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Confirmation
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Customer Number:
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0000172399
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Customer Name:
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Premier Care Dental Management, LLC
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Payment Number:
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WEBPMT0000087016
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Created Date:
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12/2/2025
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Status:
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Processed
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Process Date:
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12/2/2025
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Amount:
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$3,010.06
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Transaction Details
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Capture Amount:
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$3,010.06
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Status:
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Approved
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Type:
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Visa
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Origination ID:
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B974A0E236C1477DB01866DC3F9219B9
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Card / Account Number:
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XXXXXXXXXXXX5196
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Authorization Code:
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908574
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Billing Address:
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Eugene Danyo
3333 New Hyde Park Rd, Suite 304
New Hyde Park, NY 11042
US
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Paid Invoice List
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| Invoice # | Amount Applied |
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INV00000001652070
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$3,010.06
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$3,010.06
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