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ComplyRight Dental Claims, 100/Pack (1900100)

Order ComplyRight Dental Claims, 100/Pack (1900100) today at and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-24433066
  Model #: 1900100
Brand: ComplyRight
ComplyRight Dental Claims, 100/Pack (1900100)
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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
  • 100 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
Brand : ComplyRight Customizable : No HR Form Pack Size : 100 HR Form Type : Dental Claims
Length in Inches : 11 Pack Qty : 100 True Color : Black/White Width in Inches : 8.5
Weight : 1.50 lbs. per Each