Dental Self-pay Treatment Estimate
Quotations
Medical & Care
Japanese Version
A sample estimate for out-of-pocket dental treatments such as ceramic crowns and implants. Lists costs not covered by insurance.
Sample Content
Subject: Self-pay Treatment Estimate
To: Seiichi Nakamura
Line Items
| Item | Qty | Unit | Unit Price | Amount |
|---|---|---|---|---|
| Implant Placement (1 implant) | 1 | implant | ¥250,000 | ¥250,000 |
| Abutment | 1 | pc | ¥50,000 | ¥50,000 |
| Superstructure (ceramic crown) | 1 | tooth | ¥120,000 | ¥120,000 |
| CT Scan & Diagnosis | 1 | session | ¥15,000 | ¥15,000 |
| Temporary Crown | 1 | tooth | ¥10,000 | ¥10,000 |
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