Invoice Dentist in New Zealand Wellington –Free Word Template Download with AI
123 Lambton Quay, Te Aro
Wellington 6011, New Zealand
Phone: +64 4 555 0123
Email: [email protected]
BNZ: 02-0123-0456789-00
Invoice Number: INV-2024-0892
Date Issued: 15 November 2024
Due Date: 30 November 2024
Payment Terms: Net 15 Days
Bill To:
Mr. James Thompson
45 Cuba Street
Wellington Central, Wellington 6011
New Zealand
Phone: +64 21 555 9876
Email: [email protected]
NHI Number: 1234567890
| Service Description | Date of Service | Code | Quantity | Unit Price (NZD) | Total (NZD) |
|---|---|---|---|---|---|
| Comprehensive Dental Examination and Consultation | 10 November 2024 | EXAM-01 | 1 | 150.00 | 150.00 |
| Full Mouth Digital X-Rays (OPG and Bitewings) | 10 November 2024 | RAD-05 | 1 | 120.00 | 120.00 |
| Professional Dental Cleaning (Scale and Polish) | 10 November 2024 | HYG-02 | 1 | 200.00 | 200.00 |
| Composite Filling - Lower Left Molar (Tooth #36) | 10 November 2024 | REST-03 | 1 | 280.00 | 280.00 |
| Fluoride Treatment Application | 10 November 2024 | PREV-01 | 1 | 45.00 | 45.00 |
| Emergency Consultation Fee (Same-Day Appointment) | 10 November 2024 | EMERG-01 | 1 | 75.00 | 75.00 |
Payment Instructions and Important Information
This invoice is issued by Wellington Central Dental Clinic, a registered dental practice located in the heart of Wellington, New Zealand. All services listed above were performed in accordance with the standards set by the Dental Council of New Zealand. The total amount due is Nine Hundred and Fifty New Zealand Dollars and Fifty Cents ($950.50 NZD).
Payment is due within 15 days of the invoice date. Please make all payments in New Zealand Dollars (NZD). We accept bank transfers, credit cards (Visa, Mastercard), and EFTPOS payments at our clinic. For bank transfers, please use our BNZ account details provided in the header and include your invoice number as the reference.
If you have private dental insurance, please submit this invoice to your provider for reimbursement. We can provide additional documentation if required by your insurance company. Some services may be partially covered under the New Zealand Government's dental assistance programs. Please contact our reception team if you believe you are eligible for any subsidies.
Late payments may incur a late fee of 1.5% per month on the outstanding balance. If you have any questions regarding this invoice or the services provided, please do not hesitate to contact us. Our team is here to assist you with any concerns about your dental care in Wellington.
Thank you for choosing Wellington Central Dental Clinic for your oral health needs. We are committed to providing high-quality dental care to our patients in Wellington and the surrounding areas. We look forward to seeing you at your next appointment.
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