Patient is a 12 year old neutered male who needed 3 teeth extracted, a dental cleaning, and a gingivectomy- a mass removed from the gums.

I V CATHETER PLACEMENT 6/19/2025 1 $40.00
FLUIDS INTRAVENOUS 6/19/2025 1 $50.00
ANESTHESIA (ADDITIONAL/MINUTE) 6/19/2025 30 $60.00
Fluid Pump 6/19/2025 1 $25.00
ANESTHESIA 6/19/2025 1 $125.00
Stage 2 scale and polish 6/19/2025 1 $105.00
Nail trim with Exam 6/19/2025 1 $0.00
TELAZOL INJ./ML 6/19/2025 0.15 $13.21
Torbutrol Inj. (10mg/ml) 6/19/2025 0.15 $11.16
Hydromorphone inj 2mg/ml 6/19/2025 0.2 $32.63
Carprofen INJ. 50mg/mL 6/19/2025 0.6 $29.25
RVT Surgical Assistance 6/19/2025 1 $45.00
GINGIVECTOMY 6/19/2025 1 $88.00
Levafen (Carprofen) 25mg Caplet 6/19/2025 5 $12.70

MICROCHIP IMPLANTATION 6/19/2025 1 $25.00
Tooth extraction, uncomplicated 6/19/2025 3 $66.00

Patient’s family opted to biopsy the mass for $230 which is included in the $957.95