LET’S GET STARTED
We need a little information to get an accurate understanding of your office, your services and the current practice management software you use. If you have any questions we have a “Chat with Us’ feature on the bottom right side of this page. One of our representatives will answer any questions you may have.

Name:*
E-mail:*
Practice Management Software: *
Office Manager Name:
Office Manage Phone:
IT Support Contact Name:
IT Support Phone Number:
IT Support Email:


TELL US ABOUT YOUR DENTAL PRACTICE

Traumatic Injury to the mouth?
Exams and Consultations when oral cancer screen done?
Do you do Stents?
Radiographs for screening and diagnostic purposes?
Biopsies and excisions?
Extraction of all impacted teeth due to trauma?
Surgical procedures not associated with traumatic injury?
Prosthetics interim and final prostheses if a traumatic injury OR medical condition necessitates their fabrication?
Appliances?


Have you billed these procedures in the last 60 days?

D72xx extractions:
D60xx implants:
D027x bitewings:
D62xx pontic:
D0180 perio exam
D43xx debridement:
D4910 perio maintenance:
D426x bone grafts:

WHAT HAPPENS NEXT?
One of Dent2Med™ representatives will review your data and provide you our Practice Review Report and schedule a demo.

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