2002 Insurance Dental Forms for Laser, 1 and 2 Part Continuous

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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.

	ADA 2002 Dental Claim Form 2 Part
	The American Dental Association(ADA) has authorized a number of different claim/attending dentist's forms over the years.
	Medetrac Price: $53.75

	ADA 2002 Dental Claim Form 1 Part
	The American Dental Association(ADA) authorized Form 2002 1 Part Continuous for dental claims
	Medetrac Price: $53.75

	ADA 2002 Dental Claim Form Laser
	ADA 2002 Dental Claim Form Laser The American Dental Association (ADA) has authorized a number of different claim/attending dentist's forms over the years.
	Medetrac Price: $53.75