MATHEMATICAL LITERACY
GRADE 12
NATIONAL SENIOR CERTIFICATE EXAMINATION
ADDENDUM
MAY/JUNE 2021
ANNEXURE A
QUESTION 2.1
QUOTATION FOR DENTAL PROCEDURE
ABC Medical Centre Practice number: 2458793 Corner of Bolt and Louw Streets, Kimberley, 8301 Tel.: 053 839 6322 E-mail: admingdutoit.co.za |
Date: 15-01-2020 Procedure: Crown Dentist: Dr JJ Ndlovu | |
Ms Mpho Hendricks Acc. No.: 000128966 ID: 821213 0045 071 Cell: 066 468 0206 | Med. Aid: GEMS (00897588) Member No.: 00897588 Dep. No.: 00 |
Code | Description | ICD-10 | Tooth | Qty | Amount |
8018 | Infection control measure | K02.9 | 2 | R40,55 | |
8220 | Sterilised instrumentation | K02.9 | 1 | R56,20 | |
8145 | Local anaesthetics | K02.9 | 1 | R89,10 | |
8114 | Crown | K02.9 | 12 | 1 | R1588,90 |
SUBTOTAL | R1 744,75 | ||||
TOTAL (including 15% VAT) | R1 744,75 |
Summary
Medical Aid Payment - R1 744,75
Patient Payment - R0,00