GREAT NEWS THE CIGNA DENTAL CARE (DHMO ...team.georgia.gov/wp-content/uploads/2020/10/922237_b...Remember to always pick a network general dentist who’s within 25 miles of your location

GREAT NEWS...THE CIGNA DENTAL CARE® (DHMO) NETWORK HAS EXPANDED IN 2020! Check It Out. 140+ Additional Dentists in the Cigna Dental Care (DHMO) Access Plus Network

Enrollment GuidePLAN YEAR January 1 – December 31, 2021

922237 b 09/20

Offered by Cigna Health and Life Insurance Company

State of Georgia Dental Benefit Plan

Deductible: An annual amount you’ll pay out of pocket before your dental plan begins to pay for covered dental care costs.

Copay: A preset amount you pay for your covered dental care services.

Calendar year maximum: The most your plan will pay for your dental claims during the plan year. Once you reach that maximum, your plan will no longer pay a percentage of your costs for the rest of that plan year.

In-network: Dentists and facilities that have contracts with Cigna to deliver services at a negotiated rate (discount). You’ll usually pay a lower amount for those services.

Out-of-network: A dentist or facility that doesn’t take part in your Cigna plan’s network and doesn’t provide services at a discounted rate. Using an out‑of‑network dental care professional or facility will usually cost you more.

Words to know.As you go through the guide, understanding some words and phrases will help.

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Welcome.The State of Georgia’s 2020 Annual Open Enrollment is here. The Open Enrollment dates are Monday, October 19, 2020 through Friday, November 6, 2020. Enroll online GaBreeze.ga.gov Or, contact the GaBreeze Call Center

1-877-342-7339

Keep your go-to guide.This enrollment guide was created to help you make important decisions about your dental coverage.

MORE CHOICE. MORE SAVINGS.Introducing the newly expanded Cigna Dental Care® (DHMO)1 Access Plus Network

Cigna now offers new choice for State of Georgia employees.The Cigna Dental Care® (DHMO) Access Plus Network provides

MORE ACCESS› 140+ Dentists added to Network MORE SAVINGS

› Out‑of‑pocket costs are reduced

VALUE & FLEXIBILITY

› No calendar year maximums › No waiting periods › No deductible

You asked. We listened.State of Georgia, see the value of choosing the Cigna Dental Care (DHMO) plan and a personal dentist

With the Cigna Dental Care (DHMO) plan, your dentist will:

› Be your source for basic care, advice and direction› Provide referrals to in‑network specialists if

you need them2

So, you’ll get the care you need and stay in‑network, helping you to stay healthy and save money.

Remember: Out‑of‑network benefits are not offered with the Cigna Dental Care (DHMO) plan (except for emergencies or where required by law).3

Freshen up on your dental plan options for 2021 and get the benefits and savings you want.Please read your enrollment materials carefully. Then, consider choosing Cigna when making your benefit elections.

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BENEFITS WHAT IT MEANS TO YOU

Fixed copays When you enroll in the Cigna Dental Care (DHMO) plan, you receive a Patient Charge Schedule, or “PCS.” The PCS lists the specific dental procedures covered by the plan and the amount you pay the dentist. These copays apply even if you see a specialist.

Access to a DHMO network dentist where you need one

This helps you and each of your enrolled family members choose a network dental office that’s convenient to your home, work or school.

No deductibles or waiting period

There is no amount you have to pay, no period of time you have to wait, before your coverage begins. Instead, you can visit a network dentist immediately after your coverage begins and pay only the copay listed on your PCS.

No calendar year or lifetime dollar maximums

With the Cigna Dental Care (DHMO) plan, “no maximums” means that your coverage is not limited to a certain dollar amount.

No paperwork Since you simply pay the copay when you visit the Cigna Dental Care (DHMO) Access Plus network dental office, there are no claim forms to file. If you need to see a specialist, your assigned network general dentist will fill out the specialty referral paperwork for you. Referrals aren’t required for network pediatric dentists for your children under 13 years old or for network orthodontists if you or your family member need braces.

For 2021, the State of Georgia is offering the Cigna Dental Care® (DHMO1) plan.

Easy to use› When you enroll, you need to choose a Cigna Dental

Care (DHMO) Access Plus network general dentist who will handle all of your dental care.

› Change your Cigna Dental Care (DHMO) Access Plus network general dentist (NGD) anytime. Simply visit myCigna.com to select your NGD or call customer service. Changes made by the 15th of the month will go into effect the first day of the following month. If you need an immediate change, customer service can help 24/7.

› After you enroll, Cigna will mail you a Patient Charge Schedule (or “PCS”) that lists the copays for covered services. A PCS is also included within this brochure for reference.

› ID cards are not required, but you can request or print a temporary one anytime at myCigna.com.

› There are no claim forms to submit when using network dentists. When your PCS lists a copay, pay that amount to the dentist directly after you receive care.

› If you need to see a network dental specialist, your network general dentist will handle the referral paperwork for you. Prior authorization may be required for certain types of specialty care. Referrals are required for all network specialists except orthodontists and pediatric dentists. The copays on your PCS also apply to covered network specialist care.

› If you want a second opinion, you can get one at no additional charge. Our knowledgeable, friendly customer service representatives can provide the details.

Easy on your wallet› No charge for most preventive services.› When there is a cost, you’ll pay a set amount (copay)

for services covered by your plan.

› Network dentists aren’t allowed to charge you more than the copay amount for covered services.

With the Cigna Dental Care (DHMO) plan› NO charge for most preventive services,

such as exams, x‑rays and routine cleanings.

› NO claim forms to file when using in‑network dentists.› NO deductible to pay before you can use

your plan.

› NO calendar year maximums to limit benefits.› NO ID cards required to receive care.› NO age limit on sealants to help

prevent cavities.

› NO additional charge for second opinions.› Children can remain with a pediatric network dentist

up to their 13th birthday.

For enrollment information, please visit www.GaBreeze.ga.gov.

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At Cigna, finding a Cigna Dental Care (DHMO)* Access Plus dentist or specialist is quick and easy. Simply go online or call to speak to a customer service representative.

From myCigna.comOnce you enroll in Cigna Dental Care (DHMO), register at myCigna.com. The site will give you information for your specific dental plan. Then follow these easy steps:

› Log in to myCigna.com. Click on “Find Providers and Costs” at the top.

› Enter your search criteria and click “Search” – OR –

› Under “Popular Searches” click a dentist by category.

On the go? Not a problem. This information is also on the myCigna® App.

From Cigna.com› Go to Cigna.com. Click on “Find a Doctor, Dentist

or Facility” at the top of the screen.

› Under “Not a Cigna Customer Yet?” click “Plans through your employer or school.”

› Enter your search location (city, state, or zip).› Under “Select a Plan” pick “Dental”.› Then, choose “Cigna Dental Care (DHMO) Access

Plus” and press the “Choose” button.

› Review the lists given by specialty. Or narrow your search by typing in provider name, specialty or office name.

› Once you get your search results, you can further refine your search by:

– Distance

– Years in practice

– Specialty

– Additional languages

› Click on a dentist’s name for more details. Such as office hours and location listings with map view.

Call us at 800.Cigna24 (800.244.6224)Need help finding a Cigna Dental Care (DHMO) Access Plus network dentist or specialist? Just give us a call. You can use the automated Dental Office Locator, or you can speak directly to a customer service representative. You can also ask for a directory customized by dentist type and location.

Call your current dentistYour current dentist could be in‑network. Call the office and ask if they participate in the Cigna Dental Care (DHMO) Access Plus network.

Call or click to find a Cigna Dental Care (DHMO) Access Plus network dentist

Remember to always pick a network general dentist who’s within 25 miles of your location to ensure adequate access.

For your convenience, we’ve enclosed a Quick Guide to Dental Providers on page 6. For the most recent listings, please go to myCigna.com, Cigna.com or call us.

* The Cigna DHMO network is not available in all areas and currently not available in the following states: AK, ID, ME, MT, NH, NM, ND, PR, SD, VT, WV, WY, VI.

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Access Plus Network DirectoryGeorgia

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The following is a list of health care providers in this area who are in the Cigna network. Some providers may have been added or removed from a network after this directory was printed. We do not guarantee that each provider is still accepting new patients. For current customers, always refer to your Cigna ID card for help to determine the name of your Cigna network and benefit plan or to identify the health care providers that are in-network for your plan. If you are a potential customer, please refer to the benefit plan and network names included in your enrollment materials. To get the most up-to-date information about the in-network providers in your area, use our online directory (www.cigna.com or www.mycigna.com ) or call Cigna Customer Service at the toll-free number on the back of your Cigna ID card. Also, please check with the provider before scheduling your appointment or receiving services to confirm he or she is in Cigna’s network.

Before joining the Cigna network, health care professionals must meet Cigna standards through a process called credentialing. We regularly review credentials to help ensure they continue to meet these standards

Language Assistance and Access

Directory listings include languages other than English (if any), spoken by the health care professional (HCP) or by an office staff member who the HCP has identified as a qualified medical interpreter. However, if you have difficulty understanding English, we offer language assistance and interpretation services at no cost to you. For help, please call the Customer Service number on the back of your ID card. If you do not have or are unable to locate your ID card, please call 1.800.244.6224.

If you have a hearing or speech loss and use Telecommunications Relay Services (TRS) or a Text Telephone (TTY ), dial 711 to connect with a TRS operator.

Si le cuesta comunicarse en inglés, ofrecemos asistencia de idioma y servicios de interpretación sin costo alguno para usted. Para obtener ayuda, comuníquese con el námero de Servicio al cliente que figura en la parte de atrás de su tarjeta de identificación. Si usted no tiene o no puede encontrar su tarjeta de identificación, llame al 1.800.244.6224. Si tiene algún impedimento auditivo o del habla y desea usar el servicio de retransmisión de telecomunicaciones (TRS, por sus siglas en inglés) o un teléfono de texto (TTY, por sus siglas en inglés), marque 711 para comunicarse con un operador del TRS.

We expect our contracted providers to meet all applicable federal requirements for accessibility as specified in the Americans’ with Disabilities Act (ADA) and its regulations. In general, the ADA requires that health care providers offer individuals with disabilities full and equal access to their health care services and facilities, however there can be some exceptions. In order to ensure a provider’s location meets your own access needs please contact that provider directly before scheduling an appointment to obtain care.

Source of Information and Frequency of Validation

Dental health care professional information addressing specialty, dental office/practice affiliations, acceptance of new patients and languages spoken is obtained from an application that is completed and signed by the health care professional and/or through a third-party vendor. Information is updated when the dental health care professional notifies Cigna, and/or the third-party vendor, of changes or at least every three years. The information in this directory is not intended to be the only or primary means for selecting and evaluating a dentist or comparing dental professionals. It is not intended to be relied upon as advice, a recommendation or an endorsement about which facility or provider to select or the quality of the dental treatment that you receive from a facility or provider. You are solely responsible for any and all decisions with respect to your dental treatment. Never disregard, avoid or delay in obtaining dental advice from your provider or other health care professional because of something that you have read in this directory as is not intended to be a substitute for professional dental advice.

Report Inaccurate Information

If you see inaccurate information for a health care provider, please help us improve your experience by reporting it. We recommend that you review an on-line directory prior to reporting inaccurate information. If you cannot access an online directories or still wish to report inaccurate information you may do so using one of the following options:

Report by phone: Call 1-800-244-6224

Send an email to [email protected] and include the following information:

1. Provider, facility or health care professional’s information as it is displayed in the directory (name, address, and specialty)

2. The information you would like to be corrected, such as name, address, phone number, etc.

Introduction

Introduction

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DISCRIMINATION IS AGAINST THE LAW

Cigna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Cigna does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.Cigna:n Provides free aids and services to people with disabilities to communicate effectively with us, such as:

– Qualified sign language interpreters– Written information in other formats (large print, audio, accessible electronic formats, other

formats)n Provides free language services to people whose primary language is not English, such as:

– Qualified interpreters– Information written in other languages

If you need these services, contact customer service at the toll-free number shown on your ID card, and ask a Customer Service Associate for assistance.If you believe that Cigna has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by sending an email to [email protected] or by writing to the following address:

CignaNondiscrimination Complaint CoordinatorPO Box 188016Chattanooga, TN 37422

If you need assistance filing a written grievance, please call the number on the back of your ID card or send an email to [email protected]. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH Building Washington, DC 202011.800.368.1019, 800.537.7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., Cigna Health Management, Inc., and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you. For current Cigna customers, call the number on the back of your ID card. Otherwise, call 1.800.244.6224 (TTY: Dial 711). ATENCIÓN: Si usted habla un idioma que no sea inglés, tiene a su disposición servicios gratuitos de asistencia lingüística. Si es un cliente actual de Cigna, llame al número que figura en el reverso de su tarjeta de identificación. Si no lo es, llame al 1.800.244.6224 (los usuarios de TTY deben llamar al 711).

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PROFICIENCY OF LANGUAGE ASSISTANCE SERVICES

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BACON COUNTY

ALMAOFC #463653

Mckinney Medical Center, Inc501 N Pierce StAlma, GA 31510Handicap Accessible: YES(912) 632-0872No. of Dentist: 1

BALDWIN COUNTY

MILLEDGEVILLEOFC #599529 �

GA Dentistry Services PC1980 N Columbia StMilledgeville, GA 31061Handicap Accessible: YES(478) 387-7015No. of Dentist: 5

OFC #676504Janet Harrison DDS PC108 Fieldstone DrMilledgeville, GA 31061Handicap Accessible: YES(478) 453-7535No. of Dentist: 1

BARROW COUNTY

WINDEROFC #488439 �

Winder Dental Care339 Atlanta Hwy SE Ste 500Winder, GA 30680Handicap Accessible: NO(770) 791-0010No. of Dentist: 1Other Languages Spoken by

Provider: Korean, Spanish

BARTOW COUNTY

CARTERSVILLEOFC #541863 �

GA Dentistry Services PC215 Cherokee PlCartersville, GA 30121Handicap Accessible: YES(770) 387-1618No. of Dentist: 8Other Languages Spoken by

Provider: Gujarati, Hindi,Spanish

BIBB COUNTY

MACONOFC #542970 �

Aspen Dental5005 Riverside DrUnit AMacon, GA 31210Handicap Accessible: YES(478) 405-0664No. of Dentist: 8Other Languages Spoken by

Provider: Arabic, Farsi,Hindi, Korean, Spanish,Vietnamese

OFC #662424Clark General Dentistry Center1918 Forsyth StMacon, GA 31201Handicap Accessible: YES(478) 746-0046No. of Dentist: 1

OFC #102227North Macon Dental Associates4020 Elnora DrMacon, GA 31210Handicap Accessible: YES(478) 477-1228No. of Dentist: 2

OFC #663134S Douglas Katz DMD2700 Northside CrossingMacon, GA 31210Handicap Accessible: YES(478) 474-5179No. of Dentist: 1Other Languages Spoken by

Provider: French

BULLOCH COUNTY

STATESBOROOFC #649805

GA Dentistry Services PC412 Northside Dr EStatesboro, GA 30458Handicap Accessible: YES(912) 225-0777No. of Dentist: 4

CARROLL COUNTY

CARROLLTONOFC #516627 �

GA Dentistry Services PC1382 S Park StCarrollton, GA 30117Handicap Accessible: YES(678) 664-3260No. of Dentist: 5Other Languages Spoken by

Provider: Spanish

CATOOSA COUNTY

FORT OGLETHORPEOFC #596133 �

GA Prime Dental, LLC17 Parkway DrFort Oglethorpe, GA 30742Handicap Accessible: YES(706) 944-3122No. of Dentist: 2

CHATHAM COUNTY

POOLEROFC #571465

Jebediah S Christy Dds-Pooler276 Pooler Pky Ste APooler, GA 31322Handicap Accessible: YES(912) 330-9070No. of Dentist: 10

SAVANNAHOFC #575034 �

Dental Wellness Center14045 Abercorn St Ste 2403Savannah, GA 31419Handicap Accessible: YES(912) 920-5577No. of Dentist: 5Other Languages Spoken by

Provider: Russian, Spanish

OFC #176229Frank E Humphreys DDS3 Wilmington Village WaySavannah, GA 31410Handicap Accessible: NO(912) 897-2232No. of Dentist: 1

OFC #536077Great Expressions Dental Ctrs132 Southern BlvdSavannah, GA 31405Handicap Accessible: YES(912) 356-5444No. of Dentist: 1

OFC #358139James B. Melvin Iii DMD LLC310 Eisenhower Dr Ste 4Savannah, GA 31406Handicap Accessible: YES(912) 355-1307No. of Dentist: 1

OFC #597441Jebediah S Christy Dds-Savanna7805 Abercorn St Ste 29BSavannah, GA 31406Handicap Accessible: YES(912) 226-7628No. of Dentist: 9

OFC #670856Robert B. Miller901 E 66th StSavannah, GA 31405Handicap Accessible: YES(912) 525-7777No. of Dentist: 3

OFC #664409William R. Pettigrew Ii DDS7208 Hodgson Memorial Dr

Ste ASavannah, GA 31406Handicap Accessible: YES(912) 351-4555No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

CHEROKEE COUNTY

CANTONOFC #670827

Canton Heights Dental327 Heights PlCanton, GA 30114Handicap Accessible: YES(770) 479-1444No. of Dentist: 1

OFC #545562Dentistry at Hickory Flat PC6199 Hickory Flat Hwy Ste 130Canton, GA 30115Handicap Accessible: YES(770) 213-8166No. of Dentist: 1

OFC #521648 �GA Dentistry Services2030 Cumming Hwy Ste 110Canton, GA 30115Handicap Accessible: YES(404) 974-9000No. of Dentist: 6Other Languages Spoken by

Provider: Spanish

WOODSTOCKOFC #664303

All About Family Dentistry12186 Hwy 92 #109 Ste 109Woodstock, GA 30188Handicap Accessible: YES(678) 238-0202No. of Dentist: 1Other Languages Spoken by

Provider: Farsi

OFC #196838Coast Dental-Woodstock12195 Hwy 92 #148 Ste 148Woodstock, GA 30188Handicap Accessible: YES(770) 517-2772No. of Dentist: 2Other Languages Spoken by

Provider: French, Hindi,Korean, Russian, Spanish

OFC #400792Imagix Dental of Hickory Flat7840 Hickory Flat HwyWoodstock, GA 30188Handicap Accessible: YES(770) 479-8654No. of Dentist: 7Other Languages Spoken by

Provider: Farsi, French,German, Korean, Russian,Spanish

OFC #242807Timothy N Byrd DMD & Assoc

PC2035 Towne Lake Pky Ste 130Woodstock, GA 30189Handicap Accessible: YES(770) 926-8200No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #634570Woodstock Dentistry1428 Towne Lake Pky #99 Ste

99Woodstock, GA 30189Handicap Accessible: YES(678) 203-2294No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #663135Woodstock Family Dental206 Creekstone Rdg Ste 206Woodstock, GA 30188Handicap Accessible: YES(770) 517-2688No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

CLARKE COUNTY

ATHENSOFC #569588 �

Pkr Dental LLC1805 Epps Bridge Pky #101 Ste

101Athens, GA 30606Handicap Accessible: YES(706) 549-0108No. of Dentist: 6Other Languages Spoken by

Provider: Spanish

CLAYTON COUNTY

FOREST PARKOFC #536007

Great Expressions Dental Ctrs4930 Governors Dr Ste 405Forest Park, GA 30297Handicap Accessible: YES(404) 363-1700No. of Dentist: 2Other Languages Spoken by


OFC #401158JJ Solano DDS848 Main StForest Park, GA 30297Handicap Accessible: YES(404) 366-3724No. of Dentist: 1Other Languages Spoken by

Provider: Italian, Spanish

JONESBOROOFC #102210

Great Expressions Dental Center1002 Pointe S PkyJonesboro, GA 30238Handicap Accessible: YES(770) 472-9399No. of Dentist: 4

OFC #153355Great Expressions Dental Ctrs2292 Mount Zion RdJonesboro, GA 30236Handicap Accessible: YES(770) 961-8300No. of Dentist: 2

MORROWOFC #664111

Morrow Dental Center LLC6452 South Lee St Ste 7Morrow, GA 30260Handicap Accessible: YES(678) 422-6500No. of Dentist: 1Other Languages Spoken by

Provider: Vietnamese

RIVERDALEOFC #677757

Daniel Redie Family Dentistry1849 Hwy 138 SWRiverdale, GA 30296Handicap Accessible: YES(770) 996-5850No. of Dentist: 1

OFC #171174Family Dentistry217 Upper Riverdale Rd SWRiverdale, GA 30274Handicap Accessible: YES(770) 997-6600No. of Dentist: 1Other Languages Spoken by

Provider: Cambodian,Spanish

OFC #247619Zoom Dental207 Upper Riverdale Rd SWRiverdale, GA 30274Handicap Accessible: YES(770) 751-8887No. of Dentist: 2Other Languages Spoken by

Provider: Bengali, French,Russian, Spanish

COBB COUNTY

ACWORTHOFC #267745

Acworth Lake Pointe Dental3950 Cobb Pky NW Ste 402Acworth, GA 30101Handicap Accessible: YES(770) 966-9396No. of Dentist: 5Other Languages Spoken by

Provider: Arabic, Gujarati,Russian, Spanish

OFC #233174Coast Dental-Acworth3509 Baker Rd Ste 401Acworth, GA 30101Handicap Accessible: YES(770) 917-8943No. of Dentist: 3Other Languages Spoken by

Provider: Spanish

ATLANTAOFC #165404

Imagix Dental of Vinings2460 Cumberland Pky SE

Ste 210Atlanta, GA 30339Handicap Accessible: YES(770) 433-2414No. of Dentist: 4Other Languages Spoken by

Provider: Farsi, German,Russian, Spanish

AUSTELLOFC #535883

Great Expressions Dental Ctrs3845 Medical Park DrAustell, GA 30106Handicap Accessible: YES(770) 739-2100No. of Dentist: 2Other Languages Spoken by

Provider: Farsi, Korean,Spanish

OFC #665605 �Love Your Smile LLC1680 E West Connector Ste 112Austell, GA 30106Handicap Accessible: YES(770) 742-6330No. of Dentist: 2

KENNESAWOFC #244448

Dental One Kennesaw2616 George Busbee Pky NWKennesaw, GA 30144Handicap Accessible: YES(770) 421-8821No. of Dentist: 3Other Languages Spoken by

Provider: Farsi, German,Spanish

Cigna Dental Care Access Plus Network Directory for Georgia

Choose your Network General Dentist from our dental HMO-type network. The Cigna Dental Care Patient Charge Schedule applies only when covered dental services are performedby your designated Network General Dentist, unless otherwise authorized by Cigna Dental as described in your plan documents. Make sure you tell us which dental office you have chosenbefore your treatment begins so your coverage will apply. For the most up-to-date list of network dental offices, visit our website at www.cigna.com.

� This office is currently at capacity and is not accepting new patients at this time.

Please read this information so you will know from whom or what group of providers dental care may be obtained. If you have a hearing or speech disability, please use your state Telecommunications Relay Serviceto call us. This service makes it easier for people who have hearing or speech disabilities to communicate with people who do not. Check your local telephone directory for your Relay Service’s phone number.

Summer 20205

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OFC #589015Dentistry at Kennesaw Point1350 Wooten Lake Rd NW

Ste 202Kennesaw, GA 30144Handicap Accessible: YES(678) 275-2066No. of Dentist: 1Other Languages Spoken by

Provider: Hindi, Italian,Persian, Spanish

OFC #615266 �Everest Dental LLC1955 N Cobb Pky NW Ste 110Kennesaw, GA 30152Handicap Accessible: YES(770) 799-8964No. of Dentist: 6Other Languages Spoken by

Provider: Spanish

OFC #148587General Dentistry1050 Shiloh Rd NW Ste 206Kennesaw, GA 30144Handicap Accessible: NO(770) 428-7761No. of Dentist: 1

OFC #511121Great Expressions Dental Cntrs3525 Busbee Dr NW Ste 200Kennesaw, GA 30144Handicap Accessible: YES(678) 836-2115No. of Dentist: 8Other Languages Spoken by

Provider: Chinese, French,Hindi, Korean, Spanish

OFC #535882Great Expressions Dental Ctrs1301 Shiloh Rd NW Bldg 600


Provider: Hindi

OFC #617446Imagix Legacy Pediatrics, LLC3903 Jiles Rd NW Ste 210Kennesaw, GA 30144Handicap Accessible: YES(770) 590-9050No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #513427Kennesaw Dental Care PC4290 Bells Ferry Rd NW #136


Provider: Spanish

OFC #171149The Edge Center Family

Dentistry3420 Acworth Due W Rd NW

Ste AKennesaw, GA 30144Handicap Accessible: YES(770) 974-5293No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

MABLETONOFC #195414

Coast Dental-Mableton4875 Floyd Rd Ste 113Mableton, GA 30126Handicap Accessible: YES(770) 732-0900No. of Dentist: 1

MARIETTAOFC #410966

Coast Dental-Canton Rd4001 Canton Rd Ste 1Marietta, GA 30066Handicap Accessible: YES(770) 591-3832No. of Dentist: 1

OFC #193995Coast Dental-Sprayberry2550 Sandy Plains Rd #145 Ste

145Marietta, GA 30066Handicap Accessible: YES(770) 321-2755No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #631708Cobb County Board of Health1650 County Services Pky SWMarietta, GA 30008Handicap Accessible: YES(770) 514-2372No. of Dentist: 1Other Languages Spoken by

Provider: Chinese, Creole,Spanish

OFC #589285Dental One Marietta1275 Powers Ferry Rd Ste 10Marietta, GA 30067Handicap Accessible: YES(770) 952-7172No. of Dentist: 4Other Languages Spoken by


OFC #171123Edward Karlin DDS2520 Windy Hill Rd SE Ste 103Marietta, GA 30067Handicap Accessible: YES(770) 955-4222No. of Dentist: 1

OFC #201398Family Dentistry1230 Powers Ferry Rd SE Ste 6Marietta, GA 30067Handicap Accessible: YES(770) 541-0101No. of Dentist: 1Other Languages Spoken by

Provider: Chinese, Creole,Spanish

OFC #281733Family First Dentistry1611 Sands Pl SE #100 Ste 100Marietta, GA 30067Handicap Accessible: YES(770) 226-0008No. of Dentist: 1Other Languages Spoken by

Provider: French, Spanish

OFC #270921Great Expressions Dental Cntrs2211 Roswell Rd NE Ste 158Marietta, GA 30062Handicap Accessible: YES(678) 560-2970No. of Dentist: 1Other Languages Spoken by

Provider: German, Hindi,Korean, Russian, Spanish

OFC #253225Great Expressions Dental Ctrs3823 Roswell Rd NE Ste 205Marietta, GA 30062Handicap Accessible: YES(770) 973-9275No. of Dentist: 2Other Languages Spoken by

Provider: French, Korean,Spanish

OFC #536012Great Expressions Dental Ctrs1545 Powers Ferry Rd Ste 220Marietta, GA 30067Handicap Accessible: YES(770) 980-9404No. of Dentist: 1

OFC #664235Great Smile Dental2145 Roswell Rd #120 Ste 120Marietta, GA 30062Handicap Accessible: YES(770) 565-1010No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #152430J R Graham DDS833 Campbell Hill St NW Ste 370Marietta, GA 30060Handicap Accessible: YES(770) 427-4778No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #663947James Allen Henson Jr., DDS

LLC1690 Powder Springs Rd SW

Ste 210Marietta, GA 30064Handicap Accessible: YES(770) 422-9925No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #676899Johnson Ferry Dentistry4250 Roswell Rd #110 Ste 10Marietta, GA 30062Handicap Accessible: YES(770) 509-5585No. of Dentist: 1Other Languages Spoken by

Provider: Gujarati

OFC #682738Paper Mill Dental LLC135 Johnson Ferry Rd Ste 2210Marietta, GA 30068Handicap Accessible: YES(404) 596-5727No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #664149Rina M Mehta DMD PC2500 Dallas Hwy SW Ste 410Marietta, GA 30064Handicap Accessible: YES(770) 428-4888No. of Dentist: 1Other Languages Spoken by

Provider: French, Gujarati,Hindi

OFC #622151Sage Dental of East Cobb4811 Lower Roswell Rd Ste 108Marietta, GA 30068Handicap Accessible: YES(678) 905-6001No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #632608Sage Dental of Marietta1050 E Piedmont Rd

Ste 114-118Marietta, GA 30062Handicap Accessible: YES(678) 540-4665No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #102204Sprayberry Dental Associates2663 Sandy Plains RdMarietta, GA 30066Handicap Accessible: YES(770) 977-0827No. of Dentist: 3

OFC #663247 �Waunelle Jackson Ian DDS2520 Windy Hill Rd SE Ste 103Marietta, GA 30067Handicap Accessible: YES(770) 953-4801No. of Dentist: 1

POWDER SPRINGSOFC #467684 �

Stress-Free Dentistry PC5087 Dallas Hwy Ste 900Powder Springs, GA 30127Handicap Accessible: YES(678) 337-8888No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

COLUMBIA COUNTY

EVANSOFC #640845 �

GA Dentistry Services PC4429 Washington RdEvans, GA 30809Handicap Accessible: YES(706) 395-9031No. of Dentist: 2

MARTINEZOFC #664324

David Alemar DMD3500 Professional CirMartinez, GA 30907Handicap Accessible: YES(706) 860-9882No. of Dentist: 1Other Languages Spoken by

Provider: German, Spanish

COWETA COUNTY

NEWNANOFC #670501

Charles B. Smith DMD2712 Hwy 34 ENewnan, GA 30265Handicap Accessible: YES(770) 304-0082No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #519496 �Elkdental LLC201 Newnan Crossing BypNewnan, GA 30265Handicap Accessible: YES(678) 621-6410No. of Dentist: 3

OFC #650700Great Expressions Dental Cntrs38 Jefferson PkyNewnan, GA 30263Handicap Accessible: YES(678) 836-2139No. of Dentist: 2

DAWSON COUNTY

DAWSONVILLEOFC #611913 �

Ark Dental LLC166 Crossroads Blvd Ste 100Dawsonville, GA 30534Handicap Accessible: YES(706) 265-3191No. of Dentist: 6Other Languages Spoken by

Provider: Polish, Russian,Vietnamese

DEKALB COUNTY

ATLANTAOFC #670903

Chamblee Dental Care3652 Chamblee Dunwoody Rd


Provider: Spanish

OFC #196440Coast Dental-N Druid Hills2484 Briarcliff Rd Ste 29Atlanta, GA 30329Handicap Accessible: YES(404) 315-7375No. of Dentist: 3Other Languages Spoken by

Provider: Spanish

OFC #196318Coast Dental-Northlake4805 Briarcliff Rd Ste 104Atlanta, GA 30345Handicap Accessible: YES(770) 414-9282No. of Dentist: 5Other Languages Spoken by

Provider: Hindi, Spanish,Telugu, Urdu

OFC #192269Dental One Toco Hills2882 North Druid Hills Rd NE

Ste AAtlanta, GA 30329Handicap Accessible: YES(404) 410-7841No. of Dentist: 4Other Languages Spoken by

Provider: Farsi, German,Hindi, Spanish

OFC #629914Dental Solutions of Brookhaven4260 Peachtree Rd NE Ste 200Atlanta, GA 30319Handicap Accessible: YES(404) 968-9929No. of Dentist: 1Other Languages Spoken by


OFC #663584East Atlanta Family Dental440 Flat Shoals Ave SEAtlanta, GA 30316Handicap Accessible: YES(404) 688-2223No. of Dentist: 1

OFC #658307Georgetown Comprehensive

Denta4511 Chamblee Dunwoody Rd

Ste A2Atlanta, GA 30338Handicap Accessible: YES(770) 394-6778No. of Dentist: 1Other Languages Spoken by

Provider: Spanish,Vietnamese

OFC #235043Georgia Dental Care5025 Winters Chapel Rd #F Ste

FAtlanta, GA 30360Handicap Accessible: YES(770) 817-1007No. of Dentist: 1Other Languages Spoken by

Provider: Farsi

OFC #676111Glenwood Dentistry790 Glenwood Ave SE Ste 210Atlanta, GA 30316Handicap Accessible: YES(404) 260-4767No. of Dentist: 3

OFC #202186Great Expressions Dental Ctrs1720 Old Spring House Ln


Provider: Chinese, French,German, Hindi, Korean

OFC #511176Great Expressions Dental Ctrs13 Corporate Blvd NE Ste 120Atlanta, GA 30329Handicap Accessible: YES(678) 836-2120No. of Dentist: 1





Summer 20206

11

OFC #479615K2 Dentistry of Doraville LLC5725 Buford Hwy NE Ste 204Atlanta, GA 30340Handicap Accessible: YES(770) 234-9331No. of Dentist: 2Other Languages Spoken by


OFC #215279Michelle A Jacques DDS PC1853 Peeler Rd #A Ste AAtlanta, GA 30338Handicap Accessible: YES(770) 391-9212No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #194743Pat Nguyen, DDS, PC2367 Shallowford TerAtlanta, GA 30341Handicap Accessible: YES(770) 986-8985No. of Dentist: 1Other Languages Spoken by


OFC #676897Peach Valley Dental3040 Briarcliff Rd NEAtlanta, GA 30329Handicap Accessible: YES(404) 254-5196No. of Dentist: 1

OFC #670503Smile Today PC4897 Buford Hwy Ste 122Atlanta, GA 30341Handicap Accessible: YES(770) 452-5922No. of Dentist: 1Other Languages Spoken by

Provider: Chinese, Spanish

OFC #215593Steven G Parnes DDS5064 Nandina Ln Ste DAtlanta, GA 30338Handicap Accessible: YES(770) 392-9764No. of Dentist: 1

CHAMBLEEOFC #268889

AV Dental Care PC3273 Shallowford RdChamblee, GA 30341Handicap Accessible: YES(770) 455-0628No. of Dentist: 1Other Languages Spoken by

Provider: German, Hindi,Korean, Spanish

DECATUROFC #670580

Dove Dental Specialists2883 N Decatur Rd Ste FDecatur, GA 30033Handicap Accessible: YES(404) 299-7411No. of Dentist: 1

OFC #465024Great Expressions Dental Ctrs200 E Ponce De Leon Ave

Ste 300Decatur, GA 30030Handicap Accessible: YES(678) 836-2113No. of Dentist: 4Other Languages Spoken by

Provider: Chinese, Gujarati,Hindi

OFC #117237Great Expressions Dental Ctrs2853 Candler Rd Ste 101Decatur, GA 30034Handicap Accessible: YES(404) 244-1166No. of Dentist: 4

OFC #670696Jay Chawan Fisher DMD PC1336 Columbia Dr Ste BDecatur, GA 30032Handicap Accessible: YES(404) 288-2600No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #215034Metro Decatur Dental Group4570 Memorial DrDecatur, GA 30032Handicap Accessible: YES(404) 292-3133No. of Dentist: 1

OFC #171112Smith & Correll DDS5040 Snapfinger Woods Dr

Ste 203Decatur, GA 30035Handicap Accessible: YES(770) 981-9700No. of Dentist: 1

LITHONIAOFC #663892

Beautiful Smiles Family Dentis8200 Mall Pky #155 Ste 155Lithonia, GA 30038Handicap Accessible: YES(770) 484-4051No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #663573East Atlanta Dental Assoc’s8028 Rockbridge RdLithonia, GA 30058Handicap Accessible: YES(770) 482-2310No. of Dentist: 1

SCOTTDALEOFC #601068

Lily Smile Center3500 N Decatur Rd Ste 103Scottdale, GA 30079Handicap Accessible: YES(678) 515-0746No. of Dentist: 1

STONE MOUNTAINOFC #403758

Coast Dental-Stone Mountain1234 S Hairston Rd Ste 28Stone Mountain, GA 30088Handicap Accessible: YES(404) 297-6635No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #664061The Burlin Dental Group LLC4687 Rockbridge Rd Ste 7Stone Mountain, GA 30083Handicap Accessible: YES(404) 296-9070No. of Dentist: 1

TUCKEROFC #658592

Dentistry at Kennesaw Point2345 4th St Ste 300Tucker, GA 30084Handicap Accessible: YES(678) 580-3060No. of Dentist: 1Other Languages Spoken by

Provider: Hindi, Italian,Persian, Spanish

OFC #632511 �GA Dentistry Services PC4070 Lavista Rd Ste 102Tucker, GA 30084Handicap Accessible: YES(770) 225-0723No. of Dentist: 10Other Languages Spoken by

Provider: Polish, Russian,Spanish

OFC #102146Great Expressions Dental Ctrs4450 Hugh Howell Rd Ste 19Tucker, GA 30084Handicap Accessible: YES(770) 938-9090No. of Dentist: 4Other Languages Spoken by

Provider: Chinese, French,German, Hindi, Korean,Spanish, Vietnamese

OFC #638384Sage Dental of Tucker4280 Lavista Rd Ste C117Tucker, GA 30084Handicap Accessible: YES(678) 688-4811No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #674046Tucker Family Dental LLC2258 Northlake Pky Ste 200Tucker, GA 30084Handicap Accessible: YES(678) 937-9601No. of Dentist: 1

OFC #231371Tuckertown Dental4865 Lavista Rd Ste CTucker, GA 30084Handicap Accessible: YES(404) 761-1542No. of Dentist: 1Other Languages Spoken by


DOUGHERTY COUNTY

ALBANYOFC #611919

GA Dentistry Services PC2630 Dawson RdAlbany, GA 31707Handicap Accessible: YES(229) 352-3886No. of Dentist: 5Other Languages Spoken by

Provider: Farsi, Hindi,Korean, Spanish, Vietnamese

DOUGLAS COUNTY

DOUGLASVILLEOFC #276435

Byrd Dental Group6740 Douglas Blvd Ste ADouglasville, GA 30135Handicap Accessible: YES(770) 949-5600No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #167333Great Expressions Dental Cntrs3271 Hwy 5Douglasville, GA 30135Handicap Accessible: YES(678) 836-2111No. of Dentist: 7Other Languages Spoken by

Provider: Gujarati, Hindi,Spanish, Vietnamese

OFC #193987Great Expressions Dental Ctrs8505 Hospital Dr Ste 7 & 8Douglasville, GA 30134Handicap Accessible: YES(770) 489-6735No. of Dentist: 3Other Languages Spoken by

Provider: German, Hindi,Korean, Russian, Spanish,Vietnamese

OFC #516622 �Love Your Smile LLC6351 Douglas BlvdDouglasville, GA 30135Handicap Accessible: YES(404) 267-0400No. of Dentist: 4

EFFINGHAM COUNTY

RINCONOFC #669947

Aspen Dental429 S Columbia Ave Ste BRincon, GA 31326Handicap Accessible: YES(912) 580-3206No. of Dentist: 1

FAYETTE COUNTY

FAYETTEVILLEOFC #198283

Coast Dental-Fayetteville805 Glynn St South Ste 131Fayetteville, GA 30214Handicap Accessible: YES(770) 460-6651No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #204710Dental One Fayetteville410 N Jeff Davis DrFayetteville, GA 30214Handicap Accessible: YES(770) 460-9702No. of Dentist: 6Other Languages Spoken by

Provider: Bengali, Farsi,German, Spanish

OFC #206158Great Expressions Dental Ctrs141 Banks Station Ste 121-122Fayetteville, GA 30214Handicap Accessible: YES(770) 716-9778No. of Dentist: 1

OFC #153315Great Expressions Dental Ctrs395 N Jeff Davis Dr Ste AFayetteville, GA 30214Handicap Accessible: YES(770) 460-0870No. of Dentist: 1

OFC #511119Great Expressions Dental Ctrs570 Lanier Ave WHwy 54 Building 2Fayetteville, GA 30214Handicap Accessible: YES(678) 836-2128No. of Dentist: 4Other Languages Spoken by

Provider: Spanish

PEACHTREE CITYOFC #194999

Great Expressions Dental Ctrs320 Stevens Entry ParksidePeachtree City, GA 30269Handicap Accessible: YES(770) 486-0110No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #596115Peachtree Dental Group1001 N Peachtree Pky Ste APeachtree City, GA 30269Handicap Accessible: YES(770) 268-9112No. of Dentist: 2

FLOYD COUNTY

ROMEOFC #602546 �

Ansana I LLC136 Shorter AveRome, GA 30165Handicap Accessible: YES(706) 509-2014No. of Dentist: 4

FORSYTH COUNTY

CUMMINGOFC #255518

A Plus Dentistry5920 Pky N Blvd Ste 100Cumming, GA 30040Handicap Accessible: YES(770) 889-5335No. of Dentist: 1Other Languages Spoken by

Provider: French, Persian,Spanish

OFC #541228 �Ark Dental LLC1530 Market Place BlvdCumming, GA 30041Handicap Accessible: YES(678) 208-3470No. of Dentist: 6Other Languages Spoken by

Provider: Polish, Russian,Vietnamese

OFC #662527Castleberry Dental LLC5520 Castleberry Rd Ste 400Cumming, GA 30040Handicap Accessible: YES(770) 888-8834No. of Dentist: 1Other Languages Spoken by

Provider: Farsi, German,Persian, Spanish

OFC #629933Sage Dental of Cumming876 Buford RdCumming, GA 30041Handicap Accessible: YES(678) 660-5224No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #662648Tim D Devine DDS PC110 N Main StCumming, GA 30040Handicap Accessible: YES(770) 887-7769No. of Dentist: 1

FULTON COUNTY

ALPHARETTAOFC #238095 �

Alpharetta Dental Assoc PC2795 Old Milton Pky Ste 900Alpharetta, GA 30009Handicap Accessible: YES(770) 754-1155No. of Dentist: 1

OFC #424594Byrd Dental Group at North Point4000 N Point Pky Ste 500Alpharetta, GA 30022Handicap Accessible: YES(770) 777-0911No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #537872Coast Dental-Alpharetta11770 Haynes Bridge Rd

Ste 605Alpharetta, GA 30009Handicap Accessible: YES(678) 689-0205No. of Dentist: 3Other Languages Spoken by

Provider: Arabic, Spanish

OFC #612101Dental Smiles at Johns Creek5455 Mcginnis Village Pl Ste 103Alpharetta, GA 30005Handicap Accessible: YES(770) 751-1500No. of Dentist: 1Other Languages Spoken by

Provider: Gujarati, Hindi





Summer 20207

12

OFC #271894Great Expressions Dental Ctrs5230 Mcginnis Ferry Rd Ste 10AAlpharetta, GA 30005Handicap Accessible: YES(678) 527-1130No. of Dentist: 3Other Languages Spoken by

Provider: Russian,Spanish, Vietnamese

OFC #664242Holcomb Bridge Dental LLC2850 Holcomb Bridge Rd

Ste 120Alpharetta, GA 30022Handicap Accessible: YES(770) 640-9033No. of Dentist: 1Other Languages Spoken by

Provider: Korean

OFC #465040Imagix Dental of Alpharetta11125 Jones Bridge Rd Ste 200Alpharetta, GA 30022Handicap Accessible: YES(770) 569-0529No. of Dentist: 10Other Languages Spoken by

Provider: Farsi, French,German, Romanian, Russian,Spanish

OFC #216172Imagix North Point Dental3710 Old Milton Pky Ste 101Alpharetta, GA 30005Handicap Accessible: YES(678) 762-0535No. of Dentist: 5Other Languages Spoken by

Provider: Farsi, German,Gujarati, Hindi, Russian,Spanish

OFC #276818 �Kimball Bridge Dental4380 Kimball Bridge RdAlpharetta, GA 30022Handicap Accessible: NO(678) 256-6304No. of Dentist: 1Other Languages Spoken by

Provider: Arabic, French

OFC #157366Main Street Dentistry PC366 N Main St Ste 200Alpharetta, GA 30009Handicap Accessible: YES(770) 475-6136No. of Dentist: 2Other Languages Spoken by

Provider: Arabic, French,Spanish

OFC #255445Northbridge Dental PC10955 Jones Bridge Rd #129 Ste

129Alpharetta, GA 30022Handicap Accessible: YES(678) 319-0210No. of Dentist: 2Other Languages Spoken by

Provider: Russian

ATLANTAOFC #663047 �

Albert Baawo Jr. DMD PC3280 Howell Mill Rd NW Ste 315Atlanta, GA 30327Handicap Accessible: YES(678) 974-5328No. of Dentist: 1

OFC #146488Buckhead Family Dentistry3379 Peachtree Rd NE Ste 850Atlanta, GA 30326Handicap Accessible: YES(404) 846-9100No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #196319Coast Dental-Buckhead3330 Piedmont Rd Ste 13Atlanta, GA 30305Handicap Accessible: YES(404) 237-5330No. of Dentist: 3Other Languages Spoken by

Provider: Spanish

OFC #444242Coast Dental-Cascade3660 Cascade Rd SW Ste BAtlanta, GA 30331Handicap Accessible: YES(678) 891-0069No. of Dentist: 3Other Languages Spoken by

Provider: Arabic, Spanish

OFC #228007Coast Dental-Perimeter1100 Hammond Dr Ste 210Atlanta, GA 30328Handicap Accessible: YES(770) 399-9300No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #285180Collins Family Dentistry759 Martin Luther King Jr. Dr NNW Ste 200Atlanta, GA 30314Handicap Accessible: YES(404) 588-0464No. of Dentist: 1

OFC #456498Dental One Dunwoody5901 Peachtree Dunwoody Rd

Ste B250Atlanta, GA 30328Handicap Accessible: YES(770) 698-9133No. of Dentist: 6Other Languages Spoken by

Provider: Farsi, French,German, Russian, Spanish

OFC #511299Great Expressions Dental Ctrs10 Tenth St Ste 100Atlanta, GA 30309Handicap Accessible: YES(404) 892-2337No. of Dentist: 6Other Languages Spoken by

Provider: German,Romanian, Spanish

OFC #117337Great Expressions Dental Ctrs3365 Piedmont Rd NE Ste 1110Atlanta, GA 30305Handicap Accessible: YES(404) 237-3070No. of Dentist: 3Other Languages Spoken by


OFC #156646Great Expressions Dental Ctrs4920 Roswell Rd #13A Ste 13AAtlanta, GA 30342Handicap Accessible: YES(404) 236-7222No. of Dentist: 4Other Languages Spoken by

Provider: Chinese, French,German, Hindi, Korean,Spanish

OFC #511209Great Expressions-Cascade3752 Cascade Rd Ste 190Atlanta, GA 30331Handicap Accessible: YES(678) 836-2118No. of Dentist: 7Other Languages Spoken by

Provider: French, German,Hindi, Korean, Russian,Spanish, Vietnamese

OFC #678737J D Murray DDS PC967 Cleveland AveAtlanta, GA 30344Handicap Accessible: YES(404) 762-5770No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #673988Jessy Koshy DMD PC7878 Roswell Rd Ste OAtlanta, GA 30350Handicap Accessible: YES(770) 993-7947No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #183890John E Hall Jr. DDS1099 Martin Luther King Jr. DrAtlanta, GA 30314Handicap Accessible: YES(404) 753-9742No. of Dentist: 1

OFC #662941Kidental5972 Roswell RdAtlanta, GA 30328Handicap Accessible: YES(404) 256-6400No. of Dentist: 1Other Languages Spoken by

Provider: Hindi, Spanish

OFC #681853Mouth Peace Dental II1833 Delowe Dr SWBuilding BAtlanta, GA 30311Handicap Accessible: YES(404) 793-2570No. of Dentist: 1

OFC #268772Sage Dental of Downtown Atlant1 Baltimore Pl NW Ste 403Atlanta, GA 30308Handicap Accessible: YES(404) 685-8605No. of Dentist: 1

OFC #633131Smiles On Peachtree3255 Peachtree Rd NE Ste 4Atlanta, GA 30305Handicap Accessible: YES(404) 228-0404No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #117730Southside Health Care, Inc1046 Ridge Ave SWAtlanta, GA 30315Handicap Accessible: YES(404) 688-1350No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

OFC #102144Walter F Young DDS2265 Cascade Rd SWAtlanta, GA 30311Handicap Accessible: YES(404) 753-4753No. of Dentist: 1

OFC #663676West Georgia Dental3030 Headland Dr SW Ste 300Atlanta, GA 30311Handicap Accessible: YES(404) 344-8778No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

COLLEGE PARKOFC #425030

Clayton County Board of Health1920 John Wesley AveCollege Park, GA 30337Handicap Accessible: YES(678) 610-7199No. of Dentist: 1

OFC #404722Dental One College Park1901 Phoenix Blvd Ste# 100College Park, GA 30349Handicap Accessible: YES(770) 991-0913No. of Dentist: 6Other Languages Spoken by


DULUTHOFC #642446

Prium Dental PC2805 Peachtree Industrial Blvd

Ste 113Duluth, GA 30097Handicap Accessible: YES(770) 476-2252No. of Dentist: 1Other Languages Spoken by

Provider: Korean,Romanian, Vietnamese

OFC #629287Sage Dental of Johns Creek11160 Medlock Bridge Rd


Provider: Spanish

OFC #682867Walls Dental6601 Sugarloaf Pky Ste 250Duluth, GA 30097Handicap Accessible: YES(770) 495-5844No. of Dentist: 1Other Languages Spoken by

Provider: Farsi, Korean,Spanish

OFC #197373 �William L Beck DMD6555 Sugarloaf Pky Ste 308Duluth, GA 30097Handicap Accessible: YES(678) 474-0777No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

FAIRBURNOFC #662554

Exquisite Smiles5370 Campbellton Fairburn Rd

Ste 130Fairburn, GA 30213Handicap Accessible: YES(770) 964-0494No. of Dentist: 1

HAPEVILLEOFC #664106

East Point Family Dental606 S Central AveHapeville, GA 30354Handicap Accessible: YES(404) 761-1659No. of Dentist: 1

OFC #142585Great Expressions Dental Ctrs785 Virginia Ave Ste AHapeville, GA 30354Handicap Accessible: YES(404) 768-8700No. of Dentist: 3Other Languages Spoken by

Provider: Russian,Spanish, Vietnamese

ROSWELLOFC #281734

Family First Dentistry1087 Alpharetta StRoswell, GA 30075Handicap Accessible: NO(770) 650-0992No. of Dentist: 1Other Languages Spoken by


OFC #102176Great Expressions Dental Ctrs770 Holcomb Bridge RdRoswell, GA 30076Handicap Accessible: YES(678) 836-2102No. of Dentist: 7Other Languages Spoken by

Provider: Korean

OFC #426739Imagix Dental of Roswell1345 Hembree RdRoswell, GA 30076Handicap Accessible: YES(770) 777-7427No. of Dentist: 4Other Languages Spoken by


OFC #618733K Smiles Dental PC1096 Alpharetta StRoswell, GA 30075Handicap Accessible: YES(770) 910-7099No. of Dentist: 1

OFC #287552Northbridge Dental990 Holcomb Bridge Rd Ste 3Roswell, GA 30076Handicap Accessible: YES(678) 352-9890No. of Dentist: 2Other Languages Spoken by

Provider: Russian

OFC #646041Sage Dental of Roswell10800 Alpharetta Hwy Ste 180Roswell, GA 30076Handicap Accessible: YES(470) 299-1955No. of Dentist: 3Other Languages Spoken by

Provider: Spanish

SANDY SPRINGSOFC #675772

Jeremy Rosenberg DDS6111 Peachtree Dunwoody RdBuilding A Ste 101Sandy Springs, GA 30328Handicap Accessible: YES(770) 395-7057No. of Dentist: 2

UNION CITYOFC #282260

Spears Dental Group LLC4731 Jonesboro Rd Ste 220Union City, GA 30291Handicap Accessible: YES(770) 892-4778No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

GLYNN COUNTY

BRUNSWICKOFC #619240

GA Dentistry Services PC11455 Canal CrossingBrunswick, GA 31525Handicap Accessible: YES(912) 217-4953No. of Dentist: 3

GWINNETT COUNTY

BUFORDOFC #633751

Sage Dental of Buford3420 Buford Dr NENE Ste 780Buford, GA 30519Handicap Accessible: YES(678) 765-9930No. of Dentist: 1Other Languages Spoken by

Provider: Spanish





Summer 20208

13

OFC #662808Tim D Devine DDS4300 Buford Dr Ste 7Buford, GA 30518Handicap Accessible: YES(770) 945-4991No. of Dentist: 1

DACULAOFC #511124

Dental Smiles of Dacula1325 Auburn RdDacula, GA 30019Handicap Accessible: YES(678) 495-9500No. of Dentist: 1Other Languages Spoken by

Provider: Gujarati, Hindi

DULUTHOFC #198049 �

Coast Dental-Pleasant Hill1630 Pleasant Hill Rd Ste 200Duluth, GA 30096Handicap Accessible: YES(770) 381-7878No. of Dentist: 2Other Languages Spoken by


OFC #663990Gerald B MC Fadden DDS PC3296 Summit Ridge Pky


Provider: German, Hindi,Spanish

OFC #674082Haven Dental Care PC3312 Peachtree Industrial Blvd


Provider: Korean

OFC #663675Park Village Dental Group2550 Pleasant Hill Rd #115 Ste

119Duluth, GA 30096Handicap Accessible: NO(770) 814-7791No. of Dentist: 1Other Languages Spoken by


OFC #663580Smiles by Dr Heavenly3840 Peachtree Industrial Blvd

Ste. 320Duluth, GA 30096Handicap Accessible: YES(678) 376-5522No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #663826Sonnier Dental2715 Buford Hwy #100 Ste 100Duluth, GA 30096Handicap Accessible: YES(678) 417-2007No. of Dentist: 1Other Languages Spoken by

Provider: Farsi

GRAYSONOFC #247238

Comfort Dental Studio, Inc2219 Loganville Hwy #20Grayson, GA 30017Handicap Accessible: YES(678) 377-1800No. of Dentist: 1

LAWRENCEVILLEOFC #194510

Coast Dental-Lawrenceville455 Grayson Hwy Ste 4BLawrenceville, GA 30046Handicap Accessible: YES(770) 963-5999No. of Dentist: 1

OFC #404389Family Smile Center1846 Old Norcross Rd Ste 300Lawrenceville, GA 30044Handicap Accessible: YES(770) 822-9500No. of Dentist: 1

OFC #465028Great Expressions Dental Ctrs2000 Riverside Pky Ste 200Lawrenceville, GA 30043Handicap Accessible: YES(678) 836-2109No. of Dentist: 4Other Languages Spoken by

Provider: Chinese,Vietnamese

OFC #162806Great Expressions Dental Ctrs555 Old Norcross Rd Ste 120Lawrenceville, GA 30046Handicap Accessible: YES(770) 277-9700No. of Dentist: 7Other Languages Spoken by

Provider: French, German,Hindi, Persian, Russian,Spanish

OFC #153897Great Expressions Dental Ctrs4850 Sugarloaf Pky Ste 204Lawrenceville, GA 30044Handicap Accessible: YES(770) 995-6109No. of Dentist: 1

OFC #536009Great Expressions Dental Ctrs1699 Duluth Hwy Ste 103Lawrenceville, GA 30043Handicap Accessible: YES(770) 338-1963No. of Dentist: 1Other Languages Spoken by


OFC #149013 �Griffith Family Dental2100 Riverside Pky Ste 130Lawrenceville, GA 30043Handicap Accessible: YES(770) 822-3400No. of Dentist: 1

OFC #416019Oakland Dentistry965 Oakland Rd Ste 2DLawrenceville, GA 30044Handicap Accessible: YES(678) 407-4072No. of Dentist: 1

OFC #674022Peachtree Dental Care1032 Old Peachtree Rd NW

Ste 312Lawrenceville, GA 30043Handicap Accessible: YES(770) 368-9700No. of Dentist: 1Other Languages Spoken by


LILBURNOFC #202479

AM Dent, Inc895 Indian Trl Lilburn Rd NW

Ste 11Lilburn, GA 30047Handicap Accessible: YES(770) 279-5000No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #196436Coast Dental-Lilburn3050 Five Forks Trickum Rd

Ste HLilburn, GA 30047Handicap Accessible: YES(770) 982-7533No. of Dentist: 2Other Languages Spoken by


OFC #536056Great Expressions Dental Cntrs4145 Lawrenceville Hwy NW

Ste 5Lilburn, GA 30047Handicap Accessible: YES(770) 923-1814No. of Dentist: 4Other Languages Spoken by


OFC #231046Great Expressions Dental Ctrs4145 Lawrenceville Hwy NW

Ste 15Lilburn, GA 30047Handicap Accessible: YES(770) 923-1814No. of Dentist: 4

OFC #274742J J Solano DDS950 Indian Trl Lilburn Rd NW

Ste 3GLilburn, GA 30047Handicap Accessible: YES(770) 807-0158No. of Dentist: 1Other Languages Spoken by

Provider: Italian, Spanish

NORCROSSOFC #620097

Easy Dental5220 Jimmy Carter BlvdNorcross, GA 30093Handicap Accessible: YES(770) 462-2588No. of Dentist: 1Other Languages Spoken by

Provider: Chinese, Spanish

OFC #643630 �GA Dentistry Services PC6141 Peachtree PkyNorcross, GA 30092Handicap Accessible: YES(678) 364-2939No. of Dentist: 5Other Languages Spoken by

Provider: Polish, Russian

OFC #249429Imagix Dental of Norcross5270 Peachtree Pky Ste 101Norcross, GA 30092Handicap Accessible: YES(770) 448-9333No. of Dentist: 7Other Languages Spoken by


OFC #663656Link Dental Care, LLC5635 Peachtree Pky #240 Ste

240Norcross, GA 30092Handicap Accessible: YES(770) 448-1977No. of Dentist: 1

OFC #531662 �Spalding Gentle Dentistry PC6460 Spalding Dr Ste CNorcross, GA 30092Handicap Accessible: YES(770) 849-0006No. of Dentist: 1

SANDY SPRINGSOFC #443301

Great Expressions Dental Ctrs7760 Spalding DrSandy Springs, GA 30092Handicap Accessible: YES(770) 270-5700No. of Dentist: 1

SNELLVILLEOFC #613948 �

Aspen Dental1790 Scenic HwySnellville, GA 30078Handicap Accessible: YES(770) 225-9912No. of Dentist: 8Other Languages Spoken by

Provider: Spanish

OFC #227508Centre Dental2992 Main St W Ste A100Snellville, GA 30078Handicap Accessible: YES(770) 972-1039No. of Dentist: 2

OFC #631979Dentures and Family Dentistry2488 Scenic Hwy SSnellville, GA 30078Handicap Accessible: YES(770) 802-4844No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #153000Great Expressions Dental Ctrs2341 Henry Clower Blvd Ste ASnellville, GA 30078Handicap Accessible: YES(770) 736-0099No. of Dentist: 2

OFC #465027Great Expressions Dental Ctrs2220 Wisteria Dr Ste 300Snellville, GA 30078Handicap Accessible: YES(678) 836-2107No. of Dentist: 7Other Languages Spoken by

Provider: Spanish

OFC #678613Snellville Smiles Dentistry1830 Scenic Hwy N #220 Ste

220Snellville, GA 30078Handicap Accessible: YES(770) 844-9454No. of Dentist: 1Other Languages Spoken by


SUWANEEOFC #284278

Coast Dental Suwanee2855 Lawrenceville SuwaneeRd NW Ste 360Suwanee, GA 30024Handicap Accessible: YES(678) 482-2197No. of Dentist: 1Other Languages Spoken by

Provider: Hindi, Telugu

OFC #678665Complete Smile302 Satellite Blvd NE Ste 216Suwanee, GA 30024Handicap Accessible: YES(678) 541-6020No. of Dentist: 1Other Languages Spoken by

Provider: Korean

OFC #241910Imagix Dental of Johns Creek4245 Johns Creek Pky #C Ste CSuwanee, GA 30024Handicap Accessible: YES(678) 990-5980No. of Dentist: 3Other Languages Spoken by


OFC #400795Imagix Dental of Suwanee350 Town Center Ave Ste 301Suwanee, GA 30024Handicap Accessible: YES(678) 835-0793No. of Dentist: 5Other Languages Spoken by


OFC #631848Sage Dental of Suwanee3429 Lawrenceville Suwanee Rd

Ste ESuwanee, GA 30024Handicap Accessible: YES(678) 765-9133No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

HALL COUNTY

FLOWERY BRANCHOFC #424274

Stonebridge Family Dentistry4690 Hog Mountain Rd Ste H105Flowery Branch, GA 30542Handicap Accessible: YES(770) 967-1001No. of Dentist: 2Other Languages Spoken by


GAINESVILLEOFC #404208

Deborah N Nwosu DDS2888 Browns Bridge Rd Ste CGainesville, GA 30504Handicap Accessible: YES(770) 532-1111No. of Dentist: 1

OFC #512781Georgia Smile Team578 S Enota Dr NE Ste BGainesville, GA 30501Handicap Accessible: YES(770) 536-3254No. of Dentist: 4Other Languages Spoken by

Provider: French, Gujarati,Korean, Portuguese,Russian, Spanish

OFC #449644Great Expressions Dental Cntrs300 Pearl Nix Pky Ste DGainesville, GA 30501Handicap Accessible: YES(770) 536-1957No. of Dentist: 3Other Languages Spoken by

Provider: Chinese, French,German, Hindi, Korean,Spanish

OFC #396642Lifetime Dental1419 Pearce CirGainesville, GA 30501Handicap Accessible: YES(770) 536-6688No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #526355 �PCP Dental LLC890 Dawsonville Hwy Ste FGainesville, GA 30501Handicap Accessible: YES(678) 928-3219No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

HENRY COUNTY

HAMPTONOFC #681871

Allred Dental Group LLC26A E Main St NHampton, GA 30228Handicap Accessible: YES(770) 946-3576No. of Dentist: 3Other Languages Spoken by

Provider: Japanese





Summer 20209

14

MCDONOUGHOFC #662345

Arch Dent Dental Clinic1540 Pennsylvania AveMcdonough, GA 30253Handicap Accessible: YES(770) 320-8792No. of Dentist: 1

OFC #516379 �Kevin D. OH, LLC1430 Hwy 20 WMcdonough, GA 30253Handicap Accessible: YES(678) 928-3219No. of Dentist: 4

STOCKBRIDGEOFC #624777 �

Atl Quality Dental Care175 Country Club Dr Bldg 300B

Ste 300BStockbridge, GA 30281Handicap Accessible: YES(678) 565-9452No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #608454Atlanta South Dental Design1233 Eagles Landing Pky Ste GStockbridge, GA 30281Handicap Accessible: YES(770) 507-1533No. of Dentist: 2Other Languages Spoken by


OFC #535969Great Expressions Dental Cntrs330 Corporate Center Ct Ste AStockbridge, GA 30281Handicap Accessible: YES(678) 289-6707No. of Dentist: 1

OFC #404902Great Expressions Dental Cntrs1040 Eagles Landing Pky

Ste 200Stockbridge, GA 30281Handicap Accessible: YES(678) 836-2136No. of Dentist: 6

OFC #409799 �Sacred Dental & Associates PC4362 N Henry BlvdStockbridge, GA 30281Handicap Accessible: YES(770) 474-9202No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

HOUSTON COUNTY

WARNER ROBINSOFC #549334 �

GA Dentistry Services PC2745 Watson BlvdWarner Robins, GA 31093Handicap Accessible: YES(478) 953-2836No. of Dentist: 4Other Languages Spoken by


JACKSON COUNTY

BRASELTONOFC #479698

Vineyards Dental Care2655 Old Winder HwyBraselton, GA 30517Handicap Accessible: YES(770) 868-4288No. of Dentist: 1

LIBERTY COUNTY

HINESVILLEOFC #626321

GA Dentistry Services PC849 W Oglethorpe Hwy Ste 140Hinesville, GA 31313Handicap Accessible: YES(912) 348-1388No. of Dentist: 6

LOWNDES COUNTY

VALDOSTAOFC #554485

Purple Dental LLC1609 Norman Dr Ste BValdosta, GA 31601Handicap Accessible: YES(229) 269-4607No. of Dentist: 1

MORGAN COUNTY

MADISONOFC #663585

Family Smile Center of Madison1040 Barclay DrMadison, GA 30650Handicap Accessible: YES(706) 342-1242No. of Dentist: 1

MUSCOGEE COUNTY

COLUMBUSOFC #529671 �

Aspen Dental-Columbus6783 Veterans PkyBuilding 4 Ste 500Columbus, GA 31909Handicap Accessible: YES(706) 321-3909No. of Dentist: 7Other Languages Spoken by


NEWTON COUNTY

COVINGTONOFC #524883 �

Smiles at Stonecrest5156 Cook St NECovington, GA 30014Handicap Accessible: YES(678) 342-9933No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OCONEE COUNTY

BOGARTOFC #673999

New Image Dental Group1110 Talus St Ste 100Bogart, GA 30622Handicap Accessible: YES(770) 725-7377No. of Dentist: 1

PAULDING COUNTY

DALLASOFC #662538

Hope H Still DDS PC59 Hillside Trace Ste 105Dallas, GA 30157Handicap Accessible: YES(770) 505-4746No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

HIRAMOFC #559749 �

Saini Dental LLC4373 Jimmy Lee Smith Pky

Ste 105Hiram, GA 30141Handicap Accessible: YES(678) 224-9244No. of Dentist: 2Other Languages Spoken by

Provider: Spanish

RICHMOND COUNTY

AUGUSTAOFC #569546 �

GA Dentistry Services PC3456 Wrightsboro RdAugusta, GA 30909Handicap Accessible: YES(706) 251-7917No. of Dentist: 3

OFC #426818Medical Associates Plus2467 Golden Camp RdAugusta, GA 30906Handicap Accessible: YES(706) 790-4440No. of Dentist: 1

OFC #662947R Ben Hardy DMD LLC1722 Wylds RdAugusta, GA 30909Handicap Accessible: YES(706) 736-1135No. of Dentist: 1

ROCKDALE COUNTY

CONYERSOFC #203318

Coast Dental-Conyers1910 Hwy 20 SE Ste 100Conyers, GA 30013Handicap Accessible: YES(770) 602-4733No. of Dentist: 3Other Languages Spoken by

Provider: Sign-American,Spanish

OFC #680705Conyers Smiles Dentistry2239 Hwy 20 SE Ste HConyers, GA 30013Handicap Accessible: YES(770) 921-3565No. of Dentist: 1

OFC #152871Great Expressions Dental Ctrs2390 Wall St Ste 120Conyers, GA 30013Handicap Accessible: YES(770) 929-3411No. of Dentist: 3Other Languages Spoken by


OFC #465030Great Expressions Dental Ctrs1152 Old Salem Rd SEConyers, GA 30094Handicap Accessible: YES(678) 836-2140No. of Dentist: 4Other Languages Spoken by

Provider: Korean,Vietnamese

OFC #285677Lester Dental Group of Conyers1217 Royal Dr S.WConyers, GA 30094Handicap Accessible: YES(770) 922-6655No. of Dentist: 1

OFC #537892 �Pkr Dental LLC1450 Hwy 138 SEConyers, GA 30013Handicap Accessible: YES(770) 285-2270No. of Dentist: 10Other Languages Spoken by

Provider: Spanish

OFC #480290Sacred Dental & Associates1360 Dogwood Dr SE Ste 202BConyers, GA 30013Handicap Accessible: YES(770) 602-3255No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

OFC #670674William E. Wolf DDS PC1253 Commercial Dr SW Ste BConyers, GA 30094Handicap Accessible: YES(770) 922-9932No. of Dentist: 2

SPALDING COUNTY

GRIFFINOFC #681869

Allred Dental Group743 S 8th StGriffin, GA 30224Handicap Accessible: YES(770) 228-6101No. of Dentist: 1

OFC #606998 �GA Dentistry Services PC1447 N Expressway Ste AGriffin, GA 30223Handicap Accessible: YES(470) 204-2409No. of Dentist: 4Other Languages Spoken by

Provider: Farsi

SUMTER COUNTY

AMERICUSOFC #633755

Americus Family Dentistry101 Mayo St Ste AAmericus, GA 31709Handicap Accessible: YES(229) 924-4647No. of Dentist: 1Other Languages Spoken by

Provider: Spanish

TROUP COUNTY

LA GRANGEOFC #606999

Lauderdale Dental LLC1507 Lafayette PkyUnit BLa Grange, GA 30241Handicap Accessible: YES(706) 663-3428No. of Dentist: 8Other Languages Spoken by


WALTON COUNTY

LOGANVILLEOFC #677060

Contemporary Dentistry7760 Hampton PlBuilding 6Loganville, GA 30052Handicap Accessible: YES(678) 639-0080No. of Dentist: 1Other Languages Spoken by

Provider: French

OFC #520422Eastside Dentistry2715 Loganville Hwy Ste 340Loganville, GA 30052Handicap Accessible: YES(678) 956-1381No. of Dentist: 1Other Languages Spoken by

Provider: Hindi, Urdu

MONROEOFC #208054

Patricia Pass Dudley DDS516 Great Oaks DrMonroe, GA 30655Handicap Accessible: YES(770) 207-5158No. of Dentist: 1

WARE COUNTY

WAYCROSSOFC #617515

GA Dentistry Services PC2271 Memorial DrWaycross, GA 31501Handicap Accessible: YES(912) 550-4124No. of Dentist: 2

OFC #413614Mckinney Meidcal Center, Inc218 Quarterman StWaycross, GA 31501Handicap Accessible: YES(912) 287-9140No. of Dentist: 2Other Languages Spoken by

Provider: Farsi, Spanish

WHITFIELD COUNTY

DALTONOFC #516036 �

Ansana LLC849 Shugart RdDalton, GA 30720Handicap Accessible: YES(706) 459-3333No. of Dentist: 5





Summer 202010

15

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. CignaDental Care (DHMO) plans are insured by Cigna Dental Health Plan of Arizona, Inc., Cigna Dental Health of California, Inc., CignaDentalHealthofColorado, Inc., CignaDentalHealthofDelaware, Inc., CignaDentalHealthofFlorida, Inc.,aPrepaidLimitedHealthServices Organization licensed under Chapter 636, Florida Statutes, Cigna Dental Health of Kansas, Inc. (KS & NB), CignaDental Health of Kentucky, Inc. (KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc., Cigna DentalHealth of New Jersey, Inc., Cigna Dental Health of North Carolina, Inc., Cigna Dental Health of Ohio, Inc., Cigna Dental Health ofPennsylvania, Inc., CignaDental Health of Texas, Inc., andCignaDental Health of Virginia, Inc. In other states, CignaDental Careplansare insured by Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company (CGLIC), orCigna HealthCare of Connecticut, Inc., and administered by Cigna Dental Health, Inc. OK form numbers: HP-POL115 (CHLIC),GM6000 DEN201V1 & GM6000 DEN200V1 (CGLIC). The Cigna name, logo, and other Cigna marks are owned by Cigna IntellectualProperty, Inc.

Some content provided under license884240b © 2020 Cigna

09/18/2020 Summer 2020 Georgia Access Plus CDC

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Cigna Dental Care (DHMO) plans are insured by Cigna Dental Health Plan of Arizona, Inc., Cigna Dental Health of California, Inc., Cigna Dental Health of Colorado, Inc., Cigna Dental Health of Delaware, Inc., Cigna Dental Health of Florida, Inc., a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes, Cigna Dental Health of Kansas, Inc. (KS & NE), Cigna Dental Health of Kentucky, Inc. (KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc., Cigna Dental Health of New Jersey, Inc., Cigna Dental Health of North Carolina, Inc., Cigna Dental Health of Ohio, Inc., Cigna Dental Health of Pennsylvania, Inc., Cigna Dental Health of Texas, Inc., and Cigna Dental Health of Virginia, Inc. In other states, Cigna Dental Care (DHMO) plans are insured by Cigna Health and Life Insurance Company (CHLIC) or Cigna HealthCare of Connecticut, Inc., and administered by Cigna Dental Health, Inc. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.

16

SG-09 STATE OF GEORGIA (JANUARY 1 - DECEMBER 31, 2021)CIGNA DENTAL CARE® (DHMO) PATIENT CHARGE SCHEDULE

This Patient Charge Schedule lists the benefits of the Dental Plan, including covered procedures and patient charges.

Important highlights

› This Patient Charge Schedule applies only whencovered dental services are performed by yourNetwork Dentist, unless otherwise authorized byCigna Dental as described in your plan documents.

› This Patient Charge Schedule applies to SpecialtyCare when an appropriate referral is made by yourNetwork General Dentist to a Network SpecialtyEndodontist, Periodontist, or Oral Surgeon. Areferral is not required for Specialty Care at aNetwork Specialty Pediatric Dentist or Orthodontist.You may select a Network Pediatric Dentist foryour child under the age of 13 by calling CustomerService at 800.Cigna24 (800.244.6224) to geta list of Network Pediatric Dentists in your area.Coverage for treatment by a Pediatric Dentist endson your child’s 13th birthday; however, exceptions formedical reasons may be considered on an individualbasis. Your Network General Dentist will providecare upon your child’s 13th birthday.

› Procedures NOT listed on this Patient ChargeSchedule are NOT covered and are the patient’sresponsibility at the dentist’s usual fees.

› The administration of IV sedation, general anesthesiaand/or nitrous oxide is not covered except asspecifically listed on this Patient Charge Schedule.The application of local anesthetic is covered as partof your dental treatment.

› Cigna Dental considers infection control and/orsterilization to be incidental to and part of thecharges for services provided and not separatelychargeable.

› This Patient Charge Schedule is subject to annualchange in accordance with the terms of the groupagreement.

› Procedures listed on the Patient Charge Scheduleare subject to the any frequency limitations includedwith each listed procedure as well as plan exclusionsincluded at the end of this guide. For completedetails of coverage, refer to your plan book/certificate of coverage and/or group contract.

› All patient charges must correspond to the PatientCharge Schedule in effect on the date the procedureis initiated.

› The American Dental Association may periodicallychange CDT codes or definitions. Different codesmay be used to describe these covered procedures.

17

CIGNA DENTAL CARE®PATIENT CHARGE SCHEDULE (SG‑09)

Code Procedure DescriptionPatient Charge

Diagnostic/preventive oral evaluations are limited to a combined total of 4 of the following evaluations during a 12-consecutive-month period: Periodic oral evaluations (D0120), comprehensive oral evaluations (D0150), and comprehensive periodontal evaluations (D0180).

D9310 Consultation (Diagnostic service provided by dentist or physician other than requesting dentist or physician)

$0.00

D9430 Office visit for observation – No other services performed

$0.00

D9450 Case presentation – Detailed and extensive treatment planning

$0.00

D0120 Periodic oral evaluation – Established patient $0.00

D0140 Limited oral evaluation – Problem focused $0.00

D0150 Comprehensive oral evaluation – New or established patient

$0.00

D0160 Detailed and extensive oral evaluation – Problem focused, by report (Limit 2 per calendar year; only covered in conjunction with temporomandibular joint (TMJ) evaluation)

$0.00

D0170 Reevaluation – Limited, problem focused (Not postoperative visit)

$0.00

D0180 Comprehensive periodontal evaluation – New or established patient

$43.00

D0210 X-rays intraoral – Complete series of radiographic images (Limit 1 every 3 years)

$0.00

D0220 X-rays intraoral – Periapical – First radiographic image

$0.00

D0230 X-rays intraoral – Periapical – Each additional radiographic image

$0.00

D0240 X-rays intraoral – Occlusal radiographic image $0.00

D0270 X-rays (Bitewing) – Single radiographic image $0.00

D0272 X-rays (Bitewings) – 2 radiographic images $0.00



D0277 X-rays (Bitewings, vertical) – 7 to 8 radiographic images

$0.00

D0330 X-rays (Panoramic radiographic image) – (Limit 1 every 3 years)

$0.00


D0368 Cone beam CT capture and interpretation for TMJ series including two or more exposures (Limit 1 per calendar year; only covered in conjunction with temporomandibular joint (TMJ) evaluation)

$240.00

D0431 Oral cancer screening using a special light source

$50.00

D0460 Pulp vitality tests $14.00

D0470 Diagnostic casts $0.00

D0472 Pathology report – Gross examination of lesion (Only when tooth related)

$0.00

D0473 Pathology report – Microscopic examination of lesion (Only when tooth related)

$0.00

D0474 Pathology report – Microscopic examination of lesion and area (Only when tooth related)

$0.00

D1110 Prophylaxis (Cleaning) – Adult (Limit 2 per calendar year)

$0.00

Additional prophylaxis (Cleaning) – In addition to the 2 prophylaxes (Cleanings) allowed per calendar year

$52.00

D1120 Prophylaxis (Cleaning) – Child (Limit 2 per calendar year)

$0.00

Additional prophylaxis (Cleaning) – In addition to the 2 prophylaxes (Cleanings) allowed per calendar year

$35.00

D1206 Topical application of fluoride varnish – (Limit 2 per calendar year). There is a combined limit of a total of 2 D1206s and/or D1208s per calendar year.

$20.00

D1208 Topical application of fluoride (Limit 2 per calendar year). There is a combined limit of a total of 2 D1208s and/or D1206s per calendar year.

$20.00

D1330 Oral hygiene instructions $0.00

D1351 Sealant – Per tooth $0.00

D1352 Preventive resin restoration in a moderate to high caries risk patient – Permanent tooth

$0.00

D1510 Space maintainer – Fixed – Unilateral $13.00

D1515 Space maintainer – Fixed – Bilateral $22.00

18



Restorative (Fillings)

D2140 Amalgam – 1 surface, primary or permanent $0.00

D2150 Amalgam – 2 surfaces, primary or permanent $0.00

D2160 Amalgam – 3 surfaces, primary or permanent $0.00

D2161 Amalgam – 4 or more surfaces, primary or permanent

$0.00

D2330 Resin-based composite – 1 surface, anterior $0.00

D2331 Resin-based composite – 2 surfaces, anterior $0.00

D2332 Resin-based composite – 3 surfaces, anterior $0.00

D2335 Resin-based composite – 4 or more surfaces or involving incisal angle, anterior

$90.00

D2390 Resin-based composite crown, anterior $62.00

D2391 Resin-based composite – 1 surface, posterior $46.00

D2392 Resin-based composite – 2 surfaces, posterior $60.00

D2393 Resin-based composite – 3 surfaces, posterior $84.00

D2394 Resin-based composite – 4 or more surfaces, posterior

$115.00

Crown and Bridge – All charges for crown and bridge (Fixed partial denture) are per unit (Each replacement or supporting tooth equals 1 unit). Coverage for replacement of crowns and bridges is limited to 1 every 5 years.

D2510 Inlay – Metallic – 1 surface $145.00

D2520 Inlay – Metallic – 2 surfaces $170.00

D2530 Inlay – Metallic – 3 or more surfaces $205.00

D2542 Onlay – Metallic – 2 surfaces $150.00

D2543 Onlay – Metallic – 3 surfaces $185.00

D2544 Onlay – Metallic – 4 or more surfaces $185.00

D2740 Crown – Porcelain/ceramic substrate $415.00

D2750 Crown – Porcelain fused to high noble metal $375.00

D2751 Crown – Porcelain fused to predominantly base metal

$355.00

D2752 Crown – Porcelain fused to noble metal $360.00

D2780 Crown – 3/4 cast high noble metal $360.00

D2781 Crown – 3/4 cast predominantly base metal $355.00

D2782 Crown – 3/4 cast noble metal $355.00

D2790 Crown – Full cast high noble metal $370.00

D2791 Crown – Full cast predominantly base metal $345.00

D2792 Crown – Full cast noble metal $355.00


D2794 Crown – Titanium $370.00

D2910 Recement inlay – Onlay or partial coverage restoration

$15.00

D2915 Recement cast or prefabricated post and core $15.00

D2920 Recement crown $15.00

D2929 Prefabricated porcelain/ceramic crown – Primary tooth

$120.00

D2930 Prefabricated stainless steel crown – Primary tooth

$23.00

D2931 Prefabricated stainless steel crown – Permanent tooth

$23.00

D2932 Prefabricated resin crown $105.00

D2933 Prefabricated stainless steel crown with resin window

$120.00

D2934 Prefabricated esthetic coated stainless steel crown – Primary tooth

$120.00

D2940 Protective restoration $12.00

D2941 Interim therapeutic restoration – Primary dentition

$12.00

D2950 Core buildup – Including any pins $28.00

D2951 Pin retention – Per tooth – In addition to restoration

$12.00

D2952 Post and core – In addition to crown, indirectly fabricated

$115.00

D2954 Prefabricated post and core – In addition to crown

$99.00

D2960 Labial veneer (Resin laminate) – Chairside $85.00

D6210 Pontic – Cast high noble metal $355.00

D6211 Pontic – Cast predominantly base metal $335.00

D6212 Pontic – Cast noble metal $345.00

D6214 Pontic – Titanium $355.00

D6240 Pontic – Porcelain fused to high noble metal $350.00

D6241 Pontic – Porcelain fused to predominantly base metal

$325.00

D6242 Pontic – Porcelain fused to noble metal $340.00

D6245 Pontic – Porcelain/ceramic $345.00

D6600 Inlay – Porcelain/ceramic, 2 surfaces $445.00

D6601 Inlay – Porcelain/ceramic, 3 surfaces $445.00

D6602 Inlay – Cast high noble metal, 2 surfaces $355.00

19



D6603 Inlay – Cast high noble metal, 3 or more surfaces

$355.00

D6604 Inlay – Cast predominantly base metal, 2 surfaces

$335.00

D6605 Inlay – Cast predominantly base metal, 3 or more surfaces

$335.00

D6606 Inlay – Cast noble metal, 2 surfaces $345.00

D6607 Inlay – Cast noble metal, 3 or more surfaces $345.00

D6608 Onlay – Porcelain/ceramic 2 surfaces $445.00

D6609 Onlay – Porcelain/ceramic 3 surfaces $445.00

D6610 Onlay – Cast high noble metal, 2 surfaces $355.00

D6611 Onlay – Cast high noble metal, 3 or more surfaces

$355.00

D6612 Onlay – Cast predominantly base metal, 2 surfaces

$335.00

D6613 Onlay – Cast predominantly base metal, 3 or more surfaces

$335.00

D6614 Onlay – Cast noble metal, 2 surfaces $345.00

D6615 Onlay – Cast noble metal, 3 or more surfaces $345.00

D6624 Inlay – Titanium $355.00

D6634 Onlay – Titanium $355.00

D6740 Crown – Porcelain/ceramic $420.00

D6750 Crown – Porcelain fused to high noble metal $395.00

D6751 Crown – Porcelain fused to predominantly base metal

$365.00

D6752 Crown – Porcelain fused to noble metal $375.00

D6780 Crown – 3/4 cast high noble metal $390.00

D6781 Crown – 3/4 cast predominantly base metal $360.00

D6782 Crown – 3/4 cast noble metal $375.00

D6790 Crown – Full cast high noble metal $380.00

D6791 Crown – Full cast predominantly base metal $355.00

D6792 Crown – Full cast noble metal $375.00

D6794 Crown – Titanium $380.00

Complex rehabilitation �

Documents

GREAT NEWS THE CIGNA DENTAL CARE (DHMO ...team.georgia.gov/wp-content/uploads/2020/10/922237_b...Remember to always pick a network general dentist who’s within 25 miles of your location