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ComplyRight Dental Claim, 1000/Pack (19001)

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Item # 901-24433071
  Model # 19001
ComplyRight Dental Claim, 1000/Pack (19001)
$21.49 Each

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Description
This ADA dental claim form allows healthcare providers to bill a patient's insurance company for reimbursement of dental claims. This form in laser format features 8.5" x 11" size. This is the latest version of the claim/attending dentist form (2019).
  • Dental claim form
  • 1000 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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