A focused Windows workflow for dental claim preparation.
Enter patient, subscriber, provider, procedure, tooth, surface, and fee information, save claim files, and print the completed current ADA Dental Claim Form.
Windows desktop software Data stays on your computer U.S. support
The ADA Dental Claim Form is the standard dental insurance claim form used to report dental services to a patient’s dental benefit plan. It carries patient, subscriber, provider, procedure, tooth or oral-cavity information when applicable, and fee information.
Dental practices use the form when a dental benefit plan or payer accepts or requires a dental claim in the ADA paper format. It may be used for routine dental claims, preauthorization-related workflows, and other payer-specific paper submissions.
Common users can include:
Enter subscriber, patient, provider, procedure, tooth, surface, and fee information.
Keep procedure and tooth-related information organized in a form-focused workflow.
Print completed dental claim forms from the Windows desktop program.
Save claim files and reopen them when changes or another copy are needed.
ADA Dental Claim Software for $99.
The American Dental Association identifies the 2024 ADA Dental Claim Form as the current version.
It provides a common format for reporting dental services to a patient’s dental benefit plan.
Dentists, dental specialists, dental billing services, and office staff who prepare dental insurance claims may use the software.
No. The $99 ADA Dental Claim registration passcode is a one-time 1-user registration.
The desktop workspace keeps dental claim entry, saved records, and printing in one form-focused application.
