Dental Services Billing Instructions Guide
May 02, 2018 · The ADA Dental form uses the term patient extensively to label boxes on the form. However, within this Billing Instructions Guide, the term “patient” may be used interchangeably with the term “member” used by MaineCare. The ADA 2012 Dental Claim Form is shown below. Figure 1 1: ADA 2012 Claim Form. Form Instructions ................
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