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Join Our Network
We take great pride in growing a robust provider network essential for the delivery of quality, accessible and affordable dental and health care services. With nearly 1.5 million members, we can help you to gain new patients and build your practice.
American Dental Association (ADA) Claims Form
For your convenience, we've provided a link to download SAMPLE claims forms and completion instructions online. Please note that any changes to the form and changes to the completion instructions are highlighted in yellow.
Practitioner Demographic Change Form
In order to keep your practice information current, we recommend that you fill out this demographic change form and mail or fax back to us.