAS W S	2021	FFS	RENDERING SNC	AGE 21+	1,596	None	2,577	None	1,588	None	2,567	None	0	None	0	None	1,588	None	2,567	None
1083782130	MATSUNAGA, ANDREW K, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083782130	MATSUNAGA, ANDREW K, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083816292	HAKIMI FARIDEH	2021	FFS	RENDERING SNC	AGE 0-20	1,034	None	1,176	None	908	None	1,015	None	127	None	131	None	414	None	425	None
1083816292	HAKIMI FARIDEH	2021	FFS	RENDERING SNC	AGE 21+	473	None	531	None	194	None	199	None	207	None	236	None	107	None	110	None
1083850481	BURKLUND JODENE LOREE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1083850481	BURKLUND JODENE LOREE	2021	FFS	RENDERING SNC	AGE 21+	11	None	11	None	None	1	None	1	None	1	None	1	None	1	None	1
1083928287	YANG MAGNUS K	2021	FFS	RENDERING SNC	AGE 0-20	199	None	565	None	174	None	369	None	73	None	207	None	150	None	306	None
1083928287	YANG MAGNUS K	2021	FFS	RENDERING SNC	AGE 21+	534	None	2,881	None	357	None	1,057	None	413	None	1,969	None	370	None	1,154	None
1083945372	CHILSON JAY BENNETT	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1083945372	CHILSON JAY BENNETT	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1083978365	CHONG MICHAEL L	2021	FFS	RENDERING SNC	AGE 0-20	357	None	688	None	338	None	547	None	96	None	138	None	218	None	269	None
1083978365	CHONG MICHAEL L	2021	FFS	RENDERING SNC	AGE 21+	1,023	None	2,268	None	886	None	1,419	None	492	None	892	None	760	None	1,035	None
1093074791	ALVARENGA KAREN V	2021	FFS	RENDERING SNC	AGE 0-20	295	None	308	None	295	None	305	None	None	1	None	1	295	None	295	None
1093116634	MIYAZATO KEN H	2021	FFS	RENDERING SNC	AGE 0-20	83	None	135	None	39	None	60	None	43	None	68	None	22	None	25	None
1093116634	MIYAZATO KEN H	2021	FFS	RENDERING SNC	AGE 21+	454	None	960	None	84	None	128	None	357	None	668	None	114	None	150	None
1093120313	NGUYEN-CHUNG ANN	2021	FFS	RENDERING SNC	AGE 0-20	461	None	877	None	306	None	420	None	103	None	150	None	171	None	221	None
1093120313	NGUYEN-CHUNG ANN	2021	FFS	RENDERING SNC	AGE 21+	272	None	651	None	207	None	388	None	187	None	360	None	72	None	128	None
1093143703	ANTHONY NISHA	2021	FFS	RENDERING SNC	AGE 0-20	590	None	977	None	519	None	691	None	178	None	287	None	388	None	437	None
1093143703	ANTHONY NISHA	2021	FFS	RENDERING SNC	AGE 21+	552	None	1,354	None	447	None	721	None	320	None	755	None	413	None	605	None
1093144891	HOA STEPHANIE TRAN	2021	FFS	RENDERING SNC	AGE 0-20	743	None	914	None	576	None	673	None	178	None	201	None	364	None	404	None
1093144891	HOA STEPHANIE TRAN	2021	FFS	RENDERING SNC	AGE 21+	25	None	28	None	None	1	None	1	None	1	None	2	None	1	None	1
1093150054	KIM, REBEKAH J H DO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093186652	ANYANWU LINDA C	2021	FFS	RENDERING SNC	AGE 0-20	28	None	28	None	26	None	26	None	None	1	None	1	26	None	26	None
1093186652	ANYANWU LINDA C	2021	FFS	RENDERING SNC	AGE 21+	39	None	47	None	38	None	45	None	None	1	None	1	38	None	45	None
1093281156	BALOY CZARINA A	2021	FFS	RENDERING SNC	AGE 0-20	199	None	705	None	192	None	444	None	100	None	290	None	179	None	354	None
1093281156	BALOY CZARINA A	2021	FFS	RENDERING SNC	AGE 21+	428	None	2,464	None	405	None	1,295	None	352	None	1,631	None	392	None	975	None
1093281156	BALOY CZARINA A	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093296972	MEJIA JOSE Z	2021	FFS	RENDERING SNC	AGE 0-20	101	None	216	None	52	None	80	None	54	None	95	None	33	None	52	None
1093296972	MEJIA JOSE Z	2021	FFS	RENDERING SNC	AGE 21+	308	None	770	None	124	None	214	None	178	None	438	None	131	None	261	None
1093371056	PARK HOJUN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1093371056	PARK HOJUN	2021	FFS	RENDERING SNC	AGE 21+	14	None	15	None	0	None	0	None	0	None	0	None	0	None	0	None
1093372591	POELMAN THOMAS S	2021	FFS	RENDERING SNC	AGE 0-20	1,301	None	2,148	None	1,025	None	1,316	None	435	None	688	None	982	None	1,196	None
1093372591	POELMAN THOMAS S	2021	FFS	RENDERING SNC	AGE 21+	180	None	390	None	85	None	167	None	109	None	217	None	84	None	169	None
1093485815	JEONG JINWOO	2021	FFS	RENDERING SNC	AGE 0-20	45	None	55	None	18	None	18	None	14	None	22	None	17	None	17	None
1093485815	JEONG JINWOO	2021	FFS	RENDERING SNC	AGE 21+	56	None	67	None	None	1	None	1	41	None	48	None	None	1	None	1
1093759987	GHODDUSI-TABARS FARIDEH	2021	FFS	RENDERING SNC	AGE 0-20	14	None	20	None	None	1	None	2	None	1	None	1	None	1	None	1
1093759987	GHODDUSI-TABARS FARIDEH	2021	FFS	RENDERING SNC	AGE 21+	38	None	64	None	12	None	14	None	15	None	18	None	14	None	33	None
1093772139	FOROUTAN AUDREY A	2021	FFS	RENDERING SNC	AGE 0-20	373	None	710	None	343	None	494	None	187	None	354	None	256	None	321	None
1093772139	FOROUTAN AUDREY A	2021	FFS	RENDERING SNC	AGE 21+	406	None	988	None	277	None	418	None	315	None	673	None	233	None	359	None
1093803520	CHEN, TSUH-YIN MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1093809931	MONTELL ALICIA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1093809931	MONTELL ALICIA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1093828691	GRIMALDI, LARRY, DDS	2021	FFS	RENDERING SNC	AGE 21+	20	None	58	None	None	1	None	1	17	None	47	None	None	1	None	2
1093844417	MOYA, MARY R MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1093847386	CHENG YI T	2021	FFS	RENDERING SNC	AGE 0-20	86	None	233	None	82	None	129	None	47	None	124	None	72	None	92	None
1093847386	CHENG YI T	2021	FFS	RENDERING SNC	AGE 21+	624	None	1,558	None	544	None	796	None	442	None	956	None	498	None	764	None
1093847386	CHENG YI T	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1093878258	JAVDAN RON	2021	FFS	RENDERING SNC	AGE 0-20	207	None	451	None	201	None	328	None	50	None	111	None	187	None	248	None
1093878258	JAVDAN RON	2021	FFS	RENDERING SNC	AGE 21+	874	None	2,984	None	797	None	1,628	None	388	None	1,101	None	771	None	1,255	None
1093878258	JAVDAN RON	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1093919466	FUNG EDMOND KAR S	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1093919466	FUNG EDMOND KAR S	2021	FFS	RENDERING SNC	AGE 21+	182	None	533	None	91	None	162	None	171	None	455	None	99	None	117	None
1093919466	FUNG EDMOND KAR S	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1093919466	FUNG EDMOND KAR S	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1104005123	SUMMERS EDDIE LEE	2021	FFS	RENDERING SNC	AGE 0-20	51	None	72	None	47	None	61	None	0	None	0	None	47	None	61	None
1104005123	SUMMERS EDDIE LEE	2021	FFS	RENDERING SNC	AGE 21+	46	None	79	None	43	None	67	None	0	None	0	None	43	None	67	None
1104043868	ABEL ERIN D	2021	FFS	RENDERING SNC	AGE 0-20	714	None	1,274	None	199	None	243	None	160	None	254	None	200	None	242	None
1104043868	ABEL ERIN D	2021	FFS	RENDERING SNC	AGE 21+	679	None	1,444	None	84	None	127	None	420	None	779	None	163	None	218	None
1104045814	LAURENTE REX S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104073121	MARK, ELLEN, DDS	2021	FFS	RENDERING SNC	AGE 0-20	1,423	None	4,940	None	1,423	None	4,940	None	0	None	0	None	1,423	None	4,940	None
1104073121	MARK, ELLEN, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104073121	MARK, ELLEN, DDS	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104080522	MUNAGALA VIJAY	2021	FFS	RENDERING SNC	AGE 0-20	22	None	22	None	17	None	17	None	None	1	None	1	17	None	17	None
1104080522	MUNAGALA VIJAY	2021	FFS	RENDERING SNC	AGE 21+	30	None	30	None	14	None	14	None	17	None	17	None	14	None	14	None
1104087246	SINGH PRIYANKA	2021	FFS	RENDERING SNC	AGE 0-20	191	None	223	None	116	None	123	None	69	None	83	None	106	None	112	None
1104087246	SINGH PRIYANKA	2021	FFS	RENDERING SNC	AGE 21+	126	None	153	None	62	None	72	None	73	None	84	None	22	None	22	None
1104126200	KOUROMENOS IRAMIS	2021	FFS	RENDERING SNC	AGE 0-20	151	None	169	None	144	None	160	None	None	1	None	1	None	1	None	1
1104126200	KOUROMENOS IRAMIS	2021	FFS	RENDERING SNC	AGE 21+	150	None	207	None	68	None	75	None	83	None	130	None	None	1	None	1
1104151653	LEUNG WILSON K	2021	FFS	RENDERING SNC	AGE 0-20	1,492	None	2,163	None	902	None	1,133	None	711	None	1,025	None	752	None	892	None
1104151653	LEUNG WILSON K	2021	FFS	RENDERING SNC	AGE 21+	521	None	1,046	None	149	None	181	None	368	None	684	None	92	None	107	None
1104201094	WENG JONATHAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1104201094	WENG JONATHAN	2021	FFS	RENDERING SNC	AGE 21+	79	None	151	None	None	1	None	1	68	None	125	None	67	None	77	None
1104202498	FITZGERALD LELAND JOSEPH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104229616	ATHAR AQEELA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104229616	ATHAR AQEELA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1104311935	KWONG SARA	2021	FFS	RENDERING SNC	AGE 0-20	205	None	401	None	184	None	304	None	59	None	130	None	179	None	295	None
1104311935	KWONG SARA	2021	FFS	RENDERING SNC	AGE 21+	314	None	930	None	219	None	405	None	231	None	628	None	216	None	381	None
1104350594	VOHRA SHIVANI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1104350594	VOHRA SHIVANI	2021	FFS	RENDERING SNC	AGE 21+	39	None	109	None	0	None	0	None	0	None	0	None	None	1	None	1
1104359835	KIM YOO J	2021	FFS	RENDERING SNC	AGE 0-20	151	None	192	None	151	None	192	None	0	None	0	None	151	None	192	None
1104359835	KIM YOO J	2021	FFS	RENDERING SNC	AGE 21+	1,817	None	3,051	None	1,802	None	3,030	None	0	None	0	None	1,802	None	3,030	None
1104360189	NGHIEM PETER M	2021	FFS	RENDERING SNC	AGE 0-20	901	None	1,238	None	744	None	900	None	227	None	300	None	28	None	31	None
1104360189	NGHIEM PETER M	2021	FFS	RENDERING SNC	AGE 21+	452	None	722	None	146	None	167	None	316	None	449	None	50	None	115	None
1104406123	OSBORNE MAILE S	2021	FFS	RENDERING SNC	AGE 0-20	35	None	39	None	22	None	23	None	25	None	28	None	24	None	25	None
1104406123	OSBORNE MAILE S	2021	FFS	RENDERING SNC	AGE 21+	80	None	92	None	49	None	51	None	50	None	54	None	55	None	60	None
1104423672	MAURICE SHELBY D	2021	FFS	RENDERING SNC	AGE 0-20	499	None	2,831	None	474	None	1,841	None	186	None	968	None	461	None	1,093	None
1104423672	MAURICE SHELBY D	2021	FFS	RENDERING SNC	AGE 21+	632	None	3,495	None	587	None	1,731	None	277	None	1,449	None	586	None	1,696	None
1104425248	MEHNDIRATTA ADITI	2021	FFS	RENDERING SNC	AGE 0-20	81	None	167	None	64	None	117	None	44	None	75	None	61	None	91	None
1104425248	MEHNDIRATTA ADITI	2021	FFS	RENDERING SNC	AGE 21+	95	None	279	None	72	None	152	None	81	None	210	None	63	None	99	None
1104447812	CUNNINGHAM CAMBRIA N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1104447812	CUNNINGHAM CAMBRIA N	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1104468057	BABAIAN ARMEN Y	2021	FFS	RENDERING SNC	AGE 0-20	29	None	57	None	20	None	22	None	None	1	None	2	18	None	20	None
1104468057	BABAIAN ARMEN Y	2021	FFS	RENDERING SNC	AGE 21+	121	None	244	None	68	None	79	None	42	None	87	None	69	None	80	None
1104493899	OIFOH ROSELINE E	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1104499706	SIN JESSICA G	2021	FFS	RENDERING SNC	AGE 0-20	194	None	339	None	155	None	220	None	82	None	119	None	137	None	184	None
1104499706	SIN JESSICA G	2021	FFS	RENDERING SNC	AGE 21+	169	None	325	None	130	None	171	None	79	None	149	None	128	None	168	None
1104594126	PEREZ DAVID L	2021	FFS	RENDERING SNC	AGE 0-20	88	None	380	None	87	None	316	None	19	None	60	None	86	None	292	None
1104594126	PEREZ DAVID L	2021	FFS	RENDERING SNC	AGE 21+	154	None	751	None	147	None	466	None	60	None	232	None	151	None	523	None
1104876614	MOCEGA JUAN A MD JR	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1104917293	LEE STEWART R	2021	FFS	RENDERING SNC	AGE 0-20	359	None	504	None	321	None	380	None	40	None	53	None	324	None	361	None
1104917293	LEE STEWART R	2021	FFS	RENDERING SNC	AGE 21+	366	None	705	None	232	None	254	None	165	None	332	None	305	None	409	None
1104963313	KAUR HARPREET	2021	FFS	RENDERING SNC	AGE 0-20	338	None	839	None	209	None	307	None	120	None	346	None	204	None	291	None
1104963313	KAUR HARPREET	2021	FFS	RENDERING SNC	AGE 21+	629	None	1,596	None	368	None	466	None	420	None	1,039	None	368	None	452	None
1104970110	GOULD ROXANNE	2021	FFS	RENDERING SNC	AGE 0-20	120	None	216	None	109	None	183	None	15	None	20	None	54	None	58	None
1104973346	THOMPSON-MARVEL MERRIES N.	2021	FFS	RENDERING SNC	AGE 0-20	84	None	125	None	84	None	125	None	None	1	None	1	84	None	125	None
1104973346	THOMPSON-MARVEL MERRIES N.	2021	FFS	RENDERING SNC	AGE 21+	253	None	439	None	253	None	439	None	31	None	53	None	253	None	439	None
1114006871	LUNA AILEEN C	2021	FFS	RENDERING SNC	AGE 0-20	1,645	None	2,217	None	29	None	30	None	184	None	193	None	47	None	48	None
1114006871	LUNA AILEEN C	2021	FFS	RENDERING SNC	AGE 21+	332	None	338	None	19	None	19	None	298	None	302	None	33	None	33	None
1114006889	LUNA CELLINI N	2021	FFS	RENDERING SNC	AGE 0-20	717	None	966	None	549	None	625	None	200	None	277	None	510	None	555	None
1114006889	LUNA CELLINI N	2021	FFS	RENDERING SNC	AGE 21+	463	None	840	None	208	None	278	None	290	None	476	None	169	None	181	None
1114019478	CLAUDIUS, ILENE A MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1114080199	SAMPAGA SHARON C	2021	FFS	RENDERING SNC	AGE 0-20	886	None	983	None	480	None	507	None	306	None	330	None	395	None	411	None
1114080199	SAMPAGA SHARON C	2021	FFS	RENDERING SNC	AGE 21+	1,035	None	1,203	None	428	None	452	None	639	None	715	None	310	None	318	None
1114097144	JENKINS JOHN G	2021	FFS	RENDERING SNC	AGE 0-20	459	None	724	None	385	None	444	None	311	None	516	None	166	None	196	None
1114097144	JENKINS JOHN G	2021	FFS	RENDERING SNC	AGE 21+	495	None	1,396	None	175	None	196	None	370	None	839	None	329	None	784	None
1114130267	KURIMOTO, CHRISTOPHER J, DDS	2021	FFS	RENDERING SNC	AGE 0-20	233	None	415	None	199	None	272	None	88	None	154	None	163	None	189	None
1114130267	KURIMOTO, CHRISTOPHER J, DDS	2021	FFS	RENDERING SNC	AGE 21+	426	None	939	None	309	None	394	None	240	None	519	None	295	None	391	None
1114130358	HASHOUSH MARIAM K	2021	FFS	RENDERING SNC	AGE 0-20	137	None	182	None	97	None	109	None	67	None	89	None	92	None	98	None
1114130358	HASHOUSH MARIAM K	2021	FFS	RENDERING SNC	AGE 21+	41	None	44	None	11	None	11	None	25	None	28	None	20	None	21	None
1114136231	CHARLTON GREGORY S	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1114136231	CHARLTON GREGORY S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1114145265	MONTANA EFRAIN A	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1114157252	HORST ORAPIN V	2021	FFS	RENDERING SNC	AGE 0-20	49	None	68	None	49	None	68	None	0	None	0	None	49	None	68	None
1114157252	HORST ORAPIN V	2021	FFS	RENDERING SNC	AGE 21+	47	None	65	None	46	None	64	None	0	None	0	None	46	None	64	None
1114218153	CHENG JOYCE YI-TZY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1114218153	CHENG JOYCE YI-TZY	2021	FFS	RENDERING SNC	AGE 21+	24	None	35	None	None	1	None	1	12	None	16	None	20	None	27	None
1114255569	MEIKLE WALLACE B	2021	FFS	RENDERING SNC	AGE 0-20	350	None	473	None	286	None	355	None	240	None	296	None	47	None	51	None
1114255569	MEIKLE WALLACE B	2021	FFS	RENDERING SNC	AGE 21+	518	None	1,126	None	294	None	426	None	422	None	739	None	114	None	258	None
1114303344	DAYRIT NICOLE M	2021	FFS	RENDERING SNC	AGE 0-20	433	None	526	None	203	None	228	None	202	None	268	None	34	None	40	None
1114303344	DAYRIT NICOLE M	2021	FFS	RENDERING SNC	AGE 21+	350	None	468	None	157	None	184	None	295	None	396	None	127	None	146	None
1114318383	KIM DAVID TAE HUN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1114318383	KIM DAVID TAE HUN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1114327764	MADRID YOLANDA	2021	FFS	RENDERING SNC	AGE 0-20	61	None	98	None	11	None	11	None	55	None	86	None	0	None	0	None
1114327764	MADRID YOLANDA	2021	FFS	RENDERING SNC	AGE 21+	558	None	981	None	119	None	125	None	512	None	861	None	None	1	None	1
1114392669	ISMAIL HABIBA	2021	FFS	RENDERING SNC	AGE 0-20	990	None	1,128	None	986	None	1,120	None	None	1	None	1	984	None	1,117	None
1114392669	ISMAIL HABIBA	2021	FFS	RENDERING SNC	AGE 21+	394	None	445	None	391	None	441	None	None	1	None	1	389	None	439	None
1114475845	ABALOS TIGON	2021	FFS	RENDERING SNC	AGE 0-20	156	None	363	None	81	None	125	None	98	None	175	None	35	None	40	None
1114475845	ABALOS TIGON	2021	FFS	RENDERING SNC	AGE 21+	375	None	1,245	None	117	None	162	None	343	None	1,027	None	82	None	102	None
1114493343	AL DAHAN MAIS A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1114493343	AL DAHAN MAIS A	2021	FFS	RENDERING SNC	AGE 21+	44	None	49	None	None	1	None	1	14	None	15	None	21	None	22	None
1124000534	SMITH ERIC D	2021	FFS	RENDERING SNC	AGE 0-20	1,009	None	1,525	None	633	None	762	None	500	None	784	None	65	None	83	None
1124038757	TAM ANITA SHUK WAI	2021	FFS	RENDERING SNC	AGE 0-20	43	None	66	None	20	None	24	None	None	1	None	2	22	None	29	None
1124039136	SERPAS, SHAILA MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1124053301	WUESTHOFF THOMAS F	2021	FFS	RENDERING SNC	AGE 0-20	156	None	353	None	156	None	353	None	0	None	0	None	156	None	353	None
1124053301	WUESTHOFF THOMAS F	2021	FFS	RENDERING SNC	AGE 21+	411	None	1,476	None	411	None	1,476	None	0	None	0	None	411	None	1,476	None
1124053483	ADELMAN MARA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124070180	HSU MIKE	2021	FFS	RENDERING SNC	AGE 0-20	18	None	35	None	18	None	35	None	0	None	0	None	18	None	35	None
1124070180	HSU MIKE	2021	FFS	RENDERING SNC	AGE 21+	35	None	103	None	35	None	103	None	0	None	0	None	35	None	103	None
1124173794	RIVERA, JORGE A R MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1124200902	YANG GRACE K	2021	FFS	RENDERING SNC	AGE 0-20	87	None	162	None	51	None	68	None	52	None	76	None	21	None	22	None
1124200902	YANG GRACE K	2021	FFS	RENDERING SNC	AGE 21+	251	None	673	None	70	None	77	None	221	None	544	None	65	None	71	None
1124205455	LI MIKE Y	2021	FFS	RENDERING SNC	AGE 0-20	296	None	455	None	247	None	395	None	22	None	26	None	238	None	383	None
1124205455	LI MIKE Y	2021	FFS	RENDERING SNC	AGE 21+	327	None	560	None	231	None	399	None	96	None	152	None	241	None	418	None
1124209549	EVANS JUSTIN R	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1124209549	EVANS JUSTIN R	2021	FFS	RENDERING SNC	AGE 21+	195	None	643	None	195	None	643	None	0	None	0	None	195	None	643	None
1124227434	VU DON Q	2021	FFS	RENDERING SNC	AGE 0-20	53	None	59	None	45	None	48	None	24	None	26	None	29	None	29	None
1124227434	VU DON Q	2021	FFS	RENDERING SNC	AGE 21+	80	None	107	None	57	None	65	None	56	None	74	None	51	None	56	None
1124241930	VIRENDER S KALEKA	2021	FFS	RENDERING SNC	AGE 0-20	47	None	158	None	0	None	0	None	47	None	158	None	0	None	0	None
1124241930	VIRENDER S KALEKA	2021	FFS	RENDERING SNC	AGE 21+	35	None	104	None	0	None	0	None	35	None	104	None	0	None	0	None
1124286885	TUOLUMNE ME-WUK INDIAN	2021	FFS	RENDERING SNC	AGE 0-20	12	None	72	None	12	None	72	None	0	None	0	None	12	None	72	None
1124286885	TUOLUMNE ME-WUK INDIAN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1124302815	HAROIAN NAIRI	2021	FFS	RENDERING SNC	AGE 0-20	264	None	748	None	62	None	85	None	46	None	88	None	17	None	19	None
1124302815	HAROIAN NAIRI	2021	FFS	RENDERING SNC	AGE 21+	307	None	1,272	None	130	None	315	None	122	None	299	None	17	None	21	None
1124350012	GABA PUJA	2021	FFS	RENDERING SNC	AGE 0-20	182	None	209	None	148	None	164	None	46	None	53	None	25	None	25	None
1124350012	GABA PUJA	2021	FFS	RENDERING SNC	AGE 21+	42	None	47	None	None	1	None	1	34	None	38	None	None	1	None	1
1124376660	LONG GREGORY G	2021	FFS	RENDERING SNC	AGE 0-20	87	None	212	None	83	None	150	None	29	None	65	None	80	None	139	None
1124376660	LONG GREGORY G	2021	FFS	RENDERING SNC	AGE 21+	79	None	260	None	61	None	100	None	51	None	160	None	61	None	102	None
1124380886	CRABTREE DAVID G	2021	FFS	RENDERING SNC	AGE 0-20	108	None	259	None	None	1	None	1	None	1	None	1	None	1	None	1
1124380886	CRABTREE DAVID G	2021	FFS	RENDERING SNC	AGE 21+	98	None	309	None	None	1	None	1	0	None	0	None	0	None	0	None
1124403423	LOUIE KURTIS J	2021	FFS	RENDERING SNC	AGE 0-20	742	None	2,399	None	662	None	1,700	None	148	None	490	None	637	None	1,625	None
1124403423	LOUIE KURTIS J	2021	FFS	RENDERING SNC	AGE 21+	1,358	None	6,572	None	538	None	1,379	None	985	None	4,032	None	246	None	1,142	None
1124419288	RAFAY MUHAMMAD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1124550835	KING, KEVIN MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1124568175	HONDA BRENT TAKASHI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1124568175	HONDA BRENT TAKASHI	2021	FFS	RENDERING SNC	AGE 21+	40	None	130	None	None	1	None	1	31	None	68	None	17	None	56	None
1124671854	KIM KAHYUN	2021	FFS	RENDERING SNC	AGE 0-20	28	None	55	None	23	None	34	None	11	None	18	None	11	None	12	None
1124671854	KIM KAHYUN	2021	FFS	RENDERING SNC	AGE 21+	72	None	130	None	44	None	56	None	36	None	71	None	43	None	50	None
1134106362	HSU CHRISTENSEN S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1134144165	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1134144165	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 21+	22	None	196	None	None	1	None	2	None	1	None	2	None	1	None	2
1134248701	DANG THAI Q	2021	FFS	RENDERING SNC	AGE 21+	12	None	23	None	None	1	None	1	12	None	19	None	None	1	None	1
1134261001	CROS, DR RAYMOND DMD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134261001	CROS, DR RAYMOND DMD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1134262322	LII DER-SHSUAN	2021	FFS	RENDERING SNC	AGE 0-20	612	None	891	None	612	None	890	None	None	1	None	1	611	None	888	None
1134262322	LII DER-SHSUAN	2021	FFS	RENDERING SNC	AGE 21+	375	None	647	None	375	None	642	None	None	1	None	1	373	None	639	None
1134289655	BLEUEL OLGA L	2021	FFS	RENDERING SNC	AGE 0-20	274	None	541	None	256	None	358	None	92	None	197	None	213	None	256	None
1134289655	BLEUEL OLGA L	2021	FFS	RENDERING SNC	AGE 21+	417	None	1,018	None	359	None	472	None	235	None	593	None	332	None	424	None
1134294820	HURSH KEVIN D	2021	FFS	RENDERING SNC	AGE 0-20	669	None	1,350	None	638	None	978	None	219	None	433	None	637	None	984	None
1134294820	HURSH KEVIN D	2021	FFS	RENDERING SNC	AGE 21+	246	None	786	None	167	None	291	None	180	None	472	None	166	None	287	None
1134339963	VITERO STEVEN J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1134339963	VITERO STEVEN J	2021	FFS	RENDERING SNC	AGE 21+	337	None	1,142	None	142	None	248	None	282	None	851	None	132	None	358	None
1134355969	D'ALESSANDRO MA DEL CONSU	2021	FFS	RENDERING SNC	AGE 0-20	1,679	None	2,362	None	1,652	None	2,281	None	44	None	80	None	1,635	None	2,246	None
1134355969	D'ALESSANDRO MA DEL CONSU	2021	FFS	RENDERING SNC	AGE 21+	358	None	769	None	322	None	555	None	140	None	298	None	319	None	551	None
1134363286	MINYE HELENA M	2021	FFS	RENDERING SNC	AGE 0-20	51	None	54	None	25	None	25	None	45	None	48	None	13	None	13	None
1134363286	MINYE HELENA M	2021	FFS	RENDERING SNC	AGE 21+	80	None	102	None	None	1	None	1	75	None	90	None	42	None	49	None
1134388325	PASIN ERIK A	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1134410244	CHAN WAI-YIN	2021	FFS	RENDERING SNC	AGE 0-20	1,617	None	2,196	None	1,169	None	1,394	None	360	None	433	None	880	None	1,028	None
1134420698	SEHGAL SHIBANI	2021	FFS	RENDERING SNC	AGE 0-20	163	None	282	None	77	None	104	None	58	None	107	None	108	None	169	None
1134420698	SEHGAL SHIBANI	2021	FFS	RENDERING SNC	AGE 21+	364	None	863	None	141	None	201	None	173	None	325	None	198	None	422	None
1134420698	SEHGAL SHIBANI	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1134421340	HANDLERS KATHLEEN T	2021	FFS	RENDERING SNC	AGE 0-20	305	None	535	None	275	None	383	None	93	None	167	None	217	None	253	None
1134421340	HANDLERS KATHLEEN T	2021	FFS	RENDERING SNC	AGE 21+	437	None	1,349	None	390	None	673	None	270	None	705	None	343	None	571	None
1134462971	NGUYEN ELLEN B	2021	FFS	RENDERING SNC	AGE 0-20	916	None	1,208	None	768	None	916	None	278	None	361	None	281	None	318	None
1134462971	NGUYEN ELLEN B	2021	FFS	RENDERING SNC	AGE 21+	134	None	195	None	29	None	31	None	97	None	135	None	20	None	28	None
1134492911	CHIN ALLISON G	2021	FFS	RENDERING SNC	AGE 0-20	226	None	474	None	210	None	284	None	99	None	195	None	204	None	243	None
1134492911	CHIN ALLISON G	2021	FFS	RENDERING SNC	AGE 21+	217	None	692	None	186	None	251	None	152	None	377	None	189	None	356	None
1134503238	CHUA ROMI	2021	FFS	RENDERING SNC	AGE 0-20	88	None	119	None	79	None	95	None	34	None	47	None	77	None	86	None
1134503238	CHUA ROMI	2021	FFS	RENDERING SNC	AGE 21+	205	None	342	None	145	None	170	None	158	None	258	None	149	None	167	None
1134515695	PHAN TIFFANI	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1134535073	GILL MANBIR SINGH	2021	FFS	RENDERING SNC	AGE 0-20	517	None	1,647	None	335	None	609	None	299	None	740	None	238	None	318	None
1134535073	GILL MANBIR SINGH	2021	FFS	RENDERING SNC	AGE 21+	542	None	2,366	None	235	None	364	None	408	None	1,470	None	164	None	232	None
1134546534	SIGNORELLI CARLY T	2021	FFS	RENDERING SNC	AGE 0-20	700	None	1,231	None	616	None	858	None	270	None	499	None	556	None	706	None
1134546534	SIGNORELLI CARLY T	2021	FFS	RENDERING SNC	AGE 21+	461	None	1,054	None	231	None	299	None	333	None	729	None	277	None	375	None
1134557499	SY-SIONG JEROME V	2021	FFS	RENDERING SNC	AGE 0-20	326	None	954	None	297	None	583	None	174	None	336	None	259	None	352	None
1134557499	SY-SIONG JEROME V	2021	FFS	RENDERING SNC	AGE 21+	557	None	2,018	None	394	None	566	None	374	None	1,094	None	373	None	622	None
1134573462	ISORDIA BERNES MARYAM	2021	FFS	RENDERING SNC	AGE 0-20	254	None	285	None	None	1	None	1	None	1	None	1	19	None	19	None
1134573462	ISORDIA BERNES MARYAM	2021	FFS	RENDERING SNC	AGE 21+	38	None	41	None	None	1	None	1	17	None	19	None	25	None	27	None
1134632565	ELIZONDO PRISCILLA KAREN	2021	FFS	RENDERING SNC	AGE 0-20	76	None	205	None	51	None	86	None	30	None	74	None	12	None	18	None
1134632565	ELIZONDO PRISCILLA KAREN	2021	FFS	RENDERING SNC	AGE 21+	217	None	718	None	82	None	121	None	123	None	302	None	50	None	125	None
1134636962	JUPITER RAQUEL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1134651342	FONTAINE WILLIAM	2021	FFS	RENDERING SNC	AGE 0-20	240	None	527	None	240	None	527	None	None	1	None	1	238	None	522	None
1134651342	FONTAINE WILLIAM	2021	FFS	RENDERING SNC	AGE 21+	344	None	876	None	341	None	871	None	None	1	None	1	341	None	871	None
1134742026	CHANG TIFFANY W	2021	FFS	RENDERING SNC	AGE 0-20	43	None	58	None	37	None	40	None	17	None	22	None	35	None	38	None
1134742026	CHANG TIFFANY W	2021	FFS	RENDERING SNC	AGE 21+	151	None	295	None	91	None	104	None	119	None	231	None	87	None	96	None
1144222084	WONG PERRY S	2021	FFS	RENDERING SNC	AGE 0-20	85	None	199	None	68	None	115	None	17	None	37	None	82	None	146	None
1144222084	WONG PERRY S	2021	FFS	RENDERING SNC	AGE 21+	221	None	852	None	110	None	141	None	112	None	303	None	215	None	648	None
1144248527	LOREDO, ABEL, DDS	2021	FFS	RENDERING SNC	AGE 0-20	221	None	439	None	0	None	0	None	0	None	0	None	0	None	0	None
1144248527	LOREDO, ABEL, DDS	2021	FFS	RENDERING SNC	AGE 21+	606	None	1,438	None	0	None	0	None	0	None	0	None	0	None	0	None
1144248527	LOREDO, ABEL, DDS	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1144325036	KESHMIRI, MOHAMMAD A, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1144338674	ODISHOO, VILARD, DDS	2021	FFS	RENDERING SNC	AGE 0-20	23	None	47	None	None	1	None	1	18	None	33	None	None	1	None	1
1144338674	ODISHOO, VILARD, DDS	2021	FFS	RENDERING SNC	AGE 21+	79	None	170	None	None	1	None	2	61	None	121	None	23	None	46	None
1144354119	SCOTT JAMES R	2021	FFS	RENDERING SNC	AGE 0-20	166	None	504	None	130	None	225	None	78	None	216	None	89	None	122	None
1144354119	SCOTT JAMES R	2021	FFS	RENDERING SNC	AGE 21+	350	None	1,255	None	253	None	527	None	249	None	597	None	246	None	496	None
1144426479	CHAPPELL BRADLEY PAUL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1144434127	MCLACHLAN KIMBERLY K	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1144486598	JORDAN JOSEPH D	2021	FFS	RENDERING SNC	AGE 0-20	650	None	853	None	586	None	730	None	195	None	239	None	407	None	489	None
1144486598	JORDAN JOSEPH D	2021	FFS	RENDERING SNC	AGE 21+	408	None	540	None	150	None	168	None	296	None	388	None	56	None	65	None
1144487679	SADDUK ALI A	2021	FFS	RENDERING SNC	AGE 0-20	114	None	286	None	81	None	91	None	81	None	212	None	61	None	62	None
1144487679	SADDUK ALI A	2021	FFS	RENDERING SNC	AGE 21+	879	None	2,505	None	443	None	470	None	795	None	2,098	None	361	None	443	None
1144532672	NAMAVAR VIDA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1144532672	NAMAVAR VIDA	2021	FFS	RENDERING SNC	AGE 21+	29	None	41	None	None	1	None	1	27	None	39	None	None	1	None	1
1144538596	LORENZO MARY LEAH T	2021	FFS	RENDERING SNC	AGE 0-20	85	None	168	None	79	None	98	None	29	None	56	None	76	None	83	None
1144538596	LORENZO MARY LEAH T	2021	FFS	RENDERING SNC	AGE 21+	404	None	1,224	None	363	None	631	None	238	None	655	None	326	None	364	None
1144567447	SAMUEL P SMITH MD . INC	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1144626268	PRESSMAN, JOSHUA S, DDS INC	2021	FFS	RENDERING SNC	AGE 0-20	29	None	29	None	29	None	29	None	0	None	0	None	29	None	29	None
1144626268	PRESSMAN, JOSHUA S, DDS INC	2021	FFS	RENDERING SNC	AGE 21+	45	None	45	None	45	None	45	None	0	None	0	None	45	None	45	None
1144679184	EL-LAHAM MOHAMED	2021	FFS	RENDERING SNC	AGE 0-20	422	None	1,882	None	361	None	1,030	None	222	None	900	None	346	None	948	None
1144679184	EL-LAHAM MOHAMED	2021	FFS	RENDERING SNC	AGE 21+	671	None	4,421	None	485	None	1,440	None	447	None	2,274	None	541	None	2,071	None
1144697723	HUH DANIEL J	2021	FFS	RENDERING SNC	AGE 0-20	100	None	231	None	68	None	101	None	51	None	96	None	69	None	88	None
1144697723	HUH DANIEL J	2021	FFS	RENDERING SNC	AGE 21+	443	None	1,324	None	258	None	502	None	227	None	478	None	293	None	506	None
1144755976	COLLINS ATIJAH J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1144755976	COLLINS ATIJAH J	2021	FFS	RENDERING SNC	AGE 21+	24	None	28	None	0	None	0	None	None	1	None	1	12	None	13	None
1144849829	VAN LEIR KATELYN N	2021	FFS	RENDERING SNC	AGE 0-20	148	None	314	None	133	None	228	None	37	None	72	None	113	None	150	None
1144849829	VAN LEIR KATELYN N	2021	FFS	RENDERING SNC	AGE 21+	272	None	742	None	223	None	452	None	137	None	278	None	202	None	370	None
1144867631	BECERRA JULIA ANGELICA QUEZADA	2021	FFS	RENDERING SNC	AGE 0-20	194	None	551	None	166	None	433	None	40	None	98	None	148	None	335	None
1144867631	BECERRA JULIA ANGELICA QUEZADA	2021	FFS	RENDERING SNC	AGE 21+	156	None	631	None	127	None	343	None	57	None	254	None	106	None	270	None
1154307494	LEE WHINGMING	2021	FFS	RENDERING SNC	AGE 0-20	190	None	585	None	190	None	585	None	0	None	0	None	190	None	585	None
1154307494	LEE WHINGMING	2021	FFS	RENDERING SNC	AGE 21+	232	None	876	None	232	None	876	None	0	None	0	None	232	None	876	None
1154308146	JASO JOHN G	2021	FFS	RENDERING SNC	AGE 0-20	58	None	93	None	0	None	0	None	0	None	0	None	0	None	0	None
1154308146	JASO JOHN G	2021	FFS	RENDERING SNC	AGE 21+	117	None	169	None	0	None	0	None	0	None	0	None	0	None	0	None
1154313658	ENGLISH IOANA R	2021	FFS	RENDERING SNC	AGE 0-20	245	None	516	None	240	None	468	None	35	None	70	None	232	None	451	None
1154313658	ENGLISH IOANA R	2021	FFS	RENDERING SNC	AGE 21+	22	None	66	None	21	None	48	None	None	1	None	2	21	None	40	None
1154410207	SHIELDS ROBYN RITCHIE	2021	FFS	RENDERING SNC	AGE 0-20	215	None	397	None	136	None	188	None	114	None	222	None	172	None	276	None
1154410207	SHIELDS ROBYN RITCHIE	2021	FFS	RENDERING SNC	AGE 21+	289	None	714	None	114	None	158	None	225	None	468	None	218	None	512	None
1154453124	CALHOUN COLONYA CHAROLYNN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1154453124	CALHOUN COLONYA CHAROLYNN	2021	FFS	RENDERING SNC	AGE 21+	45	None	54	None	None	1	None	1	None	1	None	1	22	None	26	None
1154492494	FUNG WENDY W	2021	FFS	RENDERING SNC	AGE 0-20	111	None	150	None	92	None	100	None	35	None	46	None	80	None	84	None
1154492494	FUNG WENDY W	2021	FFS	RENDERING SNC	AGE 21+	90	None	207	None	50	None	59	None	43	None	57	None	61	None	128	None
1154494201	SHAMSA RASHEL	2021	FFS	RENDERING SNC	AGE 0-20	2,054	None	2,669	None	1,995	None	2,595	None	37	None	42	None	1,988	None	2,584	None
1154494201	SHAMSA RASHEL	2021	FFS	RENDERING SNC	AGE 21+	235	None	282	None	145	None	178	None	92	None	105	None	136	None	169	None
1154509677	LARSON LAURA LEE	2021	FFS	RENDERING SNC	AGE 0-20	160	None	468	None	160	None	466	None	None	1	None	1	31	None	58	None
1154509677	LARSON LAURA LEE	2021	FFS	RENDERING SNC	AGE 21+	244	None	808	None	235	None	758	None	73	None	218	None	88	None	190	None
1154524429	ROKES RAAFAT S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1154578813	HATCHER JENIKA NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	107	None	201	None	102	None	168	None	38	None	61	None	98	None	101	None
1154578813	HATCHER JENIKA NICOLE	2021	FFS	RENDERING SNC	AGE 21+	274	None	716	None	150	None	239	None	221	None	449	None	165	None	330	None
1154600138	STROING LEAH MARIE	2021	FFS	RENDERING SNC	AGE 0-20	120	None	299	None	120	None	299	None	0	None	0	None	120	None	299	None
1154600138	STROING LEAH MARIE	2021	FFS	RENDERING SNC	AGE 21+	67	None	202	None	67	None	202	None	0	None	0	None	67	None	202	None
1154609840	BEKMEZIAN SONA	2021	FFS	RENDERING SNC	AGE 0-20	558	None	1,165	None	161	None	198	None	None	1	None	1	437	None	743	None
1154629970	MENDOZA MARIO	2021	FFS	RENDERING SNC	AGE 0-20	381	None	747	None	381	None	747	None	0	None	0	None	381	None	747	None
1154629970	MENDOZA MARIO	2021	FFS	RENDERING SNC	AGE 21+	625	None	1,690	None	625	None	1,690	None	0	None	0	None	625	None	1,690	None
1154635126	MCCANN DAVID S	2021	FFS	RENDERING SNC	AGE 0-20	389	None	800	None	382	None	708	None	43	None	73	None	330	None	418	None
1154635126	MCCANN DAVID S	2021	FFS	RENDERING SNC	AGE 21+	331	None	719	None	311	None	466	None	135	None	246	None	304	None	421	None
1154699726	APARECE ARVIN R	2021	FFS	RENDERING SNC	AGE 0-20	190	None	727	None	190	None	727	None	0	None	0	None	190	None	727	None
1154699726	APARECE ARVIN R	2021	FFS	RENDERING SNC	AGE 21+	209	None	669	None	209	None	669	None	0	None	0	None	209	None	669	None
1154699726	APARECE ARVIN R	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1154699726	APARECE ARVIN R	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154724284	SULAIMAN ANTHONIA ATINUKE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1154733020	NGUYEN TU ANH	2021	FFS	RENDERING SNC	AGE 0-20	395	None	434	None	350	None	367	None	45	None	51	None	214	None	219	None
1154733020	NGUYEN TU ANH	2021	FFS	RENDERING SNC	AGE 21+	144	None	167	None	85	None	89	None	61	None	67	None	50	None	53	None
1154801439	ZHOU TAO	2021	FFS	RENDERING SNC	AGE 0-20	85	None	88	None	67	None	68	None	71	None	73	None	21	None	21	None
1154801439	ZHOU TAO	2021	FFS	RENDERING SNC	AGE 21+	254	None	306	None	115	None	118	None	201	None	247	None	49	None	49	None
1154838746	ISKAROUS MONIQUE	2021	FFS	RENDERING SNC	AGE 0-20	1,266	None	1,897	None	754	None	840	None	471	None	694	None	701	None	724	None
1154838746	ISKAROUS MONIQUE	2021	FFS	RENDERING SNC	AGE 21+	444	None	562	None	176	None	197	None	278	None	345	None	101	None	103	None
1154858082	GARCIA JENNY A	2021	FFS	RENDERING SNC	AGE 0-20	212	None	240	None	133	None	133	None	72	None	82	None	141	None	145	None
1154871184	PANIS ALEXANDER	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1154882892	WU GRACE	2021	FFS	RENDERING SNC	AGE 0-20	124	None	150	None	73	None	87	None	41	None	48	None	None	1	None	1
1154882892	WU GRACE	2021	FFS	RENDERING SNC	AGE 21+	367	None	502	None	105	None	122	None	267	None	342	None	45	None	69	None
1164034625	RAFFO MINA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1164034625	RAFFO MINA	2021	FFS	RENDERING SNC	AGE 21+	31	None	39	None	None	1	None	1	23	None	28	None	11	None	11	None
1164036984	VARIMEZOVA TANYA I	2021	FFS	RENDERING SNC	AGE 0-20	335	None	711	None	335	None	711	None	98	None	225	None	335	None	711	None
1164036984	VARIMEZOVA TANYA I	2021	FFS	RENDERING SNC	AGE 21+	395	None	1,081	None	395	None	1,081	None	160	None	437	None	395	None	1,081	None
1164073847	CHEN TERENCE J	2021	FFS	RENDERING SNC	AGE 0-20	657	None	2,361	None	603	None	1,716	None	218	None	579	None	605	None	1,783	None
1164073847	CHEN TERENCE J	2021	FFS	RENDERING SNC	AGE 21+	576	None	2,444	None	515	None	1,346	None	258	None	944	None	527	None	1,501	None
1164077038	SHARMA NEHA	2021	FFS	RENDERING SNC	AGE 0-20	723	None	1,034	None	582	None	691	None	436	None	670	None	108	None	126	None
1164077038	SHARMA NEHA	2021	FFS	RENDERING SNC	AGE 21+	368	None	615	None	37	None	37	None	320	None	490	None	235	None	337	None
1164082483	KIM DONGHWAN	2021	FFS	RENDERING SNC	AGE 0-20	517	None	1,325	None	357	None	581	None	295	None	619	None	185	None	224	None
1164082483	KIM DONGHWAN	2021	FFS	RENDERING SNC	AGE 21+	727	None	2,484	None	412	None	639	None	566	None	1,684	None	307	None	402	None
1164472528	PANIAGUA ARTHUR A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164497319	LEE JAI GOO	2021	FFS	RENDERING SNC	AGE 0-20	1,396	None	4,688	None	1,179	None	3,123	None	429	None	1,199	None	1,013	None	2,462	None
1164497319	LEE JAI GOO	2021	FFS	RENDERING SNC	AGE 21+	1,781	None	8,214	None	1,263	None	3,136	None	995	None	3,739	None	1,302	None	4,281	None
1164497319	LEE JAI GOO	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1164501193	DOUGLASS THOMAS W	2021	FFS	RENDERING SNC	AGE 0-20	66	None	78	None	61	None	71	None	None	1	None	1	55	None	64	None
1164501193	DOUGLASS THOMAS W	2021	FFS	RENDERING SNC	AGE 21+	63	None	83	None	45	None	58	None	33	None	47	None	47	None	61	None
1164514188	SARABIA JR, NICASIO, DDS	2021	FFS	RENDERING SNC	AGE 0-20	119	None	233	None	92	None	134	None	43	None	79	None	None	1	None	1
1164514188	SARABIA JR, NICASIO, DDS	2021	FFS	RENDERING SNC	AGE 21+	370	None	1,582	None	208	None	372	None	246	None	946	None	None	1	None	1
1164524773	REMPEL DAVID P	2021	FFS	RENDERING SNC	AGE 0-20	57	None	84	None	35	None	40	None	26	None	37	None	32	None	36	None
1164524773	REMPEL DAVID P	2021	FFS	RENDERING SNC	AGE 21+	102	None	242	None	64	None	73	None	74	None	146	None	67	None	84	None
1164531976	FARD SHAROUZ	2021	FFS	RENDERING SNC	AGE 0-20	570	None	868	None	540	None	647	None	245	None	386	None	530	None	601	None
1164531976	FARD SHAROUZ	2021	FFS	RENDERING SNC	AGE 21+	205	None	381	None	122	None	129	None	157	None	272	None	140	None	186	None
1164543922	GEE JOHN A	2021	FFS	RENDERING SNC	AGE 0-20	451	None	807	None	421	None	666	None	142	None	255	None	386	None	593	None
1164543922	GEE JOHN A	2021	FFS	RENDERING SNC	AGE 21+	272	None	732	None	166	None	288	None	186	None	495	None	159	None	284	None
1164552246	PARK JIN H	2021	FFS	RENDERING SNC	AGE 0-20	56	None	62	None	44	None	48	None	27	None	30	None	34	None	35	None
1164552246	PARK JIN H	2021	FFS	RENDERING SNC	AGE 21+	37	None	50	None	25	None	29	None	32	None	42	None	25	None	30	None
1164566469	COIL, CLINTON J MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164569646	TAN MARISTELA GR D	2021	FFS	RENDERING SNC	AGE 0-20	570	None	1,301	None	436	None	763	None	85	None	159	None	100	None	110	None
1164569646	TAN MARISTELA GR D	2021	FFS	RENDERING SNC	AGE 21+	809	None	1,820	None	221	None	244	None	336	None	764	None	38	None	38	None
1164573879	HERRERA LISE	2021	FFS	RENDERING SNC	AGE 0-20	282	None	326	None	205	None	220	None	42	None	52	None	183	None	192	None
1164573879	HERRERA LISE	2021	FFS	RENDERING SNC	AGE 21+	676	None	819	None	376	None	421	None	162	None	192	None	253	None	281	None
1164586368	WHANG NATALIE M	2021	FFS	RENDERING SNC	AGE 0-20	1,360	None	1,827	None	1,090	None	1,333	None	198	None	262	None	1,082	None	1,215	None
1164586368	WHANG NATALIE M	2021	FFS	RENDERING SNC	AGE 21+	236	None	369	None	121	None	154	None	114	None	160	None	122	None	135	None
1164604377	LUTHRA, SHEETAL DO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164628558	OLAH DIAN M	2021	FFS	RENDERING SNC	AGE 0-20	319	None	682	None	187	None	288	None	86	None	143	None	12	None	13	None
1164628558	OLAH DIAN M	2021	FFS	RENDERING SNC	AGE 21+	645	None	1,960	None	276	None	478	None	353	None	881	None	105	None	160	None
1164639555	ATANI SOBHA R	2021	FFS	RENDERING SNC	AGE 0-20	706	None	1,952	None	695	None	1,618	None	155	None	321	None	657	None	895	None
1164639555	ATANI SOBHA R	2021	FFS	RENDERING SNC	AGE 21+	694	None	2,008	None	652	None	1,143	None	262	None	774	None	639	None	946	None
1164639555	CLINICA DE SALUD	2021	FFS	RENDERING SNC	AGE 0-20	706	None	1,952	None	695	None	1,618	None	155	None	321	None	657	None	895	None
1164639555	CLINICA DE SALUD	2021	FFS	RENDERING SNC	AGE 21+	694	None	2,008	None	652	None	1,143	None	262	None	774	None	639	None	946	None
1164643227	SANCHEZ JR MANUEL G	2021	FFS	RENDERING SNC	AGE 0-20	217	None	312	None	217	None	312	None	0	None	0	None	217	None	312	None
1164643227	SANCHEZ JR MANUEL G	2021	FFS	RENDERING SNC	AGE 21+	293	None	487	None	293	None	487	None	0	None	0	None	293	None	487	None
1164732350	SUH CATHERINE	2021	FFS	RENDERING SNC	AGE 0-20	453	None	574	None	345	None	403	None	208	None	279	None	35	None	44	None
1164732350	SUH CATHERINE	2021	FFS	RENDERING SNC	AGE 21+	72	None	92	None	22	None	26	None	51	None	66	None	None	1	None	1
1164741443	OAKLEY, ELEANOR R MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1164748455	RUGAMA FRANCISCO O	2021	FFS	RENDERING SNC	AGE 0-20	642	None	1,293	None	572	None	966	None	147	None	267	None	504	None	600	None
1164748455	RUGAMA FRANCISCO O	2021	FFS	RENDERING SNC	AGE 21+	710	None	1,730	None	572	None	867	None	291	None	668	None	616	None	813	None
1164807384	HA CINDY	2021	FFS	RENDERING SNC	AGE 0-20	65	None	71	None	37	None	40	None	15	None	16	None	21	None	22	None
1164807384	HA CINDY	2021	FFS	RENDERING SNC	AGE 21+	78	None	93	None	12	None	12	None	20	None	22	None	16	None	17	None
1164807384	HA CINDY	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1164807384	HA CINDY	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1164827721	SHAHEDI SHIRIN	2021	FFS	RENDERING SNC	AGE 0-20	42	None	77	None	37	None	46	None	15	None	27	None	35	None	38	None
1164827721	SHAHEDI SHIRIN	2021	FFS	RENDERING SNC	AGE 21+	60	None	89	None	41	None	41	None	21	None	34	None	45	None	53	None
1174024244	WITT DANIELLE SUMMER	2021	FFS	RENDERING SNC	AGE 0-20	74	None	202	None	74	None	200	None	0	None	0	None	71	None	190	None
1174024244	WITT DANIELLE SUMMER	2021	FFS	RENDERING SNC	AGE 21+	109	None	431	None	109	None	431	None	0	None	0	None	109	None	429	None
1174029326	HUI BRIAN K	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1174029326	HUI BRIAN K	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1174037212	SHARRAK NOOR A	2021	FFS	RENDERING SNC	AGE 0-20	20	None	20	None	13	None	13	None	None	1	None	1	None	1	None	1
1174037212	SHARRAK NOOR A	2021	FFS	RENDERING SNC	AGE 21+	121	None	132	None	66	None	73	None	32	None	35	None	43	None	49	None
1174128052	NGUYEN NGHIA H	2021	FFS	RENDERING SNC	AGE 0-20	153	None	170	None	84	None	87	None	43	None	43	None	71	None	74	None
1174128052	NGUYEN NGHIA H	2021	FFS	RENDERING SNC	AGE 21+	97	None	131	None	22	None	22	None	67	None	88	None	20	None	21	None
1174512339	GONAVARUM PRASAD B	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1174512339	GONAVARUM PRASAD B	2021	FFS	RENDERING SNC	AGE 21+	69	None	232	None	27	None	31	None	63	None	213	None	31	None	34	None
1174620348	MECHAEL SHATHA F	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1174620348	MECHAEL SHATHA F	2021	FFS	RENDERING SNC	AGE 21+	36	None	106	None	12	None	13	None	31	None	82	None	14	None	16	None
1174623706	HARRIS EFFUAH A	2021	FFS	RENDERING SNC	AGE 0-20	33	None	41	None	29	None	33	None	None	1	None	1	21	None	23	None
1174623706	HARRIS EFFUAH A	2021	FFS	RENDERING SNC	AGE 21+	34	None	40	None	26	None	28	None	13	None	16	None	25	None	26	None
1174693642	LE HUONG NGUYEN	2021	FFS	RENDERING SNC	AGE 0-20	206	None	224	None	142	None	143	None	28	None	33	None	18	None	21	None
1174693642	LE HUONG NGUYEN	2021	FFS	RENDERING SNC	AGE 21+	165	None	201	None	29	None	30	None	110	None	131	None	52	None	58	None
1174736144	SHAH KAVITA A	2021	FFS	RENDERING SNC	AGE 0-20	62	None	142	None	56	None	77	None	26	None	46	None	56	None	65	None
1174736144	SHAH KAVITA A	2021	FFS	RENDERING SNC	AGE 21+	404	None	1,163	None	362	None	627	None	204	None	488	None	343	None	385	None
1174747968	FERRER GEMMA MAGLEO	2021	FFS	RENDERING SNC	AGE 0-20	18	None	35	None	18	None	35	None	0	None	0	None	18	None	35	None
1174747968	FERRER GEMMA MAGLEO	2021	FFS	RENDERING SNC	AGE 21+	191	None	766	None	191	None	766	None	0	None	0	None	191	None	766	None
1174749634	BARGHOUTH GEORGE B	2021	FFS	RENDERING SNC	AGE 0-20	3,167	None	8,591	None	1,480	None	2,671	None	1,504	None	3,297	None	2,798	None	4,754	None
1174749634	BARGHOUTH GEORGE B	2021	FFS	RENDERING SNC	AGE 21+	2,410	None	8,758	None	812	None	1,320	None	1,880	None	5,261	None	1,840	None	3,670	None
1174772040	NGUYEN THOMAS J	2021	FFS	RENDERING SNC	AGE 21+	19	None	39	None	None	1	None	1	19	None	36	None	None	1	None	1
1174803803	COLBY SHIRLEY A	2021	FFS	RENDERING SNC	AGE 0-20	244	None	367	None	195	None	302	None	11	None	12	None	236	None	356	None
1174803803	COLBY SHIRLEY A	2021	FFS	RENDERING SNC	AGE 21+	622	None	942	None	252	None	404	None	176	None	247	None	479	None	664	None
1174872428	SHAHRIARI AHMAD GHAZALEH	2021	FFS	RENDERING SNC	AGE 0-20	1,072	None	1,324	None	1,067	None	1,317	None	25	None	33	None	1,067	None	1,315	None
1174872428	SHAHRIARI AHMAD GHAZALEH	2021	FFS	RENDERING SNC	AGE 21+	66	None	90	None	66	None	89	None	15	None	22	None	66	None	89	None
1174872428	SHAHRIARI AHMAD GHAZALEH	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1174918031	HAN RU-MEE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1174918031	HAN RU-MEE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1174938906	WHARTON-LAKE DJAVAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1174938906	WHARTON-LAKE DJAVAN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1174956064	NIELSEN RIZA GRACE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1174960884	LEE GERALD J	2021	FFS	RENDERING SNC	AGE 0-20	1,090	None	2,297	None	993	None	1,465	None	383	None	656	None	1,004	None	1,525	None
1174960884	LEE GERALD J	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1174975593	LIU VIENNA C	2021	FFS	RENDERING SNC	AGE 0-20	230	None	756	None	215	None	548	None	55	None	198	None	184	None	437	None
1174975593	LIU VIENNA C	2021	FFS	RENDERING SNC	AGE 21+	486	None	2,345	None	375	None	1,234	None	244	None	865	None	394	None	1,361	None
1174998322	REYES MARIGOLD ROS A	2021	FFS	RENDERING SNC	AGE 0-20	680	None	754	None	663	None	734	None	23	None	25	None	649	None	713	None
1174998322	REYES MARIGOLD ROS A	2021	FFS	RENDERING SNC	AGE 21+	250	None	348	None	225	None	299	None	150	None	199	None	221	None	290	None
1174998322	REYES MARIGOLD ROS A	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1174998595	BELEW TIRSIT G	2021	FFS	RENDERING SNC	AGE 0-20	32	None	36	None	32	None	36	None	0	None	0	None	0	None	0	None
1174998595	BELEW TIRSIT G	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	FFS	RENDERING SNC	AGE 0-20	12	None	21	None	None	1	None	1	None	1	None	1	None	1	None	1
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	FFS	RENDERING SNC	AGE 21+	88	None	137	None	37	None	42	None	24	None	40	None	24	None	28	None
1184024085	ASBAGHI MAMAGHA NAGHMEH	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1184034811	YUSIFOVA NIGAR	2021	FFS	RENDERING SNC	AGE 0-20	122	None	230	None	113	None	180	None	27	None	48	None	112	None	136	None
1184034811	YUSIFOVA NIGAR	2021	FFS	RENDERING SNC	AGE 21+	201	None	411	None	190	None	281	None	63	None	129	None	190	None	249	None
1184043432	HOM JENNIFER J	2021	FFS	RENDERING SNC	AGE 0-20	30	None	42	None	None	1	None	1	24	None	32	None	None	1	None	1
1184043432	HOM JENNIFER J	2021	FFS	RENDERING SNC	AGE 21+	61	None	112	None	None	1	None	1	57	None	103	None	None	1	None	1
1184061251	SCOPAZZI MARGARET J	2021	FFS	RENDERING SNC	AGE 0-20	401	None	534	None	354	None	428	None	78	None	96	None	318	None	382	None
1184061251	SCOPAZZI MARGARET J	2021	FFS	RENDERING SNC	AGE 21+	248	None	460	None	180	None	303	None	93	None	135	None	186	None	316	None
1184080699	CAMANO, AIMEE D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1184090235	ROMERO ROWENA L	2021	FFS	RENDERING SNC	AGE 0-20	509	None	672	None	410	None	484	None	207	None	266	None	373	None	413	None
1184090235	ROMERO ROWENA L	2021	FFS	RENDERING SNC	AGE 21+	265	None	312	None	140	None	144	None	166	None	187	None	161	None	169	None
1184120487	KOZYRYEV MARYNA	2021	FFS	RENDERING SNC	AGE 0-20	98	None	166	None	54	None	72	None	36	None	69	None	80	None	112	None
1184120487	KOZYRYEV MARYNA	2021	FFS	RENDERING SNC	AGE 21+	191	None	428	None	84	None	122	None	99	None	203	None	116	None	213	None
1184250342	KHAN ZEENAT	2021	FFS	RENDERING SNC	AGE 0-20	952	None	2,700	None	905	None	1,908	None	325	None	679	None	891	None	1,141	None
1184250342	KHAN ZEENAT	2021	FFS	RENDERING SNC	AGE 21+	475	None	1,581	None	436	None	713	None	257	None	680	None	437	None	644	None
1184251092	KITASOE KYLE	2021	FFS	RENDERING SNC	AGE 0-20	123	None	142	None	65	None	70	None	46	None	56	None	59	None	64	None
1184251092	KITASOE KYLE	2021	FFS	RENDERING SNC	AGE 21+	40	None	48	None	13	None	16	None	27	None	32	None	None	1	None	2
1184275786	RILEY KRISTEN DANNIELLE	2021	FFS	RENDERING SNC	AGE 0-20	138	None	143	None	135	None	138	None	None	1	None	2	0	None	0	None
1184275786	RILEY KRISTEN DANNIELLE	2021	FFS	RENDERING SNC	AGE 21+	483	None	631	None	385	None	428	None	320	None	460	None	None	1	None	1
1184276255	GRAHAM JYMIE	2021	FFS	RENDERING SNC	AGE 0-20	21	None	21	None	None	1	None	1	None	1	None	1	12	None	12	None
1184276255	GRAHAM JYMIE	2021	FFS	RENDERING SNC	AGE 21+	148	None	169	None	None	1	None	1	131	None	145	None	17	None	22	None
1184644262	WARD, KATHERINE T MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1184709487	SU DENNIS	2021	FFS	RENDERING SNC	AGE 0-20	347	None	648	None	319	None	442	None	131	None	198	None	289	None	321	None
1184709487	SU DENNIS	2021	FFS	RENDERING SNC	AGE 21+	857	None	1,761	None	672	None	994	None	350	None	547	None	667	None	896	None
1184749798	TAKANO ROBERT Y	2021	FFS	RENDERING SNC	AGE 0-20	53	None	91	None	44	None	52	None	18	None	25	None	33	None	45	None
1184749798	TAKANO ROBERT Y	2021	FFS	RENDERING SNC	AGE 21+	53	None	95	None	35	None	46	None	29	None	54	None	28	None	33	None
1184759326	LIU KAI	2021	FFS	RENDERING SNC	AGE 0-20	574	None	1,583	None	541	None	1,269	None	104	None	179	None	451	None	627	None
1184759326	LIU KAI	2021	FFS	RENDERING SNC	AGE 21+	343	None	845	None	208	None	413	None	115	None	241	None	240	None	287	None
1184792145	TRAN TIEN M	2021	FFS	RENDERING SNC	AGE 0-20	219	None	312	None	125	None	148	None	119	None	181	None	31	None	39	None
1184792145	TRAN TIEN M	2021	FFS	RENDERING SNC	AGE 21+	381	None	738	None	93	None	133	None	295	None	556	None	85	None	104	None
1184812984	LOTWALA RAJ BHUPENDRA	2021	FFS	RENDERING SNC	AGE 0-20	291	None	298	None	208	None	210	None	72	None	75	None	203	None	205	None
1184842262	MOORE REGINALD I	2021	FFS	RENDERING SNC	AGE 0-20	33	None	33	None	12	None	12	None	25	None	25	None	13	None	13	None
1184842262	MOORE REGINALD I	2021	FFS	RENDERING SNC	AGE 21+	21	None	21	None	16	None	16	None	13	None	13	None	13	None	13	None
1184844920	SHAKESPEARE BRENT E	2021	FFS	RENDERING SNC	AGE 0-20	61	None	138	None	61	None	138	None	None	1	None	1	61	None	138	None
1184844920	SHAKESPEARE BRENT E	2021	FFS	RENDERING SNC	AGE 21+	535	None	1,618	None	535	None	1,617	None	18	None	21	None	535	None	1,617	None
1184885279	HAINING, JEANE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1184889404	PATEL MAULIBEN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1184939118	NUNEZ JENNIFER B	2021	FFS	RENDERING SNC	AGE 0-20	466	None	824	None	393	None	565	None	159	None	261	None	140	None	181	None
1184939118	NUNEZ JENNIFER B	2021	FFS	RENDERING SNC	AGE 21+	372	None	726	None	194	None	260	None	183	None	326	None	191	None	286	None
1194007773	TAHMAS HOSSAI AMIR	2021	FFS	RENDERING SNC	AGE 0-20	36	None	44	None	35	None	36	None	None	1	None	2	None	1	None	1
1194007773	TAHMAS HOSSAI AMIR	2021	FFS	RENDERING SNC	AGE 21+	274	None	358	None	201	None	208	None	126	None	197	None	None	1	None	1
1194008417	MARQUEZ MOLINA MARIELY	2021	FFS	RENDERING SNC	AGE 0-20	44	None	44	None	30	None	30	None	12	None	12	None	30	None	30	None
1194008417	MARQUEZ MOLINA MARIELY	2021	FFS	RENDERING SNC	AGE 21+	51	None	51	None	35	None	35	None	None	1	None	1	22	None	22	None
1194060046	WAHBY CAROLYN R	2021	FFS	RENDERING SNC	AGE 0-20	714	None	1,362	None	616	None	892	None	265	None	407	None	526	None	576	None
1194060046	WAHBY CAROLYN R	2021	FFS	RENDERING SNC	AGE 21+	292	None	723	None	205	None	279	None	181	None	458	None	203	None	235	None
1194070110	ANDERSON JAY R	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	2
1194070110	ANDERSON JAY R	2021	FFS	RENDERING SNC	AGE 21+	80	None	365	None	32	None	82	None	55	None	217	None	52	None	161	None
1194070110	ANDERSON JAY R	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1194075614	ADACHI ALISON M	2021	FFS	RENDERING SNC	AGE 0-20	384	None	566	None	261	None	304	None	241	None	351	None	282	None	313	None
1194075614	ADACHI ALISON M	2021	FFS	RENDERING SNC	AGE 21+	439	None	831	None	64	None	74	None	315	None	584	None	107	None	119	None
1194108191	NAMOO SAMER R	2021	FFS	RENDERING SNC	AGE 0-20	36	None	130	None	13	None	14	None	33	None	108	None	13	None	15	None
1194108191	NAMOO SAMER R	2021	FFS	RENDERING SNC	AGE 21+	257	None	977	None	90	None	94	None	235	None	786	None	93	None	96	None
1194204172	MEHER AISHWARYA S	2021	FFS	RENDERING SNC	AGE 0-20	49	None	64	None	35	None	37	None	24	None	31	None	25	None	26	None
1194204172	MEHER AISHWARYA S	2021	FFS	RENDERING SNC	AGE 21+	108	None	223	None	77	None	89	None	70	None	144	None	63	None	71	None
1194250316	BANSAL SARAJINDER KAUR	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1194269993	UDEH, NDIDIAMAKA M NP	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1194279083	PATEL RAVI P	2021	FFS	RENDERING SNC	AGE 0-20	436	None	1,014	None	383	None	749	None	140	None	232	None	319	None	404	None
1194279083	PATEL RAVI P	2021	FFS	RENDERING SNC	AGE 21+	540	None	1,561	None	339	None	518	None	406	None	1,009	None	314	None	413	None
1194347740	CHONG ORAPIN	2021	FFS	RENDERING SNC	AGE 0-20	15	None	15	None	14	None	14	None	None	1	None	1	0	None	0	None
1194347740	CHONG ORAPIN	2021	FFS	RENDERING SNC	AGE 21+	43	None	55	None	31	None	31	None	17	None	26	None	None	1	None	1
1194804781	TEE PETER A	2021	FFS	RENDERING SNC	AGE 0-20	656	None	928	None	318	None	361	None	252	None	350	None	305	None	336	None
1194804781	TEE PETER A	2021	FFS	RENDERING SNC	AGE 21+	630	None	1,654	None	311	None	400	None	495	None	1,221	None	277	None	299	None
1194816496	FAYYAD AYMAN	2021	FFS	RENDERING SNC	AGE 0-20	472	None	499	None	439	None	455	None	36	None	38	None	43	None	43	None
1194816496	FAYYAD AYMAN	2021	FFS	RENDERING SNC	AGE 21+	96	None	119	None	42	None	49	None	50	None	57	None	None	1	None	1
1194902767	ROBLES ARMINDA V	2021	FFS	RENDERING SNC	AGE 0-20	300	None	954	None	300	None	954	None	0	None	0	None	300	None	954	None
1194902767	ROBLES ARMINDA V	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1194909788	MANISCALCO BRIDGET A	2021	FFS	RENDERING SNC	AGE 0-20	740	None	1,035	None	689	None	971	None	243	None	336	None	692	None	972	None
1194909788	MANISCALCO BRIDGET A	2021	FFS	RENDERING SNC	AGE 21+	617	None	805	None	580	None	748	None	398	None	523	None	594	None	764	None
1194934695	TONG ANDREW Y	2021	FFS	RENDERING SNC	AGE 0-20	1,546	None	3,047	None	1,466	None	2,064	None	485	None	777	None	1,370	None	1,696	None
1194934695	TONG ANDREW Y	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1205015716	SCHWARTZ MARTHA M	2021	FFS	RENDERING SNC	AGE 0-20	435	None	824	None	373	None	536	None	158	None	267	None	105	None	148	None
1205015716	SCHWARTZ MARTHA M	2021	FFS	RENDERING SNC	AGE 21+	500	None	1,156	None	264	None	399	None	263	None	492	None	240	None	425	None
1205099637	SINGH RANBIR	2021	FFS	RENDERING SNC	AGE 0-20	793	None	1,145	None	793	None	1,142	None	82	None	109	None	787	None	1,132	None
1205099637	SINGH RANBIR	2021	FFS	RENDERING SNC	AGE 21+	350	None	617	None	342	None	602	None	175	None	290	None	341	None	601	None
1205140522	MINKNER, RICHARD D MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1205149176	CALIGIURI PEARL A	2021	FFS	RENDERING SNC	AGE 0-20	886	None	1,572	None	845	None	1,450	None	114	None	194	None	823	None	1,397	None
1205149176	CALIGIURI PEARL A	2021	FFS	RENDERING SNC	AGE 21+	339	None	688	None	311	None	571	None	182	None	334	None	308	None	559	None
1205149176	CALIGIURI PEARL A	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1205156122	DAOUD HASAN A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1205156122	DAOUD HASAN A	2021	FFS	RENDERING SNC	AGE 21+	28	None	46	None	None	1	None	1	24	None	39	None	None	1	None	1
1205164530	HERNANDEZ OSVALDO R	2021	FFS	RENDERING SNC	AGE 0-20	60	None	146	None	39	None	59	None	33	None	75	None	48	None	91	None
1205164530	HERNANDEZ OSVALDO R	2021	FFS	RENDERING SNC	AGE 21+	99	None	331	None	48	None	98	None	74	None	210	None	78	None	168	None
1205189693	TRAN HUONG HOAI T	2021	FFS	RENDERING SNC	AGE 0-20	44	None	55	None	38	None	39	None	None	1	None	2	36	None	37	None
1205189693	TRAN HUONG HOAI T	2021	FFS	RENDERING SNC	AGE 21+	11	None	12	None	None	1	None	1	None	1	None	1	None	1	None	1
1205226263	YAMASHIRO RYAN K	2021	FFS	RENDERING SNC	AGE 21+	264	None	1,172	None	264	None	1,171	None	0	None	0	None	264	None	1,172	None
1205241668	TUCKER BRENT A	2021	FFS	RENDERING SNC	AGE 0-20	56	None	97	None	26	None	33	None	22	None	36	None	35	None	49	None
1205241668	TUCKER BRENT A	2021	FFS	RENDERING SNC	AGE 21+	11	None	11	None	0	None	0	None	None	1	None	1	None	1	None	1
1205250081	SUH MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	1,296	None	1,536	None	918	None	1,018	None	397	None	454	None	866	None	961	None
1205250081	SUH MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1205255817	RELINGO SONIA F	2021	FFS	RENDERING SNC	AGE 0-20	116	None	219	None	68	None	96	None	36	None	70	None	19	None	25	None
1205255817	RELINGO SONIA F	2021	FFS	RENDERING SNC	AGE 21+	170	None	393	None	67	None	97	None	127	None	260	None	33	None	41	None
1205278587	SLADE SUSAN ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	35	None	50	None	27	None	31	None	None	1	None	2	0	None	0	None
1205278587	SLADE SUSAN ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	579	None	979	None	177	None	206	None	471	None	835	None	None	1	None	1
1205295862	BATEMAN GABRIELLA MA O	2021	FFS	RENDERING SNC	AGE 21+	13	None	18	None	None	1	None	1	12	None	17	None	None	1	None	1
1205310182	LEE DANIEL	2021	FFS	RENDERING SNC	AGE 0-20	1,105	None	1,823	None	1,063	None	1,522	None	262	None	450	None	1,006	None	1,372	None
1205310182	LEE DANIEL	2021	FFS	RENDERING SNC	AGE 21+	541	None	1,015	None	363	None	503	None	261	None	540	None	344	None	427	None
1205314648	MANNIX SEAMUS R	2021	FFS	RENDERING SNC	AGE 0-20	435	None	1,375	None	265	None	363	None	146	None	324	None	187	None	225	None
1205314648	MANNIX SEAMUS R	2021	FFS	RENDERING SNC	AGE 21+	223	None	856	None	105	None	194	None	154	None	403	None	53	None	109	None
1205369881	SALCEDO-PRADO MARICELA	2021	FFS	RENDERING SNC	AGE 0-20	468	None	575	None	403	None	478	None	62	None	75	None	227	None	259	None
1205369881	SALCEDO-PRADO MARICELA	2021	FFS	RENDERING SNC	AGE 21+	282	None	395	None	143	None	178	None	138	None	189	None	77	None	95	None
1205370673	TRAN ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	356	None	578	None	314	None	420	None	93	None	119	None	17	None	17	None
1205370673	TRAN ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	551	None	1,385	None	388	None	640	None	269	None	477	None	16	None	21	None
1205396983	BARATTA RUTH A	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1205423803	CEBALLOS MARISOL D	2021	FFS	RENDERING SNC	AGE 0-20	12	None	12	None	None	1	None	1	None	1	None	1	None	1	None	1
1205423803	CEBALLOS MARISOL D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1205427275	NICHOLAOU LUCAS J	2021	FFS	RENDERING SNC	AGE 0-20	94	None	129	None	93	None	114	None	19	None	28	None	92	None	111	None
1205427275	NICHOLAOU LUCAS J	2021	FFS	RENDERING SNC	AGE 21+	27	None	33	None	24	None	29	None	None	1	None	1	None	1	None	1
1205503513	YANG CARI	2021	FFS	RENDERING SNC	AGE 0-20	48	None	68	None	45	None	53	None	None	1	None	2	42	None	50	None
1205503513	YANG CARI	2021	FFS	RENDERING SNC	AGE 21+	206	None	377	None	184	None	244	None	67	None	98	None	191	None	278	None
1205868494	CANFIELD STEVEN C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1205868494	CANFIELD STEVEN C	2021	FFS	RENDERING SNC	AGE 21+	28	None	30	None	17	None	18	None	16	None	17	None	16	None	16	None
1205871415	AVULA SHILPA	2021	FFS	RENDERING SNC	AGE 0-20	501	None	540	None	396	None	421	None	95	None	100	None	360	None	380	None
1205879343	LOUNSBERRY, DAVID V MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1205912342	LEUNG TANIA	2021	FFS	RENDERING SNC	AGE 0-20	62	None	177	None	58	None	141	None	24	None	78	None	58	None	121	None
1205912342	LEUNG TANIA	2021	FFS	RENDERING SNC	AGE 21+	180	None	588	None	146	None	382	None	143	None	426	None	144	None	314	None
1205933926	BAUMGARTNER, KENNETH, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1205933926	BAUMGARTNER, KENNETH, DDS	2021	FFS	RENDERING SNC	AGE 21+	60	None	218	None	0	None	0	None	42	None	115	None	13	None	37	None
1205960200	NGUYEN TRANG M	2021	FFS	RENDERING SNC	AGE 0-20	205	None	518	None	152	None	298	None	61	None	110	None	109	None	171	None
1205960200	NGUYEN TRANG M	2021	FFS	RENDERING SNC	AGE 21+	129	None	378	None	60	None	142	None	60	None	110	None	61	None	102	None
1215068150	ISKANDAR MONA F	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1215068150	ISKANDAR MONA F	2021	FFS	RENDERING SNC	AGE 21+	14	None	14	None	14	None	14	None	0	None	0	None	14	None	14	None
1215079801	SANTOS JENNIFER V	2021	FFS	RENDERING SNC	AGE 0-20	1,107	None	1,365	None	1,100	None	1,342	None	35	None	47	None	1,087	None	1,313	None
1215079801	SANTOS JENNIFER V	2021	FFS	RENDERING SNC	AGE 21+	90	None	153	None	82	None	124	None	51	None	91	None	81	None	123	None
1215085386	FELIPE YVETTE E	2021	FFS	RENDERING SNC	AGE 0-20	324	None	807	None	324	None	807	None	0	None	0	None	324	None	807	None
1215085386	FELIPE YVETTE E	2021	FFS	RENDERING SNC	AGE 21+	493	None	2,257	None	493	None	2,257	None	None	1	None	1	493	None	2,257	None
1215131164	ARZU ROSA E	2021	FFS	RENDERING SNC	AGE 0-20	114	None	114	None	None	1	None	1	20	None	20	None	None	1	None	1
1215131164	ARZU ROSA E	2021	FFS	RENDERING SNC	AGE 21+	73	None	73	None	None	1	None	1	58	None	58	None	14	None	14	None
1215151618	PRISBREY LORRAINE	2021	FFS	RENDERING SNC	AGE 0-20	71	None	107	None	63	None	77	None	15	None	22	None	29	None	29	None
1215151618	PRISBREY LORRAINE	2021	FFS	RENDERING SNC	AGE 21+	328	None	671	None	81	None	85	None	287	None	541	None	100	None	119	None
1215188552	RASULOVA NARMINA	2021	FFS	RENDERING SNC	AGE 0-20	159	None	269	None	128	None	168	None	61	None	101	None	104	None	117	None
1215188552	RASULOVA NARMINA	2021	FFS	RENDERING SNC	AGE 21+	243	None	523	None	192	None	244	None	142	None	307	None	165	None	197	None
1215200357	RAHIMI LEYLA	2021	FFS	RENDERING SNC	AGE 0-20	437	None	477	None	380	None	411	None	58	None	61	None	205	None	217	None
1215200357	RAHIMI LEYLA	2021	FFS	RENDERING SNC	AGE 21+	159	None	166	None	65	None	65	None	85	None	88	None	48	None	48	None
1215227244	ADACHI, KATYA A MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1215227244	ADACHI, KATYA A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1215356688	LACROIX STEPHANIE DIANE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1215356688	LACROIX STEPHANIE DIANE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1215419098	GEORGE ERIC M	2021	FFS	RENDERING SNC	AGE 0-20	224	None	556	None	202	None	384	None	63	None	119	None	194	None	327	None
1215419098	GEORGE ERIC M	2021	FFS	RENDERING SNC	AGE 21+	141	None	493	None	118	None	248	None	87	None	266	None	113	None	228	None
1215424130	KROSHNA OKSANA	2021	FFS	RENDERING SNC	AGE 0-20	759	None	1,213	None	683	None	917	None	265	None	418	None	628	None	692	None
1215424130	KROSHNA OKSANA	2021	FFS	RENDERING SNC	AGE 21+	485	None	1,003	None	228	None	258	None	377	None	721	None	275	None	356	None
1215435235	GUERRERO ONTIVEROS MANUEL	2021	FFS	RENDERING SNC	AGE 0-20	112	None	121	None	112	None	121	None	0	None	0	None	0	None	0	None
1215435235	GUERRERO ONTIVEROS MANUEL	2021	FFS	RENDERING SNC	AGE 21+	871	None	1,337	None	863	None	1,313	None	0	None	0	None	None	1	None	1
1215450770	NANDAGOPAL MUGUNTH N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1215450770	NANDAGOPAL MUGUNTH N	2021	FFS	RENDERING SNC	AGE 21+	122	None	849	None	13	None	29	None	97	None	600	None	40	None	230	None
1215485172	ALROSHAIDAN MOHAMMED	2021	FFS	RENDERING SNC	AGE 0-20	622	None	1,176	None	581	None	945	None	213	None	317	None	525	None	603	None
1215485172	ALROSHAIDAN MOHAMMED	2021	FFS	RENDERING SNC	AGE 21+	377	None	813	None	329	None	476	None	176	None	357	None	299	None	347	None
1215509039	YIN JUNYA	2021	FFS	RENDERING SNC	AGE 0-20	164	None	714	None	141	None	429	None	38	None	155	None	114	None	237	None
1215509039	YIN JUNYA	2021	FFS	RENDERING SNC	AGE 21+	167	None	818	None	120	None	363	None	99	None	366	None	118	None	317	None
1215951892	BACZEK WILLIAM W	2021	FFS	RENDERING SNC	AGE 0-20	137	None	172	None	124	None	147	None	34	None	38	None	84	None	85	None
1215951892	BACZEK WILLIAM W	2021	FFS	RENDERING SNC	AGE 21+	223	None	365	None	187	None	219	None	94	None	135	None	179	None	219	None
1225015258	NGUYEN HUYEN L	2021	FFS	RENDERING SNC	AGE 0-20	435	None	887	None	364	None	536	None	213	None	354	None	418	None	549	None
1225015258	NGUYEN HUYEN L	2021	FFS	RENDERING SNC	AGE 21+	647	None	1,028	None	234	None	322	None	166	None	246	None	606	None	779	None
1225056856	WU MICHAEL H	2021	FFS	RENDERING SNC	AGE 0-20	494	None	1,074	None	264	None	408	None	289	None	564	None	263	None	406	None
1225056856	WU MICHAEL H	2021	FFS	RENDERING SNC	AGE 21+	1,964	None	4,535	None	1,127	None	1,861	None	1,129	None	2,225	None	1,128	None	1,863	None
1225080641	TRAM, ANH THU DDS	2021	FFS	RENDERING SNC	AGE 0-20	400	None	434	None	377	None	402	None	30	None	30	None	378	None	404	None
1225080641	TRAM, ANH THU DDS	2021	FFS	RENDERING SNC	AGE 21+	173	None	195	None	136	None	147	None	31	None	32	None	138	None	150	None
1225131790	SHIROMA GUILLERMO R	2021	FFS	RENDERING SNC	AGE 0-20	183	None	362	None	133	None	161	None	67	None	145	None	114	None	127	None
1225131790	SHIROMA GUILLERMO R	2021	FFS	RENDERING SNC	AGE 21+	815	None	2,104	None	591	None	850	None	355	None	721	None	583	None	860	None
1225131840	HANNA SAMIA S	2021	FFS	RENDERING SNC	AGE 0-20	11	None	15	None	None	1	None	2	None	1	None	1	None	1	None	1
1225131840	HANNA SAMIA S	2021	FFS	RENDERING SNC	AGE 21+	76	None	177	None	45	None	63	None	65	None	135	None	29	None	35	None
1225150543	HUANG MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	11	None	21	None	11	None	17	None	None	1	None	1	11	None	17	None
1225150543	HUANG MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	146	None	343	None	140	None	290	None	33	None	63	None	136	None	259	None
1225176506	ANTHONY GIHAN G	2021	FFS	RENDERING SNC	AGE 0-20	407	None	1,069	None	327	None	506	None	253	None	476	None	277	None	407	None
1225176506	ANTHONY GIHAN G	2021	FFS	RENDERING SNC	AGE 21+	987	None	2,757	None	479	None	559	None	688	None	1,386	None	622	None	1,095	None
1225182355	NUNEZ-OUJI, MARIA LUISA, DDS	2021	FFS	RENDERING SNC	AGE 0-20	129	None	272	None	111	None	200	None	30	None	59	None	47	None	90	None
1225182355	NUNEZ-OUJI, MARIA LUISA, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225182355	NUNEZ-OUJI, MARIA LUISA, DDS	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1225186190	MERRILL, WAYMAN D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1225188162	BAGHA, DALJIT MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1225188162	BAGHA, DALJIT MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1225196082	ANSARI FAIZ A	2021	FFS	RENDERING SNC	AGE 0-20	190	None	222	None	151	None	160	None	47	None	57	None	118	None	124	None
1225196082	ANSARI FAIZ A	2021	FFS	RENDERING SNC	AGE 21+	72	None	81	None	52	None	54	None	23	None	27	None	38	None	40	None
1225238165	SARVI, TINA	2021	FFS	RENDERING SNC	AGE 0-20	243	None	345	None	218	None	280	None	38	None	46	None	225	None	275	None
1225238165	SARVI, TINA	2021	FFS	RENDERING SNC	AGE 21+	295	None	691	None	166	None	263	None	180	None	382	None	182	None	209	None
1225260623	TATH PHAN T	2021	FFS	RENDERING SNC	AGE 0-20	38	None	67	None	32	None	47	None	11	None	13	None	27	None	34	None
1225260623	TATH PHAN T	2021	FFS	RENDERING SNC	AGE 21+	46	None	86	None	26	None	31	None	23	None	41	None	19	None	29	None
1225279862	CHOPRA PREETI M	2021	FFS	RENDERING SNC	AGE 0-20	53	None	77	None	25	None	29	None	21	None	26	None	35	None	51	None
1225279862	CHOPRA PREETI M	2021	FFS	RENDERING SNC	AGE 21+	486	None	861	None	243	None	377	None	397	None	612	None	260	None	427	None
1225447949	NGO HANH N	2021	FFS	RENDERING SNC	AGE 0-20	69	None	224	None	54	None	105	None	38	None	108	None	47	None	94	None
1225447949	NGO HANH N	2021	FFS	RENDERING SNC	AGE 21+	577	None	2,184	None	351	None	725	None	405	None	1,445	None	355	None	766	None
1225462781	YUEN WILLIS C	2021	FFS	RENDERING SNC	AGE 0-20	207	None	317	None	40	None	54	None	168	None	239	None	48	None	65	None
1225462781	YUEN WILLIS C	2021	FFS	RENDERING SNC	AGE 21+	786	None	1,944	None	128	None	157	None	701	None	1,668	None	152	None	201	None
1225496763	CHAN WING H	2021	FFS	RENDERING SNC	AGE 0-20	51	None	64	None	51	None	64	None	0	None	0	None	51	None	64	None
1225496763	CHAN WING H	2021	FFS	RENDERING SNC	AGE 21+	427	None	622	None	427	None	622	None	0	None	0	None	427	None	622	None
1225534472	NEWLAND ANNIESATU	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235157405	MERCARDANTE JR JOSEPH R	2021	FFS	RENDERING SNC	AGE 0-20	47	None	74	None	45	None	63	None	None	1	None	1	45	None	47	None
1235157405	MERCARDANTE JR JOSEPH R	2021	FFS	RENDERING SNC	AGE 21+	18	None	24	None	17	None	22	None	None	1	None	1	17	None	19	None
1235168576	HSIEH, SUSAN MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1235214149	CHIU LISABETH S	2021	FFS	RENDERING SNC	AGE 0-20	40	None	43	None	19	None	19	None	None	1	None	1	30	None	32	None
1235214149	CHIU LISABETH S	2021	FFS	RENDERING SNC	AGE 21+	88	None	152	None	24	None	26	None	38	None	71	None	57	None	72	None
1235242231	ABEDINZADEH LILA	2021	FFS	RENDERING SNC	AGE 0-20	421	None	693	None	380	None	559	None	144	None	215	None	263	None	325	None
1235242231	ABEDINZADEH LILA	2021	FFS	RENDERING SNC	AGE 21+	369	None	912	None	332	None	660	None	276	None	566	None	254	None	419	None
1235267980	DYAB OMAR	2021	FFS	RENDERING SNC	AGE 0-20	551	None	837	None	551	None	837	None	None	1	None	1	551	None	837	None
1235267980	DYAB OMAR	2021	FFS	RENDERING SNC	AGE 21+	452	None	733	None	451	None	732	None	None	1	None	2	452	None	733	None
1235280777	MENDOZA ANNA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1235296898	SHUE BRIAN	2021	FFS	RENDERING SNC	AGE 0-20	363	None	1,493	None	318	None	965	None	152	None	617	None	283	None	807	None
1235296898	SHUE BRIAN	2021	FFS	RENDERING SNC	AGE 21+	458	None	2,533	None	370	None	1,356	None	317	None	1,715	None	328	None	982	None
1235313925	PARK, CHRISTINE	2021	FFS	RENDERING SNC	AGE 0-20	290	None	537	None	237	None	385	None	76	None	117	None	133	None	157	None
1235313925	PARK, CHRISTINE	2021	FFS	RENDERING SNC	AGE 21+	405	None	830	None	214	None	288	None	233	None	451	None	177	None	202	None
1235333451	MELO MONICA A	2021	FFS	RENDERING SNC	AGE 0-20	682	None	1,069	None	162	None	202	None	194	None	287	None	11	None	15	None
1235333451	MELO MONICA A	2021	FFS	RENDERING SNC	AGE 21+	388	None	910	None	165	None	210	None	217	None	485	None	16	None	21	None
1235366584	OMIDVAR, YASAMAN MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1235448036	PARIKH SHREYASI	2021	FFS	RENDERING SNC	AGE 0-20	44	None	46	None	41	None	43	None	None	1	None	1	41	None	43	None
1235448036	PARIKH SHREYASI	2021	FFS	RENDERING SNC	AGE 21+	48	None	54	None	32	None	35	None	26	None	29	None	31	None	33	None
1235452368	LIN-BURNS CHRISTAIN C	2021	FFS	RENDERING SNC	AGE 0-20	72	None	86	None	59	None	73	None	None	1	None	1	54	None	68	None
1235470519	LAU JENNA Y	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1235494980	GALVEZ STEPHANIE A	2021	FFS	RENDERING SNC	AGE 0-20	216	None	394	None	204	None	294	None	123	None	227	None	201	None	267	None
1235494980	GALVEZ STEPHANIE A	2021	FFS	RENDERING SNC	AGE 21+	323	None	963	None	229	None	339	None	263	None	710	None	263	None	428	None
1235548033	MISMAR DINA	2021	FFS	RENDERING SNC	AGE 0-20	600	None	898	None	584	None	788	None	62	None	98	None	548	None	613	None
1235548033	MISMAR DINA	2021	FFS	RENDERING SNC	AGE 21+	264	None	490	None	230	None	288	None	107	None	194	None	227	None	272	None
1235635418	NGUYEN KELLY KIM	2021	FFS	RENDERING SNC	AGE 0-20	901	None	1,233	None	787	None	986	None	154	None	195	None	756	None	929	None
1235635418	NGUYEN KELLY KIM	2021	FFS	RENDERING SNC	AGE 21+	609	None	884	None	463	None	577	None	239	None	322	None	464	None	583	None
1235697400	SOK JOSHUA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1235697400	SOK JOSHUA	2021	FFS	RENDERING SNC	AGE 21+	101	None	125	None	98	None	111	None	58	None	66	None	83	None	84	None
1235746587	CHONG BEUM H	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1235746587	CHONG BEUM H	2021	FFS	RENDERING SNC	AGE 21+	13	None	26	None	0	None	0	None	0	None	0	None	None	1	None	1
1235782913	KING GALEN L	2021	FFS	RENDERING SNC	AGE 0-20	19	None	30	None	None	1	None	1	None	1	None	2	None	1	None	1
1235782913	KING GALEN L	2021	FFS	RENDERING SNC	AGE 21+	160	None	460	None	83	None	189	None	86	None	170	None	73	None	208	None
1245201201	BALLAGH, SUSAN A MD	2021	FFS	RENDERING SNC	AGE 0-20	51	None	65	None	40	None	43	None	17	None	23	None	36	None	38	None
1245201201	BALLAGH, SUSAN A MD	2021	FFS	RENDERING SNC	AGE 21+	68	None	94	None	41	None	44	None	34	None	48	None	40	None	43	None
1245240282	MOSHAKE RANA	2021	FFS	RENDERING SNC	AGE 0-20	242	None	260	None	242	None	260	None	0	None	0	None	235	None	251	None
1245240282	MOSHAKE RANA	2021	FFS	RENDERING SNC	AGE 21+	166	None	188	None	166	None	188	None	0	None	0	None	165	None	187	None
1245240845	ENG TSUI WAI CHRISTINE	2021	FFS	RENDERING SNC	AGE 0-20	485	None	615	None	405	None	469	None	100	None	123	None	313	None	348	None
1245240845	ENG TSUI WAI CHRISTINE	2021	FFS	RENDERING SNC	AGE 21+	296	None	369	None	235	None	274	None	80	None	97	None	208	None	239	None
1245356674	SHINGLE SPRINGS RANCHERIA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1245356674	SHINGLE SPRINGS RANCHERIA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1245358472	GALANG, JANE S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1245358472	GALANG, JANE S, DDS	2021	FFS	RENDERING SNC	AGE 21+	60	None	244	None	13	None	14	None	54	None	172	None	27	None	58	None
1245368349	LIN CHRISTOPHER Y	2021	FFS	RENDERING SNC	AGE 0-20	204	None	260	None	125	None	139	None	64	None	84	None	None	1	None	2
1245368349	LIN CHRISTOPHER Y	2021	FFS	RENDERING SNC	AGE 21+	435	None	732	None	138	None	158	None	308	None	435	None	66	None	162	None
1245372507	BAEZ BEATRICE ELENA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245382894	MILOS MICHAEL F	2021	FFS	RENDERING SNC	AGE 0-20	139	None	263	None	134	None	220	None	33	None	52	None	132	None	200	None
1245382894	MILOS MICHAEL F	2021	FFS	RENDERING SNC	AGE 21+	349	None	965	None	331	None	560	None	187	None	483	None	327	None	545	None
1245398411	LANE ANDREW S	2021	FFS	RENDERING SNC	AGE 0-20	657	None	1,247	None	594	None	952	None	212	None	374	None	219	None	338	None
1245398411	LANE ANDREW S	2021	FFS	RENDERING SNC	AGE 21+	713	None	1,550	None	407	None	543	None	413	None	797	None	253	None	432	None
1245403054	DO CATHERINE H	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1245403054	DO CATHERINE H	2021	FFS	RENDERING SNC	AGE 21+	242	None	585	None	196	None	247	None	43	None	73	None	235	None	524	None
1245448661	VOZNYUK INESSA	2021	FFS	RENDERING SNC	AGE 0-20	151	None	432	None	143	None	202	None	74	None	207	None	139	None	193	None
1245448661	VOZNYUK INESSA	2021	FFS	RENDERING SNC	AGE 21+	235	None	1,019	None	195	None	327	None	198	None	777	None	195	None	249	None
1245450576	TURNER RODNEY L	2021	FFS	RENDERING SNC	AGE 21+	270	None	1,638	None	270	None	1,636	None	None	1	None	1	270	None	1,636	None
1245453372	JORDAN SHAUN MICHELLE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1245493105	HOANG CHRISTINE T	2021	FFS	RENDERING SNC	AGE 0-20	161	None	485	None	160	None	479	None	20	None	29	None	160	None	479	None
1245493105	HOANG CHRISTINE T	2021	FFS	RENDERING SNC	AGE 21+	258	None	1,235	None	258	None	1,203	None	None	1	None	1	256	None	1,198	None
1245511096	VANG, KHAM, DDS	2021	FFS	RENDERING SNC	AGE 0-20	27	None	51	None	19	None	28	None	None	1	None	2	15	None	18	None
1245511096	VANG, KHAM, DDS	2021	FFS	RENDERING SNC	AGE 21+	184	None	656	None	98	None	117	None	129	None	311	None	121	None	299	None
1245545839	TAGHVAEI SEPIDEH	2021	FFS	RENDERING SNC	AGE 0-20	110	None	133	None	110	None	133	None	0	None	0	None	110	None	133	None
1245545839	TAGHVAEI SEPIDEH	2021	FFS	RENDERING SNC	AGE 21+	1,432	None	2,665	None	1,426	None	2,658	None	0	None	0	None	1,426	None	2,658	None
1245578483	KIM HYONG J	2021	FFS	RENDERING SNC	AGE 0-20	101	None	147	None	98	None	126	None	41	None	49	None	90	None	114	None
1245578483	KIM HYONG J	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1245606060	ANDERSON MARK S	2021	FFS	RENDERING SNC	AGE 0-20	82	None	171	None	82	None	171	None	0	None	0	None	82	None	171	None
1245606060	ANDERSON MARK S	2021	FFS	RENDERING SNC	AGE 21+	80	None	184	None	80	None	184	None	0	None	0	None	80	None	184	None
1245615327	SAMPLE ANGELA	2021	FFS	RENDERING SNC	AGE 0-20	22	None	27	None	12	None	12	None	12	None	17	None	14	None	17	None
1245615327	SAMPLE ANGELA	2021	FFS	RENDERING SNC	AGE 21+	339	None	631	None	70	None	71	None	317	None	600	None	244	None	463	None
1245672716	MEHANZEL HAILU S	2021	FFS	RENDERING SNC	AGE 0-20	561	None	939	None	501	None	603	None	174	None	280	None	455	None	519	None
1245672716	MEHANZEL HAILU S	2021	FFS	RENDERING SNC	AGE 21+	423	None	847	None	326	None	384	None	216	None	351	None	329	None	429	None
1245680040	CHAU LONG GIANG N	2021	FFS	RENDERING SNC	AGE 0-20	565	None	1,643	None	352	None	626	None	366	None	800	None	104	None	142	None
1245680040	CHAU LONG GIANG N	2021	FFS	RENDERING SNC	AGE 21+	460	None	1,319	None	189	None	263	None	390	None	1,004	None	87	None	117	None
1245716950	BALINGHASAY ERIK P	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1245766542	CHIU VICTORIA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1245766542	CHIU VICTORIA	2021	FFS	RENDERING SNC	AGE 21+	341	None	893	None	326	None	773	None	95	None	154	None	324	None	715	None
1245772607	YUN JACQUELINE U	2021	FFS	RENDERING SNC	AGE 0-20	568	None	1,006	None	549	None	837	None	103	None	195	None	545	None	840	None
1245772607	YUN JACQUELINE U	2021	FFS	RENDERING SNC	AGE 21+	214	None	469	None	173	None	310	None	83	None	165	None	172	None	231	None
1245802842	MEHTA AJAY	2021	FFS	RENDERING SNC	AGE 0-20	12	None	19	None	None	1	None	1	None	1	None	1	None	1	None	1
1245802842	MEHTA AJAY	2021	FFS	RENDERING SNC	AGE 21+	206	None	348	None	89	None	95	None	114	None	170	None	134	None	165	None
1245848332	TSOI HOWARD C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1245848332	TSOI HOWARD C	2021	FFS	RENDERING SNC	AGE 21+	32	None	69	None	0	None	0	None	0	None	0	None	None	1	None	1
1245883495	BOYD BRENT C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1245883495	BOYD BRENT C	2021	FFS	RENDERING SNC	AGE 21+	28	None	54	None	None	1	None	1	24	None	49	None	None	1	None	1
1255302022	LY BLONG ROGER	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1255432191	JACOB, HARI, DDS	2021	FFS	RENDERING SNC	AGE 0-20	85	None	300	None	85	None	300	None	0	None	0	None	85	None	300	None
1255432191	JACOB, HARI, DDS	2021	FFS	RENDERING SNC	AGE 21+	140	None	420	None	139	None	418	None	0	None	0	None	139	None	418	None
1255433553	LIN, ALBERT S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	199	None	233	None	174	None	196	None	25	None	32	None	132	None	149	None
1255433553	LIN, ALBERT S, DDS	2021	FFS	RENDERING SNC	AGE 21+	102	None	127	None	74	None	85	None	35	None	46	None	52	None	55	None
1255480406	RICHARDSON, JOHN V D, DDS	2021	FFS	RENDERING SNC	AGE 0-20	356	None	926	None	239	None	359	None	212	None	488	None	73	None	76	None
1255480406	RICHARDSON, JOHN V D, DDS	2021	FFS	RENDERING SNC	AGE 21+	503	None	1,669	None	296	None	644	None	392	None	1,014	None	225	None	509	None
1255491973	QURESHI AZEEM H	2021	FFS	RENDERING SNC	AGE 0-20	12	None	13	None	11	None	12	None	None	1	None	1	None	1	None	1
1255491973	QURESHI AZEEM H	2021	FFS	RENDERING SNC	AGE 21+	14	None	15	None	None	1	None	1	None	1	None	1	None	1	None	1
1255517009	PENG YAWEN	2021	FFS	RENDERING SNC	AGE 0-20	29	None	47	None	16	None	25	None	None	1	None	2	19	None	26	None
1255517009	PENG YAWEN	2021	FFS	RENDERING SNC	AGE 21+	126	None	266	None	69	None	89	None	61	None	100	None	82	None	112	None
1255583241	LEHNHOF MONICA C	2021	FFS	RENDERING SNC	AGE 21+	14	None	25	None	None	1	None	1	14	None	25	None	None	1	None	1
1255588638	EL RAHEB ROSETTE M	2021	FFS	RENDERING SNC	AGE 0-20	681	None	964	None	577	None	671	None	140	None	204	None	570	None	643	None
1255588638	EL RAHEB ROSETTE M	2021	FFS	RENDERING SNC	AGE 21+	488	None	971	None	255	None	331	None	305	None	552	None	234	None	268	None
1255603007	MORFORD CYNTHIA KAY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1255603007	MORFORD CYNTHIA KAY	2021	FFS	RENDERING SNC	AGE 21+	162	None	399	None	133	None	176	None	19	None	34	None	157	None	367	None
1255657524	DALMA CATHERINE G	2021	FFS	RENDERING SNC	AGE 0-20	1,645	None	2,908	None	1,604	None	2,512	None	335	None	432	None	1,544	None	1,981	None
1255657524	DALMA CATHERINE G	2021	FFS	RENDERING SNC	AGE 21+	404	None	682	None	342	None	462	None	142	None	210	None	311	None	382	None
1255712865	LOE JESSICA R	2021	FFS	RENDERING SNC	AGE 0-20	402	None	697	None	375	None	543	None	103	None	161	None	310	None	356	None
1255712865	LOE JESSICA R	2021	FFS	RENDERING SNC	AGE 21+	529	None	1,526	None	480	None	802	None	316	None	748	None	455	None	773	None
1255755443	DARNELL REBECCA DONYNE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255764742	HOLMAN CHARLANNE	2021	FFS	RENDERING SNC	AGE 0-20	220	None	561	None	220	None	561	None	0	None	0	None	220	None	561	None
1255764742	HOLMAN CHARLANNE	2021	FFS	RENDERING SNC	AGE 21+	469	None	1,817	None	469	None	1,817	None	0	None	0	None	469	None	1,817	None
1255784161	CHAN LATISHA	2021	FFS	RENDERING SNC	AGE 0-20	167	None	378	None	156	None	230	None	49	None	148	None	156	None	230	None
1255784161	CHAN LATISHA	2021	FFS	RENDERING SNC	AGE 21+	29	None	82	None	22	None	34	None	13	None	38	None	22	None	38	None
1255786646	EWUDO IZUNNA VINCENT	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1255818597	LEIS KYLE B	2021	FFS	RENDERING SNC	AGE 0-20	505	None	721	None	471	None	571	None	135	None	190	None	428	None	471	None
1255818597	LEIS KYLE B	2021	FFS	RENDERING SNC	AGE 21+	283	None	546	None	237	None	307	None	143	None	243	None	231	None	305	None
1255833463	DUPEY CLAIRE E	2021	FFS	RENDERING SNC	AGE 0-20	1,443	None	3,225	None	1,095	None	1,892	None	402	None	698	None	957	None	1,358	None
1255833463	DUPEY CLAIRE E	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1255845608	REYES ERIKA ANDREA	2021	FFS	RENDERING SNC	AGE 0-20	61	None	69	None	61	None	69	None	0	None	0	None	0	None	0	None
1255845608	REYES ERIKA ANDREA	2021	FFS	RENDERING SNC	AGE 21+	501	None	743	None	499	None	736	None	0	None	0	None	None	1	None	1
1255845947	FELEMA JESSE S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1255903282	ROCHA WENDY	2021	FFS	RENDERING SNC	AGE 0-20	127	None	297	None	106	None	216	None	29	None	61	None	101	None	163	None
1255903282	ROCHA WENDY	2021	FFS	RENDERING SNC	AGE 21+	140	None	427	None	110	None	198	None	61	None	151	None	109	None	186	None
1255948956	CHEN ZHENGXI	2021	FFS	RENDERING SNC	AGE 0-20	358	None	1,081	None	312	None	697	None	95	None	191	None	188	None	252	None
1255948956	CHEN ZHENGXI	2021	FFS	RENDERING SNC	AGE 21+	536	None	2,347	None	447	None	1,417	None	303	None	863	None	361	None	832	None
1255952495	YOUSSEF YOUSTINA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1255952495	YOUSSEF YOUSTINA	2021	FFS	RENDERING SNC	AGE 21+	45	None	53	None	None	1	None	1	16	None	20	None	21	None	21	None
1255977617	MARSANO STEPHANIE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1255977617	MARSANO STEPHANIE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1255980504	BERNALDO SAMANTHA	2021	FFS	RENDERING SNC	AGE 0-20	25	None	28	None	25	None	28	None	0	None	0	None	0	None	0	None
1255980504	BERNALDO SAMANTHA	2021	FFS	RENDERING SNC	AGE 21+	326	None	381	None	321	None	375	None	0	None	0	None	0	None	0	None
1265418776	RIPPY STEVEN W	2021	FFS	RENDERING SNC	AGE 0-20	193	None	391	None	110	None	140	None	98	None	178	None	124	None	148	None
1265418776	RIPPY STEVEN W	2021	FFS	RENDERING SNC	AGE 21+	753	None	1,473	None	284	None	324	None	545	None	991	None	387	None	432	None
1265456628	CALUORI DOMENIC M	2021	FFS	RENDERING SNC	AGE 0-20	1,338	None	2,395	None	1,338	None	2,390	None	39	None	49	None	1,324	None	2,316	None
1265456628	CALUORI DOMENIC M	2021	FFS	RENDERING SNC	AGE 21+	902	None	2,325	None	901	None	2,318	None	None	1	None	1	901	None	2,318	None
1265483176	BIRNBAUM,JONATHAN R MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1265501043	AMBROSIO CARMELA M	2021	FFS	RENDERING SNC	AGE 0-20	117	None	159	None	89	None	105	None	37	None	44	None	42	None	45	None
1265501043	AMBROSIO CARMELA M	2021	FFS	RENDERING SNC	AGE 21+	197	None	295	None	99	None	117	None	98	None	143	None	90	None	96	None
1265521199	LEVI ROBIN TORNAI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1265531180	YAMASHITA LESTER T	2021	FFS	RENDERING SNC	AGE 0-20	653	None	1,204	None	571	None	1,025	None	484	None	802	None	286	None	463	None
1265531180	YAMASHITA LESTER T	2021	FFS	RENDERING SNC	AGE 21+	319	None	746	None	189	None	332	None	242	None	538	None	74	None	105	None
1265539928	FIGUEROA DONALDO ROBERTO	2021	FFS	RENDERING SNC	AGE 0-20	19	None	21	None	None	1	None	1	0	None	0	None	None	1	None	1
1265554166	MACVANE-PEARSON MONICA GRISEL	2021	FFS	RENDERING SNC	AGE 0-20	316	None	346	None	214	None	227	None	75	None	79	None	227	None	241	None
1265554166	MACVANE-PEARSON MONICA GRISEL	2021	FFS	RENDERING SNC	AGE 21+	83	None	102	None	61	None	67	None	42	None	52	None	57	None	61	None
1265559520	CREADO LARISSA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1265559520	CREADO LARISSA	2021	FFS	RENDERING SNC	AGE 21+	255	None	614	None	162	None	216	None	131	None	281	None	186	None	308	None
1265560890	QUANG NGOC HAO T	2021	FFS	RENDERING SNC	AGE 0-20	89	None	222	None	89	None	222	None	0	None	0	None	89	None	222	None
1265560890	QUANG NGOC HAO T	2021	FFS	RENDERING SNC	AGE 21+	567	None	1,882	None	567	None	1,882	None	0	None	0	None	567	None	1,882	None
1265598965	UNKNOWN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1265598965	UNKNOWN	2021	FFS	RENDERING SNC	AGE 21+	50	None	66	None	50	None	66	None	0	None	0	None	50	None	66	None
1265604318	PILANT, LINDA LEE, RDHAP	2021	FFS	RENDERING SNC	AGE 0-20	54	None	54	None	52	None	52	None	None	1	None	1	0	None	0	None
1265604318	PILANT, LINDA LEE, RDHAP	2021	FFS	RENDERING SNC	AGE 21+	140	None	153	None	71	None	71	None	69	None	81	None	None	1	None	1
1265615637	SANTOS ESCALANT CLAVER P	2021	FFS	RENDERING SNC	AGE 0-20	185	None	344	None	98	None	140	None	42	None	70	None	91	None	104	None
1265615637	SANTOS ESCALANT CLAVER P	2021	FFS	RENDERING SNC	AGE 21+	932	None	2,272	None	587	None	786	None	409	None	880	None	572	None	882	None
1265616338	HERZOG JOSEPH BERNARD	2021	FFS	RENDERING SNC	AGE 0-20	96	None	316	None	95	None	314	None	23	None	96	None	96	None	316	None
1265616338	HERZOG JOSEPH BERNARD	2021	FFS	RENDERING SNC	AGE 21+	137	None	489	None	137	None	487	None	46	None	121	None	137	None	487	None
1265618771	MERCADO MARIA LUISA A	2021	FFS	RENDERING SNC	AGE 0-20	200	None	414	None	35	None	40	None	41	None	66	None	12	None	13	None
1265618771	MERCADO MARIA LUISA A	2021	FFS	RENDERING SNC	AGE 21+	285	None	706	None	112	None	188	None	109	None	188	None	16	None	16	None
1265618771	MERCADO MARIA LUISA A	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1265622419	WILSON ROCIO	2021	FFS	RENDERING SNC	AGE 0-20	1,254	None	4,143	None	1,254	None	4,143	None	0	None	0	None	1,254	None	4,143	None
1265622419	WILSON ROCIO	2021	FFS	RENDERING SNC	AGE 21+	436	None	1,984	None	435	None	1,973	None	0	None	0	None	435	None	1,973	None
1265622419	WILSON ROCIO	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1265626329	GEBRI NASHWA NOIL A	2021	FFS	RENDERING SNC	AGE 0-20	322	None	736	None	288	None	533	None	61	None	124	None	148	None	193	None
1265626329	GEBRI NASHWA NOIL A	2021	FFS	RENDERING SNC	AGE 21+	516	None	1,671	None	363	None	694	None	275	None	709	None	317	None	380	None
1265641823	HOM CYNTHIA	2021	FFS	RENDERING SNC	AGE 0-20	663	None	1,008	None	587	None	716	None	273	None	407	None	493	None	548	None
1265641823	HOM CYNTHIA	2021	FFS	RENDERING SNC	AGE 21+	511	None	1,050	None	250	None	278	None	379	None	726	None	252	None	320	None
1265642797	SHAH SNEHA B	2021	FFS	RENDERING SNC	AGE 0-20	280	None	688	None	203	None	360	None	119	None	220	None	52	None	59	None
1265642797	SHAH SNEHA B	2021	FFS	RENDERING SNC	AGE 21+	296	None	758	None	110	None	154	None	239	None	586	None	40	None	46	None
1265692800	ISHIBASHI NAOMI J	2021	FFS	RENDERING SNC	AGE 0-20	174	None	300	None	160	None	234	None	23	None	36	None	160	None	230	None
1265692800	ISHIBASHI NAOMI J	2021	FFS	RENDERING SNC	AGE 21+	166	None	357	None	121	None	165	None	71	None	139	None	130	None	197	None
1265748941	PERRY KEVIN S	2021	FFS	RENDERING SNC	AGE 0-20	817	None	4,749	None	798	None	3,609	None	256	None	1,053	None	759	None	2,169	None
1265748941	PERRY KEVIN S	2021	FFS	RENDERING SNC	AGE 21+	610	None	3,915	None	533	None	1,607	None	304	None	2,084	None	536	None	1,562	None
1265750202	NAKHLA, CINDY MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1265750202	NAKHLA, CINDY MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1265814586	PANOSIAN ONNIG	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1265821128	FARHAT FARZAD	2021	FFS	RENDERING SNC	AGE 0-20	493	None	1,372	None	493	None	1,372	None	0	None	0	None	493	None	1,372	None
1265821128	FARHAT FARZAD	2021	FFS	RENDERING SNC	AGE 21+	443	None	1,115	None	443	None	1,115	None	0	None	0	None	443	None	1,115	None
1265832992	SARMAST NIMA D	2021	FFS	RENDERING SNC	AGE 21+	119	None	302	None	46	None	75	None	92	None	224	None	47	None	77	None
1265858138	KUO SAMUEL E	2021	FFS	RENDERING SNC	AGE 0-20	108	None	229	None	108	None	229	None	0	None	0	None	108	None	229	None
1265858138	KUO SAMUEL E	2021	FFS	RENDERING SNC	AGE 21+	794	None	2,171	None	788	None	2,163	None	0	None	0	None	788	None	2,163	None
1265877948	MUHAMMED SAIRA	2021	FFS	RENDERING SNC	AGE 0-20	332	None	449	None	246	None	280	None	73	None	105	None	251	None	287	None
1265877948	MUHAMMED SAIRA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1265892814	MARKOVA MARINA S	2021	FFS	RENDERING SNC	AGE 0-20	222	None	584	None	151	None	190	None	81	None	188	None	11	None	14	None
1265892814	MARKOVA MARINA S	2021	FFS	RENDERING SNC	AGE 21+	376	None	1,511	None	179	None	187	None	221	None	686	None	92	None	172	None
1265969505	SINGH JASWINDER KAUR	2021	FFS	RENDERING SNC	AGE 0-20	18	None	19	None	15	None	15	None	None	1	None	1	0	None	0	None
1265969505	SINGH JASWINDER KAUR	2021	FFS	RENDERING SNC	AGE 21+	25	None	32	None	None	1	None	1	18	None	24	None	0	None	0	None
1275573669	FOUCHE, KIM V MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1275603268	O'DONNELL DINA K	2021	FFS	RENDERING SNC	AGE 0-20	102	None	107	None	83	None	86	None	41	None	43	None	72	None	72	None
1275603268	O'DONNELL DINA K	2021	FFS	RENDERING SNC	AGE 21+	63	None	65	None	14	None	14	None	43	None	45	None	18	None	18	None
1275608986	GALINDO ALFONSO G	2021	FFS	RENDERING SNC	AGE 0-20	170	None	200	None	119	None	127	None	39	None	53	None	None	1	None	1
1275608986	GALINDO ALFONSO G	2021	FFS	RENDERING SNC	AGE 21+	376	None	701	None	101	None	121	None	261	None	394	None	87	None	213	None
1275625535	LOVETT DONALD F	2021	FFS	RENDERING SNC	AGE 0-20	421	None	627	None	373	None	493	None	90	None	118	None	294	None	315	None
1275625535	LOVETT DONALD F	2021	FFS	RENDERING SNC	AGE 21+	164	None	269	None	138	None	170	None	54	None	93	None	120	None	135	None
1275629065	CHIURAZZI, ROBERT D, DDS	2021	FFS	RENDERING SNC	AGE 0-20	46	None	62	None	29	None	30	None	18	None	27	None	18	None	22	None
1275629065	CHIURAZZI, ROBERT D, DDS	2021	FFS	RENDERING SNC	AGE 21+	380	None	600	None	100	None	122	None	322	None	491	None	95	None	122	None
1275636870	MEZA CRESPO, MAXIMO-DANIEL,	2021	FFS	RENDERING SNC	AGE 0-20	588	None	796	None	502	None	541	None	96	None	156	None	434	None	443	None
1275636870	MEZA CRESPO, MAXIMO-DANIEL,	2021	FFS	RENDERING SNC	AGE 21+	628	None	1,398	None	356	None	449	None	259	None	444	None	333	None	443	None
1275643868	SAVIDAN MICHAEL A	2021	FFS	RENDERING SNC	AGE 0-20	242	None	630	None	222	None	418	None	72	None	177	None	192	None	330	None
1275643868	SAVIDAN MICHAEL A	2021	FFS	RENDERING SNC	AGE 21+	159	None	494	None	127	None	292	None	101	None	217	None	117	None	266	None
1275646952	SHAMSID-DEEN SHAFEEQ S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1275652422	BOUCHOUCHA SLIM	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1275652422	BOUCHOUCHA SLIM	2021	FFS	RENDERING SNC	AGE 21+	19	None	24	None	None	1	None	1	0	None	0	None	11	None	11	None
1275653743	HENRIE PATRICK	2021	FFS	RENDERING SNC	AGE 0-20	159	None	210	None	99	None	125	None	98	None	124	None	67	None	85	None
1275653743	HENRIE PATRICK	2021	FFS	RENDERING SNC	AGE 21+	565	None	917	None	100	None	122	None	458	None	695	None	310	None	453	None
1275659856	SARTORI DARIO ABRAMO	2021	FFS	RENDERING SNC	AGE 0-20	281	None	769	None	238	None	463	None	147	None	292	None	194	None	255	None
1275659856	SARTORI DARIO ABRAMO	2021	FFS	RENDERING SNC	AGE 21+	561	None	2,154	None	344	None	588	None	442	None	1,123	None	282	None	567	None
1275669061	PARKER, CHRISTOPHER D, DDS	2021	FFS	RENDERING SNC	AGE 0-20	18	None	125	None	18	None	125	None	0	None	0	None	18	None	125	None
1275674228	DRUCKENMILLER J WALTER F	2021	FFS	RENDERING SNC	AGE 0-20	566	None	1,873	None	478	None	1,120	None	305	None	1,048	None	510	None	1,152	None
1275674228	DRUCKENMILLER J WALTER F	2021	FFS	RENDERING SNC	AGE 21+	366	None	1,598	None	127	None	256	None	295	None	1,087	None	328	None	1,028	None
1275707747	MOSS MARK L	2021	FFS	RENDERING SNC	AGE 0-20	12	None	15	None	0	None	0	None	None	1	None	1	None	1	None	1
1275707747	MOSS MARK L	2021	FFS	RENDERING SNC	AGE 21+	74	None	96	None	None	1	None	1	47	None	65	None	24	None	25	None
1275709115	TRAN JOANNE T	2021	FFS	RENDERING SNC	AGE 0-20	744	None	1,405	None	743	None	1,399	None	None	1	None	1	743	None	1,399	None
1275709115	TRAN JOANNE T	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1275727182	LIN ANDREW JERRY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275727182	LIN ANDREW JERRY	2021	FFS	RENDERING SNC	AGE 21+	22	None	28	None	None	1	None	1	18	None	22	None	None	1	None	1
1275740722	SARMIENTO SANDRA J	2021	FFS	RENDERING SNC	AGE 0-20	189	None	197	None	94	None	94	None	74	None	77	None	87	None	87	None
1275740722	SARMIENTO SANDRA J	2021	FFS	RENDERING SNC	AGE 21+	189	None	204	None	93	None	93	None	109	None	117	None	74	None	74	None
1275755183	PIERONI NADINE M	2021	FFS	RENDERING SNC	AGE 0-20	29	None	33	None	22	None	24	None	None	1	None	1	None	1	None	2
1275755183	PIERONI NADINE M	2021	FFS	RENDERING SNC	AGE 21+	67	None	94	None	32	None	40	None	18	None	24	None	30	None	37	None
1275760894	GOODMAN, ELIZABETH L MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1275761298	MEZENTSEV SVETLANA Y	2021	FFS	RENDERING SNC	AGE 0-20	820	None	1,612	None	719	None	962	None	313	None	507	None	761	None	979	None
1275761298	MEZENTSEV SVETLANA Y	2021	FFS	RENDERING SNC	AGE 21+	336	None	566	None	90	None	126	None	115	None	205	None	305	None	349	None
1275783813	PARK JUNG S	2021	FFS	RENDERING SNC	AGE 0-20	75	None	173	None	64	None	84	None	35	None	90	None	60	None	73	None
1275783813	PARK JUNG S	2021	FFS	RENDERING SNC	AGE 21+	177	None	415	None	99	None	139	None	120	None	229	None	105	None	143	None
1275790164	BAHADORI MARYAM	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1275790164	BAHADORI MARYAM	2021	FFS	RENDERING SNC	AGE 21+	11	None	11	None	None	1	None	1	None	1	None	1	None	1	None	1
1275811432	LAGRIMAS MIKOYAN	2021	FFS	RENDERING SNC	AGE 0-20	1,684	None	2,337	None	1,344	None	1,668	None	442	None	563	None	782	None	868	None
1275811432	LAGRIMAS MIKOYAN	2021	FFS	RENDERING SNC	AGE 21+	51	None	77	None	None	1	None	1	26	None	41	None	None	1	None	1
1275822884	YIP FELIX K	2021	FFS	RENDERING SNC	AGE 0-20	207	None	408	None	None	1	None	2	33	None	37	None	155	None	264	None
1275822884	YIP FELIX K	2021	FFS	RENDERING SNC	AGE 21+	1,505	None	2,910	None	52	None	61	None	668	None	894	None	854	None	1,404	None
1275849283	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 0-20	70	None	148	None	42	None	84	None	22	None	46	None	42	None	88	None
1275849283	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 21+	66	None	148	None	20	None	40	None	41	None	92	None	19	None	40	None
1275862997	BROOKINS JENNIFER	2021	FFS	RENDERING SNC	AGE 0-20	344	None	674	None	320	None	471	None	136	None	244	None	320	None	444	None
1275874794	LAMPA LIEZL L	2021	FFS	RENDERING SNC	AGE 0-20	546	None	1,290	None	436	None	800	None	179	None	338	None	381	None	487	None
1275874794	LAMPA LIEZL L	2021	FFS	RENDERING SNC	AGE 21+	283	None	1,026	None	198	None	360	None	193	None	645	None	192	None	313	None
1275879827	COX CHRISTINA MARIA	2021	FFS	RENDERING SNC	AGE 0-20	70	None	111	None	69	None	110	None	0	None	0	None	56	None	88	None
1275879827	COX CHRISTINA MARIA	2021	FFS	RENDERING SNC	AGE 21+	233	None	479	None	218	None	450	None	23	None	39	None	143	None	230	None
1275901050	VAYNSHTEYN ILANA	2021	FFS	RENDERING SNC	AGE 0-20	1,358	None	1,818	None	1,358	None	1,818	None	0	None	0	None	1,358	None	1,818	None
1275901050	VAYNSHTEYN ILANA	2021	FFS	RENDERING SNC	AGE 21+	772	None	1,014	None	766	None	1,007	None	0	None	0	None	766	None	1,007	None
1275906836	HINATA SATOMI	2021	FFS	RENDERING SNC	AGE 0-20	157	None	487	None	156	None	486	None	0	None	0	None	156	None	486	None
1275906836	HINATA SATOMI	2021	FFS	RENDERING SNC	AGE 21+	213	None	815	None	210	None	809	None	None	1	None	1	209	None	808	None
1275974156	RAY SHEETAL D	2021	FFS	RENDERING SNC	AGE 0-20	174	None	364	None	100	None	122	None	44	None	98	None	None	1	None	1
1275974156	RAY SHEETAL D	2021	FFS	RENDERING SNC	AGE 21+	283	None	971	None	111	None	111	None	160	None	400	None	61	None	130	None
1275977514	SANVICTORES MARY ANN V	2021	FFS	RENDERING SNC	AGE 0-20	650	None	1,365	None	627	None	1,040	None	160	None	297	None	545	None	611	None
1275977514	SANVICTORES MARY ANN V	2021	FFS	RENDERING SNC	AGE 21+	240	None	497	None	227	None	292	None	71	None	171	None	218	None	287	None
1275989659	DIZON MARIE B	2021	FFS	RENDERING SNC	AGE 0-20	40	None	42	None	31	None	32	None	None	1	None	1	29	None	30	None
1285001784	MEI KAREN D	2021	FFS	RENDERING SNC	AGE 0-20	266	None	572	None	258	None	463	None	57	None	131	None	255	None	409	None
1285001784	MEI KAREN D	2021	FFS	RENDERING SNC	AGE 21+	521	None	1,864	None	463	None	1,078	None	342	None	967	None	407	None	929	None
1285026492	HAIDAR HASSAN M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1285040980	TSO THEODORE V	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1285040980	TSO THEODORE V	2021	FFS	RENDERING SNC	AGE 21+	233	None	662	None	43	None	53	None	125	None	302	None	133	None	206	None
1285040980	TSO THEODORE V	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285041475	KHODADADZADEH SHAGHAYEGH	2021	FFS	RENDERING SNC	AGE 0-20	50	None	52	None	50	None	52	None	0	None	0	None	50	None	52	None
1285041475	KHODADADZADEH SHAGHAYEGH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1285041798	KURYLO MICHAEL PATRICK	2021	FFS	RENDERING SNC	AGE 0-20	191	None	544	None	121	None	265	None	44	None	141	None	None	1	None	1
1285041798	KURYLO MICHAEL PATRICK	2021	FFS	RENDERING SNC	AGE 21+	649	None	3,694	None	156	None	323	None	419	None	1,713	None	159	None	1,016	None
1285067728	MOORE DEREK	2021	FFS	RENDERING SNC	AGE 0-20	128	None	177	None	128	None	177	None	0	None	0	None	128	None	177	None
1285067728	MOORE DEREK	2021	FFS	RENDERING SNC	AGE 21+	178	None	315	None	178	None	315	None	0	None	0	None	178	None	315	None
1285069609	NGO JOANNE T	2021	FFS	RENDERING SNC	AGE 0-20	96	None	187	None	83	None	118	None	44	None	98	None	76	None	101	None
1285069609	NGO JOANNE T	2021	FFS	RENDERING SNC	AGE 21+	127	None	346	None	83	None	151	None	91	None	224	None	83	None	151	None
1285080598	ORELLANA VASQUEZ DANIELA	2021	FFS	RENDERING SNC	AGE 21+	14	None	128	None	14	None	128	None	0	None	0	None	14	None	128	None
1285174722	CHEN JEREMY	2021	FFS	RENDERING SNC	AGE 0-20	291	None	389	None	121	None	132	None	88	None	115	None	67	None	80	None
1285174722	CHEN JEREMY	2021	FFS	RENDERING SNC	AGE 21+	639	None	1,042	None	171	None	192	None	411	None	645	None	317	None	357	None
1285174904	VO HA N	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1285185645	HANAK GREGORY	2021	FFS	RENDERING SNC	AGE 0-20	28	None	34	None	12	None	13	None	19	None	22	None	None	1	None	2
1285185645	HANAK GREGORY	2021	FFS	RENDERING SNC	AGE 21+	57	None	71	None	12	None	13	None	41	None	46	None	20	None	28	None
1285188045	MISRA ANUBHUTI	2021	FFS	RENDERING SNC	AGE 0-20	244	None	516	None	212	None	273	None	116	None	228	None	208	None	280	None
1285188045	MISRA ANUBHUTI	2021	FFS	RENDERING SNC	AGE 21+	496	None	1,640	None	338	None	469	None	351	None	1,072	None	402	None	642	None
1285272120	ROMAN MANUEL S	2021	FFS	RENDERING SNC	AGE 0-20	354	None	473	None	177	None	207	None	73	None	109	None	169	None	191	None
1285272120	ROMAN MANUEL S	2021	FFS	RENDERING SNC	AGE 21+	476	None	1,214	None	269	None	349	None	332	None	751	None	250	None	315	None
1285301853	VALIENTE ROMIELYN	2021	FFS	RENDERING SNC	AGE 0-20	213	None	259	None	183	None	217	None	44	None	51	None	147	None	173	None
1285301853	VALIENTE ROMIELYN	2021	FFS	RENDERING SNC	AGE 21+	339	None	470	None	205	None	271	None	176	None	224	None	162	None	210	None
1285638106	PETERSEN KIRK J	2021	FFS	RENDERING SNC	AGE 0-20	314	None	724	None	None	1	None	2	None	1	None	1	0	None	0	None
1285638106	PETERSEN KIRK J	2021	FFS	RENDERING SNC	AGE 21+	314	None	842	None	None	1	None	1	None	1	None	2	0	None	0	None
1285642355	QUANG PHUONG N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1285642355	QUANG PHUONG N	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1285756122	PRIMOSCH SANDRA ELENA	2021	FFS	RENDERING SNC	AGE 0-20	87	None	162	None	72	None	120	None	14	None	25	None	56	None	96	None
1285756122	PRIMOSCH SANDRA ELENA	2021	FFS	RENDERING SNC	AGE 21+	167	None	359	None	118	None	197	None	70	None	139	None	106	None	181	None
1285796441	BUI CALVIN CUONG H	2021	FFS	RENDERING SNC	AGE 0-20	99	None	127	None	50	None	59	None	46	None	60	None	37	None	41	None
1285796441	BUI CALVIN CUONG H	2021	FFS	RENDERING SNC	AGE 21+	560	None	1,055	None	134	None	197	None	427	None	749	None	126	None	171	None
1285825307	CRUM ERIC R	2021	FFS	RENDERING SNC	AGE 0-20	122	None	229	None	None	1	None	1	44	None	60	None	69	None	94	None
1285825307	CRUM ERIC R	2021	FFS	RENDERING SNC	AGE 21+	667	None	1,234	None	41	None	47	None	209	None	291	None	353	None	499	None
1285825307	CRUM ERIC R	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1285921015	TRAN NHUNG N	2021	FFS	RENDERING SNC	AGE 0-20	357	None	537	None	247	None	297	None	148	None	199	None	205	None	222	None
1285921015	TRAN NHUNG N	2021	FFS	RENDERING SNC	AGE 21+	257	None	542	None	115	None	149	None	192	None	347	None	152	None	189	None
1285922583	ROZEN MICHAEL S	2021	FFS	RENDERING SNC	AGE 0-20	847	None	1,057	None	358	None	388	None	82	None	148	None	338	None	359	None
1285922583	ROZEN MICHAEL S	2021	FFS	RENDERING SNC	AGE 21+	691	None	1,169	None	470	None	581	None	212	None	365	None	446	None	528	None
1285929299	ZWERS DIANA V	2021	FFS	RENDERING SNC	AGE 0-20	493	None	711	None	461	None	547	None	126	None	193	None	421	None	459	None
1285929299	ZWERS DIANA V	2021	FFS	RENDERING SNC	AGE 21+	250	None	413	None	195	None	238	None	159	None	257	None	204	None	237	None
1285943597	AL-HASHIMI, ADIL HADI DDS	2021	FFS	RENDERING SNC	AGE 0-20	23	None	40	None	22	None	37	None	None	1	None	1	22	None	37	None
1285943597	AL-HASHIMI, ADIL HADI DDS	2021	FFS	RENDERING SNC	AGE 21+	68	None	116	None	68	None	114	None	None	1	None	1	68	None	114	None
1285987206	TAVAKOLI KEYVAN	2021	FFS	RENDERING SNC	AGE 0-20	21	None	49	None	None	1	None	1	None	1	None	1	19	None	45	None
1285989996	HARRIS MATTHEW W	2021	FFS	RENDERING SNC	AGE 0-20	71	None	110	None	35	None	50	None	21	None	28	None	51	None	77	None
1285989996	HARRIS MATTHEW W	2021	FFS	RENDERING SNC	AGE 21+	157	None	318	None	57	None	86	None	64	None	114	None	100	None	187	None
1295029163	TRUONG VICTOR D	2021	FFS	RENDERING SNC	AGE 0-20	57	None	96	None	48	None	78	None	20	None	28	None	35	None	47	None
1295029163	TRUONG VICTOR D	2021	FFS	RENDERING SNC	AGE 21+	325	None	641	None	135	None	200	None	291	None	573	None	125	None	145	None
1295054682	CHO JOORI K	2021	FFS	RENDERING SNC	AGE 0-20	29	None	31	None	None	1	None	1	None	1	None	2	None	1	None	1
1295054682	CHO JOORI K	2021	FFS	RENDERING SNC	AGE 21+	48	None	51	None	None	1	None	1	29	None	30	None	None	1	None	1
1295081404	VU KHOA D	2021	FFS	RENDERING SNC	AGE 0-20	447	None	730	None	393	None	532	None	163	None	265	None	360	None	418	None
1295081404	VU KHOA D	2021	FFS	RENDERING SNC	AGE 21+	997	None	2,015	None	600	None	810	None	695	None	1,218	None	541	None	711	None
1295110088	BELJEAN KRISTINA	2021	FFS	RENDERING SNC	AGE 0-20	130	None	425	None	127	None	420	None	None	1	None	1	129	None	422	None
1295110088	BELJEAN KRISTINA	2021	FFS	RENDERING SNC	AGE 21+	146	None	440	None	106	None	384	None	29	None	37	None	117	None	397	None
1295135036	CHEN NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	14	None	28	None	13	None	26	None	None	1	None	1	13	None	26	None
1295135036	CHEN NICOLE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1295142149	LEE KYUNG WOON	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1295176709	ASKARZOI KHAN W	2021	FFS	RENDERING SNC	AGE 0-20	289	None	528	None	284	None	478	None	50	None	70	None	264	None	373	None
1295176709	ASKARZOI KHAN W	2021	FFS	RENDERING SNC	AGE 21+	126	None	233	None	117	None	149	None	43	None	80	None	113	None	134	None
1295275642	BENLULU MIKAELA B	2021	FFS	RENDERING SNC	AGE 0-20	16	None	17	None	None	1	None	1	None	1	None	1	None	1	None	1
1295275642	BENLULU MIKAELA B	2021	FFS	RENDERING SNC	AGE 21+	24	None	24	None	None	1	None	1	None	1	None	1	None	1	None	1
1295293645	ABDULLAH, MINA, DDS INC	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295293645	ABDULLAH, MINA, DDS INC	2021	FFS	RENDERING SNC	AGE 21+	119	None	181	None	None	1	None	1	113	None	156	None	16	None	25	None
1295371425	NESTMAN BRETT J	2021	FFS	RENDERING SNC	AGE 0-20	515	None	1,139	None	None	1	None	2	None	1	None	1	0	None	0	None
1295371425	NESTMAN BRETT J	2021	FFS	RENDERING SNC	AGE 21+	317	None	878	None	None	1	None	1	None	1	None	1	0	None	0	None
1295722718	GULLICK NICOLE M	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1295735579	DUNLAP CRAIG A.	2021	FFS	RENDERING SNC	AGE 0-20	171	None	328	None	133	None	161	None	117	None	209	None	134	None	161	None
1295735579	DUNLAP CRAIG A.	2021	FFS	RENDERING SNC	AGE 21+	217	None	450	None	183	None	237	None	141	None	258	None	183	None	237	None
1295739845	REINA, ROBERT IGNACIO MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1295746618	CARRIEDO-CENICEROS, MARIA T	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1295803245	SNOW WALTER J	2021	FFS	RENDERING SNC	AGE 0-20	1,544	None	2,392	None	1,301	None	1,723	None	316	None	457	None	1,293	None	1,602	None
1295804078	GACIAS EMMALINE D	2021	FFS	RENDERING SNC	AGE 0-20	1,103	None	1,375	None	380	None	419	None	355	None	464	None	324	None	340	None
1295804078	GACIAS EMMALINE D	2021	FFS	RENDERING SNC	AGE 21+	567	None	876	None	221	None	242	None	385	None	587	None	177	None	184	None
1295808731	LENA DAVID A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295808731	LENA DAVID A	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1295819464	NIRUYI SAM	2021	FFS	RENDERING SNC	AGE 0-20	134	None	152	None	129	None	143	None	None	1	None	2	130	None	144	None
1295819464	NIRUYI SAM	2021	FFS	RENDERING SNC	AGE 21+	690	None	1,163	None	652	None	976	None	215	None	303	None	650	None	973	None
1295859452	NGUYEN GIANG T	2021	FFS	RENDERING SNC	AGE 0-20	111	None	198	None	111	None	198	None	0	None	0	None	111	None	198	None
1295859452	NGUYEN GIANG T	2021	FFS	RENDERING SNC	AGE 21+	650	None	1,873	None	650	None	1,873	None	0	None	0	None	650	None	1,873	None
1295891802	WONG AMY	2021	FFS	RENDERING SNC	AGE 0-20	87	None	174	None	87	None	174	None	0	None	0	None	87	None	174	None
1295891802	WONG AMY	2021	FFS	RENDERING SNC	AGE 21+	148	None	346	None	148	None	346	None	0	None	0	None	148	None	346	None
1295927358	RUTKOWSKI JOSEPH DAVID	2021	FFS	RENDERING SNC	AGE 0-20	135	None	268	None	135	None	268	None	0	None	0	None	135	None	268	None
1295927358	RUTKOWSKI JOSEPH DAVID	2021	FFS	RENDERING SNC	AGE 21+	211	None	605	None	211	None	605	None	0	None	0	None	211	None	605	None
1295939817	TOLOSA LEANDRA D	2021	FFS	RENDERING SNC	AGE 0-20	153	None	379	None	99	None	119	None	58	None	135	None	145	None	223	None
1295939817	TOLOSA LEANDRA D	2021	FFS	RENDERING SNC	AGE 21+	364	None	1,150	None	95	None	121	None	176	None	518	None	280	None	484	None
1295955409	SCHWARTZ THEODORE C	2021	FFS	RENDERING SNC	AGE 0-20	18	None	20	None	None	1	None	1	None	1	None	1	None	1	None	1
1295955409	SCHWARTZ THEODORE C	2021	FFS	RENDERING SNC	AGE 21+	638	None	1,054	None	313	None	409	None	371	None	545	None	267	None	361	None
1295969517	SOTTO, MARITES DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1295969517	SOTTO, MARITES DDS	2021	FFS	RENDERING SNC	AGE 21+	43	None	137	None	19	None	31	None	41	None	97	None	13	None	13	None
1295989739	DAYANIM REBECCA	2021	FFS	RENDERING SNC	AGE 0-20	45	None	77	None	None	1	None	1	None	1	None	2	32	None	49	None
1295989739	DAYANIM REBECCA	2021	FFS	RENDERING SNC	AGE 21+	455	None	1,458	None	86	None	118	None	258	None	632	None	272	None	639	None
1306002332	PALAGANAS ALELI A	2021	FFS	RENDERING SNC	AGE 0-20	90	None	143	None	53	None	76	None	48	None	60	None	None	1	None	1
1306002332	PALAGANAS ALELI A	2021	FFS	RENDERING SNC	AGE 21+	131	None	230	None	63	None	77	None	70	None	114	None	None	1	None	1
1306008594	TAM-JOHNSTON JENNIFER Y	2021	FFS	RENDERING SNC	AGE 0-20	139	None	177	None	97	None	113	None	27	None	37	None	94	None	98	None
1306008594	TAM-JOHNSTON JENNIFER Y	2021	FFS	RENDERING SNC	AGE 21+	810	None	1,079	None	295	None	333	None	345	None	433	None	279	None	304	None
1306025648	PRIETTO, MARIO M LCSW	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306025648	PRIETTO, MARIO M LCSW	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306030770	CHEN HARVEY H	2021	FFS	RENDERING SNC	AGE 0-20	29	None	61	None	0	None	0	None	13	None	30	None	26	None	31	None
1306030770	CHEN HARVEY H	2021	FFS	RENDERING SNC	AGE 21+	227	None	521	None	None	1	None	1	143	None	251	None	193	None	280	None
1306079413	TRAN JOHNATHAN H	2021	FFS	RENDERING SNC	AGE 0-20	159	None	392	None	130	None	202	None	60	None	142	None	104	None	113	None
1306079413	TRAN JOHNATHAN H	2021	FFS	RENDERING SNC	AGE 21+	348	None	1,645	None	277	None	699	None	183	None	656	None	254	None	458	None
1306131545	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 0-20	39	None	39	None	25	None	25	None	13	None	13	None	21	None	21	None
1306131545	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 21+	37	None	45	None	13	None	13	None	24	None	27	None	13	None	14	None
1306133020	FUNG MELANIE C	2021	FFS	RENDERING SNC	AGE 0-20	159	None	510	None	112	None	211	None	96	None	242	None	73	None	89	None
1306133020	FUNG MELANIE C	2021	FFS	RENDERING SNC	AGE 21+	360	None	1,224	None	175	None	247	None	276	None	746	None	122	None	234	None
1306170196	PATEL PAYAL J	2021	FFS	RENDERING SNC	AGE 0-20	125	None	162	None	124	None	160	None	12	None	17	None	123	None	157	None
1306170196	PATEL PAYAL J	2021	FFS	RENDERING SNC	AGE 21+	346	None	694	None	342	None	661	None	137	None	261	None	340	None	659	None
1306179239	NELSON CHRISTOPHER D	2021	FFS	RENDERING SNC	AGE 0-20	145	None	484	None	120	None	267	None	107	None	383	None	113	None	251	None
1306179239	NELSON CHRISTOPHER D	2021	FFS	RENDERING SNC	AGE 21+	332	None	1,468	None	204	None	544	None	273	None	1,142	None	247	None	756	None
1306183991	SIBBALD BRIAN K	2021	FFS	RENDERING SNC	AGE 0-20	16	None	21	None	None	1	None	1	13	None	16	None	None	1	None	1
1306183991	SIBBALD BRIAN K	2021	FFS	RENDERING SNC	AGE 21+	38	None	51	None	None	1	None	1	34	None	45	None	None	1	None	1
1306200985	SHIFFLER KYLE JOSEPH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1306221783	HOANG LANA T	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306221783	HOANG LANA T	2021	FFS	RENDERING SNC	AGE 21+	14	None	29	None	0	None	0	None	0	None	0	None	None	1	None	1
1306221783	HOANG LANA T	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1306231840	WYATT TYNAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306248893	HERAVI MONA	2021	FFS	RENDERING SNC	AGE 0-20	370	None	618	None	319	None	415	None	105	None	204	None	255	None	277	None
1306248893	HERAVI MONA	2021	FFS	RENDERING SNC	AGE 21+	450	None	1,189	None	366	None	508	None	246	None	712	None	332	None	450	None
1306360821	CHIU JOEY C	2021	FFS	RENDERING SNC	AGE 0-20	207	None	356	None	179	None	238	None	63	None	117	None	52	None	67	None
1306360821	CHIU JOEY C	2021	FFS	RENDERING SNC	AGE 21+	156	None	417	None	144	None	250	None	74	None	164	None	127	None	198	None
1306364559	CHAU TRAM NGOC	2021	FFS	RENDERING SNC	AGE 0-20	167	None	186	None	164	None	179	None	None	1	None	1	None	1	None	1
1306364559	CHAU TRAM NGOC	2021	FFS	RENDERING SNC	AGE 21+	153	None	188	None	84	None	91	None	104	None	135	None	None	1	None	1
1306367792	FREER ZACHARY L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1306367792	FREER ZACHARY L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1306417860	LY KIM M	2021	FFS	RENDERING SNC	AGE 0-20	34	None	45	None	30	None	33	None	16	None	19	None	31	None	37	None
1306417860	LY KIM M	2021	FFS	RENDERING SNC	AGE 21+	193	None	480	None	157	None	237	None	142	None	325	None	158	None	259	None
1306445689	TRAN VU A	2021	FFS	RENDERING SNC	AGE 0-20	306	None	764	None	266	None	600	None	68	None	143	None	224	None	472	None
1306445689	TRAN VU A	2021	FFS	RENDERING SNC	AGE 21+	640	None	2,492	None	476	None	1,223	None	323	None	912	None	504	None	1,498	None
1306489182	MATHEWS JONATHAN FRANCISCO	2021	FFS	RENDERING SNC	AGE 0-20	1,501	None	4,098	None	1,371	None	3,332	None	372	None	594	None	24	None	40	None
1306489182	MATHEWS JONATHAN FRANCISCO	2021	FFS	RENDERING SNC	AGE 21+	1,148	None	4,065	None	845	None	2,085	None	637	None	1,492	None	54	None	91	None
1306856356	WILLINGHAM JON Y	2021	FFS	RENDERING SNC	AGE 0-20	113	None	175	None	106	None	158	None	12	None	13	None	108	None	154	None
1306856356	WILLINGHAM JON Y	2021	FFS	RENDERING SNC	AGE 21+	251	None	557	None	133	None	202	None	155	None	307	None	171	None	211	None
1306873922	KADEVARI, RAVINDER MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1306886528	KWONG ANSON HOO YIN	2021	FFS	RENDERING SNC	AGE 0-20	399	None	552	None	87	None	101	None	112	None	148	None	101	None	120	None
1306886528	KWONG ANSON HOO YIN	2021	FFS	RENDERING SNC	AGE 21+	486	None	909	None	179	None	212	None	272	None	478	None	278	None	369	None
1306925854	YEE BARBARA G.	2021	FFS	RENDERING SNC	AGE 0-20	31	None	85	None	21	None	33	None	None	1	None	2	23	None	37	None
1306925854	YEE BARBARA G.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1306936182	NISHIMURA MARK M.	2021	FFS	RENDERING SNC	AGE 0-20	12	None	14	None	None	1	None	1	None	1	None	1	None	1	None	1
1306936182	NISHIMURA MARK M.	2021	FFS	RENDERING SNC	AGE 21+	78	None	119	None	18	None	29	None	44	None	58	None	24	None	32	None
1306983846	SCHULTZ ALLAN R	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1306999164	LEWIS, ROGER J MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316012750	MITCHELL KATHLEEN ALICE	2021	FFS	RENDERING SNC	AGE 0-20	33	None	44	None	32	None	42	None	None	1	None	1	None	1	None	1
1316012750	MITCHELL KATHLEEN ALICE	2021	FFS	RENDERING SNC	AGE 21+	80	None	151	None	76	None	142	None	43	None	77	None	None	1	None	1
1316077555	MEKMANEE LALLANA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1316077555	MEKMANEE LALLANA	2021	FFS	RENDERING SNC	AGE 21+	157	None	222	None	104	None	117	None	77	None	88	None	124	None	153	None
1316140957	PATEL SHINA D	2021	FFS	RENDERING SNC	AGE 0-20	534	None	613	None	369	None	414	None	90	None	95	None	288	None	315	None
1316169618	SIERRA FAMILY MEDICAL CL	2021	FFS	RENDERING SNC	AGE 0-20	32	None	71	None	32	None	71	None	0	None	0	None	32	None	71	None
1316169618	SIERRA FAMILY MEDICAL CL	2021	FFS	RENDERING SNC	AGE 21+	204	None	550	None	204	None	550	None	0	None	0	None	204	None	550	None
1316174162	TORRES JOSE A	2021	FFS	RENDERING SNC	AGE 0-20	356	None	989	None	168	None	272	None	277	None	605	None	43	None	52	None
1316174162	TORRES JOSE A	2021	FFS	RENDERING SNC	AGE 21+	505	None	1,575	None	135	None	182	None	460	None	1,330	None	61	None	81	None
1316253560	LOVE THOMAS EDWARD	2021	FFS	RENDERING SNC	AGE 0-20	33	None	54	None	18	None	21	None	None	1	None	1	32	None	52	None
1316253560	LOVE THOMAS EDWARD	2021	FFS	RENDERING SNC	AGE 21+	60	None	105	None	14	None	16	None	31	None	48	None	46	None	70	None
1316290547	JIVAN NEESHA	2021	FFS	RENDERING SNC	AGE 0-20	1,669	None	2,387	None	1,365	None	1,748	None	382	None	473	None	909	None	1,083	None
1316290547	JIVAN NEESHA	2021	FFS	RENDERING SNC	AGE 21+	74	None	90	None	24	None	24	None	32	None	41	None	24	None	24	None
1316313125	HOLMES MICHAEL ANDREW	2021	FFS	RENDERING SNC	AGE 0-20	195	None	425	None	195	None	425	None	None	1	None	1	190	None	414	None
1316313125	HOLMES MICHAEL ANDREW	2021	FFS	RENDERING SNC	AGE 21+	305	None	817	None	304	None	815	None	None	1	None	1	304	None	815	None
1316313778	YU, ZHICHUN, DMD	2021	FFS	RENDERING SNC	AGE 0-20	64	None	117	None	48	None	58	None	30	None	52	None	58	None	97	None
1316313778	YU, ZHICHUN, DMD	2021	FFS	RENDERING SNC	AGE 21+	294	None	946	None	206	None	292	None	227	None	663	None	262	None	586	None
1316339930	SPENCE SUZARIE VAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1316384571	DABIRIZANJANI SARA	2021	FFS	RENDERING SNC	AGE 0-20	225	None	506	None	206	None	315	None	103	None	222	None	195	None	218	None
1316384571	DABIRIZANJANI SARA	2021	FFS	RENDERING SNC	AGE 21+	493	None	1,710	None	368	None	871	None	375	None	928	None	365	None	489	None
1316464043	YEE CALVIN E	2021	FFS	RENDERING SNC	AGE 0-20	378	None	724	None	351	None	484	None	118	None	210	None	341	None	381	None
1316464043	YEE CALVIN E	2021	FFS	RENDERING SNC	AGE 21+	716	None	1,644	None	590	None	775	None	286	None	622	None	655	None	863	None
1316476922	MCGIVERN SEAN D	2021	FFS	RENDERING SNC	AGE 0-20	378	None	491	None	297	None	333	None	115	None	144	None	284	None	302	None
1316476922	MCGIVERN SEAN D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1316510936	CHEN XUELU N/A	2021	FFS	RENDERING SNC	AGE 0-20	37	None	42	None	37	None	41	None	None	1	None	1	0	None	0	None
1316510936	CHEN XUELU N/A	2021	FFS	RENDERING SNC	AGE 21+	299	None	415	None	130	None	147	None	164	None	254	None	12	None	14	None
1316529621	CHAVEZ ARACELI	2021	FFS	RENDERING SNC	AGE 0-20	160	None	218	None	154	None	182	None	20	None	61	None	0	None	0	None
1316529621	CHAVEZ ARACELI	2021	FFS	RENDERING SNC	AGE 21+	199	None	438	None	147	None	257	None	158	None	393	None	None	1	None	1
1316599459	TAMAYO DANNA MELISS M	2021	FFS	RENDERING SNC	AGE 0-20	282	None	1,654	None	282	None	1,654	None	0	None	0	None	282	None	1,654	None
1316599459	TAMAYO DANNA MELISS M	2021	FFS	RENDERING SNC	AGE 21+	414	None	3,077	None	413	None	3,051	None	None	1	None	1	413	None	3,051	None
1316911662	AHMAD MAHMOUD A	2021	FFS	RENDERING SNC	AGE 0-20	19	None	104	None	None	1	None	2	14	None	78	None	None	1	None	2
1316911662	AHMAD MAHMOUD A	2021	FFS	RENDERING SNC	AGE 21+	105	None	840	None	25	None	50	None	101	None	773	None	17	None	43	None
1316950926	TA MIKHAI C	2021	FFS	RENDERING SNC	AGE 0-20	322	None	865	None	262	None	493	None	155	None	374	None	211	None	282	None
1316950926	TA MIKHAI C	2021	FFS	RENDERING SNC	AGE 21+	320	None	1,320	None	225	None	412	None	267	None	1,012	None	170	None	208	None
1316999600	KINGSTON ROGER STEPHEN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1316999600	KINGSTON ROGER STEPHEN	2021	FFS	RENDERING SNC	AGE 21+	16	None	21	None	0	None	0	None	None	1	None	1	12	None	14	None
1326051236	KAZE JOHN A	2021	FFS	RENDERING SNC	AGE 0-20	1,220	None	1,788	None	913	None	1,125	None	579	None	855	None	899	None	1,085	None
1326051236	KAZE JOHN A	2021	FFS	RENDERING SNC	AGE 21+	608	None	1,088	None	199	None	243	None	497	None	817	None	255	None	362	None
1326113341	RAMIREZ ROBERT D	2021	FFS	RENDERING SNC	AGE 0-20	215	None	353	None	140	None	176	None	120	None	195	None	141	None	180	None
1326113341	RAMIREZ ROBERT D	2021	FFS	RENDERING SNC	AGE 21+	456	None	954	None	241	None	290	None	306	None	638	None	290	None	388	None
1326113341	RAMIREZ ROBERT D	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1326117763	TSURUDOME TIFFANY L	2021	FFS	RENDERING SNC	AGE 0-20	253	None	371	None	203	None	235	None	143	None	223	None	203	None	232	None
1326117763	TSURUDOME TIFFANY L	2021	FFS	RENDERING SNC	AGE 21+	123	None	131	None	None	1	None	1	110	None	116	None	13	None	15	None
1326141979	PEREZ NOEL C	2021	FFS	RENDERING SNC	AGE 0-20	383	None	1,177	None	260	None	628	None	197	None	538	None	156	None	294	None
1326141979	PEREZ NOEL C	2021	FFS	RENDERING SNC	AGE 21+	991	None	3,666	None	236	None	431	None	875	None	2,747	None	267	None	646	None
1326149568	RICE MICHAEL B	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1326149568	RICE MICHAEL B	2021	FFS	RENDERING SNC	AGE 21+	17	None	26	None	0	None	0	None	0	None	0	None	0	None	0	None
1326239773	DERMAWAN JASMINE L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1326282690	JUBB ALEXANDER E	2021	FFS	RENDERING SNC	AGE 0-20	601	None	800	None	586	None	748	None	103	None	137	None	580	None	740	None
1326282690	JUBB ALEXANDER E	2021	FFS	RENDERING SNC	AGE 21+	599	None	750	None	583	None	705	None	172	None	223	None	575	None	693	None
1326287798	ROZAK TENNILLE MANRIQUE	2021	FFS	RENDERING SNC	AGE 0-20	25	None	34	None	13	None	15	None	None	1	None	1	None	1	None	2
1326287798	ROZAK TENNILLE MANRIQUE	2021	FFS	RENDERING SNC	AGE 21+	482	None	917	None	175	None	219	None	238	None	387	None	195	None	308	None
1326287798	ROZAK TENNILLE MANRIQUE	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1326313057	MIRENAYAT AMIRALI	2021	FFS	RENDERING SNC	AGE 0-20	7,446	None	13,681	None	4,960	None	6,141	None	4,423	None	6,718	None	634	None	689	None
1326313057	MIRENAYAT AMIRALI	2021	FFS	RENDERING SNC	AGE 21+	7,215	None	17,602	None	1,880	None	2,227	None	6,651	None	14,846	None	394	None	488	None
1326328535	PAIGE KEVIN T	2021	FFS	RENDERING SNC	AGE 0-20	410	None	597	None	321	None	356	None	270	None	410	None	111	None	131	None
1326328535	PAIGE KEVIN T	2021	FFS	RENDERING SNC	AGE 21+	425	None	828	None	44	None	45	None	360	None	620	None	338	None	537	None
1326355991	HA ANH T	2021	FFS	RENDERING SNC	AGE 0-20	182	None	340	None	142	None	198	None	72	None	126	None	173	None	248	None
1326355991	HA ANH T	2021	FFS	RENDERING SNC	AGE 21+	355	None	880	None	206	None	270	None	247	None	537	None	298	None	476	None
1326355991	HA ANH T	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1326384413	SCHULER JAMES	2021	FFS	RENDERING SNC	AGE 0-20	40	None	73	None	40	None	73	None	0	None	0	None	40	None	73	None
1326384413	SCHULER JAMES	2021	FFS	RENDERING SNC	AGE 21+	38	None	77	None	38	None	77	None	0	None	0	None	38	None	77	None
1326591223	ISSAC SAIF	2021	FFS	RENDERING SNC	AGE 0-20	113	None	155	None	83	None	106	None	23	None	29	None	65	None	73	None
1326591223	ISSAC SAIF	2021	FFS	RENDERING SNC	AGE 21+	380	None	588	None	234	None	311	None	91	None	134	None	135	None	176	None
1326601667	NNODIM SANDRA O	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1326601667	NNODIM SANDRA O	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1326604364	MERRIWEATHER KAREN A	2021	FFS	RENDERING SNC	AGE 0-20	897	None	2,274	None	653	None	1,380	None	423	None	705	None	134	None	172	None
1326604364	MERRIWEATHER KAREN A	2021	FFS	RENDERING SNC	AGE 21+	480	None	1,665	None	284	None	449	None	370	None	1,092	None	197	None	264	None
1326650722	ARORA NAMRATA	2021	FFS	RENDERING SNC	AGE 0-20	371	None	1,606	None	298	None	909	None	193	None	480	None	None	1	None	1
1326650722	ARORA NAMRATA	2021	FFS	RENDERING SNC	AGE 21+	554	None	3,878	None	394	None	1,078	None	442	None	2,181	None	19	None	31	None
1326684499	MINASSIAN SIUNEH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1326684499	MINASSIAN SIUNEH	2021	FFS	RENDERING SNC	AGE 21+	123	None	214	None	120	None	203	None	None	1	None	2	118	None	191	None
1326688409	SIDHU GURLEEN K	2021	FFS	RENDERING SNC	AGE 0-20	178	None	575	None	127	None	292	None	126	None	411	None	118	None	239	None
1326688409	SIDHU GURLEEN K	2021	FFS	RENDERING SNC	AGE 21+	480	None	2,240	None	303	None	829	None	409	None	1,690	None	285	None	686	None
1336204866	REDOBLADO, RONALD, DDS	2021	FFS	RENDERING SNC	AGE 0-20	57	None	102	None	57	None	102	None	None	1	None	1	57	None	102	None
1336204866	REDOBLADO, RONALD, DDS	2021	FFS	RENDERING SNC	AGE 21+	242	None	692	None	242	None	691	None	79	None	182	None	242	None	691	None
1336249358	KAWAMURA PETER Y	2021	FFS	RENDERING SNC	AGE 21+	30	None	86	None	0	None	0	None	None	1	None	1	30	None	84	None
1336277748	ABANTE, VIVENCIO B, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1336277748	ABANTE, VIVENCIO B, DDS	2021	FFS	RENDERING SNC	AGE 21+	39	None	79	None	None	1	None	1	34	None	50	None	11	None	24	None
1336281484	SAKURAI KARI	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1336290535	PICACHE OSCAR M	2021	FFS	RENDERING SNC	AGE 0-20	547	None	1,166	None	467	None	803	None	163	None	291	None	195	None	227	None
1336290535	PICACHE OSCAR M	2021	FFS	RENDERING SNC	AGE 21+	662	None	1,643	None	426	None	624	None	339	None	757	None	421	None	524	None
1336304955	NGUYEN ERIQ F	2021	FFS	RENDERING SNC	AGE 0-20	51	None	101	None	45	None	77	None	22	None	37	None	None	1	None	1
1336304955	NGUYEN ERIQ F	2021	FFS	RENDERING SNC	AGE 21+	105	None	257	None	61	None	99	None	73	None	154	None	15	None	33	None
1336364603	RIEL JOCELYN D	2021	FFS	RENDERING SNC	AGE 0-20	785	None	1,319	None	600	None	765	None	340	None	562	None	523	None	627	None
1336499326	CHUNG JOHANNA J	2021	FFS	RENDERING SNC	AGE 0-20	186	None	323	None	165	None	222	None	57	None	74	None	153	None	165	None
1336499326	CHUNG JOHANNA J	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336524305	DASALLA RUSSEL L	2021	FFS	RENDERING SNC	AGE 0-20	166	None	311	None	122	None	148	None	50	None	84	None	None	1	None	1
1336524305	DASALLA RUSSEL L	2021	FFS	RENDERING SNC	AGE 21+	109	None	282	None	37	None	40	None	55	None	125	None	21	None	32	None
1336528751	BLAKE AMY S	2021	FFS	RENDERING SNC	AGE 0-20	92	None	97	None	56	None	56	None	35	None	37	None	0	None	0	None
1336528751	BLAKE AMY S	2021	FFS	RENDERING SNC	AGE 21+	90	None	95	None	11	None	11	None	79	None	82	None	None	1	None	1
1336560242	KATRAGADDA VIJAYALAKSHM P	2021	FFS	RENDERING SNC	AGE 0-20	79	None	114	None	77	None	95	None	14	None	18	None	69	None	72	None
1336560242	KATRAGADDA VIJAYALAKSHM P	2021	FFS	RENDERING SNC	AGE 21+	82	None	150	None	53	None	58	None	28	None	59	None	55	None	63	None
1336602408	RODRIGUEZ RAMOS JOSE M	2021	FFS	RENDERING SNC	AGE 0-20	806	None	1,784	None	579	None	847	None	315	None	541	None	475	None	613	None
1336602408	RODRIGUEZ RAMOS JOSE M	2021	FFS	RENDERING SNC	AGE 21+	494	None	1,386	None	272	None	434	None	348	None	869	None	240	None	366	None
1336637909	FONG JOEL A	2021	FFS	RENDERING SNC	AGE 0-20	204	None	345	None	101	None	142	None	85	None	140	None	119	None	178	None
1336637909	FONG JOEL A	2021	FFS	RENDERING SNC	AGE 21+	398	None	893	None	113	None	156	None	225	None	464	None	185	None	346	None
1336637909	FONG JOEL A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1336637909	FONG JOEL A	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336752971	RUBIO MAURICIO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1336752971	RUBIO MAURICIO	2021	FFS	RENDERING SNC	AGE 21+	18	None	21	None	None	1	None	1	11	None	13	None	None	1	None	1
1346214889	KORMANN JACQUELINE	2021	FFS	RENDERING SNC	AGE 0-20	121	None	350	None	121	None	350	None	0	None	0	None	121	None	350	None
1346214889	KORMANN JACQUELINE	2021	FFS	RENDERING SNC	AGE 21+	140	None	492	None	140	None	492	None	0	None	0	None	140	None	492	None
1346224946	CHEN ANDREW C	2021	FFS	RENDERING SNC	AGE 0-20	213	None	454	None	137	None	203	None	86	None	171	None	145	None	187	None
1346224946	CHEN ANDREW C	2021	FFS	RENDERING SNC	AGE 21+	871	None	1,808	None	378	None	502	None	445	None	870	None	503	None	643	None
1346305414	KUMAR, DEVINDER	2021	FFS	RENDERING SNC	AGE 0-20	925	None	2,015	None	907	None	1,719	None	219	None	296	None	901	None	1,654	None
1346305414	KUMAR, DEVINDER	2021	FFS	RENDERING SNC	AGE 21+	921	None	1,997	None	882	None	1,396	None	374	None	598	None	875	None	1,314	None
1346305414	KUMAR, DEVINDER, DDS	2021	FFS	RENDERING SNC	AGE 0-20	925	None	2,015	None	907	None	1,719	None	219	None	296	None	901	None	1,654	None
1346305414	KUMAR, DEVINDER, DDS	2021	FFS	RENDERING SNC	AGE 21+	921	None	1,997	None	882	None	1,396	None	374	None	598	None	875	None	1,314	None
1346316031	FUJIMOTO STEVEN H	2021	FFS	RENDERING SNC	AGE 0-20	800	None	2,111	None	767	None	1,438	None	329	None	661	None	397	None	530	None
1346316031	FUJIMOTO STEVEN H	2021	FFS	RENDERING SNC	AGE 21+	73	None	104	None	56	None	67	None	24	None	37	None	None	1	None	1
1346347010	NORTON JON O	2021	FFS	RENDERING SNC	AGE 0-20	201	None	261	None	105	None	123	None	81	None	98	None	96	None	102	None
1346347010	NORTON JON O	2021	FFS	RENDERING SNC	AGE 21+	606	None	858	None	120	None	132	None	497	None	678	None	150	None	168	None
1346359973	RUTHERFORD FREDERICK C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1346359973	RUTHERFORD FREDERICK C	2021	FFS	RENDERING SNC	AGE 21+	11	None	11	None	None	1	None	1	None	1	None	1	None	1	None	1
1346376118	FILANOVA VINCENT	2021	FFS	RENDERING SNC	AGE 0-20	99	None	117	None	88	None	99	None	18	None	22	None	65	None	74	None
1346376118	FILANOVA VINCENT	2021	FFS	RENDERING SNC	AGE 21+	90	None	170	None	56	None	68	None	53	None	95	None	59	None	97	None
1346410768	DORIN SHIRIN A	2021	FFS	RENDERING SNC	AGE 0-20	15	None	19	None	14	None	16	None	None	1	None	1	13	None	13	None
1346410768	DORIN SHIRIN A	2021	FFS	RENDERING SNC	AGE 21+	192	None	399	None	99	None	111	None	157	None	324	None	129	None	209	None
1346427903	LEE JEANIE K	2021	FFS	RENDERING SNC	AGE 0-20	32	None	32	None	18	None	18	None	None	1	None	1	23	None	23	None
1346427903	LEE JEANIE K	2021	FFS	RENDERING SNC	AGE 21+	671	None	861	None	265	None	318	None	358	None	440	None	198	None	232	None
1346511185	GOWDEY GENE ALAN	2021	FFS	RENDERING SNC	AGE 0-20	139	None	211	None	136	None	208	None	0	None	0	None	136	None	208	None
1346511185	GOWDEY GENE ALAN	2021	FFS	RENDERING SNC	AGE 21+	168	None	291	None	163	None	286	None	0	None	0	None	163	None	286	None
1346514106	ANDALON DARRELL O	2021	FFS	RENDERING SNC	AGE 0-20	567	None	790	None	389	None	466	None	233	None	298	None	260	None	267	None
1346514106	ANDALON DARRELL O	2021	FFS	RENDERING SNC	AGE 21+	554	None	1,002	None	227	None	289	None	392	None	601	None	88	None	155	None
1346626777	NAYAK NISHA P	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1346626777	NAYAK NISHA P	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1346655677	ALFONSO ANTONIO A	2021	FFS	RENDERING SNC	AGE 0-20	121	None	202	None	114	None	146	None	32	None	59	None	112	None	137	None
1346655677	ALFONSO ANTONIO A	2021	FFS	RENDERING SNC	AGE 21+	523	None	1,364	None	425	None	574	None	361	None	900	None	415	None	559	None
1346708385	NGUYEN MARILYN	2021	FFS	RENDERING SNC	AGE 0-20	430	None	849	None	349	None	481	None	259	None	481	None	333	None	415	None
1346708385	NGUYEN MARILYN	2021	FFS	RENDERING SNC	AGE 21+	590	None	1,352	None	390	None	521	None	437	None	871	None	346	None	521	None
1346862166	SUM TIFFANY L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356409668	HODGENS CRISELDA T	2021	FFS	RENDERING SNC	AGE 0-20	660	None	1,261	None	543	None	803	None	388	None	672	None	629	None	841	None
1356409668	HODGENS CRISELDA T	2021	FFS	RENDERING SNC	AGE 21+	272	None	417	None	89	None	117	None	180	None	256	None	256	None	286	None
1356481527	LEMELLE-LOVE SHEILA A	2021	FFS	RENDERING SNC	AGE 0-20	667	None	1,220	None	629	None	988	None	276	None	453	None	599	None	826	None
1356481527	LEMELLE-LOVE SHEILA A	2021	FFS	RENDERING SNC	AGE 21+	503	None	1,070	None	327	None	430	None	353	None	648	None	363	None	538	None
1356496830	VASAN RUKMANI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1356507818	MORETTA CARLOS M	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1356507818	MORETTA CARLOS M	2021	FFS	RENDERING SNC	AGE 21+	139	None	373	None	139	None	371	None	0	None	0	None	139	None	371	None
1356515837	SOH JENNIFER MEE Y	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1356521264	WIN, NYI NYI DDS	2021	FFS	RENDERING SNC	AGE 0-20	129	None	299	None	118	None	178	None	57	None	140	None	81	None	111	None
1356521264	WIN, NYI NYI DDS	2021	FFS	RENDERING SNC	AGE 21+	552	None	1,822	None	465	None	714	None	491	None	1,387	None	477	None	887	None
1356521264	WIN, NYI NYI DDS	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1356537229	BLANCO ALMA C	2021	FFS	RENDERING SNC	AGE 0-20	102	None	183	None	71	None	94	None	32	None	65	None	80	None	122	None
1356537229	BLANCO ALMA C	2021	FFS	RENDERING SNC	AGE 21+	233	None	506	None	133	None	177	None	79	None	165	None	166	None	299	None
1356573935	TREDINNICK SILVANA	2021	FFS	RENDERING SNC	AGE 0-20	523	None	796	None	448	None	537	None	169	None	250	None	440	None	493	None
1356573935	TREDINNICK SILVANA	2021	FFS	RENDERING SNC	AGE 21+	399	None	1,034	None	221	None	289	None	285	None	710	None	207	None	253	None
1356579197	CARLIN JR FREDERICK R	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1356579197	CARLIN JR FREDERICK R	2021	FFS	RENDERING SNC	AGE 21+	22	None	22	None	None	1	None	1	None	1	None	1	None	1	None	1
1356619324	BELGARDE-DURU CARLA S	2021	FFS	RENDERING SNC	AGE 0-20	1,050	None	1,146	None	1,045	None	1,140	None	11	None	11	None	1,044	None	1,138	None
1356619324	BELGARDE-DURU CARLA S	2021	FFS	RENDERING SNC	AGE 21+	220	None	233	None	218	None	231	None	None	1	None	1	218	None	231	None
1356649198	SIDHU GAGANDEEP S	2021	FFS	RENDERING SNC	AGE 0-20	110	None	149	None	110	None	149	None	0	None	0	None	110	None	149	None
1356649198	SIDHU GAGANDEEP S	2021	FFS	RENDERING SNC	AGE 21+	178	None	280	None	178	None	280	None	0	None	0	None	178	None	280	None
1356664189	KIANI FARHAD	2021	FFS	RENDERING SNC	AGE 0-20	307	None	813	None	270	None	497	None	162	None	302	None	229	None	294	None
1356664189	KIANI FARHAD	2021	FFS	RENDERING SNC	AGE 21+	400	None	1,373	None	336	None	575	None	290	None	854	None	289	None	338	None
1356697718	RUBIO, EDGARDO S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	290	None	337	None	245	None	279	None	43	None	51	None	205	None	236	None
1356697718	RUBIO, EDGARDO S, DDS	2021	FFS	RENDERING SNC	AGE 21+	137	None	149	None	55	None	59	None	75	None	78	None	55	None	59	None
1356751333	GRIER RYAN O	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1356751333	GRIER RYAN O	2021	FFS	RENDERING SNC	AGE 21+	11	None	12	None	0	None	0	None	None	1	None	1	None	1	None	1
1356801666	BARRON KIRA G	2021	FFS	RENDERING SNC	AGE 0-20	176	None	244	None	127	None	164	None	71	None	101	None	121	None	150	None
1356801666	BARRON KIRA G	2021	FFS	RENDERING SNC	AGE 21+	287	None	559	None	150	None	227	None	210	None	365	None	105	None	172	None
1356914055	MARTINEZ JACQUELINE M	2021	FFS	RENDERING SNC	AGE 0-20	257	None	442	None	241	None	335	None	70	None	102	None	242	None	340	None
1356914055	MARTINEZ JACQUELINE M	2021	FFS	RENDERING SNC	AGE 21+	194	None	325	None	170	None	234	None	58	None	87	None	170	None	238	None
1356992069	STUARDO DANIEL LUIS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1356992069	STUARDO DANIEL LUIS	2021	FFS	RENDERING SNC	AGE 21+	47	None	55	None	18	None	20	None	16	None	20	None	16	None	18	None
1366002933	ELKHAZIN MOHAMED	2021	FFS	RENDERING SNC	AGE 0-20	235	None	476	None	181	None	275	None	110	None	186	None	40	None	47	None
1366002933	ELKHAZIN MOHAMED	2021	FFS	RENDERING SNC	AGE 21+	371	None	977	None	241	None	402	None	262	None	532	None	153	None	252	None
1366451833	PEREIRA JOAN M	2021	FFS	RENDERING SNC	AGE 0-20	214	None	476	None	172	None	246	None	138	None	290	None	90	None	125	None
1366451833	PEREIRA JOAN M	2021	FFS	RENDERING SNC	AGE 21+	347	None	1,119	None	120	None	175	None	304	None	846	None	102	None	218	None
1366531469	SALISBURY NANCY SUE	2021	FFS	RENDERING SNC	AGE 0-20	273	None	666	None	226	None	477	None	136	None	361	None	207	None	425	None
1366531469	SALISBURY NANCY SUE	2021	FFS	RENDERING SNC	AGE 21+	262	None	851	None	122	None	317	None	217	None	668	None	82	None	185	None
1366568859	RUSSELL ELISA	2021	FFS	RENDERING SNC	AGE 0-20	32	None	40	None	None	1	None	2	20	None	23	None	16	None	21	None
1366568859	RUSSELL ELISA	2021	FFS	RENDERING SNC	AGE 21+	50	None	64	None	15	None	21	None	24	None	30	None	22	None	29	None
1366584799	JARJOUR GEORGE	2021	FFS	RENDERING SNC	AGE 0-20	40	None	48	None	40	None	48	None	0	None	0	None	40	None	48	None
1366584799	JARJOUR GEORGE	2021	FFS	RENDERING SNC	AGE 21+	395	None	667	None	389	None	647	None	22	None	22	None	387	None	644	None
1366613218	CLARIN CESAR	2021	FFS	RENDERING SNC	AGE 0-20	863	None	1,926	None	815	None	1,459	None	257	None	412	None	None	1	None	1
1366613218	CLARIN CESAR	2021	FFS	RENDERING SNC	AGE 21+	674	None	1,660	None	632	None	1,186	None	273	None	500	None	None	1	None	1
1366622177	CHUNG SARAH S	2021	FFS	RENDERING SNC	AGE 0-20	406	None	1,057	None	400	None	653	None	90	None	431	None	380	None	633	None
1366622177	CHUNG SARAH S	2021	FFS	RENDERING SNC	AGE 21+	37	None	40	None	31	None	33	None	11	None	13	None	14	None	15	None
1366755001	HWANG ALEXIS L	2021	FFS	RENDERING SNC	AGE 0-20	18	None	23	None	18	None	21	None	None	1	None	1	17	None	20	None
1366755001	HWANG ALEXIS L	2021	FFS	RENDERING SNC	AGE 21+	540	None	1,112	None	410	None	594	None	282	None	475	None	422	None	626	None
1366798530	HATLAVONGSA KONGSAB L	2021	FFS	RENDERING SNC	AGE 0-20	527	None	1,480	None	429	None	922	None	210	None	409	None	142	None	182	None
1366798530	HATLAVONGSA KONGSAB L	2021	FFS	RENDERING SNC	AGE 21+	554	None	1,736	None	277	None	462	None	415	None	1,187	None	183	None	245	None
1366819344	BARSOUMIAN VAHE D	2021	FFS	RENDERING SNC	AGE 0-20	192	None	327	None	92	None	137	None	51	None	77	None	41	None	55	None
1366819344	BARSOUMIAN VAHE D	2021	FFS	RENDERING SNC	AGE 21+	130	None	283	None	82	None	161	None	82	None	168	None	29	None	56	None
1366883696	JACKSON EMILY A	2021	FFS	RENDERING SNC	AGE 0-20	973	None	1,686	None	970	None	1,672	None	11	None	11	None	971	None	1,673	None
1366883696	JACKSON EMILY A	2021	FFS	RENDERING SNC	AGE 21+	188	None	391	None	159	None	313	None	None	1	None	1	167	None	336	None
1366889107	VALENZUELA LIVIA B	2021	FFS	RENDERING SNC	AGE 0-20	44	None	51	None	44	None	51	None	0	None	0	None	44	None	51	None
1366889107	VALENZUELA LIVIA B	2021	FFS	RENDERING SNC	AGE 21+	77	None	102	None	77	None	102	None	0	None	0	None	77	None	102	None
1366917353	PHAM QUYNH VO BAO	2021	FFS	RENDERING SNC	AGE 0-20	12	None	13	None	None	1	None	1	None	1	None	1	None	1	None	1
1366917353	PHAM QUYNH VO BAO	2021	FFS	RENDERING SNC	AGE 21+	99	None	105	None	46	None	46	None	29	None	30	None	29	None	30	None
1366920662	KHERDE SNEHA V	2021	FFS	RENDERING SNC	AGE 0-20	1,346	None	2,314	None	1,082	None	1,407	None	486	None	737	None	963	None	1,172	None
1366920662	KHERDE SNEHA V	2021	FFS	RENDERING SNC	AGE 21+	996	None	2,130	None	410	None	462	None	716	None	1,493	None	391	None	431	None
1366934168	MAYORGA LENNY	2021	FFS	RENDERING SNC	AGE 0-20	1,162	None	1,815	None	955	None	1,139	None	432	None	653	None	946	None	1,055	None
1366934168	MAYORGA LENNY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1366958092	SEARLEMAN SYLVIA AKUA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1376104695	TAHA SAHAR	2021	FFS	RENDERING SNC	AGE 0-20	654	None	1,456	None	610	None	1,046	None	217	None	398	None	598	None	711	None
1376104695	TAHA SAHAR	2021	FFS	RENDERING SNC	AGE 21+	530	None	1,256	None	426	None	613	None	221	None	546	None	430	None	527	None
1376155317	BASHEER WASEEM A	2021	FFS	RENDERING SNC	AGE 0-20	160	None	406	None	130	None	222	None	60	None	139	None	97	None	110	None
1376155317	BASHEER WASEEM A	2021	FFS	RENDERING SNC	AGE 21+	379	None	1,132	None	301	None	584	None	141	None	280	None	273	None	356	None
1376169714	PANDHER PUNEET KAUR	2021	FFS	RENDERING SNC	AGE 0-20	159	None	395	None	132	None	234	None	59	None	112	None	97	None	127	None
1376169714	PANDHER PUNEET KAUR	2021	FFS	RENDERING SNC	AGE 21+	351	None	1,044	None	242	None	438	None	222	None	535	None	229	None	371	None
1376178319	SHAH SADDIF B	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1376178319	SHAH SADDIF B	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	0	None	0	None
1376217752	ANDRADA SUMMER ANGELYN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1376547752	IWAMURA HANH A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1376600205	FUNG GLENN S	2021	FFS	RENDERING SNC	AGE 0-20	11	None	11	None	None	1	None	1	None	1	None	1	None	1	None	1
1376600205	FUNG GLENN S	2021	FFS	RENDERING SNC	AGE 21+	16	None	17	None	0	None	0	None	15	None	16	None	0	None	0	None
1376619007	CHUNG RICHARD	2021	FFS	RENDERING SNC	AGE 0-20	126	None	145	None	74	None	80	None	12	None	15	None	67	None	69	None
1376619007	CHUNG RICHARD	2021	FFS	RENDERING SNC	AGE 21+	166	None	270	None	94	None	106	None	81	None	136	None	88	None	97	None
1376633446	PALAGANAS JR, ARTEMIO F, DDS	2021	FFS	RENDERING SNC	AGE 0-20	72	None	115	None	39	None	47	None	40	None	59	None	None	1	None	1
1376633446	PALAGANAS JR, ARTEMIO F, DDS	2021	FFS	RENDERING SNC	AGE 21+	137	None	252	None	61	None	66	None	86	None	155	None	None	1	None	1
1376636092	VAN DYKE KAREN P	2021	FFS	RENDERING SNC	AGE 0-20	209	None	431	None	120	None	242	None	32	None	42	None	71	None	100	None
1376636092	VAN DYKE KAREN P	2021	FFS	RENDERING SNC	AGE 21+	302	None	1,054	None	132	None	309	None	181	None	469	None	179	None	477	None
1376640458	DEL CORE BRIAN J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1376640458	DEL CORE BRIAN J	2021	FFS	RENDERING SNC	AGE 21+	216	None	240	None	213	None	237	None	0	None	0	None	213	None	237	None
1376647529	SABOLCH PETER	2021	FFS	RENDERING SNC	AGE 0-20	186	None	362	None	112	None	127	None	42	None	88	None	87	None	89	None
1376647529	SABOLCH PETER	2021	FFS	RENDERING SNC	AGE 21+	149	None	296	None	94	None	137	None	45	None	84	None	78	None	102	None
1376682583	LICHTY II GUY C	2021	FFS	RENDERING SNC	AGE 0-20	1,364	None	1,851	None	906	None	1,095	None	314	None	372	None	695	None	830	None
1376699918	DOAN, HUNG D MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1376702167	LIM ALICE T	2021	FFS	RENDERING SNC	AGE 0-20	82	None	123	None	67	None	83	None	21	None	30	None	73	None	83	None
1376702167	LIM ALICE T	2021	FFS	RENDERING SNC	AGE 21+	147	None	237	None	67	None	70	None	102	None	163	None	98	None	107	None
1376769687	JONES RAKIYA LYNETTE	2021	FFS	RENDERING SNC	AGE 0-20	129	None	318	None	129	None	318	None	0	None	0	None	129	None	318	None
1376769687	JONES RAKIYA LYNETTE	2021	FFS	RENDERING SNC	AGE 21+	120	None	328	None	120	None	328	None	0	None	0	None	120	None	328	None
1376769687	JONES RAKIYA LYNETTE	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376775767	PARK SUZAN S	2021	FFS	RENDERING SNC	AGE 21+	20	None	20	None	19	None	19	None	None	1	None	1	19	None	19	None
1376797621	POURSHIRAZI HOMAYOUN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376797621	POURSHIRAZI HOMAYOUN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1376800391	HANSEN NATHAN M	2021	FFS	RENDERING SNC	AGE 0-20	262	None	401	None	165	None	197	None	140	None	222	None	178	None	216	None
1376800391	HANSEN NATHAN M	2021	FFS	RENDERING SNC	AGE 21+	443	None	893	None	229	None	271	None	301	None	597	None	272	None	355	None
1376800391	HANSEN NATHAN M	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1376821546	NORDSTROM MORGAN D	2021	FFS	RENDERING SNC	AGE 0-20	28	None	30	None	None	1	None	1	14	None	16	None	None	1	None	1
1376821546	NORDSTROM MORGAN D	2021	FFS	RENDERING SNC	AGE 21+	22	None	25	None	None	1	None	1	19	None	19	None	None	1	None	1
1376835983	ZARRABI, SAMEEN DMD	2021	FFS	RENDERING SNC	AGE 0-20	23	None	24	None	18	None	18	None	None	1	None	1	18	None	18	None
1376904516	HERSEY ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	15	None	30	None	15	None	30	None	0	None	0	None	15	None	30	None
1376904516	HERSEY ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	39	None	79	None	39	None	79	None	0	None	0	None	39	None	79	None
1376952952	LOUIE MONICA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376952952	LOUIE MONICA	2021	FFS	RENDERING SNC	AGE 21+	19	None	19	None	None	1	None	1	0	None	0	None	19	None	19	None
1376967869	KIMZEY KAREN M	2021	FFS	RENDERING SNC	AGE 0-20	673	None	1,099	None	621	None	760	None	162	None	254	None	536	None	598	None
1376967869	KIMZEY KAREN M	2021	FFS	RENDERING SNC	AGE 21+	442	None	997	None	343	None	417	None	165	None	298	None	353	None	476	None
1376980102	JAHNG ESTHER	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1376980102	JAHNG ESTHER	2021	FFS	RENDERING SNC	AGE 21+	32	None	46	None	32	None	44	None	0	None	0	None	32	None	44	None
1386002616	LEE HANNA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1386002616	LEE HANNA	2021	FFS	RENDERING SNC	AGE 21+	221	None	570	None	92	None	98	None	200	None	413	None	60	None	155	None
1386006369	OVEISI, DAVID R MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386071702	SUGA LUIS R	2021	FFS	RENDERING SNC	AGE 0-20	26	None	38	None	13	None	13	None	None	1	None	2	16	None	16	None
1386076073	PAHLEVANLOU GOLNAZ	2021	FFS	RENDERING SNC	AGE 0-20	159	None	242	None	99	None	109	None	58	None	90	None	91	None	96	None
1386076073	PAHLEVANLOU GOLNAZ	2021	FFS	RENDERING SNC	AGE 21+	629	None	1,081	None	324	None	347	None	277	None	399	None	345	None	425	None
1386097616	RAVISANKAR ASHWIN	2021	FFS	RENDERING SNC	AGE 0-20	42	None	58	None	None	1	None	1	13	None	18	None	29	None	40	None
1386097616	RAVISANKAR ASHWIN	2021	FFS	RENDERING SNC	AGE 21+	169	None	254	None	None	1	None	1	144	None	207	None	34	None	45	None
1386141257	WONG MONITA	2021	FFS	RENDERING SNC	AGE 0-20	667	None	1,009	None	573	None	850	None	586	None	846	None	261	None	345	None
1386141257	WONG MONITA	2021	FFS	RENDERING SNC	AGE 21+	1,033	None	2,039	None	546	None	798	None	879	None	1,628	None	303	None	367	None
1386141257	WONG MONITA	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1386185718	MCGREGOR TESSA	2021	FFS	RENDERING SNC	AGE 0-20	707	None	876	None	618	None	713	None	98	None	131	None	619	None	712	None
1386185718	MCGREGOR TESSA	2021	FFS	RENDERING SNC	AGE 21+	892	None	1,377	None	757	None	1,005	None	279	None	372	None	766	None	1,063	None
1386202414	HSIEH REBECCA P	2021	FFS	RENDERING SNC	AGE 0-20	408	None	431	None	289	None	296	None	107	None	112	None	285	None	292	None
1386205235	DIEP JASON DO	2021	FFS	RENDERING SNC	AGE 0-20	12	None	15	None	None	1	None	2	None	1	None	1	None	1	None	2
1386205235	DIEP JASON DO	2021	FFS	RENDERING SNC	AGE 21+	136	None	254	None	103	None	142	None	82	None	151	None	105	None	150	None
1386226868	TRANG NANCY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1386228898	SERPA STEPHANIE JEAN	2021	FFS	RENDERING SNC	AGE 0-20	43	None	49	None	43	None	49	None	0	None	0	None	0	None	0	None
1386228898	SERPA STEPHANIE JEAN	2021	FFS	RENDERING SNC	AGE 21+	183	None	422	None	183	None	419	None	15	None	36	None	None	1	None	1
1386273647	CHEN MICHAEL P	2021	FFS	RENDERING SNC	AGE 0-20	13	None	13	None	12	None	12	None	None	1	None	1	None	1	None	1
1386273647	CHEN MICHAEL P	2021	FFS	RENDERING SNC	AGE 21+	81	None	124	None	74	None	97	None	19	None	29	None	64	None	65	None
1386295160	PETERSEN JORDAN	2021	FFS	RENDERING SNC	AGE 0-20	48	None	64	None	37	None	41	None	15	None	27	None	0	None	0	None
1386295160	PETERSEN JORDAN	2021	FFS	RENDERING SNC	AGE 21+	576	None	866	None	184	None	212	None	475	None	756	None	None	1	None	1
1386627263	RAMOS-MERCADO FABIOLA B	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1386627263	RAMOS-MERCADO FABIOLA B	2021	FFS	RENDERING SNC	AGE 21+	37	None	158	None	11	None	26	None	29	None	103	None	21	None	75	None
1386654598	REED DAVID	2021	FFS	RENDERING SNC	AGE 0-20	103	None	245	None	77	None	103	None	52	None	139	None	79	None	91	None
1386654598	REED DAVID	2021	FFS	RENDERING SNC	AGE 21+	487	None	1,236	None	288	None	321	None	346	None	849	None	297	None	349	None
1386705952	AL RIYABI FERAS	2021	FFS	RENDERING SNC	AGE 0-20	74	None	106	None	30	None	35	None	23	None	36	None	None	1	None	1
1386705952	AL RIYABI FERAS	2021	FFS	RENDERING SNC	AGE 21+	225	None	361	None	63	None	83	None	98	None	145	None	54	None	96	None
1386705952	AL RIYABI FERAS	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1386705952	AL RIYABI FERAS	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1386744290	LUGO AMADIS J.	2021	FFS	RENDERING SNC	AGE 0-20	555	None	899	None	518	None	710	None	192	None	284	None	420	None	481	None
1386744290	LUGO AMADIS J.	2021	FFS	RENDERING SNC	AGE 21+	693	None	1,449	None	602	None	953	None	493	None	840	None	584	None	841	None
1386752574	RODERICK THOMAS L	2021	FFS	RENDERING SNC	AGE 0-20	398	None	623	None	379	None	521	None	123	None	165	None	332	None	349	None
1386752574	RODERICK THOMAS L	2021	FFS	RENDERING SNC	AGE 21+	448	None	834	None	374	None	493	None	323	None	508	None	359	None	455	None
1386757433	WILLIAMS BRUCE E	2021	FFS	RENDERING SNC	AGE 0-20	592	None	1,127	None	586	None	1,010	None	87	None	127	None	586	None	1,017	None
1386757433	WILLIAMS BRUCE E	2021	FFS	RENDERING SNC	AGE 21+	555	None	1,324	None	455	None	712	None	198	None	365	None	502	None	956	None
1386758662	PEREZ MARITES M	2021	FFS	RENDERING SNC	AGE 0-20	53	None	228	None	47	None	126	None	32	None	124	None	44	None	74	None
1386758662	PEREZ MARITES M	2021	FFS	RENDERING SNC	AGE 21+	279	None	1,690	None	184	None	345	None	242	None	1,361	None	175	None	333	None
1386766673	WIGHT BRIAN D	2021	FFS	RENDERING SNC	AGE 0-20	92	None	160	None	82	None	113	None	29	None	45	None	76	None	88	None
1386766673	WIGHT BRIAN D	2021	FFS	RENDERING SNC	AGE 21+	405	None	1,034	None	204	None	238	None	292	None	674	None	242	None	348	None
1386776839	LEE, LINDA H MD	2021	FFS	RENDERING SNC	AGE 0-20	140	None	295	None	103	None	109	None	72	None	102	None	138	None	275	None
1386776839	LEE, LINDA H MD	2021	FFS	RENDERING SNC	AGE 21+	228	None	384	None	103	None	105	None	142	None	197	None	177	None	255	None
1386799765	TORNAY STEPHEN SCOTT	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1386799765	TORNAY STEPHEN SCOTT	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1386823219	BERMOY KATHRYN R	2021	FFS	RENDERING SNC	AGE 0-20	964	None	1,687	None	944	None	1,582	None	77	None	116	None	913	None	1,489	None
1386823219	BERMOY KATHRYN R	2021	FFS	RENDERING SNC	AGE 21+	341	None	586	None	315	None	526	None	144	None	234	None	314	None	524	None
1386838332	ELACIO CHERYL	2021	FFS	RENDERING SNC	AGE 0-20	451	None	714	None	381	None	493	None	161	None	258	None	367	None	430	None
1386838332	ELACIO CHERYL	2021	FFS	RENDERING SNC	AGE 21+	278	None	569	None	103	None	157	None	203	None	369	None	141	None	215	None
1386839538	EBRAHIMI NADEREH H	2021	FFS	RENDERING SNC	AGE 0-20	476	None	871	None	51	None	53	None	143	None	242	None	109	None	139	None
1386839538	EBRAHIMI NADEREH H	2021	FFS	RENDERING SNC	AGE 21+	655	None	1,795	None	None	1	None	1	322	None	660	None	122	None	326	None
1386856102	ASHAR DEVYANI N	2021	FFS	RENDERING SNC	AGE 0-20	22	None	23	None	12	None	13	None	None	1	None	1	None	1	None	1
1386856102	ASHAR DEVYANI N	2021	FFS	RENDERING SNC	AGE 21+	103	None	130	None	88	None	114	None	15	None	16	None	85	None	111	None
1386936995	MARZOUK MOHAMMED M	2021	FFS	RENDERING SNC	AGE 0-20	161	None	357	None	127	None	149	None	110	None	237	None	122	None	131	None
1386936995	MARZOUK MOHAMMED M	2021	FFS	RENDERING SNC	AGE 21+	897	None	2,212	None	480	None	492	None	833	None	1,905	None	545	None	676	None
1386956407	WONG CARRIE K	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1386956407	WONG CARRIE K	2021	FFS	RENDERING SNC	AGE 21+	164	None	409	None	162	None	363	None	40	None	66	None	162	None	321	None
1396006110	SHAFFER ADAM	2021	FFS	RENDERING SNC	AGE 0-20	85	None	98	None	59	None	69	None	21	None	24	None	49	None	56	None
1396052759	PANNU PAWANJEET S	2021	FFS	RENDERING SNC	AGE 0-20	256	None	645	None	241	None	463	None	68	None	130	None	241	None	294	None
1396052759	PANNU PAWANJEET S	2021	FFS	RENDERING SNC	AGE 21+	340	None	945	None	275	None	396	None	110	None	320	None	281	None	385	None
1396104220	LIN JEREMY DAVID	2021	FFS	RENDERING SNC	AGE 0-20	330	None	390	None	330	None	390	None	None	1	None	1	321	None	378	None
1396104220	LIN JEREMY DAVID	2021	FFS	RENDERING SNC	AGE 21+	225	None	402	None	225	None	402	None	0	None	0	None	225	None	402	None
1396104758	NGUYEN OLIVIA D	2021	FFS	RENDERING SNC	AGE 0-20	132	None	650	None	123	None	402	None	75	None	268	None	80	None	200	None
1396104758	NGUYEN OLIVIA D	2021	FFS	RENDERING SNC	AGE 21+	868	None	6,215	None	646	None	1,872	None	762	None	4,805	None	571	None	1,744	None
1396120325	FEREIRA MINDY	2021	FFS	RENDERING SNC	AGE 0-20	368	None	405	None	368	None	405	None	None	1	None	1	None	1	None	1
1396120325	FEREIRA MINDY	2021	FFS	RENDERING SNC	AGE 21+	317	None	463	None	308	None	420	None	102	None	195	None	11	None	16	None
1396165981	DE LA PENA MARTHA	2021	FFS	RENDERING SNC	AGE 0-20	691	None	968	None	562	None	655	None	318	None	494	None	479	None	529	None
1396165981	DE LA PENA MARTHA	2021	FFS	RENDERING SNC	AGE 21+	339	None	592	None	86	None	105	None	305	None	517	None	111	None	121	None
1396171526	KIM YEUN JOO	2021	FFS	RENDERING SNC	AGE 0-20	208	None	330	None	191	None	248	None	68	None	99	None	173	None	196	None
1396171526	KIM YEUN JOO	2021	FFS	RENDERING SNC	AGE 21+	19	None	41	None	18	None	23	None	None	1	None	2	17	None	21	None
1396187746	LANE PATRICE	2021	FFS	RENDERING SNC	AGE 0-20	165	None	279	None	131	None	166	None	38	None	64	None	152	None	214	None
1396187746	LANE PATRICE	2021	FFS	RENDERING SNC	AGE 21+	352	None	901	None	111	None	158	None	138	None	229	None	321	None	651	None
1396187746	LANE PATRICE	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1396307070	VAULT KALISHA KORAN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396375028	JOHNSON, ROSE MARGARETTE, RD	2021	FFS	RENDERING SNC	AGE 0-20	103	None	135	None	103	None	135	None	None	1	None	1	0	None	0	None
1396375028	JOHNSON, ROSE MARGARETTE, RD	2021	FFS	RENDERING SNC	AGE 21+	161	None	336	None	158	None	309	None	47	None	73	None	0	None	0	None
1396726782	AUYONG THOMAS GAIL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1396728937	TURPIN DAVID W	2021	FFS	RENDERING SNC	AGE 0-20	775	None	4,588	None	757	None	3,707	None	188	None	741	None	745	None	2,256	None
1396728937	TURPIN DAVID W	2021	FFS	RENDERING SNC	AGE 21+	395	None	2,130	None	363	None	1,148	None	143	None	839	None	355	None	904	None
1396731436	TANEN, DAVID MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1396754131	SWARTZ, JOHN R MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1396754636	BALAKUMARAN, GOWTHAMY MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1396835161	HUANG BEATRICE Y	2021	FFS	RENDERING SNC	AGE 0-20	635	None	2,264	None	624	None	1,843	None	136	None	464	None	602	None	1,665	None
1396835161	HUANG BEATRICE Y	2021	FFS	RENDERING SNC	AGE 21+	1,223	None	6,177	None	1,055	None	3,331	None	794	None	3,271	None	969	None	2,916	None
1396860912	PYTLIK RAFAL	2021	FFS	RENDERING SNC	AGE 0-20	38	None	38	None	25	None	25	None	12	None	12	None	21	None	21	None
1396863551	DU AUDREY L	2021	FFS	RENDERING SNC	AGE 0-20	59	None	206	None	55	None	107	None	46	None	130	None	45	None	52	None
1396863551	DU AUDREY L	2021	FFS	RENDERING SNC	AGE 21+	524	None	1,969	None	472	None	894	None	428	None	1,264	None	437	None	760	None
1396873303	CUBILLOS, LUZ DDS	2021	FFS	RENDERING SNC	AGE 0-20	300	None	987	None	300	None	987	None	0	None	0	None	300	None	987	None
1396873303	CUBILLOS, LUZ DDS	2021	FFS	RENDERING SNC	AGE 21+	258	None	994	None	258	None	994	None	0	None	0	None	258	None	994	None
1396879524	ZHANG DING H	2021	FFS	RENDERING SNC	AGE 0-20	34	None	39	None	30	None	30	None	None	1	None	1	16	None	16	None
1396879524	ZHANG DING H	2021	FFS	RENDERING SNC	AGE 21+	80	None	125	None	65	None	75	None	28	None	46	None	65	None	78	None
1396904074	WHITAKER KIMBALL CARLTON	2021	FFS	RENDERING SNC	AGE 0-20	111	None	279	None	111	None	279	None	0	None	0	None	111	None	279	None
1396904074	WHITAKER KIMBALL CARLTON	2021	FFS	RENDERING SNC	AGE 21+	203	None	580	None	202	None	579	None	0	None	0	None	202	None	579	None
1396945770	NEAL, VANESSA L MD FAAP	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1396992277	YAP MICHELLE A	2021	FFS	RENDERING SNC	AGE 0-20	70	None	85	None	57	None	67	None	25	None	27	None	44	None	53	None
1396992277	YAP MICHELLE A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1407066798	LAU SUK YING	2021	FFS	RENDERING SNC	AGE 0-20	335	None	557	None	304	None	430	None	57	None	90	None	287	None	396	None
1407066798	LAU SUK YING	2021	FFS	RENDERING SNC	AGE 21+	481	None	1,128	None	349	None	458	None	278	None	630	None	352	None	493	None
1407067325	LANDAYAN MARIA C	2021	FFS	RENDERING SNC	AGE 0-20	618	None	1,255	None	562	None	746	None	251	None	458	None	594	None	779	None
1407067325	LANDAYAN MARIA C	2021	FFS	RENDERING SNC	AGE 21+	272	None	381	None	47	None	70	None	52	None	72	None	254	None	294	None
1407114499	DEYHIM NILOOFAR	2021	FFS	RENDERING SNC	AGE 0-20	24	None	32	None	24	None	32	None	0	None	0	None	24	None	32	None
1407114499	DEYHIM NILOOFAR	2021	FFS	RENDERING SNC	AGE 21+	118	None	140	None	116	None	137	None	0	None	0	None	116	None	137	None
1407125610	JAIN BHUMIKA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1407125610	JAIN BHUMIKA	2021	FFS	RENDERING SNC	AGE 21+	64	None	138	None	0	None	0	None	0	None	0	None	None	1	None	1
1407141203	REINKING CELESTE C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1407141203	REINKING CELESTE C	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1407161045	BAHRAMI PAYMON	2021	FFS	RENDERING SNC	AGE 0-20	215	None	281	None	197	None	232	None	29	None	37	None	134	None	151	None
1407161045	BAHRAMI PAYMON	2021	FFS	RENDERING SNC	AGE 21+	341	None	682	None	223	None	276	None	179	None	314	None	199	None	248	None
1407167554	YANG INPHING	2021	FFS	RENDERING SNC	AGE 0-20	210	None	478	None	175	None	311	None	88	None	214	None	175	None	302	None
1407167554	YANG INPHING	2021	FFS	RENDERING SNC	AGE 21+	555	None	2,037	None	392	None	741	None	434	None	1,569	None	426	None	841	None
1407209984	KADKHODA SHADI	2021	FFS	RENDERING SNC	AGE 0-20	869	None	1,331	None	851	None	1,211	None	392	None	500	None	828	None	1,140	None
1407209984	KADKHODA SHADI	2021	FFS	RENDERING SNC	AGE 21+	143	None	277	None	131	None	190	None	94	None	147	None	134	None	216	None
1407217912	PATISH-PREOBRAZ ALLA	2021	FFS	RENDERING SNC	AGE 0-20	17	None	43	None	13	None	18	None	11	None	28	None	None	1	None	1
1407217912	PATISH-PREOBRAZ ALLA	2021	FFS	RENDERING SNC	AGE 21+	141	None	463	None	54	None	62	None	132	None	376	None	58	None	97	None
1407259260	ZEBIAN ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	138	None	157	None	121	None	135	None	47	None	49	None	103	None	114	None
1407259260	ZEBIAN ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	101	None	111	None	87	None	93	None	63	None	68	None	70	None	74	None
1407303175	HOFFMAN DANIEL S	2021	FFS	RENDERING SNC	AGE 0-20	226	None	644	None	196	None	494	None	41	None	58	None	96	None	110	None
1407303175	HOFFMAN DANIEL S	2021	FFS	RENDERING SNC	AGE 21+	427	None	1,401	None	331	None	883	None	185	None	293	None	162	None	188	None
1407372154	SUN HO HYUN B	2021	FFS	RENDERING SNC	AGE 0-20	44	None	54	None	0	None	0	None	33	None	41	None	None	1	None	2
1407372154	SUN HO HYUN B	2021	FFS	RENDERING SNC	AGE 21+	42	None	48	None	0	None	0	None	34	None	36	None	None	1	None	2
1407490469	TABATABAIEPUR SOGOLE	2021	FFS	RENDERING SNC	AGE 0-20	337	None	488	None	269	None	338	None	84	None	135	None	233	None	290	None
1407490469	TABATABAIEPUR SOGOLE	2021	FFS	RENDERING SNC	AGE 21+	257	None	425	None	161	None	224	None	143	None	217	None	158	None	220	None
1407849243	GONZALEZ FRANCISCO J	2021	FFS	RENDERING SNC	AGE 0-20	19	None	38	None	15	None	26	None	None	1	None	1	13	None	15	None
1407849243	GONZALEZ FRANCISCO J	2021	FFS	RENDERING SNC	AGE 21+	164	None	494	None	117	None	165	None	110	None	238	None	113	None	191	None
1407853690	ABIAOUI AMAL	2021	FFS	RENDERING SNC	AGE 0-20	519	None	1,267	None	472	None	928	None	259	None	477	None	427	None	555	None
1407853690	ABIAOUI AMAL	2021	FFS	RENDERING SNC	AGE 21+	513	None	1,493	None	332	None	464	None	410	None	1,086	None	315	None	408	None
1407864473	MANTHENA PADMAJA	2021	FFS	RENDERING SNC	AGE 0-20	532	None	928	None	467	None	643	None	214	None	339	None	353	None	414	None
1407864473	MANTHENA PADMAJA	2021	FFS	RENDERING SNC	AGE 21+	379	None	889	None	279	None	368	None	226	None	478	None	274	None	397	None
1407981798	CHIANG GUEI MEI	2021	FFS	RENDERING SNC	AGE 0-20	658	None	1,129	None	485	None	658	None	228	None	349	None	466	None	621	None
1417007253	BRADSHAW DOYLE ALAN	2021	FFS	RENDERING SNC	AGE 0-20	200	None	483	None	151	None	305	None	62	None	90	None	112	None	157	None
1417007253	BRADSHAW DOYLE ALAN	2021	FFS	RENDERING SNC	AGE 21+	237	None	719	None	125	None	296	None	104	None	189	None	127	None	216	None
1417007253	BRADSHAW DOYLE ALAN	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1417030438	LAXAMANA, DARLEEN	2021	FFS	RENDERING SNC	AGE 0-20	288	None	427	None	269	None	332	None	60	None	93	None	274	None	334	None
1417030438	LAXAMANA, DARLEEN	2021	FFS	RENDERING SNC	AGE 21+	191	None	419	None	106	None	154	None	136	None	269	None	115	None	138	None
1417036468	CARDENAS, JOSE, DDS	2021	FFS	RENDERING SNC	AGE 0-20	680	None	2,725	None	671	None	2,501	None	58	None	216	None	635	None	1,875	None
1417036468	CARDENAS, JOSE, DDS	2021	FFS	RENDERING SNC	AGE 21+	1,079	None	4,398	None	1,051	None	3,224	None	261	None	1,065	None	1,034	None	2,908	None
1417065020	CHEN ANN	2021	FFS	RENDERING SNC	AGE 0-20	161	None	171	None	56	None	58	None	48	None	49	None	49	None	49	None
1417065020	CHEN ANN	2021	FFS	RENDERING SNC	AGE 21+	282	None	322	None	97	None	101	None	131	None	149	None	141	None	146	None
1417082041	ICHIMURA DAVID M	2021	FFS	RENDERING SNC	AGE 0-20	390	None	525	None	286	None	307	None	120	None	160	None	261	None	303	None
1417082041	ICHIMURA DAVID M	2021	FFS	RENDERING SNC	AGE 21+	288	None	458	None	108	None	142	None	168	None	228	None	145	None	205	None
1417082777	JOSHI JASMEEN KAUR	2021	FFS	RENDERING SNC	AGE 0-20	88	None	117	None	65	None	87	None	26	None	34	None	None	1	None	1
1417082777	JOSHI JASMEEN KAUR	2021	FFS	RENDERING SNC	AGE 21+	22	None	26	None	18	None	20	None	None	1	None	1	None	1	None	1
1417084310	SILVEIRA MARILICE A	2021	FFS	RENDERING SNC	AGE 0-20	557	None	1,745	None	544	None	1,685	None	24	None	31	None	550	None	964	None
1417084310	SILVEIRA MARILICE A	2021	FFS	RENDERING SNC	AGE 21+	232	None	503	None	208	None	423	None	26	None	44	None	211	None	252	None
1417125238	BRAZIER JAMES C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417125238	BRAZIER JAMES C	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1417191743	MELGOZA ENRIQUE S	2021	FFS	RENDERING SNC	AGE 0-20	281	None	452	None	215	None	284	None	97	None	147	None	174	None	202	None
1417191743	MELGOZA ENRIQUE S	2021	FFS	RENDERING SNC	AGE 21+	312	None	686	None	155	None	215	None	197	None	363	None	130	None	152	None
1417243890	CHAN, ZAR C MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1417284746	WASCHE MARINA	2021	FFS	RENDERING SNC	AGE 0-20	18	None	25	None	None	1	None	1	None	1	None	2	12	None	12	None
1417284746	WASCHE MARINA	2021	FFS	RENDERING SNC	AGE 21+	55	None	124	None	26	None	32	None	31	None	74	None	38	None	45	None
1417317165	CHOI CHRISTINE A	2021	FFS	RENDERING SNC	AGE 0-20	1,019	None	1,994	None	945	None	1,222	None	517	None	1,063	None	966	None	1,352	None
1417317165	CHOI CHRISTINE A	2021	FFS	RENDERING SNC	AGE 21+	408	None	794	None	238	None	277	None	278	None	523	None	311	None	477	None
1417317165	CHOI CHRISTINE A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417322744	YAZDI ZADEH MARYAM	2021	FFS	RENDERING SNC	AGE 0-20	45	None	98	None	42	None	82	None	21	None	37	None	38	None	51	None
1417322744	YAZDI ZADEH MARYAM	2021	FFS	RENDERING SNC	AGE 21+	197	None	701	None	140	None	287	None	150	None	504	None	107	None	146	None
1417398181	CHENG PHILIP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1417398181	CHENG PHILIP	2021	FFS	RENDERING SNC	AGE 21+	30	None	48	None	17	None	21	None	22	None	30	None	22	None	26	None
1417446477	RAMSEY KELLIE A	2021	FFS	RENDERING SNC	AGE 0-20	192	None	405	None	156	None	281	None	61	None	110	None	71	None	85	None
1417446477	RAMSEY KELLIE A	2021	FFS	RENDERING SNC	AGE 21+	196	None	289	None	111	None	134	None	80	None	122	None	79	None	91	None
1417470170	YANG FUE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	1
1417470170	YANG FUE	2021	FFS	RENDERING SNC	AGE 21+	96	None	240	None	73	None	138	None	87	None	197	None	67	None	92	None
1417470170	YANG FUE	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417470170	YANG FUE	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1417513847	MCCARTHY ELISE NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	89	None	178	None	89	None	178	None	0	None	0	None	89	None	178	None
1417513847	MCCARTHY ELISE NICOLE	2021	FFS	RENDERING SNC	AGE 21+	56	None	138	None	56	None	138	None	0	None	0	None	56	None	138	None
1417931197	FENZI CHARLES C.	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1417931197	FENZI CHARLES C.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1427002385	HARRIS MARK STEPHEN	2021	FFS	RENDERING SNC	AGE 0-20	17	None	19	None	None	1	None	1	None	1	None	1	None	1	None	1
1427002385	HARRIS MARK STEPHEN	2021	FFS	RENDERING SNC	AGE 21+	32	None	41	None	None	1	None	1	19	None	24	None	22	None	25	None
1427078781	DIAZ, JOSE M MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1427110386	HONG DAVIS	2021	FFS	RENDERING SNC	AGE 0-20	844	None	1,259	None	832	None	1,167	None	290	None	381	None	810	None	1,106	None
1427110386	HONG DAVIS	2021	FFS	RENDERING SNC	AGE 21+	143	None	251	None	133	None	180	None	72	None	103	None	128	None	181	None
1427114065	ERIKSSON EVA C	2021	FFS	RENDERING SNC	AGE 0-20	24	None	49	None	24	None	49	None	0	None	0	None	24	None	49	None
1427114065	ERIKSSON EVA C	2021	FFS	RENDERING SNC	AGE 21+	62	None	180	None	62	None	180	None	0	None	0	None	62	None	180	None
1427135623	WALKER MACHON R	2021	FFS	RENDERING SNC	AGE 0-20	15	None	18	None	13	None	13	None	None	1	None	1	None	1	None	1
1427135623	WALKER MACHON R	2021	FFS	RENDERING SNC	AGE 21+	20	None	38	None	None	1	None	1	None	1	None	1	None	1	None	1
1427139682	DUSANAPUDI SUDHA N	2021	FFS	RENDERING SNC	AGE 0-20	112	None	154	None	0	None	0	None	0	None	0	None	0	None	0	None
1427142009	UNIV CHILDRENS MED GROUP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427142009	UNIV CHILDRENS MED GROUP	2021	FFS	RENDERING SNC	AGE 21+	12	None	15	None	0	None	0	None	None	1	None	1	None	1	None	1
1427151547	LEE MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	66	None	83	None	42	None	47	None	22	None	27	None	17	None	19	None
1427151547	LEE MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	42	None	57	None	27	None	28	None	33	None	46	None	25	None	25	None
1427159748	HEYDARI, CAMERON DDS	2021	FFS	RENDERING SNC	AGE 0-20	75	None	97	None	None	1	None	1	0	None	0	None	None	1	None	1
1427167170	KIM DONALD	2021	FFS	RENDERING SNC	AGE 0-20	68	None	120	None	61	None	90	None	29	None	54	None	27	None	32	None
1427167170	KIM DONALD	2021	FFS	RENDERING SNC	AGE 21+	112	None	198	None	79	None	109	None	87	None	140	None	53	None	68	None
1427196997	LIU XIA L	2021	FFS	RENDERING SNC	AGE 0-20	86	None	426	None	67	None	252	None	38	None	156	None	68	None	273	None
1427196997	LIU XIA L	2021	FFS	RENDERING SNC	AGE 21+	74	None	275	None	38	None	99	None	46	None	148	None	43	None	123	None
1427242114	SADDI SUPRIYA A	2021	FFS	RENDERING SNC	AGE 0-20	523	None	1,197	None	492	None	868	None	123	None	215	None	461	None	544	None
1427242114	SADDI SUPRIYA A	2021	FFS	RENDERING SNC	AGE 21+	554	None	1,310	None	467	None	681	None	203	None	453	None	455	None	538	None
1427249556	CHUNG ANNA SEUNG-EUN	2021	FFS	RENDERING SNC	AGE 0-20	619	None	788	None	538	None	651	None	150	None	185	None	447	None	510	None
1427249556	CHUNG ANNA SEUNG-EUN	2021	FFS	RENDERING SNC	AGE 21+	1,020	None	1,602	None	764	None	986	None	511	None	715	None	696	None	895	None
1427251222	WANG SUSAN J	2021	FFS	RENDERING SNC	AGE 0-20	1,618	None	3,612	None	1,618	None	3,612	None	0	None	0	None	1,618	None	3,612	None
1427338557	WUPPALAPATI RADHA	2021	FFS	RENDERING SNC	AGE 0-20	369	None	566	None	369	None	565	None	148	None	233	None	369	None	563	None
1427338557	WUPPALAPATI RADHA	2021	FFS	RENDERING SNC	AGE 21+	387	None	814	None	387	None	812	None	255	None	466	None	373	None	771	None
1427363969	DINH ANH M	2021	FFS	RENDERING SNC	AGE 0-20	403	None	462	None	286	None	326	None	95	None	105	None	264	None	301	None
1427363969	DINH ANH M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1427416395	LEE ANN	2021	FFS	RENDERING SNC	AGE 0-20	602	None	1,587	None	602	None	1,583	None	22	None	45	None	594	None	1,541	None
1427416395	LEE ANN	2021	FFS	RENDERING SNC	AGE 21+	673	None	2,598	None	673	None	2,594	None	None	1	None	2	673	None	2,594	None
1427432756	LEE BRYANT	2021	FFS	RENDERING SNC	AGE 0-20	217	None	486	None	195	None	240	None	120	None	211	None	203	None	294	None
1427432756	LEE BRYANT	2021	FFS	RENDERING SNC	AGE 21+	449	None	1,647	None	350	None	477	None	345	None	1,201	None	391	None	682	None
1427434307	CHO JINHYUN	2021	FFS	RENDERING SNC	AGE 21+	24	None	52	None	None	1	None	1	23	None	43	None	None	1	None	1
1427488725	MEADOR, MICHELLE HYUNAECHANG	2021	FFS	RENDERING SNC	AGE 0-20	194	None	254	None	158	None	204	None	31	None	40	None	106	None	135	None
1427488725	MEADOR, MICHELLE HYUNAECHANG	2021	FFS	RENDERING SNC	AGE 21+	219	None	256	None	82	None	89	None	84	None	101	None	69	None	76	None
1427489095	GARCIA NANCY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1427554385	OKUHARA NATALIE A	2021	FFS	RENDERING SNC	AGE 0-20	29	None	39	None	15	None	16	None	17	None	19	None	17	None	18	None
1427554385	OKUHARA NATALIE A	2021	FFS	RENDERING SNC	AGE 21+	86	None	136	None	19	None	22	None	56	None	85	None	32	None	39	None
1427582063	DI PIAZZA GIULIANA	2021	FFS	RENDERING SNC	AGE 0-20	805	None	1,480	None	686	None	1,032	None	417	None	756	None	650	None	791	None
1427582063	DI PIAZZA GIULIANA	2021	FFS	RENDERING SNC	AGE 21+	490	None	1,096	None	259	None	336	None	391	None	842	None	285	None	395	None
1427629369	RAHGOZAR SHAWN C	2021	FFS	RENDERING SNC	AGE 0-20	1,171	None	1,635	None	1,171	None	1,635	None	0	None	0	None	1,171	None	1,635	None
1427679356	RODNEY JONATHAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1427679356	RODNEY JONATHAN	2021	FFS	RENDERING SNC	AGE 21+	25	None	31	None	None	1	None	1	None	1	None	1	11	None	15	None
1427691112	TANDY ABIGAIL COLEEN	2021	FFS	RENDERING SNC	AGE 0-20	59	None	63	None	58	None	62	None	None	1	None	1	0	None	0	None
1427691112	TANDY ABIGAIL COLEEN	2021	FFS	RENDERING SNC	AGE 21+	41	None	46	None	39	None	44	None	None	1	None	1	None	1	None	1
1437124526	MILLER ANGELA S	2021	FFS	RENDERING SNC	AGE 0-20	715	None	1,058	None	630	None	837	None	106	None	144	None	609	None	731	None
1437124526	MILLER ANGELA S	2021	FFS	RENDERING SNC	AGE 21+	211	None	290	None	73	None	78	None	66	None	95	None	82	None	92	None
1437156866	CARLTON, SAMUEL R MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1437156866	CARLTON, SAMUEL R MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1437184769	NGUYEN BOITRAN C	2021	FFS	RENDERING SNC	AGE 0-20	115	None	268	None	69	None	105	None	67	None	152	None	64	None	66	None
1437184769	NGUYEN BOITRAN C	2021	FFS	RENDERING SNC	AGE 21+	130	None	445	None	23	None	25	None	120	None	372	None	19	None	23	None
1437215936	NOBLE JOHN T	2021	FFS	RENDERING SNC	AGE 0-20	269	None	379	None	224	None	304	None	238	None	328	None	73	None	90	None
1437215936	NOBLE JOHN T	2021	FFS	RENDERING SNC	AGE 21+	617	None	1,126	None	339	None	471	None	499	None	876	None	153	None	185	None
1437216678	RICHARDSON ALBERT E	2021	FFS	RENDERING SNC	AGE 0-20	450	None	1,381	None	430	None	1,106	None	150	None	391	None	381	None	693	None
1437216678	RICHARDSON ALBERT E	2021	FFS	RENDERING SNC	AGE 21+	485	None	1,973	None	446	None	1,029	None	345	None	1,195	None	428	None	846	None
1437217544	KATBAMNA, DHANESH S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	430	None	833	None	387	None	544	None	157	None	291	None	320	None	372	None
1437217544	KATBAMNA, DHANESH S, DDS	2021	FFS	RENDERING SNC	AGE 21+	369	None	906	None	284	None	377	None	228	None	509	None	289	None	400	None
1437252541	BASON FRANCOISE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1437265493	MERAT SHEILA	2021	FFS	RENDERING SNC	AGE 0-20	46	None	62	None	28	None	35	None	20	None	23	None	23	None	28	None
1437265493	MERAT SHEILA	2021	FFS	RENDERING SNC	AGE 21+	56	None	70	None	35	None	38	None	25	None	30	None	35	None	38	None
1437267846	ERICKSON, KENDRA M, DDS	2021	FFS	RENDERING SNC	AGE 0-20	882	None	2,486	None	787	None	1,683	None	267	None	513	None	775	None	1,063	None
1437267846	ERICKSON, KENDRA M, DDS	2021	FFS	RENDERING SNC	AGE 21+	493	None	1,394	None	428	None	700	None	231	None	576	None	427	None	589	None
1437287273	GIDDINGS II CHARLES M	2021	FFS	RENDERING SNC	AGE 0-20	254	None	678	None	251	None	577	None	28	None	53	None	210	None	326	None
1437287273	GIDDINGS II CHARLES M	2021	FFS	RENDERING SNC	AGE 21+	256	None	672	None	224	None	358	None	80	None	146	None	242	None	500	None
1437345311	SAHASAKMONTRI PANIDA	2021	FFS	RENDERING SNC	AGE 0-20	151	None	464	None	75	None	150	None	60	None	146	None	146	None	304	None
1437345311	SAHASAKMONTRI PANIDA	2021	FFS	RENDERING SNC	AGE 21+	278	None	993	None	69	None	96	None	192	None	478	None	258	None	665	None
1437355906	TUNG ANGELA K	2021	FFS	RENDERING SNC	AGE 0-20	247	None	574	None	232	None	429	None	99	None	192	None	227	None	317	None
1437355906	TUNG ANGELA K	2021	FFS	RENDERING SNC	AGE 21+	346	None	733	None	298	None	487	None	139	None	253	None	277	None	341	None
1437440641	YAVROM MONICA Y	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1437440641	YAVROM MONICA Y	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1437501566	KIM JAE D	2021	FFS	RENDERING SNC	AGE 0-20	315	None	876	None	63	None	106	None	110	None	289	None	24	None	33	None
1437501566	KIM JAE D	2021	FFS	RENDERING SNC	AGE 21+	606	None	2,255	None	33	None	51	None	369	None	1,091	None	112	None	423	None
1437569191	SERRATO ACERO MARTHA V	2021	FFS	RENDERING SNC	AGE 0-20	543	None	716	None	77	None	82	None	169	None	209	None	89	None	99	None
1437569191	SERRATO ACERO MARTHA V	2021	FFS	RENDERING SNC	AGE 21+	532	None	961	None	72	None	76	None	350	None	544	None	109	None	153	None
1437577574	SVENSSON KRISTINA N	2021	FFS	RENDERING SNC	AGE 0-20	418	None	667	None	316	None	424	None	221	None	355	None	313	None	404	None
1437580040	LEO HEATHER	2021	FFS	RENDERING SNC	AGE 0-20	799	None	1,295	None	691	None	1,044	None	707	None	1,027	None	324	None	413	None
1437580040	LEO HEATHER	2021	FFS	RENDERING SNC	AGE 21+	660	None	1,449	None	446	None	779	None	508	None	1,012	None	321	None	416	None
1437608361	KIM CHRISTINE J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1437615259	CHUCK CHRISTOPHER R	2021	FFS	RENDERING SNC	AGE 0-20	30	None	48	None	26	None	33	None	None	1	None	2	None	1	None	1
1437615259	CHUCK CHRISTOPHER R	2021	FFS	RENDERING SNC	AGE 21+	112	None	184	None	28	None	39	None	46	None	67	None	19	None	28	None
1437615259	CHUCK CHRISTOPHER R	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1437615259	CHUCK CHRISTOPHER R	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1437623691	HSIAO ALLYSON	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1437623691	HSIAO ALLYSON	2021	FFS	RENDERING SNC	AGE 21+	125	None	313	None	None	1	None	2	37	None	56	None	17	None	31	None
1437637527	PEREZ ALISON	2021	FFS	RENDERING SNC	AGE 0-20	314	None	981	None	278	None	670	None	109	None	253	None	176	None	295	None
1437637527	PEREZ ALISON	2021	FFS	RENDERING SNC	AGE 21+	214	None	922	None	163	None	388	None	159	None	662	None	142	None	246	None
1437637527	PEREZ ALISON	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1437685625	SUBIJANO ASUNCION SIBULO	2021	FFS	RENDERING SNC	AGE 0-20	101	None	165	None	93	None	147	None	None	1	None	1	48	None	72	None
1437685625	SUBIJANO ASUNCION SIBULO	2021	FFS	RENDERING SNC	AGE 21+	316	None	710	None	64	None	71	None	210	None	578	None	14	None	16	None
1437685625	SUBIJANO ASUNCION SIBULO	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1437813029	REZVANI GHOLAMREZA	2021	FFS	RENDERING SNC	AGE 0-20	118	None	288	None	118	None	288	None	0	None	0	None	118	None	288	None
1437813029	REZVANI GHOLAMREZA	2021	FFS	RENDERING SNC	AGE 21+	54	None	149	None	54	None	149	None	0	None	0	None	54	None	149	None
1447237672	BALL RANDALL N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1447323902	BERNSTINE BYRON D	2021	FFS	RENDERING SNC	AGE 0-20	672	None	1,452	None	527	None	932	None	178	None	305	None	505	None	705	None
1447323902	BERNSTINE BYRON D	2021	FFS	RENDERING SNC	AGE 21+	388	None	1,275	None	324	None	625	None	224	None	636	None	322	None	510	None
1447337654	DONALDSON, ROSS I MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1447339353	PEZOLDT ANDREA M	2021	FFS	RENDERING SNC	AGE 0-20	775	None	1,440	None	701	None	1,150	None	161	None	252	None	666	None	794	None
1447339353	PEZOLDT ANDREA M	2021	FFS	RENDERING SNC	AGE 21+	636	None	1,423	None	528	None	831	None	287	None	550	None	502	None	638	None
1447356597	YEN, CHUNG-KWAN, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447407648	SIVARAMAKRISHNA RANJINI M	2021	FFS	RENDERING SNC	AGE 0-20	91	None	120	None	67	None	77	None	35	None	43	None	47	None	51	None
1447407648	SIVARAMAKRISHNA RANJINI M	2021	FFS	RENDERING SNC	AGE 21+	95	None	167	None	67	None	73	None	46	None	77	None	70	None	94	None
1447412762	UY GIRLIE A	2021	FFS	RENDERING SNC	AGE 0-20	268	None	723	None	249	None	531	None	134	None	277	None	155	None	184	None
1447412762	UY GIRLIE A	2021	FFS	RENDERING SNC	AGE 21+	281	None	817	None	234	None	397	None	185	None	477	None	184	None	221	None
1447418470	ROVIROSA HIMILCE D	2021	FFS	RENDERING SNC	AGE 0-20	705	None	1,633	None	528	None	855	None	212	None	325	None	131	None	143	None
1447418470	ROVIROSA HIMILCE D	2021	FFS	RENDERING SNC	AGE 21+	630	None	1,368	None	244	None	289	None	318	None	584	None	77	None	80	None
1447428420	ADAMCZAK, JOANNA E MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447430475	LEVARDO, ELPI MINETTE C, DDS	2021	FFS	RENDERING SNC	AGE 0-20	67	None	200	None	59	None	108	None	35	None	89	None	54	None	75	None
1447430475	LEVARDO, ELPI MINETTE C, DDS	2021	FFS	RENDERING SNC	AGE 21+	448	None	2,217	None	302	None	449	None	411	None	1,713	None	345	None	541	None
1447445218	MILLER TAMMY PAULETTE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447466479	FILLER EVAN M	2021	FFS	RENDERING SNC	AGE 0-20	18	None	20	None	None	1	None	1	None	1	None	2	None	1	None	1
1447466479	FILLER EVAN M	2021	FFS	RENDERING SNC	AGE 21+	161	None	259	None	None	1	None	1	148	None	235	None	18	None	18	None
1447496856	MORGAN CHALISE MICHELLE	2021	FFS	RENDERING SNC	AGE 0-20	669	None	1,259	None	533	None	905	None	161	None	241	None	116	None	157	None
1447496856	MORGAN CHALISE MICHELLE	2021	FFS	RENDERING SNC	AGE 21+	865	None	1,963	None	240	None	330	None	344	None	639	None	164	None	215	None
1447496856	MORGAN CHALISE MICHELLE	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447496856	MORGAN CHALISE MICHELLE	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1447586615	SWITZER JOEL M	2021	FFS	RENDERING SNC	AGE 0-20	508	None	572	None	314	None	351	None	245	None	277	None	237	None	260	None
1447586615	SWITZER JOEL M	2021	FFS	RENDERING SNC	AGE 21+	368	None	445	None	215	None	250	None	276	None	334	None	203	None	235	None
1447628516	CHAN ASHLEY	2021	FFS	RENDERING SNC	AGE 0-20	906	None	2,902	None	906	None	2,902	None	0	None	0	None	906	None	2,902	None
1447628516	CHAN ASHLEY	2021	FFS	RENDERING SNC	AGE 21+	497	None	1,753	None	497	None	1,751	None	0	None	0	None	497	None	1,751	None
1447697107	LIU SAMUEL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1447697107	LIU SAMUEL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1447698345	BURNETT AUSTIN A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1447698345	BURNETT AUSTIN A	2021	FFS	RENDERING SNC	AGE 21+	39	None	56	None	0	None	0	None	34	None	44	None	None	1	None	1
1447699517	CAMACHO-WORMS NATALIA	2021	FFS	RENDERING SNC	AGE 0-20	251	None	396	None	197	None	265	None	110	None	165	None	166	None	205	None
1447699517	CAMACHO-WORMS NATALIA	2021	FFS	RENDERING SNC	AGE 21+	181	None	335	None	84	None	103	None	133	None	239	None	91	None	124	None
1447705397	JO MIN YOUNG	2021	FFS	RENDERING SNC	AGE 0-20	43	None	103	None	43	None	103	None	0	None	0	None	43	None	103	None
1447705397	JO MIN YOUNG	2021	FFS	RENDERING SNC	AGE 21+	84	None	330	None	84	None	330	None	0	None	0	None	84	None	330	None
1447744966	NAVAB GHAZAL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1447744966	NAVAB GHAZAL	2021	FFS	RENDERING SNC	AGE 21+	19	None	23	None	17	None	18	None	None	1	None	1	17	None	19	None
1447772124	WILSON KIMBERLY D	2021	FFS	RENDERING SNC	AGE 0-20	165	None	259	None	163	None	257	None	None	1	None	2	0	None	0	None
1447772124	WILSON KIMBERLY D	2021	FFS	RENDERING SNC	AGE 21+	253	None	704	None	201	None	437	None	188	None	634	None	0	None	0	None
1447778048	CUBAS-MOODY YLTZE P	2021	FFS	RENDERING SNC	AGE 0-20	115	None	220	None	102	None	143	None	40	None	93	None	99	None	110	None
1447778048	CUBAS-MOODY YLTZE P	2021	FFS	RENDERING SNC	AGE 21+	682	None	900	None	295	None	342	None	364	None	457	None	225	None	250	None
1447779327	NGUYEN DEXTER U	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447779327	NGUYEN DEXTER U	2021	FFS	RENDERING SNC	AGE 21+	28	None	43	None	13	None	13	None	24	None	37	None	15	None	15	None
1447795265	CHAMBERS MAXMILLIAN	2021	FFS	RENDERING SNC	AGE 0-20	389	None	483	None	347	None	395	None	103	None	121	None	274	None	282	None
1447795265	CHAMBERS MAXMILLIAN	2021	FFS	RENDERING SNC	AGE 21+	411	None	618	None	320	None	381	None	238	None	315	None	290	None	338	None
1447803325	JONES SHERI E	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447803325	JONES SHERI E	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1447811310	AL-GROUZ MALIK	2021	FFS	RENDERING SNC	AGE 0-20	99	None	247	None	74	None	95	None	55	None	143	None	72	None	89	None
1447811310	AL-GROUZ MALIK	2021	FFS	RENDERING SNC	AGE 21+	359	None	1,352	None	238	None	280	None	292	None	987	None	252	None	396	None
1447851647	GANOTISI MELANIE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1447875927	BANG JOHN M	2021	FFS	RENDERING SNC	AGE 0-20	268	None	756	None	233	None	465	None	119	None	275	None	169	None	213	None
1447875927	BANG JOHN M	2021	FFS	RENDERING SNC	AGE 21+	409	None	1,490	None	305	None	561	None	287	None	895	None	266	None	420	None
1457329948	KANZALI JAMES B	2021	FFS	RENDERING SNC	AGE 0-20	82	None	117	None	72	None	91	None	28	None	35	None	68	None	77	None
1457329948	KANZALI JAMES B	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1457349540	OOI, JAMES P MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1457364200	GONZALEZ, A R, DDS	2021	FFS	RENDERING SNC	AGE 0-20	144	None	786	None	144	None	786	None	50	None	312	None	144	None	786	None
1457364200	GONZALEZ, A R, DDS	2021	FFS	RENDERING SNC	AGE 21+	254	None	1,600	None	253	None	1,592	None	141	None	870	None	253	None	1,588	None
1457486086	PARK KWANG S	2021	FFS	RENDERING SNC	AGE 0-20	20	None	35	None	12	None	20	None	11	None	19	None	12	None	20	None
1457486086	PARK KWANG S	2021	FFS	RENDERING SNC	AGE 21+	35	None	75	None	25	None	58	None	12	None	21	None	25	None	58	None
1457489239	BOUTROS, SHADI F MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1457489239	BOUTROS, SHADI F MD	2021	FFS	RENDERING SNC	AGE 21+	48	None	77	None	0	None	0	None	19	None	19	None	33	None	50	None
1457543472	MATIN GULALAI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	2
1457543472	MATIN GULALAI	2021	FFS	RENDERING SNC	AGE 21+	25	None	118	None	None	1	None	2	24	None	102	None	None	1	None	2
1457544348	VO NHAN T	2021	FFS	RENDERING SNC	AGE 0-20	397	None	960	None	83	None	114	None	149	None	272	None	362	None	724	None
1457544348	VO NHAN T	2021	FFS	RENDERING SNC	AGE 21+	355	None	1,113	None	90	None	121	None	278	None	676	None	268	None	526	None
1457567612	SHAHRIARPOUR AZITA	2021	FFS	RENDERING SNC	AGE 0-20	133	None	165	None	78	None	83	None	38	None	43	None	57	None	58	None
1457567612	SHAHRIARPOUR AZITA	2021	FFS	RENDERING SNC	AGE 21+	209	None	373	None	91	None	110	None	85	None	135	None	55	None	57	None
1457577439	ORTEGA LIA C	2021	FFS	RENDERING SNC	AGE 0-20	69	None	122	None	59	None	79	None	18	None	25	None	50	None	53	None
1457577439	ORTEGA LIA C	2021	FFS	RENDERING SNC	AGE 21+	494	None	1,156	None	411	None	631	None	180	None	333	None	396	None	538	None
1457665705	HA DUONG	2021	FFS	RENDERING SNC	AGE 0-20	207	None	328	None	207	None	328	None	0	None	0	None	207	None	328	None
1457665705	HA DUONG	2021	FFS	RENDERING SNC	AGE 21+	72	None	159	None	72	None	159	None	0	None	0	None	72	None	159	None
1457666703	RADJINDRIN ALAMELOU	2021	FFS	RENDERING SNC	AGE 0-20	612	None	1,011	None	575	None	776	None	149	None	255	None	553	None	657	None
1457666703	RADJINDRIN ALAMELOU	2021	FFS	RENDERING SNC	AGE 21+	360	None	787	None	283	None	398	None	232	None	423	None	296	None	441	None
1457734014	TAN, ALVIN C OD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1457739203	ALAM HIRA H	2021	FFS	RENDERING SNC	AGE 0-20	55	None	113	None	55	None	113	None	0	None	0	None	55	None	113	None
1457739203	ALAM HIRA H	2021	FFS	RENDERING SNC	AGE 21+	158	None	418	None	154	None	401	None	0	None	0	None	154	None	401	None
1457774192	POTENTE ANTHONY P	2021	FFS	RENDERING SNC	AGE 0-20	73	None	121	None	None	1	None	1	31	None	39	None	16	None	18	None
1457794109	GERGES MICKEL A	2021	FFS	RENDERING SNC	AGE 0-20	430	None	616	None	430	None	616	None	0	None	0	None	430	None	616	None
1457794109	GERGES MICKEL A	2021	FFS	RENDERING SNC	AGE 21+	491	None	937	None	476	None	910	None	0	None	0	None	482	None	917	None
1457838658	CHUNG JENNIFER PHUONG	2021	FFS	RENDERING SNC	AGE 0-20	563	None	857	None	508	None	628	None	186	None	264	None	451	None	484	None
1457838658	CHUNG JENNIFER PHUONG	2021	FFS	RENDERING SNC	AGE 21+	372	None	698	None	208	None	239	None	266	None	450	None	212	None	269	None
1457842494	LEDEZMA KRISTIE J	2021	FFS	RENDERING SNC	AGE 0-20	294	None	947	None	185	None	334	None	198	None	495	None	107	None	145	None
1457842494	LEDEZMA KRISTIE J	2021	FFS	RENDERING SNC	AGE 21+	430	None	1,821	None	210	None	317	None	376	None	1,440	None	138	None	186	None
1457855942	TRAN PHUC CONG	2021	FFS	RENDERING SNC	AGE 0-20	740	None	1,190	None	542	None	662	None	550	None	925	None	212	None	248	None
1457855942	TRAN PHUC CONG	2021	FFS	RENDERING SNC	AGE 21+	762	None	1,625	None	113	None	120	None	653	None	1,245	None	431	None	742	None
1457855942	TRAN PHUC CONG	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1457871428	BUI JULIE H	2021	FFS	RENDERING SNC	AGE 0-20	429	None	546	None	137	None	153	None	110	None	133	None	113	None	121	None
1457871428	BUI JULIE H	2021	FFS	RENDERING SNC	AGE 21+	653	None	898	None	215	None	229	None	324	None	449	None	345	None	382	None
1457880569	PHAM JENNIFER	2021	FFS	RENDERING SNC	AGE 0-20	565	None	873	None	479	None	622	None	188	None	279	None	360	None	384	None
1457880569	PHAM JENNIFER	2021	FFS	RENDERING SNC	AGE 21+	512	None	1,065	None	441	None	705	None	310	None	600	None	358	None	438	None
1457882789	DIEP CHRISTINA T	2021	FFS	RENDERING SNC	AGE 0-20	980	None	1,114	None	696	None	772	None	261	None	282	None	635	None	704	None
1457889826	HAWKINS WILLIAM N	2021	FFS	RENDERING SNC	AGE 0-20	11	None	15	None	None	1	None	1	None	1	None	1	None	1	None	1
1457889826	HAWKINS WILLIAM N	2021	FFS	RENDERING SNC	AGE 21+	32	None	41	None	None	1	None	1	18	None	23	None	None	1	None	1
1457911505	LI XIN	2021	FFS	RENDERING SNC	AGE 0-20	277	None	415	None	199	None	270	None	134	None	172	None	173	None	192	None
1457911505	LI XIN	2021	FFS	RENDERING SNC	AGE 21+	885	None	1,731	None	355	None	471	None	705	None	1,241	None	361	None	456	None
1457913568	TANG CATHERINE M	2021	FFS	RENDERING SNC	AGE 0-20	25	None	50	None	19	None	26	None	None	1	None	2	None	1	None	1
1457913568	TANG CATHERINE M	2021	FFS	RENDERING SNC	AGE 21+	42	None	73	None	13	None	13	None	22	None	30	None	None	1	None	1
1457923658	SHAH KARISHMA A	2021	FFS	RENDERING SNC	AGE 0-20	331	None	452	None	261	None	331	None	152	None	191	None	189	None	208	None
1457923658	SHAH KARISHMA A	2021	FFS	RENDERING SNC	AGE 21+	548	None	903	None	323	None	443	None	402	None	603	None	248	None	311	None
1457994931	CHEEMA TARANVIR K	2021	FFS	RENDERING SNC	AGE 0-20	1,053	None	1,302	None	903	None	983	None	147	None	190	None	840	None	909	None
1457994931	CHEEMA TARANVIR K	2021	FFS	RENDERING SNC	AGE 21+	765	None	1,046	None	590	None	665	None	218	None	304	None	588	None	664	None
1467075267	PATEL DIVYA Y	2021	FFS	RENDERING SNC	AGE 0-20	80	None	105	None	50	None	55	None	33	None	47	None	40	None	43	None
1467075267	PATEL DIVYA Y	2021	FFS	RENDERING SNC	AGE 21+	175	None	230	None	89	None	101	None	84	None	117	None	69	None	81	None
1467093419	KOOK TIMOTHY J	2021	FFS	RENDERING SNC	AGE 0-20	521	None	925	None	59	None	72	None	28	None	33	None	92	None	116	None
1467093419	KOOK TIMOTHY J	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1467442228	PHAM NICOLE T	2021	FFS	RENDERING SNC	AGE 0-20	130	None	323	None	20	None	26	None	120	None	288	None	77	None	151	None
1467442228	PHAM NICOLE T	2021	FFS	RENDERING SNC	AGE 21+	490	None	1,742	None	89	None	119	None	462	None	1,531	None	294	None	539	None
1467443010	VANTASSELL, ELIZABETH A DDS	2021	FFS	RENDERING SNC	AGE 0-20	152	None	501	None	146	None	402	None	50	None	135	None	135	None	281	None
1467504944	GHAJAR, ALI SHAHZAD DDS	2021	FFS	RENDERING SNC	AGE 0-20	537	None	965	None	484	None	701	None	278	None	425	None	429	None	482	None
1467504944	GHAJAR, ALI SHAHZAD DDS	2021	FFS	RENDERING SNC	AGE 21+	1,194	None	2,747	None	839	None	1,217	None	972	None	1,819	None	764	None	1,014	None
1467536607	YU HELEN W	2021	FFS	RENDERING SNC	AGE 0-20	698	None	1,265	None	670	None	998	None	145	None	254	None	576	None	739	None
1467536607	YU HELEN W	2021	FFS	RENDERING SNC	AGE 21+	851	None	2,121	None	131	None	182	None	738	None	1,736	None	102	None	183	None
1467599274	JANG EUN SUB	2021	FFS	RENDERING SNC	AGE 0-20	1,420	None	4,729	None	1,207	None	3,214	None	428	None	1,181	None	1,058	None	2,481	None
1467599274	JANG EUN SUB	2021	FFS	RENDERING SNC	AGE 21+	1,786	None	6,928	None	1,232	None	3,034	None	868	None	2,905	None	1,262	None	3,446	None
1467626739	NOYES KATHERINE M	2021	FFS	RENDERING SNC	AGE 0-20	608	None	730	None	474	None	514	None	147	None	170	None	181	None	181	None
1467626739	NOYES KATHERINE M	2021	FFS	RENDERING SNC	AGE 21+	668	None	862	None	303	None	317	None	340	None	428	None	229	None	241	None
1467657437	BALCE MA AILEEN V	2021	FFS	RENDERING SNC	AGE 0-20	160	None	484	None	48	None	83	None	90	None	224	None	139	None	257	None
1467657437	BALCE MA AILEEN V	2021	FFS	RENDERING SNC	AGE 21+	286	None	1,022	None	63	None	100	None	212	None	638	None	205	None	371	None
1467658781	LEE TERRY	2021	FFS	RENDERING SNC	AGE 0-20	160	None	335	None	61	None	95	None	94	None	192	None	35	None	53	None
1467658781	LEE TERRY	2021	FFS	RENDERING SNC	AGE 21+	145	None	327	None	20	None	32	None	117	None	243	None	38	None	54	None
1467670182	BARRIENTOS ERIC M	2021	FFS	RENDERING SNC	AGE 0-20	240	None	1,118	None	222	None	898	None	50	None	214	None	190	None	399	None
1467670182	BARRIENTOS ERIC M	2021	FFS	RENDERING SNC	AGE 21+	242	None	1,432	None	175	None	478	None	140	None	737	None	179	None	559	None
1467684910	HONRADO MELISSA B	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1467684910	HONRADO MELISSA B	2021	FFS	RENDERING SNC	AGE 21+	36	None	74	None	18	None	25	None	30	None	64	None	13	None	17	None
1467693903	ARRATOONIAN, ARLET, DDS	2021	FFS	RENDERING SNC	AGE 0-20	35	None	53	None	18	None	19	None	15	None	22	None	25	None	29	None
1467693903	ARRATOONIAN, ARLET, DDS	2021	FFS	RENDERING SNC	AGE 21+	372	None	1,101	None	211	None	244	None	235	None	618	None	289	None	459	None
1467716035	SHAW JULIANNE M	2021	FFS	RENDERING SNC	AGE 0-20	80	None	114	None	72	None	99	None	12	None	23	None	69	None	93	None
1467716035	SHAW JULIANNE M	2021	FFS	RENDERING SNC	AGE 21+	100	None	162	None	91	None	143	None	25	None	46	None	89	None	137	None
1467731067	VUONG CHRISTINA	2021	FFS	RENDERING SNC	AGE 0-20	564	None	607	None	513	None	546	None	15	None	16	None	507	None	540	None
1467731067	VUONG CHRISTINA	2021	FFS	RENDERING SNC	AGE 21+	391	None	442	None	372	None	413	None	31	None	33	None	372	None	413	None
1467758177	WOLFE BEATE GUDRUN	2021	FFS	RENDERING SNC	AGE 0-20	97	None	205	None	86	None	132	None	30	None	59	None	72	None	87	None
1467758177	WOLFE BEATE GUDRUN	2021	FFS	RENDERING SNC	AGE 21+	109	None	263	None	82	None	130	None	80	None	148	None	76	None	115	None
1467861823	SHAH ERIN L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467867895	JOHNSON WESLEY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1467867895	JOHNSON WESLEY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1467921288	DO ETHAN T	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	None	1	None	2	None	1	None	2
1467921288	DO ETHAN T	2021	FFS	RENDERING SNC	AGE 21+	63	None	251	None	57	None	101	None	55	None	201	None	58	None	117	None
1467944702	ZADEH POUPAK J	2021	FFS	RENDERING SNC	AGE 0-20	46	None	125	None	46	None	100	None	21	None	48	None	None	1	None	1
1467944702	ZADEH POUPAK J	2021	FFS	RENDERING SNC	AGE 21+	136	None	399	None	89	None	147	None	115	None	298	None	21	None	33	None
1477079994	JABER JASON ANTON	2021	FFS	RENDERING SNC	AGE 0-20	871	None	1,892	None	834	None	1,438	None	257	None	537	None	817	None	1,432	None
1477079994	JABER JASON ANTON	2021	FFS	RENDERING SNC	AGE 21+	417	None	1,398	None	314	None	596	None	285	None	852	None	305	None	606	None
1477094795	LEE BRIAN P	2021	FFS	RENDERING SNC	AGE 0-20	174	None	356	None	174	None	356	None	0	None	0	None	174	None	356	None
1477180305	HOFMANN JENNIFER A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1477611630	LEE KANG H	2021	FFS	RENDERING SNC	AGE 0-20	183	None	262	None	179	None	257	None	49	None	73	None	171	None	248	None
1477611630	LEE KANG H	2021	FFS	RENDERING SNC	AGE 21+	310	None	495	None	304	None	478	None	160	None	259	None	304	None	483	None
1477628642	HOANG KENNETH VU	2021	FFS	RENDERING SNC	AGE 0-20	131	None	197	None	110	None	138	None	32	None	48	None	115	None	130	None
1477628642	HOANG KENNETH VU	2021	FFS	RENDERING SNC	AGE 21+	349	None	702	None	178	None	273	None	226	None	351	None	226	None	324	None
1477639367	MACALALAD MICHAEL HERNANDEZ	2021	FFS	RENDERING SNC	AGE 0-20	72	None	119	None	43	None	55	None	20	None	28	None	23	None	27	None
1477639367	MACALALAD MICHAEL HERNANDEZ	2021	FFS	RENDERING SNC	AGE 21+	706	None	1,643	None	286	None	342	None	322	None	565	None	224	None	295	None
1477669943	HOANG ANDY T	2021	FFS	RENDERING SNC	AGE 0-20	14	None	34	None	None	1	None	1	12	None	30	None	None	1	None	1
1477669943	HOANG ANDY T	2021	FFS	RENDERING SNC	AGE 21+	170	None	380	None	43	None	45	None	153	None	328	None	52	None	61	None
1477682201	FONG VICTOR D	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1477682201	FONG VICTOR D	2021	FFS	RENDERING SNC	AGE 21+	113	None	801	None	25	None	62	None	109	None	739	None	None	1	None	2
1477693406	FIELDS, ROBERT S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	14	None	30	None	12	None	28	None	None	1	None	1	12	None	28	None
1477693406	FIELDS, ROBERT S, DDS	2021	FFS	RENDERING SNC	AGE 21+	292	None	999	None	275	None	879	None	155	None	452	None	274	None	872	None
1477751907	PATEL, NEIL MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1477808707	FRYE JOSHUA R	2021	FFS	RENDERING SNC	AGE 0-20	124	None	265	None	106	None	129	None	69	None	140	None	105	None	112	None
1477808707	FRYE JOSHUA R	2021	FFS	RENDERING SNC	AGE 21+	164	None	501	None	126	None	136	None	108	None	268	None	141	None	170	None
1477840700	TECSON NINA M	2021	FFS	RENDERING SNC	AGE 0-20	29	None	56	None	19	None	32	None	12	None	17	None	None	1	None	1
1477840700	TECSON NINA M	2021	FFS	RENDERING SNC	AGE 21+	140	None	288	None	41	None	59	None	96	None	175	None	29	None	58	None
1477840700	TECSON NINA M	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1477844108	KHAN, MOHAMMED A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477912533	SAINI REENA RANI	2021	FFS	RENDERING SNC	AGE 0-20	346	None	717	None	302	None	447	None	110	None	218	None	295	None	339	None
1477912533	SAINI REENA RANI	2021	FFS	RENDERING SNC	AGE 21+	624	None	1,554	None	461	None	732	None	208	None	487	None	560	None	796	None
1477912533	SAINI REENA RANI	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1477912806	BURNHAM TRAVIS A	2021	FFS	RENDERING SNC	AGE 0-20	1,028	None	1,821	None	964	None	1,225	None	300	None	536	None	971	None	1,255	None
1477912806	BURNHAM TRAVIS A	2021	FFS	RENDERING SNC	AGE 21+	413	None	825	None	317	None	360	None	198	None	353	None	345	None	491	None
1477994440	KUO LINDA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1477994440	KUO LINDA	2021	FFS	RENDERING SNC	AGE 21+	254	None	772	None	96	None	121	None	149	None	274	None	160	None	469	None
1487006136	SUGIMOTO JEAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1487010104	YAU TIFFANY HSIA T	2021	FFS	RENDERING SNC	AGE 0-20	226	None	329	None	183	None	218	None	67	None	88	None	196	None	229	None
1487010104	YAU TIFFANY HSIA T	2021	FFS	RENDERING SNC	AGE 21+	385	None	785	None	166	None	200	None	261	None	467	None	238	None	312	None
1487010104	YAU TIFFANY HSIA T	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1487020293	LAREZ ANINA	2021	FFS	RENDERING SNC	AGE 0-20	148	None	353	None	39	None	57	None	28	None	68	None	21	None	26	None
1487020293	LAREZ ANINA	2021	FFS	RENDERING SNC	AGE 21+	175	None	535	None	103	None	239	None	70	None	164	None	58	None	82	None
1487039152	LIU MITZI	2021	FFS	RENDERING SNC	AGE 0-20	11	None	11	None	None	1	None	1	None	1	None	1	None	1	None	1
1487039152	LIU MITZI	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1487055810	SISODIA PIYUSH	2021	FFS	RENDERING SNC	AGE 0-20	147	None	165	None	108	None	108	None	56	None	68	None	93	None	95	None
1487055810	SISODIA PIYUSH	2021	FFS	RENDERING SNC	AGE 21+	51	None	58	None	33	None	33	None	27	None	30	None	31	None	32	None
1487073839	BANDARPALLE SUSHANT	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1487089850	DELUCA LINH X	2021	FFS	RENDERING SNC	AGE 0-20	470	None	651	None	450	None	557	None	90	None	107	None	347	None	381	None
1487089850	DELUCA LINH X	2021	FFS	RENDERING SNC	AGE 21+	177	None	345	None	127	None	149	None	76	None	134	None	122	None	164	None
1487163713	ROJAS ACUNA WENDY P	2021	FFS	RENDERING SNC	AGE 0-20	409	None	1,909	None	409	None	1,909	None	0	None	0	None	409	None	1,909	None
1487163713	ROJAS ACUNA WENDY P	2021	FFS	RENDERING SNC	AGE 21+	749	None	4,162	None	740	None	4,120	None	0	None	0	None	743	None	4,128	None
1487217626	FUENTES WALTER VLADIMIR	2021	FFS	RENDERING SNC	AGE 0-20	467	None	782	None	342	None	437	None	242	None	422	None	315	None	402	None
1487218095	BORDIERI THOMAS C	2021	FFS	RENDERING SNC	AGE 0-20	13	None	13	None	None	1	None	1	None	1	None	1	None	1	None	1
1487218095	BORDIERI THOMAS C	2021	FFS	RENDERING SNC	AGE 21+	84	None	115	None	None	1	None	1	79	None	103	None	None	1	None	1
1487605747	GARVIN, KEVIN J, DDS	2021	FFS	RENDERING SNC	AGE 0-20	443	None	1,344	None	431	None	1,077	None	184	None	376	None	408	None	884	None
1487605747	GARVIN, KEVIN J, DDS	2021	FFS	RENDERING SNC	AGE 21+	473	None	1,636	None	427	None	987	None	330	None	889	None	421	None	1,046	None
1487639787	KONDO LAUREN G	2021	FFS	RENDERING SNC	AGE 0-20	621	None	1,633	None	579	None	827	None	312	None	806	None	574	None	812	None
1487639787	KONDO LAUREN G	2021	FFS	RENDERING SNC	AGE 21+	338	None	874	None	158	None	178	None	267	None	624	None	177	None	205	None
1487677464	MADIREDDI SHANTHI	2021	FFS	RENDERING SNC	AGE 0-20	201	None	332	None	147	None	177	None	113	None	191	None	136	None	155	None
1487677464	MADIREDDI SHANTHI	2021	FFS	RENDERING SNC	AGE 21+	392	None	816	None	247	None	308	None	323	None	613	None	255	None	330	None
1487680898	AYAP HEIDI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1487680898	AYAP HEIDI	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1487738605	ROONGRUANGPHOL THASANAI	2021	FFS	RENDERING SNC	AGE 0-20	443	None	630	None	392	None	564	None	46	None	54	None	289	None	442	None
1487738605	ROONGRUANGPHOL THASANAI	2021	FFS	RENDERING SNC	AGE 21+	526	None	810	None	322	None	479	None	201	None	266	None	285	None	437	None
1487762944	CHAMBERS, RICHARD B MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1487795738	DASTUR VAN ANH T	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1487795738	DASTUR VAN ANH T	2021	FFS	RENDERING SNC	AGE 21+	217	None	567	None	206	None	479	None	68	None	109	None	205	None	439	None
1487819074	BHANDARI SONALI	2021	FFS	RENDERING SNC	AGE 0-20	156	None	190	None	93	None	113	None	57	None	67	None	88	None	105	None
1487819074	BHANDARI SONALI	2021	FFS	RENDERING SNC	AGE 21+	77	None	93	None	24	None	27	None	58	None	67	None	11	None	13	None
1487852794	DO HIEU V	2021	FFS	RENDERING SNC	AGE 0-20	1,180	None	1,343	None	22	None	22	None	157	None	178	None	None	1	None	1
1487852794	DO HIEU V	2021	FFS	RENDERING SNC	AGE 21+	456	None	723	None	94	None	101	None	324	None	482	None	12	None	13	None
1487886594	PHAM TRINH T	2021	FFS	RENDERING SNC	AGE 0-20	563	None	899	None	563	None	899	None	0	None	0	None	563	None	899	None
1487886594	PHAM TRINH T	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1497072128	TA, THUC N D MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1497082739	TRAN KRISTINA T	2021	FFS	RENDERING SNC	AGE 0-20	181	None	264	None	124	None	159	None	67	None	91	None	77	None	94	None
1497082739	TRAN KRISTINA T	2021	FFS	RENDERING SNC	AGE 21+	261	None	441	None	132	None	174	None	129	None	185	None	138	None	197	None
1497113062	PHORTH AMY	2021	FFS	RENDERING SNC	AGE 0-20	146	None	284	None	96	None	125	None	75	None	139	None	108	None	164	None
1497113062	PHORTH AMY	2021	FFS	RENDERING SNC	AGE 21+	382	None	1,153	None	150	None	174	None	311	None	935	None	230	None	396	None
1497114458	PANNU JASMEET S	2021	FFS	RENDERING SNC	AGE 0-20	355	None	554	None	213	None	286	None	163	None	242	None	246	None	344	None
1497114458	PANNU JASMEET S	2021	FFS	RENDERING SNC	AGE 21+	657	None	1,505	None	263	None	356	None	396	None	801	None	374	None	681	None
1497114458	PANNU JASMEET S	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1497131395	KAPADIA PRACHI K	2021	FFS	RENDERING SNC	AGE 0-20	344	None	615	None	306	None	432	None	116	None	202	None	218	None	245	None
1497131395	KAPADIA PRACHI K	2021	FFS	RENDERING SNC	AGE 21+	433	None	1,274	None	334	None	479	None	269	None	739	None	320	None	502	None
1497240063	LIN VINCENT	2021	FFS	RENDERING SNC	AGE 0-20	593	None	1,714	None	526	None	1,178	None	127	None	399	None	493	None	1,085	None
1497240063	LIN VINCENT	2021	FFS	RENDERING SNC	AGE 21+	1,251	None	6,569	None	952	None	2,863	None	818	None	3,112	None	773	None	2,991	None
1497241574	MARTINEZ LESTER D	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497241574	MARTINEZ LESTER D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1497319222	BAISLEY JESSICA	2021	FFS	RENDERING SNC	AGE 0-20	269	None	310	None	219	None	243	None	220	None	248	None	102	None	102	None
1497319222	BAISLEY JESSICA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1497365704	CHAUDHARI KAUSHAL M	2021	FFS	RENDERING SNC	AGE 0-20	101	None	127	None	76	None	84	None	49	None	65	None	55	None	55	None
1497365704	CHAUDHARI KAUSHAL M	2021	FFS	RENDERING SNC	AGE 21+	187	None	271	None	96	None	101	None	137	None	193	None	81	None	87	None
1497392336	SHETH PALAK K	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1497719850	GORDON LISA A	2021	FFS	RENDERING SNC	AGE 0-20	605	None	923	None	293	None	359	None	274	None	450	None	287	None	336	None
1497719850	GORDON LISA A	2021	FFS	RENDERING SNC	AGE 21+	19	None	26	None	None	1	None	1	13	None	14	None	None	1	None	1
1497797906	DAHLE, DANIEL B MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1497829147	CLEVELAND, AARON J MD	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1497838486	MEDINA-RANGEL, DIANA MARCELA	2021	FFS	RENDERING SNC	AGE 0-20	211	None	391	None	156	None	206	None	101	None	184	None	99	None	116	None
1497838486	MEDINA-RANGEL, DIANA MARCELA	2021	FFS	RENDERING SNC	AGE 21+	501	None	1,153	None	260	None	331	None	379	None	844	None	195	None	249	None
1497867477	LEE HO, JAIME S MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1497867477	LEE HO, JAIME S MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1497883136	LAM SAMSON W	2021	FFS	RENDERING SNC	AGE 0-20	66	None	199	None	55	None	109	None	48	None	122	None	48	None	68	None
1497883136	LAM SAMSON W	2021	FFS	RENDERING SNC	AGE 21+	542	None	1,900	None	460	None	753	None	447	None	1,323	None	429	None	706	None
1497887046	RAFISOLYMAN, KARMELL DDS	2021	FFS	RENDERING SNC	AGE 0-20	140	None	376	None	136	None	338	None	19	None	27	None	125	None	198	None
1497887046	RAFISOLYMAN, KARMELL DDS	2021	FFS	RENDERING SNC	AGE 21+	188	None	454	None	161	None	328	None	61	None	88	None	157	None	205	None
1497897698	NGUYEN, AN THUY, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1497938641	BAL JASPREET	2021	FFS	RENDERING SNC	AGE 0-20	453	None	652	None	402	None	511	None	115	None	154	None	300	None	348	None
1497938641	BAL JASPREET	2021	FFS	RENDERING SNC	AGE 21+	315	None	621	None	229	None	315	None	154	None	266	None	228	None	354	None
1497963771	BEYAOJU DIANE L	2021	FFS	RENDERING SNC	AGE 0-20	352	None	516	None	352	None	516	None	0	None	0	None	352	None	516	None
1497963771	BEYAOJU DIANE L	2021	FFS	RENDERING SNC	AGE 21+	513	None	1,027	None	513	None	1,027	None	None	1	None	1	513	None	1,027	None
1508004466	SANTOS RIZA FLORES	2021	FFS	RENDERING SNC	AGE 0-20	220	None	405	None	201	None	260	None	80	None	139	None	190	None	215	None
1508004466	SANTOS RIZA FLORES	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508022914	BIR GURPREET	2021	FFS	RENDERING SNC	AGE 0-20	352	None	945	None	342	None	641	None	157	None	323	None	280	None	326	None
1508022914	BIR GURPREET	2021	FFS	RENDERING SNC	AGE 21+	466	None	1,513	None	415	None	607	None	329	None	956	None	367	None	408	None
1508033598	VASQUEZ DAVID V	2021	FFS	RENDERING SNC	AGE 0-20	139	None	178	None	122	None	138	None	37	None	48	None	108	None	115	None
1508033598	VASQUEZ DAVID V	2021	FFS	RENDERING SNC	AGE 21+	119	None	135	None	82	None	91	None	81	None	89	None	71	None	79	None
1508046376	BULLOCH, EDGAR M MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1508046376	BULLOCH, EDGAR M MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1508107368	KATZEL LAUREN M	2021	FFS	RENDERING SNC	AGE 0-20	773	None	1,529	None	740	None	1,313	None	194	None	362	None	726	None	1,272	None
1508107368	KATZEL LAUREN M	2021	FFS	RENDERING SNC	AGE 21+	284	None	793	None	176	None	312	None	196	None	485	None	173	None	338	None
1508108820	KRIS ANITA SREE	2021	FFS	RENDERING SNC	AGE 0-20	1,084	None	1,478	None	986	None	1,256	None	140	None	164	None	597	None	685	None
1508108820	KRIS ANITA SREE	2021	FFS	RENDERING SNC	AGE 21+	426	None	638	None	252	None	303	None	213	None	288	None	154	None	205	None
1508114679	KUMAR ZENITRA L	2021	FFS	RENDERING SNC	AGE 0-20	240	None	296	None	237	None	292	None	14	None	17	None	230	None	283	None
1508114679	KUMAR ZENITRA L	2021	FFS	RENDERING SNC	AGE 21+	301	None	448	None	301	None	448	None	None	1	None	2	301	None	448	None
1508118308	LEE PAULA ANN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1508148792	SENKYRIKOVA PAVLA	2021	FFS	RENDERING SNC	AGE 0-20	210	None	325	None	149	None	184	None	71	None	101	None	87	None	101	None
1508148792	SENKYRIKOVA PAVLA	2021	FFS	RENDERING SNC	AGE 21+	461	None	830	None	182	None	218	None	299	None	485	None	127	None	159	None
1508174129	NASAFI FARIDA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508174129	NASAFI FARIDA	2021	FFS	RENDERING SNC	AGE 21+	17	None	40	None	None	1	None	1	None	1	None	2	None	1	None	1
1508203969	ZHANG MIN	2021	FFS	RENDERING SNC	AGE 0-20	451	None	735	None	420	None	575	None	135	None	195	None	318	None	368	None
1508203969	ZHANG MIN	2021	FFS	RENDERING SNC	AGE 21+	509	None	1,301	None	428	None	631	None	364	None	882	None	404	None	617	None
1508208109	BELL ZARINA	2021	FFS	RENDERING SNC	AGE 0-20	601	None	1,116	None	601	None	1,075	None	85	None	108	None	597	None	1,058	None
1508208109	BELL ZARINA	2021	FFS	RENDERING SNC	AGE 21+	93	None	138	None	81	None	112	None	21	None	30	None	71	None	96	None
1508232497	MCGARVEY LESLIE	2021	FFS	RENDERING SNC	AGE 0-20	46	None	118	None	43	None	92	None	14	None	34	None	41	None	82	None
1508232497	MCGARVEY LESLIE	2021	FFS	RENDERING SNC	AGE 21+	133	None	531	None	71	None	194	None	90	None	336	None	57	None	152	None
1508241340	JAMMA DALIA	2021	FFS	RENDERING SNC	AGE 0-20	37	None	100	None	34	None	42	None	13	None	52	None	31	None	33	None
1508241340	JAMMA DALIA	2021	FFS	RENDERING SNC	AGE 21+	110	None	433	None	48	None	56	None	98	None	357	None	49	None	59	None
1508242637	KIM KRISTI S	2021	FFS	RENDERING SNC	AGE 0-20	63	None	146	None	55	None	85	None	35	None	84	None	None	1	None	1
1508242637	KIM KRISTI S	2021	FFS	RENDERING SNC	AGE 21+	504	None	1,544	None	117	None	183	None	444	None	1,093	None	34	None	34	None
1508256454	JAIME A NGUYEN DDS	2021	FFS	RENDERING SNC	AGE 0-20	112	None	146	None	97	None	109	None	23	None	35	None	93	None	104	None
1508256454	JAIME A NGUYEN DDS	2021	FFS	RENDERING SNC	AGE 21+	67	None	99	None	44	None	53	None	36	None	44	None	44	None	53	None
1508261512	GALICIA JOHNAH C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1508261512	GALICIA JOHNAH C	2021	FFS	RENDERING SNC	AGE 21+	30	None	37	None	23	None	23	None	None	1	None	2	23	None	23	None
1508265497	RAMIREZ ANDREW F	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1508265497	RAMIREZ ANDREW F	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508267857	COLAS MARISA Y	2021	FFS	RENDERING SNC	AGE 0-20	1,013	None	1,922	None	975	None	1,714	None	152	None	280	None	959	None	1,682	None
1508267857	COLAS MARISA Y	2021	FFS	RENDERING SNC	AGE 21+	370	None	1,250	None	262	None	482	None	263	None	746	None	266	None	633	None
1508271420	CUCUKOV TEMURKIN K	2021	FFS	RENDERING SNC	AGE 0-20	48	None	77	None	45	None	62	None	19	None	24	None	27	None	31	None
1508271420	CUCUKOV TEMURKIN K	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1508275025	DINH ANDREW D	2021	FFS	RENDERING SNC	AGE 0-20	1,398	None	1,664	None	1,253	None	1,406	None	270	None	329	None	57	None	61	None
1508275025	DINH ANDREW D	2021	FFS	RENDERING SNC	AGE 21+	291	None	392	None	48	None	57	None	200	None	257	None	29	None	34	None
1508299637	BROOKS JULIA H	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1508299637	BROOKS JULIA H	2021	FFS	RENDERING SNC	AGE 21+	253	None	623	None	96	None	108	None	196	None	397	None	78	None	198	None
1508310673	PARK ELLEN	2021	FFS	RENDERING SNC	AGE 0-20	41	None	120	None	32	None	67	None	27	None	64	None	None	1	None	1
1508310673	PARK ELLEN	2021	FFS	RENDERING SNC	AGE 21+	415	None	1,782	None	23	None	38	None	404	None	1,537	None	None	1	None	1
1508356221	MAUGER STUART CHRISTIAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1508356221	MAUGER STUART CHRISTIAN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1508394644	GOLCHERT KORY J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	0	None	0	None
1508394644	GOLCHERT KORY J	2021	FFS	RENDERING SNC	AGE 21+	12	None	15	None	0	None	0	None	None	1	None	2	None	1	None	1
1508397233	OYAMA JEFFREY TADA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1508397233	OYAMA JEFFREY TADA	2021	FFS	RENDERING SNC	AGE 21+	172	None	250	None	39	None	44	None	86	None	112	None	67	None	87	None
1508439340	MEYER ASHLEY D	2021	FFS	RENDERING SNC	AGE 0-20	199	None	259	None	69	None	73	None	56	None	64	None	38	None	39	None
1508439340	MEYER ASHLEY D	2021	FFS	RENDERING SNC	AGE 21+	104	None	149	None	38	None	48	None	47	None	63	None	23	None	29	None
1508832452	LAKE, KEVIN B MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1508857079	PINSKY, IRINA DPM	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1508881012	CATREEN COHEN DDS	2021	FFS	RENDERING SNC	AGE 0-20	37	None	37	None	34	None	34	None	None	1	None	1	33	None	33	None
1508881012	CATREEN COHEN DDS	2021	FFS	RENDERING SNC	AGE 21+	29	None	63	None	20	None	23	None	15	None	37	None	19	None	24	None
1508881012	COHEN, CATREEN, DDS A PROF D	2021	FFS	RENDERING SNC	AGE 0-20	37	None	37	None	34	None	34	None	None	1	None	1	33	None	33	None
1508881012	COHEN, CATREEN, DDS A PROF D	2021	FFS	RENDERING SNC	AGE 21+	29	None	63	None	20	None	23	None	15	None	37	None	19	None	24	None
1508935602	BISHOP JASON S	2021	FFS	RENDERING SNC	AGE 0-20	440	None	635	None	322	None	396	None	182	None	238	None	167	None	179	None
1508935602	BISHOP JASON S	2021	FFS	RENDERING SNC	AGE 21+	28	None	31	None	23	None	24	None	None	1	None	1	None	1	None	1
1508936709	ESPANA CARLOS M	2021	FFS	RENDERING SNC	AGE 0-20	526	None	914	None	508	None	753	None	136	None	203	None	429	None	508	None
1508936709	ESPANA CARLOS M	2021	FFS	RENDERING SNC	AGE 21+	588	None	1,276	None	562	None	823	None	237	None	507	None	553	None	727	None
1508951385	WADA, CAROL A, DDS	2021	FFS	RENDERING SNC	AGE 0-20	32	None	39	None	None	1	None	1	16	None	21	None	16	None	18	None
1508951385	WADA, CAROL A, DDS	2021	FFS	RENDERING SNC	AGE 21+	110	None	212	None	None	1	None	1	74	None	153	None	47	None	62	None
1518008804	KIM, SCOTT Y MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518023894	LOGAN, JAMES, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	2
1518028638	SOHN SUNG H	2021	FFS	RENDERING SNC	AGE 0-20	200	None	376	None	167	None	218	None	60	None	114	None	185	None	229	None
1518028638	SOHN SUNG H	2021	FFS	RENDERING SNC	AGE 21+	177	None	318	None	58	None	72	None	88	None	174	None	159	None	187	None
1518037407	MUCHO SHAWN D	2021	FFS	RENDERING SNC	AGE 0-20	770	None	1,170	None	542	None	644	None	488	None	789	None	166	None	200	None
1518037407	MUCHO SHAWN D	2021	FFS	RENDERING SNC	AGE 21+	646	None	1,369	None	104	None	116	None	558	None	1,024	None	368	None	636	None
1518037407	MUCHO SHAWN D	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1518044106	MCDONALD ANA WONG	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518122647	MANSUKHANI NAVNEET	2021	FFS	RENDERING SNC	AGE 0-20	726	None	964	None	559	None	644	None	395	None	517	None	115	None	125	None
1518122647	MANSUKHANI NAVNEET	2021	FFS	RENDERING SNC	AGE 21+	550	None	1,049	None	70	None	73	None	455	None	776	None	335	None	534	None
1518148196	YANG NATHAN K	2021	FFS	RENDERING SNC	AGE 0-20	113	None	430	None	94	None	238	None	66	None	282	None	96	None	236	None
1518148196	YANG NATHAN K	2021	FFS	RENDERING SNC	AGE 21+	618	None	3,279	None	397	None	1,191	None	492	None	2,400	None	332	None	978	None
1518170059	HONG GARRICK SCOTT	2021	FFS	RENDERING SNC	AGE 0-20	858	None	1,219	None	755	None	971	None	164	None	222	None	590	None	690	None
1518170059	HONG GARRICK SCOTT	2021	FFS	RENDERING SNC	AGE 21+	555	None	1,067	None	497	None	747	None	225	None	375	None	454	None	668	None
1518264654	TIESIERA RANDALL L	2021	FFS	RENDERING SNC	AGE 0-20	268	None	486	None	172	None	235	None	121	None	245	None	211	None	344	None
1518264654	TIESIERA RANDALL L	2021	FFS	RENDERING SNC	AGE 21+	566	None	1,535	None	250	None	360	None	407	None	827	None	440	None	1,196	None
1518274166	WONG BREE J	2021	FFS	RENDERING SNC	AGE 0-20	378	None	432	None	318	None	344	None	96	None	111	None	269	None	283	None
1518274166	WONG BREE J	2021	FFS	RENDERING SNC	AGE 21+	666	None	878	None	501	None	584	None	337	None	395	None	461	None	543	None
1518322247	HUANG, ALLEN MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1518325430	MALONE ROBYN B	2021	FFS	RENDERING SNC	AGE 0-20	40	None	92	None	38	None	80	None	None	1	None	2	38	None	51	None
1518325430	MALONE ROBYN B	2021	FFS	RENDERING SNC	AGE 21+	93	None	305	None	50	None	90	None	58	None	158	None	56	None	120	None
1518327238	SILVERIO SEAN S	2021	FFS	RENDERING SNC	AGE 0-20	1,970	None	3,246	None	1,970	None	3,246	None	0	None	0	None	1,970	None	3,246	None
1518327238	SILVERIO SEAN S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518341825	THOMPSON MITCHELL A	2021	FFS	RENDERING SNC	AGE 0-20	54	None	63	None	40	None	42	None	None	1	None	1	14	None	16	None
1518341825	THOMPSON MITCHELL A	2021	FFS	RENDERING SNC	AGE 21+	222	None	426	None	113	None	164	None	109	None	158	None	106	None	172	None
1518341825	THOMPSON MITCHELL A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518341825	THOMPSON MITCHELL A	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1518350693	SILVA CRISTIANE J	2021	FFS	RENDERING SNC	AGE 0-20	33	None	36	None	26	None	28	None	16	None	17	None	24	None	24	None
1518350693	SILVA CRISTIANE J	2021	FFS	RENDERING SNC	AGE 21+	12	None	13	None	None	1	None	1	None	1	None	1	None	1	None	1
1518370618	SEKOWSKI DIANNA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518383041	RAMOS MA LINDA AUR V	2021	FFS	RENDERING SNC	AGE 0-20	601	None	955	None	464	None	616	None	357	None	513	None	367	None	408	None
1518383041	RAMOS MA LINDA AUR V	2021	FFS	RENDERING SNC	AGE 21+	1,047	None	2,191	None	616	None	742	None	812	None	1,628	None	593	None	877	None
1518408376	SIDHU ARVINDERPAL KAUR	2021	FFS	RENDERING SNC	AGE 0-20	46	None	55	None	46	None	55	None	0	None	0	None	46	None	55	None
1518408376	SIDHU ARVINDERPAL KAUR	2021	FFS	RENDERING SNC	AGE 21+	94	None	129	None	94	None	129	None	0	None	0	None	94	None	129	None
1518464486	NNADOZIE UGOCHI	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1518472547	HOANG NHON X	2021	FFS	RENDERING SNC	AGE 0-20	17	None	37	None	17	None	37	None	0	None	0	None	17	None	37	None
1518472547	HOANG NHON X	2021	FFS	RENDERING SNC	AGE 21+	38	None	82	None	38	None	82	None	0	None	0	None	38	None	82	None
1518477108	WU WENDY Z	2021	FFS	RENDERING SNC	AGE 0-20	700	None	834	None	620	None	706	None	78	None	94	None	568	None	647	None
1518477108	WU WENDY Z	2021	FFS	RENDERING SNC	AGE 21+	579	None	939	None	474	None	606	None	188	None	329	None	471	None	620	None
1518519164	SAROUFIM RAGY EMAD ADEL	2021	FFS	RENDERING SNC	AGE 0-20	1,147	None	2,668	None	1,096	None	2,142	None	317	None	530	None	1,042	None	1,655	None
1518519164	SAROUFIM RAGY EMAD ADEL	2021	FFS	RENDERING SNC	AGE 21+	552	None	1,356	None	451	None	717	None	299	None	637	None	422	None	607	None
1518570852	HAUGEN KIRK J	2021	FFS	RENDERING SNC	AGE 0-20	427	None	727	None	260	None	329	None	180	None	319	None	343	None	533	None
1518570852	HAUGEN KIRK J	2021	FFS	RENDERING SNC	AGE 21+	639	None	1,255	None	347	None	447	None	496	None	889	None	431	None	810	None
1518920602	LEE, VICTOR W DPM	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1518944578	HECHANOVA, WILMER D, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1518944578	HECHANOVA, WILMER D, DDS	2021	FFS	RENDERING SNC	AGE 21+	21	None	28	None	0	None	0	None	0	None	0	None	0	None	0	None
1528037421	DANG-PETERSON LIEN THIXUAN	2021	FFS	RENDERING SNC	AGE 0-20	52	None	83	None	33	None	59	None	19	None	27	None	39	None	49	None
1528037421	DANG-PETERSON LIEN THIXUAN	2021	FFS	RENDERING SNC	AGE 21+	487	None	1,197	None	322	None	393	None	405	None	906	None	361	None	534	None
1528121357	PEREIRA VALERIA R	2021	FFS	RENDERING SNC	AGE 0-20	500	None	1,155	None	446	None	711	None	297	None	547	None	271	None	354	None
1528176963	PINTO FROILAN R	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1528184587	LAM, MICHAEL N MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1528252475	DOLMO NORMA AZUCENA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528260593	SARRAFAN MARYAM	2021	FFS	RENDERING SNC	AGE 0-20	543	None	949	None	416	None	598	None	189	None	269	None	35	None	38	None
1528260593	SARRAFAN MARYAM	2021	FFS	RENDERING SNC	AGE 21+	171	None	348	None	None	1	None	1	147	None	264	None	32	None	45	None
1528275021	PHAM KIM T	2021	FFS	RENDERING SNC	AGE 0-20	468	None	638	None	366	None	401	None	156	None	231	None	329	None	347	None
1528275021	PHAM KIM T	2021	FFS	RENDERING SNC	AGE 21+	652	None	1,178	None	515	None	677	None	308	None	492	None	476	None	527	None
1528275492	PRATT DOREEN M	2021	FFS	RENDERING SNC	AGE 0-20	485	None	636	None	422	None	468	None	130	None	181	None	390	None	417	None
1528275492	PRATT DOREEN M	2021	FFS	RENDERING SNC	AGE 21+	273	None	494	None	227	None	281	None	142	None	223	None	225	None	300	None
1528317070	MA CHERRY L	2021	FFS	RENDERING SNC	AGE 0-20	72	None	153	None	66	None	106	None	30	None	64	None	49	None	58	None
1528317070	MA CHERRY L	2021	FFS	RENDERING SNC	AGE 21+	255	None	646	None	222	None	365	None	166	None	357	None	185	None	273	None
1528333275	DENLEY ERICA M	2021	FFS	RENDERING SNC	AGE 0-20	123	None	225	None	101	None	159	None	23	None	48	None	111	None	145	None
1528333275	DENLEY ERICA M	2021	FFS	RENDERING SNC	AGE 21+	753	None	1,961	None	610	None	1,177	None	182	None	297	None	686	None	1,343	None
1528353323	PETERSEN, RACHEL L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528409869	CHEK ROBERTA VAN	2021	FFS	RENDERING SNC	AGE 0-20	372	None	693	None	274	None	374	None	135	None	239	None	341	None	452	None
1528409869	CHEK ROBERTA VAN	2021	FFS	RENDERING SNC	AGE 21+	481	None	1,293	None	249	None	303	None	308	None	827	None	407	None	583	None
1528494085	KWON JOHN HEE C	2021	FFS	RENDERING SNC	AGE 0-20	98	None	147	None	85	None	106	None	47	None	72	None	90	None	111	None
1528494085	KWON JOHN HEE C	2021	FFS	RENDERING SNC	AGE 21+	224	None	621	None	176	None	302	None	183	None	415	None	183	None	337	None
1528586716	KODIATH EMILIA T	2021	FFS	RENDERING SNC	AGE 0-20	149	None	241	None	81	None	113	None	63	None	106	None	33	None	41	None
1528586716	KODIATH EMILIA T	2021	FFS	RENDERING SNC	AGE 21+	246	None	409	None	112	None	143	None	131	None	216	None	91	None	115	None
1528590064	LEE PRISCILA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1528590064	LEE PRISCILA	2021	FFS	RENDERING SNC	AGE 21+	23	None	50	None	0	None	0	None	0	None	0	None	0	None	0	None
1528595972	SENAR MARTHA V	2021	FFS	RENDERING SNC	AGE 0-20	367	None	441	None	156	None	162	None	68	None	95	None	158	None	163	None
1528595972	SENAR MARTHA V	2021	FFS	RENDERING SNC	AGE 21+	414	None	789	None	229	None	299	None	208	None	355	None	253	None	331	None
1528612041	TRAN JIMMY	2021	FFS	RENDERING SNC	AGE 0-20	19	None	34	None	13	None	18	None	None	1	None	2	14	None	16	None
1528612041	TRAN JIMMY	2021	FFS	RENDERING SNC	AGE 21+	171	None	450	None	71	None	122	None	155	None	365	None	72	None	93	None
1528612041	TRAN JIMMY	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1528612041	TRAN JIMMY	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1528613981	DE LEON NOEL ED MONTEVERDE	2021	FFS	RENDERING SNC	AGE 0-20	44	None	67	None	29	None	32	None	18	None	31	None	21	None	21	None
1528613981	DE LEON NOEL ED MONTEVERDE	2021	FFS	RENDERING SNC	AGE 21+	569	None	1,778	None	323	None	435	None	465	None	1,357	None	332	None	438	None
1538132071	SHIN STEVE I	2021	FFS	RENDERING SNC	AGE 0-20	615	None	1,506	None	528	None	999	None	245	None	484	None	368	None	485	None
1538132071	SHIN STEVE I	2021	FFS	RENDERING SNC	AGE 21+	630	None	1,776	None	504	None	934	None	386	None	832	None	428	None	707	None
1538189683	WHEADON SCOTT C	2021	FFS	RENDERING SNC	AGE 0-20	175	None	372	None	149	None	239	None	40	None	79	None	168	None	308	None
1538189683	WHEADON SCOTT C	2021	FFS	RENDERING SNC	AGE 21+	347	None	999	None	218	None	371	None	238	None	595	None	301	None	695	None
1538206149	VAN ADRIENNE N	2021	FFS	RENDERING SNC	AGE 0-20	181	None	386	None	133	None	173	None	84	None	158	None	157	None	224	None
1538206149	VAN ADRIENNE N	2021	FFS	RENDERING SNC	AGE 21+	559	None	1,911	None	303	None	347	None	428	None	1,378	None	430	None	643	None
1538212329	FERNANDEZ-FRACKELTON, M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538230453	WILHELMI JULIE A	2021	FFS	RENDERING SNC	AGE 0-20	908	None	1,566	None	906	None	1,563	None	None	1	None	1	906	None	1,563	None
1538230453	WILHELMI JULIE A	2021	FFS	RENDERING SNC	AGE 21+	203	None	394	None	169	None	329	None	None	1	None	1	173	None	335	None
1538231592	CHEN RICHARD Z	2021	FFS	RENDERING SNC	AGE 0-20	811	None	1,946	None	786	None	1,404	None	272	None	502	None	766	None	1,115	None
1538231592	CHEN RICHARD Z	2021	FFS	RENDERING SNC	AGE 21+	849	None	3,163	None	765	None	1,206	None	559	None	1,856	None	774	None	1,008	None
1538259395	PHEN CHIAVEN	2021	FFS	RENDERING SNC	AGE 0-20	345	None	422	None	248	None	271	None	127	None	167	None	214	None	237	None
1538371844	PARK, DANIEL MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538378179	LUZAR JEFFERY R	2021	FFS	RENDERING SNC	AGE 0-20	193	None	240	None	184	None	203	None	24	None	52	None	177	None	191	None
1538378179	LUZAR JEFFERY R	2021	FFS	RENDERING SNC	AGE 21+	204	None	260	None	183	None	202	None	50	None	80	None	179	None	198	None
1538398870	BATTLES MANDI LISETTE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1538453956	KAUR SUKHMEET	2021	FFS	RENDERING SNC	AGE 0-20	370	None	635	None	318	None	456	None	185	None	266	None	None	1	None	1
1538453956	KAUR SUKHMEET	2021	FFS	RENDERING SNC	AGE 21+	244	None	412	None	183	None	260	None	183	None	278	None	None	1	None	1
1538456108	KADKHODA AFSANEH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1538456108	KADKHODA AFSANEH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1538491105	RAM SARVANAN	2021	FFS	RENDERING SNC	AGE 0-20	545	None	945	None	467	None	644	None	189	None	317	None	371	None	437	None
1538491105	RAM SARVANAN	2021	FFS	RENDERING SNC	AGE 21+	553	None	1,341	None	455	None	721	None	327	None	729	None	399	None	586	None
1538493622	WONG CYNTHIA	2021	FFS	RENDERING SNC	AGE 0-20	552	None	698	None	450	None	522	None	87	None	112	None	414	None	467	None
1538493622	WONG CYNTHIA	2021	FFS	RENDERING SNC	AGE 21+	434	None	660	None	331	None	420	None	163	None	238	None	320	None	403	None
1538501895	ROSEN KATHERINE M	2021	FFS	RENDERING SNC	AGE 0-20	11	None	13	None	0	None	0	None	11	None	13	None	0	None	0	None
1538522180	SHEMWELL, KRISTINA M MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1538523394	GELLEIN, TATIANA MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1538542980	CHOW OLIVIA	2021	FFS	RENDERING SNC	AGE 0-20	485	None	578	None	424	None	452	None	47	None	67	None	398	None	415	None
1538542980	CHOW OLIVIA	2021	FFS	RENDERING SNC	AGE 21+	662	None	1,289	None	388	None	479	None	248	None	411	None	336	None	460	None
1538544630	NGUYEN ANDREW T	2021	FFS	RENDERING SNC	AGE 0-20	218	None	415	None	167	None	238	None	63	None	117	None	156	None	178	None
1538544630	NGUYEN ANDREW T	2021	FFS	RENDERING SNC	AGE 21+	972	None	2,408	None	704	None	1,180	None	413	None	835	None	633	None	936	None
1538549605	BOUSHABA MOKHTAR	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1538549605	BOUSHABA MOKHTAR	2021	FFS	RENDERING SNC	AGE 21+	20	None	30	None	0	None	0	None	11	None	13	None	None	1	None	2
1538575188	DUNEHEW THOMAS J	2021	FFS	RENDERING SNC	AGE 0-20	762	None	1,169	None	601	None	798	None	219	None	303	None	272	None	296	None
1538575188	DUNEHEW THOMAS J	2021	FFS	RENDERING SNC	AGE 21+	860	None	1,489	None	444	None	552	None	434	None	721	None	374	None	441	None
1538592639	GANDHI ANERI D	2021	FFS	RENDERING SNC	AGE 0-20	252	None	511	None	73	None	77	None	61	None	99	None	68	None	73	None
1538592639	GANDHI ANERI D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538610142	SONG JASON	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538610142	SONG JASON	2021	FFS	RENDERING SNC	AGE 21+	11	None	31	None	0	None	0	None	0	None	0	None	0	None	0	None
1538621826	KADOKANA MAWJ	2021	FFS	RENDERING SNC	AGE 0-20	405	None	1,000	None	324	None	587	None	183	None	391	None	247	None	332	None
1538621826	KADOKANA MAWJ	2021	FFS	RENDERING SNC	AGE 21+	346	None	1,096	None	242	None	394	None	273	None	816	None	167	None	189	None
1538646807	MAKINANO SAMANTHA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1538646807	MAKINANO SAMANTHA	2021	FFS	RENDERING SNC	AGE 21+	97	None	104	None	14	None	14	None	87	None	94	None	None	1	None	1
1538659206	LIM ASHLEY S	2021	FFS	RENDERING SNC	AGE 0-20	298	None	599	None	277	None	407	None	56	None	133	None	None	1	None	2
1538659206	LIM ASHLEY S	2021	FFS	RENDERING SNC	AGE 21+	129	None	329	None	47	None	54	None	58	None	161	None	None	1	None	1
1538659206	LIM ASHLEY S	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1538681325	GAWANDE SUJATA S	2021	FFS	RENDERING SNC	AGE 0-20	161	None	316	None	131	None	169	None	64	None	129	None	140	None	188	None
1538681325	GAWANDE SUJATA S	2021	FFS	RENDERING SNC	AGE 21+	572	None	1,978	None	390	None	531	None	394	None	1,303	None	460	None	749	None
1538684964	MANUGIAN ANTRANIG	2021	FFS	RENDERING SNC	AGE 0-20	322	None	649	None	234	None	316	None	141	None	272	None	289	None	407	None
1538684964	MANUGIAN ANTRANIG	2021	FFS	RENDERING SNC	AGE 21+	338	None	1,132	None	169	None	207	None	244	None	776	None	295	None	502	None
1538725973	KAHLER KIMBERLY SUE	2021	FFS	RENDERING SNC	AGE 0-20	116	None	234	None	116	None	234	None	0	None	0	None	116	None	234	None
1538725973	KAHLER KIMBERLY SUE	2021	FFS	RENDERING SNC	AGE 21+	74	None	155	None	74	None	155	None	0	None	0	None	74	None	155	None
1538781810	SHIN ELLIE HAYOUNG	2021	FFS	RENDERING SNC	AGE 0-20	207	None	439	None	207	None	439	None	12	None	24	None	205	None	436	None
1538781810	SHIN ELLIE HAYOUNG	2021	FFS	RENDERING SNC	AGE 21+	252	None	679	None	252	None	677	None	None	1	None	1	252	None	677	None
1548255888	SONG CATHERINE SOOK	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1548277510	SOLIMAN SHAWKY A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1548277510	SOLIMAN SHAWKY A	2021	FFS	RENDERING SNC	AGE 21+	44	None	120	None	32	None	44	None	24	None	55	None	32	None	54	None
1548278500	YEH HUEY-JU G	2021	FFS	RENDERING SNC	AGE 0-20	541	None	808	None	475	None	646	None	170	None	226	None	468	None	636	None
1548278500	YEH HUEY-JU G	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1548307101	RUIZ JOSE L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1548334238	BOYD CAROL A	2021	FFS	RENDERING SNC	AGE 0-20	464	None	728	None	420	None	531	None	257	None	392	None	400	None	452	None
1548334238	BOYD CAROL A	2021	FFS	RENDERING SNC	AGE 21+	198	None	390	None	58	None	68	None	174	None	298	None	114	None	166	None
1548334949	CAMPOS-CORTES ARIADNA	2021	FFS	RENDERING SNC	AGE 0-20	117	None	119	None	106	None	108	None	None	1	None	1	106	None	108	None
1548334949	CAMPOS-CORTES ARIADNA	2021	FFS	RENDERING SNC	AGE 21+	245	None	254	None	209	None	216	None	11	None	12	None	193	None	198	None
1548355571	HEYDARI MAHNAZ M	2021	FFS	RENDERING SNC	AGE 0-20	1,790	None	2,994	None	1,444	None	1,846	None	602	None	897	None	1,345	None	1,699	None
1548392160	CHUNG YOON S	2021	FFS	RENDERING SNC	AGE 0-20	247	None	480	None	231	None	366	None	57	None	98	None	214	None	284	None
1548392160	CHUNG YOON S	2021	FFS	RENDERING SNC	AGE 21+	576	None	2,030	None	489	None	835	None	304	None	800	None	493	None	1,147	None
1548398381	SANCHEZ PAUL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1548418619	RICHARDSON CHELSEA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1548418619	RICHARDSON CHELSEA	2021	FFS	RENDERING SNC	AGE 21+	155	None	323	None	110	None	181	None	93	None	139	None	122	None	214	None
1548464191	TRAN DUNG	2021	FFS	RENDERING SNC	AGE 0-20	190	None	328	None	136	None	180	None	71	None	108	None	164	None	197	None
1548464191	TRAN DUNG	2021	FFS	RENDERING SNC	AGE 21+	340	None	712	None	135	None	163	None	209	None	431	None	258	None	365	None
1548470024	DI PASUPIL, ROMEO, DDS	2021	FFS	RENDERING SNC	AGE 0-20	72	None	168	None	72	None	168	None	0	None	0	None	72	None	168	None
1548470024	DI PASUPIL, ROMEO, DDS	2021	FFS	RENDERING SNC	AGE 21+	115	None	346	None	115	None	346	None	0	None	0	None	115	None	346	None
1548470024	DI PASUPIL, ROMEO, DDS	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1548620107	JOHNSTON TARA M	2021	FFS	RENDERING SNC	AGE 0-20	106	None	122	None	23	None	24	None	36	None	38	None	32	None	33	None
1548620107	JOHNSTON TARA M	2021	FFS	RENDERING SNC	AGE 21+	96	None	106	None	25	None	27	None	49	None	54	None	43	None	45	None
1548631443	COUTIN JONATHAN G	2021	FFS	RENDERING SNC	AGE 0-20	278	None	684	None	268	None	544	None	64	None	165	None	264	None	500	None
1548631443	COUTIN JONATHAN G	2021	FFS	RENDERING SNC	AGE 21+	259	None	743	None	245	None	563	None	76	None	170	None	249	None	587	None
1548643521	HSIN HONG-YUAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1548643521	HSIN HONG-YUAN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1548644313	WU CASEY J	2021	FFS	RENDERING SNC	AGE 0-20	539	None	945	None	493	None	673	None	142	None	233	None	448	None	538	None
1548644313	WU CASEY J	2021	FFS	RENDERING SNC	AGE 21+	442	None	878	None	366	None	468	None	194	None	327	None	372	None	536	None
1548667470	MARITESSA I MASANGYA DDS INC	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1548667470	MARITESSA I MASANGYA DDS INC	2021	FFS	RENDERING SNC	AGE 21+	22	None	75	None	17	None	30	None	12	None	35	None	19	None	24	None
1548808678	ANSARI BITA	2021	FFS	RENDERING SNC	AGE 0-20	33	None	33	None	21	None	21	None	None	1	None	1	15	None	15	None
1548808678	ANSARI BITA	2021	FFS	RENDERING SNC	AGE 21+	12	None	12	None	None	1	None	1	None	1	None	1	None	1	None	1
1558397836	ZLATANOVA TZVETANKA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1558397836	ZLATANOVA TZVETANKA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558413450	LE TRAM K	2021	FFS	RENDERING SNC	AGE 0-20	83	None	255	None	67	None	114	None	45	None	132	None	52	None	60	None
1558413450	LE TRAM K	2021	FFS	RENDERING SNC	AGE 21+	191	None	761	None	107	None	139	None	169	None	601	None	104	None	134	None
1558424143	CUYJET, SCOTT R NP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558425579	SURABIAN STANLEY R	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558427542	SHADRAVAN FARNAZ	2021	FFS	RENDERING SNC	AGE 0-20	74	None	96	None	67	None	80	None	None	1	None	2	62	None	70	None
1558427542	SHADRAVAN FARNAZ	2021	FFS	RENDERING SNC	AGE 21+	57	None	115	None	46	None	82	None	16	None	33	None	34	None	61	None
1558441709	SABERI, NAGHMEH S MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1558457473	VAN, HUAN NGOC, DDS	2021	FFS	RENDERING SNC	AGE 0-20	106	None	295	None	86	None	124	None	65	None	179	None	97	None	182	None
1558457473	VAN, HUAN NGOC, DDS	2021	FFS	RENDERING SNC	AGE 21+	481	None	2,000	None	341	None	510	None	384	None	1,489	None	402	None	807	None
1558466128	CAVE MARK D	2021	FFS	RENDERING SNC	AGE 0-20	746	None	1,449	None	467	None	656	None	330	None	579	None	367	None	497	None
1558466128	CAVE MARK D	2021	FFS	RENDERING SNC	AGE 21+	747	None	2,163	None	235	None	319	None	632	None	1,572	None	195	None	409	None
1558496174	PHAN PETER B	2021	FFS	RENDERING SNC	AGE 0-20	184	None	446	None	177	None	335	None	126	None	277	None	177	None	342	None
1558496174	PHAN PETER B	2021	FFS	RENDERING SNC	AGE 21+	346	None	1,253	None	293	None	684	None	245	None	650	None	311	None	835	None
1558496208	KWOK RAYMOND	2021	FFS	RENDERING SNC	AGE 0-20	80	None	111	None	80	None	111	None	0	None	0	None	80	None	111	None
1558496208	KWOK RAYMOND	2021	FFS	RENDERING SNC	AGE 21+	588	None	1,104	None	588	None	1,104	None	0	None	0	None	588	None	1,104	None
1558510594	CHAU TIFFANY P	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1558511030	DELACRUZ NICHOLAS P	2021	FFS	RENDERING SNC	AGE 0-20	297	None	1,095	None	231	None	620	None	177	None	448	None	93	None	149	None
1558511030	DELACRUZ NICHOLAS P	2021	FFS	RENDERING SNC	AGE 21+	415	None	1,912	None	260	None	617	None	330	None	1,236	None	171	None	358	None
1558566737	BETITA GINA M	2021	FFS	RENDERING SNC	AGE 0-20	104	None	158	None	54	None	61	None	51	None	77	None	53	None	60	None
1558566737	BETITA GINA M	2021	FFS	RENDERING SNC	AGE 21+	133	None	273	None	28	None	40	None	90	None	174	None	35	None	47	None
1558570085	LOPEZ-ZEPEDA THERESA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1558665091	YEUNG CAROL Y	2021	FFS	RENDERING SNC	AGE 0-20	284	None	305	None	238	None	249	None	41	None	45	None	156	None	162	None
1558665091	YEUNG CAROL Y	2021	FFS	RENDERING SNC	AGE 21+	102	None	113	None	46	None	47	None	43	None	49	None	32	None	33	None
1558679431	JIN MI JUNG	2021	FFS	RENDERING SNC	AGE 0-20	55	None	123	None	55	None	123	None	0	None	0	None	55	None	123	None
1558679431	JIN MI JUNG	2021	FFS	RENDERING SNC	AGE 21+	126	None	382	None	126	None	382	None	0	None	0	None	126	None	382	None
1558698092	CRUZ DEO S	2021	FFS	RENDERING SNC	AGE 0-20	554	None	711	None	531	None	659	None	102	None	130	None	528	None	650	None
1558698092	CRUZ DEO S	2021	FFS	RENDERING SNC	AGE 21+	346	None	455	None	327	None	411	None	170	None	226	None	326	None	409	None
1558743518	YIP, KATHLEEN MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1558785949	CHAU DEBORAH H	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1558802280	VAN WINKLE HALEY	2021	FFS	RENDERING SNC	AGE 0-20	685	None	2,741	None	575	None	1,414	None	457	None	1,778	None	612	None	1,640	None
1558802280	VAN WINKLE HALEY	2021	FFS	RENDERING SNC	AGE 21+	390	None	1,759	None	134	None	304	None	332	None	1,268	None	349	None	1,154	None
1558814509	AUERBACH JIMENE DANIELA A	2021	FFS	RENDERING SNC	AGE 0-20	156	None	574	None	0	None	0	None	154	None	568	None	None	1	None	1
1558814509	AUERBACH JIMENE DANIELA A	2021	FFS	RENDERING SNC	AGE 21+	193	None	729	None	0	None	0	None	190	None	721	None	None	1	None	1
1558817247	OVERTON HANNAH	2021	FFS	RENDERING SNC	AGE 0-20	55	None	65	None	54	None	64	None	None	1	None	1	None	1	None	1
1558817247	OVERTON HANNAH	2021	FFS	RENDERING SNC	AGE 21+	45	None	66	None	14	None	18	None	31	None	48	None	0	None	0	None
1558920801	HYMES RACHEL M	2021	FFS	RENDERING SNC	AGE 0-20	411	None	755	None	387	None	576	None	101	None	193	None	298	None	339	None
1558920801	HYMES RACHEL M	2021	FFS	RENDERING SNC	AGE 21+	596	None	1,597	None	536	None	790	None	323	None	725	None	529	None	828	None
1558920801	HYMES RACHEL M	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1568414175	CASTANEDA, FORTINO MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1568445385	NEWMAN PAUL	2021	FFS	RENDERING SNC	AGE 0-20	60	None	122	None	60	None	122	None	0	None	0	None	60	None	122	None
1568445385	NEWMAN PAUL	2021	FFS	RENDERING SNC	AGE 21+	90	None	293	None	90	None	293	None	0	None	0	None	90	None	293	None
1568498624	MARSHALL, STEVEN C DDS	2021	FFS	RENDERING SNC	AGE 0-20	62	None	151	None	62	None	151	None	0	None	0	None	62	None	151	None
1568498624	MARSHALL, STEVEN C DDS	2021	FFS	RENDERING SNC	AGE 21+	336	None	956	None	336	None	956	None	0	None	0	None	336	None	956	None
1568515906	FLORES, MICHAEL A, DDS	2021	FFS	RENDERING SNC	AGE 0-20	482	None	502	None	14	None	15	None	31	None	37	None	None	1	None	1
1568515906	FLORES, MICHAEL A, DDS	2021	FFS	RENDERING SNC	AGE 21+	195	None	268	None	44	None	44	None	88	None	110	None	None	1	None	1
1568520740	KADABA SUNILKUMAR R	2021	FFS	RENDERING SNC	AGE 0-20	149	None	275	None	67	None	95	None	105	None	202	None	39	None	59	None
1568520740	KADABA SUNILKUMAR R	2021	FFS	RENDERING SNC	AGE 21+	221	None	419	None	15	None	23	None	188	None	358	None	67	None	110	None
1568523983	BURBULYS DAVID	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1568523983	BURBULYS DAVID	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568662617	EVAZYAN RITA	2021	FFS	RENDERING SNC	AGE 0-20	508	None	783	None	508	None	783	None	0	None	0	None	508	None	783	None
1568662617	EVAZYAN RITA	2021	FFS	RENDERING SNC	AGE 21+	200	None	297	None	200	None	297	None	0	None	0	None	200	None	297	None
1568668606	LEEDS LEYLA A	2021	FFS	RENDERING SNC	AGE 0-20	148	None	343	None	148	None	343	None	0	None	0	None	148	None	343	None
1568668606	LEEDS LEYLA A	2021	FFS	RENDERING SNC	AGE 21+	184	None	452	None	184	None	452	None	None	1	None	2	184	None	452	None
1568688554	FARRELL TIM A	2021	FFS	RENDERING SNC	AGE 0-20	321	None	564	None	317	None	554	None	51	None	74	None	312	None	538	None
1568688554	FARRELL TIM A	2021	FFS	RENDERING SNC	AGE 21+	505	None	1,219	None	458	None	1,007	None	255	None	547	None	453	None	989	None
1568717858	AGHBASHIAN, NOVA, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1568719011	PARK ALLYSON J	2021	FFS	RENDERING SNC	AGE 0-20	463	None	666	None	138	None	167	None	84	None	140	None	113	None	133	None
1568719011	PARK ALLYSON J	2021	FFS	RENDERING SNC	AGE 21+	797	None	1,863	None	517	None	774	None	369	None	639	None	479	None	702	None
1568727725	SESHADRI SHESHASHREE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1568870723	BARNHART-KALINO RACHEL L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1568891794	LAI JOSEPH H	2021	FFS	RENDERING SNC	AGE 0-20	55	None	141	None	52	None	111	None	15	None	32	None	30	None	35	None
1568891794	LAI JOSEPH H	2021	FFS	RENDERING SNC	AGE 21+	517	None	1,757	None	462	None	850	None	367	None	926	None	436	None	729	None
1568935252	MERCADO VICTOR A	2021	FFS	RENDERING SNC	AGE 0-20	16	None	16	None	None	1	None	1	None	1	None	1	None	1	None	1
1568935252	MERCADO VICTOR A	2021	FFS	RENDERING SNC	AGE 21+	196	None	219	None	81	None	88	None	95	None	107	None	45	None	48	None
1568987857	MONCADA CLAUDIA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1578002044	DAVYDOV ANNA	2021	FFS	RENDERING SNC	AGE 0-20	112	None	284	None	91	None	149	None	42	None	111	None	94	None	148	None
1578002044	DAVYDOV ANNA	2021	FFS	RENDERING SNC	AGE 21+	250	None	907	None	175	None	285	None	144	None	384	None	179	None	337	None
1578003463	GAGGI DINA S	2021	FFS	RENDERING SNC	AGE 0-20	510	None	1,015	None	473	None	801	None	201	None	322	None	439	None	616	None
1578003463	GAGGI DINA S	2021	FFS	RENDERING SNC	AGE 21+	560	None	1,278	None	320	None	513	None	438	None	986	None	203	None	238	None
1578040135	NGO TRACY M	2021	FFS	RENDERING SNC	AGE 0-20	75	None	123	None	64	None	79	None	19	None	37	None	18	None	18	None
1578040135	NGO TRACY M	2021	FFS	RENDERING SNC	AGE 21+	175	None	409	None	80	None	109	None	89	None	174	None	60	None	98	None
1578080628	CHOLA SHARANYA	2021	FFS	RENDERING SNC	AGE 0-20	162	None	364	None	111	None	145	None	123	None	247	None	96	None	136	None
1578080628	CHOLA SHARANYA	2021	FFS	RENDERING SNC	AGE 21+	351	None	1,176	None	109	None	118	None	328	None	1,015	None	239	None	456	None
1578093233	MIXTER HANNAH E	2021	FFS	RENDERING SNC	AGE 0-20	1,260	None	1,623	None	1,260	None	1,623	None	0	None	0	None	1,260	None	1,623	None
1578093233	MIXTER HANNAH E	2021	FFS	RENDERING SNC	AGE 21+	780	None	996	None	771	None	986	None	0	None	0	None	771	None	986	None
1578098349	HARDY CHRISTOPHER M	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1578098349	HARDY CHRISTOPHER M	2021	FFS	RENDERING SNC	AGE 21+	33	None	36	None	None	1	None	1	None	1	None	1	15	None	16	None
1578126793	JOSEPH EVAN M	2021	FFS	RENDERING SNC	AGE 0-20	21	None	27	None	None	1	None	1	None	1	None	1	14	None	18	None
1578126793	JOSEPH EVAN M	2021	FFS	RENDERING SNC	AGE 21+	79	None	104	None	None	1	None	1	34	None	42	None	30	None	33	None
1578133625	WATU VANESSA L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1578133625	WATU VANESSA L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1578610143	OU JON C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578634234	GIBONEY PAUL TRAVIS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1578657110	WRIGHT CARTER R	2021	FFS	RENDERING SNC	AGE 0-20	957	None	1,755	None	792	None	998	None	383	None	677	None	871	None	1,202	None
1578657110	WRIGHT CARTER R	2021	FFS	RENDERING SNC	AGE 21+	1,239	None	2,026	None	363	None	445	None	823	None	1,238	None	896	None	1,209	None
1578664884	GANDY, TODD THOMAS, DDS	2021	FFS	RENDERING SNC	AGE 0-20	363	None	588	None	231	None	305	None	72	None	98	None	129	None	155	None
1578664884	GANDY, TODD THOMAS, DDS	2021	FFS	RENDERING SNC	AGE 21+	218	None	399	None	143	None	251	None	123	None	205	None	51	None	84	None
1578709739	VARGAS CLARISSA RENEE	2021	FFS	RENDERING SNC	AGE 0-20	160	None	222	None	150	None	198	None	None	1	None	2	0	None	0	None
1578709739	VARGAS CLARISSA RENEE	2021	FFS	RENDERING SNC	AGE 21+	107	None	242	None	43	None	51	None	92	None	220	None	None	1	None	1
1578719068	TSUI MAXIMILIAN	2021	FFS	RENDERING SNC	AGE 0-20	1,982	None	2,738	None	1,699	None	2,191	None	374	None	459	None	1,199	None	1,361	None
1578719068	TSUI MAXIMILIAN	2021	FFS	RENDERING SNC	AGE 21+	126	None	155	None	39	None	42	None	71	None	83	None	43	None	47	None
1578729711	ACOSTA EDWIN	2021	FFS	RENDERING SNC	AGE 0-20	29	None	42	None	19	None	27	None	None	1	None	1	23	None	35	None
1578729711	ACOSTA EDWIN	2021	FFS	RENDERING SNC	AGE 21+	47	None	80	None	25	None	35	None	None	1	None	1	43	None	71	None
1578751046	DELOS REYES IMELDA F	2021	FFS	RENDERING SNC	AGE 0-20	1,449	None	1,553	None	1,382	None	1,472	None	30	None	35	None	1,347	None	1,430	None
1578751046	DELOS REYES IMELDA F	2021	FFS	RENDERING SNC	AGE 21+	185	None	243	None	110	None	143	None	46	None	54	None	68	None	81	None
1578753794	RYAN A YAMANAKA DDS	2021	FFS	RENDERING SNC	AGE 0-20	42	None	98	None	23	None	25	None	28	None	58	None	27	None	30	None
1578753794	RYAN A YAMANAKA DDS	2021	FFS	RENDERING SNC	AGE 21+	289	None	518	None	201	None	229	None	113	None	193	None	241	None	301	None
1578754008	KIM MINA	2021	FFS	RENDERING SNC	AGE 0-20	186	None	287	None	162	None	210	None	54	None	72	None	93	None	95	None
1578754008	KIM MINA	2021	FFS	RENDERING SNC	AGE 21+	302	None	614	None	171	None	234	None	165	None	258	None	135	None	195	None
1578772000	NGUYEN, TRISTEN, DDS	2021	FFS	RENDERING SNC	AGE 0-20	235	None	301	None	235	None	301	None	0	None	0	None	235	None	301	None
1578772000	NGUYEN, TRISTEN, DDS	2021	FFS	RENDERING SNC	AGE 21+	152	None	237	None	152	None	237	None	0	None	0	None	152	None	237	None
1578829974	WILEY RASHIDAH TYNETTA	2021	FFS	RENDERING SNC	AGE 0-20	242	None	353	None	202	None	278	None	224	None	307	None	70	None	86	None
1578829974	WILEY RASHIDAH TYNETTA	2021	FFS	RENDERING SNC	AGE 21+	450	None	799	None	231	None	329	None	401	None	649	None	106	None	128	None
1578834511	GANJIAN SHIVA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578834511	GANJIAN SHIVA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578905253	ESCARENO JEANETTE	2021	FFS	RENDERING SNC	AGE 0-20	809	None	849	None	42	None	44	None	183	None	188	None	163	None	167	None
1578905253	ESCARENO JEANETTE	2021	FFS	RENDERING SNC	AGE 21+	691	None	730	None	53	None	55	None	401	None	417	None	290	None	302	None
1578917803	NGUYEN THERESA T	2021	FFS	RENDERING SNC	AGE 0-20	143	None	253	None	108	None	183	None	29	None	41	None	125	None	204	None
1578917803	NGUYEN THERESA T	2021	FFS	RENDERING SNC	AGE 21+	240	None	520	None	171	None	336	None	89	None	179	None	183	None	272	None
1578921953	BERGER BONNIE JEAN	2021	FFS	RENDERING SNC	AGE 0-20	75	None	104	None	74	None	103	None	None	1	None	1	60	None	82	None
1578921953	BERGER BONNIE JEAN	2021	FFS	RENDERING SNC	AGE 21+	302	None	582	None	277	None	535	None	39	None	57	None	35	None	59	None
1578934717	REESOR JASON D	2021	FFS	RENDERING SNC	AGE 0-20	58	None	79	None	39	None	41	None	23	None	33	None	15	None	15	None
1578934717	REESOR JASON D	2021	FFS	RENDERING SNC	AGE 21+	278	None	723	None	71	None	78	None	256	None	634	None	60	None	64	None
1578964110	LIM PETERSON	2021	FFS	RENDERING SNC	AGE 0-20	78	None	128	None	58	None	71	None	46	None	76	None	50	None	61	None
1578964110	LIM PETERSON	2021	FFS	RENDERING SNC	AGE 21+	191	None	382	None	101	None	131	None	134	None	248	None	129	None	199	None
1578986543	KOH ROY ANTHONY KENNETH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1578986543	KOH ROY ANTHONY KENNETH	2021	FFS	RENDERING SNC	AGE 21+	310	None	472	None	203	None	240	None	136	None	170	None	223	None	307	None
1578994034	COOK JASON L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1578994034	COOK JASON L	2021	FFS	RENDERING SNC	AGE 21+	81	None	81	None	81	None	81	None	0	None	0	None	81	None	81	None
1588279723	SAAD AKRAM A	2021	FFS	RENDERING SNC	AGE 0-20	644	None	1,190	None	635	None	1,025	None	132	None	182	None	617	None	724	None
1588279723	SAAD AKRAM A	2021	FFS	RENDERING SNC	AGE 21+	454	None	1,070	None	422	None	676	None	211	None	399	None	407	None	520	None
1588676522	SHIRRELL, AIMEE M MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1588726319	PRECIADO ULICES ISRAEL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1588732218	COBB, RODNEY LAMONT DDS	2021	FFS	RENDERING SNC	AGE 0-20	112	None	156	None	111	None	155	None	None	1	None	1	111	None	155	None
1588732218	COBB, RODNEY LAMONT DDS	2021	FFS	RENDERING SNC	AGE 21+	301	None	509	None	301	None	503	None	None	1	None	1	297	None	497	None
1588732218	UNKNOWN	2021	FFS	RENDERING SNC	AGE 0-20	112	None	156	None	111	None	155	None	None	1	None	1	111	None	155	None
1588732218	UNKNOWN	2021	FFS	RENDERING SNC	AGE 21+	301	None	509	None	301	None	503	None	None	1	None	1	297	None	497	None
1588748750	LIN THERESA P	2021	FFS	RENDERING SNC	AGE 0-20	211	None	312	None	198	None	249	None	41	None	57	None	180	None	210	None
1588748750	LIN THERESA P	2021	FFS	RENDERING SNC	AGE 21+	264	None	578	None	179	None	234	None	145	None	333	None	157	None	192	None
1588748750	LIN THERESA P	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1588792105	HA LINH N	2021	FFS	RENDERING SNC	AGE 0-20	55	None	70	None	55	None	70	None	0	None	0	None	55	None	70	None
1588792105	HA LINH N	2021	FFS	RENDERING SNC	AGE 21+	559	None	1,423	None	559	None	1,423	None	0	None	0	None	559	None	1,423	None
1588794945	PAISO IRIS M	2021	FFS	RENDERING SNC	AGE 0-20	835	None	1,241	None	782	None	998	None	96	None	121	None	734	None	891	None
1588794945	PAISO IRIS M	2021	FFS	RENDERING SNC	AGE 21+	899	None	2,140	None	616	None	924	None	266	None	455	None	632	None	974	None
1588794945	PAISO IRIS M	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1588796874	YEE THOMAS L	2021	FFS	RENDERING SNC	AGE 0-20	29	None	59	None	28	None	47	None	19	None	26	None	25	None	27	None
1588796874	YEE THOMAS L	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1588798169	MARTINEZ JIM R	2021	FFS	RENDERING SNC	AGE 0-20	35	None	78	None	27	None	38	None	22	None	36	None	None	1	None	1
1588798169	MARTINEZ JIM R	2021	FFS	RENDERING SNC	AGE 21+	104	None	275	None	74	None	129	None	70	None	122	None	39	None	63	None
1588823819	LUONG WINI ZERLINE	2021	FFS	RENDERING SNC	AGE 0-20	122	None	205	None	105	None	149	None	34	None	59	None	105	None	126	None
1588823819	LUONG WINI ZERLINE	2021	FFS	RENDERING SNC	AGE 21+	328	None	823	None	206	None	304	None	220	None	471	None	220	None	275	None
1588853352	KELLY JESUSA BEATRIZ PEREZ	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1588859375	KAUR JASPREET	2021	FFS	RENDERING SNC	AGE 0-20	445	None	667	None	445	None	667	None	None	1	None	1	445	None	667	None
1588859375	KAUR JASPREET	2021	FFS	RENDERING SNC	AGE 21+	349	None	612	None	349	None	611	None	None	1	None	1	349	None	611	None
1588865844	ARONSON KIMBERLY ANN	2021	FFS	RENDERING SNC	AGE 0-20	43	None	111	None	43	None	111	None	0	None	0	None	43	None	111	None
1588865844	ARONSON KIMBERLY ANN	2021	FFS	RENDERING SNC	AGE 21+	125	None	444	None	125	None	444	None	0	None	0	None	125	None	444	None
1588876593	HUNT, BEN M MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1588923585	HEIN GREGORY GLENN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1588923585	HEIN GREGORY GLENN	2021	FFS	RENDERING SNC	AGE 21+	47	None	98	None	None	1	None	1	47	None	98	None	None	1	None	1
1588985121	LEFFALL SHEILA L	2021	FFS	RENDERING SNC	AGE 0-20	1,239	None	1,625	None	1,015	None	1,272	None	252	None	300	None	598	None	657	None
1588985121	LEFFALL SHEILA L	2021	FFS	RENDERING SNC	AGE 21+	68	None	81	None	25	None	28	None	42	None	48	None	21	None	24	None
1598029530	LEE JESSICA	2021	FFS	RENDERING SNC	AGE 0-20	544	None	1,249	None	544	None	1,249	None	0	None	0	None	544	None	1,249	None
1598052821	LAWRENCE AMPERES LAI-PING	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598135642	GIRN VISHAVJEET	2021	FFS	RENDERING SNC	AGE 0-20	1,251	None	2,198	None	1,155	None	1,637	None	341	None	545	None	1,120	None	1,583	None
1598135642	GIRN VISHAVJEET	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1598152803	MEDINA DOMINIQUE J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1598152803	MEDINA DOMINIQUE J	2021	FFS	RENDERING SNC	AGE 21+	23	None	25	None	None	1	None	1	None	1	None	1	15	None	15	None
1598154734	ST HILAIRE KAREN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1598176943	MAGAR MATTHEW	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1598297327	ROBERTSON CAMILLE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598311433	HONG SHAWN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1598312126	FLAKE JASMINE R	2021	FFS	RENDERING SNC	AGE 0-20	48	None	63	None	38	None	43	None	15	None	21	None	24	None	24	None
1598312126	FLAKE JASMINE R	2021	FFS	RENDERING SNC	AGE 21+	101	None	148	None	63	None	76	None	61	None	80	None	49	None	56	None
1598312126	FLAKE JASMINE R	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598316267	CAO CHENGHUA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1598316267	CAO CHENGHUA	2021	FFS	RENDERING SNC	AGE 21+	28	None	31	None	17	None	18	None	13	None	13	None	20	None	21	None
1598356636	AHMED IMRAN	2021	FFS	RENDERING SNC	AGE 0-20	577	None	851	None	477	None	533	None	231	None	325	None	461	None	477	None
1598803116	PARK DANIEL C	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1598810228	MACABASCO AGILIO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1598818148	TON THANH TAM N	2021	FFS	RENDERING SNC	AGE 0-20	42	None	45	None	35	None	35	None	None	1	None	1	36	None	37	None
1598820953	PETCHPUD APIRADA K	2021	FFS	RENDERING SNC	AGE 0-20	909	None	1,569	None	908	None	1,566	None	112	None	199	None	908	None	1,562	None
1598820953	PETCHPUD APIRADA K	2021	FFS	RENDERING SNC	AGE 21+	360	None	906	None	357	None	890	None	184	None	425	None	357	None	893	None
1598876070	LEONG, FREDERIC J MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1598953382	PAYMAN PARISA	2021	FFS	RENDERING SNC	AGE 0-20	491	None	1,507	None	491	None	1,507	None	0	None	0	None	491	None	1,507	None
1598953382	PAYMAN PARISA	2021	FFS	RENDERING SNC	AGE 21+	394	None	1,229	None	394	None	1,229	None	0	None	0	None	394	None	1,229	None
1598984924	ALEMI HAMED	2021	FFS	RENDERING SNC	AGE 0-20	450	None	1,399	None	428	None	1,051	None	203	None	546	None	387	None	655	None
1598984924	ALEMI HAMED	2021	FFS	RENDERING SNC	AGE 21+	557	None	2,522	None	509	None	1,190	None	382	None	1,693	None	489	None	1,025	None
1598992653	PATEL DHAVAL T	2021	FFS	RENDERING SNC	AGE 0-20	15	None	19	None	11	None	15	None	None	1	None	1	11	None	15	None
1598992653	PATEL DHAVAL T	2021	FFS	RENDERING SNC	AGE 21+	41	None	52	None	29	None	33	None	18	None	23	None	29	None	33	None
1609012830	CAMPO CARLA P	2021	FFS	RENDERING SNC	AGE 0-20	583	None	1,076	None	500	None	947	None	203	None	332	None	495	None	940	None
1609012830	CAMPO CARLA P	2021	FFS	RENDERING SNC	AGE 21+	445	None	869	None	435	None	837	None	223	None	413	None	434	None	835	None
1609018118	EDGECOMBE ALPHONSO R	2021	FFS	RENDERING SNC	AGE 0-20	379	None	817	None	378	None	816	None	0	None	0	None	379	None	817	None
1609018118	EDGECOMBE ALPHONSO R	2021	FFS	RENDERING SNC	AGE 21+	499	None	1,170	None	498	None	1,167	None	0	None	0	None	499	None	1,170	None
1609062801	HUYNH PHUONG-KIEU T	2021	FFS	RENDERING SNC	AGE 0-20	342	None	1,197	None	287	None	1,007	None	90	None	278	None	287	None	1,007	None
1609062801	HUYNH PHUONG-KIEU T	2021	FFS	RENDERING SNC	AGE 21+	325	None	1,547	None	325	None	1,539	None	183	None	836	None	325	None	1,539	None
1609081454	KHAN FARAH S	2021	FFS	RENDERING SNC	AGE 21+	174	None	466	None	83	None	111	None	144	None	319	None	44	None	97	None
1609086446	SILVERIO JOSEPHINE C	2021	FFS	RENDERING SNC	AGE 0-20	850	None	2,124	None	773	None	1,230	None	540	None	1,596	None	742	None	937	None
1609086446	SILVERIO JOSEPHINE C	2021	FFS	RENDERING SNC	AGE 21+	592	None	1,710	None	365	None	516	None	585	None	1,651	None	366	None	496	None
1609098177	SHAREEF ASMA	2021	FFS	RENDERING SNC	AGE 0-20	151	None	388	None	151	None	388	None	0	None	0	None	151	None	388	None
1609098177	SHAREEF ASMA	2021	FFS	RENDERING SNC	AGE 21+	267	None	784	None	267	None	784	None	0	None	0	None	267	None	784	None
1609098177	SHAREEF ASMA	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1609125921	YANG JONG-HWAN A	2021	FFS	RENDERING SNC	AGE 0-20	1,020	None	1,393	None	908	None	1,127	None	176	None	233	None	544	None	596	None
1609125921	YANG JONG-HWAN A	2021	FFS	RENDERING SNC	AGE 21+	369	None	495	None	204	None	222	None	210	None	266	None	140	None	149	None
1609136381	PEUGH GUIDI DANA	2021	FFS	RENDERING SNC	AGE 0-20	88	None	108	None	77	None	85	None	13	None	23	None	None	1	None	1
1609136381	PEUGH GUIDI DANA	2021	FFS	RENDERING SNC	AGE 21+	385	None	598	None	137	None	144	None	262	None	456	None	None	1	None	1
1609166396	KASHEFI NEGAR	2021	FFS	RENDERING SNC	AGE 0-20	259	None	530	None	243	None	417	None	59	None	82	None	None	1	None	1
1609166396	KASHEFI NEGAR	2021	FFS	RENDERING SNC	AGE 21+	31	None	54	None	30	None	44	None	None	1	None	1	None	1	None	1
1609195270	WINTERS TIFFANY N	2021	FFS	RENDERING SNC	AGE 0-20	169	None	257	None	169	None	257	None	None	1	None	2	0	None	0	None
1609195270	WINTERS TIFFANY N	2021	FFS	RENDERING SNC	AGE 21+	277	None	770	None	266	None	664	None	187	None	648	None	0	None	0	None
1609272939	CUMBY RYAN J	2021	FFS	RENDERING SNC	AGE 0-20	60	None	87	None	51	None	68	None	24	None	32	None	35	None	40	None
1609272939	CUMBY RYAN J	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1609281443	YEE VIVIAN E	2021	FFS	RENDERING SNC	AGE 0-20	238	None	293	None	130	None	138	None	88	None	103	None	133	None	143	None
1609306752	AHMAD NAHEED	2021	FFS	RENDERING SNC	AGE 0-20	612	None	730	None	398	None	433	None	142	None	151	None	267	None	289	None
1609326115	MARCOM KARINE A	2021	FFS	RENDERING SNC	AGE 0-20	175	None	395	None	125	None	159	None	85	None	182	None	162	None	287	None
1609326115	MARCOM KARINE A	2021	FFS	RENDERING SNC	AGE 21+	339	None	893	None	140	None	152	None	234	None	572	None	295	None	538	None
1609329424	LEE JONATHAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1609391549	SINGH SOORAJ	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1609391549	SINGH SOORAJ	2021	FFS	RENDERING SNC	AGE 21+	40	None	63	None	0	None	0	None	0	None	0	None	None	1	None	1
1609423383	CHOI SCOTT J	2021	FFS	RENDERING SNC	AGE 0-20	197	None	445	None	183	None	319	None	93	None	211	None	173	None	270	None
1609423383	CHOI SCOTT J	2021	FFS	RENDERING SNC	AGE 21+	236	None	737	None	172	None	301	None	191	None	564	None	176	None	307	None
1609479567	SAHAND SIAMAK	2021	FFS	RENDERING SNC	AGE 0-20	677	None	1,101	None	526	None	621	None	401	None	722	None	160	None	222	None
1609479567	SAHAND SIAMAK	2021	FFS	RENDERING SNC	AGE 21+	723	None	1,385	None	77	None	84	None	582	None	1,120	None	506	None	739	None
1609496637	BAMGBADE BERNICE A	2021	FFS	RENDERING SNC	AGE 0-20	42	None	56	None	41	None	49	None	None	1	None	1	41	None	48	None
1609496637	BAMGBADE BERNICE A	2021	FFS	RENDERING SNC	AGE 21+	89	None	179	None	83	None	106	None	33	None	75	None	85	None	113	None
1609849074	LA MAESTRA FAMILY CLINIC	2021	FFS	RENDERING SNC	AGE 0-20	12	None	144	None	None	1	None	2	None	1	None	2	None	1	None	2
1609849074	LA MAESTRA FAMILY CLINIC	2021	FFS	RENDERING SNC	AGE 21+	19	None	288	None	13	None	168	None	None	1	None	2	11	None	132	None
1609861400	HILTON ALDON J	2021	FFS	RENDERING SNC	AGE 0-20	104	None	347	None	100	None	305	None	14	None	40	None	100	None	293	None
1609861400	HILTON ALDON J	2021	FFS	RENDERING SNC	AGE 21+	188	None	725	None	164	None	484	None	71	None	207	None	168	None	501	None
1609900786	LEE JOHN R	2021	FFS	RENDERING SNC	AGE 0-20	89	None	183	None	89	None	183	None	0	None	0	None	89	None	183	None
1609900786	LEE JOHN R	2021	FFS	RENDERING SNC	AGE 21+	183	None	555	None	183	None	555	None	0	None	0	None	183	None	555	None
1609906775	ZARRINNAM LILA	2021	FFS	RENDERING SNC	AGE 0-20	17	None	18	None	17	None	18	None	0	None	0	None	17	None	18	None
1609906775	ZARRINNAM LILA	2021	FFS	RENDERING SNC	AGE 21+	75	None	96	None	72	None	92	None	None	1	None	1	69	None	88	None
1609961267	MA CHUN-TAO T	2021	FFS	RENDERING SNC	AGE 0-20	75	None	96	None	39	None	42	None	33	None	46	None	32	None	32	None
1609961267	MA CHUN-TAO T	2021	FFS	RENDERING SNC	AGE 21+	175	None	274	None	69	None	74	None	131	None	205	None	41	None	42	None
1609986686	LU PHONG T	2021	FFS	RENDERING SNC	AGE 0-20	142	None	292	None	142	None	292	None	0	None	0	None	142	None	292	None
1609986686	LU PHONG T	2021	FFS	RENDERING SNC	AGE 21+	119	None	324	None	118	None	320	None	0	None	0	None	118	None	320	None
1609996107	ALCANTARA-BUENO MARIA S	2021	FFS	RENDERING SNC	AGE 0-20	390	None	501	None	308	None	374	None	102	None	141	None	293	None	357	None
1609996107	ALCANTARA-BUENO MARIA S	2021	FFS	RENDERING SNC	AGE 21+	235	None	332	None	125	None	144	None	127	None	187	None	138	None	174	None
1619008034	LEE KELLY K	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1619008034	LEE KELLY K	2021	FFS	RENDERING SNC	AGE 21+	146	None	384	None	32	None	43	None	103	None	247	None	38	None	73	None
1619017779	BAKER BRADFORD GUY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619036449	WALKER JAMESE B	2021	FFS	RENDERING SNC	AGE 0-20	85	None	105	None	65	None	71	None	20	None	27	None	49	None	50	None
1619036449	WALKER JAMESE B	2021	FFS	RENDERING SNC	AGE 21+	109	None	154	None	68	None	72	None	28	None	32	None	67	None	75	None
1619036514	BORREGO COMM HLTH FNDTN	2021	FFS	RENDERING SNC	AGE 0-20	223	None	1,494	None	156	None	954	None	52	None	378	None	133	None	810	None
1619036514	BORREGO COMM HLTH FNDTN	2021	FFS	RENDERING SNC	AGE 21+	23	None	138	None	None	1	None	2	None	1	None	2	13	None	78	None
1619044823	MAKATI SHABBIR A	2021	FFS	RENDERING SNC	AGE 0-20	228	None	437	None	219	None	356	None	56	None	88	None	175	None	201	None
1619044823	MAKATI SHABBIR A	2021	FFS	RENDERING SNC	AGE 21+	137	None	319	None	103	None	153	None	114	None	240	None	91	None	114	None
1619071883	RIVERA OSCAR R	2021	FFS	RENDERING SNC	AGE 0-20	1,252	None	2,499	None	964	None	1,512	None	421	None	738	None	807	None	973	None
1619071883	RIVERA OSCAR R	2021	FFS	RENDERING SNC	AGE 21+	13	None	17	None	None	1	None	1	None	1	None	1	None	1	None	1
1619093929	MORRISON LANITA A	2021	FFS	RENDERING SNC	AGE 0-20	458	None	763	None	428	None	597	None	130	None	200	None	408	None	510	None
1619093929	MORRISON LANITA A	2021	FFS	RENDERING SNC	AGE 21+	145	None	288	None	134	None	181	None	60	None	117	None	131	None	174	None
1619096039	LAURON ELIZABETH CLAIRE	2021	FFS	RENDERING SNC	AGE 0-20	54	None	127	None	54	None	127	None	0	None	0	None	54	None	127	None
1619096039	LAURON ELIZABETH CLAIRE	2021	FFS	RENDERING SNC	AGE 21+	71	None	179	None	71	None	179	None	0	None	0	None	71	None	179	None
1619196318	BUENAVENTURA ESPERANZA S	2021	FFS	RENDERING SNC	AGE 0-20	807	None	1,057	None	799	None	1,045	None	68	None	99	None	797	None	1,037	None
1619196318	BUENAVENTURA ESPERANZA S	2021	FFS	RENDERING SNC	AGE 21+	418	None	740	None	406	None	695	None	194	None	311	None	409	None	695	None
1619199668	JOHNSON ELIZABETH A	2021	FFS	RENDERING SNC	AGE 0-20	68	None	86	None	54	None	61	None	32	None	37	None	40	None	42	None
1619199668	JOHNSON ELIZABETH A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619263993	SALAZAR VICTOR MANUEL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619265410	MONIZ STEPHANIE D	2021	FFS	RENDERING SNC	AGE 0-20	721	None	850	None	534	None	602	None	148	None	173	None	496	None	556	None
1619265410	MONIZ STEPHANIE D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1619274990	NAEEM SAMIA F	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1619274990	NAEEM SAMIA F	2021	FFS	RENDERING SNC	AGE 21+	121	None	207	None	52	None	56	None	91	None	147	None	63	None	75	None
1619290905	WHYTE FADRA M	2021	FFS	RENDERING SNC	AGE 0-20	1,279	None	1,748	None	890	None	1,082	None	270	None	327	None	618	None	712	None
1619297843	VERNON ALLEN T	2021	FFS	RENDERING SNC	AGE 0-20	718	None	2,366	None	502	None	714	None	250	None	491	None	391	None	504	None
1619297843	VERNON ALLEN T	2021	FFS	RENDERING SNC	AGE 21+	292	None	1,257	None	214	None	479	None	218	None	766	None	69	None	111	None
1619300761	REZAI, DAMOUN A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619321353	GURION EDILYN	2021	FFS	RENDERING SNC	AGE 0-20	61	None	72	None	58	None	67	None	None	1	None	1	0	None	0	None
1619321353	GURION EDILYN	2021	FFS	RENDERING SNC	AGE 21+	69	None	95	None	14	None	14	None	55	None	81	None	None	1	None	1
1619335254	LEE DEANNA S	2021	FFS	RENDERING SNC	AGE 0-20	265	None	492	None	186	None	277	None	77	None	139	None	197	None	316	None
1619335254	LEE DEANNA S	2021	FFS	RENDERING SNC	AGE 21+	533	None	1,487	None	309	None	450	None	194	None	405	None	380	None	831	None
1619335254	LEE DEANNA S	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619335254	LEE DEANNA S	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1619375243	NGUYEN HOANG QUYNH D	2021	FFS	RENDERING SNC	AGE 0-20	804	None	2,650	None	796	None	2,174	None	246	None	480	None	775	None	1,128	None
1619375243	NGUYEN HOANG QUYNH D	2021	FFS	RENDERING SNC	AGE 21+	663	None	2,415	None	638	None	1,316	None	355	None	969	None	616	None	970	None
1619397171	PASHYAN ARMINE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1619433562	YOUSEF MADONA	2021	FFS	RENDERING SNC	AGE 0-20	20	None	20	None	18	None	18	None	None	1	None	1	19	None	19	None
1619433562	YOUSEF MADONA	2021	FFS	RENDERING SNC	AGE 21+	18	None	18	None	None	1	None	1	13	None	13	None	None	1	None	1
1619442472	EWERT KEVIN J	2021	FFS	RENDERING SNC	AGE 0-20	125	None	328	None	125	None	328	None	23	None	62	None	125	None	328	None
1619442472	EWERT KEVIN J	2021	FFS	RENDERING SNC	AGE 21+	157	None	495	None	157	None	493	None	47	None	136	None	157	None	493	None
1619454253	RUIZ BYRON A	2021	FFS	RENDERING SNC	AGE 0-20	33	None	55	None	27	None	39	None	None	1	None	1	None	1	None	1
1619454253	RUIZ BYRON A	2021	FFS	RENDERING SNC	AGE 21+	76	None	222	None	26	None	53	None	51	None	94	None	29	None	96	None
1619493327	TRUONG BAO-TRAN L	2021	FFS	RENDERING SNC	AGE 0-20	52	None	124	None	52	None	124	None	0	None	0	None	52	None	124	None
1619493327	TRUONG BAO-TRAN L	2021	FFS	RENDERING SNC	AGE 21+	63	None	177	None	63	None	177	None	0	None	0	None	63	None	177	None
1619509460	NIKCHEVICH NICHOLAS T	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1619640653	GUTIERREZ LUZ C	2021	FFS	RENDERING SNC	AGE 0-20	104	None	119	None	63	None	69	None	33	None	41	None	53	None	54	None
1619640653	GUTIERREZ LUZ C	2021	FFS	RENDERING SNC	AGE 21+	116	None	151	None	52	None	58	None	76	None	91	None	32	None	34	None
1619928538	NEWMAN, PAULETTE M, DDS	2021	FFS	RENDERING SNC	AGE 0-20	938	None	2,289	None	708	None	1,319	None	476	None	841	None	174	None	200	None
1619928538	NEWMAN, PAULETTE M, DDS	2021	FFS	RENDERING SNC	AGE 21+	486	None	1,299	None	199	None	255	None	386	None	976	None	54	None	60	None
1619970159	BRAZA, JEAN SUSANA F, DDS	2021	FFS	RENDERING SNC	AGE 0-20	568	None	931	None	514	None	696	None	161	None	251	None	374	None	416	None
1619970159	BRAZA, JEAN SUSANA F, DDS	2021	FFS	RENDERING SNC	AGE 21+	595	None	1,297	None	444	None	568	None	360	None	711	None	449	None	590	None
1629081005	ASHRAF, IRMEEN M MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1629082110	MONROE, BENJAMIN F MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1629139811	JAHANBANI SAFAEDDIN DDS	2021	FFS	RENDERING SNC	AGE 0-20	1,832	None	6,957	None	1,804	None	6,556	None	99	None	254	None	1,815	None	6,657	None
1629139811	JAHANBANI SAFAEDDIN DDS	2021	FFS	RENDERING SNC	AGE 21+	1,392	None	6,738	None	1,379	None	5,895	None	190	None	834	None	1,379	None	5,899	None
1629154745	LEWIS, KENNETH D MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1629219456	SHEU LISA W	2021	FFS	RENDERING SNC	AGE 0-20	718	None	1,106	None	551	None	710	None	271	None	363	None	326	None	360	None
1629219456	SHEU LISA W	2021	FFS	RENDERING SNC	AGE 21+	477	None	911	None	246	None	301	None	335	None	604	None	253	None	283	None
1629253042	LINCOLN ROSARIO C	2021	FFS	RENDERING SNC	AGE 0-20	1,495	None	2,629	None	1,288	None	1,864	None	272	None	392	None	1,212	None	1,732	None
1629253042	LINCOLN ROSARIO C	2021	FFS	RENDERING SNC	AGE 21+	308	None	446	None	91	None	104	None	140	None	199	None	98	None	103	None
1629260369	OKA, HIDEMI MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	2
1629260369	OKA, HIDEMI MD	2021	FFS	RENDERING SNC	AGE 21+	27	None	30	None	0	None	0	None	17	None	20	None	None	1	None	1
1629260450	SOLIMAN II MACARIO D	2021	FFS	RENDERING SNC	AGE 0-20	1,172	None	2,417	None	1,006	None	1,399	None	937	None	1,830	None	1,047	None	1,509	None
1629260450	SOLIMAN II MACARIO D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1629340237	SANDHU SHARON	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1629366240	MEADOR MATTHEW J	2021	FFS	RENDERING SNC	AGE 0-20	499	None	642	None	415	None	508	None	121	None	159	None	391	None	444	None
1629366240	MEADOR MATTHEW J	2021	FFS	RENDERING SNC	AGE 21+	317	None	507	None	168	None	223	None	202	None	314	None	179	None	215	None
1629372669	FLORES, LIEZL S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	1,985	None	2,711	None	1,825	None	2,269	None	362	None	505	None	1,799	None	2,213	None
1629372669	FLORES, LIEZL S, DDS	2021	FFS	RENDERING SNC	AGE 21+	279	None	359	None	237	None	268	None	75	None	105	None	234	None	254	None
1629394721	WHITLEY, NICHOLAS R MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1629420617	BROWN ERIC	2021	FFS	RENDERING SNC	AGE 0-20	495	None	777	None	422	None	531	None	155	None	196	None	413	None	477	None
1629420617	BROWN ERIC	2021	FFS	RENDERING SNC	AGE 21+	227	None	399	None	117	None	139	None	116	None	182	None	132	None	151	None
1629474572	BOSTRE JERRY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1629474572	BOSTRE JERRY	2021	FFS	RENDERING SNC	AGE 21+	200	None	769	None	110	None	251	None	102	None	520	None	0	None	0	None
1629489315	VAN SICKLEN CHARLES N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1629489315	VAN SICKLEN CHARLES N	2021	FFS	RENDERING SNC	AGE 21+	40	None	76	None	None	1	None	1	26	None	40	None	None	1	None	1
1629509260	MARTINEZ LESLY VICTORIA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1629521430	RASCO ROBERT Z	2021	FFS	RENDERING SNC	AGE 0-20	495	None	1,720	None	495	None	1,718	None	0	None	0	None	495	None	1,718	None
1629521430	RASCO ROBERT Z	2021	FFS	RENDERING SNC	AGE 21+	475	None	1,444	None	475	None	1,444	None	0	None	0	None	475	None	1,444	None
1629556865	CHAWLA PRAGYA	2021	FFS	RENDERING SNC	AGE 0-20	182	None	384	None	143	None	179	None	82	None	170	None	165	None	234	None
1629556865	CHAWLA PRAGYA	2021	FFS	RENDERING SNC	AGE 21+	419	None	1,515	None	290	None	426	None	293	None	983	None	367	None	666	None
1629599535	UNITED HEALTH CENTERS OF THE	2021	FFS	RENDERING SNC	AGE 0-20	230	None	972	None	161	None	450	None	102	None	374	None	32	None	80	None
1629599535	UNITED HEALTH CENTERS OF THE	2021	FFS	RENDERING SNC	AGE 21+	299	None	1,580	None	122	None	310	None	226	None	1,098	None	52	None	110	None
1629622014	GRIN ERIC JONATHAN	2021	FFS	RENDERING SNC	AGE 0-20	89	None	126	None	54	None	69	None	21	None	27	None	49	None	56	None
1629622014	GRIN ERIC JONATHAN	2021	FFS	RENDERING SNC	AGE 21+	90	None	144	None	36	None	39	None	19	None	27	None	72	None	91	None
1629630496	RODRIGUEZ ADAM P	2021	FFS	RENDERING SNC	AGE 0-20	338	None	612	None	335	None	599	None	0	None	0	None	335	None	599	None
1629630496	RODRIGUEZ ADAM P	2021	FFS	RENDERING SNC	AGE 21+	248	None	475	None	239	None	455	None	0	None	0	None	239	None	455	None
1639166978	HETSKO MICHAEL L	2021	FFS	RENDERING SNC	AGE 0-20	258	None	600	None	236	None	392	None	98	None	202	None	208	None	230	None
1639166978	HETSKO MICHAEL L	2021	FFS	RENDERING SNC	AGE 21+	380	None	1,120	None	313	None	406	None	245	None	760	None	301	None	345	None
1639202484	CHEE MARTIN A	2021	FFS	RENDERING SNC	AGE 0-20	164	None	240	None	136	None	164	None	53	None	83	None	133	None	162	None
1639202484	CHEE MARTIN A	2021	FFS	RENDERING SNC	AGE 21+	156	None	249	None	74	None	95	None	129	None	195	None	72	None	92	None
1639211899	RAVARI SAHAR N	2021	FFS	RENDERING SNC	AGE 0-20	562	None	915	None	538	None	799	None	79	None	99	None	507	None	706	None
1639211899	RAVARI SAHAR N	2021	FFS	RENDERING SNC	AGE 21+	251	None	538	None	227	None	363	None	145	None	263	None	223	None	339	None
1639211899	RAVARI SAHAR N	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1639230733	WANG LE LE	2021	FFS	RENDERING SNC	AGE 0-20	444	None	547	None	326	None	347	None	153	None	180	None	308	None	312	None
1639230733	WANG LE LE	2021	FFS	RENDERING SNC	AGE 21+	391	None	727	None	195	None	222	None	254	None	408	None	194	None	251	None
1639276306	MARSHALL, DEJERNERIA	2021	FFS	RENDERING SNC	AGE 0-20	99	None	217	None	94	None	159	None	46	None	88	None	81	None	97	None
1639276306	MARSHALL, DEJERNERIA	2021	FFS	RENDERING SNC	AGE 21+	178	None	427	None	155	None	319	None	100	None	196	None	146	None	274	None
1639277908	LAMBERT CAROLINE LORRAINE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1639277908	LAMBERT CAROLINE LORRAINE	2021	FFS	RENDERING SNC	AGE 21+	12	None	30	None	None	1	None	2	None	1	None	2	None	1	None	2
1639301716	NG CHARMAINE G	2021	FFS	RENDERING SNC	AGE 0-20	16	None	16	None	15	None	15	None	0	None	0	None	15	None	15	None
1639301716	NG CHARMAINE G	2021	FFS	RENDERING SNC	AGE 21+	25	None	25	None	None	1	None	1	None	1	None	1	19	None	19	None
1639309404	TEAGUE MATTHEW W	2021	FFS	RENDERING SNC	AGE 0-20	360	None	574	None	188	None	245	None	65	None	91	None	93	None	107	None
1639309404	TEAGUE MATTHEW W	2021	FFS	RENDERING SNC	AGE 21+	212	None	398	None	141	None	228	None	126	None	226	None	45	None	58	None
1639348204	PRASAD, PRADEEP S MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1639404692	SY, ALDRICH MD	2021	FFS	RENDERING SNC	AGE 0-20	19	None	26	None	0	None	0	None	None	1	None	1	16	None	22	None
1639404692	SY, ALDRICH MD	2021	FFS	RENDERING SNC	AGE 21+	46	None	53	None	0	None	0	None	25	None	27	None	19	None	22	None
1639485162	WESTFALL, APRIL LYN DMD	2021	FFS	RENDERING SNC	AGE 0-20	75	None	83	None	75	None	75	None	39	None	39	None	73	None	73	None
1639485162	WESTFALL, APRIL LYN DMD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1639518699	HADDADIN MARWAN	2021	FFS	RENDERING SNC	AGE 0-20	412	None	702	None	384	None	507	None	154	None	270	None	309	None	347	None
1639518699	HADDADIN MARWAN	2021	FFS	RENDERING SNC	AGE 21+	674	None	1,607	None	562	None	751	None	436	None	958	None	570	None	834	None
1639538994	HARLAN MIA	2021	FFS	RENDERING SNC	AGE 0-20	155	None	330	None	155	None	330	None	46	None	92	None	155	None	330	None
1639538994	HARLAN MIA	2021	FFS	RENDERING SNC	AGE 21+	178	None	514	None	178	None	514	None	135	None	385	None	178	None	514	None
1639646813	CHEN JASON L	2021	FFS	RENDERING SNC	AGE 0-20	515	None	1,046	None	515	None	1,046	None	0	None	0	None	515	None	1,046	None
1639646813	CHEN JASON L	2021	FFS	RENDERING SNC	AGE 21+	743	None	2,162	None	741	None	2,158	None	0	None	0	None	742	None	2,159	None
1639650245	RODRIGUEZ PENA ANGEL E	2021	FFS	RENDERING SNC	AGE 0-20	973	None	2,230	None	940	None	1,937	None	232	None	414	None	871	None	1,181	None
1639650245	RODRIGUEZ PENA ANGEL E	2021	FFS	RENDERING SNC	AGE 21+	583	None	1,398	None	516	None	958	None	280	None	601	None	472	None	639	None
1639696396	SURA AMISHA A	2021	FFS	RENDERING SNC	AGE 0-20	97	None	161	None	77	None	118	None	30	None	49	None	62	None	90	None
1639696396	SURA AMISHA A	2021	FFS	RENDERING SNC	AGE 21+	82	None	186	None	29	None	49	None	63	None	136	None	38	None	63	None
1639772700	RANA SARASWATI	2021	FFS	RENDERING SNC	AGE 0-20	213	None	620	None	170	None	384	None	74	None	171	None	78	None	109	None
1639772700	RANA SARASWATI	2021	FFS	RENDERING SNC	AGE 21+	289	None	1,204	None	173	None	429	None	176	None	623	None	116	None	217	None
1639785223	VAEZ MERCEDEH N	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1639792542	DAWSON COURTNEY NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	300	None	487	None	292	None	470	None	15	None	23	None	54	None	59	None
1639792542	DAWSON COURTNEY NICOLE	2021	FFS	RENDERING SNC	AGE 21+	166	None	303	None	55	None	64	None	114	None	238	None	15	None	17	None
1649309014	MACHADO ASTERITA A	2021	FFS	RENDERING SNC	AGE 0-20	284	None	543	None	284	None	543	None	0	None	0	None	284	None	543	None
1649309014	MACHADO ASTERITA A	2021	FFS	RENDERING SNC	AGE 21+	220	None	587	None	220	None	587	None	0	None	0	None	220	None	587	None
1649309014	MACHADO ASTERITA A	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649316332	SULLIVAN, NEIL P MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649348632	PEREZ MARISSA ALINA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1649382714	THYNE, SHANNON MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1649386210	KADAKIA, AMAR A MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649476672	GUEVARA GABRIEL S	2021	FFS	RENDERING SNC	AGE 0-20	14	None	30	None	None	1	None	2	13	None	24	None	None	1	None	1
1649476672	GUEVARA GABRIEL S	2021	FFS	RENDERING SNC	AGE 21+	186	None	527	None	90	None	164	None	176	None	459	None	99	None	123	None
1649476672	GUEVARA GABRIEL S	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1649476672	GUEVARA GABRIEL S	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1649561226	GORJIAN ARTIN H	2021	FFS	RENDERING SNC	AGE 0-20	140	None	202	None	0	None	0	None	0	None	0	None	0	None	0	None
1649561226	GORJIAN ARTIN H	2021	FFS	RENDERING SNC	AGE 21+	159	None	331	None	None	1	None	1	None	1	None	1	0	None	0	None
1649561226	GORJIAN ARTIN H	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1649629502	ZMIEVSCHI RUSLAN	2021	FFS	RENDERING SNC	AGE 0-20	136	None	198	None	0	None	0	None	0	None	0	None	0	None	0	None
1649629502	ZMIEVSCHI RUSLAN	2021	FFS	RENDERING SNC	AGE 21+	445	None	805	None	0	None	0	None	0	None	0	None	0	None	0	None
1649634841	AKAS, MICHAEL N NP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649648593	JARMAK MIRA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1649656299	HAN PAMELA ZUNG F	2021	FFS	RENDERING SNC	AGE 0-20	596	None	978	None	561	None	735	None	128	None	219	None	492	None	585	None
1649656299	HAN PAMELA ZUNG F	2021	FFS	RENDERING SNC	AGE 21+	467	None	1,163	None	365	None	457	None	196	None	414	None	381	None	588	None
1649672304	PANIS MARILYN LACSAMANA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649683095	LATHAM LESLEY N	2021	FFS	RENDERING SNC	AGE 0-20	602	None	1,148	None	439	None	610	None	219	None	293	None	419	None	558	None
1649683095	LATHAM LESLEY N	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1649717257	MALHOTRA MISHEL	2021	FFS	RENDERING SNC	AGE 0-20	848	None	1,228	None	671	None	807	None	552	None	761	None	325	None	358	None
1649717257	MALHOTRA MISHEL	2021	FFS	RENDERING SNC	AGE 21+	693	None	1,258	None	96	None	102	None	563	None	976	None	503	None	699	None
1649718578	ANSARI MOHAM M	2021	FFS	RENDERING SNC	AGE 0-20	206	None	371	None	188	None	249	None	64	None	139	None	147	None	155	None
1649718578	ANSARI MOHAM M	2021	FFS	RENDERING SNC	AGE 21+	230	None	484	None	148	None	193	None	101	None	200	None	137	None	173	None
1649718578	ANSARI MOHAM M	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1649737131	HUGHES KRISTI MICHELLE	2021	FFS	RENDERING SNC	AGE 0-20	80	None	199	None	78	None	193	None	None	1	None	1	None	1	None	1
1649737131	HUGHES KRISTI MICHELLE	2021	FFS	RENDERING SNC	AGE 21+	159	None	492	None	159	None	492	None	62	None	242	None	None	1	None	1
1649807090	CHANG CHEAN TAU	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1649837980	LUCE CYNTHIA ANN	2021	FFS	RENDERING SNC	AGE 0-20	149	None	300	None	149	None	300	None	0	None	0	None	149	None	300	None
1649837980	LUCE CYNTHIA ANN	2021	FFS	RENDERING SNC	AGE 21+	103	None	219	None	103	None	219	None	0	None	0	None	103	None	219	None
1649854373	BENSON KINGSLEY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1649885211	SHAH NIRALEE ROHIT	2021	FFS	RENDERING SNC	AGE 0-20	835	None	1,628	None	796	None	1,297	None	216	None	340	None	742	None	931	None
1649885211	SHAH NIRALEE ROHIT	2021	FFS	RENDERING SNC	AGE 21+	717	None	1,930	None	642	None	1,077	None	357	None	841	None	604	None	863	None
1659377646	LAMBING ROBERT THEODORE	2021	FFS	RENDERING SNC	AGE 0-20	14	None	15	None	12	None	13	None	None	1	None	1	12	None	13	None
1659377646	LAMBING ROBERT THEODORE	2021	FFS	RENDERING SNC	AGE 21+	21	None	23	None	17	None	18	None	None	1	None	1	19	None	20	None
1659392272	MARTINEZ TIMOTHY S	2021	FFS	RENDERING SNC	AGE 0-20	283	None	337	None	206	None	233	None	49	None	57	None	179	None	196	None
1659392272	MARTINEZ TIMOTHY S	2021	FFS	RENDERING SNC	AGE 21+	186	None	291	None	102	None	121	None	95	None	125	None	103	None	123	None
1659402980	YOON MICHAEL J	2021	FFS	RENDERING SNC	AGE 0-20	533	None	1,225	None	404	None	663	None	95	None	170	None	58	None	66	None
1659402980	YOON MICHAEL J	2021	FFS	RENDERING SNC	AGE 21+	689	None	1,456	None	238	None	264	None	282	None	566	None	32	None	35	None
1659405306	STACK LYNDA BASILE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1659421725	SPECTOR DAVID MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	290	None	1,213	None	290	None	1,213	None	0	None	0	None	290	None	1,213	None
1659421725	SPECTOR DAVID MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	470	None	2,039	None	469	None	2,035	None	0	None	0	None	469	None	2,035	None
1659448918	WHITE KATHRYN CARR	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1659448918	WHITE KATHRYN CARR	2021	FFS	RENDERING SNC	AGE 21+	458	None	871	None	353	None	489	None	222	None	337	None	371	None	529	None
1659499069	CACES-TIAMSON MARIA A	2021	FFS	RENDERING SNC	AGE 0-20	132	None	405	None	108	None	203	None	64	None	162	None	115	None	224	None
1659499069	CACES-TIAMSON MARIA A	2021	FFS	RENDERING SNC	AGE 21+	182	None	595	None	108	None	228	None	127	None	393	None	151	None	260	None
1659518066	HOKAMA MYLES M	2021	FFS	RENDERING SNC	AGE 0-20	65	None	78	None	0	None	0	None	0	None	0	None	0	None	0	None
1659518066	HOKAMA MYLES M	2021	FFS	RENDERING SNC	AGE 21+	56	None	72	None	0	None	0	None	0	None	0	None	0	None	0	None
1659580710	ANTWAN DUNYA G	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659580710	ANTWAN DUNYA G	2021	FFS	RENDERING SNC	AGE 21+	36	None	124	None	None	1	None	2	33	None	103	None	None	1	None	1
1659662757	CHAWLA HARJOT S	2021	FFS	RENDERING SNC	AGE 0-20	73	None	97	None	66	None	76	None	21	None	31	None	65	None	75	None
1659662757	CHAWLA HARJOT S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659678779	MILLER KHANDA A	2021	FFS	RENDERING SNC	AGE 0-20	15	None	34	None	None	1	None	1	None	1	None	2	None	1	None	1
1659678779	MILLER KHANDA A	2021	FFS	RENDERING SNC	AGE 21+	79	None	184	None	13	None	14	None	69	None	153	None	16	None	17	None
1659682565	HABASHY JAMES	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1659682565	HABASHY JAMES	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1659747061	SALDIVAR NATALIE RENEE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1659747061	SALDIVAR NATALIE RENEE	2021	FFS	RENDERING SNC	AGE 21+	53	None	60	None	44	None	47	None	12	None	12	None	48	None	54	None
1659748242	ROMERO, AMANDA M RN CPNP	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659780328	KUO CHLOE N	2021	FFS	RENDERING SNC	AGE 0-20	99	None	308	None	90	None	179	None	77	None	179	None	74	None	99	None
1659780328	KUO CHLOE N	2021	FFS	RENDERING SNC	AGE 21+	543	None	2,000	None	471	None	810	None	461	None	1,308	None	424	None	805	None
1659801975	SCHLUMPF MIKELL ANGELA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659801975	SCHLUMPF MIKELL ANGELA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659805158	NWOSU MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1659806719	FLORES DUBON MACKLIN A	2021	FFS	RENDERING SNC	AGE 0-20	815	None	1,009	None	684	None	799	None	109	None	134	None	677	None	790	None
1659806719	FLORES DUBON MACKLIN A	2021	FFS	RENDERING SNC	AGE 21+	814	None	1,169	None	674	None	845	None	270	None	352	None	675	None	857	None
1659828895	CHALLA RAJESWARI	2021	FFS	RENDERING SNC	AGE 0-20	835	None	1,301	None	734	None	965	None	224	None	340	None	503	None	538	None
1659828895	CHALLA RAJESWARI	2021	FFS	RENDERING SNC	AGE 21+	444	None	922	None	383	None	559	None	243	None	446	None	323	None	452	None
1659849529	OROVILLE HOSPITAL	2021	FFS	RENDERING SNC	AGE 21+	14	None	27	None	14	None	27	None	0	None	0	None	0	None	0	None
1659853539	BRUNELL, CHRISTOPHER J PHD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1659895753	KHOOSHAB SAHAR	2021	FFS	RENDERING SNC	AGE 0-20	19	None	35	None	11	None	15	None	12	None	20	None	None	1	None	1
1659895753	KHOOSHAB SAHAR	2021	FFS	RENDERING SNC	AGE 21+	110	None	326	None	41	None	43	None	97	None	267	None	51	None	69	None
1659927093	IBRAHIM MERNA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1659927093	IBRAHIM MERNA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1659988004	DANIELS ALEXIS HALEY	2021	FFS	RENDERING SNC	AGE 0-20	113	None	137	None	112	None	136	None	None	1	None	1	0	None	0	None
1659988004	DANIELS ALEXIS HALEY	2021	FFS	RENDERING SNC	AGE 21+	495	None	1,120	None	493	None	1,087	None	85	None	150	None	None	1	None	1
1669407946	MOUDGALYA RAJINI R	2021	FFS	RENDERING SNC	AGE 0-20	146	None	202	None	127	None	160	None	58	None	72	None	94	None	101	None
1669407946	MOUDGALYA RAJINI R	2021	FFS	RENDERING SNC	AGE 21+	43	None	53	None	24	None	25	None	30	None	39	None	16	None	16	None
1669500666	LEE JEFFREY M	2021	FFS	RENDERING SNC	AGE 0-20	144	None	308	None	54	None	95	None	57	None	107	None	105	None	144	None
1669500666	LEE JEFFREY M	2021	FFS	RENDERING SNC	AGE 21+	369	None	1,128	None	101	None	162	None	297	None	683	None	266	None	499	None
1669506242	DRINCIC MARKO V	2021	FFS	RENDERING SNC	AGE 0-20	125	None	260	None	85	None	126	None	72	None	126	None	50	None	57	None
1669506242	DRINCIC MARKO V	2021	FFS	RENDERING SNC	AGE 21+	224	None	755	None	126	None	226	None	176	None	487	None	106	None	185	None
1669520243	LANE LINWOOD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1669520243	LANE LINWOOD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1669532545	NGUYEN BINH H	2021	FFS	RENDERING SNC	AGE 0-20	456	None	787	None	388	None	509	None	169	None	265	None	360	None	414	None
1669532545	NGUYEN BINH H	2021	FFS	RENDERING SNC	AGE 21+	448	None	1,224	None	297	None	437	None	323	None	784	None	236	None	256	None
1669537767	JOHNSON ERIC OLIN	2021	FFS	RENDERING SNC	AGE 0-20	128	None	184	None	69	None	81	None	49	None	88	None	54	None	63	None
1669537767	JOHNSON ERIC OLIN	2021	FFS	RENDERING SNC	AGE 21+	283	None	590	None	71	None	112	None	185	None	377	None	106	None	153	None
1669542627	LEWIS DOUGLAS S	2021	FFS	RENDERING SNC	AGE 0-20	606	None	859	None	390	None	461	None	444	None	636	None	180	None	207	None
1669542627	LEWIS DOUGLAS S	2021	FFS	RENDERING SNC	AGE 21+	793	None	1,512	None	100	None	112	None	656	None	1,146	None	480	None	774	None
1669560793	BALUYUT DENNIS P	2021	FFS	RENDERING SNC	AGE 0-20	308	None	923	None	244	None	524	None	129	None	319	None	278	None	576	None
1669560793	BALUYUT DENNIS P	2021	FFS	RENDERING SNC	AGE 21+	565	None	2,499	None	416	None	863	None	416	None	1,566	None	476	None	1,161	None
1669575783	ANSARI NELOFER	2021	FFS	RENDERING SNC	AGE 0-20	324	None	402	None	265	None	314	None	68	None	89	None	233	None	269	None
1669575783	ANSARI NELOFER	2021	FFS	RENDERING SNC	AGE 21+	178	None	235	None	131	None	155	None	71	None	93	None	127	None	149	None
1669579330	HUMES ROXAN C	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669579330	HUMES ROXAN C	2021	FFS	RENDERING SNC	AGE 21+	18	None	73	None	0	None	0	None	0	None	0	None	15	None	45	None
1669651337	THAN HOANG T	2021	FFS	RENDERING SNC	AGE 0-20	273	None	314	None	175	None	200	None	88	None	97	None	174	None	198	None
1669651337	THAN HOANG T	2021	FFS	RENDERING SNC	AGE 21+	295	None	402	None	126	None	153	None	175	None	232	None	109	None	140	None
1669685228	ROLDAN ROSE E	2021	FFS	RENDERING SNC	AGE 0-20	317	None	489	None	316	None	483	None	None	1	None	1	316	None	485	None
1669685228	ROLDAN ROSE E	2021	FFS	RENDERING SNC	AGE 21+	342	None	598	None	327	None	568	None	11	None	11	None	330	None	572	None
1669713665	AMIN-PATEL SAHIL D	2021	FFS	RENDERING SNC	AGE 0-20	62	None	78	None	31	None	38	None	24	None	31	None	25	None	31	None
1669713665	AMIN-PATEL SAHIL D	2021	FFS	RENDERING SNC	AGE 21+	252	None	302	None	122	None	146	None	76	None	87	None	93	None	109	None
1669734505	TRAN LINDA K	2021	FFS	RENDERING SNC	AGE 0-20	692	None	1,137	None	609	None	750	None	237	None	392	None	567	None	624	None
1669734505	TRAN LINDA K	2021	FFS	RENDERING SNC	AGE 21+	380	None	654	None	137	None	175	None	258	None	408	None	167	None	211	None
1669774907	KARP JEFFREY H	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1669774907	KARP JEFFREY H	2021	FFS	RENDERING SNC	AGE 21+	225	None	624	None	123	None	185	None	93	None	191	None	127	None	206	None
1669786869	FUENTES LILIA	2021	FFS	RENDERING SNC	AGE 0-20	298	None	348	None	54	None	58	None	None	1	None	1	81	None	86	None
1669786869	FUENTES LILIA	2021	FFS	RENDERING SNC	AGE 21+	85	None	85	None	0	None	0	None	None	1	None	1	71	None	71	None
1669838637	WALKER DENNISE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669854741	HU AILLIE Y	2021	FFS	RENDERING SNC	AGE 0-20	364	None	852	None	261	None	351	None	129	None	287	None	23	None	26	None
1669854741	HU AILLIE Y	2021	FFS	RENDERING SNC	AGE 21+	261	None	900	None	83	None	90	None	147	None	474	None	39	None	61	None
1669872404	MARTINEZ YAJAIRA	2021	FFS	RENDERING SNC	AGE 0-20	146	None	197	None	111	None	137	None	40	None	52	None	76	None	85	None
1669872404	MARTINEZ YAJAIRA	2021	FFS	RENDERING SNC	AGE 21+	126	None	278	None	72	None	83	None	82	None	160	None	73	None	93	None
1669880399	MAGTOTO ALIDA GRACE M	2021	FFS	RENDERING SNC	AGE 0-20	70	None	96	None	66	None	77	None	30	None	42	None	53	None	62	None
1669880399	MAGTOTO ALIDA GRACE M	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1669901518	CAO LONG H	2021	FFS	RENDERING SNC	AGE 0-20	310	None	702	None	235	None	359	None	171	None	379	None	250	None	438	None
1669901518	CAO LONG H	2021	FFS	RENDERING SNC	AGE 21+	798	None	2,249	None	441	None	640	None	479	None	1,130	None	547	None	1,181	None
1669909354	YOUNAN JAMES MARC	2021	FFS	RENDERING SNC	AGE 0-20	438	None	1,989	None	409	None	1,412	None	143	None	509	None	423	None	1,510	None
1669909354	YOUNAN JAMES MARC	2021	FFS	RENDERING SNC	AGE 21+	385	None	2,084	None	218	None	635	None	214	None	1,008	None	346	None	1,280	None
1669912655	NGUYEN JIMMY-TUNG THANH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1669956769	KWON WILLIAM MYUNG	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1669956769	KWON WILLIAM MYUNG	2021	FFS	RENDERING SNC	AGE 21+	24	None	33	None	0	None	0	None	18	None	21	None	None	1	None	2
1679008262	CHEUNG RAYMOND M	2021	FFS	RENDERING SNC	AGE 0-20	677	None	1,278	None	617	None	998	None	148	None	254	None	540	None	678	None
1679008262	CHEUNG RAYMOND M	2021	FFS	RENDERING SNC	AGE 21+	695	None	1,537	None	630	None	977	None	234	None	508	None	636	None	838	None
1679041008	HTET SOE M	2021	FFS	RENDERING SNC	AGE 0-20	53	None	68	None	52	None	63	None	None	1	None	1	50	None	61	None
1679041008	HTET SOE M	2021	FFS	RENDERING SNC	AGE 21+	385	None	585	None	370	None	535	None	30	None	52	None	381	None	557	None
1679094379	CHEN CHRISTINA	2021	FFS	RENDERING SNC	AGE 0-20	310	None	364	None	157	None	172	None	66	None	73	None	79	None	86	None
1679094379	CHEN CHRISTINA	2021	FFS	RENDERING SNC	AGE 21+	439	None	539	None	187	None	204	None	127	None	150	None	320	None	376	None
1679509954	CHANDRAMOULI, RANJANI MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1679514798	DEL ROSARIO SUSAN	2021	FFS	RENDERING SNC	AGE 0-20	141	None	333	None	141	None	330	None	26	None	49	None	141	None	330	None
1679514798	DEL ROSARIO SUSAN	2021	FFS	RENDERING SNC	AGE 21+	267	None	830	None	267	None	823	None	147	None	421	None	267	None	823	None
1679574495	HARDY GRACE S	2021	FFS	RENDERING SNC	AGE 0-20	160	None	167	None	160	None	167	None	0	None	0	None	160	None	167	None
1679589618	KINSEL JAMES	2021	FFS	RENDERING SNC	AGE 0-20	361	None	897	None	292	None	677	None	86	None	187	None	217	None	469	None
1679589618	KINSEL JAMES	2021	FFS	RENDERING SNC	AGE 21+	641	None	2,067	None	438	None	1,031	None	307	None	934	None	413	None	1,002	None
1679659163	SAHAKIANS, ALLEN, RDHAP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1679659163	SAHAKIANS, ALLEN, RDHAP	2021	FFS	RENDERING SNC	AGE 21+	383	None	484	None	193	None	209	None	241	None	325	None	None	1	None	1
1679659361	LINCARE INC.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1679659858	SABRI LAMYA T	2021	FFS	RENDERING SNC	AGE 0-20	241	None	813	None	181	None	342	None	131	None	393	None	196	None	401	None
1679659858	SABRI LAMYA T	2021	FFS	RENDERING SNC	AGE 21+	314	None	1,159	None	104	None	199	None	227	None	614	None	161	None	403	None
1679664346	YEE, BRIAN MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1679664346	YEE, BRIAN MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1679735146	YEE DANA D	2021	FFS	RENDERING SNC	AGE 0-20	575	None	1,130	None	529	None	814	None	191	None	374	None	207	None	308	None
1679735146	YEE DANA D	2021	FFS	RENDERING SNC	AGE 21+	465	None	1,046	None	308	None	446	None	207	None	396	None	246	None	446	None
1679738827	ABASS OLAWUNMI M	2021	FFS	RENDERING SNC	AGE 0-20	356	None	1,335	None	262	None	608	None	235	None	615	None	98	None	144	None
1679738827	ABASS OLAWUNMI M	2021	FFS	RENDERING SNC	AGE 21+	460	None	1,864	None	292	None	550	None	364	None	1,250	None	92	None	125	None
1679761019	EL SAYED MOHAMED A	2021	FFS	RENDERING SNC	AGE 0-20	88	None	156	None	87	None	154	None	None	1	None	1	87	None	154	None
1679761019	EL SAYED MOHAMED A	2021	FFS	RENDERING SNC	AGE 21+	167	None	298	None	164	None	288	None	None	1	None	1	164	None	288	None
1679771174	JOHNSON MALIA L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1679771174	JOHNSON MALIA L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1679821979	COOPERMAN, GLENN A MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1679831184	BOYD NATHAN	2021	FFS	RENDERING SNC	AGE 0-20	49	None	65	None	22	None	26	None	25	None	35	None	None	1	None	1
1679831184	BOYD NATHAN	2021	FFS	RENDERING SNC	AGE 21+	184	None	386	None	69	None	92	None	154	None	292	None	52	None	67	None
1679928659	TUMANYAN ASTHIK	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1679928659	TUMANYAN ASTHIK	2021	FFS	RENDERING SNC	AGE 21+	55	None	198	None	None	1	None	1	43	None	132	None	14	None	52	None
1689038465	TAN CATHERINE F	2021	FFS	RENDERING SNC	AGE 0-20	922	None	1,265	None	805	None	1,043	None	174	None	220	None	671	None	820	None
1689038465	TAN CATHERINE F	2021	FFS	RENDERING SNC	AGE 21+	324	None	511	None	49	None	59	None	229	None	387	None	38	None	47	None
1689050296	NGUYEN ELAINE A	2021	FFS	RENDERING SNC	AGE 0-20	142	None	227	None	123	None	156	None	87	None	130	None	128	None	167	None
1689050296	NGUYEN ELAINE A	2021	FFS	RENDERING SNC	AGE 21+	257	None	537	None	198	None	305	None	172	None	287	None	203	None	329	None
1689105215	MELGOZA VICKY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689138224	MCCLURE MARTHA	2021	FFS	RENDERING SNC	AGE 0-20	259	None	389	None	251	None	349	None	None	1	None	2	0	None	0	None
1689138224	MCCLURE MARTHA	2021	FFS	RENDERING SNC	AGE 21+	296	None	503	None	218	None	305	None	249	None	446	None	0	None	0	None
1689139396	ARVIZU PALOMA	2021	FFS	RENDERING SNC	AGE 21+	14	None	15	None	0	None	0	None	0	None	0	None	0	None	0	None
1689169005	ABADIAN BAHAREH	2021	FFS	RENDERING SNC	AGE 0-20	213	None	378	None	42	None	58	None	25	None	55	None	None	1	None	1
1689169005	ABADIAN BAHAREH	2021	FFS	RENDERING SNC	AGE 21+	285	None	752	None	121	None	217	None	93	None	173	None	21	None	25	None
1689208936	THAI RACHEL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689208936	THAI RACHEL	2021	FFS	RENDERING SNC	AGE 21+	95	None	120	None	95	None	120	None	0	None	0	None	95	None	120	None
1689215998	LEE YOUNJIN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1689256315	ALVARENGA LUIS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1689342545	HERNANDEZ VILLALVAZO HECTOR DANIEL	2021	FFS	RENDERING SNC	AGE 0-20	219	None	476	None	201	None	360	None	43	None	79	None	181	None	240	None
1689342545	HERNANDEZ VILLALVAZO HECTOR DANIEL	2021	FFS	RENDERING SNC	AGE 21+	250	None	793	None	196	None	414	None	131	None	335	None	192	None	359	None
1689347452	TALAKOUB NAGHME	2021	FFS	RENDERING SNC	AGE 0-20	66	None	144	None	59	None	86	None	50	None	93	None	42	None	43	None
1689347452	TALAKOUB NAGHME	2021	FFS	RENDERING SNC	AGE 21+	81	None	201	None	65	None	123	None	54	None	82	None	40	None	45	None
1689700114	VILLA GUADALUPE V	2021	FFS	RENDERING SNC	AGE 0-20	452	None	1,167	None	434	None	930	None	239	None	431	None	255	None	323	None
1689700114	VILLA GUADALUPE V	2021	FFS	RENDERING SNC	AGE 21+	359	None	1,039	None	336	None	617	None	259	None	607	None	227	None	320	None
1689726200	LEE DAVID W	2021	FFS	RENDERING SNC	AGE 0-20	322	None	1,838	None	300	None	954	None	200	None	894	None	296	None	948	None
1689738866	AUSTIN, CHESTER J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1689738866	AUSTIN, CHESTER J	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1689787202	BUSSELEN, STEVEN C MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689818635	ROCES MARIA VICTORIA	2021	FFS	RENDERING SNC	AGE 0-20	731	None	1,693	None	661	None	1,036	None	505	None	966	None	689	None	1,165	None
1689818635	ROCES MARIA VICTORIA	2021	FFS	RENDERING SNC	AGE 21+	411	None	757	None	173	None	200	None	214	None	406	None	360	None	521	None
1689858219	CHENG DANIEL C	2021	FFS	RENDERING SNC	AGE 0-20	547	None	836	None	487	None	589	None	107	None	167	None	424	None	453	None
1689858219	CHENG DANIEL C	2021	FFS	RENDERING SNC	AGE 21+	484	None	1,000	None	364	None	427	None	136	None	236	None	384	None	586	None
1689862146	LEE JINA	2021	FFS	RENDERING SNC	AGE 0-20	756	None	1,920	None	600	None	1,017	None	215	None	390	None	163	None	185	None
1689862146	LEE JINA	2021	FFS	RENDERING SNC	AGE 21+	604	None	1,297	None	208	None	225	None	218	None	434	None	11	None	12	None
1689868242	AGUILAR JACQUELINE D	2021	FFS	RENDERING SNC	AGE 0-20	119	None	162	None	118	None	160	None	None	1	None	1	117	None	156	None
1689868242	AGUILAR JACQUELINE D	2021	FFS	RENDERING SNC	AGE 21+	128	None	208	None	126	None	204	None	None	1	None	1	126	None	204	None
1689869257	SARVI, SAUNAZ	2021	FFS	RENDERING SNC	AGE 0-20	116	None	161	None	106	None	114	None	35	None	49	None	104	None	104	None
1689869257	SARVI, SAUNAZ	2021	FFS	RENDERING SNC	AGE 21+	128	None	217	None	68	None	89	None	86	None	125	None	69	None	77	None
1689886624	TANBONLIONG JR THOMAS S	2021	FFS	RENDERING SNC	AGE 0-20	401	None	454	None	241	None	267	None	170	None	187	None	238	None	264	None
1689886624	TANBONLIONG JR THOMAS S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689891020	PENDURKAR SHAKALPI R	2021	FFS	RENDERING SNC	AGE 0-20	278	None	326	None	138	None	162	None	82	None	92	None	191	None	226	None
1689891020	PENDURKAR SHAKALPI R	2021	FFS	RENDERING SNC	AGE 21+	65	None	77	None	40	None	46	None	25	None	27	None	42	None	48	None
1689904476	BAJORIA RASHMI	2021	FFS	RENDERING SNC	AGE 0-20	26	None	27	None	18	None	19	None	None	1	None	1	16	None	16	None
1689904476	BAJORIA RASHMI	2021	FFS	RENDERING SNC	AGE 21+	46	None	50	None	23	None	24	None	22	None	24	None	15	None	16	None
1689926297	PATEL BELA R	2021	FFS	RENDERING SNC	AGE 0-20	232	None	705	None	211	None	507	None	64	None	187	None	175	None	380	None
1689926297	PATEL BELA R	2021	FFS	RENDERING SNC	AGE 21+	417	None	2,063	None	285	None	769	None	288	None	1,228	None	292	None	791	None
1689933178	LEDOUX ANNIE C	2021	FFS	RENDERING SNC	AGE 0-20	99	None	198	None	99	None	198	None	16	None	25	None	99	None	198	None
1689933178	LEDOUX ANNIE C	2021	FFS	RENDERING SNC	AGE 21+	243	None	728	None	243	None	727	None	113	None	247	None	243	None	727	None
1689933178	LEDOUX ANNIE C	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1689997074	CAMARENA MARY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1689997074	CAMARENA MARY	2021	FFS	RENDERING SNC	AGE 21+	12	None	13	None	None	1	None	1	None	1	None	1	0	None	0	None
1699079418	KHAMIS WATHIQ I	2021	FFS	RENDERING SNC	AGE 0-20	969	None	2,741	None	962	None	2,362	None	227	None	379	None	953	None	2,105	None
1699079418	KHAMIS WATHIQ I	2021	FFS	RENDERING SNC	AGE 21+	304	None	876	None	287	None	458	None	122	None	417	None	286	None	441	None
1699105619	CHEN DONALD Y	2021	FFS	RENDERING SNC	AGE 0-20	22	None	27	None	None	1	None	1	None	1	None	1	11	None	11	None
1699127266	CHANG EVAN Y	2021	FFS	RENDERING SNC	AGE 0-20	1,059	None	1,249	None	701	None	783	None	349	None	398	None	654	None	727	None
1699128413	TANG VICKY	2021	FFS	RENDERING SNC	AGE 0-20	315	None	674	None	224	None	302	None	144	None	270	None	291	None	408	None
1699128413	TANG VICKY	2021	FFS	RENDERING SNC	AGE 21+	395	None	1,250	None	192	None	255	None	286	None	779	None	338	None	558	None
1699157602	HURNG JONATHAN M	2021	FFS	RENDERING SNC	AGE 0-20	521	None	906	None	403	None	475	None	285	None	481	None	307	None	366	None
1699157602	HURNG JONATHAN M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1699178285	WU HUI JUE	2021	FFS	RENDERING SNC	AGE 0-20	13	None	14	None	None	1	None	1	None	1	None	1	None	1	None	1
1699178285	WU HUI JUE	2021	FFS	RENDERING SNC	AGE 21+	602	None	716	None	131	None	144	None	384	None	439	None	154	None	168	None
1699200188	MUNNS JONATHAN	2021	FFS	RENDERING SNC	AGE 0-20	902	None	1,612	None	625	None	877	None	455	None	826	None	581	None	796	None
1699200188	MUNNS JONATHAN	2021	FFS	RENDERING SNC	AGE 21+	283	None	547	None	65	None	98	None	233	None	414	None	98	None	174	None
1699213967	CULP DANA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699254060	DIEPLINGER ALESSANDRA A	2021	FFS	RENDERING SNC	AGE 0-20	591	None	781	None	536	None	619	None	114	None	173	None	459	None	517	None
1699254060	DIEPLINGER ALESSANDRA A	2021	FFS	RENDERING SNC	AGE 21+	295	None	469	None	269	None	313	None	74	None	182	None	266	None	286	None
1699260935	HERNANDEZ MORAL RODOLFO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1699260935	HERNANDEZ MORAL RODOLFO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699277046	SINGH VIVEK	2021	FFS	RENDERING SNC	AGE 0-20	558	None	1,087	None	509	None	747	None	206	None	358	None	389	None	433	None
1699277046	SINGH VIVEK	2021	FFS	RENDERING SNC	AGE 21+	427	None	1,123	None	343	None	534	None	258	None	610	None	337	None	503	None
1699277293	IBRAHIM JACKLYN	2021	FFS	RENDERING SNC	AGE 0-20	14	None	23	None	14	None	20	None	None	1	None	1	14	None	19	None
1699277293	IBRAHIM JACKLYN	2021	FFS	RENDERING SNC	AGE 21+	464	None	1,114	None	458	None	987	None	113	None	169	None	448	None	920	None
1699285064	IFEACHO IFUNANYA OLIVE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1699285379	KANG HYUN-JOO	2021	FFS	RENDERING SNC	AGE 0-20	35	None	74	None	32	None	57	None	21	None	26	None	26	None	37	None
1699285379	KANG HYUN-JOO	2021	FFS	RENDERING SNC	AGE 21+	380	None	1,184	None	233	None	288	None	344	None	1,002	None	197	None	207	None
1699322099	CHEUNG KA CHUN	2021	FFS	RENDERING SNC	AGE 0-20	409	None	778	None	387	None	589	None	83	None	164	None	372	None	525	None
1699322099	CHEUNG KA CHUN	2021	FFS	RENDERING SNC	AGE 21+	414	None	1,082	None	292	None	368	None	287	None	708	None	295	None	417	None
1699365601	CLACK CHRISTINA MARIE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1699394403	LU STEVEN	2021	FFS	RENDERING SNC	AGE 0-20	443	None	1,500	None	416	None	1,065	None	147	None	386	None	374	None	637	None
1699394403	LU STEVEN	2021	FFS	RENDERING SNC	AGE 21+	502	None	1,734	None	401	None	734	None	298	None	893	None	355	None	493	None
1699397984	ONWUKWE EDMOND EBUBECHUKWU	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1699397984	ONWUKWE EDMOND EBUBECHUKWU	2021	FFS	RENDERING SNC	AGE 21+	20	None	25	None	None	1	None	1	None	1	None	2	None	1	None	1
1699758219	ROMNEY RICHARD L	2021	FFS	RENDERING SNC	AGE 0-20	495	None	898	None	451	None	631	None	205	None	373	None	390	None	526	None
1699758219	ROMNEY RICHARD L	2021	FFS	RENDERING SNC	AGE 21+	727	None	1,278	None	504	None	675	None	415	None	711	None	141	None	230	None
1699771154	LEE PETER Y	2021	FFS	RENDERING SNC	AGE 0-20	136	None	223	None	117	None	150	None	73	None	107	None	89	None	104	None
1699771154	LEE PETER Y	2021	FFS	RENDERING SNC	AGE 21+	13	None	16	None	11	None	11	None	None	1	None	1	None	1	None	1
1699786467	YAMASAKI KRISTEN K	2021	FFS	RENDERING SNC	AGE 0-20	370	None	607	None	214	None	245	None	215	None	373	None	135	None	152	None
1699786467	YAMASAKI KRISTEN K	2021	FFS	RENDERING SNC	AGE 21+	450	None	885	None	197	None	287	None	407	None	796	None	169	None	253	None
1699803049	KOO BERNARD W	2021	FFS	RENDERING SNC	AGE 0-20	67	None	104	None	67	None	104	None	0	None	0	None	67	None	104	None
1699803049	KOO BERNARD W	2021	FFS	RENDERING SNC	AGE 21+	853	None	2,246	None	853	None	2,246	None	0	None	0	None	853	None	2,246	None
1699816108	LOPEZ-SHAMS MARIA C	2021	FFS	RENDERING SNC	AGE 0-20	184	None	331	None	168	None	258	None	104	None	133	None	138	None	164	None
1699816108	LOPEZ-SHAMS MARIA C	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1699826479	KIANOURI SHADROUZ	2021	FFS	RENDERING SNC	AGE 0-20	60	None	116	None	60	None	116	None	0	None	0	None	60	None	116	None
1699826479	KIANOURI SHADROUZ	2021	FFS	RENDERING SNC	AGE 21+	93	None	249	None	93	None	249	None	0	None	0	None	93	None	249	None
1699831065	DER BOGHOSIAN-I RUPEN	2021	FFS	RENDERING SNC	AGE 0-20	617	None	990	None	370	None	498	None	74	None	169	None	342	None	393	None
1699831065	DER BOGHOSIAN-I RUPEN	2021	FFS	RENDERING SNC	AGE 21+	447	None	1,348	None	330	None	489	None	214	None	678	None	330	None	464	None
1699831065	DER BOGHOSIAN-I RUPEN	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1699854125	KEMPTON JOHN T	2021	FFS	RENDERING SNC	AGE 0-20	59	None	101	None	40	None	47	None	21	None	49	None	19	None	19	None
1699854125	KEMPTON JOHN T	2021	FFS	RENDERING SNC	AGE 21+	198	None	513	None	104	None	146	None	144	None	284	None	32	None	82	None
1699904144	ARTIGA FRANCESCA E	2021	FFS	RENDERING SNC	AGE 0-20	2,800	None	4,006	None	2,148	None	2,659	None	853	None	1,105	None	2,021	None	2,487	None
1699904144	ARTIGA FRANCESCA E	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1699920835	FLORES JUN ROYCE M.	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1699920835	FLORES JUN ROYCE M.	2021	FFS	RENDERING SNC	AGE 21+	244	None	399	None	44	None	52	None	116	None	156	None	118	None	147	None
1699974014	STAUFFER JACY A	2021	FFS	RENDERING SNC	AGE 0-20	2,146	None	3,290	None	1,523	None	1,962	None	507	None	633	None	1,209	None	1,496	None
1700051968	MILLARE PASCO CONNIE	2021	FFS	RENDERING SNC	AGE 0-20	155	None	366	None	155	None	365	None	25	None	51	None	155	None	365	None
1700051968	MILLARE PASCO CONNIE	2021	FFS	RENDERING SNC	AGE 21+	192	None	595	None	192	None	592	None	91	None	212	None	192	None	592	None
1700068632	KAPLAN, JEFFREY B	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1700089364	TZOU, JERRY, DDS	2021	FFS	RENDERING SNC	AGE 0-20	79	None	98	None	69	None	80	None	None	1	None	2	None	1	None	1
1700089364	TZOU, JERRY, DDS	2021	FFS	RENDERING SNC	AGE 21+	1,279	None	2,258	None	848	None	1,329	None	677	None	985	None	33	None	41	None
1700119161	EHSAN PARIZAD	2021	FFS	RENDERING SNC	AGE 0-20	22	None	22	None	15	None	15	None	None	1	None	1	None	1	None	1
1700119161	EHSAN PARIZAD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1700131588	JUSKA TOMAS	2021	FFS	RENDERING SNC	AGE 0-20	148	None	218	None	42	None	45	None	92	None	150	None	31	None	32	None
1700131588	JUSKA TOMAS	2021	FFS	RENDERING SNC	AGE 21+	530	None	1,331	None	125	None	139	None	455	None	857	None	204	None	508	None
1700133618	WILLIAMS ANGENETTA MARIE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1700133618	WILLIAMS ANGENETTA MARIE	2021	FFS	RENDERING SNC	AGE 21+	30	None	34	None	29	None	33	None	None	1	None	1	0	None	0	None
1700180825	ABARTE STEPHANIE A	2021	FFS	RENDERING SNC	AGE 0-20	579	None	1,015	None	444	None	598	None	207	None	323	None	166	None	200	None
1700180825	ABARTE STEPHANIE A	2021	FFS	RENDERING SNC	AGE 21+	760	None	1,569	None	383	None	481	None	449	None	851	None	334	None	393	None
1700210705	PHAM UYEN N	2021	FFS	RENDERING SNC	AGE 0-20	544	None	1,282	None	544	None	1,282	None	0	None	0	None	544	None	1,282	None
1700210705	PHAM UYEN N	2021	FFS	RENDERING SNC	AGE 21+	381	None	1,378	None	381	None	1,378	None	0	None	0	None	381	None	1,378	None
1700211000	WU TRAVIS D	2021	FFS	RENDERING SNC	AGE 21+	149	None	527	None	98	None	157	None	129	None	373	None	63	None	156	None
1700214657	FJARLI SUZANNE M	2021	FFS	RENDERING SNC	AGE 0-20	1,047	None	3,890	None	911	None	2,688	None	329	None	984	None	827	None	2,362	None
1700214657	FJARLI SUZANNE M	2021	FFS	RENDERING SNC	AGE 21+	702	None	2,210	None	487	None	1,085	None	340	None	1,031	None	452	None	1,013	None
1700215365	TAN CALVIN	2021	FFS	RENDERING SNC	AGE 0-20	1,107	None	3,143	None	1,079	None	2,518	None	309	None	548	None	1,066	None	1,441	None
1700215365	TAN CALVIN	2021	FFS	RENDERING SNC	AGE 21+	500	None	1,903	None	449	None	893	None	315	None	862	None	453	None	703	None
1700262771	BROOKS JAN	2021	FFS	RENDERING SNC	AGE 0-20	72	None	89	None	62	None	73	None	18	None	21	None	57	None	66	None
1700262771	BROOKS JAN	2021	FFS	RENDERING SNC	AGE 21+	24	None	29	None	None	1	None	2	12	None	13	None	12	None	16	None
1700274651	MARKOVA-MITEV IVETA S	2021	FFS	RENDERING SNC	AGE 0-20	976	None	1,204	None	742	None	793	None	371	None	436	None	228	None	249	None
1700340403	RIOS WILFREDO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1700437241	TRAN MICHELLE ROXAS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1700445152	MIRANDA-OGLESBY CECILIA	2021	FFS	RENDERING SNC	AGE 0-20	40	None	118	None	40	None	118	None	0	None	0	None	40	None	118	None
1700445152	MIRANDA-OGLESBY CECILIA	2021	FFS	RENDERING SNC	AGE 21+	86	None	296	None	86	None	296	None	0	None	0	None	86	None	296	None
1700448362	EIDELSTEIN DYANA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1700448362	EIDELSTEIN DYANA	2021	FFS	RENDERING SNC	AGE 21+	139	None	199	None	130	None	184	None	None	1	None	2	132	None	188	None
1700448362	EIDELSTEIN DYANA	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1700449600	GONZALEZ JESICA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700449600	GONZALEZ JESICA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1700880622	ONG AGNES G	2021	FFS	RENDERING SNC	AGE 0-20	559	None	1,239	None	485	None	808	None	498	None	1,062	None	407	None	494	None
1700880622	ONG AGNES G	2021	FFS	RENDERING SNC	AGE 21+	588	None	1,588	None	371	None	484	None	547	None	1,459	None	352	None	551	None
1700903622	AKHTAR SYED F	2021	FFS	RENDERING SNC	AGE 0-20	68	None	124	None	17	None	25	None	21	None	40	None	31	None	53	None
1700903622	AKHTAR SYED F	2021	FFS	RENDERING SNC	AGE 21+	76	None	156	None	0	None	0	None	54	None	105	None	36	None	68	None
1700976552	PHAN ANTHONY	2021	FFS	RENDERING SNC	AGE 0-20	249	None	571	None	174	None	248	None	109	None	215	None	218	None	307	None
1700976552	PHAN ANTHONY	2021	FFS	RENDERING SNC	AGE 21+	325	None	1,061	None	131	None	174	None	185	None	544	None	284	None	522	None
1700987518	MANN ROBERT N	2021	FFS	RENDERING SNC	AGE 0-20	79	None	107	None	0	None	0	None	None	1	None	1	0	None	0	None
1700987518	MANN ROBERT N	2021	FFS	RENDERING SNC	AGE 21+	75	None	106	None	0	None	0	None	None	1	None	1	0	None	0	None
1710052303	LABARRE EUGENE E	2021	FFS	RENDERING SNC	AGE 21+	43	None	152	None	16	None	19	None	None	1	None	1	43	None	152	None
1710054796	BROWNSTONE DONNI B	2021	FFS	RENDERING SNC	AGE 0-20	34	None	40	None	30	None	33	None	None	1	None	1	22	None	23	None
1710078472	AKOPYAN, DIANA, DDS	2021	FFS	RENDERING SNC	AGE 21+	197	None	516	None	106	None	126	None	163	None	363	None	54	None	111	None
1710078829	KIM EUNOCK	2021	FFS	RENDERING SNC	AGE 0-20	394	None	619	None	344	None	425	None	44	None	58	None	338	None	393	None
1710078829	KIM EUNOCK	2021	FFS	RENDERING SNC	AGE 21+	495	None	981	None	326	None	349	None	216	None	435	None	406	None	487	None
1710095344	LEW EUNSUN	2021	FFS	RENDERING SNC	AGE 0-20	372	None	900	None	358	None	680	None	208	None	385	None	224	None	264	None
1710095344	LEW EUNSUN	2021	FFS	RENDERING SNC	AGE 21+	417	None	1,012	None	351	None	572	None	323	None	698	None	263	None	363	None
1710113964	SHAH KRUTIKA A	2021	FFS	RENDERING SNC	AGE 0-20	194	None	459	None	186	None	313	None	116	None	222	None	160	None	169	None
1710113964	SHAH KRUTIKA A	2021	FFS	RENDERING SNC	AGE 21+	301	None	1,034	None	287	None	591	None	209	None	496	None	253	None	320	None
1710126891	MILTNER ELIZABETH C	2021	FFS	RENDERING SNC	AGE 0-20	267	None	523	None	248	None	386	None	51	None	98	None	231	None	315	None
1710126891	MILTNER ELIZABETH C	2021	FFS	RENDERING SNC	AGE 21+	316	None	787	None	184	None	220	None	176	None	394	None	228	None	364	None
1710171996	NATARAJAN, VASANTHA MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1710179387	LIPUMANO-SANCHE LULETTE F	2021	FFS	RENDERING SNC	AGE 0-20	394	None	945	None	270	None	431	None	203	None	362	None	61	None	78	None
1710179387	LIPUMANO-SANCHE LULETTE F	2021	FFS	RENDERING SNC	AGE 21+	348	None	858	None	203	None	402	None	242	None	417	None	143	None	297	None
1710179973	SALIM, ALI MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1710179973	SALIM, ALI MD	2021	FFS	RENDERING SNC	AGE 21+	17	None	19	None	0	None	0	None	None	1	None	1	None	1	None	1
1710186564	DA SILVA CARLOS T	2021	FFS	RENDERING SNC	AGE 0-20	245	None	825	None	235	None	570	None	76	None	141	None	226	None	356	None
1710186564	DA SILVA CARLOS T	2021	FFS	RENDERING SNC	AGE 21+	411	None	1,232	None	368	None	528	None	194	None	550	None	361	None	453	None
1710275375	AGHAZADEHSANAI NONA	2021	FFS	RENDERING SNC	AGE 0-20	66	None	81	None	0	None	0	None	52	None	62	None	54	None	64	None
1710275375	AGHAZADEHSANAI NONA	2021	FFS	RENDERING SNC	AGE 21+	545	None	889	None	11	None	12	None	470	None	714	None	441	None	650	None
1710302195	ESKIF DABBAGH, BAKRI MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1710328950	FIROOZI HAMED	2021	FFS	RENDERING SNC	AGE 0-20	78	None	120	None	66	None	81	None	27	None	48	None	62	None	65	None
1710328950	FIROOZI HAMED	2021	FFS	RENDERING SNC	AGE 21+	95	None	217	None	51	None	64	None	73	None	161	None	35	None	40	None
1710339684	BAILLARGEON FANNIE	2021	FFS	RENDERING SNC	AGE 0-20	451	None	566	None	386	None	453	None	136	None	163	None	296	None	328	None
1710339684	BAILLARGEON FANNIE	2021	FFS	RENDERING SNC	AGE 21+	735	None	1,100	None	479	None	597	None	427	None	562	None	437	None	545	None
1710360854	FERNANDES BRIAN JOSEPH	2021	FFS	RENDERING SNC	AGE 0-20	62	None	64	None	51	None	52	None	18	None	18	None	49	None	50	None
1710360854	FERNANDES BRIAN JOSEPH	2021	FFS	RENDERING SNC	AGE 21+	63	None	72	None	32	None	34	None	40	None	46	None	29	None	31	None
1710400858	CHO ALAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1710400858	CHO ALAN	2021	FFS	RENDERING SNC	AGE 21+	34	None	41	None	None	1	None	1	16	None	20	None	None	1	None	1
1710512991	MAZZONE HILARY D	2021	FFS	RENDERING SNC	AGE 0-20	87	None	231	None	33	None	65	None	51	None	127	None	45	None	94	None
1710512991	MAZZONE HILARY D	2021	FFS	RENDERING SNC	AGE 21+	194	None	594	None	71	None	142	None	112	None	289	None	96	None	225	None
1710931464	WAKIL, FRED W MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1710931464	WAKIL, FRED W MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1720007420	LEE, JAI H MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1720007420	LEE, JAI H MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	2
1720128374	ROTHSTEIN TORREY M	2021	FFS	RENDERING SNC	AGE 21+	73	None	258	None	12	None	13	None	65	None	182	None	31	None	80	None
1720138688	MARTINEZ MELISSA ANN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720164627	KRUPA GARY M	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1720164999	ARAICA ALIDA MENDIETA	2021	FFS	RENDERING SNC	AGE 0-20	598	None	789	None	524	None	600	None	115	None	145	None	502	None	564	None
1720164999	ARAICA ALIDA MENDIETA	2021	FFS	RENDERING SNC	AGE 21+	754	None	1,024	None	664	None	838	None	159	None	203	None	662	None	835	None
1720164999	ARAICA ALIDA MENDIETA	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720181290	CUEVAS SERGIO	2021	FFS	RENDERING SNC	AGE 0-20	425	None	436	None	144	None	148	None	20	None	20	None	109	None	109	None
1720181290	CUEVAS SERGIO	2021	FFS	RENDERING SNC	AGE 21+	15	None	15	None	15	None	15	None	0	None	0	None	15	None	15	None
1720279060	TURSHANI, YOUSEF Y MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720295348	MAFI SHIDROKH	2021	FFS	RENDERING SNC	AGE 0-20	684	None	757	None	649	None	699	None	57	None	63	None	635	None	679	None
1720295348	MAFI SHIDROKH	2021	FFS	RENDERING SNC	AGE 21+	421	None	677	None	381	None	481	None	116	None	208	None	370	None	442	None
1720340896	PETRIE LY N	2021	FFS	RENDERING SNC	AGE 0-20	101	None	176	None	62	None	102	None	33	None	59	None	82	None	107	None
1720340896	PETRIE LY N	2021	FFS	RENDERING SNC	AGE 21+	231	None	487	None	99	None	157	None	155	None	268	None	119	None	164	None
1720342637	SLATON ADELA	2021	FFS	RENDERING SNC	AGE 0-20	372	None	633	None	359	None	493	None	125	None	196	None	334	None	363	None
1720342637	SLATON ADELA	2021	FFS	RENDERING SNC	AGE 21+	526	None	1,288	None	486	None	720	None	377	None	798	None	470	None	618	None
1720375629	KANG HYEJUNG	2021	FFS	RENDERING SNC	AGE 0-20	1,061	None	1,475	None	1,061	None	1,472	None	49	None	74	None	1,059	None	1,461	None
1720375629	KANG HYEJUNG	2021	FFS	RENDERING SNC	AGE 21+	359	None	559	None	359	None	556	None	124	None	191	None	357	None	552	None
1720375629	KANG HYEJUNG	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1720387715	WONG, ANDREA W OD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1720395536	ASURZA HUGO R	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1720413735	TRUONG RICHARD T	2021	FFS	RENDERING SNC	AGE 0-20	827	None	1,256	None	537	None	646	None	282	None	400	None	437	None	514	None
1720413735	TRUONG RICHARD T	2021	FFS	RENDERING SNC	AGE 21+	562	None	923	None	101	None	109	None	397	None	645	None	67	None	72	None
1720446503	WESTBROOK JESSICA AQUINO	2021	FFS	RENDERING SNC	AGE 0-20	1,004	None	2,073	None	839	None	1,585	None	461	None	881	None	797	None	1,453	None
1720446503	WESTBROOK JESSICA AQUINO	2021	FFS	RENDERING SNC	AGE 21+	313	None	611	None	123	None	199	None	233	None	443	None	153	None	269	None
1720446818	KONG LAURA	2021	FFS	RENDERING SNC	AGE 0-20	79	None	91	None	34	None	34	None	19	None	24	None	18	None	19	None
1720446818	KONG LAURA	2021	FFS	RENDERING SNC	AGE 21+	194	None	237	None	56	None	56	None	92	None	117	None	103	None	106	None
1720462013	SZATKOWSKI JESSE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1720481112	KIM HOWARD	2021	FFS	RENDERING SNC	AGE 0-20	704	None	1,032	None	686	None	901	None	253	None	355	None	690	None	906	None
1720481112	KIM HOWARD	2021	FFS	RENDERING SNC	AGE 21+	240	None	560	None	192	None	299	None	206	None	411	None	198	None	316	None
1720481112	KIM HOWARD	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1720518368	STURGEON MARY E	2021	FFS	RENDERING SNC	AGE 0-20	54	None	114	None	54	None	114	None	0	None	0	None	54	None	114	None
1720518368	STURGEON MARY E	2021	FFS	RENDERING SNC	AGE 21+	136	None	465	None	136	None	465	None	0	None	0	None	136	None	465	None
1720534886	BAIERA PARISSA N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1720534886	BAIERA PARISSA N	2021	FFS	RENDERING SNC	AGE 21+	130	None	349	None	100	None	195	None	66	None	136	None	106	None	212	None
1720540818	GONZALEZ PETER CHARLES	2021	FFS	RENDERING SNC	AGE 0-20	392	None	771	None	370	None	476	None	139	None	309	None	369	None	474	None
1720540818	GONZALEZ PETER CHARLES	2021	FFS	RENDERING SNC	AGE 21+	349	None	979	None	312	None	436	None	177	None	429	None	322	None	513	None
1720541311	TRUONG MINDY	2021	FFS	RENDERING SNC	AGE 0-20	162	None	237	None	143	None	175	None	42	None	75	None	135	None	149	None
1720541311	TRUONG MINDY	2021	FFS	RENDERING SNC	AGE 21+	137	None	237	None	112	None	131	None	53	None	94	None	109	None	125	None
1720640055	BRAWLEY DUNG T	2021	FFS	RENDERING SNC	AGE 0-20	105	None	146	None	50	None	66	None	22	None	28	None	11	None	14	None
1720640055	BRAWLEY DUNG T	2021	FFS	RENDERING SNC	AGE 21+	179	None	445	None	73	None	136	None	96	None	170	None	60	None	133	None
1720640055	BRAWLEY DUNG T	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1720640055	BRAWLEY DUNG T	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1730112046	MANOR, SONDRA	2021	FFS	RENDERING SNC	AGE 0-20	860	None	1,475	None	780	None	1,108	None	295	None	482	None	537	None	608	None
1730112046	MANOR, SONDRA	2021	FFS	RENDERING SNC	AGE 21+	483	None	1,155	None	399	None	604	None	296	None	615	None	356	None	599	None
1730193368	SOLIMAN, GEORGE MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730213703	BOGLE BARRY W	2021	FFS	RENDERING SNC	AGE 0-20	105	None	126	None	96	None	109	None	14	None	15	None	55	None	55	None
1730213703	BOGLE BARRY W	2021	FFS	RENDERING SNC	AGE 21+	114	None	164	None	78	None	94	None	51	None	70	None	50	None	53	None
1730218140	TI ELAINE C.	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730218140	TI ELAINE C.	2021	FFS	RENDERING SNC	AGE 21+	29	None	69	None	18	None	23	None	16	None	37	None	21	None	27	None
1730221581	CROY KRISTINE	2021	FFS	RENDERING SNC	AGE 0-20	99	None	135	None	98	None	133	None	None	1	None	1	None	1	None	1
1730221581	CROY KRISTINE	2021	FFS	RENDERING SNC	AGE 21+	44	None	78	None	44	None	76	None	11	None	28	None	None	1	None	1
1730229832	TAN WINNIE	2021	FFS	RENDERING SNC	AGE 0-20	149	None	184	None	79	None	94	None	39	None	49	None	75	None	84	None
1730229832	TAN WINNIE	2021	FFS	RENDERING SNC	AGE 21+	217	None	369	None	136	None	189	None	109	None	162	None	89	None	92	None
1730235607	SUMMERS SHAWN J	2021	FFS	RENDERING SNC	AGE 0-20	43	None	117	None	43	None	117	None	None	1	None	2	43	None	117	None
1730235607	SUMMERS SHAWN J	2021	FFS	RENDERING SNC	AGE 21+	281	None	1,154	None	281	None	1,154	None	248	None	1,030	None	281	None	1,154	None
1730247222	COLVIN WALLACE SPURGEON	2021	FFS	RENDERING SNC	AGE 0-20	471	None	1,067	None	285	None	447	None	278	None	539	None	180	None	223	None
1730247222	COLVIN WALLACE SPURGEON	2021	FFS	RENDERING SNC	AGE 21+	623	None	2,341	None	254	None	373	None	545	None	1,919	None	193	None	268	None
1730379314	DAO LOAN K	2021	FFS	RENDERING SNC	AGE 0-20	1,649	None	2,261	None	1,632	None	2,217	None	42	None	60	None	1,608	None	2,170	None
1730379314	DAO LOAN K	2021	FFS	RENDERING SNC	AGE 21+	275	None	437	None	252	None	381	None	128	None	196	None	246	None	372	None
1730379314	DAO LOAN K	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730379314	DAO LOAN K	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1730483785	WINTER CHRISTINA L	2021	FFS	RENDERING SNC	AGE 0-20	453	None	1,124	None	421	None	869	None	115	None	193	None	309	None	397	None
1730483785	WINTER CHRISTINA L	2021	FFS	RENDERING SNC	AGE 21+	379	None	1,116	None	259	None	438	None	206	None	532	None	230	None	274	None
1730496407	SHAH POONAM U	2021	FFS	RENDERING SNC	AGE 0-20	259	None	264	None	222	None	224	None	27	None	27	None	218	None	220	None
1730496407	SHAH POONAM U	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1730572447	MAR GREGORY	2021	FFS	RENDERING SNC	AGE 0-20	245	None	509	None	116	None	158	None	62	None	102	None	211	None	418	None
1730572447	MAR GREGORY	2021	FFS	RENDERING SNC	AGE 21+	191	None	396	None	46	None	59	None	137	None	248	None	81	None	162	None
1730574856	MCCOY-WILSON KELSI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1730587007	OLSON SUSAN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1730587007	OLSON SUSAN	2021	FFS	RENDERING SNC	AGE 21+	101	None	167	None	80	None	97	None	78	None	121	None	77	None	89	None
1730597071	IM DEBRA J	2021	FFS	RENDERING SNC	AGE 0-20	16	None	36	None	16	None	26	None	None	1	None	2	13	None	16	None
1730597071	IM DEBRA J	2021	FFS	RENDERING SNC	AGE 21+	161	None	483	None	135	None	197	None	141	None	373	None	130	None	225	None
1730598434	CHI JACOB	2021	FFS	RENDERING SNC	AGE 0-20	126	None	175	None	118	None	146	None	16	None	24	None	115	None	130	None
1730598434	CHI JACOB	2021	FFS	RENDERING SNC	AGE 21+	231	None	545	None	104	None	157	None	113	None	205	None	194	None	289	None
1730607425	LEONCIO BERNADETTE F	2021	FFS	RENDERING SNC	AGE 0-20	580	None	747	None	414	None	425	None	166	None	220	None	423	None	471	None
1730607425	LEONCIO BERNADETTE F	2021	FFS	RENDERING SNC	AGE 21+	550	None	1,012	None	39	None	40	None	424	None	744	None	56	None	79	None
1730731555	PASCAL CLAUDIE	2021	FFS	RENDERING SNC	AGE 0-20	18	None	51	None	18	None	51	None	0	None	0	None	18	None	51	None
1730731555	PASCAL CLAUDIE	2021	FFS	RENDERING SNC	AGE 21+	118	None	519	None	118	None	517	None	None	1	None	1	118	None	519	None
1730742156	STORY BEAUREGARD B	2021	FFS	RENDERING SNC	AGE 0-20	273	None	346	None	250	None	285	None	53	None	69	None	233	None	240	None
1730742156	STORY BEAUREGARD B	2021	FFS	RENDERING SNC	AGE 21+	173	None	295	None	138	None	165	None	93	None	132	None	135	None	156	None
1730762261	SINGH JITENDER	2021	FFS	RENDERING SNC	AGE 0-20	388	None	452	None	387	None	451	None	None	1	None	2	None	1	None	1
1730762261	SINGH JITENDER	2021	FFS	RENDERING SNC	AGE 21+	199	None	330	None	194	None	321	None	71	None	179	None	None	1	None	1
1730765850	ARAGONES GUSTAVO CHAVEZ	2021	FFS	RENDERING SNC	AGE 0-20	302	None	607	None	302	None	607	None	None	1	None	2	None	1	None	1
1730765850	ARAGONES GUSTAVO CHAVEZ	2021	FFS	RENDERING SNC	AGE 21+	203	None	612	None	203	None	604	None	62	None	268	None	0	None	0	None
1740259027	JONES JR JULIUS R	2021	FFS	RENDERING SNC	AGE 0-20	154	None	173	None	147	None	163	None	None	1	None	1	147	None	163	None
1740259027	JONES JR JULIUS R	2021	FFS	RENDERING SNC	AGE 21+	522	None	827	None	359	None	513	None	134	None	195	None	389	None	558	None
1740265651	SIRI, DANIEL W, DDS	2021	FFS	RENDERING SNC	AGE 0-20	294	None	542	None	163	None	208	None	85	None	152	None	106	None	128	None
1740265651	SIRI, DANIEL W, DDS	2021	FFS	RENDERING SNC	AGE 21+	509	None	810	None	221	None	271	None	170	None	262	None	197	None	238	None
1740277193	MAC FRANK X	2021	FFS	RENDERING SNC	AGE 0-20	557	None	911	None	51	None	59	None	119	None	146	None	289	None	395	None
1740277193	MAC FRANK X	2021	FFS	RENDERING SNC	AGE 21+	1,243	None	1,977	None	78	None	87	None	502	None	602	None	600	None	745	None
1740307214	SHIRASUKA TETSUYA	2021	FFS	RENDERING SNC	AGE 0-20	308	None	638	None	234	None	392	None	60	None	143	None	268	None	477	None
1740307214	SHIRASUKA TETSUYA	2021	FFS	RENDERING SNC	AGE 21+	278	None	651	None	107	None	143	None	100	None	234	None	238	None	398	None
1740311869	RAMOS RAYMOND D	2021	FFS	RENDERING SNC	AGE 0-20	270	None	657	None	243	None	508	None	97	None	185	None	217	None	297	None
1740311869	RAMOS RAYMOND D	2021	FFS	RENDERING SNC	AGE 21+	252	None	659	None	217	None	383	None	137	None	335	None	204	None	308	None
1740328483	GONZALEZ MARY ANN NMN	2021	FFS	RENDERING SNC	AGE 0-20	446	None	772	None	379	None	602	None	142	None	164	None	380	None	605	None
1740328483	GONZALEZ MARY ANN NMN	2021	FFS	RENDERING SNC	AGE 21+	416	None	926	None	342	None	677	None	167	None	220	None	353	None	703	None
1740374610	LESNIAK ROSANNA M	2021	FFS	RENDERING SNC	AGE 0-20	32	None	64	None	18	None	29	None	19	None	34	None	None	1	None	1
1740374610	LESNIAK ROSANNA M	2021	FFS	RENDERING SNC	AGE 21+	49	None	120	None	31	None	47	None	32	None	77	None	27	None	35	None
1740398171	LEUNG, DENNIS C, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1740402825	MILLINGTON ROBERT E	2021	FFS	RENDERING SNC	AGE 0-20	146	None	391	None	139	None	263	None	96	None	194	None	109	None	125	None
1740402825	MILLINGTON ROBERT E	2021	FFS	RENDERING SNC	AGE 21+	251	None	710	None	226	None	356	None	210	None	459	None	215	None	325	None
1740402825	MILLINGTON ROBERT E	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1740402825	MILLINGTON ROBERT E	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1740436450	TRAN, HUY XUAN, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1740436450	TRAN, HUY XUAN, DDS	2021	FFS	RENDERING SNC	AGE 21+	146	None	603	None	134	None	430	None	69	None	271	None	132	None	432	None
1740441542	GEE, MELISSA L MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1740443175	GHUMAN RUPAUL S	2021	FFS	RENDERING SNC	AGE 0-20	686	None	3,604	None	660	None	2,538	None	198	None	606	None	658	None	1,671	None
1740443175	GHUMAN RUPAUL S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1740472828	REZA-SOLTANI SHIRIN	2021	FFS	RENDERING SNC	AGE 0-20	138	None	202	None	126	None	166	None	58	None	77	None	121	None	147	None
1740472828	REZA-SOLTANI SHIRIN	2021	FFS	RENDERING SNC	AGE 21+	387	None	737	None	281	None	321	None	314	None	628	None	275	None	299	None
1740480995	HARO JUAN R	2021	FFS	RENDERING SNC	AGE 0-20	950	None	1,798	None	835	None	1,230	None	555	None	982	None	885	None	1,258	None
1740480995	HARO JUAN R	2021	FFS	RENDERING SNC	AGE 21+	14	None	17	None	None	1	None	1	None	1	None	1	None	1	None	1
1740514645	KEHL RONALD J	2021	FFS	RENDERING SNC	AGE 0-20	114	None	208	None	44	None	60	None	31	None	46	None	None	1	None	1
1740514645	KEHL RONALD J	2021	FFS	RENDERING SNC	AGE 21+	284	None	711	None	71	None	97	None	168	None	360	None	30	None	38	None
1740518737	MEEKAY MONIKA	2021	FFS	RENDERING SNC	AGE 0-20	461	None	1,104	None	206	None	266	None	399	None	870	None	201	None	258	None
1740580109	YAU KATHLEEN Y	2021	FFS	RENDERING SNC	AGE 0-20	431	None	661	None	311	None	383	None	185	None	268	None	344	None	401	None
1740580109	YAU KATHLEEN Y	2021	FFS	RENDERING SNC	AGE 21+	478	None	968	None	120	None	135	None	348	None	631	None	81	None	111	None
1740587229	CARVAJAL WENDY J	2021	FFS	RENDERING SNC	AGE 0-20	94	None	125	None	59	None	74	None	47	None	55	None	70	None	83	None
1740587229	CARVAJAL WENDY J	2021	FFS	RENDERING SNC	AGE 21+	154	None	270	None	52	None	64	None	135	None	213	None	88	None	117	None
1740611250	MALLARI JULIE B	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740629864	MCKENNA NICHOLE D	2021	FFS	RENDERING SNC	AGE 0-20	248	None	392	None	128	None	171	None	104	None	167	None	192	None	279	None
1740629864	MCKENNA NICHOLE D	2021	FFS	RENDERING SNC	AGE 21+	428	None	1,086	None	147	None	222	None	260	None	568	None	295	None	598	None
1740629864	MCKENNA NICHOLE D	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1740647916	DOMINICIS ZITA A	2021	FFS	RENDERING SNC	AGE 0-20	181	None	183	None	96	None	96	None	39	None	39	None	79	None	79	None
1740647916	DOMINICIS ZITA A	2021	FFS	RENDERING SNC	AGE 21+	159	None	166	None	58	None	59	None	94	None	96	None	44	None	44	None
1740647916	DOMINICIS ZITA A	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1740704808	PATEL REHNISHA	2021	FFS	RENDERING SNC	AGE 0-20	60	None	91	None	29	None	32	None	35	None	51	None	46	None	65	None
1740704808	PATEL REHNISHA	2021	FFS	RENDERING SNC	AGE 21+	122	None	225	None	None	1	None	1	95	None	183	None	87	None	143	None
1740747880	BAE DAVID H	2021	FFS	RENDERING SNC	AGE 0-20	527	None	632	None	420	None	441	None	170	None	205	None	403	None	412	None
1740747880	BAE DAVID H	2021	FFS	RENDERING SNC	AGE 21+	562	None	1,123	None	408	None	552	None	348	None	631	None	307	None	332	None
1740776020	CARTER JOSEPH C	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1740816958	GUO CHANG	2021	FFS	RENDERING SNC	AGE 0-20	584	None	901	None	451	None	524	None	337	None	507	None	437	None	492	None
1740816958	GUO CHANG	2021	FFS	RENDERING SNC	AGE 21+	361	None	666	None	219	None	284	None	290	None	515	None	184	None	210	None
1740834217	MECHEAL MATTHEW B	2021	FFS	RENDERING SNC	AGE 0-20	871	None	1,106	None	814	None	959	None	57	None	88	None	797	None	917	None
1740834217	MECHEAL MATTHEW B	2021	FFS	RENDERING SNC	AGE 21+	587	None	1,305	None	525	None	806	None	200	None	517	None	520	None	765	None
1740878958	BHATTACHARYYA URMI	2021	FFS	RENDERING SNC	AGE 0-20	200	None	332	None	175	None	235	None	86	None	132	None	166	None	180	None
1740878958	BHATTACHARYYA URMI	2021	FFS	RENDERING SNC	AGE 21+	203	None	463	None	162	None	270	None	118	None	214	None	139	None	165	None
1740959014	LY TONY	2021	FFS	RENDERING SNC	AGE 0-20	185	None	816	None	184	None	616	None	47	None	185	None	181	None	382	None
1740959014	LY TONY	2021	FFS	RENDERING SNC	AGE 21+	220	None	1,245	None	216	None	649	None	95	None	482	None	217	None	577	None
1750317038	KAPGAN GALINA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1750318432	PAULE WILLIAM JOEL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1750364287	JOW JOHN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1750364287	JOW JOHN	2021	FFS	RENDERING SNC	AGE 21+	260	None	547	None	None	1	None	1	None	1	None	1	249	None	529	None
1750394417	SADRI AMIR	2021	FFS	RENDERING SNC	AGE 0-20	307	None	544	None	260	None	373	None	109	None	183	None	192	None	233	None
1750394417	SADRI AMIR	2021	FFS	RENDERING SNC	AGE 21+	478	None	1,447	None	405	None	769	None	317	None	825	None	349	None	577	None
1750403465	YANAGI MAY M	2021	FFS	RENDERING SNC	AGE 0-20	217	None	590	None	197	None	311	None	92	None	278	None	197	None	311	None
1750403465	YANAGI MAY M	2021	FFS	RENDERING SNC	AGE 21+	105	None	255	None	87	None	137	None	45	None	107	None	87	None	137	None
1750414462	MITTAL KRISHAN K	2021	FFS	RENDERING SNC	AGE 0-20	141	None	221	None	113	None	149	None	72	None	99	None	46	None	51	None
1750414462	MITTAL KRISHAN K	2021	FFS	RENDERING SNC	AGE 21+	170	None	281	None	111	None	134	None	124	None	200	None	64	None	70	None
1750428850	MCCANN DAVID THOMAS	2021	FFS	RENDERING SNC	AGE 0-20	59	None	156	None	54	None	122	None	None	1	None	2	46	None	94	None
1750428850	MCCANN DAVID THOMAS	2021	FFS	RENDERING SNC	AGE 21+	64	None	163	None	46	None	100	None	26	None	59	None	42	None	90	None
1750470795	LUPTRAWAN, ALENDA	2021	FFS	RENDERING SNC	AGE 0-20	412	None	573	None	225	None	275	None	133	None	165	None	138	None	152	None
1750470795	LUPTRAWAN, ALENDA	2021	FFS	RENDERING SNC	AGE 21+	269	None	434	None	114	None	134	None	197	None	302	None	110	None	127	None
1750481594	GARIBOTTI MARIO G	2021	FFS	RENDERING SNC	AGE 0-20	281	None	733	None	259	None	597	None	98	None	150	None	265	None	607	None
1750481594	GARIBOTTI MARIO G	2021	FFS	RENDERING SNC	AGE 21+	527	None	1,568	None	436	None	729	None	350	None	758	None	460	None	900	None
1750496832	CHEN JOYCE YUNLING	2021	FFS	RENDERING SNC	AGE 0-20	477	None	673	None	120	None	130	None	130	None	175	None	147	None	161	None
1750496832	CHEN JOYCE YUNLING	2021	FFS	RENDERING SNC	AGE 21+	542	None	995	None	229	None	280	None	293	None	523	None	304	None	380	None
1750512174	JANZEN BRUCE DAVID	2021	FFS	RENDERING SNC	AGE 0-20	321	None	545	None	269	None	381	None	89	None	155	None	204	None	218	None
1750512174	JANZEN BRUCE DAVID	2021	FFS	RENDERING SNC	AGE 21+	327	None	631	None	201	None	251	None	201	None	365	None	169	None	186	None
1750563664	BEIZAEE ARASH A	2021	FFS	RENDERING SNC	AGE 0-20	241	None	434	None	165	None	231	None	69	None	116	None	147	None	161	None
1750563664	BEIZAEE ARASH A	2021	FFS	RENDERING SNC	AGE 21+	1,063	None	2,098	None	628	None	930	None	323	None	537	None	559	None	706	None
1750580288	BALDERSTON JR, CARREL D, DDS	2021	FFS	RENDERING SNC	AGE 0-20	152	None	295	None	152	None	295	None	0	None	0	None	152	None	295	None
1750580288	BALDERSTON JR, CARREL D, DDS	2021	FFS	RENDERING SNC	AGE 21+	209	None	549	None	209	None	549	None	0	None	0	None	209	None	549	None
1750587044	MORTON JOEL R.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1750684254	SHIRAN SINGH PARWIN M	2021	FFS	RENDERING SNC	AGE 0-20	1,070	None	2,042	None	960	None	1,689	None	930	None	1,670	None	518	None	808	None
1750684254	SHIRAN SINGH PARWIN M	2021	FFS	RENDERING SNC	AGE 21+	759	None	1,738	None	469	None	776	None	620	None	1,341	None	291	None	386	None
1750684254	SHIRAN SINGH PARWIN M	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1750713764	AMIN AISHA	2021	FFS	RENDERING SNC	AGE 0-20	3,046	None	4,574	None	1,890	None	2,161	None	1,654	None	2,222	None	280	None	294	None
1750713764	AMIN AISHA	2021	FFS	RENDERING SNC	AGE 21+	2,846	None	5,340	None	623	None	705	None	2,588	None	4,527	None	133	None	148	None
1750766192	DEL VALLE OLIVIA	2021	FFS	RENDERING SNC	AGE 0-20	40	None	94	None	None	1	None	1	35	None	84	None	0	None	0	None
1750766192	DEL VALLE OLIVIA	2021	FFS	RENDERING SNC	AGE 21+	312	None	995	None	96	None	102	None	302	None	894	None	0	None	0	None
1750797288	HE, GUOBIN, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1750797288	HE, GUOBIN, DDS	2021	FFS	RENDERING SNC	AGE 21+	78	None	191	None	27	None	30	None	66	None	150	None	28	None	33	None
1750800736	NAANAA MARIA	2021	FFS	RENDERING SNC	AGE 0-20	1,352	None	1,632	None	1,140	None	1,270	None	382	None	473	None	917	None	1,020	None
1750800736	NAANAA MARIA	2021	FFS	RENDERING SNC	AGE 21+	280	None	424	None	107	None	122	None	180	None	240	None	104	None	134	None
1750807970	VALDEZ MARIA SOCORRO ILAGAN	2021	FFS	RENDERING SNC	AGE 0-20	130	None	304	None	75	None	86	None	96	None	228	None	77	None	120	None
1750807970	VALDEZ MARIA SOCORRO ILAGAN	2021	FFS	RENDERING SNC	AGE 21+	336	None	1,448	None	88	None	123	None	313	None	1,229	None	224	None	563	None
1750905840	THAKKAR RINKAL B	2021	FFS	RENDERING SNC	AGE 0-20	163	None	229	None	117	None	139	None	32	None	45	None	None	1	None	1
1750905840	THAKKAR RINKAL B	2021	FFS	RENDERING SNC	AGE 21+	191	None	390	None	43	None	44	None	87	None	148	None	22	None	26	None
1750998969	JACQUES CHRISTIE M	2021	FFS	RENDERING SNC	AGE 0-20	45	None	81	None	45	None	81	None	0	None	0	None	45	None	81	None
1750998969	JACQUES CHRISTIE M	2021	FFS	RENDERING SNC	AGE 21+	126	None	322	None	126	None	322	None	0	None	0	None	126	None	322	None
1760493076	DELSHAD, GEORGE M MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1760519805	THAN HUY T	2021	FFS	RENDERING SNC	AGE 0-20	525	None	777	None	490	None	610	None	142	None	194	None	468	None	551	None
1760519805	THAN HUY T	2021	FFS	RENDERING SNC	AGE 21+	300	None	709	None	198	None	309	None	215	None	426	None	169	None	221	None
1760549364	PAI, JACOB P, DDS	2021	FFS	RENDERING SNC	AGE 0-20	1,322	None	1,700	None	1,158	None	1,366	None	232	None	323	None	301	None	325	None
1760549364	PAI, JACOB P, DDS	2021	FFS	RENDERING SNC	AGE 21+	327	None	541	None	102	None	121	None	235	None	350	None	35	None	65	None
1760647861	MEJIA MARTA E	2021	FFS	RENDERING SNC	AGE 0-20	171	None	349	None	0	None	0	None	0	None	0	None	0	None	0	None
1760647861	MEJIA MARTA E	2021	FFS	RENDERING SNC	AGE 21+	135	None	370	None	None	1	None	1	None	1	None	1	0	None	0	None
1760739544	NIKHINSON ANNA K.	2021	FFS	RENDERING SNC	AGE 0-20	488	None	592	None	452	None	531	None	42	None	53	None	427	None	494	None
1760739544	NIKHINSON ANNA K.	2021	FFS	RENDERING SNC	AGE 21+	149	None	196	None	81	None	87	None	79	None	106	None	78	None	84	None
1760750087	MAJANO VALERIE L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1760750087	MAJANO VALERIE L	2021	FFS	RENDERING SNC	AGE 21+	134	None	608	None	126	None	388	None	49	None	152	None	124	None	476	None
1760750087	MAJANO VALERIE L	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1760821615	MAJOR AMANDA	2021	FFS	RENDERING SNC	AGE 0-20	161	None	189	None	101	None	107	None	69	None	82	None	18	None	18	None
1760900567	CHOI MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	110	None	183	None	96	None	145	None	44	None	61	None	88	None	104	None
1760900567	CHOI MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	222	None	455	None	166	None	200	None	192	None	396	None	164	None	193	None
1770017188	NGUYEN MARI JANET M	2021	FFS	RENDERING SNC	AGE 0-20	242	None	373	None	242	None	373	None	0	None	0	None	242	None	373	None
1770017188	NGUYEN MARI JANET M	2021	FFS	RENDERING SNC	AGE 21+	92	None	189	None	92	None	189	None	0	None	0	None	92	None	189	None
1770032443	IM ROBIN	2021	FFS	RENDERING SNC	AGE 0-20	84	None	138	None	84	None	138	None	0	None	0	None	84	None	138	None
1770032443	IM ROBIN	2021	FFS	RENDERING SNC	AGE 21+	90	None	231	None	87	None	226	None	0	None	0	None	87	None	226	None
1770060105	ESHAGHZADEH EDWIN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1770067639	CHI PO-TING	2021	FFS	RENDERING SNC	AGE 0-20	257	None	735	None	154	None	255	None	154	None	328	None	99	None	127	None
1770067639	CHI PO-TING	2021	FFS	RENDERING SNC	AGE 21+	601	None	2,042	None	240	None	341	None	492	None	1,484	None	148	None	171	None
1770139966	BOYLE KRISTY L	2021	FFS	RENDERING SNC	AGE 0-20	1,212	None	1,315	None	345	None	358	None	335	None	364	None	458	None	475	None
1770139966	BOYLE KRISTY L	2021	FFS	RENDERING SNC	AGE 21+	507	None	557	None	108	None	123	None	256	None	285	None	318	None	335	None
1770146714	CARRASCO SANDOV JOSE E	2021	FFS	RENDERING SNC	AGE 0-20	1,446	None	1,959	None	1,205	None	1,272	None	413	None	578	None	1,213	None	1,291	None
1770146714	CARRASCO SANDOV JOSE E	2021	FFS	RENDERING SNC	AGE 21+	35	None	35	None	13	None	13	None	22	None	22	None	12	None	12	None
1770192668	GARCIA MARCO	2021	FFS	RENDERING SNC	AGE 0-20	139	None	268	None	116	None	182	None	70	None	110	None	80	None	89	None
1770192668	GARCIA MARCO	2021	FFS	RENDERING SNC	AGE 21+	299	None	672	None	191	None	249	None	225	None	459	None	153	None	193	None
1770503609	UMALI JOEL W	2021	FFS	RENDERING SNC	AGE 0-20	21	None	64	None	21	None	64	None	0	None	0	None	21	None	64	None
1770503609	UMALI JOEL W	2021	FFS	RENDERING SNC	AGE 21+	207	None	948	None	207	None	948	None	14	None	33	None	207	None	948	None
1770503716	ARAKAWA, RONALD S, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1770575888	EDSON DEBRA S	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1770575888	EDSON DEBRA S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1770625337	CASTANEDA, CAROLINA, DDS INC	2021	FFS	RENDERING SNC	AGE 0-20	50	None	86	None	37	None	55	None	None	1	None	2	23	None	25	None
1770625337	CASTANEDA, CAROLINA, DDS INC	2021	FFS	RENDERING SNC	AGE 21+	192	None	630	None	69	None	90	None	122	None	334	None	74	None	144	None
1770650384	BROWN, MEHRAVAR E, DDS	2021	FFS	RENDERING SNC	AGE 0-20	116	None	118	None	82	None	83	None	37	None	38	None	39	None	39	None
1770650384	BROWN, MEHRAVAR E, DDS	2021	FFS	RENDERING SNC	AGE 21+	97	None	105	None	58	None	58	None	47	None	51	None	53	None	53	None
1770676470	RODRIGUES OLIVIA M	2021	FFS	RENDERING SNC	AGE 0-20	24	None	50	None	None	1	None	1	17	None	36	None	None	1	None	1
1770676470	RODRIGUES OLIVIA M	2021	FFS	RENDERING SNC	AGE 21+	35	None	82	None	0	None	0	None	28	None	67	None	None	1	None	1
1770707036	ARAFILES-REYES MILDRED P	2021	FFS	RENDERING SNC	AGE 0-20	464	None	542	None	397	None	437	None	72	None	82	None	358	None	384	None
1770707036	ARAFILES-REYES MILDRED P	2021	FFS	RENDERING SNC	AGE 21+	305	None	418	None	210	None	243	None	134	None	177	None	202	None	228	None
1770716276	KADOCH, MICHAEL A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770716367	TINLOY IRIS D	2021	FFS	RENDERING SNC	AGE 0-20	110	None	260	None	36	None	39	None	54	None	81	None	55	None	73	None
1770761140	LEE BENJAMIN	2021	FFS	RENDERING SNC	AGE 0-20	587	None	809	None	411	None	478	None	184	None	256	None	23	None	25	None
1770761140	LEE BENJAMIN	2021	FFS	RENDERING SNC	AGE 21+	509	None	876	None	122	None	136	None	381	None	612	None	110	None	184	None
1770782260	PFEIFFER RICHARD D	2021	FFS	RENDERING SNC	AGE 0-20	178	None	1,462	None	None	1	None	1	0	None	0	None	138	None	1,378	None
1770782260	PFEIFFER RICHARD D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1770867822	JUN DANIEL S	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	0	None	0	None	0	None	0	None
1770867822	JUN DANIEL S	2021	FFS	RENDERING SNC	AGE 21+	50	None	133	None	0	None	0	None	0	None	0	None	None	1	None	1
1770910952	TSENG HSIANG-HSIN	2021	FFS	RENDERING SNC	AGE 0-20	685	None	1,180	None	531	None	716	None	254	None	380	None	430	None	526	None
1770910952	TSENG HSIANG-HSIN	2021	FFS	RENDERING SNC	AGE 21+	447	None	998	None	255	None	316	None	343	None	742	None	271	None	349	None
1770924573	DEMEHIN MAYOKUN GRACE	2021	FFS	RENDERING SNC	AGE 0-20	20	None	26	None	None	1	None	2	13	None	14	None	None	1	None	1
1770924573	DEMEHIN MAYOKUN GRACE	2021	FFS	RENDERING SNC	AGE 21+	27	None	34	None	None	1	None	1	22	None	24	None	None	1	None	1
1770962144	PHAM HOA H	2021	FFS	RENDERING SNC	AGE 0-20	832	None	1,724	None	832	None	1,724	None	0	None	0	None	832	None	1,724	None
1770962144	PHAM HOA H	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1770968463	BALOUCH AMIR	2021	FFS	RENDERING SNC	AGE 0-20	574	None	889	None	573	None	881	None	44	None	59	None	567	None	864	None
1770968463	BALOUCH AMIR	2021	FFS	RENDERING SNC	AGE 21+	471	None	1,758	None	468	None	1,567	None	270	None	856	None	468	None	1,561	None
1770983983	WU WEI-YEN	2021	FFS	RENDERING SNC	AGE 0-20	322	None	637	None	311	None	493	None	75	None	139	None	308	None	454	None
1770983983	WU WEI-YEN	2021	FFS	RENDERING SNC	AGE 21+	216	None	683	None	178	None	256	None	124	None	347	None	187	None	287	None
1770991697	RIKHYE SHRADDHA	2021	FFS	RENDERING SNC	AGE 0-20	401	None	912	None	392	None	684	None	110	None	246	None	352	None	472	None
1770991697	RIKHYE SHRADDHA	2021	FFS	RENDERING SNC	AGE 21+	503	None	1,780	None	466	None	844	None	268	None	844	None	455	None	857	None
1770996548	HUANG RITA S	2021	FFS	RENDERING SNC	AGE 0-20	20	None	35	None	20	None	33	None	None	1	None	1	20	None	34	None
1770996548	HUANG RITA S	2021	FFS	RENDERING SNC	AGE 21+	66	None	120	None	57	None	96	None	None	1	None	1	61	None	106	None
1770998569	DROZDZ RAFAL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1770998569	DROZDZ RAFAL	2021	FFS	RENDERING SNC	AGE 21+	42	None	127	None	0	None	0	None	0	None	0	None	None	1	None	2
1780015693	CAMPBELL CLAY O	2021	FFS	RENDERING SNC	AGE 0-20	42	None	66	None	36	None	47	None	16	None	20	None	31	None	35	None
1780015693	CAMPBELL CLAY O	2021	FFS	RENDERING SNC	AGE 21+	254	None	572	None	159	None	189	None	213	None	466	None	164	None	198	None
1780017673	YOSHIOKA BRADD S	2021	FFS	RENDERING SNC	AGE 0-20	251	None	329	None	202	None	238	None	121	None	149	None	190	None	217	None
1780017673	YOSHIOKA BRADD S	2021	FFS	RENDERING SNC	AGE 21+	101	None	161	None	73	None	89	None	60	None	99	None	76	None	97	None
1780117036	VERT JOSHUA C	2021	FFS	RENDERING SNC	AGE 0-20	951	None	2,460	None	648	None	956	None	595	None	1,293	None	666	None	1,012	None
1780117036	VERT JOSHUA C	2021	FFS	RENDERING SNC	AGE 21+	217	None	707	None	166	None	243	None	153	None	438	None	146	None	164	None
1780143420	ROSAS ANDREA	2021	FFS	RENDERING SNC	AGE 0-20	113	None	219	None	110	None	207	None	None	1	None	2	None	1	None	2
1780143420	ROSAS ANDREA	2021	FFS	RENDERING SNC	AGE 21+	144	None	311	None	106	None	156	None	60	None	153	None	14	None	14	None
1780172379	LUCHKOVSKA YELIZAVETA O	2021	FFS	RENDERING SNC	AGE 0-20	649	None	724	None	649	None	724	None	0	None	0	None	649	None	724	None
1780172379	LUCHKOVSKA YELIZAVETA O	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1780210807	CARDIEL JESICA VIVIANA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780210807	CARDIEL JESICA VIVIANA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780357335	SINGH AMARJOT	2021	FFS	RENDERING SNC	AGE 0-20	414	None	1,293	None	414	None	1,293	None	0	None	0	None	414	None	1,293	None
1780357335	SINGH AMARJOT	2021	FFS	RENDERING SNC	AGE 21+	196	None	647	None	196	None	647	None	0	None	0	None	196	None	647	None
1780605097	GOLDYN, LAWRENCE M MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780620229	LAM VALERIE	2021	FFS	RENDERING SNC	AGE 0-20	239	None	469	None	196	None	352	None	223	None	392	None	111	None	173	None
1780620229	LAM VALERIE	2021	FFS	RENDERING SNC	AGE 21+	23	None	40	None	11	None	17	None	17	None	32	None	None	1	None	1
1780725226	HANSON, SHARON A NP	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1780730051	PASION ALICE	2021	FFS	RENDERING SNC	AGE 0-20	366	None	890	None	293	None	482	None	183	None	377	None	188	None	246	None
1780730051	PASION ALICE	2021	FFS	RENDERING SNC	AGE 21+	867	None	2,494	None	425	None	585	None	644	None	1,838	None	354	None	418	None
1780742361	AMADOR GERARDO	2021	FFS	RENDERING SNC	AGE 0-20	910	None	1,541	None	817	None	1,143	None	272	None	467	None	729	None	888	None
1780742361	AMADOR GERARDO	2021	FFS	RENDERING SNC	AGE 21+	614	None	1,325	None	266	None	343	None	459	None	930	None	363	None	556	None
1780776682	RAMS ROBERTA U	2021	FFS	RENDERING SNC	AGE 0-20	102	None	138	None	83	None	101	None	33	None	40	None	69	None	77	None
1780776682	RAMS ROBERTA U	2021	FFS	RENDERING SNC	AGE 21+	124	None	182	None	106	None	139	None	30	None	36	None	97	None	122	None
1780804567	KAO BRYAN	2021	FFS	RENDERING SNC	AGE 0-20	577	None	932	None	348	None	437	None	209	None	342	None	291	None	319	None
1780804567	KAO BRYAN	2021	FFS	RENDERING SNC	AGE 21+	578	None	1,423	None	434	None	650	None	358	None	775	None	353	None	412	None
1780817577	LAUREOLA MELISSA L	2021	FFS	RENDERING SNC	AGE 0-20	208	None	252	None	136	None	155	None	71	None	91	None	117	None	132	None
1780817577	LAUREOLA MELISSA L	2021	FFS	RENDERING SNC	AGE 21+	212	None	237	None	84	None	89	None	117	None	132	None	52	None	53	None
1780829754	KHUDDUS, UMME HANI MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1780889691	DE RIDDER, CATHERINE A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1780890665	BALCH HARVEY M	2021	FFS	RENDERING SNC	AGE 0-20	226	None	410	None	0	None	0	None	0	None	0	None	0	None	0	None
1780890665	BALCH HARVEY M	2021	FFS	RENDERING SNC	AGE 21+	867	None	2,237	None	0	None	0	None	0	None	0	None	0	None	0	None
1780890665	BALCH HARVEY M	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1780892083	NIKKHAH JILA	2021	FFS	RENDERING SNC	AGE 21+	126	None	180	None	126	None	180	None	0	None	0	None	126	None	180	None
1780899260	LIPUMANO-PICAZO, LERIDA F, D	2021	FFS	RENDERING SNC	AGE 0-20	2,586	None	3,511	None	1,907	None	2,237	None	903	None	1,114	None	1,795	None	2,092	None
1780899260	LIPUMANO-PICAZO, LERIDA F, D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1780916981	MILES JONATHAN R	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1780968339	LOMAS GREGG ERIC	2021	FFS	RENDERING SNC	AGE 0-20	46	None	92	None	45	None	90	None	None	1	None	1	None	1	None	1
1780968339	LOMAS GREGG ERIC	2021	FFS	RENDERING SNC	AGE 21+	39	None	86	None	None	1	None	2	33	None	74	None	None	1	None	1
1780983353	SPATOLA MAY H	2021	FFS	RENDERING SNC	AGE 0-20	400	None	595	None	259	None	305	None	190	None	302	None	245	None	281	None
1780983353	SPATOLA MAY H	2021	FFS	RENDERING SNC	AGE 21+	282	None	699	None	162	None	191	None	196	None	361	None	170	None	359	None
1780999268	WHITE MEGAN ANN	2021	FFS	RENDERING SNC	AGE 0-20	834	None	2,162	None	834	None	2,162	None	0	None	0	None	834	None	2,162	None
1780999268	WHITE MEGAN ANN	2021	FFS	RENDERING SNC	AGE 21+	421	None	1,366	None	421	None	1,366	None	0	None	0	None	421	None	1,366	None
1790019958	JARDINA SHANNON L	2021	FFS	RENDERING SNC	AGE 0-20	575	None	739	None	530	None	670	None	168	None	205	None	493	None	625	None
1790019958	JARDINA SHANNON L	2021	FFS	RENDERING SNC	AGE 21+	541	None	736	None	445	None	585	None	338	None	445	None	441	None	577	None
1790075315	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 0-20	27	None	56	None	19	None	38	None	None	1	None	2	17	None	34	None
1790075315	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 21+	40	None	90	None	14	None	28	None	19	None	48	None	15	None	30	None
1790103075	ALDAN THOMAS JESSIE T.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790112209	MENDOZA CHRISTINA	2021	FFS	RENDERING SNC	AGE 0-20	381	None	450	None	381	None	450	None	None	1	None	1	328	None	377	None
1790112209	MENDOZA CHRISTINA	2021	FFS	RENDERING SNC	AGE 21+	201	None	253	None	201	None	253	None	None	1	None	1	201	None	253	None
1790134880	LUPICA, ANNELISE M MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1790150571	PATEL KUNJAL R	2021	FFS	RENDERING SNC	AGE 0-20	856	None	1,875	None	847	None	1,649	None	117	None	212	None	764	None	1,008	None
1790150571	PATEL KUNJAL R	2021	FFS	RENDERING SNC	AGE 21+	359	None	939	None	334	None	514	None	128	None	374	None	331	None	475	None
1790151660	EPSTEIN MICHELLE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790151660	EPSTEIN MICHELLE	2021	FFS	RENDERING SNC	AGE 21+	101	None	152	None	101	None	152	None	0	None	0	None	101	None	152	None
1790162014	JACOBSON WILLIAM A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1790162014	JACOBSON WILLIAM A	2021	FFS	RENDERING SNC	AGE 21+	87	None	567	None	35	None	92	None	73	None	346	None	45	None	239	None
1790169613	ESMERALDO VICTOR C	2021	FFS	RENDERING SNC	AGE 21+	22	None	58	None	18	None	42	None	None	1	None	2	None	1	None	1
1790222479	WARD KELLY	2021	FFS	RENDERING SNC	AGE 0-20	55	None	67	None	55	None	67	None	None	1	None	1	0	None	0	None
1790222479	WARD KELLY	2021	FFS	RENDERING SNC	AGE 21+	218	None	367	None	203	None	317	None	49	None	63	None	0	None	0	None
1790231231	PETERSON DEBRA A	2021	FFS	RENDERING SNC	AGE 0-20	41	None	83	None	23	None	40	None	20	None	36	None	20	None	30	None
1790231231	PETERSON DEBRA A	2021	FFS	RENDERING SNC	AGE 21+	119	None	290	None	48	None	86	None	101	None	193	None	51	None	97	None
1790233567	HSIEH JOHANNA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790233567	HSIEH JOHANNA	2021	FFS	RENDERING SNC	AGE 21+	19	None	31	None	0	None	0	None	0	None	0	None	0	None	0	None
1790257517	NUNEZURIBE LILIA M	2021	FFS	RENDERING SNC	AGE 0-20	1,856	None	2,382	None	1,589	None	1,926	None	31	None	43	None	1,583	None	1,913	None
1790257517	NUNEZURIBE LILIA M	2021	FFS	RENDERING SNC	AGE 21+	787	None	1,116	None	671	None	849	None	110	None	161	None	660	None	832	None
1790257517	NUNEZURIBE LILIA M	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790257517	NUNEZURIBE LILIA M	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1790282960	ONYENEKE VIVIENNE AGHOGHO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790321891	ROHANI SAM	2021	FFS	RENDERING SNC	AGE 0-20	191	None	452	None	146	None	221	None	97	None	205	None	147	None	188	None
1790321891	ROHANI SAM	2021	FFS	RENDERING SNC	AGE 21+	509	None	1,960	None	275	None	370	None	380	None	1,133	None	370	None	801	None
1790329555	D'AURIA DAMIAN	2021	FFS	RENDERING SNC	AGE 0-20	371	None	958	None	360	None	739	None	96	None	218	None	343	None	417	None
1790329555	D'AURIA DAMIAN	2021	FFS	RENDERING SNC	AGE 21+	528	None	1,967	None	504	None	925	None	285	None	1,043	None	501	None	820	None
1790358422	GUEVARRA-SHAMS GENELLE	2021	FFS	RENDERING SNC	AGE 0-20	46	None	77	None	39	None	50	None	27	None	42	None	25	None	30	None
1790359636	EVERDING MICHELLE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1790361319	UHM JOSEPH	2021	FFS	RENDERING SNC	AGE 0-20	156	None	308	None	156	None	307	None	None	1	None	1	154	None	303	None
1790361319	UHM JOSEPH	2021	FFS	RENDERING SNC	AGE 21+	198	None	492	None	198	None	488	None	None	1	None	1	198	None	488	None
1790728764	ROWHANI SHIRIN A	2021	FFS	RENDERING SNC	AGE 0-20	2,228	None	3,140	None	2,022	None	2,543	None	765	None	993	None	1,994	None	2,525	None
1790728764	ROWHANI SHIRIN A	2021	FFS	RENDERING SNC	AGE 21+	312	None	433	None	233	None	255	None	237	None	324	None	260	None	308	None
1790775310	CAO-CHAN LINH M	2021	FFS	RENDERING SNC	AGE 0-20	41	None	58	None	36	None	45	None	None	1	None	1	31	None	37	None
1790775310	CAO-CHAN LINH M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1790785988	ORPILLA IMELDA M.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1790797868	YAMASHITA DENNIS D	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1790797868	YAMASHITA DENNIS D	2021	FFS	RENDERING SNC	AGE 21+	14	None	21	None	None	1	None	1	None	1	None	1	13	None	16	None
1790799641	BROGAN, DONNA	2021	FFS	RENDERING SNC	AGE 0-20	156	None	224	None	142	None	183	None	14	None	18	None	149	None	182	None
1790799641	BROGAN, DONNA	2021	FFS	RENDERING SNC	AGE 21+	103	None	165	None	49	None	64	None	61	None	92	None	56	None	62	None
1790842417	ROGERS TERRI L	2021	FFS	RENDERING SNC	AGE 0-20	97	None	166	None	58	None	85	None	31	None	52	None	72	None	94	None
1790842417	ROGERS TERRI L	2021	FFS	RENDERING SNC	AGE 21+	472	None	1,607	None	167	None	196	None	344	None	1,096	None	289	None	402	None
1790845444	MAHAJAN, ANIL, DDS	2021	FFS	RENDERING SNC	AGE 0-20	474	None	1,055	None	342	None	464	None	169	None	408	None	288	None	336	None
1790845444	MAHAJAN, ANIL, DDS	2021	FFS	RENDERING SNC	AGE 21+	640	None	1,412	None	308	None	411	None	245	None	602	None	304	None	347	None
1790862340	ARIAS JANET M	2021	FFS	RENDERING SNC	AGE 0-20	278	None	383	None	109	None	131	None	65	None	103	None	98	None	114	None
1790862340	ARIAS JANET M	2021	FFS	RENDERING SNC	AGE 21+	403	None	1,003	None	199	None	267	None	269	None	635	None	220	None	288	None
1790884237	ODONO LARRY M	2021	FFS	RENDERING SNC	AGE 0-20	25	None	31	None	12	None	12	None	None	1	None	2	None	1	None	1
1790884237	ODONO LARRY M	2021	FFS	RENDERING SNC	AGE 21+	400	None	679	None	140	None	159	None	221	None	317	None	120	None	155	None
1790884260	MEHRALI MARK CYRUS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1790906568	SUBBIAH, VISHAKALAKSHMI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1790933372	GORSKI LUKASZ ARTUR	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1790933372	GORSKI LUKASZ ARTUR	2021	FFS	RENDERING SNC	AGE 21+	45	None	48	None	None	1	None	1	25	None	27	None	None	1	None	1
1790947976	LAI GORDON SAN	2021	FFS	RENDERING SNC	AGE 0-20	11	None	20	None	None	1	None	2	None	1	None	1	None	1	None	1
1790947976	LAI GORDON SAN	2021	FFS	RENDERING SNC	AGE 21+	45	None	94	None	37	None	49	None	25	None	45	None	37	None	49	None
1790953370	RAMLEY STANLEY E	2021	FFS	RENDERING SNC	AGE 0-20	101	None	424	None	0	None	0	None	0	None	0	None	0	None	0	None
1790953370	RAMLEY STANLEY E	2021	FFS	RENDERING SNC	AGE 21+	112	None	705	None	0	None	0	None	0	None	0	None	0	None	0	None
1790958122	BAK JUNG A	2021	FFS	RENDERING SNC	AGE 0-20	170	None	405	None	170	None	405	None	0	None	0	None	170	None	405	None
1790958122	BAK JUNG A	2021	FFS	RENDERING SNC	AGE 21+	90	None	221	None	89	None	220	None	0	None	0	None	89	None	220	None
1790973212	BELEN MARIA SHARON B	2021	FFS	RENDERING SNC	AGE 0-20	255	None	431	None	48	None	57	None	46	None	70	None	18	None	18	None
1790973212	BELEN MARIA SHARON B	2021	FFS	RENDERING SNC	AGE 21+	321	None	868	None	177	None	311	None	135	None	223	None	89	None	93	None
1790993079	LUGA ROMANI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1801048277	HO WILLIAM CW	2021	FFS	RENDERING SNC	AGE 0-20	55	None	87	None	54	None	86	None	None	1	None	1	54	None	86	None
1801048277	HO WILLIAM CW	2021	FFS	RENDERING SNC	AGE 21+	83	None	255	None	83	None	255	None	0	None	0	None	83	None	255	None
1801059811	CHIO EDWARD C	2021	FFS	RENDERING SNC	AGE 0-20	294	None	619	None	288	None	442	None	118	None	205	None	286	None	378	None
1801059811	CHIO EDWARD C	2021	FFS	RENDERING SNC	AGE 21+	536	None	1,743	None	519	None	980	None	309	None	783	None	527	None	921	None
1801063763	BALACHANDRAN NATHERA	2021	FFS	RENDERING SNC	AGE 0-20	191	None	217	None	122	None	135	None	37	None	41	None	84	None	93	None
1801071089	CHAVEZ JUAN A	2021	FFS	RENDERING SNC	AGE 0-20	868	None	3,686	None	749	None	2,619	None	131	None	499	None	744	None	2,237	None
1801071089	CHAVEZ JUAN A	2021	FFS	RENDERING SNC	AGE 21+	501	None	1,857	None	100	None	276	None	88	None	298	None	470	None	1,559	None
1801102389	TUNGOL DIANNE M	2021	FFS	RENDERING SNC	AGE 0-20	800	None	938	None	780	None	835	None	81	None	114	None	743	None	761	None
1801102389	TUNGOL DIANNE M	2021	FFS	RENDERING SNC	AGE 21+	202	None	279	None	146	None	161	None	88	None	124	None	123	None	129	None
1801102389	TUNGOL DIANNE M	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1801153820	ABICHAKER GEORGE	2021	FFS	RENDERING SNC	AGE 0-20	162	None	348	None	37	None	74	None	36	None	40	None	44	None	85	None
1801154778	LEBUS RONALD LAWRENCE	2021	FFS	RENDERING SNC	AGE 0-20	330	None	540	None	220	None	292	None	138	None	230	None	233	None	355	None
1801154778	LEBUS RONALD LAWRENCE	2021	FFS	RENDERING SNC	AGE 21+	692	None	1,547	None	420	None	608	None	561	None	1,144	None	451	None	876	None
1801168547	MENDOZA TRISTAN ELEAZAR	2021	FFS	RENDERING SNC	AGE 0-20	811	None	1,067	None	665	None	790	None	141	None	197	None	620	None	724	None
1801168547	MENDOZA TRISTAN ELEAZAR	2021	FFS	RENDERING SNC	AGE 21+	472	None	653	None	405	None	504	None	101	None	148	None	405	None	503	None
1801256896	MEJIA ERIC MARIO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1801256896	MEJIA ERIC MARIO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1801336433	NOESKE JAYME JO	2021	FFS	RENDERING SNC	AGE 0-20	268	None	581	None	266	None	577	None	14	None	26	None	260	None	562	None
1801336433	NOESKE JAYME JO	2021	FFS	RENDERING SNC	AGE 21+	320	None	961	None	319	None	957	None	None	1	None	1	319	None	957	None
1801484894	OBREGON NATALIA ALEJANDRA	2021	FFS	RENDERING SNC	AGE 0-20	61	None	182	None	44	None	85	None	20	None	67	None	None	1	None	1
1801484894	OBREGON NATALIA ALEJANDRA	2021	FFS	RENDERING SNC	AGE 21+	232	None	1,036	None	69	None	158	None	147	None	547	None	41	None	156	None
1801821459	DADBEH CECILIA C	2021	FFS	RENDERING SNC	AGE 0-20	563	None	1,369	None	449	None	708	None	222	None	509	None	371	None	456	None
1801821459	DADBEH CECILIA C	2021	FFS	RENDERING SNC	AGE 21+	888	None	1,536	None	513	None	611	None	303	None	588	None	506	None	598	None
1801831318	MANCIAS, RAMIRO, DDS	2021	FFS	RENDERING SNC	AGE 0-20	1,311	None	2,979	None	1,287	None	2,559	None	237	None	390	None	1,186	None	1,702	None
1801831318	MANCIAS, RAMIRO, DDS	2021	FFS	RENDERING SNC	AGE 21+	1,005	None	2,267	None	907	None	1,436	None	306	None	540	None	863	None	1,308	None
1801852900	ADAMS, JOHN D JR DO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1801921291	TOMASZEWSKI CHRISTINE V	2021	FFS	RENDERING SNC	AGE 0-20	340	None	472	None	257	None	305	None	136	None	167	None	54	None	58	None
1801922273	MALLEMPALLI, MANIMANJARI, DD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	2	None	1	None	1
1801922273	MALLEMPALLI, MANIMANJARI, DD	2021	FFS	RENDERING SNC	AGE 21+	80	None	307	None	None	1	None	2	77	None	243	None	12	None	13	None
1801959358	KO WYNNE S	2021	FFS	RENDERING SNC	AGE 0-20	456	None	599	None	115	None	122	None	103	None	138	None	112	None	120	None
1801959358	KO WYNNE S	2021	FFS	RENDERING SNC	AGE 21+	516	None	829	None	196	None	231	None	285	None	452	None	294	None	334	None
1801994892	OAK SARA J	2021	FFS	RENDERING SNC	AGE 0-20	108	None	196	None	77	None	105	None	40	None	71	None	66	None	72	None
1801994892	OAK SARA J	2021	FFS	RENDERING SNC	AGE 21+	771	None	1,757	None	478	None	718	None	301	None	580	None	478	None	696	None
1811002777	BANOONI, PEYMAN MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811002777	UNKNOWN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811012453	WONG, WARREN, DDS	2021	FFS	RENDERING SNC	AGE 0-20	79	None	96	None	65	None	74	None	None	1	None	2	61	None	70	None
1811012453	WONG, WARREN, DDS	2021	FFS	RENDERING SNC	AGE 21+	107	None	180	None	67	None	88	None	53	None	82	None	62	None	67	None
1811019342	HANEFIELD JR HAROLD R	2021	FFS	RENDERING SNC	AGE 0-20	31	None	48	None	15	None	22	None	14	None	23	None	19	None	26	None
1811019342	HANEFIELD JR HAROLD R	2021	FFS	RENDERING SNC	AGE 21+	63	None	83	None	20	None	26	None	44	None	53	None	24	None	31	None
1811033517	DUONG BAOCHAU T	2021	FFS	RENDERING SNC	AGE 0-20	820	None	984	None	538	None	589	None	407	None	489	None	448	None	460	None
1811033517	DUONG BAOCHAU T	2021	FFS	RENDERING SNC	AGE 21+	361	None	398	None	124	None	133	None	265	None	291	None	63	None	68	None
1811036676	LARGOZA NITA HUGO	2021	FFS	RENDERING SNC	AGE 0-20	188	None	607	None	151	None	403	None	57	None	217	None	134	None	348	None
1811036676	LARGOZA NITA HUGO	2021	FFS	RENDERING SNC	AGE 21+	206	None	710	None	150	None	409	None	108	None	369	None	128	None	336	None
1811084106	BENNETT HENRY E	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811084106	BENNETT HENRY E	2021	FFS	RENDERING SNC	AGE 21+	22	None	32	None	22	None	32	None	0	None	0	None	22	None	32	None
1811090384	CAMPOS LUCELLY	2021	FFS	RENDERING SNC	AGE 0-20	69	None	141	None	45	None	66	None	29	None	55	None	40	None	49	None
1811090384	CAMPOS LUCELLY	2021	FFS	RENDERING SNC	AGE 21+	642	None	1,623	None	505	None	770	None	262	None	525	None	475	None	661	None
1811157373	WISE ANDREW R	2021	FFS	RENDERING SNC	AGE 0-20	689	None	1,365	None	245	None	336	None	144	None	277	None	224	None	299	None
1811157373	WISE ANDREW R	2021	FFS	RENDERING SNC	AGE 21+	672	None	1,700	None	102	None	182	None	480	None	1,001	None	130	None	214	None
1811195852	NAKASUJI CINDY C	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1811239155	MYINT OHMAR MYO KYAW	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1811252505	HARA PETER	2021	FFS	RENDERING SNC	AGE 0-20	743	None	976	None	633	None	714	None	123	None	170	None	585	None	634	None
1811252505	HARA PETER	2021	FFS	RENDERING SNC	AGE 21+	353	None	798	None	242	None	277	None	215	None	387	None	255	None	369	None
1811296916	TIEN GARRETT M	2021	FFS	RENDERING SNC	AGE 0-20	1,048	None	1,243	None	937	None	1,039	None	203	None	237	None	38	None	44	None
1811296916	TIEN GARRETT M	2021	FFS	RENDERING SNC	AGE 21+	228	None	408	None	82	None	104	None	144	None	227	None	29	None	68	None
1811345671	TSUI TIFFANY ANWHAY	2021	FFS	RENDERING SNC	AGE 0-20	11	None	34	None	None	1	None	2	None	1	None	1	None	1	None	1
1811345671	TSUI TIFFANY ANWHAY	2021	FFS	RENDERING SNC	AGE 21+	225	None	540	None	15	None	23	None	86	None	203	None	18	None	21	None
1811355134	PEJMAN-GONZALEZ NATASHA	2021	FFS	RENDERING SNC	AGE 0-20	316	None	442	None	311	None	397	None	41	None	69	None	312	None	410	None
1811355134	PEJMAN-GONZALEZ NATASHA	2021	FFS	RENDERING SNC	AGE 21+	84	None	180	None	59	None	76	None	76	None	146	None	61	None	87	None
1811368590	ZHU JESSICA J	2021	FFS	RENDERING SNC	AGE 0-20	45	None	100	None	41	None	84	None	None	1	None	2	36	None	74	None
1811368590	ZHU JESSICA J	2021	FFS	RENDERING SNC	AGE 21+	172	None	554	None	133	None	338	None	79	None	232	None	111	None	244	None
1811370232	THOMAS RALPH J	2021	FFS	RENDERING SNC	AGE 0-20	778	None	1,842	None	628	None	1,018	None	207	None	355	None	164	None	183	None
1811370232	THOMAS RALPH J	2021	FFS	RENDERING SNC	AGE 21+	694	None	1,500	None	264	None	297	None	242	None	510	None	58	None	60	None
1811407208	SEGURA MARIA EUGENIA	2021	FFS	RENDERING SNC	AGE 0-20	231	None	311	None	217	None	291	None	43	None	80	None	53	None	108	None
1811407208	SEGURA MARIA EUGENIA	2021	FFS	RENDERING SNC	AGE 21+	393	None	609	None	223	None	323	None	205	None	310	None	20	None	31	None
1811407406	ALLMAN PENNY LEA	2021	FFS	RENDERING SNC	AGE 0-20	11	None	12	None	11	None	12	None	0	None	0	None	0	None	0	None
1811407406	ALLMAN PENNY LEA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	1	None	1	None	1	0	None	0	None
1811408123	NGUYEN JULIE K	2021	FFS	RENDERING SNC	AGE 0-20	309	None	722	None	293	None	472	None	98	None	240	None	252	None	326	None
1811408123	NGUYEN JULIE K	2021	FFS	RENDERING SNC	AGE 21+	545	None	1,768	None	460	None	881	None	288	None	790	None	441	None	898	None
1811460611	HIRA JATINDER	2021	FFS	RENDERING SNC	AGE 0-20	225	None	323	None	224	None	322	None	None	1	None	1	0	None	0	None
1811460611	HIRA JATINDER	2021	FFS	RENDERING SNC	AGE 21+	334	None	856	None	313	None	723	None	159	None	475	None	0	None	0	None
1811901127	MASON-DOZIER CHARLYNE	2021	FFS	RENDERING SNC	AGE 0-20	84	None	134	None	81	None	120	None	14	None	21	None	46	None	60	None
1811901127	MASON-DOZIER CHARLYNE	2021	FFS	RENDERING SNC	AGE 21+	256	None	504	None	123	None	156	None	185	None	374	None	86	None	133	None
1821026766	HSU, DORA, DDS	2021	FFS	RENDERING SNC	AGE 0-20	186	None	514	None	167	None	330	None	105	None	263	None	131	None	175	None
1821026766	HSU, DORA, DDS	2021	FFS	RENDERING SNC	AGE 21+	172	None	709	None	98	None	115	None	158	None	615	None	112	None	191	None
1821125758	MENDEZ MARITZA E	2021	FFS	RENDERING SNC	AGE 0-20	66	None	72	None	63	None	64	None	None	1	None	1	51	None	51	None
1821125758	MENDEZ MARITZA E	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821168634	TAWATARI ARTHUR T	2021	FFS	RENDERING SNC	AGE 0-20	439	None	986	None	359	None	548	None	221	None	449	None	214	None	248	None
1821168634	TAWATARI ARTHUR T	2021	FFS	RENDERING SNC	AGE 21+	601	None	1,887	None	395	None	614	None	409	None	996	None	233	None	434	None
1821185497	BEGAY TAMANA DOLLICIA	2021	FFS	RENDERING SNC	AGE 0-20	885	None	1,220	None	696	None	794	None	291	None	372	None	35	None	37	None
1821185497	BEGAY TAMANA DOLLICIA	2021	FFS	RENDERING SNC	AGE 21+	207	None	261	None	76	None	79	None	134	None	159	None	22	None	33	None
1821285545	BUQUING REOZEL R	2021	FFS	RENDERING SNC	AGE 0-20	20	None	28	None	11	None	14	None	None	1	None	2	14	None	16	None
1821285545	BUQUING REOZEL R	2021	FFS	RENDERING SNC	AGE 21+	30	None	42	None	None	1	None	2	20	None	29	None	13	None	16	None
1821300138	THAKUR YOGITA B	2021	FFS	RENDERING SNC	AGE 0-20	1,073	None	1,767	None	913	None	1,143	None	378	None	608	None	935	None	1,200	None
1821300138	THAKUR YOGITA B	2021	FFS	RENDERING SNC	AGE 21+	25	None	34	None	15	None	19	None	None	1	None	1	21	None	23	None
1821386285	MAKAN SIRISH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821387192	RIDDELL, JEFFREY C MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821409533	SAMIAEI NADIEH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821409533	SAMIAEI NADIEH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1821467655	MELZER SAMANTHA A	2021	FFS	RENDERING SNC	AGE 0-20	30	None	43	None	20	None	28	None	None	1	None	2	19	None	27	None
1821467655	MELZER SAMANTHA A	2021	FFS	RENDERING SNC	AGE 21+	417	None	1,025	None	349	None	750	None	122	None	238	None	337	None	755	None
1821520487	AUSTIN CONNIE L	2021	FFS	RENDERING SNC	AGE 0-20	327	None	569	None	240	None	272	None	178	None	355	None	75	None	91	None
1821520487	AUSTIN CONNIE L	2021	FFS	RENDERING SNC	AGE 21+	331	None	639	None	173	None	182	None	286	None	567	None	44	None	58	None
1821525767	VACURA SARRIS BRITTANY N	2021	FFS	RENDERING SNC	AGE 0-20	138	None	165	None	130	None	151	None	29	None	35	None	111	None	129	None
1821525767	VACURA SARRIS BRITTANY N	2021	FFS	RENDERING SNC	AGE 21+	90	None	139	None	90	None	139	None	0	None	0	None	90	None	139	None
1821525767	VACURA SARRIS BRITTANY N	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1821541178	CHEN KRISTI L.	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1821544701	TRAN PAUL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1821547498	CHUNG ROBERT M	2021	FFS	RENDERING SNC	AGE 0-20	502	None	763	None	443	None	575	None	87	None	131	None	460	None	555	None
1821547498	CHUNG ROBERT M	2021	FFS	RENDERING SNC	AGE 21+	475	None	992	None	268	None	291	None	253	None	504	None	365	None	468	None
1821574617	KOSHA PARISA J	2021	FFS	RENDERING SNC	AGE 0-20	1,174	None	1,340	None	1,065	None	1,179	None	124	None	137	None	851	None	922	None
1821574617	KOSHA PARISA J	2021	FFS	RENDERING SNC	AGE 21+	166	None	280	None	54	None	56	None	77	None	100	None	43	None	45	None
1821602533	PAXTON RACHEL EMILY	2021	FFS	RENDERING SNC	AGE 0-20	297	None	929	None	238	None	479	None	146	None	354	None	135	None	174	None
1821602533	PAXTON RACHEL EMILY	2021	FFS	RENDERING SNC	AGE 21+	352	None	1,271	None	217	None	418	None	271	None	799	None	171	None	280	None
1821602970	CHHEA THANGCHANTHI N	2021	FFS	RENDERING SNC	AGE 0-20	52	None	60	None	42	None	44	None	17	None	19	None	41	None	41	None
1821602970	CHHEA THANGCHANTHI N	2021	FFS	RENDERING SNC	AGE 21+	16	None	20	None	None	1	None	1	None	1	None	2	None	1	None	1
1821699133	AHMAD AYESHA I	2021	FFS	RENDERING SNC	AGE 0-20	33	None	42	None	22	None	22	None	None	1	None	2	15	None	15	None
1821699133	AHMAD AYESHA I	2021	FFS	RENDERING SNC	AGE 21+	118	None	218	None	53	None	68	None	63	None	92	None	62	None	95	None
1821699133	AHMAD AYESHA I	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831108091	LAW SHU Y	2021	FFS	RENDERING SNC	AGE 0-20	549	None	1,080	None	162	None	206	None	136	None	263	None	150	None	192	None
1831108091	LAW SHU Y	2021	FFS	RENDERING SNC	AGE 21+	299	None	667	None	33	None	53	None	153	None	326	None	37	None	58	None
1831108901	PRIVATE HOSPITALIST MEDICAL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1831204288	COLAS, CHUCK R DO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1831245539	ARCA, LEANDRO SANTOS, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1831245539	ARCA, LEANDRO SANTOS, DDS	2021	FFS	RENDERING SNC	AGE 21+	137	None	299	None	91	None	117	None	63	None	109	None	98	None	154	None
1831275908	ACHUCK CORDELIA	2021	FFS	RENDERING SNC	AGE 0-20	751	None	1,378	None	718	None	1,058	None	199	None	339	None	702	None	906	None
1831275908	ACHUCK CORDELIA	2021	FFS	RENDERING SNC	AGE 21+	1,043	None	2,855	None	939	None	1,593	None	664	None	1,382	None	840	None	1,356	None
1831278761	BAILEY GERALD W	2021	FFS	RENDERING SNC	AGE 0-20	2,482	None	3,218	None	1,448	None	1,593	None	1,604	None	2,025	None	856	None	894	None
1831292028	MORLEY JEFFREY S	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1831292028	MORLEY JEFFREY S	2021	FFS	RENDERING SNC	AGE 21+	97	None	210	None	0	None	0	None	96	None	204	None	48	None	87	None
1831299890	BEENE JOHN MARTIN	2021	FFS	RENDERING SNC	AGE 0-20	628	None	2,502	None	531	None	1,219	None	164	None	587	None	488	None	1,080	None
1831299890	BEENE JOHN MARTIN	2021	FFS	RENDERING SNC	AGE 21+	387	None	2,042	None	282	None	612	None	152	None	835	None	336	None	963	None
1831310663	LIU STANLEY	2021	FFS	RENDERING SNC	AGE 0-20	634	None	950	None	251	None	319	None	95	None	183	None	241	None	291	None
1831310663	LIU STANLEY	2021	FFS	RENDERING SNC	AGE 21+	849	None	1,874	None	623	None	928	None	326	None	600	None	606	None	801	None
1831343227	HABBOUSH SARMAD J	2021	FFS	RENDERING SNC	AGE 0-20	420	None	1,155	None	382	None	646	None	173	None	431	None	260	None	314	None
1831343227	HABBOUSH SARMAD J	2021	FFS	RENDERING SNC	AGE 21+	583	None	2,105	None	431	None	765	None	410	None	1,155	None	404	None	504	None
1831395425	BONNER KENNETH	2021	FFS	RENDERING SNC	AGE 0-20	93	None	111	None	44	None	47	None	17	None	22	None	36	None	37	None
1831395425	BONNER KENNETH	2021	FFS	RENDERING SNC	AGE 21+	88	None	163	None	39	None	44	None	51	None	105	None	40	None	45	None
1831404680	BARRAGAN, MAGGIE M, RDHAP	2021	FFS	RENDERING SNC	AGE 0-20	21	None	21	None	21	None	21	None	0	None	0	None	13	None	13	None
1831457118	DANG, ELAINE DDS	2021	FFS	RENDERING SNC	AGE 0-20	371	None	798	None	291	None	371	None	95	None	192	None	12	None	21	None
1831457118	DANG, ELAINE DDS	2021	FFS	RENDERING SNC	AGE 21+	384	None	1,465	None	164	None	170	None	233	None	664	None	66	None	144	None
1831478726	SILVA GALAN JOYCE MARLETTE	2021	FFS	RENDERING SNC	AGE 0-20	332	None	387	None	308	None	341	None	26	None	45	None	None	1	None	1
1831478726	SILVA GALAN JOYCE MARLETTE	2021	FFS	RENDERING SNC	AGE 21+	616	None	855	None	267	None	287	None	355	None	568	None	None	1	None	1
1831478734	ELIMELECH DAVID	2021	FFS	RENDERING SNC	AGE 0-20	181	None	635	None	181	None	635	None	40	None	118	None	181	None	635	None
1831478734	ELIMELECH DAVID	2021	FFS	RENDERING SNC	AGE 21+	188	None	652	None	188	None	652	None	79	None	235	None	188	None	652	None
1831501345	NGUYEN THANH TRUNG T	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1831504166	CHUNG PETER J	2021	FFS	RENDERING SNC	AGE 0-20	393	None	620	None	151	None	184	None	150	None	224	None	116	None	132	None
1831504166	CHUNG PETER J	2021	FFS	RENDERING SNC	AGE 21+	255	None	497	None	131	None	225	None	170	None	299	None	72	None	125	None
1831529163	SITJAR MARICRIS TOPICO	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1831529163	SITJAR MARICRIS TOPICO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1831550037	REITER HILARY	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	0	None	0	None	None	1	None	1
1831550037	REITER HILARY	2021	FFS	RENDERING SNC	AGE 21+	212	None	372	None	14	None	20	None	78	None	134	None	60	None	90	None
1831571694	MORIGUCHI KRISTIN M	2021	FFS	RENDERING SNC	AGE 0-20	545	None	755	None	435	None	532	None	186	None	255	None	418	None	504	None
1831571694	MORIGUCHI KRISTIN M	2021	FFS	RENDERING SNC	AGE 21+	225	None	299	None	139	None	161	None	131	None	163	None	132	None	154	None
1831596816	DIAZ DOMINIQUE	2021	FFS	RENDERING SNC	AGE 21+	263	None	405	None	None	1	None	1	263	None	405	None	0	None	0	None
1831608876	ALCALA BARBOSA KARINA	2021	FFS	RENDERING SNC	AGE 0-20	543	None	718	None	408	None	479	None	180	None	240	None	14	None	22	None
1831608876	ALCALA BARBOSA KARINA	2021	FFS	RENDERING SNC	AGE 21+	495	None	837	None	201	None	225	None	324	None	493	None	77	None	152	None
1831635317	DEZA ROLANDO ABRAHAM N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1831635317	DEZA ROLANDO ABRAHAM N	2021	FFS	RENDERING SNC	AGE 21+	96	None	945	None	46	None	100	None	90	None	847	None	43	None	84	None
1831703800	VALVERDE INGERSOLL YESSENIA	2021	FFS	RENDERING SNC	AGE 0-20	288	None	452	None	146	None	162	None	179	None	290	None	112	None	119	None
1831703800	VALVERDE INGERSOLL YESSENIA	2021	FFS	RENDERING SNC	AGE 21+	471	None	1,249	None	145	None	164	None	415	None	879	None	184	None	413	None
1831744010	LEE JONATHAN QUAN	2021	FFS	RENDERING SNC	AGE 0-20	18	None	34	None	15	None	22	None	None	1	None	2	15	None	18	None
1831744010	LEE JONATHAN QUAN	2021	FFS	RENDERING SNC	AGE 21+	165	None	482	None	137	None	192	None	107	None	278	None	135	None	180	None
1841203502	CERVANTES-PRADO VERONICA A	2021	FFS	RENDERING SNC	AGE 0-20	315	None	568	None	218	None	304	None	53	None	83	None	44	None	52	None
1841203502	CERVANTES-PRADO VERONICA A	2021	FFS	RENDERING SNC	AGE 21+	406	None	770	None	100	None	108	None	157	None	331	None	25	None	28	None
1841207958	STONNER PATRICK J	2021	FFS	RENDERING SNC	AGE 0-20	557	None	1,220	None	526	None	986	None	144	None	301	None	417	None	725	None
1841207958	STONNER PATRICK J	2021	FFS	RENDERING SNC	AGE 21+	996	None	2,123	None	748	None	1,098	None	467	None	1,049	None	288	None	486	None
1841207958	STONNER PATRICK J	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1841238367	ELSHAFIE MOHAMED A	2021	FFS	RENDERING SNC	AGE 0-20	581	None	1,260	None	471	None	816	None	202	None	532	None	438	None	750	None
1841238367	ELSHAFIE MOHAMED A	2021	FFS	RENDERING SNC	AGE 21+	368	None	897	None	202	None	345	None	206	None	535	None	314	None	628	None
1841253564	MARDIROSIAN, HOVIK, DDS	2021	FFS	RENDERING SNC	AGE 0-20	36	None	37	None	27	None	27	None	None	1	None	1	30	None	31	None
1841253564	MARDIROSIAN, HOVIK, DDS	2021	FFS	RENDERING SNC	AGE 21+	16	None	16	None	None	1	None	1	None	1	None	1	None	1	None	1
1841267853	CHU GIANG HUONG	2021	FFS	RENDERING SNC	AGE 0-20	253	None	432	None	210	None	230	None	99	None	154	None	224	None	272	None
1841267853	CHU GIANG HUONG	2021	FFS	RENDERING SNC	AGE 21+	138	None	326	None	69	None	76	None	94	None	194	None	84	None	118	None
1841275823	ARAGON JOHN R	2021	FFS	RENDERING SNC	AGE 0-20	480	None	1,165	None	406	None	706	None	121	None	234	None	404	None	547	None
1841275823	ARAGON JOHN R	2021	FFS	RENDERING SNC	AGE 21+	468	None	1,788	None	286	None	470	None	361	None	1,088	None	297	None	481	None
1841328366	CARTER MARIANELA M	2021	FFS	RENDERING SNC	AGE 0-20	971	None	1,453	None	841	None	1,207	None	760	None	1,092	None	398	None	511	None
1841328366	CARTER MARIANELA M	2021	FFS	RENDERING SNC	AGE 21+	431	None	745	None	211	None	310	None	329	None	564	None	102	None	124	None
1841365863	PONNALA SRIDEVI	2021	FFS	RENDERING SNC	AGE 0-20	335	None	369	None	266	None	287	None	66	None	75	None	58	None	64	None
1841365863	PONNALA SRIDEVI	2021	FFS	RENDERING SNC	AGE 21+	72	None	82	None	24	None	25	None	44	None	50	None	None	1	None	2
1841386422	KIM BRIAN S.	2021	FFS	RENDERING SNC	AGE 0-20	396	None	1,271	None	396	None	1,271	None	0	None	0	None	396	None	1,271	None
1841386422	KIM BRIAN S.	2021	FFS	RENDERING SNC	AGE 21+	481	None	1,866	None	481	None	1,866	None	0	None	0	None	481	None	1,866	None
1841386422	KIM BRIAN S.	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	2	0	None	0	None	None	1	None	2
1841386422	KIM BRIAN S.	2021	GMC	RENDERING SNC	AGE 21+	11	None	38	None	11	None	38	None	0	None	0	None	11	None	38	None
1841448610	PEKARSKI YANA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1841465721	TRAN DIENAN N	2021	FFS	RENDERING SNC	AGE 0-20	75	None	151	None	75	None	151	None	23	None	41	None	75	None	151	None
1841465721	TRAN DIENAN N	2021	FFS	RENDERING SNC	AGE 21+	429	None	1,406	None	429	None	1,405	None	187	None	424	None	429	None	1,405	None
1841490703	MAYOR CARLOS A	2021	FFS	RENDERING SNC	AGE 0-20	232	None	500	None	151	None	247	None	73	None	150	None	126	None	140	None
1841490703	MAYOR CARLOS A	2021	FFS	RENDERING SNC	AGE 21+	800	None	2,100	None	571	None	873	None	351	None	798	None	484	None	762	None
1841548849	ANWAR ADNAN	2021	FFS	RENDERING SNC	AGE 0-20	89	None	112	None	77	None	93	None	24	None	29	None	50	None	54	None
1841569738	LEONG MICHELLE T	2021	FFS	RENDERING SNC	AGE 0-20	793	None	1,212	None	730	None	981	None	241	None	327	None	704	None	864	None
1841569738	LEONG MICHELLE T	2021	FFS	RENDERING SNC	AGE 21+	274	None	442	None	158	None	170	None	114	None	178	None	179	None	207	None
1841577749	NGUYEN MINH B	2021	FFS	RENDERING SNC	AGE 0-20	196	None	300	None	144	None	173	None	91	None	134	None	139	None	148	None
1841577749	NGUYEN MINH B	2021	FFS	RENDERING SNC	AGE 21+	347	None	578	None	225	None	258	None	250	None	402	None	179	None	207	None
1841584786	LOPEZ ACOSTA OSCAR A	2021	FFS	RENDERING SNC	AGE 0-20	189	None	535	None	189	None	533	None	0	None	0	None	189	None	533	None
1841584786	LOPEZ ACOSTA OSCAR A	2021	FFS	RENDERING SNC	AGE 21+	576	None	2,154	None	576	None	2,154	None	None	1	None	2	576	None	2,154	None
1841597457	LUBO, SAHYLI V, DDS	2021	FFS	RENDERING SNC	AGE 0-20	64	None	102	None	42	None	71	None	19	None	23	None	51	None	68	None
1841597457	LUBO, SAHYLI V, DDS	2021	FFS	RENDERING SNC	AGE 21+	156	None	285	None	66	None	103	None	74	None	128	None	82	None	89	None
1841597457	LUBO, SAHYLI VERONICE DDS	2021	FFS	RENDERING SNC	AGE 0-20	64	None	102	None	42	None	71	None	19	None	23	None	51	None	68	None
1841597457	LUBO, SAHYLI VERONICE DDS	2021	FFS	RENDERING SNC	AGE 21+	156	None	285	None	66	None	103	None	74	None	128	None	82	None	89	None
1841604048	GOPALAKRISHNAN KHUSHBU A	2021	FFS	RENDERING SNC	AGE 0-20	1,054	None	1,290	None	908	None	1,052	None	162	None	193	None	673	None	754	None
1841604048	GOPALAKRISHNAN KHUSHBU A	2021	FFS	RENDERING SNC	AGE 21+	145	None	191	None	80	None	84	None	68	None	85	None	90	None	99	None
1841615481	TSANG LINDA	2021	FFS	RENDERING SNC	AGE 0-20	394	None	664	None	355	None	509	None	127	None	196	None	312	None	339	None
1841615481	TSANG LINDA	2021	FFS	RENDERING SNC	AGE 21+	683	None	1,447	None	563	None	841	None	299	None	506	None	569	None	718	None
1841671054	EVANS-MCDONALD KATHERINE LISA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1841697539	BARROW BRITTNEY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1841697729	OVBUDE OMONLEGHO	2021	FFS	RENDERING SNC	AGE 0-20	102	None	193	None	None	1	None	2	39	None	80	None	None	1	None	2
1841697729	OVBUDE OMONLEGHO	2021	FFS	RENDERING SNC	AGE 21+	112	None	219	None	None	1	None	1	60	None	103	None	14	None	22	None
1841728169	TAKEUCHI SAWAKO S	2021	FFS	RENDERING SNC	AGE 0-20	842	None	1,891	None	811	None	1,508	None	197	None	370	None	766	None	1,272	None
1841728169	TAKEUCHI SAWAKO S	2021	FFS	RENDERING SNC	AGE 21+	1,088	None	2,962	None	906	None	1,453	None	421	None	957	None	971	None	1,843	None
1841741360	SONG ESTHER H	2021	FFS	RENDERING SNC	AGE 0-20	301	None	584	None	165	None	263	None	132	None	242	None	218	None	372	None
1841741360	SONG ESTHER H	2021	FFS	RENDERING SNC	AGE 21+	552	None	1,541	None	189	None	302	None	266	None	608	None	316	None	740	None
1841741360	SONG ESTHER H	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1841741360	SONG ESTHER H	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1841747243	VOSHALL GIOVANNA	2021	FFS	RENDERING SNC	AGE 0-20	443	None	873	None	416	None	666	None	120	None	234	None	349	None	437	None
1841747243	VOSHALL GIOVANNA	2021	FFS	RENDERING SNC	AGE 21+	417	None	1,326	None	373	None	594	None	239	None	720	None	350	None	537	None
1841773850	DUONG ALEX	2021	FFS	RENDERING SNC	AGE 0-20	491	None	1,440	None	364	None	645	None	377	None	744	None	210	None	250	None
1841773850	DUONG ALEX	2021	FFS	RENDERING SNC	AGE 21+	460	None	1,645	None	241	None	345	None	424	None	1,294	None	129	None	160	None
1841850161	DIEP BRIAN	2021	FFS	RENDERING SNC	AGE 0-20	657	None	1,286	None	210	None	295	None	184	None	317	None	178	None	249	None
1841850161	DIEP BRIAN	2021	FFS	RENDERING SNC	AGE 21+	395	None	949	None	49	None	89	None	282	None	570	None	65	None	107	None
1841870300	WELLS ADRIENNE E	2021	FFS	RENDERING SNC	AGE 0-20	218	None	319	None	None	1	None	1	0	None	0	None	0	None	0	None
1841870300	WELLS ADRIENNE E	2021	FFS	RENDERING SNC	AGE 21+	149	None	362	None	0	None	0	None	None	1	None	1	0	None	0	None
1851050652	EWERT TAYLOR DANIELLE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1851050652	EWERT TAYLOR DANIELLE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851305908	APPLEFIELD PAUL S	2021	FFS	RENDERING SNC	AGE 0-20	29	None	37	None	28	None	36	None	None	1	None	1	28	None	36	None
1851305908	APPLEFIELD PAUL S	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851315741	SUFI GURMINDERAJI S	2021	FFS	RENDERING SNC	AGE 0-20	459	None	1,349	None	443	None	1,328	None	13	None	15	None	445	None	1,330	None
1851315741	SUFI GURMINDERAJI S	2021	FFS	RENDERING SNC	AGE 21+	667	None	2,427	None	606	None	2,345	None	52	None	61	None	607	None	2,345	None
1851428411	HAROUNI JACK	2021	FFS	RENDERING SNC	AGE 0-20	37	None	46	None	16	None	17	None	19	None	27	None	13	None	14	None
1851428411	HAROUNI JACK	2021	FFS	RENDERING SNC	AGE 21+	127	None	222	None	44	None	52	None	94	None	153	None	46	None	53	None
1851431225	CHANG HAO K	2021	FFS	RENDERING SNC	AGE 0-20	149	None	219	None	135	None	168	None	28	None	40	None	83	None	90	None
1851431225	CHANG HAO K	2021	FFS	RENDERING SNC	AGE 21+	438	None	721	None	267	None	332	None	203	None	324	None	104	None	129	None
1851432470	LLOYD TASONA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851469712	RUSTAMZADEH DAVID	2021	FFS	RENDERING SNC	AGE 0-20	14	None	20	None	None	1	None	1	None	1	None	1	None	1	None	2
1851469712	RUSTAMZADEH DAVID	2021	FFS	RENDERING SNC	AGE 21+	217	None	485	None	111	None	188	None	167	None	356	None	113	None	193	None
1851479372	AGUEY OMAR JOSE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851484794	GILL HARPREET K	2021	FFS	RENDERING SNC	AGE 0-20	323	None	989	None	277	None	701	None	94	None	219	None	307	None	688	None
1851484794	GILL HARPREET K	2021	FFS	RENDERING SNC	AGE 21+	558	None	2,005	None	365	None	680	None	352	None	1,152	None	493	None	1,178	None
1851484794	GILL HARPREET K	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1851484794	GILL HARPREET K	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851494975	REYES MARCO A	2021	FFS	RENDERING SNC	AGE 0-20	135	None	211	None	106	None	120	None	52	None	89	None	98	None	105	None
1851494975	REYES MARCO A	2021	FFS	RENDERING SNC	AGE 21+	640	None	1,157	None	176	None	180	None	481	None	791	None	315	None	375	None
1851518096	PRAVEEN MEENA	2021	FFS	RENDERING SNC	AGE 0-20	488	None	647	None	340	None	382	None	182	None	240	None	320	None	361	None
1851518096	PRAVEEN MEENA	2021	FFS	RENDERING SNC	AGE 21+	837	None	1,437	None	526	None	673	None	485	None	772	None	527	None	677	None
1851528939	GUPTA SUD SABINA	2021	FFS	RENDERING SNC	AGE 0-20	197	None	216	None	134	None	145	None	52	None	57	None	133	None	143	None
1851529358	NGUYEN LISA B	2021	FFS	RENDERING SNC	AGE 0-20	430	None	755	None	367	None	507	None	125	None	188	None	324	None	402	None
1851539464	MAKAR GEORGE E	2021	FFS	RENDERING SNC	AGE 21+	17	None	64	None	None	1	None	2	17	None	62	None	None	1	None	1
1851557532	DOMINICS JR LUIS R	2021	FFS	RENDERING SNC	AGE 0-20	588	None	658	None	28	None	28	None	134	None	144	None	16	None	17	None
1851557532	DOMINICS JR LUIS R	2021	FFS	RENDERING SNC	AGE 21+	569	None	774	None	54	None	56	None	363	None	468	None	None	1	None	1
1851588297	TADLE GUIA C	2021	FFS	RENDERING SNC	AGE 0-20	499	None	799	None	416	None	572	None	280	None	409	None	356	None	421	None
1851588297	TADLE GUIA C	2021	FFS	RENDERING SNC	AGE 21+	755	None	1,571	None	448	None	612	None	651	None	1,219	None	406	None	550	None
1851601801	KAUR PARMINDER	2021	FFS	RENDERING SNC	AGE 0-20	13	None	17	None	None	1	None	1	12	None	14	None	None	1	None	1
1851601801	KAUR PARMINDER	2021	FFS	RENDERING SNC	AGE 21+	66	None	78	None	17	None	17	None	55	None	63	None	11	None	11	None
1851725436	TU TOM K	2021	FFS	RENDERING SNC	AGE 0-20	246	None	379	None	211	None	262	None	93	None	156	None	175	None	233	None
1851725436	TU TOM K	2021	FFS	RENDERING SNC	AGE 21+	352	None	822	None	228	None	394	None	267	None	546	None	224	None	414	None
1851731566	RUGGLES MATHEW	2021	FFS	RENDERING SNC	AGE 0-20	24	None	24	None	0	None	0	None	None	1	None	1	23	None	23	None
1851731566	RUGGLES MATHEW	2021	FFS	RENDERING SNC	AGE 21+	53	None	54	None	None	1	None	1	33	None	34	None	19	None	19	None
1851754956	TSANG, MICHELLE MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1851784268	LEE ALEXANDER W	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1851788095	BURCHETT CHRISTOPHER	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851788095	BURCHETT CHRISTOPHER	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1851831416	LEE KIRA C	2021	FFS	RENDERING SNC	AGE 0-20	120	None	271	None	42	None	62	None	33	None	63	None	38	None	48	None
1851848196	SHIMANE MARY J	2021	FFS	RENDERING SNC	AGE 0-20	273	None	310	None	239	None	262	None	36	None	45	None	151	None	170	None
1851848196	SHIMANE MARY J	2021	FFS	RENDERING SNC	AGE 21+	168	None	238	None	100	None	110	None	78	None	110	None	93	None	122	None
1851909121	THAKKAR ABHI DIPAKBHAI	2021	FFS	RENDERING SNC	AGE 0-20	893	None	2,171	None	872	None	1,857	None	192	None	324	None	844	None	1,165	None
1851909121	THAKKAR ABHI DIPAKBHAI	2021	FFS	RENDERING SNC	AGE 21+	537	None	1,471	None	499	None	789	None	284	None	703	None	484	None	675	None
1861162570	OBEROI RAKSHIT RAJU	2021	FFS	RENDERING SNC	AGE 0-20	275	None	409	None	248	None	342	None	59	None	82	None	219	None	235	None
1861162570	OBEROI RAKSHIT RAJU	2021	FFS	RENDERING SNC	AGE 21+	199	None	319	None	157	None	197	None	96	None	125	None	146	None	173	None
1861166803	WILSON SEDONNI SIMONE	2021	FFS	RENDERING SNC	AGE 0-20	150	None	213	None	125	None	148	None	34	None	53	None	107	None	125	None
1861166803	WILSON SEDONNI SIMONE	2021	FFS	RENDERING SNC	AGE 21+	83	None	167	None	53	None	68	None	37	None	75	None	55	None	72	None
1861404113	STRAIN PHYLISS A	2021	FFS	RENDERING SNC	AGE 0-20	179	None	189	None	115	None	120	None	57	None	59	None	123	None	128	None
1861404113	STRAIN PHYLISS A	2021	FFS	RENDERING SNC	AGE 21+	191	None	206	None	87	None	91	None	111	None	115	None	72	None	77	None
1861422529	AMIGON REMEDIOS A	2021	FFS	RENDERING SNC	AGE 0-20	674	None	723	None	46	None	51	None	160	None	171	None	137	None	142	None
1861422529	AMIGON REMEDIOS A	2021	FFS	RENDERING SNC	AGE 21+	604	None	708	None	83	None	102	None	500	None	570	None	224	None	237	None
1861422529	AMIGON REMEDIOS A	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1861528044	NAGY RICHARD JAMES	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1861538381	ROMERO MERCAY M	2021	FFS	RENDERING SNC	AGE 0-20	1,329	None	1,669	None	1,196	None	1,383	None	173	None	224	None	1,140	None	1,199	None
1861538381	ROMERO MERCAY M	2021	FFS	RENDERING SNC	AGE 21+	35	None	36	None	20	None	21	None	20	None	20	None	11	None	11	None
1861545170	RAJABIAN REZA	2021	FFS	RENDERING SNC	AGE 0-20	479	None	828	None	409	None	514	None	165	None	300	None	352	None	414	None
1861545170	RAJABIAN REZA	2021	FFS	RENDERING SNC	AGE 21+	574	None	1,187	None	410	None	569	None	339	None	669	None	301	None	341	None
1861569402	AI FANGYU CATHY	2021	FFS	RENDERING SNC	AGE 0-20	1,183	None	2,017	None	1,064	None	1,643	None	318	None	435	None	1,000	None	1,498	None
1861569402	AI FANGYU CATHY	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1861571796	ELICK WILEY M	2021	FFS	RENDERING SNC	AGE 0-20	5,572	None	6,927	None	5,539	None	6,774	None	3,411	None	3,935	None	5,526	None	6,739	None
1861613614	GOGTE PRIYA G	2021	FFS	RENDERING SNC	AGE 0-20	117	None	321	None	39	None	65	None	63	None	148	None	94	None	146	None
1861613614	GOGTE PRIYA G	2021	FFS	RENDERING SNC	AGE 21+	238	None	678	None	50	None	76	None	179	None	425	None	170	None	278	None
1861615726	VU, KIM-ANH THI DDS	2021	FFS	RENDERING SNC	AGE 0-20	39	None	64	None	39	None	64	None	0	None	0	None	39	None	64	None
1861615726	VU, KIM-ANH THI DDS	2021	FFS	RENDERING SNC	AGE 21+	233	None	541	None	233	None	541	None	0	None	0	None	233	None	541	None
1861624389	NEFT AMBER L	2021	FFS	RENDERING SNC	AGE 0-20	762	None	967	None	721	None	852	None	89	None	121	None	713	None	835	None
1861624389	NEFT AMBER L	2021	FFS	RENDERING SNC	AGE 21+	476	None	780	None	441	None	611	None	155	None	284	None	382	None	441	None
1861630733	MOSCHREF JASMIN	2021	FFS	RENDERING SNC	AGE 0-20	53	None	68	None	28	None	33	None	24	None	32	None	24	None	28	None
1861630733	MOSCHREF JASMIN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1861652935	UDALL BROOK M	2021	FFS	RENDERING SNC	AGE 0-20	63	None	100	None	30	None	43	None	22	None	35	None	41	None	56	None
1861652935	UDALL BROOK M	2021	FFS	RENDERING SNC	AGE 21+	118	None	191	None	39	None	58	None	61	None	96	None	58	None	89	None
1861708554	PERRY KASEY S	2021	FFS	RENDERING SNC	AGE 0-20	1,321	None	4,479	None	1,299	None	3,963	None	171	None	480	None	1,276	None	3,005	None
1861708554	PERRY KASEY S	2021	FFS	RENDERING SNC	AGE 21+	787	None	4,024	None	726	None	2,306	None	313	None	1,611	None	716	None	1,830	None
1861769549	LIVINGOOD ANDREA N	2021	FFS	RENDERING SNC	AGE 0-20	1,463	None	4,988	None	1,463	None	4,988	None	0	None	0	None	1,463	None	4,988	None
1861769549	LIVINGOOD ANDREA N	2021	FFS	RENDERING SNC	AGE 21+	251	None	629	None	250	None	628	None	0	None	0	None	250	None	628	None
1861775306	KANAYAMA NARIHIDE	2021	FFS	RENDERING SNC	AGE 0-20	517	None	626	None	375	None	431	None	154	None	190	None	364	None	417	None
1861775306	KANAYAMA NARIHIDE	2021	FFS	RENDERING SNC	AGE 21+	469	None	802	None	377	None	581	None	143	None	176	None	371	None	631	None
1861786154	DHILLON SUKHJINDER S	2021	FFS	RENDERING SNC	AGE 0-20	146	None	220	None	60	None	107	None	69	None	85	None	None	1	None	1
1861786154	DHILLON SUKHJINDER S	2021	FFS	RENDERING SNC	AGE 21+	864	None	1,297	None	41	None	42	None	756	None	1,092	None	51	None	54	None
1861816365	SALVADOR ROJAS RAQUEL DELFINA	2021	FFS	RENDERING SNC	AGE 0-20	181	None	199	None	150	None	152	None	31	None	41	None	150	None	152	None
1861816365	SALVADOR ROJAS RAQUEL DELFINA	2021	FFS	RENDERING SNC	AGE 21+	187	None	226	None	129	None	143	None	78	None	91	None	129	None	143	None
1861831414	HUANG TAMMY	2021	FFS	RENDERING SNC	AGE 0-20	488	None	914	None	488	None	914	None	0	None	0	None	488	None	914	None
1861831414	HUANG TAMMY	2021	FFS	RENDERING SNC	AGE 21+	194	None	510	None	194	None	510	None	0	None	0	None	194	None	510	None
1861840258	TA LUKE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1861876724	FU CHRISTINE	2021	FFS	RENDERING SNC	AGE 0-20	1,245	None	2,880	None	927	None	1,847	None	692	None	1,485	None	906	None	1,780	None
1861876724	FU CHRISTINE	2021	FFS	RENDERING SNC	AGE 21+	466	None	1,111	None	195	None	335	None	393	None	863	None	219	None	437	None
1861912909	MIN DAVID W	2021	FFS	RENDERING SNC	AGE 0-20	190	None	528	None	166	None	326	None	69	None	173	None	162	None	242	None
1861912909	MIN DAVID W	2021	FFS	RENDERING SNC	AGE 21+	298	None	1,222	None	192	None	288	None	165	None	589	None	195	None	304	None
1861956724	HILLIARD THESALONICA PAIGE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1861959223	MOORE JULIE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1861978454	VENKATESH ANCHITA	2021	FFS	RENDERING SNC	AGE 0-20	11	None	13	None	11	None	13	None	0	None	0	None	11	None	13	None
1861978454	VENKATESH ANCHITA	2021	FFS	RENDERING SNC	AGE 21+	44	None	45	None	42	None	43	None	None	1	None	1	42	None	43	None
1871072736	PEREIRA MARIANA D	2021	FFS	RENDERING SNC	AGE 0-20	1,322	None	1,536	None	903	None	1,086	None	215	None	223	None	940	None	1,123	None
1871072736	PEREIRA MARIANA D	2021	FFS	RENDERING SNC	AGE 21+	677	None	721	None	72	None	76	None	523	None	553	None	73	None	73	None
1871073965	TANG YIN	2021	FFS	RENDERING SNC	AGE 0-20	228	None	793	None	149	None	295	None	152	None	412	None	85	None	127	None
1871073965	TANG YIN	2021	FFS	RENDERING SNC	AGE 21+	379	None	1,783	None	210	None	467	None	316	None	1,220	None	167	None	363	None
1871144402	HOPPER ALICIA KAYLIN	2021	FFS	RENDERING SNC	AGE 0-20	87	None	211	None	85	None	207	None	None	1	None	1	18	None	41	None
1871144402	HOPPER ALICIA KAYLIN	2021	FFS	RENDERING SNC	AGE 21+	150	None	484	None	150	None	484	None	127	None	423	None	None	1	None	1
1871506360	MANSOUR, ENGELLA S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871506360	MANSOUR, ENGELLA S, DDS	2021	FFS	RENDERING SNC	AGE 21+	86	None	282	None	43	None	49	None	72	None	231	None	24	None	24	None
1871520775	LIMSICO SIEOW Y	2021	FFS	RENDERING SNC	AGE 0-20	1,050	None	1,654	None	946	None	1,223	None	382	None	638	None	942	None	1,115	None
1871520775	LIMSICO SIEOW Y	2021	FFS	RENDERING SNC	AGE 21+	233	None	472	None	127	None	167	None	182	None	350	None	140	None	163	None
1871539221	WHITE MICHAEL J	2021	FFS	RENDERING SNC	AGE 0-20	46	None	123	None	46	None	123	None	0	None	0	None	46	None	123	None
1871539221	WHITE MICHAEL J	2021	FFS	RENDERING SNC	AGE 21+	138	None	403	None	138	None	403	None	0	None	0	None	138	None	403	None
1871539221	WHITE MICHAEL J	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1871602904	TANIOKA DARRON T	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871602904	TANIOKA DARRON T	2021	FFS	RENDERING SNC	AGE 21+	73	None	234	None	22	None	31	None	69	None	213	None	18	None	22	None
1871635243	UYANNE, JOHN A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871636845	MAMANI-CANCINO CESAR Z	2021	FFS	RENDERING SNC	AGE 0-20	378	None	895	None	360	None	714	None	68	None	115	None	101	None	137	None
1871636845	MAMANI-CANCINO CESAR Z	2021	FFS	RENDERING SNC	AGE 21+	361	None	1,086	None	278	None	434	None	183	None	461	None	185	None	331	None
1871644757	LEE WILLIAM P	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871662353	ROHRS TINA L	2021	FFS	RENDERING SNC	AGE 0-20	16	None	17	None	12	None	12	None	None	1	None	1	None	1	None	1
1871662353	ROHRS TINA L	2021	FFS	RENDERING SNC	AGE 21+	35	None	37	None	17	None	17	None	31	None	32	None	20	None	20	None
1871666024	MOHAMED AYESHA S	2021	FFS	RENDERING SNC	AGE 0-20	293	None	556	None	262	None	420	None	166	None	307	None	274	None	338	None
1871666024	MOHAMED AYESHA S	2021	FFS	RENDERING SNC	AGE 21+	194	None	382	None	87	None	114	None	121	None	218	None	131	None	192	None
1871667832	MENDOZA MARY G	2021	FFS	RENDERING SNC	AGE 0-20	241	None	284	None	127	None	142	None	178	None	211	None	54	None	57	None
1871667832	MENDOZA MARY G	2021	FFS	RENDERING SNC	AGE 21+	220	None	267	None	114	None	135	None	204	None	248	None	84	None	95	None
1871753459	CHEN MINDY M	2021	FFS	RENDERING SNC	AGE 0-20	69	None	149	None	69	None	149	None	0	None	0	None	69	None	149	None
1871753459	CHEN MINDY M	2021	FFS	RENDERING SNC	AGE 21+	97	None	383	None	95	None	373	None	0	None	0	None	95	None	373	None
1871763425	KAPADIA MEHA	2021	FFS	RENDERING SNC	AGE 0-20	484	None	875	None	465	None	757	None	79	None	129	None	436	None	558	None
1871763425	KAPADIA MEHA	2021	FFS	RENDERING SNC	AGE 21+	320	None	615	None	275	None	362	None	117	None	248	None	266	None	321	None
1871791947	LIN LI T.	2021	FFS	RENDERING SNC	AGE 0-20	132	None	192	None	132	None	192	None	0	None	0	None	132	None	192	None
1871791947	LIN LI T.	2021	FFS	RENDERING SNC	AGE 21+	215	None	434	None	215	None	434	None	0	None	0	None	215	None	434	None
1871807016	PLEITEZ ERICK A	2021	FFS	RENDERING SNC	AGE 0-20	236	None	381	None	148	None	169	None	109	None	172	None	173	None	196	None
1871807016	PLEITEZ ERICK A	2021	FFS	RENDERING SNC	AGE 21+	860	None	1,993	None	247	None	293	None	627	None	1,381	None	423	None	519	None
1871810846	CHO NAM S	2021	FFS	RENDERING SNC	AGE 0-20	47	None	53	None	0	None	0	None	13	None	14	None	28	None	29	None
1871810846	CHO NAM S	2021	FFS	RENDERING SNC	AGE 21+	265	None	307	None	None	1	None	1	123	None	137	None	116	None	125	None
1871853481	CENTER FOR FAMILY HEALTH	2021	FFS	RENDERING SNC	AGE 0-20	676	None	3,140	None	544	None	1,510	None	334	None	1,414	None	595	None	1,642	None
1871853481	CENTER FOR FAMILY HEALTH	2021	FFS	RENDERING SNC	AGE 21+	540	None	1,989	None	512	None	1,308	None	293	None	759	None	521	None	1,349	None
1871888123	AL-RAWI WISAM	2021	FFS	RENDERING SNC	AGE 0-20	34	None	34	None	22	None	22	None	None	1	None	1	17	None	17	None
1871888123	AL-RAWI WISAM	2021	FFS	RENDERING SNC	AGE 21+	195	None	200	None	103	None	105	None	53	None	54	None	67	None	67	None
1871911297	HANN MICHAEL E	2021	FFS	RENDERING SNC	AGE 0-20	1,156	None	1,728	None	1,092	None	1,313	None	76	None	83	None	1,093	None	1,310	None
1871911297	HANN MICHAEL E	2021	FFS	RENDERING SNC	AGE 21+	267	None	325	None	194	None	227	None	162	None	198	None	191	None	223	None
1871912717	ABDALLAH, WALID F MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871934778	CHOGLE ISHWAREE RAJIV	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1871963090	RUMINSON JONATHAN W	2021	FFS	RENDERING SNC	AGE 0-20	3,966	None	6,354	None	2,528	None	2,982	None	2,738	None	4,230	None	1,498	None	1,588	None
1871963090	RUMINSON JONATHAN W	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1871992065	GOPAL MALA	2021	FFS	RENDERING SNC	AGE 0-20	745	None	868	None	537	None	592	None	190	None	225	None	509	None	560	None
1871993238	KADIVETI VENKATESWARL	2021	FFS	RENDERING SNC	AGE 0-20	927	None	5,321	None	878	None	3,888	None	334	None	1,232	None	859	None	2,697	None
1871993238	KADIVETI VENKATESWARL	2021	FFS	RENDERING SNC	AGE 21+	648	None	3,790	None	541	None	1,768	None	337	None	1,685	None	547	None	1,490	None
1881018778	HUERTA JR WILLIAM	2021	FFS	RENDERING SNC	AGE 0-20	542	None	1,155	None	523	None	888	None	154	None	261	None	516	None	654	None
1881018778	HUERTA JR WILLIAM	2021	FFS	RENDERING SNC	AGE 21+	460	None	1,087	None	407	None	613	None	177	None	397	None	382	None	498	None
1881052777	HARRISON MIA A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1881052777	HARRISON MIA A	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1881071454	BAL JAGRUP S	2021	FFS	RENDERING SNC	AGE 0-20	1,072	None	3,368	None	1,035	None	2,793	None	173	None	517	None	1,032	None	2,343	None
1881071454	BAL JAGRUP S	2021	FFS	RENDERING SNC	AGE 21+	771	None	3,589	None	703	None	2,035	None	318	None	1,408	None	696	None	1,661	None
1881071744	BAO DEAN-PAUL	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1881087062	GONZALES BRITTANY L	2021	FFS	RENDERING SNC	AGE 0-20	346	None	579	None	301	None	414	None	98	None	152	None	73	None	91	None
1881087062	GONZALES BRITTANY L	2021	FFS	RENDERING SNC	AGE 21+	332	None	731	None	202	None	276	None	169	None	334	None	170	None	272	None
1881169944	KWON JESSICA D	2021	FFS	RENDERING SNC	AGE 0-20	71	None	153	None	64	None	86	None	29	None	65	None	64	None	86	None
1881169944	KWON JESSICA D	2021	FFS	RENDERING SNC	AGE 21+	32	None	66	None	21	None	27	None	15	None	25	None	21	None	27	None
1881212876	SALVIE BRIAN A	2021	FFS	RENDERING SNC	AGE 0-20	86	None	97	None	58	None	66	None	15	None	15	None	32	None	33	None
1881212876	SALVIE BRIAN A	2021	FFS	RENDERING SNC	AGE 21+	75	None	92	None	43	None	46	None	39	None	46	None	34	None	37	None
1881214203	RIZK MARK A	2021	FFS	RENDERING SNC	AGE 0-20	47	None	54	None	None	1	None	1	0	None	0	None	0	None	0	None
1881214203	RIZK MARK A	2021	FFS	RENDERING SNC	AGE 21+	29	None	31	None	0	None	0	None	None	1	None	1	0	None	0	None
1881696607	TJIOE, HERMAWAN, DDS INC	2021	FFS	RENDERING SNC	AGE 0-20	509	None	988	None	508	None	986	None	0	None	0	None	508	None	986	None
1881696607	TJIOE, HERMAWAN, DDS INC	2021	FFS	RENDERING SNC	AGE 21+	1,083	None	3,832	None	1,075	None	3,811	None	0	None	0	None	1,076	None	3,813	None
1881717882	MONIZ, SHARILYN T, DDS	2021	FFS	RENDERING SNC	AGE 0-20	879	None	1,194	None	711	None	889	None	144	None	179	None	648	None	758	None
1881717882	MONIZ, SHARILYN T, DDS	2021	FFS	RENDERING SNC	AGE 21+	393	None	477	None	143	None	147	None	174	None	207	None	122	None	124	None
1881736684	BARAKZOY MOSTAFA	2021	FFS	RENDERING SNC	AGE 0-20	1,240	None	2,436	None	793	None	997	None	502	None	863	None	762	None	988	None
1881736684	BARAKZOY MOSTAFA	2021	FFS	RENDERING SNC	AGE 21+	1,422	None	4,616	None	405	None	475	None	1,026	None	3,031	None	437	None	565	None
1881745347	ABBAS HAYTHAM M	2021	FFS	RENDERING SNC	AGE 0-20	104	None	162	None	69	None	90	None	40	None	64	None	84	None	126	None
1881745347	ABBAS HAYTHAM M	2021	FFS	RENDERING SNC	AGE 21+	91	None	161	None	47	None	53	None	66	None	116	None	66	None	109	None
1881754489	CHEN CANDICE Y	2021	FFS	RENDERING SNC	AGE 0-20	770	None	1,778	None	211	None	325	None	277	None	517	None	186	None	271	None
1881754489	CHEN CANDICE Y	2021	FFS	RENDERING SNC	AGE 21+	253	None	447	None	34	None	57	None	162	None	263	None	41	None	65	None
1881760114	JAUL DOUGLAS H	2021	FFS	RENDERING SNC	AGE 0-20	254	None	854	None	11	None	14	None	None	1	None	1	253	None	845	None
1881760114	JAUL DOUGLAS H	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	0	None	0	None	None	1	None	1
1881780351	NGUYEN OANH T	2021	FFS	RENDERING SNC	AGE 0-20	437	None	663	None	351	None	525	None	252	None	430	None	124	None	140	None
1881780351	NGUYEN OANH T	2021	FFS	RENDERING SNC	AGE 21+	22	None	35	None	14	None	23	None	None	1	None	1	None	1	None	1
1881789113	MAUNGMAUNG, TIN, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1881894020	HARO IRIS DE LA CARIDAD	2021	FFS	RENDERING SNC	AGE 0-20	885	None	1,723	None	789	None	1,196	None	451	None	843	None	852	None	1,267	None
1881894020	HARO IRIS DE LA CARIDAD	2021	FFS	RENDERING SNC	AGE 21+	15	None	16	None	0	None	0	None	None	1	None	1	None	1	None	1
1881923027	KIM DIANA H	2021	FFS	RENDERING SNC	AGE 0-20	218	None	417	None	26	None	28	None	30	None	44	None	155	None	316	None
1881923027	KIM DIANA H	2021	FFS	RENDERING SNC	AGE 21+	308	None	597	None	None	1	None	2	198	None	358	None	128	None	215	None
1881946523	CHUNG WILLIAM R	2021	FFS	RENDERING SNC	AGE 0-20	413	None	900	None	383	None	646	None	128	None	239	None	368	None	510	None
1881946523	CHUNG WILLIAM R	2021	FFS	RENDERING SNC	AGE 21+	642	None	1,317	None	496	None	670	None	311	None	564	None	516	None	706	None
1881952158	ERHARD MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	266	None	440	None	183	None	235	None	149	None	244	None	190	None	246	None
1881952158	ERHARD MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	409	None	915	None	180	None	225	None	293	None	657	None	228	None	318	None
1891004131	CURAMENG JOANN D	2021	FFS	RENDERING SNC	AGE 0-20	351	None	588	None	304	None	411	None	123	None	197	None	225	None	256	None
1891004131	CURAMENG JOANN D	2021	FFS	RENDERING SNC	AGE 21+	431	None	1,222	None	355	None	579	None	264	None	738	None	303	None	464	None
1891048500	KHAJAVI, SUZAN DDS	2021	FFS	RENDERING SNC	AGE 0-20	207	None	659	None	183	None	344	None	85	None	290	None	178	None	283	None
1891048500	KHAJAVI, SUZAN DDS	2021	FFS	RENDERING SNC	AGE 21+	329	None	1,413	None	233	None	355	None	194	None	745	None	239	None	383	None
1891161113	TEMNITZER RADKA V	2021	FFS	RENDERING SNC	AGE 0-20	408	None	521	None	356	None	435	None	56	None	69	None	226	None	261	None
1891161113	TEMNITZER RADKA V	2021	FFS	RENDERING SNC	AGE 21+	126	None	154	None	53	None	63	None	66	None	74	None	38	None	46	None
1891177630	BODINI CHANCE JAMES	2021	FFS	RENDERING SNC	AGE 0-20	99	None	187	None	45	None	72	None	35	None	57	None	45	None	70	None
1891177630	BODINI CHANCE JAMES	2021	FFS	RENDERING SNC	AGE 21+	148	None	301	None	70	None	108	None	78	None	135	None	73	None	121	None
1891195053	TODOROV BOYAN	2021	FFS	RENDERING SNC	AGE 0-20	50	None	91	None	45	None	65	None	30	None	61	None	43	None	56	None
1891195053	TODOROV BOYAN	2021	FFS	RENDERING SNC	AGE 21+	129	None	240	None	117	None	156	None	89	None	155	None	99	None	133	None
1891272399	KAZAK NIKITA FELIKSOVICH	2021	FFS	RENDERING SNC	AGE 0-20	401	None	487	None	304	None	358	None	87	None	105	None	232	None	270	None
1891272399	KAZAK NIKITA FELIKSOVICH	2021	FFS	RENDERING SNC	AGE 21+	534	None	661	None	198	None	211	None	223	None	273	None	180	None	192	None
1891279485	PHAN JUDY THI	2021	FFS	RENDERING SNC	AGE 0-20	194	None	241	None	187	None	230	None	None	1	None	2	178	None	213	None
1891279485	PHAN JUDY THI	2021	FFS	RENDERING SNC	AGE 21+	404	None	701	None	355	None	529	None	224	None	413	None	265	None	270	None
1891281242	MARASHI ZOHREH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1891281242	MARASHI ZOHREH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1891335618	FALSAFI HASSAN	2021	FFS	RENDERING SNC	AGE 0-20	406	None	1,078	None	281	None	471	None	165	None	410	None	271	None	389	None
1891335618	FALSAFI HASSAN	2021	FFS	RENDERING SNC	AGE 21+	1,872	None	6,682	None	1,006	None	1,575	None	1,162	None	3,379	None	1,285	None	2,497	None
1891341517	LAZO KTLENNE LEHI	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1891341517	LAZO KTLENNE LEHI	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1891788345	TAYLOR RANDALL T	2021	FFS	RENDERING SNC	AGE 0-20	761	None	1,260	None	247	None	312	None	141	None	195	None	233	None	292	None
1891788345	TAYLOR RANDALL T	2021	FFS	RENDERING SNC	AGE 21+	667	None	1,510	None	96	None	158	None	433	None	874	None	153	None	232	None
1891821765	FULLER, CLAYTON S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	12	None	15	None	None	1	None	1	0	None	0	None	None	1	None	1
1891821765	FULLER, CLAYTON S, DDS	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1891830378	CHING KAREN TANIGUCHI	2021	FFS	RENDERING SNC	AGE 0-20	46	None	56	None	16	None	17	None	19	None	24	None	16	None	16	None
1891841268	NGUYEN QUYNH T	2021	FFS	RENDERING SNC	AGE 0-20	118	None	267	None	118	None	267	None	None	1	None	1	118	None	267	None
1891841268	NGUYEN QUYNH T	2021	FFS	RENDERING SNC	AGE 21+	219	None	682	None	219	None	682	None	None	1	None	1	219	None	682	None
1891874897	MARATHE KAUSTUBH K	2021	FFS	RENDERING SNC	AGE 0-20	50	None	88	None	42	None	61	None	30	None	41	None	37	None	52	None
1891874897	MARATHE KAUSTUBH K	2021	FFS	RENDERING SNC	AGE 21+	87	None	160	None	69	None	102	None	40	None	61	None	69	None	95	None
1891927505	MAGALLANES ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	693	None	1,192	None	683	None	1,154	None	34	None	53	None	679	None	1,134	None
1891927505	MAGALLANES ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	326	None	722	None	309	None	583	None	145	None	304	None	309	None	584	None
1891938692	NGUYEN PHUC V	2021	FFS	RENDERING SNC	AGE 0-20	73	None	107	None	37	None	41	None	33	None	48	None	73	None	107	None
1891938692	NGUYEN PHUC V	2021	FFS	RENDERING SNC	AGE 21+	110	None	201	None	59	None	66	None	64	None	110	None	110	None	201	None
1891982559	JARED, JOHNSON S MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1891982559	JARED, JOHNSON S MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1902019805	EISENHOFER, KAREN F DDS	2021	FFS	RENDERING SNC	AGE 0-20	922	None	1,102	None	916	None	1,088	None	18	None	18	None	913	None	1,084	None
1902019805	EISENHOFER, KAREN F DDS	2021	FFS	RENDERING SNC	AGE 21+	313	None	400	None	312	None	394	None	None	1	None	1	312	None	394	None
1902085855	SHIH YEN S	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1902085855	SHIH YEN S	2021	FFS	RENDERING SNC	AGE 21+	58	None	138	None	26	None	30	None	31	None	50	None	38	None	54	None
1902118656	SINGH BONNIE HARPREET	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1902144918	WASEER AYESHA R	2021	FFS	RENDERING SNC	AGE 0-20	248	None	452	None	220	None	337	None	105	None	167	None	190	None	222	None
1902144918	WASEER AYESHA R	2021	FFS	RENDERING SNC	AGE 21+	496	None	1,394	None	375	None	485	None	383	None	1,033	None	387	None	578	None
1902153489	LIU FRANK	2021	FFS	RENDERING SNC	AGE 0-20	185	None	543	None	170	None	412	None	41	None	121	None	141	None	334	None
1902153489	LIU FRANK	2021	FFS	RENDERING SNC	AGE 21+	388	None	1,895	None	316	None	905	None	202	None	690	None	331	None	1,157	None
1902212053	ROBOUBI MOJDEH	2021	FFS	RENDERING SNC	AGE 0-20	33	None	50	None	29	None	38	None	13	None	20	None	None	1	None	1
1902212053	ROBOUBI MOJDEH	2021	FFS	RENDERING SNC	AGE 21+	128	None	272	None	61	None	99	None	94	None	174	None	19	None	26	None
1902239957	BAJWA JASHANJOT S	2021	FFS	RENDERING SNC	AGE 0-20	271	None	609	None	162	None	241	None	114	None	258	None	191	None	319	None
1902239957	BAJWA JASHANJOT S	2021	FFS	RENDERING SNC	AGE 21+	697	None	2,015	None	354	None	520	None	362	None	840	None	439	None	929	None
1902273782	HALEY THEODORE B	2021	FFS	RENDERING SNC	AGE 0-20	223	None	245	None	74	None	77	None	62	None	65	None	49	None	50	None
1902273782	HALEY THEODORE B	2021	FFS	RENDERING SNC	AGE 21+	330	None	392	None	101	None	108	None	182	None	207	None	133	None	137	None
1902319197	BLAS BLANCA	2021	FFS	RENDERING SNC	AGE 0-20	74	None	79	None	63	None	67	None	0	None	0	None	0	None	0	None
1902319197	BLAS BLANCA	2021	FFS	RENDERING SNC	AGE 21+	879	None	1,147	None	850	None	1,115	None	0	None	0	None	0	None	0	None
1902340847	TAN CAROLYN O	2021	FFS	RENDERING SNC	AGE 0-20	318	None	1,157	None	289	None	727	None	121	None	344	None	262	None	502	None
1902340847	TAN CAROLYN O	2021	FFS	RENDERING SNC	AGE 21+	424	None	2,090	None	343	None	777	None	275	None	1,242	None	325	None	601	None
1902381452	MAGANA SUSANA	2021	FFS	RENDERING SNC	AGE 0-20	189	None	207	None	164	None	175	None	50	None	55	None	173	None	181	None
1902381452	MAGANA SUSANA	2021	FFS	RENDERING SNC	AGE 21+	97	None	124	None	38	None	42	None	90	None	113	None	38	None	42	None
1902412992	SAMA NATELI	2021	FFS	RENDERING SNC	AGE 0-20	450	None	1,563	None	337	None	890	None	219	None	549	None	None	1	None	1
1902412992	SAMA NATELI	2021	FFS	RENDERING SNC	AGE 21+	516	None	1,894	None	283	None	663	None	320	None	956	None	29	None	56	None
1902428238	JOHNSON JARED JOSHUA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1902428238	JOHNSON JARED JOSHUA	2021	FFS	RENDERING SNC	AGE 21+	23	None	25	None	None	1	None	1	None	1	None	1	None	1	None	1
1902496789	WU APRIL SHIH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1902903669	KUNUKKASSERIL MERIN	2021	FFS	RENDERING SNC	AGE 0-20	674	None	887	None	600	None	668	None	128	None	188	None	594	None	666	None
1902903669	KUNUKKASSERIL MERIN	2021	FFS	RENDERING SNC	AGE 21+	667	None	831	None	541	None	597	None	286	None	346	None	546	None	600	None
1902909054	PORTALES RAMON	2021	FFS	RENDERING SNC	AGE 0-20	1,224	None	2,331	None	1,191	None	2,065	None	205	None	295	None	1,140	None	1,647	None
1902909054	PORTALES RAMON	2021	FFS	RENDERING SNC	AGE 21+	574	None	1,337	None	488	None	781	None	282	None	577	None	448	None	613	None
1902954928	SIPOWICZ, MARIA C MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1902972938	DAO TU T	2021	FFS	RENDERING SNC	AGE 0-20	619	None	863	None	363	None	413	None	189	None	284	None	302	None	315	None
1902972938	DAO TU T	2021	FFS	RENDERING SNC	AGE 21+	676	None	1,512	None	393	None	526	None	463	None	916	None	293	None	326	None
1912033465	HSZIEH KEVIN CHIH W	2021	FFS	RENDERING SNC	AGE 0-20	321	None	809	None	252	None	410	None	146	None	296	None	242	None	366	None
1912033465	HSZIEH KEVIN CHIH W	2021	FFS	RENDERING SNC	AGE 21+	71	None	91	None	None	1	None	2	34	None	39	None	None	1	None	2
1912042086	SCHMIDT EUGENE J.	2021	FFS	RENDERING SNC	AGE 0-20	60	None	82	None	33	None	41	None	30	None	39	None	13	None	15	None
1912042086	SCHMIDT EUGENE J.	2021	FFS	RENDERING SNC	AGE 21+	390	None	608	None	135	None	164	None	217	None	305	None	91	None	109	None
1912045113	TING PEGGY K	2021	FFS	RENDERING SNC	AGE 0-20	405	None	939	None	335	None	507	None	237	None	522	None	269	None	333	None
1912045113	TING PEGGY K	2021	FFS	RENDERING SNC	AGE 21+	872	None	2,177	None	454	None	526	None	699	None	1,680	None	388	None	459	None
1912100355	FRENCH DONALD L	2021	FFS	RENDERING SNC	AGE 0-20	387	None	483	None	83	None	94	None	93	None	111	None	106	None	127	None
1912100355	FRENCH DONALD L	2021	FFS	RENDERING SNC	AGE 21+	526	None	899	None	73	None	139	None	287	None	408	None	125	None	199	None
1912137316	DANIEL WAYNE J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1912137316	DANIEL WAYNE J	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1912146598	HO MICHAEL H	2021	FFS	RENDERING SNC	AGE 21+	14	None	18	None	0	None	0	None	14	None	18	None	0	None	0	None
1912164435	NGUYEN AMY P	2021	FFS	RENDERING SNC	AGE 0-20	124	None	183	None	68	None	80	None	41	None	57	None	30	None	32	None
1912164435	NGUYEN AMY P	2021	FFS	RENDERING SNC	AGE 21+	387	None	576	None	50	None	55	None	46	None	51	None	26	None	28	None
1912187576	VU SOPHIA N	2021	FFS	RENDERING SNC	AGE 0-20	11	None	13	None	None	1	None	1	None	1	None	1	None	1	None	1
1912187576	VU SOPHIA N	2021	FFS	RENDERING SNC	AGE 21+	314	None	603	None	107	None	143	None	219	None	392	None	124	None	173	None
1912249426	CHALLA ANNIE L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1912249426	CHALLA ANNIE L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1912313438	NAZARKHAN FATHIMA SARAH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1912346719	SPASOV STANISLAV N	2021	FFS	RENDERING SNC	AGE 0-20	149	None	350	None	137	None	204	None	67	None	121	None	135	None	189	None
1912346719	SPASOV STANISLAV N	2021	FFS	RENDERING SNC	AGE 21+	182	None	724	None	156	None	283	None	151	None	493	None	149	None	198	None
1912354689	AGRAWAL PRIYADARSHIN	2021	FFS	RENDERING SNC	AGE 0-20	114	None	214	None	90	None	121	None	58	None	98	None	55	None	64	None
1912354689	AGRAWAL PRIYADARSHIN	2021	FFS	RENDERING SNC	AGE 21+	504	None	1,603	None	253	None	328	None	430	None	1,220	None	284	None	455	None
1912367673	HUA SPENCER S	2021	FFS	RENDERING SNC	AGE 0-20	163	None	295	None	143	None	198	None	43	None	75	None	141	None	189	None
1912367673	HUA SPENCER S	2021	FFS	RENDERING SNC	AGE 21+	327	None	1,177	None	230	None	347	None	194	None	512	None	241	None	468	None
1912394735	BJELLA, KIRK MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1912425489	GUZMAN-SILVA MARIA	2021	FFS	RENDERING SNC	AGE 0-20	59	None	63	None	53	None	54	None	None	1	None	2	0	None	0	None
1912425489	GUZMAN-SILVA MARIA	2021	FFS	RENDERING SNC	AGE 21+	543	None	789	None	238	None	248	None	494	None	731	None	None	1	None	1
1912465626	IYER GAYATHRI P	2021	FFS	RENDERING SNC	AGE 0-20	526	None	1,084	None	370	None	508	None	230	None	445	None	184	None	203	None
1912465626	IYER GAYATHRI P	2021	FFS	RENDERING SNC	AGE 21+	535	None	1,426	None	264	None	366	None	387	None	881	None	114	None	128	None
1912493974	GOMEZ BERNARDETTE	2021	FFS	RENDERING SNC	AGE 0-20	189	None	221	None	165	None	185	None	None	1	None	2	21	None	24	None
1912493974	GOMEZ BERNARDETTE	2021	FFS	RENDERING SNC	AGE 21+	330	None	493	None	129	None	141	None	208	None	354	None	16	None	19	None
1912512492	AKABIKE ANDREA	2021	FFS	RENDERING SNC	AGE 0-20	998	None	1,814	None	955	None	1,467	None	271	None	470	None	932	None	1,354	None
1912512492	AKABIKE ANDREA	2021	FFS	RENDERING SNC	AGE 21+	344	None	801	None	269	None	426	None	199	None	457	None	260	None	349	None
1912533597	AL SAMMARRAIE MOHLAB N	2021	FFS	RENDERING SNC	AGE 0-20	609	None	799	None	513	None	604	None	139	None	181	None	474	None	525	None
1912533597	AL SAMMARRAIE MOHLAB N	2021	FFS	RENDERING SNC	AGE 21+	385	None	706	None	170	None	259	None	288	None	439	None	124	None	144	None
1912533597	AL SAMMARRAIE MOHLAB N	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1912935206	BYRAM CHARLES D	2021	FFS	RENDERING SNC	AGE 0-20	107	None	126	None	95	None	105	None	19	None	24	None	97	None	106	None
1912935206	BYRAM CHARLES D	2021	FFS	RENDERING SNC	AGE 21+	222	None	257	None	181	None	192	None	48	None	55	None	196	None	208	None
1912984436	WESTBIE, DONALD K MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1922043892	RAYA RALPH L	2021	FFS	RENDERING SNC	AGE 0-20	849	None	1,507	None	811	None	1,259	None	233	None	377	None	777	None	1,049	None
1922043892	RAYA RALPH L	2021	FFS	RENDERING SNC	AGE 21+	485	None	1,043	None	408	None	534	None	317	None	595	None	402	None	630	None
1922053032	MURPHY MELANIE K	2021	FFS	RENDERING SNC	AGE 0-20	423	None	710	None	378	None	491	None	140	None	223	None	379	None	451	None
1922053032	MURPHY MELANIE K	2021	FFS	RENDERING SNC	AGE 21+	331	None	732	None	202	None	232	None	189	None	375	None	216	None	309	None
1922053099	SANCHEZ-RODRIGU ALMA R	2021	FFS	RENDERING SNC	AGE 0-20	9,106	None	19,313	None	6,878	None	9,617	None	5,532	None	9,274	None	1,066	None	1,215	None
1922053099	SANCHEZ-RODRIGU ALMA R	2021	FFS	RENDERING SNC	AGE 21+	6,880	None	19,512	None	2,001	None	2,472	None	6,279	None	16,411	None	565	None	643	None
1922053099	SANCHEZ-RODRIGU ALMA R	2021	PHP	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922053305	SCHEEL, PHILIP R MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1922108448	HALEY ELEANOR Z	2021	FFS	RENDERING SNC	AGE 0-20	50	None	76	None	36	None	49	None	11	None	13	None	44	None	57	None
1922108448	HALEY ELEANOR Z	2021	FFS	RENDERING SNC	AGE 21+	365	None	816	None	226	None	326	None	159	None	245	None	309	None	540	None
1922121466	MOY, JEFFREY F MD	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1922128511	PALHAN SANDHYA	2021	FFS	RENDERING SNC	AGE 0-20	100	None	119	None	70	None	80	None	39	None	46	None	45	None	48	None
1922128511	PALHAN SANDHYA	2021	FFS	RENDERING SNC	AGE 21+	144	None	230	None	92	None	115	None	81	None	136	None	68	None	87	None
1922136027	TRYON DWIGHT M	2021	FFS	RENDERING SNC	AGE 0-20	183	None	398	None	183	None	398	None	0	None	0	None	183	None	398	None
1922136027	TRYON DWIGHT M	2021	FFS	RENDERING SNC	AGE 21+	190	None	502	None	190	None	502	None	0	None	0	None	190	None	502	None
1922242668	WHITE AMANDA	2021	FFS	RENDERING SNC	AGE 0-20	84	None	125	None	82	None	122	None	None	1	None	1	62	None	92	None
1922242668	WHITE AMANDA	2021	FFS	RENDERING SNC	AGE 21+	440	None	1,131	None	399	None	1,020	None	74	None	136	None	111	None	171	None
1922262054	MEHTA ROSHANI P	2021	FFS	RENDERING SNC	AGE 0-20	772	None	844	None	102	None	107	None	256	None	285	None	71	None	73	None
1922262054	MEHTA ROSHANI P	2021	FFS	RENDERING SNC	AGE 21+	718	None	864	None	178	None	197	None	556	None	637	None	133	None	137	None
1922262054	MEHTA ROSHANI P	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1922275254	ALLEN II GREGORY P	2021	FFS	RENDERING SNC	AGE 0-20	742	None	859	None	465	None	510	None	167	None	189	None	356	None	391	None
1922319169	NUNEZ AUSTIN	2021	FFS	RENDERING SNC	AGE 0-20	353	None	451	None	267	None	307	None	129	None	164	None	108	None	120	None
1922319169	NUNEZ AUSTIN	2021	FFS	RENDERING SNC	AGE 21+	206	None	302	None	79	None	85	None	95	None	135	None	92	None	113	None
1922386192	ATLURI SRI V	2021	FFS	RENDERING SNC	AGE 0-20	655	None	1,216	None	511	None	784	None	186	None	304	None	625	None	862	None
1922386192	ATLURI SRI V	2021	FFS	RENDERING SNC	AGE 21+	364	None	636	None	73	None	90	None	125	None	236	None	346	None	487	None
1922485408	KIM ANDREW	2021	FFS	RENDERING SNC	AGE 0-20	275	None	510	None	267	None	429	None	51	None	94	None	245	None	314	None
1922485408	KIM ANDREW	2021	FFS	RENDERING SNC	AGE 21+	136	None	435	None	118	None	187	None	92	None	267	None	113	None	167	None
1922510494	PHAM PHUONG HOANG	2021	FFS	RENDERING SNC	AGE 0-20	234	None	299	None	228	None	286	None	13	None	19	None	211	None	258	None
1922510494	PHAM PHUONG HOANG	2021	FFS	RENDERING SNC	AGE 21+	421	None	787	None	381	None	580	None	222	None	460	None	292	None	296	None
1922551803	PHAM THANH D	2021	FFS	RENDERING SNC	AGE 0-20	194	None	403	None	144	None	222	None	87	None	140	None	158	None	238	None
1922551803	PHAM THANH D	2021	FFS	RENDERING SNC	AGE 21+	327	None	843	None	160	None	211	None	266	None	571	None	244	None	373	None
1922619634	GORITSKAIA ANNA V	2021	FFS	RENDERING SNC	AGE 0-20	563	None	1,287	None	340	None	565	None	388	None	648	None	121	None	139	None
1922619634	GORITSKAIA ANNA V	2021	FFS	RENDERING SNC	AGE 21+	612	None	2,069	None	365	None	728	None	510	None	1,323	None	208	None	295	None
1922685221	KHODE AKSHITA	2021	FFS	RENDERING SNC	AGE 0-20	377	None	577	None	329	None	454	None	152	None	222	None	238	None	267	None
1922685221	KHODE AKSHITA	2021	FFS	RENDERING SNC	AGE 21+	761	None	1,416	None	480	None	618	None	535	None	860	None	411	None	583	None
1932123692	TALLEY BRIAN C	2021	FFS	RENDERING SNC	AGE 0-20	39	None	67	None	None	1	None	1	32	None	51	None	None	1	None	1
1932196649	DAVIS BONNIE JEANNE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932196649	DAVIS BONNIE JEANNE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932260601	COSTANZA VICTOR J	2021	FFS	RENDERING SNC	AGE 0-20	441	None	679	None	316	None	370	None	194	None	307	None	136	None	148	None
1932265923	OLMEZOVA, IRINA, DDS	2021	FFS	RENDERING SNC	AGE 0-20	110	None	116	None	92	None	93	None	15	None	19	None	55	None	56	None
1932265923	OLMEZOVA, IRINA, DDS	2021	FFS	RENDERING SNC	AGE 21+	497	None	981	None	208	None	241	None	300	None	685	None	170	None	193	None
1932284775	NG EMIL SIU H	2021	FFS	RENDERING SNC	AGE 0-20	423	None	1,387	None	401	None	1,060	None	76	None	277	None	394	None	964	None
1932284775	NG EMIL SIU H	2021	FFS	RENDERING SNC	AGE 21+	1,119	None	6,588	None	895	None	2,945	None	694	None	2,761	None	818	None	3,235	None
1932311982	FONG GLORIA WONG	2021	FFS	RENDERING SNC	AGE 0-20	186	None	215	None	56	None	58	None	45	None	51	None	42	None	44	None
1932311982	FONG GLORIA WONG	2021	FFS	RENDERING SNC	AGE 21+	261	None	326	None	78	None	81	None	135	None	175	None	101	None	109	None
1932364510	NALAMATI SAILAJA	2021	FFS	RENDERING SNC	AGE 0-20	567	None	786	None	522	None	592	None	142	None	205	None	523	None	591	None
1932364510	NALAMATI SAILAJA	2021	FFS	RENDERING SNC	AGE 21+	237	None	535	None	32	None	36	None	171	None	324	None	29	None	36	None
1932365111	LY MAI T	2021	FFS	RENDERING SNC	AGE 0-20	734	None	1,163	None	569	None	762	None	174	None	252	None	151	None	170	None
1932365111	LY MAI T	2021	FFS	RENDERING SNC	AGE 21+	855	None	1,397	None	386	None	418	None	429	None	707	None	524	None	629	None
1932373628	JOHNSON BEVERLY ANN	2021	FFS	RENDERING SNC	AGE 0-20	714	None	1,743	None	681	None	1,355	None	170	None	276	None	621	None	806	None
1932373628	JOHNSON BEVERLY ANN	2021	FFS	RENDERING SNC	AGE 21+	425	None	1,170	None	400	None	712	None	194	None	463	None	380	None	544	None
1932379443	YUEN, SELENE S MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	1	None	1	None	1
1932405156	MAGARRO LEONEL E	2021	FFS	RENDERING SNC	AGE 0-20	430	None	630	None	352	None	427	None	118	None	175	None	326	None	348	None
1932405156	MAGARRO LEONEL E	2021	FFS	RENDERING SNC	AGE 21+	414	None	1,051	None	247	None	347	None	286	None	576	None	220	None	308	None
1932488871	BASARAN ISMAIL E	2021	FFS	RENDERING SNC	AGE 0-20	198	None	315	None	182	None	266	None	26	None	37	None	97	None	112	None
1932488871	BASARAN ISMAIL E	2021	FFS	RENDERING SNC	AGE 21+	231	None	404	None	122	None	151	None	87	None	152	None	95	None	98	None
1932512647	PAEK AGELINA	2021	FFS	RENDERING SNC	AGE 0-20	313	None	381	None	216	None	252	None	80	None	104	None	193	None	222	None
1932512647	PAEK AGELINA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932531241	LEVAN KENT B	2021	FFS	RENDERING SNC	AGE 0-20	156	None	211	None	77	None	97	None	75	None	100	None	55	None	66	None
1932531241	LEVAN KENT B	2021	FFS	RENDERING SNC	AGE 21+	258	None	515	None	25	None	29	None	200	None	361	None	120	None	175	None
1932568144	PALMER MARTIN K	2021	FFS	RENDERING SNC	AGE 0-20	253	None	376	None	219	None	289	None	56	None	78	None	204	None	211	None
1932568144	PALMER MARTIN K	2021	FFS	RENDERING SNC	AGE 21+	226	None	396	None	153	None	193	None	118	None	197	None	144	None	168	None
1932635257	KAGAN FRIDA	2021	FFS	RENDERING SNC	AGE 0-20	1,113	None	1,561	None	971	None	1,249	None	216	None	261	None	689	None	807	None
1932635257	KAGAN FRIDA	2021	FFS	RENDERING SNC	AGE 21+	404	None	617	None	231	None	265	None	207	None	281	None	186	None	215	None
1932703352	NG DESMOND	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1932736774	HELAIRE EBONY SHARDAE	2021	FFS	RENDERING SNC	AGE 0-20	78	None	86	None	42	None	45	None	24	None	28	None	38	None	39	None
1932736774	HELAIRE EBONY SHARDAE	2021	FFS	RENDERING SNC	AGE 21+	29	None	32	None	11	None	11	None	20	None	23	None	None	1	None	1
1932754215	DHAITI YOLENE	2021	FFS	RENDERING SNC	AGE 0-20	15	None	17	None	None	1	None	1	None	1	None	1	None	1	None	1
1932754215	DHAITI YOLENE	2021	FFS	RENDERING SNC	AGE 21+	44	None	54	None	14	None	14	None	31	None	40	None	0	None	0	None
1932772290	TSAI ZOE	2021	FFS	RENDERING SNC	AGE 0-20	58	None	104	None	43	None	60	None	15	None	27	None	41	None	61	None
1932772290	TSAI ZOE	2021	FFS	RENDERING SNC	AGE 21+	85	None	189	None	61	None	84	None	47	None	103	None	60	None	82	None
1942209770	BOEN KYUNG L	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1942244728	PINEDA LAM LADY FATIMA	2021	FFS	RENDERING SNC	AGE 0-20	1,163	None	2,484	None	900	None	1,205	None	645	None	1,294	None	831	None	1,098	None
1942244728	PINEDA LAM LADY FATIMA	2021	FFS	RENDERING SNC	AGE 21+	40	None	42	None	27	None	29	None	13	None	13	None	26	None	27	None
1942247184	YANG KATHERINE H	2021	FFS	RENDERING SNC	AGE 0-20	336	None	629	None	211	None	257	None	178	None	390	None	187	None	220	None
1942281746	DUDAR, BRIAN WESLEY, DDS	2021	FFS	RENDERING SNC	AGE 0-20	39	None	62	None	39	None	62	None	0	None	0	None	39	None	62	None
1942281746	DUDAR, BRIAN WESLEY, DDS	2021	FFS	RENDERING SNC	AGE 21+	43	None	62	None	43	None	62	None	0	None	0	None	43	None	62	None
1942306402	VARGAS PHILIP J	2021	FFS	RENDERING SNC	AGE 0-20	117	None	134	None	87	None	92	None	35	None	42	None	80	None	85	None
1942306402	VARGAS PHILIP J	2021	FFS	RENDERING SNC	AGE 21+	307	None	404	None	222	None	250	None	117	None	154	None	216	None	245	None
1942315320	BRAMBILA-BRAGA NATASHA E	2021	FFS	RENDERING SNC	AGE 0-20	1,529	None	2,701	None	1,267	None	1,769	None	393	None	548	None	1,058	None	1,314	None
1942331673	CHONG ROBYN E	2021	FFS	RENDERING SNC	AGE 0-20	439	None	621	None	401	None	497	None	31	None	48	None	414	None	496	None
1942331673	CHONG ROBYN E	2021	FFS	RENDERING SNC	AGE 21+	369	None	862	None	226	None	276	None	159	None	324	None	311	None	458	None
1942331673	CHONG ROBYN E	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942380118	NGUYEN, CHARLES T MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1942380118	NGUYEN, CHARLES TUAN-TU S MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1942396817	PATINO STELLA P	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	0	None	0	None	None	1	None	2	0	None	0	None
1942406145	PAK-SUH, YOUNG HEE DMD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942406145	PAK-SUH, YOUNG HEE DMD	2021	FFS	RENDERING SNC	AGE 21+	32	None	45	None	28	None	30	None	12	None	18	None	27	None	29	None
1942430749	LIM SOY M	2021	FFS	RENDERING SNC	AGE 0-20	383	None	1,050	None	361	None	816	None	205	None	379	None	222	None	270	None
1942430749	LIM SOY M	2021	FFS	RENDERING SNC	AGE 21+	310	None	967	None	269	None	453	None	253	None	686	None	202	None	230	None
1942483581	KU TONY KONG S	2021	FFS	RENDERING SNC	AGE 0-20	250	None	1,211	None	244	None	903	None	67	None	276	None	235	None	587	None
1942483581	KU TONY KONG S	2021	FFS	RENDERING SNC	AGE 21+	541	None	3,455	None	491	None	1,635	None	231	None	1,196	None	500	None	1,805	None
1942595053	KANG CHRIS	2021	FFS	RENDERING SNC	AGE 0-20	525	None	779	None	273	None	306	None	228	None	364	None	249	None	260	None
1942595053	KANG CHRIS	2021	FFS	RENDERING SNC	AGE 21+	678	None	1,509	None	373	None	480	None	509	None	1,176	None	375	None	399	None
1942595624	LANE LESLIE ANN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1942623657	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 0-20	70	None	219	None	55	None	168	None	13	None	42	None	51	None	153	None
1942623657	BORREGO COMMUNITY HEALTH	2021	FFS	RENDERING SNC	AGE 21+	29	None	102	None	14	None	42	None	17	None	54	None	11	None	36	None
1942625330	CAMPOS GLADYS ADELI M	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1942625330	CAMPOS GLADYS ADELI M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1942632203	AJLOUNY MARIA	2021	FFS	RENDERING SNC	AGE 0-20	85	None	134	None	48	None	61	None	52	None	76	None	63	None	70	None
1942632203	AJLOUNY MARIA	2021	FFS	RENDERING SNC	AGE 21+	348	None	1,033	None	150	None	257	None	270	None	624	None	213	None	344	None
1942638861	CHANG CAROLINE A	2021	FFS	RENDERING SNC	AGE 0-20	51	None	112	None	33	None	68	None	None	1	None	2	33	None	68	None
1942638861	CHANG CAROLINE A	2021	FFS	RENDERING SNC	AGE 21+	45	None	110	None	31	None	66	None	20	None	46	None	29	None	60	None
1942701818	HERNANDO NINA MICHELLE	2021	FFS	RENDERING SNC	AGE 0-20	586	None	710	None	583	None	706	None	12	None	12	None	566	None	683	None
1942701818	HERNANDO NINA MICHELLE	2021	FFS	RENDERING SNC	AGE 21+	384	None	550	None	382	None	548	None	None	1	None	1	382	None	548	None
1942704762	GOLDSTEIN JULIA ROSE	2021	FFS	RENDERING SNC	AGE 0-20	574	None	739	None	484	None	537	None	110	None	158	None	417	None	441	None
1942704762	GOLDSTEIN JULIA ROSE	2021	FFS	RENDERING SNC	AGE 21+	251	None	338	None	185	None	214	None	93	None	118	None	175	None	206	None
1942734538	TAM, ASHLIE DO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1942776166	FOX ANGELICA AGUILERA	2021	FFS	RENDERING SNC	AGE 0-20	38	None	65	None	22	None	27	None	17	None	34	None	0	None	0	None
1942776166	FOX ANGELICA AGUILERA	2021	FFS	RENDERING SNC	AGE 21+	454	None	1,136	None	241	None	377	None	376	None	827	None	0	None	0	None
1942815402	STONE JENNIFER NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	480	None	2,236	None	426	None	1,288	None	265	None	1,013	None	433	None	1,068	None
1942815402	STONE JENNIFER NICOLE	2021	FFS	RENDERING SNC	AGE 21+	245	None	1,432	None	80	None	212	None	186	None	903	None	213	None	851	None
1942852934	MATSUHARA AMANDA R	2021	FFS	RENDERING SNC	AGE 0-20	32	None	76	None	29	None	59	None	None	1	None	2	30	None	59	None
1942852934	MATSUHARA AMANDA R	2021	FFS	RENDERING SNC	AGE 21+	237	None	540	None	141	None	299	None	155	None	302	None	144	None	279	None
1942860937	JESSON JENIFER E	2021	FFS	RENDERING SNC	AGE 0-20	384	None	785	None	359	None	601	None	97	None	133	None	272	None	309	None
1942860937	JESSON JENIFER E	2021	FFS	RENDERING SNC	AGE 21+	520	None	1,675	None	411	None	841	None	303	None	566	None	314	None	498	None
1942878491	LAKER GRIFFIN HUISH	2021	FFS	RENDERING SNC	AGE 0-20	160	None	571	None	108	None	269	None	36	None	108	None	58	None	112	None
1942878491	LAKER GRIFFIN HUISH	2021	FFS	RENDERING SNC	AGE 21+	192	None	878	None	108	None	284	None	84	None	348	None	77	None	190	None
1952454019	AMBROSIO BERNABE BARR U	2021	FFS	RENDERING SNC	AGE 0-20	33	None	44	None	28	None	28	None	None	1	None	2	None	1	None	1
1952454019	AMBROSIO BERNABE BARR U	2021	FFS	RENDERING SNC	AGE 21+	34	None	69	None	22	None	25	None	20	None	37	None	None	1	None	2
1952454241	AZHAR FARID	2021	FFS	RENDERING SNC	AGE 0-20	566	None	736	None	514	None	574	None	124	None	171	None	207	None	216	None
1952454241	AZHAR FARID	2021	FFS	RENDERING SNC	AGE 21+	292	None	564	None	234	None	303	None	150	None	254	None	224	None	293	None
1952457913	LARKIN KELLY N	2021	FFS	RENDERING SNC	AGE 0-20	5,244	None	12,952	None	3,846	None	6,651	None	3,083	None	5,818	None	689	None	864	None
1952457913	LARKIN KELLY N	2021	FFS	RENDERING SNC	AGE 21+	4,280	None	13,796	None	1,082	None	1,853	None	3,887	None	11,655	None	301	None	445	None
1952457913	LARKIN KELLY N	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952489577	TAMORIA, SHIRLEY A MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952507600	DE CASTRO CLARISSA	2021	FFS	RENDERING SNC	AGE 0-20	996	None	1,286	None	811	None	961	None	477	None	570	None	629	None	671	None
1952507600	DE CASTRO CLARISSA	2021	FFS	RENDERING SNC	AGE 21+	1,381	None	1,958	None	827	None	944	None	1,009	None	1,347	None	682	None	735	None
1952507600	DE CASTRO CLARISSA	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1952515884	NEVAREZ GUS L	2021	FFS	RENDERING SNC	AGE 0-20	55	None	98	None	55	None	98	None	0	None	0	None	55	None	98	None
1952515884	NEVAREZ GUS L	2021	FFS	RENDERING SNC	AGE 21+	42	None	126	None	42	None	126	None	0	None	0	None	42	None	126	None
1952525990	NEVES JOHN A	2021	FFS	RENDERING SNC	AGE 0-20	519	None	594	None	331	None	374	None	100	None	109	None	266	None	294	None
1952536963	KUGA MIKAKO	2021	FFS	RENDERING SNC	AGE 0-20	96	None	157	None	45	None	52	None	41	None	59	None	26	None	27	None
1952536963	KUGA MIKAKO	2021	FFS	RENDERING SNC	AGE 21+	95	None	191	None	36	None	59	None	43	None	67	None	30	None	38	None
1952547523	CHIU SAMUEL H	2021	FFS	RENDERING SNC	AGE 0-20	12	None	14	None	None	1	None	1	None	1	None	1	None	1	None	1
1952547523	CHIU SAMUEL H	2021	FFS	RENDERING SNC	AGE 21+	97	None	163	None	76	None	106	None	19	None	21	None	84	None	144	None
1952558454	PHAM LANCHI N	2021	FFS	RENDERING SNC	AGE 0-20	1,711	None	2,532	None	61	None	62	None	69	None	85	None	56	None	57	None
1952558454	PHAM LANCHI N	2021	FFS	RENDERING SNC	AGE 21+	149	None	200	None	57	None	62	None	90	None	125	None	37	None	39	None
1952582827	DE OLIVEIRA OMAR G	2021	FFS	RENDERING SNC	AGE 0-20	226	None	460	None	0	None	0	None	0	None	0	None	0	None	0	None
1952582827	DE OLIVEIRA OMAR G	2021	FFS	RENDERING SNC	AGE 21+	818	None	2,034	None	0	None	0	None	0	None	0	None	0	None	0	None
1952595365	MALINBAUM LORI K	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1952595365	MALINBAUM LORI K	2021	FFS	RENDERING SNC	AGE 21+	44	None	50	None	12	None	12	None	20	None	24	None	11	None	11	None
1952597460	GARDEZY NAJIA	2021	FFS	RENDERING SNC	AGE 0-20	191	None	469	None	183	None	380	None	33	None	71	None	150	None	226	None
1952597460	GARDEZY NAJIA	2021	FFS	RENDERING SNC	AGE 21+	281	None	984	None	245	None	526	None	99	None	362	None	246	None	530	None
1952638298	YIM GREGORY E	2021	FFS	RENDERING SNC	AGE 0-20	59	None	145	None	22	None	78	None	0	None	0	None	22	None	78	None
1952660433	NG JOSEPHINE C	2021	FFS	RENDERING SNC	AGE 0-20	44	None	54	None	37	None	41	None	18	None	22	None	37	None	37	None
1952660433	NG JOSEPHINE C	2021	FFS	RENDERING SNC	AGE 21+	74	None	101	None	33	None	34	None	67	None	88	None	38	None	40	None
1952698482	LUONG PHI D	2021	FFS	RENDERING SNC	AGE 0-20	730	None	832	None	532	None	568	None	167	None	194	None	487	None	519	None
1952698482	LUONG PHI D	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952749301	LERIAS NICHOLAS	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1952750861	NGUYEN LINH M	2021	FFS	RENDERING SNC	AGE 0-20	837	None	943	None	549	None	589	None	327	None	372	None	462	None	488	None
1952750861	NGUYEN LINH M	2021	FFS	RENDERING SNC	AGE 21+	863	None	985	None	337	None	366	None	542	None	605	None	246	None	259	None
1952758823	PORRAS-GUADERRAMA THELMA	2021	FFS	RENDERING SNC	AGE 0-20	337	None	393	None	313	None	346	None	None	1	None	1	19	None	19	None
1952758823	PORRAS-GUADERRAMA THELMA	2021	FFS	RENDERING SNC	AGE 21+	637	None	1,041	None	277	None	284	None	373	None	759	None	33	None	34	None
1952787285	FABIYI SIMIADE I	2021	FFS	RENDERING SNC	AGE 0-20	269	None	590	None	264	None	557	None	31	None	39	None	254	None	532	None
1952787285	FABIYI SIMIADE I	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1952808339	SOTO SONIA	2021	FFS	RENDERING SNC	AGE 0-20	28	None	28	None	20	None	20	None	None	1	None	1	20	None	20	None
1952808339	SOTO SONIA	2021	FFS	RENDERING SNC	AGE 21+	29	None	29	None	None	1	None	1	16	None	16	None	None	1	None	1
1952827461	MOGRI RASHIDA T	2021	FFS	RENDERING SNC	AGE 0-20	297	None	829	None	266	None	573	None	69	None	225	None	213	None	443	None
1952827461	MOGRI RASHIDA T	2021	FFS	RENDERING SNC	AGE 21+	484	None	2,281	None	292	None	609	None	326	None	1,587	None	288	None	585	None
1952841900	PEZESHKIAN ARMEN JOSEPH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1952851719	DOGRA MEENAKSHI	2021	FFS	RENDERING SNC	AGE 0-20	424	None	730	None	120	None	151	None	57	None	77	None	161	None	209	None
1952857237	ABADESCO AUTUMN	2021	FFS	RENDERING SNC	AGE 0-20	402	None	708	None	378	None	576	None	101	None	153	None	374	None	505	None
1952857237	ABADESCO AUTUMN	2021	FFS	RENDERING SNC	AGE 21+	617	None	1,526	None	507	None	942	None	408	None	703	None	433	None	499	None
1952864654	AGUILAR LAURA	2021	FFS	RENDERING SNC	AGE 0-20	47	None	47	None	36	None	36	None	None	1	None	1	36	None	36	None
1952864654	AGUILAR LAURA	2021	FFS	RENDERING SNC	AGE 21+	20	None	20	None	13	None	13	None	None	1	None	1	13	None	13	None
1962044347	ABAUNZA ELIZABETH	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962044347	ABAUNZA ELIZABETH	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1962415588	JUNG, SUSAN C MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1962492991	COOK GEORGE W	2021	FFS	RENDERING SNC	AGE 0-20	143	None	304	None	75	None	107	None	42	None	78	None	None	1	None	1
1962492991	COOK GEORGE W	2021	FFS	RENDERING SNC	AGE 21+	388	None	1,084	None	143	None	196	None	165	None	427	None	79	None	104	None
1962505438	CORNILLE REBECCA A	2021	FFS	RENDERING SNC	AGE 0-20	258	None	355	None	141	None	157	None	117	None	168	None	134	None	148	None
1962505438	CORNILLE REBECCA A	2021	FFS	RENDERING SNC	AGE 21+	980	None	1,677	None	346	None	402	None	834	None	1,356	None	220	None	258	None
1962525972	PIERCE FRANKLIN	2021	FFS	RENDERING SNC	AGE 0-20	990	None	1,564	None	847	None	1,269	None	194	None	332	None	306	None	476	None
1962525972	PIERCE FRANKLIN	2021	FFS	RENDERING SNC	AGE 21+	413	None	632	None	291	None	379	None	313	None	485	None	57	None	101	None
1962685461	KIM, BEN	2021	FFS	RENDERING SNC	AGE 0-20	101	None	175	None	90	None	151	None	11	None	11	None	87	None	101	None
1962685461	KIM, BEN	2021	FFS	RENDERING SNC	AGE 21+	238	None	978	None	146	None	253	None	145	None	370	None	193	None	531	None
1962752089	KIM YOON HEE	2021	FFS	RENDERING SNC	AGE 0-20	87	None	260	None	82	None	172	None	29	None	96	None	79	None	164	None
1962752089	KIM YOON HEE	2021	FFS	RENDERING SNC	AGE 21+	248	None	1,023	None	219	None	557	None	107	None	396	None	225	None	637	None
1962790592	DEMISSIE ELIAS	2021	FFS	RENDERING SNC	AGE 0-20	14	None	21	None	0	None	0	None	0	None	0	None	0	None	0	None
1962790592	DEMISSIE ELIAS	2021	FFS	RENDERING SNC	AGE 21+	46	None	112	None	0	None	0	None	0	None	0	None	None	1	None	1
1962790592	DEMISSIE ELIAS	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1962801738	ABDELRAHIM ADHAM F	2021	FFS	RENDERING SNC	AGE 0-20	987	None	2,527	None	931	None	1,654	None	518	None	1,186	None	818	None	1,060	None
1962801738	ABDELRAHIM ADHAM F	2021	FFS	RENDERING SNC	AGE 21+	518	None	1,875	None	301	None	346	None	483	None	1,694	None	306	None	334	None
1962814038	PHAM THOMAS M	2021	FFS	RENDERING SNC	AGE 0-20	206	None	303	None	173	None	211	None	64	None	100	None	109	None	126	None
1962814038	PHAM THOMAS M	2021	FFS	RENDERING SNC	AGE 21+	195	None	404	None	112	None	145	None	121	None	257	None	105	None	137	None
1962819292	JIMENEZ LAURA	2021	FFS	RENDERING SNC	AGE 0-20	138	None	146	None	131	None	137	None	None	1	None	1	None	1	None	1
1962819292	JIMENEZ LAURA	2021	FFS	RENDERING SNC	AGE 21+	251	None	317	None	135	None	139	None	128	None	184	None	None	1	None	1
1962823906	CHU ALVIN	2021	FFS	RENDERING SNC	AGE 0-20	54	None	116	None	50	None	67	None	26	None	64	None	40	None	49	None
1962823906	CHU ALVIN	2021	FFS	RENDERING SNC	AGE 21+	524	None	1,445	None	442	None	688	None	442	None	1,103	None	426	None	651	None
1962858423	LIU HUI	2021	FFS	RENDERING SNC	AGE 0-20	225	None	294	None	192	None	231	None	127	None	149	None	149	None	151	None
1962858423	LIU HUI	2021	FFS	RENDERING SNC	AGE 21+	355	None	537	None	221	None	258	None	238	None	334	None	202	None	228	None
1962883843	LEUNG CHRISTINE P	2021	FFS	RENDERING SNC	AGE 0-20	206	None	335	None	28	None	29	None	15	None	23	None	13	None	13	None
1962883843	LEUNG CHRISTINE P	2021	FFS	RENDERING SNC	AGE 21+	332	None	815	None	153	None	267	None	99	None	148	None	39	None	41	None
1962890608	TRAWICK KATHERINE ANN	2021	FFS	RENDERING SNC	AGE 0-20	388	None	624	None	346	None	524	None	366	None	547	None	210	None	263	None
1962890608	TRAWICK KATHERINE ANN	2021	FFS	RENDERING SNC	AGE 21+	596	None	1,128	None	326	None	495	None	528	None	875	None	166	None	207	None
1962890608	TRAWICK KATHERINE ANN	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962915157	JIMENEZ JANICE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1962915157	JIMENEZ JANICE	2021	FFS	RENDERING SNC	AGE 21+	73	None	78	None	70	None	75	None	0	None	0	None	0	None	0	None
1962941294	TORRES NUVIA	2021	FFS	RENDERING SNC	AGE 0-20	19	None	22	None	17	None	20	None	None	1	None	1	0	None	0	None
1962941294	TORRES NUVIA	2021	FFS	RENDERING SNC	AGE 21+	64	None	74	None	14	None	15	None	49	None	58	None	0	None	0	None
1962976456	ONWUKA FAITH AMARACHUKWU	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1962999623	LUE TING Y	2021	FFS	RENDERING SNC	AGE 0-20	812	None	1,106	None	728	None	899	None	104	None	132	None	19	None	21	None
1962999623	LUE TING Y	2021	FFS	RENDERING SNC	AGE 21+	530	None	856	None	181	None	207	None	344	None	520	None	86	None	147	None
1972081156	OWEN AUSTIN	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972081156	OWEN AUSTIN	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972084879	CHUNG TRINA K	2021	FFS	RENDERING SNC	AGE 0-20	62	None	80	None	50	None	58	None	17	None	20	None	43	None	48	None
1972084879	CHUNG TRINA K	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	2	None	1	None	2	None	1	None	1	None	1	None	1
1972093482	KYLE KAREN GAIL	2021	FFS	RENDERING SNC	AGE 0-20	168	None	224	None	166	None	222	None	15	None	24	None	0	None	0	None
1972093482	KYLE KAREN GAIL	2021	FFS	RENDERING SNC	AGE 21+	254	None	592	None	252	None	584	None	153	None	310	None	0	None	0	None
1972096709	ISHAK RIOSALINE A	2021	FFS	RENDERING SNC	AGE 0-20	657	None	1,084	None	613	None	843	None	295	None	425	None	528	None	585	None
1972096709	ISHAK RIOSALINE A	2021	FFS	RENDERING SNC	AGE 21+	1,209	None	2,584	None	968	None	1,287	None	850	None	1,512	None	877	None	1,198	None
1972123248	SITLIN MELODY	2021	FFS	RENDERING SNC	AGE 0-20	146	None	177	None	82	None	89	None	54	None	72	None	None	1	None	1
1972123248	SITLIN MELODY	2021	FFS	RENDERING SNC	AGE 21+	287	None	387	None	60	None	72	None	209	None	266	None	43	None	66	None
1972516417	CELENTANO, CHRISTOPHER M	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1972521680	ZANDERS III CHARLES	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1972521680	ZANDERS III CHARLES	2021	FFS	RENDERING SNC	AGE 21+	181	None	861	None	146	None	361	None	118	None	459	None	152	None	525	None
1972541654	KOUSHAKJIAN HOURY	2021	FFS	RENDERING SNC	AGE 0-20	70	None	106	None	70	None	106	None	None	1	None	1	70	None	106	None
1972541654	KOUSHAKJIAN HOURY	2021	FFS	RENDERING SNC	AGE 21+	206	None	538	None	206	None	537	None	100	None	139	None	206	None	537	None
1972572162	MANNION WILLIAM PATRICK	2021	FFS	RENDERING SNC	AGE 0-20	94	None	133	None	78	None	111	None	20	None	22	None	78	None	111	None
1972572162	MANNION WILLIAM PATRICK	2021	FFS	RENDERING SNC	AGE 21+	104	None	144	None	75	None	108	None	35	None	36	None	75	None	108	None
1972616621	PHAN OANH T	2021	FFS	RENDERING SNC	AGE 0-20	325	None	569	None	236	None	301	None	109	None	194	None	299	None	380	None
1972616621	PHAN OANH T	2021	FFS	RENDERING SNC	AGE 21+	584	None	1,607	None	319	None	363	None	357	None	994	None	506	None	757	None
1972624021	AWARIEFE, HENRY S OKPAKO	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1972634277	WALTER DANIEL JAMES	2021	FFS	RENDERING SNC	AGE 0-20	23	None	40	None	23	None	40	None	0	None	0	None	20	None	34	None
1972634277	WALTER DANIEL JAMES	2021	FFS	RENDERING SNC	AGE 21+	123	None	236	None	122	None	235	None	None	1	None	1	78	None	137	None
1972645638	PHAM CHIEU L	2021	FFS	RENDERING SNC	AGE 0-20	157	None	161	None	90	None	90	None	34	None	34	None	70	None	70	None
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	FFS	RENDERING SNC	AGE 0-20	459	None	524	None	420	None	466	None	69	None	76	None	393	None	428	None
1972679603	MERCADO-ULIT, MARILOU S, DDS	2021	FFS	RENDERING SNC	AGE 21+	278	None	387	None	210	None	247	None	115	None	153	None	206	None	233	None
1972681104	UYANNE JETTIE	2021	FFS	RENDERING SNC	AGE 0-20	65	None	83	None	0	None	0	None	12	None	14	None	34	None	36	None
1972681104	UYANNE JETTIE	2021	FFS	RENDERING SNC	AGE 21+	343	None	556	None	19	None	23	None	84	None	92	None	177	None	237	None
1972697134	ANDERSON ALAN M	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972697134	ANDERSON ALAN M	2021	FFS	RENDERING SNC	AGE 21+	32	None	71	None	32	None	71	None	0	None	0	None	32	None	71	None
1972705515	HEID LEE PAUL	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1972710317	NACPIL-ALVAREZ MARIA L	2021	FFS	RENDERING SNC	AGE 0-20	1,140	None	1,654	None	1,046	None	1,373	None	394	None	491	None	1,025	None	1,279	None
1972710317	NACPIL-ALVAREZ MARIA L	2021	FFS	RENDERING SNC	AGE 21+	537	None	852	None	484	None	677	None	274	None	385	None	486	None	677	None
1972755304	ALBERT ROBERT D	2021	FFS	RENDERING SNC	AGE 0-20	1,050	None	1,440	None	1,034	None	1,412	None	31	None	33	None	1,033	None	1,409	None
1972755304	ALBERT ROBERT D	2021	FFS	RENDERING SNC	AGE 21+	559	None	836	None	548	None	811	None	31	None	35	None	548	None	808	None
1972817526	DUPUIS WILLIAM C	2021	FFS	RENDERING SNC	AGE 0-20	48	None	100	None	41	None	82	None	None	1	None	2	15	None	15	None
1972817526	DUPUIS WILLIAM C	2021	FFS	RENDERING SNC	AGE 21+	82	None	181	None	46	None	98	None	32	None	48	None	22	None	30	None
1972936961	TURI, VERONIKA DDS	2021	FFS	RENDERING SNC	AGE 0-20	173	None	638	None	156	None	252	None	108	None	370	None	158	None	233	None
1972936961	TURI, VERONIKA DDS	2021	FFS	RENDERING SNC	AGE 21+	208	None	1,213	None	183	None	413	None	183	None	1,013	None	164	None	216	None
1972936961	TURI, VERONIKA DDS	2021	PHP	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1972964559	HAMZEH RAZAN	2021	FFS	RENDERING SNC	AGE 0-20	339	None	732	None	338	None	731	None	None	1	None	1	338	None	731	None
1972964559	HAMZEH RAZAN	2021	FFS	RENDERING SNC	AGE 21+	388	None	1,117	None	388	None	1,117	None	None	1	None	1	388	None	1,117	None
1972966679	CAINE, TEAH MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1972966679	CAINE, TEAH MD	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	0	None	0	None	0	None	0	None
1972989697	PHAM COREY P	2021	FFS	RENDERING SNC	AGE 0-20	133	None	187	None	115	None	152	None	118	None	164	None	37	None	43	None
1972989697	PHAM COREY P	2021	FFS	RENDERING SNC	AGE 21+	288	None	436	None	152	None	201	None	246	None	353	None	59	None	67	None
1972990778	THAI DAVID	2021	FFS	RENDERING SNC	AGE 0-20	600	None	1,006	None	551	None	734	None	228	None	393	None	512	None	591	None
1972990778	THAI DAVID	2021	FFS	RENDERING SNC	AGE 21+	440	None	948	None	228	None	254	None	321	None	657	None	287	None	402	None
1982013074	ALARCON DANIELLE C	2021	FFS	RENDERING SNC	AGE 0-20	1,001	None	1,927	None	871	None	1,055	None	429	None	710	None	886	None	1,118	None
1982054276	SHANKAR NARAYAN GEETHA	2021	FFS	RENDERING SNC	AGE 0-20	449	None	942	None	389	None	605	None	229	None	427	None	343	None	391	None
1982054276	SHANKAR NARAYAN GEETHA	2021	FFS	RENDERING SNC	AGE 21+	787	None	2,069	None	560	None	750	None	635	None	1,460	None	508	None	628	None
1982072526	FLORES RICARDO	2021	FFS	RENDERING SNC	AGE 0-20	396	None	584	None	348	None	436	None	106	None	160	None	325	None	376	None
1982072526	FLORES RICARDO	2021	FFS	RENDERING SNC	AGE 21+	358	None	868	None	292	None	421	None	217	None	456	None	319	None	503	None
1982130910	BURRIS BRIANA	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1982130910	BURRIS BRIANA	2021	FFS	RENDERING SNC	AGE 21+	13	None	16	None	0	None	0	None	None	1	None	1	None	1	None	1
1982151494	RIOS JASMINE	2021	FFS	RENDERING SNC	AGE 0-20	132	None	147	None	128	None	143	None	None	1	None	1	None	1	None	1
1982151494	RIOS JASMINE	2021	FFS	RENDERING SNC	AGE 21+	422	None	525	None	221	None	247	None	205	None	278	None	None	1	None	1
1982161188	HAYASHI-WELLS RIE	2021	FFS	RENDERING SNC	AGE 21+	12	None	18	None	None	1	None	1	None	1	None	2	None	1	None	1
1982181772	NIKI VAHID	2021	FFS	RENDERING SNC	AGE 0-20	591	None	1,397	None	531	None	984	None	157	None	311	None	203	None	252	None
1982181772	NIKI VAHID	2021	FFS	RENDERING SNC	AGE 21+	782	None	2,407	None	596	None	959	None	426	None	1,157	None	595	None	717	None
1982199147	HO DAVID Q	2021	FFS	RENDERING SNC	AGE 0-20	1,023	None	1,966	None	873	None	1,577	None	916	None	1,624	None	425	None	685	None
1982199147	HO DAVID Q	2021	FFS	RENDERING SNC	AGE 21+	682	None	1,449	None	374	None	636	None	573	None	1,151	None	158	None	218	None
1982252888	YEE MICHAEL	2021	FFS	RENDERING SNC	AGE 0-20	27	None	27	None	23	None	23	None	None	1	None	1	21	None	21	None
1982252888	YEE MICHAEL	2021	FFS	RENDERING SNC	AGE 21+	21	None	24	None	13	None	13	None	None	1	None	2	13	None	13	None
1982260832	RANI POONAM	2021	FFS	RENDERING SNC	AGE 0-20	578	None	2,108	None	564	None	1,731	None	85	None	209	None	520	None	1,061	None
1982260832	RANI POONAM	2021	FFS	RENDERING SNC	AGE 21+	489	None	1,598	None	470	None	1,285	None	130	None	345	None	422	None	833	None
1982614483	HUYNH LOAN T	2021	FFS	RENDERING SNC	AGE 0-20	172	None	328	None	172	None	328	None	0	None	0	None	172	None	328	None
1982614483	HUYNH LOAN T	2021	FFS	RENDERING SNC	AGE 21+	294	None	591	None	294	None	591	None	0	None	0	None	294	None	591	None
1982619664	KLAIR JASLEEN	2021	FFS	RENDERING SNC	AGE 0-20	78	None	92	None	35	None	41	None	43	None	50	None	35	None	35	None
1982619664	KLAIR JASLEEN	2021	FFS	RENDERING SNC	AGE 21+	370	None	667	None	112	None	137	None	313	None	546	None	123	None	135	None
1982627659	SAUNDERS, MICHELE JOYCE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1982627659	SAUNDERS, MICHELE JOYCE	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	0	None	0	None
1982660452	VU DUC T	2021	FFS	RENDERING SNC	AGE 0-20	14	None	21	None	14	None	21	None	0	None	0	None	14	None	21	None
1982660452	VU DUC T	2021	FFS	RENDERING SNC	AGE 21+	534	None	1,235	None	534	None	1,235	None	0	None	0	None	534	None	1,235	None
1982675963	TRAN VINH N	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	2	None	1	None	1	None	1	None	1	None	1	None	1
1982675963	TRAN VINH N	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1982727715	TORDILLA NELSON E	2021	FFS	RENDERING SNC	AGE 0-20	1,403	None	1,860	None	1,016	None	1,171	None	414	None	574	None	888	None	984	None
1982727715	TORDILLA NELSON E	2021	FFS	RENDERING SNC	AGE 21+	103	None	128	None	84	None	91	None	28	None	38	None	75	None	81	None
1982728440	ULATOWSKI TADEUS	2021	FFS	RENDERING SNC	AGE 0-20	405	None	1,232	None	119	None	204	None	160	None	423	None	32	None	60	None
1982728440	ULATOWSKI TADEUS	2021	FFS	RENDERING SNC	AGE 21+	500	None	1,594	None	34	None	50	None	268	None	679	None	93	None	320	None
1982739736	WILLIAM SALLY S	2021	FFS	RENDERING SNC	AGE 0-20	85	None	87	None	62	None	62	None	35	None	36	None	34	None	34	None
1982739736	WILLIAM SALLY S	2021	FFS	RENDERING SNC	AGE 21+	112	None	117	None	47	None	47	None	85	None	88	None	34	None	34	None
1982833067	FOK ELAINE	2021	FFS	RENDERING SNC	AGE 0-20	65	None	84	None	51	None	62	None	23	None	24	None	48	None	51	None
1982833067	FOK ELAINE	2021	FFS	RENDERING SNC	AGE 21+	103	None	146	None	41	None	43	None	75	None	97	None	47	None	52	None
1982841342	NGUYEN NHUHA T	2021	FFS	RENDERING SNC	AGE 0-20	14	None	21	None	None	1	None	2	None	1	None	1	None	1	None	1
1982841342	NGUYEN NHUHA T	2021	FFS	RENDERING SNC	AGE 21+	63	None	92	None	25	None	27	None	39	None	54	None	20	None	20	None
1982850723	DIAZ OSLEYDIS	2021	FFS	RENDERING SNC	AGE 0-20	22	None	53	None	12	None	14	None	12	None	29	None	11	None	17	None
1982850723	DIAZ OSLEYDIS	2021	FFS	RENDERING SNC	AGE 21+	156	None	379	None	91	None	115	None	104	None	201	None	92	None	163	None
1982852059	KARUNAKARAN PAULINE M	2021	FFS	RENDERING SNC	AGE 0-20	439	None	782	None	380	None	643	None	51	None	82	None	312	None	481	None
1982852059	KARUNAKARAN PAULINE M	2021	FFS	RENDERING SNC	AGE 21+	1,451	None	3,759	None	1,125	None	2,438	None	392	None	886	None	514	None	933	None
1982852059	KARUNAKARAN PAULINE M	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982852059	KARUNAKARAN PAULINE M	2021	GMC	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	0	None	0	None	None	1	None	1
1982874673	SHIKARAM CHITRA NAG	2021	FFS	RENDERING SNC	AGE 0-20	51	None	67	None	39	None	46	None	14	None	21	None	33	None	36	None
1982874673	SHIKARAM CHITRA NAG	2021	FFS	RENDERING SNC	AGE 21+	138	None	240	None	81	None	95	None	81	None	136	None	84	None	110	None
1982883575	PETROPOULOS VICKI C	2021	FFS	RENDERING SNC	AGE 0-20	11	None	20	None	11	None	20	None	0	None	0	None	11	None	20	None
1982883575	PETROPOULOS VICKI C	2021	FFS	RENDERING SNC	AGE 21+	15	None	32	None	15	None	32	None	0	None	0	None	15	None	32	None
1982901716	ELANGO JUDITH MBOKATONG	2021	FFS	RENDERING SNC	AGE 0-20	59	None	88	None	29	None	34	None	49	None	73	None	None	1	None	1
1982901716	ELANGO JUDITH MBOKATONG	2021	FFS	RENDERING SNC	AGE 21+	32	None	52	None	None	1	None	1	29	None	46	None	None	1	None	1
1982937785	TURNER PORTIA DENISE	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1982937785	TURNER PORTIA DENISE	2021	FFS	RENDERING SNC	AGE 21+	68	None	91	None	11	None	13	None	42	None	51	None	18	None	23	None
1982999553	ZWERS ANDREW J	2021	FFS	RENDERING SNC	AGE 0-20	582	None	886	None	509	None	667	None	170	None	255	None	325	None	401	None
1982999553	ZWERS ANDREW J	2021	FFS	RENDERING SNC	AGE 21+	472	None	900	None	322	None	451	None	219	None	391	None	287	None	395	None
1992030415	KARTOUNIAN ANI A	2021	FFS	RENDERING SNC	AGE 0-20	200	None	354	None	17	None	20	None	None	1	None	1	None	1	None	1
1992030415	KARTOUNIAN ANI A	2021	FFS	RENDERING SNC	AGE 21+	328	None	776	None	82	None	145	None	17	None	19	None	24	None	27	None
1992052674	IKAHIHIFO EMILY WAUNEKA BERG	2021	FFS	RENDERING SNC	AGE 0-20	14	None	19	None	0	None	0	None	11	None	15	None	None	1	None	1
1992052674	IKAHIHIFO EMILY WAUNEKA BERG	2021	FFS	RENDERING SNC	AGE 21+	24	None	40	None	None	1	None	1	16	None	26	None	None	1	None	1
1992077572	SEVILLA PEREZ SHAMIR	2021	FFS	RENDERING SNC	AGE 0-20	163	None	249	None	108	None	178	None	69	None	71	None	108	None	178	None
1992077572	SEVILLA PEREZ SHAMIR	2021	FFS	RENDERING SNC	AGE 21+	197	None	324	None	126	None	228	None	86	None	96	None	126	None	228	None
1992112940	ALKASEER MAAMON K	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	None	1	None	1
1992119598	WILKS KONITA L	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1992119598	WILKS KONITA L	2021	FFS	RENDERING SNC	AGE 21+	41	None	45	None	12	None	13	None	16	None	17	None	None	1	None	1
1992127005	ROH GRACE S	2021	FFS	RENDERING SNC	AGE 0-20	340	None	386	None	275	None	306	None	148	None	161	None	273	None	304	None
1992127005	ROH GRACE S	2021	FFS	RENDERING SNC	AGE 21+	213	None	267	None	108	None	131	None	163	None	192	None	109	None	130	None
1992146211	DECKER DANA LAUREN	2021	FFS	RENDERING SNC	AGE 0-20	643	None	1,091	None	481	None	653	None	349	None	592	None	370	None	463	None
1992146211	DECKER DANA LAUREN	2021	FFS	RENDERING SNC	AGE 21+	350	None	742	None	159	None	213	None	259	None	551	None	154	None	189	None
1992150197	KWAK, HANNAH J MD	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	0	None	0	None	0	None	0	None	None	1	None	1
1992185326	WOODSON JESSICA	2021	FFS	RENDERING SNC	AGE 0-20	676	None	856	None	581	None	694	None	75	None	103	None	None	1	None	1
1992185326	WOODSON JESSICA	2021	FFS	RENDERING SNC	AGE 21+	594	None	1,136	None	112	None	124	None	477	None	796	None	105	None	246	None
1992193726	BODMAN RONA A	2021	FFS	RENDERING SNC	AGE 0-20	664	None	751	None	406	None	437	None	224	None	255	None	406	None	438	None
1992193726	BODMAN RONA A	2021	FFS	RENDERING SNC	AGE 21+	915	None	1,104	None	399	None	435	None	539	None	625	None	505	None	573	None
1992227789	CARLSON RYAN SCOTT	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	0	None	0	None	None	1	None	1	0	None	0	None
1992292007	EBRAHIMI NAHRIN V	2021	FFS	RENDERING SNC	AGE 0-20	15	None	31	None	13	None	24	None	None	1	None	1	13	None	24	None
1992292007	EBRAHIMI NAHRIN V	2021	FFS	RENDERING SNC	AGE 21+	358	None	944	None	338	None	732	None	116	None	227	None	322	None	563	None
1992358964	GUEVARRA ROBLEN P	2021	FFS	RENDERING SNC	AGE 0-20	867	None	1,763	None	759	None	1,362	None	210	None	303	None	19	None	24	None
1992358964	GUEVARRA ROBLEN P	2021	FFS	RENDERING SNC	AGE 21+	973	None	2,897	None	679	None	1,207	None	551	None	1,230	None	32	None	52	None
1992703763	CAMPBELL, F.E.	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1992797583	MACAOAY MARK C	2021	FFS	RENDERING SNC	AGE 0-20	1,794	None	2,998	None	1,555	None	2,141	None	390	None	530	None	1,334	None	1,589	None
1992826929	PARKER MIRIAM LOUISE	2021	FFS	RENDERING SNC	AGE 0-20	328	None	533	None	270	None	430	None	282	None	451	None	103	None	171	None
1992826929	PARKER MIRIAM LOUISE	2021	FFS	RENDERING SNC	AGE 21+	383	None	631	None	152	None	203	None	321	None	526	None	75	None	96	None
1992826929	PARKER MIRIAM LOUISE	2021	GMC	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	0	None	0	None
1992836829	BADER CHRISTIAN A	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1992836829	BADER CHRISTIAN A	2021	FFS	RENDERING SNC	AGE 21+	85	None	299	None	None	1	None	1	63	None	150	None	38	None	129	None
1992846430	MONTEJO-KADERA CONSTANZA	2021	FFS	RENDERING SNC	AGE 0-20	197	None	231	None	148	None	169	None	52	None	58	None	110	None	121	None
1992846430	MONTEJO-KADERA CONSTANZA	2021	FFS	RENDERING SNC	AGE 21+	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1992908412	HOKANSON NICOLE	2021	FFS	RENDERING SNC	AGE 0-20	26	None	30	None	25	None	29	None	0	None	0	None	None	1	None	1
1992908412	HOKANSON NICOLE	2021	FFS	RENDERING SNC	AGE 21+	31	None	36	None	31	None	35	None	None	1	None	1	0	None	0	None
1992917926	JOB ALLEN J	2021	FFS	RENDERING SNC	AGE 0-20	None	1	None	1	None	1	None	1	None	1	None	1	None	1	None	1
1992938864	DUNIVAN JANETTE	2021	FFS	RENDERING SNC	AGE 0-20	103	None	241	None	103	None	241	None	0	None	0	None	103	None	241	None
1992938864	DUNIVAN JANETTE	2021	FFS	RENDERING SNC	AGE 21+	92	None	288	None	92	None	288	None	0	None	0	None	92	None	288	None