NEW Dental Claim Form (2019 Version) The ADA Dental Claim Form was revised with editorial changes to form captions and check box options for gender (M, F and U) to be consistent with the HIPAA standard electronic dental claim (837D). This is the most recent version of the form. Pad of 100-8 1/2” x 11” sheets. The downloadable version of the form allows immediate access and requires no shipping not for online use. Save 20% when you order 5+ packs! J430 8½” x 11”, 100/pad | Members $14.95 Retail $22.95 J430T Downloadable PDF | Members $29.95 Retail $44.95 J431 8.5” x 11”, Two-part carbonless, 100/pack | Members $19.95 Retail $29.95 J432 8.5” x 11”, Bond Stock, 250/pack | Members $29.95 Retail $44.95 J434 Bond in Red Ink, 100/pad | Members $14.95 Retail $22.95 ADA MEMBERS ONLY Customized Membership Plaque Add a touch of distinction to your office with this gleaming ADA membership plaque mounted on polished hardwood. Display plaques in your reception area as well as in each consultation room and operatory, inspiring patients’ trust. Plaques come ready to hang and make great gifts for new dentists. Shipping to U.S. addresses only. N382 Bronze 12” x 9” | Members $89.95 Display your ADA pride to patients, staff and the community. NEW 2020 Softbound ADA Appointment Book This softbound appointment book features a double-column format with schedules from 7 a.m. to 5 p.m. Sturdy vinyl cover. The 2020 books are black. E073 2019 Softbound | Members $24.95 Retail $37.45 Building or Refreshing Your Dental Practice: A Guide to Dental Office Design The design of your dental practice says a lot about you. You want to project an image of comfort, cleanliness and safety while expressing your personality and reinforcing your brand. This book covers all the bases for building, renovating or simply refreshing your space, with vibrant photos and insights from dental architects, design consultants and practicing dentists. It provides a road map for issues such as: • Building an expert project team • Financing your build or remodel • Choosing a location • Anticipating potential legal issues • Determining your dental equipment needs • Integrating your dental office décor with your brand • Incorporating green dental office design tactics P091BT Spiral bound book + e-book, 226 pages | Members $59.95 Retail $89.95 Book ISBN: 978-1-941807-37-8 | e-book ISBN: 978-1-941-807-38-5 “Immediately applicable! I highly recommend this wonderful compilation of letters.” – Dr. Hemali Ajmera, Woodside, N.Y. The ADA Practical Guide to Dental Letters: Write, Blog and Email Your Way to Success This compilation of professionally written letters can be customized and adapted to your needs — whatever they may be. Updated to reflect the many ways in which we communicate, Dental Letters now offers sample content for: Examples of how to adapt the one-page letters for various formats are shown throughout the book. Book comes with digital versions of letters in Microsoft Word format for easy personalization. J053BT Spiral bound book + e-book, 281 pages | Members $69.95 Retail $104.95 Book ISBN: 978-0-9860-795-6 | e-book ISBN: 978-0-9860-796-3 • News releases • Blog posts • Emails • Text messages • Twitter • Facebook • Websites • Traditional letters 32 ORDER BY PHONE: 800.947.4746 ORDER ONLINE: ADACATALOG.ORG 33 PRACTICE MANAGEMENT FORMS AND OFFICE ESSENTIALS | MANAGING YOUR PRACTICE