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Provider Specialty Code 51. SSN or TIN 52A. Additionl Provider ID J400 Same as ADA Dental Claim Form J401 J402 J403 J404 58. Additional Provider ID To Reorder call 1-800-947-4746 or go online at www. adacatalog. org Comprehensive completion instructions for the ADA Dental Claim Form are found in Section 4 of the ADA Publication titled CDT-2007/2008. Wpc-edi. com/codes/taxonomy 122300000X 1223G0001X Various 1223E0200X 1223X0400X 1223P0221X 1223P0300X 1223P0106X 1223D0008X 1223S0112X Should...
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