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ComplyRight Dental Claim, 1000/Pack (19001)
ComplyRight Dental Claim, 1000/Pack (19001)
Per each

ComplyRight Dental Claim, 1000/Pack (19001)

Order ComplyRight Dental Claim, 1000/Pack (19001) today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-24433071
Model #: 19001
Brand: ComplyRight
ComplyRight Dental Claim, 1000/Pack (19001)
Per each
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Estimated delivery by: Mon 4/3/2023 - Tue 4/4/2023
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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
HR Form Pack Size
HR Form Type
Dental Claims
Length in Inches
Pack Qty
True Color
Width in Inches

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