Invoice Dentist in United Kingdom Manchester –Free Word Template Download with AI
123 Deansgate, Manchester, M3 2BW, United Kingdom
Tel: 0161 123 4567 | Email: [email protected]
Company Reg: 12345678 | VAT No: GB 123 4567 89
Invoice Number: INV-2024-0892
Date Issued: 15 October 2024
Due Date: 15 November 2024
Payment Terms: Net 30 Days
Bill ToMr. James Thompson
45 Oxford Road
Manchester, M1 5QA
United Kingdom
NHS Number: 485 777 222 111
Treatment DetailsPatient Name: James Thompson
Date of Treatment: 10 October 2024
Treating Dentist: Dr. Sarah Mitchell, BDS, MDS
Practice Location: Manchester City Dental Practice
Description of Services| Item Code | Description | Quantity | Unit Price (£) | Total (£) |
|---|---|---|---|---|
| D0120 | Comprehensive Oral Examination and Consultation | 1 | 65.00 | 65.00 |
| D0274 | Full Mouth Radiographic Series (X-Rays) | 1 | 85.00 | 85.00 |
| D1110 | Professional Dental Cleaning (Prophylaxis) | 1 | 75.00 | 75.00 |
| D2391 | Composite Resin Filling (Tooth #14) | 1 | 120.00 | 120.00 |
| D3330 | Root Canal Treatment (Single Canal) | 1 | 450.00 | 450.00 |
| D2750 | Porcelain Crown (Tooth #14) | 1 | 650.00 | 650.00 |
| D9910 | Emergency Dental Visit Fee | 1 | 50.00 | 50.00 |
| D9999 | Prescription Medication (Antibiotics) | 1 | 15.00 | 15.00 |
Please make payment via bank transfer to the following account:
Bank Name: Barclays Bank PLC
Account Name: Manchester City Dental Practice Ltd
Sort Code: 20-00-00
Account Number: 12345678
Reference: INV-2024-0892
Alternatively, you may pay by credit/debit card in person at our Manchester clinic or via our secure online payment portal.
Important NotesThis invoice is issued by Manchester City Dental Practice, a registered dental provider in the United Kingdom. All treatments were performed in accordance with the General Dental Council (GDC) standards and UK dental regulations. The charges listed reflect both NHS and private dental services as applicable. If you have private dental insurance, please submit this invoice to your provider for reimbursement. Payment is due within 30 days of the invoice date. Late payments may incur a 5% late fee. For any queries regarding this invoice or your treatment, please contact our billing department at [email protected] or call 0161 123 4567. We appreciate your trust in our dental care services in Manchester.
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT