UPC: 0015172207027 | ComplyRight 1-Part Dental Claims 2500/Pack (19011)
- At amazon.com you can purchase ComplyRight 1-Part Dental Claims, 2500/Pack (19011) for only
- The lowest price of ComplyRight 1-Part Dental Claims, 2500/Pack (19011) was obtained on December 4, 2025 5:22 pm.
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UPC lookup results for: 0015172207027 | ComplyRight 1-Part Dental Claims 2500/Pack (19011)
This ADA dental claim form allows healthcare providers to bill a patient s insurance company for reimbursement of dental claims. Single-part forms in continuous format feature 9 x 11 size. This is the latest version of the claim/attending dentist form (2019). • Dental claim forms. • Continuous format single-part. • 2500 forms per pack. • Comes as a white sheet with black text. • Dimensions: 9 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. • Sold as 1 Each.
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