Forterra Associates

Attached is documentation for *** *** appointments on 9-29-and 10-12-As you can see we have spoken to *** *** several times about her balance and she agreed to pay the remaining balance in November of The treatment proposal did change on the day of her visit 9-29-Tooth
#was an "O" filling for $190.00, tooth #was an MO filling for $We did not use N2O (laughing gas) and she was not charged for itOn 10-12-the treatment proposal changed on tooth #MO $and we only used unit of N2O (laughing gas) for $ Total bill was $ Insurance paid She paid We gave a cash discount of Remaining balance is An explanation of the bill was mailed home to the address listed on the attached document We have noted several phone messages left in regards to the balance on the account as well as a verbal agreement to pay the balance in November 2016; these notes have been printed and attached to this explanation as wellThank you!