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NEW DENTAL CLAIM FORM!

The ADA Dental Claim Form has been updated and now includes a field for the National Provider Identifier. Starting May 23, 2007 providers will be required to have a NPI when transmitting electronic claims or other electronic transactions governed by HIPAA. Many payers will be accepting the new claim form as of January 1, 2007. We stock three different formats of the dental insurance claim form approved by the American Dental Association (ADA). Please click on your choice of formats below for additional information.

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Dental Forms Single Sheets
Dental Forms Single Sheets

Dental Forms 1-part, Continuous, Pin Feed
Dental Forms 1-part, Continuous, Pin Feed

Dental Forms 2-part,, Continuous, Pin Feed
Dental Forms 2-part,, Continuous, Pin Feed


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