ADA 2006 Dental Claim Form - Two Part Continuous
New Format: Two Part Continuous Claim Form with space for NPI code, 9 1/2" W x 11" H (including pin feed), black ink on white and yellow paper, 1,000 per carton.
National Provider Identifier (NPI) codes now required. Save time by pre-imprinting the doctor's name and NPI number on the forms.
Ancom Business Products an InHealth Company