Quotation Estimate Dentist in New Zealand Auckland –Free Word Template Download with AI
Professional Dental Services — Dentist Practice in New Zealand Auckland
Dentist • New Zealand AucklandPractice Details
Auckland Central Dental Care
42 Victoria Street West, Auckland CBD
Auckland 1010, New Zealand
Phone: +64 9 374 5621
Email: [email protected]
Practitioner
Dr. Sarah Mitchell, BDS (Hons), FDSRCS
Registered Dentist, Dental Council of New Zealand
Registration No: DCNZ-2019-44871
Specialty: General & Cosmetic Dentistry
Quotation Reference
QTE-AKL-2025-03847
Date Issued: 14 June 2025
Valid Until: 14 July 2025
Prepared For
Mr. James T. Henderson
18 Ponsonby Road, Ponsonby
Auckland 1011, New Zealand
Phone: +64 21 456 7890
Insurance / Provider
Medibank Dental Plan
Member ID: MB-7729341
Plan: Comprehensive Dental
The following Quotation Estimate has been prepared by our Dentist team at Auckland Central Dental Care to outline the recommended course of treatment for the patient. All prices are quoted in New Zealand Dollars (NZD) and are inclusive of GST at the current rate of 15%. This Quotation Estimate reflects the standard fee schedule of our Dentist practice in New Zealand Auckland as approved by the Dental Council of New Zealand.
| # | Treatment / Procedure | Description | Qty | Unit Price (NZD) | Total (NZD) |
|---|---|---|---|---|---|
| 1 | Comprehensive Dental Examination | Full oral assessment, intraoral photography, and digital radiographs (panoramic + 4 periapical X-rays) conducted by our Dentist in Auckland | 1 | $285.00 | $285.00 |
| 2 | Professional Dental Hygiene & Scaling | Ultrasonic scaling, hand scaling, and polishing of all visible tooth surfaces. Performed by a registered dental hygienist under the supervision of the Dentist | 1 | $245.00 | $245.00 |
| 3 | Composite Tooth-Coloured Filling (Posterior) | Removal of caries and restoration of tooth #36 (lower left first molar) using 3M Z350 composite resin. Includes local anaesthesia | 1 | $420.00 | $420.00 |
| 4 | Root Canal Treatment (Single Root) | Endodontic treatment of tooth #11 (upper right central incisor). Includes access cavity preparation, canal instrumentation, obturation, and temporary restoration | 1 | $1,150.00 | $1,150.00 |
| 5 | Porcelain Crown (Zirconia) | Fabrication and cementation of a full zirconia crown for tooth #11 following root canal treatment. Includes digital impression and temporary crown | 1 | $1,850.00 | $1,850.00 |
| 6 | Extraction of Wisdom Tooth (Lower, Impacted) | Surgical extraction of tooth #48 (lower right third molar). Includes local anaesthesia, sutures, and post-operative instructions. Performed by our oral surgery specialist Dentist in Auckland | 1 | $680.00 | $680.00 |
| 7 | Fluoride Varnish Application | Topical fluoride treatment to strengthen enamel and reduce sensitivity. Recommended as part of the comprehensive dental care plan in New Zealand Auckland | 1 | $65.00 | $65.00 |
| 8 | Follow-Up Review & Adjustment | Post-treatment review appointment at 6 weeks to assess healing, check crown fit, and provide ongoing dental advice from your Dentist | 1 | $95.00 | $95.00 |
Terms & Conditions of This Quotation Estimate
- This Quotation Estimate is valid for 30 calendar days from the date of issue. After this period, fees may be subject to revision in accordance with the current Dentist fee schedule in New Zealand Auckland.
- All treatment procedures listed in this Quotation Estimate will be performed by a registered Dentist or dental professional at our Auckland Central Dental Care practice, in full compliance with the Health and Disability Commissioner Act 1994 and the Dental Council of New Zealand Code of Ethics.
- A deposit of 50% of the total estimated cost is required to secure your appointment. The remaining balance is due at the time of treatment or within 14 days of completion, whichever is earlier.
- Should additional treatment be identified during the course of the procedures outlined in this Quotation Estimate, our Dentist will inform you immediately and provide a revised Quotation Estimate before proceeding with any further work.
- All dental work performed by our Dentist in New Zealand Auckland carries a 12-month warranty on restorations (crowns, fillings, and bridges). This warranty does not cover damage caused by trauma, neglect, or failure to attend scheduled review appointments.
- Patients are advised to attend regular six-monthly check-up appointments with their Dentist to maintain oral health. This Quotation Estimate does not include future routine dental care unless specifically stated.
- Payment may be made via EFTPOS, bank transfer, or credit/debit card. Instalment payment plans are available for treatments exceeding $1,500 NZD. Please enquire with our reception team for details.
- This Quotation Estimate is prepared in accordance with the Consumer Guarantees Act 1993 (New Zealand) and the Fair Trading Act 1986. All services are provided with due care and skill expected of a qualified Dentist practising in Auckland, New Zealand.
- By accepting this Quotation Estimate, the patient consents to the proposed treatment plan and acknowledges that they have had the opportunity to ask questions and receive a second opinion from another Dentist if desired.
Authorised Dentist — Dr. Sarah Mitchell
Auckland Central Dental Care, New Zealand Auckland
Patient / Authorised Representative
Date: ______________________
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