Invoice Dentist in Italy Milan –Free Word Template Download with AI
Dr. Alessandro Rossi
Via Montenapoleone, 15
20121 Milano (MI), Italy
P.IVA / CF: IT01234567890
Email: [email protected]
Phone: +39 02 1234 5678
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Service Period: October 1, 2023 - October 24, 2023
Bill To:
Mr. Giovanni Bianchi
Via della Spiga, 8
20121 Milano (MI), Italy
CF: BNCGNN80A01H501U
Email: [email protected]
This invoice represents the professional fees for dental services rendered at our clinic located in the heart of Milan, Italy. As a premier dental practice in Milan, we are committed to providing high-quality oral healthcare in compliance with Italian regulations and European standards. The services detailed below were performed by Dr. Alessandro Rossi and his specialized team during the specified period. This document serves as the official financial record for your treatment plan and is required for insurance reimbursement purposes within Italy.
| # | Description of Dental Services | Code | Quantity | Unit Price (€) | Total (€) |
|---|---|---|---|---|---|
| 1 |
Comprehensive Dental Examination & Consultation Initial assessment of oral health status, review of medical history, and formulation of a personalized treatment plan. Includes panoramic X-ray analysis. |
GEN-01 | 1 | 120.00 | 120.00 |
| 2 |
Professional Dental Cleaning (Prophylaxis) Ultrasonic scaling and manual polishing to remove plaque and tartar buildup. Essential for maintaining gum health and preventing periodontal disease. |
HYG-02 | 1 | 150.00 | 150.00 |
| 3 |
Composite Resin Filling (Tooth #16) Removal of decay and restoration of the molar using high-quality aesthetic composite material. Includes local anesthesia and post-operative check. |
REST-05 | 1 | 220.00 | 220.00 |
| 4 |
Root Canal Therapy (Endodontics) - Tooth #21 Multi-visit endodontic treatment to save the natural tooth. Includes cleaning, shaping, and obturation of the root canal system. |
ENDO-10 | 1 | 450.00 | 450.00 |
| 5 |
Zirconia Dental Crown (Tooth #21) Fabrication and placement of a custom-made zirconia crown to restore strength and aesthetics to the treated tooth. Includes impression taking and temporary crown. |
PROT-15 | 1 | 600.00 | 600.00 |
| 6 |
Preventive Fluoride Treatment Application of professional-grade fluoride varnish to strengthen enamel and reduce sensitivity. |
PREV-03 | 1 | 40.00 | 40.00 |
Payment Instructions
Please make payment within 30 days of the invoice date. Payments can be made via bank transfer to the following IBAN: IT60 X054 2811 1010 0000 1234567 (Intesa Sanpaolo, Milan Branch). Please reference the Invoice Number (INV-2023-10-045) in the payment description. We also accept credit cards and cash payments directly at our clinic in Milan.
Important Notes for Patients in Italy
This invoice is issued in accordance with Italian tax laws (Legge 212/2000). The VAT rate of 22% applies to private dental services not covered by the National Health Service (SSN). If you have private health insurance, please submit this original invoice along with the detailed treatment report to your provider for reimbursement. Keep this document for your personal records and for any future tax deductions related to medical expenses in Italy.
Clinic Information
Studio Dentistico Milano Centro is a registered dental practice operating in Milan, Italy. We adhere to the strict hygiene and safety protocols mandated by the Italian Ministry of Health. Our team is dedicated to ensuring the highest standard of care for our patients in Milan and the surrounding Lombardy region.
[Digital Signature of Dr. Alessandro Rossi][Official Clinic Stamp] ⬇️ Download as DOCX Edit online as DOCX
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