Paid

Invoice

From:

6144 Pleasant Dream St.
North Richland Hills, TX 76180
817.797.7475
Sharon R. Price, Ph.D., CN

Invoice Number INV-0072
Invoice Date January 18, 2019
Total Due $0.00
To:
Carrie Barton

4605 Tanque Dr.
Ft. Worth, TX 76137

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment - 30 min

$70.000.00%$70.00
Sub Total $70.00
Tax $0.00
Paid -$70.00
Total Due $0.00