Dental Invoice Generator

Create a professional invoice for dental treatment, orthodontics or cosmetic dentistry, with patient, tooth number, treatment code and provider registration fields — then download as a clean PDF, free, no sign-up required.

Informasi Bisnis Anda

Informasi Klien

Branding Faktur Anda

Tambahkan logo Anda

Detail Faktur

Daftar Item

Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Bebas PPN (jasa dokter gigi, PP 49/2022)
Rp0.00
Subtotal:Rp0.00
Rp0.00
(%)
Rp0.00

Bebas PPN (jasa dokter gigi, PP 49/2022) hanya diterapkan pada item yang dicentang kotak “Bebas PPN (jasa dokter gigi, PP 49/2022)”.

Total:Rp0.00
Rp0.00
Sisa Tagihan:Rp0.00

Tanda Tangan

Tambahkan tanda tangan resmi Anda. Tanda tangan hanya akan muncul pada pratinjau dan PDF jika Anda benar-benar menandatangani.

Pratinjau:

Tanda tangan yang diketik akan muncul di sini

Aplikasi Faktur Gratis

Logo Invoice24

Dipercaya oleh 3.000.000+ bisnis di seluruh dunia

Kirim faktur dalam hitungan detik, lacak pembayaran, dan kelola arus kas langsung dari ponsel Anda dengan aplikasi Invoice24.

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Your Business
FAKTUR
Informasi Klien
Tanggal Faktur
DeskripsiJumlahTarifJumlah
Comprehensive dental examination1Rp0.00Rp0.00
Scale and polish (professional cleaning)1Rp0.00Rp0.00
Dental X-ray (bitewing/periapical)1Rp0.00Rp0.00
Composite filling (per tooth)1Rp0.00Rp0.00
Root canal treatment1Rp0.00Rp0.00
Crown — porcelain/ceramic1Rp0.00Rp0.00
Tooth extraction1Rp0.00Rp0.00
Teeth whitening (cosmetic)1Rp0.00Rp0.00
SubtotalRp0.00
TotalRp0.00

Free dental invoice generator & superbill template

Create a professional invoice for dental treatment, orthodontics or cosmetic dentistry in minutes. Add patient details, tooth numbers and treatment dates, mark each line taxable or exempt, and download a clean PDF — free, with no sign-up required.

What should a dental invoice include?

Every patient-pay dental invoice needs the basics — practice name and address, patient name, invoice number and date — plus a few fields specific to dentistry: the tooth number(s) treated, a description of each procedure, and your provider registration number. Insurance-ready dental invoices go further, adding the patient's date of birth, an insurance/claim reference, and a treatment code per line so the patient (or you, on their behalf) can submit a claim.

  • Dental practice name, address and provider registration number
  • Patient name, and date of birth if the patient will claim insurance
  • Tooth number(s) using FDI (outside North America) or Universal (US/Canada) notation
  • Treatment/procedure description, with an optional code (CDT in the US, GOZ-Ziffer in Germany)
  • Date of service for each treatment line, separate from the invoice date
  • Fees, any payment received, and balance due

Is dental treatment VAT-exempt — even when whitening and braces are on the same invoice?

In most of our 39 markets, dental care provided by a registered dentist is exempt from VAT, GST or an equivalent consumption tax, under the same public-interest healthcare exemption family as general medicine — plus, in the EU, a dentist/dental-technician-specific exemption for dental prostheses (Art. 132(1)(e) VAT Directive). But dentistry has a sharper taxable edge than general medicine: cosmetic work with no therapeutic purpose — teeth whitening, veneers purely for appearance — is standard-rated almost everywhere, and in France specifically, orthodontic appliances and clear aligners are explicitly excluded from the dental-prosthesis exemption and taxed at the standard rate, even though other prostheses made to a named-patient prescription (crowns, bridges, dentures) stay exempt. This makes a single invoice with an exempt filling and a taxable whitening treatment, or an exempt crown alongside a taxable French aligner, the normal case rather than the exception — mark each line taxable or not, and the one overall rate applies only to the taxable lines.

Tooth notation and treatment codes: FDI, Universal, CDT and GOZ

This generator adds one combined "Tooth/Code" column so you can record exactly which tooth and which procedure were billed on each line — e.g. "36 — D2740" or "16 — GOZ 2197". Outside North America, dentists almost universally use FDI/ISO 3950 two-digit notation (e.g. "36"); in the US and Canada, the Universal Numbering System (1-32, e.g. "#3") is standard. Procedure codes vary by market: CDT (Current Dental Terminology) in the US is a HIPAA-mandated insurance code set; Germany uses GOZ-Ziffern from its own dental fee schedule (and if you bill above the standard 2.3x Steigerungsfaktor, German rules require a short written justification — write it in the description or Tooth/Code column, e.g. "GOZ 2197, Faktor 2,3"); most other markets bill by free-text procedure description without a shared code set. The column is optional and free-text, so it fits whichever notation and code set applies where you practice.

Generator Faktur Indonesia

FAQs about dental invoices and superbills