Dental claim entry and printing made simpler.
The ADA Dental Claim Form is the standardized dental insurance claim form used to report dental services to a patient’s dental benefit plan. Our software is designed around the current 2024 form and helps dental offices enter patient, subscriber, provider, procedure, tooth, surface, insurance, and fee information, then save and print completed claims.
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.
Use these focused guides to review common sections of the current 2024 ADA Dental Claim Form, then return to the software when you are ready to prepare and print claims.
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.