Paid

Invoice

From:

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

Invoice Number INV-0128
Invoice Date January 12, 2020
Total Due $0.00
To:
Dina Page

1225 Twisting Winds Drive
Haslet, TX 76052

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
2 Yeast & Fungal Detox

90 capsules

$30.000.00%$60.00
Sub Total $195.00
Tax $0.00
Paid -$195.00
Total Due $0.00