Bundle
English
Visible
Visible
Type
Sub-App
Environment
bulk_update
Off
Message
<b>Dental Miscellaneous Document</b><br><br>

Examples of itemized receipts, estimates, or bills for necessary expenses would include:
<ul>
<li>Medical and dental insurance settlements or denials
<li>Date of loss of the injury
<li>Costs related to a referral by a licensed physician to another specialist
<li>Replacement costs or purchase of necessary medications
<li>Costs related to hospitalization and ambulance services
<li>Costs associated with the replacement, repairs, or purchase of dental expense such as bridgework
</ul>