Paid

Invoice

From:

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

Invoice Number INV-0140
Invoice Date April 21, 2020
Total Due $0.00
To:
Valerie Warrior

9751 Red Tail Ct.
Keller, TX 76244

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 AH-G Hormone complete Panel

cortisol, DHEA, E1, E2, E3, Progesterone, Testosterone

$255.000.00%$255.00
1 Credit for SpectraCell

Hormone Panel unable to complete and report, except reported Estrone (E1)

$-130.000.00%$-130.00
Sub Total $260.00
Tax $0.00
Paid -$260.00
Total Due $0.00