Dimensions (Overall): 14.99 inches (L), 10.99 inches (W)
Suggested Age: All Ages
Package Quantity: 1
Material: Paper
• Sold as 1 Each.
• State: IL - Illinois.
• Type: Poster.
• Sold individually.
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. State: IL - Illinois. Type: Poster. Sold individually. Sold as 1 Each.