Paid

Invoice

From:

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

Invoice Number INV-0071
Invoice Date January 17, 2019
Total Due $0.00
To:
Shannon Hall

110 Creekwood Ct.
Southlake, TX 76092

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97802

Medical Nutrition Therapy - Initial Assessment

$135.000.00%$135.00
1 DIAGNDT:3PANEDT

3 - 5 Panel Saliva Test Adrenal & Gluten

$195.000.00%$195.00
1 Book

Gut Feelings

$16.000.00%$16.00
Sub Total $346.00
Tax $0.00
Paid -$346.00
Total Due $0.00