This ADA dental claim form allows healthcare providers to bill a patient's insurance company for reimbursement of dental claims. These forms in laser format feature 8.5" x 11" size. This is the latest version of the claim/attending dentist form (2019). Dental claim forms. 100 forms per pack. Comes as a white sheet with black text. Dimensions: 8.5"W x 11"L. This is the latest version of the claim/attending dentist form (2019). 100% compliant to meet the American Dental Association (ADA) guidelines. Features laser format. Sold as 1 Each.
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