div class=trans-pagebutton class=gotoPage data-page=1Page 1button div class=trans-imageimg data-url=documentnewpatientforms-dental-group-insurance-benefits-otherwise-payable-to-me-i-understandhtmlpage=1 data-page=1 class=trans-thumb lazyload alt=Page 1: newPatientForms · dental group insurance benefits otherwise payable to me I understand that my dental insurance carrier or payer of my dental benefits any pay less than the actual loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader036fdocumentsnetreader036viewer20220711155ff142b046601b0d6a0d8d9ahtml5thumbnails1jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=2Page 2button div class=trans-imageimg data-url=documentnewpatientforms-dental-group-insurance-benefits-otherwise-payable-to-me-i-understandhtmlpage=2 data-page=2 class=trans-thumb lazyload alt=Page 2: newPatientForms · dental group insurance benefits otherwise payable to me I understand that my dental insurance carrier or payer of my dental benefits any pay less than the actual loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader036fdocumentsnetreader036viewer20220711155ff142b046601b0d6a0d8d9ahtml5thumbnails2jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=3Page 3button div class=trans-imageimg data-url=documentnewpatientforms-dental-group-insurance-benefits-otherwise-payable-to-me-i-understandhtmlpage=3 data-page=3 class=trans-thumb lazyload alt=Page 3: newPatientForms · dental group insurance benefits otherwise payable to me I understand that my dental insurance carrier or payer of my dental benefits any pay less than the actual loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII=...