Arrange benefits payments from Medicare, Medicaid and insurance companies
- 20-lb paper is printed front and back with red OCR ink for improved scanning and reproduction.
- Approved by the American Medical Association for official use.
- SFI Certified.
$70.52 Original price was: $70.52.$61.32Current price is: $61.32.
Buy More and Save with Volume Discount:
| Quantity | 2 + | 5 + | 10 + |
|---|---|---|---|
| Price | $61.26 | $61.20 | $61.14 |
80 in stock
Arrange benefits payments from Medicare, Medicaid and insurance companies
| Weight | 5.21 lbs |
|---|---|
| Dimensions | 11.1 × 8.6 × 2 in |
Claim Forms
ComplyRight ADA Dental Claim Forms (2024 Version), Laser, 8-1/2in x 11in, Box Of 2,500 Forms

80 in stock