Medical Insurance Claim Forms - ADA-2000 Insurance Claim Forms

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	We Have ADA Forms CLICK THE LINKS BELOW FOR PRICES. PICTURES AND INFORMATION ADA-94 FORMS, ADA-2000 FORMS, ADA-2002/2004 FORMS


	ALL ADA DENTAL CLAIM FORMS ARE AVAILABLE IN EITHER LASER-CUT SHEETS OR ONE OR TWO-PART CONTINUOUS FORMS ON HIGH-QUALITY WHITE PAPER.

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.

ADA-2002/2004 Dental Claim Forms


	AVAILABLE IN EITHER LASER-CUT SHEETS OR ONE OR TWO-PART CONTINUOUS FORMS ON HIGH-QUALITY WHITE PAPER.




		Laser Version




		Continuous


	Click Images to Enlarge

OR USE OUR

Description

Qty./Case

Price/Case

Order Secure

LASER
Ink jet, bubble jet printer compatible

2500

$35.00

CLICK HERE TO
ORDER SECURE

1 PART CONTINUOUS
Single sheet, tractor feed forms for dot matrix printer

2500

$35.00

2 PART CONTINUOUS
Original with copy tractor feed forms for dot matrix printer

1000

$42.95


		Discounts available for large quantities. Contract pricing available. Call for details

			TOP OF PAGE

ADA-2000 Dental Claim Forms


	AVAILABLE IN EITHER LASER-CUT SHEETS OR ONE OR TWO-PART CONTINUOUS FORMS ON HIGH-QUALITY WHITE PAPER.




	Laser Version




		Continuous


	Click Images to Enlarge

OR USE OUR

Description

Qty./Case

Price/Case

Order Secure

LASER
Ink jet, bubble jet printer compatible

2500

$35.00

CLICK HERE TO
ORDER SECURE

1 PART CONTINUOUS
Single sheet, tractor feed forms for dot matrix printer

2500

$35.00

2 PART CONTINUOUS
Original with copy tractor feed forms for dot matrix printer

1000

$42.95


		Discounts available for large quantities. Contract pricing available. Call for details

			TOP OF PAGE


	ADA-94 Dental Claim Forms


	AVAILABLE IN EITHER LASER-CUT SHEETS OR ONE OR TWO-PART CONTINUOUS FORMS ON HIGH-QUALITY WHITE PAPER.




		Laser Version




		Continuous


	Click Images to Enlarge

OR USE OUR

Description

Qty./Case

Price/Case

Order Secure

LASER
Ink jet, bubble jet printer compatible

2500

$35.00

CLICK HERE TO
ORDER SECURE

1 PART CONTINUOUS
Single sheet, tractor feed forms for dot matrix printer

2500

$35.00

2 PART CONTINUOUS
Original with copy tractor feed forms for dot matrix printer

1000

$42.95


	Discounts available for large quantities. Contract pricing available. Call for details


	TOP OF PAGE

Medical Insurance Claim Forms is

124 Pine Oak Dr.
Covington, LA 70433

PHONE: 985-875-0800
FAX: 1-985-809-5788
E-MAIL US

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