SELECT CHOICE Dental Plan

SELECT CHOICE Dental Plan Employee Enrollment Packet (ADP/POS) 303-744-3007 or 1-800-807-0706 (Corporate Office) www.betadental.com

Beta Health Association, Inc. Dental Plan Specialists since 1990 WHAT IS THE SELECT CHOICE DENTAL PLAN? The Select Choice Dental Plan allows each employee the choice of enrolling in either of two different network dental plans; the Alpha Dental Plan (ADP) or CarePOS Dental Plan (POS). There are in excess of 1,100 combined providers in Colorado and over 91,000 provider locations nationally who participate in either the Alpha or CarePOS Dental network. There are many advantages to this flexible arrangement. Select Choice Option #1 Option #2 Alpha Dental (ADP) Network Plan Network Plan with over 700 providers across Colorado CarePOS (POS) Network Plan with over 91,000 providers nationally See Network Dentist Only Lower Co-Pays No Forms to Complete Unlimited Services Orthodontics (Child & Adult) No Waiting No Pre-authorizations Cosmetic Dentistry Included Immediate Access for all Services Save approximately 65% overall off of the normal full fee See Network Dentist Only Higher Co-Pays No Forms to Complete Unlimited Services Orthodontics (Child & Adult) No Waiting No Pre-authorizations Cosmetic Dentistry Included Immediate Access for all Services Save approximately 20 to 60% overall off of the normal full fee Not available in all states (See map)

Option #1 and #2 Dental Plan Highlights Cosmetic dentistry included No waiting on any services Orthodontics (braces) discounted for children and adults No forms to complete No age limits for members No limit on visits No exclusions for dental health conditions No limits on access to discounts (use as much as you like each year) Guaranteed acceptance The following fee schedules represent the discounts we have arranged in advance with the General Dentists who are participating in the plan. Simply pay these amounts directly to your participating dentist at the time services are rendered it s that easy! There are no claim forms to complete.

Beta Health Network Providers WA 1,592 * OR 280 CA 22,720 NV 1,340 ID 50 UT 757 AZ 2,344 MT * 1 WY 2 CO 1,117 NM 217 ND 0 SD 1 NE 33 KS 52 OK 1,185 TX 9,345 MN 901 IA 112 MO 398 AR 15 LA 125 WI 340 MI 926 IL 1,295 MS 38 IN 1,688 TN 293 AL 77 KY 219 OH 1,932 GA 3,134 WV 12 PA 3,704 SC 40 VA 627 NC 220 VT * NH 5 174 NY 6,558 ME 131 MA 1,326 RI 52 CT 544 NJ 5,508 DE 6 MD 1,135 DC - 72 HI 72 AK 0 FL 19,026 * Only dependents can enroll in these states. Employees residing in these states are not eligible for the CarePOS plan available through BHA. Total Locations: 91,744 (3 in Puerto Rico) Updated: May 16, 2011 Not all products are available in all states. Please visit http://www.betadental.com/betacarepos/ for the most up-to-date provider listings and fee schedules.

Beta Health Association, Inc. Dental Fee Schedule Alpha Plan #19 and CarePOS Form 9110 ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 CarePOS PLAN Diagnostic Services (Exams and X-rays) 999 ROUTINE OFFICE VISIT $ 35 $ 5 20% discount 120 PERIODIC ORAL EVALUATION $ 53 NO COST $ 25 140 LIMITED ORAL EVALUATION-PROBLEM FOCUSED $ 79 $ 15 $ 42 150 COMPREHENSIVE ORAL EVALUATION-NEW OR ESTABLISHED PATIENT $ 97 $ 12 $ 43 210 X-RAY INTRAORAL COMPLETE SERIES INC. BITEWINGS $ 134 $ 29 $ 75 220 X-RAY INTRAORAL PERIAPICAL-FIRST FILM $ 31 $ 6 $ 14 230 X-RAY INTRAORAL PERIAPICAL EACH ADDITIONAL FILM $ 26 $ 5 $ 12 240 X-RAY INTRAORAL OCCLUSAL FILM $ 48 $ 5 $ 21 250 X-RAY EXTRAORAL FIRST FILM $ 75 $ 5 $ 29 260 X-RAY EXTRAORAL-EACH ADDITIONAL FILM $ 63 $ 5 $ 28 270 X-RAY BITEWING-SINGLE FILM $ 31 NO COST $ 15 272 X-RAY BITEWING-2 FILMS $ 48 NO COST $ 23 274 X-RAY BITEWING-4 FILMS $ 68 NO COST $ 33 330 X-RAY PANORAMIC FILM $ 116 $ 49 $ 61 340 CEPHALOMETRIC FILM $ 137 $ 60 $ 75 460 PULP VITALITY TEST $ 61 NO COST $ 30 470 DIAGNOSTIC CASTS $ 122 $ 49 $ 64 999 EMERGENCY VISIT (SAME DAY) $ 90 $ 25 20% discount Preventive Services (Cleanings) 1110 PROPHYLAXIS-ADULT CLEANING (EVERY 6 MONTHS) $ 96 $ 15 $ 50 1120 PROPHYLAXIS-CHILD CLEANING (EVERY 6 MONTHS) $ 72 $ 15 $ 36 1203 TOPICAL APPLICATION OF FLUORIDE NOT INCL/PROPHY-CHILD $ 39 $ 11 $ 21 1330 ORAL HYGIENE INSTRUCTIONS $ 63 NO COST $ 37 1351 SEALANT PER TOOTH $ 58 $ 12 $ 28 1510 SPACE MAINTAINER FIXED UNILATERAL $ 338 $ 173 $ 179 1515 SPACE MAINTAINER FIXED BILATERAL $ 461 $ 250 $ 235 1520 SPACE MAINTAINER-REMOVABLE-UNILATERAL $ 418 $ 213 $ 222 1525 SPACE MAINTAINER-REMOVABLE-BILATERAL $ 522 $ 246 $ 304 1550 RE-CEMENTATION OF SPACE MAINTAINER $ 90 $ 17 $ 38 1999 ADDITIONAL PROPHY (FOR PERIO MAINTENANCE) $ 96 $ 41 20% discount Restorative Services (Fillings, Crowns, Inlays and Onlays) 2140 AMALGAM-1 SURFACE (PRIMARY OR PERMANENT) $ 150 $ 33 $ 66 2150 AMALGAM-2 SURFACES (PRIMARY OR PERMANENT) $ 195 $ 44 $ 86 2160 AMALGAM-3 SURFACES (PRIMARY OR PERMANENT) $ 232 $ 54 $ 103 2161 AMALGAM-4 OR MORE SURFACES (PRIMARY OR PERMANENT) $ 272 $ 63 $ 126 2330 RESIN BASED COMPOSITE 1 SURFACE (ANTERIOR) $ 169 $ 45 $ 77 2331 RESIN BASED COMPOSITE 2 SURFACES (ANTERIOR) $ 212 $ 58 $ 99 2332 RESIN BASED COMPOSITE 3 SURFACES (ANTERIOR) $ 264 $ 77 $ 122 2335 RESIN 4 OR MORE SURFACES OR INVOLVING INCISAL ANGLE (ANTERIOR) $ 328 $ 124 $ 142 2390 RESIN BASED COMPOSITE CROWN ( ANTERIOR) $ 476 $ 262 $ 203 2391 RESIN BASED COMPOSITE ONE SURFACE (POSTERIOR) $ 188 $ 98 $ 87 2392 RESIN BASED COMPOSITE TWO SURFACE (POSTERIOR) $ 243 $ 135 $ 121 2393 RESIN BASED COMPOSITE THREE SURFACE (POSTERIOR) $ 305 $ 172 $ 150 2394 RESIN BASED COMPOSITE FOUR OR MORE SURFACES (POSTERIOR) $ 364 $ 188 $ 156 *2510 INLAY-METALLIC-ONE SURFACE $ 906 $ 299 $ 366 *2520 INLAY-METALLIC-TWO SURFACE $ 936 $ 309 $ 415 *2530 INLAY-METALLIC-THREE OR MORE SURFACES $ 991 $ 327 $ 478 *2542 ONLAY-METALLIC-TWO SURFACES $ 1,005 $ 332 $ 439 *2543 ONLAY-METALLIC-THREE SURFACES $ 1,037 $ 343 $ 491 *2544 ONLAY-METALLIC-FOUR OR MORE SURFACES $ 1,069 $ 352 $ 512 *2610 INLAY-PORCELAIN/CERAMIC-ONE SURFACE $ 965 $ 318 $ 431 *2650 INLAY-RESIN BASED COMPOSITE-ONE SURFACE $ 927 $ 306 $ 284 *2651 INLAY-RESIN BASED COMPOSITE-TWO SURFACES $ 952 $ 314 $ 337 *2652 INLAY-RESIN BASED COMPOSITE-THREE OR MORE SURFACES $ 993 $ 328 $ 355 *2710 CROWN-RESIN BASED COMPOSITE (INDIRECT) $ 963 $ 319 $ 227 *2720 CROWN-RESIN WITH HIGH NOBLE METAL $ 1,139 $ 375 $ 625 *2721 CROWN-RESIN WITH PREDOMINANTLY BASE METAL $ 1,032 $ 340 $ 584 *2722 CROWN RESIN WITH NOBLE METAL $ 1,048 $ 346 $ 597 *2740 CROWN PORCELAIN/CERAMIC SUBSTRATE $ 1,196 $ 395 $ 639 *2750 CROWN PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,164 $ 384 $ 631 *2751 CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 1,054 $ 315 $ 589 *2752 CROWN-PORCELAIN FUSED TO NOBLE METAL $ 1,091 $ 370 $ 602 Current Dental Terminology American Dental Association Page 1

ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 CarePOS PLAN Restorative Services (Fillings, Crowns, Inlays and Onlays) Con't *2790 CROWN FULL CAST HIGH NOBLE METAL $ 1,154 $ 366 $ 608 *2791 CROWN FULL CAST PREDOMINANTLY BASE METAL $ 1,028 $ 318 $ 580 *2792 CROWN FULL CAST NOBLE METAL $ 1,058 $ 345 $ 590 2910 RECEMENT INLAY, ONLAY, OR PARTIAL COVERAGE RESTORATION $ 116 $ 15 $ 52 2920 RECEMENT CROWN $ 116 $ 31 $ 54 2930 PREFAB. STAINLESS STEEL CROWN-PRIMARY $ 291 $ 101 $ 149 2931 PREFAB STAINLESS STEEL CROWN-PERMANENT $ 355 $ 123 $ 167 2932 PREFAB. RESIN CROWN $ 376 $ 157 $ 184 2933 PREFAB. STAINLESS STEEL CROWN WITH RESIN WINDOW $ 398 $ 179 $ 205 2940 SEDATIVE FILLING $ 132 $ 37 $ 57 2950 CORE BUILDUP INCLUDING ANY PINS $ 292 $ 82 $ 141 2951 PIN RETENTION PER TOOTH IN ADD. TO RESTORATION $ 81 $ 23 $ 29 2952 POST & CORE IN ADDITION TO CROWN, INDIRECTLY FABRICATED $ 456 $ 134 $ 216 2954 PREFAB POST & CORE IN ADDITION TO CROWN $ 365 $ 107 $ 179 2955 POST REMOVAL (NOT IN CONJUNCTION WITH ENDODONTIC THERAPY) $ 317 $ 139 $ 135 2960 LABIAL VENEER RESIN LAMINATE (CHAIRSIDE) $ 714 $ 187 $ 440 2999 BLEACHING (PER ARCH) $ 270 $ 162 20% discount 2999 $125 ADDTL.CHARGE P/UNIT FOR MULTIPLE CROWN UNITS/COMPLEX REHABILITATION *This applies to the Alpha Dental Plan only: These co-payments do not include an allowable $151 lab fee (per unit). Doctors, please make sure that all members understand what their fees will be and what the savings are from your Usual and Customary fees. Temporary crowns are included with permanent crown preparation. Endodontic Services (Root Canals) 3110 PULP CAP DIRECT EXCLUDING FINAL RESTORATION $ 90 $ 26 $ 38 3120 PULP CAP INDIRECT EXCLUDING FINAL RESTORATION $ 93 $ 27 $ 30 3220 THERAPEUTIC PULPOTOMY EXCLUDING FINAL RESTORATION $ 218 $ 72 $ 92 3230 PULPAL THERAPY ANTERIOR, PRIMARY TOOTH EXCLUDING FINAL RESTORATION $ 328 $ 102 $ 97 3240 PULPAL THERAPY POSTERIOR, PRIMARY TOOTH EXCLUDING FINAL RESTORATION $ 370 $ 113 $ 104 3310 ENDODONTIC THERAPY, ANTERIOR TOOTH (EXCLUDING FINAL RESTORATION) $ 778 $ 275 $ 388 3320 ENDODONTIC THERAPY, BICUSPID TOOTH (EXCLUDING FINAL RESTORATION) $ 874 $ 320 $ 474 3330 ENDODONTIC THERAPY, MOLAR (EXCLUDING FINAL RESTORATION) $ 1,058 $ 400 $ 612 3410 APICOECTOMY/PERIRADICULAR SURGERY-ANTERIOR $ 741 $ 328 $ 443 3421 APICOECTOMY/PERIRADICULAR SURGERY-BICUSPID (FIRST ROOT) $ 805 $ 366 $ 484 3425 APICOECTOMY/PERIRADICULAR SURGERY-MOLAR (FIRST ROOT) $ 950 $ 424 $ 547 3426 APICOECTOMY/PERIRADICULAR SURGERY-EACH ADDITIONAL ROOT $ 450 $ 161 $ 182 3430 RETROGRADE FILLING-PER ROOT $ 315 $ 116 $ 134 3910 SURGICAL PROCEDURE FOR ISOLATION OF TOOTH WITH RUBBER DAM $ 279 $ 64 $ 71 Periodontic Services (Gum Disease) 4210 GINGIVOPLASY OR GIGIVECTOMY- 4+ CONTIGUOUS OR BOUNDED SP. TEETH P/QUAD $ 704 $ 333 $ 379 4211 GINGIVECTOMY OR GINGIVOPLASTY-1 TO 3 CONTIGUOUS OR BOUNDED SP. TEETH P/QUAD $ 323 $ 178 $ 126 4240 GINGIVAL FLAP PROCEDURE, INCL.ROOT PLNG -4+ CONTIG. OR BOUNDED SP. TEETH P/QUAD $ 820 $ 352 $ 446 4260 OSSEOUS SURG. INCL. FLAP ENTRY & CLOSURE-4+ CONTIG. OR BOUNDED SP. TEETH P/QUAD $ 1,138 $ 521 $ 720 4320 PROVISIONAL SPLINTING-INTRACORONAL $ 556 $ 260 $ 240 4321 PROVISIONAL SPLINTING-EXTRACORONAL $ 527 $ 246 $ 211 4341 PERIODONTAL SCALING & ROOT PLNG- 4+ TEETH PER QUAD $ 265 $ 112 $ 130 4355 FULL MOUTH DEBRIDEMENT TO ENABLE COMP.EVAL. & DIAGNOSIS $ 197 $ 89 $ 86 4910 PERIODONTAL MAINTENANCE $ 146 $ 57 $ 78 4999 PERIO SCREENING AND SCORING $ 30 $ 10 20% discount Prosthodontics (Removable/Complete Dentures, etc.) 5110 COMPLETE DENTURE-MAXILLARY $ 1,799 $ 533 $ 838 5120 COMPLETE DENTURE-MANDIBULAR $ 1,799 $ 533 $ 838 5130 IMMEDIATE DENTURE-MAXILLARY $ 1,921 $ 764 $ 915 5140 IMMEDIATE DENTURE-MANDIBULAR $ 1,958 $ 778 $ 915 5211 MAXILLARY PART. DENTURE-RESIN BASE (INCL. CLASPS, RESTS & TEETH) $ 1,474 $ 463 $ 823 5212 MANDIBULAR PARTIAL DENTURE-RESIN BASE (INCL. CLASPS, RESTS & TEETH) $ 1,448 $ 442 $ 823 5213 MAXILLARY PART. DENT.-CST MTL FRMEWRK W/RESIN DENT. BASE (INCL/CLASPS, RESTS & TEETH) $ 1,885 $ 547 $ 926 5214 MANDIBULAR PART. DENT.-CST MTL FRMEWRK W/RESIN DENT. BASE (INCL/CLASPS, RESTS & TEETH) $ 1,889 $ 545 $ 926 5410 ADJUST COMPLETE DENTURE-MAXILLARY $ 96 $ 36 $ 46 5411 ADJUST COMPLETE DENTURE-MANDIBULAR $ 95 $ 36 $ 46 5421 ADJUST PARTIAL DENTURE-MAXILLARY $ 95 $ 36 $ 46 5422 ADJUST PARTIAL DENTURE-MANDIBULAR $ 95 $ 36 $ 46 5510 REPAIR BROKEN COMPLETE DENTURE BASE $ 231 $ 88 $ 91 5520 REPLACE MISSING OR BROKEN TEETH-COMPLETE DENTURE-EACH TOOTH $ 197 $ 62 $ 77 5610 REPAIR RESIN DENTURE BASE $ 225 $ 82 $ 100 5620 REPAIR CAST FRAMEWORK $ 313 $ 139 $ 107 5630 REPAIR OR REPLACE BROKEN CLASP $ 286 $ 105 $ 130 5640 REPLACE BROKEN TEETH-PER TOOTH $ 198 $ 68 $ 84 5650 ADD TOOTH TO EXISTING PARTIAL DENTURE $ 241 $ 93 $ 114 5660 ADD CLASP TO EXISTING PARTIAL DENTURE $ 292 $ 121 $ 138 Current Dental Terminology American Dental Association Page 2

ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION NORMAL FEE ALPHA PLAN #19 CarePOS PLAN Prosthodontics (Removable/ Complete Dentures, etc.) Con't 5710 REBASE COMPLETE MAXILLARY DENTURE $ 630 $ 276 $ 340 5711 REBASE COMPLETE MANDIBULAR DENTURE $ 629 $ 276 $ 326 5720 REBASE MAXILLARY PARTIAL DENTURE $ 609 $ 230 $ 321 5721 REBASE MANDIBULAR PARTIAL DENTURE $ 609 $ 231 $ 321 5730 RELINE COMPLETE MAXILLARY DENTURE (CHAIRSIDE) $ 402 $ 175 $ 192 5731 RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE) $ 402 $ 175 $ 192 5740 RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE) $ 397 $ 167 $ 176 5741 RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE) $ 402 $ 167 $ 176 5750 RELINE COMPLETE MAXILLARY DENTURE (LABORATORY) $ 503 $ 155 $ 256 5751 RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY) $ 503 $ 155 $ 256 5760 RELINE MAXILLARY PARTIAL DENTURE (LABORATORY) $ 503 $ 158 $ 253 5761 RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY) $ 503 $ 157 $ 253 5850 TISSUE CONDITIONING MAXILLARY $ 231 $ 66 $ 80 5851 TISSUE CONDITIONING MANDIBULAR $ 233 $ 65 $ 80 NOTE: For the Alpha Dental Plan only, the fees listed above in section 5000 thru 6000, additional fees may be charged for upgraded teeth and enhanced cosmetics, personalization beyond norm or techniques involving precision dentures. Prosthodontics (fixed/partial Dentures, etc.) *6210 PONTIC-CAST HIGH NOBLE METAL $ 1,133 $ 359 $ 553 *6211 PONTIC-CAST PREDOMINANTLY BASE METAL $ 1,037 $ 303 $ 517 *6212 PONTIC-CAST NOBLE METAL $ 1,075 $ 320 $ 538 *6240 PONTIC-PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,161 $ 383 $ 545 *6241 PONTIC-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 1,058 $ 312 $ 504 *6242 PONTIC-PORCELAIN FUSED TO NOBLE METAL $ 1,084 $ 331 $ 531 *6250 PONTIC-RESIN WITH HIGH NOBLE METAL $ 1,085 $ 345 $ 538 *6251 PONTIC-RESIN WITH PREDOMINANTLY BASE METAL $ 1,042 $ 323 $ 497 *6252 PONTIC-RESIN WITH NOBLE METAL $ 1,044 $ 325 $ 512 *6720 CROWN-RESIN WITH HIGH NOBLE METAL $ 1,154 $ 380 $ 607 *6721 CROWN-RESIN WITH PREDOMINANTLY BASE METAL $ 1,042 $ 344 $ 577 *6722 CROWN-RESIN WITH NOBLE METAL $ 1,067 $ 352 $ 586 *6750 CROWN-PORCELAIN FUSED TO HIGH NOBLE METAL $ 1,164 $ 384 $ 622 *6751 CROWN-PORCELAIN FUSED TO PREDOMINANTLY BASE METAL $ 1,052 $ 315 $ 581 *6752 CROWN-PORCELAIN FUSED TO NOBLE METAL $ 1,079 $ 335 $ 594 *6790 CROWN-FULL CAST HIGH NOBLE METAL $ 1,133 $ 359 $ 602 *6791 CROWN-FULL CAST PREDOMINANTLY BASE METAL $ 1,042 $ 323 $ 569 *6792 CROWN-FULL CAST NOBLE METAL $ 1,084 $ 330 $ 591 6930 RECEMENT FIXED PARTIAL DENTURE $ 185 $ 69 $ 72 *This applies to the Alpha Dental Plan only: These co-payments do not include an allowable $151 lab fee (per unit). Doctors, please make sure that all members understand what their fees will be and what the savings are from your Usual and Customary fee. Oral Surgery (Extractions, etc.) 7140 EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) $ 185 $ 46 $ 85 7210 SURGICAL REMOVAL ERUPTED TOOTH WITH REMOVAL OF BONE AND/OR SECTION OF TOOTH $ 295 $ 81 $ 150 7220 REMOVAL OF IMPACTED TOOTH-SOFT TISSUE $ 345 $ 92 $ 169 7230 REMOVAL OF IMPACTED TOOTH PARTIALLY BONY $ 419 $ 163 $ 226 7240 REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY $ 524 $ 210 $ 265 7241 REMOVAL OF IMPACTED TOOTH-COMPLETELY BONY W/ UNUSUAL SURG. COMPLICATION $ 635 $ 248 $ 332 7250 SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS (CUTTING PROCEDURE) $ 322 $ 118 $ 143 7270 TOOTH REIMPL. AND/OR STAB. OF ACC.EVULSED OR DISPL. TOOTH $ 609 $ 243 $ 290 7280 SURGICAL ACCESS OF AN UNERUPTED TOOTH $ 540 $ 235 $ 318 7285 BIOPSY OF ORAL TISSUE-HARD (BONE-TOOTH) $ 497 $ 217 $ 517 7286 BIOPSY OF ORAL TISSUE-SOFT $ 344 $ 150 $ 230 7310 ALVEOPLASTY IN CONJ. WITH EXT.4 OR MORE TEETH OR TOOTH SPACES PER QUAD $ 329 $ 126 $ 157 7320 ALVEOPLASTY NOT IN CONJ WITH EXT. 4 OR MORE TEETH OR TOOTH SPACES PER QUAD $ 528 $ 195 $ 373 7510 INCISION AND DRAINAGE ABSCESS- INTRAORAL SOFT TISSUE $ 255 $ 99 $ 150 7910 SUTURE OF RECENT SMALL WOUNDS UP TO 5CM $ 341 NO COST $ 210 7960 FRENULECTOMY (FRENECTOMY OR FRENOTOMY)- SEPARATE PROCEDURE $ 498 $ 128 $ 252 7970 EXCISION OF HYPERPLASTIC TISSUE- PER ARCH $ 582 $ 207 $ 341 General Miscellaneous Services 9110 PALLIATIVE (EMERGENCY) TREATMENT OF DENTAL PAIN- MINOR PROCEDURE $ 138 $ 48 $ 54 9230 ANALGESIA, ANXIOLYSIS, INHALATION OF NITROUS OXIDE - FIRST 30 MINUTES $ 95 $ 27 $ 30 9310 CONSULTATION (DIAG. SERV. PROV. BY DENTIST OR PHYSICIAN OTHER THAN PRACTIONER PROV. TREATMNT) $ 159 NO COST $ 114 9910 APPLICATION OF DESENSITIZING MEDICAMENT $ 73 $ 6 $ 24 9941 FABRICATION OF ATHLETIC MOUTHGUARD $ 315 $ 107 $ 86 9951 OCCLUSAL ADJUSTMENT-LIMITED $ 212 $ 77 $ 69 9952 OCCLUSAL ADJUSTMENT-COMPLETE $ 770 $ 286 $ 386 9999 MISSED APPOINTMENT (WITHOUT 24 HOUR NOTICE) $ 54 $ 30 20% discount Current Dental Terminology American Dental Association Page 3

ADA CODE DENTAL PROCEDURE/ADA CODE DESCRIPTION (Alpha Dental Plan ONLY) NORMAL FEE ALPHA PLAN #19 CarePOS PLAN Orthodontics (Braces) for Children & Adults Alpha Monthly Payment Alpha 13 MONTH TREATMENT PLAN ($137/MONTH) $ 3,114 $ 2,409 20% discount Alpha 16 MONTH TREATMENT PLAN ($137/MONTH) $ 3,625 $ 2,820 20% discount Alpha 19 MONTH TREATMENT PLAN ($137/MONTH) $ 4,135 $ 3,231 20% discount Alpha 22 MONTH TREATMENT PLAN ($137/MONTH) $ 4,606 $ 3,642 20% discount Alpha 25 MONTH TREATMENT PLAN ($137/MONTH) $ 5,158 $ 4,053 20% discount Alpha 28 MONTH TREATMENT PLAN ($137/MONTH) $ 5,669 $ 4,464 20% discount Alpha 31 MONTH TREATMENT PLAN ($137/MONTH) $ 6,179 $ 4,875 20% discount Alpha 34 MONTH TREATMENT PLAN ($137/MONTH) $ 6,690 $ 5,286 20% discount Alpha 36 MONTH TREATMENT PLAN ($137/MONTH) $ 6,951 $ 5,560 20% discount Other Orthodontic Guidelines (These Orthodontic guidelines apply to the Alpha Dental Plan only) 1. A $382 charge will apply at the end of treatment (included in the above amounts) to cover all retention office visits (unlimited). 2. Services not listed above will be discounted 30% off of the participating Orthodontist's Usual and Customary fees (except #5 listed below). 3. Services must only be provided by a contracted Orthodontic Specialist. 4. The amounts listed above also include an initial one-time $246 charge for all records, mold, x-rays, etc. to determine the Orthodontic Treatment for the patient. 5. Invisalign procedures are to be discounted 15% off the participating Orthodontist's Usual and Customary fees. Alpha Dental Plan General Limitations and Exclusions 1. All fees listed above do not include all appropriate lab fees. Member must agree (in writing) to all upgraded materials before treatment is started. See each section for specific details (if applicable). 2. All patients are responsible for paying all fees (as listed above) at the time services are rendered. 3. These fees are for General Dentists only. A participating specialist list is available by calling our office at 303-744-3007 or 1-800-807-0706. 4. Any procedures not listed will be discounted 20% off the participating General Dentists normal fees. 5. Medical costs associated with any dental procedures are not covered. 6. Dentures or appliances will be replaced only after 3 years have elapsed since such dentures or appliances were provided under any plan program, unless the denture or appliance becomes unserviceable due to illness or other causes not controlled by other means. Replacement of dentures, appliances, or bridgework due to loss or theft are not covered. 7. Any dental treatment started prior to the Member's eligibility to receive services under this plan or started after a Member's termination are not covered. 8. Failure to follow the prescribed treatment or accidents occurring during the course of treatment may result in additional charges by your plan provider. 9. Failure to pay scheduled fees at the time service is rendered may prevent future dental services from being received until all fees have been paid in full. 10. Services provided by non-participating dentists are not covered. 11. Services which, in the opinion of the attending dentist, are not necessary for the patient's dental health, or are contrary to established dental ethics are not covered. 12. Cosmetic dental procedures are covered only if the attending dentist and patient agree on the specific procedure. 13. Services which are compensable under Worker's Compensation or employer liability laws are not covered. 14. General anesthesia and IV sedation are not covered. 15. Myofunctional therapy procedure for training, treating or developing muscles in and around the jaw or mouth including TMJ are not covered except by participating plan specialists. 16. Any dental procedure or service that cannot be performed in the dental office due to general and/or physical limitations of a member are not covered. 17. Expenses incurred for dental procedures initiated prior to member's eligibility or after termination are not covered. 18. Any services that the Participating General Dentist recommends be performed by a specialist are covered only by a plan participating specialist. 19. The liability of Beta Health Association, Inc. is limited to the return of the membership fees paid for one year by the member. 20. Extractions for asymptomatic third molars (wisdom teeth) are not covered unless causing movement of the teeth. An example of symptomatic include severe decay, and ontogenic cysts, chronic pericoronitis, and infection. 21. The Beta Health Association, Inc. dental programs do not constitute dental insurance and are considered discount, fee-forservice dental plans. 22. Fees are subject to change on an as needed basis. Please contact Beta Health Association, Inc. for current fees. CarePOS Plan General Limitations This is a discount program. This is not an insurance plan. Careington cannot guarantee specialty care in all areas. In cases in which you are referred to a participating specialist, you will generally receive 15% to 20% off their usual and customary fees. Please verify such benefits with each individual provider. Work in progress, after joining the plan, must be completed by the provider who started the work. Any procedures performed by a non participating provider are not included. Careington International cannot guarantee the continued participation of any provider. If he or she leaves the plan, you will need to select another provider. Not all types of providers may be available in your area. Some providers may charge for missed or broken appointments if no prior notice is given. It is the member s responsibility to verify that the provider is a participating provider. This plan does not include all procedures which might be provided. Any procedure delivered which is not listed on the Schedule of Services may cause additional cost to be incurred by the member. The dollar amount specified adjacent to each procedure may not be the only cost incurred for a given treatment because the treatment may require more than one procedure. Note to Utah Residents: This contract is not protected by the Utah Life and Health Guaranty Association. The program and the program administrators have no liability for providing or guaranteeing service and have no liability for the quality of service rendered. The most widely used dental procedures, discounted fees and limitations are illustrated. Please contact Beta Health Association, Inc. at (303) 744 3007 or 1 800 807 0706 with any questions. Current Dental Terminology American Dental Association Page 4

Complete Participating Provider Directory (Alpha and Beta CarePOS Dental Plan) Plan providers are listed in alphabetical order according to city. The most up to date provider listings can be found at www.betadental.com. You can also call 303-744-3007 or 1-800-807-0706 for assistance. All dentists listed are accepting new patients. Contact the office directly if you wish to verify. General Dentists Dr. Richard Williams Dr. Richard Williams ADP #56 315 Edison 719-589-3686 Alamosa General Dentist *, **, C, E1-2, E3-4, N Dr. Alan Bueltel Comfort Dental - Arvada ADP #62 12380 W 64th Ave 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4 Dr. Alex R Roberts Arvada Modern Dentistry CarePOS 14807 W 64th Ave Unit C 303-456-4095 Arvada General Dentist Dr. Allan G Skromme Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Amir A Hashemi Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Bahar Esmaili Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Brian Elliott Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Charles F Rodgers Arvada Modern Dentistry CarePOS 14807 W 64th Ave Unit C 303-456-4095 Arvada General Dentist Dr. David A Zeitlin David A. Zeitlin ADP #228 9122 W 88th Ave 303-422-0836 Arvada General Dentist *, C, E1-2, E3-4 Dr. Donald Langley Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Duane R Mata Supreme Dental, Mata Dental Associates CarePOS 5310 Ward Rd 303-421-6165 Arvada General Dentist Dr. Dwayne A Moore Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Jack C Moss Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. James R Mayo Comfort Dental - Arvada ADP #62 12380 W 64th Ave 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4 Dr. Joanne L Bancroft Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. John A Short Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Juan Materon Comfort Dental - North Arvada ADP #36 8390 W 80th Ave 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4 Dr. Julia T Kasper Arvada Modern Dentistry CarePOS 14807 W 64th Ave Unit C 303-456-4095 Arvada General Dentist Dr. Kathy Tomlinson Comfort Dental - North Arvada ADP #36 8390 W 80th Ave 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4 Dr. Kelsey E Majors Arvada Modern Dentistry CarePOS 14807 W 64th Ave Unit C 303-456-4095 Arvada General Dentist Dr. Lawrence D Yahnian Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Marina Varshavskaya Comfort Dental - North Arvada ADP #36 8390 W 80th Ave 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4 Dr. Mark Dean Comfort Dental - Arvada ADP #62 12380 W 64th Ave 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4 Dr. Metodi A Milushev Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Neil Zimmet Comfort Dental - Arvada ADP #62 12380 W 64th Ave 303-421-7000 Arvada General Dentist *, C, E1-2, E3-4 Dr. Shayna Bahr Comfort Dental - North Arvada ADP #36 8390 W 80th Ave 303-425-6419 Arvada General Dentist *, **, C, E1-2, E3-4 Dr. Stephen M Perry Dental Health Of Westminster (General Dentists) CarePOS 7970 Sheridan Blvd Fl 3 303-427-0730 Arvada General Dentist Dr. Tjark R Beaven Arvada Modern Dentistry CarePOS 14807 W 64th Ave Unit C 303-456-4095 Arvada General Dentist Dr. Bradley W Eckhardt Ault Family Dentistry CarePOS 120 N 2nd St 970-834-2058 Ault General Dentist Dr. Amir A Hashemi Dental Heath At Center Pointe CarePOS 14591 E Alameda Ave 303-360-0991 Aurora General Dentist Dr. Amir R Fereydouni Kid'S & Family Dentistry CarePOS 1344 S Chambers Rd Ste 201 303-214-3800 Aurora General Dentist Dr. Asha Chinni Comfort Dental - Orchard Rd. ADP #177 15250 E Orchard Rd 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Ashleigh S Harrison Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Bahar Esmaili Dental Heath At Center Pointe CarePOS 14591 E Alameda Ave 303-360-0991 Aurora General Dentist Page 1 of 21

Dr. Barry Wohlgemuth Wohlgemuth & Rush, DDS ADP #41 3095 S Parker Rd #150 303-755-8388 Aurora General Dentist C, N Dr. Benjamin T Dyches Havana Square Family Dental CarePOS 1977 S Havana St 303-750-3737 Aurora General Dentist Dr. Bradford J O'Neill Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Brian A Ozenbaugh Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Brian Kajewski Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Charles F Rodgers City Place Modern Dentistry CarePOS 14401 E Bayaud Ave Unit H 303-364-4455 Aurora General Dentist Dr. Charles F Rodgers Aurora Modern Dististry CarePOS 10650 Garden Dr Ste 106 303-366-5100 Aurora General Dentist Dr. Charles F Rodgers Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Charles F Rodgers Valley Modern Dentists CarePOS 16900 E Quincy Ave Ste B 303-617-4488 Aurora General Dentist Dr. Charles Woyda Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Charles Woyda Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Christopher Bentley Grandview Dental ADP #201 6830 S Liverpool St #-A 303-400-3483 Aurora General Dentist **, C, E1-2, E3-4 Dr. Christopher Bentley Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Christopher M Cannon Comfort Dental Tower & Iliff CarePOS 18680 E Iliff Ave Ste A & B 303-751-5010 Aurora General Dentist Dr. Clyde A Bowden Clyde A. Bowden ADP #133 14591 E Alameda Ave 303-343-7072 Aurora General Dentist C, E1-2, N Dr. Cory M Johnston Valley Modern Dentists CarePOS 16900 E Quincy Ave Ste B 303-617-4488 Aurora General Dentist Dr. Craig A Mellor Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Craig A Mellor Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Daegan B Orr Comfort Dental Aurora CarePOS 1050 S Peoria St 303-367-2273 Aurora General Dentist Dr. Davood Manshadi Kids Choice Dental Of Aurora PC CarePOS 15159 E Colfax Ave Unit B 303-341-5437 Aurora General Dentist Dr. Douglas P Price Comfort Dental Aurora CarePOS 1050 S Peoria St 303-367-2273 Aurora General Dentist Dr. Dwayne A Moore Chambers Point Dental Care Pllc CarePOS 1700 S Chambers Rd 303-337-0789 Aurora General Dentist Dr. Dwayne A Moore Dental Heath At Center Pointe CarePOS 14591 E Alameda Ave 303-360-0991 Aurora General Dentist Dr. Ekapoj Thongin Comfort Dental Tower & Iliff CarePOS 18680 E Iliff Ave Ste A & B 303-751-5010 Aurora General Dentist Dr. Ekatrina Butkevich Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Ekatrina Butkevich Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Erin M Deedy-Lee City Place Modern Dentistry CarePOS 14401 E Bayaud Ave Unit H 303-364-4455 Aurora General Dentist Dr. Erin M Deedy-Lee Aurora Modern Dististry CarePOS 10650 Garden Dr Ste 106 303-366-5100 Aurora General Dentist Dr. Gerald Edwards Comfort Dental - Aurora ADP #173 1050 S Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Henry D Ahn Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Henry D Ahn Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. James A Fischer Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. James A Fischer Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. James Liu Comfort Dental - Quincy Buckley ADP #76 16981 E Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2 Dr. Jeffrey A Varner Comfort Dental - East Aurora ADP #34 2131 S Chambers Rd 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Jeffrey Gilliam Comfort Dental-Havana ADP #202 10401 E Colfax Ave #150 303-344-2273 Aurora General Dentist *, **, C, E1-2, E3-4 Dr. Jeffrey Gilliam Comfort Dental - Aurora ADP #173 1050 S Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Jeffrey Hamilton Comfort Dental - Orchard Rd. ADP #177 15250 E Orchard Rd 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Jennie C Brown Brookview Dental CarePOS 1344 S Chambers Rd Ste 203 303-755-6700 Aurora General Dentist Dr. Jennifer Parker Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Jim Parfitt Comfort Dental - East Aurora ADP #34 2131 S Chambers Rd 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. John C Harvan Southland Smiles CarePOS 25521 E Smoky Hill Rd Unit 140 720-457-9300 Aurora General Dentist Dr. John W Thousand, Iii Comfort Dental - Quincy Buckley ADP #76 16981 E Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2 Dr. Joshua Hollingshead Comfort Dental - Orchard Rd. ADP #177 15250 E Orchard Rd 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Page 2 of 21

Dr. Julie Mankin Kid'S Dental CarePOS 2295 S Chambers Rd Ste E 303-751-6511 Aurora General Dentist Dr. Justin J Kwon Green Dental ADP #219 10700 E Bethany Dr, #210 303-745-8828 Aurora General Dentist *, **, C, E1-2, E3-4 Dr. Katherine T Johnson Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Katie L Mccann Aurora Modern Dististry CarePOS 10650 Garden Dr Ste 106 303-366-5100 Aurora General Dentist Dr. Kris Komanduri Hanu Dental Care ADP #163 12343 E Cornell Ave #-17 720-748-7902 Aurora General Dentist *, **, C, E1-2, E3-4 Dr. Kristina K Harvan Southland Smiles CarePOS 25521 E Smoky Hill Rd Unit 140 720-457-9300 Aurora General Dentist Dr. Lauren Peterson Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Leigh A Stephens Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Leigh A Stephens Valley Modern Dentists CarePOS 16900 E Quincy Ave Ste B 303-617-4488 Aurora General Dentist Dr. Malgorzata R Korosciel Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Malgorzata R Korosciel Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Manisha Patil Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Manisha Patil Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Marat Fainberg City Place Modern Dentistry CarePOS 14401 E Bayaud Ave Unit H 303-364-4455 Aurora General Dentist Dr. Mark N Lawson Village Park Dental P.C. CarePOS 11085 E Mississippi Ave 303-364-6455 Aurora General Dentist Dr. Matthew Rowan Comfort Dental - Aurora ADP #173 1050 S Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Metodi A Milushev Dental Heath At Center Pointe CarePOS 14591 E Alameda Ave 303-360-0991 Aurora General Dentist Dr. Michael Chang Michal W Chang DDS PC CarePOS 1344 S Chambers Rd Ste 102 303-338-2004 Aurora General Dentist Dr. Michael Miller Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Michael Millward Comfort Dental - Orchard Rd. ADP #177 15250 E Orchard Rd 303-680-9990 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Mona Omran Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Monica S Kahl Aurora Modern Dististry CarePOS 10650 Garden Dr Ste 106 303-366-5100 Aurora General Dentist Dr. Nelson S Joo Nelson S Joo CarePOS 2222 S Fraser St Unit 3 303-671-0305 Aurora General Dentist Dr. Richard Doerhoff Comfort Dental - East Aurora ADP #34 2131 S Chambers Rd 303-750-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Dr. Robert B Allen Comfort Dental Tower & Iliff CarePOS 18680 E Iliff Ave Ste A & B 303-751-5010 Aurora General Dentist Dr. Robert B Mcdonald Comfort Dental Tower & Iliff CarePOS 18680 E Iliff Ave Ste A & B 303-751-5010 Aurora General Dentist Dr. Roy Theriot Dr. Roy Theriot ADP #10 941 S Havana, #200 303-341-5313 Aurora General Dentist *, C Dr. Semiramida Condoianis Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Semiramida Condoianis Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Stephen M Perry Dental Heath At Center Pointe CarePOS 14591 E Alameda Ave 303-360-0991 Aurora General Dentist Dr. Steven Rush Wohlgemuth & Rush, DDS ADP #41 3095 S Parker Rd #150 303-755-8388 Aurora General Dentist C, N Dr. Susan Kutis Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Thomas E Daniel Dr. Thomas E. Daniel ADP #46 1101 Havana 303-366-3577 Aurora General Dentist C Dr. Thomas Mulheran Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Thomas Mulheran Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Tiffany Fritz Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Tiffany Fritz Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Traver L Maxwell Comfort Dental - Quincy Buckley ADP #76 16981 E Quincy D1-D3 303-617-8400 Aurora General Dentist **, C, E1-2 Dr. Trevor Neal Aurora Modern Dististry CarePOS 10650 Garden Dr Ste 106 303-366-5100 Aurora General Dentist Dr. Vidhyalakshmi Sampath Bright Now Dental - S. Tower Rd. ADP #74 3551 S Tower Rd, #c 303-400-3669 Aurora General Dentist *, **, C, E1-2 Dr. Vidhyalakshmi Sampath Bright Now Dental - Smoky Hill ADP #107 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora General Dentist *, C, E1-2, E3-4 Dr. Wade R Hirschman Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora General Dentist Dr. Zachary D Bergeson Comfort Dental-Havana ADP #202 10401 E Colfax Ave #150 303-344-2273 Aurora General Dentist *, **, C, E1-2, E3-4 Dr. Zachary D Bergeson Comfort Dental - Aurora ADP #173 1050 S Peoria 303-367-2273 Aurora General Dentist *, **, C, E1-2, E3-4, N Page 3 of 21

Dr. Allan G Skromme Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Amir A Hashemi Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Andrew Holecek Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Bahar Esmaili Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. Bahar Esmaili Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Brian Elliott Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Brian Kajewski Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. Craig A Mellor Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. Donald Langley Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Dwayne A Moore Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Geoffery Dilbert Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. Jack F Emmons Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. James A Fischer Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. John A Short Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Lawrence D Yahnian Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Lindsey Schroepfer Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. Lisa Sheldon Comfort Dental - Boulder ADP #112 3400 Arapahoe Rd 303-444-2129 Boulder General Dentist *, C, E1-2, E3-4 Dr. Mariano De La Riva Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. Mark Cannon Comfort Dental - Boulder ADP #112 3400 Arapahoe Rd 303-444-2129 Boulder General Dentist *, C, E1-2, E3-4 Dr. Mark Hook Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Metodi A Milushev Dental Health Of Boulder, Pllc (General Dentists) CarePOS 2525 28th St Unit 140 303-443-0070 Boulder General Dentist Dr. Rochelle A Manangkil Boulder Modern Dentistry CarePOS 2100 28th St Ste 4f 303-442-4455 Boulder General Dentist Dr. Sharon Poczatek Todays Choice Dental ADP #11 2800 Valmont Rd 303-444-3232 Boulder General Dentist *, **, C, E1-2, E3-4 Dr. Stephen W Laycock Bear Peak Dental CarePOS 4150 Darley Ave Ste 7 303-494-1550 Boulder General Dentist Dr. Thomas Mulheran Bright Now Dental - Boulder ADP #136 1840 Folsom St 303-417-9401 Boulder General Dentist *, C, E1-2, E3-4 Dr. William J Mcglashan Boulder Modern Dentistry CarePOS 2100 28th St Ste 4f 303-442-4455 Boulder General Dentist Dr. Daniel R Anderson Comfort Dental CarePOS 315 E Bromley Ln 303-659-1125 Brighton General Dentist Dr. Dustin R Craven Brighton Dental Professional, LLC CarePOS 315 E Bromley Ln 303-659-1125 Brighton General Dentist Dr. John I Bethers Comfort Dental CarePOS 315 E Bromley Ln 303-659-1125 Brighton General Dentist Dr. John Schmidt Mountain View Family Dental CarePOS 2700 E Bridge St Ste 101 303-659-5185 Brighton General Dentist Dr. Pasco W Scarpella Platte River Family Dental, PC CarePOS 965 Platte River Blvd Unit E 303-659-8200 Brighton General Dentist Dr. Brian M Richter Broomfield Modern Dentistry And Orthontics CarePOS 4490 W 121st Ave Ste 7 303-469-2061 Broomfield General Dentist Dr. Charles F Rodgers Broomfield Modern Dentistry And Orthontics CarePOS 4490 W 121st Ave Ste 7 303-469-2061 Broomfield General Dentist Dr. Katherine T Johnson Broomfield Modern Dentistry And Orthontics CarePOS 4490 W 121st Ave Ste 7 303-469-2061 Broomfield General Dentist Dr. Lyndon Mata Mata Dental ADP #58 6363 W 120th Ave, #230 303-635-0100 Broomfield General Dentist *, C, E1-2, N Dr. William J Mcglashan Broomfield Modern Dentistry And Orthontics CarePOS 4490 W 121st Ave Ste 7 303-469-2061 Broomfield General Dentist Dr. Thomas Jorgensen Brush Dental CarePOS 412 Edison St 970-842-0220 Brush General Dentist Dr. Gregory E Micheli Shadow Hills Dental Clinic ADP #215 831 Forest Ave 719-275-7740 Canon City General Dentist *, C, E1-2, E3-4 Dr. Charles Woyda Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Christopher Bentley Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Craig A Mellor Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. David T Sugiyama Cedar Mountain Family Dentistry CarePOS 1189 S Perry St Ste 250 303-688-3398 Castle Rock General Dentist Dr. Ekatrina Butkevich Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Henry D Ahn Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Page 4 of 21

Dr. James A Fischer Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Jennifer Parker Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Malgorzata R Korosciel Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Manisha Patil Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Michael Miller Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Semiramida Condoianis Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Susan Kutis Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Thomas Mulheran Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Tiffany Fritz Bright Now Dental - Castle Rock ADP #49 1001 S Perry St, #105-A 303-688-0252 Castle Rock General Dentist *, C, E1-2, E3-4 Dr. Vikash Kanchanlal Shadow Rock Dentistry ADP #197 734 Wilcox St #-200 303-257-8237 Castle Rock General Dentist *, **, C, E1-2, E3-4 Dr. Brittany Bevis 1st Choice Dental CarePOS 6979 S Holly Cir Ste 230 303-221-2250 Centennial General Dentist Dr. Camillo Di Liza Dental Wellness @ Dry Creek CarePOS 7960 S University Blvd Ste 201 303-773-9400 Centennial General Dentist Dr. Charles F Rodgers Southglenn Modern Dentistry CarePOS 2330 E Arapahoe Rd Ste 900 303-730-3910 Centennial General Dentist Dr. Christine M Isaacs Aloha Family & Cosmetic Dentistry CarePOS 8170 S University Blvd Ste 240 303-770-1106 Centennial General Dentist Dr. David W Lindman Comfort Dental - Centennial ADP #6 8223 S Quebec St, Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Dr. Derrick Q Price Comfort Dental - Centennial ADP #6 8223 S Quebec St, Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Dr. Donald Langley Southglenn Modern Dentistry CarePOS 2330 E Arapahoe Rd Ste 900 303-730-3910 Centennial General Dentist Dr. Eric M Wolfe Holly Dental Associates, L.L.C. CarePOS 8010 S Holly St Ste 100 303-694-6400 Centennial General Dentist Dr. Jennifer L Manske Blue Mesa Dental CarePOS 8100 S Quebec St #stea-15 720-489-9800 Centennial General Dentist Dr. Kevin M Christ Kevin M Christ DMD PC CarePOS 9025 E Mineral Cir Ste 200 303-792-9100 Centennial General Dentist Dr. Kevin Marshall Comfort Dental - Centennial ADP #6 8223 S Quebec St, Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Dr. Kurt E Nielsen Holly Dental Associates, L.L.C. CarePOS 8010 S Holly St Ste 100 303-694-6400 Centennial General Dentist Dr. Landis C Scholes Holly Dental Associates, L.L.C. CarePOS 8010 S Holly St Ste 100 303-694-6400 Centennial General Dentist Dr. Luis J Bravo Luis J Bravo, DMD CarePOS 6650 S Vine St Ste 120 303-805-9256 Centennial General Dentist Dr. Margarita Aleksanyan Guaranteed Smiles - Southglenn ADP #116 2001 E Easter Ave, #200 303-703-4544 Centennial General Dentist C, E1-2, E3-4 Dr. Michael S Peppler 1st Choice Dental CarePOS 6979 S Holly Cir Ste 230 303-221-2250 Centennial General Dentist Dr. Murray Jacobs Comfort Dental - Centennial ADP #6 8223 S Quebec St, Unit A 303-689-2273 Centennial General Dentist *, C, E1-2, E3-4 Dr. Neal K Wilsted A-Dent Neal K. Wilsted CarePOS 7920 S University Blvd Ste 200 720-489-0797 Centennial General Dentist Dr. Patricia M Nicolosi Patricia M Nicolosi, PC CarePOS 5161 E Arapahoe Rd 720-488-1388 Centennial General Dentist Dr. Sarah J Meyer Sarah J. Meyer DDS ADP #141 6650 S Vine St 303-794-2456 Centennial General Dentist *, C Dr. Tiffany N Manzo Southglenn Modern Dentistry CarePOS 2330 E Arapahoe Rd Ste 900 303-730-3910 Centennial General Dentist Dr. William Case Dr. William Case ADP #71 7180 E Orchard Rd, #302 720-488-6600 Centennial General Dentist *, C Dr. Zahra Nadji Nadji Dental Inc CarePOS 6979 S Holly Cir Ste 230 303-221-2250 Centennial General Dentist Dr. Angelo M Camerino North Summit Dental Care ADP #212 1720 Jet Stream Dr #110 719-481-8373 Colorado Springs General Dentist *, C, E1-2, E3-4 Dr. Arnold Cullum Colorado Springs Dental Service Dba Lowell District Dental CarePOS 251 E Fountain Blvd Unit 100 719-473-4300 Colorado Springs General Dentist Dr. Arnold Cullum PC Colorado Springs Dental Services CarePOS 685 Citadel Dr E Ste 300 719-591-2004 Colorado Springs General Dentist Dr. Benjamin Weir Comfort Dental-South Powers ADP #200 1580 Space Center Dr #107 719-574-8922 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Brian A Buccellato Falcon Landing Dental Group And Orthodontics CarePOS 7395 N Academy Blvd 719-268-9500 Colorado Springs General Dentist Dr. Brian Anderson Comfort Dental - Citadel Crossing ADP #108 509 N Academy Blvd 719-591-7599 Colorado Springs General Dentist *, C, E1-2 Dr. Carolyn T Camerino Centennial Dental Care PC. ADP #213 5731 Silverstone Terr #-200 719-632-7778 Colorado Springs General Dentist *, C, E1-2, E3-4 Dr. Charles F Rodgers Falcon Landing Dental Group And Orthodontics CarePOS 7395 N Academy Blvd 719-268-9500 Colorado Springs General Dentist Dr. Charles F Rodgers Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs General Dentist Dr. Charles F Rodgers The Springs Modern Dentistry CarePOS 5198 N Nevada Ave Ste 100 719-634-8884 Colorado Springs General Dentist Dr. Christian Lovejoy Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Page 5 of 21

Dr. Craig A Mellor Bright Now Dental - Citadel Dr. ADP #50 701 Citadel Dr East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4, N Dr. Craig A Mellor Bright Now Dental - Parkmoor Village ADP #159 3208 N Academy Blvd, #140 719-596-7000 Colorado Springs General Dentist C, E1-2, E3-4 Dr. Dan Kingsford Comfort Dental - Austin Bluffs ADP #158 3952 A North Academy 719-591-1811 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Daniel L Ward Stafford Dental Group ADP #25 559 E Pikes Peak Ave, #208 719-636-3311 Colorado Springs General Dentist **, E1-2, E3-4 Dr. Deepali Verma Verma Cosmetic And Family Dentistry CarePOS 511 Security Blvd 719-393-1600 Colorado Springs General Dentist Dr. Douglas Peak All Smiles Orthodontix CarePOS 3715 Bloomington St Unit 160 719-591-5599 Colorado Springs General Dentist Dr. Dustin B Dial Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Dwight Bratton Castillo Dental Associates PC CarePOS 1910 Vindicator Dr Ste 103 719-268-9030 Colorado Springs General Dentist Dr. Dwight Douglas Olson My Dental Company ADP #224 1610 E Cheyenne Mountain Blvd #120 719-527-2626 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Grant Mack Comfort Dental - Citadel Crossing ADP #108 509 N Academy Blvd 719-591-7599 Colorado Springs General Dentist *, C, E1-2 Dr. Gregory R Smith Colorado Dental Group CarePOS 3236 Centennial Blvd 719-355-2700 Colorado Springs General Dentist Dr. James Kalhorn Stafford Dental Group ADP #25 559 E Pikes Peak Ave, #208 719-636-3311 Colorado Springs General Dentist **, E1-2, E3-4 Dr. Jamison Miller Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Jay Johnson Comfort Dental-South Powers ADP #200 1580 Space Center Dr #107 719-574-8922 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Jeremy Bullock Comfort Dental - Austin Bluffs ADP #158 3952 A North Academy 719-591-1811 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Joshua Bevans Comfort Dental - North Powers ADP #118 6076 Stetson Hills Blvd 719-637-2079 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Julia A Rohleder Dr Norma M Longo PC DDS CarePOS 15435 Gleneagle Dr Ste 200 719-481-6788 Colorado Springs General Dentist Dr. Julia Arnold Interquest Dental Group, Inc. ADP #75 1310 United Heights Dr #220 719-266-5150 Colorado Springs General Dentist C Dr. Kathleen Brower Jade/erindale Dental ADP #164 6020 Erin Park Dr 719-266-9393 Colorado Springs General Dentist C, E1-2, E3-4 Dr. Kathleen Brower Rigby Dental PC ADP #206 1304 N Academy Blvd #104 719-596-3939 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Kelly A Halligan Dr Norma M Longo PC DDS CarePOS 15435 Gleneagle Dr Ste 200 719-481-6788 Colorado Springs General Dentist Dr. Kristi A Davies Dr Norma M Longo PC DDS CarePOS 15435 Gleneagle Dr Ste 200 719-481-6788 Colorado Springs General Dentist Dr. Leopoldo Rodríguez Rigby Dental PC ADP #206 1304 N Academy Blvd #104 719-596-3939 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Linda A Eaton Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs General Dentist Dr. Matthew A Lovato Matthew Lovato DDS Pllc CarePOS 3233 W Carefree Cir Bldg G 719-597-2400 Colorado Springs General Dentist Dr. Matthew S Loeppke Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs General Dentist Dr. Michael G Jacobs Comfort Dental - Citadel Crossing ADP #108 509 N Academy Blvd 719-591-7599 Colorado Springs General Dentist *, C, E1-2 Dr. Michael Miller Bright Now Dental - Citadel Dr. ADP #50 701 Citadel Dr East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4, N Dr. Michael Miller Bright Now Dental - Parkmoor Village ADP #159 3208 N Academy Blvd, #140 719-596-7000 Colorado Springs General Dentist C, E1-2, E3-4 Dr. Michael Stoor Comfort Dental - Citadel Crossing ADP #108 509 N Academy Blvd 719-591-7599 Colorado Springs General Dentist *, C, E1-2 Dr. Natalie Jones Comfort Dental - North Academy ADP #9 1634 York Rd 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4 Dr. Nathan Budge Comfort Dental-South Powers ADP #200 1580 Space Center Dr #107 719-574-8922 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Nelson C Krum Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs General Dentist Dr. Nicole R Hartmann Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs General Dentist Dr. Nicole R Hartmann The Springs Modern Dentistry CarePOS 5198 N Nevada Ave Ste 100 719-634-8884 Colorado Springs General Dentist Dr. Norma Longo Dr Norma M. Longo DMD PC CarePOS 15435 Gleneagle Dr Ste 200 719-481-6788 Colorado Springs General Dentist Dr. Orlando J Lucero O J Lucero DDS PC CarePOS 1855 Austin Bluffs Pkwy Ste A 719-599-5981 Colorado Springs General Dentist Dr. Patrick Hudson Comfort Dental - Austin Bluffs ADP #158 3952 A North Academy 719-591-1811 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Paul F Hastings Norma Longo & Assoc CarePOS 15435 Gleneagle Dr Ste 200 719-481-6788 Colorado Springs General Dentist Dr. Paul Hennegan Bright Now Dental - Parkmoor Village ADP #159 3208 N Academy Blvd, #140 719-596-7000 Colorado Springs General Dentist C, E1-2, E3-4 Dr. Paul Rodríguez Dr. Paul Rodríguez ADP #77 703 N Tejon St, #d 719-633-5501 Colorado Springs General Dentist **, C, E1-2, E3-4 Dr. Paul Rygg Jade/erindale Dental ADP #164 6020 Erin Park Dr 719-266-9393 Colorado Springs General Dentist C, E1-2, E3-4 Dr. Paul Rygg Rigby Dental PC ADP #206 1304 N Academy Blvd #104 719-596-3939 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Paul Rygg Jade Dental Associates ADP #89 703 N Tejon St, #a 719-633-0770 Colorado Springs General Dentist C, E1-2, E3-4 Page 6 of 21

Dr. Peter Lovejoy Comfort Dental - North Academy ADP #9 1634 York Rd 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4 Dr. Philip B Holden Philip B. Holden, DDS CarePOS 620 Southpointe Ct Ste 290 719-576-1222 Colorado Springs General Dentist Dr. Quynh Dung V Sosdian Uptown Dental Associates CarePOS 523 N Nevada Ave 719-635-5815 Colorado Springs General Dentist Dr. Richard H Wiedey Dr. Richard H. Wiedey ADP #106 1819 North Circle #6 719-520-5884 Colorado Springs General Dentist **, E1-2, E3-4, N Dr. Robert B Wyeth Comfort Dental - North Academy ADP #9 1634 York Rd 719-522-0800 Colorado Springs General Dentist *, C, E1-2, E3-4 Dr. Stephen G Sosdian Uptown Dental Associates CarePOS 523 N Nevada Ave 719-635-5815 Colorado Springs General Dentist Dr. Ted L Rigby Rigby Dental PC ADP #206 1304 N Academy Blvd #104 719-596-3939 Colorado Springs General Dentist *, **, C, E1-2, E3-4 Dr. Thomas Mulheran Bright Now Dental - Citadel Dr. ADP #50 701 Citadel Dr East 719-574-7288 Colorado Springs General Dentist **, C, E1-2, E3-4, N Dr. Thomas Mulheran Bright Now Dental - Parkmoor Village ADP #159 3208 N Academy Blvd, #140 719-596-7000 Colorado Springs General Dentist C, E1-2, E3-4 Dr. Timothy J Byrnes Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs General Dentist Dr. Timothy J Byrnes The Springs Modern Dentistry CarePOS 5198 N Nevada Ave Ste 100 719-634-8884 Colorado Springs General Dentist Dr. Travis L Edwards Comfort Dental - Citadel Crossing ADP #108 509 N Academy Blvd 719-591-7599 Colorado Springs General Dentist *, C, E1-2 Dr. Tyler J Pickett The Springs Modern Dentistry CarePOS 5198 N Nevada Ave Ste 100 719-634-8884 Colorado Springs General Dentist Dr. Mark A Karla Commerce City Family Dental CarePOS 4972 E 62nd Ave Unit B1 303-288-4969 Commerce City General Dentist Dr. Owen Eames Comfort Dental -Commerce City ADP #192 7201 Monaco St 303-287-2755 Commerce City General Dentist *, **, C, E1-2, E3-4 Dr. Rachel Ross Comfort Dental -Commerce City ADP #192 7201 Monaco St 303-287-2755 Commerce City General Dentist *, **, C, E1-2, E3-4 Dr. Ramsey Warner Comfort Dental -Commerce City ADP #192 7201 Monaco St 303-287-2755 Commerce City General Dentist *, **, C, E1-2, E3-4 Dr. Christopher J Higuchi Aspen Park Dental CarePOS 26267 Conifer Rd 303-816-9411 Conifer General Dentist Dr. Jacqueline Blasko Comfort Dental-Conifer ADP #101 25597 Conifer Rd 303-838-2811 Conifer General Dentist *, **, C, E1-2, E3-4 Dr. Jason Mahoney Comfort Dental-Conifer ADP #101 25597 Conifer Rd 303-838-2811 Conifer General Dentist *, **, C, E1-2, E3-4 Dr. Teniel Seifert Comfort Dental-Conifer ADP #101 25597 Conifer Rd 303-838-2811 Conifer General Dentist *, **, C, E1-2, E3-4 Dr. Alan Coombs Alpha Dental Ii, PC ADP #12 1660 S Albion, #715 303-758-4287 Denver General Dentist ** Dr. Allan G Skromme Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Allan G Skromme Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Allan G Skromme Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Amir A Hashemi Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Amir A Hashemi Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Amir A Hashemi Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Arnold Cullum Blake Street Dental PC CarePOS 1732 Blake St 303-814-2200 Denver General Dentist Dr. Ashleigh S Harrison University Hills Modern Dentistry CarePOS 2466 S Colorado Blvd Unit 102 303-691-6983 Denver General Dentist Dr. Aurora Saddler Comfort Dental Of S.E. Denver CarePOS 3488 S Willow St 303-338-8181 Denver General Dentist Dr. Bahar Esmaili Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Bahar Esmaili Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Bahar Esmaili Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Bahar Esmaili Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Bahar Esmaili Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Brandon C Hall Riverfront Dental Designs CarePOS 1590 Little Raven St Ste 200 720-675-8983 Denver General Dentist Dr. Brian Elliott Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Brian Elliott Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Brian Elliott Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Brian Kajewski Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Brian Kajewski Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Brianna J Sweeney Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Buhm J Sohn C.S. Family Dental CarePOS 6825 E Hampden Ave Ste 101 303-756-3289 Denver General Dentist Page 7 of 21

Dr. Chad Welch Southeast Denver Dental Associates ADP #211 2660 S Monaco Pkwy 303-757-7175 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Charles P Mccary Hampden Family Dentistry & Orthodontics CarePOS 9250 E Hampden Ave 303-930-8828 Denver General Dentist Dr. Charles Woyda Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Chelsea R Deutscher Wynkoop Dental CarePOS 1401 Wynkoop St Ste 160 303-572-4487 Denver General Dentist Dr. Christopher Bentley Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Christopher Bentley Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Collis Johnson Family Dentistry CarePOS 1756 Vine St 303-322-1177 Denver General Dentist Dr. Craig A Mellor Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Craig A Mellor Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Dale Roberts Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. David Dinsmore Comfort Dental - Cherry Creek ADP #183 201 University Blvd, #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Dr. David Koo Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. David R Huskey David R. Huskey, DDS ADP #51 2465 S Downing, #104 A 303-722-0204 Denver General Dentist C, E1-2, N Dr. Donald Connor Alpha Dental Care 1 CarePOS 6411 E Colfax Ave 303-388-2558 Denver General Dentist Dr. Donald Langley Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Donald Langley Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Donald Langley Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Donald Mardis Comfort Dental - East Colfax ADP #26 5200 E Colfax Ave 303-377-3876 Denver General Dentist *, **, C, E1-2 Dr. Douglas R Koch Greentree Dental ADP #204 10101 E Hampden Ave #100 303-671-0101 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Dwayne A Moore Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Dwayne A Moore Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Ekatrina Butkevich Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Ekatrina Butkevich Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Gary Rotolo Comfort Dental - East Colfax ADP #26 5200 E Colfax Ave 303-377-3876 Denver General Dentist *, **, C, E1-2 Dr. Gary Saddler Comfort Dental - North Denver ADP #113 4450 W 38th Ave #-110 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Gilbert Sandoval Sandoval Family Dentistry CarePOS 4515 E Colfax Ave 303-331-1699 Denver General Dentist Dr. Hanh H Phi Hampden Family Dentistry & Orthodontics CarePOS 9250 E Hampden Ave 303-930-8828 Denver General Dentist Dr. Heather A Sturdivant Hampden Family Dentistry & Orthodontics CarePOS 9250 E Hampden Ave 303-930-8828 Denver General Dentist Dr. Henry D Ahn Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Henry D Ahn Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Jack F Emmons Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. James A Fischer Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. James A Fischer Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Janice Jones Southeast Denver Dental Associates ADP #211 2660 S Monaco Pkwy 303-757-7175 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Jason N Whiting Green Valley Ranch Cosmetic & Family Dental CarePOS 4809 Argonne St Ste 160 303-307-8668 Denver General Dentist Dr. Jason Ray Hampden Family Dental ADP #124 7090 E Hampden Ave #-A 303-758-1113 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Jeff D Johnston Ascent Dental Group CarePOS 3600 E Alameda Ave Ste 220 303-975-6987 Denver General Dentist Dr. Jennifer L Speer Comfort Dental - South Denver CarePOS 3488 S Willow St 303-338-8181 Denver General Dentist Dr. Jennifer S Terada Dr Jennifer Terada CarePOS 825 E 18th Ave 303-839-1356 Denver General Dentist Dr. Joesolyn Calderon Kidd Comfort Dental Of S.E. Denver CarePOS 3488 S Willow St 303-338-8181 Denver General Dentist Dr. John A Short Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. John A Short Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. John A Short Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. John Adams Comfort Dental - North Denver ADP #113 4450 W 38th Ave #-110 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Page 8 of 21

Dr. John D Hanchett Comfort Dental - South Denver CarePOS 3488 S Willow St 303-338-8181 Denver General Dentist Dr. Julie Mankin Kid'S Dental CarePOS 7901 E Colfax Ave 303-331-6511 Denver General Dentist Dr. Julie Mankin Kid'S Dental CarePOS 495 S Federal Blvd 303-937-7511 Denver General Dentist Dr. Katie S Steele Steele Dentistry Of Stapleton CarePOS 3545 Quebec St Ste 110 303-278-3353 Denver General Dentist Dr. Kelly White Auraria Dental Centre ADP #96 1050 W Colfax, Ste G 303-573-5533 Denver General Dentist **, E1-2, E3-4 Dr. Kenneth Chernoff Dr. Timothy Wachuta ADP #53 2709 S Colorado Blvd 303-756-2770 Denver General Dentist C, E1-2, E3-4 Dr. Kye W Lee Kye W Lee CarePOS 7159 E Hampden Ave 303-337-5385 Denver General Dentist Dr. Lauren Peterson Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Lauren Peterson Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Lawrence D Yahnian Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Lawrence D Yahnian Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Lawrence D Yahnian Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Lindsey Schroepfer Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Lindsey Schroepfer Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Lonnie L Mcmurtrey Willow Run Dental CarePOS 12910 Zuni St Ste 600 720-872-2750 Denver General Dentist Dr. Lyda Martinez Comfort Dental - North Denver ADP #113 4450 W 38th Ave #-110 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Manisha Patil Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Manisha Patil Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Mariano De La Riva Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Mario A Martinez Comfort Dental Of S.E. Denver CarePOS 3488 S Willow St 303-338-8181 Denver General Dentist Dr. Mark Jolsted Comfort Dental - Cherry Creek ADP #183 201 University Blvd, #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Dr. Metodi A Milushev Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Metodi A Milushev Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Metodi A Milushev Dental Health At Midtown Pllc CarePOS 2005 Franklin St Bldg 2 Ste 590 303-832-8655 Denver General Dentist Dr. Michael Raizen Dental Access Center CarePOS 3216 High St 303-394-0231 Denver General Dentist Dr. Noah Ariola-Tirella Ata Dental Center ADP #226 507 Lincoln St #101 720-440-9598 Denver General Dentist *, C, E1-2, E3-4 Dr. Norris Sadler Dentistry For The Family CarePOS 3025 W 38th Ave 303-458-7051 Denver General Dentist Dr. Phillip S Johnson Hampden Family Dentistry & Orthodontics CarePOS 9250 E Hampden Ave 303-930-8828 Denver General Dentist Dr. Richard H Koch Greentree Dental ADP #204 10101 E Hampden Ave #100 303-671-0101 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Robert Unrath Comfort Dental - North Denver ADP #113 4450 W 38th Ave #-110 303-455-2273 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Saul Escala Escala Family Dentistry ADP #199 677 S Federal Blvd 303-936-6188 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Semiramida Condoianis Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Semiramida Condoianis Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Sergio M Lopez Sergio M. Lopez D.D.S. ADP #203 3865 Cherry Creek N Dr #230 303-329-3030 Denver General Dentist *, **, C, E1-2, E3-4 Dr. Stephen M Perry Dental Health At 16th Street Mall, Pllc (General Dentists) CarePOS 1600 Stout St Ste 600 303-592-1133 Denver General Dentist Dr. Stephen M Perry Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Stuart D Penk Stuart D Penk CarePOS 2005 Franklin St Ste 255 303-832-8586 Denver General Dentist Dr. Thomas J Kilroy Thomas J Kilroy CarePOS 5400 W Jewell Ave Ste 2b 303-985-7450 Denver General Dentist Dr. Thomas Mulheran Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Thomas Mulheran Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Thomas Pyne Dr. Thomas Pyne ADP #29 12075 E 45th Ave, #333 303-371-9131 Denver General Dentist *, C, E1-2, E3-4 Dr. Thomas Sniegowski Dr. Thomas Sniegowski ADP #151 7475 Dakin St, Ste #309 303-429-2727 Denver General Dentist *, E3-4, N Dr. Tiffany Fritz Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Timothy Wachuta Dr. Timothy Wachuta ADP #53 2709 S Colorado Blvd 303-756-2770 Denver General Dentist C, E1-2, E3-4 Page 9 of 21

Dr. Todd C Rinaldi Todd Rinaldi CarePOS 8751 E Hampden Ave Ste A6 303-399-4350 Denver General Dentist Dr. Todd Light Comfort Dental - Cherry Creek ADP #183 201 University Blvd, #101 303-321-2233 Denver General Dentist *, C, E1-2, E3-4 Dr. Vidhyalakshmi Sampath Bright Now Dental - Denver Downtown ADP #30 1955 Arapahoe St, Ste A 303-296-0888 Denver General Dentist C, E1-2, E3-4 Dr. Vidhyalakshmi Sampath Bright Now Dental - Cherry Creek ADP #47 3865 Cherry Creek Dr North, #200 303-321-1181 Denver General Dentist C, N Dr. Yinghui J Sun Dental Health Of Dtc CarePOS 5031 S Ulster St Ste 100 303-779-8587 Denver General Dentist Dr. Kenneth C Maughan Community Health Clinic CarePOS 495 W 4th St 970-677-2291 Dove Creek General Dentist Dr. Amanda T Jozsa Edgewater Modern Dentistry And Orthodontics CarePOS 1921 Sheridan Blvd Ste F 303-202-3550 Edgewater General Dentist Dr. Darren A Bennett Sloanside Dental CarePOS 2045 Sheridan Blvd Ste H 303-274-1100 Edgewater General Dentist Dr. David Rebber Comfort Dental - Englewood ADP #45 2780 S Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Dr. Hillery J Oliver Comfort Dental - Englewood ADP #45 2780 S Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Dr. James M Brown Comfort Dental - Englewood ADP #45 2780 S Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Dr. Jason Ray Dentistry At Lincoln Center ADP #126 12501 E Lincoln Ave #-102 303-768-8137 Englewood General Dentist **, C, E1-2, E3-4 Dr. Larry Nessel Comfort Dental - Englewood ADP #45 2780 S Broadway 303-783-0100 Englewood General Dentist *, C, E1-2, E3-4, N Dr. Neil Cowen Dr. Neil Cowen ADP #33 3535 S Lafayette, Suite 108 303-761-8688 Englewood General Dentist *, C, E1-2 Dr. Paul S Weyman Paul S Weyman CarePOS 3601 S Clarkson St Ste 310 303-762-8048 Englewood General Dentist Dr. Ricardo B Desilva Dasilva Family Dentistry CarePOS 11435 E Briarwood Ave Ste 400 702-445-3775 Englewood General Dentist Dr. Ryan M Redfearn Legacy Dental Group P.C. CarePOS 3601 S Clarkson St Ste 200 303-762-8046 Englewood General Dentist Dr. Walter E Schneider Avalon Dental CarePOS 5039 S Federal Blvd Ste 8 303-798-4377 Englewood General Dentist Dr. Kelly B Wettstein Impressions Dental CarePOS 615 Mitchell Way Ste 104 303-828-9998 Erie General Dentist Dr. Cory S Higginbotham Comfort Dental-Westminster ADP #125 9462 N Federal Blvd 303-427-2722 Federal Heights General Dentist *, **, C, E1-2, E3-4 Dr. David Yeats Comfort Dental-Westminster ADP #125 9462 N Federal Blvd 303-427-2722 Federal Heights General Dentist *, **, C, E1-2, E3-4 Dr. Helen Stella Comfort Dental-Westminster ADP #125 9462 N Federal Blvd 303-427-2722 Federal Heights General Dentist *, **, C, E1-2, E3-4 Dr. Hiba Kellow Comfort Dental-Westminster ADP #125 9462 N Federal Blvd 303-427-2722 Federal Heights General Dentist *, **, C, E1-2, E3-4 Dr. Dawne E Adams Longs Peak Dentistry CarePOS 8196 Colorado Blvd Ste 10 303-833-5660 Firestone General Dentist Dr. Abraham M Miller Fort Collins Dental Group CarePOS 2310 E Harmony Rd Ste 103 970-282-8877 Fort Collins General Dentist Dr. Alois Tripam Comfort Dental - Ft. Collins ADP #32 934 S Lemay 970-498-8300 Fort Collins General Dentist C, E1-2, N Dr. Bradley W Eckhardt Front Range Dental Center Pllc CarePOS 2720 Council Tree Ave Ste 260 970-673-7321 Fort Collins General Dentist Dr. Charles F Rodgers Fort Collins Dental Group CarePOS 2310 E Harmony Rd Ste 103 970-282-8877 Fort Collins General Dentist Dr. Charles F Rodgers Fort Collins Modern Dentistry CarePOS 2203 S College Ave Ste 100 970-482-4455 Fort Collins General Dentist Dr. Ciaran Finbar Murphy Harbor Dental Clinic ADP #123 2608 S Timberline Rd#-110 970-377-2456 Fort Collins General Dentist C, E1-2, E3-4 Dr. Craig A Mellor Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Dr. Douglas Haschke Comfort Dental - Ft. Collins ADP #32 934 S Lemay 970-498-8300 Fort Collins General Dentist C, E1-2, N Dr. Geoffery Dilbert Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Dr. Jack F Emmons Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Dr. James A Fischer James A Fischer CarePOS 1331 E Prospect Rd Unit B2 970-482-6333 Fort Collins General Dentist Dr. James A Fischer Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Dr. Jamie Fillmore Comfort Dental - Ft. Collins ADP #32 934 S Lemay 970-498-8300 Fort Collins General Dentist C, E1-2, N Dr. Jon F Matthes Fort Collins Modern Dentistry CarePOS 2203 S College Ave Ste 100 970-482-4455 Fort Collins General Dentist Dr. Katerina Sorensen Comfort Dental - Ft. Collins ADP #32 934 S Lemay 970-498-8300 Fort Collins General Dentist C, E1-2, N Dr. Leslie Johnson Rocky Mountain Dental Care CarePOS 1027 Robertson St 970-493-4313 Fort Collins General Dentist Dr. Mariano De La Riva Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Dr. Nathan Eames Comfort Dental- South College ADP #216 4032 S College Ave #a-1 970-225-2273 Fort Collins General Dentist *, **, C, E1-2, E3-4 Dr. Scott Bares Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Dr. Thomas Mulheran Bright Now Dental - Fort Collins ADP #38 1217 E Elizabeth St, #5 970-498-8706 Fort Collins General Dentist C, E1-2 Page 10 of 21

Dr. Candace K Pfister Mesa Ridge Dental Center CarePOS 6980 Mesa Ridge Pkwy 719-392-4231 Fountain General Dentist Dr. Jeffrey A Ranta Mesa Ridge Dental Center CarePOS 6980 Mesa Ridge Pkwy 719-392-4231 Fountain General Dentist Dr. Ryan Reposa Mesa Ridge Dental Center CarePOS 6980 Mesa Ridge Pkwy 719-392-4231 Fountain General Dentist Dr. Thomas L Losacco Dr. Thomas L. Losacco ADP #8 801 6th St 303-569-3141 Georgetown General Dentist *, C, E1-2, E3-4, N Dr. Ashleigh S Harrison Cherry Creek Modern Dentistry CarePOS 1100 S Colorado Blvd 303-758-0575 Glendale General Dentist Dr. Charles F Rodgers Cherry Creek Modern Dentistry CarePOS 1100 S Colorado Blvd 303-758-0575 Glendale General Dentist Dr. Jenna A Nicholson Cherry Creek Modern Dentistry CarePOS 1100 S Colorado Blvd 303-758-0575 Glendale General Dentist Dr. Benjamin D Coon Glenwood Meadows Dental ADP #178 40 - A Market Street 970-947-1717 Glenwood Springs General Dentist **, C, E1-2, E3-4 Dr. Brian Talley Comfort Dental - Glenwood Springs ADP #91 1512 Grand Ave 970-947-1273 Glenwood Springs General Dentist *, **, C, E1-2, E3-4 Dr. Michael Shea Comfort Dental - Glenwood Springs ADP #91 1512 Grand Ave 970-947-1273 Glenwood Springs General Dentist *, **, C, E1-2, E3-4 Dr. Heath Colledge Comfort Dental - Golden ADP #90 17531 S Golden Rd 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Dr. Jason Noah Comfort Dental - Golden ADP #90 17531 S Golden Rd 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Dr. Kenneth Chernoff Dr. Timothy Wachuta ADP #128 2305 Jackson St 303-278-2800 Golden General Dentist C, E1-2, E3-4 Dr. Nicholas L Groneman Comfort Dental - Golden ADP #90 17531 S Golden Rd 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Dr. Paulette Dilizia Comfort Dental - Golden ADP #90 17531 S Golden Rd 303-278-6953 Golden General Dentist *, **, C, E1-2, E3-4 Dr. Scott Welch Golden View Dental ADP #210 727 Simms St, #e 303-232-3636 Golden General Dentist *, **, C, E1-2, E3-4 Dr. Timothy Wachuta Dr. Timothy Wachuta ADP #128 2305 Jackson St 303-278-2800 Golden General Dentist C, E1-2, E3-4 Dr. James Bradley Comfort Dental-Grand Junction ADP #61 2650 North Ave 970-255-1222 Grand Junction General Dentist *, **, C, E1-2, E3-4 Dr. James M Tarr Dr. James M. Tarr ADP #102 2531 W Pinyon Ave 970-242-5367 Grand Junction General Dentist C, E1-2 Dr. Karl M Kunstadter Skyline Dental Clinic CarePOS 2795 Skyline Ct 970-242-3545 Grand Junction General Dentist Dr. Matthew Hudson Hudson Family Dental ADP #208 132 Walnut Ave #-6 970-242-5151 Grand Junction General Dentist *, C, E1-2, E3-4 Dr. Michael Shea Comfort Dental-Grand Junction ADP #61 2650 North Ave 970-255-1222 Grand Junction General Dentist *, **, C, E1-2, E3-4 Dr. Scotty N Van Dusen Skyline Dental Clinic CarePOS 2795 Skyline Ct 970-242-3545 Grand Junction General Dentist Dr. Thomas Sorensen Comfort Dental-Grand Junction ADP #61 2650 North Ave 970-255-1222 Grand Junction General Dentist *, **, C, E1-2, E3-4 Dr. Alex Knecht Sunrise Dental Center ADP #83 1006 A St 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dr. Allan G Skromme Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Amir A Hashemi Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Andrey A Kondratenko Comfort Dental - Greeley ADP #67 3766 West 10th St 970-304-1273 Greeley General Dentist **, C, E1-2, E3-4 Dr. Bahar Esmaili Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Brian Elliott Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Charles F Rodgers Greeley Modern Dentistry CarePOS 6632 10th St Ste 101 970-353-4848 Greeley General Dentist Dr. Charles W Johnson Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Courtney Stevens Comfort Dental - Greeley ADP #67 3766 West 10th St 970-304-1273 Greeley General Dentist **, C, E1-2, E3-4 Dr. Dinorah Moya Sunrise Dental Center ADP #83 1006 A St 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dr. Donald Langley Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Dwayne A Moore Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. John A Short Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Kent Day Sunrise Dental Center ADP #83 1006 A St 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dr. Lawrence D Yahnian Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Mario Montanez Adventure Dental CarePOS 3485 W 10th St Ste C 970-353-4746 Greeley General Dentist Dr. Metodi A Milushev Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Patrick Harrison Sunrise Dental Center ADP #83 1006 A St 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dr. Patrick Rinaldis Comfort Dental - Greeley ADP #67 3766 West 10th St 970-304-1273 Greeley General Dentist **, C, E1-2, E3-4 Dr. Randy C Hatch Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Page 11 of 21

Dr. Ronald B Montano Adventure Dental CarePOS 3485 W 10th St Ste C 970-353-4746 Greeley General Dentist Dr. Shivaun Mcartor Sunrise Dental Center ADP #83 1006 A St 970-352-0048 Greeley General Dentist *, **, C, E1-2, E3-4 Dr. Stephen Brown Dr. Stephen Brown ADP #65 3400 W 16th St, Bldg 3, Ste S 970-356-8118 Greeley General Dentist **, E1-2 Dr. Stephen M Perry Dental Health Of Greeley CarePOS 1600 23rd Ave Ste 200 970-353-4329 Greeley General Dentist Dr. Elena I Bodoni Elena Isabela Bodoni DDS CarePOS 8000 E Prentice Ave Ste B 303-781-2107 Greenwood Village General Dentist Dr. Lawrence M Kuljis Lawrence M Kuljis CarePOS 8200 E Belleview Ave Ste 465 303-771-7326 Greenwood Village General Dentist Dr. Aaron K Kubicek Falcon Park Dental Group CarePOS 9579 S University Blvd Unit 400a 303-683-5091 Highlands Ranch General Dentist Dr. Berween Mourady Redstone Dental Group/ny Kids Dentist And Orthodontics CarePOS 1165 Sgt Jon Stiles Dr 303-791-3209 Highlands Ranch General Dentist Dr. Bradford J O'Neill Falcon Park Dental Group CarePOS 9579 S University Blvd Unit 400a 303-683-5091 Highlands Ranch General Dentist Dr. Brian A Ozenbaugh Redstone Dental Group/ny Kids Dentist And Orthodontics CarePOS 1165 Sgt Jon Stiles Dr 303-791-3209 Highlands Ranch General Dentist Dr. Brian Kajewski Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Charles F Rodgers Falcon Park Dental Group CarePOS 9579 S University Blvd Unit 400a 303-683-5091 Highlands Ranch General Dentist Dr. Charles Woyda Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Christopher Bentley Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Cory M Johnston Redstone Dental Group/ny Kids Dentist And Orthodontics CarePOS 1165 Sgt Jon Stiles Dr 303-791-3209 Highlands Ranch General Dentist Dr. Craig A Mellor Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Ekatrina Butkevich Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Henry D Ahn Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. James A Fischer Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Katie S Bratlien-Kirby Redstone Dental Group/ny Kids Dentist And Orthodontics CarePOS 1165 Sgt Jon Stiles Dr 303-791-3209 Highlands Ranch General Dentist Dr. Kenneth M Burson Falcon Park Dental Group CarePOS 9579 S University Blvd Unit 400a 303-683-5091 Highlands Ranch General Dentist Dr. Malgorzata R Korosciel Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Manisha Patil Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Matthew Stevens Comfort Dental - Highlands Ranch ADP #40 129 W County Line Rd 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Dr. Michael Love Comfort Dental - Highlands Ranch ADP #40 129 W County Line Rd 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Dr. Michael Miller Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Nina Gomenyuk Comfort Dental - Highlands Ranch ADP #40 129 W County Line Rd 303-738-9499 Highlands Ranch General Dentist *, **, C, E1-2, E3-4 Dr. Semiramida Condoianis Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Susan Kutis Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Thomas Mulheran Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. Tiffany Fritz Bright Now Dental - Highlands Ranch ADP #93 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch General Dentist *, **, E1-2, E3-4, N Dr. David Dinsmore 95th Street Dental ADP #227 1373 Forest Park Circle #103 303-666-7773 Lafayette General Dentist *, **, C, E1-2, E3-4 Dr. Evan Kneale Comfort Dental - Lafayette ADP #187 535 W South Boulder Rd, #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3-4 Dr. Jarom Paice Comfort Dental - Lafayette ADP #187 535 W South Boulder Rd, #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3-4 Dr. Marc Yasoni Comfort Dental - Lafayette ADP #187 535 W South Boulder Rd, #200 303-604-2804 Lafayette General Dentist *, **, C, E1-2, E3-4 Dr. Andreea Torok Comfort Dental- Green Mountain ADP #220 12810 W Alameda Ave 303-987-2273 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. Aneeta Pucheril Pinnacle Dental CarePOS 2500 Youngfield St Ste 2 303-237-7004 Lakewood General Dentist Dr. Bahar Esmaili Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Brian Kajewski Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Bruce H Johnson Bruce H. Johnson ADP #140 9868 W Girton Dr 303-989-0577 Lakewood General Dentist *, **, C, E1-2 Dr. Charles F Rodgers Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood General Dentist Dr. Charles Woyda Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Christopher Bentley Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Craig A Mellor Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Page 12 of 21

Dr. Efren Martinez Dr. Efren Martinez ADP #130 1200 S Wadsworth 303-733-7533 Lakewood General Dentist **, E1-2, E3-4 Dr. Ekatrina Butkevich Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Eloisa Lovato Comfort Dental- Bear Creek ADP #222 3200 S Wadsworth Blvd #e 303-716-8546 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. Eric J Palacios Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood General Dentist Dr. Frank Gold Frank J Gold DDS PC CarePOS 1360 Wadsworth Blvd Ste 200 303-988-2738 Lakewood General Dentist Dr. Henry D Ahn Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Jace Williamson Comfort Dental- Green Mountain ADP #220 12810 W Alameda Ave 303-987-2273 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. Jackson Nguyen Comfort Dental- Green Mountain ADP #220 12810 W Alameda Ave 303-987-2273 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. James A Fischer Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Jeffrey Bernardy Comfort Dental- Bear Creek ADP #222 3200 S Wadsworth Blvd #e 303-716-8546 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. Jennifer K Lee Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Joesolyn Caldron-Kidd Comfort Dental- Bear Creek ADP #222 3200 S Wadsworth Blvd #e 303-716-8546 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. Kathryn S Buss Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood General Dentist Dr. Lauren Peterson Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Lindsey Schroepfer Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Malgorzata R Korosciel Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Manisha Patil Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Michael Miller Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Olen C Crockett Olen C. Crockett CarePOS 1345 Wadsworth Blvd 303-238-1209 Lakewood General Dentist Dr. Richard Glucksman Alpha Dental Xx ADP #3 7373 W Jefferson, #203 303-988-1530 Lakewood General Dentist *, N Dr. Snahel Prajapati Comfort Dental- Bear Creek ADP #222 3200 S Wadsworth Blvd #e 303-716-8546 Lakewood General Dentist *, **, C, E1-2, E3-4 Dr. Stephanie Paswaters Emerald Dental CarePOS 12093 W Alameda Pkwy Ste A 303-716-7321 Lakewood General Dentist Dr. Susan Kutis Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Thomas Mulheran Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Vidhyalakshmi Sampath Bright Now Dental - Lakewood ADP #92 7611 W Colfax Ave, #d 303-202-0900 Lakewood General Dentist *, C, E1-2 Dr. Vidhyalakshmi Sampath Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood General Dentist Dr. William J Hartman Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood General Dentist Dr. William J Mcglashan Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood General Dentist Dr. Ibraheem Ackall Highplains Community Health Center ADP #54 200 Kendall Drive 719-336-8445 Lamar General Dentist **, C, E1-2 Dr. Brittany Bevis Pineland Dental CarePOS 8520 Spruce Mountain Rd Ste 110 303-681-9200 Larkspur General Dentist Dr. Bill Bender Dr. Bill Bender ADP #23 202 2nd St 970-284-7930 Lasalle General Dentist *, **, C, E1-2 Dr. Jennina A Townsend Plains Medical Center CarePOS 820 1st St 719-755-0330 Limon General Dentist Dr. Kevin Z Dawson Plains Medical Center CarePOS 820 1st St 719-755-0330 Limon General Dentist Dr. Bill Oldershaw Comfort Dental - Littleton ADP #182 8420 W Coal Mine Ave 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Dr. Brad Weekes Comfort Dental - Littleton ADP #182 8420 W Coal Mine Ave 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Dr. Brandon S Burgar Prestige Dental Care CarePOS 8340 Sangre De Cristo Rd Ste 102 303-795-6444 Littleton General Dentist Dr. Brian L Richardson Banchard & Richardson Family Dentistry CarePOS 8089 S Lincoln St Ste 102 303-794-9271 Littleton General Dentist Dr. Cindy Kempton-St Onge Cindy Kempton DDS CarePOS 7261 S Broadway Ste 102 303-738-3888 Littleton General Dentist Dr. David D Daugherty Aspen View Dental CarePOS 5104 S Field St Ste A 303-935-3737 Littleton General Dentist Dr. David Kim Comfort Dental - Littleton ADP #182 8420 W Coal Mine Ave 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Dr. Ellias Najjar Belleview Dental Associates ADP #69 10184 W Belleview 303-932-1077 Littleton General Dentist * Dr. Heather A Sturdivant Southpark Orthodontics CarePOS 8199 Southpark Ln Ste 150 303-738-8828 Littleton General Dentist Dr. James M Preston James M Preston, DDS CarePOS 5950 S Platte Canyon Rd Ste D9 303-797-2286 Littleton General Dentist Dr. Jason L Blanchard Blanchard & Richardson Family Dentistry CarePOS 8089 S Lincoln St Ste 102 303-794-9271 Littleton General Dentist Page 13 of 21

Dr. Jeffrey Spiegel Comfort Dental- Littleton Blvd. ADP #132 209-B W Littleton Blvd 303-734-2273 Littleton General Dentist *, **, C, E1-2, E3-4, N Dr. Katrina Rojohn Comfort Dental- Belleview & Simms ADP #217 11625 W Belleview 303-972-8700 Littleton General Dentist *, **, C, E1-2, E3-4 Dr. Margareta Pavel Dutch Creek Dental ADP #78 8370 W Coal Mine Ave, #103 303-978-1522 Littleton General Dentist *, C, E1-2, E3-4 Dr. Richard J Birkel Comfort Dental- Littleton Blvd. ADP #132 209-B W Littleton Blvd 303-734-2273 Littleton General Dentist *, **, C, E1-2, E3-4, N Dr. Scot S Thompson Brighter Dental CarePOS 7735 W Long Dr Unit 9 303-933-8880 Littleton General Dentist Dr. Semiramida Condoianis Comfort Dental- Belleview & Simms ADP #217 11625 W Belleview 303-972-8700 Littleton General Dentist *, **, C, E1-2, E3-4 Dr. Tam Than Comfort Dental- Belleview & Simms ADP #217 11625 W Belleview 303-972-8700 Littleton General Dentist *, **, C, E1-2, E3-4 Dr. Thomas Klumb Comfort Dental - Littleton ADP #182 8420 W Coal Mine Ave 303-904-2273 Littleton General Dentist *, C, E1-2, E3-4 Dr. Todd S Oldroyd Oldroyd Family Dentistry CarePOS 8340 Sangre De Cristo Rd Ste 102 303-795-6444 Littleton General Dentist Dr. Caitlin E White Lone Tree Dentists CarePOS 10000 Commons St 303-790-8080 Lone Tree General Dentist Dr. Charles F Rodgers Lone Tree Dentists CarePOS 10000 Commons St 303-790-8080 Lone Tree General Dentist Dr. Cory J Fabrizio Lone Tree Dentists CarePOS 10000 Commons St 303-790-8080 Lone Tree General Dentist Dr. Daniel Larscheid Dentistry At The Crest ADP #205 10047 Park Meadows Dr #-B 303-768-8848 Lone Tree General Dentist *, **, C, E1-2, E3-4 Dr. Joseph Dastrup Lone Tree Dentists CarePOS 10000 Commons St 303-790-8080 Lone Tree General Dentist Dr. Richard Handelman Dentistry At The Crest ADP #205 10047 Park Meadows Dr #-B 303-768-8848 Lone Tree General Dentist *, **, C, E1-2, E3-4 Dr. Aaron D Mortensen Comfort Dental - Longmont ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Dr. Allan G Skromme Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Amir A Hashemi Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Bahar Esmaili Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Bahar Esmaili Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Brian Elliott Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Conrad Stutznegger Comfort Dental - Longmont ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Dr. Craig A Mellor Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Dale Roberts Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. David R Maki Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Dianne R Pierson Longmont Family Dental LLC CarePOS 1503 Mountain View Ave 303-776-7804 Longmont General Dentist Dr. Donald Langley Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Dwayne A Moore Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Geoffery Dilbert Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Jack F Emmons Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. James A Fischer Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. John A Short Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Jolly Johnson Comfort Dental - Longmont ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Dr. Lauren Peterson Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Lawrence D Yahnian Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Mariano De La Riva Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Metodi A Milushev Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Mona Omran Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Stephen Brown Affordable Dental Clinic ADP #22 2051 Terry St 303-678-7232 Longmont General Dentist *, E1-2 Dr. Stephen M Perry Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont General Dentist Dr. Stephen Sidwell Comfort Dental - Longmont ADP #156 1750 Mountain View 303-678-7783 Longmont General Dentist *, **, C, E1-2, E3-4 Dr. Thomas Mulheran Bright Now Dental - Longmont ADP #59 15 Ken Pratt Blvd, #280 303-678-1155 Longmont General Dentist *, C, E1-2, E3-4 Dr. Abraham Miller Comfort Dental - Louisville ADP #17 339 Mccaslin Blvd, #b 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4 Dr. Doug Duey Comfort Dental - Louisville ADP #17 339 Mccaslin Blvd, #b 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4 Page 14 of 21

Dr. Stephen Spencer Comfort Dental - Louisville ADP #17 339 Mccaslin Blvd, #b 303-673-0500 Louisville General Dentist *, **, C, E1-2, E3-4 Dr. Charles F Rodgers Loveland Modern Dentistry CarePOS 255 W 64th St 970-635-4455 Loveland General Dentist Dr. Charles F Rodgers Loveland Dental Group CarePOS 1569 Fall River Dr Ste 193 970-669-4433 Loveland General Dentist Dr. Craig A Mellor Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Daniel B Howard Loveland Dental Group CarePOS 1569 Fall River Dr Ste 193 970-669-4433 Loveland General Dentist Dr. Ekatrina Butkevich Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Geoffery Dilbert Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Gregory S Winslow Comfort Dental- North Loveland ADP #193 274 W 64th St 970-667-0446 Loveland General Dentist **, C, E1-2, E3-4, N Dr. Jack F Emmons Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. James A Fischer Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Jeffery Bourne Comfort Dental- North Loveland ADP #193 274 W 64th St 970-667-0446 Loveland General Dentist **, C, E1-2, E3-4, N Dr. Katherine Harmon Kindergrins Dental CarePOS 126 E 29th St 970-635-4353 Loveland General Dentist Dr. Mariano De La Riva Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Mikal Lindman Comfort Dental- North Loveland ADP #193 274 W 64th St 970-667-0446 Loveland General Dentist **, C, E1-2, E3-4, N Dr. Pamela B Lerfald Loveland Modern Dentistry CarePOS 255 W 64th St 970-635-4455 Loveland General Dentist Dr. Patrick Harrison Loveland Community Health Center ADP #87 450 N Cleveland Ave 970-461-8942 Loveland General Dentist *, **, C, E1-2, E3-4 Dr. Susan Kutis Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Thomas Mulheran Bright Now Dental - Loveland ADP #146 1440 W 29th St, #400 970-622-0922 Loveland General Dentist **, E1-2 Dr. Richard A Shulze The Lions Tooth LLC CarePOS 304 Main St 303-249-3749 Lyons General Dentist Dr. Chris B Poe Black Canyon Dental CarePOS 1544 Oxbow Dr Ste 230 970-240-8880 Montrose General Dentist Dr. Daniel P Reardon Black Canyon Dental CarePOS 1544 Oxbow Dr Ste 230 970-240-8880 Montrose General Dentist Dr. Christopher Hasselback Comfort Dental-Monument ADP #142 556 W Highway 105 719-484-0043 Monument General Dentist *, C, E1-2, E3-4 Dr. Michael Gioia Comfort Dental-Monument ADP #142 556 W Highway 105 719-484-0043 Monument General Dentist *, C, E1-2, E3-4 Dr. Michael S Peppler Palmer Ridge Orthodontics CarePOS 1777 Lake Woodmoor Dr 719-488-3014 Monument General Dentist Dr. Steve Carter Comfort Dental-Monument ADP #142 556 W Highway 105 719-484-0043 Monument General Dentist *, C, E1-2, E3-4 Dr. Victoria L Driskill Comfort Dental-Monument ADP #142 556 W Highway 105 719-484-0043 Monument General Dentist *, C, E1-2, E3-4 Dr. Aurora Saddler Comfort Dental CarePOS 10780 Washington St 303-452-6630 Northglenn General Dentist Dr. Bruce W Irick Comfort Dental Northglenn CarePOS 10780 Washington St 303-452-6630 Northglenn General Dentist Dr. Cory G Best Comfort Dental Groupt Of Northglen CarePOS 10780 Washington St 303-452-6630 Northglenn General Dentist Dr. Robert D Jefferies Comfort Dental CarePOS 10780 Washington St 303-452-6630 Northglenn General Dentist Dr. Roy A Martin Comfort Dental Northglenn CarePOS 10780 Washington St 303-452-6630 Northglenn General Dentist Dr. Stewart Moss Stuart Moss & Associates ADP #4 421 W 104th Ave, #201 303-427-6462 Northglenn General Dentist *, **, C, E1-2 Dr. Brian P Babin Mountain Dental Parker CarePOS 11280 S Twenty Mile Rd Ste 119 303-841-9915 Parker General Dentist Dr. Christopher B Bentley All Care CarePOS 11280 S Twenty Mile Rd Ste 115 303-841-7177 Parker General Dentist Dr. Erin R Sundt Mountain Dental Parker CarePOS 11280 S Twenty Mile Rd Ste 119 303-841-9915 Parker General Dentist Dr. Luis J Bravo Mountain Dental Parker CarePOS 11280 S Twenty Mile Rd Ste 119 303-841-9915 Parker General Dentist Dr. Michael A Holm Comfort Dental - Parker ADP #111 12870 Stroh Ranch Court 303-840-6543 Parker General Dentist *, C, E1-2, E3-4, N Dr. Michael G Hale Dr. Michael G. Hale ADP #27 19751 E Mainstreet #r16 303-841-3322 Parker General Dentist C, N Dr. Michael Miller Foxfield Dental ADP #207 16350 E Arapahoe Rd #-114 720-870-0401 Parker General Dentist *, **, C, E1-2, E3-4 Dr. Ronald J Freimuth Comfort Dental - Parker ADP #111 12870 Stroh Ranch Court 303-840-6543 Parker General Dentist *, C, E1-2, E3-4, N Dr. Scott Henderson Comfort Dental - Parker ADP #111 12870 Stroh Ranch Court 303-840-6543 Parker General Dentist *, C, E1-2, E3-4, N Dr. Trevor G Johnson Comfort Dental - Parker ADP #111 12870 Stroh Ranch Court 303-840-6543 Parker General Dentist *, C, E1-2, E3-4, N Dr. Chad J Murdock Comfort Dental-Falcon Hills ADP #127 11605 Meridian Market View #154 719-495-8989 Peyton General Dentist *, **, C, E1-2, E3-4 Dr. Joel Stafford Comfort Dental-Falcon Hills ADP #127 11605 Meridian Market View #154 719-495-8989 Peyton General Dentist *, **, C, E1-2, E3-4 Page 15 of 21

Dr. Jonathan Harvey Comfort Dental-Falcon Hills ADP #127 11605 Meridian Market View #154 719-495-8989 Peyton General Dentist *, **, C, E1-2, E3-4 Dr. Anthony Knowlton Dr. Anthony Knowlton ADP #42 3939 Sandalwood Lane 719-564-5833 Pueblo General Dentist *, C, E1-2, E3-4 Dr. Bradley Michael Almond Comfort Dental - Pueblo - South ADP #80 1221 S Pueblo Blvd 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Brady T Smith Comfort Dental - Pueblo - North ADP #63 2025 W Us Hwy 50, Ste A 100 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Bridget J Doyle Derose Childrens Dental Clinic CarePOS 1022 Liberty Ln 719-545-5778 Pueblo General Dentist Dr. Charles G Gordon Charlie Gordon DDS Family Dentistry CarePOS 1026 Esglerige Blvd 719-544-7672 Pueblo General Dentist Dr. David B Robinson Belmont Dental Center CarePOS 1560 Bonforte Blvd 719-544-5340 Pueblo General Dentist Dr. Elden M Rice Comfort Dental - Pueblo - North ADP #63 2025 W Us Hwy 50, Ste A 100 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Elmer A Villalon Elmer A Villalon CarePOS 1225 N Main St Ste 207 719-542-7844 Pueblo General Dentist Dr. Gary Graves Dr. Gary Graves ADP #99 1345 S Pueblo Blvd 719-542-3595 Pueblo General Dentist *, **, C, E1-2 Dr. Gino Ortegon Dr. Gino Ortegon ADP #85 401 W12th St 719-583-0555 Pueblo General Dentist **, C, E1-2, N Dr. Jeffery A Moeller Comfort Dental - Pueblo - South ADP #80 1221 S Pueblo Blvd 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. John D Millea Park West Dental PC CarePOS 3470 Parker Blvd 719-543-4022 Pueblo General Dentist Dr. Juliann M Padula Park West Dental PC CarePOS 3470 Parker Blvd 719-543-4022 Pueblo General Dentist Dr. Karleen L Trefil Comfort Dental - Pueblo - North ADP #63 2025 W Us Hwy 50, Ste A 100 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Kelli S Pershin Park West Dental PC CarePOS 3470 Parker Blvd 719-543-4022 Pueblo General Dentist Dr. Phillip Holden Comfort Dental - Pueblo - North ADP #63 2025 W Us Hwy 50, Ste A 100 719-542-2472 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Ralph Downey Comfort Dental - Pueblo - South ADP #80 1221 S Pueblo Blvd 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Richard C Moreschini Dr. Richard C. Moreschini ADP #52 1000 W 6th St 719-542-7420 Pueblo General Dentist C, E1-2, N Dr. Ronald J Ragulsky Ronald J. Ragulsky CarePOS 3939 Sandalwood Ln 719-564-7737 Pueblo General Dentist Dr. Steven P Rose Comfort Dental - Pueblo - South ADP #80 1221 S Pueblo Blvd 719-565-2274 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Thomas V Autobee Thomas V Autobee CarePOS 108 E Pitkin Ave 719-543-8940 Pueblo General Dentist Dr. Tony G Oreskovich Oreskovich Dental ADP #5 1111 Pueblo Blvd Way, #140 719-542-8182 Pueblo General Dentist E1-2, E3-4, N Dr. Tony L Roberts Tony Roberts CarePOS 1225 N Grand Ave Ste 104 719-542-6014 Pueblo General Dentist Dr. Vikash Kanchanlal Gentle Touch Family Dentistry ADP #198 3926 Sandalwood Lane 719-564-3900 Pueblo General Dentist *, **, C, E1-2, E3-4 Dr. Bradford J O'Neill River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Charles F Rodgers River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Gail N Raether River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Jason D Conrad River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Joanne L Bancroft River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Katherine T Johnson River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Kenneth M Burson River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. Wade R Hirschman River Point Dental Group And Orthodontics CarePOS 3960 River Point Pkwy Unit A 303-781-2340 Sheridan General Dentist Dr. John Rollow, Iv Comfort Dental- Summit County ADP #64 354 Blue River Pkwy #a 970-262-2273 Silverthorne General Dentist *, C, E1-2, E3-4 Dr. Lorraine Mundy Comfort Dental- Summit County ADP #64 354 Blue River Pkwy #a 970-262-2273 Silverthorne General Dentist *, C, E1-2, E3-4 Dr. Randall C Jones Randall C. Jones ADP #15 1402 S 3rd Ave 970-522-6280 Sterling General Dentist *, C, E1-2, E3-4 Dr. Gregory B Kempers Plains Medical Center CarePOS 55981 E Colfax Ave 303-622-4660 Strasburg General Dentist Dr. Jennina A Townsend Plains Medical Center CarePOS 55981 E Colfax Ave 303-622-4660 Strasburg General Dentist Dr. Kevin Z Dawson Plains Medical Center CarePOS 55981 E Colfax Ave 303-622-4660 Strasburg General Dentist Dr. Sung K Kim Plains Medical Center CarePOS 55981 E Colfax Ave 303-622-4660 Strasburg General Dentist Dr. Bradford J O'Neill Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Dr. Carter C Christensen Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Dr. Charles F Rodgers Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Dr. Ethelyn G Thomason Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Page 16 of 21

Dr. Jack C Moss Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Dr. Jessica B Hetcko Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Dr. Katherine T Johnson Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior General Dentist Dr. Amir R Fereydouni Thornton Family Dentistry & Orthodontics CarePOS 2300 E 120th Ave Dte 104 303-254-8828 Thornton General Dentist Dr. Ana K Hasfura-Cadotte Comfort Dental- Thornton ADP #214 9203 Huron St 303-429-2273 Thornton General Dentist *, **, C, E1-2, E3-4 Dr. April Sousa Comfort Dental Hunters Glen CarePOS 13691 Colorado Blvd Ste 109 303-920-2273 Thornton General Dentist Dr. Charles P Mccary Thornton Family Dentistry & Orthodontics CarePOS 2300 E 120th Ave Dte 104 303-254-8828 Thornton General Dentist Dr. Gerald R Smith Comfort Dental- Thornton ADP #214 9203 Huron St 303-429-2273 Thornton General Dentist *, **, C, E1-2, E3-4 Dr. Hanh H Phi Thornton Family Dentistry & Orthodontics CarePOS 2300 E 120th Ave Dte 104 303-254-8828 Thornton General Dentist Dr. Jarum M Boyer Comfort Dental Hunters Glen CarePOS 13691 Colorado Blvd Ste 109 303-920-2273 Thornton General Dentist Dr. Jazmin F Cuin-Parker Comfort Dental- Thornton ADP #214 9203 Huron St 303-429-2273 Thornton General Dentist *, **, C, E1-2, E3-4 Dr. Matthew H Coons Comfort Dental Hunters Glen CarePOS 13691 Colorado Blvd Ste 109 303-920-2273 Thornton General Dentist Dr. Susan C Bromell Comfort Dental- Thornton ADP #214 9203 Huron St 303-429-2273 Thornton General Dentist *, **, C, E1-2, E3-4 Dr. Amy M Jorgensen Amazing Smiles CarePOS 7236 Federal Blvd Unit 100 303-424-5439 Westminster General Dentist Dr. Bahar Esmaili Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Bert L Moffitt Northview Dental Office CarePOS 5068 W 92nd Ave 303-426-0023 Westminster General Dentist Dr. Brian Kajewski Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Charles F Rodgers Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster General Dentist Dr. Charles F Rodgers Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster General Dentist Dr. Constanza Cubillos Comfort Dental-80th & Sheridan ADP #223 7990 N Sheridan Blvd 303-650-4101 Westminster General Dentist *, **, C, E1-2, E3-4 Dr. Craig A Mellor Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster General Dentist Dr. Craig A Mellor Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Ekatrina Butkevich Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Fredric Gohl Comfort Dental North Westminster CarePOS 11187 Sheridan Blvd Unit 12 303-469-2333 Westminster General Dentist Dr. Geoffery Dilbert Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Gerald R Smith Comfort Dental North Westminster CarePOS 11187 Sheridan Blvd Unit 12 303-469-2333 Westminster General Dentist Dr. Ian Ferguson Comfort Dental-80th & Sheridan ADP #223 7990 N Sheridan Blvd 303-650-4101 Westminster General Dentist *, **, C, E1-2, E3-4 Dr. Jack F Emmons Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. James A Fischer Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Jamie E Irwin Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster General Dentist Dr. Jeremy B Rogers Comfort Dental North Westminster CarePOS 11187 Sheridan Blvd Unit 12 303-469-2333 Westminster General Dentist Dr. Jessica B Hetcko Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster General Dentist Dr. Joseph K Spear Comfort Dental North Westminster CarePOS 11187 Sheridan Blvd Unit 12 303-469-2333 Westminster General Dentist Dr. Kenneth J Polke Dr Kenneth Polke DDS CarePOS 905 W 124th Ave Ste 130 303-920-4900 Westminster General Dentist Dr. Lauren Peterson Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Lindsey Schroepfer Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Luan K Tran Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Mariano De La Riva Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Matthew A Chapman Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster General Dentist Dr. Ryan Mangrum Comfort Dental-80th & Sheridan ADP #223 7990 N Sheridan Blvd 303-650-4101 Westminster General Dentist *, **, C, E1-2, E3-4 Dr. Scott M Tuchklaper Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster General Dentist Dr. Thomas Mulheran Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. Tjark R Beaven Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster General Dentist Dr. Travis Willey Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Page 17 of 21

Dr. Vidhyalakshmi Sampath Bright Now Dental - Westminster ADP #121 3003 W 104th Avenue 303-410-9800 Westminster General Dentist C, E1-2 Dr. William J Mcglashan Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster General Dentist Dr. Alan N Bernbaum Alan N Bernbaum DDS CarePOS 6654 W 38th Ave 303-424-1517 Wheat Ridge General Dentist Dr. Christopher Hasselback Comfort Dental - Wheat Ridge ADP #153 9990 W 26th Ave #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Dr. David R Maki Aspen Hill Dental, PC ADP #209 7015 W 38th Ave 303-940-9755 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Dr. Lewis Sherman Comfort Dental - Wheat Ridge ADP #153 9990 W 26th Ave #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Dr. Sara Marchbanks Comfort Dental - Wheat Ridge ADP #153 9990 W 26th Ave #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Dr. William Mcglashan Comfort Dental - Wheat Ridge ADP #153 9990 W 26th Ave #100 303-232-4500 Wheat Ridge General Dentist *, **, C, E1-2, E3-4 Dr. Eric T Helland Dental Associates At Eagles Nest ADP #196 150 Morning Sun Dr 719-687-2000 Woodland Park General Dentist *, C, E1-2, E3-4 Dr. Gregory E Micheli Dental Associates At Eagles Nest ADP #196 150 Morning Sun Dr 719-687-2000 Woodland Park General Dentist *, C, E1-2, E3-4 Orthodontists Dr. Galen L Callender Galen L. Callender Alpha 7207 Grandview Ave 303-421-1984 Arvada Orthodontist N/A Dr. James H Mason Colo Orthodontics Alpha 6390 Gardenia St, #200 303-421-2616 Arvada Orthodontist N/A Dr. Jason Messingham Messingham Orthodontics CarePOS 7523 W 80th Ave 303-456-5339 Arvada Orthodontist N/A Dr. Paul A Hamersky Standley Lake Orthodontics CarePOS 8723 Wadsworth Blvd Ste B 303-422-6752 Arvada Orthodontist N/A Dr. Amy N Taylor Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora Orthodontist N/A Dr. Anne M Abell City Place Modern Dentistry CarePOS 14401 E Bayaud Ave Unit H 303-364-4455 Aurora Orthodontist N/A Dr. Brandy L Burgess Cornerstar Dental Group And Orthodontics CarePOS 6730 S Cornerstar Way Ste A 303-400-4500 Aurora Orthodontist N/A Dr. James H Mason Colo Orthodontics Alpha 2993 S Peoria St, #260 303-751-5700 Aurora Orthodontist N/A Dr. Jennifer B Berwick Ohmart Orthodontics CarePOS 25521 E Smoky Hill Rd Unit 200 303-586-5750 Aurora Orthodontist N/A Dr. John Bailey Colo Orthodontics Alpha 2993 S Peoria St, #260 303-751-5700 Aurora Orthodontist N/A Dr. Lisa Austin Bright Now Dental - S. Tower Rd. Alpha 3551 S Tower Rd, #c 303-400-3669 Aurora Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Smoky Hill Alpha 23963 Prospect Ave, Ste #hv2be 303-400-9898 Aurora Orthodontist N/A Dr. Rhoda L Lockett Lockett Orthodontics CarePOS 1700 S Chambers Rd 303-337-0789 Aurora Orthodontist N/A Dr. Roy M Lorenz Roy M. Lorenz, DMD, MS Alpha 14991 E Hampden Ave #320 303-690-2333 Aurora Orthodontist N/A Dr. Scott W Ohmart Ohmart Orthodontics CarePOS 25521 E Smoky Hill Rd Unit 200 303-586-5750 Aurora Orthodontist N/A Dr. Theresa L Shaver Front Range Orthodontic Specialists CarePOS 14001 E Iliff Ave Ste 201 303-755-5505 Aurora Orthodontist N/A Dr. Tuanh Nguyen City Place Modern Dentistry CarePOS 14401 E Bayaud Ave Unit H 303-364-4455 Aurora Orthodontist N/A Dr. Tuanh Nguyen Valley Modern Dentists CarePOS 16900 E Quincy Ave Ste B 303-617-4488 Aurora Orthodontist N/A Dr. John Walker Dr. John Walker Alpha 350 Broadway #120 303-494-3535 Boulder Orthodontist N/A Dr. Robert Hamblin Colorado Dental Health Care Specialists, Pllc CarePOS 2525 28th St Unit 140 303-443-0070 Boulder Orthodontist N/A Dr. Anne M Abell Broomfield Modern Dentistry And Orthontics CarePOS 4490 W 121st Ave Ste 7 303-469-2061 Broomfield Orthodontist N/A Dr. Kurt Niepraschk Broomfield Modern Dentistry And Orthontics CarePOS 4490 W 121st Ave Ste 7 303-469-2061 Broomfield Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Castle Rock Alpha 1001 S Perry St, #105-A 303-688-0252 Castle Rock Orthodontist N/A Dr. Paul A Hamersky Colorado Orthodontic Specialists CarePOS 718 Maleta Ln Ste 201 303-688-8777 Castle Rock Orthodontist N/A Dr. David E Gold David E. Gold Jr. Alpha 9025 E Mineral Cir #100 303-792-0345 Centennial Orthodontist N/A Dr. Jennifer B Berwick Ohmart Orthodontics CarePOS 7960 S University Blvd Ste 100 303-713-1950 Centennial Orthodontist N/A Dr. Scott W Ohmart Ohmart Orthodontics CarePOS 7960 S University Blvd Ste 100 303-713-1950 Centennial Orthodontist N/A Dr. Amy N Taylor Prominent Point Dental Group And Orthodontics CarePOS 9625 Prominent Pt Ste 100 719-495-5748 Colorado Springs Orthodontist N/A Dr. Bangorn S Terry Smiles For Colorado Orthodontics CarePOS 1539 S 8th St Ste 200 719-227-7645 Colorado Springs Orthodontist N/A Dr. Daniel G Snow Snow Orthodontics CarePOS 7560 Rangewood Dr Ste 100 719-597-6800 Colorado Springs Orthodontist N/A Dr. David H Schroeder All Smiles Orthodontix CarePOS 3715 Bloomington St Unit 160 719-591-5599 Colorado Springs Orthodontist N/A Dr. David Schroeder Apple Orthodontics Alpha 1694 E Cheyenne Mtn Blvd 719-538-4671 Colorado Springs Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Parkmoor Village Alpha 3208 N Academy Blvd, #140 719-596-7000 Colorado Springs Orthodontist N/A Page 18 of 21

Dr. Louis J Taloumis All Smiles Orthodontix CarePOS 3715 Bloomington St Unit 160 719-591-5599 Colorado Springs Orthodontist N/A Dr. Louis Talmoumis Apple Orthodontics Alpha 1694 E Cheyenne Mtn Blvd 719-538-4671 Colorado Springs Orthodontist N/A Dr. Scott Suter Front Range Ortho Alpha 3100 N Academy Blvd, #200 719-550-0222 Colorado Springs Orthodontist N/A Dr. Tuanh Nguyen Falcon Landing Dental Group And Orthodontics CarePOS 7395 N Academy Blvd 719-268-9500 Colorado Springs Orthodontist N/A Dr. Warren K Johnson Johnson Orthodontics, PC CarePOS 13784 Gleneagle Dr 719-572-5150 Colorado Springs Orthodontist N/A Dr. Warren K Johnson Johnson Orthodontics, PC CarePOS 2190 Academy Cir 719-596-3081 Colorado Springs Orthodontist N/A Dr. Voytek Bobak Dr. Voytek Bobak Alpha 26697 Pleasant Park Rd, #b-120 303-816-5239 Conifer Orthodontist N/A Dr. Andrey Nazarov Allegro Orthodontics Alpha 390 S Dayton St 303-751-0031 Denver Orthodontist N/A Dr. Dori Papir Evergreen Orthodontics CarePOS 1835 S Federal Blvd Ste 101 720-962-9000 Denver Orthodontist N/A Dr. Eunice P Lee Hampden Family Dentistry $ Orthodontics Alpha 9250 E Hampden Ave 303-930-8828 Denver Orthodontist N/A Dr. George F Siersma G Frederick Siersma CarePOS 121 S Madison St 303-388-6489 Denver Orthodontist N/A Dr. Karen E Franz Stapleton Childrens Dentistry CarePOS 2373 Central Park Blvd Unit 302 303-399-5437 Denver Orthodontist N/A Dr. Lia D Baros Orthodontics In The Highlands CarePOS 3538 W 44th Ave 303-433-7500 Denver Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Denver Downtown Alpha 1955 Arapahoe St, Ste A 303-296-0888 Denver Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Cherry Creek Alpha 3865 Cherry Creek Dr North, #200 303-321-1181 Denver Orthodontist N/A Dr. Michael D Bellon Dr. Michael D. Bellon Alpha 7200 E Hampden, #203 303-692-9610 Denver Orthodontist N/A Dr. Paul A Rocke Downtown Orthodontics CarePOS 1050 W Colfax Ave Ste G 303-690-3111 Denver Orthodontist N/A Dr. Lina K Kulkarni Fort Collins Dental Group CarePOS 2310 E Harmony Rd Ste 103 970-282-8877 Fort Collins Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Fort Collins Alpha 1217 E Elizabeth St, #5 970-498-8706 Fort Collins Orthodontist N/A Dr. T Allan Hymas Mesa Orthodontics Alpha 1190 Bookcliff, Ave, Ste 202 970-245-8810 Grand Junction Orthodontist N/A Dr. Bradley E Goings Skyview Orthodontics Alpha 1825 56th Ave #a 970-330-5363 Greeley Orthodontist N/A Dr. David Richter Richter Orthodontics Alpha 1813 61st Ave 970-392-1733 Greeley Orthodontist N/A Dr. Gary Barth Dr. Gary Barth Alpha 1640 25th St #a 970-353-4249 Greeley Orthodontist N/A Dr. Jared A Ward Greeley Modern Dentistry CarePOS 6632 10th St Ste 101 970-353-4848 Greeley Orthodontist N/A Dr. Shawn Murray Skyview Orthodontics Alpha 1825 56th Ave #a 970-330-5363 Greeley Orthodontist N/A Dr. Bryan Nelson Dr. Bryan Nelson Alpha 9567 Suniversity Blvd, #c-1a 720-344-2662 Highlands Ranch Orthodontist N/A Dr. Kurt Niepraschk Redstone Dental Group/ny Kids Dentist And Orthodontics CarePOS 1165 Sgt Jon Stiles Dr 303-791-3209 Highlands Ranch Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Highlands Ranch Alpha 3626 Highlands Rnch Pkwy #107 303-488-9922 Highlands Ranch Orthodontist N/A Dr. Paul A Hamersky Douglas County Orthodontics Alpha 9362 S Colorado Blvd, #d14 720-344-2662 Highlands Ranch Orthodontist N/A Dr. Shawn M Murray Murray Orthodontics Alpha 257 Johnstown Center Dr #201 970-587-5228 Johnstown Orthodontist N/A Dr. Howard Stringert Dr. Howard Stringert Alpha 313 W 3rd St, #104 719-384-5583 La Junta Orthodontist N/A Dr. Anne M Abell Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood Orthodontist N/A Dr. Jack Allen Jr Dr. Jack M. Allen D.D.S. Alpha 7373 W Jefferson Ave #302 303-988-9220 Lakewood Orthodontist N/A Dr. Kurt Niepraschk Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Lakewood Alpha 7611 W Colfax Ave, #d 303-202-0900 Lakewood Orthodontist N/A Dr. Tuanh Nguyen Crestline Dental Group And Orthodontics CarePOS 5392 S Wadsworth Blvd Unit 103 303-979-4277 Lakewood Orthodontist N/A Dr. Voytek Bobak Dr. Voytek Bobak Alpha 1840 S Wadsworth Blvd 303-988-0844 Lakewood Orthodontist N/A Page 19 of 21

Dr. Amir R Fereydouni Kids And Family Dentistry Alpha 40 W Littleton Blvd 303-327-4091 Littleton Orthodontist N/A Dr. David M Albert David Albert CarePOS 7889 S Lincoln Ct Ste 102 303-798-0928 Littleton Orthodontist N/A Dr. Eunice P Lee Southpark Orthodontics Alpha 8199 South Park Lane #150 303-738-8828 Littleton Orthodontist N/A Dr. Jamie Drowley Ohmart Orthodontics CarePOS 10146 W San Juan Way Unit 230 303-979-0211 Littleton Orthodontist N/A Dr. Jennifer B Berwick Ohmart Orthodontics CarePOS 10146 W San Juan Way Unit 230 303-979-0211 Littleton Orthodontist N/A Dr. Michael D Bellon Dr. Michael D. Bellon Alpha 7325 S Pierce St, #204 303-933-6830 Littleton Orthodontist N/A Dr. Scott W Ohmart Ohmart Orthodontics CarePOS 10146 W San Juan Way Unit 230 303-979-0211 Littleton Orthodontist N/A Dr. Theresa L Shaver Front Range Orthodontics Specialists CarePOS 7901 Southpark Plz Ste 204 303-730-7002 Littleton Orthodontist N/A Dr. Anne M Abell Lone Tree Dentists CarePOS 10000 Commons St 303-790-8080 Lone Tree Orthodontist N/A Dr. Fazila Durkin Durkin Orthodontics Alpha 7430 Park Meadows Dr 303-799-8882 Lone Tree Orthodontist N/A Dr. Tuanh Nguyen Lone Tree Dentists CarePOS 10000 Commons St 303-790-8080 Lone Tree Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Longmont Alpha 15 Ken Pratt Blvd, #280 303-678-1155 Longmont Orthodontist N/A Dr. Robert Hamblin Dental Health Of Longmont CarePOS 1260 S Hover St Ste H 303-678-1125 Longmont Orthodontist N/A Dr. Gary Dixon Smile Zone Orthodontics Alpha 1075 S Boulder Rd, #235 303-604-0300 Louisville Orthodontist N/A Dr. Anne M Abell Loveland Modern Dentistry CarePOS 255 W 64th St 970-635-4455 Loveland Orthodontist N/A Dr. Stephanie M Ross Loveland Modern Dentistry CarePOS 255 W 64th St 970-635-4455 Loveland Orthodontist N/A Dr. Fazila H Durkin Palmer Ridge Orthodontics CarePOS 1777 Lake Woodmoor Dr 719-488-3014 Monument Orthodontist N/A Dr. Andrey Nazarov Allegro Orthodontics Alpha 10450 S Progress Way #100 720-842-4544 Parker Orthodontist N/A Dr. Howard Stringert Dr. Howard Stringert Alpha 3955 Sandelwood Lane 719-564-3333 Pueblo Orthodontist N/A Dr. Jose M Arango Front Range Orthodontic Specialists CarePOS 24 Club Manor Dr Ste 203 719-543-3475 Pueblo Orthodontist N/A Dr. Amy N Taylor Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior Orthodontist N/A Dr. Anne M Abell Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior Orthodontist N/A Dr. Brandy L Burgess Marketplace Dental Group And Orthodontics CarePOS 306 Center Dr 303-499-9555 Superior Orthodontist N/A Dr. Bryan P Nelson Trinity Orthodontics PC CarePOS 12720 Colorado Blvd Ste 1 303-427-5000 Thornton Orthodontist N/A Dr. Craig A Bahr Comfort Dental Kids North CarePOS 9652 Washington St 303-252-4050 Thornton Orthodontist N/A Dr. Eunice P Lee Kids And Family Dentistry And Orthodontics Alpha 2300 E 120th Ave #-104 303-254-8828 Thornton Orthodontist N/A Dr. Paul A Hamersky Trinity Orthodontics PC CarePOS 12720 Colorado Blvd Ste 1 303-427-5000 Thornton Orthodontist N/A Dr. William L Lake William L Lake CarePOS 3861 E 120th Ave 303-450-2211 Thornton Orthodontist N/A Dr. Amy N Taylor Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster Orthodontist N/A Dr. Amy N Taylor Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster Orthodontist N/A Dr. Anne M Abell Walnut Creek Dental Group And Orthodontics CarePOS 10442 Town Center Dr Ste 100 303-410-4950 Westminster Orthodontist N/A Dr. Anne M Abell Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster Orthodontist N/A Dr. Brandy L Burgess Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster Orthodontist N/A Dr. Colin Gibson 1st Impressions Orthodontics Alpha 1333 W 120th Ave #303 303-452-2277 Westminster Orthodontist N/A Dr. Gary Dixon Smile Zone Orthodontics Alpha 9910 Wadsworth Pkwy 303-430-4200 Westminster Orthodontist N/A Dr. Lisa Austin Bright Now Dental - Westminster Alpha 3003 W 104th Avenue 303-410-9800 Westminster Orthodontist N/A Page 20 of 21

Dr. Stephanie M Ross Orchard Dental Group And Orthodontics Llp CarePOS 14422 Orchard Pkwy Ste 200 303-452-0811 Westminster Orthodontist N/A Dr. Bradley E Goings Windsor Smiles Orthodontics Alpha 1218 W Ash St Unit D 970-460-0791 Windsor Orthodontist N/A Dr. David Richter Richter Orthodontics Alpha 1218 W Ash St 970-392-1744 Windsor Orthodontist N/A Dr. Shawn Murray Windsor Smiles Orthodontics Alpha 1218 W Ash St Unit D 970-460-0791 Windsor Orthodontist N/A General Provisions: All needed specialty care (except Orthodontics) that cannot be provided by your selected General Dentist can be provided by a plan participating specialist. These specialists have been contracted to offer plan members up to a 20% discount off of their normal full fee. You may see any of the contracted plan specialists as the needed without contacting your selected General Dentist. Call us at 303-744-3007 or 1-800-807-0706 for a list of plan participating specialists or visit our web site at www.betadental.com. Orthodontic treatment discounts are listed on your plan schedule of benefits. All family members must see the same General Dentist for treatment. You may change your General Dentist selection at any time by contacting us at 303-744-3007 or 1-800-807-0706. Some large dental offices with multiple locations list all contracted providers from all locations combined. They do this because some of the providers float between offices as needed. Please contact the dental office for the specific providers at that location. Code Definitions: * - This office provides nitrous oxide. C - This office accepts most children over the age of 4 for routine care. Please check with your selected dental office for their specific guidelines. E1-2 - This office will provide most 1 and 2 canal root canal procedures depending on the complexity of the situation. E3-4 - This office will provide most 3 and 4 canal root canal procedures depending on the complexity of the situation. N - This office will only see members that are identified on the eligibility roster provided by the plan administrative office at the beginning of each month. ** - Estos consultorios tienen personal de habla hispana. Page 21 of 21

Please note: TO FIND A CONTRACTED CarePOS DENTIST IN YOUR AREA VISIT: www.betadental.com and click on the Provider Locator link the quick links box. Then go to the Careington logo and click on the logo. Then enter your zip code. FOR THE FULL CarePOS FEE SCHEDULE IN YOUR AREA VISIT: www.betadental.com and click on the All Plan Fee Schedule link in the quick links box. Then go to the Careington POS Fee Schedule box and enter your zip code. Your zip code specific fee schedule will appear in a PDF format. You will then be able to open the PDF file showing the discounted fees in your area. The CarePOS dental plan is a discount fee for service dental plan and is in no way considered insurance.

Beta Health Association, Inc. Dental Plan Specialists since 1990 Check out these Free National Discount Programs! All employees and dependents enrolling in one of the attached dental plans can use any of the attached programs free of charge. It is our thanks to you for using Beta Health as your dental carrier! Simply follow the instructions on the attached discount program description sheets.it s that easy. You can photocopy these items and distribute to all of your dependents as well. If you have questions, please call Beta Health at 303-744- 3007 or 1-800-807-0706.

Introducing Discount Services for Dental Plan Members Free of Charge The Vision Discount Plan Beta Health Association, Inc. has teamed up with EyeMed Vision Care to offer easy access to over 43,000 national, conveniently located vision care providers including optometrists, ophthalmologists, opticians and many leading optical retailers, such as LensCrafters, Target Optical, and most Sears Optical and Pearl Vision locations. This benefit is free of charge for Beta Health Dental Plan members. Note that this is not insurance, only a discount plan to save you and your family members $ as needed! Vision Care Services Exam with Dilation (as necessary) Contact Lens Fit and Follow-up Standard Premium In Network Only $5 off exam $10 off exam $10 off exam Frames When a complete pair of glasses is purchased (frame, lenses and lens options purchased in the same transaction) a 35% discount will apply.* Standard Plastic Lenses Member Pays Single Vision $50 Bifocal $70 Trifocal $105 Lens Options Member Pays UV Coating $15 Tint (Solid and Gradient) $15 Standard Scratch Resistant Coating $15 Standard Polycarbonate $40 Standard Anti-Reflective Coating $45 Standard Progressive (Add-on to Bifocal) $65 Other Add-ons and Services 20% off retail Contact Lens Materials (Discount applied to materials only) Conventional 15% off retail price Disposable no discount Laser Vision Correction** Lasik or PRK Frequency Examination Frame Lenses or Contact Lenses 15% off retail price or 5% promotional price Unlimited Unlimited Unlimited * Items purchased separately will be discounted 20% off of the retail price. ** Since Lasik or PRK vision correction is an elective procedure, performed by specially trained providers, this discount may not always be available from a provider in your immediate location. For a location near you and the discount authorization, please call 1-877-5LASER6.

Introducing Discount Services for Dental Plan Members Free of Charge The Hearing Discount Plan This hearing care program combines unlimited choices with quality and value. It s provided free of charge to all employees and family members enrolled in a Beta Health Association, Inc. dental plan. Beta Health and EPIC Hearing Health Care give you easy access to a large national network of thousands of hearing care professionals primarily physicians and audiologists who can help you achieve your maximum hearing potential throughout your life. The prices you get from EPIC may be as much as 50% below the manufacturer s suggested retail price and up to 35% lower than most discount offers. EPIC can coordinate the coverage with your existing healthcare plan. Note that this is not insurance, only a discount plan to save you and your family members $ as needed! To activate your hearing discount plan, call EPIC Hearing Health at 1-866-956-5400. EPIC will send you a card with all the information you need to access your benefits, including referrals to providers near you and activation forms to access them. Tell them that you are a Beta Health member and you will be connected to a personal EPIC phone contact who can answer any questions you may have. A booklet that outlines the plan benefits (as well as pricing) will be mailed to your home. Then you will follow through with an appointment, examination and treatment. All payments should be made to EPIC HSP. No other billing or payments should occur. Contact EPIC at any time for assistance, advice and information. Check out these benefits and savings! The hearing discount plan benefits and savings are: Hearing tests Hearing aids, aid cleaning supplies, accessories and batteries Ear protection, swim and musician earplugs Assistive listening devices TV ears (amplifies and clarifies television) Alerting and signaling devices The Prescription Drug Discount Plan Do you want to SAVE an average of 10% to 85% on the cost of prescription medications? With the HealthTrans nationwide national discount prescription drug program this is easy! It s simply a great way to save money on prescription drugs! After working closely with pharmacies and drug manufacturers, HealthTrans has negotiated lower prices for thousands of medications, and have passed these savings on to all Beta Health Association members and their families. The average discounts range from up to 16% on brand name and up to 55% on generic drugs. There are no limits on quantities and no paperwork to complete. Discounts are available at over 55,000 pharmacies nationwide and are also available to the entire family on an as needed basis! To use your HealthTrans discount drug card: 1.) Write in your specific member I.D. number on the member I.D. cards (attached) for use at the pharmacy. 2.) Take your card and prescription(s) to a participating pharmacy. Pharmacy locations can be found at the web site below. 3.) Pay the pharmacy the negotiated reduced discount! Note that this is not insurance, only a discount plan to save you and your family members $ as needed! See how much you can save today by going to http://cashcard.lc.healthtrans.com

Thank you for choosing Beta Health Association, Inc. as your dental partner. We are proud to offer you, free of charge, the EyeMed Vision Discount Plan, the Epic Hearing Health Plan and the HealthTrans Prescription Discount Plan. Please use the ID cards provided below to access these Free of Charge benefits. Follow all instructions as identified on each set of cards. We appreciate our relationship! EyeMed Group Number: 9235409 Group Name: Beta Health Association, Inc. Member Name: EyeMed Group Number: 9235409 Group Name: Beta Health Association, Inc. Member Name: Call 1-866-723-0596 to locate the nearest EyeMed Provider. This is a discount program and not insurance. Call 1-866-723-0596 to locate the nearest EyeMed Provider. This is a discount program and not insurance. Epic Hearing: Call 1-866-956-5400 for ID card information. Group Name: Beta Health Association, Inc. Member Name: Epic Hearing: Call 1-866-956-5400 for ID card information. Group Name: Beta Health Association, Inc. Member Name: This is a discount program and not insurance. This is a discount program and not insurance. BIN #: 011867 Group ID: DDS01 Member ID: Please enter your initials & the last four digits of your phone #) Member Name: This is a discount program and not insurance. Visit http://cashcard.lc.healthtrans.com for more information or call 877-459-8474. BIN #: 011867 Group ID: DDS01 Member ID: Please enter your initials & the last four digits of your phone #) Member Name: This is a discount program and not insurance. Visit http://cashcard.lc.healthtrans.com for more information or call 877-459-8474.

COMBINED DENTAL EMPLOYEE ENROLLMENT FORM Please complete the form following this page and submit to personnel at your earliest convenience. Note that since this is an annual open enrollment, all employees must either enroll or waive for the next year. A REMINDER! You will not be allowed to enroll in any plans again until this time next year.

9725 E Hampden Avenue #400 Denver, CO 80231 1-800-807-0706 (Phone) 303-744-2890 (Fax) TO BE COMPLETED BY EMPLOYER ADP/POS GROUP ENROLLMENT, WAIVER, AND CHANGE REQUEST FORM New Employee COBRA Name of Employer (Use Name from Group Billing Notice or Master Application) Change Address Change Dependent Status Terminate* * Can only terminate at open enrollment or if employment is terminated. Beta Health Group # THREE TIER TO BE COMPLETED BY EMPLOYEES ELECTING TO ENROLL Social Security Number Effective Date Month Day Year Date of Hire Month Day Year Date of Birth Month Day Year Phone # Work: Home: Your Name Last First M.I. Gender Female Male Marital Status Single Married Your Home Address E-mail Address: City State Zip Code Dental Options (please check your selection) Alpha Dental Plan only** Provider Selection: ADP # CarePOS Dental Plan only **You must select a plan provider for all services. Please visit www.betadental.com for a current provider directory. The Alpha and CarePOS dental plan options are discount fee for service dental plans and are in no way considered insurance. Alpha Dental providers can be changed at any time by calling 303-744-3007 or 1-800-807-0706. COMPLETE FOR DENTAL Is your spouse to be enrolled? Yes No Enrollment Selection (Check the Correct Box Below): Employee Only Employee Employee Plus One Plus Two or more Are you enrolled in any other dental plans? Yes No Complete for Dependent(s) Full-time Gender Do any of your dependents have any other Spouse Name (Last) (First) (Middle Initial) Student Y/N Date of Birth M or F dental plan? If Yes, Name of Carrier D E P E N D E N T (S) 1 2 3 4 5 6 / / Yes No / / Yes No / / Yes No / / Yes No / / Yes No / / Yes No / / Yes No DENTAL PLAN WAIVER I have been offered the above dental plan options and I am declining participation at this time. I also understand that the next time that I may enroll in one of these plans is at the next open enrollment period only (one year from now). The only exception to this is if a qualifying event occurs. Date Signature of Employee It is unlawful to knowingly provide false, incomplete, or misleading facts on this form or to defraud or attempt to defraud Beta Health or one of their partners. Penalties may include imprisonment, fines, denial of services and civil damages. Please report any organization or agent who you feel knowingly provides false, incomplete or misleading facts for the purpose of defrauding the participants to the Colorado Division of Insurance. I also agree to remain on the plan for a minimum of one year or until the next open enrollment period (which ever comes first). The only exception to this is if I loose employment (either voluntarily or involuntarily). Date Your Signature X 10/08