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Quotation Estimate Orthodontist in Russia Moscow –Free Word Template Download with AI

Orthodontist Professional Services — Russia Moscow

Service Provider

Moscow Capital Orthodontic Centre

12 Tverskaya Street, Building 3

Moscow, 125009, Russia

Tel: +7 (495) 123-45-67

Email: [email protected]

INN: 7701234567

Client Information

Mr. Alexander Petrov

45 Arbat Avenue, Apt. 12

Moscow, 119019, Russia

Tel: +7 (916) 555-12-34

Email: [email protected]

Quotation Estimate No.: QE-2025-0847

Date of Issue: 15 June 2025

Valid Until: 15 July 2025 (30 calendar days)

Prepared By: Dr. Elena Sokolova, Lead Orthodontist

Service Location: Moscow Capital Orthodontic Centre, Russia Moscow

This Quotation Estimate is issued by Moscow Capital Orthodontic Centre to provide a comprehensive and transparent breakdown of all anticipated costs associated with the full course of orthodontic treatment. As a licensed Orthodontist practice operating in Russia Moscow, we are committed to delivering world-class dental care while ensuring complete financial clarity for every patient. The figures presented below reflect current pricing as of the date of issue and are subject to the terms outlined in this document.

Scope of Orthodontist Services

The following Quotation Estimate covers a complete orthodontic treatment plan as recommended by our senior Orthodontist following a full clinical examination, panoramic radiography, intraoral scanning, and digital treatment simulation conducted at our clinic in Russia Moscow. The treatment plan includes initial diagnostics, active orthodontic correction, retention, and all necessary follow-up appointments over an estimated 24-month treatment period.

Itemised Cost Breakdown
No. Description of Service Quantity Unit Price (RUB) Total (RUB)
1 Initial Consultation & Comprehensive Diagnostics (intraoral scan, panoramic X-ray, cephalometric analysis, digital treatment plan) 1 session 8,500 8,500
2 Custom Ceramic Braces Fabrication & Placement (upper and lower arches, 28 brackets total) 1 set 185,000 185,000
3 Monthly Orthodontist Adjustment Appointments (wire changes, elastic adjustments, progress monitoring) 22 sessions 6,500 143,000
4 Interproximal Reduction (IPR) & Minor Orthodontic Surgery (if required for space creation) 1 session 25,000 25,000
5 Braces Removal & Post-Treatment Polishing 1 session 12,000 12,000
6 Custom Retainer Fabrication (upper and lower, 2 sets for 2-year retention period) 2 sets 18,000 36,000
7 Retention Follow-Up Visits (quarterly check-ups over 24 months) 8 sessions 3,500 28,000
8 Emergency Orthodontist Visits (broken bracket, wire irritation, urgent adjustments) Up to 3 4,000 12,000
9 Digital Progress Documentation & Final Treatment Report 1 package 5,000 5,000
Subtotal 454,500.00 RUB
VAT (20% — Russian Federation) 90,900.00 RUB
Grand Total 545,400.00 RUB
Payment Terms & Conditions
  • This Quotation Estimate is valid for 30 calendar days from the date of issue. After the expiry date, pricing may be subject to revision based on material costs and exchange rate fluctuations applicable in Russia Moscow.
  • A non-refundable deposit of 30% (163,620.00 RUB) is required to secure the treatment slot and commence the initial diagnostics phase with our Orthodontist team.
  • The remaining balance may be paid in equal monthly instalments over the 22-month active treatment period, or in full at the time of braces placement. A 5% discount applies to full prepayment of the active treatment phase.
  • All payments are to be made in Russian Rubles (RUB) via bank transfer to the account of Moscow Capital Orthodontic Centre, or by card at the clinic reception in Russia Moscow.
  • Any additional procedures not included in this Quotation Estimate (e.g., extraction of impacted teeth, periodontal treatment, or extended retention beyond 24 months) will be quoted separately in writing prior to commencement.
  • Should the treatment duration exceed the estimated 24 months due to patient non-compliance (missed appointments, failure to wear elastics as directed), additional monthly adjustment fees of 6,500 RUB per session will apply.
  • This Quotation Estimate does not constitute a binding contract. A formal treatment agreement will be executed upon acceptance of this estimate and payment of the initial deposit.
  • All services are performed in strict compliance with the regulations of the Ministry of Health of the Russian Federation and the professional standards of the Russian Association of Orthodontists.
Acceptance & Authorisation

By signing below, the client acknowledges receipt of this Quotation Estimate for Orthodontist services in Russia Moscow and agrees to the terms and conditions set forth herein. The client confirms that the treatment plan has been explained in full and that all questions regarding the scope, duration, and cost of the orthodontic procedure have been satisfactorily addressed by the treating Orthodontist.

Client Signature
Name: Alexander Petrov
Date: ______________________
Authorised Representative
Name: Dr. Elena Sokolova, Lead Orthodontist
Moscow Capital Orthodontic Centre
Date: ______________________

Moscow Capital Orthodontic Centre • 12 Tverskaya Street, Building 3, Moscow, 125009, Russia

Quotation Estimate No. QE-2025-0847 • Issued 15 June 2025 • Page 1 of 1

This document is generated electronically and is valid without a physical seal. For inquiries regarding this Quotation Estimate, please contact our Orthodontist office in Russia Moscow at +7 (495) 123-45-67.

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