Colorado Medicaid Dentists - By Name - 8-5-2014. Page 2 of 44

Medicaid s - By Name - 8-5-2014 Provider Provider Type Specialty Location Address City State Zip Phone 80TH AND SHERIDAN DENTAL PROF LLC Comfort Dental 80th And Sheridan 7990 Sheridan Blvd Westminster CO 80003 (303) 650-4101 A KIDZ DENTIST 1560 Pine Grove Road Ste C A LEVI MURRAY DDS PC West Mountain Dental Steamboat CO 80487 (970) 879-7976 141 S Purcell Blvd Ste 120 Pueblo West CO 81007 (719) 547-8338 A R RHOADES CORP Smile Logic Inc 403 Summit Blvd #202 Broomfield CO 80021 (303) 665-1281 AAA FAMILY DENTAL CENTER II PC 3805 Newton Street Denver CO 80211 (303) 455-0233 AABSOLUTELY SMILES PC 1135 N Lincoln Ave Suite 4 Loveland CO 80538 (970) 622-0970 ABBEY DDS, PAUL F 1507 W Mountainview Ave Longmont CO 80501 (303) 678-0997 ABC DENTAL & ORTHODONTICS PC 2753 Janitell Rd Steven Gould CO 80906 (719) 579-5437 ABC NEIGHBORHOOD DENTAL & ORTHODONT Abc Family Dental & 1250 S Buckley Rd Unit M Aurora CO 80017 (303) 337-3300 Orthodontics ABDULAMEER DDS, WAMEEDH A 155 Cook St Ste 201 Denver CO 80206 (303) 320-0734 ABERCROMBIE DMD, ARTHUR D 141 S Purcell Blvd Ste 120 Pueblo West CO 81007 (719) 547-8338 ACADEMY KIDS DENTAL CENTER PC 2436 S Academy Blvd CO 80916 (719) 391-2336 ACCESS DENTAL HEALTH SERVICES LLC 2130 Black Duck Ave Johnstown CO 80534 (970) 302-7588 ADAMS DDS, JESS G 2828 International Circle CO 80910 (719) 475-0783 ADVANCED ORAL & MAXILLOFACIAL SURGE 6160 Tutt Blvd Suite 250 CO 80923 (719) 359-8652 AESTHETIC DENTISTRY OF AURORA 2900 S Peoria St Bldg A Aurora CO 80014 (303) 368-3636 AGREEABLE DENTAL CARE 1700 S Chambers Rd Aurora CO 80017 (303) 369-7272 ALEKSANDR LUTSKIY DMD PLLC All Smile Dental 4101 E Wesley Ave Ste 4 Denver CO 80222 (303) 758-3230 ALFAIYAZ IBRAHIM DDS PC Stapleton Childrens ry 2373 Central Park Blvd # 305 Denver CO 80238 (303) 399-5437 ALL ABOUT KIDS DENTAL LAKEWOOD PC 2020 Wadsworth Blvd # 9 Lakewood CO 80214 (303) 431-1221 ALL ABOUT SMILES INC 100 S Main St Keenesburg CO 80643 (720) 209-6014 Page 1 of 44

Medicaid s - By Name - 8-5-2014 ALL KIDS DENTAL PC 908 Nob Hill Rd Ste 300 Evergreen CO 80439 (303) 670-5437 ALL KIDS DENTAL PEDIATRICS AND Glenwood 2624 Ave Ste 200 ORTH CO 81601 (970) 928-9500 ALLAN D WEIMER Allan D Weimer Dds Steamboat 100 Park Avenue Ste 104 Ms CO 80487 (970) 879-4290 ALLEGRO ORTHODONTICS 10450 E Progress Way Ste 100 Parker CO 80134 (720) 842-4544 ALLEMAN DDS, BRECKGLYN R 26926 Fern Gulch Road Evergreen CO 80439 (877) 227-9892 ALLEN DDS, MATTHEW D 8990 N Washington Thornton CO 80229 (720) 929-1655 ALLEN DDS, PAUL H 2624 Ave Suite 200 Glenwood CO 81601 (970) 928-9500 ALMIRON DDS, ROSARIO I 5995 Iris Parkway Frederick CO 80530 (303) 833-2050 ALPHA DENTAL CARE I 6411 East Colfax Ave Denver CO 80220 (303) 388-2558 ALPINE ORAL & FACIAL SURGERY Steamboat 940 Central Park Dr # 106 CORP CO 80487 (970) 871-0900 ALTATARI DDS PLLC Smoky Hill Family ry 16629 E Smoky Hill Rd Aurora CO 80015 (303) 699-8788 AMERICAS CHILDREN DENTAL CLINIC INC 1470 Jersey Street Denver CO 80220 (303) 377-1280 AMIR R FEREYDOUNI DMD PC 4844 Chambers Rd Denver CO 80239 (303) 495-2801 AMIR R FEREYDOUNI DMD PC Amir R Fereydouni Dmd 40 W Littleton Blvd # 205 Littleton CO 80120 (303) 495-2801 AMIR R FEREYDOUNI DMD PC Kids And Family ry 1490 S Sheridan Blvd # 102 Denver CO 80232 (303) 495-2801 AMIR R FEREYDOUNI DMD PC Kids And Family ry 2983 W Evans Ave Denver CO 80219 (303) 495-2801 AMIR R FEREYDOUNI DMD PC Kids Commerce 5970 East 64th Ave And Family ry City CO 80022 (303) 495-2801 AMY JORGENSEN-BLACKBURN DDS PC Amazing Smiles 7236 N Federal Blvd Ste 100 Westminster CO 80030 (303) 424-5439 ANDERSON DDS, KENT A Us Hwy 160 & Navajo Route 25 Red Teecnospos Mesa Arizona 86514 (928) 656-5165 ANDRE GILLESPIE DDS PC Lil Teeth ry 3471 N Salida Court Ste 40 Aurora CO 80011 (303) 307-9999 ANDREW W BURNS DDS PC Granby Dental Pc 290 East Agate Avenue Granby CO 80446 (970) 887-3832 ANDREWS DMD, STEPHEN W Orthodontia 1750 Telstar Dr Ste 100 CO 80920 (719) 596-3138 ANTONIO SILVA DDS PA 1200 Wadsworth Blvd Ste 101 101 Lakewood CO 80232 (303) 934-4285 ARANGO DDS, JOSE M Orthodontia 18 East Spaulding Ave Unit B Pueblo West CO 81008 (719) 543-3475 Page 2 of 44

Medicaid s - By Name - 8-5-2014 ARIOLA-TIRELLA & ASSOCIATES PC Ata Dental Center ARMBRUSTER RDH, PATRICIA L 507 Lincoln St # 101 Denver CO 80203 (720) 440-9598 700 Columbine St Sterling CO 80751 (970) 522-3741 ASCENT FAMILY DENTAL LLC Ascent Family Dental 412 Edison Brush CO 80723 (970) 842-0220 AURORA DENTAL GROUP Aurora Dental Group 1344 S Chambers Rd Ste 201 Aurora CO 80017 (303) 745-2052 AURORA FAMILY DENTAL INC 14221 E 4th Ave # 222 Aurora CO 80011 (303) 344-1227 AURORA PEDIATRIC DENTISTRY PROF LLC 5657 South Himalaya St # 200 Aurora CO 80015 (720) 886-0808 AUSTIN BLUFFS DENTAL PROF LLC 3952 N Academy Ste A Comfort Dental Austin Bluffs CO 80917 (719) 591-1811 AUTOBEE DDS, THOMAS V 108 E Pitkin Avenue Pueblo CO 81004 (719) 543-8940 AZIZ RASULOV DDS PC Cozy Dental 14025 E Exposition Ave Aurora CO 80012 (303) 340-0422 BAHLINGER DDS, PAUL V 2828 International Cir Ste 100 CO 80910 (719) 475-0783 BAIG DDS, FAIZA I 3485 C West 10th St Greeley CO 80634 (970) 353-4746 BAKER DDS, JAMES H 3601 S Clarkson St #220 Englewood CO 80113 (303) 781-3106 BARBARA D SWANKHOUSE DDS PC Swankhouse Dental 363 S Harlan St Ste 110 Lakewood CO 80226 (303) 935-6559 BARFIELD DDS, DARBY L 877 S Boulder Road Louisville CO 80027 (303) 665-8228 BARMINSKI DDS, WILLIAM J 1901 S Townsend Avenue Montrose CO 81401 (970) 255-6323 BARNETT DMD, STEPHANIE D 360 Peak One Dr Ste 100 Frisco CO 80443 (970) 668-4040 BARR DMD, ELIZABETH S. 5150 W 80th Avenue Westminster CO 80030 (303) 427-1951 BARR DMD, NELLE V 5150 W 80th Ave Westminster CO 80030 (303) 427-1951 BARRETT DDS, EDWARD J Orthodontia 6650 S Vine St L-80 Centennial CO 80121 (720) 529-5777 BARRETT DDS, EDWARD J 6650 S Vine St L-80 Centennial CO 80121 (720) 529-5777 BARTOLOME DDS, JASPER ZITTE 6255 North Quebec Parkway Commerce City CO 80022 (303) 286-6755 BASKARAN DDS, KRITHIKA 13065 E 17th Avenue Aurora CO 80045 (303) 724-7070 BATLINER DENTAL HEALTH PLLC Sage Dental Care 2695 North Park Dr # 104 Lafayette CO 80026 (303) 604-6355 BE-CO-ME, LLC Ault Family ry 120 2nd Ave Ault CO 80616 (970) 834-2058 Page 3 of 44

Medicaid s - By Name - 8-5-2014 BEL-AIRE DENTAL PARTNERS PLLC Risas Dental And Braces 3815 N Wadsworth Blvd Wheat Ridge CO 80033 (720) 536-0400 BELFIGLIO DMD, EDWARD J 2030 Lake Avenue Pueblo CO 81004 (719) 564-4823 BELLEVIEW AND SIMMS DENTAL PROF Comfort Dental Belleview And 11625 W Belleview Ave Littleton CO 80127 (303) 972-8700 Simms BELMAR ORTHODONTICS PC Belmar Orthodontics Pc 311 S Teller St Lakewood CO 80226 (303) 233-2445 BELTING DDS, CHARLES W 128 Market Street Alamosa CO 81101 (719) 589-9691 BENCHMARK DENTAL OF COLORADO PC Benchmark Dental 1555 Main St, Unit A2 Windsor CO 80550 (970) 686-7858 BENDIXEN DMD, JAMES J 13065 E 17th Avenue Aurora CO 80045 (303) 724-7070 BENINK DDS, JOHANNA P 2111 Champa St Denver CO 80205 (303) 291-5165 BENNETT DDS, LISA 1860 S Egbert St Brighton CO 80601 (303) 659-4000 BENZLEY DDS, LAYNE P 753 Maleta Ln, Ste 104 Castle Rock CO 80108 (303) 660-5373 BENZLEY PEDIATRIC DENTISTRY LLC Castle Rock Smiles Dentis 753 Maleta Lane Ste 104 Castle Rock CO 80108 (303) 660-5373 BERG, EMILY Us Hwy 491 North Shiprock New Mexico 87420 (505) 368-6020 BERGLES DDS, JAMES A 1560 Bonforte Blvd Pueblo CO 81001 (719) 544-5340 BERMAN DDS, MARK D Oral Surgeon 8200 E Belleview Ave #515e Greenwood Village CO 80111 (303) 694-1700 BERNARD DMD, TODD 1400 Grove Street Denver CO 80204 (303) 825-2295 BERWEEN MOURADY DDS PLLC 9362 S Blvd Ste D14 Highlands Ranch CO 80126 (720) 763-9020 BERWICK DDS, JAMES E 3100 North Academy # 213 CO 80917 (719) 597-4060 BEST CARE DENTAL PC 6425 Wall Street CO 80918 (719) 528-8292 BIELECKI DDS, PAWEL R 2603 Vinewood Ln Pueblo CO 81005 (719) 564-6464 BIG SMILES COLORADO PC 26926 Fern Gulch Rd Evergreen CO 80439 (800) 409-2563 BILLINGSLEY DDS, MICHAEL L 595 Chapel Hills Dr CO 80920 (719) 599-0500 BLANCHARD AND RICHARDSON FAMILY DEN 8089 S Lincoln St # 102 Littleton CO 80122 (303) 794-9271 BLEY DMD, JUSTIN C Oral Surgeon 1707 61st Avenue, Suite 102 Greeley CO 80634 (970) 506-0350 Page 4 of 44

Medicaid s - By Name - 8-5-2014 BLOOM DDS, GENE S 13065 E 17th Avenue Aurora CO 80045 (303) 724-7070 BOBAK DMD, WOJCIECH Orthodontia 1840 S Wadsworth Blvd Lakewood CO 80232 (303) 988-0844 BOHMAN ORTHODONTICS PC 13605 Xavier Lane Ste D Broomfield CO 80023 (720) 887-8357 BOISEN DDS, DOROTHY W Oral Surgeon 600 South Park Avenue Montrose CO 81401 (970) 240-4485 BORRIS DDS, THOMAS J Oral Surgeon 13065 E 17th Ave F742 Aurora CO 80045 (303) 724-5505 BOULDER DENTAL CENTER PC 1610 Canyon Blvd Boulder CO 80302 (303) 442-5000 BOULDER DENTAL PARTNERS LLC Comfort Dental Boulder 3400 Arapahoe Rd Boulder CO 80303 (303) 444-2129 BOWDEN DDS, CLYDE A 14591 E Alameda Ave Aurora CO 80012 (303) 343-7072 BRACHVOGEL DDS, WILLIAM A 13065 E 17th Ave Aurora CO 80045 (303) 724-7070 BRADFORD DMD, VICTOR P 2828 International Cir Ste 100 CO 80910 (719) 475-0783 BRADY BICHON DDS PROFESSIONAL LLC Gunnison Family ry 204 N 12th St Gunnison CO 81230 (970) 641-3406 BRADY DDS, MATTHEW F 10371 Park Glenn Way Ste 260 Parker CO 80138 (720) 638-6114 BRANDON C PAYNE DDS MD PC Brandon C Payne Dds Md Pc 4728 Eagleridge Circle Ste 110 Pueblo CO 81008 (719) 542-4546 BRANDON M BRAUD DDS LLC 7230 Locust Street Commerce City CO 80022 (303) 289-2831 BRIAN C LEY DDS, PC Mile High ry 11275 E Mississippi Ave # 2w1 Aurora CO 80012 (303) 364-7631 BRIAN J BURTON DMD MS PC Burton 2640 Patterson Rd Orthodontics CO 81506 (970) 243-6455 BRIAN TROMMETER Trommeter Orthodontics Pllc 2979 North Iola St Denver CO 80238 (720) 420-4320 BRIGHT DDS, MEGAN E 8990 N Washington Thornton CO 80229 (720) 929-1655 BRIGHTER IMAGE DENTAL HYGIENE SPA L 115 Elk Ave Ste C Crested Butte CO 81224 (970) 275-5000 BRIGHTON DENTAL PROFESSIONAL LLC Comfort Dental Of Brighton 315 E Bromley Lane Brighton CO 80601 (303) 659-1125 BRIMHALL DMD, JAE R Orthodontia 3955 Sandalwood Lane Pueblo CO 81005 (719) 564-3333 BRITNY MASSEY DDS PC Cheyenne 6514 S Academy Blvd Mountain Childrens CO 80906 (719) 442-1960 BROADMOOR VALLEY DENTAL CARE 2965 Broadmoor Valley Rd PC CO 80906 (719) 632-7636 Page 5 of 44

Medicaid s - By Name - 8-5-2014 BROADMOOR VALLEY DENTAL SERVICES PC 2965 Broadmoor Valley Rd CO 80906 (719) 632-7636 BROOMFIELD PLAZA FAMILY DENTAL 5015 W 120th Avenue Broomfield CO 80020 (303) 465-2255 BROWN DDS, SHEILA M 1739 North Main St Longmont CO 80501 (303) 834-6400 BROWN DDS, TERRY R 1350 Aspen St Norwood CO 81423 (970) 327-0527 BROWN DMD, BENJAMIN J 1601 Oxbow Dr Ste 360a Montrose CO 81401 (970) 249-8595 BROWNFIELD DDS, NICCOLE R 1100 Federal Blvd %Westside Sam Sandos Fam Hl Cn Denver CO 80204 (303) 436-4411 BROWNING DDS, MICHAEL P 383 West Drake Road Suite 103 Fort Collins CO 80526 (970) 377-2500 BRYAN P SAVAGE DDS PC West Metro ry For Children 15530 W 6th Ave Ste H Arvada CO 80007 (303) 422-3746 BULL DDS, JOHN W 228 N Cherry Fruita CO 81521 (970) 243-2855 BULLEN DDS, BENJAMIN J 2780 S Broadway Englewood CO 80113 BURT DDS, MATTHEW J 2624 Ave Suite 200 Glenwood CO 81601 (970) 928-9500 BUTKEVICH DMD, EKATRINA 7100 Broadway Unit 1p Denver CO 80221 (303) 650-5800 BUTLER DDS, SABRINA C 1901 S Townsend Ave Montrose CO 81401 (970) 252-8896 BUTLER DDS, TERRY D 1901 S Townsend Ave Montrose CO 81401 (970) 252-8896 BUTLER DMD, GRANT W 2552 F Rd CO 81505 (970) 241-1313 C MARC JONES DMD PC Centeninial Childrens Dental Center 14100 E Arapahoe Rd #211 Centennial CO 80112 (303) 627-8300 CALL DMD, RICHARD L 8990 N Washington Thornton CO 80229 (720) 929-1655 CAMAN INC North Summit Dental Care 1720 Jet Stream Dr Ste 110 CO 80921 (719) 481-8373 CANNELLO RDH, ROBIN G 6985 Holt Dr CO 80922 (719) 572-5853 CAPPELLI, CLIFFORD B 1430 Railroad Ave Ste B Rifle CO 81650 (970) 625-1696 CAPTAIN SMILES OF GREELEY 3485 C West 10th St Greeley CO 80634 (970) 353-4746 CARD, AARON S 595 Chapel Hills Dr # 300 CO 80920 (719) 599-0500 CARE SMILES ORTHODONTICS 1344 S Chambers Rd Suite 104 Aurora CO 80017 (303) 337-2999 CARE SMILES ORTHODONTICS INC 1930 S Federal Blvd Unit C Denver CO 80219 (720) 379-3904 CAREPOINT ANESTHESIA GROUP Highlands 1745 Shea Center Dr 4th Fl CO 80129 (720) 606-4220 LLC Ranch CARLSON DDS, MARY K 1800 15th St Suite 100 Denver CO 80202 (720) 287-6184 CARLSON-MARKS DDS, LISA A 730 Potomac Street # 306 Aurora CO 80011 (303) 201-6837 Page 6 of 44

Medicaid s - By Name - 8-5-2014 CARUBIA DDS,CODI E 202 Bristlecone Dr Fort Colllins CO 80524 (970) 224-5209 CASEMENT DDS, RUSSELL L 1355 S Blvd #320 Denver CO 80222 (303) 758-0866 CASSIDY DMD, MARK J Orthodontia 6979 S Holly Circle # 280 Centennial CO 80112 (303) 779-1977 CASTILLO DDS, LUCAS R 2436 S Academy Blvd CO 80916 (719) 391-2336 CASTILLO DDS, STEVEN A 820 1st St Limon CO 80828 (719) 775-0300 CASTLE ROCK KIDS DENISTRY PLLC 2352 Meadows Blvd Ste 200 Castle Rock CO 80109 (303) 814-1335 CASTRO DDS, ELSA 2111 Champa St Denver CO 80205 (303) 293-2217 CAYO DDS, CRAIG T 600 South Park Ave Montrose CO 81401 (970) 240-4485 CEJKA DDS, NATHANIEL 2859 E Fountain Blvd CO 80910 (719) 442-0071 CESTARI DDS, SHANNON L 6514 S Academy Boulevard CO 80906 (719) 442-1960 CHAMPANY DDS, RICHARD A Us Highway 491 North Shiprock New Mexico 87420 (505) 368-6001 CHAN DDS, CYNTHIA M 7495 W 29th Ave Wheat Ridge CO 80033 (303) 239-9964 CHAPIN DDS, CLIFFORD C 341 7th St Meeker CO 81641 (970) 878-3696 CHERRY CREEK DENTAL PARTNERS Comfort Dental Cherry Creek 201 University Blvd Denver CO 80206 (303) 321-2233 CHILDRENS DENTAL HEALTH CENTER PC 2295 S Chambers Suite E Aurora CO 80014 (303) 751-6511 CHILDRENS DENTAL HEALTH CENTER PC 495 S Federal Blvd Denver CO 80219 (303) 937-7511 CHILDRENS DENTISTRY A PARTNERSHIP 5150 West 80th Ave Westminster CO 80030 (303) 427-1951 CHILDRENS DNTL CLNIC OF THORNTON PC 550 E Thornton Pkwy # 240a Thornton CO 80229 (303) 280-8878 CHILDRENS SMILE CENTER 7770 N Union Blvd CO 80920 (719) 598-0012 CHIN DDS, KATHERINE L 13123 E 16th Ave Aurora CO 80045 (720) 777-4044 CHO DDS, SUNG W 3292 Peoria St Aurora CO 80010 (303) 761-1977 CHOI, SEONG G Orthodontia 17002 Mainstree Unit H Parker CO 80134 (720) 842-1900 CHRIS ROBERTS DDS PC Green Valley 4809 Argonne St Ste 230 Denver CO 80249 (303) 371-4485 Kids Page 7 of 44

Medicaid s - By Name - 8-5-2014 CHRISTINA O MCMILLON DENTISTRY PLLC Hearthside ry 16578 N Washington St Thornton CO 80023 (303) 280-2285 CHRISTOPHER, MICHAEL R 2211 Mountain View Ave Longmont CO 80501 (303) 772-5882 CITADEL DENTAL PARTNERS PROF LLP Comfort Dental Citadel Crossing CLARISA MANTANONA FAMILY DENTISTRY Peregrine Family ry Pc 509 N Academy Blvd 1920 Vindicator Dr Ste 211 CO 80909 (719) 597-7599 CO 80919 (719) 314-2088 CLARK L SCRIVEN DDS PC 629 Holly Drive Sterling CO 80751 (970) 522-8518 CLEAR CREEK DENTAL 373 West Drake Ste 2 Fort Collins CO 80526 (970) 226-1166 CLIFFORD B CAPPELLI DMD PC Rifle Dental Care 1430 Railroad Ave Ste B Rifle CO 81650 (970) 625-1696 CLINICA DENTAL LATINA LLC 11175 E Mississippi Ave # 100 Aurora CO 80012 (303) 364-9831 CLOSMANN DDS, JAMES J 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 COLLINGS DDS, COURTNEY A 2030 Lake Avenue Pueblo CO 81004 (719) 564-4823 COLO DHCA LOW INCOME DENTAL 2005 Franklin St #590 Midtown Denver CO 80205 (303) 430-7399 PROGRAM Building Ii COLO SPRINGS PEDIATRIC DENTISTRY PC Colo 9480 Briar Village Point # 301 CO 80920 (719) 522-0123 ry Pc COLO WEST ORAL & MAXILLOFA 2530 N Eighth Street #103 103 CO 81501 (970) 245-2222 COLORADO COMMUNITY DENTAL SERVICES 2795 Skyline Ct CO 81506 (970) 242-3545 COLORADO DHCA LONGMONT PROFESSINAL 1260 Hover Rd Unit H Longmont CO 80501 (303) 678-1125 COLORADO DHCA WESTMINSTER PROFESSIO 7970 Sheridan Blvd 3rd Floor Arvada CO 80003 (303) 427-0730 COLORADO HEALTH NETWORK INC 2490 W 26th Ave Health Howard Dental Center Network Inc Denver CO 80211 (303) 863-0772 COLORADO SPRINGS DENTAL 251 E Fountain Blvd SERVICES Lowell District Dental CO 80903 (719) 591-2004 COLORADO SURGICAL CLINIC PC 640 Southpointe Ct # 150 CO 80906 (719) 540-6350 COMBES DDS, CRAIG A 10 Rupert St Monte Vista CO 81144 (719) 852-2589 COMFORT DENTAL BEAR CREEK 3200 S Wadsworth Blvd Unit E Lakewood CO 80227 (303) 716-8546 Page 8 of 44

Medicaid s - By Name - 8-5-2014 COMFORT DENTAL COAL MINE PROF 8420 W Coal Mine Ave Littleton CO 80123 (303) 904-2273 LLP Comfort Dental Coal Mine COMFORT DENTAL EAST AURORA 2131 S Chambers Rd Aurora CO 80014 (303) 750-2273 COMFORT DENTAL FORT COLLINS 934 South Lemay Fort Collins CO 80524 (970) 498-8300 COMFORT DENTAL GOLDEN 17531 South Golden Road Golden CO 80401 (303) 278-6953 COMFORT DENTAL GROUP Comfort North Denver 4450 W 38th Avenue Suite Denver CO 80212 (303) 455-2273 COMFORT DENTAL GROUP OF NORTHGLENN 10780 N Washington Northglenn CO 80233 (303) 452-6630 COMFORT DENTAL N WESTMINISTER 11187 N Sheridan Blvd # 12 Westminster CO 80030 (303) 469-2333 COMFORT DENTAL NORTH PUEBLO 2025 Us Highway 50 West # A100 Pueblo CO 81008 (719) 542-2472 COMFORT DENTAL OF AURORA 1050 S Peoria St. Aurora CO 80012 (303) 367-2273 COMFORT DENTAL OF HIGHLANDS RANCH 91 W. Mineral Ave 150 Littleton CO 80120 (303) 738-9499 COMFORT DENTAL OF LAKEWOOD 6800 W Alameda Ave Lakewood CO 80226 (303) 727-9100 COMFORT DENTAL OF PARKER ROAD 15250 East Orchard Road Centennial CO 80016 (303) 680-9990 COMFORT DENTAL SOUTH EAST 3488 S Willow St Denver CO 80231 (303) 338-8181 COMFORT DENTAL SOUTH POWERS LLC Comfort Dental South Powers 1580 Space Center Dr Ste 107 CO 80915 (719) 574-8922 COMFORT DENTAL THOMPSON VALLEY 1405 10th Street Sw Loveland CO 80537 (970) 962-9995 COMFORT DENTAL THORNTON 9203 Huron Street Thornton CO 80260 (303) 429-2273 COMFORT DENTAL WHEATRIDGE 9990 W 26th Ave Ste 100 Lakewood CO 80215 (303) 232-4500 COMMERCE CITY DENTAL Commerce PROFESSIONAL L Comfort Dental 7201 Monaco Street City Commerce City CO 80022 (303) 287-2755 COMMERCE CITY FAMILY DENTAL Commerce 4972 E 62nd Ave Ste B-1 LLC City CO 80022 (303) 288-4969 COMMUNITY DENTAL CLINIC INC 1901 South Townsend Montrose CO 81401 (970) 252-8896 CONIFER DENTAL PARTNERS PROF LLP Comfort Dental Conifer 25597 Conifer Rd Suite 100 Conifer CO 80433 (303) 838-2811 CORBETT W SUMMERS DDS 777 29th St Ste 300 Boulder CO 80303 (303) 442-6141 CORLEY DDS, WILLIAM A 540 E Abriendo Avenue D Pueblo CO 81004 (719) 545-8422 Page 9 of 44

Medicaid s - By Name - 8-5-2014 CORNERSTONE DENTAL & ORTHODONTICS L 17002 Mainstreet #H Parker CO 80134 (720) 842-1900 COSBY & PATTERSON PC 180 Adams Street #100 Denver CO 80206 (303) 321-0333 COSPER DDS, LINDSEY L 2001 South Shields St Bldg C1 Fort Collins CO 80526 (970) 482-8883 COURTNEY R COLLEGE DDS MS PC Kids To College ry 10146 West San Juan Way Ste 220 Littleton CO 80127 (303) 979-9500 COX DMD, JEREMY S 100 Tessitore Court #C Montrose CO 81401 (970) 240-8694 CRABTREE DDS, DAVID G 2550 W Union Hill Dr Ste 202 Phoenix Arizona 85027 (888) 833-8441 CRAIG DDS, ROBERT A Orthodontia 1120 W South Boulder Rd # 201 Lafayette CO 80026 (303) 926-9224 CRANE DDS, MARK D Orthodontia 383 W Drake Ste 103 Fort Collins CO 80526 (970) 223-8687 CREER DDS, LORIN B Littleton Mobile 9800 W 59th Pl Kipling Dental ry Center Arvada CO 80004 (303) 935-5881 CROFT RDH, STEPHANIE L 2828 International Cir Ste 100 CO 80910 (719) 632-5700 CS DENTAL PLLC 6825 E Hampden Ave # 101 Denver CO 80224 (303) 756-3289 D'ADDARIO DDS, MATTHEW D 595 Chapel Hills Dr # 300 CO 80920 (719) 599-0500 D'ADDARIO DMD, ANDREA T 6071 E Woodmen Rd Ste 200 CO 80923 (719) 638-7673 DAFNE ELLIS DMD MS PC Lakewood Orthodontics 255 Union Blvd Ste 430 Lakewood CO 80228 (303) 988-2780 DALE F FEICHTINGER DDS PC 2998 Ginnala Dr Ste 101 Loveland CO 80538 (970) 669-1236 DANG DDS, TRUNG D 722 1/2 S Wahsatch CO 80903 (719) 630-6444 DANIEL A AVANT DDS MSD DC 595 Chapel Hills Dr CO 80920 (719) 596-1363 DANIEL DDS, THOMAS E 1101 Havana Aurora CO 80010 (303) 366-3577 DANIELLE D SCHWARTZENBERGER DDS PC 1540 South Holly Ste 2 Denver CO 80222 (303) 757-5885 DARREN BENNETT DDS PC Sloanside Dental 2045 Sheridan Blvd Ste H Edgewater CO 80214 (303) 274-1100 DAUGHERTY DDS, DAVID D 5104 S Field St Ste A Littleton CO 80123 (303) 935-3737 DAVE F PROIETTI DDS PC 2558 Patterson Rd CO 81505 (970) 245-2826 DAVID ARCHIBALD MD PC Castle Rock 2352 Meadows Blvd Ste 290 Castle Rock CO 80109 (303) 268-2222 Plastic Surgery DAVID G CRABTREE DDS PLLC Crabtree Dental Center 5010 El Camino Dr Ste B CO 80918 (719) 599-7453 Page 10 of 44

Medicaid s - By Name - 8-5-2014 DAVID HAYUTIN DDS PLLC Cherry Creek ry 5055 East Kentucky Avenue Denver CO 80246 (303) 757-8844 DAVID N TRUJILLO DDS PC 317 West Third Suite #101 La Junta CO 81050 (719) 384-8703 DAVID O JACOBSON DDS PC David O 2525 N 8th St Ste 107 Jacobson Dds Pc CO 81501 (970) 257-7474 DAVID T GARLOCK DMD MS PC Garlock Orthodontics 10371 Parkglenn Way #260 Parker CO 80138 (720) 638-6114 DAVIS DDS, JODY A 220 E Rogers Rd Longmont CO 80501 (303) 776-3250 DAWSON DDS, KEVIN Z 7100 Broadway Unit 1-P Denver CO 80221 (303) 650-5800 DAY DDS, GREGORY N 3902 Sandalwood Lane 110 Pueblo CO 81005 (719) 561-2440 DAY DREAM DENTAL CARE LLC 4819 S Billings Court Aurora CO 80015 (720) 306-9152 DE LA ROSA RDH, LAURICE 13065 E 17th Avenue Aurora CO 80045 (303) 724-6970 DEAN DDS, DEREK L 2552 F Rd CO 81505 (970) 241-1313 DEAN DDS, GLEN R 2552 F Rd CO 81505 (970) 241-1313 DEL MAR KIDS DENTAL CARE 797 Peoria St Unit A Aurora CO 80011 (303) 577-0062 DENTAL AID INC 877 S Boulder Road Louisville CO 80027 (303) 665-8228 DENTAL ASSOCIATES OF AURORA LLC Dental Associates Of Aurora 1075 S Peoria St Aurora CO 80012 (303) 577-0377 DENTAL FITNESS & SPA 2004 W 15th St # 3 Loveland CO 80538 (970) 214-8420 DENTAL HEALTH SERVICE PC 1345 S Pueblo Blvd Pueblo CO 81005 (719) 542-3595 DENTAL MANAGEMENT GROUP LLC 11246 E Mississippi Aurora CO 80012 (303) 337-3337 DENTAL MANAGEMENT GROUP LLC Affordable Dental DENTAL MANAGEMENT GROUP LLC Oral Surgery Center DENTAL PARTNERS NORTH ARVADA Comfort Dental North Arvada 3216 High St Denver CO 80205 (303) 394-0231 2200 East 104th Ave Ste 116 Thornton CO 80233 (303) 255-1077 8390 W 80th Ave Arvada CO 80005 (303) 425-6419 DENTAQUEST USA INSURANCE CO Massach 465 Medford St Boston 2129 (617) 886-1132 INC usetts DENTISTRY 360 5140 W Dartmouth Ave Denver CO 80236 (720) 596-4760 DENTISTRY FOR CHILDREN INC 404 E Mineral Ave Littleton CO 80122 (303) 798-4400 DENTRUST DENTAL COLORADO PC 601 Salida Way Ste B11 Aurora CO 80011 (303) 340-3330 Page 11 of 44

Medicaid s - By Name - 8-5-2014 DENTRUST DENTAL COLORADO PC Dentrust Dental Pc 1790 Bridge St Brighton CO 80601 (303) 659-1064 DEROSE CHILDRENS DENTAL CLINIC 1022 Liberty Lane Pueblo CO 81001 (719) 545-5778 DHAWAN DDS, KAUSHAL K 13065 E 17th Ave Aurora CO 80045 (303) 720-7070 DIAL DDS, RICHARD D 363 South Harlan St Ste 110 Lakewood CO 80226 (303) 935-6559 DIPASQUALE DMD, MARIA J 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 DISCOUNT DENTAL SERVICES 5250 Leetsdale Drive Ste 112 Denver CO 80246 (303) 954-0058 DODGION DDS, L EARL 0130 Ponderosa Drive South Fork CO 81154 (719) 873-5846 DODSWORTH DDS, PAUL R 2525 N 8th St Ste 105 CO 81501 (970) 255-1111 DOHERTY DDS, CIELO C Us Highway 666 North Shiprock New Mexico 87420 (505) 368-6001 DOOLITTLE DMD, CHARLES K 1705 North Weber St CO 80907 (719) 471-1900 DOST DDS, JAMES E 7730 E. Belleview #A-103 Greenwood Village CO 80111 (303) 322-2724 DOUGLAS COUNTY ORTHODONTICS 9362 South Blvd Unit D-14 Highlands LLC Ranch CO 80126 (720) 344-2662 DOUGLAS-BROTEN DMD, SARAH 13065 E 17th Ave Aurora CO 80045 (303) 724-7070 DOWN TO EARTH DENTAL LLC 1407 W 29th St Pueblo CO 81008 (719) 546-0404 DOWN TO EARTH DENTAL LLC Down To Earth Dental La Junta 15 West 4th St Lajunta CO 81050 (719) 546-0404 DOWN TO EARTH DENTISTRY LLC Dental Depot 17 W 4th St La Junta CO 81050 (719) 671-3683 DOWNEY RDH, GAIL H 2322 San Juan La Junta CO 81050 (719) 383-3939 DOWNEY, CARA L 2525 North 8th St Ste 105 Junctio CO 81501 (970) 255-1111 DPO PC Evergreen Orthodontics 1835 S Federal Blvd Ste 101 Denver CO 80219 (720) 962-9000 DR ALAN REISMAN DDS PC 1075 S Boulder Rd # 135 Louisville CO 80027 (303) 665-2377 DR ASHRAF W SEDHOM BDS MD PC Oral Surgery Centers 11246 E Mississippi Ave Aurora CO 80012 (303) 344-0810 DR DAVID HERMANS FOUR New 3751 N Butler Ave Ste 113 Farmington CORNERS DENTA Mexico 87401 (505) 564-9000 DR GERALD W TRAMMELL PC 10350 N Federal Blvd Ste 300 300 DR JUSTIN M OWENS DDS PC Owens Orthodontics Federal Heights CO 80260 (303) 865-7550 1780 S. Bellaire St 345 Denver CO 80222 (303) 744-1701 Page 12 of 44

Medicaid s - By Name - 8-5-2014 DR ROBERT ANDRUS DDS LLC Giggles 15106 East Hampden Avenue Aurora CO 80014 (303) 766-4141 DR TONY ROBERTS DDS LLC 517 W 5th St Suite 106 Pueblo CO 81003 (719) 542-6014 DRAKE JR DDS, THOMAS P 1246 N Main Street Longmont CO 80501 (303) 678-7800 DRIGGERS DDS, TYLER G 9480 Briar Village Point Ste 301 CO 80920 (719) 522-0123 DRISCOLL DDS, DENNIS P 129 Kansas Ave Walsenburg CO 81089 (719) 557-1357 DURAN DDS, TOMAS L 830 W Abriendo Avenue Pueblo CO 81004 (719) 545-3838 DURANGO KIDS PEDIATRIC DENTISTRY Animas Dental 575 Rivergate Lane Ste 98 Durango CO 81301 (970) 259-0600 Group DURUSSEL DDS, JOHN M 1739 North Main St Longmont CO 80501 (303) 834-6400 EAST COAST DENTAL LLP Comfort Dental East Colfax 5200 East Colfax Denver CO 80220 (303) 377-3876 EDWARD A CHRISTENSEN DDS PC Foothills ry 1140 W. South Boulder Rd #102 Lafayette CO 80026 (303) 604-9500 EDWARD A CHRISTENSEN DDS PC Foothills ry 916 South Main Street Suite 302 Longmont CO 80501 (303) 702-9501 EDWARD A CHRISTENSEN DDS PC Foothills ry Pc 2750 E 136th Ave # 100 Thornton CO 80241 (303) 452-9502 EDWARD J LACY JR DDS PC 2550 Abarr Drive Loveland CO 80538 (970) 667-2372 EDWARDS DDS, CECILIA M 1115 Second Street Fort Lupton CO 80621 (303) 857-2771 EICH DDS, COLEMAN 123 Weeminuche Ignacio CO 81137 (970) 563-4581 EKLUND DDS, RICHARD A Rustling Willow St Complex D Towaoc CO 81334 (970) 565-4441 ELLINGSON DDS, GARY R 128 Market Street Alamosa CO 81101 (719) 589-5161 ELLIS, DAFNE I 255 Union Blvd Ste 430 Lakewood CO 80228 (303) 988-2780 ELSBERRY DDS, GARY L 134 W Main Street Suite 34 Trinidad CO 81082 (719) 846-3371 ELTON DDS, ROGER B Orthodontia 10522 S Parker Rd Parker CO 80134 (303) 841-2100 EMBRACE KIDS A PROFESSIONAL LLC All About Braces 15159 E Colfax Ave Unit B Aurora CO 80011 (303) 341-5437 EMBRACE KIDS A PROFESSIONAL LLC All About Braces 2250 S Monaco Parkway Denver CO 80222 (303) 476-6233 EMBRACE KIDS A PROFESSIONAL LLC All About Kids Braces 2020 Wadsworth Blvd Ste 18a Lakewood CO 80214 (303) 462-1462 EMBRACEABLE LLC Comfort Dental Glenwood 1512 Ave Braces CO 81601 (970) 945-2588 EMBRACEABLE LLC Comfort Dental Braces 15403 E Hampden Ave Aurora CO 80013 (303) 680-3295 Page 13 of 44

Medicaid s - By Name - 8-5-2014 EMBRACEABLE LLC Comfort Dental 2650 North Ave Unit 101 Braces CO 81501 (970) 841-7162 EMBRACEABLE LLC Comfort Dental Braces 5055 S Kipling Littleton CO 80127 (303) 933-8464 EMBRACEABLE LLC Comfort Dental Braces 8113 West 94th Avenue Westminster CO 80021 (303) 432-9773 ENGEL RDH, DANA C 1601 E 19th Ave Ste 6300 Denver CO 80218 (303) 450-3690 ENGLEWOOD COMFORT DENTAL 2780 S Broadway Englewood CO 80110 (303) 783-0100 ERIC L BERRY DDS PC Advantage Dental Group 1800 W Fortino Blvd # 1 Pueblo CO 81008 (719) 545-1400 ERICKSON DDS, JOSHUA Orthodontia 8580 Scarborough Dr Ste 220 CO 80920 (719) 282-6666 ERICKSON DDS, JOSHUA 8580 Scarborough Dr Ste 220 CO 80920 (719) 282-6666 ERICKSON PEDIATRIC DENTISTRY & ORTH 8580 Scarborough Dr Ste220 Colo CO 80920 (719) 282-6666 ERIN WATTS CARPENTER DDS PC Carpenter ry 25521 E Smoky Hill Rd Ste 210 Aurora CO 80016 (303) 617-5437 ERNEST D BENNETT DDS PC 1189 South Perry Street Suite 200 Castle Rock CO 80104 (303) 688-3008 EUNICE P LEE Southpark Orthodontics 8199 Southpark Ln # 150 Littleton CO 80120 (303) 738-8828 EVANS DDS, GREGORY D EVERGREEN DENTAL PARTNERS LLP Comfort Dental Evergreen 3221 Eastbrook Drive Bldg A Ste 101 Fort Collins CO 80525 (970) 407-1020 1232 Bergen Pkwy Evergreen CO 80439 (303) 674-6070 FACY DDS, REBECCA A Oral Surgeon 595 Chapel Hills Drive # 300 FALCON HILLS DENTAL PROFESSIONAL LL Comfort Dental Falcon Hills 11605 Meridian Market View Ste # 154 CO 80920 (719) 599-0500 Peyton CO 80831 (719) 495-8989 FALONA GLENN DDS PC 1732 S Chambers Rd Aurora CO 80017 (303) 751-6916 FALSETTO DDS, ROSE 1633 Fillmore St Denver Indian Health & Family Denver CO 80206 (303) 953-6608 FAMILY AND KIDS DENTAL PC Family & Kids Dental Pc 1022 Liberty Ln Pueblo CO 81001 (719) 545-5778 FAMILY DENTAL CENTER III 801 6th St Georgetown CO 80444 (303) 569-3141 FARRAR DDS, NORMAN B 4935 Braeburn Way CO 80919 (719) 344-6124 Page 14 of 44

Medicaid s - By Name - 8-5-2014 FAYE ENTERPRISES INC Todd Rinaldi Dds Ms 231 Prospect Suite # 4 Fort Morgan CO 80701 (970) 867-1055 FEHELEY DDS, LISA M 6255 North Quebec Parkway Commerce City CO 80022 (303) 286-8900 FEINBERG DDS, JOEL B 1323 Harlow Ln # 4 Loveland CO 80537 (970) 396-1921 FEREYDOUNI DMD, AMIR R 5970 East 64th Ave Commerce City CO 80022 (303) 495-2801 FERGUSON RDH, LAUREN N 2828 International Circle Ste 100 CO 80910 (719) 632-5700 FIRESTONE DENTAL PARTNERS PROF LLC Comfort Dental Of Firestone 4415 City Center Dr Ste 400 Suite 400 Firestone CO 80504 (303) 651-6347 FIRST CHOICE DENTAL PROFESSIONAL LL First Choice Dental 155 Cook St Ste 201 Denver CO 80206 (303) 320-0734 FISCHER DDS, JAMES A 412 Eddison St Brush CO 80773 (970) 842-0220 FITZGERALD DDS, JOSEFINA 2030 Lake Ave Pueblo CO 81004 (719) 561-8115 FLAKE DDS, COLTON T 9990 W 26th Ave Lakewood CO 80215 (303) 202-0880 FONT DDS, KERRI 13065 E 17th Ave Aurora CO 80045 (303) 724-6243 FOSTER DDS, KAREN D 22986 E Smoky Hill Rd Aurora CO 80016 (303) 690-1690 FOUR CORNERS ORAL & MAXILLO FACIAL 72 Suttle St S #E Durango CO 81303 (970) 385-5432 FOUR CORNERS ORTHDONTIC New 3751 N Butler Ave Ste 113 Farmington CENTERS INC Mexico 87401 (505) 564-9000 FOUR CORNERS SMILES 4 KIDS INC Smiles 4 Kids 1135 S Camino Del Rio Ste 310 Durango CO 81303 (970) 247-0202 FOX DDS, LISA M 5168 S Broadway Englewood CO 80113 (303) 974-5868 FRANCO DDS, JOSE R Oral Surgeon 1701 W 72nd Avenue Denver CO 80221 (303) 650-4460 FRANK DDS, ANDREA R 909 E Railroad Ave Fort Morgan CO 80701 (970) 867-0300 FRANKMORE DDS, THOMAS J 128 Market Street Alamosa CO 81101 (719) 589-9691 FRANZ DDS, ALLEN W 1715 Princess Dr Longmont CO 80501 (303) 682-2619 FRIDRICH DDS, SCOTT J 1120 Alpine Avenue #C Boulder CO 80304 (303) 443-4416 FRISCO DENTAL 101 E Main St Ste 108 Frisco CO 80443 (970) 668-1029 FULLER DMD, CLAY O 777 Bannock St Denver CO 80204 (303) 436-6000 FUN AT THE DENTIST PROFESSIONAL LLC 2525 N 8th St Ste 105 Jct CO 81501 (970) 255-1111 FUNDERBURK DDS, JOSEPH R Oral Surgeon 2532 Patterson Rd #10 CO 81505 (970) 241-2820 Page 15 of 44

Medicaid s - By Name - 8-5-2014 GAGNER DDS, NICHOLAS T 1006 A Street Greeley CO 80631 (970) 352-0048 GALEN T CALLENDER DDS PC 7207 view Ave Arvada CO 80002 (303) 421-1984 GALM DDS, KATHERINE S 2800 Madison Sq Dr Ste 1 Loveland CO 80538 (970) 669-7711 GANDHI DDS, ROOPA P 13123 E 16th Ave Aurora CO 80045 (720) 777-7038 GARAFFA, MICHAEL W 7735 West Long Dr # 9 Littleton CO 80305 (303) 933-8880 GARBISO DENTAL CARE CENTER PC 3210 Wedgewood Pueblo CO 81005 (719) 561-2237 GARLOCK DDS, DAVID T Orthodontia 10371 Parkglenn Way #260 Parker CO 80138 (720) 638-6114 GARY D DIXON DDS PLLC Smile Zone Orthodontics 9910 Wadsworth Parkway Ste 300 Westminster CO 80021 (303) 430-4200 GARY MOORE DDS LTD 5910 Stetson Hills Blvd 110 CO 80923 (719) 694-0400 GAUBATZ, EVAN D 4450 W 38th Ave Unit 110 Denver CO 80212 (303) 455-2273 GERIATRIC DENTAL HYGIENE SERVICES Geriatric Dental Hygiene 11577 W 38th Place Wheat Ridge CO 80033 (303) 422-3175 Services GERKEN DDS, LOUIS R 2800 Madison Square Drive Suite 1 Loveland CO 80538 (970) 669-7711 GILBERT H SYDNEY DDS PC 3705 12th St Greeley CO 80634 (970) 356-3717 GILL DDS, CHARANJIT K 6255 N Quebec Pkwy Commerce City CO 80022 (303) 286-6755 GITLIN DDS, LARRY M 6255 North Quebec Parkway Commerce City CO 80022 (303) 286-8900 GJ WEST DENTAL PROF LLC Comfort 2502 Highway 6 50 Suite 700 Dental West CO 81505 (970) 241-2080 Oral & GLASGOW DDS, MARK J Maxillofacial 777 Bannock St Denver CO 80204 (303) 436-6000 Surgery GLASSICK DDS, ANDREW W 1800 Vine Street Denver CO 80206 (303) 377-2345 GLENWOOD DENTAL PARTNERS LLC Comfort Dental Glenwood 1512 Ave # 102 Glenwood CO 81601 (970) 947-1273 GOLDEN KIDS DENTAL 600 12th St Ste 100 Golden CO 80401 (303) 216-1108 GONZALES RDH, TERRI A 412 Edison Brush CO 80723 (970) 842-0220 GONZALEZ DDS, JASON A 2436 S Academy Blvd CO 80916 (719) 391-2336 GONZALEZ DDS, PATRICIO E 195 W 14th St Building C Rifle CO 81650 (970) 945-2840 Page 16 of 44

Medicaid s - By Name - 8-5-2014 GOODARE-ROSENTHAL DDS, NANCY L 128 Market Street Alamosa CO 81101 (719) 589-9691 GOSS DDS, MICHAEL W 2525 Arapahoe Ave. Suite E4-208 Boulder CO 80302 (303) 995-6608 GOSS DDS, PATRICK D 1000 E. Stuart St. Fort Collins CO 80525 (720) 272-6558 GOTTLIEB DDS, STANLEY J 3838 West 38th Avenue Denver CO 80211 (303) 433-1515 GRAND JUNCTION DENTAL PARTNERS LLC Comfort Dental 2650 North # 101 CO 81501 (970) 255-1222 GREAT SMILES LTD Great Smiles Of Parker 17021 Lincoln Ave # A Parker CO 80134 (303) 694-4487 GREAT SMILES LTD Great Smiles Of Westminster 5140 West 120th Ave # 200 Westminster CO 80020 (303) 465-2211 GREEN MOUNTAIN DENTAL PROF 12810 W Alameda Pkwy Unit A Lakewood CO 80228 (303) 987-2273 LLC Comfort Dental Green Mountain GREEN VALLEY RANCH DENTAL PARTNERS Comfort Dental Green Valley Ranch 18620 Green Valley Ranch Blvd Ste # 103 Denver CO 80249 (303) 371-8247 GREEN, ROBERT A 773 S West Long Dr # 9 Littleton CO 80123 (303) 933-8880 GREG A PHILSON DDS PC General ry 830 W Abriendo Ave Pueblo CO 81004 (719) 545-6421 GREGG L LURCOTT Oral Surgery 965 S Blvd Ste 205 Denver CO 80246 (303) 744-1369 GREGORY D EVANS DDS PC 3221 Eastbrook Drive Bldg A Ste 101 Fort Collins CO 80525 (970) 407-1020 GREWAL DDS, SONIA 200 Kendall Dr Lamar CO 81052 (719) 336-0261 GUIDO DDS, JOSEPH A 3600 Mitchell Drive 40 Fort Collins CO 80525 (970) 224-3600 GULKA DDS, LAUREN 777 Bannock St Denver CO 80204 (303) 436-6000 GUTIERREZ DMD, TRACY L 777 Bannock St Denver CO 80204 (303) 436-6000 H&M FAMILY DENTAL PROFESSIONAL LLC H&M Family ry 2711 South Parker Rd Aurora CO 80014 (303) 353-9611 HAAG DDS, PAUL W 2828 International Cir Ste 100 CO 80910 (719) 344-5700 HADDOW DDS, KIT W 1910 N. 12th St. Unit C CO 81501 (970) 245-2990 HAERR DDS, NATHAN A 150 W Jackson Hayden CO 81639 (970) 276-3123 HAERR DENTISTRY PC Bear River Denver Associates 150 W Jackson Hayden CO 81639 (970) 276-3123 Page 17 of 44

Medicaid s - By Name - 8-5-2014 HAHN DDS, JAMES M 15121 E Mississippi Ave CO 80012 (303) 802-1022 HALE DDS, MICHAEL A 400 S Blvd Ste 450 Denver CO 80246 (303) 744-1369 HALL DMD, KIMRA L 410 Macon Ave Canon City CO 81212 (719) 276-0117 HAMILTON DDS, SCOTT 13123 E 16th Ave Aurora CO 80045 (720) 777-6788 HAMMOND DDS, SHANDA 1633 Fillmore St Denver Indian Health & Family Denver CO 80206 (303) 953-6608 HAMPDEN DENTISTRY PC 9250 E Hampden Ave Ste 100 Denver CO 80231 (303) 930-8828 HAMPDEN ORTHODONTICS LLC Hampden Family ry & Orthodon 9250 E Hampden Ave Denver CO 80231 (303) 930-8828 HAPPY SMILES LLC Toothzone Llc 1122 9th Street # 101 Greeley CO 80631 (970) 353-5203 HARAM DDS, PHILLIP J 128 Market St Alamosa CO 81101 (719) 589-9691 HARDY DENTAL SPECIALISTS PC Taft 1015 South Taft Rd Unit Q Fort Collins CO 80521 (970) 980-2145 Hill Orthodontics HARDY DMD, TIMOTHY C Orthodontia 1015 South Taft Hill Rd Unit 2 Fort Collins CO 80521 (970) 980-2145 HARRIS DDS, MARK J 5590 S Windermere E Littleton CO 80120 (303) 794-3003 HARRIS DDS, MEREDITH A 730 Potomac Street Aurora CO 80011 (303) 201-6837 HARRISON DDS, PATRICK M 450 North Cleveland Avenue Loveland CO 80537 (970) 669-4855 HARVAN DENTAL ASSOCIATES Southland Smiles 25521 E Smoky Hill Rd Ste 140 Aurora CO 80016 (720) 457-9300 HASTINGS DDS, REGE W 903 South 12th Street Rocky Ford CO 81067 (719) 254-7623 HAVANA AND COLFAX DENTAL PARTNERS P Comfort Dental Colfax/Havana 10401 E Colfax Avenue Ste 150 Aurora CO 80010 (303) 344-2273 HAWKINS DDS, DARRELL L HAYUTIN DDS, DAVID J HEALTH SRVS DIST OF NO LARIMER CNTY Health Dist Of Northern Larimer Cny HEALTHY SMILES DENTAL HYGIENE CARE 1633 Fillmore Denver Indian Health & Family Denver CO 80206 (303) 953-6608 5055 East Kentucky Avenue Denver CO 80246 (303) 757-8844 120 Bristlecone Drive Fort Collins CO 80524 (970) 224-5209 144 North Main Street Suite D Gunnison CO 81230 (970) 642-0338 HEJLAWY DDS, SAMER 2859 E Fountain Blvd CO 80910 (719) 442-0071 HENES DDS, CHRISTOPHER S 777 Bannock St Denver CO 80204 (303) 436-6000 Page 18 of 44

Medicaid s - By Name - 8-5-2014 HENRY D AHN DMD PC 1977 S Havana St Aurora CO 80014 (303) 750-3737 Wyomin HENRY DDS, MATTHEW C 1439 Stillwater Ave # 7 Cheyenne 82009 (307) 778-7100 g New HERMAN DDS, DAVID J 3751 N Butler Ave Ste 113 Farmington 87401 (505) 564-9000 Mexico HERNANDEZ DDS, ALBERTA M 550 E Thornton Pkwy # 240-A Thornton CO 80229 (303) 280-8878 HERNANDEZ RDH, KELLY L 2998 Ginnala Dr Ste 101 Loveland CO 80538 (970) 669-1236 HERO DENTAL OF AURORA PC Adventure Dental & Orthodontics 15121 E Mississippi Ave Aurora CO 80012 (303) 802-1022 HERO DENTAL OF DENVER PC Adventure Dental Of Denver 1407 W 84th Ave Ste B 5-8 Denver CO 80260 (719) 576-1850 HERO DENTAL OF LONGMONT Adventure Dental & Orthodontics 1739 North Main St Longmont CO 80501 (303) 834-6400 HERO DENTAL OF SPRINGS PC Academy Kids North 3630 Austin Bluffs Pkwy Colo CO 80918 (719) 304-5400 HIEGERT DDS, AARON J 777 Bannock St Denver CO 80204 (303) 436-6000 HIGH MOUNTAIN HYGIENE PC 548 Front Street Ste C Fairplay CO 80440 (719) 836-0967 HILL DDS, JUDITH G 6255 North Quebec Parkway Commerce City CO 80022 (303) 286-8900 HILLARY, EILEEN M 126 E 29th St Loveland CO 80538 (970) 635-4353 HINTON RDH, SANDRA L 1633 Fillmore Denver Indian Health & Family Denver CO 80206 (303) 953-6608 HOANG DDS, VY U 1930 S Federal Blvd Denver CO 80219 (720) 379-3904 HOELLRICH RDH, SUSAN P 5795 County Rd # 2 Canon City CO 81212 (719) 837-2962 HOFFMAN-SMITH DDS, KAREN 13065 E 17th Ave Aurora CO 80045 (303) 724-7060 HOLLY DENTAL ASSOCIATES LLC 8010 S Holly St Ste 100 Centennial CO 80122 (303) 694-6400 HOLMES DDS, NICOLE Z 1102 E Lincoln Ave Ste B Fort Collins CO 80524 (970) 224-2688 HOLYOAK DDS, BRANDON 55981 E Colfax Ave Strasburg CO 80136 (303) 622-4660 HOUSE FAMILY DENTAL PC Orchard Dental Kids Pc 1227 S 9th Street Canon City CO 81212 (719) 285-4784 HOUSE FAMILY DENTAL PC Orchard Dental Kids Pc 318 Orchard Drive Pueblo West CO 81007 (719) 924-8623 HOUSER DMD, ZACHARY L 9480 Briar Village Pt Ste 301 CO 80920 (719) 522-0123 HOVER DENTAL GROUP 1446 Hover Street Ste 100 Longmont CO 80501 (303) 684-9777 HOWELL DDS, BRUCE E 1260 Hover Rd Unit H Longmont CO 80501 (303) 678-1125 Page 19 of 44

Medicaid s - By Name - 8-5-2014 HUDSON, MATTHEW A 132 Walnut Ave Ste B CO 81501 (970) 242-5151 HULL DDS, DONALD J 595 Chapel Hills Dr Ste 300 CO 80920 (719) 599-0500 HUMBLE DDS, MILES C 202 E Cheyenne Mtn Blvd Ste #E CO 80906 (719) 576-6551 HUNG M TRAN DDS PC 1013 S Federal Blvd Denver CO 80219 (303) 935-0496 HUNTERS GLEN DENTAL PROFESSIONALS L Comfort Dental 13691 Blvd Ste 101 Thornton CO 80602 (303) 920-2273 Hunters Glen HURD DDS, AUTUMN G 7889 S Lincoln Court # 203 Littleton CO 80122 (303) 798-4400 HYMAS DDS, T ALLAN Mesa 1190 Bookcliff Ave Ste 202 Orthodontics CO 81501 (970) 245-8810 IAN M KOTT DDS PC Kott s 1440 28th St Ste 1 Boulder CO 80303 (303) 938-1000 IBRAHIM DDS, ALFAIYAZ 14251 E 6th Avenue Aurora CO 80011 (303) 343-3133 INGALLS DDS, GREGORY K 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 INNER CITY HEALTH CENTER 3800 York St Denver CO 80205 (303) 296-4873 INSPIRE ORTHODONTICS 404 E Mineral Ave Suite B Littleton CO 80122 (303) 754-0040 INTEGRITY DENTAL INC PC 1630 Fortino Blvd Pueblo CO 81008 (719) 545-2468 IRBY DENTAL COTTAGE PC 2099 W. Hwy 50 #180 Pueblo CO 81008 (719) 543-8808 IRINA LOVINESCU DMD MDS MD PC Littleton Family Orthodontics 9200 West Cross Drive Ste 426 Littleton CO 80123 (303) 972-2898 J RYAN MICKELSON DDS INC Riverview Dental 2530 Ave Ste 1a Durango CO 81301 (970) 247-0174 JACOBSEN RDH, ALESIA M 6985 Holt Dr CO 80922 (719) 572-5853 JADE DENTAL PROFESSIONALS 6020 Erin Park Drive Ste B CO 80918 (719) 266-9393 JAGGER DDS, WILLIAM J 510 Ave Pueblo CO 81004 (719) 543-1132 JAN B BUCKSTEIN DDS PC 1660 S Albion # 718 Denver CO 80222 (303) 757-7759 JANDA DDS, CARLA J 3800 York St Denver CO 80205 (303) 296-4873 JANDA DDS, MATTHEW C 801 Iris Drive Sterling CO 80751 (970) 522-4050 JANNUZZI, JEREMY B 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 JAQUES DDS, RONALD W 5031 S Federal Blvd # 4 Englewood CO 80110 (303) 795-3517 JASO R VANWAGENEN DDS PC Federal 1557 W 84th Ave Unit 1 CO 80260 (303) 426-4860 Advanced Dental Ceter Heights Page 20 of 44

Medicaid s - By Name - 8-5-2014 JEAN M FELTON DMD PLLC Lowry Dental Health 8111 East Lowry Blvd Ste 200 Denver CO 80230 (303) 343-2803 JEFF D JOHNSTON DDS PA Ascent Dental Group 4500 Cherry Creek Dr S # 100 Denver CO 80246 (303) 975-6987 JEFFRIES DDS, LEESA R 2436 S Academy Blvd CO 80916 (719) 391-2336 JENKINS, JOSHUA A 15530 E 64th Ave Ste H Arvada CO 80007 (303) 422-3746 JENNIFER K HARGLEROAD DDS MS PROF 2105 Bighorn Road Suite 202 Fort Collins CO 80525 (970) 493-2254 JEREMY COX DMD PROFESSIONAL LLC Dental Specialists Of Wes 2466 Hwy 6/50 Ste 3 Dental Specialists CO 81505 (970) 639-9551 JEREMY J ZEIGLER DMD PC A New Day ry 11310 Huron St Ste 210 Northglenn CO 80234 (303) 428-8560 JESSOP DDS, TIMOTHY R 1601 Oxbow Dr Ste 360a Montrose CO 81401 (970) 249-8595 JETHWANI DDS, MONICA 2859 E Fountain Blvd CO 80910 (719) 442-0071 JI WON JUNG DDS PC New Season Dental 13640 Orchard Pkwy Ste 150 Westminster CO 80023 (720) 334-8779 JIANNETTI-WELLINGTON RDH, GINA M 11577 W 38th Place Wheat Ridge CO 80033 (303) 422-3175 JILL K MIOUDUSKI DDS MS PROFESSIONA Northern 1295 Main St # 4 Windsor CO 80550 (970) 674-0717 Orthodontics JILL SHONKA DDS PC Windsor ry 1299 W. Main Street Unit C Windsor CO 80550 (970) 674-3247 JIMENEZ DMD, DAMIAN R 965 S Blvd Denver CO 80246 (303) 744-1369 JODI LAMPERT DDS PC 8120 S Holly St Centennial CO 80122 (303) 779-8848 JOHN D BURKART DDS PC 13731 E Rice Place Ste 100 Aurora CO 80015 (303) 693-7330 JOHN M BURCHFIELD DDS PC 2007 Jackson Street Golden CO 80401 (303) 279-3992 JOHN S WALKER DMD PROF LLC John S Walker Dmd 350 Broadway Ste 120 Boulder CO 80305 (303) 494-3535 JOHNSON DDS, WARREN K 5850 Tutt Center Pt CO 80922 (719) 596-3081 JOHNSON JR DDS, COLLIS 1756 Vine Street Denver CO 80205 (303) 322-1177 JOHNSON ORTHODONTICS PC 5850 Tutt Center Pt Co CO 80922 (719) 596-3081 JOHNSTON DDS, JEFF D 2300 E 120th Ave # 104 Thornton CO 80233 (303) 254-8828 JOHNSTON DDS, RONALD J 560 West 6th North Cheyenne Wells CO 80810 (719) 767-5661 Page 21 of 44

Medicaid s - By Name - 8-5-2014 JON MATTHES DDS PC 7730 N Union Blvd Ste 301 CO 80920 (719) 536-0599 JONES DDS, RANDALL C 503 Poplar Street Sterling CO 80751 (970) 522-6280 JONES DMD, CHRISTOPHER M 14100 E Arapahoe Rd Ste 211 Centennial CO 80112 (303) 627-8300 JORGENSEN DDS, THOMAS L 412 Edison St. Brush CO 80033 (303) 431-1221 JOSEPH R FUNDERBURK DDS PROFESSIONA Oral 2532 Patterson Rd Ste 10 CO 81505 (970) 241-2820 Surgery JOSEPH STOLL DDS PC 7015 W 38th Ave Wheat Ridge CO 80033 (303) 940-9755 JUST FOR GRINS, LLC 6436 Hwy 85/87 Suite C Fountain CO 80817 (719) 392-5111 JUST WISDOM TEETH WHEAT RIDGE LLC 10160 W 50th Ave Unit 1 Wheat Ridge CO 80033 (720) 583-0523 JUSTIN C BLEY DMD PC 1707 61st Ave Ste 102 Greeley CO 80634 (970) 506-0350 KAHL DDS, JEFFREY A 9480 Briar Village Point Suite 301 CO 80920 (719) 522-0123 KAINES DDS, JOEL 2001 South Shields St Bldg C1 Fort Collins CO 80526 (970) 482-8883 KAMINSKY DDS, JANNA 2020 Wadsworth Blvd All About Kids Lakewood Dental Of Lakew CO 80247 (303) 431-1221 KAREN URNISE DDS LLC Two Rivers Glenwood 51241 Highway 6 Ste 5 Dental Care CO 81601 (970) 945-2313 KARLA DMD, MARK A 4972 East 62nd Ave Suite B1 Commerce City CO 80022 (303) 288-4969 KARR DDS, PRESTON B 1006 A Street Greeley CO 80631 (970) 352-0048 KATE STEELE DDS LLC Steele ry Of Stapeleton 3545 Quebec St Ste 110 Denver CO 80238 (303) 278-3353 KATHERINE HATTEL HARMON DDS PC Kindergrins Dental 126 E 29th St Loveland CO 80538 (970) 635-4353 KAUR DDS, ROMINDER 909 E Railroad Ave Fort Morgan CO 80701 (970) 867-0300 KEARNEY DDS, JOHN M 610 Yale Place Canon City CO 81212 (719) 275-4474 KEITH VAN TASSELL DDS PC ry Of The Rockies 4609 S. Timberline Road Suite 103b Fort Collins CO 80528 (970) 484-4104 KELLIE L REED Columbine Dental Hygiene Prof Llc 816 S 5th Street Ste A Montrose CO 81401 (970) 964-4546 KELLOGG-PAISLEY LLC Bromley Park Dental 4700 E Bromley Ln Ste 201 Brighton CO 80601 (303) 659-0667 KELLOW DDS, HIBA A 10350 N. Federal Blvd Ste 300 Federal Heights CO 80260 (303) 427-2722 KELLY DDS, STEPHEN S Oral Surgeon 2530 N 8th Street #103 103 CO 81501 (970) 245-2222 Page 22 of 44

Medicaid s - By Name - 8-5-2014 KELSEY SNAVELY DDS PLLC A 13123 East 16th Ave Aurora CO 80045 (303) 261-7029 KENSON DDS, DALLAS 55981 E Colfax Ave Strasburg CO 80136 (303) 622-4660 KERNS DDS, ETHAN E 5995 Iris Parkway Frederick CO 80530 (303) 833-2050 KESSLER DDS, MARK E 3525 W Oxford G3 Denver CO 80239 (303) 797-4260 KIDS CHOICE DENTAL OF AURORA PC Kids Choice Dental 15159 E Colfax Ave Unit B Aurora CO 80011 (303) 341-5437 KIDS DENTAL PC 7901 E Colfax Ave Denver CO 80220 (303) 331-6511 KIDS IN NEED OF DENTISTRY 2465 S Downing St # 210 Denver CO 80210 (303) 733-3710 KIDS TOOTH DOC LLC Kids Tooth Doc 5168 South Broadway Englewood CO 80113 (303) 974-5868 KILLIN DMD, ASHLEY N 96 Wadsworth Blvd #150 Lakewood CO 80226 (303) 232-2155 KIM DDS, EUGENE J 4485 Wadsworth Blvd # 305 Wheat Ridge CO 80033 (303) 431-1221 KIM DDS, KYUNG J 15159 E Colfax Ave Unit B Kids Choice Aurora CO 80011 (303) 341-5437 KINDER, BRUCE B Bruce B Kinder Dds Family ry 11275 E Mississippi Ave 2e2 Aurora CO 80012 (303) 361-6668 KINDSFATER DDS, CRAIG S 1006 A Street Greeley CO 80631 (970) 352-0048 KIRKHAM DDS, DEREK G 9480 Briar Village Point # 301 CO 80920 (719) 522-1396 KL HALL DMD PC Kl Hall Dmd Pc 410 Macon Ave Canon City CO 81212 (719) 276-0117 KLATT RDH, JUNIA C 877 S Boulder Road Louisville CO 80027 (303) 665-8228 KLEIN DDS, ULRICH Orthodontia 1056 East 19th Ave # B240 Denver CO 80218 (303) 861-6788 KLEIN DDS, ULRICH 1056 East 19th Ave # B240 Denver CO 80218 (303) 861-6788 KLEPACKI DDS, KYLE A 6931 S Pierce St Ste 101 Littleton CO 80128 (303) 978-1104 KNECHT DDS, ALEXANDER G 1006 A Street Greeley CO 80631 (970) 352-0048 KNOWLTON DDS, ANTHONY 3939 Sandalwood Lane Pueblo CO 81005 (719) 564-5833 KNOWLTON DDS, ANTHONY L 3939 Sandalwood Ln Pueblo CO 81005 (719) 564-5833 KOCH DDS, DOUGLAS R 10101 E Hampden Ave # 100 Denver CO 80231 (303) 671-0101 KOCH DDS, MARK G 1056 E 19th Ave B-240 Rmchs Mngmt Denver CO 80218 (303) 861-6788 KOCHEVAR DDS, MARK L. 1513 Riverside Ft Collins CO 80524 (970) 221-5090 KOGAN, OLGA R 8422 W 78th Cir Arvada CO 80005 (303) 506-4698 KOHLGRAF DDS, KARL 128 Market St Alamosa CO 81101 KOLLAR DMD, JILL C 2400 W 16th St Greeley CO 80634 (970) 395-1000 KOTTENSTETTE DDS, JENNIFER N 1001 S Pueblo Blvd Pueblo CO 81005 (719) 564-0990 Page 23 of 44

Medicaid s - By Name - 8-5-2014 KOWALCHUK DDS, GREGORY R 800 E 73rd Avenue Unit 3 Denver CO 80229 (303) 650-5800 KRAMER DDS, MARK G 1424 E Horsetooth Ste 4 Fort Collins CO 80525 (970) 223-2868 KROACK DDS, KALMAN J 1350 S Aspen St Norwood CO 81423 (970) 327-4233 KT DENTAL LLC Dk Dental 95c S Sheridan Blvd Lakewood CO 80226 (720) 524-3959 KUHAR DDS, JAMES R 2828 International Circle CO 80910 (719) 630-6120 KUHN DDS, JODI B 1400 Grove St Denver CO 80204 (303) 825-2295 KULKARNI ORTHODONTICS, PLLC 2535 S Lewis Way Ste 106 Lakewood CO 80227 (303) 238-1338 LAFAYETTE DENTAL PARTNERS LLP Comfort Dental Lafayette 535 W South Boulder Rd 200 Lafayette CO 80026 (303) 604-2804 LAKE CITY DENTAL CLINIC 304 West Third Street Lake City CO 81235 (970) 944-0331 LAKEWOOD DENTAL OF COLORADO PC 84 Garrison St Ste A Lakewood CO 80226 (303) 233-1112 LAKEWOOD SMILES PC 10815 W Jewell Ave # L Lakewood CO 80232 (303) 988-6860 LAN P NGUYEN DDS PC South Federal ry 805 South Federal Blvd Denver CO 80219 (303) 935-2353 LANDGREN DDS, JOHN D 6931 So Pierce St # 101 Littleton CO 80128 (303) 978-1104 LANE DDS, NAOMI 9094 East Mineral Ave Ste 240 Centennial CO 80112 (303) 799-1872 LARRAGA DDS, AIMEE L 128 Market Street Alamosa CO 81101 (719) 589-9691 LARSEN DDS, IHSAN B 15159 East Colfax Ave # B Aurora CO 80011 (303) 341-5437 LB DENTAL PARTNERS Comfort Dental Littleton Blvd 209b W Littleton Blvd Littleton CO 80120 (303) 734-2273 LEADVILLE DENTAL CENTER LLC 733 Us Hwy 24 Unit A Leadville CO 80461 (719) 486-2060 LECKNER RDH, PATRICA F 2525 13th St Boulder CO 80304 (303) 449-6050 LEE DDS, DA E Orthodontia 2436 S Academy Blvd CO 80916 (719) 391-2336 LEE DDS, JENNIFER 9250 E Hampden Ave Denver CO 80231 (303) 930-8828 LEE DDS, PAULINE S Us Highway 491 North Shiprock New Mexico 87420 (505) 368-6001 LEE HERTIG DDS, JESSICA J 1122 9th St Ste 101 Greeley CO 80631 (970) 223-8687 LEENSWAART DDS, RICHARD L 2828 International Cir Ste 100 CO 80910 (719) 632-5700 LESLIE DDS, KATRINA J New Us Highway 491 North Shiprock Mexico 87420 (505) 368-6001 LESSIG DDS, JAMES R Oral Surgeon 9094 E Mineral Ave Suite 260 Centennial CO 80112 (303) 768-8570 LESSIG DDS, JAMES R Advanced Oral & Maxillofacial Surg 9094 East Mineral Ave Ste 260 Centennial CO 80112 (303) 768-8570 Page 24 of 44

Medicaid s - By Name - 8-5-2014 LEWIS DDS, LUCINDA A 390 S Potomac Way Suite A Aurora CO 80012 (303) 367-1502 LEY DDS, BRIAN C 677 S Federal Blvd Denver CO 80219 (303) 936-6188 LIA D BAROS DDS PC Orthodontics In The Highlands 3538 West 44th Ave Denver CO 80211 (303) 433-7500 LICENSED DENTAL HYGIENE CARE 2125 E Lasalle St Senior Mobile Dental CO 80909 (719) 310-3315 LIGHTHOUSE DENTAL PC Lighthouse Dental 8721 Turnpike Dr Westminster CO 80031 (303) 657-9000 LIMMER, BRYAN M 777 Bannock St Denver CO 80204 (303) 436-6000 LINDSAY DDS, MICHAEL R 8223 S Quebec St Unit A Centennial CO 80112 (303) 689-2273 LINHART DMD, JOHN V Us Highway 491 N Shiprock New Mexico 87420 (505) 368-6020 LINK DDS, JEAN M 14251 E 6th Ave Aurora CO 80011 (303) 343-3133 LITTLE ROCKIES PEDIATRIC DENTISTRY 10371 Parkglenn Way Ste 260 Parker CO 80138 (720) 638-6114 LITTLE SMILES DENTAL CARE PC Little Smiles Dental Care 101 W Hampden Ave Unit A Englewood CO 80110 (303) 761-1126 LITTLETON DENTAL 7735 West Long Dr # 9 Littleton CO 80123 (303) 933-8880 LIU DDS, JAMES L 16981 E Quincy #D1-D3 Aurora CO 80015 (303) 377-3876 LOMBARDI DDS, PAUL J 34 Hybrook Rd S Divide CO 80814 (719) 687-4460 LONGMONT BRACES CORP 1520 S Hover Rd # C Longmont CO 80501 (303) 772-0510 LONGMONT DENTAL PARTNERS PROF LLP Comfort Dental Longmont 1750 Mountain View Longmont CO 80501 (303) 678-7728 LOOMIS DDS, ANDREW C 1022 Liberty Lane Pueblo CO 81001 (719) 545-5778 LOREN SITES DDS PLLC Pueblo Dental Center 4104 Outlook Blvd Ste 138 Pueblo CO 81008 (719) 543-2271 LOUISVILLE DENTAL PROF LLP 339 Mccaslin Blvd # B Louisville Comfort Dental Louisville Dental Prof Louisville CO 80027 (303) 673-0500 LOVINESCU, IRINA A Orthodontia 9200 West Cross Dr Ste 426 Littleton CO 80123 (303) 972-2898 LUCINDA ANN LEWIS DDS PC 390 S Potomac Way Ste A Aurora CO 80012 (303) 367-1502 LURCOTT DDS, GREGG L 400 S Blvd Ste 450 Denver CO 80246 (303) 744-1369 LURYE DDS, DAVID C 1350 S Aspen St Norwood CO 81423 (970) 327-0279 LUSSIER DDS, JAMES D 6160 Tutt Blvd Ste 250 CO 80923 (719) 359-8652 LY DMD, QUEN C 13123 E 16th Ave B240 Aurora CO 80045 (720) 777-6788 MAGUIRE DDS, RICHARD 0105 Edwards Village Blvd Edwards CO 81632 (970) 926-5437 MALCOLM STRANGE DDS Dental Group Greeley 2003 46th Ave Greeley CO 80634 (970) 330-4600 Page 25 of 44

Medicaid s - By Name - 8-5-2014 MALCOLM STRANGE DDS MDS PC 360 Peak One Drive Suite 380 Frisco CO 80443 (970) 668-8668 MALCOLM STRANGE DDS MSD PC 30960 Stagecoach #W100 Evergreen CO 80439 (303) 670-7070 MALCOLM STRANGE DDS MSD PC 8550 W 38th Ave # 306 Wheat Ridge CO 80033 (303) 467-8888 MAMEDA DDS, HERBERT K 512 N Main Street P O Box 306 Rocky Ford CO 81067 (719) 254-7434 MANH DDS, KATIE Q 1701 S Federal Blvd Ste B Denver CO 80219 (303) 935-5279 MANKIN DDS, JULIE D 495 S Federal Blvd Denver CO 80219 (303) 937-7511 MANSHADI DDS, DAVOOD D 15159 E Colfax Ave Unit B Aurora CO 80011 (303) 341-5437 MARC D THOMAS DDS PC Canyon Ridge ry 18801 E Mainstreet #150 Parker CO 80134 (303) 841-7900 MARC D THOMAS DDS PC Canyon Ridge ry 4344 Woodlands Blvd #260 Castle Rock CO 80104 (303) 841-7900 MARGIE WILLIAMS DDS PLLC Williams Family ry 2979 N Iola St Denver CO 80238 (303) 945-2699 MARIA FRANCISCO- MATIAS PC 1550 S Potomac St. #130 Aurora CO 80012 (720) 394-0522 MARILLAC CLINIC INC 2333 N 6th Street CO 81501 (970) 298-7567 MARR FAMILY DENTISTRY PC 3705 W 12th St Greeley CO 80634 (970) 356-2605 MARRS RDH, HELEN M 6303 Wadsworth Bypass Arvada CO 80002 (303) 275-7500 MARSHALL DDS, CAROL E 6025 Erin Park Dr Ste B CO 80918 (719) 531-7111 MARTINEZ DDS, EFREN 1200 S. Wadsworth Blvd. #105 Lakewood CO 80232 (303) 733-7533 MARTINEZ RDH, JEAN N 11275 E Mississippi Ste 1w2 Aurora CO 80012 (303) 996-4811 MASON DDS, JAMES H Orthodontia 901 E 120th Ave Unit E Thornton CO 80233 (303) 452-0077 MASTHAY DMD, ROBERT A 7400 Wadsworth Blvd Ste 102 Arvada CO 80030 (303) 429-1766 MATERON DDS, JUAN C 8390 W 80th Arvada CO 80005 (303) 425-6519 MATTHEW A HUDSON DMD PC 132 Walnut Ave Ste B Hudson Family Dental CO 81501 (970) 242-5151 MATTHEW T BRYNER PC Cortez Smiles 217 W Main St Cortez CO 81321 (970) 565-5457 MCARTOR DDS, SHIVAUN J 3600 Mitchell Dr Mountain Kids Dentis Fort Collins CO 80525 (970) 224-3600 MCCORMACK DDS, MICHAEL S 800 E 73rd Ave Unit 3 Denver CO 80229 (303) 650-5800 MCEVOY DDS, BENJAMIN J 3400 Arapahoe Rd Boulder CO 80303 (303) 444-2129 MCFARLAND DDS, JOHN W General Practice 1115 Second Street Fort Lupton CO 80621 (303) 857-2771 Page 26 of 44

Medicaid s - By Name - 8-5-2014 MCFAYDEN DDS, JOHN A 245 Vine St Las Animas CO 81054 (719) 456-2653 MCINTYRE DDS, PETER A 595 Chapel Hills Drive 105 CO 80920 (719) 475-2511 MCIVERY RDH, JENNIFER L 2828 International Circle Ste 100 CO 80910 (719) 475-0783 Oral & MCLAIN DDS, RICHARD L Maxillofacial 6850 E. Hampden Avenue Suite 201 Denver CO 80224 (303) 563-6105 Surgery MCMAHAN RDH, DEBBIE J 3405 Gilpin Street Denver CO 80206 (303) 321-2745 MCMILLON DR, CHRISTINA O 3525 West Oxford Ave Wing G3 Sheridan Health Services Denver CO 80236 (303) 797-4260 MCMUNN III DDS, WILLIAM 10160 W 50th Ave # 1 Wheat Ridge CO 80033 (720) 583-0523 MCWILLIAMS DDS, KELLI 2333 N 6th St CO 81501 (970) 298-6345 MEDICAID DENTAL HOME LLC 2125 E Lasalle Street CO 80909 (719) 310-3315 MEEVE CHIE DMD, LEILA 1800 15th Street # 100 Denver CO 80202 (720) 287-6189 MICHAEL A ZULIAN DDS PC 2800 Madison Square Drive Suite 2 Loveland CO 80538 (970) 669-6850 MICHAEL CHRISTOPHER DMD LLC 2211 Mountain View Ave Longmont CO 80501 (303) 772-5882 MICHAEL DMD, KANTOR E 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 MICHAEL KOFFORD DMD PLLC Kofford Orthdontics 24 Club Manor Dr. Suite 203 Pueblo CO 81008 (719) 545-7600 MICHELI DDS, GREGORY E 831 Forest Ave Canon City CO 81212 (719) 275-7740 MICHELLE L HAMAN DDS 6725 Rangewood Dr CO 80918 (719) 596-6920 MICKELSON DDS, J R 2530 Ave Ste 1a Durango CO 81301 (970) 247-0174 MIDTOWN DENTAL LLP 1800 Vine St Denver CO 80206 (303) 377-2345 MIERZEJEWSKI DMD, MICHAEL J 10350 N Federal Blvd # 300 Federal Heights CO 80260 (303) 427-2722 MILE HIGH DENTAL PROF LLC Mile High Comfort Dental 881 N Federal Blvd Denver CO 80204 (303) 825-0013 MILES C HUMBLE LLC Humble Family 202 E Cheyenne Mountain Blvd Ste ry E CO 80906 (719) 576-6557 MILLARD DDS, GARRY D Periodontics 195 W 14th St Bldg C Rifle CO 81650 (970) 945-2840 MILLEA DDS, JOHN D 3470 Parker Blvd Pueblo CO 81003 (719) 543-4022 MILLER DDS, BILLIE J Orthodontia 2200 South Federal #3 Denver CO 80219 (303) 935-0815 MILLER DDS, DEREK A 26926 Fern Gulch Road Evergreen CO 80439 (800) 409-2563 Page 27 of 44

Medicaid s - By Name - 8-5-2014 MILLER DDS, ERIC H 1860 Egbert Street Brighton CO 80601 (303) 659-4000 MILNOR DDS, LAURA D Orthodontia 1103 S Shields St Fort Collins CO 80521 (970) 484-3214 MINER DDS, JEREMY K 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 MINH THAI DDS PC Thornton Family ry & Orthodo 2300 E 120th Ave Unit 104 Thornton CO 80233 (303) 254-8828 MISNER DMD, REBECCA S 3630 Austin Bluffs Pkwy CO 80918 (719) 304-5400 MITCHELL DMD, SUSANNAH M 2828 International Circle Ste 100 CO 80910 (719) 632-5700 MITNITSKY DDS, EDWARD F 13065 E 17th Avenue Aurora CO 80045 (303) 724-7100 MOBLEY DDS, JAMES M 2030 Lake Ave Pueblo CO 81004 (719) 543-8711 MOD LLC North Beach Dental 1102 E Lincoln Ave Fort Collins CO 80524 (970) 224-2688 MILLER DDS, KAREN M 2030 Lake Ave Pueblo CO 81004 (719) 564-4823 MILLER RDH, MARILYN L 2828 International Circle Ste #100 CO 80910 (719) 475-0783 MILMONT DMD, LUKE 1102 E Lincoln Ave Fort Collins CO 80524 (970) 224-2688 MONACO AND EVANS DENTAL PC 2250 S Monaco Parkway Denver CO 80222 (303) 476-6233 MONACO DENTAL ASSOCIATES Monaco Dental Associates 1570 E Colfax Ave Denver CO 80218 (303) 495-2535 MONAK JR DDS, EDMUND G 1006 A St Greeley CO 80631 (970) 352-0048 MONDRAGON RDH, PATRICIA A 2828 Intertnationasl Circle Ste #100 CO 80910 (719) 475-0783 MONTEZUMA COUNTY 106 West North Street Cortez CO 81321 (970) 565-3056 MONTROSE ORAL AND MAXILLOFACIAL SUR 600 South Park Avenue Montrose CO 81401 (970) 240-4485 MONUMENT CHILD DENTISTRY & ORTHODON Erickson ry 16055 Old Forest Pt S-202 Monument CO 80132 (719) 488-1101 And Or MONUMENT DENTAL PROFESSIONAL LLC Comfort Dental 556 W Hwy 105 Monument CO 80132 (719) 484-0043 MONUMENT ORAL AND FACIAL 607 25 Road Ste 100 SURGERY PC CO 81505 (970) 424-5014 MOODY DDS, MICHAEL D 9990 W 26th Ave #100 Lakewood CO 80215 (303) 232-4422 MOORE DDS, GARY N 5910 Stetson Hills Blvd 110 CO 80923 (719) 694-0400 MORTENSEN DMD, SAMUEL A 128 Market St Alamosa CO 81101 (719) 589-9691 MOTOR MOUTH MOBILE DENTAL 6985 Holt Dr HYGIENE L Motor Mouth CO 80922 (719) 572-5853 Page 28 of 44

Medicaid s - By Name - 8-5-2014 MOTZKUS RDH, RACHAEL D 700 Columbine Sterling CO 80751 (970) 522-6280 MOUNTAIN DENTAL HYGIENE SRVS LLC 26697b Pleasant Park Road Conifer CO 80433 (303) 523-2851 MOUNTAIN KIDS PEDIATRIC DENTISTRY 3600 Mitchell Dr Ste 40 Fort Collins CO 80525 (970) 224-3600 MOUNTAIN VIEW FAMILY DENTAL 191 Telluride St 3 Brighton CO 80601 (303) 659-5185 MOURADY DDS, BERWEEN 9362 S Blvd Ste D14 Highlands Ranch CO 80126 (720) 763-9020 MOYA DDS, DINORAH C 1006 A Street Greeley CO 80631 (970) 352-0048 MOYER DDS, IRA N 10184 W Belleview Avenue Suite 110 Littleton CO 80127 (303) 973-4424 MURPHY DDS, ARIC A 1136 E. Stuart St. 3-240 Fort Collins CO 80525 (970) 420-6848 MURPHY DDS, MARY G Us Highway 491 North Shiprock New Mexico 87420 (505) 368-6001 MURPHY MAXILLOFACIAL SURGERY Murphy Oms 1136 E. Stuart St. 3-240 Ft Collins CO 80525 (970) 420-6848 MURRAY DDS, AARON LEVI 141 S Purcell Blvd Ste 140 Pueblo West CO 81007 (719) 547-8338 MURRAY DDS, SHAWN M Orthodontia 1825 56th Ave Ste A Greeley CO 80634 (970) 330-5363 MURZYN-DANTZER DMD, LINDA 13123 E 16th Pl B-240 Aurora CO 80045 (720) 777-6788 MY DENTIST INC 3955 B East 120th Ave Thornton CO 80233 (303) 255-4855 NAIMAN IV DDS, IVAN S 8200 E Belleview Suite 455 E Greenwood Village CO 80111 (303) 770-2900 NASSIMBENE JR DDS, LEO L 1641 Horseshoe Dr Pueblo CO 81001 (719) 542-5339 NATH DDS, MRINMAYEE Us Highway 666 North Shiprock New Mexico 87420 (505) 368-6001 NATHAN B HELM DDS MS PLLC 4809 Argonne St Ste 240 Denver CO 80249 (303) 371-0371 NATIONAL FOUNDATION OF DENTISTRY FO Dental Lifeline Network 1800 15th Street # 100 Denver CO 80202 (303) 534-5360 NEIL GANZ DDS PC Rabbit Ears Dental Steamboat 440 S Lincoln Ave B10 Office CO 80487 (970) 879-5630 NELSON & ROLLERT ASSOCIATES IN ORAL 6850 E Hampden Ave Ste 202 Denver CO 80224 (303) 758-6850 NELSON DDS, TYLER E 3100 N Academy Blvd Ste 213 CO 80917 (719) 597-4060 NELSON S JOO DMD PC 2222 S Fraser St Unit 3 Aurora CO 80014 (303) 671-0305 NESTMAN & ENG ORTHODONTICS LLC Brighton Orthodontics 191 Telluride St Ste 1 Brighton CO 80601 (303) 498-0351 Page 29 of 44

Medicaid s - By Name - 8-5-2014 NGUYEN DDS AN T General Practice 1701 72nd Avenue Denver CO 80221 (303) 650-4460 NGUYEN DDS, ANDREW T Orthodontia 12373 E Cornell Ave # 16 Aurora CO 80014 (303) 750-7750 NGUYEN DDS, ANDREW T 12373 E Cornell Ave # 16 Aurora CO 80014 (303) 750-7750 NGUYEN DDS, HUY T 1076 S. Sable Blvd. Aurora CO 80012 (303) 369-5517 NGUYEN RDH, DIEMKIEU T 8990 N Washington Thornton CO 80229 (720) 929-1655 NICHOLS & SNAVELY PEDIATRIC DENTIST Tennyson ry 4383 Tennyson Unit 1f Denver CO 80212 (303) 423-4383 NICHOLS DDS, TIMOTHY D 13123 E 16th Avenue Aurora CO 80045 (720) 777-1234 NICHOLS, BROOKE D 2014 Blake Ave Glenwood CO 81601 (970) 945-6614 NIEPRASCHK DDS, KURT 9910 Wadsworth Parkway Ste 300 Westminster CO 80021 (303) 430-4200 NIFORATOS DDS, CAROL 2111 Champa St Denver CO 80205 (303) 293-2217 NL DP LLC Comfort Dental North Loveland 274 W 64th St Loveland CO 80538 (970) 667-0446 NOBLET-VACHA RDH, P MICHELLE 2125 E La Salle. CO 80909 (719) 338-2195 NOCK DDS, DAVID L 2643 Patterson Rd Ste 501 CO 81506 (970) 242-4433 NOFFSINGER DDS, DAVID P 1120 Wellington Ave #102 CO 81501 (970) 243-2682 NOORI DDS, AFSANEH S 777 Bannock Denver CO 80204 (303) 436-6000 NOORI DDS, HAEMAN Oral Surgeon 2290 Kipling St Unit 2 Lakewood CO 80215 (303) 232-5637 NORBERG RDH, HILARY H 4155 Darley Ave Ste C Dental Aid Boulder CO 80305 (303) 499-7072 NORTH ACADEMY DENTAL PARTNERS PROF Comfort Dental North Academy NORTH POWERS DENTAL PROFESSIONALS L Comfort Dental North Powers 1634 York Rd 6076 Stetson Hills Blvd CO 80918 (719) 522-0800 CO 80923 (719) 637-2079 NORTHWEST COLORADO DENTAL COALITION 485 Yampa Ave Craig CO 81625 (970) 824-8000 NUTAKKI DDS, ANIL P 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 OCHOA DDS, ALVARO F 11275 E Mississippi Ave # 1w2 Aurora CO 80012 (303) 996-4811 Page 30 of 44

Medicaid s - By Name - 8-5-2014 OCHOA DDS, MARGARITA 3292 Peoria Aurora CO 80010 (303) 360-6276 OHMART DDS, SCOTT W Orthodontia 25521 W Smokey Hill Rd Aurora CO 80016 (303) 586-5750 OLD TOWN DENTAL LLC 5419 S Curtice St Littleton CO 80120 (303) 798-4515 OMS ASSOCIATES COLORADO Assoc. 595 Chapel Hills Dr Ste 300 CO 80920 (719) 599-0500 In Oral & Maxillofacial Surg ONSTAD DDS, MICHAEL S 595 Chapel Hills Dr #300 CO 80920 (719) 599-0500 ORAL HEALTH PARTNERS PROFESSIONAL L Glen R Dean Dds Ms Sole Mbr 2552 Patterson Rd CO 81505 (970) 241-1313 ORCHARD SPRINGS DENTAL Orchard 410 Macon Ave Canon City CO 81212 (719) 276-0117 Dental ORCHARD SPRINGS DENTAL PC 318 Orchard Dr Pueblo West CO 81007 (719) 647-1122 ORDAHL DDS, JOHN N Orthodontia 1630 Fortino Blvd Pueblo CO 81008 (719) 545-2468 ORESKOVICH DDS, ANTHONY G 1111 Pueblo Blvd Way Ste 140 Pueblo CO 81005 (719) 542-8182 ORLANDO J LUCERO PC 1855 Austin Bluffs Pkwy Suite A CO 80918 (719) 599-5980 ORTEGON-AZUERO DDS, GINO F 401 W 12th Street Pueblo CO 81003 (719) 583-0555 ORTHODONTICS EXCLUSIVELY 1550 S. Potomac St. #220 Aurora CO 80012 (303) 789-9257 OURAY FAMILY DENTAL LLC 309 6th Ave Ouray CO 81427 (970) 325-4800 PACKER DDS, RACHEL L 2700 E. Bridge St. 201 Brighton CO 80601 (303) 659-7700 PADULA DDS, JULI ANN M 3470 Parker Blvd Pueblo CO 81003 (719) 543-4022 PARASHAR DDS, PALLAVI 13065 E 17th Avenue Aurora CO 80045 (303) 724-0182 PARK WEST DENTAL PC 3470 Parker Blvd Pueblo CO 81003 (719) 543-4022 PATRA WATANA DMD PEDIATRIC Greenwood 8200 East Belleview Ave #420 CO 80111 (303) 740-7088 DENTISTR Patra Watana Dmd Village PATRICK DDS, DUSTIN L 495 W Fourth St Dove Creek CO 81324 (970) 677-3644 PATTEN DDS, ROBERT W 112 Delmar Street Sterling CO 80751 (970) 522-5535 PATTERSON DDS, KEVIN M Oral Surgeon 180 Adams St # 100 Denver CO 80206 (303) 321-0333 PAUL C YOON DDS PC Lamar Dental Associates 110 South 5th Lamar CO 81052 (719) 336-9023 PAULY DDS, ALBERT S 1513 Riverside Fort Collins CO 80524 (970) 484-4255 PAWEL R BIELECKI DDS PC Young At Heart ry 2603 Vinewood Lane Pueblo CO 81005 (719) 564-6464 PAYNE DDS, BRANDON C 1619 N Greenwood St Ste 102 Pueblo CO 81003 (719) 542-4546 Page 31 of 44

Medicaid s - By Name - 8-5-2014 PAYNE DDS, WAYNE F Oral & Maxillofacial 1619 N Greenwood St # 102 Pueblo CO 81003 (719) 542-4546 Surgery PEAK ORAL AND MAXILLOFACIAL SURGERY 2290 Kipling St Ste 2 Lakewood CO 80215 (303) 232-5637 PEARLY WHITE SMILES LLC 8380 Zuni St Unit 205 Denver CO 80221 (720) 379-5465 PECKHAM DDS, LAURIE J 6425 Wadsworth Blvd # 209 Arvada CO 80003 (303) 421-6178 PEDIATRIC DENTAL ASSOC OF CO PLLC 730 Potomac Street # 306 Aurora CO 80011 (303) 537-0234 PEDIATRIC DENTAL GROUP AT KIDS FIRS 96 Wadsworth Blvd #150 Lakewood CO 80226 (303) 232-2155 PEDIATRIC DENTAL GROUP OF ARVADA PC 7975 Allison Way Arvada CO 80005 (303) 421-5437 PEDIATRIC DENTAL GROUP OF LAFAYETTE 300 Exempla Cr # 460 Lafayette CO 80026 (720) 890-9494 PEDIATRIC DENTAL GROUP OF LAKEWOOD 2323 S Wadsworth Blvd # 104 Lakewood CO 80227 (303) 984-9700 PEDIATRIC DENTICARE PC 3750 Dacoro Lane Ste 120 Castle Rock CO 80109 (303) 663-3388 PEDO FOUR PROF LLC Comfort Kids Aurora 10401 East Colfax Ave Ste 150 Aurora CO 80010 (720) 285-7972 PEDO ONE PROF LLC Comfort Kids 9652 N Washington St Thornton CO 80229 (303) 252-4050 PEDO TWO PROF LLC Comfort Kids 9990 West 26th Ave Lakewood CO 80215 (303) 202-0880 PERINO DDS, KENNETH E 2532 Patterson Road Ste 10 CO 81505 (970) 241-2820 PERRY DDS, STEPHEN M 2005 Franklin St # 480 % Midtown Bldg Ii Denver CO 80205 (303) 430-7399 PERTERSON RDH, LAURA K 373 W Drake Rd Fort Collins CO 80526 (970) 223-1166 PETERSEN DDS, DEREK G 820 1st Street Limon CO 80828 (719) 775-0300 PHAM DDS, LIENG 1006 A St Greeley CO 80631 (970) 352-0048 PHIL WARLICK DDS INC 620 S Albert Ave Walsenburg CO 81089 (719) 738-6446 PHILPOTT DMD, DOMINIC E 3200 S Wadsworth Blvd Comfort Dental Bear Creek Lakewood CO 80227 (303) 716-8546 PICARD DMD, ELIZABETH M 600 12th Street Ste 100 Golden CO 80401 (303) 216-1108 PINKERTON DMD, ANGELA E 575 Rivergate Ln Ste 98 Durango CO 81301 (970) 259-0600 PIZER DDS, SCOTT B 2250 S Oneida Street #300 Denver CO 80224 (303) 753-1868 PLAMONDON DDS, THOMAS J 2828 International Cir CO 80910 (719) 630-6440 Page 32 of 44

Medicaid s - By Name - 8-5-2014 PLATTEVILLE FAMILY DENTISTRY 340 Justin Avenue Ste 120 Platteville CO 80651 (970) 785-6280 PLEVNIA DDS, JULIA R Oral Surgeon 19700 E Parker Square Dr Tmoms Parker CO 80134 (303) 840-8610 POLITANO DDS, NICHOLAS A 13065 E 17th Avenue Aurora CO 80045 (303) 724-6970 PORZIO-DILIZIA DMD, PAULETTE 17531 S Golden Rd Golden CO 80401 (303) 278-6953 POSITIVE DENTAL PC 1015 S Taft Hill Rd Ste K Fort Collins CO 80521 (970) 482-6034 POULSON DDS, EVA MARIA 6255 North Quebec Parkway Commerce City CO 80022 (303) 286-8900 PRESTIGE DENTAL CENTER OF PUEBLO Prestige Dental Center Of 1700 N Salem Ave Ste B Pueblo CO 81001 (719) 582-4222 Pueblo PREVENTIVE FAMILY DENTAL PC 1440 Lowell Avenue Burlington CO 80807 (719) 346-7746 PRIMARY DENTAL LLC Primary Dental ry For Childr 5801 W 44th Ave Unit C Denver CO 80212 (303) 433-1239 PROFESSIONAL DENTAL GROUP Professional Dental Group 1120 Ws Boulder Rd # 204 Lafayette CO 80026 (720) 638-2169 PROFESSIONALS IN DENTISTRY LLC 513 Kiva Road Security CO 80911 (719) 392-5300 PROTOPOPOVA DDS, MARINA S 15159 E Colfax Ave #B Aurora CO 80011 (303) 341-5437 PUMPALOVA DDS, BORIANA V 1410 South 7th Ave Sterling CO 80751 (970) 526-2589 PUNZALAN DDS, NICHOLAS C Orthodontia 3485 C West 10th St Greeley CO 80916 (970) 353-4746 PURCELL DDS, MICHAEL J 1640 Fortino Blvd Pueblo CO 81008 (719) 543-7123 PYO DMD, HAN SEUNG 12393 E Cornell Ave Aurora CO 80014 (303) 755-1168 QUALDENT LLC Spectrum Dental Group 9450 E Mississippi Ave # A Denver CO 80247 (303) 368-0777 QUEBEC DENTAL PARTNERS LLP Comfort Dental Of Centennial QUIGLEY RDH, MICHELE R QUINCY & BUCKLEY DENTAL GROUP PROFE Comfort Dental Quincy & Buckley QUIST DDS, RHETT M 8223 S Quebec St Unit A Centennial CO 80112 (303) 689-2273 407 Garland Street Lakewood CO 80226 (303) 949-5100 16981 E Quincy # D1-D3 Aurora CO 80015 (303) 617-8400 Oral & Maxillofacial Surgery 6160 Tutt Blvd Suite 250 CO 80923 (719) 359-8657 R PETER SONNTAG DDS PLLC 4130 Redwood Lane Suite 130 Pueblo CO 81005 (719) 564-1102 RACHEL PACKER DDS PC 2700 E Bridge St Ste 201 Brighton CO 80601 (303) 659-7700 RADTKE DDS, KATHRYN A 202 Bristlecone Drive Fort Collins CO 80524 (970) 416-5331 RAGULSKY DDS, RONALD J 3939 Sandalwood Lane Pueblo CO 81005 (719) 564-7737 Page 33 of 44

Medicaid s - By Name - 8-5-2014 RAIZEN DDS, MICHAEL J 820 1st St Limon CO 80828 (719) 775-2367 RAMIREZ DDS, SALVADOR 200 Kendall Dr. Lamar CO 81052 (719) 336-8445 REGENTS OF THE UNIVERSITY OF COLO University Of Co Dept Of Orthodonti REGENTS OF UNIVERSITY OF COLORADO Cu Dental Faculty Practice 13065 E. 17th Ave. Lazzara Center/Mail Stop F846 Aurora CO 80045 (303) 724-7002 13065 E 17th Ave F742 Aurora CO 80045 (303) 724-5509 REISMAN DDS, ALAN J 1075 S Boulder Rd #135 Louisville CO 80027 (303) 665-2377 Oral & RENEHAN DDS, BRADLEY W Maxillofacial 640 Southpointe Ct. Ste 150 CO 80906 (719) 540-6350 Surgery RESNICK DDS, JEFFREY B Orthodontia 51241 Hwy 6 & 24 #3 REYES RDH, LIZA A RANDALL J RUSSELL DDS PC 20971 E Smoky Hill Rd Ste 201 Centennial CO 80015 (720) 870-1451 RANDOLPH RDH, KATELYN M 220 E Ave Ste 106 Telluride CO 81435 (719) 480-3822 RASAMSETTY DDS, PRATHIMA 1022 Liberty Lane Pueblo CO 81001 (719) 545-5778 RASBAND DDS, WILLIAM S 2859 E Fountain Blvd CO 80910 (719) 442-0071 RASULOV DDS, AZIZ A 14025 E Exposition Ave Aurora CO 80012 (303) 340-0422 RED ROCKS FAMILY DENTISTRY 6169 S Balsam Way # 330 Littleton CO 80123 (303) 922-1119 REDMOND RDH, CHERYL R 2004 W 15th St #3 Loveland CO 80538 (970) 214-8420 REDWOOD DDS, WILLIAM P 18 South Beech Cortez CO 81321 (970) 565-4702 REESE DMD, THOMAS A Us Highway 666 North Shiprock New Mexico 87420 (505) 368-6001 Glenwood CO 81601 (970) 945-8525 788 South Laurue Drive Pueblo West CO 81007 (719) 557-0774 RF ANDRUS LLC Giggles General ry For Kids 2001 W Alameda Ave Unit D Denver CO 80223 (303) 733-0567 RICHARD L SMITH Golden Hill Family 11290 W Alamdea Pkwy Ste A-100 Lakewood CO 80226 (303) 237-1553 RICHTER ORTHODONTICS PC 1813 61st Ave Suite 100 Greeley CO 80634 (970) 392-1733 RIDGEVIEW PEDIATRIC DENTISTRY PC 14697 Delaware St Bldg B Ste 210 Westminster CO 80023 (303) 650-0310 RILEY, CARA J 13123 E 16th Ave B240 Aurora CO 80045 (720) 777-6788 RINALDIS DDS, PATRICK W 3766 West 10th Street Suite A Greeley CO 80634 (970) 304-1273 Page 34 of 44

Medicaid s - By Name - 8-5-2014 RMCHS MANAGEMENT SERV INC Tch 13123 E 16th B-240 The Childrens Aurora CO 80045 (720) 777-6788 Physicians Group Hospital ROARK DMD, SARAH A 2250 S Monaco Prkwy Denver CO 80222 (303) 476-6233 ROBERT A CRAIG DDS MS PC 1120 W S Boulder Rd Ste 201 Lafayette CO 80026 (303) 926-9224 ROBERT CORY RYAN Mountain Oral & Maxillofacial Surge 7913 Allison Way Ste 101 Arvada CO 80006 (303) 422-2990 ROBERT J BENKE DDS PC 1640 25th Avenue # B Greeley CO 80634 (970) 356-2120 ROBERT M BULL Prestige Denture Clinic 1700 N Salem Ave Ste B Pueblo CO 81001 (719) 299-0777 ROBERT W PATTEN DDS PC 112 Delmar Street Sterling CO 80751 (970) 522-5535 ROBERTS DDS, CHRIS R 4809 Argonne St Suite 230 Aurora CO 80045 (720) 777-6788 ROBERTS DPM, AVA J 175 S Union # 305 CO 80910 (719) 365-6881 ROBINSON DDS, DAVID B 1560 Bonforte Boulevard P.O. Box 11069 Pueblo CO 81001 (719) 544-5340 ROBINSON DDS, KATERINA A General Practice 934 S Lemay Fort Collins CO 80524 (970) 498-8300 ROBINSON DMD, T JAY 9652 N Washington Street Thornton CO 80229 (303) 252-4050 ROCKY MOUNTAIN PEDIATRIC 6071 E Woodmen Rd Suite 200 CO 80923 (719) 638-7673 DENTISTRY RODRIGUEZ DDS, MELANIE 2603 Vinewood Ln Pueblo CO 81005 (719) 564-6464 ROGER B ELTON DDS PC 10522 South Parker Road Parker CO 80134 (303) 841-2100 ROGER B ELTON DDS PC 5657 South Himalaya Ste 110 Aurora CO 80015 (303) 364-6433 ROGERS DDS, STERLING 1700 N Salem Ave Ste B Pueblo CO 81001 (719) 582-4222 ROLLERT DDS, MICHAEL K Oral Surgeon 6850 E Hampden Ave Ste 202 Denver CO 80224 (303) 758-6850 RONALD D THOMAN DDS PC 8580 Scarborough Dr # 240 CO 80920 (719) 590-1500 ROSENTHAL DDS, MARC A 128 Market Street Alamosa CO 81101 (719) 589-9691 ROTWEIN DDS, PAMELA S 155 Cook Street #221 Denver CO 80206 (303) 377-0699 ROWE DDS, MARILYN J 1115 Second Street Fort Lupton CO 80621 (303) 857-2771 RUBENSTRUNK DDS, JOHN M 9094 E Mineral Ave Ste 240 Centennial CO 80112 (303) 799-1872 RUSSELL DDS, RANDALL J 3471 N Salida Court Ste 40 Aurora CO 80011 (303) 307-9999 RUTH KANG DDS PC 496 S Dayton Street Denver CO 80247 (303) 360-5660 RYAN S BINGHAM DDS PC 1122 9th St #103 Greeley CO 80631 (970) 353-2340 RYAN S BINGHAM DDS PC 412 Edison Brush CO 80723 (970) 842-0220 Page 35 of 44

Medicaid s - By Name - 8-5-2014 SACHS- NAJJAR DDS, ELLEN 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 SADDLE ROCK PEDIATRIC DENTISTRY PC 22986 E Smoky Hill Rd Aurora CO 80016 (303) 690-1690 SAKAMAKI DDS, CARL M 2480 W 26th Ave # 320b Denver CO 80211 (303) 477-4075 SALIDA FAMILY DENTISTRY LLC 7600 W Hwy 50 Salida CO 81201 (719) 539-2587 SALYER DMD, RICHARD H 1560 Pine Groe Road Suite C Steamboat Spirngs CO 80487 (970) 879-7976 SAN JUAN BASIN HEALTH DEPARTMENT 281 Sawyer Drive Durango CO 81303 (970) 247-5702 SAN JUAN DENTAL HYGIENE LLC 101 Pagosa Street Pagosa CO 81147 (970) 264-9436 SANDOVAL DDS, DEAN E 1215 N 15th Street Canon City CO 81212 (719) 275-5933 SANKARANARAYANAN DDS, SRIVALLI 1122 9th St #101 Greeley CO 80631 (970) 353-5203 SANTI DDS, RICHARD D 10 Rupert Street Monte Vista CO 81144 (719) 852-2552 SANCHEZ RDH, CRISELDA 8380 Zuni St Unit 205 Denver CO 80221 (720) 379-5465 SANCHEZ RDH, RICARDO 8380 Zuni St Unit 205 Denver CO 80221 (303) 955-8365 SANDERS DMD, OWEN K 1220 Oak Park Drive Fort Collins CO 80525 (970) 223-8687 SARAO DDS, MANPREET S 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 SARGENT RDH, BLYTHE E 220 E Ave Ste 106 Telluride CO 81435 (970) 708-7096 SATINI DDS, BRITTANY M Us Hwy 491 North Shiprock New Mexico 87420 (505) 368-6020 SAUL ESCALA DDS PC Escala Family ry 677 S Federal Blvd Denver CO 80219 (303) 936-6188 SAUNDERS IMPLANT & DENTURE CARE LLC 902 W 29th St Pueblo CO 81008 (719) 544-6787 SAVAGE DDS, BRYAN P 2323 S Wadsworth Blvd Suite 104 Lakewood CO 80227 (303) 984-9700 SAVAGE DDS, MICHAEL G Po Box 651 - F742 Aurora CO 80045 (303) 270-3932 SCARFFE DDS, CHARLES R 7903 Allison Way #103 Arvada CO 80005 (303) 423-4492 SCHAEFER AND KAINES FAMILY DENTISTR 2001 South Shields St Bldg C1 Fort Collins CO 80526 (970) 482-8883 SCHAFER DMD, ALAN B Orthodontia 101 South Maple Cortez CO 81323 (970) 565-3531 SCHLEICHER DDS, DAVID D 2323 S Wadsworth Blvd # 104 Lakewood CO 80227 (303) 984-9700 SCHLUTER DDS, CRAIG S 210 N 19th Street Canon City CO 81212 (719) 275-2454 Page 36 of 44

Medicaid s - By Name - 8-5-2014 SCHOCH DDS, SHEENA M 116 8th St Steamboat CO 80487 (970) 761-2056 SCHOEMAKER DDS, JEANE L 105 W Ninth Avenue P O Box 1114 Ft Morgan CO 80701 (970) 867-7245 SCHOEMAKER DDS, NEIL D 105 West Ninth Avenue Fort Morgan CO 80701 (970) 867-7245 SCHOLAND DDS, KATHERINE C 3292 Peoria St Aurora CO 80011 (303) 343-7277 SCHONBERGER DDS, CHARLES L 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 SCHULTZ II DDS, R J 430 Avenue Pueblo CO 81004 (719) 542-0036 SCHWARTZ DDS, TIMOTHY A 2030 S Federal Blvd Denver CO 80129 (303) 936-8204 SCOTLAND DDS, ERIC B 302 3rd St Se Suite 150 Loveland CO 80537 (970) 669-4855 SCOTT J BUHRMANN DDS PC 655 Southpointe Court # 101 CO 80906 (719) 576-1355 SCOTT N VAN DUSEN DDS 1301 N 7th St Suite B CO 81501 (970) 255-7070 SCOTT W OHMART, DDS, MS, PC 25521 E Smokey Hill Road #200 Aurora CO 80016 (303) 586-5750 SEAGER DDS, DENNIS C Orthodontia 383 W Drake Ste 103 Fort Collins CO 80526 (970) 223-8687 SEDHOM DMD, ASHRAF W 11246 E. Mississippi Ave Aurora CO 80012 (303) 344-0810 SEIP DDS, MICHAEL 1350 S Aspen St Norwood CO 81423 (970) 327-0527 SEXTON RDH, CORA R 2323 S Wadsworth Blvd # 104 Lakewood CO 80227 (303) 984-9700 SFCDP LLC Comfort Dental South College 4032 S College Ave A-1 Fort Collins CO 80525 (970) 225-2273 SHADDOCK DDS, JAMES M 2111 Champa St Denver CO 80205 (303) 293-2217 SHADOW ROCK DENTIST LLC 734 Wilcox St #200 Castle Rock CO 80104 (303) 257-8237 SHAH DDS, PURVI V 3750 Dacoro Ln Ste 120 Castle Rock CO 80109 (303) 663-3388 SHAINHOLTZ DDS, TODD H 112 West 6th Street Eagle CO 81631 (970) 328-6347 SHAVER DDS, THERESA Orthodontia 14001 E Iliff Ave Ste 201 Aurora CO 80014 (303) 751-1313 SHAWN M MURRAY DDS MS PC Murray Orthodontics 1825 56th Ave Ste A Greeley CO 80634 (970) 330-5363 SHELBY L KAHL RDH PC 420 S Howes St Bldg A Ste 204 Fort Collins CO 80521 (970) 682-2474 SHERIDAN DENTAL PC Advance Choice Dental 5375 W 38th Ave Wheatridge CO 80212 (303) 476-6292 SHILLE DDS, THEODORE R 550 E Thornton Pwy # 240-A Thornton CO 80229 (303) 280-8878 SHINING STARS KIDS DENTISTRY PC 6999 W Alaska Dr Lakewood CO 80226 (303) 237-2300 SHIVASHANKARAPPA DDS, ASHWINI 1470 Jersey St Denver CO 80220 (303) 377-1280 Page 37 of 44

Medicaid s - By Name - 8-5-2014 SHONKA DDS, JILL M SHOOK DDS, CHRISTINE T 2828 International Cir Ste 100 SHORT DMD, YOLANDA A 9362 S Blvd D-14 SHULTZ DDS, BRANDON D Oral & Maxillofacial Surgery 1299 W Main St Unit C Windsor CO 80550 (970) 674-3247 Highlands Ranch CO 80910 (719) 632-5700 CO 80126 (303) 427-6300 15250 East Orchard Rd Centennial CO 80016 (303) 690-5037 SIERK DDS, JONATHAN D 600 12th St Ste 100 Golden CO 80401 (303) 216-1108 SIERSMA DDS, G FRED Orthodontia 121 S Madison Street # A Denver CO 80209 (303) 388-6489 SILVEIRA DDS, GAIL M 3470 Parker Blvd Pueblo CO 81003 (719) 543-4022 SILVERTHORNE DENTAL PARTNERS PROF Comfort Dental Silverthorne 354 Blue River Pkwy Silverthorne CO 80498 (970) 262-2273 SIMPLY KIDS DENTAL PLLC 1910 Vindicator Dr Ste 103 CO 80919 (719) 598-5437 SITES DDS, LOREN A 4104 Outlook Blvd Ste 138 Pueblo CO 81008 (719) 543-2271 SIXTH STREET OF DENVER DENTAL CLINI 14251 East 6th Avenue Aurora CO 80011 (303) 343-3133 SJ PETERSON DMD MS PC 11265 Decatur St Ste 400 Westminster CO 80234 (303) 452-4656 SKIDMORE DDS, KIRK A 16055 Old Forest Pt Monument CO 80132 (719) 488-1101 SKORETZ DMD, ROBERT J 13065 E 17th Avenue Aurora CO 80045 (303) 724-7070 SMALL SMILES DENTISTRY FOR 2859 East Fountain Blvd CHILDREN CO 80910 (719) 442-0071 SMILE 5 PROFESSIONALS LLC Comfort Dental Braces 10401 East Colfax Ave Ste 150 Aurora CO 80010 (303) 341-2273 SMILE EIGHT PROFESSIONALS LLC Comfort Dental Braces 274 W 64th St Loveland CO 80538 (970) 667-0446 SMILE FOUR PROFESSIONALS Comfort Dental Braces 1221 South Pueblo Blvd Pueblo CO 81005 (719) 564-5433 SMILE FOUR PROFESSIONALS LLC Comfort Dental Braces 4121 E Countyline Rd Centennial CO 80122 (303) 220-0550 SMILE HIGH DENTISTRY FOR 1400 Grove Street Smile High CHILDREN ry Of Childr Denver CO 80204 (303) 825-2295 SMILE SEVEN PROFESSIONALS LLC Comfort Dental Braces 13691 Blvd Ste 101 Thornton CO 80602 (303) 452-4533 SMILE THREE PROFESSIONALS 9990 W 26th Ave Lakewood CO 80215 (303) 202-0880 Page 38 of 44

Medicaid s - By Name - 8-5-2014 SMILE TWO PROFESSIONALS Comfort 3952 A North Academy Comfort Dental Braces Dental Braces CO 80917 (719) 622-1225 SMILE TWO PROFESSIONALS Comfort 354 Blue River Pkwy Comfort Dental Silverthorne Dental Braces Bracees CO 80498 (970) 262-2273 SMILES 4 KIDS PC 2400 W 16th St Greeley CO 80634 (303) 420-9440 SMILES 4 KIDS II LLLP 459 North Ave CO 81503 (970) 241-1610 SMILES 4 KIDS LLC Smiles 4 Kids 4337 E Main Street Ste 205 Farmington New Mexico 87402 (505) 592-0266 SMILES 4 KIDS LLP 1601 Oxbow Dr # 360a Montrose CO 81401 (970) 249-8595 SMILES FOR COLORADO 1539 S 8th St Suite 200 ORTHODONTICS CO 80905 (719) 227-7645 SMILES SIX PROFESSIONALS LLC Comfort Dental Braces 9652 N Washington Thornton CO 80229 (303) 252-4050 SMITH DDS, BRADLEY R 9094 E Mineral Ste 240 Centennial CO 80112 (303) 799-1872 SMITH DDS, BRADY T 2025 Us Hwy 50 West Ste A100 Pueblo CO 81008 (719) 542-2472 SMITH DDS, JASON K 115 N Beech St Cortez CO 81321 (970) 565-4449 SMITH DDS, RICHARD L 11290 W Alamdea Pkwy Ste A-100 Lakewood CO 80226 (303) 237-1553 SMITH DDS, SCOTT D 9094 E Mineral Ave Ste 240 Centennial CO 80112 (303) 799-1872 SMITH DMD, KRISTOPHER R 1745 Shea Center Dr 4th Fl Highlands Ranch CO 80129 (720) 606-4220 SMITHWICK DDS, ALFRED P 22986 E Smoky Hill Rd Aurora CO 80016 (303) 690-1690 SNAVELY DDS, KELSEY D 4383 Tennyson St. #1f Denver CO 80212 (303) 423-4383 SNYDER RDH, SUSAN C 1800 Wewatta Suite 100 Denver CO 80202 (303) 534-5360 SOLOMON DDS, ALLISON L 5995 Iris Parkway Frederick CO 80530 (303) 833-2050 SOUTH FEDERAL DENTAL GROUP PC 2345 S Federal Blvd Suite 165 Denver CO 80219 (303) 934-0232 Innovative SOUTH PUEBLO DENTAL PARTNERS PROF L Comfort Dental South Pueblo SOUTHERN COLORADO ORTHODONTICS PLLC Southern Orthodontics Spec SOUTHMOOR PEDIATRIC DENTISTRY Southmoor ry SOUTHWEST PEDIATRIC DENTISTRY & ORT 1221 S Pueblo Blvd Pueblo CO 81005 (719) 565-2274 3955 Sandalwood Lane Pueblo CO 81009 (719) 564-3333 9094 E Mineral Ave Ste 240 Centennial CO 80112 (303) 799-1872 6931 So Pierce St # 101 Littleton CO 80128 (303) 978-1104 Page 39 of 44

Medicaid s - By Name - 8-5-2014 SPEAKS ORTHODONTICS LLC 3141 Irving St Ste 201 Denver CO 80211 (303) 292-1780 STANGL, DAVID P 2880 Folsom Ste 202 Boulder CO 80304 (303) 945-2399 STEGELMEIER, KREHL W Fruita Canyon Dental Llc 140 N Mesa Suite A Fruita CO 81521 (970) 858-8484 STEIN-WANCURA RDH, MARIANNE S 124 East 4th Street Salida CO 81201 (719) 539-2224 STEVEN C KARDEN DDS PC 11275 E Mississippi Ave 1e3 Aurora CO 80012 (303) 366-2115 STEVEN R MCARTOR DDS PC 2998 Ginnala Dr Ste 101 Loveland CO 80538 (970) 669-1236 STONEBROOK DENTAL PC Stonebrook 14555 E Arapahoe Rd Unit D Aurora CO 80016 (303) 766-4444 Family Dentald STRANGE DDS, D MALCOLM 96 Wadsworth Blvd #150 Lakewood CO 80226 (303) 232-2155 STRANGE DDS, MALCOLM 1963 South Federal Blvd Denver CO 80219 (303) 935-1705 STRANGE JR DDS, DAVID M 96 Wadsworth Blvd #150 Lakewood CO 80226 (303) 232-2155 SURI DDS, ANUJ 15159 E Colfax Ave # B Aurora CO 80011 (303) 341-5437 SVC DENTAL GROUP LLC Toothzone 1220 Oak Park Dr Fort Collins CO 80525 (970) 223-8687 SWANKHOUSE DDS, BARBARA D 363 S Harlan St Ste 100 Lakewood CO 80226 (303) 935-6559 SWEET TOOTH DENTAL PC 216 Victoria St Alamosa CO 81101 (719) 937-2227 TASOS A BELEGRATIS DDS PC 7862 W Mansfield Pkwy Denver CO 80235 (303) 987-4559 TAYLOR DDS, RITA J 15121 E Mississippi Ae Aurora CO 80012 (303) 802-1022 THAI DDS, MINH J 2300 E 120th Ave Unit 104 Thornton CO 80233 (303) 254-8828 THOMAN DDS, RONALD D 8580 Scarborough Dr #240 CO 89020 (719) 590-1500 THOMAS DDS, MARC D 8550 W 38th Ave #306 Wheatridge CO 80033 (303) 467-8888 THOMAS M SIMPSON DDS PC 1 W 1st Street Nederland CO 80466 (303) 442-4437 THOMPSON DDS, KARINA V 820 1st Street Limon CO 80828 (719) 775-0300 THOMPSON DDS, LARRY W 1360 S Wadsworth Blvd #300 Lakewood CO 80232 (303) 986-9505 THOUSAND III DDS, JOHN W 16981 E Quincy # D1-D3 Aurora CO 80015 (303) 617-8400 THURGOOD DDS, DAVID B 13065 E 17th Ave Aurora CO 80045 (303) 724-6970 TICKET TO SMILES PC 12373 East Cornell Avenue 16 Aurora CO 80014 (303) 750-7750 TIMOTHY R JESSOP DDS LLC Silver Leaf Dental 101 Mesa Ave Montrose CO 81401 (970) 249-4457 TIPPETS DDS, JAY D 777 Bannock St Denver CO 80204 (303) 436-6000 TIPPETS DMD, DERREN E 100 Tessitore Ct Suite C Montrose CO 81401 (970) 240-8694 TITUS DDS, TIMOTHY E 800 E 73rd Ave Unit 3 Denver CO 80229 (303) 650-5800 Page 40 of 44

Medicaid s - By Name - 8-5-2014 TOBEY DDS, TAMARA T General Practice 501 28th St C/O Eastside Fhc Denver CO 80205 (303) 436-4741 TOBLER DENTAL PLLC 140 S Uncompahgre Avenue Montrose CO 81401 (970) 249-1733 TODD H SHAINHOLTZ DDS PC Dental Arts Of Eagle 112 West 6th Street Eagle CO 81631 (970) 328-6347 TOMASETTI AND MCLAIN ORAL AND MAXIL 7889 S Lincoln Ct Ste 201 Littleton CO 80122 (303) 798-4553 TOMASETTI DMD, BOYD J Oral Surgeon 6850 E Hampden Ave Ste 202 Denver CO 80224 (303) 758-6850 TOMLINSON DDS, KATHY J 8390 W 80th Avenue Arvada CO 80005 (303) 425-6419 TONN DDS, JANELLE L 6071 E Woodmen Rd Suite 200 CO 80923 (719) 638-7673 TOOTH FAIRYS PC 373 W Drake Ste 2 Fort Collins CO 80526 (970) 227-7202 TOOTHZONE ORTHODONTICS PROFESSIONAL 383 W Drake Ste 103 Fort Collins CO 80526 (970) 223-8687 TOPLEY DDS, CARLY M 2020 Wadsworth Blvd Lakewood CO 80247 (303) 431-1221 TOTAL ORAL PREVENTION STRATEGIES Tops 11275 E Mississippi Ave 1w2 Aurora CO 80012 (303) 996-4811 TOWER DENTAL PARTNERS Comfort Dental Iliff & Tower 18680 E Iliff Ave Ste A B Aurora CO 80013 (303) 751-5010 TOWNSEND DDS, MICHAEL K 2352 Meadows Blvd Ste 200 Castle Rock CO 80109 (303) 814-1335 TRAMMELL DDS, GERALD W Oral Surgeon 10350 N Federal Blvd Ste 300 Federal Heights CO 80260 (303) 865-7550 TRANG NGO DDS PROFESSIONAL LLC Kids Focus ry 5111 Kipling St 510 Wheat Ridge CO 80033 (303) 543-8338 TRAUMA AND EMERGENCY 10101 Ridgegate Pkwy Sky Ridge SUBSPECIALTY S Medical Ctr Littleton CO 80124 (720) 225-1000 TREASURED TEETH PC 100 Tessitore Ct Suite C Montrose CO 81401 (970) 240-8694 TREASURED TEETH REUNION 18335 E 103rd Ave Ste 103 Commerce City CO 80022 (303) 853-9955 TREASURED TEETH THORNTON PLLC 9880 Grant St Thornton CO 80229 (303) 255-0222 TRI- COUNTY HEALTH NETWORK 220 E Ave Suite 106 Telluride CO 81435 (719) 480-3822 TROMMETER DDS, BRIAN C Orthodontia 2979 N Iola St Denver CO 80238 (720) 420-4320 TRUE GRIN DENTAL HYGIENE SERVICES L True Grin Dental Hygiene 1100 E Main St #A Montrose CO 81401 (970) 240-2720 TUCKER DDS, JASON 120 N 2nd Ave Ault CO 80610 (970) 834-2058 Page 41 of 44

Medicaid s - By Name - 8-5-2014 TURNBOW DDS, NATHAN 495 W 4th Street Dove Creek CO 81324 (970) 677-3644 TURNER DDS, CELIA 302 3rd St Se Suite 150 Loveland CO 80620 (970) 669-4855 TYLER E NELSON Affiliates In Oral & 3100 N Academy Blvd # 213 Maxillofacial CO 80917 (719) 597-4060 U SMILE FAMILY DENTAL PLLC U Smile Family Dental Pllc 2025 W Evans Ave Denver CO 80223 (303) 576-9016 ULWELLING DDS, MESA J 1006 A St Greeley CO 80631 (970) 352-0048 UNIV OF COLORADO School Of Dentristy 13065 E 17th Ave Ms F 840 Aurora CO 80045 (303) 315-6931 VAIL VALLEY DENTAL LLC Comfort Dental Vail Valley 0101 Fawcett Rd Unit 170 Avon CO 81620 (970) 949-7911 VAN GINKEL DDS, JOHN C 13065 E 17th Ave Aurora CO 80045 (303) 724-7070 VAN TASSELL DDS, KEITH A 4609 S. Timberline Road 103b Fort Collins CO 80528 (970) 484-4104 VANACKER DDS, ALEXANDER R 712 9th St Po Box 318 Penrose CO 81240 (719) 372-3041 VARNER DMD, JEFFREY A 2131 S Chambers Rd Aurora CO 80014 (303) 750-2273 VEDI DDS, ANITA 2125 E Lasalle Co CO 80909 (719) 338-2195 VIGIL RDH, MARY P 494 Hwy 92 Delta CO 81416 (970) 874-3801 VILLAGE PARK DENTAL PC Village Park Dental Pc 11085 E Mississippi Ave Aurora CO 80012 (303) 364-6455 VILLALON DDS, ELMER A 1225 N Main Street #207 Pueblo CO 81003 (719) 542-7844 VILLEMONTE DDS, JAMES R 1950 Redtail Hawk Dr Estes Park CO 80517 (970) 586-9230 VISION AYUDA, INC ry 1439 Stillwater Ave # 7 Cheyenne Wyomin g 82009 (307) 778-7100 VISITING ANCILLARY SERVICES INC 800 East 73rd Avenue Unit # 3 Denver CO 80229 (303) 650-5800 VOGEL RDH, SUSAN R 373 West Drake Road Ste 6 Fort Collins CO 80526 (970) 227-5642 VOSTATEK DDS, SEAN F 1910 Vindicator Dr, Suite 103 CO 80919 (719) 598-5437 WADE D HOUSEWRIGHT DDS MS PC Falcon Family Orthodontics 7685 Mclaughlin Rd # 190 Falcon CO 80831 (719) 495-1230 WAGUESPACK, KATHLEEN E 5168 S Broadway Englewood CO 80113 (303) 974-5868 WAHL DDS, MICHAEL E 1104 W Avenue CO 80904 (719) 633-8766 WAHLIN DDS, TODD G 3751 N Butler Ave Ste 113 Farmington New Mexico 87401 (505) 564-9000 Page 42 of 44

Medicaid s - By Name - 8-5-2014 WALKER DMD, JOHN S Orthodontia 350 Broadway # 120 Boulder CO 80305 (303) 494-3535 WALSH DENTAL CLINIC/ROBERT L MORROW Walsh 137 Kansas St Po Box 70 Walsh CO 81090 (719) 324-5251 WANG DDS, JOHN Navajo Route 35 Red Mesa Us Hwy New Teecnospos 160 Mexico 87514 (928) 656-5165 WARD ORTHODONTICS PC 2720 Council Tree Ave #266 Fort Collins CO 80525 (970) 672-8218 WARREN HART DDS, KATHRYN L 2333 North 6th St CO 81501 (970) 298-6345 WATANA DMD, PATRA P 8200 E Belleview Avenue Suite 420 Englewood CO 80111 (303) 740-7088 WATERS DDS, GREGORY B 777 Bannock St Denver CO 80204 (303) 436-6000 WEIDEMAN DMD, EDWARD M 9094 E Mineral Ave Ste 260 Centennial CO 80112 (303) 768-8570 WATTS CARPENTER DDS, ERIN L 25521 E Smoky Hill Rd Ste 210 Aurora CO 80016 (303) 617-5437 WEAVER RDH, HEIDI K 220 E Ave Ste 106 Telluride CO 81435 (970) 708-7096 WEBB DDS, MICHAEL P 9652 N Washington Street Thornton CO 80229 (303) 252-4050 WEBER DDS, MAX J 128 Market St Alamosa CO 81101 (719) 589-9691 WEISENFELD DDS, ANDREW B 14100 E Arapahoe Rd # 211 Centennial CO 80112 (303) 627-8300 WELCH RDH, CAY S 220 E Ave Ste 106 Telluride CO 81435 (970) 708-7096 WELTON DDS, MARIE T 220 E Rogers Road Longmont CO 80501 (303) 776-3250 WENNOGLE DDS, CHARLES F Oral Surgeon 11246 E Mississippi Ave Aurora CO 80012 (303) 344-0810 WESTERMAN DDS, RICHARD A 18 S Beech St % Cortez Dental Assoc Cortez CO 81321 (970) 565-4702 WESTMINSTER COMFORT DENTAL 10350 Federal Blvd 300 Federal Heights CO 80260 (303) 427-2722 WHALEN DDS, SEAN R 5150 W 80th Ave Westminster CO 80030 (303) 427-1951 WHITE DDS, JEFFERY M 13701 E Mississippi Avenue Suite 300 Aurora CO 80012 (303) 344-2705 WHITESIDES DDS, MATTHEW D 100 N 11th Avenue Greeley CO 80631 (970) 313-0353 WIGGINS, KAREN M 10775 Longs Way Parker CO 80138 (480) 586-4220 WILLIAMS DDS, JOEL D 3952 N Academy Ste A CO 80917 (719) 591-1811 WILLIAMS DDS, SETH 3952 N Academy CO 80917 (719) 591-1811 WILLIAMS MOBILE DENTAL HYGIENE 6975 Holt Dr LLC Motor Mouth CO 80922 (719) 648-9102 Page 43 of 44

Medicaid s - By Name - 8-5-2014 WILLIAMS ORTHODONTICS PLLC Williams Orthodontics 32156 Castle Court Ste 207 Evergreen CO 80439 (303) 670-5878 WILLIAMS, CRYSTAL E 8990 N Washington Thornton CO 80229 (720) 929-1655 WILLIS DDS, LAWRENCE M 6537 E 72nd Place Commerce City CO 80022 (303) 288-6877 WILLOW RUN DENTAL PC 12910 Zuni St Ste 600 Westminster CO 80234 (720) 872-2750 WILSON DDS, ANNE R 4200 E Ninth Ave Denver CO 80262 (303) 315-4966 WOLBAUM DDS, TERRANCE M 1006 A St Greeley CO 80631 (970) 352-0048 WORKMAN DDS, JOHN T 5995 Iris Parkway Frederick CO 80530 (303) 833-2050 WYETH DMD, ROBERT B 1634 York Rd CO 80918 (719) 522-0800 YANG DMD, MICHELLE H 550 E Thornton Parkway #240-A Thornton CO 80229 (303) 280-8878 YES! DENTAL, INC 500 Patterson Rd Ste 2 CO 81506 (970) 241-4937 YOUNG DDS, JEFFREY O Anesthesiology 13123 E 16th Ave B 240 Aurora CO 80045 (720) 777-6788 YOUNG DDS, JEFFREY O 13123 E 16th Ave B 240 Aurora CO 80045 (720) 777-6788 YOUNG DDS, LASHICA M s 15530 W 6th Ave Ste H Arvada CO 80007 (303) 422-3746 YOUNG DMD, DANIEL E 2828 International Circle CO 80910 (719) 475-0783 ZENDIG, MICHAEL W 10401 E Colfax Ave Aurora CO 80010 (303) 344-2273 ZENON FAMILY & COSMETIC DENTISTRY P Gateway Park Family & 3471 N Salida Ct Unit 60 Aurora CO 80011 (303) 307-8282 Cosmetic Dent ZIMMER DDS, COLLEEN F 1343 E Prospect #1 Fort Collins CO 80525 (970) 221-4500 ZIMMER DDS, DONALD J 601 E Hampden Avenue #300 Englewood CO 80110 (303) 788-6462 ZIUCHKOVSKI DDS, KIRSTEN L 2828 International Circle CO 80910 (719) 475-0783 ZUFALL DDS, JOSEPH P 1930 E Orman Avenue Pueblo CO 81004 (719) 564-2842 Page 44 of 44