Dental Directory 2012 - Alignment Health Plan

Transcripción

1-866-646-CCHP (2247) | TTY: 1-866-516-9366
Monday through Sunday, 8:00 a.m. to 8:00 p.m.
www.citizenschoicehealth.com
Dental Directory 2012
DIRECTORIO DENTAL
H3815_11079EN CMS APPROVED 08022011
H3815_11079ES CMS APPROVED 08022011
Citizens Choice Healthplan HMO
Sunny Choice Dental Plan 800®-SC
This directory provides a list of Sunny Choice Dental Plan 800®-SC’s network dental
providers. This directory is for all of Los Angeles County, Northern Orange County
(Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Fountain Valley, Fullerton, Garden
Grove, Huntington Beach, La Habra, La Palma, Midway City, Orange, Placentia, Santa
Ana, Seal Beach, Stanton, Sunset Beach, Surfside, Tustin, Villa Park, Westminster and
Yorba Linda), portions of San Bernardino County (Adelanto, Angelus Oaks, Apple
Valley, Barstow, Big Bear City, Big Bear Lake, Bloomington, Blue Jay, Bryn Mawr, Cedar
Glen, Cedarpines Park, Chino, Chino Hills, Cima, Colton, Crest Park, Crestline, Daggett,
Fawnskin, Fontana, Forest Falls, Grand Terrace, Green Valley Lake, Guasti, Helendale,
Hesperia, Highland, Hinkley, Joshua Tree, Lake Arrowhead, Landers, Loma Linda,
Lucerne Valley, Ludlow, Lytle Creek, Mentone, Montclair, Morongo Valley, Mountain
Pass, Newberry Springs, Ontario, Oro Grande, Patton, Phelan, Pinon Hills, Pioneertown,
Rancho Cucamonga, Redlands, Rialto, Rimforest, Running Springs, San Bernardino,
Skyforest, Sugarloaf, Twentynine Palms, Twin Peaks, Upland, Victorville, Wrightwood,
Yermo, Yucaipa, Yucca Valley) and also portions of Riverside County (Banning,
Beaumont, Cabazon, Calimesa, Cathedral City, Coachella, Corona, Desert Hot Springs,
Indian Wells, Indio, La Quinta, Lake Elsinore, March Air Reserve Base, Mecca, Mira Loma,
Moreno Valley, Norco, North Palm Springs, Palm Desert, Palm Springs, Perris, Rancho
Mirage, Riverside, Sun City, Thermal, Thousand Palms, White Water), please refer to
Section 1 for zip codes.
This directory is current as of October 2011. Some network providers may have been
added or removed from our network after this directory was printed. We do not guarantee
that each provider is still accepting new members. To get the most up-to-date information
about Sunny Choice Dental Plan 800®-SC’s network dental providers in your area, you can
visit www.sunnychoicedental.com or call our Member Service Department at 1-866634-CCHP (2247), Monday through Sunday, 8:00 a.m. to 8:00 p.m. (including holidays).
TTY users should call 1-866-516-9366.
An HMO with a Medicare contract. This document may be available in an alternate format
such as Braille, larger print or audio. This information is available for free in other languages.
Please contact our Member Services Department at 1-866-634-2247 for additional
information.
Esta información esta disponible en otros idiomas sin costo alguno.Por favor comunicarse
al Departamento de Membrésia al 1-877-399-2247 si desea información adicional.
Introduction
Citizens Choice Healthplan (CCHP) HMO
proudly offers Sunny Choice Dental Plan
800®-SC. This comprehensive dental plan
has no monthly premium, no deductibles
and low cost co-payments for more than 250
procedures that include checkups, cleanings,
gum care, and restorative work. A more
detailed listing of covered dental services is
listed on the chart located on page 16.
CCHP HMO contracts with LIBERTY Dental
Plan of California Inc. (LDP) to provide your
dental and administrative services through
its special plan Sunny Choice Dental
Plan 800®-SC.
Sunny Choice Dental Plan 800®-SC is
affordable and easy to use! There are virtually
no claim forms to complete, and this full service
dental plan offers up to 50% discounted fees
on basic services. Specialty referral benefits
have no annual or lifetime maximum.
Enrolling onto the Sunny Choice Dental Plan
800®-SC is simple! You do not have to sign
any extra forms; you automatically become
a member of Sunny Choice Dental Plan
800®-SC when you become a member of
CCHP HMO. Your enrollment is effective the
first day of the month, following the date you
signed up for services. For example, if you
sign up on September 15th, your effective
date will be October 1st. If you sign up
during an Initial Enrollment Period, your
effective date may vary.
2
Introduction
Section 1
You are not required to select a
specific dentist at the time of enrollment.
However, you must use Sunny Choice
Dental Plan 800®-SC contracted providers
to utilize dental benefits. These contracted
providers are listed in this directory.
The most current provider information
may also be found on the Sunny
Choice Dental Plan 800®-SC website at
www.sunnychoicedental.com or through
LDP’s website www.libertydentalplan.com.
Always check with your dental office before
receiving services to make sure they are
a Sunny Choice Dental Plan 800®-SC
contracted provider.
You may contact LDP via telephone toll
free at 1-888-273-3183 Monday through
Friday between the hours of 8:00 a.m.
and 5:00 p.m. (excluding holidays). Sunny
Choice Dental Plan 800®-SC has bilingual
representatives that can assist in the
language most convenient for you.
The chart listed in this section shows all your
covered dental procedures and co-payments.
Not all benefits may be suitable for you. Your
dentist will determine the appropriate care
that you may need. The co-payments listed
in the chart apply for services only when
prescribed by a contracted LDP provider
as a necessary, adequate and appropriate
procedure for your dental condition.
What is the service area for Citizens Choice Healthplan HMO?
The service area for this plan includes: Los Angeles, Orange,* Riverside* and San Bernardino*
Counties, CA. You must live in one of these areas to join this plan.
Los Angeles County
ALL ZIP CODES
Orange County
90620
90621
90623
90630
90631
90680
90720
90740
90742
90743
92626
92627
92646
92647
92648
92649
92655
92683
92701
92703
92704
92705
92706
92707
92708
92780
92782
92801
92802
92804
92805
92806
92807
92808
92821
92823
92831
92832
92833
92835
92840
92841
92843
92844
92845
92861
92862
92865
92866
92867
92868
92869
92870
92886
92887
Riverside County
91752
92028
92201
92202
92203
92210
92211
92220
92223
92230
92234
92235
92236
92240
92241
92247
92248
92253
92254
92255
92258
92260
92261
92262
92263
92264
92270
92274
92276
92282
92292
92320
92324
92373
92399
92501
92502
92503
92504
92505
92506
92507
92508
92509
92513
92514
92515
92516
92517
92518
92519
92521
92522
92530
92531
92532
92536
92539
92543
92544
92545
92546
92548
92549
92551
92552
92553
92554
92555
92556
92557
92561
92562
92563
92564
92567
92570
92571
San Bernardino County
92572
92581
92582
92583
92584
92585
92586
92587
92589
92590
92591
92592
92593
92595
92596
92599
92860
92877
92878
92879
92880
92881
92882
92883
91701
91708
91709
91710
91729
91730
91737
91739
91743
91758
91761
91762
91763
91764
91766
91784
91785
91786
91798
92252
92256
92268
92277
92278
92284
92285
92286
92301
92305
92307
92308
92311
92312
92313
92314
92315
92316
92317
92318
92321
92322
92323
92324
92325
92326
92327
92329
92331
92333
92334
92335
92336
92337
92338
92339
92340
92341
92342
92344
92345
92346
92347
92350
92352
92354
92356
92357
92358
92359
92365
92366
92368
92369
92371
92372
92373
92374
92375
92376
92377
92378
92382
92385
92386
92391
92392
92393
92394
92395
92397
92398
92399
92401
92402
92403
92404
92405
92406
92407
92408
92410
92411
92412
92413
92414
92415
92416
92418
92420
92423
92424
92427
*Indicates a partial county
If you have any questions about this plan’s benefits or costs, current members please call 1-866-634-CCHP (2247), 3
prospective members please call 1-866-646-CCHP (2247) *TTY: 1-866-516-9366.
*This number is for people who have difficulties with hearing or speech. You need special telephone equipment to use it.
Optional dental treatment
Optional dental treatment is any procedure
that is:
• A dental laboratory upgrade of a standard
covered material(s) (members may be
charged a surcharge based on the
additional laboratory costs) or
• A more extensive covered service that is
an alternative to an adequate, but more
conservative, covered dental service. If
you choose a more extensive treatment
than what is recommended by your dentist
or that is an alternative to an adequate, but
more conservative covered dental service,
you must pay the difference between
your selected dental office’s usual and
customary fee for the more extensive
treatment, and the usual and customary
fee for the covered benefit. You must
also pay the co-payment for the covered
benefits that are listed in the dental
procedures chart.
Sometimes, there are several clinical
options that are professionally recognized
and could be considered for you by your
dentist. To ensure that you receive acceptable
dental benefits in a consistent manner,
LDP publishes its Governing Administrative
Policies (GAPs), and other clinical criteria
and guidelines, and distributes them to
contracted dentists.
4
Introduction
This document is revised periodically to
incorporate guidelines under which some
treatments should be considered covered
or optional. Your dentist may refer to these
guidelines to determine the treatment plan
to be utilized.
For more information, you may consult
with your dental provider or contact
Citizens Choice Healthplan HMO Member
Services at 1-866-634-2247, (TTY: 1-866516-9366) Monday through Sunday between
8:00 a.m. and 8:00 p.m. (including holidays).
Emergency dental care
Emergency dental care is any dental
service (provided inside or outside the
Citizens Choice Healthplan HMO service area)
required for treatment of severe pain, swelling,
bleeding, or the diagnosis and treatment of
unforeseen dental conditions which, if not
treated immediately, may lead to disability,
dysfunction, or permanent damage
to your health.
In-area emergency dental care
If you feel you require emergency dental care
and you are within your Citizens Choice
Healthplan HMO service area, call your
selected general dentist immediately. The
dental office personnel will advise you what to
do. Your dental office is available in an
emergency 24 hours a day, 7 days a week.
Out-of-area emergency
dental care
If you are outside your Citizens Choice
Healthplan HMO service area and are in need
of emergency dental care, you may go to any
licensed dentist. The services you receive
from the out-of-area dentist are covered
up to $75 (minus any applicable member
co-payments) as long as a transfer to a
network provider is a risk to your health.
To obtain reimbursement, submit your
request for reimbursement, payment
receipt, and description of services
rendered in writing to:
17315 Studebaker Road, Suite 200
Cerritos, CA 90703
There are time limits for filing claims
for reimbursement. Generally, bills for
reimbursement must be submitted to
LDP within 6 months of the date of service,
unless there is a reason for filing later.
Denial of a reimbursement
claim for out-of-area emergency
dental care
If your claim for reimbursement of out-of-area
emergency dental care is partially or fully
denied, LDP will notify you in writing of the
decision. The notice states the specific reason
for the denial and informs you that you may
request a reconsideration of the denial.
To request a review of the denial or partial
denial, submit a written notice to Citizens
Choice Healthplan HMO within sixty (60) days
of receiving the denial notice.
Getting a referral to a
Dental Specialist
Your selected primary care dentist will
assess whether you need a referral to
a dental specialist. In cases involving
dental emergencies that need the care of a
specialist, your selected primary care dentist
will contact LDP by telephone to request an
emergency referral. For non-emergency
referrals, the following procedures apply:
• Your selected primary care dentist
completes a written referral form for
you and mails it to LDP.
• LDP staff processes the referral request
and has a dentist review the request.
The referral, if approved by LDP, is made
to a specialist contracted with LDP who
practices in your area. If there are no
contracted specialists located in your area,
LDP may approve treatment by a noncontracted specialist in your area.
For dental benefits to be covered by a LDP
specialist, you must first obtain a referral from
your LDP primary care dentist.
When approved, specialty services are
provided, and your responsibility is limited
to applicable co-payments.
• There is no annual maximum for covered
specialty care services.
If LDP has not authorized your referral to a
specialist, in writing and in advance, LDP is
not obligated to pay for services performed.
Obtaining a second opinion
for dental care
You may request a second opinion about your
dental care from another dentist who
contracts with LDP if:
• You are not satisfied with treatment you
received from your selected dentist;
• You are uncertain about a proposed
treatment plan;
6
Introduction
• You do not agree with the
recommendations of your selected
dentist and/or the LDP Director; or
• You are dissatisfied with the quality
of dental work being performed.
Price comparison regarding a proposed
procedure or treatment plan is not sufficient
grounds for obtaining a second opinion.
To request a second opinion, call
Services at 1-866-634-2247, TTY: 1-866516-9366 Monday through Sunday between
8:00 a.m. and 8:00 p.m. (including holidays).
Citizens Choice Healthplan HMO’s Dental
Consultant shall review your request.
Selecting another dentist
You may select any provider within LPD’s
provider network, if you are not satisfied with
the dentist you selected. Simply contact
Services Department at 1-866-634-2247,
TTY: 1-866-516-9366 Monday through
Sunday between 8:00 a.m. and 8:00 p.m.
(including holidays) and request another
dentist.
Note: If you owe your dentist any money
at the time you want to transfer to another
dentist, you must first pay any monies owed
to your current dentist. If you transfer dentists,
you are responsible for a nominal fee for the
duplication and transfer of X-rays or other
records to your new dentist.
Contracted dentists may terminate a member
from their practice when a breakdown in a
workable doctor-patient relationship occurs
or cannot be established. LDP cannot compel
or require a contracted dentist to treat any
member for any reason. LDP customer
service representatives will assist members
in selecting a new dentist; please contact
Member Services at 1-888-273-3183. LDP
will notify you at least thirty (30) days prior
to the dentist’s effective termination date
so that you may select another dentist.
If you are notified by LDP or by the dentist
that this has occurred, fees for the duplication
and transfer of X-rays or other records are
waived. You may contact Citizens Choice
Healthplan HMO Member Services
Department at 1-866-634-2247, TTY: 1-866516-9366 between 8:00 a.m. and 8:00 p.m.
(including holidays) for assistance
in transferring to another provider.
Members may not usually transfer dentists
while in the middle of a multi-visit procedure
where a final impression for a fabrication
of a dental appliance has occurred, unless
exceptional cause can be shown. This
includes crowns, inlays and onlays (advanced
restorative procedures), removable partial
dentures and complete dentures (removable
prosthodontics) and components of bridges
(fixed prosthodontics).
In cases where LDP allows for transfer in midprocedure, you may be charged for laboratory
charges incurred by the dentist in fabricating
the dental appliance. The charges may not
exceed the listed co-payments for the
covered procedures. In addition, you may be
charged for laboratory charges for optional
features ordered for you by your dentist.
If your dentist no longer
contracts with LIBERTY Dental
Plan of California, Inc.
If the dentist is unable to continue to contract
with LDP or if LDP cancels the contract, LDP
will notify you at least thirty (30) days prior to
the dentist’s effective termination date. Your
fees for the duplication and transfer of X-rays
or other records will be waived.
8
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Sunny Choice Dental Plan 800®-SC
Este directorio le muestra una lista de los proveedores dentales de la red de Sunny Choice Dental
Plan 800®-SC’s. Este directorio es para todo el Condado de Los Ángeles, Norte del Condado
de Orange (Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Fountain Valley, Fullerton, Garden
Grove, Huntington Beach, La Habra, La Palma, Midway City, Orange, Placentia, Santa Ana, Seal
Beach, Stanton, Sunset Beach, Surfside, Tustin, Villa Park, Westminster and Yorba Linda), partes
del Condado de San Bernardino (Adelanto, Angelus Oaks, Apple Valley, Barstow, Big Bear City,
Big Bear Lake, Bloomington, Blue Jay, Bryn Mawr, Cedar Glen, Cedarpines Park, Chino, Chino
Hills, Cima, Colton, Crest Park, Crestline, Daggett, Fawnskin, Fontana, Forest Falls, Grand Terrace,
Green Valley Lake, Guasti, Helendale, Hesperia, Highland, Hinkley, Joshua Tree, Lake Arrowhead,
Landers, Loma Linda, Lucerne Valley, Ludlow, Lytle Creek, Mentone, Montclair, Morongo Valley,
Mountain Pass, Newberry Springs, Ontario, Oro Grande, Patton, Phelan, Pinon Hills, Pioneertown,
Rancho Cucamonga, Redlands, Rialto, Rimforest, Running Springs, San Bernardino, Skyforest,
Sugarloaf, Twentynine Palms, Twin Peaks, Upland, Victorville, Wrightwood, Yermo, Yucaipa, Yucca
Valley) y partes del Condado de Riverside (Banning, Beaumont, Cabazon, Calimesa, Cathedral
City, Coachella, Corona, Desert Hot Springs, Indian Wells, Indio, La Quinta, Lake Elsinore, March Air
Reserve Base, Mecca, Mira Loma, Moreno Valley, Norco, North Palm Springs, Palm Desert, Palm
Springs, Perris, Rancho Mirage, Riverside, Sun City, Thermal, Thousand Palms, White Water), por
favor revise la sección 1 donde encontrará la lista de códigos postales.
Este directorio es corriente desde Octubre del 2011. Algunos proveedores de la red pueden
haberse añadido o removido de nuestra red después de que este directorio fue impresado. No
podemos guarantizar que cada proveedor este acceptado nuevos miembros. Para obtener la
información más corriente acerca de los proveedores dentales de la red de Sunny Choice Dental
Plan 800®-SC’s en su área, Puede visitar nuestro sitio web al www.sunnychoicedental.com o llamen
a nuestro Departamento de Membresía al 1-877-399-CCHP (2247) de lunes a domingo, de 8:00
am a 8:00 pm (incluyendo días festivos). Los usuarios de TTY deben de llamar al 1-866-516-9366.
Un Plan de Salud HMO con un contrato con Medicare. Este documento puede ser disponible
en diferentes formatos incluyendo en Braille, imprenta más grande o audio. Esta información
esta disponible en otros idiomas sin costo alguno. Por favor comunicarse al Departamento de
Membrésia al 1-877-399-2247 si desea información adicional.
This information is available for free in other languages. Please contact our Member Services
Department at 1-866-634-2247 for additional information.
Introducción
Citizens Choice Healthplan (CCHP) HMO
(CCHP (*HMO), por sus siglas en Inglés)
orgullosamente ofrece los servicios de Sunny
Choice Dental Plan 800®-SC. Este completo
plan dental no requiere de una prima
mensual, no tiene deducibles y tiene
co-pagos bajos que cubren más de 250
procedimientos tales como chequeos,
limpiezas, cuidado de las encías, y trabajo de
restauración. Para una lista más detallada de
los servicios dentales cubiertos vea la tabla
de la pagina 16.
CCHP HMO tiene un contrato con LIBERTY
Dental Plan of California Inc. (LDP por sus
siglas en Inglés) para proveerle sus servicios
dentales y administrativos por medio del plan
especial Sunny Choice Dental Plan 800®-SC.
Sunny Choice Dental Plan 800®-SC es un
plan económico y fácil de usar. Prácticamente
no hay formularios de reclamos que completar
y este plan de servicio dental le ofrece hasta
50% de descuento en tarifas de servicios
básicos. Las remisiones a especialistas no
tienen un máximo anual o de por vida.
Inscribirse en Sunny Choice Dental Plan
800®-SC es fácil! No necesita llenar ningún
formulario adicional, automáticamente será
miembro de Sunny Choice Dental Plan
800®-SC cuando se convierta en miembro de
CCHP HMO. Su fecha de inscripción entra en
efecto el primer día del mes posterior a la
fecha en que se inscribió para obtener dichos
servicios. Por ejemplo, si se inscribió en
*HMO: Organizacion de Mantenimiento de Salud.
10
Introducción
Sección 1
septiembre 15, su fecha de inicio será
octubre 1º. Si se inscribe durante el periodo
de inscripción inicial, su fecha de inicio
puede variar.
No se requiere que seleccione un odontólogo
específico cuando se inscriba. Sin embargo,
debe acudir a los proveedores que contratan
con Sunny Choice Dental Plan 800®-SC
para utilizar los beneficios dentales. Estos
proveedores contratados están listados en
este directorio. También puede encontrar la
información más actualizada acerca de
nuestros proveedores en el sitio en Internet
de Sunny Choice Dental Plan 800®-SC.,
www.sunnychoicedental.com o en el sitio en
Internet de LDP, www.libertydentalplan.com.
Consulte siempre con su consultorio dental
antes de recibir servicios para asegurarse que
tienen proveedores contratados con Sunny
Choice Dental Plan 800®-SC.
Puede llamar gratuitamente a LDP marcando
el 1-888-273-3183 de lunes a viernes entre
las 8:00 am y las 5:00 pm (excluyendo
días festivos). Sunny Choice Dental Plan
800®-SC cuenta con representantes bilingües
que lo pueden asistir en el idioma que sea
más conveniente para usted.
La tabla listada en esta sección le indica
los procedimientos dentales cubiertos y sus
co-pagos. No todos los beneficios pueden
ser apropiados para usted. Su odontólogo
determinará el cuidado apropiado que
necesite. Los co-pagos listados en la tabla
son aplicables por los servicios solamente
cuando son recetados por un proveedor
contratado por LDP, si considera el
procedimiento necesario, adecuado y
apropiado para su condición dental.
Cual es el área geográfica de servicios para
Citizens Choice Healthplan HMO?
El área de servicio para este plan incluye: Los Condados de Los Ángeles, *Orange, *Riverside y *San
Bernardino, CA. Usted debe vivir en una de estas áreas para afiliarse al plan.
Condado de Los Ángeles
TODOS LOS CODIGOS
POSTALES
Condado de Orange
90620
90621
90623
90630
90631
90680
90720
90740
90742
90743
92626
92627
92646
92647
92648
92649
92655
92683
92701
92703
92704
92705
92706
92707
92708
92780
92782
92801
92802
92804
92805
92806
92807
92808
92821
92823
92831
92832
92833
92835
92840
92841
92843
92844
92845
92861
92862
92865
92866
92867
92868
92869
92870
92886
92887
Condado de Riverside
91752
92028
92201
92202
92203
92210
92211
92220
92223
92230
92234
92235
92236
92240
92241
92247
92248
92253
92254
92255
92258
92260
92261
92262
92263
92264
92270
92274
92276
92282
92292
92320
92324
92373
92399
92501
92502
92503
92504
92505
92506
92507
92508
92509
92513
92514
92515
92516
92517
92518
92519
92521
92522
92530
92531
92532
92536
92539
92543
92544
92545
92546
92548
92549
92551
92552
92553
92554
92555
92556
92557
92561
92562
92563
92564
92567
92570
92571
92572
92581
92582
92583
92584
92585
92586
92587
92589
92590
92591
92592
92593
92595
92596
92599
92860
92877
92878
92879
92880
92881
92882
92883
Condado de San Bernardino
91701
91708
91709
91710
91729
91730
91737
91739
91743
91758
91761
91762
91763
91764
91766
91784
91785
91786
91798
92252
92256
92268
92277
92278
92284
92285
92286
92301
92305
92307
92308
92311
92312
92313
92314
92315
92316
92317
92318
92321
92322
92323
92324
92325
92326
92327
92329
92331
92333
92334
92335
92336
92337
92338
92339
92340
92341
92342
92344
92345
92346
92347
92350
92352
92354
92356
92357
92358
92359
92365
92366
92368
92369
92371
92372
92373
92374
92375
92376
92377
92378
92382
92385
92386
92391
92392
92393
92394
92395
92397
92398
92399
92401
92402
92403
92404
92405
92406
92407
92408
92410
92411
92412
92413
92414
92415
92416
92418
92420
92423
92424
92427
*Indica un Condado parcial
Si tiene preguntas sobre los costos o beneficios de este plan, los miembros actuales deben llamar
al 1-877-399-CCHP (2247) y los miembros potenciales al 1-866-646-CCHP (2247) *TTY: 1-866-516-9366.
*Este número es para personas con dificultades auditivas o del habla. Para usarlo, se necesita un equipo telefónico especial.
11
Tratamiento dental opcional
El tratamiento dental opcional es cualquier
procedimiento que:
• Mejora de laboratorio dental de materiales
estándares cubiertos (se puede cobrar a
los miembros un recargo basado en los
costos adicionales de laboratorio) o
• Es un servicio más extenso que sea una
alternativa a un servicio dental cubierto
adecuado, pero más conservador. Si
elige un tratamiento más extenso que lo
recomendado por el odontólogo, o a lo
que sea una alternativa a un servicio dental
cubierto adecuado, pero más conservador,
usted debe pagar la diferencia entre la
tarifa usual y acostumbrada del consultorio
dental que eligió, el costo del tratamiento
más extenso, y el costo usual del beneficio
cubierto. También debe pagar el co-pago
por los beneficios cubiertos que aparecen
en la tabla de procedimientos dentales.
En ocasiones, existen varias opciones
clínicas profesionalmente reconocidas
que pueden ser consideradas para usted
por su odontólogo. Para asegurarse que
reciba beneficios dentales aceptables
constantemente, LPD publica sus Pólizas
Administrativas Vigentes (GAPs, por sus
siglas en Inglés), y otros criterios y pautas
clínicas que se distribuyen a los odontólogos
contratados.
12
Introducción
Este documento es revisado periódicamente
para incorporar pautas bajo las cuales
algunos tratamientos deben ser considerados
cubiertos u opcionales. Su odontólogo puede
usar estas pautas para determinar el plan
de tratamiento que debe ser utilizado.
Para obtener más información, puede
consultar con su proveedor dental o llamar
al Departamento de Membresía de Citizens
Choice Healthplan HMO al 1-877-399-2247,
TTY: 1-866-516-9366, de lunes
a domingo, de 8:00 am a 8:00 pm
(incluyendo días festivos).
Cuidado dental de emergencia
El cuidado dental de emergencia se define
como cualquier servicio dental requerido
(proveído dentro o fuera del área de servicio
de Citizens Choice Healthplan HMO) para
tratamiento de dolor agudo, hinchazón,
sangrado, o la diagnósis y tratamiento de
una condición dental imprevista que, si no
es tratada inmediatamente, podría provocar
discapacidad, disfunción, o daño permanente
a su salud.
dentro del área de servicio
Si usted se encuentra dentro del área de
servicio de Citizens Choice Healthplan HMO,
llame inmediatamente al odontólogo general
que eligió, si considera que requiere cuidado
dental de emergencia. El personal del
consultorio odontológico le aconsejará que
hacer. Su consultorio odontológico esta
disponible las 24 horas, los 7 días de la
semana en un caso de emergencia.
fuera del área de servicio
Si usted se encuentra fuera del área de
servicio de Citizens Choice Healthplan HMO y
necesita ayuda dental de emergencia, puede
visitar cualquier odontólogo certificado. Los
servicios que reciba del odontólogo fuera del
área, están cubiertos por hasta $75 (menos
cualquier co-pago aplicable) en caso que el
cambio a un proveedor de la red ponga en
riesgo su salud. Para obtener un reembolso,
envíe por escrito su petición de reembolso,
recibo de pago, y descripción de los servicios
obtenidos a:
17315 Studebaker Road, Suite 200
Cerritos, CA 90703
Existen límites de tiempo para reclamar los
reembolsos. Generalmente, las facturas de
reembolso deben ser enviadas a LPD dentro
de un periodo de 6 meses a partir de la fecha
de haber obtenido el servicio, a no ser que
haya una razón para enviarlo pasada la fecha.
Rechazo de un reclamo de
reembolso por cuidado dental
de emergencia fuera del área
Si su reclamo de reembolso por cuidado
dental de emergencia fuera del área es
rechazado totalmente o parcialmente, LDP
le informará por escrito su decisión. El aviso
le explicará el motivo específico del rechazo
y le informará que puede solicitar una
reconsideración del rechazo.
Para solicitar una revisión del rechazo total o
parcial, envíe un aviso por escrito a Citizens
Choice Healthplan HMO dentro de los
sesenta (60) días de haber recibido el aviso
de rechazo.
Obteniendo una referencia
a un especialista dental
Su odontólogo de cuidado primario
seleccionado evaluará si usted necesita
una referencia a un especialista dental. En
casos que involúcran emergencias dentales
que requieren el cuidado de un especialista,
su odontólogo primario se contactará por
teléfono con LPD para solicitar una referencia
de emergencia. Para referencias que no son
de emergencia, se aplicarán los siguientes
procedimientos:
• Su odontólogo primario seleccionado
completará un formulario de referencia por
escrito y lo envíará por correo a LPD.
13
• El personal de LPD procesará la solicitud
de remisión y hará que la revise un
odontólogo. Si LPD aprueba la remisión,
ésta será realizada por un especialista
contratado por LPD que ejerza en su
área. Si no hay especialistas contratados
en su área, LPD puede aprobar que
el tratamiento sea proveído por un
especialista no contratado en su área.
Para que los beneficios dentales sean
cubiertos por un especialista de LPD,
primero deberá obtener una referencia de
su odontólogo de cuidado primario de LPD.
Una vez aprobados, servicios especializados
serán proveidos y su responsabilidad se
limitará a los co-pagos aplicables.
• No hay un máximo anual por servicios
cubiertos de cuidado de especialidad.
Si LPD no autoriza su referencia a un
especialista por escrito y con anticipación,
LPD no está obligado a pagar los servicios
proporcionados.
Solicitud de una segunda
opinión de cuidado dental
Usted puede solicitar una segunda
opinión acerca de su cuidado dental
de otro odontólogo que tenga un contrato
con LDP si:
• Usted no está satisfecho con el tratamiento
que recibe de su odontólogo seleccionado;
14
Introducción
• Usted no está seguro acerca de un plan
de tratamiento propuesto;
• Usted no esta de acuerdo con las
recomendaciones de su odontólogo
seleccionado y/o el Director de LDP; o
• Usted no está satisfecho con la calidad
del trabajo dental obtenido.
La comparación de precios respecto
de un procedimiento o plan de tratamiento
propuesto no constituye un motivo suficiente
para obtener una segunda opinión.
Para solicitar una segunda opinión, llame
TTY: 1-866-516-9366 de lunes a domingo, de
8:00 am – 8:00 pm (incluyendo días festivos).
Un Consejero Dental de Citizens Choice
Healthplan HMO revisará
su solicitud.
Elección de otro odontólogo
Puede elegir cualquier otro proveedor dentro
de la red de proveedores de LPD, si no está
satisfecho con el odontólogo que eligió.
Simplemente llame al Departamento de
Membresía de Citizens Choice Healthplan
HMO al 1-877-399-2247, TTY: 1-866-5169366 de lunes a domingo,
de 8:00 am – 8:00 pm (incluyendo días
festivos) y solicite otro odontólogo.
Nota: Si usted le debe dinero a su odontólogo
en el momento que quiere cambiarse a otro,
primero debe pagar el balance que le deba
a su odontólogo actual. Si cambia de
odontólogo, usted es responsable por una
tarifa nominal por la duplicación y traspaso
de radiografías y otros expedientes a su
nuevo odontólogo.
Los odontólogos contratados pueden dejar
de atender a un miembro si se interrumpe la
relación de médico-paciente o cuando ésta
no puede establecerse. LPD no puede obligar
o persuadir a un odontólogo contratado que
atienda a un miembro por cualquier razón.
Un representante de servicio de LDP le
puede asistir a seleccionar otro odontólogo;
por favor llame al servicio de membresía al
1-888-273-3183. LPD le notificará con al
menos treinta (30) días de anticipación a la
fecha de terminación del odontólogo, para
que pueda elegir otro odontólogo.
Si LDP o el odontólogo le notifican que
ésto ha ocurrido, la tarifa nominal por la
duplicación y traspaso de radiografías y
otros expedientes queda cancelada. Llame
TTY: 1-866-516-9366 de lunes a domingo, de
8:00 am – 8:00 pm (incluyendo días festivos)
para obtener ayuda y cambiar de proveedor.
Usualmente, los miembros no se pueden
cambiar a otros odontólogos en medio de un
procedimiento que requiere múltiples visitas,
cuando se ha tomado un molde final para
fabricar un dispositivo dental, a no ser que
pueda demostrarse un motivo excepcional.
Esto incluye coronas, empastes y
emplomaduras (procedimientos de
restauración avanzados), prótesis dentales
parciales y completas (prostodoncias
removibles) y mecanismos de puentes
(prostodoncias fijas).
En casos cuando LDP permita el traspaso en
medio de un procedimiento, es posible que le
cobren por los cargos de laboratorio que se
le deben al odontólogo que estaba fabricando
el dispositivo dental. Los cargos no deben
exceder la cantidad del co-pago establecido
por los servicios cubiertos. Adicionalmente,
se le pueden cobrar los cargos de laboratorio
por requerimientos adicionales que haya
pedido su odontólogo.
Si su odontólogo ya no tiene
un contrato con LIBERTY
Dental Plan of California, Inc.
Si su odontólogo no puede continuar su
contrato con LDP o si LDP cancela el
contrato, LDP le notificará por lo menos
treinta (30) días antes de la fecha de
terminación del contrato del odontólogo.
Las tarifas por la duplicación y traspaso
de radiografías y otros expedientes serán
canceladas.
15
Covered Benefits / Beneficios Cubiertos
LIBERTY Dental Plan of California, Inc.
SUNNY CHOICE DENTAL PLAN 800TM-SC
CODE DESCRIPTION
DIAGNOSTIC SERVICES
CLINICAL ORAL EVALUATIONS
D0120 Periodic oral evaluation D0140 Limited oral evaluation D0150 Comprehensive oral evaluation
D0160 Oral evaluation, problem focused D0170 Re-evaluation, limited, problem focused D0180 Comprehensive periodontal evaluation RADIOGRAPHS/DIAGNOSTIC IMAGING
D0210 Intraoral, complete series (including bitewings)
D0220 Intraoral, periapical first film D0230 Intraoral, periapical each additional film
D0240 Intraoral, occlusal film D0250 Extraoral, first film D0260 Extraoral, each additional film D0270 Bitewings, single film D0272 Bitewings, 2 films D0273
Bitewings, 3 films
D0274 Bitewings, 4 films D0277
Verticle bitewings, 7 to 8 films
D0330 Panoramic film TESTS AND EXAMINATIONS
D0460
Pulp vitality tests
D0470 Diagnostic casts PREVENTIVE SERVICES
DENTAL PROPHYLAXIS
D1110 Prophylaxis, adult (1 every 6 months/2 total per benefit year)
16 Covered Benefits / Beneficios Cubiertos
MEMBER
CO-PAYMENT
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.00
2.00
5.00
15.00
8.00
2.00
2.00
5.00
2.00
30.00
10.00
10.00
20.00
0.00
CODE DESCRIPTION
TOPICAL FLUORIDE TREATMENT (OFFICE PROCEDURE)
D1204 Topical application of fluoride, adult D1206
Topical fluoride varnish
OTHER PREVENTIVE SERVICES
D1310
Nutritional counseling for control of dental disease
D1320
Tobacco counseling for control/prevention of oral disease
D1330
Oral hygiene instruction
D1351
Sealant, per tooth
SPACE MAINTENANCE (PASSIVE APPLIANCES)
D1510 Space maintainer, fixed, unilateral D1515 Space maintainer, fixed, bilateral D1520
Space maintainer, removable, unilateral
D1525 Space maintainer, removable, bilateral D1550 Recementation of space maintainer D1555
Removal of fixed space maintainer
RESTORATIVE
AMALGAM RESTORATIONS (INCLUDING POLISHING)
D2140 Amalgam, 1 surface, primary or permanent D2150 Amalgam, 2 surfaces, primary or permanent D2160 Amalgam, 3 surfaces, primary or permanent D2161 Amalgam, 4 or more surfaces, primary or permanent RESIN-BASED COMPOSITE RESTORATIONS – DIRECT
D2330 Resin-based composite, 1 surface, anterior D2331 Resin-based composite, 2 surfaces, anterior D2332 Resin-based composite, 3 surfaces, anterior D2335 Resin-based composite, 4 or more surfaces/incisal angle D2390 Resin-based composite crown, anterior D2391
Resin-based composite, 1 surface, posterior
D2392
Resin-based composite, 2 surfaces, posterior
D2393
Resin-based composite, 3 surfaces, posterior
D2394
Resin-based composite, 4 or more surfaces, posterior
MEMBER
CO-PAYMENT
0.00
20.00
0.00
0.00
0.00
10.00
60.00
90.00
70.00
90.00
20.00
25.00
29.00
34.00
39.00
44.00
25.00
39.00
44.00
49.00
49.00
85.00**
120.00**
140.00**
165.00**
Amalgam fillings are benefits on molar and bicuspid teeth (teeth numbers 1-5, 12-21, 28-32). If the member upgrades to a
resin-based composite filling, they will pay the additional co-payment listed for these procedures (D2391-D2394).
**
Los empastes de amalgama son beneficios para molares y premolares (dientes número 1-5, 12-21, 28-32). Si el miembro
prefiere un empaste compuesto a base de resina, pagará el co-pago adicional listado por estos procedimientos (D2391-D2394).
**
CODE DESCRIPTION
INLAY/ONLAY RESTORATIONS
D2510
Inlay, metallic, one surface
D2520 Inlay, metallic, two surfaces D2530 Inlay, metallic, three or more surfaces D2542
Onlay, metallic, two surfaces
D2543 Onlay, metallic, three surfaces D2544 Onlay, metallic, four or more surfaces CROWNS – SINGLE RESTORATIONS ONLY
D2710 Crown, resin-based composite (indirect) D2720 Crown, resin with high noble metal D2721 Crown, resin with predominantly base metal D2722 Crown, resin with noble metal
D2740 Crown, porcelain/ceramic substrate D2750 Crown, porcelain fused to high noble metal D2751 Crown, porcelain fused to predominantly base metal D2752 Crown, porcelain fused to noble metal D2780
Crown, ¾ cast high noble metal
D2781 Crown, ¾ cast predominantly base metal D2782
Crown, ¾ cast noble metal
D2790 Crown, full cast high noble metal D2791 Crown, full cast predominantly base metal D2792 Crown, full cast noble metal D2794
Crown, titanium
OTHER RESTORATIVE SERVICES
D2910
Recement inlay, onlay, or partial coverage restoration
D2915
Recement cast or prefabricated post & core
MEMBER
CO-PAYMENT
230.00*
250.00*
275.00*
300.00*
325.00*
325.00*
150.00
250.00*
225.00
250.00*
250.00
350.00*
325.00
350.00*
350.00*
325.00
350.00*
350.00*
325.00
350.00*
350.00*
20.00
32.00
*
Base metal is the benefit. Noble metal, high noble metal, titanium alloy and titanium, if used, will be charged to the member at the
additional lab cost of the noble metal, high noble metal, titanium alloy or titanium. Exception: Implants and all services associated
with implants are listed at the actual member co-payment amount. No additional fee is allowable for noble metal, high noble metal,
titanium alloy or titanium for implants and procedures associated with implants.
*
El metal base es el beneficio. El metal noble, metal de alta nobleza, aleación de titanio y titanio, si son utilizados, se le
cobrarán al afiliado al cósto adicional de laboratorio del metal noble, metal de alta nobleza, aleación de titanio o titanio.
Excepción: Los implantes y todos los servicios asociados con implantes están listados por la cantidad de co-pago actual.
No es permitida ninguna tarifa adicional para el metal noble, metal de alta nobleza, aleación de titanio o titanio para
implantes y procedimientos asociados con los implantes.
CODE DESCRIPTION
D2920
Recement crown
D2930 Prefabricated stainless steel crown, primary tooth D2931 Prefabricated stainless steel crown, permanent tooth D2932 Prefabricated resin crown D2933 Prefabricated stainless steel crown with resin window D2940 Sedative filling D2950 Core buildup, including any pins D2951
Pin retention, per tooth, in addition to restoration D2952 Post & core in addition to crown, indirectly fabricated D2953
Each additional indirectly fabricated post, same tooth D2954 Prefabricated post & core in addition to crown D2955
Post removal (not in conjunction with endodontic therapy) D2957
Each additional prefabricated post, same tooth
D2980 Crown repair, by report ENDODONTICS
PULP CAPPING
D3110 Pulp cap, direct (excluding final restoration)
D3120 Pulp cap, indirect (excluding final restoration) PULPOTOMY
D3220 Therapeutic pulpotomy (excluding final restoration) ENDODONTIC THERAPY ON PRIMARY TEETH
D3230 Pulpal therapy (resorbable filling), anterior tooth D3240 Pulpal therapy (resorbable filling), posterior tooth ENDODONTIC THERAPY
D3310 Root canal, anterior (excluding final restoration) D3320 Root canal, bicuspid (excluding final restoration) MEMBER
CO-PAYMENT
20.00
38.00
50.00
60.00
50.00
20.00
42.00
27.00
65.00*
50.00*
50.00
30.00
50.00
25.00
15.00
15.00
26.00
30.00
30.00
195.00
255.00
*
*
MEMBER
CODE DESCRIPTION
CO-PAYMENT
D3330 Root canal, molar (excluding final restoration) 295.00
ENDODONTIC RETREATMENT
D3346 Retreatment of previous root canal therapy, anterior 165.00
D3347 Retreatment of previous root canal therapy, bicuspid 255.00
D3348 Retreatment of previous root canal therapy, molar 295.00
APEXIFICATION/RECALCIFICATION PROCEDURES
D3351 Apexification/recalcification, initial visit 42.00
D3352 Apexification/recalcification, interim med. replacement 22.00
D3353 Apexification/recalcification, final visit, includes root canal 22.00
APICOECTOMY/PERIRADICULAR SERVICES
D3410 Apicoectomy/periradicular surgery, anterior 180.00
D3421 Apicoectomy/periradicular surgery, bicuspid, first root 195.00
D3425 Apicoectomy/periradicular surgery, molar, first root 225.00
D3426 Apicoectomy/periradicular surgery, each additional root 75.00
D3430 Retrograde filling, per root 60.00
D3450 Root amputation, per root 95.00
OTHER ENDODONTIC PROCEDURES
D3920 Hemisection (including root removal),
95.00
not including root canal
PERIODONTICS
SURGICAL SERVICES (INCLUDING USUAL POSTOPERATIVE CARE)
D4210 Gingivectomy/gingivoplasty, 4+ teeth per quadrant 195.00
D4211 Gingivectomy/gingivoplasty, 1-3 teeth per quadrant 60.00
D4240 Gingival flap procedure with root planing,
300.00
4+ teeth per quadrant
D4241
Gingival flap procedure with root planing,
300.00
1-3 teeth per quadrant
D4260 Osseous surgery, 4+ teeth per quadrant 375.00
D4261
Osseous surgery, 1-3 teeth per quadrant 375.00
D4274 Distal or proximal wedge procedure 195.00
NON-SURGICAL PERIODONTAL SERVICES
D4341 Periodontal scaling and root planing, 4+ teeth per quadrant 45.00
D4342
Periodontal scaling and root planing, 1-3 teeth per quadrant 45.00
D4355 Full mouth debridement 50.00
D4381
Localized delivery of antimicrobial agents/per tooth
35.00
CODE DESCRIPTION
OTHER PERIODONTAL SERVICES
D4910 Periodontal maintenance D4920 Unscheduled dressing change/non-treating dentist PROSTHODONTICS – REMOVABLE
COMPLETE DENTURE (INCLUDING ROUTINE POST-DELIVERY CARE)
D5110 Complete denture, maxillary D5120 Complete denture, mandibular D5130 Immediate denture, maxillary D5140 Immediate denture, mandibular PARTIAL DENTURES (INCLUDING ROUTINE POST-DELIVERY CARE)
D5211 Maxillary partial denture, resin base D5212 Mandibular partial denture, resin base D5213 Maxillary partial denture, cast metal framework/resin base D5214 Mandibular partial denture, cast metal
framework/resin D5281 Removable unilateral partial denture, 1 piece cast metal ADJUSTMENTS TO DENTURES
D5410 Adjust complete denture, maxillary D5411 Adjust complete denture, mandibular D5421 Adjust partial denture, maxillary D5422 Adjust partial denture, mandibular REPAIRS TO COMPLETE DENTURES
D5510 Repair broken complete denture base D5520 Replace missing or broken teeth, complete denture REPAIRS TO PARTIAL DENTURES
D5610 Repair resin denture base D5620 Repair cast framework D5630 Repair or replace broken clasp D5640 Replace broken teeth, per tooth D5650 Add tooth to existing partial denture
D5660 Add clasp to existing partial denture
MEMBER
CO-PAYMENT
40.00
20.00
385.00
385.00
385.00
385.00
360.00
360.00
420.00
420.00
295.00
20.00
20.00
20.00
20.00
55.00
25.00
35.00
35.00
25.00
25.00
30.00
30.00
CODE DESCRIPTION
DENTURE REBASE PROCEDURES
D5710 Rebase complete maxillary denture D5711 Rebase complete mandibular denture D5720 Rebase maxillary partial denture D5721 Rebase mandibular partial denture DENTURE RELINE PROCEDURES
D5730 Reline complete maxillary denture, chairside D5731 Reline complete mandibular denture, chairside D5740 Reline maxillary partial denture, chairside D5741 Reline mandibular partial denture, chairside D5750 Reline complete maxillary denture, laboratory D5751 Reline complete mandibular denture, laboratory D5760 Reline maxillary partial denture, laboratory D5761 Reline mandibular partial denture, laboratory INTERIM PROSTHESIS
D5810 Interim complete denture, maxillary D5811 Interim complete denture, mandibular D5820 Interim partial denture, maxillary D5821 Interim partial denture, mandibular OTHER REMOVABLE PROSTHETIC SERVICES
D5850 Tissue conditioning, maxillary D5851 Tissue conditioning, mandibular D5860 Overdenture complete, by report IMPLANT SERVICES
OTHER IMPLANT SERVICES
D6092
Recement implant/abutment supported crown
D6093
Recement implant/abutment supported FPD
MEMBER
CO-PAYMENT
165.00
165.00
145.00
145.00
135.00
135.00
85.00
85.00
140.00
140.00
130.00
130.00
425.00
425.00
165.00
165.00
40.00
40.00
425.00
45.00
65.00
CODE DESCRIPTION
PROSTHODONTICS - FIXED
FIXED PARTIAL DENTURE PONTICS
D6210 Pontic, cast high noble metal D6211 Pontic, cast predominantly base metal D6212 Pontic, cast noble metal D6214
Pontic, titanium D6240 Pontic, porcelain fused to high noble metal D6241 Pontic, porcelain fused to predominantly base metal D6242 Pontic, porcelain fused to noble metal D6250 Pontic, resin with high noble metal D6251 Pontic, resin with predominantly base metal D6252 Pontic, resin with noble metal FIXED PARTIAL DENTURE RETAINERS – INLAYS/ONLAYS
D6545 Retainer, cast metal for resin bonded fixed prosthesis FIXED PARTIAL DENTURE RETAINERS – CROWNS
D6720 Crown, resin with high noble metal D6721 Crown, resin with predominantly base metal D6722 Crown, resin with noble metal
D6750 Crown, porcelain fused to high noble metal D6751 Crown, porcelain fused to predominantly base metal D6752 Crown, porcelain fused to noble metal D6780 Crown, ¾ cast high noble metal D6781
Crown, ¾ cast predominantly base metal
D6782
Crown, ¾ cast noble metal
D6790 Crown, full cast high noble metal MEMBER
CO-PAYMENT
220.00*
220.00
220.00*
220.00*
220.00*
280.00
280.00*
250.00*
225.00
195.00*
140.00*
250.00*
225.00
250.00*
325.00*
295.00
310.00*
295.00*
310.00
310.00*
325.00*
*
*
MEMBER
CODE DESCRIPTION
CO-PAYMENT
D6791 Crown, full cast predominantly base metal 250.00
D6792 Crown, full cast noble metal
295.00*
D6794
Crown, titanium 325.00*
OTHER FIXED PARTIAL DENTURE SERVICES
D6920 Connector bar 130.00
D6930 Recement fixed partial denture 40.00
D6970 Post & core in addition to FPD retainer, indirect
80.00*
D6972 Prefabricated post & core in addition to FPD retainer
55.00
D6973 Core build up for retainer, including any pins 95.00
D6976
Each additional indirectly fabricated post, same tooth
50.00*
D6977
Each additional prefabricated post, same tooth
50.00
D6980 Fixed partial denture repair, by report 40.00
ORAL AND MAXILLOFACIAL SURGERY
EXTRACTIONS (INCLUDES LOCAL ANESTHESIA, SUTURING & ROUTINE POSTOPERATIVE CARE)
D7111
Extraction, coronal remnants, deciduous tooth 25.00
D7140 Extraction, erupted tooth or exposed root 35.00
SURGICAL EXTRACTIONS (INCLUDES LOCAL ANESTHESIA, SUTURING & ROUTINE POSTOPERATIVE CARE)
D7210 Surgical removal of erupted tooth 48.00
D7220 Removal of impacted tooth, soft tissue 68.00
D7230 Removal of impacted tooth, partially bony 100.00
D7240 Removal of impacted tooth, completely bony 130.00
D7241 Removal of impacted tooth, completely bony, complication 140.00
D7250 Removal of residual tooth roots, cutting procedure 70.00
*
*
CODE DESCRIPTION
OTHER SURGICAL PROCEDURES
D7260 Oroantral fistula closure D7270 Tooth reimplantation/stabilization, accident D7280 Surgical access of an unerupted tooth D7285 Biopsy of oral tissue, hard (bone or tooth)
D7286 Biopsy of oral tissue, soft D7290 Surgical repositioning of teeth ALVEOLOPLASTY – SURGICAL PREPARATION OF RIDGE FOR DENTURES
D7310 Alveoloplasty with extractions, 4+ teeth per quadrant D7311
Alveoloplasty with extractions, 1-3 teeth per quadrant D7320 Alveoloplasty without extractions, 4+ teeth per quadrant D7321
Alveoloplasty without extractions, 1-3 teeth per quadrant SURGICAL EXCISION OF SOFT TISSUE LESIONS
D7410 Excision of benign lesion up to 1.25 cm D7411 Excision of benign lesion greater than 1.25 cm EXCISION OF BONE TISSUE
D7471 Removal of lateral exostosis, maxillar or mandible SURGICAL INCISION
D7510 Incision & drainage of abscess, intraoral soft tissue D7520 Incision & drainage of abscess, extraoral soft tissue OTHER REPAIR PROCEDURES
D7960 Frenulectomy (frenectomy/frenotomy), separate procedure D7970 Excision of hyperplastic tissue, per arch D7971 Excision of pericoronal gingival ADJUNCTIVE GENERAL SERVICES
UNCLASSIFIED TREATMENT
D9110 Palliative (emergency) treatment, minor procedure ANESTHESIA
D9210
Local anesthesia not with operative or surgical procedures
D9211
Regional block anesthesia
D9212
Trigeminal division block anesthesia
D9215
Local anesthesia
MEMBER
CO-PAYMENT
250.00
185.00
130.00
95.00
130.00
115.00
75.00
75.00
105.00
105.00
140.00
140.00
165.00
60.00
165.00
85.00
165.00
85.00
20.00
0.00
0.00
0.00
0.00
CODE DESCRIPTION
PROFESSIONAL CONSULTATION
D9310 Consultation, other than requesting dentist PROFESSIONAL VISITS
D9430 Office visit, observation, regular hours, no other services D9440 Office visit, after regularly scheduled hours D9450
Case presentation, detailed & extensive treatment planning
MISCELLANEOUS SERVICES
D9910 Application of desensitizing medicament D9940 Occlusal guard, by report D9941
Fabrication of athletic mouthguard
D9942 Repair and/or reline of occlusal guard D9951 Occlusal adjustment limited D9952 Occlusal adjustment, complete D9999
Broken appointment, less than 24 hours notice
MEMBER
CO-PAYMENT
20.00
0.00
20.00
0.00
15.00
150.00
175.00
65.00
35.00
60.00
0.00
Resin, porcelain and any resin to metal or porcelain to metal crowns and pontics are a benefit on
anterior (teeth numbers 6-11, 22-27), first bicuspid (teeth numbers 5, 12, 21, and 28) and second
bicuspid (teeth numbers 4, 13, 20, and 29) teeth only. The member will be charged the additional lab
cost to add resin or porcelain to all molar (teeth numbers 1-3, 14-19, 30-32) crowns and pontics.
Exception: Implants and all services associated with implants are listed at the actual member
co-payment amount. No additional fee is allowable for resin or porcelain for procedures associated
with implants.
The maximum amount chargeable to the member to upgrade to resin or porcelain on molar teeth
(teeth number 1-3, 14-19, 30-32) and/or upgrade to noble metal, high noble metal, titanium alloy
or titanium is $250.00.
LIBERTY Dental Plan will arrange for you to receive services from a Contracted Dental Specialist
if the necessary treatment is outside the scope of General Dentistry. Your General Dentist will initiate
the referral process with LIBERTY Dental Plan. The proper referral process must be utilized for
specialty services to be covered under your plan. X-rays for diagnostic purposes are benefits in
the General Dentist’s office only. The member pays 80% of the dentist’s Usual and Customary
fee for all specialty treatment.
P.O. Box 26110
Santa Ana, CA 92799-6110
www.libertydentalplan.com
Member Services
(888) 703-6999
Monday – Friday
Las coronas de metal y pónticos de resina, porcelana y cualquier resina a metal y porcelana a metal
son un beneficio para los dientes anteriores (dientes número 6-11, 22-27), primeros bicúspides (dientes
número 5, 12, 21 y 28) y segundos bicúspides (dientes número 4, 13, 20 y 29) solamente. Al miembro
se le cobrará el costo adicional de laboratorio para añadir resina o porcelana a todas las coronas y
pónticos de los molares (dientes número 1-3, 14-19, 30-32). Excepción: Los implantes y todos los
servicios asociados con implantes están listados por la cantidad de co-pago actual. No se permite
ninguna tarifa adicional para resina o porcelana para procedimientos asociados con implantes.
La cantidad máxima que se le puede cobrar a un miembro para cambiar a resina o porcelana en
los molares (dientes número 1-3, 14-19, 30-32) y/o cambiar a un metal noble, metal de alta nobleza,
aleación de titanio o titanio es de $250.
LIBERTY Dental Plan coordinará para que usted reciba los servicios de un especialista dental
contratado si el tratamiento necesario está fuera del alcance de la Odontología General. Su Odontólogo
General debe iniciar el proceso de remisión con LIBERTY Dental Plan. Para que esté cubierto por
nuestro plan, debe ser utilizado el proceso de remisión adecuado para servicios especializados. Las
radiografías para propósitos de diagnóstico son beneficios del Consultorio Odontológico General
únicamente. El miembro paga el 80% de las tarifas usuales y acostumbradas por todo tratamiento
especializado.
P.O. Box 26110
Santa Ana, CA 92799-6110
www.libertydentalplan.com
Servicio para Miembros
(888) 703-6999
Lunes a viernes
Exclusions and Limitations
Section 2
Dental Benefit Exclusions
and Limitations
7. Denture relines are covered twice per year,
and only when consistent with professionally
recognized standards of dental practice.
There are some dental services not covered
by Citizens Choice Healthplan HMO under any
circumstances (called exclusions). There are
also some dental services that are only covered
under specific conditions (called limitations).
8. Any routine dental services performed by
a Primary Care Dentist or Specialist in an
inpatient/outpatient hospital setting, under
certain circumstances, will be considered
for coverage.
Once you have signed your agreement to accept
and pay for optional treatment, excluded or noncovered services, and those services are initiated
by the dentist, you are responsible for payment
for those services. For more information, contact
Citizens Choice Healthplan HMO Member Services
at 1-866-634-CCHP (2247), TTY: 1-866-516-9366
Monday through Sunday between 8:00 a.m. and
8:00 p.m. (including holidays).
Limitations
1. Prophylaxis are covered once every six
consecutive months.
Exclusions
1. Any procedure not specifically listed as a
covered benefit.
2. Replacement of lost or stolen prosthetics or
appliances including crowns, bridges, partial
dentures, full dentures, and orthodontic
appliances.
3. Any treatment requested, or appliances
made, which are either not necessary for
maintaining or improving dental health, or
are for cosmetic purposes unless otherwise
covered as a benefit.
2. Full mouth X-rays are limited to once every
36 consecutive months.
4. Procedures considered experimental,
treatment involving implants or pharmacological
regimens other than listed as covered benefit.
3. Fluoride treatments are covered once
every six consecutive months.
5. Oral surgery requiring the setting of bone
fractures or bone dislocations.
4. Sealants are covered only on the first and
second permanent molars and up to the
14th birth date.
6. General anesthesia, analgesia, intravenous/
intramuscular sedation or the services of
an anesthesiologist other than what is listed
as a covered benefit.
5. Crowns, jackets, inlays and onlays are
benefits on the same tooth only once every
five years, and consistent with professionally
recognized standards of dental practice.
6. Replacement of existing full and partial
dentures are covered once per arch every
five years, except when they cannot be made
functional through reline or repairs.
28
Exclusions and Limitations
7. Treatment started before the member
was eligible, or after the member was
no longer eligible.
8. Procedures, appliances, or restorations
to correct congenital, developmental or
medically induced dental disorder, including
but not limited to: myofunctional (e.g. speech
therapy), myoskeletal, or temporomandibular
joint dysfunctions (e.g. adjustments/
corrections to the facial bones) unless
otherwise covered as an orthodontic benefit.
9. Procedures which are determined not
to be dentally necessary consistent with
professionally recognized standards of
dental practice.
10. Treatment of malignancies, cysts, or
neoplasms.
11. Orthodontic treatment.
12. Appliances needed to increase vertical
dimension or restore occlusion.
13. Any services performed outside of your
assigned dental office, unless expressly
authorized by LDP.
14. Hospitalization.
15. Outpatient Services as a result of a
medical condition.
16. Ambulance Services.
17. Durable Medical Equipment.
18. Mental Health Services.
19. Chemical Dependency Services.
20. Home Health Services.
If you have any questions about this plan’s benefits or costs, current members please call 1-866-634-CCHP (2247),
29
Exclusiones y limitaciones
del beneficio dental
Existen algunos servicios que no están cubiertos
por Citizens Choice Healthplan HMO bajo ninguna
circunstancia (exclusiones). También hay algunos
servicios dentales que están cubiertos únicamente
bajo ciertas condiciones específicas (limitaciones).
Una vez usted haya firmado su contrato y acepte
pagar por un tratamiento opcional, o por servicios
excluidos o no-cubiertos, y tales servicios son
iniciados por un odontólogo, usted es responsable
por el pago de esos servicios. Para obtener
más información, llame a nuestro Departamento
de Membresía al 1-877-399-CCHP (2247),
TTY: 1-866-516-9366 de lunes a domingo,
de 8:00 am a 8:00 pm (incluyendo días festivos).
Limitaciones
1. La profilaxis se cubre una vez cada seis
meses consecutivos.
2. Las radiografías bucales completas se limitan
a una vez cada 36 meses consecutivos.
3. Los tratamientos de flúor se cubren una vez
cada 6 meses consecutivos.
4. Los selladores se cubren sólo en los primeros
y segundos molares permanentes y hasta el
decimocuarto cumpleaños.
5. Las coronas, fundas, empastes e
incrustaciones son beneficios del mismo
diente sólo una vez cada cinco años, y
cumplen con los estándares reconocidos
profesionalmente de la práctica odontológica.
6. El reemplazo de prótesis completas y
parciales se cubre una vez por arco cada 5
años, excepto que no puedan hacerse
funcionales mediante reparación o
recubrimiento.
30
Sección 2
7. Los recubrimientos se cubren dos veces por
año, y sólo si cumplen con los estándares
reconocidos profesionalmente de la práctica
odontológica.
8. Bajo ciertas circunstancias, se considerará
cubrir todo servicio dental de rutina proveído
por un odontólogo de cuidado primario o
especialista en un entorno hospitalario
ambulatorio/de internación.
Exclusiones
1. Cualquier procedimiento no mencionado
específicamente como beneficio cubierto.
2. Reemplazo de prótesis o aparatos perdidos
o robados, incluyendo coronas, puentes,
prótesis parciales y completas y ortodoncia.
3. Cualquier tratamiento requerido, o
aparato fabricado, no necesarios para el
mantenimiento o mejora de la salud dental,
o que se realizan con fines cosméticos, a
no ser que se cubran de otro modo como
un beneficio.
4. Procedimientos considerados experimentales,
tratamiento con implantes o regímenes
farmacológicos otros que los listados como
beneficios cubiertos.
5. Cirugía oral que requiere el arreglo de
fracturas o dislocaciones óseas.
6. Anestesia general, analgesia, sedación
intravenosa/intramuscular o los servicios de
un anestesiólogo fuera de los listados como
beneficios cubiertos.
7. Tratamiento iniciado antes de que el miembro
fuera elegible, o después de que ya no fuera
más elegible.
8. Procedimientos, aparatos o restauraciones
para corregir trastornos dentales congénitos,
del desarrollo o médicamente inducidos,
que incluyen pero no están limitados a:
trastornos miofuncionales (por ejemplo
terapia del habla), mioesqueléticos, o de la
articulación temporomandibular (por ejemplo
ajustes/correcciones de huesos faciales),
a no ser que estén cubiertos de otro modo
como beneficios de ortodoncia.
9. Procedimientos que no se consideran
odontológicamente necesarios según los
estándares profesionalmente reconocidos
de la práctica odontológica.
10. Tratamiento de tumores malignos, quistes
o neoplasmas.
11. Tratamiento de ortodoncia.
12. Aparatos necesarios para incrementar la
dimensión vertical y restaurar la oclusión.
13. Cualquier servicio realizado fuera de
su consultorio dental asignado, a no
ser que haya sido específicamente
autorizado por LDP.
14. Hospitalización
15. Servicios ambulatorios como resultado de
una condición medica.
16. Servicios de ambulancia.
17. Equipo médico durable.
18. Servicios de salud mental.
19. Servicios de dependencia química.
20. Servicios de cuidado médico a domicilio.
31
Excluded Dental Procedures
32
CODE DESCRIPTION
DIAGNOSTIC SERVICES
Radiographs/Diagnosis Imaging
D0290
Posterior-anterior or lateral skull & facial bone survey
D0310
Sialography
D0320
TMJ arthrogram, including injection
D0321
Other TMJ films by report
D0322
Tomographic survey
D0350
Oral/facial photographic images
D0360
Cone beam ct, craniofacial data capture
D0362
Cone beam, 2-dimensional image reconstruction
D0363
Cone beam, 3-dimensional image reconstruction
Test and Examinations
D0415
Collection of microorganisms for culture
D0416
Viral culture
D0421
Genetic test for susceptibility to oral disease
D0425
Caries susceptibility tests
D0431
Adjunctive pre-diagnostic test, mucosal abnormalities
Oral Pathology Laboratory
D0472 Accession of tissue, gross exam, prep & written report
D0473
Accession of tissue, gross & microscopic exam, prep & report
D0474
Accession of tissue, gross & microscopic exam, provide report
D0480
Accession of exfoliative cytologic smears
D0486
Accession of brush biopsy sample
D0475
Decalcification procedure
D0476
Special stains for microorganisms
D0477
Special stains, not for microorganisms
D0478
Immunohistochemical stains
D0479
Tissue in-situ hybridization
D0481
Electron microscopy, diagnostic
D0482
Direct immunofluorescence
D0483
Indirect immunofluorescence
Exclusions and Limitations/Exclusiones y limitaciones
CODE DESCRIPTION
D0484
Consultation on slides prepared elsewhere
D0485
Consultation, including preparation of slides from biopsy
D0502
Other oral pathology procedures (by report)
RESTORATIVE
Gold Foil Restorations
D2410
Gold foil, 1 surface
D2420
Gold foil, 2 surfaces
D2430
Gold foil, 3 surfaces
Inlay/Onlay Restorations
D2610
Inlay, porcelain/ceramic, 1 surface
D2620
Inlay, porcelain/ceramic, 2 surfaces
D2630
Inlay, porcelain/ceramic, 3 or more surfaces
D2642
Onlay, porcelain/ceramic, 2 surfaces
D2643
D2644
Onlay, porcelain/ceramic, 4 or more surfaces
D2650
Inlay, resin-based composite, 1 surface
D2651
Inlay, resin-based composite, 2 surfaces
D2652
Inlay, resin-based composite, 3 or more surfaces
D2662
Onlay, resin-based composite, 2 surfaces
D2663
Onlay, resin-based composite, 3 surfaces
D2664
Onlay, resin-based composite, 4 or more surfaces
Crowns-Single Restorations Only
D2712
Crown, ¾ resin-based composite (indirect)
D2783
Crown, ¾ porcelain/ceramic
D2799
Provisional crown
Other Restorative Services
D2934
Prefabricated esthetic coated stainless steel crown, primary
D2960
Labial veneer (resin laminate), chairside
D2961
Labial veneer (resin laminate), laboratory
D2962
Lavial veneer (porcelain laminate), laboratory
D2970
Temporary crown
D2971
Additional procedures to construct new crown/existing partial
D2975
Coping
33
34
CODE DESCRIPTION
ENDODONTICS
Pulpotomy
D3221
Pulpal debridement, primary & permanent teeth
Endodontic Therapy
D3331
Treatment of root canal obstruction, non-surgical access
D3332
Incomplete endodontic therapy; inoperable, unrestorable
D3333
Internal root repair of perforation defects
Apicoectomy/Periradicular Services
D3460
Endodontic endosseous implant
D3470
Intentional reimplantation (including necessary splinting)
Other Endodontic Procedures
D3910
Surgical procedure for isolation of tooth with rubber dam
D3950
Canal preparation & fitting of preformed dowel or post
PERIODONTICS
Surgical Services (Including Usual Postoperative Care)
D4230
Anatomical crown exposure (4 + teeth per quadrant)
D4231
Anatomical crown exposure (1-3 teeth per quadrant)
D4245
Apically positioned flap
D4249
Clinical crown lengthening, hard tissue
D4263
Bone replacement graft, 1st site in quadrant
D4264
Bone replacement graft, each additional site in quadrant
D4265
Biologic materials to aid in tissue regeneration
D4266
Guided tissue regeneration, resorbable barrier, per site
D4267
Guided tissue regeneration, non-resorbable barrier
D4268
Surgical revision procedure, per tooth
D4270
Pedicle soft tissue graft procedure
D4271
Free soft tissue graft procedure (including donor site)
D4273
Subepithelial connective tissue graft procedure, per tooth
D4275
Soft tissue allograft
D4276
Combined connective tissue & double pedicle graft
Non-Surgical Periodontal Services
D4320
Provisional splinting, intracoronal
CODE DESCRIPTION
D4321
Provisional splinting, extracoronal
PROSTHODONTICS – REMOVABLE
Partial Dentures (Including Routine Post-Delivery Care)
D5225
Maxillary partial denture, flexible base
D5226
Mandibular partial denture, flexible base
Repairs to Partial Dentures
D5670
Replace teeth & acrylic on cast metal frame, maxillary
D5671
Replace teeth & acrylic on cast metal frame, mandibular
Other Removable Prosthetic Services
D5861
Overdenture, partial, by report
D5862
Precision attachment, by report
D5867
Replacement of replaceable part of precision attachment
IMPLANT SERVICES
Surgical Services
D6010
Surgical placement of implant body, endosteal implant
Implant Supported Prosthetics – Supporting Structures
D6056
Prefabricated abutment, includes placement
Implant Supported Prosthetics – Single Crowns, Abutment Supported
D6058 Abutment supported porcelain/ceramic crown D6059 Abutment supported porcelain/high noble metal crown D6060 Abutment supported porcelain/base metal crown D6061 Abutment supported porcelain/noble metal crown D6062 Abutment supported cast metal crown, high noble D6063 Abutment supported cast metal crown, base metal D6064 Abutment supported cast metal crown, noble metal D6094 Abutment supported crown, titanium Implant Supported Prosthetics – Single Crowns, Implant Supported
D6065 Implant supported porcelain/ceramic crown D6066 Implant supported porcelain/metal crown D6067 Implant supported metal crown Implant Supported Prosthetics – Fixed Partial Denture, Abutment Supported
D6068 Abutment supported retainer for porcelain/ceramic FPD D6069 Abutment supported retainer porc./metal FPD, high noble If you have any questions about this plan’s benefits or costs, current members please call 1-866-634-CCHP (2247),
35
36
CODE DESCRIPTION
D6070 Abutment supported retainer porc./metal FPD, base metal D6071 Abutment supported retainer porc./metal FPD, noble metal D6072 Abutment supported retainer cast metal FPD, high noble D6073 Abutment supported retainer cast metal FPD, base metal D6074 Abutment supported retainer cast metal FPD, noble metal D6194 Abutment supported retainer crown FPD, titanium
Implant Supported Prosthetics – Fixed Partial Denture, Implant Supported
D6075 Implant supported retainer for ceramic FPD D6076 Implant supported retainer for porcelain/metal FPD D6077 Implant supported retainer for cast metal FPD PROSTHODONTICS – FIXED
Fixed Partial Denture Pontics
D6205
Pontic, indirect resin based composite
D6245
Pontic, porcelain/ceramic
D6253
Provisional pontic
Fixed Partial Denture Retainers – Inlays/Onlays
D6548
Retainer, porcelain/ceramic for resin bonded fixed prosthesis
D6600
Inlay, porcelain/ceramic, 2 surfaces
D6601
Inlay, porcelain/ceramic, 3 or more surfaces
D6602
Inlay, cast high noble metal, 2 surfaces
D6603
Inlay, cast high noble metal, 3 or more surfaces
D6604
Inlay, cast predominantly base metal, 2 surfaces
D6605
Inlay, cast predominantly base metal, 3 or more surfaces
D6606
Inlay, cast noble metal, 2 surfaces
D6607
Inlay, cast noble metal, 3 or more surfaces
D6624
Inlay, titanium
D6608
D6609
Onlay, porcelain/ceramic, 3 or more surfaces
D6610
Onlay, cast high noble metal, 2 surfaces
D6611
Onlay, cast high noble metal, 3 or more surfaces
D6612
Onlay, cast predominantly base metal, 2 surfaces
D6613
Onlay, cast predominantly base metal, 3 or more surfaces
D6614
Onlay, cast noble metal, 2 surfaces
CODE DESCRIPTION
D6615
Onlay, cast noble metal, 3 or more surfaces
D6634
Onlay, titanium
Fixed Partial Denture Retainers – Crowns
D6710 Crown, indirect resin based composite
D6740
Crown, porcelain/ceramic
D6783
Crown, ¾ porcelain/ceramic
D6793
Provisional retainer crown
Other Fixed Partial Denture Services
D6940
Stress breaker
D6950
Precision attachment
D6975
Coping
ORAL AND MAXILLOFACIAL SURGERY
Other Surgical Procedures
D7261 Primary closure of a sinus perforation
D7272
Tooth transplantation
D7282
Mobilization of erupted/malpositioned tooth, aid eruption
D7283
Placement of device to facilitate eruption impacted tooth
D7287
Exfoliative cytological sample collection
D7288
Brush biopsy, transepithelial sample collection
D7291
Transseptal fiberotomy/supra crestal fiberotomy
D7292
Surgical placement, temporary anchorage device, screw/plate
D7393
Surgical placement, temporary anchorage device/flap
D7294
Surgical placement, temporary anchorage device, no flap
Alveoloplasty – Surgical Preparation of Ridge for Dentures
D7340
Vestibuloplasty, ridge extension, 2nd epithelialization
D7350
Vestibuloplasty, ridge extension
Surgical Excision of Soft Tissue Lesions
D7412
Excision of benign lesion, complicated
D7413
Excision of malignant lesion up to 1.25 cm
D7414
Excision of malignant lesion greater than 1.25 cm
D7415
Excision of malignant lesion, complicated
D7465
Destruction of lesion(s) by physical/chemical method
37
38
CODE DESCRIPTION
Surgical Excision of Intra-Osseous Lesions
D7440
Excision of malignant tumor up to 1.25 cm
D7441
Excision of malignant tumor greater than 1.25 cm
D7450
Removal of benign odontogenic cyst/tumor to 1.25 cm
D7451
Removal of benign odontogenic cyst/tumor >1.25 cm
D7460
Removal of benign nonodontogenic cyst/tumor <1.25 cm
D7461
Removal of benign nonodontogenic cyst/tumor >1.25 cm
Excision of Bone Tissue
D7472
Removal of torus palatinus
D7473
Removal of torus mandibularis
D7485
Surgical reduction of osseous tuberosity
D7490
Radical resection of maxilla or mandible
Surgical Incision
D7511
Incision/drainage abscess, intraoral soft, complicated
D7521
Incision/drainage abscess, extraoral soft, complicated
D7530
Removal of foreign body
D7540
Removal or reaction producing foreign bodies
D7550
Partial ostectomy/sequestrectmy, non-vital bone
D7560
Maxillary sinusotomy, remove tooth/foreign body
Other Repair Procedure
D7963
Frenuloplasty
D7980
Sialolithotomy
D7981
Excision of salivary gland (by report)
D7982
Sialodochoplasty
D7983
Closure of salivary fistula
ADJUNCTIVE GENERAL SERVICES
Unclassified Treatment
D9120
Fixed partial denture sectioning
CODE DESCRIPTION
Anesthesia
D9220
Deep sedation/general anesthesia, 1st 30 minutes
D9221
Deep sedation/general anesthesia, each additional 15 minutes
D9230
Analgesia, anxiolysis, nitrous oxide
D9241
Intravenous conscious sedation/analgesia, 1st 30 minutes
D9242
Intravenous conscious sedation/analgesia, additional 15 minutes
D9248
Non-intravenous conscious sedation
Professional Visits
D9410
House/extended care facility call
D9420
Hospital call
Drugs
D9610
Therapeutic parenteral drug, single administration
D9612
Therapeutic parenteral drug, 2 + administrations
D9630
Other drugs and/or medicaments, by report
Miscellaneous Services
D9911
Application of desensitizing resin, per tooth
D9920
Behavior management, by report
D9930
Treatment of complications, post surgical, unusual
D9950
Occlusion analysis, mounted case
D9970
Ename microabrasion
D9971
Odontoplasty, 1-2 teeth
D9972
External bleaching, per arch
D9973
External bleaching, per tooth
D9974
Internal bleaching, per tooth
39
40
Table of Contents/Tabla de Contenido
Los Angeles County/Condado de Los Ángeles . . . . . . . . . . . . 42
Orange County/Condado de Orange . . . . . . . . . . . . . . . . . . . . . 67
Riverside County/Condado de Riverside . . . . . . . . . . . . . . . . . 75
San Bernardino County/Condado de San Bernardino . . . . . . . 79
41
Los Angeles County
Agoura Hills - Bellflower
Plan Providers/Proveedores
Sea Breeze Dental Care
29525 Canwood St, #200
Agoura Hills, CA 91301
(818) 991-9852
Office ID: 2095
• Boris Zak
• Ilya Zak
Section 3/Sección 3
Impressive Dental Care
14510 Towne Center Dr, #F-2
Baldwin Park, CA 91706
(626) 851-4444
Office ID: 8432
• Amit Kalra
Bell Plaza Dental Center
6343 Atlantic Ave, #C
Bell, CA 90201
(323) 771-7226
Office ID: 4964
• Mojdeh Fatemi
San Jose Young Dental
14514 Ramona Blvd, #1
(626) 337-4700
Office ID: 6538
• Young Kim
Grace Dentistry, Inc
6501 Eastern Ave, #B
Bell Gardens, CA 90201
(323) 773-2082
Office ID: 6731
• Bock Kim
Dental Group of Arcadia
440 E Huntington Dr, #101
Arcadia, CA 91006
(626) 447-5126
Office ID: 4345
• Farhad Manavi
West Coast Dental Group
of Baldwin Park
4000 La Rica Ave, #D
(626) 430-9171
Office ID: 5005
• Ryan Lee
Dr. Jo’s Family Dentistry
8209 Eastern Ave
Bell Gardens, CA 90201
(562) 927-1112
Office ID: 5515
• Paul Jo
Osborne Dental Office
13205 Osborne, #F
Arleta, CA 91331
(818) 890-2426
Office ID: 2105
• Shahram Azizian
F. Michael Yerbi, D.D.S.
3464 E Gage Ave
Bell, CA 90201
(323) 582-2292
Office ID: 4764
• Fereydoun Yebri
California Dental Group of
Bellflower
10106 Alondra Blvd, #A
Bellflower, CA 90706
(562) 867-5117
Office ID: 4397
• Khoi Nguyen
Sima Boostanfar, D.M.D.
9069½ Woodman Ave
Arleta, CA 91331
(818) 893-8799
Office ID: 2107
• Sima Boostanfar
• David Shirazi
Gage Family Dental Group
4127 E Gage Ave
Bell, CA 90201
(323) 773-2931
Office ID: 2118
• Pravin Desai (Djafarii)
• Nayana Desai
Dr. Lim Dental
10120 Alondra Blvd
(562) 920-6644
Office ID: 3628
• John Lim
• Sarah Lim
Frank Cho, D.D.S.
13020 Francisquito Ave, #7
(626) 962-9474
Office ID: 6712
• Frank Cho
La Familia Dental Group
4203 Gage Ave
Bell, CA 90201
(323) 312-0500
Office ID: 6902
• Mohammad Ahmadi
Alhambra Garfield Dental
747 S Garfield Ave
Alhambra, CA 91801
(626) 289-6815
Office ID: 2097
• Shahla Nadir-Mohammadi
42
English is the primary language in all dental offices.
El Inglés es el lenguaje primario utilizado en los consultorios.
Los Angeles County
Bellflower - Canoga Park
SmileCare Dental Group
17240 Downey Ave
(562) 531-0221
Office ID: 4619
• Vinh Ngo
• Editha Poblete
• Lei Zeng
• Ali Shmara
• Emad Moawad
• Christian Blanco
• Nahid Amjadi
• Birva Joshi
Universal Care
17660 Lakewood Blvd
(562) 461-1180
Office ID: 5070
• The-Hao Tran
• Editha Poblete
• Maha Elmasri
• Cellini Luna
• Tram Luu
• Mai Tran
• Dheepa Jagadeesan
• Reynaldo Barbon Jr
• Maria Asuncion
• Arlene Kamppila
• Hanh Nhu Vo
• Samuel Au
• Glenda Joson
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
• Vickie (Yenling) Lin
Rosecrans Dental Group
9222 E Rosecrans Ave
(562) 272-0222
Office ID: 4684
• Khoi Nguyen
• Michael Badea
• Robert Sadighi
Burbank/Glendale Dental Group
500 E Olive Ave, #430
Burbank, CA 91501
(818) 567-4662
Office ID: 4460
• Behzad Shirazi-Ardestani
Dental Group of Beverly Hills
250 N Robertson Blvd, #412
Beverly Hills, CA 90211
(310) 271-3003
Office ID: 4814
• Soheil Khodadadi
Burbank Village Dentistry
928 N San Fernando Blvd, #E
Burbank, CA 91504
(818) 841-8607
Office ID: 2144
• Alexander Leonov
• Svetlana Liljegren
• Mher Asatryan
Beverly Hills Dental Clinic
436 N Roxbury Dr, #200
(310) 271-6100
Office ID: 2130
• Michael Motamed
Calabasas Dental Institute
4764 Park Granada, #107
Calabasas, CA 91302
(818) 224-2420
Office ID: 8563
• Greg Rubin
American Dental Group
50 N La Cienega Blvd, #206
(310) 659-7949
Office ID: 2137
• Kambiz Kashfian
Westside Dental Care
20832 Roscoe Blvd, #101
Canoga Park, CA 91306
(818) 998-7645
Office ID: 4483
• Robert Hazany
Pacific Dental Care
9025 Wilshire Blvd, #315
(310) 274-7485
Office ID: 2135
• Farshad Moftakhar
Latin Dental Center
21001-13 Sherman Way
(818) 346-7032
Office ID: 2156
• Kishore Shah
Robert N Abdi, D.D.S.
(310) 271-3225
Office ID: 4324
• Robert Abdi
Cosmeticare
21123 Victory Blvd
(818) 888-2700
Office ID: 6756
• Ziad Rhayem
43
Los Angeles County
Canoga Park - Compton
Omega Dental Group
21712 Sherman Way
(818) 430-9288
Office ID: 5852
• Edmond Rassibi
Care Dental Center
23517 Main St, #106
Carson, CA 90745
(310) 513-0222
Office ID: 2166
• Maryam Hadian
Marjan Garmestai, D.D.S.
22030 Sherman Way, #317
(818) 610-2007
Office ID: 4851
• Marjan Garmestani
Great Choice Community Dental
247 W Carson St
Carson, CA 90745
(310) 847-7077
Office ID: 8036
• Jane Hernane
White Smile Dental Group
(818) 887-0260
Office ID: 13563
• Shawn Rabizadeh
• David Rabizadeh
550 E Del Amo Blvd
Carson, CA 90746
(310) 515-5672
Office ID: 4624
• Editha Poblete
• Pouria Sadri
• Lei Zeng
• Abbas Hariri
• Marlene Salib
• Husam Salameh
• Fernand Lacayanga
• Maryam Horiyat
• Margarita Mendoza
De Soto Dental Practice
6832 De Soto Ave
(818) 888-2211
Office ID: 8748
• Faramarz Edalatpajouh
Canyon Country Family Dentistry
18507 Soledad Canyon Rd
Canyon Country, CA 91351
(661) 252-0020
Office ID: 2160
• John Cho
• Anna Liberman
Smiles Dental Group
18520 Soledad Canyon Rd, #G
Canyon Country, CA 91351
(661) 252-2800
Office ID: 8011
• Irina Shahinyan
44
Bright White Dental
27947 Sloan Canyon Rd
Castaic, CA 91384
(661) 294-3700
Office ID: 6586
• Enitan Ibrahim
Castaic Dental Center
31886 N Castaic Rd
Castaic, CA 91384
(661) 257-2300
Office ID: 8735
• James Uhrik
• Charu Aggarwal
Cerritos Towne Center Dentistry
17550 Bloomfield Ave, #C
Cerritos, CA 90703
(562) 809-4464
Office ID: 6480
• Jooyoung Hong
• Melissa Cheng
Devonshire Plaza Dental Group
10230 Canoga Ave
Chatsworth, CA 91311
(818) 341-8400
Office ID: 2171
• Kambiz Kashfian
Future Dental Care
10242 Canoga Ave
Chatsworth, CA 91311
(818) 882-5252
Office ID: 6986
• Ziad Rhayem
18025 E Gale Ave
City of Industry, CA 91748
(626) 965-2500
Office ID: 4625
• Chirag Dalal
• Christian Blanco
Compton Family Dental Practice
1315 N Bullis Rd, #3
Compton, CA 90221
(310) 639-5330
Office ID: 3926
• John Retodo
• Azeem Qureshi
Compton Family Dental Center
2001 E Compton Blvd
Compton, CA 90221
(310) 639-7970
Office ID: 2178
• Shailesh Parikh
Los Angeles County
Covina - El Monte
Dental Group of Covina
1406 N Azusa Ave, #C
Covina, CA 91722
(626) 858-9940
Office ID: 4256
• Soleyman Cohen-Sedgh
• Mark Roberts
College Street Family Dentistry
153 W College St
Covina, CA 91723
(626) 339-9085
Office ID: 6474
• Edison Han
Ahmed Saeed, D.D.S., Inc.
661 S 2nd Ave
Covina, CA 91723
(626) 966-3571
Office ID: 5739
• Ahmed Saeed
St. James Dental Group
7607-9 Atlantic Ave
Cudahy, CA 90201
(323) 771-7254
Office ID: 2186
• Behrooz Zinati
Dental Studio of Culver City
10119 Washington Blvd
Culver City, CA 90232
(310) 202-9009
Office ID: 6952
• Alireza Daneshvar
Najla Samaan, D.D.S.
750 N Diamond Bar Blvd, #216
Diamond Bar, CA 91765
(909) 860-3111
Office ID: 2191
• Wasseem Samaan
Family Dental Center
10501 Lakewood Blvd, #A
Downey, CA 90241
(562) 862-2341
Office ID: 2195
• George Gholdoian
Dr. Bina
11849 S Paramount Blvd
Downey, CA 90241
(562) 869-2596
Office ID: 4821
• Farhad Bina
Dental Pro
12156 Lakewood Blvd
Downey, CA 90242
(562) 803-1600
Office ID: 8034
• Charles Young
Ying Wu, D.D.S., Inc.
12651 Lakewood Blvd, #101
Downey, CA 90242
(562) 904-1150
Office ID: 4672
• Ying Wu
Cheng and Kim, D.D.S.
8029 E Imperial Highway
Downey, CA 90242
(562) 862-6979
Office ID: 8024
• Sookhyun Kim
Farnaz Hayavi, D.D.S., Inc.
8301 Imperial Highway
Downey, CA 90242
(562) 862-5777
Office ID: 8430
• Farnaz Hayavi
Downey Dental Center
8515 Florence Ave, #200
Downey, CA 90240
(562) 869-4532
Office ID: 13582
• Neal Lascoe
• Robert Bronstein
Charles R Stucken, D.D.S.
8847 Imperial Hwy C-2
Downey, CA 90242
(562) 861-4011
Office ID: 4866
• Charles Stucken
9474 Firestone Blvd
Downey, CA 90241
(562) 803-4224
Office ID: 4626
• Hazem Haj Yousef
• Liliana Khabbaz
• Morvarid Rouhani
• Ramon Rahimi
• Husam Salameh
• Emad Moawad
• Ohannes Tchaboukian
• Shabnam Khanideh
• Birva Joshi
Shahriyar Behjou Dental
Corporation
10755 Lower Azusa Rd, #B-D
El Monte, CA 91731
(626) 448-2040
Office ID: 4285
• Shahriyar Behjou
May Valley Dental Center
11766 Valley Blvd
El Monte, CA 91732
(626) 448-5000
Office ID: 5135
• Ma Naing
45
Los Angeles County
El Monte - Glendale
American Dental Office
12220 E Valley Blvd, #D&E
El Monte, CA 91732
(626) 401-2554
Office ID: 4462
• Joseph Yang
• Tun Than
Atlas Dental Care
3131 Santa Anita Ave, #201
El Monte, CA 91733
(626) 444-2605
Office ID: 4448
• Linh Du
• Daniel Bernal
Victor A. Martin, D.D.S.
3564 Santa Anita Ave, #F
El Monte, CA 91731
(626) 401-9808
Office ID: 2207
• Victor Martin
Family Dentistry
9060 Telstar Ave, #206
El Monte, CA 91731
(626) 571-5975
Office ID: 2208
• Ionel Georgescu
Smile Experts Dental
1428 E Colorado St, #A
Glendale, CA 91205
(818) 246-3368
Office ID: 8479
• Elvira Nario
Dan Rosen, D.D.S.
16542 Ventura Blvd, #505
Encino, CA 91436
(818) 907-6736
Office ID: 3632
• Dan Rosen
Navasart Kazazian, D.D.S.
204 E Chevy Chase, #1
Glendale, CA 91205
(818) 547-4398
Office ID: 3674
• Navasart Kazazian
Arash Farhadian, D.D.S. Inc.
17175 Ventura Blvd
Encino, CA 91316
(818) 788-3477
Office ID: 4805
• Arash Farhadian
Jamsheed & Sooferi
A Professional Corporation
214 N Central Ave
Glendale, CA 91203
(818) 243-8888
Office ID: 6796
• Payam Sooferi
Peck Road Dental Care
3913 N Peck Rd
El Monte, CA 91732
(626) 350-1111
Office ID: 8057
• Javad Kolahi
S.Y.G. Dental Care
1210 W Redondo Beach Blvd
Gardena, CA 90247
(310) 523-9009
Office ID: 4759
• Julian Gershfeld
• Jerry Siderman
• Vladimir Yampolsky
Sunshine Dental Group
4161 N Tyler Ave
El Monte, CA 91731
(626) 579-4274
Office ID: 6921
• Jorge Villasenor-Calvillo
City Dental Center
1300 W 155th St, #208
Gardena, CA 90247
(310) 715-2723
Office ID: 4760
• Jeffrey Rhind
Cosmetic Dental Center
727 E Broadway
Glendale, CA 91205
(818) 240-5888
Office ID: 13690
• Pirayeh Sadeghi
Khan Dental Corportion
4900 Peck Rd
El Monte, CA 91732
(626) 579-5158
Office ID: 3677
• Shataj Khan
• Mohammad Khan
Zareh C Baghoomian, D.D.S.
1010 N Glendale Ave, #206
Glendale, CA 91206
(818) 548-0752
Office ID: 4446
• Zareh Baghoomian
Dental Central Group
814 E Broadway, #4
Glendale, CA 91205
(818) 241-1160
Office ID: 5049
• Catreen Cohen
46
Cyberdent
6300 San Fernando Rd
Glendale, CA 91201
(818) 547-4455
Office ID: 4927
• Souren Rostomian
• Karen Baghdasaryan
Los Angeles County
Glendale - Huntington Park
Glendale Premier Dental Center
819 N Pacific Ave
Glendale, CA 91203
(818) 240-1760
Office ID: 6390
• Nishan Matossian
• Anahit Ghazarian
Daily Dental Group
11633 Hawthorne, #502
Hawthorne, CA 90250
(310) 644-4464
Office ID: 6039
• Hala A Ahmed Al-Shawe
Comfort Dental Center
4277 W El Segundo Blvd
Hawthorne, CA 90250
(310) 970-0900
Office ID: 13555
• Heydar Shahrokh
Santa Maria Dental Office
11938 S Hawthorne Blvd
Hawthorne, CA 90250
(310) 973-0945
Office ID: 4779
• Nawal Rofael
Huntington Family Dental
2542 E Florence Ave, #A
Huntington Park, CA 90255
(323) 582-0755
Office ID: 4872
• Payam Mojab
Dr. Soliman Dental Office
150 S Grand Ave, #F
Glendora, CA 91741
(626) 914-3150
Office ID: 5523
• Shawky Soliman
Choice Dental Group
of Hawthorne
12730-D Hawthorne Blvd
Hawthorne, CA 90250
(310) 644-4000
Office ID: 4392
• Susan Maanavi
Kids & Adult Dental Care
2625 E Florence Ave, #C
(323) 277-9191
Office ID: 4844
• Scott An
Advanced Dental Smiles
455 W Foothill Blvd
Glendora, CA 91741
(626) 914-9808
Office ID: 6889
• Loan Dao
LA Dental Care
12820 Inglewood Ave
Hawthorne, CA 90250
(310) 349-1980
Office ID: 4963
• Shirin Rowhani
Ronald W. Nichols, D.D.S.
1850 S Azusa Ave, #108
Hacienda Heights, CA 91745
(626) 912-9394
Office ID: 2240
• Ronald Nichols
Sunrise Dental Group
13624 Hawthorne Blvd, #205
Hawthorne, CA 90250
(310) 856-6574
Office ID: 6022
• Mohsen Haghighatpour
Carson Dentistry
11846 E Carson St
Hawaiian Gardens, CA 90716
(562) 860-8544
Office ID: 2245
• Jong Han
Hawthorne Dental
Hawthorne, CA 90250
(310) 973-6428
Office ID: 4420
• Timothy Verny
Glendora Dental Center
130 W Route 66, #316
Glendora, CA 91740
(626) 335-7727
Office ID: 4493
• Jafar Assaf
Pro Dentista
2634 Clarendon Ave
(323) 585-2777
Office ID: 8444
• Nam Phan
Gage Seville Dental Office
2670 E Gage Ave, #3
(323) 581-9486
Office ID: 6834
• Daksha Amin
Edmond Janfaza, D.D.S.
2675 E Slauson Ave, #300
(323) 589-3391
Office ID: 4481
• Edmond Janfaza
47
Los Angeles County
Huntington Park - La Verne
Huntington Park Family Dental
2711 E Slauson Ave
(323) 582-4474
Office ID: 13754
• Babak Abrishami
• Mehrdad . Khoshrozeh
John Benlavi, D.M.D.
2798 W Imperial Highway
Inglewood, CA 90303
(323) 418-8888
Office ID: 4837
• John Benlavi
Imperial Dental
15769 E Imperial Hwy
La Mirada, CA 90638
(562) 902-9898
Office ID: 13697
• Sergio Ocampo
Aesthetica Dental Inc.
3451 W Century Blvd, #B1
Inglewood, CA 90303
(310) 330-9000
Office ID: 5551
• Soheil Vahedi
Fairgrove Dental Center
15260 E Fairgrove Ave
La Puente, CA 91744
(626) 968-4733
Office ID: 8598
• Peter Luu
Your Choice Dental
6601 Rugby Ave, #400
(323) 585-1515
Office ID: 4761
• Jerry Siderman
• Michail Voloshin
• Viacheslav Zoubtsov
• Yan Fisher
• Mikhail Gankin
Forum Dental Group
400 E Regent St.
Inglewood, CA 90301
(310) 674-7590
Office ID: 6004
• Pooran Dalwani
Smilewest
15448 E Amar Rd
La Puente, CA 91744
(626) 810-8222
Office ID: 4206
• Barouir Deirmenjian
Crescenta Family Dental
2644 Foothill Blvd
La Crescenta, CA 91214
(818) 248-9988
Office ID: 4737
• Vahag Mehrabian
Dr. Pharar’s Dental Office
17311 E Valley Blvd, #B
La Puente, CA 91744
(626) 810-2444
Office ID: 2286
• Vijay Pharar
Binafard Dental Land
7136 Pacific Blvd, #210
(323) 585-1000
Office ID: 5798
• Behzad Binafard
La Mirada Family Dental
13922 Imperial Highway
La Mirada, CA 90638
(562) 926-7025
Office ID: 5806
• Gilbert Lay
Comprehensive Dental Care
141 N Prairie Ave
Inglewood, CA 90301
(310) 330-0080
Office ID: 4709
• Habibollah Mazloomdoost
La Mirada Community Dental Office
14930 E Imperial Highway, #D
La Mirada, CA 90638
(562) 777-1234
Office ID: 8404
• Alice Phuong Trinh
Puente Family Dental Care
864 N Hacienda Blvd
La Puente, CA 91744
(626) 333-8166
Office ID: 8774
• Mabel Schneider-Utz
• Carlos Garcia
Bellgrave Family Dental Group
6011 Pacific Blvd, #120
(323) 584-6777
Office ID: 3623
• Ronald Paez
• Dae Song
48
Foothill Family Dental Office
1516 Foothill Blvd
La Verne, CA 91750
(909) 596-4811
Office ID: 8644
• Lloyd Trieu
• Kangna Garnier
Los Angeles County
La Verne - Long Beach
Dental Care of La Verne
2323 Foothill Blvd
La Verne, CA 91750
(909) 596-1861
Office ID: 4139
• Paul Liu
Honping Wong
44439 17th St West, #103
Lancaster, CA 93534
(661) 949-0390
Office ID: 6893
• Honping Wong
Lakewood Family Dentistry
11455 E Carson St, #E
Lakewood, CA 90715
(562) 860-7116
Office ID: 2298
• Jiten Vasa
Family Dental Practice
of Lancaster
44558 10th St West
Lancaster, CA 93534
(661) 723-1111
Office ID: 3919
• Farid Pakravan
Lakewood-Cerritos
Dental Centers
5819 N Adenmoor Ave
Lakewood, CA 90713
(562) 804-2296
Office ID: 2295
• Christy Thai
1228 W Avenue K
Lancaster, CA 93534
(661) 949-1970
Office ID: 4628
• Luan Nguyen
• Mohammad Bustati
• Aiham Machhadani
• Michelle Nguyen
• Paul Babakhanof
Hi Desert Dental Center
1745 W Avenue K, #C
Lancaster, CA 93534
(661) 723-5400
Office ID: 3613
• Sharona Kohanoff
Lancaster Dental Care Associates
2030 W Avenue J
Lancaster, CA 93536
(661) 949-6757
Office ID: 4782
• Kamran Saidara
Golden Dental
803 W Avenue J
Lancaster, CA 93534
(661) 948-8100
Office ID: 6784
• Roland Markarian
Bay Dental Center
Lawndale, CA 90260
(310) 542-4333
Office ID: 4801
• Sunen Pandya
A Dentistry
1816 Lomita Blvd
Lomita, CA 90717
(310) 326-4117
Office ID: 6035
• MiSung Paik
Carson Dental &
Cosmetic Center
1200 E Carson St, #300
Long Beach, CA 90807
(562) 988-7788
Office ID: 8777
• Remond Nowry
Long Beach Family Dental Group
2006 Long Beach Blvd, #E
(562) 218-6575
Office ID: 4682
• Thomas Nguyen
• Peter Nguyen
Universal Care Dental
2360 Pacific Ave
(562) 595-0731
Office ID: 5069
• Editha Poblete
• James Garabedian
• Cellini Luna
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Hanh Nhu Vo
• Amir Sadjadi
• Binh Nguyen
• Kim Pham
• Glenda Joson
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• David Stermer
• Lanchi Pham
Bashar Komoc, D.D.S.
3318 E Anaheim St
(562) 986-5570
Office ID: 5009
• Bashar Komoc
49
Los Angeles County
Long Beach - Los Angeles
3325 Palo Verde St, #208
(562) 429-1642
Office ID: 5077
• Vicky Duong
• Editha Poblete
• Maria Asuncion
• Hanh Nhu Vo
• Hanhngoc (Nikky) Vo
• Glenda Joson
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• David Stermer
• Lanchi Pham
Atlantic Dentistry and Braces
3530 Atlantic Ave, #103
(562) 988-2700
Office ID: 6481
• Hye Ahn
• Farnaz Soleimani
• Abraham Nobel
Victor De Los Santos, D.D.S.
3712 Atlantic Ave, #C
(562) 426-1298
Office ID: 6280
• Victor De Los Santos
• Jannette Trent
• Marie Hoang
Dr. Sung Young Lee
4301 Atlantic Ave, #4
(562) 426-9308
Office ID: 4319
• Sung Young Lee
50
Family Dentistry
5399 Orange Ave
(562) 422-9698
Office ID: 3960
• Shamanna Mohan
Universal Care Inc.
1000 Venice Blvd
Los Angeles, CA 90015
(213) 748-8810
Office ID: 8183
• Kim Pham
Surender Laroyia, D.D.S.
5727 Atlantic Ave
(562) 432-1054
Office ID: 13683
• Surender Laroyia
Watts HealthCare - Dental
10300 Compton Ave
(323) 357-6600
Office ID: 5047
• Frazier Moore Jr
• Ralph Winge
• D Harris
• Gloria Ayala
ACCU Dental Group
6413 E Spring St
(562) 938-8388
Office ID: 4669
• Thanh Ngo
Long Beach Dental Group
659 Redondo Ave
(562) 439-0494
Office ID: 5134
• Michael Papadopoulos
Bondade’s Family Dental Office
6950 Paramount Blvd
(562) 531-9711
Office ID: 4269
• Deepak Bondade
• Asha Mehta
• Adarsh Gandhi
Iraj Nouri, D.D.S., Inc.
990 Cherry Ave, #104
(562) 987-0626
Office ID: 2322
• Iraj Nouri
Fred Nayssan, D.D.S.
10350 Santa Monica Blvd, #190
(310) 557-1704
Office ID: 4486
• Fred Nayssan
Westwood Smile Design
(310) 208-5200
Office ID: 8465
• Maryam Talaie
Westwood Dental Care
(310) 208-8551
Office ID: 6407
• Ebi Nikjoo
Afsoon S. Gerayli, D.D.S.
(310) 824-2624
Office ID: 6747
• Afsoon Gerayli
Los Angeles County
Los Angeles
Michael A. Schneider, DMD
& Associates
(310) 208-6813
Office ID: 6883
• Michael Schneider
• Karla Solis
La Paz Medical Clinic
1107 S Alvarado St, #102
(213) 380-9999
Office ID: 4800
• Amin Kohanbash
• Kambiz Kalai
• Kamyar Sadighim
• Elina Aghamyan
1111 W 6th St, #120
(213) 895-0009
Office ID: 5071
• Editha Poblete
• Rex Laurente
• Cellini Luna
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Binh Nguyen
• Kim Pham
• Glenda Joson
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Dental Center of San Miguel
115 E Washington Blvd
(213) 234-5530
Office ID: 6513
• Frederick Stuart
• Mardiros Stepanian
Al-Shawe Dental Care
(310) 477-7701
Office ID: 8487
Cheryl D. Bingham, D.D.S.
11905 S Central Ave, #203
(323) 564-7504
Office ID: 2397
• Cheryl Bingham
Villacis Dental Corporation
12027 Venice Blvd, #2
(310) 313-5150
Office ID: 6773
• Saska Villacis
Culver Del Rey Dental Center
12202 W Washington Blvd
(310) 915-9797
Office ID: 2403
• Paul Palmer
• Michael Brand
Venice Dental Group
12456 Venice Blvd
(310) 390-2423
Office ID: 4816
• Nagwa Metias
QueensCare Family Clinics East La
133 N Sunol
(323) 981-1660
Office ID: 4858
• Cecelia Mitchell
• Houry Koushakjian
• Susan Del Rosario
• Leonard Barozzini
• Ronna Torres
West Coast Dental Group of Gage
1423 E Gage Ave, #A
(323) 983-4000
Office ID: 4572
• Ryan Lee
• Wen-Sheng Wang
Impressive Dental Center
1435 S Vermont Ave, #101
(213) 739-3096
Office ID: 5883
• Amit Kalra
1440 W Manchester Ave
(323) 753-1141
Office ID: 4629
• Charles Banasky
• Lei Zeng
• Hesham Hassan
• Jeffrey Lee
• Chu Zhang
51
Los Angeles County
Los Angeles
QueensCare Family Clinics
150 N Reno St
(213) 380-7298
Office ID: 4861
• Ronna Torres
• Jung Bak
Pico Dental Group
1561 W Pico Blvd
(213) 251-9994
Office ID: 8645
• Hengameh Anaraki
Florence Dental Center
1575 E Florence Ave, #A
(323) 537-4121
Office ID: 6516
• Farshad Farzam
Hayk Arakelyan, D.D.S.
1711 W Temple St, #3660
(213) 989-0700
Office ID: 8505
• Hayk Arakelyan
of 6th St
1725 W 6th St
(213) 413-5151
Office ID: 5006
• Wen-Sheng Wang
Lloyd E. Stoll, D.D.S., Inc.
1828 Cesar Chavez Ave, #B-10
(323) 268-1805
Office ID: 6797
• Lloyd Stoll
52
Ramin Ravei D.M.D., Inc.
1835 S La Cienega Blvd, #200
(310) 836-0300
Office ID: 13608
• Ramin Ravaei
Shenouda F. Gewaid, D.D.S.
231 W Vernon Ave, #107
(323) 233-5906
Office ID: 4968
• Shenouda Gewaid
Professional Dental Care
201 S Alvarado St, #402
(213) 484-2919
Office ID: 2393
• Victor De Los Santos
Arturo Ibarra, D.D.S.
2407 N Broadway
(323) 221-3165
Office ID: 2364
• Arturo Ibarra
Boyle Heights Family Dentistry
2110 Cesar E Chavez Ave
(323) 268-8308
Office ID: 2365
• Jong Chung
Devang M. Gandhi Dental Corp.
2500 W Florence Ave
(323) 750-2082
Office ID: 3637
• Devang Gandhi
Lin Yun Hu Dental Corporation
212 S Atlantic Blvd, #103
(323) 722-6600
Office ID: 6785
• Lin-Yun Hu
F Michael Yerbi, D.D.S.
2527 W Pico Blvd
(213) 380-2426
Office ID: 4763
• Fereydoun Yebri
Cypress Dental Clinic
2135 Cypress Ave
(323) 223-0731
Office ID: 3634
• Dipti Achhnani
of Los Angeles
2604 S Vermont Ave, #F
(323) 731-3333
Office ID: 2330
• Anh Thi Vu
• Farid Pakravan
• Ryan Lee
• Luis Herrera
• Amna Khan
• Aung Thant
Crystal Dental
2206 S Figueroa St
(213) 748-8448
Office ID: 4998
• Howard Van
• Alex Moradzadeh
• Matt Tocuseanu
• Danny Aframian
• Bao Nguyen
Los Angeles County
Los Angeles
2839 N Eastern Ave
(323) 987-1020
Office ID: 6224
• Maria Cabalinan
• Arnel De Guzman
• David Stermer
• Lanchi Pham
Whittier Dental Group
2901 E Whittier Blvd, #D
(323) 526-1992
Office ID: 4789
• Shawn Rabizadeh
• David Rabizadeh
Dental Central Group
3009 S Vermont Ave
(323) 730-7200
Office ID: 4719
• Abdolreza Saffari-Nazari
• Catreen Cohen
Dr Black’s Crenshaw
Professional Dental Center
3015 Crenshaw Blvd, #A
(323) 731-0801
Office ID: 2345
• James Black Sr
At Water Dental Group
3119 Glendale Blvd
(323) 660-5186
Office ID: 13787
• Nestor Aquino
San Fernando Family Dental
3129 San Fernando Rd
(323) 257-7744
Office ID: 2399
• Dae Song
Kenneth K. Chang, D.D.S.
4026 W Olympic Blvd
(323) 930-1744
Office ID: 3611
• Kenneth Chang
Dr. Tsolakyan Dental Office
3161 Los Feliz Blvd
(323) 663-2606
Office ID: 4185
• Goar Grigorian
• Aram Tsolakyan
Regala Family Dentistry
4065 Whittier Blvd, #201
(323) 268-3877
Office ID: 4203
• Adonis Regala
Eastern Dental Center
3346 N Eastern Ave
(323) 227-1800
Office ID: 4416
• Anthony Pan
La Brea Family Dental
3400 S La Brea Ave
(323) 734-2284
Office ID: 6877
• Charles Park
• Rick Kim
Arturo Ibarra, D.D.S.
3604 E 1st St
(323) 260-7173
Office ID: 3641
• Arturo Ibarra
Nelson E Walker III, D.D.S.
3756 Santa Rosalia Dr, #317
(323) 290-5340
Office ID: 4778
• Nelson Walker III
Shauna Lee, D.D.S.
4146 E Olympic Blvd, #F
(323) 269-8007
Office ID: 8797
• Shauna Lee
Alegria Dental Center
4214 W Beverly Blvd, #208 & 209
(213) 384-8400
Office ID: 4976
• Emad Moawad
• Katerina Moawad
Eagle Rock
4448 York Blvd
(323) 344-5233
Office ID: 4862
• Ronna Torres
Prakash A. Joshi, D.D.S.
4545 3rd St, #108
(323) 780-0189
Office ID: 2347
• Prakash Joshi
53
Los Angeles County
Los Angeles
George Tay Family Dentistry
4607 N Huntington Dr.
(323) 227-9885
Office ID: 4502
• George Tay
Hollywood
4618 Fountain Ave
(323) 953-7170
Office ID: 4860
• Ronna Torres
Keromina Dental
4777 Fisher St
(323) 268-3395
Office ID: 4447
• Lilian Lofty
A Briter Smile Dental Group
4905 York Blvd
(323) 255-8774
Office ID: 6477
• Ali Khosrovani
United Family Dental Group
5109 E Whittier Blvd
(323) 265-2222
Office ID: 6292
• Mehran Javaherian
Centro Medico & Dental Familiar
(213) 749-3934
Office ID: 2343
• Ivanna Nykolaychuk
• Andrei Souchitski
54
West Coast Dental
of East Los Angeles
5162 Whittier Blvd
(323) 415-6161
Office ID: 4967
• Farhad Manavi
Hollywood-Vine Dental Office
5280 Hollywood Blvd
(323) 469-9169
Office ID: 13747
• Gary Vilshansky
Victoria Davantes, D.M.D.
(323) 726-3204
Office ID: 3629
• Victoria Davantes
Dr. Namian Family Dentistry
609 S Atlantic Blvd
(323) 980-9768
Office ID: 13558
• Mahmoud Namian
Smile With Us
5417 Venice Blvd
(323) 634-9950
Office ID: 4932
• Ana Rankovic
Chinatown Dental Center
630 W College St
(213) 626-7311
Office ID: 8416
• Joseph Yang
• Tun Than
Mervat S. Bakhoum, D.D.S.
5540 N Figueroa St
(323) 478-1101
Office ID: 6800
• Mervat Bakhoum
Hayk Arakelyan, D.D.S.
(323) 648-0001
Office ID: 8504
• Hayk Arakelyan
Highland Family Dental Group
5740½ York Blvd
(323) 257-0915
Office ID: 4766
• Jerry Siderman
Florence Compton Dental
7110 S Compton Ave
(323) 585-5588
Office ID: 4767
• Jerry Siderman
• Yan Fisher
Dental Center of Highland Park
5807 N Figueroa St.
(323) 982-0999
Office ID: 4329
• Farid Pakravan
Margarita Metrikina, D.D.S.
7315 W Sunset Blvd, #B
(323) 876-9222
Office ID: 4696
• Margarita Metrikina
Los Angeles County
Los Angeles - Maywood
Michel Elyson, D.D.S.
745 S Kern Ave
(323) 263-2125
Office ID: 5723
• Michel Elyson
Krest Family Dental and Braces
8740 Sepulveda Blvd, #130
(310) 410-9494
Office ID: 6461
• Houman Baratian
Dental Park/ Sherie S. Park
753 S Vermont Ave
(213) 385-2875
Office ID: 6587
• Sherie Park
Dental Pros
906 N Vermont Ave
(323) 953-7700
Office ID: 4204
• Shawn Rabizadeh
• Donny Emanuel
Chinatown Service Center
767 N Hill St, #200
(213) 808-1718
Office ID: 5062
• Edward Lew
Stanford Dental Group
807 E 12th St, #211
(213) 747-7888
Office ID: 8489
• Payam Sooferi
Dr. ElGendi
8th & Alvarado Family
Dental Group
824 S Alvarado St
(213) 252-1700
Office ID: 8495
• Haitham ElGendi
Benjamin Rosenberg, D.D.S.
8540 S Sepulveda Blvd, #1000
(310) 649-2430
Office ID: 6488
• Benjamin Rosenberg
RaminTour, D.D.S.
907 N Virgil Ave
(323) 661-8384
Office ID: 4815
• Ramin Tour
California Dental Group
936 Crenshaw Blvd, #101
(323) 934-2804
Office ID: 6249
• Johnny Kim
Vernon Family Dental
968 W Vernon Ave
(323) 234-4889
Office ID: 6070
• Ramin Noorvash
Pacific Dental Care
3150 E Imperial Highway, #200
Lynwood, CA 90262
(310) 608-7777
Office ID: 3921
• Barouir Deirmenjian
• Sandra Deirmenjian
• Luis Herrera
3680 E Imperial Highway, #100
Lynwood, CA 90262
(310) 761-8100
Office ID: 5075
• Editha Poblete
• Cellini Luna
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Glenda Joson
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Cristina A. Rodriguez, D.D.S.
3737 Martin Luther King Jr Blvd, #375
Lynwood, CA 90262
(310) 639-9191
Office ID: 8618
• Cristina Rodriguez
West Coast Dental Group Lynwood
9910 Long Beach Blvd, #A
Lynwood, CA 90262
(323) 563-8900
Office ID: 4857
• Farid Pakravan
Gary Garoian, D.D.S., Inc.
4201 E Slauson Ave
Maywood, CA 90270
(323) 560-4658
Office ID: 6966
• Daniel Garoian
• Gary Garoian
55
Los Angeles County
Maywood - North Hollywood
Southeast Dental Group
4332 E Slauson Ave
Maywood, CA 90270
(323) 773-7373
Office ID: 2410
• Leonard Feld
Montebello Dental Center
2332 W Whittier Blvd
Montebello, CA 90640
(323) 838-8055
Office ID: 6347
• Philip Chang
New Millennium Dental Group
6021 Atlantic Blvd
Maywood, CA 90270
(323) 560-6096
Office ID: 4985
• Aram Arakelyan
Sky Dental
3001 W Beverly Blvd, #100
(323) 728-0327
Office ID: 6960
• Tigran Shahmanyan
10331 Sepulveda Blvd
Mission Hills, CA 91345
(818) 360-2216
Office ID: 4631
• Robert Tingilian
• Michelle Nguyen
• Shahrooz Matian
• Seran Ng
Montebello Dental Group
3301 W Beverly Blvd
(323) 722-6766
Office ID: 8750
• Daniel Farkas
Noushin Adhami, D.D.S.
(323) 346-0555
Office ID: 6080
• Noushin Adhami
1451 N Montebelllo Blvd
(323) 724-9955
Office ID: 4630
• Editha Poblete
• Michael Mai
• Aiham Machhadani
• Hesham Hassan
• Jeffrey Lee
• Nahid Amjadi
56
Montebello Family Dental
711 W Whittier Blvd
(323) 278-0170
Office ID: 8515
• Ruben Gonzalez
Isaac Chen, D.D.S. & Associates
2071 S Atlantic Blvd, #F
Monterey Park, CA 91754
(323) 260-7878
Office ID: 2420
• Carrol Lee
• Isaac Chen
Gabriel Henao, D.D.S. Family
Dentistry
25044 Peachland Ave, #100
Newhall, CA 91321
(661) 287-4352
Office ID: 6938
• Gabriel Henao
of North Hills
15350 Nordhoff St, #A
North Hills, CA 91343
(818) 672-8228
Office ID: 5087
Media District Dentistry & Braces
10732 Riverside Dr
North Hollywood, CA 91602
(818) 760-6704
Office ID: 6454
• Vandat Askari
Daniel Boudaie, D.D.S.
10941 Victory Blvd
(818) 509-1967
Office ID: 4769
• Daniel Boudaie
Star Smile Dental Group
11404 Victory Blvd
(818) 508-7000
Office ID: 5722
• Maria Margarita Gaung
Santo Tomas Dental Group
12115 Saticoy St.
(818) 759-1001
Office ID: 6738
• Charles Young
• Evan Farr
• Claudia Posso
Sevak Elyaspoor, D.D.S. Family
Dentistry
12125 Vanowen St, #2
(818) 764-4679
Office ID: 5246
• Sevak Elyaspoor
Los Angeles County
North Hollywood - Pacoima
Hamlin Dental Group
12509 Oxnard St, #201
(818) 285-5757
Office ID: 4278
• Hamid Reza
Hershel Hanasab, D.D.S. Inc.
12926 Sherman Way
(818) 765-4422
Office ID: 4296
• Hersel Hanasab
• Sevak Elyaspoor
Hamlin Dental Group
8540 Reseda Blvd, #101
Northridge, CA 91324
(818) 701-6667
Office ID: 3980
• Hamid Reza
• Steve Duong
Paddison Dental Group
12501 S Norwalk Blvd
Norwalk, CA 90650
(562) 929-0880
Office ID: 4459
Homa Shahriari, D.D.S.
8632 Balboa Blvd
(818) 894-6161
Office ID: 6398
• Homa Shahriari
Norwalk Family Dental
13300 San Antonio Dr
Norwalk, CA 90650
(562) 863-9396
Office ID: 3666
• Harveen Singh
• Amarpreet Singh
Gershfield Family Dental
5160 Vineland Ave, #105
(818) 761-8899
Office ID: 2429
• Julian Gershfeld
General and Cosmetic Dentistry
8676 Lindley Ave
(818) 700-0000
Office ID: 6926
• Nune Mkheyan
Pioneer Dental, Inc.
14034 S Pioneer Blvd
Norwalk, CA 90650
(562) 863-8779
Office ID: 2437
• Behzad Binafard
Ashok R. Gandhi, D.D.S.
5942 Lankershim Blvd
(818) 985-7477
Office ID: 13488
• Ashok Gandhi
Shahram Nouri, D.D.S.
9068 Tampa Ave
(818) 885-5200
Office ID: 6173
• Shahram Nour
Paradise Dental Group
10059 Laurel Canyon Blvd, #A
Pacoima, CA 91331
(818) 896-0043
Office ID: 6826
• Alen Bakhtamian
Aben Veinberg, D.D.S.
6738 Lankershim Blvd
(818) 503-9697
Office ID: 13493
• Aben Veinberg
Iping Liu, D.D.S.
11850 Firestone Blvd, #6
Norwalk, CA 90650
(562) 864-1011
Office ID: 6085
• Iping Liu
Kishore Shah, D.D.S.
13279 Van Nuys Blvd
Pacoima, CA 91331
(818) 899-2505
Office ID: 2447
• Kishore Shah
Pacific Dental Group
6801 Lankershim Blvd, #101
(818) 764-0718
Office ID: 13500
• Harmik Derhartounian
Norwalk Family Dental
12319 E Imperial Hwy
Norwalk, CA 90650
(562) 868-7955
Office ID: 5736
• Gilbert Lay
Pacoima Family Dental Center
9722 Laurel Canyon Blvd
Pacoima, CA 91331
(818) 897-1234
Office ID: 5061
• Mehran Fakheri
57
Los Angeles County
Palmdale - Pasadena
Jeffery A Sulitzer D.M.D. Inc
1037 E Palmdale Blvd, #203
Palmdale, CA 93550
(661) 272-9181
Office ID: 4802
• Abdul Bayaz
• Rex Laurente
• Robert Minoofar
• Jonathan Maddatu
• Jaime Policarpio
Hi Desert Dental Center
2205 E Palmdale Blvd
Palmdale, CA 93550
(661) 273-1333
Office ID: 3614
• Sharona Kohanoff
38745 N Tierra Subida, #150
Palmdale, CA 93551
(661) 272-9091
Office ID: 4632
• Brandon Thai
• Luan Nguyen
• Michelle Nguyen
• Ara Derkejian
• Poolak Zand
• Eugene Song
Dental Plus California
14415 Chase St
Panorama City, CA 91402
(818) 830-9050
Office ID: 5238
• Nina Gray
58
Brennan Hughes, D.M.D.
14526 Roscoe Blvd
(818) 893-7858
Office ID: 5786
• Rodrigo Ortega
• Ladan Partovi
• Sami Ourshano
Shimon Rabbani D.M.D.
14554 Nordhoff St
(818) 891-2345
Office ID: 4849
• Shimon Rabbani
Koo, D.D.S. Inc
8215 Van Nuys Blvd, #220
(818) 782-8261
Office ID: 6479
• Grace Cho
9-7 Dental Family Center
8424 Van Nuys Blvd
(818) 893-4222
Office ID: 3933
• Shahram Nourian
• Dan Rosen
Dental Center of San Miguel
8781 Van Nuys Blvd, 2nd Floor
(818) 892-2649
Office ID: 6929
• Frederick Stuart
West Coast Dental Group of
Paramount
14525 Lakewood Blvd, #A
Paramount, CA 90723
(562) 272-0000
Office ID: 3894
• Mekarsari Rahadja (Honda)
• Hertsel Hakimian
Paramount Family Dental
8131 E Rosecrans Ave, #101
Paramount, CA 90723
(562) 634-2984
Office ID: 2461
• Jyantilal Patel
Ibrahim Rabadi, D.D.S.
Pasadena, CA 91104
(626) 794-2606
Office ID: 13528
• Ibrahim Rabadi
Gary I. Karsh, D.D.S.
8614 Van Nuys Blvd
(818) 895-1321
Office ID: 2456
• Gary Karsh
Gentle Care Health Spa
247 N Lake Ave
Pasadena, CA 91101
(626) 405-2922
Office ID: 6362
• Gamal Tayab
Dental Wonderland
8761 Van Nuys Blvd
(818) 891-1600
Office ID: 4999
• Sandra Deirmenjian
Washington Dental Group
Pasadena, CA 91107
(626) 296-0056
Office ID: 4284
• Shahla Nadir-Mohammadi
Los Angeles County
Pasadena - Reseda
Dental Plus
310 S Lake Ave
Pasadena, CA 91101
(626) 795-6855
Office ID: 2464
• Frenda Williams
• George Koutsoukos
• Leon Roisman
Fair Oaks Family Dental
929 N Orange Grove Blvd
Pasadena, CA 91103
(626) 449-3700
Office ID: 8474
• Amin Kohanbash
• Joseph Sinairad
Pasadena Family Dental Center
950 E Colorado Blvd, #201
Pasadena, CA 91106
(626) 431-2930
Office ID: 4175
• Gabriel Zuniga
A.D. Rangnath, D.D.S.
4400 Rosemead Blvd, #2
Pico Rivera, CA 90660
(562) 695-5251
Office ID: 2471
• Adinarayana Rangnath
Dental Masters
8982 Washington Blvd
(562) 222-1551
Office ID: 8033
• Charles Young
Muditajaya Dental Corporation
9123 Slauson Ave
(562) 949-0177
Office ID: 2474
• Danny Muditajaya
• Fiona Gandipurwo
• Winston Muditajaya
Del Dental Group
8035 W Manchester Ave, #B
Playa Del Rey, CA 90293
(310) 822-8118
Office ID: 4842
• Shahrzad Zarrinnam
Pomona Dental Group
850 N Indian Hill Blvd
Pomona, CA 91767
(909) 626-3541
Office ID: 2480
• Steve Lee
St. Moises Dental
12 Rancho Camino Dr, #102
Pomona, CA 91766
(909) 865-8500
Office ID: 7340
• Ublester Gomez
Magic Dental Office
Reseda, CA 91335
(818) 881-0404
Office ID: 4785
• John Foroutan
Sahara Dental
2005 W Holt Ave
Pomona, CA 91768
(909) 623-9590
Office ID: 13524
• Manar Jamal
• Nada Hadi
Reseda Dental Group
18437 Saticoy St, #1
Reseda, CA 91335
(818) 344-8338
Office ID: 6337
• Zareh Kouyoumdjian
Pearl Dental Care
2407 Valley Blvd, #C
Pomona, CA 91768
(909) 839-1004
Office ID: 4933
• Bhavin Changela
Grove Family Dental Office
3167 N Garey Ave
Pomona, CA 91767
(909) 596-7700
Office ID: 5036
• Deepak Bondade
• Mahendrakuma Mehta
• Nabil Magar
Harpreet S. Gill Dental Office
722 E Arrow Highway
Pomona, CA 91767
(909) 621-9177
Office ID: 2478
• Minh-Duc Pham
• Harpreet Gill
Reseda Village Dental Care
Reseda, CA 91335
(818) 757-7070
Office ID: 5717
• Tu Pham
Harvey E. Dlugatch, D.D.S.
18909 Sherman Way
Reseda, CA 91335
(818) 345-1343
Office ID: 2483
• Harvey Dlugatch
Cute Smile
Reseda, CA 91335
(818) 776-1236
Office ID: 4864
• Ilham Akraa
59
Los Angeles County
Reseda - Saugus
Citi Dental Group
6900 Reseda Blvd, #C
Reseda, CA 91335
(818) 705-0200
Office ID: 2490
• Kamran Tabib
San Fernando Dental Center
125 S Brand Blvd
San Fernando, CA 91340
(818) 365-6321
Office ID: 2502
• Jerry Malleus
Del Mar Dental Office
702 S Del Mar Ave, #A
San Gabriel, CA 91776
(626) 287-9781
Office ID: 2511
• Gamal Tayab
Adult and Kid’s Dental Care
Reseda, CA 91335
(818) 881-6761
Office ID: 6653
• Armine Ohanian
California Dental
2040 Glenoaks Blvd, #F
San Fernando, CA 91340
(818) 361-3889
Office ID: 6190
• Arman Petrosyan
Hamid Cohen Kheradyar, D.D.S.
138 S Gaffey St
San Pedro, CA 90731
(310) 514-9100
Office ID: 2518
• Hamid Kheradyar
M Duane Hedrick, D.D.S.
927 Deep Valley Dr, #205
Rolling Hills Estates, CA 90274
(310) 544-4054
Office ID: 5031
• Melbourne Hedrick
Las Tunas Family Dental Group
1107 E Las Tunas Dr
(626) 285-0031
Office ID: 4456
• Isaac Chen
4100 Rosemead Blvd
Rosemead, CA 91770
(626) 575-1161
Office ID: 4633
• Firoozeh Ahamdpour
• Lei Zeng
• Robert Rohmer
• Jeffrey Lee
• Michael Thai
Hai-Sou Chen, D.D.S.
301 W Valley Blvd, #222
(626) 573-5637
Office ID: 7334
• Hai-sou Chen
San Pedro Dental
697 S Gaffey St
San Pedro, CA 90731
(310) 548-1273
Office ID: 6560
• Madelena Blasucci
• Alejandro Orendain
• Alex Martel
• Isaac Kahen-Kashani
• Samson Lam
Glenrose Dental Center
8951 Glendon Way
Rosemead, CA 91770
(626) 288-7667
Office ID: 2494
• Neal Lascoe
• Kelvin Tsoi
Steven L. Chiu, D.D.S.
18906 E Gale Ave, #B
Rowland Heights, CA 91748
(626) 965-5618
Office ID: 2499
• Li-Chun Chiu
60
San Gabriel Family Dentistry
531 W Las Tunas Dr, #B
(626) 281-1628
Office ID: 8806
• Cassy Li
• Quy-Phung Phan
San Gabriel Valley Dental Center
6503 N Rosemead Blvd
(626) 286-2156
Office ID: 2506
• Henry Wong
• Leonard Feld
• Joseph Rosenberg
American Family Dental
2210 Santa Monica Blvd, #B
Santa Monica, CA 90404
(310) 264-5084
Office ID: 4819
• Ramin Farzam
Super Dental Care
3200 Santa Monica Blvd, #204
Santa Monica, CA 90404
(310) 453-8907
Office ID: 2527
• Jamal Mahboob
Los Angeles County
Saugus - Sun Valley
Golden Triangle Dental
21700 W Golden Triangle, #201
Saugus, CA 91350
(661) 259-5540
Office ID: 2531
• Liliana Khabbaz
• George Ekins
Woodman Dental Care
4350 Woodman Ave
Sherman Oaks, CA 91423
(818) 981-4508
Office ID: 6971
• David Isaacs
Anait Alabyan, D.D.S.
(818) 788-2121
Office ID: 5995
• Anait Alabyan
Gus Huerta, D.D.S.
(818) 995-8484
Office ID: 2532
• Gustavo Huerta
Sherman Oaks Cosmetic
& Implant Dental Group
(818) 990-4121
Office ID: 5141
Garvey Dental Center
9328 Garvey Ave, #A
South El Monte, CA 91733
(626) 350-0588
Office ID: 3982
• Anthony Pan
Omid South Gate Dental
10530 S Atlantic Ave
South Gate, CA 90280
(323) 569-5000
Office ID: 8407
• Kaye Omid
Henry Shafajoo, D.D.S.
2639 Santa Ana St
(323) 583-1481
Office ID: 5525
• Henry Shafajoo
Magdy F. Tadros, D.D.S.
3173 Tweedy Blvd
(323) 564-4554
Office ID: 6026
• Magdy Tadros
of South Gate
4149 Tweedy Blvd, #G
(323) 567-3333
Office ID: 2539
• Farhad Manavi
Dr. Naziri Dental Clinic
4186 Tweedy Blvd
(323) 569-7131
Office ID: 4488
• Amanollah Naziri
Adult & Children’s Dental Group
4444 Tweedy Blvd
(323) 564-2444
Office ID: 4498
• Luis Modesto
• Jay Lutsky
• Rosanne Berger
• Irina Tarnavsky
• Jose Guerrero
• Julie Lazo
• Scott Jacks
• Siavash Zargarpour
• Alice Pasion
• Eduardo Kasparian
• Enrique Tamayo
• Eleanor Siazon
• Maria Lima
• Sabina Wiederkehr
• Anisha Ranchhod
• Anh Nguyen
• Jorge Tello motta
• Gabriela Salcedo
• Pamela Abraham
• Pola Awad
• Mani Matin
Perfect Smile
5863 Imperial Hwy, #2A
(562) 862-1345
Office ID: 4770
• Ramon Rahimi
Charu R. Patel, D.D.S.
8116 ‘C’ California Ave
(323) 567-1821
Office ID: 13636
• Charu Patel
Family Dentistry
8805 Sunland Blvd
Sun Valley, CA 91352
(818) 767-5243
Office ID: 6525
• Hamid Nouri
61
Los Angeles County
Sun Valley - Toluca Lake
9375 San Fernando Rd, #602
Sun Valley, CA 91352
(818) 504-9876
Office ID: 5074
• Cellini Luna
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Binh Nguyen
• Niloo Tavakol
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Sunland Dental Care
7902 Foothill Blvd
Sunland, CA 91040
(818) 353-5520
Office ID: 2552
• Homeira Firoozeh
• Mahvash Emami-Sadre
Sunland Family Dentistry
8522 Foothill Blvd
Sunland, CA 91040
(818) 352-8888
Office ID: 2551
• Aleksey Fuks
Saint Mina Family Dental
12601 San Fernando Rd, #H
Sylmar, CA 91342
(818) 364-1991
Office ID: 6342
• Fawzy Tadros
62
Sinai Dental Group
13060 Glenoaks Blvd, #105
Sylmar, CA 91342
(818) 899-1800
Office ID: 8433
• Amin Kohanbash
• Joseph Sinairad
American Smile Dental Care
13203 Gladstone Ave
Sylmar, CA 91342
(818) 833-0444
Office ID: 6465
• Shahriar Arshadnia
• Farid Shafa
Fara Salehi, D.D.S.
Tarzana, CA 91356
(818) 344-3357
Office ID: 2559
• Fara Salehi
Vic Derbalian, D.D.S.
18740 Ventura, #201
Tarzana, CA 91356
(818) 609-7772
Office ID: 2556
• Vicken Derbalian
Le Ti Uy, D.M.D. Inc.
10441 Lower Azusa Rd
Temple City, CA 91780
(626) 448-7433
Office ID: 2562
• Le Uy
Armen Mikaelian, D.D.S.
10455 Lower Azusa Rd
Temple City, CA 91780
(626) 444-3744
Office ID: 6483
• Armen Mikaelian
Fawzy Tadros, D.D.S.
10724 Riverside Dr, #A
Toluca Lake, CA 91602
(818) 335-6526
Office ID: 8747
• Fawzy Tadros
Cosmetic/Implant/Gold Center
10745 Riverside Dr, #B
Toluca Lake, CA 91602
(818) 980-2887
Office ID: 4784
• Esteban Bonilla
Theodore D. Stomel, D.D.S.
19525 Ventura Blvd
Tarzana, CA 91356
(818) 708-7101
Office ID: 2555
• Theodore Stomel
Shahin Shamsian, D.D.S.
5620 Wilbur Ave, #309
Tarzana, CA 91356
(818) 881-1559
Office ID: 8612
• Shahin Shamsian
Los Angeles County
Torrance - Valencia
1001 W Carson St, #H
Torrance, CA 90502
(310) 618-1522
Office ID: 5073
• Editha Poblete
• Rex Laurente
• Cellini Luna
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Kim Pham
• Glenda Joson
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Village Family Dental Office
1235 Sepulveda Blvd
Torrance, CA 90502
(310) 530-9656
Office ID: 5292
• Michael Papadopoulos
West Coast Dental of Torrance
1730 W Sepulveda Blvd, #1
Torrance, CA 90501
(310) 325-8888
Office ID: 3895
Torrance Dental Associates
17305 Crenshaw Blvd, #B
Torrance, CA 90504
(310) 327-4166
Office ID: 2575
• Alireza Movassaghi
• Daniel Sako
All Smiles Family Dental & Braces
18506 Hawthorne Blvd
Torrance, CA 90504
(310) 370-7500
Office ID: 6450
• Don Solooki
• Jee Ahn
All Care Dental
19019 Hawthorne Blvd, #100B
Torrance, CA 90503
(310) 371-0113
Office ID: 6472
• Ik Sung Danny Lee
Downtown Family Dental
2055 Torrance Blvd
Torrance, CA 90501
(310) 320-0707
Office ID: 2568
• Vadim Salo
923 W Carson St
Torrance, CA 90502
(310) 533-1300
Office ID: 4634
• Colleen Vo
• Vinh Ngo
• Editha Poblete
• Lei Zeng
• Mina Sharifi
• Louis Kim
• Nahid Amjadi
Raymond Lotuaco, D.D.S.
23501 Cinema Dr, #207
Valencia, CA 91355
(661) 753-9456
Office ID: 5024
• Raymond Lotuaco
Vista Village Dental
25864 Tournament Rd, #F
Valencia, CA 91355
(661) 259-5001
Dental Associates of Torrance
Office ID: 4733
21229 Hawthorne Blvd, #A
• Sohail Sean Hakimi Torrance, CA 90503
(310) 792-5600
Zak Dental Care
Office ID: 7330
26324 Bouquet Canyon Rd
Valencia, CA 91355
• Pooja Bhalla
(661) 253-4000
Office ID: 2586
Redondo Beach Family Dental Clinic • Ilya Zak
2130 Redondo Beach Blvd, #F
Torrance, CA 90504
Plaza Del Rancho Dental Care
(310) 768-8281
27616 Newhall Ranch Rd, #5
Office ID: 6898
Valencia, CA 91355
• Cherine Quan
(661) 294-0300
Office ID: 6634
• Rosario Castillo
Canyon Dental Group
28237 Newhall Ranch Rd
Valencia, CA 91355
(661) 257-4242
Office ID: 6654
• Farhad Manavi
63
Los Angeles County
Valley Village - Van Nuys
Laurel Chandler Dental Group
4717 Laurel Canyon Blvd, #200
Valley Village, CA 91607
(818) 508-2250
Office ID: 3706
• Neal Lascoe
Gevork Boyadzhyan, D.D.S.
13521 Sherman Way, #H
Van Nuys, CA 91405
(818) 786-8494
Office ID: 6775
• Gevork Boyadzhyan
of Van Nuys
13716 Sherman Way
Van Nuys, CA 91405
(818) 988-2020
Office ID: 4889
• Farhad Manavi
Mehrzad Firouzbakht, D.D.S.
14100 Victory Blvd
Van Nuys, CA 91401
(818) 908-9199
Office ID: 6202
• Mehrzad Firouzbakht
Hamlin Dental Group
14401 Hamlin St, #D
Van Nuys, CA 91401
(818) 782-6919
Office ID: 2588
• Hamid Reza
• Anoush Yessaian
• Hovsep Koshkerian
Sinai Dental Group
14523 Sherman Way
Van Nuys, CA 91405
(818) 787-7300
Office ID: 8482
• Joseph Sinairad
64
Sinai Dental Group
14550 Haynes St, #100
Van Nuys, CA 91411
(818) 780-7555
Office ID: 8431
• Amin Kohanbash
• Joseph Sinairad
Van Nuys, CA 91405
(818) 756-6950
Office ID: 5072
• Rex Laurente
• Cellini Luna
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Sherli Mikael
• Niloo Tavakol
• Jeffrey Reyes
• Mai Le
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Van Nuys, CA 91406
(818) 786-2209
Office ID: 4635
• Marjan Mohammadi
• Colleen Vo
• Don Solooki
• Bassem Assad
• Michelle Nguyen
• Shahrooz Matian
• Seran Ng
St. Anthony Dental Office
16055 Sherman Way
Van Nuys, CA 91406
(818) 909-0500
Office ID: 13599
• Theodora Saad
Lourdes C. Alejandro, D.D.S.
16215 Victory Blvd
Van Nuys, CA 91406
(818) 781-2081
Office ID: 4853
• Lourdes Alejandro
Gohar Hovsepyan, D.D.S.
15333 Sherman Way, #M
Van Nuys, CA 91406
(818) 909-0200
Office ID: 4676
• Gohar Hovsepyan
Affordable Gentle Dental
6600-A Van Nuys Blvd
Van Nuys, CA 91405
(818) 782-5020
Office ID: 4657
• Eddie Siman
• Owen Kwong
• Tigran Shahmanyan
• Payam Barzivand
Family Dentistry
15355 Sherman Way, #K
Van Nuys, CA 91406
(818) 997-7797
Office ID: 8039
• Henry Suarez
Jonathan L. Maddatu, D.D.S.
6736 N Sepulveda Blvd
Van Nuys, CA 91411
(818) 786-8803
Office ID: 6466
• Jonathan Maddatu
Los Angeles County
Van Nuys - West Covina
Plaza Dental Clinic
7028½ Van Nuys Blvd
Van Nuys, CA 91405
(818) 780-8555
Office ID: 4503
• Fariba Ahmadzadeh
The Dental Care Center
7068 Sepulveda Blvd
Van Nuys, CA 91405
(818) 781-1533
Office ID: 7329
• Peter Suh
Sherman Way Dental Group
7120 Hayvenhurst Ave, #205
Van Nuys, CA 91406
(818) 988-1642
Office ID: 2594
• Maged Wahba
Van Nuys Panorama Dental Center
8227 Van Nuys Blvd
Van Nuys, CA 91402
(818) 989-3074
Office ID: 4775
• Mahfouz Gereis
Tien Chun David Wang, D.M.D.
1309 N Grand Ave
Walnut, CA 91789
(909) 594-7899
Office ID: 2604
• Tien Wang
Walnut Hills Family Dentistry
18758 E Amar Rd
Walnut, CA 91789
(626) 912-5599
Office ID: 4377
• Emad Fahmy
Walnut Family Dentistry
18800 E Amar Rd, #C-3
Walnut, CA 91789
(626) 913-7359
Office ID: 2603
• Linda Jimenez
• David Pace
Pedro P. Gonzalez, D.D.S. Inc.
20199 Valley Blvd, #F
Walnut, CA 91789
(909) 468-0091
Office ID: 6953
• Pedro Gonzalez
Southern California Dental Service
1014 S Glendora Ave
West Covina, CA 91790
(626) 918-2886
Office ID: 2605
• Joseph Liu
Robins Family Dental Center
1129 S Glendora Ave
(626) 919-7707
Office ID: 2607
• Gregory Robins
• Frederick Horwitz
1215 W Covina Parkway
(626) 962-8911
Office ID: 4636
• The-Hao Tran
• Lei Zeng
• Robert Rohmer
• Hesham Hassan
• Emmanuel Magalong
• Nahid Amjadi
• Birva Joshi
Family Dentistry
1312 W Francisquito Ave, #D4
(626) 918-0171
Office ID: 2610
• Maninder Singh
Dental Max
2360 S Azusa Ave, #B
(626) 839-5010
Office ID: 8031
• Charles Young
Rafik Yanni, D.D.S.
2413 S Azusa Ave
(626) 913-1421
Office ID: 3631
• Rafik Yanni
West Covina Family Dentistry
450 S Glendora Ave, #106
(626) 856-3317
Office ID: 4884
• Shaileshkumar Bhatt
• Gerald Fisch
• Kenvis Ngow
• Ronald Danko
• Dieu Phan
Gateway Dental + Braces
662 S Sunset Ave
(626) 337-9494
Office ID: 6922
• Sima Khavaran
• Soheil Soleimani
Queens Dental Group
910 S Sunset Ave, #3 & 4
(626) 337-6166
Office ID: 5799
• Atul Suchak
65
Los Angeles County
West Hills - Woodland Hills
Gentle Dentistry
7138 Shoup Ave, #B7-8
West Hills, CA 91307
(818) 883-7070
Office ID: 4965
• Hanita Sidana
Whittier Dental Group
Whittier, CA 90605
(562) 693-8202
Office ID: 2631
• Shahram Nourian
Ace Dental
200 E Anaheim St, #254
Wilmington, CA 90744
(310) 830-3344
Office ID: 6228
• Jin Yang
Airport Center Family Dental
5304 W Century Blvd
Westchester, CA 90045
(310) 215-1455
Office ID: 2381
• Joseph Sabet
• Michael Schultz
Uptown Dental Group
6711 Greenleaf Ave
Whittier, CA 90601
(562) 698-0054
Office ID: 2624
• Charu Patel
• Marcela Perez
Sung’s Dentistry
414 W Pacific Coast Highway
(310) 518-3522
Office ID: 2634
• Caspar Sung
Westchester Dental Care
8930 S Sepulveda Blvd, #117
Westchester, CA 90045
(310) 641-8890
Office ID: 2379
• David Moghaddas
The Village Dental Center
6742 Greenleaf Ave, #300
Whittier, CA 90601
(562) 945-1684
Office ID: 5003
• Marlene Salib
Merle Yaneza Family Dentistry
Whittier, CA 90606
(562) 463-3332
Office ID: 4783
• Merle Yaneza
Maged Zaky Nessim, D.D.S.
7743 S Painter Ave, #B
Whittier, CA 90602
(562) 698-7113
Office ID: 5845
• Maged Nessim
Washington Dental Group
Whittier, CA 90606
(562) 463-1111
Office ID: 4683
• Thomas Nguyen
• Peter Nguyen
Krishna Reddy, D.D.S.
7910 Norwalk Blvd
Whittier, CA 90606
(562) 699-0343
Office ID: 2633
• Krishna Reddy
Friendly Hills Family Dentistry
Whittier, CA 90605
(562) 698-9855
Office ID: 2632
• Mrugesh Dalal
66
Edward L Rosen, D.D.S.
Woodland Hills, CA 91364
(818) 999-6165
Office ID: 4160
• Raffi Yessayantz
• Edward Rosen
• Marlene Talley
Nader Ahdout, D.D.S.
22116 Ventura Blvd
Woodland Hills, CA 91364
(818) 340-3062
Office ID: 4301
• Nader Ahdout
Iraj Nouri, D.D.S. Inc.
1239 N Avalon Blvd
(310) 518-2697
Office ID: 2635
• Iraj Nouri
Orange County
Aliso Viejo - Anaheim
Aliso Park Dental
15 Mareblu, #320
Aliso Viejo, CA 92656
(949) 362-9888
Office ID: 4265
• Forouzan Yavari
• Hong Ly
of Aliso Viejo
26888 S La Paz Rd, #B
(949) 362-5600
Office ID: 8506
• Jason Morgan
Aliso Viejo Family Dental Group
27066 S La Paz Rd
(949) 360-9700
Office ID: 6755
• Reza Birjandi
• Daniel Hulse
1112 N Magnolia Ave
Anaheim, CA 92801
(714) 828-1211
Office ID: 4620
• Hazem Haj Yousef
• Thanh Le
• Soheil Shahramyar
• Beatrice Lu
• Pablo Vargas
• James Kim
of Anaheim Hills
140 S Fairmont Blvd
Anaheim, CA 92808
(714) 974-0054
Office ID: 8781
• Jason Morgan
Dental Aesthetics Professionals
1751 W Romneya Dr, #D
Anaheim, CA 92801
(714) 772-3538
Office ID: 6776
• Jannette Trent
Nandini R. Murthy, D.D.S.
1801 W Romneya Dr, #201
Anaheim, CA 92801
(714) 774-2638
Office ID: 2647
• Nandini Murthy
7 Day Dental office of Dr. Le
2265 W Lincoln Ave
Anaheim, CA 92801
(714) 491-8600
Office ID: 4661
• Jennifer Phillips
• Michael Bailey
• Chuck Le
• Thinh Nguyen
• Ching-Ming Shen
First Dental Care
2801 W Ball Rd, #10
Anaheim, CA 92804
(714) 527-5656
Office ID: 6823
• Harold Choi
State College Dental Group
330 N State College Blvd, #105
Anaheim, CA 92806
(714) 772-5005
Office ID: 3979
• Michael Badea
• Robert Sadighi
Charles Kimball, D.D.S.
522 N Magnolia Ave
Anaheim, CA 92801
(714) 828-1415
Office ID: 6917
• Charles Kimball
Dental Associates of Anahiem
601 S Euclid St
Anaheim, CA 92802
(714) 778-0700
Office ID: 6984
• Danny Thomas
7 Day Dental
637 N Euclid St
Anaheim, CA 92801
(714) 772-2893
Office ID: 2644
• Michael Bailey
• Chuck Le
• Thinh Nguyen
Beach Dental Care
2940 W Lincoln Ave, #L
Anaheim, CA 92801
(714) 995-4000
Office ID: 8576
• Thomas Han
Care Dental
3203 W Ball Rd
Anaheim, CA 92804
(714) 995-3415
Office ID: 6490
• Thanh-Ha Bui
• Kim Bui
67
Orange County
Anaheim - Fountain Valley
710 S Brookhurst Ave, #O
Anaheim, CA 92801
(714) 780-5665
Office ID: 5080
• Vicky Duong
• Maha Elmasri
• Tram Luu
• Mai Tran
• Maria Asuncion
• Arlene Kamppila
• Maria Cabalinan
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Maysoon Saeed, D.D.S.
710 S Brookhurst St, #K
Anaheim, CA 92804
(714) 758-0778
Office ID: 6107
• Maysoon Saeed
Dental Care of Anaheim
815 N Euclid
Anaheim, CA 92801
(714) 758-0791
Office ID: 4052
• Pragnesh Dholakiya
Anaheim Dental
8516 Katella Ave
Anaheim, CA 92804
(714) 527-7775
Office ID: 6657
• Behnaz Nonahal
Radiance Dental
5675 E La Palma Ave, #197
Anaheim Hills, CA 92807
(714) 695-0593
Office ID: 4560
• Johnny Whitworth
68
Santa Maria Dentistry
6039 Beach Blvd
Buena Park, CA 90621
(714) 994-1456
Office ID: 6841
• Pauline Nguyen
Bright Dental Care
320 Bristol St, #H
Costa Mesa, CA 92626
(714) 546-7595
Office ID: 4215
• Parisa Behroozi
All Smiles Dental
7938 Valley View St
(714) 670-7657
Office ID: 8318
• Pen-Mao Chu
Katella Dental Center
6929 Katella Ave
Cypress, CA 90630
(714) 952-3044
Office ID: 13665
• Kim-Thanh Tran
of Buena Park
8381 La Palma Ave, #B & C
(714) 228-9990
Office ID: 4935
• Hertsel Hakimian
• Farhad Manavi
Cypress Dental Group
9922 Walker St, #C
Cypress, CA 90630
(714) 220-0354
Office ID: 6459
• Omid Shayan
Buena Park Dental Center
8402 Commonwealth Ave
(714) 739-2051
Office ID: 6103
• Mona Fahmy
• Peter Zakhary
Bay Mesa Dental
2023 Harbor Blvd, #D
(949) 646-9000
Office ID: 6880
• Tuankiet Ly
Mesa Dental Center
267 E 17th St
(949) 646-2411
Office ID: 5448
• Hisham Alkhateeb
• Maha Hetata
Foothill Family Dental
26700 Towne Centre Dr, #260
Foothill Ranch, CA 92610
(949) 273-8600
Office ID: 5034
• Ratandeep Bawa
Dental Arts
11703 Edinger Ave
Fountain Valley, CA 92708
(714) 775-1934
Office ID: 4485
• Pauline Phan
Quality Dental Care
17150 Euclid St, #311
(714) 444-4224
Office ID: 2671
• Medhat Rofael
Orange County
Fountain Valley - Huntington Beach
Fountain Valley Dental Esthetics
17900 Brookhurst St, #A
(714) 887-4337
Office ID: 6101
• Nilesh Pema
Family Dental
2442 E Chapman Ave
Fullerton, CA 92831
(714) 525-4538
Office ID: 2675
• Nadia Saleeb
Hercules Real, DMD
100 Laguna Rd, #202
Fullerton, CA 92835
(714) 525-2888
Office ID: 5743
• Hercules Real
Vivid Dental Studio
301 W Bastanchury Rd, #5
Fullerton, CA 92835
(714) 871-4892
Office ID: 3903
• Jayshree Shah
Easter Dental Care
1010 E Chapman Ave
Fullerton, CA 92831
(714) 526-2828
Office ID: 8522
• Seyed Shafie
Sunshine Dental
506 W Commonwealth Ave
Fullerton, CA 92832
(714) 738-7777
Office ID: 4292
• Helen Kim
Sayed Fazely
1105 S Euclid St, #E
Fullerton, CA 92832
(714) 738-0304
Office ID: 6843
• Sayed Fazely
Fullerton Family Dental
906 W Orangethorpe Ave
Fullerton, CA 92832
(714) 871-3900
Office ID: 6346
• Shirley Lee
Brite Dental Group
1573 S Harbor Blvd
Fullerton, CA 92832
(714) 224-5255
Office ID: 6067
• Ali Tavakoli-Parsa
Garden Grove Dental Care
12630 Brookhurst St, #B
Garden Grove, CA 92840
(714) 530-4920
Office ID: 13587
• William Gross
• Allen Baker
Fullerton Dental Care
170 N Raymond Ave
Fullerton, CA 92831
(714) 870-2000
Office ID: 8749
• Asal Shirazi
12828 Harbor Blvd, #340
(714) 530-9801
Office ID: 5079
• Vicky Duong
• Tu Dao
• Roshani Patel-Mehta
• Lethy Vo
• Hanh Vo
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Lanchi Pham
Boston Hub Dental Group
13031 Kerry St
(714) 638-4042
Office ID: 6998
• Sanghoon Park
• Inho Choi
Leonardo Medina, D.D.S.
13034 Chapman Ave
(714) 750-7333
Office ID: 3948
• Leonardo Medina
Christopher M. Dinh, D.D.S.
9191 Westminster Ave, #201
(714) 899-0037
Office ID: 6836
• Christopher Dinh
Pearly White Dental
16474 Bolsa Chica St
Huntington Beach, CA 92649
(714) 377-3736
Office ID: 4686
• TiTi Dang
69
Orange County
Huntington Beach - Lake Forest
Nora Caballero, D.D.S.
16511 Goldenwest St, #101
(714) 848-9200
Office ID: 5599
• Nora Caballero
University Park Dental
5321 University Dr, #A
Irvine, CA 92612
(949) 653-2244
Office ID: 8040
• Negah Parsangi
Brilliant Smile Dental Group
23024 Lake Forest Dr, #A
Laguna Hills, CA 92653
(949) 716-7166
Office ID: 6125
• Mahshid Farhoumand
Big Dental Group
18682 Beach Blvd, #100
(714) 968-3522
Office ID: 6352
• Foruzan Bigdeli
• Faranak Bigdeli
Dental Arts Center of Irvine
62 Corporate Park, #210
Irvine, CA 92606
(949) 261-7500
Office ID: 8744
• Catalin Filip
• Orest Frangopol
Harbour Dental
5219 Warner Ave
(714) 846-0000
Office ID: 8509
• Anthony Ngo
Valentina Redden, D.D.S. Inc.
111 N Euclid St
La Habra, CA 90631
(562) 697-1229
Office ID: 8503
• Valentina Redden
Flora Stenger, D.D.S.
24022 Calle De La Plata, #450
(949) 830-0074
Office ID: 6848
• Flora Stenger
• Li-wen Cheng
• Carol Basilio-Duenas
Yorktown Dental Practice of Trinh,
D.D.S.
9931 Yorktown Ave
(714) 963-9800
Office ID: 4302
• Linh Trinh
La Habra Smile Dental
La Habra, CA 90631
(562) 266-9277
Office ID: 8022
• Kourosh Dianatyazdi
Michael Alijani, D.D.S.
17655 Harvard Place, #F
Irvine, CA 92614
(949) 833-8884
Office ID: 6301
• Michael Alijani
Basem Airood, D.D.S.
17931 MacArthur Blvd
Irvine, CA 92614
(949) 862-0028
Office ID: 6857
• Basem Airood
70
Tina Cho, D.M.D.
1875 W La Habra Blvd
La Habra, CA 90631
(562) 266-0033
Office ID: 5716
• Tina Cho
7 Day Dental of Dr. Chung
27702 Crown Valley Parkway, #A2
Ladera Ranch, CA 92694
(949) 365-1900
Office ID: 8721
• Chuck Le
• Christine Chung
• David McCann
Dental Arts Center of Laguna Hills
24953 Paseo de Valencia, #3C
(949) 837-7112
Office ID: 8745
• Catalin Filip
• Orest Frangopol
Royal Dental
25401 Alicia Parkway, #J
(949) 587-3010
Office ID: 6600
• Ashraf Soliman
7 Days Dental
24310 Moulton Parkway, #C-1
Laguna Woods, CA 92653
(949) 859-3988
Office ID: 4234
• Christine Chung
Kathy Massoumi, D.D.S., Inc.
22706 Aspan St, #602
Lake Forest, CA 92630
(949) 716-7000
Office ID: 6904
• Kathy Massoumi
Orange County
Lake Forest - Rancho Santa Margarita
Quynci Nguyen, D.D.S.
23182 El Toro Frontage Rd
(949) 830-3730
Office ID: 8408
• Lan Nguyen
Elegance Family Dentistry
1220 Bison Ave, #A-2
Newport Beach, CA 92660
(949) 640-8880
Office ID: 7519
• Shahram Salimy
Comfort Smile Family Dentistry
1920 E Katella, #J
Orange, CA 92867
(714) 997-4133
Office ID: 13490
• Phillip Huang
23622 Rockfield Blvd
(949) 837-2766
Office ID: 4621
• Thanh Le
• Michael Mai
• Ramon Rahimi
• Beatrice Lu
• Pablo Vargas
• James Kim
Newport Dental Center
2105 San Joaquin Hills Rd
Newport Beach, CA 92660
(949) 721-1730
Office ID: 8473
• Paul Palmer
St. Catherine Dental Center
235 E Katella Ave
Orange, CA 92867
(714) 633-3336
Office ID: 4221
• Thanh Dinh
Town And Country Dental Center
1111 W Town and Country Rd, #33
Orange, CA 92868
(714) 285-0505
Office ID: 8426
• Melissa Cheng
• Haesung Kim
Brite Dental Care
765 N Tustin St
Orange, CA 92867
(714) 771-7474
Office ID: 6033
• Ramesh Kothari
Ashok Mehta, D.D.S., Inc.
10900 Los Alamitos Blvd, #133
Los Alamitos, CA 90720
(562) 596-8888
Office ID: 2721
• Ashokkumar Mehta
Oksana Bublik, D.D.S., APC
22951 Los Alisos Blvd, #2
Mission Viejo, CA 92691
(949) 380-9506
Office ID: 4218
• Oksana Bublik
Gateway Dental
24000 Alica Pkwy, #34
(949) 707-7000
Office ID: 4752
• Shadi Rad
Marguerite Dental
27871 Medical Center Dr, #165
(949) 364-2529
Office ID: 2690
• Rama Ghaem-Maghami
Orange Art of Dentistry
146 S Main St, #M
Orange, CA 92868
(714) 938-0568
Office ID: 4720
• Christopher Dinh
of Orange
1502 E Collins Ave
Orange, CA 92867
(714) 288-8464
Office ID: 4222
• Jason Morgan
of Orange
179 N Tustin Ave
Orange, CA 92867
(714) 288-1035
Office ID: 4509
• Farid Pakravan
• Kimberly Nguyen
Orange Park Smile Studio
8418 E Chapman Ave
Orange, CA 92869
(714) 984-2050
Office ID: 8106
• Cecile Licauco
Coastal Dental Care
1858 N Placentia Ave
Placentia, CA 92870
(714) 577-9070
Office ID: 4517
• Brooks Morgan
Blossoming Smiles
30486 Avenida de las Banderas, #A
Rancho Santa Margarita, CA 92688
(949) 216-9090
Office ID: 8442
• Carlos Parajon
71
Orange County
San Clemente - Santa Ana
Artistic Dentistry
439 N El Camino Real, #E
San Clemente, CA 92672
(949) 366-1177
Office ID: 4561
• Amir Nikraz
Anh Vu, D.D.S.
1311 N Broadway, #B
Santa Ana, CA 92706
(714) 541-2723
Office ID: 4273
• Anh Thi Vu
United Dental Care
1710 E 17th St, #E
Santa Ana, CA 92705
(714) 564-9000
Office ID: 4484
• Karmen Bakaen
Dr. Jeffrey M. Jacobson
32183 Camino Capistrano
San Juan Capistrano, CA 92675
(949) 489-1013
Office ID: 6571
• Jeffrey Jacobson
1400 N Main St
Santa Ana, CA 92701
(714) 541-7928
Office ID: 5078
• Cellini Luna
• Lethy Vo
• Tram Luu
• Maria Asuncion
• Arlene Kamppila
• Hanhngoc (Nikky) Vo
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
1718 N Main St
Santa Ana, CA 92706
(714) 543-0600
Office ID: 4622
• Thanh Le
• Vinh Ngo
• Hesham Hassan
• Husam Salameh
• Beatrice Lu
• Geetika Virk
• Pablo Vargas
• James Kim
Sunshine Dental
1109 W 17th St
Santa Ana, CA 92706
(714) 835-2383
Office ID: 5580
• David Diaz
Crystal Dental
1125 E 17th St, #W127
Santa Ana, CA 92701
(714) 541-9203
Office ID: 6820
• Howard Van
• Matt Tocuseanu
• Danny Aframian
• Bao Nguyen
Iraj Ebrami, D.D.S. Inc
1125 East St, #E227
Santa Ana, CA 92701
(714) 543-7770
Office ID: 6492
• Iraj Ebrami
Yen Bich Phan, D.D.S.
120 S Harbor Blvd, #A
Santa Ana, CA 92704
(714) 531-3405
Office ID: 7327
• Yen Phan
72
Friendly Smile Dental
1521 N Broadway St
Santa Ana, CA 92706
(714) 972-2801
Office ID: 2739
• Huy Than
John Shui, D.D.S.
1702 S Main St
Santa Ana, CA 92707
(714) 796-9253
Office ID: 5766
• John Shui
Carlos King Dental Office
1734 W 1st St, #H
Santa Ana, CA 92703
(714) 542-9785
Office ID: 7510
• Carlos King
My Dentist
2001 W 17th St
Santa Ana, CA 92706
(714) 547-4444
Office ID: 8475
• Mohammad Amini
United Dental Care
2222 S Main St
Santa Ana, CA 92707
(714) 210-0999
Office ID: 8312
• Karmen Bakaen
Orange County
Santa Ana - Westminster
Philip Koh, D.D.S.
2509 W McFadden, #E
Santa Ana, CA 92704
(714) 835-8797
Office ID: 3956
• Philip Koh
Bay Dental
3620 S Bristol St, #307
Santa Ana, CA 92704
(714) 540-2836
Office ID: 2755
• Shahin Mahallati
Smile Family Dental
7757 Katella Ave, #D
Stanton, CA 90680
(714) 209-7702
Office ID: 6199
• Dorothy Chao
Nandini R. Murthy, D.D.S., Inc.
2723 N Bristol St, #D-7
Santa Ana, CA 92706
(714) 569-0021
Office ID: 2758
• Nandini Murthy
Bristol Dental Care
410 N Bristol St., #C
Santa Ana, CA 92703
(714) 953-2198
Office ID: 6198
• James Wang
Elmer Yoshida, D.D.S.
137 W 1st St, #B2
Tustin, CA 92780
(714) 730-9900
Office ID: 4880
• Elmer Yoshida
Sweet Tooth Dental Group
301½ N Main
Santa Ana, CA 92701
(714) 547-6600
Office ID: 6777
• Nilar Thein
• Pyi Soe
Family Dental
516 A W 17th St
Santa Ana, CA 92706
(714) 972-2506
Office ID: 6300
• Leticia Camacho
Zareh & Zareh Dental Inc
13830 Red Hill Ave
Tustin, CA 92780
(714) 832-1730
Office ID: 6652
• Negar Zareh
David Cashman, D.D.S.
715 S Main St
Santa Ana, CA 92701
(714) 835-6616
Office ID: 2738
• David Cashman
Smile Dental Care
14001 Newport Ave, #C
Tustin, CA 92780
(714) 508-8500
Office ID: 8401
• Nathan Vu
All Star Dental + Braces
940 N Grand Ave
Santa Ana, CA 92701
(714) 541-9494
Office ID: 6924
• Lori Cho
• Soheil Soleimani
Amit Shah, D.D.S.
17602 Seventeenth St., #105
Tustin, CA 92780
(714) 544-7511
Office ID: 4659
• Amit Shah
Thanh Q. Nguyen, D.D.S.
319 E 17th St
Santa Ana, CA 92706
(714) 569-1100
Office ID: 8440
• Thanh Nguyen
3500 S Bristol St, #100
Santa Ana, CA 92704
(714) 957-6030
Office ID: 4623
• The-Hao Tran
• Nam Nguyen
• Thanh Le
• Vinh Ngo
• Ramon Rahimi
• Beatrice Lu
• Maryam Horiyat
• Hadis Reyhani
• James Kim
Suzanne E. Nguyen, D.D.S.
12683 Beach Blvd
Stanton, CA 90680
(714) 372-3600
Office ID: 6456
• Suzanne Nguyen
Star Bright Dental
5871 Westminster Blvd, #F
Westminster, CA 92683
(714) 373-5999
Office ID: 5066
• Cuong Nguyen
73
Orange County
Westminster - Yorba Linda
Nice Smiles Dental Group
8341 Westminster Blvd, #204
(714) 379-2144
Office ID: 6372
• Christopher Nguyen
Ngoc-Lien T. Nguyen, D.D.S.
9435 Edinger Ave
(714) 775-1818
Office ID: 6517
• Ngoc-Lien Nguyen
Eva Dental Center
9550 Bolsa Ave, #218
(714) 775-3699
Office ID: 8610
• Justin Chung
Dr. Nilar Thein
17540 Yorba Linda Blvd
Yorba Linda, CA 92886
(714) 996-4057
Office ID: 4841
• Nilar Thein
• Pyi Soe
Family Dentistry
19751 Esperanza Rd
Yorba Linda, CA 92886
(714) 779-9870
Office ID: 4266
• Ricardo Alpez
74
Riverside County
Banning - Indio
Dental Works
6350 W Ramsey, #A
Banning, CA 92220
(951) 769-0466
Office ID: 4286
• Stanley Miller
Cajalco Dental
2550 Tuscany St, #101
Corona, CA 92881
(951) 280-9073
Office ID: 8485
• Giao Bhakta
Jean Miller, D.D.S.
810 St. John Place, #C
Hemet, CA 92543
(951) 652-4040
Office ID: 8742
• Jean Miller
Ruben Mendez, D.D.S. Dental Office
68100 Ramon Rd, #A-4
Cathedral City, CA 92234
(760) 483-3344
Office ID: 8030
• Ruben Mendez
Peter Escutin, D.D.S., Inc.
3848 N McKinley St, #D
Corona, CA 92879
(951) 371-2424
Office ID: 5973
• Peter Escutin
Bright Smile Dentistry
920 N State St
Hemet, CA 92543
(951) 765-1234
Office ID: 8847
• George Makar
Gentry Plaza Dental Care
68555 Ramon Rd, #102D
Cathedral City, CA 92234
(760) 202-1171
Office ID: 4467
• Dong Kim
Hemet Smiles
1001 S State St, #B
Hemet, CA 92543
(951) 658-6100
Office ID: 4647
• Michael Bryant
Corona Family Dental Group
1358 W 6th St, #101
Corona, CA 92882
(951) 734-4620
Office ID: 2783
• Ehab Samaan
• Haitham ElGendi
Hemet Dental Care
1300 E Florida Ave, #A20
Hemet, CA 92544
(951) 765-5544
Office ID: 6845
• Soheil Khodadadi
Inland Dental Center- Heritage Court
44100 D Jefferson St, #404
Indio, CA 92201
(760) 772-0214
Office ID: 6124
• Anthony Boyd
• Emilio Muro
Corona Caring Dental
1450 W 6th St, #114
Corona, CA 92882
(951) 371-7200
Office ID: 6282
• Lilliam Marrero
Canyon Dental
1561 E Ontario Ave, #103A
Corona, CA 92881
(951) 273-0555
Office ID: 6791
• Shikha Banerjee
Sunshine Dental Care
239 N Sanderson Ave
Hemet, CA 92545
(951) 925-1223
Office ID: 8492
• Aram Deragobian
Sam K. Patel, D.D.S.
475 W Stetson Ave, #L
Hemet, CA 92543
(951) 925-4002
Office ID: 8499
• Shailesh Patel
Indio Dental Office
80-545 Highway 111, #3
Indio, CA 92201
(760) 342-9938
Office ID: 6937
• Mercedes Herrera
Gentle Dental Indio
81557 Dr Carreon Blvd, #D3
Indio, CA 92201
(760) 775-5284
Office ID: 4919
• William Cox
• Yvetta Janku
Hovsep Nargizyan Dental
Corporation
81637 Highway 111, #1
Indio, CA 92201
(760) 342-1448
Office ID: 6414
• Hovsep Nargizyan
75
Riverside County
Indio - Palm Springs
Desert Dental Service
81955 Highway 111, #102
Indio, CA 92201
(760) 347-2331
Office ID: 4252
• Sam Dason
All-Brite Dental Care
12712 Heacock St, #4
Moreno Valley, CA 92553
(951) 247-7400
Office ID: 4569
• Faramarz Boniadi
Canyon Lake Dental
25321 Railroad Canyon Rd, #501
Lake Elsinore, CA 92532
(951) 244-2311
Office ID: 7528
• Sachin Singhal
Robert Silvola, D.D.S.
12810 Heacock St., #B103
(951) 242-3441
Office ID: 5851
• Robert Silvola
Elsinore Hills Family Dentistry
31500 Grape St, #8
Lake Elsinore, CA 92532
(951) 471-1628
Office ID: 4293
• Tu-Uyen Nguyen
Moreno Dental Care
23750 Alessandro Blvd, #O-102
(951) 656-0088
Office ID: 6795
• Charles Park
Menifee Valley Dental Group
27192 Newport Rd, #2
Menifee, CA 92584
(951) 672-9457
Office ID: 3612
• Homayoun Pourshirazi
Family Dentistry
23962 Alessandro Blvd, #R
(951) 697-8888
Office ID: 6723
• Sandip Desai
Mira Loma Dental
11058 Limonite Ave
Mira Loma, CA 91752
(951) 737-6005
Office ID: 6779
• Dinesh Makadia
Family Dental Office
24760 Sunnymead Blvd, #103
(951) 242-6242
Office ID: 2806
• Ted Im
12125 Day St, Bldg. N, #211
(951) 222-2000
Office ID: 4607
• Luan Nguyen
• Ahmad Yosif
• Ali Ehsan
• Harvdev Singh
Copper Canyon Smiles
23771 Washington Ave, #H-102
Murrieta, CA 92562
(951) 691-5096
Office ID: 5946
76
Friendly Dental Center
39252 Winchester Rd, #117
Murrieta, CA 92563
(951) 894-7769
Office ID: 6463
• Juliet Hananian
• William Hardee Jr.
Margarita Ville Smiles
39540 Murrieta Hot Springs Rd, #231
Murrieta, CA 92563
(951) 696-8200
Office ID: 6862
• Meerweis Stanisai
Cal Oaks Dental Excellence
40414 Cal Oaks Rd, #A
Murrieta, CA 92562
(951) 304-7472
Office ID: 6753
Murrieta Dental Group-PDS
40770 California Oaks Rd
Murrieta, CA 92562
(951) 677-3078
Office ID: 4361
• Jeremy Sewell
• Hien Tran
Richard J. Gill, D.D.S., Inc.
72695 Highway 111, #A8
Palm Desert, CA 92260
(760) 340-2160
Office ID: 6725
• Richard Gill
Palm Canyon Dental Office
180 E Palm Canyon Dr
Palm Springs, CA 92264
(760) 322-1002
Office ID: 6934
• Kirit Patel
Riverside County
Palm Springs - Temecula
Richard J. Gill, D.D.S., Inc.
1921 E Tahquitz Canyon Way
Palm Springs, CA 92262
(760) 325-6480
Office ID: 6724
• Richard Gill
10001 Indiana Ave
Riverside, CA 92503
(951) 689-0701
Office ID: 4609
• Ehab Samaan
• Farshid Vahed
• Brenda Tucker
• Emad Moawad
• Ali Ehsan
• Harvdev Singh
• Rita Deragobian
• Yan Huang
Riverside Dentistry
1857 University Ave
Riverside, CA 92507
(951) 781-3021
Office ID: 4742
• Men Le
La Sierra Family Dentistry
3410 La Sierra Ave, #D
Riverside, CA 92503
(951) 354-9550
Office ID: 2815
• Eliot Yeo
4024 12th St
Riverside, CA 92501
(951) 784-0636
Office ID: 5076
• Aileen Luna
• Cellini Luna
• Arlene Kamppila
• Maria Cabalinan
• Maria Luisa Co
• Arnel De Guzman
• Thach Vo
• David Stermer
• Lanchi Pham
Family Dentistry
4710 La Sierra Ave
Riverside, CA 92505
(951) 324-8180
Office ID: 6930
• Jim Park
Surja Pal Sharma, D.D.S.
5515 Van Buren Blvd
Riverside, CA 92503
(951) 352-5838
Office ID: 4894
• Surja Sharma
Star Dental
6071 Magnolia Ave
Riverside, CA 92506
(951) 680-1777
Office ID: 2820
• Azita Paydar
• Azadeh Paydar
• Khashayar Etemadi
Central City Dental Group
8880 Limonite Ave
Riverside, CA 92509
(951) 360-3800
Office ID: 4306
• Xia Liu
• David Chou
M.A. Zareh, D.D.S.
8990 Garfield St, #4
Riverside, CA 92503
(951) 687-6453
Office ID: 6931
• Mohammad Zareh
Seong Cho, D.D.S.
9295 Magnolia Ave, #103
Riverside, CA 92503
(951) 354-2000
Office ID: 6336
• Seong Cho
San Jacinto Dental Group
701 W Esplanade Ave, #K
San Jacinto, CA 92583
(951) 654-3424
Office ID: 8513
• Rajul Shah
• Tejas Modi
Sun City Dentistry
27851 Bradley Rd, #155
Sun City, CA 92586
(951) 679-0520
Office ID: 6363
Friendly Dental Center
28314 Old Town Front St
Temecula, CA 92590
(951) 676-8920
Office ID: 7328
• Sandeep Cheema
Anthem Dental
32065 Temecula Parkway, #C
Temecula, CA 92592
(951) 302-9300
Office ID: 8502
• Jana Tran
77
Riverside County
Temecula - Temecula
40620 Winchester Rd, #B
Temecula, CA 92589
(951) 719-3182
Office ID: 4610
• Mohammad Zareh
• Sharlyn Ziprick
• Ali Ehsan
Temecula Dental Group
41593 Winchester, Rd 211
Temecula, CA 92590
(951) 296-3366
Office ID: 2824
• Yenny Kennedy
Gallery Smiles Dental Care
43950 Margarita Rd, #F/G
Temecula, CA 92592
(951) 302-1937
Office ID: 8722
• Clarinda Lau
78
Alta Loma - Ontario
Carnelian Family Dentistry
6626 Carnelian St
Alta Loma, CA 91701
(909) 987-4113
Office ID: 6331
• George Tao
Chino Smiles Dental Group-PDS
6961 Schaefer Ave
Chino, CA 91710
(909) 590-0640
Office ID: 6112
• Charles Rodgers
Sunburst Dental
18145 Highway 18, #C
Apple Valley, CA 92307
(760) 946-5200
Office ID: 8804
• Grayson Pierson
Pine Center Dental Group
5771 Pine Ave, #S
Chino Hills, CA 91709
(909) 597-2477
Office ID: 6079
• Hossein Abdolhosseini
12233 Central Ave
Chino, CA 91710
(909) 628-0208
Office ID: 4606
• Luan Nguyen
• Derik Alexanians
• Zainab Hameed
• Negar Izadi
• Clara Nguyen
• Ali Ehsan
• Daniel Chang
Dental Associates of Colton
1080 E Washington Blvd, #B
Colton, CA 92324
(909) 783-9099
Office ID: 2865
• Mavern Suprono
A Family & Cosmetic Dentistry
4129 Riverside Dr
Chino, CA 91710
(909) 591-9211
Office ID: 3647
• William Valdez
Vahan Grigoryan, D.D.S.
7993 Sierra Ave, #H
Fontana, CA 92336
(909) 428-5111
Office ID: 5785
• Vahan Grigoryan
Group Dental Center
5480 Philadelphia St, #D
Chino, CA 91710
(909) 464-2399
Office ID: 2860
• Su-Hwei Ou
• Yeou-Ren Chan
Fontana Dental Group
9193 Sierra Ave, #D
Fontana, CA 92335
(909) 822-2226
Office ID: 5812
• Andrzej Lubczuk
Dr. Gupta’s Dental Office
11623 Cherry Ave, #B2
Fontana, CA 92337
(909) 355-1485
Office ID: 2868
• Jugal Gupta
Inland Dental Center
6982 Boulder Ave
Highland, CA 92346
(909) 862-2121
Office ID: 6062
• Anthony Boyd
• Karin Johnsen
• Mark Johnsen
Dr. Bruce Taber, D.D.S., Inc.
25835 Barton Rd, #104
Loma Linda, CA 92354
(909) 796-2299
Office ID: 4177
• Bruce Taber
First Dental Group
9804 Central Ave
Montclair, CA 91763
(909) 625-9100
Office ID: 4279
• Szu-Tsung Chang
Prime Dental Office
1049 W Philadelphia St
Ontario, CA 91762
(909) 391-2324
Office ID: 8377
Michael J. Min, D.D.S.
1921 E Fourth St
Ontario, CA 91764
(909) 989-1556
Office ID: 5067
• Michael Min
JOGI Dental
2242 S Mountain Ave
Ontario, CA 91762
(909) 391-1549
Office ID: 2882
• Jatin Shah
• Jaswant Suthar
79
Ontario - San Bernardino
Irene M. Justin, D.D.S.
2413 S Grove Ave
Ontario, CA 91761
(909) 947-9700
Office ID: 5727
• Irene Justin
Mission Dental Care
941 W Mission Blvd, #H
Ontario, CA 91762
(909) 984-7883
Office ID: 6951
• Kyung Chung
Bright Dental Care
2543 S Euclid Ave
Ontario, CA 91762
(909) 933-5266
Office ID: 4275
• Abbas Al-jidui
Rania N. Refaat, D.D.S.
7388 Carnelian St, #C
Rancho Cucamonga, CA 91730
(909) 989-1758
Office ID: 5974
• Rania Refaat
Euclid Dental Center
2905 S Euclid St, #D
Ontario, CA 91762
(909) 391-4300
Office ID: 6962
• Amy Zonoozi
Grove Dental Group
8283 Grove Ave, #208
(909) 428-5111
Office ID: 4856
• Vahan Grigoryan
River Arch Dental
2920 S Archibald Ave, #C
Ontario, CA 91761
(909) 923-2273
Office ID: 8447
• Lan Dinh
9349 Foothill Blvd, #B
(909) 980-6363
Office ID: 4608
• Anoush Yessaian
• Ali Ehsan
• Chris Nguyen
• Yan Huang
White Smile Dental
3495 E Concourse, #A
Ontario, CA 91764
(909) 483-1379
Office ID: 6279
• Ayed Hawatmeh
Ontario Family Dentistry
528 N Fern Ave
Ontario, CA 91762
(909) 460-9552
Office ID: 5729
• Tsai-Chun Hong
80
Dr. Hattar Dental
9950 W Foothill Blvd, #T
(909) 980-4816
Office ID: 8483
• Fahed Hattar
United Dental Group
434 Cajon St, #101
Redlands, CA 92373
(909) 793-8793
Office ID: 5043
• Lilia Fuentes
Brookside Dental Associates /
Specialties
720 Brookside Ave, #100
Redlands, CA 92373
(909) 798-7111
Office ID: 7548
• Andrzej Lubczuk
• Aram Deragobian
Rialto Dental Group
1374 W Foothill Blvd, #2E
Rialto, CA 92376
(909) 874-7444
Office ID: 6471
• Charles Park
• Soyoung Kim
Dental Care of Rialto
1817 N Riverside Ave
Rialto, CA 92376
(909) 879-1024
Office ID: 2894
• Benjamin Duran
• Kaitlyn Nguyen
• Julie Tang
• Gabriel Martinez
Care Family Dental Group
2836 W Rialto Ave, #A
Rialto, CA 92376
(909) 820-9454
Office ID: 4654
• Henry Kwon
Osvaldo R. Garcia, D.D.S.
1428 N Waterman Ave, #A
San Bernardino, CA 92404
(909) 889-1111
Office ID: 5404
• Osvaldo Garcia
San Bernardino - Yucaipa
Dat Vo, D.D.S.
1470 E Highland Ave, #D
(909) 883-6400
Office ID: 13657
• Dat Vo
Vernon Dental Group
1655 N Mount Vernon Ave, Unit B
(909) 885-8707
Office ID: 4589
• Hovsep Nargizyan
Sure Smiles
275 E 9th St, #L
(909) 381-5555
Office ID: 6344
• Atul Karia
Antoine Sourialle, D.D.S.
399 E Highland Ave, #120
(909) 881-0645
Office ID: 4239
• Antione Sourialle
Arrowhead Family Dentistry
407 S E St
(909) 889-3300
Office ID: 4883
• Gerald Fisch
• Ronald Danko
• Robert Houchin
• Dieu Phan
• Audrey Martin
Sierra Gateway Dental Office
4168 N Sierra Way
(909) 886-8900
Office ID: 4773
• Atul Karia
Inland Dental Center
599 Inland Center Dr, #110
(909) 384-1111
Office ID: 6069
• Hiep Nguyen
• Anthony Boyd
• Rupen Shah
• Tabassom Abulhosseini
• Calvin McLemore III
• Robert Vaca
Yucaipa Family Dentistry
34488 Yucaipa Blvd, #F
Yucaipa, CA 92399
(909) 797-0303
Office ID: 2917
• Eliot Yeo
Seena Boby, D.D.S.
807 W Highland Ave
(909) 713-0204
Office ID: 8446
• Seena Boby
The Upland Dental Office
350 S Euclid Ave, #A
Upland, CA 91786
(909) 946-8334
Office ID: 3910
• Victor Castellanos
Hi-Country Dental Care
13186 Amargosa Rd
Victorville, CA 92392
(760) 241-8181
Office ID: 6278
• Howard Moy
Victorville Family Dentistry
14495 Seventh St., #A
Victorville, CA 92395
(760) 245-7800
Office ID: 4882
• Gerald Fisch
• Nirav Patel
• Ronald Danko
• Robert Houchin
• Dieu Phan
• Payal Dholakiya
• Audrey Martin
81
1-866-646-CCHP (2247) | TTY: 1-866-516-9366
Monday through Sunday, 8:00 a.m. to 8:00 p.m.
www.citizenschoicehealth.com
Dental Directory 2012
DIRECTORIO DENTAL
H3815_11079EN CMS APPROVED 08022011
H3815_11079ES CMS APPROVED 08022011

Dental Directory 2012 - Alignment Health Plan

Transcripción

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