Invoice Dentist in Mexico Mexico City –Free Word Template Download with AI
Av. Paseo de la Reforma 222, Col. Juárez
06600, Mexico City, Mexico
Tel: +52 (55) 1234-5678
Email: [email protected]
RFC: SMC123456ABC
Invoice Number: INV-2025-0042
Date: April 5, 2025
Due Date: April 20, 2025
Billed To:
Mr. Carlos Eduardo Ramírez López
Calle Insurgentes Sur 1234, Col. Del Valle
03100, Mexico City, Mexico
RFC: RALC850612XYZ
Phone: +52 (55) 9876-5432
Service Provider:
Dr. Ana María Torres Vega, DDS
Lic. No. 12345678, COFEME
SmileCare Dental Clinic
Av. Paseo de la Reforma 222, Col. Juárez
06600, Mexico City, Mexico
Description of Dental Services Rendered:
This invoice details the professional dental services provided by SmileCare Dental Clinic, located in Mexico City, Mexico, to the patient named above. All procedures were performed in accordance with the standards established by the Mexican Dental Association and local health regulations in Mexico City.
| Item | Description | Quantity | Unit Price (MXN) | Total (MXN) |
|---|---|---|---|---|
| 1 | Comprehensive Dental Examination and Consultation | 1 | 1,200.00 | 1,200.00 |
| 2 | Full Mouth Digital X-Rays (Panoramic and Bitewing) | 1 | 1,800.00 | 1,800.00 |
| 3 | Professional Dental Cleaning (Prophylaxis) | 1 | 1,500.00 | 1,500.00 |
| 4 | Composite Resin Filling (Tooth #14) | 1 | 2,200.00 | 2,200.00 |
| 5 | Root Canal Therapy (Tooth #19) | 1 | 6,500.00 | 6,500.00 |
| 6 | Ceramic Dental Crown (Tooth #19) | 1 | 8,000.00 | 8,000.00 |
| 7 | Follow-Up Consultation and Treatment Review | 1 | 800.00 | 800.00 |
Subtotal: MXN 22,000.00
VAT (IVA 16%): MXN 3,520.00
Total Amount Due: MXN 25,520.00
Payment Terms and Methods:
Payment is due within 15 days from the date of this invoice. Late payments may be subject to a 2% monthly interest charge in accordance with Mexican commercial law.
Accepted payment methods include:
- Bank Transfer (Transferencia Bancaria)
- Credit/Debit Card (Visa, Mastercard, American Express)
- Cash (in Mexican Pesos, at the clinic office)
Bank Details:
Bank: BBVA México
Account Name: SmileCare Dental Clinic S.A. de C.V.
CLABE: 012345678901234567
Important Notes:
This invoice is issued in compliance with the Mexican Federal Tax Administration (SAT) regulations. A digital CFDI (Comprobante Fiscal Digital por Internet) will be sent to the patient’s registered email address within 24 hours of payment confirmation.
All dental services were performed at our clinic located in Mexico City, Mexico. In case of any discrepancies or questions regarding this invoice, please contact our billing department at [email protected] or call +52 (55) 1234-5678 during business hours (Monday to Friday, 9:00 AM to 6:00 PM).
Thank you for choosing SmileCare Dental Clinic for your oral health needs in Mexico City. We are committed to providing high-quality dental care with transparency and professionalism.
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT