Paid

Invoice

From:

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

Invoice Number INV-0122
Invoice Date December 4, 2019
Total Due $0.00
To:
Laura Redman

9405 Toledo Bend Dr.
Argyle, TX 76226

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 GP000GP:GPIGGGP

IgG Food Allergy Test w/Candida (94) DBS

$235.000.00%$235.00
Sub Total $370.00
Tax $0.00
Paid -$370.00
Total Due $0.00