Invoice Dentist in Italy Naples –Free Word Template Download with AI
Advanced Dental Care & Orthodontics
Via Toledo, 250, 80134 Naples, Italy
Tel: +39 081 555 1234 | Email: [email protected]
P.IVA / CF: IT01234567890
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
From (Provider)
Dr. Alessandro Russo, DDS
Lead Dentist & Prosthodontist
Studio Dentistico Partenopeo
Via Toledo, 250
80134 Naples, Italy
Registered with the Naples Dental Association
Bill To (Patient)
Mr. Giovanni Esposito
Via Chiaia, 112
80132 Naples, Italy
Tax Code (Codice Fiscale): ESPGNN85A01H501U
Phone: +39 333 123 4567
| # | Description of Dental Services | Date of Service | Unit Price (€) | Total (€) |
|---|---|---|---|---|
| 1 |
Comprehensive Diagnostic Examination Initial consultation including panoramic X-ray (OPG), periapical radiographs, and periodontal charting. Assessment of oral health status and treatment planning for restorative needs. |
Oct 05, 2023 | 150.00 | 150.00 |
| 2 |
Professional Dental Hygiene (Scaling & Polishing) Ultrasonic scaling to remove calculus deposits, hand instrumentation for subgingival cleaning, and prophylaxis polishing. Includes fluoride application for enamel strengthening. |
Oct 05, 2023 | 120.00 | 120.00 |
| 3 |
Direct Composite Restoration (Tooth #36) Removal of carious tissue and placement of aesthetic composite resin filling on the lower left first molar. Includes bonding agent and curing light protocol. |
Oct 12, 2023 | 180.00 | 180.00 |
| 4 |
Root Canal Therapy (Tooth #11) Endodontic treatment of the upper right central incisor. Includes access preparation, canal negotiation, cleaning, shaping, and obturation with gutta-percha. Local anesthesia included. |
Oct 15, 2023 | 450.00 | 450.00 |
| 5 |
Provisional Crown Fabrication (Tooth #11) Design and placement of a temporary acrylic crown to protect the tooth structure while the final restoration is being fabricated in the dental laboratory. |
Oct 15, 2023 | 80.00 | 80.00 |
| 6 |
Extraction of Impacted Wisdom Tooth (Tooth #48) Surgical removal of the lower right third molar under local anesthesia. Includes soft tissue management, suturing, and post-operative instructions. |
Oct 20, 2023 | 350.00 | 350.00 |
| 7 |
Follow-up Consultation & Suture Removal Post-operative check-up to monitor healing progress of the extraction site and removal of dissolvable sutures. |
Oct 24, 2023 | 50.00 | 50.00 |
Payment Terms & Conditions
Payment is due within 30 days of the invoice date. Please include the invoice number (INV-2023-10-045) as a reference for all payments. Late payments may incur a statutory interest charge in accordance with Italian law.
Bank Transfer Details (Bonifico Bancario):
Beneficiary: Studio Dentistico Partenopeo
Bank: Banca Intesa Sanpaolo
IBAN: IT60 X030 6909 6061 0000 0012 345
SWIFT/BIC: BCITITMM
Causale: Pagamento Fattura INV-2023-10-045
Privacy Policy:
In compliance with the General Data Protection Regulation (GDPR) and Italian Legislative Decree 196/2003, your personal and health data are processed solely for the purpose of providing dental care and administrative management. You have the right to access, rectify, or delete your data by contacting our Data Protection Officer.
Medical Disclaimer:
This invoice reflects the professional services rendered by Dr. Alessandro Russo and his team at Studio Dentistico Partenopeo in Naples. All treatments were performed following the highest standards of clinical practice and hygiene protocols required in Italy.
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