Provider & Hygienist Information
Please list all providers and hygienists that will appear in ClearDent. If the provider/hygienist submits insurance claims under a different provider, please indicate the billing provider’s code or name in the CDANet Provider field.
Please type your information in the order listed above, separated by a slash (/)
System User Login Information
Please list all staff members that need access to ClearDent and the role they have. We will create these accounts in ClearDentTM. Your trainer will assist you in customizing the access rights. Password will be preset to match the username, please change it immediately after you login to ClearDent for the first time. Note: The number of users you can have in the system is limited to the licenses purchased.
If you would like your Office Logo to be printed on statements or receipts, please provide us a copy of the digital file in either.png or .jpeg below