Group Dental Plan Proposal

(1)

Group Dental Plan Proposal

Plan Highlights

•

Voluntary or employer paid

•

Rates as low as $10.75 a month

•

Large statewide network of providers

•

No waiting periods on any benefits

•

Orthodontic (braces) for children &

adults

Plan provided by:

Beta Health Association, Inc.

(2)

Attached please find our formal dental proposal. We appreciate the opportunity you have given us to present our

dental plan for your consideration. The plan administrator is Beta Health Association, Inc. (BHA). BHA has been

a leader in providing both voluntary and employer paid dental benefits in Colorado since 1990. They still

represent over 94% of their original clients. There are over 92,000 members and 4,200 employer groups enrolled

in a BHA dental program throughout Colorado!

Our new dental product line is a perfect fit for your group. Each of the employees would be able to select from a

certified and credentialed network of dentists that consists of over 500 dentists across Colorado including the

Western Slope. This is by far the largest network of this type here in Colorado.

The highlights of this plan are:

•

Can be offered on a totally voluntary or employer paid basis. Rates are reduced is it is employer paid on

the single rate.

•

Rates are as low as $10.75 a month for an employee and only $30.75 a month for a family. Specific

rates by location are included in this proposal for your review.

•

Only one employee needs to participate. Normal voluntary participation is approximately 60% even if

the employee is paying the full monthly cost. Employees want and need a dental plan!

•

No waiting periods on any benefits (even major work or orthodontics)

•

Unlimited benefits each year. Employees and their dependents can use the plan as much as they like

each year.

•

Employees will save an average of 65% off of the dentist’s normal full fee. The plan will pay for itself in

the benefit cost savings if they just have their cleanings done each year.

•

Spanish speaking enrollment material is also available

•

Certified and credentialed dentists statewide. 98% of all enrolled members would recommend the plan to

a friend or neighbor and 91% stay with the first dentist they select!

We are very confident that this new dental plan will provide you with a quality product for your employees and

their dependents. Your employees would greatly appreciate you making this plan available to them as

they would love to save some cost on their dental expenses every year!

Sincerely,

Rocky Mountain Health Plans

Marketing Department

(3)

Who is Beta Health Association, Inc.?

Beta Health Association, Inc. (BHA) is a Colorado based dental carrier which has specialized in

both voluntary (employee paid) and contributory (employer paid) dental products since 1990. We

also have a great individual dental product which is available on a national basis. Our Corporate

Office is located in Denver, Colorado with Regional Marketing Offices in Grand Junction and

Pueblo. Current membership is approximately 92,000 members.

Company History and Product Line

At first, BHA was designed to market and administer only a singular product line…the Alpha

Dental Plan. This plan is a discount fee-for-service network dental plan which is offered on a

group and individual basis. Over the next 16 years, our company grew to include the

administration and marketing of an additional discount fee-for-service network dental plan, which

is called the

CarePOS

product. This product offers our members the flexibility of seeing one of

over 33,000 national dental providers in 48 states. We also offer a host of indemnity and PPO

dental plans where our members can visit any dentist, which was created through marketing

alliances between BHA, Securian Dental, Companion Life, and AIG. These three indemnity

products can be purchased separately or can be combined with the Alpha and

CarePOS

dental

plans to create our group “Triple Choice Dental Plan” product. This product line does not require

any employer contribution and allows each employee the choice between three different dental

plan options i.e.… the Alpha Dental Colorado Network Plan, the

CarePOS

Dental National

Network Plan, or the Securian Dental, Companion Life, or AIG Dental Plan where they can see

any dentist.

Throughout our history, we have remained steadfast in our focus in offering high quality products

and exceptional service to all of our members. BHA is operated on a daily basis by a

well-seasoned and experienced management team. Even after a substantial amount of growth over

the years, our company retains the feeling of a hometown, privately owned and operated

business. A collection of supremely committed, qualified and conscientious dental plan experts,

the BHA team has earned the trust and respect of countless members, participating dentists, and

insurance agents across Colorado and the nation. We have proven our competency and

demonstrated our skills. Each employee at BHA shares the same focus on delivering superior

service and contributes daily to the same purpose of maintaining high quality, high value dental

products for all participants. We are truly the “Dental Plan Specialists” in Colorado!

(4)

“A company is known by the company it keeps”

Here are some of the over 4,200 Beta Health

Association, Inc. clients”

Capco, Inc.

Weld County

Lehrer’s Flowers

The City of Greeley

Colorado Materials

Palace Construction

The Pueblo Chieftain

Union Printers Home

O’Meara Ford Center

El Pueblo Boys Ranch

Iliff School of Theology

Hospital Shared Services

Burt Automotive Network

The University of Denver

Rocky Mountain Materials

Moreland Automotive Group

Columbine Health Management

Colorado Springs Health Partners

Rocky Mountain Motorists (AAA)

Lower Valley Hospital Association

11

th

Judicial District-District Attorney’s Office

(5)

What are the low monthly rates?

Front Range

Voluntary

Employer Paid

Employee

only

$11.25

$10.75

Employee

and

one

dependent

$21.25

$20.75

Employee and two or more dependents

$31.25

$30.75

Rate guarantee:

2

years

3

years

Western Slope

Voluntary

Employer Paid

Employee

only

$12.25

$11.75

Employee

and

one

dependent

$24.50

$24.00

Employee and two or more dependents

$35.50

$35.00

Rate guarantee:

2

years

3

years

Important guidelines:

•

The employer paid rates are based upon the group contributing a minimum of 100% of the

single employee only rate.

(6)

Dental Plan Highlights

Large statewide network of dentists to select from

Cosmetic dentistry included

No waiting on any services….ever!

Orthodontics (braces) discounted for children and adults

No forms to complete

No age limits for members

No limit on visits

No exclusions for dental health conditions

No limits on access to discounts (use as much as you like each year)

The enclosed fee schedule represents the pre-negotiated

discounts we have arranged in advance with the General

Dentists who are participating in the plan. Simply pay these

amounts directly to your participating dentist at the time

services are rendered…it’s that easy!

(7)

ADA

CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION

NORMAL FEE

ALPHA

PLAN #19 YOU SAVE

999ROUTINE OFFICE VISIT $ 35 $ 5 86%

120PERIODIC ORAL EVALUATION $ 49 No Cost 100%

140LIMITED ORAL EVALUATION-PROBLEM FOCUSED $ 73 $ 14 81%

150COMPREHENSIVE ORAL EVALUATION-NEW OR ESTABLISHED PATIENT $ 88 $ 11 87%

210X-RAY INTRAORAL COMPLETE SERIES INC. BITEWINGS $ 122 $ 26 79%

220X-RAY INTRAORAL-PERIAPICAL-FIRST FILM $ 28 $ 6 79%

230X-RAY INTRAORAL PERIAPICAL EACH ADDITIONAL FILM $ 22 $ 4 80%

240X-RAY INTRA ORAL-OCCLUSAL FILM $ 42 $ 4 89%

250X-RAY EXTRAORAL-FIRST FILM $ 70 $ 4 94%

260X-RAY EXTRAORAL-EACH ADDITIONAL FILM $ 53 $ 4 92%

270X-RAY BITEWING-SINGLE FILM $ 28 No Cost 100%

272X-RAY BITEWING-2 FILMS $ 42 No Cost 100%

274X-RAY BITEWING-4 FILMS $ 60 No Cost 100%

330X-RAY PANORAMIC FILM $ 105 $ 44 58%

340CEPHALOMETRIC FILM $ 127 $ 56 56%

460PULP VITALITY TEST $ 55 No Cost 100%

470DIAGNOSTIC CASTS $ 106 $ 42 60%

999EMERGENCY VISIT (SAME DAY) $ 90 $ 25 72%

1110PROPHYLAXIS-ADULT CLEANING (EVERY 6 MONTHS) $ 89 $ 15 83%

1120PROPHYLAXIS-CHILD CLEANING (EVERY 6 MONTHS) $ 66 $ 15 77%

1203TOPICAL APPLICATION OF FLUORIDE NOT INCL/PROPHY-CHILD $ 37 $ 11 71%

1330ORAL HYGIENE INSTRUCTIONS $ 53 No Cost 100%

1351SEALANT PER TOOTH $ 53 $ 11 79%

1510SPACE MAINTAINER FIXED UNILATERAL $ 312 $ 160 49%

1515SPACE MAINTAINER FIXED BILATERAL $ 423 $ 230 46%

1520SPACE MAINTAINER-REMOVABLE-UNILATERAL $ 381 $ 194 49%

1525SPACE MAINTAINER-REMOVABLE-BILATERAL $ 478 $ 225 53%

1550RE-CEMENTATION OF SPACE MAINTAINER $ 80 $ 15 81%

1999ADDITIONAL PROPHY (FOR PERIO MAINTENANCE) $ 89 $ 38 57%

2140AMALGAM-1 SURFACE (PRIMARY OR PERMANENT) $ 132 $ 29 78%

2150AMALGAM-2 SURFACES (PRIMARY OR PERMANENT) $ 169 $ 38 77%

2160AMALGAM-3 SURFACES (PRIMARY OR PERMANENT) $ 206 $ 48 77%

2161AMALGAM-4 OR MORE SURFACES (PRIMARY OR PERMANENT) $ 238 $ 55 77%

2330RESIN BASED COMPOSITE 1 SURFACE (ANTERIOR) $ 153 $ 41 73%

2331RESIN BASED COMPOSITE 2 SURFACES (ANTERIOR) $ 194 $ 53 73%

2332RESIN BASED COMPOSITE 3 SURFACES (ANTERIOR) $ 238 $ 69 71%

2335RESIN 4 OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR) $ 290 $ 110 62%

2390RESIN BASED COMPOSITE CROWN ( ANTERIOR) $ 435 $ 239 45%

2391RESIN BASED COMPOSITE ONE SURFACE (POSTERIOR) $ 169 $ 88 48%

2392RESIN BASED COMPOSITE TWO SURFACE (POSTERIOR) $ 221 $ 123 44%

2393RESIN BASED COMPOSITE THREE SURFACE (POSTERIOR) $ 276 $ 155 44%

2394RESIN BASED COMPOSITE FOUR OR MORE SURFACES (POSTERIOR) $ 330 $ 171 48%

*2510INLAY-METALLIC-ONE SURFACE $ 823 $ 271 67%

*2520INLAY-METALLIC-TWO SURFACE $ 823 $ 271 67%

*2530INLAY-METALLIC-THREE OR MORE SURFACES $ 904 $ 298 67%

*2542ONLAY-METALLIC-TWO SURFACES $ 933 $ 308 67%

*2543ONLAY-METALLIC-THREE SURFACES $ 979 $ 323 67%

*2544ONLAY-METALLIC-FOUR OR MORE SURFACES $ 876 $ 289 67%

*2610INLAY-PORCELAIN/CERAMIC-ONE SURFACE $ 900 $ 297 67%

*2650INLAY-RESIN BASED COMPOSITE-ONE SURFACE $ 841 $ 277 67%

*2651INLAY-RESIN BASED COMPOSITE-TWO SURFACES $ 849 $ 280 67%

*2652INLAY-RESIN BASED COMPOSITE-THREE OR MORE SURFACES $ 889 $ 293 67%

*2710CROWN-RESIN BASED COMPOSITE (INDIRECT) $ 858 $ 284 67%

*2720CROWN-RESIN WITH HIGH NOBLE METAL $ 985 $ 325 67%

*2721CROWN-RESIN WITH PREDOMINANTLY BASE METAL $ 950 $ 313 67%

*2722CROWN RESIN WITH NOBLE METAL $ 952 $ 314 67%

*2740CROWN PORCELAIN/CERAMIC SUBSTRATE $ 1,058 $ 349 67%

*2750CROWN PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,042 $ 344 67%

*2751CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 961 $ 288 70%

*2752CROWN-PORCELAIN FUSED TO NOBLE METAL $ 1,005 $ 341 66%

Page 1

Diagnostic Services (Exams and X-rays)

Preventive Services (Cleanings)

Restorative Services (Fillings, Crowns, Inlays and Onlays)

Current Dental Terminology©American Dental Association

Beta Health Association Inc.

Marketing Fee Schedule Alpha #19

(8)

ADA

CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION

NORMAL FEE

ALPHA

*2790CROWN FULL CAST HIGH NOBLE METAL $ 1,005 $ 318 68%

*2791CROWN FULL CAST PREDOMINANTLY BASE METAL $ 929 $ 288 69%

*2792CROWN FULL CAST NOBLE METAL $ 976 $ 318 67%

2910RECEMENT INLAY, ONLAY, OR PARTIAL COVERAGE RESTORATION $ 102 $ 13 88%

2920RECEMENT CROWN $ 104 $ 28 73%

2930PREFAB. STAINLESS STEEL CROWN-PRIMARY $ 265 $ 92 65%

2931PREFAB STAINLESS STEEL CROWN-PERMANENT $ 323 $ 112 65%

2932PREFAB. RESIN CROWN $ 344 $ 143 58%

2933PREFAB. STAINLESS STEEL CROWN WITH RESIN WINDOW $ 358 $ 161 55%

2940SEDATIVE FILLING $ 110 $ 31 72%

2950CORE BUILDUP INCLUDING ANY PINS $ 265 $ 75 72%

2951PIN RETENTION PER TOOTH IN ADD. TO RESTORATION $ 74 $ 21 71%

2952CAST POST & CORE IN ADDITION TO CROWN $ 423 $ 124 71%

2954PREFAB POST & CORE IN ADDITION TO CROWN $ 330 $ 96 71%

2955POST REMOVAL (NOT IN CONJUNCTION WITH ENDODONTIC THERAPY) $ 300 $ 132 56%

2960LABIAL VENEER RESIN LAMINATE (CHAIRSIDE) $ 661 $ 173 74%

2999BLEACHING (PER ARCH) $ 260 $ 156 40%

2999$125 ADDTL.CHARGE P/UNIT FOR MULTIPLE CROWN UNITS/COMPLEX REHABILITATION

3110PULP CAP DIRECT EXCLUDING FINAL RESTORATION $ 83 $ 24 72%

3120PULP CAP INDIRECT EXCLUDING FINAL RESTORATION $ 85 $ 25 71%

3220THERAPEUTIC PULPOTOMY EXCLUDING FINAL RESTORATION $ 196 $ 65 67%

3230PULPAL THERAPY ANTERIOR, PRIMARY TOOTH EXCLUDING REST. $ 275 $ 86 69%

3240PULPAL THERAPY POSTERIOR, PRIMARY TOOTH EXCLUDING REST $ 317 $ 96 70%

3310ROOT CANAL THERAPY 1 CANAL (EXCLUDING FINAL RESTORATION) $ 671 $ 238 65%

3320ROOT CANAL THERAPY 2 CANALS (EXCLUDING FINAL RESTORATION) $ 783 $ 287 63%

3330ROOT CANAL THERAPY 3 CANALS OR MORE $ 952 $ 360 62%

3410APICOECTOMY/PERIRADICULAR SURGERY-ANTERIOR $ 671 $ 297 56%

3421APICOECTOMY/PERIRADICULAR SURGERY-BICUSPID (FIRST ROOT) $ 733 $ 333 55%

3425APICOECTOMY/PERIRADICULAR SURGERY-MOLAR (FIRST ROOT) $ 863 $ 386 55%

3426APICOECTOMY/PERIRADICULAR SURGERY-EACH ADDITIONAL ROOT $ 397 $ 142 64%

3430RETROGRADE FILLING-PER ROOT $ 291 $ 107 63%

3910SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM $ 248 $ 57 77%

4210GINGIVOPLASY OR GIGIVECTOMY- 4+ CONTIGUOUS OR BOUNDED SP. TEETH P/QUAD $ 635 $ 300 53%

4211GINGIVECTOMY OR GINGIVOPLASTY-1 TO 3 CONTIGUOUS OR BOUNDED SP. TEETH P/QUAD $ 265 $ 146 45%

4240GINGIVAL FLAP PROCEDURE, INCL.ROOT PLNG -4+ CONTIG. OR BOUNDED SP. TEETH P/QUAD $ 741 $ 318 57%

4260OSSEOUS SURG. INCL. FLAP ENTRY & CLOSURE-4+ CONTIG. OR BOUNDED SP. TEETH P/QUAD $ 1,032 $ 472 54%

4320PROVISIONAL SPLINTING-INTRACORNIAL $ 529 $ 247 53%

4321PROVISIONAL SPLINTING-EXTRACORNIAL $ 487 $ 228 53%

4341PERIODONTAL SCALING & ROOT PLNG- 4+ TEETH PER QUAD $ 240 $ 101 58%

4355FULL MOUTH DEBRIDEMENT TO ENABLE COMP.EVAL. & DIAGNOSIS $ 185 $ 83 55%

4910PERIODONTAL MAINTENANCE $ 135 $ 53 61%

4999PERIO SCREENING AND SCORING $ 30 $ 10 67%

5110COMPLETE DENTURE-MAXILLARY $ 1,600 $ 474 70%

5120COMPLETE DENTURE-MANDIBULAR $ 1,661 $ 492 70%

5130IMMEDIATE DENTURE-MAXILLARY $ 1,738 $ 691 60%

5140IMMEDIATE DENTURE-MANDIBULAR $ 1,744 $ 693 60%

5211MAXILLARY PART. DENTURE-RESIN BASE (INCL. CLASPS & TEETH) $ 1,270 $ 399 69%

5212MANDIBULAR PARTIAL DENTURE-RESIN BASE (INCL. CLASPS & TEETH) $ 1,323 $ 404 69%

5213MAXILLARY PART. DENT.-CST MTL FRMEWRK W/RESIN DENT. BASE (INCL/CLASPS & TEETH) $ 1,720 $ 499 71%

5214MANDIBULAR PART. DENT.-CST MTL FRMEWRK W/RESIN DENT. BASE (INCL/CLASPS & TEETH) $ 1,720 $ 496 71%

5410ADJUST COMPLETE DENTURE-MAXILLARY $ 86 $ 32 63%

5411ADJUST COMPLETE DENTURE-MANDIBULAR $ 85 $ 32 63%

5421ADJUST PARTIAL DENTURE-MAXILLARY $ 85 $ 32 63%

5422ADJUST PARTIAL DENTURE-MANDIBULAR $ 85 $ 32 63%

5510REPAIR BROKEN COMPLETE DENTURE BASE $ 200 $ 76 62%

5520REPLACE MISSING OF BROKEN TEETH-COMP.DENTURE-EACH TOOTH $ 180 $ 57 68%

5610REPAIR RESIN DENTURE BASE $ 202 $ 74 63%

5620REPAIR CAST FRAMEWORK $ 286 $ 127 56%

5630REPAIR OR REPLACE BROKEN CLASP $ 265 $ 97 63%

5640REPLACE BROKEN TEETH-PER TOOTH $ 181 $ 62 66%

5650ADD TOOTH TO EXISTING PARTIAL DENTURE $ 216 $ 83 62%

5660ADD CLASP TO EXISTING PARTIAL DENTURE $ 268 $ 111 59%

Page 2

Restorative Services (Fillings, Crowns, Inlays and Onlays) Con't

Endodontic Services (Root Canals)

Periodontic Services (Gum Disease)

Prosthodontics (Removable/Complete Dentures, etc.)

Current Dental Terminology©American Dental Association

*These co-payments do not include an allowable $138 lab fee (per unit). Doctors, please make sure that all members understand what their fees will be and what the savings are from your Usual and Customary fees. Temporary crowns are included with permanent crown preparation.

(9)

ADA

CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION

NORMAL FEE

ALPHA

5710REBASE COMPLETE MAXILLARY DENTURE $ 561 $ 246 56%

5711REBASE COMPLETE MANDIBULAR DENTURE $ 561 $ 246 56%

5720REBASE MAXILLARY PARTIAL DENTURE $ 542 $ 205 62%

5721REBASE MANDIBULAR PARTIAL DENTURE $ 546 $ 207 62%

5730RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE) $ 370 $ 161 56%

5731RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE) $ 370 $ 161 56%

5740RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE) $ 367 $ 154 58%

5741RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE) $ 370 $ 154 58%

5750RELINE COMPLETE MAXILLARY DENTURE (LABORATORY) $ 462 $ 142 69%

5751RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY) $ 462 $ 142 69%

5760RELINE MAXILLARY PARTIAL DENTURE (LABORATORY) $ 450 $ 142 69%

5761RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY) $ 450 $ 141 69%

5850TISSUE CONDITIONING MAXILLARY $ 202 $ 57 72%

5851TISSUE CONDITIONING MANDIBULAR $ 205 $ 57 72%

*6210PONTIC-CAST HIGH NOBLE METAL $ 1,016 $ 322 68%

*6211PONTIC-CAST PREDOMINANTLY BASE METAL $ 952 $ 278 71%

*6212PONTIC-CAST NOBLE METAL $ 979 $ 292 70%

*6240PONTIC-PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,032 $ 340 67%

*6241PONTIC-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 961 $ 283 71%

*6242PONTIC-PORCELAIN FUSED TO NOBLE METAL $ 995 $ 304 69%

*6250PONTIC-RESIN WITH HIGH NOBLE METAL $ 995 $ 316 68%

*6251PONTIC-RESIN WITH PREDOMINANTLY BASE METAL $ 955 $ 296 69%

*6252PONTIC-RESIN WITH NOBLE METAL $ 979 $ 305 69%

*6720CROWN-RESIN WITH HIGH NOBLE METAL $ 1,032 $ 340 67%

*6721CROWN-RESIN WITH PREDOMINANTLY BASE METAL $ 952 $ 314 67%

*6722CROWN-RESIN WITH NOBLE METAL $ 990 $ 327 67%

*6750CROWN-PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,042 $ 344 67%

*6751CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 959 $ 287 70%

*6752CROWN-PORCELAIN FUSED TO NOBLE METAL $ 1,004 $ 312 69%

*6790CROWN-FULL CAST HIGH NOBLE METAL $ 1,004 $ 318 68%

*6791CROWN-FULL CAST PREDOMINANTLY BASE METAL $ 952 $ 295 69%

*6792CROWN-FULL CAST NOBLE METAL $ 1,000 $ 304 70%

6930RECEMENT FIXED PARTIAL DENTURE $ 171 $ 64 63%

7140EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) $ 159 $ 39 75%

7210SURGICAL EXT. ERUPTED TOOTH WITH REMOVAL OF BONE $ 265 $ 72 73%

7220REMOVAL OF IMPACTED TOOTH-SOFT TISSUE $ 307 $ 82 73%

7230REMOVAL OF IMPACTED TOOTH PARTIALLY BONY $ 386 $ 150 61%

7240REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY $ 476 $ 190 60%

7241REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY W/ UNUSUAL SURG. COMPLICATION $ 566 $ 221 61%

7250SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS (CUTTING PROCEDURE) $ 309 $ 113 63%

7270TOOTH REIMPL. AND/OR STAB. OF ACC.EVULSED OR DISPL. TOOTH $ 540 $ 216 60%

7280SURGICAL ACCESS OF AN UNERUPTED TOOTH $ 479 $ 209 56%

7285BIOPSY OF ORAL TISSUE-HARD (BONE-TOOTH) $ 409 $ 179 56%

7286BIOPSY OF ORAL TISSUE-SOFT $ 316 $ 138 56%

7310ALVEOPLASTY IN CONJ. WITH EXT.- PER QUAD $ 289 $ 111 62%

7320ALVEOPLASTY NOT IN CONJ WITH EXT- PER QUAD $ 471 $ 174 63%

7510INCISION AND DRAINAGE ABSCESS- INTRAORAL SOFT TISSUE $ 222 $ 86 61%

7910SUTURE OF RECENT SMALL WOUNDS UP TO 5CM $ 317 No Cost 100%

7960FRENULECTOMY (FRENECTOMY OR FRENOTOMY)- SEPARATE PROCEDURE $ 442 $ 114 74%

7970EXCISION OF HYPERPLASTIC TISSUE- PER ARCH $ 524 $ 186 64%

9110EMERGENCY PALATIVE TREATMENT OF DENTAL PAIN- MINOR PROCEDURE $ 123 $ 43 65%

9230ANALGESIA, ANXIOLYSIS, INHALATION OF NITROUS OXIDE - FIRST 30 MINUTES $ 79 $ 22 72%

9310CONSULTATION (DIAG. SERV. PROV. BY DENTIST OR PHYSICIAN OTHER THAN PRACTIONER PROV. TREATMNT) $ 141 No Cost 100%

9910APPLICATION OF DESENSITIZING MEDICAMENT $ 66 $ 5 92%

9941FABRICATION OF ATHLETIC MOUTHGUARD $ 282 $ 96 66%

9951OCCLUSAL ADJUSTMENT-LIMITED $ 185 $ 67 64%

9952OCCLUSAL ADJUSTMENT-COMPLETE $ 670 $ 248 63%

9999MISSED APPOINTMENT (WITHOUT 24 HOUR NOTICE) $ 54 $ 30 44%

Page 3

Prosthodontics (fixed/PartialDentures, etc.)

Oral Surgery (Extractions, etc.)

General Miscellaneous Services

Current Dental Terminology©American Dental Association

Prosthodontics (Removable/ Complete Dentures, etc.) Con't

NOTE: In addition to the fees listed above in section 5000 thru 6000, additional fees may be charged for upgraded teeth and enhanced cosmetics, personalization beyond norm or techniques involving precision dentures.

These co-payments do not include an allowable $138 lab fee (per unit). Doctors, please make sure that all members understand what their fees will be and what the savings are from your Usual and Customary fee.

(10)

ADA

CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION

NORMAL FEE

ALPHA

13 MONTH TREATMENT PLAN ($125/MONTH) $ 2,852 $ 2,200 23% 16 MONTH TREATMENT PLAN ($125/MONTH) $ 3,320 $ 2,575 22% 19 MONTH TREATMENT PLAN ($125/MONTH) $ 3,787 $ 2,950 22% 22 MONTH TREATMENT PLAN ($125/MONTH) $ 4,218 $ 3,325 21% 25 MONTH TREATMENT PLAN ($125/MONTH) $ 4,724 $ 3,700 22% 28 MONTH TREATMENT PLAN ($125/MONTH) $ 5,192 $ 4,075 22% 31 MONTH TREATMENT PLAN ($125/MONTH) $ 5,659 $ 4,450 21% 34 MONTH TREATMENT PLAN ($125/MONTH) $ 6,127 $ 4,825 21% 36 MONTH TREATMENT PLAN ($125/MONTH) $ 6,439 $ 5,075 21%

Page 4

Current Dental Terminology©American Dental Association

Orthodontics (Braces) for Children & Adults Monthly Payment

Other Orthodontic Guidelines

1. A $350 charge will apply at the end of treatment (included in the above amounts) to cover all retention office visits

(unlimited).

2. Services not listed above will be discounted 30% off of the participating Orthodontist's Usual and Customary fees (except #5

listed below).

3. Services must only be provided by a contracted Orthodontic Specialist.

4. The amounts listed above also include an initial one-time $225 charge for all records, mold, x-rays, etc. to determine

the Orthodontic Treatment for the patient.

5. Invisalign® procedures are to be discounted 15% off the participating Orthodontist's Usual and Customary fees.

__________________________________________________________________________________________

All Plans General Limitations and Exclusions

1. All fees listed above do not include all appropriate lab fees. Member must agree (in writing) to all upgraded materials

before treatment is started. See each section for specific details (if applicable).

2. All patients are responsible for paying all fees (as listed above) at the time services are rendered.

3. These fees are for General Dentists only. A participating specialist list is available by calling our office at

303-744-3007 or 1-800-807-0706.

4. Any procedures not listed will be discounted 20% off the participating General Dentists normal fees.

5. Medical costs associated with any dental procedures are not covered.

6. Dentures or appliances will be replaced only after 3 years have elapsed since such dentures or appliances were

provided under any plan program, unless the denture or appliance becomes unserviceable due to illness or other causes

not controlled by other means. Replacement of dentures, appliances, or bridgework due to loss or theft are not covered.

7. Any dental treatment started prior to the Member's eligibility to receive services under this plan or started after a Member's

termination are not covered.

8. Failure to follow the prescribed treatment or accidents occurring during the course of treatment may result in additional

charges by your plan provider.

9. Failure to pay scheduled fees at the time service is rendered may prevent future dental services from being received until all

fees have been paid in full.

10. Services provided by non-participating dentists are not covered.

11. Services which, in the opinion of the attending dentist, are not necessary for the patient's dental health, or are contrary to

established dental ethics are not covered.

12. Cosmetic dental procedures are covered only if the attending dentist and patient agree on the specific procedure.

13. Services which are compensable under Worker's Compensation or employer liability laws are not covered.

14. General anesthesia and IV sedation are not covered.

15. Myofunctional therapy procedure for training, treating or developing muscles in and around the jaw or mouth including TMJ

are not covered except by participating plan specialists.

16. Any dental procedure or service that cannot be performed in the dental office due to general and/or physical limitations of a

member are not covered.

17. Expenses incurred for dental procedures initiated prior to member's eligibility or after termination are not covered.

18. Any services that the Participating General Dentist recommends be performed by a specialist are covered only by a plan

participating specialist.

19. The liability of Beta Health Association, Inc. is limited to the return of the membership fee's paid for one year by the member.

20. Extractions for asymptomatic third molars (wisdom teeth) are not covered unless causing movement of the teeth. An

example of symptomatic include severe decay, and ontogenic cysts, chronic pericoronitis, and infection.

21. The Beta Health Association, Inc. dental programs do not constitute dental insurance and are considered discount,

service dental plans.

(11)

“We believe that

the single most

important consideration

of our provider

network is

quality dental

care”

We are known by the quality

of our contracted dentists

Beta Health Association has developed network

relationships with some of the finest dentists in

the cities and suburbs where our members live

and work.

Our reputation

depends on dentists

who are dedicated to

providing quality services

Beta Health Association believes that the single

most important consideration of our provider

network is quality dental care. The key to quality

dental care is the building of dental networks that

allow for the convenience of location, adequate

appointment availability, band the availability of

a wide selection of private practice dentists who

are committed to establishing a positive patient/

dentist relationship.

We use high standards

to select our dentists

All participating Family Dentists and Specialists

are subject to a credentialing process to ensure

their qualifications meet our high standards. The

program provides that Beta Health Association

should:

•

Perform background checks with the

State Board of Dental Examiners

•

Validate proof of current dental license

•

Validate proof of current DEA and

Radiology Certification where applicable

•

Validate proof of professional liability

insurance

•

Review information regarding any past

malpractice history, including past or

present license sanctions

Our Contracted Providers Are

Proven Professionals!

(12)

Proven Professionals

Page 2

Practice standards

set us apart

Our experienced provider relations staff goes to

great lengths to carefully measure all elements of

a dental practice, including the following:

•

The overall attitude and demeanor of the

office staff

•

Accessibility, including: parking, waiting

room, and appointment availability

•

The office follows established infection

control procedures, and is compliant with

OSHA standards

•

The dental equipment is state of the art

•

A patient recall system is in place to

encourage preventive dental care

•

Adequate record keeping and patient

health history to encourage quality care

Accessibility of

Dental Services

•

Access to emergency treatment, 7 days

a week, 24 hours a day

•

Routine appointments generally available

within 5 to 6 weeks

•

Family Dentists with office hours

at least 3 days per week

•

Multilingual and after-hour capabilities

by some Family Dentists are available

More than you might expect

Admittedly, few patients ever scrutinize a den-

tal provider the way we do. And our interest in

customer service extends to the area of member

satisfaction, with regular evaluations of selected

dental offices and the care received there.

We randomly survey our members to determine

how our program is performing, not from our

standpoint but from their standpoint. These

results are currently as follows:

•

94.3% feel as though they receive good

to excellent care

•

97.3% are satisfied with the scheduling

of their first appointment

•

96.8% would recommend our plan to

their friends and family members

•

91% of our members stay with the first

(13)

Alpha Dental Plan Complete Provider Directory

10/20/2006

NAME

OFFICE NAME

PROVIDER

ADDRESS

PHONE

CITY

SPECIALTY

CODES

Richard Williams Dr. Richard Williams ADP #56 315 Edison 719-589-3686 Alamosa General Dentist *, **, C, E1-2, E3-4, N Howard Stringert Dr. Howard Stringert Not Needed 511 Main St. 719-589-6496 Alamosa Orthodontist None Kathy Tomlinson

Comfort Dental - North Arvada

ADP #36 8390 W. 80th Ave. 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4, N Juan Materon

ADP #36 8390 W. 80th Ave. 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4, N Shayna Barr

ADP #36 8390 W. 80th Ave. 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4, N Anita Vedi

New Impressions Dental

ADP #39 9122 W. 88th Ave. 303-422-0836 Arvada General Dentist **, C, E1-2 M. Scott Peppler

New Impressions Dental

ADP #39 9122 W. 88th Ave. 303-422-0836 Arvada General Dentist **, C, E1-2 Alan Bueltel

Comfort Dental - Arvada

ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N Neil Zimmet

ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N Mark Dean

ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N James R. Mayo

ADP #62 12380 W. 64th Ave. 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4, N Damon C. WIlkerson Colo Orthodontics Not Needed 6390 Gardenia St., #200 303-421-2616 Arvada Orthodontist None James H. Mason Colo Orthodontics Not Needed 6390 Gardenia St., #200 303-421-2616 Arvada Orthodontist None John Bailey Colo Orthodontics Not Needed 6390 Gardenia St., #200 303-421-2616 Arvada Orthodontist None Roy Theriot Dr. Roy Theriot ADP #10 941 S. Havana, #200 303-341-5313 Aurora General Dentist *, C Matthew Snyder

Bright Now Dental - Smoky Hill

ADP #107

23963 Prospect Ave., Ste. HV2BE

303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Charles Stirewalt

Bright Now Dental - Smoky Hill

ADP #107

23963 Prospect Ave., Ste. HV2BE

303-400-9898 Aurora General Dentist *, C, E1 -2, E3-4 Kris Komanduri

Hanu Dental Care

ADP #163 11275 E. Mississippi Ave., #1 W2 303-340-0087 Aurora General Dentist *, **, C, E1-2, E3-4 Steven Perry

Dental Health Center

ADP #168 250 S. Sable 303-360-0991 Aurora General Dentist *, **, C, E1-2, E3-4 Saadia Basit

ADP #168 250 S. Sable 303-360-0991 Aurora General Dentist *, **, C, E1-2, E3-4 Frank Weir

ADP #168 250 S. Sable 303-360-0991 Aurora General Dentist *, **, C, E1-2, E3-4 Matthew Rowan

Comfort Dental - Aurora

ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey Gilliam

ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Zachary D. Bergeson

ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Gerald Edwards

ADP #173 1050 S. Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Scott Henderson

Comfort Dental - Orchard Rd.

ADP #177 15250 E. Orchard Rd. 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey Hamilton

ADP #177 15250 E. Orchard Rd. 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Michael Gioia

ADP #177 15250 E. Orchard Rd. 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Lorraine Loustalet

Comfort Dental - East Aurora

ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey A. Varner

ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Sean Phelan

ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jim Parfitt

ADP #34 2131 S. Chambers Rd. 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Jeffrey A. Ranta

Wohlgemuth & Rush, DDS

ADP #41 1450 S. Havana, #200 303-755-8388 Aurora General Dentist C, N Steven Rush

ADP #41 1450 S. Havana, #200 303-755-8388 Aurora General Dentist C, N Barry Wohlgemuth

ADP #41 1450 S. Havana, #200 303-755-8388 Aurora General Dentist C, N Robert Browning Robert Browning, DDS ADP #44 11275 E. Mississippi Ave., # 2-5-6 303-343-3910 Aurora General Dentist *, C, E1-2, E3-4 Thomas E. Daniel Dr. Thomas E. Daniel ADP #46 1101 Havana 303-366-3577 Aurora General Dentist C

Complete Participating Provider Directory

(For Alpha Dental Plan )

Statewide

Telephone number 1-800-807-0706

PLEASE NOTE: UNDER THE PROVIDER COLUMN THE ADP # IS FOR ALPHA DENTAL PLAN 19 AND A.

(Providers are listed in alphabetical order according to city)

(14)

10/20/2006

NAME

OFFICE NAME

PROVIDER

ADDRESS

PHONE

CITY

SPECIALTY

CODES

Michael Buchler

Blue Mesa Dental - S. Chambers Rd.

ADP #70 1700 S. Chambers Rd. 303-337-0789 Aurora General Dentist **, C, E1-2, E3-4 Robert Utberg

Bright Now Dental - S. Tower Rd.

ADP #74 3551 S. Tower Rd., #C 303-400-3669 Aurora General Dentist *, **, C, E1-2 James E. Berwick

ADP #74 3551 S. Tower Rd., #C 303-400-3669 Aurora General Dentist *, **, C, E1-2 Charles Stirewalt

ADP #74 3551 S. Tower Rd., #C 303-400-3669 Aurora General Dentist *, **, C, E1-2 James Lui

Comfort Dental - Quincy & Buckley

ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N

John W. Thousand, III

ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N Nicole Ward

ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N Camillo DiLizia

ADP #76 16981 E. Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2, N James H. Mason Colo Orthodontics Not Needed 2993 S. Peoria St., #260 303-751-5700 Aurora Orthodontist None John Bailey Colo Orthodontics Not Needed 2993 S. Peoria St., #260 303-751-5700 Aurora Orthodontist None Damon C. WIlkerson Colo Orthodontics Not Needed 2993 S. Peoria St., #260 303-751-5700 Aurora Orthodontist None Hilary Neilberg-Baskin

Comfort Smile Center

Not Needed 15403 E. Hampden Ave. 303-680-3295 Aurora Orthodontist None Jack E. Duran Dr. Jack E. Duran Not Needed

11275 E. Mississippi Ave., Unit #1 N-2

303-789-9251 Aurora Orthodontist None Roy M. Lorenz Roy M. Lorenz, DMD, MS Not Needed 14991 E. Hampden Ave. #320 303-690-2333 Aurora Orthodontist None Theresa Shaver

Theresa Shaver Orthodontics, PC

Not Needed 14001 E. Iliff, #201 303-755-5505 Aurora Orthodontist None Damon C. WIlkerson

University of Colorado Department of Orthodontics

Not Needed 1635 N. Ursula St. 720-848-2538 Aurora Orthodontist No ne Voytek Bobak Dr. Voytek Bobak Not Needed 460 County Rd. 43 303-988-0844 Bailey Orthodontist None Wojciech Bobak Dr. Wojciech Bobak Not Needed 460 County Rd. 43 303-988-0844 Bailey Orthodontist None Sharon Poczatek

Todays Choice Dental

ADP #11 2800 Valmont Rd. 303-444-3232 Boulder General Dentist *, **, C, E1-2, E3-4 Lisa Sheldon

Comfort Dental - Boulder

ADP #112 3400 Arapahoe Rd. 303-444-2129 Boulder General Dentist *, C, E1-2, E3-4 April Sousa

Comfort Dental - Boulder

ADP #112 3400 Arapahoe Rd. 303-444-2129 Boulder General Dentist *, C, E1-2, E3-4 Christopher Mehlhoff

Bright Now Dental - Boulder

ADP #136 1840 Folsom St. 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Charles Stirewalt

Bright Now Dental - Boulder

ADP #136 1840 Folsom St. 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Mary Connolly

ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 Allen Skromme

ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 Steven Perry

ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 Steven J. Hood

ADP #169 2525 28th St., #140 303-443-0070 Boulder General Dentist *, **, C, E1-2, E3-4 John Walker Dr. John Walker Not Needed 350 Broadway #120 303-494-3535 Boulder Orthodontist None

Cindy Sue Wilson

Cindy Sue Wilson, D.D.S.

ADP #14

80 Garden Center North D

303-635-2640 Broomfield General Dentist C, E1-2 Lyndon Mata Mata Dental ADP #58 6363 W. 120th Ave., #230 303-635-0100 Broomfield General Dentist *, C, E1-2, N Charles Stirewalt

Bright Now Dental - Castle Rock

ADP #49 1001 S. Perry St., #105-A 303-688-0252 Castle Rock General Dentist **, C Joseph Feller

Bright Now Dental - Castle Rock

ADP #49 1001 S. Perry St., #105-A 303-688-0252 Castle Rock General Dentist **, C Jason Ray

Blue Mesa Dental - Southglenn

ADP #116 2001 E. Easter Ave., #200 303-703-4544 Centennial General Dentist C, E1-2, E3-4 Richard Handelman

Blue Mesa Dental - Southglenn

ADP #116 2001 E. Easter Ave., #200 303-703-4544 Centennial General Dentist C, E1-2, E3 -4 Jeanette Berner

Comfort Dental - Centennial

ADP #6 8223 S. Quebec St., Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Scott H. Ash

ADP #6 8223 S. Quebec St., Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Jacqueline Blasko

ADP #6 8223 S. Quebec St., Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3 -4 Richard W. Arbuckle Reliable Dental ADP #66 4490 Bent Brothers Blvd. #D1 719-676-3361 Colorado City General Dentist C, E1-2 Richard H. Wiedey Dr. Richard H. Wiedey ADP #106 1819 North Circle #6 719-520-5884 Colorado Springs General Dentist **, E1-2, E3-4, N Michael Stoor

Comfort Dental - Citadel Crossing

ADP #108 509 N. Academy Blvd. 719-591-7599 Colorado Springs General Dentist *, C, E1-2 John Rollow, IV

Comfort Dental - Citadel Crossing

ADP #108 509 N. Academy Blvd. 719-591-7599 Colorado Springs General Dentist *, C, E1 -2

Dwight Douglas Olson

Comfort Dental - North Powers

ADP #118 6076 Stetson Hills Blvd. 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Andrew Killgore

ADP #118 6076 Stetson Hills Blvd. 719-637-2079 Colorado Springs General Dentist *, **, C , E1-2, E3-4 Steve Carter

ADP #118 6076 Stetson Hills Blvd. 719-637-2079 Colorado Springs General Dentist *, **, C, E 1-2, E3-4 Michael D. Millward

Bright Now Dental - Parkmoor Village

ADP #159 3208 N. Academy Blvd., #140 719-596-7000 Colorado Springs General D entist C, E1-2, E3-4 Charles Stirewalt

Bright Now Dental - Parkmoor Village

ADP #159 3208 N. Academy Blvd., #140 719-596-7000 Colorado Springs General Den tist C, E1-2, E3-4 Kathleen Brower

Jade Dental Professionals South

ADP #164 2130 S. Academy Blvd., #100 719-380-5733 Colorado Springs General Dentist C, E1-2

Page 2 of 7

(15)

10/20/2006

NAME

OFFICE NAME

PROVIDER

ADDRESS

PHONE

CITY

SPECIALTY

CODES

Joseph A. Woods

Blue Mesa Citadel Dental, PC

ADP #175 825 Citadel Dr. East #200 719-380-7100 Colorado Springs General Dentist *, C, E1 -2 Richard Handelman

Blue Mesa Citadel Dental, PC

ADP #175 825 Citadel Dr. East #200 719-380-7100 Colorado Springs General Dentist *, C, E1-2 Paul Rygg

Stafford Dental Group

ADP #25

559 E. Pikes Peak Ave., #208

719-636-3311 Colorado Springs General Dentist **, E1-2, E3-4 Leopoldo Rodríguez Leopoldo Rodríguez ADP #31 1304 N. Academy Blvd., #104 719-596-3939 Colorado Springs General Dentist C, E1-2 Paul Hennegan

Bright Now Dental - Citadel Dr.

ADP #50 701 Citadel Dr. East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4 Charles Stirewalt

ADP #50 701 Citadel Dr. East 719-574-7288 Colorado Springs General Dentist **, C, E1 -2, E3-4 Benjamin Butler

ADP #50 701 Citadel Dr. East 719-574-7288 Colorado Springs General Dentist **, C, E1-2 , E3-4 Curtis Broeker Premier Dentistry ADP #73 5745 Erindale Dr. #100 719-264-9355 Colorado Springs General Dentist *, C, E1-2, E3-4 Julia Arnold

Interquest Dental Group, Inc.

ADP #75 1310 United Heights Dr. #220 719-266-5150 Colorado Springs General Dentist C Paul Rodríguez Dr. Paul Rodríguez ADP #77 703 N. Tejon St., #D 719-633-5501 Colorado Springs General Dentist **, C, E1-2, E3-4 Steven Castillo

Castillo Dental Associates

ADP #88 1910 Vindicator Dr., #103 719-268-9030 Colorado Springs General Dentist C, E1-2, E3 -4 Colleen Jenson

Jade Dental Associates

ADP #89 703 N. Tejon St., #A 719-633-0770 Colorado Springs General Dentist C, E1-2, E3-4 Natalie Jones

Comfort Dental - North Academy

ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N Rick Christensen

ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N Steven Krendl

ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N Daniel Ward

ADP #9 1634 York Rd. 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4, N David Schroeder Apple Orthodontics Not Needed 1694 E. Cheyenne Mtn. Blvd. 719-538-4671 Colorado Springs Orthodontist None Louis Talmoumis Apple Orthodontics Not Needed 1694 E. Cheyenne Mtn. Blvd. 719-538-4671 Colorado Springs Orthodontist None Scott Sutter

Front Range Ortho

Not Needed 3100 N. Academy Blvd., #200 719-550-0222 Colorado Springs Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 26697 Pleasant Park Rd., #B-120 303-988-0844 Conifer Orthodontist None Wojciech Bobak Dr. Wojciech Bobak Not Needed 26697 Pleasant Park Rd., #B-120 303-988-0844 Conifer Orthodontist None Robert Unrath

Comfort Dental - North Denver

ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4

James Li-Hang Liu

ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Tom Marschner

ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Gary Saddler

ADP #113 4901 W. 38th Ave. 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Alan Coombs

Alpha Dental II, PC

ADP #12 1660 S. Albion, #715 303-758-4287 Denver General Dentist ** Norris Sadler Dr. Norris Sadler ADP #13 3025 W. 38th Ave. 303-458-7051 Denver General Dentist *, E1-2, E3-4, N Thomas Sniegowski Dr. Thomas Sniegowski ADP #151 7475 Dakin St., Ste. #309 303-429-2727 Denver General Dentist *, E1-2 Dr. Mayya Acherkan

Affordable Dental Care

ADP #157 677 S. Federal Blve. 303-936-6188 Denver General Dentist **, E1-2, E3-4 Stephen Brown

Affordable Dental Care

ADP #157 677 S. Federal Blve. 303-936-6188 Denver General Dentist **, E1-2, E3-4 Makala Bannister

ADP #170 1600 Stout St., #600 303-592-1133 Denver General Dentist *, C, E1-2 Steven Perry

ADP #170 1600 Stout St., #600 303-592-1133 Denver General Dentist *, C, E1-2 Karen Suchyta

ADP #171 2005 Franklin St., #590 303-832-8611 Denver General Dentist *, **, C, E1-2, E3-4, N Amir Hashemi

ADP #171 2005 Franklin St., #590 303-832-8611 Denver General Dentist *, **, C, E1-2, E3-4, N Steven Perry

ADP #171 2005 Franklin St., #590 303-832-8611 Denver General Dentist *, **, C, E1-2, E3-4, N David Dinsmore

Comfort Dental - Cherry Creek

ADP #183 201 University Blvd., #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Todd Light

ADP #183 201 University Blvd., #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Mark Jolested

ADP #183 201 University Blvd., #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Donald Mardis

Comfort Dental - East Colfax

ADP #26 5200 E. Colfax Ave. 303-377-3876 Denver General Dentist *, **, C, E1-2 Gary Rotolo

Comfort Dental - East Colfax

ADP #26 5200 E. Colfax Ave. 303-377-3876 Denver General Dentist *, **, C, E1-2 Thomas Pyne Dr. Thomas Pyne ADP #29 12075 E. 45th Ave., #333 303-371-9131 Denver General Dentist *, C, E1-2, E3-4 Charles Stirewalt

Bright Now Dental - Denver Downtown

ADP #30 1955 Arapahoe St., Ste. A 303-296-0888 Denver General Dentist C, E1-2, E 3-4 Christina Lee

ADP #37 5031 S. Ulster St., #100 303-779-8587 Denver General Dentist **, C Donald Langley

ADP #37 5031 S. Ulster St., #100 303-779-8587 Denver General Dentist **, C Joseph Feller

Bright Now Dental - Cherry Creek

ADP #47

3865 Cherry Creek Dr. North, #200

303-321-1181

Denver

General Dentist

C, N

Charles Stirewalt

ADP #47

303-321-1181

Denver

General Dentist

C, N

Thomas Borris

ADP #47

303-321-1181

Denver

General Dentist

C, N

(16)

Alpha Dental Plan Complete Provider Directory

10/20/2006

NAME

OFFICE NAME

PROVIDER

ADDRESS

PHONE

CITY

SPECIALTY

CODES

David R. Huskey David R. Huskey, DDS ADP #51 2465 S. Downing, #104 A 303-722-0204 Denver General Dentist C, E1-2, N Timothy Wachuta Dr. Timothy Wachuta ADP #53 2709 S. Colorado Blvd. 303-756-2770 Denver General Dentist C, E1-2, E3-4 Kenneth Chernoff Dr. Timothy Wachuta ADP #53 2709 S. Colorado Blvd. 303-756-2770 Denver General Dentist C, E1-2, E3-4 Ekatrina Butkevich Dr. Timothy Wachuta ADP #53 2709 S. Colorado Blvd. 303-756-2770 Denver General Dentist C, E1-2, E3-4 Greg Schlagel

AAA Dental Center

ADP #84 3805 Newton St. 303-455-0233 Denver General Dentist **, E1-2, E3-4 Kelly White

Auraria Dental Centre

ADP #96 1050 W. Colfax, Ste. G 303-573-5533 Denver General Dentist **, E1-2, E3-4 Paul Rocke Downtown Orthodontics Not Needed 1050 W. Colfax, Ste. G 303-573-5533 Denver Orthodontist None Michael D. Bellon Dr. Michael D. Bellon Not Needed 7200 E. Hampden, #203 303-692-9610 Denver Orthodontist None Neil Cowen Dr. Neil Cowen ADP #33 3535 S. Lafayette, Suite 108 303-761-8688 Englewood General Dentist *, C, E1-2 David Rebber

Comfort Dental - Englewood

ADP #45 2780 S. Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Larry Nessel

ADP #45 2780 S. Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Jeffrey Spiegel

ADP #45 2780 S. Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N William Case Dr. William Case ADP #71 7180 E. Orchard Rd., #302 720-488-6600 Englewood General Dentist *, C Jennifer Mansky

Blue Mesa Dental - S. Quebec

ADP #72 8100 S. Quebec, #A-14 720-489-9800 Englewood General Dentist C, E1-2, E3-4 David Richter

Dr. David Richter - Englewood

Not Needed 5031 S. Ulster St., #100 303-779-8587 Englewood Orthodontist None Jack E. Duran Orthodontics Exlusively Not Needed 3601 S. Clarkson 303-789-9257 Englewood Orthodontist None King Campbell

Comfort Dental - Ft. Collins

ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Douglas Haschke

ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Matthew Draper

ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Alois Tripam

ADP #32 934 S. Lemay 970-498-8300 Fort Collins General Dentist *, C, E1-2, E3-4, N Charles Stirewalt

Bright Now Dental - Fort Collins

ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 James E. Berwick

ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 Joseph Feller

ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 Scott Novak

ADP #38 1217 E. Elizabeth St., #5 970-498-8706 Fort Collins General Dentist C, E1-2 William W. Iversen Dr. William W. Iversen Not Needed 1103 S. Shields 970-484-3214 Fort Collins Orthodontist None Thomas L. Losacco Dr. Thomas L. Losacco ADP #8 801 6th St. 303-569-3141 Georgetown General Dentist *, C, E1-2, E3-4, N Robert A. Woods

Glenwood Meadows Dental

ADP #178 40 - A Market Street 970-947-1717 Glenwood Springs General Dentist **, C, E1-2, E3-4 William McGlashan

Comfort Dental - Glenwood Springs

ADP #91 1512 Grand Ave. 970-947-1273 Glenwood Springs General Dentist *, **, C, E1 -2, E3-4 Michael Shea

Comfort Dental - Glenwood Springs

ADP #91 1512 Grand Ave. 970-947-1273 Glenwood Springs General Dentist *, **, C, E1-2, E 3-4 Timothy Wachuta Dr. Timothy Wachuta ADP #128 2305 Jackson St. 303-278-2800 Golden General Dentist C, E1-2, E3-4 Kenneth Chernoff Dr. Timothy Wachuta ADP #128 2305 Jackson St. 303-278-2800 Golden General Dentist C, E1-2, E3-4 Ekatrina Butkevich Dr. Timothy Wachuta ADP #128 2305 Jackson St. 303-278-2800 Golden General Dentist C, E1-2, E3-4 Michael Miller

Golden View Dental

ADP #21 727 Simms St., #E 303-232-3636 Golden General Dentist *, C, E1-2 Joe Taylor

Golden View Dental

ADP #21 727 Simms St., #E 303-232-3636 Golden General Dentist *, C, E1-2 Paulette Dilizia

Comfort Dental - Golden

ADP #90 17531 S. Golden Rd. 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Eric Morrison

ADP #90 17531 S. Golden Rd. 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Christine M. Isaacs

ADP #90 17531 S. Golden Rd. 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 James M. Tarr Dr. James M. Tarr ADP #102 2531 W. Pinyon Ave. 970-242-5367 Grand Junction General Dentist C, E1-2 Robert R. Harmen Denture Depot ADP #122 1119 N. 1st St., Unit D 970-245-5040 Grand Junction General Dentist *, C Brad Nelson

Grand Valley Family Dental

ADP #97 132 Walnut Ave., #6 970-242-5151 Grand Junction General Dentist C, E1-2 T. Allan Hymas Mesa Orthodontics Not Needed

1190 Bookcliff, Ave., Ste. 202

970-245-8810

Grand Junction

Orthodontist

None

Steven Perry

ADP #48 1600 23rd Ave., #200 970-353-4329 Greeley General Dentist *, C, E1-2, E3-4, N Charles Johnson

ADP #48 1600 23rd Ave., #200 970-353-4329 Greeley General Dentist *, C, E1-2, E3-4, N Randy Hatch

ADP #48 1600 23rd Ave., #200 970-353-4329 Greeley General Dentist *, C, E1-2, E3-4, N Stephen Brown Dr. Stephen Brown ADP #65 3400 W. 16th St., Bldg. 3, Ste. S 970-356-8118 Greeley General Dentist **, E1-2 Patrick Rinaldis

Comfort Dental - Greeley

ADP #67 3766 West 10th St. 970-304-1273 Greeley General Dentist *, **, C, E1-2, E3-4 Courtney Stevens

Comfort Dental - Greeley

ADP #67 3766 West 10th St. 970-304-1273 Greeley General Dentist *, **, C, E1-2, E3-4

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10/20/2006

NAME

OFFICE NAME

PROVIDER

ADDRESS

PHONE

CITY

SPECIALTY

CODES

Patrick Harrison

Sunrise Dental Center

ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Kent Day

ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Alex Knecht

ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Shivaun McArtor

ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dinorah Moya

ADP #83 10006 A. St. 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 David Richter Dr. David Richter Not Needed 1600 23rd Ave., #200 970-353-4329 Greeley Orthodontist None Gary Barth Dr. Gary Barth Not Needed 1003 29th Ave. Ct. 970-353-4249 Greeley Orthodontist None John C. Gentile

Front Range Orthodontic Specialists

Not Needed 2855 35th Ave., #D 970-330-5363 Greeley Orthodontist None David Richter

West Greeley Orthodontics

Not Needed 7251 W. 20th St. 970-392-1733 Greeley Orthodontist None Michael Vetowich

Comfort Dental - Highlands Ranch

ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C , E1-2, E3-4 Christopher Hasselback

ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Mark Jolested

ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E 1-2, E3-4 Michael Love

ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1 -2, E3-4 Khiem Hoang

ADP #40 129 W. County Line Rd. 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Joseph Feller

Bright Now Dental - Highlands Ranch

ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentist **, C Brian S. Gurinsky

ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Den tist **, C Dwight M. Bratton

ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Den tist **, C Rhett M. Quist

ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dentis t **, C Charles Stirewalt

ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Den tist **, C Christopher Baer

ADP #93 3626 Highlands Rnch. Pkwy #107 303-488-9922 Highlands Ranch General Dent ist **, C Bryan Nelson Dr. Bryan Nelson Not Needed 9567 S.University Blvd., #C-1A 720-344-2662 Highlands Ranch Orthodontist None Paul Rocke

Front Range Ortho

Not Needed 7901 S. Park Plaza, #204 303-730-7002 Highlands Ranch Orthodontist None Howard Stringert Dr. Howard Stringert Not Needed 313 W. 3rd St., #104 719-384-5583 La Junta Orthodontist None Hanaa Jebril

Comfort Dental - Lafayette

ADP #187 535 W. South Boulder Rd., #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3-4 Vien Tran

Comfort Dental - Lafayette

ADP #187 535 W. South Boulder Rd., #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3 -4 Efren Martinez Dr. Efren Martinez ADP #130 1200 S. Wadsworth 303-733-7533 Lakewood General Dentist **, E1-2, E3-4 Richard Glucksman Alpha Dental XX ADP #3 7373 W. Jefferson, #203 303-988-1530 Lakewood General Dentist C Puja Taneja

Bright Now Dental - Lakewood

ADP #92 7611 W. Colfax Ave., #D 303-202-0900 Lakewood General Dentist *, C James H. Mason Colo Orthodontics Not Needed 12018 W. Jewell Ave., #B 303-980-6411 Lakewood Orthodontist None John Bailey Colo Orthodontics Not Needed 12018 W. Jewell Ave., #B 303-980-6411 Lakewood Orthodontist None Damon C. WIlkerson Colo Orthodontics Not Needed 12018 W. Jewell Ave., #B 303-980-6411 Lakewood Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 1840 S. Wadsworth Blvd. 303-988-0844 Lakewood Orthodontist None Wojciech Bobak Dr. Wojciech Bobak Not Needed 1840 S. Wadsworth Blvd. 303-988-0844 Lakewood Orthodontist None Andrey Nazarov

Front Range Ortho

Not Needed 7125 W. Jefferson, #380 303-989-5607 Lakewood Orthodontist None Zachery Bacus

Highplains Community Health Center

ADP #54 200 Kendall Drive 719-336-8445 Lamar General Dentist **, C, E1-2 Ibraheem Ackall

Highplains Community Health Center

ADP #54 200 Kendall Drive 719-336-8445 Lamar General Dentist **, C, E1-2 Bill Bender Dr. Bill Bender ADP #23 202 2nd St. 970-284-7930 Lasalle General Dentist *, **, C, E1-2 Thomas Klumb

Comfort Dental - Littleton

ADP #182

8420 W. Coal Mine Ave.

303-904-2273

Littleton

General Dentist

*, C, E1-2, E3-4

Bill Oldershaw

ADP #182

303-904-2273

Littleton

General Dentist

*, C, E1-2, E3-4

Brad Weekes

ADP #182

303-904-2273

Littleton

General Dentist

*, C, E1-2, E3-4

Steven Echols

Belleview Dental Associates

ADP #69 10184 W. Belleview 303-932-1077 Littleton General Dentist * Ellias Najjar

Belleview Dental Associates

ADP #69 10184 W. Belleview 303-932-1077 Littleton General Dentist * Margareta Pavel

Dutch Creek Dental

ADP #78

8370 W. Coal Mine Ave., #103

303-978-1522

Littleton

General Dentist

*, C, E1-2, E3-4

Hilary Neilberg-Baskin

Comfort Smile Center

Not Needed 5055 S. Kipling Pkwy. 303-933-8464 Littleton Orthodontist None Michael D. Bellon Dr. Michael D. Bellon Not Needed 7325 S. Pierce St., #204 303-933-6830 Littleton Orthodontist None Robert B. Gardner Dr. Robert B. Gardner Not Needed 9878 W. Belleview Ave. 303-978-1316 Littleton Orthodontist None Voytek Bobak Dr. Voytek Bobak Not Needed 5728 S. Gallup St. 303-794-4043 Littleton Orthodontist None

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10/20/2006

NAME

OFFICE NAME

PROVIDER

ADDRESS

PHONE

CITY

SPECIALTY

CODES

Wojciech Bobak Dr. Wojciech Bobak Not Needed 5728 S. Gallup St. 303-794-4043 Littleton Orthodontist None Paul Rocke

Front Range Orthodontic

Not Needed

200 West County Line Rd., #340

303-730-7002 Littleton Orthodontist None David Albert Personalized Orthodontic Not Needed 7889 S. Lincoln Ct., #102 303-798-0928 Littleton Orthodontist None Eunic P. Lee SouthPark Orthodontics Not Needed

8199 South Park Lane #150

303-738-8828 Littleton Orthodontist * Amir R. Fereydouni SouthPark Orthodontics Not Needed

8199 South Park Lane #150

303-738-8828

Littleton

Orthodontist

*

Jason Ray

Blue Mesa Dental - Lone Tree

ADP #176 10047 Park Meadows Dr. #B 303-768-8848 Lone Tree General Dentist C, E1-2, E3-4 Richard Handelman

Blue Mesa Dental - Lone Tree

ADP #176 10047 Park Meadows Dr. #B 303-768-8848 Lone Tree General Dentist C, E1-2, E3-4 Matthew Draper

Comfort Dental - Longmont

ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Jolly Johnson

Comfort Dental - Longmont

ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Steven Perry

ADP #172 1260 S. Hover Rd., #H 303-678-1125 Longmont General Dentist *, C, E1-2, E3-4 Ronald Magnuson

ADP #172 1260 S. Hover Rd., #H 303-678-1125 Longmont General Dentist *, C, E1-2, E3-4 Robert Hamblin

ADP #172 1260 S. Hover Rd., #H 303-678-1125 Longmont General Dentist *, C, E1-2, E3-4 Stephen Brown

Affordable Dental Clinic

ADP #22 2051 Terry St. 303-678-7232 Longmont General Dentist *, E1-2 John Weber

Comfort Dental - Louisville

ADP #17 339 McCaslin Blvd., #B 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4, N Kelvin Webster

Comfort Dental - Louisville

ADP #17 339 McCaslin Blvd., #B 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4 , N Jonathan Weinbach

Smile Zone Orthodontics

Not Needed 1075 S. Boulder Rd., #235 303-604-0300 Louisville Orthodontist None

Ciaran Finbar Murphy

Bright Now Dental - Loveland

ADP #146 1440 W. 29th St., #400 970-622-0922 Loveland General Dentist **, E1-2 Charles Stirewalt

Bright Now Dental - Loveland

ADP #146 1440 W. 29th St., #400 970-622-0922 Loveland General Dentist **, E1-2 J. Kallio

Comfort Dental - Thompson Valley

ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N King Campbell

ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N Douglas Haschke

ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N K. Sorensen

ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N Alois Tripam

ADP #185 1405 10th St. S.W. 970-962-9995 Loveland General Dentist C, E1-2, N Stuart Moss

Stuart Moss & Associates

ADP #4 421 W. 104th Ave., #201 303-427-6462 Northglenn General Dentist *, **, C, E1-2 Scott Welch

Stuart Moss & Associates

ADP #4 421 W. 104th Ave., #201 303-427-6462 Northglenn General Dentist *, **, C, E1-2 Michael G. Hale Dr. Michael G. Hale ADP #27 9750 E. Parker Square Dr. #105 303-841-3322 Parker General Dentist C, N Roger B. Elton Dr. Roger B. Elton Not Needed 10522 S. Parker Rd. 303-364-6433 Parker Orthodontist None Andrey Nazarov

Front Range Ortho

Not Needed 11211 S. Dransfeldt Rd. #122 720-842-4544 Parker Orthodontist None Anthony Knowlton

Sandalwood Dental Care Center

ADP #42 3939 Sandalwood Lane 719-564-5833 Pueblo General Dentist *, C, E1-2, E3-4 Richard C. Moreschini Dr. Richard C. Moreschini ADP #52 1000 W. 6th St. 719-542-7420 Pueblo General Dentist C, E1-2, N Christopher Hasselback

Comfort Dental - Pueblo - North

ADP #63 2025 W. US Hwy. 50, Ste. A 719-542-2472 Pueblo General Dentist *, **, C , E1-2, E3-4 Phillip Holden

ADP #63 2025 W. US Hwy. 50, Ste. A 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Steve Carter

ADP #63 2025 W. US Hwy. 50, Ste. A 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3 -4

Bradley Michael Almond

Comfort Dental - Pueblo - South

ADP #80 1221 S. Pueblo Blvd. 719-565-2274 Pueblo General Dentist *, **, C, E1-2 , E3-4

Russell Allen Poole

Comfort Dental - Pueblo - South

ADP #80 1221 S. Pueblo Blvd. 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E 3-4 Gino Ortegon Dr. Gino Ortegon ADP #85 401 W.12th St. 719-583-0555 Pueblo General Dentist **, C, E1-2, N Gary Graves Dr. Gary Graves ADP #99 2099 W. Highway 50, #120 719-542-3595 Pueblo General Dentist *, **, C, E1-2 Howard Stringert Dr. Howard Stringert Not Needed 3955 Sandelwood Lane 719-564-3333 Pueblo Orthodontist None Gary Weber Dr. Gary Weber ADP #15 1402 S. 3rd Ave. 970-522-6280 Sterling General Dentist *, C, E1-2, E3-4 Greg Schlagel

AAA Family Dental Center

ADP #154 710 Eppinger Blvd. 303-289-3358 Thornton General Dentist *, C, E1-2, E3-4, N Damon C. WIlkerson Colo Orthodontics Not Needed 3984 E. 120th Ave. 303-428-8800 Thornton Orthodontist None John Bailey Colo Orthodontics Not Needed 3984 E. 120th Ave. 303-428-8800 Thornton Orthodontist None James H. Mason Colo Orthodontics Not Needed 3984 E. 120th Ave. 303-428-8800 Thornton Orthodontist None Greg Stoll Dr. Greg Stoll Not Needed 3861 E. 120th Ave. 303-450-2211 Thornton Orthodontist None Michael D. Bellon

Family Dental Care VII

Not Needed 2200 E. 104th Ave. 303-208-7385 Thornton Orthodontist None Jack Moss

ADP #129 7970 Sheridan Blvd., 3rd Fl. 303-427-0730 Westminster General Dentist *, C, E1-2, E3-4 Steven Perry

ADP #129 7970 Sheridan Blvd., 3rd Fl. 303-427-0730 Westminster General Dentist *, C, E1-2, E3-4

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Alp