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    R40,55 
8220 Sterilised instrumentation K02.9    R56,20
8145 Local anaesthetics  K02.9    R89,10
8114 Crown  K02.9  12 R1588,90
  SUBTOTAL       R1 744,75
  TOTAL (including 15% VAT)       R1 744,75

Summary
Medical Aid Payment - R1 744,75
Patient Payment - R0,00

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Last modified on Tuesday, 22 February 2022 11:33