Invoice Dentist in Japan Osaka –Free Word Template Download with AI
Specialized Dental Care in the Heart of Japan
1-2-3 Umeda, Kita-ku, Osaka, 530-0001, Japan
Tel: +81-6-1234-5678 | Email: [email protected]
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Payment Terms: Net 30 Days
Bill ToMr. John Smith
4-5-6 Namba, Chuo-ku
Osaka, 542-0076, Japan
Email: [email protected]
Phone: +81-90-1234-5678
Service PeriodStart Date: October 10, 2023
End Date: October 20, 2023
Attending Dentist: Dr. Kenji Tanaka
Clinic License No: Osaka-Dent-98765
Description of Dental ServicesThe following invoice details the professional dental services rendered at our Osaka facility. As a premier dentist in Japan, we adhere to the highest standards of care, utilizing advanced technology and comprehensive treatment plans tailored to each patient's needs. All procedures listed below were performed in accordance with Japanese dental regulations and international best practices.
| Item | Description of Service | Date | Unit Price (JPY) | Total (JPY) |
|---|---|---|---|---|
| 1 |
Comprehensive Dental Examination & Consultation Initial assessment including oral cancer screening, periodontal evaluation, and digital X-rays. This foundational step ensures accurate diagnosis and treatment planning. |
Oct 10 | ¥15,000 | ¥15,000 |
| 2 |
Professional Dental Cleaning (Scaling & Polishing) Thorough removal of plaque and tartar buildup using ultrasonic scalers. Includes fluoride treatment to strengthen enamel and prevent future decay. |
Oct 10 | ¥12,000 | ¥12,000 |
| 3 |
Composite Resin Filling (Tooth #19) Restoration of decayed tooth structure using tooth-colored composite material. Provides both functional and aesthetic benefits. |
Oct 15 | ¥25,000 | ¥25,000 |
| 4 |
Root Canal Therapy (Tooth #30) Endodontic treatment to remove infected pulp, clean and shape root canals, and seal the tooth. Performed under local anesthesia with rubber dam isolation. |
Oct 17 | ¥85,000 | ¥85,000 |
| 5 |
Dental Crown Preparation & Temporary Crown Preparation of tooth #30 for full coverage crown. Includes impression taking and placement of temporary crown for protection during fabrication. |
Oct 17 | ¥45,000 | ¥45,000 |
| 6 |
3D CBCT Scan Cone Beam Computed Tomography imaging for detailed 3D visualization of dental structures. Essential for precise treatment planning and implant assessment. |
Oct 10 | ¥20,000 | ¥20,000 |
| 7 |
Follow-up Consultation & Treatment Review Post-treatment evaluation to assess healing progress and discuss next steps. Includes review of radiographic images and patient education. |
Oct 20 | ¥8,000 | ¥8,000 |
Please remit payment within 30 days of the invoice date. We accept the following payment methods:
- Bank Transfer: Mizuho Bank, Umeda Branch, Account No: 1234567, Account Name: Osaka Smile Dental Clinic
- Credit Card: Visa, MasterCard, JCB accepted in-clinic or via secure online portal
- Cash: Accepted at our Osaka clinic during business hours
- This invoice is issued in accordance with Japanese tax regulations and dental practice standards.
- All amounts are quoted in Japanese Yen (JPY). Foreign currency payments will be converted at the prevailing exchange rate on the date of transaction.
- Our dentist in Osaka provides comprehensive care including general dentistry, cosmetic procedures, orthodontics, and implantology.
- Patients are responsible for any outstanding balances not covered by insurance. Please submit insurance claims directly to your provider.
- Late payments may incur a penalty fee of 1.5% per month on the outstanding balance.
- If you have any questions regarding this invoice or the dental services provided, please contact our billing department at +81-6-1234-5678.
- Osaka Smile Dental Clinic is committed to providing exceptional dental care in a comfortable, modern environment in the heart of Japan.
- All medical records and treatment documentation are maintained securely in compliance with Japanese privacy laws.
- For international patients visiting Osaka, we offer English-speaking staff and can assist with treatment planning prior to your arrival.
- This invoice serves as an official receipt for tax and insurance purposes. Please retain a copy for your records.
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