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Dental Plan Organizations (DPOs)

A Dental Plan Organization (DPO) is any person or company who provides directly or arranges to administer one or more plans providing dental services that are on a prepaid or postpaid individual or group capitation basis. The covered person is eligible to receive treatment from in-network dentists only (except in the case of an eme

rgency over fifty (50) miles from home). The covered person may be required to pay a deductible or copayment for treatment, but no balance billing is allowed.

The enabling legislation, N.J.S.A. 17:48D-1 et seq., was effective 06/01/1980. The corresponding regulation, N.J.A.C. 11:10-1 et. seq., was effective 07/15/1985. As a result of regulatory amendments effective August 21, 2000, DPOs are allowed to use specialty pools to pay providers for certain specialized dental services.

Participating specialty dentists are paid on a fee-for-service basis from the pool.

 
New Jersey Authorized Dental Plan Organizations
Aetna Dental, Inc.
Aetna US HealthCare Customer Service
151 Farmington Ave., Hartford, CT 06156
Telephone: 1-800-843-3661
NAIC Number: 11183
NJ Date of Admission: 03/03/91 
ALPHA Dental Programs Inc.
12898 Towne Center Drive, Cerritos, CA 90703
Telephone: 1-800-422-4234
NAIC Number: 95163
NJ Date of Admission: 12/19/06
Atlantic Southern Dental Foundation/BeneCare
615 Chestnut Street, Suite 1001, Philadelphia, PA 19106
Telephone: 215-440-1000
NAIC Number: 11217
NJ Date of Admission: 03/21/84 
CIGNA Dental Health of NJ, Inc.
300 NW 82nd Ave., Suite 700, Plantation, FL 33324
Telephone: 1-800-367-1037
Web site: www.cigna.com
NAIC Number: 11167
NJ Date of Admission: 10/31/85
Dental Benefit Providers of Illinois, Inc.
6220 Old Dobbin Lane, Columbia, MD 21045
Telephone: 443-896-0427
Web Site: www.unitedhealthgroup.com
NAIC Number: 52053
NJ Date of Admission: 06/29/12
Dental Delivery Systems, Inc.
2826 Mt Carmel Ave., Glenside, PA 19038
Telephone: 215-224-8888
NAIC Number: 11195
NJ Date of Admission: 06/27/86
Dental Group of NJ, Inc.
924 North Wood Ave., Linden, NJ 07036
Telephone: 908-925-8110
NAIC Number: 11241
NJ Date of Admission: 01/13/92
Dental Services Organization, Inc.
1030 St. Georges Ave., Avenel, NJ 07001
Telephone: 732-634-4810
NAIC Number: 11234
NJ Date of Admission: 07/27/85
Flagship Health Systems, Inc. (d/b/a Flagship Dental Plans)
1639 Route 10, PO Box 222, Parsippany, NJ 07054
Telephone: 973-285-4000
Web site: www.deltadentalnj.com
NAIC Number: 11179
NJ Date of Admission: 06/06/86
Group Dental Health Administrators, Inc.
236 East Westfield Ave., Roselle Park, NJ 07204
Telephone: 908-241-9700
NAIC Number: 11246
NJ Date of Admission: 01/28/86
Horizon Healthcare Dental, Inc.
3 Penn Plaza East, PP03-Q, Newark, NJ 07105-2200
Telephone: 973-466-7304
NAIC Number: 11146
NJ Date of Admission: 07/12/94
International Health Care Services, Inc.
333 Earle Ovington Blvd., Suite 300, Uniondale, NY 11553
Telephone: 1-800-468-0600
NAIC Number: 11173
NJ Date of Admission: 09/14/84
LIBERTY Dental Plan of New Jersey, Inc.
340 Commerce, Suite 100, Irvine, CA 92602
Telephone: 949-271-3945 Toll Free: 1-888-273-2997 FAX: 949-270-0102
E-mail: MajaK@LibertyDentalPlan.com
NAIC Number: 11159
NJ Date of Admission: 04/28/03
John D. Kernan, DMD, PA
644 Westmont Plaza, Cuthbert and MacArthur Blvd., Westmont, NJ 08108
Telephone: 856-869-8660
NAIC Number: 11182
NJ Date of Admission: 09/29/85
Managed DentalGuard, Inc.
4 Campus Drive, Parsipanny, NJ 07054
Telephone: 973-396-4700
NAIC Number: 11199
NJ Date of Admission: 11/29/01
MetLife Health Plans, Inc.
501 Route 22, Bridgewater, NJ 08807
Telephone: 949-425-4172 FAX: 949-425-4587  
NAIC Number: 14170
NJ Date of Admission: 12/19/11
Union Security Dental Care of New Jersey Inc. (Formerly Fortis)
2323 Grand Blvd., Kansas City, MO 64108-2670
Telephone: 1-800-443-2995
NAIC Number: 11244
NJ Date of Admission: 09/15/84
United Concordia Dental Plans, Inc.
4401 Deer Path Road, DPLR4, Harrisburg, PA 17110
Telephone: 1-800-332-0366
Web site: www.ucci.com
NAIC Number: 95253
NJ Date of Admission: 09/16/94
     
Dental Service Corporations (DSCs)


A Dental Service Corporation (DSC) is a corporation which is organized without capital stock, and not for profit, for the purpose of establishing, maintaining and operating a nonprofit dental service plan. The expense of dental services by dentists, who are reimbursed on a fee for service basis, to covered persons, is paid in whole or in part by the DSC in return for premiums paid by or on behalf of those covered persons.

The covered person may be required to pay a deductible and/or copayment depending on the plan. If the plan provides benefits for services provided by dentists not participating in the plan, the covered person may also be responsible for charges which are over and above the maximum set by the plan (balance billing).

Dental Service Corporations are regulated by N.J.S.A. 17:48C-1 et seq. effective 09/26/1968.

There are two active Dental Service Corporations operating in the State of New Jersey, as follows:

 
Delta Dental Plan of NJ, Inc.
1639 Route 10, Parsippany, NJ 07054
Telephone: 973-285-4000
NAIC Number: 55085
NJ Date of Admission: 5/13/70
Dental Practice Association of New Jersey, Inc.
One Independence Mall, 615 Chestnut St., Suite 1001, Philadelphia, PA 19106-4404
Telephone: 215-440-1000
 
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