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American Dental Association (ADA)
The ADA Dental Claim Form provides a common format for reporting dental services to a patients dental benefit plan. ADA policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers.
They are known for projecting a remarkably unified voice on issues relating to their livelihood. The ADA says 64 percent of dentists belong to the association. By comparison, only 25 percent of physicians belong to the American Medical Association.
All dentists and dental students, regardless of membership status, have a nine-digit ADA number, which functions as your User ID. If you are an ADA member dentist or dental student, you can use either your nine-digit ADA member number or your primary email on file with the ADA as your User ID.
In simple words, a claim is the formal payment request submitted by your dental service provider to your dental insurer. A dental claim explains the services and procedures provided by your dentist and his team during your visit. Dental Claim Process.
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The ADA Dental Claim Form serves as a standardized format for reporting dental services to patient benefit plans. The 2024 ADA Dental Claim Form video explains why the 2024 version is essential, addressing topics such as locum tenens dentists, last scaling and root planing dates, and payer ID fields.
Submit the typed claim form directly to Aflac at: Aflac Worldwide Headquarters. Attention: Claims Department. 1932 Wynnton Road. Columbus, GA 31999-7254. Fax: 1.877.44.AFLAC (1.877.442.3522) Attn: Dental Claims.
Currently there are 12 dental specialties recognized by the NCRDSCB.

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