Invoice #1039

Nov 4, 2026, 11:35 AM

Summary

Awaiting payment
Items on invoice #1039
ItemQtyPriceAmount
Single dental implant1$4,240.00$4,240.00
Emergency toothache visit1$200.00$200.00
Total$4,440.00
Outstanding$4,440.00

Patient

Name
Chloe Barrett
Email
chloe.barrett@example.com
Phone
(630) 555-0143

Payment

Status
Awaiting payment
Due
Nov 18, 2026