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ComplyRight 1-Part Dental Claims, 2500/Pack (19011)
ComplyRight 1-Part Dental Claims, 2500/Pack (19011)
$55.99
Per each

ComplyRight 1-Part Dental Claims, 2500/Pack (19011)

Order ComplyRight 1-Part Dental Claims, 2500/Pack (19011) today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-24433065
Model #: 1901
Brand: ComplyRight
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ComplyRight 1-Part Dental Claims, 2500/Pack (19011)
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$55.99
Per each
Ship to :
60069
In stock
Estimated delivery by: Tue 4/4/2023 - Wed 4/5/2023
Free shipping

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This ADA dental claim form allows healthcare providers to bill a patient's insurance company for reimbursement of dental claims. Single-part forms in continuous format feature 9" x 11" size. This is the latest version of the claim/attending dentist form (2019).
  • Dental claim forms
  • Continuous format, single-part
  • 2500 forms per pack
  • Comes as a white sheet with black text
  • Dimensions: 9"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
Brand
ComplyRight
HR Form Pack Size
2500
HR Form Type
Dental Claims
Length in Inches
11
Number of Parts
1
Pack Qty
2500
True Color
Black/White
Width in Inches
9

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