Invoicle.Create Invoice

Dentist Invoice Template

Create professional dentist invoices for dental exams, cleanings, and procedures. Our template includes ADA procedure codes, insurance billing support, and treatment documentation. Perfect for dental practices and individual dentists. Download instantly in PDF, Word, or Excel format.

Instant PDF Export
No Signup Required
Industry Standard

From

Branding & Authorization

Services

$125.00
$150.00
$75.00
$400.00
$45.00
$1,200.00

Invoice Details

Tax, Discount & Shipping

Payment Methods

Bill to

Subtotal$1,995.00
Total (USD)$1,995.00

What to Include on a Dental Invoice

Professional dental invoices should document:

Practice Information
  • Practice name
  • Dentist name and credentials
  • License number
  • NPI number
  • Address and phone
  • Tax ID
Patient Information
  • Patient name
  • Date of birth
  • Address
  • Phone number
  • Insurance ID (if applicable)
  • Responsible party
Treatment Details
  • Date of service
  • ADA procedure codes
  • Procedure descriptions
  • Tooth numbers
  • Surfaces treated
  • Provider name
Financial Summary
  • Procedure fees
  • Insurance estimate
  • Patient responsibility
  • Previous balance
  • Payments received
  • Current balance due

Dental Services Pricing Guide

Standard rates for dental procedures:

Diagnostic Services
  • New patient exam (D0150): $75-150
  • Periodic exam (D0120): $50-75
  • Full mouth X-rays (D0210): $100-200
  • Bitewings (D0274): $50-100
  • Panoramic X-ray (D0330): $100-175
Preventive Services
  • Adult cleaning (D1110): $100-200
  • Child cleaning (D1120): $75-125
  • Deep cleaning/quad (D4341): $200-350
  • Fluoride (D1208): $35-60
  • Sealant per tooth (D1351): $40-75
Restorative Services
  • Composite filling: $150-300
  • Amalgam filling: $100-200
  • Crown - porcelain (D2740): $900-1,500
  • Crown - PFM (D2750): $800-1,400
  • Root canal - anterior: $700-1,000
  • Root canal - molar: $1,000-1,500
Other Services
  • Extraction - simple: $150-300
  • Extraction - surgical: $250-500
  • Dentures - complete: $1,500-3,000
  • Implant - surgical: $1,500-3,000
  • Whitening - in-office: $400-800

Dental Insurance Billing Practices

Navigate dental insurance effectively:

Insurance Filing
  • Verify benefits before treatment
  • File claims promptly
  • Include required documentation
  • Track claim status
  • Appeal denials
Pre-Authorization
  • Required for major work
  • Submit treatment plans
  • Wait for approval
  • Document authorization
  • Communicate to patient
Patient Portions
  • Collect at time of service
  • Explain insurance estimates
  • Not guarantees
  • Follow up on balances
  • Payment plans available
Common Issues
  • Waiting periods
  • Annual maximums
  • Frequency limitations
  • Missing tooth clauses
  • Coordination of benefits
Documentation
  • X-rays with claims
  • Narratives for complex cases
  • Pre-op photos
  • Periodontal charting
  • Treatment notes

Dental Practice Billing Best Practices

Optimize your dental office billing:

Treatment Presentation
  • Clear fee schedules
  • Treatment plans written
  • Insurance estimates
  • Payment options
  • Financing available
Collection Strategies
  • Payment at time of service
  • Credit card on file
  • Payment plans
  • Collection letters
  • Third-party financing
Insurance Management
  • Verify every patient
  • Update information
  • Track benefits used
  • Maximize benefits timing
  • Year-end reminders
Software Systems
  • Practice management
  • Electronic claims
  • Patient statements
  • Credit card processing
  • Analytics/reporting
Compliance
  • HIPAA requirements
  • Accurate coding
  • No balance billing violations
  • Records retention
  • Audit preparedness

Frequently Asked Questions