Patient Name: Aria Chen
Date of Service: October 26, 2023
Receipt #: DD-2310-7890
| Service Description | Date | Provider | Amount |
|---|---|---|---|
| Comprehensive Dental Examination | 2023-10-26 | Dr. Evelyn Reed | $150.00 |
| Professional Teeth Cleaning | 2023-10-26 | Nurse Liam Patel | $120.00 |
| X-rays (2 Views) | 2023-10-26 | Dr. Evelyn Reed | $75.00 |
| Fluoride Treatment | 2023-10-26 | Nurse Liam Patel | $40.00 |
Thank you for choosing Diamond Dental Clinic for your oral health needs. We appreciate your trust and look forward to seeing you at your next scheduled appointment.
For any inquiries regarding this receipt or your dental care, please do not hesitate to contact our office at (555) 123-4567.
Sincerely,
The Diamond Dental Team