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DC 37 Dental Plan

DC 37 Dental plan Complete List of Participating Panel Dentists This listing is updated monthly. You must verify that the dentist is still participating in our plan at the time you call to schedule an appointment and when you receive your Dental treatment. If you use a participating oral surgeon, you may pay $25 for the examination and $40 for the panoramic x-ray at your initial visit. You should file a separate claim for these procedures. Payment will be made to the member, based on the plan 's fee schedule, if the patient is eligible for the service, subject to frequency restrictions (every 6-months for an examination and every two (2) years for a panoramic x-ray). If you use a participating periodontist, you will pay a $10 per quadrant member co-payment for periodontal surgery.

DC 37 Dental Plan Complete List of Participating Panel Dentists SPECIALTY KEY July, 2018 OR = Orthodontist Page 1 This listing is updated monthly. You must verify that the dentist is still participating in our plan at the

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Transcription of DC 37 Dental Plan

1 DC 37 Dental plan Complete List of Participating Panel Dentists This listing is updated monthly. You must verify that the dentist is still participating in our plan at the time you call to schedule an appointment and when you receive your Dental treatment. If you use a participating oral surgeon, you may pay $25 for the examination and $40 for the panoramic x-ray at your initial visit. You should file a separate claim for these procedures. Payment will be made to the member, based on the plan 's fee schedule, if the patient is eligible for the service, subject to frequency restrictions (every 6-months for an examination and every two (2) years for a panoramic x-ray). If you use a participating periodontist, you will pay a $10 per quadrant member co-payment for periodontal surgery.

2 Co-payments are not reimbursed by the plan . SPECIALTY KEY May, 2018. OR = Orthodontist OR CLIFTON ORTHO 1053 BLOOMFIELD AVE 14 CLIFTON NJ 07012 973-471-7200. OR BRACES & SMILES 285 DURHAM AVE STE 2B S PLAINFIELD NJ 07080 908-731-7878. OR A FRANKEL 417 36TH STREET UNION CITY NJ 07087 201-223-2700. OR BERGENLINE ORTH 5918 BERGLNE AVE-201B WEST NEW YORK NJ 07093 201-662-0662. OR JOURNAL SQUARE 35 JOURNAL SQ S#601 JERSEY CITY NJ 07306 201-420-7116. OR DIAMOND BRACES 401 HAMBURG TPKE #210 WAYNE NJ 07470 973-952-5550. OR DIAMOND BRACES 17 SUMMIT AVE HACKENSACK NJ 07601 201-996-0770. OR ORTHO CLUB 17 SUMMIT AVE HACKENSACK NJ 07601 201-996-0770. OR J STORM 224 TAYLORS MILLS RD MANALAPAN-S#102 NJ 07726 732-462-9500. OR M CHOI 9 LEONARDVILLE ROAD MIDDLETON NJ 07748 732-671-5700.

3 OR DIAMOND 66 E MCFARLAN ST 3FL DOVER NJ 07801 973-366-2244. OR DIAMOND 34-36 PROGRESS ST #4A EDISON NJ 08820 908-222-8228. OR M CHOI 1130 US HIGHWAY 202 RARITAN NJ 08869 732-671-5700. OR R J TOPAL 2109 BROADWAY STE 201 NEW YORK NY 10023 212-874-0030. OR 125TH ST BRACES 63-W 125TH ST 2 NDFL NEW YORK NY 10027 212-348-3600. OR 125TH ST DENTGP 63 W 125TH ST 2ND FL NEW YORK NY 10027 212-348-3600. OR 125TH ST. ORTHO 360 W 125TH ST STE #8 NEW YORK NY 10027 212-222-3210. OR WH ORTHODONTICS 260 AUDUBON AVE NEW YORK NY 10033 201-308-8181. OR MADISON AVEORTH 1901 MADISON AVE NEW YORK NY 10035 212-996-7300. OR J TUCKER 235 DONGAN HILLS AV 1B STATEN ISLAND NY 10305 718-720-7346. OR 2025 RICHMOND AVE. STATEN ISLAND NY 10314 718-477-7711.

4 OR RICHMOND AVENUE 2025 RICHMOND AVE STATEN ISLAND NY 10314 718-477-7711. OR K B COOPERMAN DMD 355 E 149TH ST 2ND FL BRONX NY 10455 718-993-5454. OR MODERN ORTHODON 391 E 149TH ST STE#214 BRONX NY 10455 718-993-5454. OR SOUTH BRNX ORTH 2825 3RD AVE SUITE#406 BRONX NY 10455 718-282-4700. OR AHMED ORTHODONT 1100 PELHAM PARKWAY SO BRONX NY 10461 718-684-3131. OR W ORTHODONTICS 95 CHURCH ST STE #400 WHITE PLAINS NY 10601 914-821-5400. OR R E GRAHAM 90 BRYANT AVE #1C WHITE PLAINS NY 10605 914-946-9098. OR J KIM 280 MAMARONECK AVE WHITE PLAINS NY 10605 914-946-1213. OR WHITE PLAINS OR 90 BRYANT AVE. APT1CE WHITE PLAINS NY 10605 914-946-9098. OR SPRING VAL ORTH 17 PERLMAN DRIVE S#B SPRING VALLEY NY 10977 845-352-2100. Page 1.

5 OR M R LOBEL 2035 LAKEVILLE ROAD NEW HYDE PARK NY 11040 516-775-9393. OR BRACETOWN ORTHO 31-19 NEWTOWN AVE ASTORIA NY 11102 718-721-5100. OR QUEENS ORTHODON 3097 STEINWAY ST 2 NDFL ASTORIA NY 11103 718-545-5100. OR R J ASTORIA FAM O 23-12 31ST STREET ASTORIA NY 11105 718-278-0358. OR UNLIMITED SMILE 7000 BAY PARKWAY L-AB BROOKLYN NY 11204 718-256-0022. OR HOWARD KAUFM PC 738 NEW LOTS AVE BROOKLYN NY 11207 718-257-1430. OR CHANINAZWEIHORN 4119 13TH AVENUE BROOKLYN NY 11219 718-435-3393. OR D GOLDSCHEIN 4901 FT HAMILTON PKWY BROOKLYN NY 11219 718-438-3701. OR AVE U ORTHO 79 AVENUE U BROOKLYN NY 11223 718-371-6707. OR CHURCH AVE ORTH 2848 CHURCH AVE-2ND FL BROOKLYN NY 11226 718-282-8222. OR I T WHITEHILL-GRA 539 EAST 18TH STREET BROOKLYN NY 11226 718-284-5656.

6 OR NY SMILE ORTHO 1122 AVE Z BROOKLYN NY 11235 718-383-0332. OR BUSHWICK ORTHO 1471 DEKALB AVE STE 3A BROOKLYN NY 11237 718-443-4444. OR KOHAN SHAHRAM 166-15 UNION TURNPIKE FLUSHING NY 11366 718-591-6100. OR MY SMILES ORTHO 75-05 PARSONS BLVD FLUSHING NY 11366 718-380-1230. OR ORTHO @ JACKSON 30-62 79TH ST-2ND FL JACKSON HEIGHTS NY 11370 718-426-9400. OR J SCHECTER 30-62 79TH STREET JACKSON HEIGHTS NY 11370 718-426-9400. OR AUSTIN26 DEN GR 70-17 AUSTIN STREET FOREST HILLS NY 11375 718-261-4000. OR RINTEL 109-20 QUEENS BLVD. FOREST HILLS NY 11375 718-275-6767. OR S R KHAN 55-36 69TH PLACE MASPETH NY 11378 718-533-6200. OR BILELLO VINCENT 65-34 MYRTLE AVE GLENDALE NY 11385 718-386-8728. OR RICHMOND HILL 103-45 LEFFERTS BLVD SOUTH RICHMOND NY 11419 718-529-0230.

7 OR S R KHAN DDS PC 28 MERRICK AVE--#1 MERRICK NY 11566 516-378-1033. OR D SUKOFF 47 MERRICK AVE MERRICK NY 11566 516-868-3131. OR NATALIE BITTON 24 MAPLE AVE STE #3 ROCKVILLE CENT NY 11570 516-766-0012. OR R L WEINBERG 22 CARDINAL DRIVE ROSLYN NY 11576 516-626-0352. OR J SHURE 122-10 ROCKWY BCH BLVD BELLE HABOR NY 11694 718-634-9700. OR HORIZON ORTHO 1150 PORTION RD-STE#13 HOLTSVILLE NY 11742 631-698-2424. OR S R KHAN 500 N. BROADWAY STE146 JERICHO NY 11753 516-932-6200. OR NASSAU CNTY ORT 380 SUNRISE MALL MASSAPEQUA NY 11758 516-797-7799. OR NASSAU CNTY ORT 380 SUNRISE MALL MASSAPEQUA NY 11758 516-797-7799. OR STNY BROOK ORTH 2500 NESCONSET HWY #4B STONEY BROOK NY 11790 631-675-2700. OR L NORMATOVA 150 HIGBIE LANE WEST ISLIP NY 11795 631-661-3025.

8 OR NORMATOVA L DR 25 CARMANS ROAD MASSAPEQUA NY 11795 516-798-6786. OR DIAMOND BRACES 200 BROADWAY MALL HICKSVILLE NY 11801 516-797-7799. OR NASSAU CNTY ORT 200 BROADWAY MALL HICKSVILLE NY 11801 516-797-7799. OR SHELDON RINTEL 1149 OLD COUNTRY RD RIVERHEAD NY 11901 631-369-1500.. Rev. 5/2018 Page 2.


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