The American Dental Association (ADA) provides a common form for reporting dental services to a patient’s dental benefit plan. The most current version is the 2012 ADA Dental Claim Form. Though the ADA promotes the use and acceptance of the most current version of the dental claim form by dentists and payers, practices should still check to make sure the 2012 dental claim form is the proper form to be submitted to insurance companies. The Supplies Shops offers the 2012 ADA claim form in three different formats. You can choose from laser cut sheet 2012 ADA claim forms, 1-part continuous 2012 ADA claim forms, or 2-part continuous ADA claim forms.

Laser cut 2012 ADA claim forms can be purchased in quantities of 1,000 or 2,500. Likewise, 1-part continuous 2012 ADA claim forms can be purchased in quantities of 1,000 or 2,500. The 2012 dental claim forms come with instructions for you to easily complete the form.

The Supplies Shops also carries older versions of attending dentist statement dental claim forms (2004 and 2006 versions).

When you’re purchasing your 2012 dental claim forms, keep in mind that all orders over $99 ship for free!

If you can’t find the forms you need, you can contact us regarding custom business forms. You can also call The Supplies Shops at 855-473-9921 or email info@suppliesshops.com.