Dental Member Handbook and Provider Directory

Dental Member Handbook and Provider Directory Oregon Health Plan May 2012 901219 (07/11)

WELCOME We are pleased you have selected ODS as your Oregon Health Plan (OHP) managed dental plan. ODS and its providers want to give you the best possible care. It is important that you know how to use your dental plan. This handbook tells you about our program and how to get dental care. We ll also give you tips on getting the most out of your dental plan. Here, you ll learn about the two dental plans available through the OHP Plus and Standard and how the Plus plan is different for members under 21 years old and pregnant women. To find out which plan you have, please contact ODS OHP Dental Customer Service. For a complete list of ODS participating dentists and denturists, see the provider directory at the end of this handbook. Your ODS OHP Dental Member Handbook is not complete without the Oregon Health Plan Client Handbook. The state of Oregon will send you the OHP Client Handbook on request. It gives you important information that may not be covered in the ODS handbook. To ask for a copy, call 800-273-0557 (TDD/). You can read it online at http://www.oregon.gov/oha/healthplan/clients/main.shtml#handbook If you have questions about ODS, selecting a primary care dentist (PCD) or any other information in this handbook, please contact ODS OHP Dental Customer Service: In Portland: 503-243-2987 Toll-free: 800-342-0526 TDD/ (For hearing- and speech-impaired) The Customer Service office is located at 10505 SE 17th Ave., Milwaukie, OR 97222. Customer Service is open from 7:30 a.m. to 5:30 p.m. Pacific time, Monday through Friday. Physical access is available for members with disabilities. You may also visit our website at www.odscompanies.com/ohp or e-mail us at OHPDental@odscompanies.com.

English This document can be provided in other formats, including large print. Call ODS at 1-800-342-0526 or TDD/TTY at 711 to request another format. Korean. 1-800-342-0526 ODS, 711 TDD/TTY. Lao ເອກະສານນ ສາມາດຖ ກສະໜອງໃຫ ໃນ ຮ ບແບບອ ນ, ລວມທ ງແບບຕ ວພ ມ ໃຫຍ. ໂທຫາ ODS ທ ເບ 1-800-342-0526 ຫ ເບ ຜ ບ ກຜ ອງການໄດ ຍ ນ TDD/TTY ທ ເບ 711 ເພ ອຮ ອງຂ ເອ າຮ ບແບບອ ນໃດໜ ງ. Russian Этот документ может быть предоставлен в других форматах, в том числе и в печатном виде крупным шрифтом. Чтобы заказать этот документ в другом формате, позвоните ODS по телефону 1-800-342-0526 или телетайпу (TDD/TTY) 711. Somali Dokumeentigaan waxaad heli kartaa isagoo hab kale u qoran, oo ay ku jirto xarfaha waaweyn. Ka soo wac ODS 1-800-342-0526 ama TDD/TTY 711. Si aad u codsato hab kale. Spanish Este documento se puede proporcionar en otros formatos, incluso en letra grande. Llame a ODS al 1-800-342-0526 o TDD/TTY al 711 para solicitar otro formato. Vietnamese Tài liệu này có thể được cung cấp dưới các định dạng khác, bao gồm cả bản in cỡ lớn. Để yêu cầu bản định dạng khác, vui lòng gọi tới ODS theo số 1-800-342-0526 hoặc TDD/TTY theo số 711. 2

TABLE OF CONTENTS New members... 5 Other forms of this handbook... 5 Getting started Choosing a primary care dentist (PCD)... 5 Changing your PCD... 6 DHS Medical Care ID card... 6 ODS Dental ID card... 6 Dental clinic assignments... 7 Getting care How to make a dental appointment... 7 If you cannot keep your appointment... 8 Interpreter services... 8 Referrals for specialty care... 8 Prior authorization... 8 After-hours dental care... 8 Urgent dental care... 9 Emergency dental care... 9 Emergency dental care when you are away from home... 9 OHP benefits and services Non-covered services... 9 OHP Plus benefit plan... 9 Preventive care... 10 Other covered services... 10 Prescription medications... 10 OHP Standard plan... 11 OHP Dental covered and non-covered services chart... 12 Tooth chart... 13 Member rights and responsibilities... 14 Complaints and appeals Complaints... 16 Appeals... 16 OHP administrative hearings... 17 Other important information Changes to your address or phone number... 18 3

Confidentiality... 18 How to get copies of your dental records... 18 If you become pregnant... 18 Non-emergency transportation... 18 Help with quitting tobacco use... 19 Member disenrollment request... 19 Plan disenrollment request... 19 DMAP Oregon Health Plan Client Handbook... 19 Information available upon request: ODS Community Health, Inc.... 19 Physician reimbursement... 19 The ODS provider directory... 20 This document can be provided in other formats, including large print. Call ODS at 1-800-342-0526 or TDD/TTY at 711 to request another format. 4

New members If you need dental care before you receive your ID card, your plan will pay for covered services. These services may include an exam, X-rays and other necessary items. Please call Customer Service at 800-342-0526 (TDD/) and we will help you find a dentist and get the care you need. Other forms of this handbook You can receive this handbook and other information in different forms, such as: Another language Large print Computer disc Audio tape Oral presentation Braille Please call Customer Service to request the format you need. You will not be penalized in any way for asking for this information. GETTING STARTED Choosing a primary care dentist (PCD) Your ODS OHP dental plan is a managed care plan. You need to choose a clinic or dental office as your primary care dentist (PCD). Your PCD will work with you to take care of your dental needs. Call your PCD before seeking dental care. See the provider directory or call Customer Service for your PCD s phone number. Your PCD will: Provide all of your routine and primary dental care Arrange for specialty care when needed Write prescriptions (only for dental needs) Keep your dental records Do not wait until you are in pain to call a PCD. Call your PCD s office and tell them you are an ODS member and have selected them as your PCD. Ask about office hours and how to get help after hours when you have an emergency. If you have not seen a dentist for more than six months, make an appointment when you first become an ODS member. After your first visit, you will be an established patient, or patient of record. Once you are an established patient, your PCD will provide emergency dental care 24 hours a day, seven days a week. 5

Changing your PCD You may change your PCD two times every year. To choose a new PCD, use the provider directory at the end of this handbook. Be sure to have each eligible member of your family choose a PCD. Each person can have a different provider. DHS Medical Care ID card The Department of Human Services (DHS) Division of Medical Assistance Programs (DMAP) will send you a Medical Care ID card when you first enroll in the OHP. Each OHP member in your household will receive his or her own card. Take your card with you to medical or dental appointments. If you lose your card, contact your DHS worker or Client Services at 1-800-273-0557 to get a new one. DHS also sends you a coverage letter that shows your case worker s ID and phone number, your benefit package and enrollment information. The letter shows information for everyone in your household who has a DHS Medical Care ID card. ODS Dental ID card We send each ODS member an ODS Dental ID card along with your Member Handbook. This card is important because it identifies you as an ODS member and has other information for you and your providers. It tells you what to do in an emergency and lists Customer Service phone numbers. Be sure to show your ODS Dental ID card and DHS Medical Care ID card each time you go to the dentist. If you lose your ODS Dental ID card, call Customer Service at 800-342-0526 to request another card. 6

Dental clinic assignments Members who live in Clatsop and Columbia counties: Contact one of these dental clinics for care. Your ODS Dental ID card and welcome letter also list your dental office and the contact information for making appointments. Tyack Dental Group Tyack Dental Group 433 30th St. 400 SW Belair Dr. Astoria, OR 97103 Clatskanie, OR 97016 503-338-6000 503-728-2114 OHP Standard plan members in Multnomah, Clackamas or Washington counties: If you are on the Standard plan (there is a B in box 9B on your DHS Medical Care ID card), please contact this dental clinic for emergency dental care. Your ODS Dental ID card and welcome letter also list your dental office and the contact information. OHSU Russell Street Dental Clinic Telephone: 503-494-6822 214 N Russell St. After hours: 503-494-6822 Portland, OR 97227 ODS assigns Standard OHP members in Washington, Multnomah and Clackamas counties to the Russell Street Clinic in Portland. But members may have a good reason for needing a different clinic. You may already have a different dentist, or traveling to the Russell Street Clinic may be difficult, or you may have some other reason for needing a different dentist. If so, call Customer Service at 800-342-0526 and ask ODS to assign you a different dentist. GETTING CARE How to make a dental appointment Call your PCD during office hours (normally 9 a.m. to 5 p.m.). If you need your PCD s number, check the provider directory or call Customer Service. Tell the office you are an ODS OHP member and why you need to see a dentist. If possible, give your PCD a phone number where you can be reached. Remember to take your DHS Medical Care ID card and ODS Dental ID card with you to your appointment. If you need language or sign language interpretation, tell the clinic staff. They can arrange for an interpreter to come to your appointment. If you need help getting to your appointment, call your DHS worker in advance. Your DHS worker may be able to help you get transportation. 7

If you cannot keep your appointment Call your PCD as soon as you can and tell them you cannot keep your appointment. The office will reschedule your appointment and make the cancelled time available for someone else. If you miss too many appointments, your PCD may dismiss you as a patient. Interpreter services If you are hearing or sight impaired or need help understanding or speaking English, your provider will arrange interpreter services for you. You may also call ODS Customer Service for help. When calling ODS, tell our Customer Service representative what language you speak and he or she will get an interpreter on the phone to help you. Referrals for specialty care If you need specialty care, your PCD will decide whether you should see another provider and will write a referral. ODS must approve the referral before you can go to your appointment. Prior authorization Some services do require a referral and/or prior authorization from ODS. Your PCD will contact ODS to request authorization for these services: Out-patient hospital dental services Oral surgery All specialist services Some services do not require a referral or prior authorization, and you can see any ODS plan provider. These are some examples: Pediatric dentist (may be your child s PCD) Denturist care After-hours dental care Call your PCD after hours for urgent or emergency dental conditions only. If you need dental attention or advice when your PCD s office is closed, call the PCD clinic phone number. There will be an answering service or instructions on how to reach your dentist in case of an emergency. Identify yourself as an ODS OHP member. You will be given advice, a referral or treatment right away. For routine advice and appointments, call your PCD s office during business hours. Urgent dental care 8

An urgent dental condition is serious enough to be treated right away but does not require emergency room care. If you have an urgent dental problem, call your PCD s office. Examples of urgent dental conditions are: A toothache Swollen gums A lost filling It can take up to two weeks to get an appointment for an urgent condition. When you call or visit your dentist s office, the dentist will decide how to treat you and make an appointment based on your needs. Emergency dental care Emergency care is covered 24 hours a day, seven days a week. In a dental emergency, call your dentist day or night. Speak to the dentist on call even if he or she is not your primary dentist. You don t need prior authorization to get emergency care. A dental emergency, like the following examples, requires immediate treatment: A tooth has been knocked out You have severe swelling or infection in the mouth You have severe tooth pain (pain that keeps you from sleeping, or does not stop when you take over-the-counter medicine such as aspirin or Tylenol) If you go to the emergency room for non-emergency services, you may be responsible for the follow-up care. You should call your PCD s office to schedule any follow-up care you need. Emergency dental care away from home For an emergency while you are away from home, call ODS before you get services, if possible. If you receive emergency dental care out of the area have the dentist send us a detailed bill and chart notes showing a dental emergency. Information must show that a dentist on our Plan was not available to provide the dental care. Covered OHP services to stabilize the emergency will be considered. Follow-up care is NOT an emergency. Call your primary care dentist for follow-up care, if needed. OHP BENEFITS AND SERVICES Non-covered services Not all dental care is covered. When you need care, contact your PCD. If you have questions about what your plan covers, call Customer Service at the number above. 9

If you receive a service that is not covered, you may have to pay the charges. You need to sign an agreement before your dentist can bill you. The agreement must: 1. Be signed before having any work done. 2. State the non-covered services you want to have done. 3. The cost you agree to pay for the services. Remember, if you get non-emergency or non-urgent services from a non-ods provider, you may be billed for the charges. The following services are not covered: Porcelain crowns on back teeth Buy-ups A buy-up is when a member pays the difference between an item OHP covers and a more expensive, non-covered model. For example, OHP may cover a steel crown, but a member wants a more expensive crown that is not covered. The member tries to buy up by paying the difference between what OHP covers and what the dentist charges. This is not allowed. If a noncovered service is performed, OHP will not pay any amount on it. OHP Plus The OHP Plus plan has different benefits for two different groups. Pregnant women and members under 21 years old: These OHP Plus members are covered for the full range of dental services, including preventive and restorative care. Non-pregnant women and members 21 years and older: These OHP Plus members are covered for preventive care and some restorative care, as explained below. Preventive care Both OHP Plus plans cover preventive care. Your PCD will provide general dental care and preventive care, which includes routine exams, X-rays and cleanings. Be sure to talk to your dentist about your schedule for checkups. Preventive services include: Exams, cleanings (prophylaxis) and fluoride, twice in any 12-month period Bitewing X-rays, once in any 12-month period Full mouth X-rays or panoramic films, once every five years Sealants, covered for members 15 years old or younger, on permanent molars (back teeth) once every five years; see the tooth chart on page 12 Other covered services 10

You are covered for other services, as listed below. There are some differences depending on your age and whether or not you are pregnant. Fillings (amalgam and composite resin restorations) Extraction of teeth that are infected or abscessed, causing severe tooth pain or unusual swelling of the face or gums Root canal therapy for the anterior (front) teeth and bicuspids (the two molars closest to the front of the mouth) for all members Root canal therapy for first and second molar teeth (2, 3, 14, 15, 18, 19, 30, 31) if you are under 21 Root canal therapy for first molar teeth (3, 14, 19, 30) if you are 21 years old or older AND you are pregnant. Stainless steel crowns for posterior (back) teeth once every five years if you are under 21 or pregnant Permanent crowns for anterior (front) teeth if you are under 21 or pregnant; you are allowed four permanent crowns in a seven-year period Partial dentures, if you are missing one or more anterior (front) teeth or six or more posterior (back) teeth; replacement once every 10 years Complete and immediate dentures if you are 16 or older Complete dentures are allowed once per lifetime and covered only if they are placed within six months of your last extracted tooth (lower or upper arch). If you have a partial denture, your complete denture will be covered only if it has been at least 10 years since you had your partial denture. Prescription medications Your OHP medical plan (not your dental plan) covers required prescription medications ordered by your PCD. OHP Standard The OHP Standard plan has limited benefits. Services are covered only when you have a dental emergency. Call Customer Service at 800-342-0526 (TDD/TTY: 711) if you have questions about what your plan covers. See benefit information in the chart on the following pages. 11

OHP Dental covered and non-covered services chart Dental service Pregnant women and members under 21 Non-pregnant women and members 21+ Standard members Covered Covered Covered ROUTINE & PREVENTIVE Routine exam Twice in 12 months Twice in 12 months No Routine cleaning Twice in 12 months Twice in 12 months No Fluoride Twice in 12 months Twice in 12 months No Routine bitewing x-rays Once in 12 months Once in 12 months No Full mouth x-ray Once in 5 years Once in 5 years No Sealants 15 or younger, molars only, once in 5 years EMERGENCY Emergency exam Yes Yes Yes Emergency x-rays Yes Yes Yes RESTORATIVE Amalgam fillings Yes Yes No Composite fillings Yes Yes No Retreat root canal therapy For anterior teeth For anterior teeth No Root canal therapy Stainless steel crowns Permanent crowns For anterior, bicuspid and 1 st and 2 nd molar teeth for members age 20 and younger For anterior, bicuspid and 1 st molar teeth for pregnant members age 21 and older For posterior teeth, once in 5 years Anterior teeth only (6, 7, 8, 9, 10, 11, 22,23,24,25,26 & 27) Limit 4 teeth in 7 years If missing 1+ anterior or 6+ posterior teeth No For anterior and bicuspid teeth (no molars) Partial dentures If missing 1+ anterior No or 6+ posterior teeth Partial denture replacement Once in 10 years Once in 10 years No Complete and immediate No dentures If over 16 years old, once per lifetime if received within 6 months of last extracted tooth in lower or upper arch. No No If over 16 years old, once per lifetime if received within 6 months of last extracted tooth in lower or upper arch. No No No No If you have a partial, a complete denture is covered only if it has been 10 years since 12 If you have a partial, a complete denture is covered only if it has been 10 years since

EXTRACTIONS Extraction of teeth that are abscessed or causing severe pain or swelling of face & gums receiving the partial. receiving the partial. Yes Yes Yes For additional services, call Customer Service at 1-800-342-0526. Tooth chart Upper arch Lower arch Primary Permanent Primary Permanent Description of tooth tooth # tooth # tooth # tooth # 1 17 3rd molar (wisdom tooth) 2 18 2nd molar 3 19 1st molar A 4 K 20 2nd bicuspid (premolar) B 5 L 21 1st bicuspid (premolar) C 6 M 22 Cuspid (canine/eye tooth) D 7 N 23 Lateral incisor (anterior) E 8 O 24 Central incisor (anterior) F 9 P 25 Central incisor (anterior) G 10 Q 26 Lateral incisor (anterior) H 11 R 27 Cuspid (canine/eye tooth) 13

I 12 S 28 1st bicuspid (premolar) J 13 T 29 2nd bicuspid (premolar) 14 30 1st molar 15 31 2nd molar 16 32 3rd molar (wisdom tooth) MEMBER RIGHTS AND RESPONSIBILITIES As a member of ODS OHP, you have the right to: Be treated with dignity, respect and consideration for your privacy. Be treated by participating providers the same as other people seeking healthcare benefits to which they are entitled. Select or change primary care dentists (PCD). Refer yourself to mental health, chemical dependency or family planning services without getting a referral from a PCP or other provider. Have a friend, family member or advocate present during appointments and at other times as needed, within clinical guidelines. Be actively involved in your treatment plans. Be given information about your conditions and covered and non-covered services, so you can make an informed decision about treatment. Consent to treatment or refuse services, and be told the consequences of that decision, except for court ordered services. Receive written materials describing rights, responsibilities, benefits available, how to access services and what to do in an emergency. Have written materials explained in a way you can understand. Receive necessary and reasonable services to diagnose your conditions. Receive covered services under the Oregon Health Plan that meet generally accepted standards of practice and are medically appropriate. Receive covered preventive services. Access urgent and emergency services 24 hours a day, seven days a week. Receive a referral to specialty providers for appropriate covered services. Have a clinical record that lists conditions, services received and referrals. Have access to your own clinical record, unless restricted by statute, and request and receive a copy of your dental records and request that they be amended or corrected. Transfer a copy of your clinical record to another provider. Execute a statement of wishes for treatment (advance directive), including the right to accept or refuse medical, surgical, chemical dependency or mental health treatment and the right to obtain a power of attorney for healthcare. Receive written notices before a denial of, or change in, a benefit or service, unless notice is not required by federal or state regulations. 14

Know how to make a complaint or appeal about care or your plan. Request an administrative hearing with DHS. Receive interpreter services. Receive a notice of an appointment cancellation in a timely manner. Be free from any form of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation and to report any violations to ODS or to the Oregon Health Plan. Post-stabilization services after you visit an emergency department. A second dental opinion. As a member of ODS OHP, you must: Choose, or help with assignment to, a provider or clinic, once enrolled. Treat all providers and their staff with respect. Be on time for appointments and call in advance to cancel an appointment or if you expect to be late. Seek periodic health exams and preventive care from your PCD. Use your PCD or clinic for diagnostic and other care, except in an emergency. Get a referral to a specialist from your PCD before seeking care from a specialist, unless self-referral is allowed. Use urgent and emergency services appropriately and notify ODS within 72 hours of an emergency. Give accurate information for your clinical record. Help your provider get clinical records from other providers. This may include signing a release of information form. Ask questions about conditions, treatments and other issues related to your care that you do not understand. Use information to make decisions about treatment before it is given. Help create a treatment plan with your provider. Follow prescribed, agreed-upon treatment plans. Tell providers that your healthcare is covered under the Oregon Health Plan before services are received and, if requested, show your provider your DHS Medical Care ID card. Tell your DHS worker when you change your address or phone number. Tell your DHS worker if you become pregnant and when your child is born. Tell your DHS worker if any family members move in or out of your home. Tell your DHS worker if you have any other insurance available. Pay for non-covered services received. Pay any monthly OHP premium on time. Help ODS pursue any third-party resources available and pay ODS the amount of benefits paid from any settlement received from an injury. 15

Bring issues, complaints or grievances to the attention of ODS or DHS Division of Medical Assistance Programs (DMAP). Sign an authorization to release your medical information so that ODS can get information to respond to an administrative hearing request. COMPLAINTS AND APPEALS If you are not satisfied with the care from your dental provider or service from ODS, you can file a complaint. If you receive a denial and you do not agree with the decision, you can file an appeal or request an administrative hearing. A denial is a decision to not pay for, not provide or stop paying for a service. If you need help filing a complaint, an appeal or an administrative hearing request, call ODS at the number below and we will help you. You also may call your caseworker for help or the Public Benefits Hotline (a program of Legal Aid Services of Oregon and the Oregon Law Center) at 800-520-5292 (TDD/TTY: 711) for advice and possible representation. Legal Aid Services of Oregon information can also be found at www.oregonlawhelp.org. Complaints To file a complaint, call ODS OHP Dental Customer Service or write: ODS Health Plans Telephone: 503-765-3521 Attn: Appeal Unit or 888-788-9821 601 SW Second Ave. TDD/ Portland, OR 97204 ODS will get back to you in five working days to tell you that we have received your complaint, provide our decision or explain any delay. ODS will respond to your complaint within 30 calendar days of receiving it. You may need to give ODS your consent to review the complaint and request your medical records. All information about your complaint is handled confidentially. If you are not satisfied with the response to your complaint, you can file a complaint with the state of Oregon by writing to: Department of Human Services Governor s Advocacy Office 500 Summer St. NE, E17 Salem, OR 97310-1097 Telephone: 800-442-5238 TDD/TTY: 503-945-6214 16

Appeals As an OHP member, you or your provider may challenge a denial of coverage or payment for medical assistance through an appeal. To file an appeal, you or your provider can call ODS OHP Dental Customer Service within 45 days of the date of the denial. To file in writing, complete an ODS OHP appeal form. You should have received this form with your denial. If you or your provider calls in an appeal, you or your provider must follow up with a written, signed appeal, using the ODS OHP appeal form. Call or write: ODS Health Plans Telephone: 503-765-3521 Attn: Appeal Unit or 888-788-9821 601 SW Second Ave. TDD/ Portland, OR 97204 ODS will get back to you in five calendar days to tell you that we have received your appeal, provide our decision or explain any delay. ODS will complete the review and respond to your appeal within 16 calendar days. If ODS cannot resolve your complaint within 16 calendar days, you will receive another letter explaining the delay. Your complaint will be resolved within 14 calendar days of the date the original 16 calendar days ended. If you believe your problem is an emergency and cannot wait for a review, ask ODS for an expedited or rush appeal. If ODS agrees that your appeal is an emergency, ODS will respond to your request within three working days. You may need to give ODS permission to look into your appeal and see your medical records. All information about your appeal is kept private. If you do not agree with our response to your appeal, you can ask for an administrative hearing. You can ask for an appeal and a hearing at the same time. You have the right to continue services during the appeal process, but you will have to pay for those services if the denial is upheld. OHP administrative hearings To request an administrative hearing, call ODS or your DHS worker within 45 days of the date of the denial. Call ODS at 503-765-3521 or 888-788-9821 (TDD/) and request a Notice of Hearing Rights instruction form (DMAP 3030) and an Administrative Hearing Request form (DHS 443). You should have received these forms with a copy of your denial. 17

Read the Notice of Hearing Rights instruction form completely. The instructions give important information, such as how to request a rush hearing and how to continue services during the hearing process. Complete the Administrative Hearing Request form and return it to DMAP, your DHS worker or the nearest DHS office within 45 days of the date of the denial. You have the right to continue services during the hearing process, but you will have to pay for those services if the appeal denial is upheld. You also have the right to have a representative help you with the hearing. A representative may be your healthcare representative, guardian, spouse or other family member, support team or your DHS worker. OTHER IMPORTANT INFORMATION Changes to your address or phone number If you move or change your phone number, tell your PCD s office and your DHS worker to make sure you keep getting important information from ODS. Privacy Any information in your ODS or dental office record and anything you discuss with your provider, their staff and ODS is kept private. Information in these records will not be shared without your approval, except with DMAP. How to get copies of your dental records Each provider keeps a record that lists your dental conditions, services provided and referrals. You have the right to request and receive copies of your dental records (the provider may charge a reasonable copying fee). You also have the right to request that your records be amended or corrected. Call your dental provider to request your records, and call ODS if you need help getting a copy. If you become pregnant If you become pregnant, call your DHS worker right away. Your DHS worker will make sure you do not lose your coverage. If you are pregnant, or think you might be, it is important that you see a healthcare provider right away. Regular check-ups are important to having a healthy baby. Call your DHS worker as soon as your baby is born. Your DHS worker will enroll your baby in the Oregon Health Plan. Non-emergency transportation 18

You may be able to get help with transportation if you have no way to get to a dental appointment. Call your DHS worker in advance to arrange for transportation. Help with quitting tobacco use Services to help you quit using tobacco are a covered benefit for all OHP members through your OHP medical plan. Call your primary care provider or your OHP medical plan customer service and tell them you would like help. Member disenrollment request OHP members may ask to change managed care plans at certain times. If approved, the change will take effect on the first of the month following DHS approval. Talk to your caseworker about changing plans. Plan disenrollment request The following may cause you to lose your ODS coverage: Losing your eligibility through the Oregon Health Plan Moving out of the ODS service area Committing fraudulent or illegal acts Being abusive to staff or property DMAP Oregon Health Plan Client Handbook Refer to the DMAP Oregon Health Plan Client Handbook for additional information on the Oregon Health Plan that may not be included in this handbook. Call the OHA Statewide Medical Processing Center at 1-800-699-9075, TTY 503-373-7800, to have a copy mailed to you. You can read it online at http://www.oregon.gov/oha/healthplan/clients/main.shtml#handbook INFORMATION AVAILABLE UPON REQUEST ODS Community Health, Inc. If you would like information about The ODS Companies structure and operation, visit our website at www.odscompanies.com or call ODS Customer Service at 800-342-0526 (TDD/). Physician reimbursement You are entitled to ask if ODS has special financial arrangements with our participating dentists that can affect the use of referrals and other services. Call Customer Service for information about our physician payment arrangements. THE ODS PROVIDER DIRECTORY The following pages list the dentists who participate in the ODS OHP dental plan. The list includes: 19

Participating general dentists (primary care dentists) Participating pediatric (children s) dentists Participating denturists (for dentures; does not apply to Standard plan) General dentists and pediatric dentists are listed in alphabetical order by county. If you are hearing or sight impaired or have difficulty understanding or speaking English, your dentist will coordinate interpreter services for you. ODS makes corrections, additions and deletions to its provider directory monthly. To make sure the provider you select still participates with ODS, go on online to our provider search at www.odscompanies.com and click on Find Care or call Customer Service at 503-243-2987 or 800-342-0526, TTY 711. 20

Baker Elkhorn Denture Service 2535 Myrtle St Baker City, OR 97814 (541) 523-4747 Tatlock, Curtis F. LD 2535 Myrtle St Baker City, OR 97814 (541) 523-4747 Benson, Sean A. DDS 1831 1st St Baker City, OR 97814 (541) 523-2144 Peters, Curtis A. DMD 1831 1st St Baker City, OR 97814 (541) 523-2144 Sean A Benson 1831 1st St Baker City, OR 97814 (541) 523-2144 Whitnah, Warren L. DMD 218 N Pine St Halfway, OR 97834 (541) 742-6012 Benton Denturist-OP Endorsement Baldwin, Kevin D. DDS 2300 NW Kings Blvd Corvallis, OR 97330 (541) 754-2214 Bhavan, Priya DDS 1112 NW Circle Blvd Corvallis, OR 97330 (541) 257-2006 Boys & Girls Club of Corvallis 1112 NW Circle Blvd Corvallis, OR 97330 (541) 257-2006 Brady, Melissa J. DMD 1112 NW Circle Blvd Corvallis, OR 97330 (541) 257-2006 Brock, Erin R. DMD 1112 NW Circle Blvd Corvallis, OR 97330 (541) 257-2006 Capitol Dental Group PC 1769 NW Kings Blvd Ste 8 Corvallis, OR 97330 (541) 757-0755 Davis, Stephen D. DDS 2300 NW Kings Blvd Corvallis, OR 97330 (541) 754-2214 Chinese Hata, Lenore S. DDS 2300 NW Kings Blvd Corvallis, OR 97330 (541) 754-2214 Johnson, Kenneth R. DMD 1112 NW Circle Blvd Corvallis, OR 97330 (541) 257-2006 Lindquist, Theresa J. DMD 1112 NW Circle Blvd Corvallis, OR 97330 (541) 257-2006 Tidwell, Brian D. DDS 2300 NW Kings Blvd Corvallis, OR 97330 (541) 754-2214 Clackamas Denturist-OP Endorsement Bens Denture Center Inc 38565 SE Proctor Sandy, OR 97055 (503) 668-8914 Bywaters, Kurt I. LD 3900 Douglas Way Lake Oswego, OR 97035 (503) 635-8060 Corbett Denture Service 300 NW 3rd Ave Canby, OR 97013 (503) 266-1800 Corbett, Steven G. LD 300 NW 3rd Ave Canby, OR 97013 (503) 266-1800 Great North West Smiles 30775 SW Boones Ferry Rd Wilsonville, OR 97070 (503) 981-4001 Randji, Akbar K. LD 279 Warner Milne Rd (503) 655-4007 Smith, Timothy A. LD 38565 SE Proctor Blvd Sandy, OR 97055 (503) 668-8914 Unsicker, John LD 30775 SW Boones Ferry Rd Ste E Wilsonville, OR 97070 (503) 981-4001 Adroit Family Dental 5493 Amy Street West Linn, OR 97068 (503) 710-9839 Bachhuber Jr, Thomas E. DMD 2236 SE Washington St Milwaukie, OR 97222 (503) 654-6529 Barnum, James B. DMD 2025 SE Washington St Milwaukie, OR 97222 (503) 654-2101 Baumgartner, Marie DDS 28900 SW Villebois Dr N Ste D Wilsonville, OR 97070 (503) 682-1317 Baumgartner, Paul M. DDS 128 E Ross St Molalla, OR 97038 (503) 829-6879 Bibb Jr, Russell E. DMD 103 SW Hwy 224 Ste A Estacada, OR 97023 (503) 630-4211 Biermann, Bruce A. DMD 39870 SE Pleasant St Sandy, OR 97055 (503) 668-7421 Booth, Jackson R. DDS 25700 SW Argyle Ave Ste F Wilsonville, OR 97070 (503) 682-8552 Brady, Melissa J. DMD 19172 S Molalla Ave (503) 557-3747 3245 SE Campbell St Milwaukie, OR 97222 (503) 653-8320 Bullock, John A. DMD 9415 SW Wilsonville Rd Wilsonville, OR 97070 (503) 691-9400 21

Caba, Nicholas P. DMD 1174 Molalla Ave (503) 656-6464 Canby Dental LLC 249 NW 3rd Ave Canby, OR 97013 (503) 266-2116 Careone Dental 10555 SE 82nd Ave Happy Valley, OR 97086 (971) 266-4567 Center Street Dental PC 1001 Molalla Ave Ste 110 (503) 656-8287 Chinn, Elliott H. DMD 14607 SE 202nd Ave Clackamas, OR 97015 (503) 658-4020 Chung, Kenneth L. DDS 10824 SE Oak St Ste 268 Milwaukie, OR 97222 (503) 653-9334 Chinese Clackamas County Community Health 1425 Beavercreek Rd (503) 655-8374 9775 SE Sunnyside Road Ste 200 Clackamas, OR 97015 (503) 794-3838 ComfortCare Dental Mobile Health Services 10824 SE Oak St Ste 268 Milwaukie, OR 97222 (503) 653-9334 Comfortcare Dental 14654 SE Sunnyside Road Clackamas, OR 97015 (503) 658-6588 19172 S Molalla Ave (503) 557-3747 3245 SE Campbell St Milwaukie, OR 97222 (503) 653-8320 Compassion Family Dentistry 2025 SE Washington St Milwaukie, OR 97222 (503) 654-2101 Conklin, Derek W. DMD 17471 Shelley Ave Ste A Sandy, OR 97055 (503) 668-4655 Cook, Jonathan T. DDS 1001 Molalla Ave Ste 110 (503) 656-8287 Cook, Katherine DDS 9775 SE Sunnyside Road Ste 200 Clackamas, OR 97015 (503) 794-3838 Coombs, Caleb V. DMD 14654 SE Sunnyside Road Clackamas, OR 97015 (503) 658-6588 3245 SE Campbell St Milwaukie, OR 97222 (503) 653-8320 Curtis, Thomas B. DMD 1820 Willamette Falls Dr West Linn, OR 97068 (503) 656-7340 Dennis T Adair DMD PC 15 82nd Dr Ste 240 Gladstone, OR 97027 (503) 655-9515 Dhadli, Jatinder S. DDS 175 Grange Ave Molalla, OR 97038 (503) 829-9734 Do, Liem D. DDS 10555 SE 82nd Ave Happy Valley, OR 97086 (971) 266-4567 Duffin, Steven R. DDS 28900 SW Villebois Dr N Ste D Wilsonville, OR 97070 (503) 682-1317 Edvalson, Timothy J. DMD 3900 Douglas Way Lake Oswego, OR 97035 (503) 636-8446 Eftekhari, Siavash DDS 3245 SE Campbell St Milwaukie, OR 97222 (503) 653-8320 El Youssef, Anthony M. DMD 17471 Shelley Ave Ste A Sandy, OR 97055 (503) 668-4655 Evans, Kendall S. DDS 1174 Molalla Ave (503) 656-6464 Gitelson, Lisa M. DMD 17186 SE McLoughlin Blvd Milwaukie, OR 97267 (503) 659-2525 25700 SW Argyle Ave Unit F Wilsonville, OR 97070 (503) 682-8552 Goertz, James D. DMD 617 High St Ste 201 (503) 656-4123 Goh, Jia Lin DMD 2403 SE Monroe St Ste F Milwaukie, OR 97222 (503) 305-6068 Grasvik, Nicholas M. DMD 25700 SW Argyle Ave Ste F Wilsonville, OR 97070 (503) 682-8552 Gregson, N Dean DMD 18455 SE McLoughlin Blvd Milwaukie, OR 97267 (503) 659-1991 Hagler, C Steven DMD 300 N Holly St Canby, OR 97013 (503) 266-1117 Hahn, Kai-Uwe H. DMD 3245 SE Campbell St Milwaukie, OR 97222 (503) 653-8320 Harbolt, Timothy R. DMD 1174 Molalla Ave (503) 656-6464 Hazel, Michael C. DMD 18607 Willamette Dr West Linn, OR 97068 (503) 635-3588 Hill, Michael A. DMD 2636 SE Harrison Ste B Milwaukie, OR 97222 (503) 659-9658 John A Bullock 9415 SW Wilsonville Rd Wilsonville, OR 97070 (503) 691-9400 22

Johnson, Daryl L. DMD 128 Ross St Molalla, OR 97038 (503) 829-7677 Kakishita, Lisa M. DMD 28900 SW Villebois Dr N Wilsonville, OR 97070 (503) 682-1317 Karim, Alamin DDS 249 NW 3rd Ave Canby, OR 97013 (503) 266-2116 Koenig, Ronald E. DMD 3315 SE Harrison St Milwaukie, OR 97222 (503) 659-2357 Kooning, Christopher D. DMD 17186 SE Mcloughlin Blvd Milwaukie, OR 97267 (503) 659-2525 Langford, Steven E. DMD 300 N Holly St Canby, OR 97013 (503) 266-1117 Lippert, Rodney C. DMD 7000 SE Thiessen Rd Milwaukie, OR 97267 (503) 659-1826 Love, April DDS 19029 S Beavercreek Rd (503) 941-3064 Lyubchenko, Dmitriy P. DMD 17186 SE McLoughlin Blvd Milwaukie, OR 97267 (503) 659-2525 Matzelle, Eric DMD 18807 SE McLoughlin Milwaukie, OR 97267 (503) 657-0399 McLean, Marianna J. DMD 128 Ross St Molalla, OR 97038 (503) 829-7567 Melby, William J. DMD 128 E Ross St Molalla, OR 97038 (503) 829-7567 Molalla Family Dental 128 Ross St Molalla, OR 97038 (503) 829-7677 Monroe Dental Care LLC 2403 SE Monroe St Ste F Milwaukie, OR 97222 (503) 305-6068 Morris, John A. DMD 1425 Beavercreek Rd (503) 655-8374 9775 SE Sunnyside Road Ste 200 Clackamas, OR 97015 (503) 794-3838 NW Dental Clinic LLC 106 E 2nd St Molalla, OR 97038 (503) 829-9731 Neighborhood Health Center 19029 S Beavercreek Rd (503) 941-3064 Nguyen, Bruce L. DMD 1425 Beavercreek Rd (503) 655-8374 9775 SE Sunnyside Road Ste 200 Clackamas, OR 97015 (503) 794-3838 Nguyen, Vinh C. DMD 1425 Beavercreek Rd (503) 655-8374 9775 SE Sunnyside Road Ste 200 Clackamas, OR 97015 (503) 794-3838 OLoughlin, Cindy DDS 17186 SE McLoughlin Blvd Milwaukie, OR 97267 (503) 659-2525 25700 SW Argyle Ave Ste F Wilsonville, OR 97070 (503) 682-8552 Oregon City Family Dentistry 602 Monroe St (503) 656-8250 Osmunson, Willard E. DDS 25700 SW Argyle Ave Ste F Wilsonville, OR 97070 (503) 682-8552 Plunkett, Michael L. DDS 19029 S Beavercreek Rd (503) 941-3064 Puffer, Paul J. DMD 106 E 2nd St Molalla, OR 97038 (503) 829-9731 Puffer, Steven F. DMD 106 E 2nd St Molalla, OR 97038 (503) 829-9731 Salathe, Olesya Z. DMD 106 E 2nd St Molalla, OR 97038 (503) 829-9731 Sawyer, Joseph A. DMD 205 Portland Ave Gladstone, OR 97027 (503) 656-5501 Shumate, Joe A. DMD 38530 Pleasant Ave Sandy, OR 97055 (503) 668-7012 Smirnoff, Kirill A. DMD 5493 Amy Street West Linn, OR 97068 (503) 710-9839 Smith, Kyle C. DMD 602 Monroe St (503) 656-8250 Spitze, Raini DDS 18221 South Redland Rd (503) 631-2353 Stirewalt, Charles E. DDS 17186 SE McLoughlin Blvd Milwaukie, OR 97267 (503) 659-2525 25700 SW Argyle Ave Ste F Wilsonville, OR 97070 (503) 682-8552 Strohschein, Marvin J. DDS 19029 S Beavercreek Rd (503) 941-3064 Suk, Petrina DDS 3245 SE Campbell St Milwaukie, OR 97222 (503) 653-8320 Taylor-Smith, Annalisa DDS 602 Monroe St (503) 656-8250 Thomas E Bachhuber Jr DMD 2236 SE Washington St Milwaukie, OR 97222 (503) 654-6529 Villebois Dental LLC 28900 SW Villebois Dr N Ste D Wilsonville, OR 97070 (503) 682-1317 Westermeyer, Sara DDS 36840 SE Industrial Way Ste A Sandy, OR 97055 (503) 668-8301 23

Westover, Brian R. DMD 18807 SE McLoughlin Milwaukie, OR 97267 (503) 657-0399 Wikle, Aaron L. DMD 17471 Shelley Ave Ste A Sandy, OR 97055 (503) 668-4655 29615 SW Parkplace Ste A Wilsonville, OR 97070 (503) 582-8200 Dental Hygienist w/ special Brawand, Cindy L. RDH 13207 Gaffney Lane (503) 723-7190 Kelly, Laurie L. RDH 109 2nd Street Canby, OR 97013 (503) 310-9485 16518 SE River Rd (503) 310-9485 17600 S Mollalla Ave (503) 310-9485 280 S Longview Way (503) 310-9485 Neighborhood Health Center 19029 S Beavercreek Rd (503) 941-3064 Nelson, Sandra C. RDH 13731 SE 127th Clackamas, OR 97015 (503) 427-0846 Pediatric Dentist Dentistry for Kids 29615 SW Parkplace Ste A Wilsonville, OR 97070 (503) 582-8200 James, Dustin R. DMD 29615 SW Parkplace Ste A Wilsonville, OR 97070 (503) 582-8200 Kennard, Monica DDS 911 Main St Ste 140 (503) 656-0631 Clark Deochand, Lenard G. LD 2802 Columbia St Vancouver, WA 98660 (360) 906-0015 Clatsop James H Tyack DMD PC 433 30th St Astoria, OR 97103 (503) 338-6000 Smith, Scott A. DDS 433 30th St Astoria, OR 97103 (503) 338-6000 Columbia Grim, Jeffrey D. DDS 575 S Columbia River Hwy Saint Helens, OR 97051 (503) 397-3326 Irene Glanville DMD 101 5th St W Rainier, OR 97048 (503) 556-3744 James H Tyack DMD PC 400 SW Bel Air Dr Clatskanie, OR 97016 (503) 728-2114 Scheuerman, Christopher M. DMD 622 Bridge St Vernonia, OR 97064 (503) 429-0880 Smith, Scott A. DDS 400 SW Bel Air Dr Clatskanie, OR 97016 (503) 728-2114 Coos Denturist-OP Endorsement Denturist-OP Endorsement Community Dental Lab PC 2495 Newmark St North Bend, OR 97459 (541) 756-2121 Simon, Samie C. LD 2495 Newmark St North Bend, OR 97459 (541) 756-2121 Curry Mayo, Kismet A. LD 1041 Chetco Ave Brookings, OR 97415 (541) 412-8000 Deschutes Denturist-OP Endorsement Denturist-OP Endorsement Burzynski, Tad W. LD 853 NE 4th St Bend, OR 97701 (541) 389-7485 Robirts, Wade L. LD 600 NE Savanna Dr Ste 2 Bend, OR 97701 (541) 318-7266 Capitol Dental Group PC 1201 NW Wall Street Suite 102 Bend, OR 97701 (541) 312-2920 Frisinger, Kyle J. DMD 834 SW 11th St Chelsea Square #3 Redmond, OR 97756 (541) 504-0880 Jensen, Mark E. DMD 199 SW Shevlin Hixon Dr Ste A Bend, OR 97702 (541) 330-5952 Kyle J Frisinger DMD PC 834 SW 11th St Chelsea Square #3 Redmond, OR 97756 (541) 504-0880 Northwest Dental Group PC 16475 Bluewood Pl La Pine, OR 97739 (541) 536-0264 Wold, Thomas E. DMD 124 NW Hawthorne Ave Bend, OR 97701 (541) 389-1301 24

Yang, Jonathan DDS 16475 Bluewood Pl La Pine, OR 97739 (541) 536-0264 Dental Hygienist w/ special Downs, Cindy L. RDH 61360 Steens Mountain Loop Bend, OR 97702 (541) 948-5837 Robinson, Linda K. LAP 19644 Clear Night Dr Bend, OR 97702 (541) 357-3098 Burrus, Elise P. DDS 1820 NW Monterey Pines Ste 200 Bend, OR 97701 (541) 312-2490 413 NW Larch Ave Ste 201 Redmond, OR 97756 (541) 923-8666 Ford, James J. DDS 1820 NW Monterey Pines Ste 200 Bend, OR 97701 (541) 312-2490 Lynch, Theodore R. DDS 750 NW Charbonneau St Ste 101 Bend, OR 97701 (541) 383-7101 Pediatric Dental Associates Central Oregon 1820 NW Monterey Pines Ste 200 Bend, OR 97701 (541) 312-2490 Vaikuntam, Jay DDS 1820 NW Monterey Pines Ste 200 Bend, OR 97701 (541) 312-2490 413 NW Larch Ave Ste 201 Redmond, OR 97756 (541) 923-8666 Douglas Pediatric Dentist Galloway, Robert S. DMD 900 W Military Ave Roseburg, OR 97470 (541) 673-8391 Larson, Robert L. DDS 1333 W Harvard Ave Roseburg, OR 97471 (541) 672-2747 Schmutz, Jared W. DMD 1683 W Harvard Ave Roseburg, OR 97471 (541) 673-3552 1930 W Harvard Roseburg, OR 97471 (541) 673-3552 Hood River Denturist-OP Endorsement Chapman, Chris R. LD 926 12th St Hood River, OR 97031 (541) 386-2012 Anderson, Margaret E. DDS 419 State St Ste 4 Hood River, OR 97031 (541) 387-8688 Aughney, Elizabeth A. DDS 849 Pacific Ave Hood River, OR 97031 (541) 386-6380 Burton, Bruce A. DMD 1002 10th St Ste 1 Hood River, OR 97031 (541) 386-2020 Geelan, Aron T. DDS 849 Pacific Ave Hood River, OR 97031 (541) 386-6380 Nadelhoffer, Evonne M. DDS 849 Pacific Ave Hood River, OR 97031 (541) 386-6380 Taylor, David V. DMD 1835 Belmont Ave Hood River, OR 97031 (541) 386-2666 Pediatric Dentist Swisher, Christopher A. DDS 419 State St Ste 4 Hood River, OR 97031 (541) 387-8688 Jackson Denturist Western Denture Center Inc 1055 Court St Ste B Medford, OR 97501 (541) 773-3551 Denturist-OP Endorsement ADC Dental Clinic 720 Bennett Ave Medford, OR 97504 (541) 772-8280 Helvey, Diana K. LD 590 Blackstone Aly Jacksonville, OR 97530 (541) 899-9516 Schroeder, Robert D. LD 832 E Main St Ste 10 Medford, OR 97504 (541) 282-7653 Valley Denture Care 590 Blackstone Aly Jacksonville, OR 97530 (541) 899-9516 Barsalou, Luke T. DMD 1113 Progress Dr Medford, OR 97504 (541) 512-3900 4940 Hamrick Rd Central Point, OR 97502 (541) 535-6239 Capitol Dental Group PC 826 E Main Street Medford, OR 97504 (541) 858-0740 925 Town Centre Drive Ste B Medford, OR 97504 (541) 772-0102 Coombs, Caleb V. DMD 832 E Main St Ste 10 Medford, OR 97504 (541) 282-7653 Fine, Amy B. DMD 1113 Progress Dr Medford, OR 97504 (541) 512-3900 Getsinger, Philip DDS 1113 Progress Dr Medford, OR 97504 (541) 512-3900 25

Kittelson, Ian T. DDS 1113 Progress Dr Medford, OR 97504 (541) 512-3900 La Clinica Del Valle 1113 Progress Dr Medford, OR 97504 (541) 512-3900 4940 Hamrick Rd Central Point, OR 97502 (541) 512-3900 Layer, David R. DMD 4940 Hamrick Rd Medford, OR 97501 (541) 535-6239 Prins, Brian L. DMD 832 E Main St Ste 10 Medford, OR 97504 (541) 282-7653 Roa, Calie DDS 4940 Hamrick Rd Central Point, OR 97502 (541) 512-3900 Siskiyou Dental Associates 2665 Siskiyou Blvd Medford, OR 97504 (541) 282-5523 Southern Oregon Denture and Dental 832 E Main St Ste 10 Medford, OR 97504 (541) 282-7653 Spencer, David A. DDS 2692 N Pacific Hwy Medford, OR 97501 (541) 776-6996 Starley, Matthew DDS 4940 Hamrick Rd Central Point, OR 97502 (541) 512-3900 Uso III, Madrid DDS 832 E Main St Ste 10 Medford, OR 97504 (541) 282-7653 Dental Hygienist w/ special Healthy Smiles Happy Hearts LLC 16300 Hwy 62 Eagle Point, OR 97524 (541) 621-6094 Martin, Pamela S. RDH 16300 Hwy 62 Eagle Point, OR 97524 (541) 621-6094 Smiles R4ever 711 Medford Center #392 Medford, OR 97504 (541) 282-4014 Smith, Cheryl A. RDH LAP 711 Medford Center #392 Medford, OR 97504 (541) 282-4014 Pediatric Dentist Frimkess, Steven A. DDS 1150 Crater Lake Ave Ste C Medford, OR 97504 (541) 773-3327 Jefferson Dehm, Gary E. DMD 48 NE 11th St Madras, OR 97741 (541) 475-2305 Higbee, TJ DDS 48 NE 11th St Madras, OR 97741 (541) 475-2305 Toms, Andrew S. DDS 611 SE 5th St Madras, OR 97741 (541) 475-7188 Josephine Denturist-OP Endorsement River City Denture and Dental 1010A NE 7th St Ste A Grants Pass, OR 97526 (541) 476-7483 Schroeder, Robert D. LD 1010A NE 7th St Ste A Grants Pass, OR 97526 (541) 476-7483 Bright Now Dental 1021 NE 6th St Grants Pass, OR 97526 (541) 479-6696 Capitol Dental Group PC 1201 NE 7th St Ste A Grants Pass, OR 97526 (541) 474-4360 Castle, Kenneth F. DDS 1035 NE 6th St Ste B Grants Pass, OR 97526 (541) 479-6393 Coombs, Caleb V. DMD 1010 NE 7th St Ste A Grants Pass, OR 97526 (541) 476-7483 Dentex PC 1201 NE 7th St Ste D Grants Pass, OR 97526 (541) 479-4228 Erickson, Sten DMD 1035 NE 6th Street Ste B Grants Pass, OR 97528 (541) 479-6393 Lillian, David DDS 1035 NE 6th St Ste B Grants Pass, OR 97526 (541) 479-6393 Mudrow, Kevin R. DDS 1035 NE 6th St Ste B Grants Pass, OR 97526 (541) 479-6393 Sanford, Ross E. DDS 1010 A NE 7th St Grants Pass, OR 97526 (541) 476-7483 Siskiyou Community Health Center 1035 NE 6th Street Ste B Grants Pass, OR 97526 (541) 479-6393 Stirewalt, Charles E. DDS 1021 NE 6th St Grants Pass, OR 97526 (541) 479-6696 Tudor III, Blair J. DMD 1010 NE 7th St Ste A Grants Pass, OR 97526 (541) 476-7483 Uso III, Madrid DDS 1010 A NE 7th St Grants Pass, OR 97526 (541) 476-7483 White, Brandon A. DDS 1021 NE 6th St Grants Pass, OR 97526 (541) 479-6696 Zdun, Terry F. DDS 1201 NE 7th St Ste D Grants Pass, OR 97526 (541) 479-4228 26

Gerd S Taylor Rdh 5550 Upper River Rd Grants Pass, OR 97526 (541) 479-7133 Taylor, Gerd S. RDH LAP 5550 Upper River Rd Grants Pass, OR 97526 (541) 479-7133 Klamath Klamath Tribal Health & Family Services 330 Chiloquin Blvd Chiloquin, OR 97624 (541) 882-1487 Masaitis, Anita M. DMD 330 Chiloquin Blvd Chiloquin, OR 97624 (541) 882-1487 Ngo, Thuc DMD 330 Chilquin Blvd Chiloquin, OR 97624 (541) 882-1487 Spencer, Wendy J. DMD 330 Chiloquin Blvd Chiloquin, OR 97624 (541) 882-1487 Walker, Edward S. DDS 330 Chilquin Blvd Chiloquin, OR 97624 (541) 882-1487 Alex, David M. DMD 330 Chiloquin Blvd Chiloquin, OR 97624 (541) 783-3295 Lane Dental Hygienist w/ special Pediatric Dentist Denturist-OP Endorsement Johnson, Joyce D. LD 1110 18th St Ste 6 Springfield, OR 97477 (541) 726-2633 Murray, Shawn LD 202 E 14th Ave (541) 687-2050 Quigley, Joseph D. LD 74 E 18th Ave Ste 6 (541) 484-5677 Tatos Dental Lab 78278 Hwy 99 S Cottage Grove, OR 97424 (541) 942-1555 Tatos, John LD 78278 Hwy 99 S Cottage Grove, OR 97424 (541) 942-1555 Bagaason, Michael A. DMD 175 W B St Springfield, OR 97477 (541) 746-8295 Bratland, Michael J. DMD 5892 Main St Ste 4 Springfield, OR 97478 (541) 762-0225 Bumstead, H Martin DDS 3467 Hilyard St Ste B Eugene, OR 97405 (541) 687-2343 Dutch Cadaret, Alison T. DDS 498 Harlow Rd Ste 5 Springfield, OR 97477 (541) 746-6239 Cantrell, Carolyn M. DMD 2233 Willamette St Ste B Eugene, OR 97405 (541) 687-2156 Capitol Dental Group PC 1680 Chambers Road Ste 204 Eugene, OR 97402 (541) 345-2042 227 Q Street Springfield, OR 97477 (541) 726-9300 440 Coburg Road Ste 104 (541) 343-1877 895 Country Club Rd Ste C100 (541) 685-7289 Carmichael, Robert A. DDS 401 E 10th Ave Ste 300 (541) 485-3618 Carpenter, Gary E. DMD 401 E 10th Ave Ste 210 (541) 344-3333 Churchill Plaza Dental 2101 Bailey Hill Rd Ste D Eugene, OR 97405 (541) 484-1581 Clark, Tyler D. DMD 27 W 17th Ave (541) 344-0413 Contreras Jr, Sixto DMD 1400 Mill St (541) 344-8302 CrisDental Eugene LLC 2377 Oakmont Way (541) 762-2747 CrisDental Thurston LLC 5892 Main St Ste 4 Springfield, OR 97478 (541) 762-0225 David L Weiss DDS PC 175 W B St Bldg G Springfield, OR 97477 (541) 747-0101 David R Matthews DMD 2201 Willamette St Ste A Eugene, OR 97405 (541) 343-3722 Del Valle, Mercedes R. DDS 388 High St (541) 341-1404 Dose, Stephen J. DMD 1745 W 17th Ave Eugene, OR 97402 (541) 485-6645 Fenton, David S. DDS 4120 Qwest Dr Eugene, OR 97402 (541) 688-7278 Foshay, Jonathan G. DMD 1021 Juniper St Junction City, OR 97448 (541) 998-6252 Gabriel, Richard B. DDS 717 Country Club Rd (541) 687-0754 27

Gauthier, Thomas G. DDS 5892 Main St Ste 4 Springfield, OR 97478 (541) 762-0225 Gissel, Philip C. DDS 366 E 40th Ave Ste 210 Eugene, OR 97405 (541) 484-6974 Hawk, Kenneth A. DMD 1999 Willamette St Eugene, OR 97405 (541) 484-2007 Hickson, Leah M. DDS 2233 Willamette St Ste A Eugene, OR 97405 (541) 686-9545 Huhn, Thomas R. DDS 528 Mill St Springfield, OR 97477 (541) 746-6517 Jenson, Darrel J. DMD 1814 Coburg Rd Ste 2 (541) 342-3398 Kelley, Michael DDS 1400 Mill St (541) 344-8302 Larson, John W. DMD 1290 W Centennial Blvd Ste 1 Springfield, OR 97477 (541) 741-0602 Larson, Robert L. DDS 2377 Oakmont Way (541) 762-2747 5892 Main St Ste 4 Springfield, OR 97478 (541) 762-0225 Laurinat, Larry W. DMD 175 West B Street Ste B1 Springfield, OR 97477 (541) 746-3521 Magnuson, Norman D. DDS 2745 Delta Oaks Dr Eugene, OR 97408 (541) 343-2735 Matthews, David R. DMD 2201 Willamette St Ste A Eugene, OR 97405 (541) 343-3722 McCully, George A. DMD 622 E 22nd Ave Ste B Eugene, OR 97405 (541) 485-1444 McNeil, Mark A. DMD 1021 Juniper St Junction City, OR 97448 (541) 998-2328 Meyer, Philip B. DDS 1400 Mill St (541) 344-8302 OHara, Mark A. DDS 27 W 17th Ave (541) 344-0413 Quest Dental 4120 Quest Dr Eugene, OR 97402 (541) 688-7278 Quest, Henry DMD 4120 Quest Dr Eugene, OR 97402 (541) 688-7278 German Riverbend Dental 498 Harlow Rd Ste 5 Springfield, OR 97477 (541) 746-6239 Rocheld, Jack R. DDS 4750 Village Plaza Loop Ste 200 (541) 683-8646 Smith, Steven E. DMD 911 Country Club Rd Ste 222 (541) 342-2477 Smith, Stevenson S. DMD 911 Country Club Rd Ste 222 (541) 342-2477 Thatcher, Edward M. DMD 132 E Broadway Ste 629 (541) 686-8326 Thomas R Huhn DDS PC 528 Mill St Springfield, OR 97477 (541) 746-6517 Townsend, Donald D. DMD 2101 Bailey Hill Rd Ste D Eugene, OR 97405 (541) 484-1581 Weiss, David L. DDS 175 W B St Bldg G Springfield, OR 97477 (541) 747-0101 White Bird Dental Clinic 1400 Mill St (541) 344-8302 Dental Hygienist w/ special Budd, Jodi A. DDS 4001 Wagner St Eugene, OR 97402 (541) 913-6145 Community Health Centers of Lane County 2073 Olympic St Springfield, OR 97477 (541) 682-3550 Corliss, Marquita S. RDH 2073 Olympic St Springfield, OR 97477 (541) 682-3550 Dental Hygiene Care LLC 3667 Mahlon Ave (541) 953-5694 Gentle Care LLC 729 Aspen St Springfield, OR 97477 (541) 510-6083 Nakamura, Roselee K. LAP 3667 Mahlon Ave (541) 953-5694 Personal Dental Hygiene Cares 4001 Wagner St Eugene, OR 97402 (541) 913-6145 Stewart, Rene LAP 729 Aspen St Springfield, OR 97477 (541) 510-6083 Pediatric Dentist Barta, James E. DDS 2215 Willamette St Ste A Eugene, OR 97405 (541) 345-4076 28

Dentistry For Children NW LLC 2215 Willamette St Ste A Eugene, OR 97405 (541) 345-4076 Dunne, Dennis M. DDS 2650 Suzanne Way Ste 150 Eugene, OR 97408 (541) 485-0175 Stapleton, Mark F. DMD MSD 498 Harlow Rd Ste 4 Springfield, OR 97477 (541) 736-5525 Vaikuntam, Jay DDS 1045 Willagillespie Rd Ste 100 (541) 686-2446 Lemhi Martsch, William F. DDS 100 Courthouse Dr Salmon, ID 83467 (208) 756-1002 Two Rivers Dental PLLC 100 Courthouse Dr Ste D Salmon, ID 83467 (208) 756-1002 Lincoln Capitol Dental Group PC 2825 W Devils Lake Rd Lincoln City, OR 97367 (541) 994-3033 Linn Denturist-OP Endorsement Elvin Jr, Jack R. LD 726 Geary St SE Albany, OR 97321 (541) 928-1955 Albany Boys & Girls Club 1215 Hill St SE Albany, OR 97322 (541) 926-6666 Asai, Rickland G. DMD 1215 Hill St SE Albany, OR 97322 (541) 926-6666 Austin, Bruce W. DMD 1215 Hill St SE Albany, OR 97322 (541) 926-6666 Capitol Dental Group PC 1180 Park St Lebanon, OR 97355 (541) 451-5477 165 Main St Lebanon, OR 97355 (541) 451-3394 2815 SW Willetta St Ste A1 Albany, OR 97321 (541) 924-1086 717 SE Geary St Ste 102 Albany, OR 97321 (541) 928-1635 810 Walnut Street SW Albany, OR 97321 (541) 918-4824 Glenn, Kirt M. DMD 403 Main Street Brownsville, OR 97327 (541) 466-5171 Korean Goger, Michael DMD 1215 Hill St SE Albany, OR 97322 (541) 926-6666 Johnson, Douglas M. DMD 38829 N Main St Scio, OR 97374 (503) 394-3345 Peterson, Janet P. DMD 1215 Hill St SE Albany, OR 97322 (541) 926-6666 Peticolas, Cynthia M. DMD 548 S 1st St Mill City, OR 97360 (503) 897-2353 Slack, Molly DDS 1200 W Oak St Lebanon, OR 97355 (541) 258-7884 Vaikuntam, Jay DDS 1215 Hill St SE Albany, OR 97322 (541) 926-6666 Xu-Wong, Susan X. DDS 726 Geary St SE Albany, OR 97321 (541) 928-9990 Malheur Custom Smiles 188 East Ln Ste 3 Ontario, OR 97914 (541) 881-3912 Denturist-OP Endorsement Tatlock, Kevin M. LD 473 SW 12th St Ontario, OR 97914 (541) 889-3282 Van Giffen, Heidi M. 188 E Lane Ste 3 Ontario, OR 97914 (541) 881-3912 Atkinson, Jacob L. DMD 130 Court St S Vale, OR 97918 (541) 473-9166 475 SW 12th St Ontario, OR 97914 (541) 881-8700 Benjamin T Peterson DDS PC 271 SW 13th St Ontario, OR 97914 (541) 889-9407 Dahle, Eric N. DMD 475 SW 12th St Ontario, OR 97914 (541) 881-8700 478 SW 12th St Ontario, OR 97914 (541) 881-1794 Dunker, Steven D. DDS 387 SW 4th Ave Ontario, OR 97914 (541) 881-1124 Eastern Oregon Dental Clinic LLC 475 SW 12th St Ontario, OR 97914 (541) 881-8700 Hansill, Marni L. DMD 2327 SW 4th Ave Ontario, OR 97914 (541) 889-0052 Harper, Michael S. DDS 17 N 6th St Nyssa, OR 97913 (541) 372-2606 84 NW 2nd St Ontario, OR 97914 (541) 889-0052 29

Lake, Deborah S. DDS 286 SW 4th St Ontario, OR 97914 (541) 889-7050 Lake, John F. DDS 286 SW 4th St Ontario, OR 97914 (541) 889-7050 Munk Family Dental 310 Bower Ave Nyssa, OR 97913 (541) 372-3950 Munk, Ruston R. DMD 310 Bower Ave Nyssa, OR 97913 (541) 372-3950 Chinese Peterson, Benjamin T. DDS 271 SW 13th St Ontario, OR 97914 (541) 889-9407 Rath, Rebecca A. DMD 2327 SW 4th Ave Ontario, OR 97914 (541) 889-0052 Thuernagle, Andrew DDS 475 SW 12th St Ontario, OR 97914 (541) 881-8700 Tipton, Rhett M. DMD 271 SW 13th St Ontario, OR 97914 (541) 889-7017 Valley Family Health Care 17 N 6th St Nyssa, OR 97913 (541) 372-2606 2327 SW 4th Ave Ontario, OR 97914 (541) 889-0052 Wettstein, Jay B. DMD 475 SW 12th St Ontario, OR 97914 (541) 881-8700 478 SW 12th St Ontario, OR 97914 (541) 889-6666 Marion Denturist-OP Endorsement Busey, John C. LD 758 Hawthorne Ave NE Salem, OR 97301 (503) 364-8265 Hammar, Joseph M. LD 4908 River Rd N Keizer, OR 97303 (503) 393-0734 Keizer Denture Center 4908 River Rd N Keizer, OR 97303 (503) 393-0734 Adams, Kinley K. DMD 876 Welcome Way SE (503) 363-0031 Amico Jr, Gaetano A. DMD 1940 Turner Rd SE Salem, OR 97301 (503) 585-7888 Anderson, Gerald E. DMD 3975 River Rd N Ste 5 Keizer, OR 97303 (503) 393-9106 Braxmeyer, Nathan C. DMD 303 N First Street Silverton, OR 97381 (503) 873-8614 BrightSmile Family Dental 120 Mize Rd SE (503) 364-7776 Burns, Timothy W. DDS 521 N 1st Ave Stayton, OR 97383 (503) 769-9699 Capitol Dental Group PC 1160 Liberty St SE (503) 363-3311 1251 Lancaster Drive NE Ste A Salem, OR 97301 (503) 391-2219 1880 Lancaster Dr NE Ste 104 Salem, OR 97301 (503) 587-9949 1880 Lancaster Dr Ste 109 Salem, OR 97305 (503) 375-9282 408 Lancaster Dr NE Salem, OR 97301 (503) 362-3032 410 A Lancaster Drive NE Salem, OR 97301 (503) 581-0438 Carter, Alan G. DMD 106 McClaine St Silverton, OR 97381 (503) 873-8335 French Catipon Calvo, Maureen DDS 1175 Mount Hood Ave Woodburn, OR 97071 (503) 982-2010 Chamberlain, Holly A. DDS 858 Commercial St NE Salem, OR 97301 (503) 363-8625 Chase, Matthew B. DMD 303 N 1st St Silverton, OR 97381 (503) 873-8614 Chen, Yanwen DMD 120 Mize Rd SE (503) 364-7776 979-F Young St Woodburn, OR 97071 (503) 980-9999 Cirac, Cody E. DDS 3385 Center St NE Salem, OR 97301 (503) 585-2030 Clean Smile 1940 Turner Rd SE Salem, OR 97301 (503) 585-7888 Deming, Steven M. DDS 3385 Center St NE Salem, OR 97301 (503) 585-2030 3545 Lancaster Dr Salem, OR 97305 (503) 371-9897 Dental West Associates PC 2245 Mission St SE Ste 100 (503) 362-6260 Dick, Wallace H. DDS 597 Dearborn Ave N Keizer, OR 97303 (503) 393-3233 30

Duffin, Steven R. DDS 5885 Shoreview Ln N Keizer, OR 97303 (503) 393-5133 Ellison, Craig M. DDS 306 E Main St Silverton, OR 97381 (503) 873-6118 Farrell, Katherine J. DMD 3489 3rd St Ste D Hubbard, OR 97032 (503) 982-7777 Frankel, Jennifer B. DMD 5885 Shoreview Ln N Keizer, OR 97303 (503) 393-5133 Glanville, Irene DMD 3460 Liberty Rd S (503) 371-2424 German Goh, Jia Lin DMD 5885 Shoreview Ln N Keizer, OR 97303 (503) 393-5133 Gries, Jeffrey J. DMD 231 NW Starr St Sublimity, OR 97385 (503) 769-5611 Gutierrez, Marco A. DDS 5885 Shoreview Ln N Keizer, OR 97303 (503) 393-5133 Healthy Smiles Family Dental 2601 25th St SE Ste 400 (503) 980-7848 Hubbard Family & Cosmetic Dentistry 3489 3rd St Ste D Hubbard, OR 97032 (503) 982-7777 Hunsaker, Travis J. DDS 1595 Commercial St SE (503) 363-2536 180 Main St Aumsville, OR 97325 (503) 448-2555 Iwahiro, Marc T. DMD 4600 River Rd N Keizer, OR 97303 (503) 393-2264 Kakishita, Lisa M. DMD 5885 Shoreview Ln N Keizer, OR 97303 (503) 393-5133 Kim, Michael Y. DDS 410 Oak St Silverton, OR 97381 (503) 873-3530 Korean Kinley K Adams DMD 876 Welcome Way SE (503) 363-0031 Lee, Robert A. DDS 1655 Liberty St SE (503) 585-2440 Li, Biao DDS 120 Mize Rd SE (503) 364-7776 979-F Young St Woodburn, OR 97071 (503) 980-9999 Liberty Dental Care PC 1655 Liberty St SE (503) 585-2440 Lunt, Ray E. DDS 1805 E Nob Hill St SE (503) 364-9515 Mann, Philip C. DDS 140 Ramsgate Square S Ste 120 (503) 363-1661 Mcfee, Travis L. DDS 1251 Lancaster Dr NE Ste B Salem, OR 97301 (503) 587-9633 Mid-Valley Dental Associates LLC 3385 Center Street NE Salem, OR 97301 (503) 585-2030 Mid-Valley Dental Associates LLC - Salem 3545 Lancaster Dr NE Salem, OR 97330 (503) 371-9897 Mill Creek Dental Inc 521 N 1st Ave Stayton, OR 97383 (503) 769-9699 Mullenbach, Mark DMD 1175 Mt Hood Ave Woodburn, OR 97071 (503) 982-2010 Muth, Edward A. DMD 315 Oxford St SE (503) 362-3723 Muth-Larson, Megan L. DMD 315 Oxford St SE (503) 362-3723 Ohara, Thalia Y. DDS 5825 Shore View Ln N Ste C Keizer, OR 97303 (503) 375-2206 Payne, William D. DMD 810 Liberty St NE Salem, OR 97301 (503) 364-9222 Pioch, Raleigh S. DDS 2245 Mission St SE Ste 100 (503) 362-6260 Ramillosa, R Anthony DDS 128 Friendship Ave SE (503) 364-7812 5825 Shore View Ln N Ste C Keizer, OR 97303 (503) 375-2206 Reavely, Amanda L. DDS 2245 Mission St SE Ste 100/200 (503) 362-6260 French Reisig, Sean A. DDS 128 Friendship Ave SE (503) 581-9552 Rogers, Mark A. DMD 1678 Liberty St SE Ste 101 (503) 362-1515 German Rollins, Abigail DMD 1524 Commercial St SE (503) 362-8364 Rose, Stephanie C. DMD 3460 Liberty Rd S (503) 371-2424 31

Sadakah, Danny A. DMD 980 N Cascade Dr Woodburn, OR 97071 (503) 981-6133 Salem Heights Dental 120 Mize Rd SE (503) 364-7776 Shoreview Dental LLC 5885 Shoreview Ln N Keizer, OR 97303 (503) 393-5133 Silverton Family Dentistry 303 N First Street Silverton, OR 97381 (503) 873-8614 SmileCare of Oregon 5825 Shore View Ln N Ste C Keizer, OR 97303 (503) 375-2206 Smith, Cory M. DMD 505 N 2nd Ave Stayton, OR 97383 (503) 769-3366 Smith, Kristen M. DMD 876 Welcome Way SE (503) 363-0031 Soft Touch Dentistry of Woodburn 980 N Cascade Dr Woodburn, OR 97071 (503) 981-6133 Stensvad, Aaron B. DMD 3460 Liberty Rd S (503) 371-2424 Stones, Marcus G. DMD 424 Lancaster Dr NE Salem, OR 97301 (503) 581-9026 Sublimity Dental 231 NW Starr St Sublimity, OR 97385 (503) 769-5611 Tidwell, Brian D. DDS 3545 Lancaster Dr Salem, OR 97305 (503) 371-9897 Willis, David G. DMD 1261 Lancaster Dr NE Salem, OR 97301 (503) 364-3004 Winstead, Nadia A. DMD 1590 Liberty St SE (503) 399-7718 Wipf, Lisa B. DMD 3389 Center St NE Salem, OR 97301 (503) 364-7275 Woodburn BrightSmile Dental 979-F Young St Woodburn, OR 97071 (503) 980-9999 Woodburn Cosmetic & Family Dentistry PC 1018 N Boones Ferry Rd Woodburn, OR 97071 (503) 981-1841 Xu, Na DDS 2601 25th St SE Ste 400 (503) 980-7848 Chinese YVFWC Salud Dental Center 1175 Mt Hood Ave Woodburn, OR 97071 (503) 982-2010 Zemanek, Charles R. DMD 365 Washington St SE (503) 378-1984 Pediatric Dentist Cooper, Sean A. DDS 1105 12th St SE (503) 363-5865 Martin, J Chris DMD 1625 Commercial St SE (503) 585-8420 Ray, Tricia A. DMD 140 Ramsgate Sq S Ste 120 (503) 363-1661 Richey, Krista A. DDS 1105 12th St SE (503) 363-5865 Spinnaker Pediatric Dentistry PC 1105 12th St SE (503) 363-5865 Multnomah Denturist-OP Endorsement All City Denture Clinic PC 12661 SE Powell Blvd Portland, OR 97236 (503) 760-8409 Block, Melanie J. LD 200 NE 20th Ave Ste 100 Portland, OR 97232 (503) 230-0207 Cooper Sr, Edward J. LD 4645 SE 85th Ave (503) 775-3797 Corbett Denture Service 2410 N Lombard St Portland, OR 97217 (503) 283-5026 Corbett, Steven G. LD 2410 N Lombard St Portland, OR 97217 (503) 283-5026 Hoard, Harold R. LD 1238 SE 122nd Ave (503) 256-8584 Lorenzen, Donald M. LD 8530 N Ivanhoe St Portland, OR 97203 (503) 289-4541 Moga, Jana LD 3501 SE Milwaukie Ave Portland, OR 97202 (503) 238-1359 Oh, Esther C. LD 10396 SE 82nd Ave (503) 771-0840 Ollenbrook, William J. LD 3131 SE 122nd Ave Portland, OR 97236 (503) 761-1575 Peterson, Walter J. LD 12661 SE Powell Blvd Portland, OR 97236 (503) 760-8409 Suk, Eui Y. LD 9234 NE Glisan St Portland, OR 97220 (503) 254-4823 32

Agee, Travis L. DMD 3580 SE 82nd Ave (503) 777-0761 Ammon, Leigh E. DMD 12596 SE Stark St Plz 125 Bl N (503) 252-9657 Apex Dental 1307 NE 102nd Ave Ste F Portland, OR 97220 (503) 256-9224 Azizi, Rohina ND DMD 2350 SW Multnomah Blvd Portland, OR 97219 (503) 244-2432 Baumgartner, Marie DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Betrous, Osama DMD 11030 SE Holgate (503) 760-7983 Arabic Bird, Russell A. DMD 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Blankenship, Jess W. DDS 3506 N Lombard St Portland, OR 97217 (503) 289-0230 Bletscher, Timothy P. DMD 5440 SW Westgate Dr Ste 215 Portland, OR 97221 (503) 297-3756 Bohnstedt, Stanley W. DMD 15012 SE Stark St (503) 255-9339 Bollermann, Tasha M. DMD 833 SW 11th Ave Ste 600 Portland, OR 97205 (503) 223-0570 Bourg, Matthew E. DMD 17236 SE Stark St (503) 254-1260 Brant, George A. DMD 5553 NE Glisan St Ste 200 (503) 232-2228 Bright Now Dental 3580 SE 82nd Ave (503) 777-0761 Canfield, Dale E. DMD 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Capitol Dental Group PC 13908 SE Stark Street Ste E (971) 242-4354 Castle, Randy A. DMD 10354 NE Wasco St Portland, OR 97220 (503) 254-5551 Catuna, Adrian DMD 12596 SE Stark St Plaza 125 Bldg N (503) 252-9657 Chang, Lloyd S. DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Chang, May M. DDS 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Chau, Man V. DMD 4301 NE Tillamook St (503) 331-1322 Chen, Yanwen DMD 12801 SE Foster Rd Portland, OR 97236 (503) 760-1334 Chung, Esther J. DDS 4410 SE 82nd Ave Unit 2050 (503) 771-0081 Clark, Tyler D. DMD 4410 SE 82nd Ave Ste 2050 (503) 771-0081 Colasurdo, John G. DMD 833 SW 11th Ave Ste 723 Portland, OR 97205 (503) 223-7661 Cole, Rachel C. DDS 1320 SW 2nd Avenue Portland, OR 97201 (503) 224-0133 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Conklin, Derek W. DMD 3740 SE 122nd Ave Portland, OR 97236 (503) 762-2525 Cutler, Beverlee K. DMD 833 SW 11th Ave Ste 1010 Portland, OR 97205 (503) 227-5212 Dewey, Julie Y. DDS 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Dimick, Roger D. DDS 8407 N Lombard St Portland, OR 97203 (503) 286-3669 Dontsova, Olga DDS 11050 SE Powell Blvd Ste 378 (503) 788-0405 Doty, Keith DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Dowsett, David J. DMD 11765 NE Glisan St Portland, OR 97220 (503) 253-1262 Dustin, Nathan G. DMD 5071 NE 122nd Ave Portland, OR 97230 (503) 255-5700 Duvalko, Natalia DDS 1244 SE 122nd Ave (503) 252-8338 Eastport Plaza Dental PC 4410 SE 82nd Ave Ste 2050 (503) 771-0081 Edwards, James R. DDS 1832 N Lombard St Portland, OR 97217 (503) 289-9675 French Egger, Jeffery J. DMD 2111 Northeast Halsey Portland, OR 97232 (503) 284-2893 33

El Youssef, Anthony M. DMD 3740 SE 122nd Ave Portland, OR 97236 (503) 762-2525 Elliott, Timothy J. DMD 202 NE 181st Ave Ste A Portland, OR 97230 (503) 661-6111 Emergency Tooth Doctor East PC 12596 SE Stark St Plz 125 Bl N (503) 252-9657 Ferre, Kurt DDS 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Fife, Chad J. DDS 8401 NE Halsey St Ste 102 Portland, OR 97220 (503) 234-9911 Fischer, Mary E. DMD 7301 N Alta Ave Portland, OR 97203 (503) 286-0023 Franz, Larry R. DMD 12135 SE Foster Rd (503) 760-7610 Fredrickson, Knute A. DMD 7600 SE Division St Portland, OR 97206 (503) 774-3033 Friends of Creston Childrens Dental Clinic 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Fu, Judy S. DMD 12596 SE Stark St Plz 125 Bl N (503) 252-9657 Gateway Dental Clinic 10305 NE Halsey St Portland, OR 97220 (503) 252-0048 Genzer, Gary L. DMD 5720 SE Foster Rd Portland, OR 97206 (503) 774-5037 Gitelson, Lisa M. DMD 3580 SE 82nd Ave (503) 777-0761 Glisan Dental Corporation 7990 NE Glisan St (503) 208-2220 Green Apple Dental 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Gvozden, Jovan DDS 12661 SE Powell Blvd Ste C Portland, OR 97236 (503) 761-1900 Gyapong, Fay A. DMD 833 SW 11th Ave Ste 1015 Portland, OR 97205 (503) 224-4688 Hahn, Kai-Uwe H. DMD 12596 SE Stark St Plz 125 Bl N (503) 252-9657 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Halvorsen, Frank J. DMD 2105 NE 42nd Ave (503) 282-0981 Hansen, Scott S. DMD 501 NE Hood Ave Ste 333 Gresham, OR 97030 (503) 661-2600 Hazim Dental Clinic 12661 SE Powell Blvd Ste E Portland, OR 97236 (503) 761-1120 Hazim, Ziad A. DDS 12661 SE Powell Blvd Ste E Portland, OR 97236 (503) 761-1120 Arabic Hilman, Howard DMD 1240 SE 122nd Ave (503) 262-6721 Ho, Adam DDS 1307 NE 102nd Ave Ste F Portland, OR 97220 (503) 256-9224 Hoang, Kim Lien T. DMD 4701 SE Bush St Portland, OR 97206 (503) 916-5808 7405 SW Barbur Blvd Ste 200 Portland, OR 97219 (503) 246-3034 Holland, John W. DDS 1717 NE 42nd Ave Ste 3100 (503) 281-8551 Hollywood Dental Clinic 4301 NE Tillamook St (503) 331-1322 Hongo, Gary S. DMD 9732 SE Washington St Ste H Portland, OR 97216 (503) 255-8996 Hunter, Lemond C. DMD 1320 SW 2nd Avenue Portland, OR 97201 (503) 224-0133 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Huynh, Vinh T. DMD 441 SE 82nd Ave Ste 2050 (503) 771-0081 Hval, Scott R. DMD 6736 SE Powell Blvd Portland, OR 97206 (503) 771-3828 Johnson, Robert DMD 214 N Russell St Portland, OR 97227 (503) 494-6822 Jonathan V Roxas DDS 6227 SE Powell Blvd Portland, OR 97206 (503) 777-1332 Jones, Robert W. DDS 1700 NW Civic Dr Ste 320 Gresham, OR 97030 (503) 666-5200 Juson, Natalya A. DMD 11619 NE Glisan St Portland, OR 97220 (503) 255-9733 Kalluri, Aarati DDS 12801 SE Foster Rd Portland, OR 97236 (503) 760-1334 4410 SE 82nd Ave Ste 2050 (503) 771-0081 Kang, George H. DDS 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 34

Kazemzadeh, Shahram DDS 829 SE 182nd Ave Ste 100 (503) 674-9900 Kennedy, Cristina DMD 501 NE Hood Ave Ste 235 Gresham, OR 97030 (503) 661-4900 Kennedy, Gerald L. DMD 3506 N Lombard St Portland, OR 97217 (503) 289-0230 Khlevnoy, Victor DDS 11050 SE Powell Blvd Ste 378 (503) 788-0405 Khuong, Lich V. DDS 7836 NE Sandy Blvd (503) 288-3107 Knecht, Anna M. DMD 5308 SE 52nd Ave Portland, OR 97206 (503) 775-4000 Kooning, Christopher D. DMD 3580 SE 82nd Ave (503) 777-0761 Le, Anh T. DMD 12596 SE Stark St Plz 125 Bl N (503) 252-9657 7836 NE Sandy Blvd (503) 288-3107 Lee, Deanna L. DMD 3580 SE 82nd Ave (503) 777-0761 Lee, Jai G. DDS 4410 SE 82nd Ave Ste 2050 (503) 771-0081 Legacy Dental Care PC 12720 SE Stark St (503) 252-6133 Liu, Christine S. DMD 909 N Tomahawk Island Ste 105 Portland, OR 97217 (503) 289-1215 Chinese Liu, I-Yin L. DMD 909 N Tomahawk Island Ste 105 Portland, OR 97217 (503) 289-1215 Chinese Lu, J Jenny DDS 12801 SE Foster Rd Portland, OR 97236 (503) 760-1334 Chinese Luong, Nicole N. DDS 12720 SE Stark St (503) 252-6133 Marks, Aaron F. DMD 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Masuoka, Connie L. DMD 6305 E Burnside St Portland, OR 97215 (503) 236-8623 Matz, Douglas K. DMD 10011 SE Division St Ste 309 (503) 253-9418 Matzelle, Eric DMD 1320 SW 2nd Avenue Portland, OR 97201 (503) 224-0133 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Mercer, Richard D. DMD 700 NE Multnomah St Ste 830 Portland, OR 97232 (503) 238-0880 Midland Family Dentistry 1244 SE 122nd Ave (503) 252-8338 Miller, Steven M. DMD 2111 NE 40th Ave Portland, OR 97212 (503) 284-2139 Mohr, Kelly M. DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Monnes, Randall J. DMD 810 N Main Ave Gresham, OR 97030 (503) 665-8283 Mori, Wayne H. DMD 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Morita, Peter W. DMD 611 SW Campus Dr Portland, OR 97239 (503) 494-4316 Morrell Jr, Gerald T. DMD 5835 NE Alameda St (503) 282-5327 Mountainside Family Dentistry LLC 3740 SE 122nd Ave Portland, OR 97236 (503) 762-2525 Mutschler, Fariba R. DDS 13908 SE Stark St Ste C (503) 254-5535 NW Ability Inc 1240 SE 122nd Ave (503) 262-6721 Ng, Ernest DMD 2556 NE 56th Ave (503) 284-8882 Nguyen, Bruce L. DMD 12596 SE Stark St Plaza 125 Bldg N (503) 252-9657 Nguyen, Loi T. DMD 12596 SE Stark St Plz 125 Bl N (503) 252-9657 7346 NE Sandy Blvd Ste A (503) 287-7899 7836 NE Sandy Blvd (503) 288-3107 Nguyen, Megan DDS 4301 NE Tillamook St (503) 331-1322 Nguyen, Vinh C. DMD 1102 NE 82nd Ave Portland, OR 97220 (503) 408-8927 Northeast Family Dental 1904 NE 45th Ave (503) 281-0866 35

OHSU / Oral & Maxillofacial Surgery 3181 SW Sam Jackson Pk Rd Portland, OR 97239 (503) 494-8417 707 SW Gaines St Portland, OR 97239 (503) 494-8417 OHSU School of Dentistry 611 SW Campus Drive Portland, OR 97239 (503) 494-8867 OLoughlin, Cindy DDS 3580 SE 82nd Ave (503) 777-0761 443 NW Burnside Rd Gresham, OR 97030 (503) 492-8487 Osmunson, Willard E. DDS 3580 SE 82nd Ave (503) 777-0761 Otteson, Randy E. DMD 5312 SE 52nd Ave Portland, OR 97206 (503) 775-7117 Over, Thomas D. DMD 2721 NE 57th Ave (503) 282-0926 Pacific Dental Care PC 1102 NE 82nd Ave Portland, OR 97220 (503) 408-8927 Pacific Dental Group 5707 N Interstate Ave Portland, OR 97217 (503) 286-3200 Pang, Danielle DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Park, Grace E. DMD 1024 SW Highland Dr Gresham, OR 97080 (503) 492-7798 Korean Parkrose Family Dentistry 3620 NE 122nd Ave Portland, OR 97230 (503) 254-5575 Patel, Mukesh R. DDS 12801 SE Foster Rd Portland, OR 97236 (503) 760-1334 Peters, Keith D. DMD 5440 SW Westgate Dr Ste 215 Portland, OR 97221 (503) 297-3756 Pham, Bao V. DMD 1102 NE 82nd Ave Portland, OR 97220 (503) 408-8928 Pham, Diep N. DDS 4410 SE 82nd Ave Unit 2050 (503) 771-0081 Pham, Thomas T. DMD 12596 SE Stark St Plaza 125 Bldg N (503) 252-9657 Phan, Andrew K. DMD 6919 SE 82nd Ave Suite 103 (503) 774-3546 Pirayesh, Farzad DMD 7836 NE Sandy Blvd (503) 288-3107 Portland Dental Center 4301 NE Tillamook St (503) 331-1322 Powell Family Dental PC 11050 SE Powell Blvd Ste 378 (503) 788-0405 Project Dental Health/Russell Street Dental Clinic 214 N Russell St Portland, OR 97227 (503) 494-6822 Providence Child Center 830 NE 47th Ave (503) 215-1056 Rawley, Angie DDS 4410 SE 82nd Ave Ste 2050 (503) 771-0081 Reichlein, Vicki J. DMD 2039 NE Burnside Rd Gresham, OR 97030 (503) 669-7502 Rim, Charles J. DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Rivers, Jazmin DMD 214 N Russell St Portland, OR 97227 (503) 494-6822 Robertson, Renee M. DMD 12596 SE Stark St Plz 125 Bl N (503) 252-9657 Roseway Family Dental 7346 NE Sandy Blvd Ste A (503) 287-7899 Rostamian, Mojgan DMD 2350 SW Multnomah Blvd Ste I Portland, OR 97219 (503) 246-8011 Rubel, Jennifer DMD 830 NE 47th Ave (503) 215-1056 Rust, Brian T. DMD 3740 SE 122nd Ave Portland, OR 97236 (503) 762-2525 Rust, Cristina L. DMD 12596 SE Stark St (503) 252-9657 Sadakah, Danny A. DMD 1388 E Powell Blvd Gresham, OR 97030 (503) 465-0005 1727 NE 13th Ave Portland, OR 97212 (503) 249-1100 Sapp, Megan R. DDS 214 N Russell St Portland, OR 97227 (503) 494-6822 Schmid, Steven R. DDS 2150 NE 82nd Ave Portland, OR 97220 (503) 254-0888 Shahgaldi, Azita DMD 214 N Russell St Portland, OR 97227 (503) 494-6822 Shaw, John P. DMD 7717 SW 34th Ave Portland, OR 97219 (503) 246-2564 Sinha, Mindy N. DDS 1238 SE 122nd Ave (503) 255-6815 Sinha, Ravi S. DDS 1238 SE 122nd Ave (503) 255-6815 Hindi 36

Soft Touch Dentistry 1388 E Powell Blvd Gresham, OR 97030 (503) 465-0005 Soft Touch Dentistry of Portland 1727 NE 13th Ave Portland, OR 97212 (503) 249-1100 Sohler, Rachelle E. DDS 202 NE 181st Ave Ste A Portland, OR 97230 (503) 661-6111 Solutions for Smiles 1238 SE 122nd Ave (503) 255-6815 Southeast Dental PC 11030 SE Holgate (503) 760-7983 Southworth, Robert W. DMD 1822 NE 33rd Ave Portland, OR 97212 (503) 249-0770 St Johns Dental Arts PC 8407 N Lombard St Portland, OR 97203 (503) 286-3669 St Johns Family Dental 7301 N Alta Ave Portland, OR 97203 (503) 286-0023 Stirewalt, Charles E. DDS 3580 SE 82nd Ave (503) 777-0761 TLC Dentistry 6919 SE 82nd Ave Suite 103 (503) 774-3546 Tanada, Timothy N. DMD 12596 SE Stark St Plaza 125 Bldg N (503) 252-9657 Terwilliger Dental 7405 SW Barbur Blvd Ste 200 Portland, OR 97219 (503) 246-3034 Thames, Kyle A. DMD 4410 SE 82nd Ave Ste 2050 (503) 771-0081 Thompson, Dan E. DMD 8407 N Lombard St Portland, OR 97203 (503) 286-3669 Thompson, Robert W. DMD 8064 SE Harold St Portland, OR 97206 (503) 771-5444 German 8407 N Lombard St Portland, OR 97203 (503) 286-3669 German Tieu, Thomas T. DMD 3620 NE 122nd Ave Portland, OR 97230 (503) 254-5575 Timothy J Elliott 202 NE 181st Ave Ste A Portland, OR 97230 (503) 661-6111 Ton, Truc T. DMD 4410 SE 82nd Ave Unit 2050 (503) 771-0081 Tran, John T. DMD 4301 NE Tillamook St (503) 331-1322 Tran, Joseph S. DMD 3838 SE Franklin St Portland, OR 97202 (503) 235-5113 Tran, Lan P. DMD 7346 NE Sandy Blvd Ste A (503) 287-7899 Tran, To-Loan T. DMD 1102 NE 82nd Ave Portland, OR 97220 (503) 408-8928 Trotman, Ronald J. DMD 10424 NE Wasco St Portland, OR 97220 (503) 256-2347 Vu, Han DDS 7836 NE Sandy Blvd (503) 288-3107 Vuong, Christine N. DDS 1102 NE 82nd Ave Portland, OR 97220 (503) 408-8928 White, Gary A. DMD 4701 SE Bush St Portland, OR 97206 (503) 916-5808 Wilson, D Richard DDS 5835 NE Alameda St (503) 281-5076 Worthington, John H. DDS 1904 NE 45th Avenue (503) 281-0866 Yaremko, Michael DMD 2517 SE 179th Ave Portland, OR 97236 (503) 761-4001 Young, Franklin DMD 5707 N Interstate Ave Portland, OR 97217 (503) 286-3200 Dental Hygienist w/ special Brawand, Cindy L. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 295-1201 Burt, Zina A. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 512-5400 Diepenbroek, Astrid F. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 295-1201 Grubbs, Heidi J. DDS 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 512-5400 Hall, Karen M. DDS 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 295-1201 Kelly, Laurie L. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 310-9485 6125 SW Boundary St Portland, OR 97221 (503) 310-9485 Lewis, Erica M. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 512-5400 Nelson, Sandra C. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 295-1201 37

Ramirez-Rodriguez, Wilber RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 512-5400 Rodich, Lalit K. RDH 4707 SW Kelly Ave Ste 205 Portland, OR 97239 (503) 512-5400 Vienot, Alynn J. RDH LAP 19029 S Beavercreek Rd Portland, OR 97204 (503) 941-3064 Pediatric Dentist Beltzner, Andrea N. DMD 2811 NE Wasco Portland, OR 97232 (503) 284-5678 831 NW Council Dr Suite 210 Gresham, OR 97030 (503) 761-2243 Biermann, Michael E. DMD 5900 N Lombard St Portland, OR 97203 (503) 285-0229 Bourdette, Jacqueline DMD 2350 SW Multnomah Blvd Ste J Portland, OR 97219 (503) 244-9073 Boydston, Angela D. DMD 2811 NE Wasco Portland, OR 97232 (503) 284-5678 831 NW Council Dr Suite 210 Gresham, OR 97030 (503) 761-2243 Gagneja, Monisha DDS 830 NE 47th Ave (503) 215-1060 Hindi Kennard, Monica DDS 13908 SE Stark St Ste C (503) 254-5535 830 NE 47th Ave (503) 215-1056 831 NW Council Dr Suite 210 Gresham, OR 97030 (503) 761-2243 Larsen, Jerrold L. DMD 831 NW Council Dr Suite 210 Gresham, OR 97030 (503) 761-2243 Larsen, Noel V. DMD 2811 NE Wasco Portland, OR 97232 (503) 284-5678 831 NW Council Dr Suite 210 Gresham, OR 97030 (503) 761-2243 Lax, Peter DMD 830 NE 47th Ave (503) 215-1056 Lee, Jiyoung E. DMD 2150 NE Division St Ste 201 Gresham, OR 97030 (503) 666-9436 Milot, Jennifer DDS 1401 SE Morrison Ste 120 Portland, OR 97214 (503) 477-9911 Park, Douglas L. DDS 1201 SE 223rd Ave Ste 240 Gresham, OR 97030 (503) 666-9800 Pediatric Dentistry PC 2811 NE Wasco Portland, OR 97232 (503) 284-5678 831 NW Council Dr Suite 210 Gresham, OR 97030 (503) 761-2243 Royse, Michael C. DMD 511 SW 10th Ave Ste 810 Portland, OR 97205 (503) 223-3910 Payette Valley Family Health Care 1441 NE 10th Ave Payette, ID 83661 Polk Denturist-OP Endorsement Zimmerman, Corey D. LD 322 Main Ste 110 Dallas, OR 97338 (503) 623-8846 Blaumer, William J. DMD 1355 Edgewater St NW Salem, OR 97304 (503) 588-6960 CrisDental Salem LLC 1355 Edgewater St NW Salem, OR 97304 (503) 588-6960 Davis Jr, Thomas L. DMD 410 E Ellendale Ave Ste 2 Dallas, OR 97338 (503) 623-2653 Euzent, Michelle N. DDS 190 Kingwood Ave NW Salem, OR 97304 (503) 315-0712 Morrill, Weston K. DMD 289 E Ellendale Ave Ste 201 Dallas, OR 97338 (503) 623-6616 Northwest Human Services Inc 190 Kingwood Ave NW Salem, OR 97304 (503) 315-0712 Porter, William A. DMD 1355 Edgewater St NW Salem, OR 97304 (503) 588-6960 Soriano, Gregory T. DMD 190 Kingwood Ave NW Salem, OR 97304 (503) 315-0712 Toy, Angela J. DDS 1355 Edgewater St NW Salem, OR 97304 (503) 588-6960 Worthington, John H. DDS 190 Kingwood Ave NW Salem, OR 97304 (503) 315-0712 Tillamook Gilbert, Delon K. DDS 278 Rowe St Wheeler, OR 97147 (503) 368-7090 Opdahl, Christopher R. DDS 2110 9th St Ste B Tillamook, OR 97141 (503) 842-7700 38

Seaholm, Brian G. DMD 1103 3rd St Tillamook, OR 97141 (503) 842-6666 Tillamook Bay Dental 2110 9th St Ste B Tillamook, OR 97141 (503) 842-7700 Williams, Grant R. DMD 38505 Brooten Rd Ste B Pacific City, OR 97135 (503) 965-0014 Umatilla All City Denture Clinic PC 1300 6th St Ste G Umatilla, OR 97882 (541) 922-5229 Peterson, Walter J. LD 1300 6th St Ste G Umatilla, OR 97882 (541) 922-5229 Jeremy J Larson DMD LLC 230 SE 2nd St Hermiston, OR 97838 (541) 567-8229 Jones, Gregory B. DMD 530 SE 4th St Hermiston, OR 97838 (541) 567-1693 Larson, Jeremy DMD 230 SE 2nd St Hermiston, OR 97838 (541) 567-8229 Union Denturist-OP Endorsement Denturist-OP Endorsement Moore, Dale D. LD 1514 Jefferson St La Grande, OR 97850 (541) 963-5803 Bender, Joel V. DMD 142 E Dearborn St Union, OR 97883 (541) 562-6180 ODS College of Dental Hygiene 909 Adams Ave La Grande, OR 97850 (541) 663-2721 South County Health District 142 E Dearborn St Union, OR 97883 (541) 562-6180 Wogman, Larry J. DDS 142 E Dearborn St Union, OR 97883 (541) 562-6180 Wallowa Chief Joseph Dental Clinic LLC 401-B N Main St Joseph, OR 97846 (541) 432-6555 Zollman, Steven R. DMD 401-B N Main St Joseph, OR 97846 (541) 432-6555 Wasco Denturist-OP Endorsement All City Denture Clinic PC 414 Washington Ste 1A The Dalles, OR 97058 (541) 296-3310 Peterson, Walter J. LD 414 Washington Ste 1A The Dalles, OR 97058 (541) 296-3310 Aughney, Elizabeth A. DDS 425 East 7th Ave The Dalles, OR 97058 (541) 296-4610 Balentine, E Lee DMD 1605 George Jackson Rd Maupin, OR 97037 (541) 395-2636 Clement, F Michael DDS 425 East 7th Ave The Dalles, OR 97058 (541) 296-4610 Geelan, Aron T. DDS 425 East 7th Ave The Dalles, OR 97058 (541) 296-4610 Keilman Dental Clinic PC 421 W 9th St The Dalles, OR 97058 (541) 296-1118 Keilman, Mark N. DDS 421 W 9th St The Dalles, OR 97058 (541) 296-1118 La Clinica Del Carino 425 East 7th Ave The Dalles, OR 97058 (541) 296-4610 Nadelhoffer, Evonne M. DDS 425 East 7th Ave The Dalles, OR 97058 (541) 296-4610 Simon, Tony M. DMD 1700 E 12th St The Dalles, OR 97058 (541) 298-4403 Washington Denturist-OP Endorsement Bywaters, Kurt I. LD 11673 SW Beaverton Hwy (503) 684-6644 14300 SW Pacific Hwy Tigard, OR 97224 (503) 684-6644 Cain, Robert E. LD 232 NE Lincoln St Ste B Hillsboro, OR 97124 (503) 640-2312 Lee Denture Clinic LLC 4055 SW 185th Ave Ste 220 Aloha, OR 97007 (503) 746-4770 Lee, Heachan LD 4055 SW 185th Ave Ste 220 Aloha, OR 97007 (503) 746-4770 Oh, Esther C. LD 17889 SW TV Hwy Beaverton, OR 97006 (503) 526-0651 39

Agee, Travis L. DMD 4655 SW Griffith Dr Ste 105 (503) 644-1400 Alder, Mark D. DMD 5050 SW Griffith Dr Ste 202 (503) 641-9010 Americare Dental 4350 SW Cedar Hills Blvd (503) 644-8727 Asai, Rickland G. DMD 11786 SW Barnes Rd Ste 340 Portland, OR 97225 (503) 646-4600 Ballard, Andrew DDS 11820 SW King James Place Ste 20 Tigard, OR 97224 (503) 968-2901 Baradar, Roya DDS 44 N 11th Ave Cornelius, OR 97113 (503) 359-8505 730 SE Oak St Ste A (503) 352-2354 9000 SW Durhan Rd Building 710 Tigard, OR 97224 (503) 352-8505 Bird, Russell A. DMD 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Bodyfelt, Scott B. DMD 11765 SW Greenburg Rd Tigard, OR 97223 (503) 639-3441 Booth, Jackson R. DDS 4655 SW Griffith Dr Ste 105 (503) 644-1400 Bozzetti, Lisa L. DDS 226 SE 8th Ave (503) 352-2354 44 N 11th Ave Cornelius, OR 97113 (503) 359-8505 730 SE Oak St Ste A (503) 352-2354 Bridgeport Dental LLC 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Bright Now Dental 4655 SW Griffith Dr Ste 105 (503) 644-1400 Bui, Phu T. DDS 4350 SW Cedar Hills Blvd Ste B & C (503) 644-8727 Capitol Dental Group PC 1585 SW Marlow Ste 120 Portland, OR 97225 (503) 292-2740 Catuna, Adrian DMD 14665 SW Millikan Way Beaverton, OR 97006 (503) 641-2200 Cedar Hills Dental Care PC 1600 SW Cedar Hills Blvd Ste 107 Portland, OR 97225 (503) 643-7502 Cedar Hills Dental LLC 12745 SW Walker Rd Ste 400 (503) 469-8404 Chin, Christine M. DMD 1600 SW Cedar Hills Blvd Ste 107 Portland, OR 97225 (503) 643-7502 Cole, Rachel C. DDS 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Coussens, Mark A. DMD 433 SE Baseline St (503) 648-4431 Daby, Brett DDS 11565 SW Hall Blvd Ste E Tigard, OR 97223 (503) 639-9911 Dang, My T. DDS 12520 SW 1st Street (503) 646-5230 DeCosta, James A. DMD 19300 SW Boones Ferry Rd Ste 8 Tualatin, OR 97062 (503) 692-0650 Deleon, Margarita DMD 12745 SW Walker Rd Ste 400 (503) 469-8404 Dentistry by Design PC 11380 SW Beaverton Hillsdale Hwy (503) 626-7323 Dow, Coleman DMD 11565 SW Hall Blvd Ste E Tigard, OR 97223 (503) 639-9911 Dr Paul Brooks Noland DMD 12400 SW Allen Blvd Ste A (503) 644-4100 Duffin, Steven R. DDS 7931 SW Cirrus Dr Ste 27B Beaverton, OR 97008 (503) 646-8319 Duncan, John A. DMD 8565 SW Bvrtn Hillsdale Hwy Ste 4 Portland, OR 97225 (503) 296-7810 Egger, Jeffery J. DMD 2375 SW Cedar Hills Blvd Portland, OR 97225 (503) 941-5869 Emergency Dental 11565 SW Hall Blvd Ste E Tigard, OR 97223 (503) 639-9911 Faris, Geoffrey K. DMD 2031 Hawthorne St Ste B Forest Grove, OR 97116 (503) 359-4463 Forsyth Jr, John E. DMD 2742 19th Ave Forest Grove, OR 97116 (503) 357-7177 Foster, Valerie A. DMD 19560 SW Alexander Aloha, OR 97006 (503) 649-7011 Fu, Judy S. DMD 14665 SW Millikan Way Beaverton, OR 97006 (503) 641-2200 Galloway, John R. DDS 12075 SW Allen Blvd Ste 201 (503) 643-9400 40

Galloway, Sandra L. DMD 324 SE 9th Ave Ste C (503) 615-8832 Gipe, Daniel E. DMD 5035 SW 77th Ave Portland, OR 97225 (503) 297-2389 Go, Hans A. DMD 9555 SW Barnes Rd Suite 355 Portland, OR 97225 (503) 296-0053 Hahn, Kai-Uwe H. DMD 14665 SW Millikan Way Beaverton, OR 97006 (503) 641-2200 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Harbour, Stephen P. DMD 8900 SW Hall Blvd Portland, OR 97223 (503) 644-2000 Hoversland, Gordon R. DMD 4350 SW Cedar Hills Blvd (503) 644-8666 Hunter, Lemond C. DMD 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Huynh, Vinh T. DMD 4350 SW Cedar Hills Blvd (503) 644-8727 Jack G Garvin DMD 620 SE Oak St Ste C (503) 648-0727 Janisse, Robert C. DMD 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Juson, Natalya A. DMD 3780 SW Hall Blvd (503) 646-1588 Kang, George H. DDS 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Khalil, Tara G. DDS 44 N 11th Ave Cornelius, OR 97113 (503) 359-8505 730 SE Oak St (503) 352-2354 Kharrazi, Sheida DMD 11380 SW Beaverton Hillsdale (503) 626-7323 Farsi Khuong, Lich V. DDS 12520 SW 1st St (503) 646-5230 Kim, Kathy S. DDS 4150 SW 110th Ave (503) 627-0619 Kooning, Christopher D. DMD 4655 SW Griffith Dr Ste 105 (503) 344-1400 Kovanda Dentistry LLC 5880 NE Cornell Rd Ste A Hillsboro, OR 97124 (503) 648-9772 Kovanda, Brian J. DMD 5880 NE Cornell Rd Ste A Hillsboro, OR 97124 (503) 648-9772 Kroodsma, Robert M. DMD 339 SE 3rd Ave (503) 640-3800 Kuhl, John W. DMD 16780 SW Upper Boones Ferry Rd Durham, OR 97224 (503) 684-1914 Larson, Kevin T. DMD 9370 SW Greenburg Rd Grant Bldg Ste D Portland, OR 97223 (503) 245-6441 Le, Anh T. DMD 14665 SW Millikan Way Beaverton, OR 97006 (503) 641-2200 Lee, Chang H. DDS 18305 NW West Union Rd Ste A Portland, OR 97229 (503) 645-4800 Korean Lemrick, Curtis B. DMD 11820 SW King James Place Ste 20 Tigard, OR 97224 (503) 968-2901 Liu, Christine S. DMD 17020 SW Whitley Way Ste 101 Beaverton, OR 97006 (503) 629-2222 Chinese Liu, I-Yin L. DMD 17020 SW Whitley Way Ste 101 Beaverton, OR 97006 (503) 629-2222 Chinese Marks, Aaron F. DMD 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Mary K Parent DMD LLC 730 SE Oak St Ste C (503) 640-1056 Matzelle, Eric DMD 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 McNaughton, Hallie L. DMD 18035 SW Lower Boones Ferry Rd Tigard, OR 97224 (503) 906-8600 Meadows, James F. DDS 527 SE Baseline St Ste C (503) 648-6054 Miller, Daniel J. DMD 1600 SW Cedar Hills Blvd Ste 107 Portland, OR 97225 (503) 643-7502 Montrose, Jeremy DMD 2405 SW Cedar Hills Blvd (503) 644-7763 Nevills, David E. DMD 18540 SW Vincent Ct Aloha, OR 97007 (503) 649-3232 Noland, Paul B. DMD 12400 SW Allen Blvd Ste A (503) 644-4100 Nordean, Jason H. DDS 570 SE Baseline St (503) 844-0777 Arabic 41

8070 SW Hall Blvd Ste 200 Beaverton, OR 97008 (503) 644-1110 Arabic Nouredine, Hadi A. DMD 8070 SW Hall Blvd Ste 200 Beaverton, OR 97008 (503) 644-1110 Arabic OLoughlin, Cindy DDS 4655 SW Griffith Dr Ste 105 (503) 644-1400 7206 NE Cornell Rd Hillsboro, OR 97124 (503) 640-9999 Oral Health Outreach LLC 7931 SW Cirrus Dr Ste 27B Beaverton, OR 97008 (503) 646-8319 Osmunson, Willard E. DDS 4655 SW Griffith Dr Ste 105 (503) 644-1400 7206 NE Cornell Rd Hillsboro, OR 97124 (503) 640-9999 Pacific University Dental School 222 SE 8th Ave Ste 271 (503) 352-7241 Parent, Mary K. DMD 730 SE Oak St Ste C (503) 640-1056 Park, Matthew A. DMD 680 NW Murray Blvd Ste 4 Portland, OR 97229 (503) 646-6300 Perledent Dental Care 16755 SW Baseline Rd Ste 106 Beaverton, OR 97006 (503) 533-4001 2110 NW Amberbrook Dr Hillsboro, OR 97006 (503) 533-5539 Peterson, Monica L. DMD 226 SE 8th Ave (503) 352-8505 730 SE Oak St Ste A (503) 352-2354 Pham, Annie T. DMD 3780 SW Hall Blvd (503) 646-1588 Pham, Diep N. DDS 3780 SW Hall Blvd (503) 646-1588 Pindyck, Michele B. DMD 11820 SW King James Place Ste 20 Tigard, OR 97224 (503) 968-2901 Rabe Family Dentistry PC 550 SE Baseline St (503) 648-3912 Rabe, Bradford L. DMD 550 SE Baseline St (503) 648-3912 Rabe, Randall C. DMD 550 SE Baseline St (503) 648-3912 Rappleyea, Robert A. DMD 44 N 11th Ave Cornelius, OR 97113 (503) 359-8505 730 SE Oak St Ste A (503) 352-2354 Rashidi, Shahin DMD 9225 SW Hall Blvd Ste E Tigard, OR 97223 (503) 620-7134 Farsi Reedal, Thomas M. DMD 3400 SW 187th Ave Ste 3 Aloha, OR 97006 (503) 649-4124 Robertson, Renee M. DMD 14665 SW Millikan Way Beaverton, OR 97006 (503) 641-2200 Rust, Cristina L. DMD 14665 SW Millikan Way Beaverton, OR 97006 (503) 641-2200 Sabah, Nesreen H. DMD 12520 SW 1st St (503) 646-5230 Sadakah, Danny A. DMD 18773 SW Martinazzi Ave Ste 100 Tualatin, OR 97062 (503) 692-9280 Sapp, Megan R. DDS 730 SE Oak St Ste A (503) 352-2354 Schockelt, Ulrich G. DMD 4150 Pacific Ave Ste 200 Forest Grove, OR 97116 (503) 357-3121 Schwartz, Victor A. DMD 662 NW Murray Blvd Portland, OR 97229 (503) 641-7165 Smith, Grant M. DDS 4655 SW Griffith Dr Ste 105 (503) 644-1400 Smith, John D. DMD 620 SE Oak St Ste D (503) 693-7301 Smith, Lynn E. DMD 11960 SW Pacific Hwy Tigard, OR 97223 (503) 675-7333 Soft Touch Dentistry of Tualatin 18773 SW Martinazzi Ave Ste 100 Tualatin, OR 97062 (503) 692-9280 Spangler, David J. DDS 17895 NW Evergreen Pkwy Ste 100 Beaverton, OR 97006 (503) 533-0770 Stirewalt, Charles E. DDS 4655 SW Griffith Dr Ste 105 (503) 644-1400 Stratford, E Wayne DDS 10700 SW Beaverton Hillsdale Hwy Ste 113 (503) 643-1113 Takaki, Jordan R. DMD 11820 SW King James Place Tigard, OR 97224 (503) 968-2901 Thomas, Kelly R. DMD 12575 SW 3rd St (503) 644-7697 Tigard Dental PC 12720 SW Pacific Hwy Ste 2 Tigard, OR 97223 (503) 684-9017 42

Tigard Family Dental PC 11820 SW King James Place Ste 20 Tigard, OR 97224 (503) 968-2901 Tran, Khiet M. DDS 12520 SW 1st St (503) 646-5230 Turay, Matthew C. DMD 7150 SW Garden Home Rd Portland, OR 97223 (503) 245-3314 Ulrich G Schockelt DMD PC 4150 Pacific Ave Ste 200 Forest Grove, OR 97116 (503) 357-3121 Valerie A Foster DMD PC 19560 SW Alexander Aloha, OR 97006 (503) 649-7011 Van Gordon, Larry R. DMD 3895 SW 185th Ave Ste 110 Aloha, OR 97007 (503) 649-1646 Van, Kyle H. DDS 16755 SW Baseline Rd Ste 106 Beaverton, OR 97006 (503) 533-4001 2110 NW Amberbrook Dr Hillsboro, OR 97006 (503) 533-5539 Virginia Garcia Memorial Health Center 44 N 11th Ave Cornelius, OR 97113 (503) 359-8505 730 SE Oak St Ste A (503) 352-2354 Washington Square Dental 9225 SW Hall Blvd Ste E Tigard, OR 97223 (503) 620-7134 Weichel, Renee L. DMD 18761 SW Martinazzi Ave Tualatin, OR 97062 (503) 691-8900 Wells, Donald D. DDS 4655 SW Griffith Dr Ste 105 (503) 644-1400 Westpark Dental Care LLC 3780 SW Hall Blvd (503) 646-1588 Westside Dental PC 4150 SW 110th Ave (503) 627-0619 Wheeler, Jason J. DDS 12720 SW Pacific Hwy Ste 2 Tigard, OR 97223 (503) 684-9017 Polish Williams, Gregory A. DMD 11820 SW King James Pl Ste 20 Tigard, OR 97224 (503) 968-2901 Worthington, John H. DDS 11565 SW Hall Blvd Ste E Tigard, OR 97223 (503) 639-9911 Zeider, Richard W. DMD 8863 SW Center St Tigard, OR 97223 (503) 639-3167 Dental Hygienist w/ special Adeo LLC 7145 SW Varns St Ste 102 Tigard, OR 97223 (503) 670-7260 Hall, Karen M. DDS 226 SE 8th Ave (503) 352-8505 730 SE Oak St (503) 352-2354 Jaussi, Laura RDH 7145 SW Varns St Ste 102 Tigard, OR 97223 (503) 670-7260 Virginia Garcia Memorial Health Center 226 SE 8th Ave (503) 352-8505 730 SE Oak S (503) 352-2354 Young, Janet M. LAP 917 NE 7th Ave Hillsboro, OR 97124 (503) 648-5213 Hi 5 Dental Dentistry for Kids 18325 SW Alexander Ste 2 Aloha, OR 97006 (503) 642-1535 Hsu, Richard P. DMD 1789 NW 173rd Ave Beaverton, OR 97006 (503) 614-1177 3075 SW 234th Ave Ste 107 (503) 848-3399 Kang, Ben DMD 7455 SW Findlay Rd Durham, OR 97224 (503) 992-6189 Pham, Hai T. DMD 18325 SW Alexander Ste 2 Aloha, OR 97006 (503) 642-1535 Ridgley, Patricia DMD 18803 SW Boones Ferry Rd Tualatin, OR 97062 (503) 692-3747 Shoebox Pediatric Dentistry 3075 SW 234th Ave Ste 107 (503) 848-3399 Yarborough, Lisa S. DDS 1789 NW 173rd Ave Beaverton, OR 97006 (503) 614-1177 18803 SW Boones Ferry Rd Tualatin, OR 97062 (503) 692-3747 Wheeler Pediatric Dentist Asher Dental Services 340 SE High St Mitchell, OR 97750 (541) 462-3313 712 Jay St Fossil, OR 97830 (541) 763-2725 Failing, Henry R. DDS 340 SE High St Mitchell, OR 97750 (541) 462-3313 712 Jay St Fossil, OR 97830 (541) 763-2725 43

Frachella, John C. DMD 712 Jay St Fossil, OR 97830 (541) 763-2725 Wogman, Larry J. DDS 712 Jay St Fossil, OR 97830 (541) 763-2725 Yamhill All About Smiles 641 N Hwy 99W McMinnville, OR 97128 (503) 472-9435 Baradar, Roya DDS 115 NE May Ln Mcminnville, OR 97128 (503) 883-4700 Bozzetti, Lisa L. DDS 115 NE May Ln Mcminnville, OR 97128 (503) 352-2354 Brooks, Gary E. DMD 247 SW Lamson Willamina, OR 97396 (503) 876-3911 Capitol Dental Group PC 510 E 8th St McMinnville, OR 97128 (503) 472-3147 Egan, Roger K. DMD 325 NE 6th St McMinnville, OR 97128 (503) 472-6182 Foltz, A Wendell DMD 203 NE 8th St McMinnville, OR 97128 (503) 472-8802 Gallucci, John M. DMD 133 East Main Carlton, OR 97111 (503) 852-7147 Hollern, Lindsay DDS 115 NE May Ln Mcminnville, OR 97128 (503) 883-4700 Khalil, Tara G. DDS 115 NE May Lane Mcminnville, OR 97128 (503) 883-4700 Miller, Mark A. DMD 133 East Main Carlton, OR 97111 (503) 852-7147 Morgan, Randolph A. DMD 615 E 2nd St Newberg, OR 97132 (503) 538-7717 Mull, Serena DMD 115 NE May Ln Mcminnville, OR 97128 (503) 883-4700 Newberg Family Dental 615 E 2nd Ave Newberg, OR 97132 (503) 538-7717 Oliver, Bradley C. DMD 641 N Highway 99W McMinnville, OR 97128 (503) 472-9435 Ramkrishna, Banu DDS 115 NE May Ln Mcminnville, OR 97128 (503) 883-4700 Rappleyea, Robert A. DMD 115 NE May Ln Mcminnville, OR 97128 (503) 883-4700 Switzer, Marilyn E. DMD 344 NE Galloway St McMinnville, OR 97128 (503) 472-7592 Virginia Garcia Memorial Health Center 115 NE May Ln Mcminnville, OR 97128 (503) 883-4700 Wilde, Robert C. DMD 201 N Washington St Newberg, OR 97132 (503) 538-2560 44

601 S.W. Second Avenue Portland, OR 97204 Member Inquiries 503-243-2987 or 800-342-0526 TDD/ Insurance products provided by Oregon Dental Service