Onboarding Questionnaire - Dental Billing Expert

Office name *

Office phone *

Number of doctors

Office fax *

Number of employees

Owner's name *

Title *

DMD

DDS

Owner's email *

Office manager

Owner's cell *

Office manager's email

Email to send invoice to *

Office address *

Tax ID *

Monthly office insurance production *

Group NPI *

Monthly office insurance collection *

Practice management software *

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