Treatment plan and estimate
TP-1047
Brightsmile Dental Care
Oslo
Oslo
Prepared for
Delta Health
Olivia Larsen
Delta Health
Olivia Larsen
Date
23 September 2026
23 September 2026
| Description | Qty | Price | Amount |
|---|---|---|---|
| Examination and X-rays | 3 | $189 | $566 |
| Two fillings | 4 | $206 | $824 |
| Hygienist cleaning | 5 | $930 | $4,652 |
| Whitening trays | 4 | $695 | $2,778 |
Subtotal$8,821
Tax (10%)$882
Total$9,703
This estimate is valid for 60 days. Please ask us about payment plans.