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ComplyRight Dental Claim, 2500/Pack (1900)

Order ComplyRight Dental Claim, 2500/Pack (1900) today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-24433070
  Model #: 1900
Brand: ComplyRight
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ComplyRight Dental Claim, 2500/Pack (1900)
$62.99 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
  • 2500 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
Specifications
Brand : ComplyRight Customizable : No HR Form Pack Size : 2500 HR Form Type : Dental Claims
Length in Inches : 11 Pack Qty : 2500 True Color : Black/White Width in Inches : 8.5
Weight : 9.00 lbs. per Each
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