Invoice Dentist in Colombia Bogotá –Free Word Template Download with AI
Address: Carrera 7 #45-67
Bogotá, Colombia
Phone: +57 (1) 234-5678
Email: [email protected]
NIT: 900.123.456-7
Billed To:
Name: Juan Pérez
Address: Calle 80 #12-34
Bogotá, Colombia
Phone: +57 (300) 123-4567
Email: [email protected]
ID (Cédula): 1.234.567.890
This invoice is issued by SmileCare Dental Clinic, a licensed dental practice located in Bogotá, Colombia, in accordance with the regulations set forth by the Colombian tax authority (DIAN). The services detailed below were provided to the patient named above as part of their ongoing dental care plan.
Date of Issue: October 15, 2023
Invoice Number: INV-2023-00123
Due Date: November 15, 2023
| Description | Quantity | Unit Price (COP) | Total (COP) |
|---|---|---|---|
| Comprehensive Dental Examination | 1 | 150,000 | 150,000 |
| Professional Teeth Cleaning (Prophylaxis) | 1 | 200,000 | 200,000 |
| Composite Filling (Tooth #14) | 1 | 350,000 | 350,000 |
| Root Canal Treatment (Tooth #19) | 1 | 1,200,000 | 1,200,000 |
| Dental Crown (Zirconia) | 1 | 1,500,000 | 1,500,000 |
| Panoramic X-Ray | 1 | 100,000 | 100,000 |
| Follow-Up Consultation | 1 | 100,000 | 100,000 |
Subtotal: 3,600,000 COP
IVA (19%): 684,000 COP
Total Amount Due: 4,284,000 COP
Payment Terms: Payment is due within 30 days from the date of this invoice. Late payments may incur a penalty of 2% per month on the outstanding balance. Payments can be made via bank transfer, credit card, or cash at our clinic in Bogotá.
Bank Details:
Bank Name: Bancolombia
Account Number: 123-456789-00
Account Holder: SmileCare Dental Clinic S.A.S.
Important Notes:
- This invoice is valid for tax purposes in Colombia and complies with DIAN regulations.
- Please retain this document for your records and any insurance claims.
- If you have any questions regarding this invoice or the services provided, please contact our office at +57 (1) 234-5678 or email us at [email protected].
- SmileCare Dental Clinic is committed to providing high-quality dental care in Bogotá, Colombia, and ensuring patient satisfaction.
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