Invoice Dentist in South Korea Seoul –Free Word Template Download with AI
123 Gangnam-daero, Gangnam-gu, Seoul, South Korea
Tel: +82-2-1234-5678 | Email: [email protected]
Business Registration No: 123-45-67890
Invoice Number: INV-2023-10-045 Date of Issue: October 24, 2023 Due Date: November 24, 2023Bill To (Patient)
Mr. John Doe
456 Itaewon-ro, Yongsan-gu
Seoul, South Korea
Nationality: United States
Passport ID: AB1234567
Service Provider (Dentist)
Dr. Min-Ji Park, DDS
License No: 123456789
Department: Orthodontics & Cosmetic Dentistry
Seoul Premium Dental Clinic
| # | Description of Dental Services | Date of Service | Unit Price (KRW) | Total (KRW) |
|---|---|---|---|---|
| 1 |
Comprehensive Dental Examination & Consultation Includes panoramic X-ray, intraoral photography, and detailed treatment planning by the lead dentist. |
Oct 10, 2023 | 150,000 | 150,000 |
| 2 |
Professional Teeth Cleaning (Scaling & Polishing) Ultrasonic scaling and air polishing to remove plaque and tartar buildup. |
Oct 10, 2023 | 80,000 | 80,000 |
| 3 |
Composite Resin Filling (Tooth #14) Removal of decay and restoration with tooth-colored composite material. |
Oct 15, 2023 | 120,000 | 120,000 |
| 4 |
Root Canal Therapy (Tooth #19) Endodontic treatment including cleaning, shaping, and filling of the root canal system. |
Oct 18, 2023 | 450,000 | 450,000 |
| 5 |
Porcelain Crown Preparation & Temporary Crown Preparation of tooth #19 for crown placement and fabrication of temporary crown. |
Oct 20, 2023 | 350,000 | 350,000 |
| 6 |
Teeth Whitening (In-Office Bleaching) Professional whitening treatment using high-concentration peroxide gel. |
Oct 22, 2023 | 300,000 | 300,000 |
Payment Terms & Conditions
1. Payment is due within 30 days from the date of this invoice. Please include the invoice number on your payment.
2. Accepted payment methods: Bank transfer, credit card (Visa, Mastercard, JCB, Amex), and cash (KRW only).
3. Bank Transfer Details:
Bank: Shinhan Bank
Branch: Gangnam Branch
Account Name: Seoul Premium Dental Clinic Co., Ltd.
Account Number: 100-000-000000
4. Late payments may incur a penalty fee of 1.5% per month on the outstanding balance.
5. This invoice is issued in accordance with the tax regulations of South Korea. VAT is included in the total amount.
6. For any questions regarding this invoice or your dental treatment, please contact our billing department at +82-2-1234-5678.
7. Please retain this invoice for your records and for any insurance claims.
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