Paid

Invoice

From:

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

Invoice Number INV-0135
Invoice Date February 28, 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 GP000GP:GPIGGGP

IgG Food Allergy Test w/Candida (94) DBS

$235.000.00%$235.00
1 Paraplex

90 tablets

$21.000.00%$21.00
1 AF Betafood

180 tablets

$25.500.00%$25.50
Sub Total $416.50
Tax $0.00
Paid -$416.50
Total Due $0.00