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Annexures IINSPECTION REPORTFor starting MDS Course / Increase of SeatsPROSTHODONTICS AND CROWN & BRIDGEName of the CollegeNo. of seats appliedNo. of seats sanctionedby the State Govt.No. of seats
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The name of the form is the Dental Claim Form.
Dental providers and dentists are required to file the Dental Claim Form.
To fill out the Dental Claim Form, provide patient information, insurance details, treatment codes, and the provider's information.
The purpose of the Dental Claim Form is to submit requests for reimbursement for dental services provided.
Information that must be reported includes patient name, insurance details, treatment codes, and provider signature.
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