How to submit an OHIP dental claim — and autofill form 014-3653-41 with my-id.ca
File hospital dental claims without retyping patient and provider details
Dentists and dental surgeons submitting OHIP claims for insured in-hospital dental services repeat patient identifiers and billing information on every claim form. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Claims submission — Resources for Physicians — ontario.ca
- Form (Central Forms Repository): Dental Claim — 014-3653-41
What this form is about
Form 014-3653-41 is the Dental Claim form, used by dental professionals to bill OHIP for insured dental surgical services performed in hospital settings under the Schedule of Dental Benefits.
Before you start: what to gather
- Patient full name, health number, and date of birth.
- Hospital name and admission or service dates.
- Your OHIP billing number and practice details.
- Procedure codes and supporting clinical information as required.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient identifiers and provider billing details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- What dental services does OHIP cover?
- Generally medically necessary dental surgery in hospital — routine office dentistry is not covered. Confirm on ontario.ca.
- How does my-id.ca help?
- It autofills patient names, health numbers, and your OHIP billing details.
- Do I need prior approval?
- Some procedures require OHIP dental consultant approval — confirm before submitting.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.