ADA Dental Claim Form

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The ADA Dental Claim Form is the latest version (2019) of the claim/attending dentist form. This form is authorized by the American Dental Association (ADA) & is 100% compliant to meet ADA guidelines. Available in both continuous and laser formats. If there is a format you need and it is not listed here, please contact us and we'll locate your product.

New Medical Forms is your complete source for healthcare claim forms, billing software, tax forms, and more. Make us your one-stop internet shop for purchasing healthcare products and services, including the revised CMS-1500 form and the new UB-04 form. We have product inventory in 7 warehouse locations throughout the U.S. As the NUCC's preferred distributor, New Medical Forms is your most authoritative source for up-to-date information on health compliance issues.

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ADA Dental Claim Form