ComplyRight Dental Claim, 2500/Pack (1900)

ComplyRight Dental Claim, 2500/Pack (1900)

ComplyRight Dental Claim, 2500/Pack (1900)

CTNR852102

$ 63.66 $ 64.30 1% Off

Item Added to Cart

*Product availability is subject to suppliers inventory

SHIPPING ALL OVER UNITED STATES

100% MONEY BACK GUARANTEE

EASY 30 DAYSRETURNS & REFUNDS

24/7 CUSTOMER SUPPORT

TRUSTED AND SAFE WEBSITE

100% SECURE CHECKOUT

Description

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.

Related Products

See More

ComplyRight Dental Claim, 2500/Pack (1900)

50 Labels(5 Sheets) Buffalo Plaid Gift And Ship

$ 8.35 ~~$ 8.79~~ 5% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Bright Creations Classic Vintage 60PCS Red Wax Beads Wax Seal Stamp Gift Box Set with Olive Wreath Design

$ 28.21 ~~$ 29.69~~ 5% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Juvale Wooden Letters and Numbers Stamp Set, Miniature Size (0.6 In, 70 Pieces)

$ 20.68 ~~$ 20.89~~ 1% Off

ComplyRight Dental Claim, 2500/Pack (1900)

School Smart Graph Paper, 1 Inch Rule, 9 x 12 Inches, Manila, pk of 500

$ 19.66 ~~$ 20.27~~ 3% Off

ComplyRight Dental Claim, 2500/Pack (1900)

MyOfficeInnovations Bond Paper Rolls 3" x 128' 10/Pack (18211-CC) 197004

$ 13.08 ~~$ 13.35~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Stockroom Plus 100-Pack Black Double Loop Wire Spiral Binding Coils Spines for 45 Sheets, 10.7"x0.25", 3:1 Pitch

$ 29.10 ~~$ 29.69~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Genie Crafts 200-Pack Wooden Stylus Sticks for Rainbow Scratch Paper Arts and Crafts Tool, 0.2 x 5.5 in

$ 20.68 ~~$ 20.89~~ 1% Off

ComplyRight Dental Claim, 2500/Pack (1900)

UNIVERSAL Message Stamp RUSH Pre-Inked One-Color Red 10069

$ 17.16 ~~$ 18.06~~ 5% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Adams Two-Part Rent Receipt Book 2 3/4 x 4 3/4 Carbonless 200 Forms SC1152

$ 11.56 ~~$ 11.92~~ 3% Off

ComplyRight Dental Claim, 2500/Pack (1900)

ComplyRight Federal Contractor Labor Law Poster Service Card, English CRPS03

$ 65.47 ~~$ 66.13~~ 1% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Paper Junkie 4-Pack Memo Note Pads Notepads for Nurse Appreciation Gift, 4.5 x 5.5 inch

$ 23.95 ~~$ 24.19~~ 1% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Paper Junkie 6-Pack Mason Jars Memo Note Pads Notepads, 4.5 x 5.5 inch

$ 25.07 ~~$ 26.39~~ 5% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Nudell Clear Plastic Sign Holder Wall Mount 8 1/2 x 11 38011Z

$ 13.46 ~~$ 13.88~~ 3% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Juvale 24-Pack Boston Round Bottles with Twist Caps for BBQ Condiments Sauce Oil, Arts and Crafts 2 oz

$ 53.34 ~~$ 54.99~~ 3% Off

ComplyRight Dental Claim, 2500/Pack (1900)

TOPS Snap-Off Job Invoice Form 8 1/2 x 11 5/8 Three-Part Carbonless 50 Forms 3866

$ 21.69 ~~$ 22.13~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Smead 5 1/4" Exp Pocket w/Tyvek Straight Legal Manila/Redrope 10/Box 74390

$ 32.30 ~~$ 32.96~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Advantus Wall Panel Cubicle Clips White 20/Box (75301) 925870

$ 19.49 ~~$ 19.69~~ 1% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Mind Reader Metal Paper Trimmer,Capacity 10 Pages, Black

$ 53.89 ~~$ 54.99~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Hero Arts Rubber Woodblock Stamp Set, Student Achievement, set of 8

$ 25.04 ~~$ 25.55~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Business Source Carbonless Book All-Purpose 3-Part 5-1/2"x8-1/2" 50/BK WE 39553

$ 16.90 ~~$ 17.25~~ 2% Off

ComplyRight Dental Claim, 2500/Pack (1900)

Replacement Ink Pad for 2000 PLUS 1SI15P Black 065487

$ 13.71 ~~$ 13.85~~ 1% Off

You May Also Like

See More

Light Blue Standard Window Folder, 8-3/4 x 11-1/4", Pack of 50

Light Blue Standard Window Folder, 8-3/4 x 11-1/4", Pack of 50

$ 88.89 ~~$ 89.79~~ 1% Off

Attending Dentist's Statement (2019), ADA Dental Claim Form Laser-Cut Sheet (2,500/case)

Attending Dentist's Statement (2019), ADA Dental Claim Form Laser-Cut Sheet (2,500/case)

$ 96.16 ~~$ 99.13~~ 3% Off

Diversity Makes Us Stronger Poster, 10" x 14" (Pack of 1)

Diversity Makes Us Stronger Poster, 10" x 14" (Pack of 1)

$ 30.25 ~~$ 30.56~~ 1% Off

ComplyRight WR0707 Slips Trips Falls Poster

ComplyRight WR0707 Slips Trips Falls Poster

$ 26.11 ~~$ 26.37~~ 1% Off

Coronavirus Prevention and Stress Management Handout - Pack of 50

Coronavirus Prevention and Stress Management Handout - Pack of 50

$ 61.18 ~~$ 63.07~~ 3% Off

Tune In, Turn Out, Go Vote Poster, 10" x 14" (Pack of 1)

Tune In, Turn Out, Go Vote Poster, 10" x 14" (Pack of 1)

$ 29.64 ~~$ 30.56~~ 3% Off

Make Your Voice Count. No Excuses! Poster, 10" x 14" (Pack of 1)

Make Your Voice Count. No Excuses! Poster, 10" x 14" (Pack of 1)

$ 29.95 ~~$ 30.56~~ 2% Off

CMS-1500 (02/12) 1-Part Continuous with Blown-On Label (1,000/case)

CMS-1500 (02/12) 1-Part Continuous with Blown-On Label (1,000/case)

$ 148.63 ~~$ 150.13~~ 1% Off

ComplyRight New Hampshire State Labor Law Poster, 24" x 37", Laminated - 1 per Pack

ComplyRight New Hampshire State Labor Law Poster, 24" x 37", Laminated - 1 per Pack

$ 62.54 ~~$ 63.82~~ 2% Off

CMS-1500 9" x 12-1/2" Jumbo Right Window Envelope (500/case)

CMS-1500 9" x 12-1/2" Jumbo Right Window Envelope (500/case)

$ 157.56 ~~$ 159.15~~ 1% Off

ComplyRight GHS Hazard Communication Training Poster (English). 18" x 24" - 1 per Pack

ComplyRight GHS Hazard Communication Training Poster (English). 18" x 24" - 1 per Pack

$ 29.94 ~~$ 30.87~~ 3% Off

ComplyRight Montana State Labor Law Poster, 24" x 24", Laminated - 1 per Pack

ComplyRight Montana State Labor Law Poster, 24" x 24", Laminated - 1 per Pack

$ 62.54 ~~$ 63.82~~ 2% Off

Social Distancing Window Cling, 10" x 14" - 1 Window Decal

Social Distancing Window Cling, 10" x 14" - 1 Window Decal

$ 51.72 ~~$ 52.24~~ 1% Off

ComplyRight GHS Hazard Communication Training Poster (Spanish). 18" x 24" - 1 per Pack

ComplyRight GHS Hazard Communication Training Poster (Spanish). 18" x 24" - 1 per Pack

$ 47.07 ~~$ 48.53~~ 3% Off

Attending Dentist's Statement (2019), ADA Dental Claim Form Laser-Cut Sheet (1,000/case)

Attending Dentist's Statement (2019), ADA Dental Claim Form Laser-Cut Sheet (1,000/case)

$ 47.63 ~~$ 48.11~~ 1% Off

CMS-1500 (02/12) Laser Cut Sheet (1,000/case)

CMS-1500 (02/12) Laser Cut Sheet (1,000/case)

$ 46.67 ~~$ 48.11~~ 3% Off

Got Coronavirus? Stop the Spread of Germs - 1 Poster per Pack

Got Coronavirus? Stop the Spread of Germs - 1 Poster per Pack

$ 40.18 ~~$ 41.00~~ 2% Off

Envelo-File Confidential Personnel Pockets, 9.5" x 11.75" with a 1-1/2" spine giving extra room for documents. 25/Pack

Envelo-File Confidential Personnel Pockets, 9.5" x 11.75" with a 1-1/2" spine giving extra room for documents. 25/Pack

$ 72.56 ~~$ 74.80~~ 3% Off

ComplyRight 2021 Time Off Request and Approval Calendar (Pack of 50)

ComplyRight 2021 Time Off Request and Approval Calendar (Pack of 50)

$ 68.25 ~~$ 68.94~~ 1% Off

Envelo-File Confidential Personnel Pockets, 9-1/2" x 11-3/4". - 25 per Pack

Envelo-File Confidential Personnel Pockets, 9-1/2" x 11-3/4". - 25 per Pack

$ 86.28 ~~$ 88.95~~ 3% Off

Export ABI File Folders, 9-1/2" x 11-3/4", Manila. 600 per Carton

Export ABI File Folders, 9-1/2" x 11-3/4", Manila. 600 per Carton

$ 180.90 ~~$ 184.59~~ 2% Off

	Estimated Delivery	Cost	Tracking	Courier