Invoice Dentist in New Zealand Auckland –Free Word Template Download with AI
123 Queen Street, Auckland CBD, Auckland 1010
New Zealand
Phone: +64 9 309 1234
Email: [email protected]
ABN: 123 456 789
Invoice #: INV-2023-10-045
Date: October 24, 2023
Due Date: November 24, 2023
Bill To:Mr. John Smith
45 Ponsonby Road
Ponsonby, Auckland 1011
New Zealand
Phone: +64 21 123 4567
Email: [email protected]
Policy Number: ACC-987654321
Description of Dental Services RenderedThe following invoice outlines the professional dental services provided by Auckland Central Dental Care in accordance with the New Zealand Dental Association fee guidelines. All treatments were performed in our Auckland clinic by registered dental practitioners.
| Service Code | Description | Date | Amount (NZD) |
|---|---|---|---|
| 101 | Comprehensive Dental Examination and Consultation | Oct 24, 2023 | $180.00 |
| 205 | Full Mouth X-Ray Series (OPG and Bitewings) | Oct 24, 2023 | $150.00 |
| 310 | Professional Dental Cleaning (Scale and Polish) | Oct 24, 2023 | $220.00 |
| 402 | Composite Filling - Lower Left Molar (Tooth #36) | Oct 24, 2023 | $350.00 |
| 501 | Root Canal Treatment - Upper Right Premolar (Tooth #14) | Oct 24, 2023 | $850.00 |
| 605 | Porcelain Crown Preparation and Temporary Crown | Oct 24, 2023 | $600.00 |
| 701 | Extraction - Impacted Wisdom Tooth (Lower Right) | Oct 24, 2023 | $450.00 |
| 802 | Fluoride Treatment and Oral Hygiene Instruction | Oct 24, 2023 | $80.00 |
Please make payment within 30 days of the invoice date. Payments can be made via bank transfer, credit card, or in person at our Auckland clinic.
Bank Transfer Details:
Bank: ANZ New Zealand
Account Name: Auckland Central Dental Care Ltd
Account Number: 01-0123-0456789-00
Reference: INV-2023-10-045
1. This invoice is issued by Auckland Central Dental Care, a registered dental practice in Auckland, New Zealand. All services are provided in accordance with the Health and Disability Commissioner (Code of Health and Disability Services Consumers' Rights) Regulations 1996.
2. Prices are quoted in New Zealand Dollars (NZD). All fees are subject to change and reflect current market rates for dental services in Auckland.
3. ACC (Accident Compensation Corporation) contributions may apply for treatment related to accidents. Please ensure your ACC claim is lodged promptly if applicable.
4. Private health insurance rebates are estimates only. Actual rebates depend on your policy terms. Please contact your insurer for confirmation.
5. Late payments may incur interest charges at a rate of 1.5% per month on the outstanding balance.
6. If you have any questions regarding this invoice or the services provided, please contact our billing department at [email protected] or call +64 9 309 1234.
7. Auckland Central Dental Care is committed to providing high-quality dental care in a safe and professional environment. We thank you for choosing our practice for your dental health needs in New Zealand.
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT