Box 1
Dentist's pretreatment estimate or statement of actual services and identification of specialty: Complete appropriate box to expedite processing and decrease chance of error. Indicate dentist's specialty by entering the code that indicates the type of dental professional rendering the service from the "Dental Service Provider's" section of the Healthcare Providers Taxonomy code list.
Unless indicated otherwise, the program checks Dentist's statement of actual services. To send a pretreatment estimate, create the claim in the patient's Chart or prepare the claim and manually click Dentist's Pre-Treatment Estimate box. The specialty information comes from the Provider Entry screen, Provider Information tab, Specialty field.
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