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DENTAL Group Claim Office / P.O. Box 82520, Lincoln, NE 68501 Toll Free No.: 8004875553 / www.ameritasgroup.com GROUP CLAIM FORM PART 1 TO BE COMPLETED BY EMPLOYEE 1. Patients Full Name (First, Middle

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Dental - wilcoorg is a form used to report dental expenses for tax purposes.

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The information that must be reported on dental - wilcoorg includes details of the dental expenses incurred, dates of service, and any payments made towards them.