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ComplyRight Dental Claims, 250/Pack (1900250)
$23.49
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ComplyRight Dental Claims, 250/Pack (1900250)

Price unavailable
Item #: 24433068 Model #: 1900250
Highlights
  • Dental claim forms
  • 250 forms per pack
  • Comes as a white sheet with black text
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$23.49
$23.49
$23.49
$14.10
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Details

About this product

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
  • 250 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
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