Downloadable Dental Form: ADA Code D4273: Autogenous connective tissue graft
Downloadable dental forms help the dental practice run more smoothly. Knowing what forms patients need to fill out for what situations makes all the difference in communication.
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This month's downloadable form focuses on ADA Code D4273: Autogenous connective tissue graft.
This form is required by most insurance companies in order to facilitate an explanation of benefits for a preauthorization or reimbursement. Make sure to include recent periodontal charting, and if available, a full mouth set of x-rays.
Click here or on the image below to view and download the form.
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