Dental Malpractice Insurance Quote
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Compare our rates and coverage before you renew your current insurance.
Yes, I am interested in receiving a Coverage and Rate Quotation for my practice. I understand that I am under no obligation by requesting this information.
Company Information
State *
A. AVAILABLE PREMIUM CREDITS
B. PROFESSIONAL LIABILITY COVERAGE
If claims-made, what is your retroactive date? *
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DENTAL PROFESSIONAL LIABILITY LIMITS - Please check desired limit option
Requested effective date *
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Level of Sedation Used *
Please provide the percentages (based on number of procedures) of your practice which fall into the following CDT codes (must total 100%)
If "yes," please estimate the percentage each surgical procedure bears to your total practice (based on numbers of procedures) on an annual basis.
Other surgery, including non-dental procedures (describe)
In the past 10 years, have you been involved, directly or indirectly, in a claim or suit arising out of the rendering or failure to render professional services? *
Important NoticeAny
submissions or payments made via this website do not constitute a
binding agreement to your policy or coverages. Changes and
payments to policies are not effective or binding until you, or any
party involved, receive official notice from either your insurance agent,
or your insurance company. If you have any questions, please feel free to
contact us. Per the terms of our
online privacy policy we will not resell your information to any third-party.
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