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F207-I - Superbill/Routing Slip, with imprint
F207-I - Superbill/Routing Slip, with imprint
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Your Price:
$121.00
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Quantity Discounts - Order a quantity in the range below to receive the discount
Quantity
Amount
2 to 2
$96.80
3 to 3
$84.70
4 or more
$79.86
Includes ADA procedure codes and nomenclature, periodontal case types, assignment of insurance benefits authorization, and more. Designed for non-pegboard use.
Each package contains 250 sheets.
There is a $70.00 fee for new imprint set-ups, existing imprint revisions and type resets.
Related Products
F207 - Superbill/Routing Slip, plain
Your Price:
$65.00
This speedy, 3-ply, carbonless form gives you a patient receipt, attending dentist's statement for insurance purposes and an office audit copy of procedures performed ALL IN ONE!
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