272 B
272 B
| 1 | Acct # | Device | Order Date | Qty | Insurance | Component | Supplier Code |
|---|---|---|---|---|---|---|---|
| 2 | PT-1241 | Dexcom G7 | May 21, 2026 | 1 | Medicare Part B - CGM | sensor | STTIL-01 |
| 3 | PT-1242 | G7 | May 16, 2026 | 1 | Medicare Part B - CGM | sensor | STTIL-01 |
| 4 | PT-1243 | G7 | May 25, 2026 | 2 | Medicare Part B - CGM | sensor | STTIL-01 |