Dietitian Invoice Template
MNT codes, units, group sessions and referral details. Free PDF, no account.
Medical nutrition therapy is billed in units, and the units are not all the same length — individual sessions count in fifteen-minute increments while group sessions count in thirty. Mixing them, or billing a returning patient as a new assessment, is what turns a straightforward claim into a denial months later.
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INVOICE
Issued
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Issued by
Alder & Fern Nutrition
9 Harvest Lane Suite 5 05401 Burlington, VT United States billing@alderfernnutrition.example |
Bill to
Silvia Marchetti
410 Winooski Avenue 05403 Burlington, VT United States s.marchetti@example.com |
| Description | Qty | Rate | Tax | Amount |
|---|---|---|---|---|
97802 — MNT initial assessment Individual, face to face, 15-minute units | 4 | $38.00 | — | $152.00 |
97803 — MNT reassessment and intervention Four follow-up sessions, 15-minute units | 12 | $36.00 | — | $432.00 |
97803 — MNT follow-up, telehealth Two sessions by video, 15-minute units | 6 | $36.00 | — | $216.00 |
97804 — Group medical nutrition therapy Two group sessions, 30-minute units | 4 | $22.00 | — | $88.00 |
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Edit this template Free, no account, no watermark — download the PDF when you are done.
What to put on a dietitian invoice
- Your NPI, registration and the practice tax ID
- The initial assessment separately from follow-up sessions, since they are different codes
- Units against each session, with the length a unit represents
- Group sessions apart from individual ones — they are counted in half-hour units
- The referral and diagnosis, where the plan requires one
- Telehealth sessions marked, with the place-of-service code
Questions
When do I bill an initial assessment again?
Rarely. A patient returning after their first visit is a follow-up regardless of how long it has been — the usual exception is a patient discharged and then re-referred more than a year later. Re-billing the initial code because a gap felt long is a common and avoidable denial.
Are group sessions billed the same way?
No. Group medical nutrition therapy is counted in thirty-minute units rather than fifteen, so a ninety-minute group is three units and not six. It is the arithmetic most often got wrong on a nutrition claim.
Are there daily unit limits?
Medicare applies them, and commercial plans usually follow — commonly eight units a day for individual therapy and six for group. Bill against the limit rather than against the clock, and check it before a long session rather than after.
Guides for this job
- How to add credit card payment to an invoiceA pay-by-card button on the invoice itself: what it takes, what the client sees, and what happens after they pay.
- When to invoice a clientUp front, by milestone, on delivery or on a schedule: picking the moment that gets you paid soonest.
- Invoice payment terms explainedNet 30, due on receipt, EOM and early-payment discounts — what each means and when to use it.
About the free invoice generator
Is this invoice generator really free?
Yes. There is no fee, no trial period and no watermark on the PDF. Nothing on this page requires a credit card.
Do I need to create an account?
No. Fill in the form and download the PDF directly — there is no sign-up and no login for this tool.
What file do I get?
A standard PDF, ready to attach to an email or print.
Can I add my own logo and bank details?
Yes. The seller section accepts a logo image and bank transfer details, which are printed on the invoice so your client knows how to pay you.
Is my data stored anywhere?
Nothing leaves your browser except when you download a PDF or save the invoice to an account. A draft is kept locally in your browser so it's still here if you come back, but there is no account behind this page and nothing is ever sent to our servers until you choose to.
Can I use this for any currency or country?
Yes. Choose any currency and country for either party — the totals and formatting follow your selection.
Ready to bill for it?
The template opens in the free invoice generator with these lines already on it. Change what you like, download the PDF.
To send it from an account, with a pay-by-card button on it, your first three invoices are free. Pricing the job before you bill it? Start with the free estimate generator.
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