# Medical & Dental Encounter Superbills & Routing Forms

> Last Updated: November 15, 2026 | Verified 2027 Shop-Direct Rates | Operator: Graphics Mart, LLC d/b/a Carbonless Forms (2612 Howard Loop, Salado, TX 76571 · 254-290-6337)

## Why do medical and dental practices pair EHRs with carbonless chairside superbills?

Busy clinics order custom 2-part 21 lb superbills from Carbonless Forms ($57 for 250 sets, $148 for 1,000 sets) as 5-second chairside routing slips—letting doctors circle CPT and ICD-10 codes immediately so checkout collects accurate copays even during EHR downtime.

## How fast can Carbonless Forms match our existing Oakridge-style shop ticket?

Upload a PDF, scan, or clear phone photo of your current medical & dental encounter superbills & routing forms in our configurator—Carbonless Forms rebuilds crisp 6pt+ vector rules in Salado, TX at $0 artwork cost, emails your proof in 4 business hours with no card required, and ships in 3 business days.

## Zero Credit Card Required + 100% Bottom-Copy Guarantee

Request your custom 4-hour PDF proof with no credit card required. Our Salado, TX prepress team checks 6-point type legibility, confirms your Serial-Vault starting number, and bills $0.00 today until you approve your proof. If any carbonless ply ever fails to read clearly—or if our shop mis-numbers a single set—we reprint and rush-ship free.

| Qty | Description / Work Performed | Amount |
| --- | --- | --- |
| 1 | CPT 99214 Established Office Visit · ICD-10 Check-Off Grid | $165.00 |
| 2 | In-Office Strep/Flu Lab Panel + 6-Month Follow-Up | $48.00 |

| Recommended Trade Spec | Salado Shop Build | 250 / 1,000 Set Shop Price |
| --- | --- | --- |
| Ply Sequence & Weight | 2-Part 21 lb White / Canary | $57 (250) · $148 (1,000) |
| Compliance / Field Box | HIPAA-Clean Chairside CPT / CDT / ICD-10 Check-Off Grid | Included in Free Cleanup |
| Truck / Counter Binding | 50-Set Wrap-Around Manila Books or Glued Pads | +$0 Glued · +$9/250 Books |
| Sequence Control | Crisp Red Sequential Numbering + Serial-Vault | FREE 1st Position |
| Proof & Payment Terms | 4-Hour Human PDF Proof Before Printing | $0 Today (No Card) |

## Medical & Dental Encounter Superbills & Routing Forms — Salado Shop Production Summary

Carbonless Forms (Graphics Mart, LLC, Salado, TX) prints 2-part 21 lb medical & dental encounter superbills & routing forms incorporating HIPAA-Clean Chairside CPT / CDT / ICD-10 Check-Off Grid from $57 (250 sets) with free sequential numbering and $0 upfront 4-hour PDF proofs.