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Attending Dentist Statement
Check one:Anthem Dental
P O BOX 1482
Minneapolis. MN 554401482 Dentist\'s pretreatment estimate
Dentist\'s statement of actual services
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What is attending dentist statement claim?
An attending dentist statement claim is a document that dentists complete to report the details of dental procedures performed on a patient, typically used for insurance purposes.
Who is required to file attending dentist statement claim?
The dentist who provided the dental treatment is required to file the attending dentist statement claim.
How to fill out attending dentist statement claim?
To fill out an attending dentist statement claim, the dentist must complete the form with the patient's information, treatment details, diagnostic codes, and any applicable fees.
What is the purpose of attending dentist statement claim?
The purpose of an attending dentist statement claim is to document and communicate the dental treatment provided, ensuring that insurance claims are processed accurately.
What information must be reported on attending dentist statement claim?
The attending dentist statement claim must report the patient's name, date of birth, treatment dates, procedure codes, diagnostic information, and the total fee for services.
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