A Dental Receipt is a fundamental document in Canadian dental practice that serves multiple essential purposes. It is required whenever dental services are provided and payment is received, serving as an official record of the transaction. The document must comply with provincial dental college regulations, Canada Revenue Agency (CRA) requirements for medical expense claims, and insurance provider documentation standards. A properly formatted Dental Receipt includes the dental practice's details, patient information, itemized services with procedure codes, payment information, and authentication elements. This document is crucial for patient record-keeping, insurance reimbursement, tax filing, and professional accounting purposes.
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1. Dental Practice Information: Practice name, address, phone number, and dental license number
2. Patient Information: Patient's full name, address, and contact information
3. Service Details: Date of service, detailed description of dental procedures performed with corresponding dental procedure codes
4. Financial Information: Itemized list of charges, subtotal, applicable taxes, and total amount
5. Payment Information: Method of payment, amount paid, and any remaining balance
6. Authentication: Dentist's signature or electronic authentication, receipt number, and date of issue
1. Insurance Information: Include when patient has dental insurance: policy number, insurance provider, and coverage details
2. Laboratory Fees: Include when external laboratory services were used for dental work
3. Next Appointment: Optional scheduling information for follow-up visits
4. Treatment Plan Reference: Include when the service is part of an ongoing treatment plan
5. Patient Notes: Special instructions or notes for patient care, if applicable
1. Detailed Procedure Notes: Additional technical details about procedures performed, when required for insurance or specialist referral
2. Insurance Submission Form: Standard dental claim form when receipt is being submitted directly to insurance
3. Pre/Post Treatment Images: When relevant diagnostic images need to be attached for insurance or documentation purposes
Relevant legal definitions
Procedure Code
Dental Provider
Treating Dentist
Insurance Provider
Policy Number
Laboratory Fees
GST/HST
Professional Corporation
Treatment Plan
Diagnostic Code
Dental Practice
Patient of Record
Service Date
Insurance Assignment
Balance Forward
Pre-Authorization
Co-Payment
Dental License Number
Payment Method
Receipt Number
Dental Provider
Treating Dentist
Insurance Provider
Policy Number
Laboratory Fees
GST/HST
Professional Corporation
Treatment Plan
Diagnostic Code
Dental Practice
Patient of Record
Service Date
Insurance Assignment
Balance Forward
Pre-Authorization
Co-Payment
Dental License Number
Payment Method
Receipt Number
Clauses
Relevant Industries
Healthcare
Dental Services
Insurance
Professional Services
Medical Administration
Healthcare Technology
Financial Services
Relevant Teams
Accounting
Finance
Medical Records
Billing
Front Office
Compliance
Administration
Insurance Processing
Patient Services
Revenue Cycle
Relevant Roles
Dentist
Dental Office Manager
Dental Receptionist
Accounting Clerk
Insurance Claims Processor
Tax Accountant
Healthcare Administrator
Compliance Officer
Medical Records Specialist
Finance Manager
Healthcare Billing Specialist
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