Invoice Dentist in Saudi Arabia Riyadh –Free Word Template Download with AI
License No: 1010374829
Commercial Registration: 101037482900012
VAT Registration No: 310123456700003
Address: Olaya District, King Fahd Road, Building 45, Floor 3
Riyadh, Saudi Arabia 12211
Phone: +966 11 234 5678
Email: [email protected]
Invoice Number: INV-2024-0892
Date of Issue: October 15, 2024
Due Date: October 30, 2024
Payment Terms: Net 15 Days
Bill To:
Mr. Ahmed Al-Saud
National ID: 1080123456789012
Address: Al Malqa District, Street 78, Villa 12
Riyadh, Saudi Arabia 13511
Phone: +966 50 123 4567
Email: [email protected]
| Description of Dental Services | Quantity | Unit Price (SAR) | Subtotal (SAR) | VAT (15%) |
|---|---|---|---|---|
| Comprehensive Dental Examination and Consultation | 1 | 350.00 | 350.00 | 52.50 |
| Full Mouth Digital X-Rays and Panoramic Imaging | 1 | 450.00 | 450.00 | 67.50 |
| Professional Teeth Cleaning (Scaling and Polishing) | 1 | 600.00 | 600.00 | 90.00 |
| Composite Filling - Upper Right Molar (Tooth #3) | 1 | 850.00 | 850.00 | 127.50 |
| Root Canal Treatment - Lower Left Premolar (Tooth #20) | 1 | 2,200.00 | 2,200.00 | 330.00 |
| Ceramic Crown - Lower Left Premolar (Tooth #20) | 1 | 3,500.00 | 3,500.00 | 525.00 |
| Teeth Whitening Treatment (In-Office Zoom Whitening) | 1 | 1,800.00 | 1,800.00 | 270.00 |
| Follow-up Consultation and Post-Treatment Care | 2 | 200.00 | 400.00 | 60.00 |
This invoice is issued in accordance with the Saudi Arabian Value Added Tax Law. The VAT rate of 15% has been applied to all taxable dental services provided. Our VAT Registration Number is 310123456700003. This document serves as a valid tax invoice for your records and any applicable insurance claims.
Payment Instructions:
Please make payment within 15 days of the invoice date. We accept the following payment methods:
- Bank Transfer: Al Rajhi Bank, Account No: 1234567890, IBAN: SA038000012345678901234567
- Credit/Debit Card: Visa, MasterCard, Mada (accepted at clinic)
- STC Pay: +966 50 123 4567
Important Notes:
1. This invoice covers all dental services rendered at Riyadh Premium Dental Clinic during the treatment period from September 20, 2024, to October 10, 2024.
2. All prices are quoted in Saudi Riyals (SAR) and are inclusive of professional fees, materials, and clinic charges.
3. For insurance claims, please submit this original invoice along with your treatment plan and medical reports to your insurance provider.
4. Late payments may incur a penalty of 2% per month on the outstanding balance, in accordance with Saudi Arabian commercial regulations.
5. If you have any questions regarding this invoice or your dental treatment, please contact our billing department at [email protected] or call +966 11 234 5678.
6. This invoice is valid for tax purposes in the Kingdom of Saudi Arabia and complies with the requirements of the Zakat, Tax and Customs Authority (ZATCA).
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