Claim Form Login
Welcome to the Barham v. Dental Group of Amarillo, LLP Online Claim Form submission page.
If you previously received notice from Dental Group of Amarillo LLP (“Defendant”) that your private information may have been affected by a data incident that occurred in October of 2023 (the “Data Incident”), and you would like to receive a benefit from the Settlement, then you must fill out a Claim Form.
DGA will establish a Settlement Fund of $1,000,000.00. The Settlement Fund will first be used to pay court-approved attorneys’ fees and costs, Service Awards for the Plaintiffs, and Settlement Administration Costs. The net remaining funds will be used to pay for the benefits described below.
Settlement Class Members may claim Credit Monitoring Services andeither Cash Payment A OR Cash Payment B.
Credit Monitoring Services. All Settlement Class Members are eligible to receive three (3) years of Credit Monitoring Services. This includes:
- Real time monitoring of the Settlement Class Member’s credit file at three bureaus;
- Dark web scanning with immediate notification of potential misuse;
- Comprehensive public record monitoring;
- Medical identity monitoring;
- Identity theft insurance with no deductible; and
- Access to fraud resolution agents to help investigate and resolves instances of theft.
Cash Payments. All Settlement Class Members are eligible for a Cash Payment but may select only one Cash Payment, not both.
I. Cash Payment A – Documented Losses. If you incurred actual,documented out-of-pocket losses due to the Data Incident, you may file a claim for reimbursement. The maximum amount of this reimbursement is $5,000.00. This benefit covers expenses like:
- bank, credit card, and debit card fees;
- overdraft, declined payment, and returned check fees;
- cost to replace your driver’s license, Social Security number, or other types of identification;
- long distance phone charges, cell phone charges (if charged by the minute), or data charges (if charged by the amount of data used);
- fees for credit reports or credit monitoring; and
- losses due to identity theft or fraud.
You must submit third-party documentation, such as receipts, to verify the costs you incurred. You may submit “self-prepared” documents to clarify or support other submitted documentation, but self-prepared documents by themselves are not sufficient to file a valid claim.
II. Cash Payment B – Flat Cash Payment. In lieu of submitting a claim for Documented Losses, you may request a one-time cash payment of $125.00
For more details regarding the settlement benefits, please review the Notice, or visit the FAQs page. For more information email info@DGADataSettlement.com or call (833) 360-6769.
To start your online claim form, you must login with your Unique ID and PIN. You can find your Unique ID and PIN on your email or postcard notice. If you are unable to locate your ID & PIN, please contact us by emailing info@DGADataSettlement.com. Please request your Unique ID & PIN by providing the Class Member’s full name and mailing address.
You may also download a Claim Form here and submit it, along with any supporting documentation, by U.S. mail to: DGA Data Incident Settlement, c/o Settlement Administrator, P.O. Box 25226, Santa Ana, CA 92799
Claims forms must be submitted online or postmarked by October 13, 2025.