I dont think its that unrealistic. It always depends on what they do.
anaesthesia should be around 40-60 euro, but im not cert
Manuel cleaning? 25-40
Ultra sonic? 44-145 Euro
Do they scale and polish? 154-230 Euro.
As it reads they removed 3 teeth, which itself is pretty expensive. Additional 20-80 Euro per tooth.
Nail trimming 13-20 euro.
Ear cleaning (why'd they clean ears? 20-40 Euro).
What meds did you take home?
The health exam would be an additional appointment too.
650 Euro is an okay price, 704 dollars. But you gotta consider that medical care is generally more expensive in america than europe
As reference:
it's always the middle, the left one is for animal protection programs only, and not every applies. More often than not the right one applies. Every emergency comes with an additional 50 bucks.