Invoice Orthodontist in Argentina Buenos Aires –Free Word Template Download with AI
Dr. Alejandro Fernandez & Associates
Av. Corrientes 1234, Piso 5, Of. 5B
C1043AAZ Buenos Aires, Argentina
Phone: +54 11 4321-5678
Email: [email protected]
CUIT: 30-71234567-8
Inscripción Profesional: 123456
Invoice Number: INV-2023-0892 Date Issued: October 24, 2023 Due Date: November 07, 2023 Payment Terms: Net 14 Days Bill ToMr. Juan Carlos Rodriguez
DNI: 25.678.901
Av. Santa Fe 987, Depto 12
C1425BGL Buenos Aires, Argentina
Email: [email protected]
Phone: +54 11 5555-1234
Payment InstructionsBank: Banco Galicia
Account Name: BA Orthodontic Center S.R.L.
CBU: 0070001234567890123456
Alias: BA.ORTO.PAGO
Currency: Argentine Peso (ARS)
Please include Invoice Number as reference.
Services Rendered| # | Description of Orthodontic Services | Qty | Unit Price (ARS) | Total (ARS) |
|---|---|---|---|---|
| 1 |
Initial Comprehensive Orthodontic Consultation Includes clinical examination, panoramic radiograph analysis, cephalometric tracing, and digital smile simulation. Assessment of malocclusion severity and treatment planning for fixed appliance therapy. |
1 | 45,000.00 | 45,000.00 |
| 2 |
Fixed Metal Braces System (Full Arch) Supply and placement of high-quality stainless steel brackets, archwires, and ligatures for both maxillary and mandibular arches. Includes initial bonding appointment and adjustment schedule for the first 6 months. |
1 | 320,000.00 | 320,000.00 |
| 3 |
Intermaxillary Elastics and Auxiliaries Provision of elastic bands, power chains, and coil springs required for bite correction and space closure during the active phase of treatment. |
1 | 25,000.00 | 25,000.00 |
| 4 |
Periodic Adjustment Visits (First Quarter) Four scheduled appointments for wire changes, bracket adjustments, and progress monitoring. Includes oral hygiene instruction and emergency check-ups if necessary. |
4 | 18,000.00 | 72,000.00 |
| 5 |
Digital Intraoral Scanning 3D digital impression of dental arches for precise appliance fabrication and treatment simulation, replacing traditional alginate impressions. |
1 | 15,000.00 | 15,000.00 |
Important Notes & Terms of Service
This invoice represents the professional fees for orthodontic services provided by Buenos Aires Orthodontic Center in accordance with the regulations of the Colegio de Odontólogos de la Ciudad Autónoma de Buenos Aires. All prices are quoted in Argentine Pesos (ARS) and are subject to the current VAT (IVA) rate of 21% as mandated by the Argentine tax authority (AFIP).
Payment is due within 14 days of the invoice date. Late payments may incur a monthly interest charge of 2% as per local commercial law. Please ensure that your payment reference includes the invoice number (INV-2023-0892) to facilitate accurate accounting.
Orthodontic treatment requires active patient cooperation. Failure to attend scheduled appointments or maintain proper oral hygiene may affect treatment outcomes and could result in additional fees for missed appointments or corrective procedures. This invoice covers the services listed above only; any additional procedures, emergency visits outside of scheduled times, or replacement of lost/damaged appliances will be billed separately.
For any questions regarding this invoice or your treatment plan, please contact our billing department at [email protected] or call +54 11 4321-5678 during business hours (Monday to Friday, 9:00 AM - 6:00 PM).
Dr. Alejandro Fernandez Lead Orthodontist Buenos Aires Orthodontic Center ⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
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