- SKU: NDL1695P
ADA Dental Insurance Claim Forms, 8-1/2 x 11", For Laser & Inkjet
ADA Dental Claim Form – Insurance Claim Form for Laser & Inkjet Printers, 8-1/2" x 11"
- Form Size: 8-1/2 x 11"
- Color: White
- Paper Weight: 20#
- Parts: 1
- Qty Per Pack: 500 Sheets
- Qty Per Case: 2500 Sheets
- Cartons Per Pallet: 80
- Printer Compatibility: Laser & Inkjet
Submit dental insurance claims with confidence using the ADA Dental Claim Form, the universally accepted standard for reporting dental services to benefit plans, developed and approved by the American Dental Association (ADA). Required by most dental insurance carriers, this form is used by dentists, oral surgeons, orthodontists, and dental billing services nationwide.
Our laser and inkjet compatible version delivers crisp, accurate print quality for faster processing and fewer claim rejections.
Features & Benefits
✓ Approved 2024 ADA Dental Claim Form — the latest version compliant with ADA & HIPAA standards
✓ 8-1/2" x 11" standard letter size — fits all standard filing systems and billing software
✓ Laser & Inkjet printer compatible — smooth, jam-free performance
✓ White, 1-part — single-sheet cut form
✓ In stock & ready to ship — with free fast shipping on every order
✓ Made in the USA – Manufactured domestically for consistent, high-quality results you can trust
Perfect for
dental offices, orthodontic practices, oral surgery centers, dental billing companies, and any provider submitting paper dental insurance claims.

ADA Dental Insurance Claim Forms, 8-1/2 x 11", For Laser & Inkjet


