DENTAL CARE PROGRAM - YourCare Health Plan · PDF file09/12 DENTAL CARE PROGRAM ADMINISTERED BY: 333 Earle Ovington Boulevard Suite 300 Uniondale, NY 11553-3608 (800) 468-9868 TTY/TDD

09/12

DENTAL CARE

PROGRAM

ADMINISTERED BY:

333 Earle Ovington Boulevard Suite 300

Uniondale, NY 11553-3608 (800) 468-9868

TTY/TDD (800) 662-1220 Website: www.healthplex.com E-mail: [email protected]

PLB -3374YC 08/15

35971_Healthplex.indd 1 9/24/12 9:14 AM

WELCOME

Good news! YourCare Health Plan has arranged for Healthplex to provide you with dental care services. Healthplex is a company with years of experience that specializes in managed dental care. This brochure will give you all the information you need to get your dental care started. This is not a contract, it is to highlight your dental benefits. For more benefit information refer to your medical member handbook or call Healthplex for assistance.

HOW TO GET STARTED

To get started, you need to select a Primary Care Dentist. Call the Healthplex Customer Service Department to select a Primary Care Dentist during the first month of your enrollment in the YourCare Child Health Plus or Medicaid program. Call Healthplex at:

1-800-468-9868 Monday – Friday

8:00 A.M. to 6:00 P.M.

Make your selection of a Primary Care Dentist from the list in this brochure. If you need assistance in selecting a Primary Care Dentist, a Healthplex Customer Service Representative will be happy to assist you. The list of Primary Care Dentists is subject to change. If you have questions about the list, you should call Healthplex. If you choose not to call Healthplex to select a Primary Care Dentist during the first month of your enrollment with YourCare Health Plan Child Health Plus or Medicaid, Healthplex will select a Primary Care Dentist for you.

YOUR PRIMARY CARE DENTIST

Your Primary Care Dentist will provide or authorize all of your dental care.

Please call the Primary Care Dentist when you need to make an appointment.

If you have not been to a dentist recently, call the Primary Care Dentist to set up an appointment for a dental evaluation.

Whenever you call for an appointment, tell the dentist’s office that you are a YourCare Health Plan Child Health Plus or Medicaid member.

If your Primary Care Dentist determines that you require specialty care, the dentist will contact Healthplex to authorize a referral for specialty care.

If at any time you wish to change your Primary Care Dentist, you must call Healthplex to make the change before making an appointment with a new dentist.

COVERED SERVICES

Diagnostic and Preventive Services These include oral exams, cleanings, x-rays and fluoride treatments (when clinically necessary). Basic Dental Services These include fillings, gum treatments, extractions and root therapy (within the limit of the New York State Guidelines for government-funded programs). Other Covered Services Endodontics, periodontics, and prosthodontics (within the limit of the New York State Guidelines for government-funded programs).

Limitations The following procedures are covered once in a six (6) month period: oral exams, recall x-rays and cleanings.

The following procedures are covered once in a thirty-six (36) month period: full mouth or panoramic x-rays. Exclusions

Medicaid – Cosmetic Dentistry and Implants are not covered benefits. Orthodontia is only covered for members up to age 21 for certain conditions and with prior approval.

Child Health Plus - Cosmetic Dentistry and Implants are not covered benefits. Orthodontia for Child Health Plus is only covered with New York State Department of Health prior approval for certain conditions.

Emergency Coverage If you have a dental emergency, call your Primary Care Dentist. If you are unable to reach your dentist, call Healthplex (24 hours a day) at 1-800-468-9868 to find the emergency treatment site nearest you. Prescription Benefit If your Primary Care Dentist prescribes medication, this prescription can be filled at any pharmacy accepting the YourCare Health Plan Child Health Plus or Medicaid ID card. Please present the YourCare Health Plan medical ID card to your pharmacy for prescriptions.

CUSTOMER SERVICE

Call Healthplex Customer Service for help:

1-800-468-9868 Monday – Friday

8:00 A.M. to 6:00 P.M.

To select or change your Primary Care Dentist.

For questions or comments about your dental benefits.

To file any complaints regarding dental services. Healthplex will listen to you and work with you to resolve your dental care concerns.

Please remember:

To show your YourCare Health Plan ID card and identify yourself as a YourCare Health Plan Child Health Plus or Medicaid member.

To schedule an appointment with your Primary Care Dentist for a dental evaluation.

To receive all covered dental services through the YourCare Health Plan dental network.

To keep scheduled appointments and to call in advance if you need to cancel.

BIENVENIDOS

¡Tenemos buenas noticias! El sistema de Salud de la Comunidad de YourCare ha obtenido un acuerdo con Healthplex para proveerle servicios dentales. Healthplex es una compañía con años de experiencia en el desarrollo de un plan de cuidado dental. Este folleto contiene toda la información que Usted necesitará para poder comenzar su plan de cuidado dental. Esto no es un contrato, es un resalte de sus beneficios dentales. Para mas información sobre sus beneficios consulte con su guía médica o llame a Healthplex para asistencia.

COMO COMENZAR

Para comenzar este plan, Usted tiene que elegir un Dentista de Especialidad General. Para elegir a un Dentista de Especialidad General, llame al Departamento de Servicio al Cliente de Healthplex durante el primer mes después de inscribirse en el programa “Child Health Plus” o “Medicaid” del sistema de Salud de la Comunidad de YourCare. El número telefónico y horas de servicio de Healthplex son:

1-800-468-9868 Lunes a Viernes

8:00 A.M. a 6:00 P.M. Usted podrá elegir a un Dentista de Especialidad General de la lista de dentistas contenida en este folleto. Si Usted necesita asistencia en su elección de un dentista, un Representante de Servicio al Cliente de Healthplex le podrá ayudar. La lista de dentistas puede cambiar. Si Usted quiere asegurarse que la lista de este folleto no ha cambiado, llame a Healthplex. Si usted decide no llamar a Healthplex para escoger a un Dentista de Especialidad General durante el primer mes de su inscripción con el programa “Child Health Plus” o “Medicaid” del sistema de Salud de la Comunidad de YourCare, Healthplex le asignará un dentista.

SU DENTISTA DE ESPECIALIDAD GENERAL

Su Dentista de Especialidad General puede proveer su cuidado dental general, o autorizar otros tratamientos.

Por favor llame al Dentista de Especialidad General cuando usted necesite hacer una cita.

Si usted no ha visitado a un dentista recientemente, llame al Dentista de Especialidad General para hacer una cita de evaluación dental.

Cuando llame para hacer una cita, indique a la recepcionista del dentista que usted es miembro del programa “Child Health Plus” o “Medicaid” del sistema de Salud de la Comunidad de YourCare.

Si el Dentista de Especialidad General determina que usted requiere un especialista, el dentista se comunicará con Healthplex para autorizar que lo dirijan a un especialista.

Si en algún momento, Usted desea cambiar de Dentista de Especialidad General, Usted debe llamar a Healthplex para hacer estos arreglos antes de que haga alguna cita con un dentista nuevo.

SERVICIOS QUE PROVEE EL PROGRAMA

Servicios Diagnósticos y Preventivos Estos incluyen chequeos dentales, limpiezas, y rayos-x. Servicios Dentales Básicos Estos incluyen empates para caries, tratamientos para encía, extracciones, y terapia para raíces (dentro de las limitaciones de las reglas del Estado de Nueva York para programas del gobierno). Otros Servicios con Cobertura Endodoncia, Periodoncia y Prostodoncia (dentro de las limitaciones de las reglas del Estado de Nueva York para programas del gobierno). Limitaciones Los siguientes procedimientos están cubiertos una vez cada seis (6) meses: chequeos dentales, rayos-x parciales y limpiezas.

Los siguientes procedimientos están cubiertos una vez cada treinta y seis (36) meses: rayos-x de toda la boca ó panorámicos. Servicios Excluidos

Medicaid - Odontología cosmética y los implantes no son beneficios cubiertos. Ortodoncia sólo está cubierto para miembros hasta 21 años de edad para ciertas condiciones y con aprobación previa.

Child Health Plus - Odontología cosmética e implantes no son beneficios cubiertos. Ortodoncia para Child Health Plus está cubierta sólo con la aprobación previa del Departamento de Salud del estado de Nueva York para cierta condiciones.

Tratamiento de Emergencia Si usted requiere tratamiento de emergencia, llame a su Dentista de Especialidad General. Si no puede conseguir al dentista, llame a Healthplex (24 horas al día): 1-800-468-9868 para que le ayuden a encontrar a una clínica cercana a su hogar. Recetas para Medicamentos Si su Dentista de Especialidad General le receta medicamentos, puede llevar esta receta a cualquier farmacia que acepte la tarjeta de Identificación del programa “Child Health Plus” o “Medicaid” del sistema de Salud de la Comunidad de YourCare. Para ordenar recetas en una farmacia, presente la tarjeta de Identificación del plan médico del sistema de Salud de la Comunidad de YourCare.

ASISTENCIA AL PÚBLICO

Llame al Departamento de Servicio al cliente de Healthplex si necesita ayuda:

1-800-468-9868 Lunes a Viernes

8:00 A.M. a 6:00 P.M.

Para elegir a un Dentista de Especialidad General o para cambiarlo.

Para preguntas o comentarios sobre sus beneficios.

Para presentar reclamos o quejas sobre los servicios dentales. Healthplex tomará la información que Usted tiene y le ayudará a resolver los problemas que han resultado de los servicios dentales.

Por favor recuerde que:

Tiene que mostrar su tarjeta de Identificación é identificar se como miembro del programa “Child Health Plus” o “Medicaid” del sistema de Salud de la Comunidad de YourCare.

Tiene que hacer una cita con el Dentista de Especialidad General para una evaluación dental.

Todos los servicios dentales tienen que ser a través de la red del sistema de Salud de la Comunidad de YourCare.

Tiene que estar presente para las citas que ha hecho con el dentista, y que tiene que llamar con anticipación si necesita cancelar alguna cita.

General Dentistry Sites

1CHP = Accepts Child Health Plus

MMC = Accepts Medicaid Managed Care

Closed To New Patients

Wheelchair Accessible

A2434 MMC/CHP

Cuba Memorial Hospital140 West Main StreetCuba, NY 14727(585) 968-3877

A9362 MMC/CHP

Steven R Sessler, DDSDental Care of Cuba18 Center StreetCuba, NY 14727(585) 968-8400

AA044 MMC/CHP

Dr. David DaughertyHoughton Dental9660 Rout 19Houghton, NY 14744(585) 567-2241

A9335 MMC/CHP

Peder J Hancher, DDS12 Martin StreetWellsville, NY 14895(585) 593-4990

A9856 MMC/CHP

Proto - Proto, DDS24 Pearl StreetWellsville, NY 14895(585) 593-1570

A9072 MMC/CHP

Dr. Robert G Reilly12 Martin StreetWellsville, NY 14895(585) 593-4990

A9965 MMC/CHP

Olean General HospitalDelevan Health Ctr - Dental38 N Main StreetDelevan, NY 14042(716) 707-7040

A2597 MMC/CHP

Olean General HospitalGundlah Dental Center623 Main StreetOlean, NY 14760(716) 375-7300

A9799 MMC/CHP

Donald Proto, DDSProto & Proto, DDS418 West State StreetOlean, NY 14760(716) 373-2626

A1872 MMC/CHP

Lionel R. John Health Center987 R.C. Hoag DriveSalamanca, NY 14779(716) 945-5894(Treating Native Americans only)

A3029 MMC/CHP

Dr. Peter C Perez288 Central AvenueSalamanca, NY 14779(716) 945-3686

A9801 MMC/CHP

Jennifer Foley437 Eagle StreetDunkirk, NY 14048(716) 366-2466

AA069 MMC/CHP

Nysarc Inc. Chautauqua CountyResource Center Dental Office186 Lake Shore Drive WestDunkirk, NY 14048(716) 366-1661

A2245 MMC/CHP

Dr. Richard Prechtl429 Central AvenueDunkirk, NY 14048(716) 366-4566

A9740 MMC/CHP

Dr. Donald G CorterDonald G. Corter, DDSOne Holmes PlaceFredonia, NY 14063(716) 672-6721

A1869 MMC/CHP

Cattaraugus Indian Reservation H.C.36 Thomas Indian School DriveIrving, NY 14081(716) 532-5582(Treating Native Americans only)

A2591 MMC/CHP

Dr. Jeffrey D Menoff785 Fairmount Avenue W.E.Jamestown, NY 14701(716) 665-1468

ALLEGANY

CATTARAUGUS

CHAUTAUQUA






AA070 MMC/CHP

Nysarc Inc. Chautauqua CountyResource Center Dental Office896 East Second StreetJamestown, NY 14701(716) 661-1431

AA067 MMC/CHP

Joseph P Sinatra, DDS502 Foote AvenueJamestown, NY 14701(716) 487-1050

A9738 MMC/CHP

Dr. Michael Mercurio235 Central AvenueSilver Creek, NY 14136(716) 934-4977

A3220 MMC/CHP

David M Wright DDS195 Central AvenueSilver Creek, NY 14136(716) 934-0600

A9995 MMC/CHP

Dr. Frank SoltizAlden Family Dentistry13367 BroadwayAlden, NY 14004(716) 937-7812(Closed to new MMC)

A1810 MMC/CHP

Choice 1 DentalDr. Vasuki Thevanayagam2878 Niagara Falls BoulevardAmherst, NY 14228(716) 693-2861

AA706 MMC/CHP

Joseph Hayek, DDS626 N. French RoadSuite 4Amherst, NY 14228(716) 832-1541

A9129 MMC/CHP

Inspire Dental Group4330 Maple RoadAmherst, NY 14226(716) 362-4800

A1941 MMC/CHP

Robert J LaCarrubba, DDS4927 Main StreetAmherst, NY 14226(716) 631-2728

A9198 MMC/CHP

Roustum Dental646 North French RoadSuite 5Amherst, NY 14228(716) 695-2588

A1715 MMC/CHP

Dr. Joseph Mecca8724 North Main StreetAngola, NY 14006(716) 549-2060

AA081 MMC/CHP

Stellar Dental Care4154 McKinley ParkwayBlasdell, NY 14219(716) 649-2288

A9775 MMC/CHP

Aalto Dental Arts656 Elmwood AvenueSuite 122Buffalo, NY 14222(716) 882-3232

AA380 MMC/CHP

Alltown Dental1410 Millersport HighwayBuffalo, NY 14221(716) 688-5046

A3918 MMC/CHP

Aspire Family Dental484 Ontario StreetBuffalo, NY 14207(716) 873-0681

AA149 MMC/CHP

P V Bochiechio, DDS145 Belmont AvenueSuite 1Buffalo, NY 14223(716) 873-3966

A1440 MMC/CHP

Community Health Ctr/Buffalo34 Benwood AvenueBuffalo, NY 14214(716) 986-9199

CHAUTAUQUA (continued)

ERIE






A9824 MMC/CHP

Dr. Robert Crabtree III1152 Main StreetBuffalo, NY 14209(716) 886-1000

AA226 MMC/CHP

Dr. Bob's Dental2727 Main StreetBuffalo, NY 14214(716) 833-2727

A1238 MMC/CHP

ECMC Dental Services462 Grider StreetBuffalo, NY 14215(716) 898-3189(Treating members age 7 or older only)

A2527 MMC/CHP

Family Dental Associates Inc.Family Dental Center2121 Main StreetSuite 202 Seton BldBuffalo, NY 14214(716) 835-1933

A3088 MMC/CHP

Dr. Michael S Feuerstein33 Gates CircleBuffalo, NY 14209(716) 886-7992

A2300 MMC/CHP

Dr. Vincent Fiorella393 Porter AvenueBuffalo, NY 14201(716) 882-4137

A2225 MMC/CHP

Genesee Valley Group Health AssnWilliam H Mosher Health Ctr899 Main StreetBuffalo, NY 14203(716) 656-4270

A9733 MMC/CHP

Dr. Joseph Hyde2233 Seneca StreetBuffalo, NY 14210(716) 823-2898

A2599 MMC/CHP

Kenmore Quality Care Dentistry956 Kenmore AvenueBuffalo, NY 14216(716) 874-7112

A3935 MMC/CHP

Thomas J Keohane, DDS487 Niagara StreetBuffalo, NY 14201(716) 853-6601

A3973 MMC/CHP

Robert LaCarrubba, DDSElmwood Village Dental Care892 Elmwood AvenueBuffalo, NY 14222(716) 332-0460

A9781 MMC/CHP

Dr. Robert T McLanahan200 Ontario StreetBuffalo, NY 14207(716) 876-1233

AA445 MMC/CHP

Metropolitan Dental403 Main StreetSuite 416Buffalo, NY 14203(716) 854-7811

A9838 MMC/CHP

Parmalier Murphy, DDS2559 Main StreetBuffalo, NY 14214(716) 833-3355

A9516 MMC/CHP

Neighborhood Health Center300 Niagara StreetBuffalo, NY 14201(716) 242-8600

A9936 MMC/CHP

Niagara Family Dental821 Niagara StreetBuffalo, NY 14213(716) 883-3664

A9514 MMC/CHP

North Buffalo Dental1600 Hertel AvenueBuffalo, NY 14216(716) 803-1600

A1421 MMC/CHP

Northwest Buffalo Community Health155 Lawn AvenueBuffalo, NY 14207(716) 875-2904

ERIE (continued)






A3045 MMC/CHP

Dr. Joseph Pagliacci2514 Delaware AvenueBuffalo, NY 14216(716) 874-0150

A9744 MMC/CHP

Dr. Frank Rizzo806 Abbott RoadBuffalo, NY 14220(716) 823-1314

A2202 MMC/CHP

Dr. Ira Robbins2084 Sheridan DriveBuffalo, NY 14223(716) 873-7679

A9464 MMC/CHP

Gary R Schoene, DDS1925 Seneca StreetBuffalo, NY 14210(716) 824-3100

A2162 MMC/CHP

Dr. Michael L Schwartz422 Niagara Falls BoulevardBuffalo, NY 14223(716) 835-3906

A2421 MMC/CHP

Dr. Jack Su1950 Sheridan DriveSuite 5EBuffalo, NY 14223(716) 875-3660

A9765 MMC/CHP

Suny Buffalo School of Dental Med.3435 Main StreetSquire Hall Room 103Buffalo, NY 14214(716) 829-2732

A9886 MMC

Dr. Edmund A Thomas2866 Bailey AvenueBuffalo, NY 14215(716) 838-6633

AA003 MMC/CHP

Tony's Comfort DentalComfort Dental348 Abbott RoadBuffalo, NY 14220(716) 823-3030

A9069 MMC/CHP

Total Care Family DentalAspire Family Dental476 Hertel AvenueBuffalo, NY 14207(716) 877-3510

A9898 MMC/CHP

Philip Williams, DDS2866 Bailey AvenueBuffalo, NY 14215(716) 838-6633

A9010 MMC/CHP

Women and Childrens Hospital219 Bryant StreetBuffalo, NY 14222(716) 878-7758

A2182 MMC/CHP

Dr. Thomas A Casey2934 Genesee StreetCheektowaga, NY 14225(716) 892-2318

AA062 MMC/CHP

Charlap Dental Services3099 William StreetCheektowaga, NY 14227(716) 668-2998

A9862 MMC/CHP

Dr. David M Goldstein1259 Cleveland DriveCheektowaga, NY 14225(716) 635-4720

AA688 MMC/CHP

Eugene F Lesinski, DDS2768 Harlem RoadCheektowaga, NY 14225(716) 893-2211

A2464 MMC/CHP

Dr. Alan Shapiro2475 Harlem RoadCheektowaga, NY 14225(716) 895-8500

A9933 MMC/CHP

Smile Center4427 Union RoadCheektowaga, NY 14225(716) 634-4090

ERIE (continued)






AA463 MMC/CHP

Stellar DentalStellar Dental Care3557 Union RoadCheektowaga, NY 14225(716) 651-0099

AA025 MMC/CHP

Robert Schaus, DDS9180 Greiner RoadClarence, NY 14031(716) 741-3875

A9835 MMC/CHP

Ann E Schwab-Davis, DDS5945 Goodrich RoadClarence Center, NY 14032(716) 741-2835

AA085 CHP

Dr. Michael A Dingman8348 Boston-Colden RoadColden, NY 14033(716) 941-9400

AA292 CHP

Dr. Robert A Bochiechio5939 Transit RoadDepew, NY 14043(716) 684-3933

A1719 MMC/CHP

Dr. David Schwegmann4880 BroadwayDepew, NY 14043(716) 683-5840

A3972 MMC/CHP

Better Smile of WNY6161 Transit RoadEast Amherst, NY 14051(716) 688-3000

AA656 MMC/CHP

Lola J John-Roberts, DMDAmherst Dentistry8588 Transit RoadEast Amherst, NY 14051(716) 636-1399

A9905 MMC/CHP

David A Ball, DDS & Assocs.1593 Eggert RoadEggertsville, NY 14226(716) 836-5885

AA066 MMC/CHP

Hennigar & Hennigar, DMDAmerican Family Dental Group2025 Whitehaven RoadGrand Island, NY 14072(716) 773-1990

AA569 MMC/CHP

Affordable General Dentistry198 Main StreetHamburg, NY 14075(716) 649-5280

A3351 MMC/CHP

Dr. Leon Kantor11 Highland AvenueHamburg, NY 14075(716) 648-1880

AA279 MMC/CHP

Advantage Dentistry2887 Elmwood AvenueKenmore, NY 14217(716) 877-2275

A9659 MMC/CHP

Mark A Danziger2982 Delaware AvenueKenmore, NY 14217(716) 875-4243

A1272 MMC/CHP

Baker Victory Services HealthcareDental Clinic790 Ridge RoadLackawanna, NY 14218(716) 828-9334

A3944 MMC/CHP

Charlap Dental Services3004 South Park AvenueLackawanna, NY 14218(716) 828-0770

A9484 MMC/CHP

Stephen Pericak, DDS2158 Abbott RoadLackawanna, NY 14218(716) 823-2600

A2583 MMC/CHP

Dr. Vincent G SabiaRidge Dental Arts1188 Ridge RoadLackawanna, NY 14218(716) 826-4050

ERIE (continued)






A9103 MMC/CHP

Dr. David S Zambron1243 Ridge RoadLackawanna, NY 14218(716) 826-4117

A9986 MMC/CHP

Lancaster Dental Associates5755 BroadwayLancaster, NY 14086(716) 683-0891

A9548 MMC/CHP

Dr. Donna Orlando-Martin27 Central AvenueLancaster, NY 14086(716) 683-2956

AA386 MMC/CHP

Stephen Pericak, DDS10744 Main StreetNorth Collins, NY 14111(716) 337-3383

A9833 MMC/CHP

Brian J Karam, DDS6590 East Quaker RoadOrchard Park, NY 14127(716) 662-3122

A9802 MMC/CHP

The Dental Group3176 Abbott RoadSuite 600Orchard Park, NY 14127(716) 827-1200

AA023 MMC/CHP

Better Smile of WNY4007 Harlem RoadSnyder, NY 14226(716) 768-2110

A9832 MMC/CHP

Robert Bork, DDS4510 Main StreetSnyder, NY 14226(716) 839-4222

AA475 MMC/CHP

Amy E Schmitt Kingston, DDS13832 White StreetSpringville, NY 14141(716) 592-7733

A9893 MMC/CHP

Dr. J. Michael Collard2690 Sheridan DriveTonawanda, NY 14150(716) 876-8136

A9039 MMC/CHP

Jack H Feuerstein, DDS2566 Sheridan DriveTonawanda, NY 14150(716) 871-9511

AA395 MMC/CHP

Samer K Riad Dentistry491 Delaware StreetTonawanda, NY 14150(716) 693-1299

AA080 MMC/CHP

Stellar Dental Care2929 Sheridan DriveTonawanda, NY 14150(716) 831-8844

A9202 MMC/CHP

Healthy Smiles Family Dental3811 Seneca StreetWest Seneca, NY 14224(716) 674-3737

A9128 MMC/CHP

Inspire Dental Group3030 Orchard Park RoadWest Seneca, NY 14224(716) 362-4800(Closed to new MMC)

A2554 MMC/CHP

Dr. Michael H Schmidt1015 Union RoadWest Seneca, NY 14224(716) 675-9873

A9463 MMC/CHP

Gary R Schoene, DDS1265 Center RoadWest Seneca, NY 14224(716) 674-7044

A9868 MMC/CHP

Dr. Gerald T Carlo33 Maple RoadWilliamsville, NY 14221(716) 634-3055

ERIE (continued)






A9958 MMC/CHP

Dr. Mary Candace Collard6490 Main StreetSuite 5Williamsville, NY 14221(716) 633-6131

A9190 MMC/CHP

Dr. Maria E Giglia-Pieri6797 Main StreetWilliamsville, NY 14221(716) 689-1600

A2448 MMC/CHP

Dr. James Glennon5132 Sheridan DriveWilliamsville, NY 14221(716) 634-8886

A3063 MMC/CHP

Huron O Hill II, DDS1331 North Forest RoadSte 350Williamsville, NY 14221(716) 689-1111

AA525 MMC/CHP

Dr. Robert T McLanahan867 Hopkins RoadWilliamsville, NY 14221(716) 688-1221

A3946 MMC/CHP

Dr. Kenneth W Novak1325 N Forest RoadSuite 250Williamsville, NY 14221(716) 689-5882

A3989 MMC/CHP

Stellar DentalDr. Dianna Melman7500 Transit RoadWilliamsville, NY 14221(716) 632-5555

A3960 MMC/CHP

Williamsville Family Dentistry1630 Maple RoadWilliamsville, NY 14221(716) 568-2273

AA302 MMC/CHP

Thomas C Farrugia, DDS219 Washington AvenueBatavia, NY 14020(585) 343-7028

A9959 MMC/CHP

Genesee DentalGenesee Dental37 Batavia City CentreBatavia, NY 14020(585) 343-1113

A3376 MMC/CHP

Gasport Community Dental CareWilliam Martell, DDS8403 Rochester RoadGasport, NY 14067(716) 772-5590

A2302 MMC/CHP

All Care Family DentalAspire Family Dental57 Davison CourtSuite DLockport, NY 14094(716) 433-6111

A2509 MMC/CHP

Abcare Family DentalAspire Family Dental1705 Pine AvenueNiagara Falls, NY 14301(716) 284-0110

A9431 MMC/CHP

Alliance Family Dental1909 Pine AvenueNiagara Falls, NY 14301(716) 282-4641

A9590 MMC/CHP

Community Health Center of Buffalo501 Tenth StreetNiagara Falls, NY 14301(716) 278-4418

A9834 MMC/CHP

Main Street Dental723 Main StreetNiagara Falls, NY 14301(716) 285-0245

ERIE (continued) GENESEE

NIAGARA






A2556 MMC/CHP

Niagara Quality Care8875 Porter RoadNiagara Falls, NY 14304(716) 297-5500

A-918 MMC/CHP

Dr. Frank A Pallone552 Third StreetNiagara Falls, NY 14301(716) 284-8148

A2370 MMC/CHP

Dr. Guy Raimondi552 Third StreetNiagara Falls, NY 14301(716) 284-8148

A9800 MMC/CHP

Schwartz and Gedeon, DDS604 4th StreetNiagara Falls, NY 14301(716) 282-1402

A9987 MMC/CHP

Mario J Violante, DDS1 Colomba DriveSuite 6Niagara Falls, NY 14305(716) 297-6453

A9836 MMC/CHP

David J Boyer, DDS490 Sweeney StreetNorth Tonawanda, NY 14120(716) 695-1500

AA335 MMC/CHP

Dr. Mark T Donahue131 Payne AvenueNorth Tonawanda, NY 14120(716) 693-6891

A9731 MMC/CHP

North Tonawanda Family Dentistry301 Meadow DriveNorth Tonawanda, NY 14120(716) 692-2273

A9490 MMC/CHP

Nt Family DentalAspire Family Dental554 East Robinson StreetNorth Tonawanda, NY 14120(716) 695-1137

A9606 MMC/CHP

Dale E Voelker, DDS1050 Oliver StreetNorth Tonawanda, NY 14120(716) 693-0600

A9323 MMC/CHP

Albion Dental362 South Main StreetAlbion, NY 14411(585) 589-0000

A9777 MMC/CHP

Joseph A Craddock, DDS3325 East Main StreetAttica, NY 14011(585) 591-1404(Closed to new MMC adults)(Treating members age 20 or younger only)

AA490 MMC/CHP

Oak Orchard Community Health CenterOak Orchard Health - Warsaw81 South Main StreetWarsaw, NY 14569(585) 228-1195

NIAGARA (continued)

ORLEANS

WYOMING

Pediatric Dentistry SitesAll Pediatric Dentists accept children only unless otherwise noted.



9


CHP = Accepts Child Health Plus

A7539 MMC/CHP

Lionel R John Health Center987 R.C. Hoag DriveSalamanca, NY 14779(716) 945-5894

A5859 MMC/CHP

John Jou, DMD & Thy A. Bui, DMDDr. Thy A. Bui1 Park PlaceSuite 215Fredonia, NY 14063(716) 672-4363

A8411 MMC/CHP

Annette Lukasik, DDS85 West Main StreetFredonia, NY 14063(716) 672-2854

A6795 MMC/CHP

Cattaraugus Indian Reservation H.C.36 Thomas Indian School DriveIrving, NY 14081(716) 532-5582(Treating Native Americans only)

A6806 CHP

Inspire Dental Group4330 Maple RoadAmherst, NY 14226(716) 362-4800

A7874 MMC/CHP

University Pediatric Dentistry2900 Niagara Falls BlvdAmherst, NY 14228(716) 694-7224

A8521 MMC/CHP

University Pediatric Dentistry3950 East Robinson RoadAmherst, NY 14228(716) 995-4490

A8450 MMC/CHP

Stellar DentalStellar Dental Care4154 McKinley ParkwayBlasdell, NY 14219(716) 649-2288

A7194 MMC/CHP

Drs. Levin and Houghtaling897 Delware AvenueSuite 200Buffalo, NY 14209(716) 885-0510

A-842 MMC/CHP

University Pediatric DentistryChildren's Hospital of Buffalo219 Bryant StreetBuffalo, NY 14222(716) 878-7758

A1220 MMC/CHP

University Pediatric DentistrySouth Buffalo Mercy Hospital515 Abbott RoadSuite 402Buffalo, NY 14220(716) 828-3575

A7066 MMC/CHP

University Pediatric Dentistry1100 Main StreetSuite 100Buffalo, NY 14209(716) 242-8200

A8514 MMC/CHP

University Pediatric Dentistry425 Michigan AvenueBuffalo, NY 14203(716) 402-1090

A8451 MMC/CHP

Stellar DentalStellar Dental Care3557 Union RoadCheektowaga, NY 14225(716) 651-0099

A7171 MMC/CHP

Growing Smiles Dentistry6501 Transit RoadSuite BEast Amherst, NY 14051(716) 580-3580

A2844 MMC/CHP

University Pediatric DentistryToy Town394 Main StreetEast Aurora, NY 14052(716) 655-8880

CATTARAUGUS

CHAUTAUQUA

ERIE

Pediatric Dentistry SitesAll Pediatric Dentists accept children only unless otherwise noted.



10


CHP = Accepts Child Health Plus

A8426 MMC/CHP

Marti Peterson, DDSJust 4 Me Pediatric Dentistry1660 Hopkins RoadGetzville, NY 14068(716) 688-7721

A6513 MMC/CHP

Dr. Barbara Moore Pediatric DentistryBuilding B Suite 23674 Commerce PlaceHamburg, NY 14075(716) 362-3147

A5381 MMC/CHP

Dr. Paul Volansky6435 Webster RoadOrchard Park, NY 14127(716) 662-9774

A8449 MMC/CHP

Stellar DentalStellar Dental Care2929 Sheridan DriveTonawanda, NY 14150(716) 831-8844

A7274 MMC/CHP

Dr. Kenneth R Banas3615 Seneca StreetWest Seneca, NY 14224(716) 674-0924

A6805 CHP

Inspire Dental Group3030 Orchard Park RoadWest Seneca, NY 14224(716) 362-4800

A6807 MMC/CHP

Peter D Purcell, DDS401 Potters RoadWest Seneca, NY 14220(716) 822-2499

A8448 MMC/CHP

Stellar DentalStellar Dental Care7500 Transit RoadWilliamsville, NY 14221(716) 632-5555

A6078 MMC/CHP

Dr. Doreen B StrzalkaClarence Pediatric Dentistry8560 Main StreetWilliamsville, NY 14221(716) 565-1512

A1221 MMC/CHP

University Pediatric Dentistry1800 Maple RoadWilliamsville, NY 14221(716) 688-7712

A7169 MMC/CHP

J. Bradley Ecker, DDS413 E Main StreetBatavia, NY 14020(585) 343-1900

A6804 MMC/CHP

Genesee DentalGenesee Dental37 Batavia City CentreBatavia, NY 14020(585) 343-1113

A6625 MMC/CHP

Charles E Whitmer, DDS320 East Main StreetBatavia, NY 14020(585) 344-4546

A7170 MMC/CHP

Dr. Louis Surace37 Professional PkwySuite ALockport, NY 14094(716) 433-3364

A1222 MMC/CHP

University Pediatric Dentistry521 Buffalo AvenueNiagara Falls, NY 14303(716) 282-5725

ERIE (continued)

GENESEE

NIAGARA

Documents

DENTAL CARE PROGRAM - YourCare Health Plan · PDF file09/12 DENTAL CARE PROGRAM ADMINISTERED BY: 333 Earle Ovington Boulevard Suite 300 Uniondale, NY 11553-3608 (800) 468-9868 TTY/TDD