Paid

Invoice

From:

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

Invoice Number INV-0023
Invoice Date May 16, 2018
Total Due $0.00
To:
Erik Wingfield

1701 McGee Ave
Argyle, TX 76226

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97802

Medical Nutrition Therapy - Initial Assessment

$135.000.00%$135.00
1 CPT83015

Heavy Toxic Metal Screening - Hair Analysis

$140.000.00%$140.00
1 SANESSH:HPAPRSH

HPA Profile - Urinary NT Salivary Cortisol

$305.000.00%$305.00
Sub Total $580.00
Tax $0.00
Paid -$580.00
Total Due $0.00