Paid

Invoice

From:

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

Invoice Number INV-0079
Invoice Date February 13, 2019
Total Due $0.00
To:
Shannon Hall

110 Creekwood Ct.
Southlake, TX 76092

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 CPT83015

Heavy Toxic Metal Screening - Hair Analysis

$140.000.00%$140.00
Sub Total $275.00
Tax $0.00
Paid -$275.00
Total Due $0.00