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["Monthly Rate Exhibit - Current Plan Designs"]
[]
[null,"DPPO High"]
[]
[null,"Coverage Tier","Lives","Current"]
[null,"Employee",null,41.8]
[null,"Employee/Spouse",null,85.3]
[null,"Employee/Child(ren)",null,85.51]
[null,"Employee/Family",null,135.16999999999999]
[null,"Annual Total",null,{"$f":"SUMPRODUCT($C$9:$C$12,D9:D12)*12","v":0}]
[null,"$ Change",null,"n/a"]
[null,"% Change",null,"n/a"]
[]
[null,"DPPO Low"]
[]
[null,"Coverage Tier","Lives","Current"]
[null,"Employee",null,29.07]
[null,"Employee/Spouse",null,59.41]
[null,"Employee/Child(ren)",null,59.73]
[null,"Employee/Family",null,94.85]
[null,"Annual Total",null,{"$f":"SUMPRODUCT($C$9:$C$12,D20:D23)*12","v":0}]
[null,"$ Change",null,"n/a"]
[null,"% Change",null,"n/a"]
[]
[null,"DHMO"]
[]
[null,"Coverage Tier","Lives","Current"]
[null,"Employee",null,13.4]
[null,"Employee/Spouse",null,26.8]
[null,"Employee/Child(ren)",null,30]
[null,"Employee/Family",null,48.4]
[null,"Annual Total",null,{"$f":"SUMPRODUCT($C$9:$C$12,D31:D34)*12","v":0}]
[null,"$ Change",null,"n/a"]
[null,"% Change",null,"n/a"]

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[]
[{"$f":"'[17] Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Dental Timeline"]
[]
[]
["Timeline","Date","Responsibility"]
["Send Draft to ECSD"]
["Review RFP with Committee"]
["Make revisions"]
["Send Final RFP to Procurement","2020-04-21","Aon"]
["Release RFP to bidders","April 24,2020","Procurement"]
["Send RFP to Specific vendors","April 24,2020","Aon"]
["Letter of intent due to Procurement","April 28,2020","Bidders"]
["Bidders' questions due to Procurement","2020-04-29","Bidders"]
["Questions sent to Aon","2020-04-29","Procurement"]
["Answers to all questions","2020-05-01","Aon"]
["Amendment sent to bidders containing all questions and answers","2020-05-01","Procurement"]
["Proposals due from bidders","2020-05-22","Bidders"]
["Bids sent to Aon","2020-05-22","Procurement"]
["Start Analysis","2020-05-22","Aon"]
["Follow-up Questions to bidders","2020-05-29","Procurement"]
["Responses to follow-up questions","2020-06-04","Bidders"]
["Review analysis with ECSD prior to Presentation to committee","2020-06-23","ECSD/Aon"]
["Analysis presented to Committee","2020-06-25","Aon"]
["Decision on Finalists","2020-06-25","ECSD/Aon"]
["Notify vendors of Finalists","2020-06-25","Procurement/Aon"]
["Best and Final Offer","2020-06-29","Finalist"]
["Vendor selected","2020-06-30","ECSD"]
["Vendor decision presented to Trustees","TBD","ECSD/Aon"]
["Board approval","TBD","ECSD"]
["Vendor implementation","TBD","Vendor"]
["Benefit effective date","2021-01-01","Vendor"]

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[null,"RESPONSES ARE ALL ELECTRONIC\nNO PAPER COPIES PLEASE"]
["Request for Dental Proposal (RFP) for Escambia County School District (ECSD)"]
["Introduction"]
["Escambia County School District hereinafter referred to as \"ECSD\""]
[]
["Letter of Intent"]
["Vendors are required to send a Letter of Intent via email to Aon (susan.grimm@aon.com and jenny.lui@aon.com) and the School District of Escambia County (jdombroskie@ecsdfl.us) to notify your intent to submit a proposal."]
["Current Plan Information"]
["A description of the ECSD’s current plan design can be found on the \"Plan Design & Rates\" worksheet. Please quote on the proposed plan designs illustrated in the worksheets and utilizing the plan documents provided. \n"]
["Proposals"]
["Vendors are not required to submit All 3 proposal options (Option 1,Option 2, and Option 3).  If you would like to be considered for only one or multiple options, that is acceptable.  Please note, you must check the applicable boxes at the top of the Questionnaire to identify your submission(s). In addition, ECSD currently has a 2 tier rate structure in place but is also interested in a 4 tier rate/premium equivalent structure. Please include structures in your submission."]
["Scope of RFP"]
["OPTION 1:  ECSD currently has a self-funded Direct Reimbursement Dental Plan and is marketing for a TPA/ASO Administrator.  There are currently 2 plan design levels ($800 & $1,200 maximum allowance plans) which the District is asking proposers to match (OPTION 1.A.), in addition to submitting your proposal for a slightly different plan design (OPTON 1.B.).  \n\nThe TPA/ASO Administrator must be able to:  Make reimbursements to a member via direct deposit; handle two-party checks;  provide assignments;  and accept promissory notes from member to provider.  The Administrator must have a robust portal that is user friendly and members can find the following information:  EOBs, balance of plan allowance, filed claims, review benefit plan information, etc.\n\nOPTION 2:  ECSD employees are interested in a POS (point of sale) plan where the plan design is more traditional (100 / 80 / 50) with a PPO Network.  If you would like to propose an additional alternative plan design please do, however you must also submit a proposal with the requested plan design.  \n\nOPTION 3:  ECSD is also interested in receiving a fully insured quote with a similar 100 / 80 / 50 plan with a PPO Network.   "]
[]
["Proposal Format"]
["Your firm's completed proposal questionnaire will consist of 2 parts, all of which must be received in a single submission by the deadline to be considered for this marketing.  Below is an overview of what each part is intended to address."]
[]
["Part 1: Proposal Questionnaire File:  A Questionnaire sheet to provide Explanations, and a Financial Quote Worksheets is contained in this Excel file.  Your firm is expected to respond to the Questionnaire and the various worksheets by entering responses in this file in its entirety.  The majority of the questions on the Questionnaire tab have been structured to elicit declarative responses through the use of drop down boxes. Please note that ECSD is interested in a 2 tier and 4 tier rate structure. The entire workbook should be submitted in the original Excel format; with the exception of the \"Officer\" worksheet.  The \"Officer\" worksheet should be filled out, printed, signed and returned as a hard copy document."]
[]
["To record your response:"]
["*  Click on the response cell in the Response column;"]
["*  Click on the down arrow which appears directly to the right of the cell;"]
["*  Click on the response that best describes your answer."]
[]
["To enter your responses where a numeric, percent or ratio value is indicated as the answer format, simply enter the value in the corresponding response cell."]
[]
["Next to each response cell, additional space is available for a brief text explanation.  However, if the length of the explanation is greater than 400 characters, you must go to the \"Explanation\" worksheet to provide your detailed explanation.  All explanations must be numbered to correspond to the questions to which they pertain and should be brief.  "]
["Electronic File Attachments:  Any attachments that you are being asked to provide about your firm must also be submitted electronically. An explanation of each attachment that you are required to provide appears in the Questionnaire; please be sure to follow the naming conventions that are provided for each attachment."]
["In order to help you organize your proposal and ensure that it is complete, please review the following list to ensure that you have provided each required item for your proposal. "]
[]
["Tab #","Worksheet Description",null,"Name of Worksheet Tab"]
[1,"Introduction, Background Information & Scope",null,"READ ME FIRST - Intro"]
[2,"Plan Questionnaire",null,"Dental Questionnaire"]
[3,"Cost of the Plan",null,"Fees"]
["4-7","Plans & Premium Equivalents",null,"Plan Designs & Rates"]
[8,"Administrative Fees",null,"Fees"]
[9,"Disruption (provider)",null,"Provider Disruption"]
[10,"Network Analysis",null,"Network Access Analysis"]
[11,"Instructions for completing Network Access",null,"Network Access Inst"]
[12,"Analysis (discount)",null,"Discount Analysis"]
[13,"Requested Reporting",null,"Reporting"]
[14,"GEO Access",null,"GEO Access Request Standards"]
[15,"Performance Guarantees",null,"Performance Guarantees"]
[16,"Explanation of answers provided in Questionnaire",null,"Explanation"]
[17,"Officer Statement",null,"Officer Statement to be returned as hard copy"]
[]
["Part 2: Attachments: Please be sure to follow the naming conventions that are provided in the questionnaires, for each attachment.  In order to help you organize your proposal and ensure you have provided each required item, please review the following list to ensure that you have provided each required item. "]
[]
["Attachments - Dental",null,"Name the File"]
["Dental Employer Contract",null,"[Your Organization's Name]_Sample Dental Employer Contract"]
["Implementation Schedule",null,"[Your Organization's Name]_Dental Implementation Schedule"]
["Charges- Submitted & Allowed",null,"[Your Organization's Name]_Sub & Allowed"]
["Marketing Materials",null,"[Your Organization's Name]_Dental Marketing Materials"]
["Enrollment Materials",null,"[Your Organization's Name]_Dental Enrollment Materials"]
["Explanation of Benefits",null,"[Your Organization's Name]_Sample EOB"]
["Experience Reports",null,"[Your Organization's Name]_Dental Sample Experience Reports"]
["Underwriting Worksheet",null,"[Your Organization's Name]_Underwriting Worksheet"]
["Reasonable and Customary Charge Levels",null,"[Your Organization's Name]_Dental Charge Level Chart"]
["Mobile App",null,"[Your Organization's Name]_Mobile App"]
["GEO Access",null,"[Your Organization's Name]_GEO Access Report"]
[]
["Part 3: Hard copy original documents:  In order to help you organize your proposal and ensure you have provided each required item, please review the list provided in Section V of the RFP document to ensure that you have provided each required item."]
[]
["Cost of Submitting Proposal"]
["All costs associated with your proposal, including preparation and presentation, will be borne by your firm and not ECSD."]

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[null,null,"Please check all boxes that apply to your submission","Proposal Submission"]
[]
[]
[]
[null,"Request for Proposal (RFP) for Escambia County School District (ECSD)"]
[null,"Dental Questionnaire "]
[]
[null,"Introduction"]
[null,"Escambia County School District, is soliciting bids to process employee dental claims in accordance with the employee Dental Benefit plan approved by the School Board. Approximately $1.2M claims annually for 5,930 active and retired employees are processed through a Direct Reimbursement process that is currently administered by UGP. The District is interested in a renewable annual agreement with the initial term effective January 1, 2021.  "]
[]
[null,"PROPOSERS SUMITTING A PROPOSAL FOR OPTIONS #1, #2 OR #3 MUST\nANSWER THE FOLLOWING QUESTIONS"]
[null,"MINIMUM REQUIREMENTS","Response","Explanation"]
["","The effective date of coverage is acknowledged and accepted."]
["","You must be licensed in Florida."]
["3.","Administrative fees must be guaranteed for a minimum of three (3) years from the effective date, with rate increase caps for years 4 and 5."]
["4.","Renewal rates must be submitted 120 days prior to the renewal date."]
["5.","You have reviewed and accept the notice of termination requirements."]
["6.","You have reviewed and accept the requirements relative to attendance at client and open enrollment meetings."]
["7.","Coverage must be provided on a no-loss / no-gain basis so the current group does not suffer a loss of benefit solely due to the transfer of coverages to your firm."]
["8.","Your systems must be compliant with the HIPAA Electronic Data Interface (EDI) requirements."]
["9.","You have reviewed and accept the requirements for eligibility administration."]
["10.","You have reviewed and accept the payment terms and conditions as set forth."]
["11.","The quoted rates / fees are NET of commissions."]
["12.","You have reviewed and accept the electronic reporting requirements."]
["13.","You have reviewed and accept the Proposed Performance Guarantees."]
["14.","You have reviewed and accept the member communication requirements."]
["15.","You have reviewed and accept the Florida-based client management team requirement."]
[]
[null,"PLAN ADMINISTRATION AND SERVICE CAPABILITIES","Response","Explanation"]
[null,"Dental General Information"]
["1.","Dental Organization / ASO Name"]
["2.","Date formed "]
["3.","Company Ratings: A.M Best, Moody's, Standard & Poor's"]
["4.","Number of  Employees"]
["5.","Number of groups over 5,000 employees in force"]
["6.","Number of public sector and/or school district clients"]
["7.","Number of covered/serviced employees"]
["8.","Have you recently been acquired or been involved with any merger/acquisition? If yes describe"]
["9.","What customer service office will be responsible for this account? "]
["a.","NAIC for Liable Underwriting Source"]
["b.","Street Address"]
["c.","City"]
["d.","State"]
["e.","Zip"]
["f.","Web Address"]
[null,"Dental Contacts"]
["1.","Please indicate the contact who can answer questions related to this dental RFP."]
["a.","Primary Contact"]
[null,"Name"]
[null,"Title"]
[null,"Address"]
[null,"City"]
[null,"State"]
[null,"Zip"]
[null,"Phone Number"]
[null,"Fax Number"]
[null,"E-mail Address"]
["b.","Secondary Contact"]
[null,"Name"]
[null,"Title"]
[null,"Address"]
[null,"City"]
[null,"State"]
[null,"Zip"]
[null,"Phone Number"]
[null,"Fax Number"]
[null,"E-mail Address"]
[null,"Dental Contract Information"]
["1.","January 1, 2021 is the contract effective date"]
["2.","The contract is to be issued in Florida unless you obtain permission from ECSD to use an alternative situs."]
["3.","Please include a copy of a sample employer contract that includes all exclusions and limitations that the vendor expects will apply to ECSD.  Attach and name the file:  \"[Your Organization's Name]_Sample Dental Employer Contract\"."]
["4.","Please attach a dental implementation schedule Including action items and due dates. In the attached, confirm the Company will prepare and distribute to District employees 30 days prior to effective date, a notice announcing the new address for filing a claim, point of contact, phone number, and step-by-step procedure to be followed in filing a claim, follow-up on a claim, and appealing a disputed claim. Attach and name the file:  \"[Your Organization's Name]_Dental Implementation Schedule\".",null,"`"]
[null,"Dental Eligibility "]
["1.","Employee: All full-time employees as defined as working more than 20 hours per week. "]
["2.","Spouse: Legal spouse"]
["3.","Children: Unmarried children under age 19, 25 if full-time student. \n    Includes:\n    - Natural children\n    - Children places for adoption and legally adopted children\n    - Stepchildren \n    - Eligible dependent for whom have court-approved legal guardianship\n    "]
["4.","Retiree - if: Eligible for benefits under the Florida Retirement System"]
[null,"Effective Date of Coverage "]
["1.","If hired the 1st through the 15th of the month, effective date will be the first of the month following date of hire\nIf hired the 16th through the end of the month, effective date will be the first of the second month following date of hire"]
[null,"Claims Administration"]
["1.","The Company will accept fiduciary responsibility for all payments made in error for any reason. The financial error rate will be less than 2%"]
["2.","Describe the edits used to ensure the integrity of the data and to guard against duplicate payments."]
["3.","Will the claims system automatically audit for duplicate payments?"]
["4.","Describe your systems, including back-up accommodations."]
["5.","Your system requires no manual operations at any point during the claims process."]
["6.","All dental procedures are coded using the ADA CDT (current dental terminology) code for in-network claims, out-of-network and out-of-area claims."]
["7.","The claims system maintains on-line eligibility files that are updated at least monthly."]
["8.","The claims system maintains dependent eligibility files."]
["9.","Claims system can meet COB requirements."]
["10.","COB data is updated at least annually."]
["11.","Your company can administer eligibility requirements and update systems at least monthly. The claims system will maintain eligibility of dependents. Electronic transmission to receive and update files will be acceptable."]
["12.","Please note the source of your R&C information (HIAA, MDR, internally developed, other)"]
["13.","The security of the system, includes safeguards against employee embezzlement and theft."]
["14.","Plan summaries are stored in the system for screening purposes."]
["15.","You maintain geographically specific reasonable and customary (R&C) charge screens for dental procedures."]
["16.","Your company can provide claims adjudication at varying R&C percentiles beginning with the 50th percentile."]
["17.","In the event of contract termination, how will you process the following?"]
["a.","Claims in house, but not processed"]
["b.","Claims mailed prior to termination but not received by your organization until after the termination?"]
["c.","Claims mailed after the termination?"]
["18.","Please answer the question by selecting 1 of the 4 options available and fill in the blanks in the explanation column if applicable.\nIn the event of contract termination, how will you process the \"run-out\" claims? 1) Service not available, 2) A predetermined fee per capita. $___ per capita for ____ months? 3) A predetermined fee for claim processed. $_____ per claim? 4) A predetermined percentage of paid claims. %___ of paid claim?"]
["19.","What are your current claims/customer service standards? What were your actual results for 2018 and 2019?"]
["20.","Describe insurance coverage limits for Errors and Omissions"]
["21.","Describe insurance coverage limits for Employee bonding"]
[null,"Dental Specifications"]
["1.","Audit Rights: It will be the right of ECSD or its representative(s) to audit claims at any time. Will you agree to an independent audit?"]
["2.","ECSD Logo: ECSD may wish to have its logo appear on various printed materials. The designated vendor must agree to this at no additional cost and must ensure that logo placement and color requirements are met."]
["3.","The vendor agrees not to appoint any agent, general agent, or broker, nor authorize payment of any kind to a party not approved in writing by ECSD."]
["4.","We understand that terminology and contract provisions may vary among the involved vendors. We will permit such alternative language provided benefit payment levels are not adversely impacted."]
["5.","Vendor agrees to accept this contract without preliminary funding prior to binding coverage January 1, 2021."]
["6.","Describe your process for Coordination of benefits. "]
["a.","Has the process been contemplated in your quote?"]
["b."," Is it negotiable?"]
["c."," If so, what is the associated cost?"]
["7.","Please include copies of current marketing materials that you feel would be of assistance in evaluating your program.  Attach and name the file:  \"[Your Organization's Name]_Dental Marketing Materials\"."]
["8.","Please include copies of current member enrollment materials that you feel would be of assistance in evaluating your program.  Attach and name the file:  \"[Your Organization's Name]_Dental Enrollment Materials\"."]
["9.","Supply a sample EOB with EOB messages. The EOB shall include as a minimum, the name of the Insured, the patient covered, the Dentist providing the Services, the date services were provided, the ADA 4-digit procedural code number and description of services provided, and all itemized charges, deductibles applied, net reimbursement made, and balance due to the Dentist by the employee.  If a claim is not payable, an explanation for its rejection shall be stated.  Attach and name the file: \"[Your Organization's Name]_Sample EOB\"."]
["10.","What method does your firm utilize to determine Usual and Customary: HIAA, company profile, network contracted rates, RVS, etc.? "]
["a.","If HIAA (or related database, identify the percentage used."]
["b.","Can the client select a different level?"]
["c.","If a schedule, provide the name and conversation factors."]
["11.","How often are allowances revised? (Quarterly, monthly, semi-monthly, other)"]
["12.","For services not covered or not eligible for reimbursement, describe any discounts that members are eligible to receive. Also indicate any specific steps necessary on behalf of members to secure those discounts. "]
[null,"Administrative Capabilities"]
["1.","Confirm your organization will accept a self reported (self-bill) eligibility invoice and payment from ECSD on a monthly basis without reconciliation requirements."]
["2.","Confirm the District will wire transfer funds on a weekly basis to an account of the Company's choice within three workdays after receipt of documentation with details of checks issued for claims paid.  Documentation may be paper or electronic form.   No funds will be transferred without supporting documentation."]
["3.","Confirm acceptance of ECSD's eligibility file layout and payment process. Include details of any standard limitations to file receipt, banking, or wire transfers."]
["4.","Confirm that the Company will receive, process and issue a check to the employee in ten (10) workdays or less from receipt of claim request.  All disputes shall be reported to the Director of Risk Management for resolution. Reports shall track the average time required to process claims and indicate all exceptions."]
["5.","Confirm that you will accept electronic file transfers for eligibility in HIPAA 834 / 5010 format"]
["6.","Confirm that you will provide a complete, final Summary Plan Description / Benefit Certificate within 30 days of the effective date of the plan (1/1/2020)."]
["7.","Does your organization provide online access to  ECSD Risk Management staff to view and download claim and network utilization reports?"]
["8.","Please confirm that current retirees and future retirees may enroll in the proposed plans, as defined and administered by ECSD."]
["9.","Please see \"Reporting\" Tab within this RFP. Please confirm you can meet the requested frequency and reports availability. "]
["10.","Please attach a copy of a standard plan experience report provided on a monthly basis that ECSD can review regularly to evaluate your program. The frequency that the reports are available will be indicated. Reports will track and group charges by the ADA 4-digit procedure code.  Attach and name the file:  \"[Your Organization's Name]_Dental Sample Experience Reports\"."]
[null,"Online Capabilities"]
["1.","Please confirm which of the following tasks can members and sponsor representatives perform ONLINE?"]
["a.","Enrollment (New Hires and Open Enrollment)"]
["b.","Change in Status"]
["c.","Billing (Plan Administrators only)"]
["d.","Claim Inquiry (Direct Deposit Capabilities)"]
["e.","Provider Search"]
["f.","ID Card Request (only if applicable)"]
["g.","Electronic EOB"]
["h.","Terminations"]
["2.","Is there additional cost for ONLINE services?"]
["a.","If yes, describe."]
[]
[null,"NET COST CONSIDERATION","Response","Explanation"]
[null,"Dental Rate Development and Financial Information"]
[null,"A description of the current Administrative Fees and Current Rates are located in the \"Fees\" and \"Plan Design and Rates\" tab of the Questionnaire"]
["1.","Confirm your organization is providing a rate guarantee for Administrative Fees for a minimum of three (3) years with rate increase caps for years 4 and 5, as stated in the Minimum Requirements Section of this RFP. "]
["2.","Confirm whether the Administrative Fee is included in premium equivalent rates."]
["3.","Confirm you have uploaded an underwriting worksheet to support proposed rates  Attach and name the file:  \"[Your Organization's Name]_Underwriting Worksheet\"."]
["4."," Please  provide  a  copy  of  your  most  recent  annual  financial  statement,  or  other documentation reflecting financial performance."]
["5.","Vendor's credibility factors used to generate quote"]
["6.","Trend used"]
["7.","Vendor's expected or targeted loss ratios"]
["8.","Do you have any discount programs? "]
["a.","If so, please provide:"]
["9.","Please confirm that any additional charges identified are completely cross-referenced in your response to the cost forms."]
["10.","Please specify the portion of the ACA Health Insurer Fee that is included in the proposed rates."]
["11.","Please attach a chart of your Reasonable and Customary Charge Levels.  Attach and name the file:  \"[Your Organization's Name]_Dental Charge Level Chart\"."]
["12.","Please see \"Performance Guarantee\" tab of this Questionnaire and confirm you agree with the requested PGs. "]
["13.","This RFP has described the communications efforts and requirements associated with the award of this contract. Do you have suggestions for less costly, more effective ways for communicating, in lieu of meetings? "]
["a.","What would be the impact on cost?"]
[]
[null,"PLAN DESIGN","Response","Explanation"]
[null,"Dental Plan Design"]
[null,"A description of ECSD's current plan designs can be found in the \"Plan Design and Rates\" tab."]
["1.","Indicate all age and frequency limits within the proposed plans for the follow services:"]
["a.","Routine Adult Cleanings"]
["b.","Routine Child Cleanings"]
["c.","Topical Fluoride Treatments"]
["d.","Sealants"]
["e.","Space Maintainers"]
["f.","X-Rays / Bitewings"]
["g.","Panoramic X-rays"]
["h.","Appliances"]
["i.","Orthodontia"]
["2.","Specify restrictions, limitations, or exclusions related to composite fillings."]
["3.","Specify restrictions, limitations, or exclusions related to porcelain and high noble metal crowns. "]
["4.","Confirm Annual Deductible is waived for Preventive Care and Diagnostic services."]
["5.","Please describe the \"Missing Tooth\" clause included in your policy."]
["6.","Please confirm how local anesthesia is a covered service under the dental plans."]
["7.","Is General Anesthesia covered?"]
["a.","If yes, please provide details, limitations, and exclusions"]
["8.","Preventive and Diagnostic care is excluded from annual maximum accumulators"]
["9.","Cover sealants up to age 19"]
["10.","Annual Maximum benefit carryover/extension feature"]
["11.","Benefits in excess of the Annual Maximum"]
["12.","Added coverage for additional cleanings for specific medical conditions (e.g. maternity, diabetes) aimed to improve health and promote wellness"]
["13.","Discounts for additional services"]
["14.","Added benefits for non-network providers"]
["15.","Wellness benefits that integrate with the health plan or wellness program"]
["16.","Other (please describe)"]
["17.","Confirm you can administer taking over the Orthodontic Benefit if the patient was already fully banded prior to the effective date of the contract."]
["18.","What happens to work in progress when coverage is terminated?"]
["19.","Does your policy differ for orthodontia treatment? If so, please explain."]
["20.","Do you require pre authorization (submission of a treatment proposal for predetermination of costs) prior to service for any dental procedures or for treatment exceeding a specified dollar amount? "]
["21.","Describe your process for handling appeals."]
["22.","What is the pre-determination of benefits threshold amount in your proposed plans?"]
["23.","Describe Late Entrant definition and any rules that apply."]
["24.","Will Late Entrant rules be waived for all employees joining the plan 1/1/2020, regardless of prior coverage?"]
["25.","Do you have an extension of benefits when an employee initiates treatment while covered and completes it after termination of coverage? "]
["26.","If member cost is greater than $250, are Dentists required to follow the Least Expensive Alternative Treatment plan?"]
["27.","How and when do you assume responsibility for orthodontic treatment that is in process on the effective date?"]
["28.","How are out-of-area dental emergencies handled?"]
[]
[null,"RELATED EXPERIENCE AND REFERENCES","Response","Explanation"]
[null,"Qualifications of Staff - Account Management  "]
["1.","Confirm at least the following dentist-specific database information is available to members by calling the member services department or viewing online: name, specialties, age, sex, years in practice, board certification, education, fluent languages, hours of operation, accepting new patients, and number of complaints."]
["2.","Can dental network members access emergency care 24 hours a day, 7 days a week via a national toll-free number?"]
["3.","Identify key personnel that will directly support this contract, and whose performance appraisal is impacted by their performance on this contract.  Do not include first-line supervisor personnel at this point.  Be sure to include, at least, the below functions.  Also, please indicate the expected percentage of time that each manager will devote to this contract and the number of years of experience in handling contracts similar in scope to ECSD."]
["a.","Senior Corporate Officer with ultimate decision-making authority for this contract"]
["b.","Account Manager"]
["c.","Network Building/Provider Relations Manager(s)"]
["d.","Account Manager"]
["e.","Customer Service Manager"]
["f.","Dental Director"]
["g.","Utilization Review Director"]
["h.","Senior Underwriter"]
["4.","Describe how your company will support ECSD."]
[null,"Qualifications of Staff - Claims Adjudicators"]
["1.","Number of full-time equivalent (FTEs) claims adjudicators that will be assigned to ECSD's contract."]
["2.","Will these claims adjudicators be dedicated solely to ECSD's contract? "]
["3.","What are the qualifications of the claims adjudicators to be assigned to the contract?"]
["a.","Educational Degree"]
["b.","Years of Experience"]
["c.","Number of Clients served"]
["4.","What type of formal training is done for your claims adjudicators?"]
["5.","Describe your process for solving escalated complaints of claims adjudication."]
[null,"Qualifications of Staff - Customer Service/Call Center Representative"]
["1.","Number of full-time equivalent (FTEs) customer service/call center representatives will be assigned to the contract"]
["2.","Will these customer service/call center representatives be dedicated solely to ECSD's contract?  "]
["3.","What are the qualifications of the customer service/call center representatives to be assigned to the contract?  "]
["a.","Educational Degree"]
["b.","Years of Experience"]
["c.","Number of Clients served"]
["d.","Bilingual staff"]
["4.","Confirm extension of customer services hours during open enrollment (nightly and weekends). "]
["5.","Describe your process for solving escalated complaints of call center service."]
[null,"Member Satisfaction and Quality of Services"]
["1.","Describe your processes and controls in providing member services (by phone, letter in person and/or on-line)"]
["2.","Confirm whether ID cards are provided to members (if applicable)."]
["3.","Confirm there is a single toll-free, customer service telephone number for addressing claims payment, member services and any appeals."]
["4.","Confirm that a dedicated individual or the Company will refer all disputes concerning payments to the District's Director of Risk Management"]
["5.","Indicate any minimum requirement for employee/retiree and dependent participation. Please be specific as to specific funding and/or plan design alternatives."]
["6.","Confirm each dependent member can choose dentists independently."]
["7.","Confirm any age requirement for pediatrics."]
["8.","Does your organization have a mobile app?  If so, please attach details on services available through the app. Name the document: \"[Your Organization's Name]_Mobile App\"."]
["9.","Does your organization have a secure website for employees to log in and view claims experience?"]
["10.","Can members see pre-treatment estimates online?  "]
["11.","What decision making tools are available to members?"]
["12.","Can members file claims online for out of network services online?"]
[null,"LEGAL/CONTRACTUAL & COMPLIANCE","Response","Explanation"]
[null,"Compliance, Privacy, and Confidentiality"]
["1.","Indicate status as a small or minority business enterprise, or provide a plan to incorporate small or minority business in your proposal. "]
["2.","The vendor adopts and implements written confidentiality policies and procedures in accordance with applicable law to ensure the confidentiality of member information used for any purpose."]
["3.","How are Business Associate Agreements to be addressed?"]
["4.","The vendor will not use or further disclose protected health information (PHI) other than as permitted or required by the Business Associate Agreement or as required by law."]
["5.","The vendor agrees to use appropriate safeguards to prevent the unauthorized use or disclosure of the PHI.  Vendor agrees to report to the plan sponsor any unauthorized use or disclosure of the PHI."]
["6.","The vendor agrees to mitigate, to the extent practicable, any harmful effect that is known to vendor of a use or disclosure of PHI by vendor in violation of the requirements of the federal privacy rule."]
["7.","The vendor agrees to ensure that any agent, including a subcontractor, to whom it provides PHI received from, or created or received by the vendor agrees to the same restrictions and conditions that apply to vendor with respect to such information."]
["8.","The vendor agrees to (i) implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic PHI that it creates, receives, maintains, or transmits, (ii) report to the plan sponsor any security incident (within the meaning of 45 CFR § 164.304) of which vendor becomes aware, and (iii) ensure that any vendor employee or agent, including any subcontractor to whom it provides PHI received from, or created or received by the vendor agrees to implement reasonable and appropriate safeguards to protect such PHI."]
[null,"Dental Legal/Contractual/Compliance"]
["1.","Vendor has complied with all state insurance department filing requirements for all plans/products being offered in this quote in each state in which ECSD has employees.  "]
["a.","If the answer to the preceding question is \"no\",  for all plans/products quoted in this RFP for which the required state insurance department filing requirements have not been met, please specify the applicable plan/product and corresponding state."]
["2.","Vendor is bonded"]
["3.","Vendor maintains a fidelity bond."]
["4.","Vendor maintains professional liability insurance that exceeds $5 million per claim and $20 million aggregate. "]
["a.","If not please explain amount of coverage."]
["5.","Liability insurance covers:"]
["a.","Dental review decisions"]
["b.","Dentist contracting"]
["6.","Please describe any judgment or settlement during the past three years or pending litigation that could result in judgments or settlements in excess of $100,000."]
["7.","The vendor maintains executed contracts with all providers participating in the network."]
["8.","The vendor agrees to comply with all provisions set forth within all federal and state legislation requirements, including but not limited to HIPAA and ACA."]
["9.","Your organization is not a creditor of any provider in the network."]
["10.","Vendor agrees to indemnify and hold ECSD harmless for Vendor’s negligence or for Vendor’s failure to perform under the Agreement.  ECSD shall not provide any indemnity in favor of the Vendor.  Vendor agrees to language contained in worksheet \"Hold Harmless\"."]
["11.","The vendor agrees to make internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by the organization  available to the Secretary of the Department of Health and Human Services for purposes of the Secretary of the Department of Health and Human Services determining organization’s compliance with the privacy rules."]
[null,"References"]
["1.","List three current clients as references that are using the same or similar services as requested in this RFP. "]
["a.","Company Name"]
[null,"Address"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Years as Client"]
[null,"Number of Claims Processed Annually"]
["b.","Company Name"]
[null,"Address"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Years as Client"]
[null,"Number of Claims Processed Annually"]
["c.","Company Name"]
[null,"Address"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Years as Client"]
[null,"Number of Claims Processed Annually"]
[]
[null,"OPTIONAL CONSIDERATIONS","Response","Explanation"]
[]
["1.","Please confirm your company will agree to provide a pre-implementation audit credit of $25,000 to be used prior to, or within the first 6 months of the effective date. "]
["2.","Please confirm your company agrees to provide a claims audit credit of $35,000 to be used within the initial contract period. "]
["3.","Confirm proposal includes a one-time $10,000 allowance for implementation communication and support."]
[]
[null,"Financials","Response","Explanation"]
["1.","Guaranteed Rates: All rates are guaranteed for an initial period of 36 months with two (2) one year renewal options."]
["2.","Rate/Fee Cap:  Contract Years 4-5"]
["3.","Confirm that your quoted rates do not include commissions."]
["4.","Confirm that dental rates will be paid monthly based on ECSD's enrollment counts by tier (self-bill), with no subsequent accounting or year-end reconciliation.  "]
["5.","Confirm that in the event of termination, the proposer selected will be responsible for all claims incurred but not paid prior to termination date.  These claims will be processed for at least one year and no additional premiums will be charged.  "]
["6.","Please provide your financial allowances for:"]
["a.","Implementation"]
["b.","Wellness"]
["c.","Communications"]
["d.","Audits"]
["e.","Other"]
["7.","If your firm offers product lines not solicited in this RFP and bundling may effect pricing please provide the decrement to your pricing if your firm was to be awarded other line of coverage. "]
["8.","Proposer agrees to cover the cost of periodic plan wide mailings (e.g. plan information)."]
["a.","Confirm that this service is included in your quoted rates."]
["9.","A third party vendor, on behalf of ECSD will conduct a quality review of the plan design to be loaded in the claims system(s) prior to implementation (or as soon thereafter as reasonably possible). As the selected carrier or administrator, you agree to pay the cost of this review, up to $30,000.  You will provide all necessary support to enable the third party vendor, on behalf of ECSD, to review claims in a test environment that mirrors the plan information present in the \"live\" claims processing system. If this review cannot be supported remotely and requires an on-site review, you will be responsible for travel costs up to $5,000.  All costs associated with this review shall not be included in ECSD's retention fee."]
[null,"Financial Information","Response","Explanation"]
["10.","You maintain geographically specific reasonable and customary (R&C) charge screens for dental procedures."]
["11.","Please note the source of your R&C information (e.g. HIAA, MDR, internally developed, other)."]
[null,"Financial - Renewal Services","Response","Explanation"]
["12.","For the funding arrangement requested in this RFP, please indicate your willingness to comply with the following renewal requirements and services:"]
["13.","Notification of renewal must be accompanied by a detailed breakdown of all UW components and be provided 180 days prior to the contract anniversary date (year when rate guarantee runs out).  "]
["14.","Rates shall be guaranteed for a minimum of 36 months from the contract anniversary date, unless an alternate date is mutually agreed to in advance by ECSD."]
["19.","Your firm will allow ECSD 45 business days to pay premiums; however, ECSD typically pays within 30 days."]
["20.","Although ECSD is not an ERISA plan, please confirm that your firm is held accountable for the integrity of the financial transactions similar to those standards that would be required by an ERISA plan."]
[]
[null,"PROPOSERS SUMITTING A PROPOSAL FOR OPTION #2 AND #3 MUST\nANSWER THE FOLLOWING QUESTIONS"]
[null,"NETWORK ACCESS AND DISRUPTION","Response","Explanation"]
[null,"Dental General Information"]
[null,"We will be conducting a GEO Access and Provider Disruption Analysis. Please see GEO Access Standards and Provider Disruption tabs and confirm you have responded accordingly. "]
["1.","Network ownership/controlling interest"]
["2.","Network Name"]
["3.","Please provide the total number of providers in Escambia County for each of the following:"]
["a.","Total network PPO membership as of 1/1/2019"]
["b.","Total network PPO membership as of 1/1/2018"]
[null,"Dental Provider Management Capabilities"]
["4.","During the dentist selection/credentialing process, indicate if primary verification is used to check the following items."]
["a.","Graduation from an accredited US college of dentistry"]
["b.","Valid state license (for state of practice)"]
["c.","Board certification/eligibility appropriate to practice area"]
["d.","Federal and state DEA controlled substance registration and unrestricted prescribing privileges"]
["e.","Malpractice coverage"]
["f.","Detailed malpractice history"]
["g.","Detailed history of disciplinary action or litigation"]
["h.","Membership in professional organization"]
["i.","Detailed history of general health"]
["j.","Detailed history of chemical dependency"]
["k.","Detailed history of mental health"]
["l.","Detailed history of conviction for fraud or felony"]
[null,"Dental PPO Network Information"]
["5.","Has the dental Geo-Access reporting been completed using the requested PPO Network parameters?"]
["6.","Confirm that if a provider has multiple locations, the provider is only counted once"]
["7.","Please note the dental geo-mapping method used:"]
["a.","Number of general/family (GFDs) accepting new patients."]
["b.","Number of members per general/family dentist."]
["c.","Length of GFD contract"]
["d.","How many providers were added to your network last year?"]
["e.","Number of GFDs who left the network last year (due to both voluntary and involuntary reasons)."]
["f.","Reimbursement - Percent of GFDs' services paid by:"]
["g.","Capitation"]
["h.","Fee Schedule"]
["i.","Discounted fees"]
["j.","Incentive programs (bonus, withholds)"]
["k.","GFDs' average percent discount."]
["8.","Percent of dental specialists who are board certified in network by type:"]
["a.","Endodontists"]
["b.","Oral Surgeons"]
["c.","Periodontists"]
["d.","Prosthodontists"]
["e.","Orthodontists"]
["f.","Length of dental specialist contract"]
["9.","Reimbursement - Percent of specialists' services paid by:"]
["a.","Capitation"]
["b.","Fee Schedule"]
["c.","Discounted fees"]
["d.","Incentive programs (bonus, withholds)"]
["e.","Dental specialists' average percent discount."]
["10.","Does your company lease networks?"]
["a.","Are the savings reported net of those leasing costs?"]
["11.","How are preferred dentists paid? Discounted fee for service? Fee schedule? Other?"]
["12.","Do you have differing network provider arrangements (preferred vs. participating?)"]
["a.","If you answered yes to the above question, please answer yes or no to the following: "]
["b.","Preferred providers: Are network discounts available with plan design differentials? "]
["c.","Preferred providers: Are network discounts available with no plan design differentials?"]
["d.","Participating providers: Are network discounts available with plan design differentials?"]
["e.","Participating providers: Are network discounts available with no plan design differentials?"]
["13.","Does your organization provide online access to ECSD Risk Management staff to view and modify eligibility and claims data?"]
["14.","How are participating dentists paid? Discounted fee for service? Fee Schedule?"]
["15.","Please confirm you have completed the Submitted & Allowed Worksheet"]
["16.","Please provide any self-reported discounts."]
["17.","Do you have any wrap discounts?"]
["18.","Do you have a any Discount Programs?"]
["a.","If so, please provide:"]
["19.","Please be sure to include a Florida provider directory."]
["20.","If a participating dentist refers a patient outside the network, are benefits paid at the PPO level?"]
["21.","Describe your benefits for emergency care in the service area."]
["22.","Describe your benefits for emergency care outside the service area. "]
["23.","Is the PPO Network proposed a National network or available only in Florida?"]
["24.","How do you accommodate dependents who attend college away from home?"]
["25.","Network dentists routinely submit claims to the network and the claims administrator (For example, is it a paperless process from the employee's point of view)."]
["26.","Network members enrolled in the PPO never have to submit claim forms for in-network services. The Company will supply all standard claim forms if required."]
["27.","Each of your networks serving ECSD members is supported by a computerized, on-line direct access claims processing system containing plan/claim information storage and retrieval."]
["28.","With regard to network directories, please respond to the following:"]
["a.","How frequently are directories distributed?"]
["b.","How are members, plan sponsors and providers notified of changes?"]
["c.","Is your directory available on the Internet or WEB? If so, please explain."]
[]
[null,"PROPOSERS SUMITTING A PROPOSAL FOR OPTION #3 MUST\nANSWER THE FOLLOWING QUESTIONS"]
[]
[null,"Financials","Response","Explanation"]
["1.","Proposer will provide routine underwriting and actuarial related contract services."]
["2.","Proposer will provide a complete description of the methodology inherent in the renewal work up."]
["3","Proposer will provide a definition of all terms and an itemization of all assumptions used including projected claims, trend factors and the formula involved, plus a complete explanation of the logic inherent in the final renewal rate/fee package."]
["4.","Proposer will provide a comparison of old and new rates and factors."]

{"sheet":"Opt 1.A. Plan Designs & Rates","index":4,"n_rows":29,"n_cols":15,"rows_kept":29,"cut":false,"hidden":false,"merged":[[1,0,1,5],[21,4,21,8],[22,4,22,8],[4,10,4,14],[6,0,6,2],[2,0,2,1],[4,0,4,8],[5,4,5,8],[20,4,20,8],[18,10,18,14],[17,10,17,14],[19,10,19,14],[5,10,5,14],[6,4,6,8],[6,10,6,14],[12,0,12,2]]}
[]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Dental Plan Designs and Rates"]
[]
["Option 1.A.",null,null,null,null,null,null,null,null,null,"Option 1.A. - Proposed"]
["Plan Benefits","Current ","Plan Deviations",null,"TWO TIER RATE STRUCTURE",null,null,null,null,null,"TWO TIER RATE STRUCTURE"]
["Base Plan",null,null,null,"Current  Rates",null,null,null,null,null,"Please include proposed premium equivalent rates:"]
["Maximum Dental Allowance","$800 per person, per plan year\n(excluding ortho)",null,null,"Basic","Enrolled","Rates","ER\nSubsidy ","EE\nContrib.",null,"Basic","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
["Dental Coinsurance ","Plan pays 90% of first $125 \n(excluding ortho)",null,null,"Employee Only",1777,13.65,12.65,1,null,"Employee Only",1777]
["Plan Year Deductible","$100 (1 deductible per person, 3 per family, per plan year)",null,null,"Employee+Family",1061,28.1,12.65,15.45,null,"Employee+Family",1061]
["Remaining Coinsurance","Plan pays 50% after deductible to a max of $800",null,null,"Retiree Only & LOA",1203,13.65,0,13.65,null,"Retiree Only & LOA",1203]
["Orthodontics ","Plan Pays 50% to a lifetime\nmax of $1,000\n(limited to dep. children to age 19)",null,null,"Retiree+Family & LOA",700,28.1,0,28.1,null,"Retiree+Family & LOA",700]
["Enhanced Buy-Up Plan",null,null,null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib.",null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
["Maximum Dental Allowance","$1,200 per person, per plan year\n(excluding ortho)",null,null,"Employee Only",582,22.200000000000003,12.65,9.5500000000000007,null,"Employee Only",582]
["Dental Coinsurance ","Plan pays 100% of the first $125 \n",null,null,"Employee+Family",377,50.65,12.65,38,null,"Employee+Family",377]
["Plan Year Deductible","$100 (1 deductible per person, 3 per family, per plan year)",null,null,"Retiree Only & LOA",221,22.200000000000003,0,22.200000000000003,null,"Retiree Only & LOA",221]
["Remaining Coinsurance","Plan pays 50% after deductible to a max of $1,200",null,null,"Retiree+Family & LOA",92,50.65,0,50.65,null,"Retiree+Family & LOA",92]
["Orthodontics ","Plan Pays 50% to a lifetime\nmax of $1,000\n(limited to dep. children to age 19)",null,null,null,null,null,null,null,null,"Option 1.A. - Proposed"]
[null,null,null,null,null,null,null,null,null,null,"FOUR TIER RATE STRUCTURE"]
[null,null,null,null,null,null,null,null,null,null,"Please include proposed \npremium equivalent rates:"]
[null,null,null,null,null,null,null,null,null,null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
[null,null,null,null,null,null,null,null,null,null,"Employee Only"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Spouse"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Child(ren)"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Family"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA Only"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+Spouse"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+Child(ren)"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+ Family"]

{"sheet":"Opt 1.B. Plan Designs & Rates","index":5,"n_rows":29,"n_cols":15,"rows_kept":29,"cut":false,"hidden":false,"merged":[[1,0,1,5],[2,0,2,1],[19,10,19,14],[4,0,4,8],[4,10,4,14],[5,4,5,8],[5,10,5,14],[6,0,6,2],[6,4,6,8],[6,10,6,14],[5,0,5,1],[13,0,13,2],[13,4,13,8],[17,10,17,14],[14,4,14,8],[18,10,18,14],[15,4,15,8]]}
[]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Dental Plan Designs and Rates"]
[]
["Option 1.B. - Proposed",null,null,null,null,null,null,null,null,null,"Option 1.B. - Proposed"]
["Proposed Plan Benefits",null,"Plan Deviations",null,"TWO TIER RATE STRUCTURE",null,null,null,null,null,"FOUR TIER RATE STRUCTURE"]
["Base Plan",null,null,null,"Please include proposed\n premium equivalent rates:",null,null,null,null,null,"Please include proposed\n premium equivalent rates:"]
["Deductible","$50/$100",null,null,"Basic","Enrolled","Rates","ER\nSubsidy ","EE\nContrib.",null,"Basic","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
["Preventive",1,null,null,"Employee Only",1777,null,null,null,null,"Employee Only"]
["Basic",0.8,null,null,"Employee+Family",1061,null,null,null,null,"Employee+Spouse"]
["Major",0.5,null,null,"Retiree Only & LOA",1203,null,null,null,null,"Employee+Child(ren)"]
["Ortho",0.5,null,null,"Retiree+Family & LOA",700,null,null,null,null,"Employee+Family"]
["Annual Max","$1,000 (lifetime max of $1,000)",null,null,null,null,null,null,null,null,"Retiree/LOA Only"]
["Enhanced Buy-Up Plan",null,null,null,"Option 1.B. - Proposed",null,null,null,null,null,"Retiree/LOA+Spouse"]
["Deductible","$50/$100",null,null,"TWO TIER RATE STRUCTURE",null,null,null,null,null,"Retiree/LOA+Child(ren)"]
["Preventive",1,null,null,"Please include proposed premium equivalent rates:",null,null,null,null,null,"Retiree/LOA+ Family"]
["Basic",0.8,null,null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
["Major",0.5,null,null,"Employee Only",1777,null,null,null,null,"Option 1.B. - Proposed"]
["Ortho",0.5,null,null,"Employee+Family",1061,null,null,null,null,"FOUR TIER RATE STRUCTURE"]
["Annual Max","$1,500 (lifetime max of $1,500)",null,null,"Retiree Only & LOA",1203,null,null,null,null,"Please include proposed premium equivalent rates:"]
[null,null,null,null,"Retiree+Family & LOA",700,null,null,null,null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
[null,null,null,null,null,null,null,null,null,null,"Employee Only"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Spouse"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Child(ren)"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Family"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA Only"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+Spouse"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+Child(ren)"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+ Family"]

{"sheet":"Opt 2 Plan Designs & Rates","index":6,"n_rows":28,"n_cols":15,"rows_kept":28,"cut":false,"hidden":false,"merged":[[1,0,1,4],[5,4,5,8],[5,16,5,20],[5,10,5,14],[28,4,28,8],[2,0,2,1],[4,0,4,13],[5,0,5,1],[29,4,29,8],[6,4,6,8],[6,0,6,2],[6,10,6,14],[17,10,17,14],[13,0,13,2],[18,10,18,14]]}
[]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Dental Plan Designs and Rates"]
[]
["Option 2 - Traditional Plan w/ PPO Network "]
["Proposed Plan Benefits",null,"Plan Deviations",null,"TWO TIER RATE STRUCTURE",null,null,null,null,null,"FOUR TIER RATE STRUCTURE"]
["Base Plan",null,null,null,"Please include proposed premium equivalent rates:",null,null,null,null,null,"Please include proposed premium equivalent rates:"]
["Deductible","$50/$100",null,null,"Basic","Enrolled","Rates","ER\nSubsidy ","EE\nContrib.",null,"Basic","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
["Preventive",1,null,null,"Employee Only",1777,null,null,null,null,"Employee Only"]
["Basic",0.8,null,null,"Employee+Family",1061,null,null,null,null,"Employee+Spouse"]
["Major",0.5,null,null,"Retiree Only & LOA",1203,null,null,null,null,"Employee+Child(ren)"]
["Ortho",0.5,null,null,"Retiree+Family & LOA",700,null,null,null,null,"Employee+Family"]
["Annual Max","$1,000 (lifetime max of $1,000)",null,null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib.",null,"Retiree/LOA Only"]
["Enhanced Buy-Up Plan",null,null,null,"Employee Only",582,null,null,null,null,"Retiree/LOA+Spouse"]
["Deductible","$50/$100",null,null,"Employee+Family",377,null,null,null,null,"Retiree/LOA+Child(ren)"]
["Preventive",1,null,null,"Retiree Only & LOA",221,null,null,null,null,"Retiree/LOA+ Family"]
["Basic",0.8,null,null,"Retiree+Family & LOA",92]
["Major",0.5,null,null,null,null,null,null,null,null,"FOUR TIER RATE STRUCTURE"]
["Ortho",0.5,null,null,null,null,null,null,null,null,"Please include proposed premium equivalent rates:"]
["Annual Max","$1,500 (lifetime max of $1,500)",null,null,null,null,null,null,null,null,"Enhanced","Enrolled","Rates","ER\nSubsidy ","EE\nContrib."]
[null,null,null,null,null,null,null,null,null,null,"Employee Only"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Spouse"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Child(ren)"]
[null,null,null,null,null,null,null,null,null,null,"Employee+Family"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA Only"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+Spouse"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+Child(ren)"]
[null,null,null,null,null,null,null,null,null,null,"Retiree/LOA+ Family"]

{"sheet":"Opt 3 Plan Designs & Rates","index":7,"n_rows":42,"n_cols":13,"rows_kept":42,"cut":false,"hidden":false,"merged":[[1,0,1,6],[38,4,38,6],[38,0,38,3],[37,0,37,3],[41,4,41,6],[39,4,39,6],[40,4,40,6],[41,0,41,3],[40,0,40,3],[39,0,39,3],[35,4,35,6],[36,4,36,6],[36,0,36,3],[35,0,35,3],[37,4,37,6],[32,4,32,6],[32,0,32,3],[31,0,31,3],[33,4,33,6],[34,4,34,6],[34,0,34,3],[33,0,33,3],[7,0,7,2],[31,7,31,9],[30,7,30,9],[29,7,29,9],[29,0,29,3],[17,4,17,7],[18,4,18,7],[17,9,17,12],[18,9,18,12],[41,7,41,9],[40,7,40,9],[39,7,39,9],[38,7,38,9],[37,7,37,9],[2,0,2,2],[36,7,36,9],[35,7,35,9],[34,7,34,9],[33,7,33,9],[32,7,32,9],[4,0,4,12],[29,4,29,6],[30,4,30,6],[30,0,30,3],[31,4,31,6],[14,0,14,2],[5,0,6,1],[6,4,6,7],[5,4,5,7],[5,2,6,2]]}
[]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Dental Plan Designs and Rates"]
[]
["Option 3 - Fully Insured"]
["Proposed Plan Benefits",null,"Deviations",null,"TWO TIER RATE STRUCTURE"]
[null,null,null,null,"Please include proposed premium equivalent rates:"]
["Base Plan",null,null,null,"Basic","Enrolled","Current Rates","Proposed Rates"]
["Deductible","$50/$100",null,null,"Employee Only",1777]
["Preventive",1,null,null,"Employee+Family",1061]
["Basic",0.8,null,null,"Retiree Only & LOA",1203]
["Major",0.5,null,null,"Retiree+Family & LOA",700]
["Ortho",0.5,null,null,"Enhanced","Enrolled","Current Rates","Proposed Rates"]
["Annual Max","$1,000 (lifetime max)",null,null,"Employee Only",582]
["Enhanced Buy-Up Plan",null,null,null,"Employee+Family",377]
["Deductible","$50/$100",null,null,"Retiree Only & LOA",221]
["Preventive",1,null,null,"Retiree+Family & LOA",92]
["Basic",0.8,null,null,"FOUR TIER RATE STRUCTURE (Base Plan)",null,null,null,null,"FOUR TIER RATE STRUCTURE (Enhanced Plan)"]
["Major",0.5,null,null,"Please include proposed premium equivalent rates:",null,null,null,null,"Please include proposed premium equivalent rates:"]
["Ortho",0.5,null,null,"Basic","Enrolled","Current Rates","Proposed Rates",null,"Basic","Enrolled","Current Rates","Proposed Rates"]
["Annual Max","$1,500 (lifetime ma)",null,null,"Employee Only",null,null,null,null,"Employee Only"]
[null,null,null,null,"Employee+Spouse",null,null,null,null,"Employee+Spouse"]
[null,null,null,null,"Employee+Child(ren)",null,null,null,null,"Employee+Child(ren)"]
[null,null,null,null,"Employee+Family",null,null,null,null,"Employee+Family"]
[null,null,null,null,"Retiree/LOA Only",null,null,null,null,"Retiree/LOA Only"]
[null,null,null,null,"Retiree/LOA+Spouse",null,null,null,null,"Retiree/LOA+Spouse"]
[null,null,null,null,"Retiree/LOA+Child(ren)",null,null,null,null,"Retiree/LOA+Child(ren)"]
[null,null,null,null,"Retiree/LOA+ Family",null,null,null,null,"Retiree/LOA+ Family"]
[]
["Included in Proposal\nPlease indicate Y, N or NA",null,null,null,"Answer",null,null,"Explanation"]
["Add ECSD logo to ID card"]
["ID card replacement"]
["Customized communications"]
["Non-English communication materials"]
["Ad hoc/Customized reporting"]
["Member communications pertaining to proposer transition"]
["Interest rate charged for late wire transfers"]
["Member portal customization"]
["Customized Summary Plan Description (SPDs)"]
["SPD Amendments "]
["800 Telephone Links (installation and usage)"]
["Other (please list)"]

{"sheet":"Fees","index":8,"n_rows":32,"n_cols":5,"rows_kept":32,"cut":false,"hidden":false,"merged":[[1,1,1,4],[4,1,4,4],[30,1,30,2],[29,1,29,4],[24,1,24,2],[25,1,25,2],[26,1,26,2],[22,1,22,2],[23,1,23,2],[5,3,6,3],[20,1,20,2],[19,1,19,2],[15,1,15,2],[12,1,12,2],[5,4,6,4],[21,1,21,2],[16,1,16,2],[17,1,17,2],[14,1,14,2],[13,1,13,2],[31,1,31,2],[5,1,6,2],[7,1,7,3],[8,1,8,3],[9,1,9,3],[11,1,11,2],[10,1,10,2]]}
[]
[null,{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
[null,"Dental Administration Fees"]
[]
[null,"PROPOSERS SUMITTING A PROPOSAL FOR EITHER OPTION #1, #2 OR #3 MUST\nANSWER THE FOLLOWING QUESTIONS"]
[null,"Important! Please Read: ",null,"Current","Vendor Response"]
[]
[null,"Self-funded/ASO quotes: The administrative services fees should be quoted in full detail. Fees must be valid for a minimum of three years. Maximum rate increase caps must be provided for years 4 and 5. The District is currently administering a self-funded Dental Plan. The contractor will assume the responsibility of processing dental claims using a Direct Reimbursement process for district employees, retirees, and covered dependents. "]
[null,"Capabilities: The company will attest to possess the necessary capacities, resources, and knowledge to implement the Dental Benefit plan as presented in the Plan Designs & Rates tab and in accordance to the terms, conditions, and specifications herein. "]
[null,"Runout Provision: Upon completion of the contract term, cancellation or termination, the Vendor will administer all runout claims incurred prior to the date of cancellation, termination or completion for a period not to exceed 90 days. "]
[null,"Dental Administration Fees",null,"Current","Vendor Response"]
["1.","Base administration fee",null,1.43]
["a.","Is the Base administration fee included in the premium equivalent rate?",null,"Included"]
["2.","Benefit Certification",null,"Included"]
["3.","Preparation of claims for processing",null,"Included"]
["4.","Computation of benefits",null,"Included"]
["5.","Issuance of checks with EOB's (Explanation of Benefits) or Direct Deposit (ACH) with an electronic EOB's through the vendor portal",null,"Included"]
["6.","Claims control activities",null,"Included"]
["7.","Coordination of benefits",null,"Included"]
["8.","Auditing services",null,"Included"]
["9.","On-line employee access to vendor portal to access claims submitted and paid. The on-line portal will replace the mailing of EOB's when claim payment are disbursed by ACH payment. Notification to the employee email address of the EOB processing to be sent if available.",null,"Included"]
[null,"Additional Items"]
["10.","Vendor shall prepare and print the following: ",null,"Included"]
["a.","Enrollment forms",null,"Included"]
["b.","Claim checks issues",null,"Included"]
["c.","Plan documents, if necessary",null,"Included"]
["d.","I.D. Cards, if necessary",null,"Included"]
[]
[]
[null,"PROPOSERS SUMITTING A PROPOSAL FOR OPTION #1 MUST\nANSWER THE FOLLOWING QUESTIONS"]
[null,"Dental Administration",null,"Current","Vendor Response"]
["11.","Direct deposit of claim payments into Employee bank accounts. Relevant bank account information to be supplied to vendor by Employer.",null,"Included"]

{"sheet":"Provider Disruption","index":9,"n_rows":732,"n_cols":10,"rows_kept":732,"cut":false,"hidden":false,"merged":[[18,1,18,4],[19,1,19,3],[22,0,22,8],[1,0,1,5],[2,0,2,5],[4,0,4,9],[6,0,6,1],[7,0,7,8],[8,0,8,8],[9,1,9,8],[10,1,10,7],[11,1,11,8],[12,1,12,8],[13,1,13,8],[16,0,16,6],[17,1,17,2]]}
[]
["Request for Proposal (RFP) for Escambia County School District (ECSD)"]
["Provider Disruption Report"]
[]
["Request for Dental Provider Utilization"]
[]
["Instructions:"]
["•  The \"Reference #\" is a critical field to the analysis and should not be adjusted, deleted, or linked to any other row of data.  "]
["•   Please input a \"Y\", \"LP\",  or \"N\" indicator in the match column requested for each provider line. In addition, indicate your match criteria in the column next to it. "]
[null,{"$f":"\"-- Indicate 'Y' if the provider is directly contracted in the network you are proposing for \"&TRIM(A6)&\".\"","v":"-- Indicate 'Y' if the provider is directly contracted in the network you are proposing for ."}]
[null,"-- Indicate 'LP' if the provider is in a rental, leased, or wrap network."]
[null,"-- Indicate 'N' for providers who are not formally contracted into the network and/or who would not be listed in network directories"]
[null,"   but who offer some type of discounting from fees whether by a limited contract or by negotiation after incurral."]
[null,"-- Indicate 'N' if the provider is out-of-network based on the network being proposed."]
[]
["    Note: By indicating “Y” or \"LP\"  you are confirming that you have a high confidence match and the provider is in your network. "]
["    Therefore, do not include weak matches as a \"Y\" response,  the following are consider to be a strong match:"]
[null,"*TIN Only"]
[null,"*Name, Address, City, State, and ZIP"]
[null,"*Name, City, State, and ZIP"]
[null,"~If you choose to report any other variation as a match, it is understood that your organization has full confidence that the provider is in your network"]
[null,"\n~Any blank responses in the \"In Network?\" column will be counted as a \"N\""]
["If you are proposing multiple networks, please complete separate files (or append columns) for each network and specify the applicable network within your response."]
[]
["Reference Number","Tax ID","Provider Name","Provider Office Address 1","Provider Office Address 2","Provider Office City","Provider State","Provider Office ZIP Code","In Network? (Y/LP/N)","Match Criteria (e.g., TIN Only)"]
["D-001",273635983,"ROSS FAMILY DENTAL CLINIC","2710 West Oxford Loop ",null,"OXFORD","MS","38655"]
["D-002",592507835,"ALFANT, MARC, DDS","729 E. STRAWBRIDGE AVE",null,"MELBOURNE","FL","32901"]
["D-003",591092105,"MAAL, ROBERTO D.D.S.","2350 HWY 29 SOUTH",null,"CANTONMENT","FL","32533"]
["D-004",270000024,"FARRUGIA, CHRIS P., D.D.S.","12385 SORRENTO ROAD SUITE B-1",null,"PENSACOLA","FL","32507"]
["D-005",592148657,"DAN B. HENRY, D.D.S., P.A.","4627 N. DAVIS HWY., BLDG A",null,"PENSACOLA","FL","32503"]
["D-006",510417756,"HINTON, ANDREW C., D.M.D.","627 NEW WARRINGTON ROAD",null,"PENSACOLA","FL","32506"]
["D-007",631081555,"EASTERN SHORE DENTAL, PC","2213 US HIGHWAY 98",null,"DAPHNE","AL","36526"]
["D-008",650719035,"MANUEL O. SAENZ, DDS","DHG AT CORAL WAY","11865 SW 26 ST, STE C-39","MIAMI","FL","33175"]
["D-009",161664004,"AFFORDABLE DENTURES","8102 N DAVIS HIGHWAY",null,"PENSACOLA","FL","32514"]
["D-010",270000070,"PYRITZ, THOMAS H., D.D.S.","8580 UNIVERSITY PARKWAY",null,"PENSACOLA","FL","32514"]
["D-011",270000285,"BALDWIN COUNTY ENDODONTICS","921 PLANTATION BLVD",null,"FAIRHOPE","AL","36532"]
["D-012",592326245,"SHEHEE FAMILY ORTHODONTICS","1007 AIRPORT BLVD.",null,"PENSACOLA","FL","32504"]
["D-013",270000383,"DRS. BLACKMAN & COPPEJANS","79 MIDTOWN PARK EAST",null,"MOBILE","AL","36606"]
["D-014",593433182,"JEFFREY J. KATES, DDS","2136 W FAIRFIELD DR",null,"PENSACOLA","FL","32505"]
["D-015",593255718,"MARK S. GRESKOVICH, DMD","ORAL AND MAXILLOFACIAL SURGERY ASSOC.","4850 N. 9TH AVENUE BLDG.IV","PENSACOLA","FL","32503"]
["D-016",593222300,"DONALD RADOMSKI,DMD","1371 COUNTRY CLUB DRIVE",null,"GULF BREEZE","FL","32561"]
["D-017",270000192,"EASTERN SHORE DENTAL, P.C.","PO BOX 1917",null,"DAPHNE","AL","36526"]
["D-018",631252621,"DOTHAN DENTAL GROUP PC","366 HEALTHWEST DRIVE",null,"DOTHAN","AL","36303"]
["D-019",650719035,"DAVID HORN, DMD","6035 SE FEDERAL HWY",null,"STUART","FL","34997"]
["D-020",650719035,"Dup - SAENZ, MANUEL O., DDS","11865 SW 26 ST., STE C-39",null,"MIAMI","FL","33175"]
["D-021",593645431,"KEVIN C DEAN DMD,MD","ORAL AND MAXILLOFACIAL SURGERY","4850 N 9TH AVE BLDG 4","PENSACOLA","FL","32503"]
["D-022",200223615,"JAMES H. MCCREARY, D.M.D.","4502 SPANISH TRAIL ROAD",null,"PENSACOLA","FL","32504"]
["D-023",593273768,"TONY D CLARK, D.M.D., PA.","526 MARY ESTHER CUTOFF",null,"FT. WALTON BCH","FL","32548"]
["D-024",721383657,"NORTHCUTT DENTAL PRACTICE","23678 HWY 98",null,"FAIRHOPE","AL","36532"]
["D-025",300033993,"EMERALD COAST SMILES BY DESIGN PA","3927 CREIGHTON ROAD",null,"PENSACOLA","FL","32504"]
["D-026",161650230,"DRS.FERRETTI & ROSENTHAL,P.A.","4300 BAYOU BLVD #11",null,"PENSACOLA","FL","32503"]
["D-027",631133538,"C. DOUGLAS HARRELL,III, D.M.D.","59 NORTH SECTION STREET",null,"FAIRHOPE","AL","36532"]
["D-028",592123665,"BENJAMIN J. HODGES, D.M.D.","4400 BAYOU BOULVARD BLDG 3A",null,"PENSACOLA","FL","32503"]
["D-029",593294416,"WILLIAM MARCHI, DDS","4850 NORTH 9TH AVENUE",null,"PENSACOLA","FL","32503"]
["D-030",593787731,"DENTAL CLINIC","4272 AVALON BLVD",null,"MILTON","FL","32583"]
["D-031",91480128,"RANDOLPH F BLAKEMAN DDS","184 SARATOGA RD",null,"GLENVILLE","NY","12302"]
["D-032",630927612,"JAMES V. SHAMBURGER, DMD","208 W. 19TH AVENUE",null,"GULF SHORES","AL","36542"]
["D-033",650719035,null,null,null,null,null,"0"]
["D-034",631240256,"HENRY C VAUGHN III, DMD","318 HEALTHWEST DRIVE",null,"DOTHAN","AL",36303]
["D-035",650719035,"MICHAEL D QUASHA,DDS","3251 NW FEDERAL HIGHWAY",null,"JENSEN BEACH","FL","34957"]
["D-036",593484886,"DECANTIS, RICHARD DDS","PO BOX 622287",null,"OVIEDO","FL","32762"]
["D-037",542103356,"BUCKLEY & BUCKLEY DENTISTRY","PO BOX 937",null,"ATMORE","AL","36504"]
["D-038",630903733,"J. THOMAS SANDERS, DMD","1666 SOUTH FOREST AVENUE",null,"LUVERNE","AL","36049"]
["D-039",592441820,"RANDALL S. BAILEY, DMD","85 NIGHTENGALE LN",null,"GULF BREEZE","FL","32561"]
["D-040",640612485,"C LAMAR JONES, DDS","223 NORTH MAIN STREET",null,"PETAL","MS","39465"]
["D-041",262089396,"RANDALL P RIGSBY, D M D","3969 SPANISH TRAIL",null,"PENSACOLA","FL","32504"]
["D-042",203669034,"COASTAL ORTHODONTICS","904 GARDEN GATE CIRCLE",null,"PENSACOLA","FL","32504"]
["D-043",593385034,"NEWSOME, STEPHEN, B., DDS","6111 N DAVIS HWY, BLDG C",null,"PENSACOLA","FL","32504"]
["D-044",203876397,"BAYOU DENTAL,PA","4461 BAYOU BLVD",null,"PENSACOLA","FL","32505"]
["D-045",270000062,"TAYLOR DENTAL ","6601 NORTH DAVIS HIGHWAY,  SUITE 8",null,"PENSACOLA","FL","32504"]
["D-046",204653163,"TURBYFILL, DAVID T., DMD","301 N. CEDAR ST.",null,"FOLEY","AL","36535"]
["D-047",650719035,"NATHALIE SHOER, DMD.","860 US HWT 1","SUITE 101","NORTH PALM BEACH","FL","33408"]
["D-048",270000099,"FAMILY & COSMETIC DENTISTRY","JAMES K. MARTIN, DMD","4850 N 9TH AVE","PENSACOLA","FL","32503"]
["D-049",200090164,"GULF COAST FAMILY DENTISTRY","3101 F.W. MICHIGAN",null,"PENSACOLA","FL","32526"]
["D-050",650719035,"NATHALIE SHOER","6035 SE FEDERAL HIGHWAY",null,"STUART","FL","34997"]
["D-051",592749071,"HOLMES AND SCLAR, P.A.","DBA SOUTH FLORIDA OMS","7600 RED ROAD SUITE #101","MIAMI","FL","33143"]
["D-052",475142849,"MARC A. BLACKBURN, DDS","8630 UNIVERSITY PARKWAY",null,"PENSACOLA","FL","32514"]
["D-053",473081479,"PETER J. CONGIUNDI, DDS","6470 TIPPIN AVENUE",null,"PENSACOLA","FL","32504"]
["D-054",251698677,"LECOM SCHOOL OF DENTAL MEDICINE","4800 LAKEWOOD RANCH BLVD.",null,"BRADENTON","FL","34211"]
["D-055",593457258,"SPANISH TRAIL DENTISTRY, PA","4359 SPANISH TRAIL",null,"PENSACOLA","FL","32504"]
["D-056",408789233,"DR. CLARK CHILDRESS, DDS","219 OAK AVENUE",null,"COOKEVILLE","TN","38501"]
["D-057",474780023,"BBH SBMC LLC","PO BOX 11407",null,"BIRMINGHAM","AL","35246"]
["D-058",581386008,"NORTH GEORGIA DENTAL CARE","2350 ATLANTA HWY STE 100",null,"CUMMING","GA","30040"]
["D-059",30468198,"KEITH V HOLLAND, DDS, LLC","4114 HERSCHEL ST #106",null,"JACKSONVILLE","FL","32210"]
["D-060",272971971,"T.J. MORRIS, DDS","111 EAST RIDGELEY STREET",null,"ATMORE","AL","36502"]
["D-061",472585228,"WETUMPKA FAMILY DENTISTRY","4045 HIGHWAY 231",null,"WETUMPKA","AL","36093"]
["D-062",593555852,"PENSACOLA FOOT ANKLE CENTER","4850 N 9TH AVENUE",null,"PENSACOLA","FL","32503"]
["D-063",274484828,"FAIRHOPE COSMETIC DENTISTRY","101 FLY CREEK AVE SUTIE 301",null,"FAIRHOPE","AL","36532"]
["D-064",270539050,"ERIC S. PRYOR, DMD, LLC","127 SOUTH MAIN STREET",null,"JASPER","GA","30143"]
["D-065",204641295,"T. ALLEN LIGON DDS","1121 MIMOSA DRIVE",null,"OXFORD","MS","38655"]
["D-066",270369393,"GROVES FAMILY & COSMETIC DENTISTRY","9119 S. TOLEDO AVENUE",null,"TULSA","OK","74137"]
["D-067",591360433,"CENTRAL FLORIDA ORAL SURGERY","1095 TOWN CENTER DRIVE",null,"ORANGE CITY","FL","32763"]
["D-068",630695110,"MICHAEL A. KELLER, DD PC","2045 BROOKWOOD MEDICAL CENTER DR",null,"BIRMINGHAM","AL","35209"]
["D-069",820810048,"LANCE R. WASHBURN DDS, PLLC","627 NEW WARRINGTON ROAD",null,"PENSACOLA","FL","32506"]
["D-070",591919041,"RICHARD N. THOMAS DDS","102 ALABAMA ST., SUITE A",null,"CRESTVIEW","FL","32536"]
["D-071",382677967,"SHARON K PATRICK DMD","303 W. HANSELL ST.",null,"THOMASVILLE","GA","31792"]
["D-072",472730315,"SLEVOLJUB DJURIC DDS","12950 LILLIAN HWY",null,"PENSACOLA","FL","32506"]
["D-073",471134563,"FERRELL FAMILY DENTAL","8154 HWY. 59 SUITE 217",null,"FOLEY","AL","36535"]
["D-074",20639376,"DOMINIQUE V. BACKUS, DDS","3507 OLD MONTGOMERY HWY.",null,"BIRMINGHAM","AL","35209"]
["D-075",640949275,"GARDNER WADE, DDS","9828 BLUEBONNET BLVD., SUITE D",null,"BATON ROUGE","LA","70810"]
["D-076",461737999,"FAIRWAY DENTAL","12342 FOLEY BEACH EXPRESS",null,"FOLEY","AL","36535"]
["D-077",999999999,"Mark Rubenstein, M.D.","1000 NW 9th Court",null,"Boca Raton","FL","33486"]
["D-078",593503649,"DR HELEN TURNER","6780 BERRYHILL ST.",null,"MILTON","FL","32570"]
["D-079",270000365,"CHRIS BONDURANT DMD MD PC","27587 US HIGHWAY 98",null,"DAPHNE","AL","36526"]
["D-080",812787801,"WHITE SMILES DENTISTRY","1108 N. 12TH AVE. SUITE C",null,"PENSACOLA","FL","32501"]
["D-081",999999999,"Acme Totalcare Solutions, Inc.","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-082",821654594,"PHILIP KOZLOW, DDS","5050 QUORUM DR #340",null,"DALLAS","TX","75254"]
["D-083",208854238,"ANGEL F LOPEZ DMD PA","95 ALAFAYA WOODS BLVD",null,"OVIEDO","FL","32765"]
["D-084",463269807,"CALUMET FAMILY DENTISTRY","116 CALUMET CENTER RD ",null,"LAGRANGE","GA","30241"]
["D-085",824769895,"LAWRENCE DENTAL STUDIO ,LLC","5100 BOB BILLINGS PKWY STE 110",null,"LAWRENCE ","KS","66049"]
["D-086",203941899,"MONIUCA L.DOBBIN DDS","730 CHEYENNE BLVD ","STE 200","COLORADO SPRINGS ","CO","80905"]
["D-087",811106479,"BOZEMAN DENTAL GROUP","308 S DAWSON ST.",null,"THOMASVILLE","GA","31799"]
["D-088",814666552,"STRICKLAND ORTHODONTICS, PLLC","7489 PARKER ROAD",null,"FAIRHOPE","AL","36532"]
["D-089",811723394,"ORANGE BEACH FAMILY","25299 CANAL ROAD","SUITE A5","ORANGE BEACH ","AL","36561"]
["D-090",464388648,"JAMES F.MELZER","329 WESTGATE PLAZA",null,"FRANKLIN","NC","28734"]
["D-091",232449454,"SUSQUEHANNA PHYSICIAN SERVICE","1201 GRAMPIAN BLVD",null,"WILLIAMSPORT","PA","17701"]
["D-092",386173161,"DENTAL GROUP REDWWOD ","800 KIRST BLVD STE 650",null,"TROY ","MI","48084"]
["D-093",464089459,"ROSAMOND T. SONNEN, DDS","7100 PLANTATION ROAD, SUITE 9",null,"PENSACOLA","FL","32504"]
["D-094",592749071,"HOLMES,STEVEN M., D.D.S.","7600 RED ROAD","#101","MIAMI","FL","33143"]
["D-095",591282325,"ADKINS & ADKINS D.D.S., P.A.","2227 EAST OLIVE ROAD",null,"PENSACOLA","FL","32514"]
["D-096",631082398,"HUMPHREYS JR., LEWIS G., D.M.D","102 MEDICAL DRIVE",null,"DOTHAN","AL","36303"]
["D-097",352200152,"GULF COAST DENTAL","4566 HIGHWAY 20 EAST, STE 108",null,"NICEVILLE","FL","32578"]
["D-098",270000217,"UAB DENTAL FACULTY PRACTICE","SCHOOL OF DENISTRY","5TH FLOOR","BIRMINGHAM","AL","35294"]
["D-099",270000224,"BROOKS, K. GLENN, D.D.S.","5514 N DAVIS HIGHWAY","SUITE 114","PENSACOLA","FL","32503"]
["D-100",264350248,"BAILEY, KAREN, D.M.D.","2232 COPTER ROAD",null,"PENSACOLA","FL","32514"]
["D-101",592939334,"PAREKH, GEETA P., D.D.S.","611 EAST BURGESS ROAD",null,"PENSACOLA","FL","32504"]
["D-102",270000099,"JAMES MARTIN,DMD","6202 NORTH NINTH AVE",null,"PENSACOLA","FL","32504"]
["D-103",592225494,"TREDWAY, MONTE R., D.M.D.","6150 VILLAGE OAKS DRIVE",null,"PENSACOLA","FL","32504"]
["D-104",270000296,"NORTH FLORIDA OMS ","4850 NORTH 9TH AVENUE",null,"PENSACOLA","FL","32503"]
["D-105",593287513,"LOIS J. LUNDERMAN,DDS","P.O.BOX 457",null,"VALPARISO","FL","32580"]
["D-106",270000078,"JAY E BOATWRIGHT III,DMD","914 E. ROYCE ST",null,"PENSACOLA","FL","32503"]
["D-107",510417756,"DENNIS R. HUEBNER, DDS","627 NEW WARRINGTON ROAD",null,"PENSACOLA","FL","32506"]
["D-108",270000148,"MCAULEY, LAURA D.D.S.","4500 Spanish Trail ",null,"PENSACOLA","FL","32504"]
["D-109",593429607,"JIM D LASSITER,DMD","5285 COMMERCE ST.",null,"JAY","FL","32565"]
["D-110",582159658,"BERNAL, MIGUEL A., DDS","3673 HWY 90",null,"PACE","FL","32571"]
["D-111",591233266,"ALLEN L. LITVAK DMD","6105 N DAVIS HWY BLDG B",null,"PENSACOLA","FL","32504"]
["D-112",640613595,"TOM MASON, JR., D.D.S.","1621 PASS RD STE C",null,"BILOXI","MS","39531"]
["D-113",650719035,"SHUMATE, NORMAN DDS","6035 S.E. FEDERAL HIGHWAY",null,"STUART","FL","34997"]
["D-114",591906362,"AL M RIDLEHOOVER DDS","302 W SUNSET AVE",null,"PENSACOLA","FL","32507"]
["D-115",592056636,"JAMES H. BALCOM, D.D.S","4850 NORTH 9TH AVENUE,BLDG.4",null,"PENSACOLA","FL","32503"]
["D-116",593255718,"MARK S. GRESKOVICH, D.M.D.","4850 NORTH 9TH AVENUE,BLDG.4",null,"PENSACOLA","FL","32503"]
["D-117",591301248,"WATSON FAMILY DENTISTRY","5750 HIGHWAY 90",null,"MILTON","FL","32583"]
["D-118",593414254,"C.D. NUNNELLEY, D.D.S.","4800 W FAIRFIELD DRIVE",null,"PENSACOLA","FL","32506"]
["D-119",270000083,"BARBARA J. MIZELL, DMD","5528 NORTH DAVIS HWY.,STE.E",null,"PENSACOLA","FL","32503"]
["D-120",593394842,"TIMOTHY K. HOPE, D.M.D.","9277 S.E. MARICAMP ROAD",null,"OCALA","FL","34472"]
["D-121",593391284,"GREGORY WOODFIN, DMD","4857 N. 9TH AVE.",null,"PENSACOLA","FL","32503"]
["D-122",593240685,"OVIEDO FAMILY AND COSMETIC DENTISTRY","4250 ALAFAYA TRAIL, #192",null,"OVIEDO","FL","32765"]
["D-123",631086639,"CENTRAL BALDWIN DENTAL CENTER","18100 HWY 104",null,"ROBERTSDALE","AL","36567"]
["D-124",591823215,"CAMPANELLA, THOMAS D.D.S.","907 NEW WARRINGTON ROAD",null,"PENSACOLA","FL","32506"]
["D-125",590824362,"CHARLES O CROOKE DDS","404 BLOUNT BLDG",null,"PENSACOLA","FL","32501"]
["D-126",920179478,"WIMBERLEY DENTAL CENTER","181 FM 3237",null,"WIMBERLEY","TX","78676"]
["D-127",205551396,"BALDWIN DENTURE CENTER, LLC","28080 US HWY 98","SUITE A, BUILDING A","DAPHNE","AL","36526"]
["D-128",200185918,"BEACH DENTAL ","8730 THOMAS DR STE 1102",null,"PANAMA CITY BEACH","FL","32413"]
["D-129",630733061,"GENE BRABSTON, DMD","506 N. SECTION STREET",null,"FAIRHOPE","AL","36532"]
["D-130",650719035,"GONZALO CORTES","3251 NW FEDERAL HWY.",null,"JENSEN BEACH","FL","34957"]
["D-131",300538526,"SORENTO DENTAL CARE","12385 SORRENTO ROAD, SUITE B-1",null,"PENSACOLA","FL","32507"]
["D-132",201535125,"MICHAEL T. O'DONNELL, D.M.D","57 BRUCE AVENUE",null,"DEFUNIAK SPRINGS","FL","32435"]
["D-133",453933001,"HODGES DENTAL CLINICS","4400 BAYOU BLVD. SUITE 3A",null,"PENSACOLA","FL","32503"]
["D-134",203526215,"FARLEY FAMILY DENTISTRY","902 EAST RAILROAD STREET",null,"LONG  BEACH","MS","39560"]
["D-135",999999999,"Medicare","PO Box 93945",null,"Cleveland","OH","44101"]
["D-136",630855689,"DR EDWARD JONES","3457 SIERRA DRIVE ",null,"HOOVER","AL","35216"]
["D-137",273465978,"SHELDON BLOOD, DDS","228 PULASKI STREET",null,"LAWRENCEBURG","TN","38464"]
["D-138",201697660,"MUSOLF DENTAL CENTER","6140 TUTT BLVD. SUITE 150",null,"COLORADO SPRINGS","CO","80923"]
["D-139",813632691,"LILLIAN FAMILY DENTISTRY","PO BOX 276",null,"LILLIAN","AL","36549"]
["D-140",243235559,"JEFFREY D. EFIRD, DDS","11 YORKSHIRE ST. STE. B",null,"ASHEVILLE","NC","28803"]
["D-141",581625152,"PEACHTREE CORNERS DENTAL ASSOCIATES","5635 PEACHTREE PKWY SUITE 220",null,"PEACHTREE CORNERS","GA","30092"]
["D-142",463111392,"AFFORDABLE DENTAL CARE","3900 E. VALLEY RD. #203",null,"RENTON ","WA","98057"]
["D-143",593437017,"STEVEN BARRY, DMD","5170 SOUTH FERDON BLVD",null,"CRESTVIEW","FL","32536"]
["D-144",631061172,"FRANK WILLIAMSON, DMD","4219 COTTAGE HILL ROAD",null,"MOBILE","AL","36609"]
["D-145",640612485,"JONES DENTAL CLINIC","223 NORTH MAIN STREET",null,"PETAL","MS","39465"]
["D-146",463743006,"PAUL A. QUINLAN, DDS","4311 GULF BREEZE PKWY.",null,"GULF BREEZE","FL","32563"]
["D-147",999999999,"SIPERSTEIN DERMATOLOGY","950 GLADES RD",null,"BOCA RATON","FL","33431"]
["D-148",461439436,"SIMS ORTODONTICS, LLC","1100 A-AIRPORT BLVD.",null,"PENSACOLA","FL","32504"]
["D-149",205741557,"CULLMAN COSMETIC & FAMILY DENTISTRY","311 6TH AVE. S.E.",null,"CULLMAN","AL","35055"]
["D-150",593660984,"DENTURE AND DENTAL SERVICES","12671 EMERALD COAST PKWY #205",null,"DESTIN","FL","32504"]
["D-151",200037800,"GLASS ORTHODONTICS","1303 MAIN ST.",null,"DAPHNE","AL","36526"]
["D-152",630820222,"EDWIN C. LEE, JR, DMD","959 SOUTH ALABAMA AVE.",null,"MONROEVILLE","AL","36460"]
["D-153",471299412,"SACKHEIM DENTAL","4627 N. DAVIS HWY, BUILDING B",null,"PENSACOLA","FL","32503"]
["D-154",721493177,"STEPHEN R. HOOPER","5148 AIRLINE DRIVE",null,"BOSSIER CITY","LA","71111"]
["D-155",260657414,"DR. SHEHZAD M. SHEIKH","46400 BENEDICT DRIVE, SUITE 205",null,"STERLING","VA","20164"]
["D-156",591694816,"ENDODONTIC ASSOC OF BREVARD","1250 EAU GALLIE BLVD. #C",null,"MELBOURNE","FL","32935"]
["D-157",465480210,"OLD HICKORY FAMILY DENTISTRY","101 MATTERHORN DRIVE",null,"OLD HICKORY","TN","37138"]
["D-158",455620747,"Ann Pomeranz D.M.D","7575 West University Ave ","STE P","Gainesville ","FL","32607"]
["D-159",454025103,"SARAH J ROBERTS, DMD","12670 CRABAPPLE ROAD, STE 110",null,"ALPHARETTA","GA","30004"]
["D-160",999999999,"Acme Regional Hospital ","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-161",202172817,"COX FAMILY DENTISTRY, PA","101 PERPETUAL SQUARE DRIVE",null,"ANDERSON","SC","29621"]
["D-162",472509941,"DR. BRANDI A SIMMONS","2350 HWY 29 SOUTH",null,"CANTONMENT","FL","32533"]
["D-163",621322682,"J. RANDALL CROWDER, DDS","PO BOX 2569","2623 HWY 70 E","CROSSVILLE","TN","38557"]
["D-164",204346433,"Arnold C Gangwisch , DMP ,PA","530 Florida Ave",null,"Lynn Haven","FL","32444"]
["D-165",472509941,"BRIGHT DOWNTOWN DENTAL ARTS","850 S. PALAFOX ST. SUITE 101B",null,"PENSACOLA","FL","32502"]
["D-166",582430009,"ALPHARETTA ENDODONTICS","5755 NORTH POINT PARKWAY, SUITE 8",null,"ALPHARETTA","GA","30022"]
["D-167",474954266,"VICTUS DENTAL","2850 MONROE STREET",null,"PENSACOLA","FL","32514"]
["D-168",631173205,"FARNI AND FARNI FAMILY DENTISTRY","1064 INDUSTRIAL PARKWAY",null,"SARALAND","AL","36571"]
["D-169",560964984,"THOMAS L.MORTON  D.D.S.PA","24 DEAVERVIEW RD",null,"ASHEVILLE","NC","28806"]
["D-170",630376518,"FAIR HAVEN ORAL HEALTH CENTER","1424 MONTICLAIR RD",null,"BIRMINGHAM ","AL","35210"]
["D-171",823391189,"Dr. Amir Wafiek Guirguis. ","414 Union Street, 8th floor ",null,"Nashville ","TN","37219"]
["D-172",201168528,"DOUGLAS F POHL D.D.D P.A","31 PERRY AVE ",null,"FORT WALTON BEACH ","FL","32548"]
["D-173",822473604,"NATURE COAST ","3835 N LECANTNO HWY",null,"BEVERLY HILLS","FL","34465"]
["D-174",464309803,"GULF BREEZE FAMILY DENTISTRY ","1371 COUNTRY CLUB RD ",null,"GULF BREEZE ","FL","32563"]
["D-175",591990356,"RAWSON & BRAXTON","5075 Carpenter Creek Dr",null,"PENSACOLA","FL","32503"]
["D-176",591360433,"CENTRAL FLORIDA ORAL SURGERY","610 N. MILLS AVE",null,"ORLANDO","FL","32803"]
["D-177",650719035,"GRANDISON,NIGEL, D.M.D.","140 S. UNIVERSITY DRIVE",null,"PEMBROKE PINES","FL","33025"]
["D-178",270000003,"FAIRFIELD DENTAL CENTER","P.O. BOX 36477",null,"PENSACOLA","FL","32516"]
["D-179",270000012,"SPURLOCK, NOEL D.D.S.","4041 HWY 90",null,"PACE","FL","32571"]
["D-180",270000342,"ELBERTA FAMILY DENTAL","P. O. BOX 412",null,"ELBERTA","AL","36530"]
["D-181",591682477,"GREGORY A. WOOD, D.M.D., M.S.","6111 N DAVIS HIGHWAY - BLDG B",null,"PENSACOLA","FL","32504"]
["D-182",592042035,"J. LAARY MORRIS, DMD","4850 N. 9TH AVENUE",null,"PENSACOLA","FL","32503"]
["D-183",593418340,"PHILLIP M DRLICKA, DDS, PA","901 NEW WARRINGTON RD",null,"PENSACOLA","FL","32506"]
["D-184",591793584,"BRADLEY, WAYNE D.D.S.","6900 B NORTH 9TH AVE",null,"PENSACOLA","FL","32504"]
["D-185",522133878,"MIDTOWN DENTAL CENTER","6202 N. 9TH AVE","SUITE 6","PENSACOLA","FL","32504"]
["D-186",621295656,"TORRANCE, DOUGLAS J., D.D.S.","899 LADDER TRAIL",null,"SIGNAL MOUNTAIN","TN","37377"]
["D-187",593756812,"BARRINEAU, NICOLE D.D.S.","3404 SANTA ROSA DRIVE",null,"GULF BREEZE","FL","32563"]
["D-188",592056636,"JAMES H. BALCOM,DDS.,PA","4850 NORTH 9TH AVENUE BLDG. IV","ORAL AND MAXILLOFACIAL SURGERY","PENSACOLA","FL","32503"]
["D-189",267533631,"DAVID WILLIAMS, D.D.S.","4357 SPANISH TRAIL ROAD",null,"PENSACOLA","FL","32504"]
["D-190",161664004,"JEFF TURNER DDS","8102 N DAVIS HIGHWAY",null,"PENSACOLA","FL","32514"]
["D-191",650719035,"DENTAL HEALTH GROUP, PA","P.O. BOX 2827",null,"NORCROSS","GA","30094"]
["D-192",10670135,"MCGILVRAY DENTAL","6029 N. NINTH AVENUE",null,"PENSACOLA","FL","32504"]
["D-193",270000139,"ADVANTAGE DENTAL CENTER","2915 EAST CERVANTES STREET",null,"PENSACOLA","FL","32503"]
["D-194",631017980,"CRAINE, STEVEN D.M.D.","P.O. BOX DRAWER 367",null,"LOXLEY","AL","36551"]
["D-195",593416849,"WOODBINE FAMILY DENTISTRY ","5463 WOODBINE ROAD",null,"PACE","FL","32571"]
["D-196",20700114,"FACIAL & ORAL SURGERY OF E.S.,PC","19748 S. GREENO RD. ",null,"FAIRHOPE","FL","36532"]
["D-197",592297895,"V. RANDALL GUELPA, DDS","4300 BAYOU BLVD.,STE.6",null,"PENSACOLA","FL","32503"]
["D-198",593414254,"JOHN D. HODGE, D.D.S.","4800 W FAIRFIELD DRIVE",null,"PENSACOLA","FL","32506"]
["D-199",593414254,"C.W. BARFIELD, D.D.S.","P.O. BOX 36477",null,"PENSACOLA","FL","32516"]
["D-200",593578928,"AVALON DENTAL CLINIC","4272 AVALON BOULEVARD",null,"MILTON","FL","32583"]
["D-201",650719035,"COHEN, LEE R., DDS","6035 SE FEDERAL HWY.",null,"STUART","FL","34997"]
["D-202",417487219,"DR. R.W. PETERS, D.M.D.","PO BOX 306","112 BLACKSHER STREET","BREWTON","AL","36427"]
["D-203",591793584,"TRICIA E. BRADLEY HESS, DMD","6900 B NORTH 9TH AVENUE",null,"PENSACOLA","FL","32504"]
["D-204",631287374,"CHRISTOPHER M. DONALD, DDS","1281 MAIN ST.",null,"DAPHNE","AL","36526"]
["D-205",260001208,"JOHN A. JENNINGS, DMD","486 ANDREWS AVE.","PO BOX 1909","OZARK","AL","36361"]
["D-206",650719035,"RONALD L. KATZ, DMD","860 US HIGHWAY ONE, #101",null,"NORTH PALM BEACH","FL","33408"]
["D-207",650719035,"ROBERT I. MURRAY, DMD","6035 S.E. FEDERAL HIGHWAY",null,"STUART","FL","34997"]
["D-208",200037800,"GLENN H. GLASS, DMD","PO BOX 2465",null,"DAPHNE","AL","36526"]
["D-209",439822880,"GEORGE L TALBERT, DDS","3961 SPANISH TRAIL ROAD",null,"PENSACOLA","FL","32504"]
["D-210",591551300,"WILLIAM W ROGERS III, DDS","2915 E CERVANTES ST",null,"PENSACOLA","FL","32503"]
["D-211",593046821,"TYRA LORIZ, DMD PA","3298 SUMMIT BLVD # 49",null,"PENSACOLA","FL","32503"]
["D-212",593331216,"FARRUGIA, ALAN C., DDS ","6601 N DAVIS HIGHWAY","SUITE 8","PENSACOLA","FL","32504"]
["D-213",204653163,"ORAL & MAXILLOFACIAL SURGERY ASSOCIATES","4850 NORTH NINTH AVE., BLDG. IV",null,"PENSACOLA","FL","32506"]
["D-214",260185892,"WEBSTER FAMILY DENTISTRY, INC.","5371 GLOVER LANE",null,"MILTON","FL","32570"]
["D-215",270000376,"MARCUS L. MANNING, D.M.D.","P O BOX 2348","137 COVE AVENUE","GULF SHORES","AL","36547"]
["D-216",203840297,"GERALD A. GRIGGS, DMD","P O BOX 760",null,"BLAIRSVILLE","GA","30514"]
["D-217",203068158,"ASPEN DENTAL","P O BOX 3189",null,"SYRACUSE","NY","13220"]
["D-218",450582875,"DOUGLAS W. ARNETT, D.D.S., PA","3201 E OLIVE ROAD",null,"PENSACOLA","FL","32514"]
["D-219",203297290,"LYNSEY W. BROWN, DMD","2313 STARMOUNT CIRCLE",null,"HUNTSVILLE","AL","35801"]
["D-220",593632832,"ANN POMERANZ, DMD","7575 WEST UNIVERSITY AVE. SUITE P",null,"GAINESVILLE","FL","32607"]
["D-221",270000083,"BARBARA MIZELL, DMD., PA","2850 MONROE ST.",null,"PENSACOLA","FL","32514"]
["D-222",260731369,"NAGEEN B. RAK, DDS","3474 GULF BREEZE PARKWAY",null,"GULF BREEZE","FL","32565"]
["D-223",650586200,"DEAN B. MANNING, DMD","2600 W. NINE MILE ROAD SUITE 8",null,"PENSACOLA","FL","32534"]
["D-224",6602904,"FRANK A. DENTREMONT, DMD","1121 MCKENZIE RD.",null,"FOLEY","AL","36535"]
["D-225",591767173,"FRANK SWERZEWSKI, DDS","2063 CENTRE POINTE BLVD.",null,"TALLAHASSEE","FL","32308"]
["D-226",570958437,"D. ALTON FANNING, JR. D.M.D.","1264 RIBAUT ROAD, STE 401",null,"BEAUFORT","SC","29902"]
["D-227",811888264,"FOLEY DENTAL ASSOCIATES","100 ELECIA LANE",null,"FOLEY ","AL","36535"]
["D-228",472500941,"AGGIE DENTAL CENTER","2350 HWY 29 SOUTH",null,"CANTONMENT","FL","32533"]
["D-229",260730038,"STONEYBROOK FAMILY DENTISTRY, PA","15502 STONEYBROOK WEST PKWY","SUITE 126","WINTER GARDEN","FL","34787"]
["D-230",262259638,"MATTHEW D. LITZ, DDS, LLC","400 CENTURY PARK SOUTH, SUITE 200",null,"BIRMINGHAM","AL","35226"]
["D-231",454781448,"RIVER ROCK DENTAL FAMILY","1801 EAST 51ST STREET, STE 390",null,"AUSTIN","TX","78723"]
["D-232",431401246,"KENT A. KEETHLER, DDS","1806 W. 5TH STREET",null,"SEDALIA","MO","65301"]
["D-233",208519953,"STEPHEN F. ZIEMAN, DDS","13 CENTER STREET",null,"GULF BREEZE","FL","32561"]
["D-234",452544747,"STUART WILLIAMS, D.D.S.","745 BILTMORE AVE.",null,"ASHEVILLE","NC","28803"]
["D-235",200701644,"PASUI FAMILY DENTISTRY","P.O. BOX 1489",null,"EASLEY ","SC","29641"]
["D-236",593737096,"LAURA B. MCAULEY, DDS","4500 SPANISH TRAIL",null,"PENSACOLA","FL","32504"]
["D-237",593105246,"ESCAMBIA  COMM  CLI  IN","14  WEST  JORDAN  ST",null,"PENSACOLA","FL","32501"]
["D-238",460609881,"HAVRON ENDODONTICS","8154 HIGHWAY 59, SUITE 203",null,"FOLEY","AL","36535"]
["D-239",721422491,"DR LESLIE PARRO GOTTSEGEN","2633 NAPOLEON AVE","SUITE 610","NEW ORLEANS","LA","70115"]
["D-240",464302145,"MICHAEL CLAY DDS","109 SEVENTH AVE",null,"ATMORE","AL","36502"]
["D-241",592015924,"PAUL SAARI, DDS","5050 SOUTH LAKELAND DRIVE",null,"LAKELAND","FL","33813"]
["D-242",203327629,"COMPREHENSIVE DENTAL CARE","1641-1 MAHAN CENTER BLVD",null,"TALLAHASSEE","FL","32308"]
["D-243",814455158,"MARK MCCALL, DDS","2229 COLUMBUS AVE",null,"WACO","TX","76701"]
["D-244",273626156,"DR. SANTOSH SAINI","13603 W. CAMINO DEL SOL #C",null,"SUN CITY WEST","AZ","85375"]
["D-245",999999999,"Acme Surgical Group, Inc.","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-246",999999999,"Acme Ambulance Services, Inc.","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-247",999999999,"Mark A. Werner, M.D.","16201 S Military Trail",null,"Delray Beach","FL","33484"]
["D-248",593088166,"ROBERT W. LADLEY, DMD","320A W. BURLEIGH BLVD.",null,"TAVARES","FL","32778"]
["D-249",364749860,"NICHOLAS B. ROWLEY, DMD","205 W. NEW HAVEN AVE.",null,"MELBOURNE","FL","32901"]
["D-250",999999999,"Acme Pavillion Hospital","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-251",811702619,"QUALITY DENTAL CARE","1631 RACETRACK RD SUITE 104",null,"ST. JOHN","FL","32259"]
["D-252",822876929,"NAPERVILLE COMMONS DENTAL LTD","24 W 500 MAPLE AVENUE ","STE 218","NAPERVILLE","IL","60540"]
["D-253",561028100,"JERRY L. BUTLER, DDS","851 BLOWING ROCK ROAD",null,"BOONE","NC","28607"]
["D-254",260641769,"TAYLOR DENTAL","6601 N DAVIS HWY, SUITE 8",null,"PENSACOLA","FL","32504"]
["D-255",262964833,"AUBURN DENTAL CARE","778 NORTH DEAN RD, STE 500",null,"AUBURN","AL","36830"]
["D-256",263188761,"GREGORY M. SWEENEY, JR., DMD, PC","30843 MILL LANE",null,"DAPHNE","AL","36526"]
["D-257",272484303,"MECHANICSBURG DENTAL ASSOCIATES, LLC","500 GETTYSBURG PIKE",null,"MECHANICSBURG","PA","17055"]
["D-258",841161823,"BIRD WITTEBBERG DENTAL ","7222 COMMERCE CTR DR #247",null,"COLORDO SPRINGS","CO","80919"]
["D-259",830941478,"GREGORY DIGBY ,DDS","4359 SPANISH TR",null,"PENSACOLA","FL","32504"]
["D-260",474529953,"CHARLES GOODWIN ","10001 SOUTH PENNSYLVANIA AVE","STE M220","OKLAHOMA CITY ","OK","73159"]
["D-261",141800310,"COTUGNO DENTAL ASSOCIATES ","212 N MAIN ST ",null,"GLOVERSVILLE ","NY","12078"]
["D-262",461325118,"VICTORY SMILES ","3707 COLLEGE PARK DRIVE #200",null,"THE WOODLANDS ","TX","77384"]
["D-263",582507025,"NORTH POINT PERIODONTICS, P.C.","4205 N. POINT PKWY.","BLDG. A","ALPHARETTA","GA","30022"]
["D-264",650719035,"GREAT EXPRESSIONS DENTAL CENTERS","P.O. BOX 670500",null,"DETROIT","MI","48267"]
["D-265",591263586,"ORAL AND MAXILLOFACIAL SURGERY","4850 NORTH 9TH AVE.,BLDG.4",null,"PENSACOLA","FL","32503"]
["D-266",999999999,"MEMBER SUBMITTED CLAIM","22 TECHNOLOGY PARKWAY SOUTH, STE 200",null,"PEACHTREE CORNERS","GA","30092"]
["D-267",592244432,"MARIAN K. KEEFE, DMD","7220 PINE FOREST ROAD",null,"PENSACOLA","FL","32508"]
["D-268",592114951,"FELDER, BRUCE D.D.S.","3000 LANGLEY AVE BLDG.1",null,"PENSACOLA","FL","32504"]
["D-269",270000010,"DANIEL, R. EDWARD D.M.D.","3961 SPANISH TRAIL ROAD",null,"PENSACOLA","FL","32504"]
["D-270",270000022,"SCOTT J BOOKER,DMD","41-C FAIRPOINT DRIVE",null,"GULF BREEZE","FL","32561"]
["D-271",593618357,"MARSAW, FREDERICK, D.D.S.","6511 NORTH 9TH AVENUE",null,"PENSACOLA","FL","32504"]
["D-272",593446353,"GERSTENBERG, BRYAN D.D.S.","4828 NORTH DAVIS HWY",null,"PENSACOLA","FL","32503"]
["D-273",270000244,"NAVARRE FAMILY DENTISTRY","9200 B NAVARRE PKWY",null,"NAVARRE","FL","32566"]
["D-274",591902519,"PRUETT JR., HENRY F., D.D.S.","466 E. NINE MILE ROAD",null,"PENSACOLA","FL","32514"]
["D-275",270000117,"GENE A WEST,DMD","109 7TH AVE",null,"ATMORE","AL","36502"]
["D-276",27000013,"ADVANTAGE DENTAL CENTER","2915 EAST CERVANTES STREET",null,"PENSACOLA","FL","32503"]
["D-277",593720530,"GULF COAST FAMILY DENTISTRY","3101-F W. MICHIGAN AVE.",null,"PENSACOLA","FL","32526"]
["D-278",300033993,"EMERALD COAST SMILES BY DESIGN PA","4300 BAYOU BLVD STE 22",null,"PENSACOLA","FL","32503"]
["D-279",481047272,"JOSEPH R. GATTI","5100 BOB BILLINGS PKWY, STE 110",null,"LAWRENCE","KS","66049"]
["D-280",721381121,"R. CHRIS BONDURANT DMD MD PC","ORAL AND MAXILLOFACIAL SURGERY","27880 NORTH MAIN STREET SUITE A","DAPHNE","AL","36526"]
["D-281",630758740,"JAMES M. BOLES","7540 CIPRIANO COURT",null,"FAIRHOPE","AL","36532"]
["D-282",591783017,"BRUCE C. GILMORE, DMD","1759 CREIGHTON ROAD",null,"PENSACOLA","FL","32504"]
["D-283",593288145,"PERDIDO DENTAL ASSOCIATES","12385 SORRENTO ROAD,STE.A-1",null,"PENSACOLA","FL","32507"]
["D-284",593288145,"L.MICHAEL PAPADELIAS,DMD","12385 SORRENTO ROAD,STE.A-1",null,"PENSACOLA","FL","32507"]
["D-285",561988799,"GERALD L. MAIZE, D.D.S.","581 WEST PALMER STREET",null,"FRANKLIN","NC","28734"]
["D-286",591092105,"ROBERTO R. MAAL, DDS","35 NEWPORT STREET",null,"CANTONMENT","FL","32533"]
["D-287",200524023,"OTTLEY SMILES DENTAL CENTER","8117 NAVARRE PARKWAY",null,"NAVARRE","FL","32566"]
["D-288",593257669,"MICHAEL D. LITVAK, D.D.S.","6105 NORTH DAVIS HIGHWAY",null,"PENSACOLA","FL","32504"]
["D-289",592567745,"PAUL O. AUSTIN, JR., D.M.D.","4900 MARKETPLACE ROAD",null,"PENSACOLA","FL","32504"]
["D-290",630817416,"COCKRELL DENTAL OFFICE","1040 HILLCREST RD.",null,"MOBILE","AL","36695"]
["D-291",593053187,"JAMES K. MARTIN, DMD","4850 NORTH NINTH AVE.",null,"PENSACOLA","FL","32503"]
["D-292",650719035,"DAVID W. YATES, DMD","7554 S. FEDERAL HIGHWAY, STE. 13",null,"PORT ST. LUCIE","FL","34952"]
["D-293",61767058,"NGUYEN, THUY DDS","1315 E. CERVANTES ST.",null,"PENSACOLA","FL","32501"]
["D-294",631153450,"RUSSELL BRANDAU III,DMD","7053 PROVIDENCE PARK DRIVE SOUTH",null,"MOBILE","AL","36695"]
["D-295",582120048,"ATLANTA ORAL & FACIAL SURGERY ","PO BOX 70188",null,"MARIETTA","GA","30007"]
["D-296",650719035,"GLEN CASTO, DDS","6035 S.E. FEDERAL HIGHWAY",null,"STUART","FL","34997"]
["D-297",244069207,"JOHN G. BUCHANAN, DDS.","245 EAST CENTER STREET",null,"LEXINGTON","NC","27292"]
["D-298",650719035,"ISABEL C BOSCIO, DDS","7554 S FEDERAL HWY #13",null,"PORT ST LUCIE","FL","34952"]
["D-299",621079006,"CLARK CHILDRESS, DDS.","219 OAK AVENUE",null,"COOKEVILLE","TN","38501"]
["D-300",999999999,"MISCELLANEOUS PHARMACY","2500 N. MILITARY TRAIL, SUITE 450",null,"BOCA RATON","FL","33431"]
["D-301",263179150,null,null,null,null,null,""]
["D-302",593105246,"CANTONMENT MEDICAL CENTER","748 HIGHWAY 29 N",null,"CANTONMENT","FL","32533"]
["D-303",593687624,"JEFF STRICKLAND, DMD","4359 SPANISH TRAIL",null,"PENSACOLA","FL","32504"]
["D-304",582517651,"JAGOR AND JAGOR, DDS","5555 PEACHTREE DUNWOODY RD, SUITE G-90",null,"ATLANTA","GA","30342"]
["D-305",200185918,"ST. AUGUSTINE FAMILY DENTISTRY","1980 US HIGHWAY 1 SOUTH",null,"ST. AUGUSTINE","FL","32086"]
["D-306",841334313,"ASSOCIATES IN FAMILY DENTISTRY, LLD","333 W DRAKE RD STE 120",null,"FORT COLLINS","CO","80526"]
["D-307",204025295,"DR. JAMES G HART JR.","7552 NAVARRE PARKWAY, SUITE 60",null,"NAVARRE","FL","32566"]
["D-308",999999999,"Peter Salomon, MD","951 NW 13th ST",null,"Boca Raton","FL","33486"]
["D-309",630678756,"GULF COAST DENTISTRY","313 EAST 22ND AVENUE",null,"GULF SHORES","AL","36542"]
["D-310",726087770,"LSU SCHOOL OF DENTISTRY","1100 FLORIDA AVENUE",null,"NEW ORLEANS","LA","70119"]
["D-311",364330328,"FOOTHILLS DENTAL ASSOCIATES","25 FOOTHILLS PARKWAY","SUITE 101","MARBLE HILL","GA","30148"]
["D-312",630773943,"TOD SINGLETON, DMD","130 N. RANDOLPH AVE.",null,"EUFAVLA","AL","36027"]
["D-313",592756625,"DR'S A.C. GANGWISCH, GRANDY & MELZER","530 FLORIDA AVE.",null,"LYNN HAVEN","FL","32444"]
["D-314",205431223,"KERSEY DENTAL","110 KIA DR",null,"LAGRANGE","GA","30241"]
["D-315",473282804,"SAND DOLLAR DENTAL","1121 S. MCKENZIE STREET",null,"FOLEY","AL","36535"]
["D-316",271905543,"ST JOHNS ENDODONTICS, PA","1949 CR 210 W",null,"JACKSONVILLE","FL","32259"]
["D-317",262089635,"FIREWHEEL SMILES","4502 RIVEROAKS PKWY 200",null,"GARLAND","TX","75044"]
["D-318",631058124,"BRUCE KING, DMD, PC","PO BOX 748",null,"SEMMES","AL","36575"]
["D-319",562300327,"JAIH JACKSON DDS","8358 MARK ST, LAKEWOOD RANCH, FL",null,"LAKEWOOD RANCH","FL","34202"]
["D-320",261347922,"COMPLETE DENTAL ARTS, PC","2819 HWY 34 EAST",null,"NEWNAN","GA","30265"]
["D-321",200185918,"ECON RIVER FAMILY DENTAL","4999 N TANNER RD",null,"ORLANDO","FL","32826"]
["D-322",999999999,"SANTA BARBARA RADIOLOGY","PO BOX 4219",null,"ORANGE","CA","92863"]
["D-323",455145680,"DESERT PEARL DENTISTRY","72000 MAGNESIA FALLS DRIVE SUITE #1",null,"RANCHO MIRAGE","CA","92270"]
["D-324",823844293,"TELKA BARBERI DMD","6475 JORDAN RD ",null,"DAPHNE","AL",36526]
["D-325",821909932,"ADVANTAGE DENTAL CENTER","2915 E. CERVANTES SST. ",null,"PENSACOLA","FL","35203"]
["D-326",954009308,"GAIIL STRAHS, DDS","10921 WILSHIRE BLVD #407",null,"LOS ANGELES","CA","90024"]
["D-327",813608826,"PARKWAY FAMILY DENTISTRY","79 FALLING SPRINGS DR","STE 110","CHAPEL HILL ","NC","27516"]
["D-328",453755411,"DR.TREY'S CHILDREN","303 N.SECTION STREET",null,"FAIRSHOPE","AL","36532"]
["D-329",823565888,"Red Hill Dental ","1957 Raymond Diehl Rd",null,"Tallahassee","FL","32308"]
["D-330",550809246,"EMERALD COAST DENTISTRY","6759,931 MAR WALT DR ",null,"FORT WALTON BEACH ","FL","32547"]
["D-331",834690533,"WALTON FAMILY DENTISTRY ","862 MICHAEL ETCHISON RD",null,"MONROE ","GA","30655"]
["D-332",650719035,"CHARLES KRIKORIAN, DMD","1001 IVES DAIRY RD","STE 103","NORTH MIAMI BEACH","FL","33179"]
["D-333",262861565,"HINMAN, JOHN III D.D.S.","4627 NORTH DAVIS HWY BLDG B",null,"PENSACOLA","FL","32503"]
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["D-335",721383657,"NORTHCUTT DENTAL PRACTICE","23678 US HWY 98",null,"FAIRHOPE","AL","36532"]
["D-336",270000229,"COMPREHENSIVE DENTAL CENTER","5908 BERRYHILL ROAD",null,"MILTON","FL","32570"]
["D-337",270000376,"MANNING, MARCUS L., D.M.D.","P.O. BOX 2348",null,"GULF SHORES","AL","36547"]
["D-338",593677827,"STAMITOLES, CHARLES E, D.D.S.","1025 CREIGHTON ROAD",null,"PENSACOLA","FL","32504"]
["D-339",270000249,"DRS. CHICHETTI, TORGERSON & HA","1305 THOMASWOOD DRIVE",null,"TALLAHASSEE","FL","32308"]
["D-340",591615230,"LEBEAU, JACQUE V., D.M.D.","1401 N PALAFOX STREET",null,"PENSACOLA","FL","32501"]
["D-341",270000118,"LITVAK, MICHAEL D., D.D.S.","6105 N. DAVIS HIGHWAY",null,"PENSACOLA","FL","32504"]
["D-342",270000083,"BARBARA J MIZELL,DMD","909 E. FAIRFIELD DR",null,"PENSACOLA","FL","32503"]
["D-343",270000084,"GUELPA, V. RANDALL, DDS","4300 BAYOU BLVD, SUITE 6",null,"PENSACOLA","FL","32503"]
["D-344",593549603,"LUCAS, P.E., D.D.S.","3474 GULF BREEZE PKWY",null,"GULF BREEZE","FL","32563"]
["D-345",593613188,"SCOTT SCHEURICH,DMD PA","3298 SUMMIT BLVD.","SUITE 6","PENSACOLA","FL","32503"]
["D-346",582120048,"BELINFANTE, ERIK D., MD","P.O. BOX 70188",null,"MARIETTA","GA","30007"]
["D-347",650719035,"SAVELLI, JUAN DMD","DENTAL HEALTH GROUP JENSEN","3251 NW FEDERAL HIGHWAY","JENSEN BEACH","FL","34957"]
["D-348",200957381,"MARK S. DENUNZIO, D.D.S.","6111 NORTH DAVIS HIGHWAY","BUILDING B","PENSACOLA","FL","32504"]
["D-349",43402127,"ASPEN DENTAL ASSOCIATES OF NE, PC","PO BOX 3189",null,"SYRACUSE","NY","13220"]
["D-350",593687624,"SPANISH TRAIL DENTISTRY","4359 SPANISH TRAIL",null,"PENSACOLA","FL","32504"]
["D-351",593433182,"JEFFREY J. KATES, DDS","2136 WEST FAIRFIELD DRIVE",null,"PENSACOLA","FL","32505"]
["D-352",593450114,"KIM U. JERNIGAN,DMD","14 W JORDAN ST STE 2G",null,"PENSACOLA","FL","32501"]
["D-353",591925220,"JAMES E.HALL, DMD","2400 WEST MICHIGAN AVE, SUITE11.",null,"PENSACOLA","FL","32526"]
["D-354",593333532,"NAVARRE FAMILY DENTISTRY","9200-B NAVARRE PARKWAY",null,"NAVARRE","FL","32566"]
["D-355",650719035,"DENTAL HEALTH GROUP AT NORTH PALM BEACH","880 US HIGHWAY 1, SUITE 101",null,"NORTH PALM BEACH","FL","33408"]
["D-356",592454019,"STEPHEN F. ZIEMAN, DDS","13 CENTER STREET",null,"GULF BREEZE","FL","32561"]
["D-357",200015922,"ERIC M. SCHEUFLER, DMD","4850 NORTH 9TH AVENUE,BLDG.4",null,"PENSACOLA","FL","32503"]
["D-358",630731794,"MILES F. JONES, D.M.D.","160 NORTH SECTION STREET",null,"FAIRHOPE","AL","36532"]
["D-359",592246386,"R. EDWARD DANIEL, D.M.D.","3961 SPANISH TRAIL ROAD",null,"PENSACOLA","FL","32504"]
["D-360",593618357,"FREDERICK MARSAW, DDS","4300 BAYOU BLVD., SUITE 4",null,"PENSACOLA","FL","32503"]
["D-361",592252097,"LARRY COPENHAVER,DMD","2915 E. CERVANTES ST.",null,"PENSACOLA","FL","32503"]
["D-362",631086639,"WM L WINGO JR, DMD","PO BOX 1337",null,"ROBERTSDALE","AL","36567"]
["D-363",204075450,"ORTHODONTIC SPECIALISTS OF FLORIDA","4400 BAYOU BLVD., SUITE 27",null,"PENSACOLA","FL","32503"]
["D-364",352162689,"ROBERTSDALE DENTAL CENTER","18471 WILTERS ST.",null,"ROBERTSDALE","AL","36567"]
["D-365",593418340,"DR PHILLIP DRLICKA","901 NEW WARRINGTON RD",null,"PENSACOLA","FL","32506"]
["D-366",593346845,"MERKLE, MERKLE, & ASSOCIATES","9 YACHT CLUB DRIVE",null,"FT. WALTON BEACH","FL","32548"]
["D-367",582515022,"MANASCO, TRES H., DMD ","PO BOX 967",null,"DAPHNE","AL","36526"]
["D-368",631266573,"NOBLET, RICHARD O., DDS","801 UNIVERSITY BLVD., STE C",null,"MOBILE","AL","36609"]
["D-369",999999999,"FUNDACION CARDIO-INFANTIL INST.","20-60 CONMUTADOR RR",null,"BOGOTA",null,""]
["D-370",650719035,"GLENN CASTRO DDS","7554 S FEDERAL HWY",null,"PORT ST LUCIE","FL","34952"]
["D-371",710881736,"M. SHANNON DAUGHERTY, DMD, PC","200 GROVE PARK LANE","SUITE 600","DOTHAN","AL","36305"]
["D-372",593457258,"GEORGE L. TALBERT, DDS.","3961 SPANISH TRAIL ROAD",null,"PENSACOLA","FL","32504"]
["D-373",205414574,"AMANDA W. LANIER","602 N. BRANTLEY  STREET",null,"OPP","AL","36467"]
["D-374",260352207,"FRANK DENTREMONT, DMD","P.O. BOX 645","27250-B PERDIDO BEACH BLVD.","ORANGE BEACH","AL","36561"]
["D-375",630798689,"CHARLES BLACK III, DMD","4728 AIRPORT BLVD.",null,"MOBILE","AL","36608"]
["D-376",204337553,"ORAL SURGERY SPECIALISTS OF TN, PC","140 EAST DIVISION ROAD STE A1-",null,"OAK RIDGE","TN","37830"]
["D-377",454237656,"COMFORT PLUS FAMILY DENTAL","612 RED LANE RD.",null,"BIRMINGHAM","AL","35215"]
["D-378",630726980,"H. RUSHTON SMITH, DMD","510 13TH STREET",null,"TUSCALOOSA","AL","35401"]
["D-379",201469783,"BLUE RIDGE DENTAL","101 RIVERSTONE VISTA, SUITE 202",null,"BLUE RIDGE ","GA","30513"]
["D-380",464302145,"SAVE-ON DENTAL CARE OF ATMORE","P.O. BOX 2161",null,"FOLEY","AL","36536"]
["D-381",640794475,"COLE FORTENERRY, DMD PLLC","P.O. BOX 1547",null,"MADISON","MS","39130"]
["D-382",202098211,"LLOYD FAMILY DENTAL CARE, LLC","132 RIVERSTONE TERRACE, STE 100",null,"CANTON","GA","30114"]
["D-383",471402765,"SHALIMAR FAMILY DENTISTRY","1 ELEVENTH AVE. #D3",null,"SHALIMAR","FL","32579"]
["D-384",272774214,"TARA J. WHEELER, DMD","2122 SOUTH HICKORY STREET",null,"LOXLEY","AL","36551"]
["D-385",461356722,"SWEETWATER DENTISTRY","5915 SWEET WATER CIRCLE",null,"FAIRHOPE","AL","36532"]
["D-386",271064114,"MAGNOLIA FAMILY DENTISTRY, LLC","P.O. BOX 212",null,"ABERDEEN","MS","39730"]
["D-387",611439470,"ASHVILLE FAMILY DENTISTRY LLC","PO BOX 129",null,"ASHVILLE","AL","35953"]
["D-388",582123592,"MOUNTAIN PERIODONTICS","980 EAST MAIN STREET, STE 100",null,"BLUE RIDGE","GA","30513"]
["D-389",202695442,"POPE FAMILY DENTISTRY","184 OLD HWY 431, SUITE D",null,"HAMPTON COVE","AL","35763"]
["D-390",276488072,"CHRISTOPHER B WILEY, DDS","3463 BLUE STAR HWY",null,"SAUGATUCK","MI","49453"]
["D-391",591673724,"JAMES NOLAN FLACH, DDS PA","PO BOX 173",null,"MOUNT DORA","FL","32756"]
["D-392",631260994,"DANIEL A. NIX, DMD","5750 BENTLEY WAY",null,"TRUSSVILLE","AL","35173"]
["D-393",999999999,"KARALA INSTITUTE OF MED SCIENCE","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-394",631036832,"AZALEA CITY DENTAL EASTERN SHORE","6593 SPANISH FORT BLVD",null,"SPANISH FORT","AL","36527"]
["D-395",593349047,"DRS. MARCI AND GLENN BECK, P.A.","2929 B. CAPITAL MEDICAL BLVD.",null,"TALLAHASSEE","FL","32308"]
["D-396",721480708,"ROOT CANAL SPECIALISTS OF BATON ROUGE","9804 BLUEBONNET BLVD, STE B",null,"BATON ROUGE","LA","70810"]
["D-397",813993322,"KAITLIN E. BLACKBURN, DDS, PA","466 E NINE MILE RD",null,"PENSACOLA","FL","32514"]
["D-398",473318992,"GABRIEL L. POLO, DDS","9420 COLLEGE PARK DRIVE, STE 230",null,"THE WOODLANDS","TX","77384"]
["D-399",561133278,"MOHORN, MOHORN, MORGAN & BAIRD DDS, PA","1602 BENJAMIN PARKWAY SUITE A",null,"GREENSBORO","NC","27408"]
["D-400",453943150,"DR. EDWARDS FAMILY DENTISTRY","105 WEST 14TH AVE",null,"GULF SHORES","AL","36542"]
["D-401",452793435,"MARY G. METROPOL, DMD","61 BURNDALE LANE",null,"CAMDEN","SC","29020"]
["D-402",43484642,"KROPA DENTAL ASSOCIATES","352 HUMPHREY STREET",null,"SWAMPSCOTT","MA","19070"]
["D-403",561319745,"UNIVERSITY OF NORTH CAROLINA AT CHAPEL","CB#7450",null,"CHAPEL HILL","NC","27599"]
["D-404",593433182,"JEFFREY J. KATES, DDS, PA","1730 E. NINE MILE RD",null,"PENSACOLA","FL","32514"]
["D-405",742128380,"ENDODONTIC ASSOCIATES","6750 WEST LOOP SOUTH 400",null,"BELLAIRE","TX","77401"]
["D-406",270357091,"AMANDA L. GODFREY, DDS","2919 S. GEORGIA",null,"AMARILLO","TX","79109"]
["D-407",201320927,"NORTHWEST ARKANSAS FAMILY DENTAL","659 E APPLEBY RD",null,"FAYETTEVILLE","AR","72703"]
["D-408",999999999,"Acme Physician Associates","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-409",721567614,"TODD M BENNETT","3210 OLD SHELL RD",null,"MOBILE","AL","36607"]
["D-410",562040024,"JASON E. BERGMAN, DDS, MS, PA","22 MEDICAL PARK DRIVE, SUITE A",null,"ASHEVILLE","NC","28803"]
["D-411",999999999,"ADVANCED AEROMEDICAL, INC.","3429 CHANDLER CREED RD, SUITE 102",null,"VIRGINIA BEACH","VA","23453"]
["D-412",815278209,"NORTON FAMILY DENTISTRY","4322 S CLEVELAND MASSILLON RD SUITE A",null,"NORTON","OH","44203"]
["D-413",203598345,"DR. MARK GONSEWSKI EUFAULA DENTAL","131 E BROAD ST",null,"EUFAULA","AL","36027"]
["D-414",263156802,"MARCUS A. DEMPSEY, DMD, LLC","225 MCFARLAND BLVD STE B",null,"NORTHPORT","AL","35476"]
["D-415",811138783,"Dain Paxton","620 SW Fifth Ave #1006",null,"Portland","OR","97204"]
["D-416",461508541,"ARIA DENTAL CENTER, PLLC","9889 BELLAIRE BLVD. #330",null,"HOUSTON","TX","77036"]
["D-417",824432158,"Fairhope Modern Dental","106 Lottie Lane",null,"Fairhope","AL","36532"]
["D-418",201608760,"CHRISTOPHER C. JERNIGAN","306 CHANNEL DRIVE ",null,"COLUMBIA","SC","29229"]
["D-419",820827214,"RONALD ALYN MACBETH, DMD","1045 BROADWAY PARK SUITE 101",null,"HOMEWOOD","AL","35209"]
["D-420",810866380,"GULF COAST DENTAL","7801 HWY 59 STE F",null,"FOLEY ","AL","36535"]
["D-421",464240103,"ROBERT D GAMOTIS ","111 NORTH 16TH STREET ",null,"OPELIKA ","AL","36801"]
["D-422",272336693,"ANTUAN L HERRIOTT DMD PA","821 E SYCAMORE ST.",null,"LINCOLNTON","NC","28092"]
["D-423",823535081,"JUAN MARCOS","1293 SOUTH STATE ROAD 7",null,"LAURDALE","FL","33068"]
["D-424",473775033,"NATHAN PFISTER, DDS","200 PARKWEST CIR, SUITE 1",null,"DOTHAN","AL","36303"]
["D-425",822536222,"TIDEWATER, LLC ","10025 H.G TRUEMAN RD ",null,"LUSBY ","MD","20657"]
["D-426",611016203,"RICHARD I COCKE PSC ","41 INDUSTRIAL PARKWAY ",null,"CALVERT  CITY ","KY","42029"]
["D-427",300809703,"LAKE PARK DENTAL ","2300 LAKE PARK DR SUITE 160 ",null,"SMYRNA ","GA","30080"]
["D-428",592749071,"HOLMES AND SCLAR, PA DBA S FL OMS","7600 RED ROAD, SUITE 101",null,"MIAMI","FL","33143"]
["D-429",650719035,"CANTRELL, CALEEN  DDS","13876 N. KENDALL DRIVE",null,"MIAMI","FL","33186"]
["D-430",650719035,"SCOTT,TESSA,D.M.D.","13876 NORTH KENDALL DR",null,"MIAMI","FL","33186"]
["D-431",721150320,"PARKER THOMPSON,DDS","911 GARDEN GATE CIRCLE",null,"PENSACOLA","FL","32504"]
["D-432",592454019,"RENFROE, JAMES F. D.M.D.","13 CENTER STREET",null,"GULF BREEZE","FL","32561"]
["D-433",270000075,"WEST FLORIDA DENTAL CENTER,INC.","2511 S FERDON BLVD",null,"CRESTVIEW","FL","32539"]
["D-434",270000203,"PENSACOLA JR COLLEGE DENTAL","5555 WEST HIGHWAY 98",null,"PENSACOLA","FL","32507"]
["D-435",270000216,"C.D. HARRELL, III, DMD","71-A NORTH SECTION STREET",null,"FAIRHOPE","AL","36532"]
["D-436",270000365,"BONDURANT, R. CHRIS, D.M.D.","27880 N MAIN ST SUITE A",null,"DAPHNT","AL","36526"]
["D-437",593450114,"PENSACOLA FAMILY DENTAL ASSOCIATES","3298 SUMMIT BLVD STE 10",null,"PENSACOLA","FL","32503"]
["D-438",592056636,"ORAL & MAXILLOFACIAL SURGERY","4850 NORTH 9TH AVE","BLDG IV","PENSACOLA","FL","32503"]
["D-439",270000075,"WEST FLORIDA DENTAL CENTER,INC","6601 NORTH DAVIS HWY","SUITE 8","PENSACOLA","FL","32504"]
["D-440",631036832,"AZALEA CITY DENTAL","457 N CRAFT HWY.",null,"CHICKASAW","AL","36611"]
["D-441",591572328,"COMPREHENSIVE DENTAL CENTER","5908 BERRYHILL RD",null,"MILTON","FL","32570"]
["D-442",270000130,"ADVANCED DENTAL CONCEPTS","4041 HIGHWAY 90",null,"PACE","FL","32571"]
["D-443",593639025,"LYONS, THOMAS M., D.M.D.","3298 SUMMIT BLVD. #39",null,"PENSACOLA","FL","32503"]
["D-444",593624632,"SUMMIT DENTAL","PO BOX 30126","4400 BAYOU BLVD #17","PENSACOLA","FL","32503"]
["D-445",270000159,"HIGHTOWER, DOUGLAS D.D.S","5075 CARPENTER CREEK DRIVE",null,"PENSACOLA","FL","32503"]
["D-446",270000150,"LEWIS & RICHMOND, PA, D.D.S","2999 LANGLEY AVE",null,"PENSACOLA","FL","32504"]
["D-447",270000183,"LITVAK, ALLEN L., D.D.S.","6105 N DAVIS HIGHWAY",null,"PENSACOLA","FL","32504"]
["D-448",721354206,"FOLEY FAMILY DENTISTRY","815 NORTH ALSTON STREET",null,"FOLEY","AL","36535"]
["D-449",270000145,"HANSEN, DONALD D.D.S.","2715 GULF BREEZE PARKWAY",null,"GULF BREEZE","FL","32563"]
["D-450",593761412,"EDWIN E. YEE, DMD","6160 N. DAVIS HIGHWAY, SUITE 6",null,"PENSACOLA","FL","32504"]
["D-451",630813158,"J.STEVE SHIRLEY DDS","208 SOUTH 7TH AVE",null,"ATMORE","AL","36502"]
["D-452",630719039,"DAYTON HART, D.M.D.","225 WEST LAUREL AVENUE",null,"FOLEY","AL","36535"]
["D-453",631288392,"HEALTHWEST DENTAL ASSOCIATES","502 HEALTHWEST DRIVE",null,"DOTHAN","AL","36303"]
["D-454",593737096,"PEDIATRIC DENTISTRY","LAURA B MCAULEY,DDS","6202 N 9TH AVE STE 5","PENSACOLA","FL","32504"]
["D-455",592004466,"DOUGLAS W. HIGHTOWER, DDS","5075 CARPENTER CREEK DR.",null,"PENSACOLA","FL","32503"]
["D-456",631189932,"ROBERT B. BURKHARDT, D.M.D.","116 CRESCENT STREET","P.O. BOX 1126","ANDALUSIA","AL","36420"]
["D-457",650719035,"THOMAS M. KIEFER, DMD","6035 S.E. FEDERAL HWY.",null,"STUART","FL","34997"]
["D-458",630639132,"DRS. TILLERY & TYRRELL","1901 HAND AVE.",null,"BAY MINETTE","AL","36507"]
["D-459",593414254,"FAIRFIELD DENTAL CENTER","4800 W FAIRFIELD DRIVE",null,"PENSACOLA","FL","32506"]
["D-460",630817972,"DRS BLACKMAN AND COPPEJANS","79 MIDTOWN PARK EAST",null,"MOBILE","AL","36606"]
["D-461",205040334,"CHADWICK J MARSHALL, MD","42 BUSINESS CENTRE DE","SUITE 210","MIRAMAR BEACH","FL","32550"]
["D-462",650719035,"WATSON, BRAILLE DMD","7554 S FEDERAL HIGHWAY, SUITE 13",null,"PORT ST LUCIE","FL","34952"]
["D-463",631167292,"EARL D ROGERS, DMD ., P.C.","4736 AIRPORT BOULEVARD",null,"MOBILE","AL","36608"]
["D-464",650719035,"CASTO, GLEN T., DDS","3251 NW FEDERAL HIGHWAY",null,"JENSEL BEACH","FL","34957"]
["D-465",631081555,"WILLIAM R PARSONS, DMD","PO BOX 1917",null,"DAPHNE","AL","36526"]
["D-466",593720530,"JAMES G HART JR DDS","3101-F W. MICHIGAN AVE",null,"PENSACOLA","FL","32526"]
["D-467",743187480,"V. RUSSELL GOELLER,III,DMD,PA","2115 WEST NINE MILE ROAD","STE 1","PENSACOLA","FL","32534"]
["D-468",582443282,"OCONEE DENTAL PC","1590 MARS HILLS RD STE 1",null,"WATKINSVILLE","GA","30677"]
["D-469",999999999,"MISCELLANEOUS DENTAL CARE",null,null,null,null,""]
["D-470",650719035,"VICTOR ORAMAS, DDS","3251 NW FEDERAL HWY",null,"JENSEN BEACH","FL","34957"]
["D-471",581374420,"WORTHY, T. PETER DDS","103 PROFESSIONAL PLAZA",null,"CARROLTON","GA","30117"]
["D-472",593437017,"STEVEN BARRY, DMD","1455 S FERDON BLVD","SUITE D-1","CRESTVIEW","FL","32539"]
["D-473",650719035,"SHANNON SMITH, DMD","6035 SE FEDERAL HIGHWAY",null,"STUART","FL","34997"]
["D-474",263827888,"ANNAMALAI NADARAJAN, D.D.S.","28668 US WHY 98",null,"DAPHNE","AL","36526"]
["D-475",562413445,"PHILLIP A. SIMON, DDS","1913 CAPITAL CIRCLE NE",null,"TALLAHASSEE","FL","32308"]
["D-476",271206605,"THOMAS H. PYRITZ, DDS","8580 UNIVERSITY PARKWAY",null,"PENSACOLA","FL","32514"]
["D-477",208533765,"SPANISH TRAIL DENTAL GROUP, PC","2860 MICHELLE DRIVE, 2ND FLOOR",null,"IRVINE","CA","92606"]
["D-478",999999999,"HRA Reimbursement","2500 N Military Trail","Suite 450","Boca Raton ","FL","33431"]
["D-479",271605689,"TROY D. BOSTICK, DDS","2507 NORTH 7TH STREET",null,"WEST MONROE","LA","71291"]
["D-480",260764356,"MALBIS PARKWAY PEDIATRIC DENTISTRY","9807 MCSARA COURT",null,"DAPHNE","AL","36527"]
["D-481",363427734,"WILLIAM P. MURPHY, DDS","24 W. 500 MAPLE AVE. SUITE 218",null,"NAPERVILLE","IL","60540"]
["D-482",472509941,"AGGIE DENTAL CENTER","2350 HWY 29 SOUTH",null,"CANTONMENT","FL","32533"]
["D-483",474954266,"ANTHONY LE, DDS","2850 MONROE STREET",null,"PENSACOLA","FL","32514"]
["D-484",261079177,"SOUTHERN DENTISTRY","8477 A COUNTY ROAD 64, SUITE 3",null,"DAPHNE","AL","36526"]
["D-485",592220505,"LAYNE FAMILY DENTISTRY","19606 SR 20 W, PO BOX 4007",null,"BLOUNTSTOWN","FL","32424"]
["D-486",943424083,"ALAN A. WOOD, DMD","474 MCQUEEN SMITH ROAD SOUTH",null,"PRATTVILLE","AL","36066"]
["D-487",901076163,"FARLEY FAMILY DENTISTRY, LLC","902 EAST RAILROAD STREET",null,"LONG BEACH","MS","39560"]
["D-488",43684026,"DANIEL RICHARDS DMD, LLC","1932 LAUREL RD. STE. 1C",null,"VESTAVIA","AL","35216"]
["D-489",50522404,"COMFORT DENTAL","5505 LOUETTA RD. SUITE A",null,"SPRING","TX","77379"]
["D-490",541148938,"MELANIE WILSON HARTMAN, DMD","5212 B LYNGATE COURT",null,"BURKE","VA","22015"]
["D-491",452825753,"VALUE DENTAL CARE, SPRING HILL","7425 SPRING HILL DRIVE",null,"SPRING HILL","FL","34606"]
["D-492",474780023,"SHELBY BAPTIST MEDICAL","PO BOX 11407",null,"BIRMINGHAM","AL","35246"]
["D-493",195249063,"DANIEL A NIX DMD PC","5750 BENTLEY WAY",null,"TRUSSVILLE","AL","35173"]
["D-494",204377828,"DINA BAMBREY, DMD, PC","44025 PIPELINE PLAZA #120",null,"ASHBURN","VA","20147"]
["D-495",591282325,"WALTER F BIGGS, DMD","2227 EAST OLIVE ROAD",null,"PENSACOLA","FL","32514"]
["D-496",352181097,"MOBILE BAY DENTAL & VISION","1651 SCHILLINGER RD N",null,"SEMMES","AL","36575"]
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["D-498",205040334,"GULF COAST","123 SECOND ST SE",null,"FORT WALTON BEACH","FL","32548"]
["D-499",464355660,"DR THOMAS & MOORE PEDIATRIC DENTISTRY","801-B UNIVERSITY BOULEVARD S",null,"MOBILE","AL","36609"]
["D-500",451625948,"CHRISTOPHER M. DONALD, DMD","1281 MAIN STREET",null,"DAPHNE","AL","36526"]
["D-501",275334962,"MARK KLEIVE, DDS","3176 US 70 HWY",null,"BLACK MOUNTAIN","NC","28711"]
["D-502",460537980,"CANTON HEIGHTS DENTAL","327 HEIGHTS PLACE",null,"CANTON","GA","30114"]
["D-503",582083726,"CECIL B. BRAY, DMD","430 NORTHSIDE DR. EAST, STE 160 PMB 395",null,"STATESBORO","FA","30458"]
["D-504",470905003,"ASHLEY V. MCARTHUR, DMD","P.O. BOX 632",null,"LUCEDALE","MS","39452"]
["D-505",202466513,"MINNITI DENTISTRY, P.C","270 ST. CLAIRE DR. SUITE 104-105",null,"ALPHARETTA","GA","30004"]
["D-506",463304858,"DORAL FAMILY DENTAL ","7800 NW 25TH ST STE 11",null,"DORAL ","FL","33122"]
["D-507",631221579,"SKYLINE FAMILY DENTAL CARE PC","3977 BURMA RD",null,"MOBILE","AL","36693"]
["D-508",203886462,"DR. JOSEPH W. BRAKOVEC, DDS","215 CENTER PARK DR #900",null,"KNOXVILLE","TN","37922"]
["D-509",450355988,"GOOSE RIVER DENTAL","37 1/2 MAIN ST. E",null,"MAYVILLE","ND","58257"]
["D-510",283827888,"WILLIAM FERGUS","28688 US HWY 98",null,"DAPHNE","AL","36526"]
["D-511",30416692,"CORNELIA DENTAL","105 HIGHLAND AVENUE",null,"CORNELIA","GA","30531"]
["D-512",591905362,"AL M. RIDLEHOOVER ","302 WEST SUNSET AVE "," ","PENSACOLA","FL","32507"]
["D-513",901113089,"MADISON DENTAL GROUP","7731 OLD CANTON RD",null,"MADISON","MS","39110"]
["D-514",270357091,"AMARILLO DENTAL WORKS","2919 S. GEORGIA",null,"AMARILLO","TX","79109"]
["D-515",999999999,"Acme Anesthesia Associates","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-516",999999999,"Acme Diagnostic Services, Inc.","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-517",999999999,"Acme Rehabilitation Center","2500 N MILITARY TRAIL SUITE 450",null,"BOCA RATON","FL","33431"]
["D-518",593240381,"JAMES HO DMD","430 WAYMONT COURT, SUITE 110",null,"LAKE MARY","FL","32746"]
["D-519",201691777,"FAIRHOPE DENTIST","8076 SPRING RUN DRIVE #B",null,"FAIRHOPE","AL","36532"]
["D-520",999999999,"JoAnn A. Yi, M.D.","880 NW 13th St",null,"Boca Raton"," F","33486"]
["D-521",570720911,"ANDERSON PERIODONTICS ASSOCIATES","514 REED ROAD",null,"ANDERSON","SC","29621"]
["D-522",474687217,"Naomi K. Norton D.M.D","4400 Bayou Blvd. Bldg #17",null,"Pensacola","FL","32503"]
["D-523",452836927,"H.RADCLIFF BROWN JR. D.M.D","1501 UNIVERSITY BLVD S.",null,"MOBILE","AL","36609"]
["D-524",382161210,"KNOLLWOOD DENTAL CARE ","35409 SCHOENHERR RD",null,"STERLING HEIGHT","MI","48312"]
["D-525",234904107,"G.FRANCIS HAJASH","914 JIHNSTOWN RD",null,"BECKLEY","WV","25801"]
["D-526",474171699,"DR. ALEX JEFFREY, DDS","304 GLEN AVENUE",null,"VALAPARAISO","FL","32580"]
["D-527",621741735,"MIDDLE TENNESSEE PROSTHODONICS","1177 OLD HICKORY BLVD. SUITE 102",null,"BRENTWOOD","TN","37027"]
["D-528",581673317,"Drs. Swords and Phelps","205 WALESKA RD , STE 2A",null,"CANTON","GA","30114"]
["D-529",721376535,"SAMI NIZAM","4590 WOODMERE BLVD",null,"MONTGOMERY ","AL","36106"]
["D-530",811959129,"NATHANIEL S. DURTSCHI, DMD","1108 AIRPORT BLVD, SUITE B",null,"PENSACOLA","FL","32504"]
["D-531",200554536,"MELODY M. RICHARDSON, DDS ","63 W. 6TH STREET ",null,"PERU ","IN","46970"]
["D-532",201144470,"CENTRAL CAROLINA OMFS","2081 SHEPHERDS VINEYARD DRIVE ","SUITE 100","APEX ","NC","27523"]
["D-533",274480107,"Miramar Beach Dental & Othodontics","77 South  Shore ",null,"Miramar Beach ","FL","32555"]
["D-534",833632933,"NISARG PARIKH ","85 NIGHTENGALE LN ",null,"GULF BREEZE ","FL","32561"]
["D-535",650719035,"DHG AT STUART","6035 SE FEDERAL HWY",null,"STUART","FL","34997"]
["D-536",270000300,"PISCHEK, ROBERTO V., D.M.D.","21400 STATE HIGHWAY 59",null,"ROBERTSDALE","AL","36567"]
["D-537",631271237,"RIVERA DENTAL CARE PC","198 COUNTY ROAD 20 WEST",null,"FOLEY","AL","36535"]
["D-538",593385034,"BUCK, WILLIAM G., DDS","6111 N. DAVIS HWY  BLDG C",null,"PENSACOLA","FL","32504"]
["D-539",593584102,"JAMES E COVAN JR,DMD","7010 HIGHWAY 98 WEST",null,"PENSACOLA","FL","32506"]
["D-540",270000045,"SHIRLEY, J.STEVE, D.M.D.","208 SOUTH 7TH AVENUE",null,"ATMORE","AL","36502"]
["D-541",270000100,"LIVTAK, MICHAEL D.D.S.","6105 NORTH DAVIS HWY",null,"PENSACOLA","FL","32504"]
["D-542",593515763,"MCLEOD, DONALD S., D.D.S.","6029 NORTH 9TH AVENUE",null,"PENSACOLA","FL","32504"]
["D-543",630825448,"DIXIELAND DENTAL","15622 S. US HWY 213","P.O. BOX 695","MIDLAND CITY","AL","36350"]
["D-544",270000289,"DIXIE DENTAL CENTER","28668 US HWY 98",null,"DAPHNE","AL","36526"]
["D-545",522781571,"KATHY BOSSO,DMD","14 W JORDAN STREET","SUITE 2G","PENSACOLA","FL","32501"]
["D-546",593503649,"HELEN E. TURNER, DMD PA","5603 STEWERT STREET",null,"MILTON","FL","32570"]
["D-547",592863579,"ANDREW ACKER,DMD","4300 BAYOU BLVD. SUITE 11",null,"PENSACOLA","FL","32503"]
["D-548",631189932,"WILLIAM G. KING, JR., D.M.D.","116 CRESENT ST",null,"ANDALUSIA","AL","36420"]
["D-549",562040024,"JASON E. BERGMAN, D.D.S., M.S.","51 THOMPSON STREET","SUITE A","ASHEVILLE","NC","28803"]
["D-550",420866533,"CARY N. SILCOX, D.M.D.","P.O. BOX 940",null,"FRISCO CITY","AL","36445"]
["D-551",592915275,"SOUTHERN DENTAL ASSOCIATES, P.A.","151 W AIRPORT BLVD",null,"PENSACOLA","FL","32505"]
["D-552",270000400,"DENTAL HYGIENE CLINIC","5555 WEST HIGHWAY 98",null,"PENSACOLA","FL","32507"]
["D-553",631190613,"DREADING, JAMES D., DMD","1203 MASON RIDGE DR.",null,"DEMOPOLIS","AL","36732"]
["D-554",593189433,"E.A. NOLAND, DDS ","4790 N. 9TH AVE.",null,"PENSACOLA","FL","32503"]
["D-555",593218909,"J.E. PEWITT, DMD","1371 COUNTRY CLUB ROAD",null,"GULF BREEZE","FL","32563"]
["D-556",591792595,"LEWIS AND RICHMOND, PA","2999 LANGLEY AVE.",null,"PENSACOLA","FL","32504"]
["D-557",233560083,"CHARLES C. WHITE,JR.,DDS","4300 BAYOU BLVD.,STE.22",null,"PENSACOLS","FL","32503"]
["D-558",593394842,"MARION DENTAL GROUP","9277 S.E. MARICAMP ROAD",null,"OCALA","FL","34472"]
["D-559",202152534,"E.R SONNY DAVIS, DMD","362 N.W. BEAL PARKWAY, STE. 105",null,"FT. WALTON","FL","32548"]
["D-560",631226176,"ELBERTA FAMILY DENTIST","P.O. BOX 412",null,"ELBERTA","AL","36530"]
["D-561",592915275,"ANDREW E TRAMMELL,DMD","151 W AIRPORT RD",null,"PENSACOLA","FL","32505"]
["D-562",631240256,"ROBERT G EMBLOM, DMD","318 HEALTHWEST DRIVE",null,"DOTHAN","AL",36303]
["D-563",593531701,"J SCOTT BOOKER MD","41 C FAIRPOINT DRIVE",null,"GULF BREEZE","FL","32581"]
["D-564",631086639,"KEETH M LANE JR, DDS","PO BOX 1337",null,"ROBERTSDALE","AL","36567"]
["D-565",264963221,"PARKER, MICHAEL C., DMD","8630 UNIVERSITY PARKWAY",null,"PENSACOLA","FL","32514"]
["D-566",593294416,"WILLIAM MARCHI DDS","6107 TIPPIN AVE",null,"PENSACOLA","FL","32504"]
["D-567",270000345,"CORDOVA DENTAL CENTER","5120 BAYOU BLVD","SUITE 4","PENSACOLA","FL","32503"]
["D-568",522781571,"KATHY BOSSO, DMD","PENSACOLA FAMILY BENTAL ASSSOCIATES","3298 SUMMIT BLVD.  STE. 10","PENSACOLA","FL","32503"]
["D-569",260641769,"ADVANCED DENTAL CENTER, PA","6601 N DAVIS HWY, SUITE 8",null,"PENSACOLA","FL","32504"]
["D-570",52480859,"K. ALLEN BLACKMON, DMD","P O BOX 248",null,"TROY","AL","36081"]
["D-571",593527066,"NANCY E. PHILLIPS, DDS., PA","428 EAST COLLEGE AVE.",null,"TALLAHASSEE","FL","32301"]
["D-572",20588986,"AFFORDABLE DENTURES - BATON ROUGE","9745 AIRLINE HWY",null,"BATON ROUGE","LA","70816"]
["D-573",262741873,"EMERALD COAST FAMILY DENTISTRY","910 GARDEN GATE CIRCLE",null,"PENSACOLA","FL","32504"]
["D-574",9999,"LESTER, GREENE & McCORD INS.","115 W. LAUDERDALE ST.",null,"TULLAHONA","TN","37388"]
["D-575",650719035,"DAVID ENGELSBERG, DDS","3251 NW FEDERAL HWY",null,"JENSEN BEACH","FL","34957"]
["D-576",562104274,"JAMES J. TEAGUE, III","6 YORKSHIRE STREET, SUITE A",null,"ASHEVILLE","NC","28803"]
["D-577",592924021,"UCF DENTAL CENTER","PO BOX 163333",null,"ORLANDO","FL","32816"]
["D-578",274194873,"MICHAEL P. MILLER, DMD","25469 HWY 59 S.",null,"LOXLEY","AL","36551"]
["D-579",582473714,"SOUTH ALABAMA ORTHODONTICS","6491 JORDAN ROAD",null,"DAPHNE","AL","36526"]
["D-580",272187032,"JAMES R. DEATHERAGE, DMD, PC","422 DOUGLAS AVENUE",null,"BREWTON","AL","36426"]
["D-581",463697870,"ALLGOOD DENTISTRY","2004 US HWY 98","SUITE F","DAPHNE","AL","36526"]
["D-582",721383657,"NORTHCUTT DENTAL PRACTICE","900 MCMEANS AVE",null,"BAY MINETTE","AL","36507"]
["D-583",463189446,"FISHBEIN ORTHODONTICS","4900 MARKETPLACE ROAD",null,"PENSACOLA","FL","32504"]
["D-584",273600932,"SPOTLIGHT FAMILY DENTAL, LLC","9800 SANDERS RD. #200",null,"CUMMING","GA","30041"]
["D-585",474075388,"HENRY F. PRUETT, JR., DDS","466 E. NINE MILE ROAD",null,"PENSACOLA","FL","32514"]
["D-586",461739591,"OAK PARK DENTAL, LLC","98 OAK PARK DRIVE",null,"TROY","AL","36079"]
["D-587",471159041,"JEFFREY JENTZSCH, DMD","1730 CHAMBERS ST.",null,"EUGENE","OR","97402"]
["D-588",382082298,"PETER G MASON DDS PC","110 DRYDEN",null,"HART","MI","49420"]
["D-589",205063468,"BENJAMIN A. CRUNK","980 MAIN ST.",null,"MONTEVALLO","AL","35115"]
["D-590",464633765,"PENSACOLA KIDS DENTISTRY","4541 NORTH DAVIS HWY. SUITE 6B",null,"PENSACOLA","FL","32503"]
["D-591",463697876,"ALLGOOD DENTISTRY","2004 US HWY 98, SUITE F",null,"DAPHNE","AL","36526"]
["D-592",760537624,"JENNIFER T MEYERS, DDS","5001 BISSONNET ST SUITE 101",null,"BELLAIRE","TX","77401"]
["D-593",473752764,"DONALD HALE DENTAL GROUP, INC.","301 EAST 1ST STREET",null,"BAY MINETTE","AL","36507"]
["D-594",208250764,"ELISE ASHPOLE, DMD","1775 CLAIRMONT RD.",null,"DECATUR","GA","30033"]
["D-595",592454019,"PHILIP L. GIBSON, DMD","13 CENTER STREET",null,"GULF BREEZE","FL","32561"]
["D-596",473081479,"STEPHEN H SPECK, D.D.S","6470 TIPPIN AVENUE",null,"PENSACOLA","FL","32504"]
["D-597",202455551,"BAY PEDIATRIC & ADOLESCENT DENTISTRY","115 LOTTIE LANE",null,"FAIRHOPE","AL","36532"]
["D-598",582120048,"ATLANTA ORAL & FACIAL SURGERY","12 BOWEN COURT",null,"CARTESVILLE","GA","30120"]
["D-599",454910013,"PRESTIGE DENTISTRY, LLC","38585 HWY 42",null,"PRAIRIEVILLE","LA","70769"]
["D-600",999999999,"CIGNA CORPORATION","PO BOX 645014",null,"CINCINNATI","OH","45264"]
["D-601",263230259,"J.W. SWINDLE D.D.S.","119 MAIN STREET",null,"BONIFAY","FL","32425"]
["D-602",264265208,"DRS. O'DONNELL AND WILLIS","4720 AIRPORT BLVD",null,"MOBILE","AL","36608"]
["D-603",510467892,"BRYAN BERGENS, DDS","724 S. BEACH STREET",null,"DAYTONA BEACH","FL","32114"]
["D-604",351764921,"JAMES E. EASH, DDS","911 AIGNER DRIVE",null,"BOONVILLE","IN","47601"]
["D-605",472321806,"MACKENZIE DENTISTRY","5100 S. CLYDE MORRIS BLVD., STE. 200",null,"PORT ORANGE ","FL","32127"]
["D-606",814430736,"PATTERSON FAMILY SMILES LLC","436 WARWOMAN RD",null,"CLAYTON","GA","30525"]
["D-607",999999999,"Barry Family Chiropractic, Inc.","30 West Mission St, #2",null,"Santa Barbara","CA","93101"]
["D-608",472613367,"RED HILLS ENDODONTICS ","3101 CAPITAL MEDICAL BLVD",null,"TALLAHASSEE","FL","32308"]
["D-609",630655746,"BARRY L. BOOTH, DMD, PC","PO BOX 7406",null,"SPANISH FORT","AL","36577"]
["D-610",204594785,"MARIAN K KEEFE DMD","7220 PINE FOREST ROAD",null,"PENSACOLA","FL","32526"]
["D-611",582089815,"BEACHTON DENTAL CENTER","2515 US-319",null,"THOMASVILLE","GA","31792"]
["D-612",631133538,"C.D. HARRELL III, DMD, PC","71-A NORTH SECTION STREET",null,"FAIRHOPE","AL","36532"]
["D-613",463731190,"Ottesen Family Dentistry","1536 E John Sims Pkwy",null,"Niceville","FL","32578"]
["D-614",462589040,"PERIODONTAL & IMPLANTS CENTER OF ROCKIES","4803 BOARDWALK DR STE 110",null,"FORT COLLINS,CO 80525","CO","80825"]
["D-615",521726942,"PAMELA J.EVANS","615 A1A NORTH STE 103",null,"POINTE VEDRA BEACH","FL","32082"]
["D-616",821794848,"TALLAHASSEE DENTAL ASSOCIATES PLLC","2929 B CAPITAL MEDICAL BLVD",null,"TALLAHASSEE","FL","32308"]
["D-617",462958350,"FIRST CARE DENTAL ASSOCIATES ","2274 WEDNESDAY STREET ",null,"TALLAHASSEE ","FL","32308"]
["D-618",460610971,"FRANK DENTREMONT DMD ","12342 FOLEY BEACH WAY ",null,"FOLEY ","AL","36535"]
["D-619",582120048,"ATLANTA ORAL & FACIAL SURGERY, LLC","P.O. BOX 70188",null,"MARIETTA","GA","30007"]
["D-620",999999999,"MISCELLANEOUS CHIROPRACTIC",null,null,null,null,""]
["D-621",270000008,"WOODFIN CABASSA ORTHODONTICS","4857 NORTH NINTH AVE",null,"PENSACOLA","FL","32503"]
["D-622",542089891,"K. GLENN BROOKS, D.D.S.","ORTHODONTICS FOR CHILDREN AND ADULTS","5514 N DAVIS BLVD BLDG E STE 114","PENSACOLA","FL","32503"]
["D-623",650719035,"RICHARD S. KRAMER, DDS","DENTAL HEALTH GROUP @ JENSEN","3251 NW FEDERAL HWY","JENSEN BEACH","FL","34957"]
["D-624",270000222,"ROBINSON, REESE J., D.M.D.","102 MASON STREET",null,"BREWTON","AL","36426"]
["D-625",591783017,"GILMORE FAMILY DENTISTRY","1759 CREIGHTON ROAD",null,"PENSACOLA","FL","32504"]
["D-626",631150135,"GARY SIBERNAGEL, D.M.D.","P.O.BOX 919","2124 RINGOLD ST.","FLOMATON","AL","36441"]
["D-627",270000066,"NORTHWEST FL ORTHODONTIC SPECIALISTS","4400 BAYOU BLVD #30A",null,"PENSACOLA","FL","32503"]
["D-628",270000237,"JOHNSTON AND STAVELY, DMD","1560 AIRPORT BLVD",null,"PENSACOLA","FL","32514"]
["D-629",270000052,"OTTLEY, J.C., D.D.S.","5908 BERRYHILL ROAD",null,"MILTON","FL","32570"]
["D-630",270000062,"WEST FLORIDA PERIODONTAL ASSOCIATION","6111 NORTH DAVIS HIGHWAY BULDING B",null,"PENSACOLA","FL","32504"]
["D-631",593715535,"BONNIN, STU D.M.D.","3201 EAST OLIVE ROAD","SUITE B","PENSACOLA","FL","32514"]
["D-632",270000149,"JOHNSTON & STAVELY D.M.D.","1560 AIRPORT BLVD",null,"PENSACOLA","FL","32514"]
["D-633",630731794,"DR.MILES F.JONES","160 N SECTION STREET",null,"FAIRHOPE","AL","36532"]
["D-634",593624632,"NAN H MULLINS DMD","SUMMIT DENTAL","5514 N DAVIS HWY","PENSACOLA","FL","32503"]
["D-635",593394842,"MARION DENTAL GROUP","13700 U.S. HIGHWAY 441",null,"LADY LAKE","FL","32159"]
["D-636",420783768,"MARCUS L. MANNING, D.M.D.","P.O. BOX 2348",null,"GULF SHORES","AL","36547"]
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[]
[]
["Request for Proposal (RFP) for Escambia County School District (ECSD)"]
["Network Access"]
[]
["PLEASE READ INSTRUCTIONS ON NEXT TAB"]
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[null,null,null,null,79121,"U",1,null,39459,"R",1]
[null,null,null,null,80545,"R",1,null,39507,"S",1]
[null,null,null,null,80831,"R",1,null,39560,"R",1]
[null,null,null,null,80924,"S",2,null,39563,"R",1]
[null,null,null,null,92201,"U",1,null,44310,"U",1]
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[null,null,null,null,98058,"S",1,null,58240,"R",1]
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[null,null,null,null,null,null,null,null,59870,"R",1]
[null,null,null,null,null,null,null,null,65301,"R",1]
[null,null,null,null,null,null,null,null,66049,"R",1]
[null,null,null,null,null,null,null,null,70070,"R",1]
[null,null,null,null,null,null,null,null,70422,"R",1]
[null,null,null,null,null,null,null,null,70769,"R",1]
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[null,null,null,null,null,null,null,null,75148,"R",1]
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{"sheet":"Network Access Inst","index":11,"n_rows":20,"n_cols":1,"rows_kept":20,"cut":false,"hidden":false,"merged":[]}
[]
["Request for Proposal (RFP) for Escambia County School District (ECSD)"]
["Network Access"]
["Network Access Instructions (click on below embedded link to open up file)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Regarding the Network Access"]
["We are requesting 3 cuts of data:  1) Active;  2) Retiree;  3) Combined; "]
["Please provide results based on the networks you are proposing in your RFP;"]
["Use \"estimated driving distance\" for calculating distances;"]
["Ensure that the results are sent in a Microsoft Office Access Database (.accdb extension) and that the Access tables are named in accordance with the detailed instructions attached; and"]
["Please use the zip codes that I have provided in the Excel workbooks attached even if you have received other enrollment files from us for other projects. To ensure that the counts match, please do not remove employees without access (i.e., the EMPSFILTER, PCTFILTER should equal 0). The employee counts for your reference are:"]

{"sheet":"Discount Analysis Instructions","index":12,"n_rows":18,"n_cols":3,"rows_kept":18,"cut":false,"hidden":false,"merged":[[1,0,1,7],[7,0,7,7],[17,1,17,7],[14,1,14,7],[15,1,15,7],[16,0,16,7],[10,1,10,7],[4,0,4,7],[2,0,2,7],[6,0,6,1],[8,0,8,7],[9,0,9,7],[11,2,11,7],[12,1,12,7],[13,2,13,7]]}
[]
["Request for Proposal (RFP) for Escambia County School District (ECSD)"]
["Discount Analysis - Instructions"]
[]
["The next four (4) tabs are all a part of the Discount Analysis - \"Average DPPO Allowed, Average Secondary Allowed, Average Submitted Charges and Max OON Reimbursement\".  Please read the below instructions and complete each tab as required."]
[]
["Instructions:"]
["• The average charges by procedure codes MUST include both General Dentists and Specialists"]
["• The worksheets provide a list of 41 dental procedure codes (column B) and 4 3-digit Zip Codes (row 12) that creates a matrix for you to enter in the requested information below"]
["• The worksheet contains 4 tabs that must be completed:"]
[null,"- The Average DPPO Allowed tab is asking for the average allowed charges of your deepest discounted network"]
[null,null,"* Please be sure to indicate if you are collecting a portion of the retained savings"]
[null,"- The Average Secondary Allowed tab is asking for the average allowed charges of your lesser discounted network (if you offer tiered networks)"]
[null,null,"* Please be sure to indicate if you are collecting a portion of the retained savings"]
[null,"- The Average Submitted Charges tab is asking for your average submitted charges"]
[null,"- The Max OON Reimbursement tab is asking for your average maximum plan allowance at the 90th percentile R&C (row 14)"]
["• We need to have the same network results for the Discount Analysis and Provider Disruption in order to do our analysis"]
[null,"- i.e. If you fill out the Discount Analysis tabs for best and lesser networks, we would need results for the two Provider Disruption networks that cover the best and lesser networks within the ECSD Dental RFP Workbook."]

{"sheet":"Average DPPO Allowed","index":13,"n_rows":59,"n_cols":7,"rows_kept":59,"cut":false,"hidden":false,"merged":[[9,0,9,1],[10,0,10,1],[12,1,12,2],[13,1,13,2],[14,0,14,6],[6,0,6,1],[6,2,6,5],[7,0,7,1],[7,2,7,5],[8,0,8,1],[8,2,8,5],[0,0,0,6],[2,0,2,1],[3,0,3,1],[3,2,3,3],[4,0,4,1],[4,2,4,3]]}
["Please enter the Average Owned DPPO allowed charge for General and Specialist combined for each procedure code in each 3 Digit Zip Code listed"]
[]
["Client Name:",null,{"$f":"'[15]Discount Analysis'!A1","v":"Escambia County School District"}]
["Carrier Name:"]
["Network Name:"]
[]
["Is the carrier retaining a portion of the Allowed savings? (Y/N)"]
["If Yes, please indicate the Percentage retained"]
["Please confirm your results are based on Average Allowed Charges. "]
["* If you don't have credible data for a cell please leave it blank"]
["What is the percentage of your estimated DPPO network discount? "]
[]
["VENDOR NAME","has confirmed that all results are inclusive of both General Dentists AND Specialists."]
["VENDOR NAME","has acknowledged they have read and followed all instructions as outlined within this document."]
["This data may contain confidential and proprietary information and for internal use only. Any dissemination, distribution, disclosure, or copying of this information is unauthorized and strictly prohibited."]
["3 Digit Zip Code Area",null,null,"324","325","364","365"]
["EE Count",null,null,10,5551,16,146]
["Class","Code","Description of Service","Average Allowed","Average Allowed","Average Allowed","Average Allowed"]
["Class I","00120","Periodic Oral Evaluation"]
[null,"00140","Limited Oral Evaluation - Problem Focused"]
[null,"00150","Comprehensive Oral Evaluation - New or Established Patient"]
[null,"00210","Intraoral - Complete Series"]
[null,"00220","Intraoral - Periapical First Film"]
[null,"00230","Intraoral - Periapical Each Additional Film"]
[null,"00272","Bitewings - Two Films"]
[null,"00274","Bitewings - Four Films"]
[null,"00330","Panoramic Film"]
[null,"01110","Prophylaxis - Adult"]
[null,"01120","Prophylaxis - Child"]
[null,"01208","Topical Application of Fluoride (prophylaxis excluded) - Adult or child"]
[null,"01351","Sealant - Per Tooth"]
[null,"09110","Palliative (emergency) Treatment of Dental Pain - Minor Procedure"]
["Class II","02140","Amalgam - One Surface, Primary or Permanent"]
[null,"02150","Amalgam - Two Surfaces, Primary or Permanent"]
[null,"02160","Amalgam - Three Surfaces, Primary or Permanent"]
[null,"02161","Amalgam - Four or More Surfaces, Primary or Permanent"]
[null,"02330","Resin-Based Composite - One Surface, Anterior"]
[null,"02331","Resin-Based Composite - Two Surfaces, Anterior"]
[null,"02332","Resin-Based Composite - Three Surfaces, Anterior"]
[null,"02335","Resin-Based Composite - Four or More Surfaces or Involving Incisal Angle, Anterior"]
[null,"02391","Resin-Based Composite - One Surface, Posterior"]
[null,"02392","Resin-Based Composite - Two Surfaces, Posterior"]
[null,"03310","Anterior (excluding final restoration)"]
[null,"03320","Bicuspid (excluding final restoration)"]
[null,"03330","Molar (excluding final restoration)"]
[null,"04341","Periodontal Scaling & Root Planing - Four or More Contiguous Teeth or Bounded Teeth Spaces Per Quadrant"]
[null,"04910","Periodontal Maintenance"]
[null,"07140","Extraction, Erupted Tooth or Exposed Root (elevation and/or forceps removal)"]
[null,"07210","Surgical Removal of Erupted Tooth Requiring Elevation of Mucoperiosteal Flap and Removal of Bone and/or Section of Tooth"]
[null,"07230","Removal of Impacted Tooth - Partially Bony"]
[null,"07240","Removal of Impacted Tooth - Completely Bony"]
[null,"09223","Deep Sedation/General Anesthesia - First 15 Minutes"]
["Class III","02750","Crown - Porcelain Fused to High Noble Metal"]
[null,"02752","Crown - Porcelain Fused to Noble Metal"]
[null,"02790","Crown - Full Cast High Noble Metal"]
[null,"02792","Crown - Full Cast Noble Metal"]
[null,"02920","Recement Crown"]
[null,"02950","Core Buildup, Including Any Pins"]
[null,"02954","Prefabricated Post and Core in Addition to Crown"]

{"sheet":"Average Secondary Allowed","index":14,"n_rows":55,"n_cols":7,"rows_kept":55,"cut":false,"hidden":false,"merged":[[9,0,9,2],[10,0,10,6],[6,0,6,2],[6,3,6,6],[7,0,7,2],[7,3,7,6],[8,0,8,2],[8,3,8,6],[0,0,0,6],[2,0,2,1],[3,0,3,1],[3,2,3,3],[4,0,4,1],[4,2,4,3]]}
["Please enter the Average Secondary or Leased PPO allowed charge for General and Specialist combined for each procedure code in each 3 Digit Zip Code listed"]
[]
["Client Name:",null,{"$f":"'[15]Average DPPO Allowed'!C3","v":"Escambia County School District"}]
["Carrier Name:"]
["Network Name:"]
[]
["Is the carrier retaining a portion of the Allowed savings? (Y/N)"]
["If Yes, please indicate the Percentage retained"]
["Please confirm your results are based on Average Allowed Charges. "]
["* If you don't have credible data for a cell please leave it blank"]
["This data may contain confidential and proprietary information and for internal use only. Any dissemination, distribution, disclosure, or copying of this information is unauthorized and strictly prohibited."]
["3 Digit Zip Code Area",null,null,{"$f":"'[15]Average DPPO Allowed'!D16","v":"324"},{"$f":"'[15]Average DPPO Allowed'!E16","v":"325"},{"$f":"'[15]Average DPPO Allowed'!F16","v":"364"},{"$f":"'[15]Average DPPO Allowed'!G16","v":"365"}]
["EE Count",null,null,{"$f":"'[15]Average DPPO Allowed'!D17","v":10},{"$f":"'[15]Average DPPO Allowed'!E17","v":5551},{"$f":"'[15]Average DPPO Allowed'!F17","v":16},{"$f":"'[15]Average DPPO Allowed'!G17","v":146}]
["Class","Code","Description of Service","Average Allowed","Average Allowed","Average Allowed","Average Allowed"]
["Class I","00120","Periodic Oral Evaluation"]
[null,"00140","Limited Oral Evaluation - Problem Focused"]
[null,"00150","Comprehensive Oral Evaluation - New or Established Patient"]
[null,"00210","Intraoral - Complete Series"]
[null,"00220","Intraoral - Periapical First Film"]
[null,"00230","Intraoral - Periapical Each Additional Film"]
[null,"00272","Bitewings - Two Films"]
[null,"00274","Bitewings - Four Films"]
[null,"00330","Panoramic Film"]
[null,"01110","Prophylaxis - Adult"]
[null,"01120","Prophylaxis - Child"]
[null,"01208","Topical Application of Fluoride (prophylaxis excluded) - Adult or child"]
[null,"01351","Sealant - Per Tooth"]
[null,"09110","Palliative (emergency) Treatment of Dental Pain - Minor Procedure"]
["Class II","02140","Amalgam - One Surface, Primary or Permanent"]
[null,"02150","Amalgam - Two Surfaces, Primary or Permanent"]
[null,"02160","Amalgam - Three Surfaces, Primary or Permanent"]
[null,"02161","Amalgam - Four or More Surfaces, Primary or Permanent"]
[null,"02330","Resin-Based Composite - One Surface, Anterior"]
[null,"02331","Resin-Based Composite - Two Surfaces, Anterior"]
[null,"02332","Resin-Based Composite - Three Surfaces, Anterior"]
[null,"02335","Resin-Based Composite - Four or More Surfaces or Involving Incisal Angle, Anterior"]
[null,"02391","Resin-Based Composite - One Surface, Posterior"]
[null,"02392","Resin-Based Composite - Two Surfaces, Posterior"]
[null,"03310","Anterior (excluding final restoration)"]
[null,"03320","Bicuspid (excluding final restoration)"]
[null,"03330","Molar (excluding final restoration)"]
[null,"04341","Periodontal Scaling & Root Planing - Four or More Contiguous Teeth or Bounded Teeth Spaces Per Quadrant"]
[null,"04910","Periodontal Maintenance"]
[null,"07140","Extraction, Erupted Tooth or Exposed Root (elevation and/or forceps removal)"]
[null,"07210","Surgical Removal of Erupted Tooth Requiring Elevation of Mucoperiosteal Flap and Removal of Bone and/or Section of Tooth"]
[null,"07230","Removal of Impacted Tooth - Partially Bony"]
[null,"07240","Removal of Impacted Tooth - Completely Bony"]
[null,"09223","Deep Sedation/General Anesthesia - First 15 Minutes"]
["Class III","02750","Crown - Porcelain Fused to High Noble Metal"]
[null,"02752","Crown - Porcelain Fused to Noble Metal"]
[null,"02790","Crown - Full Cast High Noble Metal"]
[null,"02792","Crown - Full Cast Noble Metal"]
[null,"02920","Recement Crown"]
[null,"02950","Core Buildup, Including Any Pins"]
[null,"02954","Prefabricated Post and Core in Addition to Crown"]

{"sheet":"Average Submitted Charges","index":15,"n_rows":56,"n_cols":7,"rows_kept":56,"cut":false,"hidden":false,"merged":[[11,0,11,6],[0,0,0,6],[2,0,2,1],[3,0,3,1],[3,2,3,3],[10,0,10,2]]}
["Please enter the Average Submitted charge for General and Specialist combined for each procedure code in each 3 Digit Zip Code listed"]
[]
["Client Name:",null,{"$f":"'[15]Average DPPO Allowed'!C3","v":"Escambia County School District"}]
["Carrier Name:"]
[]
[]
[]
[]
[]
[]
["* If you don't have credible data for a cell please leave it blank"]
["This data may contain confidential and proprietary information and for internal use only. Any dissemination, distribution, disclosure, or copying of this information is unauthorized and strictly prohibited."]
["3 Digit Zip Code Area",null,null,{"$f":"'[15]Average DPPO Allowed'!D16","v":"324"},{"$f":"'[15]Average DPPO Allowed'!E16","v":"325"},{"$f":"'[15]Average DPPO Allowed'!F16","v":"364"},{"$f":"'[15]Average DPPO Allowed'!G16","v":"365"}]
["EE Count",null,null,{"$f":"'[15]Average DPPO Allowed'!D17","v":10},{"$f":"'[15]Average DPPO Allowed'!E17","v":5551},{"$f":"'[15]Average DPPO Allowed'!F17","v":16},{"$f":"'[15]Average DPPO Allowed'!G17","v":146}]
["Class","Code","Description of Service","Average Submitted","Average Submitted","Average Submitted","Average Submitted"]
["Class I","00120","Periodic Oral Evaluation"]
[null,"00140","Limited Oral Evaluation - Problem Focused"]
[null,"00150","Comprehensive Oral Evaluation - New or Established Patient"]
[null,"00210","Intraoral - Complete Series"]
[null,"00220","Intraoral - Periapical First Film"]
[null,"00230","Intraoral - Periapical Each Additional Film"]
[null,"00272","Bitewings - Two Films"]
[null,"00274","Bitewings - Four Films"]
[null,"00330","Panoramic Film"]
[null,"01110","Prophylaxis - Adult"]
[null,"01120","Prophylaxis - Child"]
[null,"01208","Topical Application of Fluoride (prophylaxis excluded) - Adult or child"]
[null,"01351","Sealant - Per Tooth"]
[null,"09110","Palliative (emergency) Treatment of Dental Pain - Minor Procedure"]
["Class II","02140","Amalgam - One Surface, Primary or Permanent"]
[null,"02150","Amalgam - Two Surfaces, Primary or Permanent"]
[null,"02160","Amalgam - Three Surfaces, Primary or Permanent"]
[null,"02161","Amalgam - Four or More Surfaces, Primary or Permanent"]
[null,"02330","Resin-Based Composite - One Surface, Anterior"]
[null,"02331","Resin-Based Composite - Two Surfaces, Anterior"]
[null,"02332","Resin-Based Composite - Three Surfaces, Anterior"]
[null,"02335","Resin-Based Composite - Four or More Surfaces or Involving Incisal Angle, Anterior"]
[null,"02391","Resin-Based Composite - One Surface, Posterior"]
[null,"02392","Resin-Based Composite - Two Surfaces, Posterior"]
[null,"03310","Anterior (excluding final restoration)"]
[null,"03320","Bicuspid (excluding final restoration)"]
[null,"03330","Molar (excluding final restoration)"]
[null,"04341","Periodontal Scaling & Root Planing - Four or More Contiguous Teeth or Bounded Teeth Spaces Per Quadrant"]
[null,"04910","Periodontal Maintenance"]
[null,"07140","Extraction, Erupted Tooth or Exposed Root (elevation and/or forceps removal)"]
[null,"07210","Surgical Removal of Erupted Tooth Requiring Elevation of Mucoperiosteal Flap and Removal of Bone and/or Section of Tooth"]
[null,"07230","Removal of Impacted Tooth - Partially Bony"]
[null,"07240","Removal of Impacted Tooth - Completely Bony"]
[null,"09223","Deep Sedation/General Anesthesia - First 15 Minutes"]
["Class III","02750","Crown - Porcelain Fused to High Noble Metal"]
[null,"02752","Crown - Porcelain Fused to Noble Metal"]
[null,"02790","Crown - Full Cast High Noble Metal"]
[null,"02792","Crown - Full Cast Noble Metal"]
[null,"02920","Recement Crown"]
[null,"02950","Core Buildup, Including Any Pins"]
[null,"02954","Prefabricated Post and Core in Addition to Crown"]

{"sheet":"Max OON Reimbursement","index":16,"n_rows":56,"n_cols":7,"rows_kept":56,"cut":false,"hidden":false,"merged":[[7,0,7,1],[7,2,7,3],[9,0,9,2],[10,0,10,6],[13,0,14,0],[13,1,14,1],[13,2,14,2],[6,0,6,1],[6,2,6,3],[0,0,0,6],[2,0,2,1],[3,0,3,1],[3,2,3,3],[4,0,4,1]]}
["Please enter the Requested Max OON Plan Reimbursement for General and Specialist combined for each procedure code in each 3 Digit Zip Code listed"]
[]
["Client Name:",null,{"$f":"'[15]Average DPPO Allowed'!C3","v":"Escambia County School District"}]
["Carrier Name:"]
["Max OON Reimbursement:",null,"90th"]
[]
["Name of UCR database:"]
["Date last updated:"]
[]
["* If you don't have credible data for a cell please leave it blank"]
["This data may contain confidential and proprietary information and for internal use only. Any dissemination, distribution, disclosure, or copying of this information is unauthorized and strictly prohibited."]
["3 Digit Zip Code Area",null,null,{"$f":"'[15]Average DPPO Allowed'!D16","v":"324"},{"$f":"'[15]Average DPPO Allowed'!E16","v":"325"},{"$f":"'[15]Average DPPO Allowed'!F16","v":"364"},{"$f":"'[15]Average DPPO Allowed'!G16","v":"365"}]
["EE Count",null,null,{"$f":"'[15]Average DPPO Allowed'!D17","v":10},{"$f":"'[15]Average DPPO Allowed'!E17","v":5551},{"$f":"'[15]Average DPPO Allowed'!F17","v":16},{"$f":"'[15]Average DPPO Allowed'!G17","v":146}]
["Class","Code","Description of Service",{"$f":"C5","v":"90th"},{"$f":"D14","v":"90th"},{"$f":"E14","v":"90th"},"90th"]
[null,null,null,"OON Reimburse","OON Reimburse","OON Reimburse","OON Reimburse"]
["Class I","00120","Periodic Oral Evaluation"]
[null,"00140","Limited Oral Evaluation - Problem Focused"]
[null,"00150","Comprehensive Oral Evaluation - New or Established Patient"]
[null,"00210","Intraoral - Complete Series"]
[null,"00220","Intraoral - Periapical First Film"]
[null,"00230","Intraoral - Periapical Each Additional Film"]
[null,"00272","Bitewings - Two Films"]
[null,"00274","Bitewings - Four Films"]
[null,"00330","Panoramic Film"]
[null,"01110","Prophylaxis - Adult"]
[null,"01120","Prophylaxis - Child"]
[null,"01208","Topical Application of Fluoride (prophylaxis excluded) - Adult or child"]
[null,"01351","Sealant - Per Tooth"]
[null,"09110","Palliative (emergency) Treatment of Dental Pain - Minor Procedure"]
["Class II","02140","Amalgam - One Surface, Primary or Permanent"]
[null,"02150","Amalgam - Two Surfaces, Primary or Permanent"]
[null,"02160","Amalgam - Three Surfaces, Primary or Permanent"]
[null,"02161","Amalgam - Four or More Surfaces, Primary or Permanent"]
[null,"02330","Resin-Based Composite - One Surface, Anterior"]
[null,"02331","Resin-Based Composite - Two Surfaces, Anterior"]
[null,"02332","Resin-Based Composite - Three Surfaces, Anterior"]
[null,"02335","Resin-Based Composite - Four or More Surfaces or Involving Incisal Angle, Anterior"]
[null,"02391","Resin-Based Composite - One Surface, Posterior"]
[null,"02392","Resin-Based Composite - Two Surfaces, Posterior"]
[null,"03310","Anterior (excluding final restoration)"]
[null,"03320","Bicuspid (excluding final restoration)"]
[null,"03330","Molar (excluding final restoration)"]
[null,"04341","Periodontal Scaling & Root Planing - Four or More Contiguous Teeth or Bounded Teeth Spaces Per Quadrant"]
[null,"04910","Periodontal Maintenance"]
[null,"07140","Extraction, Erupted Tooth or Exposed Root (elevation and/or forceps removal)"]
[null,"07210","Surgical Removal of Erupted Tooth Requiring Elevation of Mucoperiosteal Flap and Removal of Bone and/or Section of Tooth"]
[null,"07230","Removal of Impacted Tooth - Partially Bony"]
[null,"07240","Removal of Impacted Tooth - Completely Bony"]
[null,"09223","Deep Sedation/General Anesthesia - First 15 Minutes"]
["Class III","02750","Crown - Porcelain Fused to High Noble Metal"]
[null,"02752","Crown - Porcelain Fused to Noble Metal"]
[null,"02790","Crown - Full Cast High Noble Metal"]
[null,"02792","Crown - Full Cast Noble Metal"]
[null,"02920","Recement Crown"]
[null,"02950","Core Buildup, Including Any Pins"]
[null,"02954","Prefabricated Post and Core in Addition to Crown"]

{"sheet":"Reporting","index":17,"n_rows":30,"n_cols":22,"rows_kept":30,"cut":false,"hidden":false,"merged":[[5,0,5,3]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes"]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
["Reporting"]
[]
[]
["Electronic Data Collection Reporting Requirements "]
[]
["Reports","Frequency","Report Availability ","Able to Provide"]
["Premium vs. Claim","Monthly","All ASO Plans"]
["Claim Payments by Month","Monthly","All ASO Plans"]
["Claim Payments by Benefit Type","Monthly","All ASO Plans"]
["Claim Payments by Patient/Employee","Monthly","All ASO Plans"]
["Detail Claim Payment","Monthly","All ASO Plans"]
["Membership by Month","Monthly","All ASO Plans"]
["YTD payments by Provider","Quarterly","All ASO Plans"]
["YTD payments by Patient/Employee","Quarterly","All ASO Plans"]
["YTD payments by ADA code","Quarterly","All ASO Plans"]
["Distribution of Discounts","Quarterly","All PPO Plans"]
["Distribution of Other Savings","Quarterly","All PPO Plans"]
["Network Utilization","Quarterly","All PPO Plans"]
["Top Dental Providers Ranked by Total Net Paid","Quarterly","All ASO Plans"]
["Comparative Total Cost per Member per Plan","Quarterly","All ASO Plans"]
["Distribution of Payment Analysis (Cost Sharing, Plan Costs, and Claims deemed not eligible)","Quarterly","All ASO Plans"]
["Claim Lag","Annually","All ASO Plans"]
["Executive Summary Report (includes Analysis, Trend Summary, Enrollment Profile, Total Case Analysis, and Network Analysis Report)","Annually","All ASO Plans"]
[]
[]
[]
["All ASO Plans:  For proposals of Option #1, Option #2 and Option #3"]
["All PPO Plans:  For proposals of Option #3"]

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[]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Dental Performance Guarantees"]
[]
[]
["The District requests each Vendor place a portion of the total annual premium paid / total administration fees at risk, based on the performance measurements outlined below."]
[]
["  Service Category","Expected Standards/Results","% Risk","Vendor Response"]
["Claims Processing Accuracy","Vendor guarantees that 95% of claims will be processed accurately.",0.02]
[null,"The percentage of audited client claims processed accurately. Calculated as the total number of audited claims. Definition of “error” includes any type of error that has an affect on the member or provider, e.g. incorrect explanations of benefits or payments. processed without any errors, divided by the total number of audited claims. Each type of error is counted as one full error and no more than one error can be assigned to one claim. "]
[null,"Measurement will be Quarterly, with monthly reporting to client. Based on randomly selected statistical audit sample results."]
["Claim Turnaround Time","Vendor guarantees that 95% of clean claims (claims that do not require audit or PROVIDER consultation adjudication) will be processed within fourteen (14) calendar days or 10 business days. ",5.0000000000000001E-3]
[null,"Claims turnaround time includes all working days from the initial receipt of the payment claim with complete information to the date the claim is processed. The day the claim is received will not be included in this calculation."]
[null,"Measurement will be on a client-specific basis, reviewed monthly, reported quarterly and paid annually. Based on randomly selected statistical audit sample results."]
[null,"Vendor guarantees that 98% of clean claims (claims that do not require audit or PROVIDER consultation adjudication) will be processed within fourteen (14) calendar days or ten (10) business days. ",1.4999999999999999E-2]
[null,"Claims turnaround time includes all working days from the initial receipt of the payment claim with complete information to the date the claim is processed. The day the claim is received will not be included in this calculation."]
[null,"Measurement will be on a client-specific basis, reviewed monthly, reported quarterly and paid annually. Based on randomly selected statistical audit sample results."]
[" Financial Accuracy","Vendor offers that the percentage of dollars paid accurately will not be less than 99%.",0.02]
[null,"Financial (dollar) accuracy is defined as the percentages of dollars paid correctly over the total dollar that should have been paid in the sample."]
[null,"Measurement will be on a client-specific basis, reviewed monthly, reported quarterly and paid annually.  Based on randomly selected statistical audit sample results."]
["Registration and Activity on Website/Portal","Website availability:  Vendor guarantees that their website for ECSD employees has 99.8% availability, twenty-four (24) hours a day, seven (7) days a week except for planned maintenance.",0.01]
[null,"Measurement will be on a client-specific basis, reviewed and reported semi-annually and paid annually."]
["Customer Service","Vendor’s average speed to answer will be thirty (30) seconds or less for 90% of calls.",0.02]
[null,"The Amount of time that elapses between the time a call is received into the phone system to the time answered by a representative (live voice answer)."]
[null,"Measurement will be on a client-specific basis, reviewed monthly, reported quarterly and paid annually.  Based on randomly selected statistical audit sample results."]
[null,"Vendor will provide a written response within five (5) business days to 90% of enrollees filing a grievance and 98% within(15) days of receipt."]
[null,"Vendor will resolve all Appeals &  Grievances within thirty (30) days. 98% of all Appeals & Grievances will be resolved within sixty (60) days."]
[null,"Percent of telephone inquiries completely resolved at the time of initial contact will be no less than 95% within one (1) business day."]
[null,"First call resolution rate is the number of telephone inquiries completely resolved within one (1) business day in which the call was opened divided by the total number of calls received by that service team."]
[null,"Measurement will be on a global basis, reviewed monthly, reported quarterly and paid annually."]
["Patient Satisfaction Survey","Vendor will ensure initial survey, follow up survey and annual employee satisfaction surveys be provided.",0.02]
[null,"Results are to be determined by dividing the number of “satisfied” and “very satisfied” and “neutral”  responses by the total number of “satisfied”, “very satisfied”, ”neutral”  dissatisfied” and “very dissatisfied” responses."]
[null,"Measurement will be yearly. EX: Initial survey Feb. 2020 annual: Each Feb after 2021"]
[null,"Vendor will ensure that 90% of provider satisfaction survey participants will be satisfied or very satisfied.",0]
[null,"Mutually agreed upon survey tool.\nStatistically valid sample to determine initial satisfaction benchmark.\nFollow-up survey with results compared to initial benchmark to demonstrate improvement or lack thereof.\nAnnual survey to continue to monitor Contractor’s services."]
[null,"Measurement will be yearly. EX: Initial survey Feb. 2020 annual: Each Feb after 2021"]
["Provider Service","Vendor will ensure that 90% of providers will accept new patients.",0.02]
[null,"Review panel and determine cumulative open panel access"]
[null,"Measurement will be quarterly reported forty-five (45) days following the end of quarter"]
["ID Cards","Vendor will ensure ID cards will be provided within ten (10) working days from receipt of eligibility information.",0.02]
[null,"The amount of time elapsed from date of receipt of eligibility information to date ID cards are mailed to members.\nID cards for “future” enrollees (reported thirty (30) days prior) will be mailed fourteen (14) business days prior to the effective date."]
[null,"Measurement will be quarterly."]
["Account Management","Vendor’s account management will exceed or meet ECSD's expectations.  Vendor will receive a satisfactory score of three (3) or higher.","$1000 for score below 3 per agency, up to $2,000 max per year. Corrective action plan required to address needed improvement if score is at an unacceptable level."]
[null,"Client will evaluate each member of Administrator’s designated Account Management team. Scale is as follows:\nScore Description\n    4           Exceeds Expectations\n    3           Meets Expectations\n    2           Needs Improvement\n    1           Unacceptable"]
[null,"Measurement will be Semi-annually by joint meeting with each Agency and Contractor no later than sixty (60) days following end of the measuring period."]
["Timeliness of Financial Accounting and Renewal Proposals","Vendor will provide Monthly, quarter-to-date, year-to-date paid claims and lag reports within twenty-five (25) days following end of reporting period.","$200 per late report delivered to each agency after the report submission date"]
[null,"Client Receipt of Financial reports"]
[null,"Measurement will be on a client-specific basis. Monthly within twenty-five (25) days following the end of the month. Quarterly reports within forty-five (45) days following the end of the quarter."]
["Plan Booklet Accuracy and Timeliness","Vendor will deliver an electronic copy of the Plan Booklet no later than the first day of the plan year as per the Contract. Vendor will take sole responsibility for the accuracy of the Plan Booklet as per the Contract.",0.01]
[null,"Measurement will be on a client-specific basis, reported annually and paid annually."]
["TOTAL ANNUAL PREMIUM / ASO ADMINISTRATION FEE AT RISK"]

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[]
[{"$f":"' Dental Questionnaire'!B5","v":"Request for Proposal (RFP) for Escambia County School District (ECSD)"}]
["Explanations"]
[]
[]
["This worksheet should be used to provide additional explanations for any questions for which a \"See Explanation\" response was given.  Explanations must be numbered to correspond to the question to which they pertain and they must be brief."]
[]
[]
["Section & Question #","Explanation:"]

{"sheet":"Officer Statement","index":20,"n_rows":31,"n_cols":1,"rows_kept":31,"cut":false,"hidden":false,"merged":[[7,0,7,1],[23,0,23,1],[1,0,1,1]]}
[]
["Request for Dental Proposal (RFP) for Escambia County School District (ECSD)"]
["Officer Certification"]
[]
["Please have an Officer review and sign this worksheet to confirm the information is valid."]
["Please include the completed form with your proposal."]
[]
["OFFICER'S STATEMENT"]
["Dental Proposer Legal Name"]
["Dental Proposer Marketing Name"]
["Street Address"]
["City"]
["State"]
["Zip"]
["Phone Number"]
["Fax Number"]
["Web Address"]
["Name of Officer completing statement"]
["Title of Officer completing statement"]
["Phone Number of Officer completing statement"]
["Email Address of Officer completing statement"]
[]
[]
["I certify that our response to ECSD's RFP (Request for Proposal) is complete and accurate to the best of my knowledge and contains no material omissions or misstatements. I acknowledge that ECSD will rely upon the information included in our response to make decisions concerning the dental benefits that are offered to its employees."]
[]
[]
[]
["Officer's Signature"]
[]
[]
["Date Signed"]

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[]
[]
[]
["Request for Proposal (RFP) for Escambia County School District (ECSD)"]
["Dental RFP - Evaluation Criteria"]
[]
["Scoring Topics","Total Points Available","Score"]
["Minimum Requirements Agree to ",10]
["Plan Administration and Service Capabilities",30]
["Net Cost Consideration & Financials",20]
["Plan Design ",15]
["Related Experience, References and Legal Compliance",5]
["Network Access and Disruption",20]
[null,"TOTAL POINTS"]
[null,null,"(No greater than 100)"]