11 N.C. Admin. Code 12.1504

Current through Register Vol. 39, No. 13, January 2, 2025

Section 12 .1504 - REQUIREMENTS FOR USE OF THE CURRENT ADA DENTAL CLAIM FORM

Dentists shall use the current ADA Dental Claim Form and instructions for all manual claims filing with payors. The ADA Dental Claim Form is hereby incorporated by reference, including subsequent amendments and additions, and is available at no cost at https://www.ada.org/en/publications/cdt/ada-dental-claim-form.

11 N.C. Admin. Code 12 .1504

Authority G.S. 58-2-40; 58-3-171;
Eff. October 1, 1994;
Amended Eff. February 1, 1995;
Readopted Eff. May 1, 2020.

Authority G.S. 58-2-40; 58-3-171;
Eff. October 1, 1994;
Amended Eff. February 1, 1995.

Readopted by North Carolina Register Volume 34, Issue 23, June 1, 2020 effective 5/1/2020.