Invoice Dentist in Singapore Singapore –Free Word Template Download with AI
Comprehensive Dental Care in Singapore Singapore
UEN: 202312345K
Invoice Number: INV-2023-0892
Date: 24 October 2023
Due Date: 24 November 2023
Status: Pending Payment
From
Pristine Dental Clinic
123 Orchard Road, #05-10
Tang Plaza, Singapore Singapore 238858
Tel: +65 6789 1234
Email: [email protected]
Bill To
Mr. Jonathan Tan Wei Ming
456 Bukit Timah Road, #12-05
Clifford Centre, Singapore Singapore 259709
NRIC: S8901234A
Email: [email protected]
| Description | Date of Service | Quantity | Unit Price (SGD) | Total (SGD) |
|---|---|---|---|---|
|
Comprehensive Dental Examination Initial consultation and full oral health assessment conducted by Dr. Lim Hui Ling at our Singapore Singapore clinic. |
20 Oct 2023 | 1 | 150.00 | 150.00 |
|
Full Mouth Digital X-Rays Panoramic and periapical radiographs for diagnostic purposes. |
20 Oct 2023 | 1 | 120.00 | 120.00 |
|
Professional Dental Cleaning (Scaling & Polishing) Ultrasonic scaling and air polishing to remove plaque and tartar buildup. |
20 Oct 2023 | 1 | 200.00 | 200.00 |
|
Composite Filling (Tooth #36) Restoration of molar with tooth-colored composite material. |
22 Oct 2023 | 1 | 350.00 | 350.00 |
|
Root Canal Treatment (Tooth #14) Endodontic therapy including access, cleaning, shaping, and obturation. |
23 Oct 2023 | 1 | 1,200.00 | 1,200.00 |
|
Porcelain Crown (Tooth #14) Custom-fabricated ceramic crown for restored tooth. |
24 Oct 2023 | 1 | 1,500.00 | 1,500.00 |
|
Follow-up Consultation Post-treatment review and oral hygiene instructions. |
24 Oct 2023 | 1 | 80.00 | 80.00 |
| Subtotal | SGD 3,600.00 |
| Goods & Services Tax (GST) @ 9% | SGD 324.00 |
| Total Amount Due | SGD 3,924.00 |
Payment Instructions
Please make payment within 30 days of the invoice date. Late payments may incur a 1.5% monthly interest charge.
Bank Transfer:
Bank: DBS Bank Ltd
Account Name: Pristine Dental Clinic Pte Ltd
Account Number: 001-234567-8
Reference: INV-2023-0892
Other Payment Methods: Cash, NETS, Visa, Mastercard accepted at our Singapore Singapore clinic.
Important Notes
This invoice is issued in accordance with the regulations of the Ministry of Health, Singapore Singapore. All dental services were provided by licensed dentists registered with the Singapore Dental Council.
Please retain this invoice for your records and for insurance claims purposes. If you have any questions regarding this invoice or the dental services provided, please contact our billing department at +65 6789 1234 or email [email protected].
For insurance claims, please submit this invoice along with your treatment plan and clinical notes to your insurance provider. We are happy to provide additional documentation if required.
Thank you for choosing Pristine Dental Clinic for your dental care needs in Singapore Singapore. We are committed to providing you with the highest quality dental services in a comfortable and professional environment.
Authorized Signature
Dr. Lim Hui Ling
Lead Dentist
Received By
Date: _______________
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