Claim Form Login
If you received direct notice from ProSmile Holdings, LLC (“ProSmile” or “Defendant”) that your personally identifiable information may have been implicated in the unauthorized access to ProSmile’s data environment which occurred on or about July 7, 2022 (“Data Incident”), you may submit a claim for settlement compensation, outlined below.
Please refer to the Long Form Notice and FAQs for more information on the Settlement Benefits
To receive benefits from this Settlement, you must submit a Claim Form by September 25, 2025.
There are three buckets of relief Settlement Class Members may elect:
Documented Out-of-Pocket Losses: All Settlement Class Members may elect to receive up to $5,000 in reimbursement for documented-out-of-pocket losses, regardless of whether they also elect to receive a pro rata Cash Payment or Social Security Number Impact Payment. Losses that Class Members seek reimbursement for must be accompanied by reasonable documentation and are subject to review and verification by the Claims Administrator prior to approval.
Pro rata Cash Payments: Settlement Class Members that havenot been notified that their Social Security Numbers were exposed in the July 7, 2022 Data Incident, may additionally elect to receive apro rata Cash Payment, the final number to be determined based on funds remaining in the Net Settlement Fund after Documented Out- of-Pocket Losses and Social Security Number Impact Payments are paid.
Social Security Number Impact Payments: Settlement Class Members that have been notified that their Social Security Numbers were exposed in the July 7, 2022 Data Incident may, in lieu of thepro rata Cash Payment, elect to receive a Social Security Number Impact Payment in an amount not to exceed $500.00. If you are eligible for this bucket of relief, you will be notified in your claim notice. All elections under this bucket are subject to verification by the Settlement Administrator.
In the event the Net Settlement Fund is exhausted, payments shall be made in the following order: 1) Documented Out-of-Pocket Losses, 2) Social Security Number Impact Payments, and 2) pro rata Cash Payments. Both the Social Security Number Impact Payments and pro rata Cash Payments are subject to pro rata adjustments based on the availability of funds.
To start your online claim form, you can find your Notice ID and PIN on the Notice that was sent to you. If you are unable to locate your Notice ID and PIN, please contact the Settlement Administrator by emailing info@ProSmileSettlement.com. You will be asked to provide the Class Member’s full name and mailing address.
You may also download a Claim Form here and submit it by mail to address below. Please type or legibly print all requested information, in blue or black ink. Mail your completed Claim Form, including any supporting documentation, by U.S. mail to:
ProSmile Data Security Incident Settlement
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799
The deadline to submit a Claim Form is September 25, 2025.