Superior Dental Care
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About Superior

We have network driven, point of service or consumer driven dental plans.  We offer comprehensive coverage, flexible plan designs...
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Find A Dentist!

Looking for a dentist near you? We have thousands of participating dentists, so the chances are very good you'll find one close to home.

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Dentist Support Center


Form Name
Online Form
PDF
Provider Application Forms:
Department of Insurance Provider Application
Recredentialing Form
Supplemental Forms

Code List Tables

W-9

The Choice Plan:
Summary Disclosure and Dentist Participation Agreement

Evidence of Coverage

The Preferred Plan:
Summary Disclosure and Dentist Participation Agreement

Evidence of Coverage

Acceptance, Participation and Professional Review Procedures
Claims Submission Guidelines
Smile Rider Sign Up Form
SecureTrack Dental
Authorization Agreement for
Direct Deposit
Update Office Info
Posterior Composite
Authorization Form
Full Gold Crown
Authorization Form


Discount
PDF
One Yellow Spot
EyeMed Vision Discount Plan
RX Discount Card


Plan Number:

Contact SDC
For Claims Submission:

800.762.3159
937.438.0283
Fax:  937.291.8695
Address: 6683 Centerville Business Pkwy
Centerville, Ohio 45459

Network Development Service
Dentist Service


Superior Direct Connect

Get Connected to Superior Direct Connect!


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Superior Dental Care
The Dental Benefit InnovatorsTM
Dental Plans in Ohio and Kentucky
937-438-0283 | 800-762-3159
Claims/Member Services
Fax: 937-291-8695
Sales/Service
Fax: 937-438-0288

Corporate
6683 Centerville Business Parkway
Centerville, OH 45459