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Spread Payday, D.D.S., M.S.
Diplomat of the American Board
of Periodontics & Implant Surgery
125 Ascot Drive, Ste A Roseville, CA 95661
tel: (916) 7867070 fax: (916) 7865696
www.goldenstatedentalco.com
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How to fill out 89494 golden state dental
How to fill out 89494 golden state dental
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Start by entering your personal information such as your name, address, and contact details in the designated fields.
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Provide your Social Security number and employer identification number, if applicable.
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Indicate the tax year for which you are filing the form.
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Fill out the dental expenses section by entering the total amount you paid for qualified dental services.
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Declare any reimbursements or insurance payments received for dental expenses.
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Calculate the net dental expenses by subtracting any reimbursements from the total expenses.
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People who have incurred significant dental costs and meet the criteria for deducting dental expenses should fill out this form.
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What is 89494 golden state dental?
89494 Golden State Dental refers to a specific dental coverage form or requirement related to dental services provided in California. It is used for reporting and insurance purposes.
Who is required to file 89494 golden state dental?
Individuals or entities providing dental services in California who wish to claim reimbursement from the Golden State dental program are typically required to file this form.
How to fill out 89494 golden state dental?
To fill out the 89494 Golden State Dental form, ensure that all personal information, service details, and billing codes are accurately entered. Follow the provided instructions carefully, and consult any guidelines issued by the state or dental insurance providers.
What is the purpose of 89494 golden state dental?
The purpose of the 89494 Golden State Dental form is to facilitate the reporting and reimbursement process for dental services rendered under the Golden State dental program.
What information must be reported on 89494 golden state dental?
Information that must be reported includes patient details, service dates, types of dental services provided, and corresponding billing amounts.
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