HomeMy WebLinkAboutAgenda - 09-21-2010 - 7aORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 21, 2010
Action Agenda
Item No. ~_
Sl1RJECT~ Future Provision of Dental Clinical Services
DEPARTMENT: Health PUBLIC HEARING: (YIN) No
ATTACHMENT(S):
1) 4/27/2010 Memorandum to BOCC
2) Options for Providing Dental
Treatment Services in Orange
INFORMATION CONTACT:
Rosemary Summers, 245-2412
County
3) Option Revenue and Expenditure
Spreadsheet
4) Carr Mill Dental Health Patient
Address Locations (GIS Map)
5) Hillsborough Dental Health Patient
Address Locations (GIS Map)
6) Medicaid and Health Choice Dental
Providers in Orange County
PURPOSE: To discuss the provision of dental clinical services in the future.
BACKGROUND: At the joint meeting between the Board of Health and the Board of County
Commissioners on March 4, 2010, there was significant discussion regarding the dual service
model for dental health services, spurred by the impending expiration of the Carr Mill lease.
That lease is set to expire June 30, 2011 and not later in the year as had been previously
thought. The Board of Commissioners requested that the Department consider various options
for service provision to County residents along with a financial analysis. The Board of Health
studied the issues associated with providing dental clinical services to low income and
uninsured Orange County residents who do not otherwise have access to dental clinical
services. Attachment 1 is a memorandum sent to the Board of Commissioners on April 27 with
the Board of Health's recommendations regarding the provision of dental clinical services. Also
included are the attachments to that memorandum.
It is critical for a decision to be made so that adequate time is available to inform patients and
the community where services will be delivered after July 1, 2011. If Recommendation #1
below is accepted by the BOCC it will also be necessary to allow enough time to reconfigure the
space at Whitted to accommodate the transfer of equipment from Carr Mill. If Recommendation
#3 below is accepted, it will provide early budget preparation direction for staff.
Recommendation #4 below does not preclude the development of a new single centralized
clinic should circumstances with an academic partner such as the community college or UNC
present itself. Recommendation #4 is for future financial planning purposes.
a
FINANCIAL IMPACT: The financial impacts of each option are presented in Attachment 3,
Option Revenue and Expenditure Spreadsheet.
RECOMMENDATION(S): The Manager recommends that the Board:
1) Exercise Option 2 as recommended by the Board of Health with a start date no later than
July 1, 2011 for consolidation of services. Option 2 is a single 8 chair clinic located at the
Whiffed Human Services Center utilizing the current staff complement, transitioning
those being served at Carr Mill to the Whiffed site by providing transportation vouchers;
2) Direct staff to communicate with Carr Mill management of the County's intent not to
renew the Carr Mill lease;
3) Exercise Option 3 as recommended by the Board of Health with a start date of July 1,
2012; authorizing the inclusion of three additional staff in the health department budget
for FY 2012-13; and
4) Include capital costs for the construction of two full time dental clinics, one in northern
Orange and one in southern Orange in the County Capital Improvement Plan so that the
clinics may begin services no later than July 1, 2021.
ATTACHMENT 1
3
~~r~
otu-~~ couNrir
HEALTH DEPARTMENT
Rosemary 1. Summers,
MPH, DrPH
Health Direcb~r
Rkhard E. Whiffed Human
Services center
300 West Tryon St2et
Post office Box 81$1
Hillsborough, NC 27278
Phone: (919) 245-2411
Fax: {919) fi44-3067
nwvw co. orange. ~ u~heal ~-
BOARD OF HEALTH
Anissa vines, MS, PhD Chair
ChtisNarlan, RIH
Vke-diair
Steve Yuhasz, Commissioner
Paul Chelmin~ry, MPH, MD
DeWana Anderson, DVM
Tony Whitaker, PE
ChristopherCooke,.MA, MS
1esska Y. l..ee, DDS, MPH, Drf
Jim Stefanadis, BS Pharm
Michat~ Carstens, OD
Michael Wood, MS
To: Valerie Foushee, Chair
Orange County l3oard of Commission rs
From: Anissa Vines, Chair
Orange County Baard of Health
Re: Dental Heaith Ciinica! Services Report and Recommendations
Date: April 27, 2010
This memorandum and report are in follow-up to the joint Board of Commissioners and
Baard of Health meeting held in early March. During February, March and April the
Board of Heaith studied the issues associated with providing dental clinical services fo
!ow income and uninsured Orange County residents who do not otherwise have access
to dental clinical services. Attached to this memorandum are some of the documents
that were used by the Soard of Heaith in studying this issue.
The following factors were considered in making recommendations:
• Provides dental clin(gl services to bath Medicaid and uninsured Orange
County residents .
• Preserves access to comprehensive dental services far Medicaid and
uninsured residents -
• Enables the most efficient service delivery
• Considers the distribution of current patients and travel distances
• Considers the current county's financial status for providing services
The Board of Health's primary recommendation for optimal access to dental services
for the underserved population is to operate two fully staffed dental clinics.
Because of the current financial status of the county, the Board formulated a series of
staged recommendations/decisions that it wishes the Board of Commissioners to
consider far action.
Recommendation 1: Exercise Option 2 beginning July 1, 2011. (See Attachment 1-
Optionsfor Providing Dental Treatment Services in Orange County) Option 2 is a
single 8 chair clink at the Whined Building utilizing the current staff complement,
traiisitioning those being served at Carr Mill to the Whitted site by providing
transportation vouchers. -
This allows sufficient time for renovation of Whined for denta! services after the
personal hearth clinical space is renovated and allows an orderly transition from
providing services at Carr Miil prior to the (ease expiration {October 2011).
Recommendation 2: Facercise Option 3 beginning July 1, 2012. (See Attachment 1)
Option 3 is a single 8 chair clinic at the Whiffed Building with increased staff {additional
dentist, hygienist, and dental assistant). This maxim'szes the services that can be
delivered for an 8 chair clinic.
Exercising this option allows for full transition to a single location and provides time to
recruit new staff. Because of recruitment and orientation times, new staff may not be
fully productive during the first year of operation.
Recommendation 3: Exercise Option 1 no later than the beginning of July 1, 2021.
Option 1 is two fait time clinics at different locations (one south and one north) in the
county. This option provides the best access to comprehensive dental services
for county residents and is the preferred option of the Baard of Health.
4
Memorandum to BOCC
April 27, 2010
Page 2
Delaying Option 1 for ten years, white not ideal, allows a true test of the one site concept for accessibility
to the population, allows the county's finances to fully recover, and allows for a deliberate dialogue and
engagement for site selection{s) in light of an additional 10 years of population growth.
We hope that these documents and these recommendationsave responsive to your request. We wanted
to make sure that you were able to fully consider these recommendations as part of the 2010-2011
budget process and in future budget discussions. .
Please feel free to contact me or the Health Director if you desire more explanation of the attached
documents. Thank you for the opportunity to provide you with our recommendations.
Attachments:
1) Options for Providing Dental Treatment Services in Orange County
2) Option Revenue and Expenditure Spreadsheet
3) Dental Health Patient Address Locations (Both Locations)
4} Carr Mill Dental health Patient Address Locations
5) Hillsborough Dental Health Patients Address Locations
CC: Donna Baker, Clerk to Commissioners
Frank Clifton, County Manager
Rosemary Summers, Health Director
OCHD DENTAL HEALTH SERVICE
Options for providing Dental Treatment Services in Orange County
# OPTIONS ADVANTAGES
• COST
SAVINGS INCREASE
IN
REVENUE DISADVANTAGES ADDITIONAL
EXPENSE
1 Two full-time dental • Services provided in dual ~ $313,000 • Increase indirect cost to the • $398,552
clinics (renew lease @ locations county for additional staff. Salary & benefits
Carr Mill) • Increases access to • Continue capital increase $398,552 from
dental services replacement of equipment at additional personnel
• Increases patient visits two locations.
Efficiency/cost from 4200 to 7960 • Carr Mill Dental clinical • $151,278
Pt. Visits 7960 . Generates additional facility is inadequate: Operating increase
Net county cost per revenue $313,000 _ waiting room too small; lack $151,278
visit=$93 of patient privacy (no check-
Total county cost per in or check-out areas.
visit=$172 • Dental patient records are
stored in two different
offices.
• Indoor air quality was
. evaluated and found not to
` be conducive for a dental
clinic.
2 8-chair dental clinic • Saves the cost of the rent $65,000 • Dental services provided at • $8,000
with current staff @ Carr Mill Lease one location Provide transportation
Provide dental • Consolidate dental clinic • Limits access to dental or vouchers for 2,000
services at renovated to 8 chair clinic services in the southern part visits per year.
Whitted location & • Provide rotation site for of the county (access to Transportation costs @
close the Carr Mill students from the UNC $55,425 dental services @ Piedmont $4.00 roundtrip x 2,000
dental clinic. School of Dentistry with and UNC Dental School) visits=$8,000.
Efficiency/costs preceptor (hyg or DDS)
Pt. Visits 5100 15 patients per day/60 Cost savings would be
Net county cost per per week/15 weeks per $57,000
visit=$99 year=900 visits @
Total county cost per different revenue source
visit=$171 based on % of visits
n
n
n
x
m
z
N
# OPTIONS ADVANTAGES COST
SAVINGS INCREASE
IN
REVENUE DISADVANTAGES ADDITIONAL
EXPENSE
• Increase appointment
availability to five days
• Reduces cost of
duplicate dental
equipment if renovated
properly.
• Dental Staff are in one
location
• Improves efficiencies in
office practices by
having two office .
assistants in one location
3 Single 8-chair dental • Saves the cost of the rent $65,000 • Increase in indirect cost to • $266,977
clinic with increase in @ Carr Mill ~ Lease the county for additional Increase in personnel
staff. • Expand dental clinic to 8 personnel cost to add one dentist,
chair clinic • Some clients will have to one dental assistant and
Provides dental • Provide rotation site for travel further than they do one hygienist.
services at renovated students from the UNC now to receive dental
Whitted Expansion School of Dentistry services. • $5,572
and close Carr Mill . Increase inpatient visits • Dental services provided at Increase in operating
dental clinic. by 3,248 one location. expenses due to
• Increase in revenue by • Additional expense to additional personnel
Efficiency/costs $290,490 provide transportation
Pt. Visits 7484 . Increase dental $290,490 vouchers. $8,000
Net county cost per appointment availability Provide transportation
visit=$61
5 days per week or vouchers for 2,000
Total county cost per . Reduces cost of visits per year.
visit=$149 duplicate dental ~ ~ Transportation costs @
equipment if renovated $54,946 $4.00 roundtrip x 2,000
properly over 10 visits=$8,000.
• Dental staff are in one years is a
location. cost
savings of
• Improves efficiencies in $5,495 per
office practices by year for
having two office ~ cquipment
assistants in one location
rn
# OPTIONS ADVANTAGES COST
SAVINGS INCREASE
IN
REVENUE DISADVANTAGES
. ADDITIONAL
EXPENSE
4 Whitted full time with • Provide dental services • Increase in additional $255,751
Mobile Van. to approximately 300 personnel costs for (1 Increase in personnel
children during a school dentist, 2 dental and benefits costs.
Maintain fixed dental year. assistant/van driver)
clinic in Hillsborough • Delivering needed • Increase in operating • $56,379
and purchase a preventive and ~ expenses Increase in operating
Mobile Dental Public restorative treatment to • Unable to collect money at expenses.
Health Clinic. - high-risk children that time of service
include examinations, • Arrangement with schools to • $409,210
Efficiency/costs cleanings, sealants, park van and hook-up Increase in capital
Pt. Visits 6600 fluoride, restorations and • Maintenance of van over equipment $409,210
Net county cost per extractions. time
visit=$162 • Reduce broken • Place to store van at night • $721,340
Total county cost per appointments and weekends. Total costs of Mobile
visit=$234 • parent do not have to • Increase cost for security Dental Van.
take time from work to fence
attend appointments. ~~~. • Van replacement needed • $68,167
• Treat 10 Medicaid or every six years Van replacement cost
Healthchoice patients per • Decrease adult dental care over asix-year period
day x 4 days per access is $68,167 per year for
week=40patients x 35 $140,000 , Limits adult treatment to a total of $409,000.
weeks=1400 visits per one day per week on
yr. @ $100 per ~ Fridays.
visit=$140,000 in • Limits access to adolescents
revenue. and children who are in a
• Continue to treat existing home school.
patients of record from
the Carr Mill dental
000
$25
clinic on the van (parked ,
@ SHSC). Revenue
generated for 1,000 visits
per year @ $25 per visit:
• Use van at special events
in the community.
# OPTIONS ADVANTAGES
. COST
SAVINGS INCREASE
IN
REVENUE DISADVANTAGES ADDITIONAL
EXPENSE
5 Provide dental • Expand dental clinic to 8 65,000 • Expense of paying another • $200,000
services at Whitted chair clinic Lease provider for dental services Increase in cost for the
location, close Carr . Increase dental ~ ~ • Assuring quality of care and "Contract for Services
Mill and contract for appointment availability ~ standards of practice are Agreement" for 1,000
dental services for • Reduces cost of $54,946 being met. patient visits per year
residents who are @ duplicate dental over 10 • County liable for treatment for 500 patients at a
0-80% on self pay equipment if renovated. years is a or lack of treatment minimum charge of
sliding scale in properly cost provided $200 per visit
Southern Orange • Dental staff are in one savings of • Assuring that uninsured =$200,000.*
County. location. $5,495 per clients are being served • Chapel Hill Dentist
• Improves efficiencies in. Year for • Doesn't account for growth rates are at
Efficiency/costs office practices by equipment in population $217,583 for same
Pt. Visits 6100 having two office • Contract Administration number of services.
Net county cost per assistants in one location Documentation required by • $20,000
visit=$126 contract to include # of new 10 % cost of the
Total county cost per patients seen @ Piedmont; # of contract for contract
visit=$178 dental services provided; # of administration is
unduplicated patients registered $20,000.
(prior to contract would need to
know # of unduplicated patients # for self pay visits are
already registered in Piedmont 0-80% only.
Dental Clinic).
6 Contract for dental • Reduces personnel, Present • Expense of paying another • $420,000
services for residents operating, and equipment dental provider for dental services Contract for services
who are @ 0-80% on costs and expense of budget is for 2,100 patient visits would be a minimum
self pay sliding scale building $890,772 annually to 1,100 of $420,000 if $200*
for the entire county. Net county unduplicated patients was paid for each visit.
costs • Assuring quality of care and • Chapel Hill Dentist
Efficiency/costs $525,080 standards of practice are rates are at
Pt. Visits 2100 being met. $451,920 for same
Net county cost per • County liable for treatment number of services.
visit=$22 ~ or lack of treatment • $42,000
Total county cost per •~ provided 10 % cost of the
visit=$22 • Assuring that uninsured contract for contract
. clients are being served. administration is
$42,000.
# OPTIONS ADVANTAGES COST INCREASE DISADVANTAGES ADDITIONAL
SAVINGS IN EXPENSE
REVENUE
• Staff will lose their jobs and # for self pay visits are
be unemployed. 0-80% only.
• Doesn't account for growth
in population.
• Need to include in the
contract an escalation clause
for each year.
• Uncertainty of finding a
willing provider to enter into
the contract.
• Reasonable cost of
reimbursement for both
parties.
• Must maintain strict
monitoring of the
contractual services.
• Lowest level of services
provided to residents of
Orange County.
• Orange County residents
would be competing with
out of county residents for
limited appointment slots.
*Note 1: The $200 /per 0-80% patient visit is an estimate based on OCHD average charges which are equal to the Medicaid rate or
market value cost based on surroundin dental ublic health clinics.
* Note 1: Additional ex enses do not account for rowth in contract numbers over time.
EFFICIENCY/COSTS 09-10 OPTION #1 OPTION #
2 OPTION # 3 OPTION # 4 OPTION # 5 OPTION # 6
PATIENT VISITS 4126 7960 5100 7484 6600 6100 2100
NET COUNTY COST $127 $93 $99 $61 $162 $126 $22
TOTAL COUNTY COST $216 $172 $171 $149 $234 $178 $22
`~
Object Description FY 09-10 Budget Two full time
clinics Slnple'8 chair
clinic with
current also Singla 8 chair
clinic wNh
increase In
staff Whltted full
time with
Mobile Van Whltted }ull
tlm®, close CM
& contract for
services ';;DlscortflnUe
dental dlnlCS &
~ ?COn$8Ct for '
aetvloes
OPTION 1 OPTION 2 OPTION 3 OPTION 4 OPTION 5 OPTION 6
"' ENTER tit=VENUi'S AS NEGATIVI" NUI41t31'RS "'
Donations •$ - $ -
NON-MEDICAID -DENTAL $ 152 797 $ 306 000 $ '`" 177 825 348,209 $ 178 000 153 000'
DENTAL PROJECTS $ 3 000 - '$ - -
TITLE XIX -DENTAL 176 045 320 000 $ 190 600 255 281 $ 300 000 160 000
331 842 626 000 368 425 658 915 $ 478 000 313 000
:~a _ ..
AID TO COUNTY FUNDS - $ - $ "''
DENTAL PROJECT GRANTS $ - $ -
SMART START GRANT 33 850
$ 33850 . 'S - .,. ,
365 692 626 000 S 368 425 658 915 $ 478 000 313 000
PERMANENT SALARIES $ 480 409 $ 790 775 $ 480 409 698 805 $ '686 785 480 409 ' -
OVERTIME
HOLIDAY PAY $ 1090 $ 1 090 ~$' ' 1,090 ~`~°1 090 $ 1 090 1 090 '° °~"
LONGEVITY 7 533 $ 7 533 $ 7,533 7 533 $ 7 533 7 533
TEMPORARY PERSONNEL ~~ "'
TIME LIMITED TEMPORARY
SEASONAL
STUDENT INTERNS "`
SEPARATION ALLOWANCE
BOARD REMUNERATION
SOCIAL SECURITY $ 27 991 $ 44 827 $ 27,991 27 991 $ 38 379 27 991 '
MEDICARE $ 7 097 $' 11 597 $ 7 097 7 097 $ 10 089 7 097 " '' ~'_' ''
MEDICAL INSURANCE $ 77 849 122 374 $ 77 649 77 849 $ 99 368 77 849 `'
MED INS PMT IN LIEU
DENTAL INSURANCE $ 2 120 $ 3 870 $ 2 120 2 120 $ 2895 2 120
LIFE INSURANCE $ 1 047' $ 1 665 $ 1 047 '1 047 $ 1 378 1 047
RETIREMENT $ 23 850 ~$ 43 807 $ 23,850 ''23 850 37 120 23 850 '
NON SWORN 401 K $ - "'
~ 628,986 S 1,027,538 S 628,986 S 895 963 s 884 737 S 628,986 "'
n
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2
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0
Object Description FY 09-10 Budget Two full time
clinics Single B chair
clinic with
cun•ent stall. Single 8 chair
clinic with
Incraaae In
staff Whitted full
time with
A9obile Van Whiffed full
time, close CM
& contract for
services Discantlnue
dental clinics &
contract for
services
OPTION 1 OPTION 2 OPTION 3 OPTION 4 OPTION 5 OPTION 6
TRAVEL $ 25 $ 50 $'' 25 25 $ 25 25
TRAINING/DEVELOPMENT $ 279 ~ $ 558 $ 279 279` $ 479 279
CERTIFICATIONS & LICENSES $ 3,742 $ 7 484 $ 3 742 3 742 $ 5 619 3 742
PERSONAL MILEAGE $ 836 $ 1 672 $ 836 ''836 $ 1 136 836
TRAVEL ADVANCES
TELEPHONE $ 6,185 $ 15 654 $ ' 7 827 7 827 $ 7 827 7 827
POSTAGE $ 2,482 $ 4 964 $ 2,482 2 462 $ 2 482 2 482
MOTOR POOL $ 3 600
EQUIPMENT REPAIRS $ 2,000 $ 4 000 $ 2,000 2 000 $ 3 000 2 000 "` `
BUILDING RENT $ 62,291 $ 62 291
EQUIPMENT RENT $ 2,200 $ 2 200 5 1 100 1 100 $ 1 100 1 100
DUPLICATING $ 992 1984 $ 992 992 $ 1492 992
PRINTING
ADVERTISING
DUE5 $ 1,331 $ 2 708 $ '' 1 354 1 354" $ 2 334 1 354
SUBSCRIPTIONS
DEPARTMENTAL SUPPLIES $ 938 $ 600 $ 300 $ 300 $ 600 300 "`^
EDUCATIONAL SUPPLIES $ 400 $ 800 $ 400 500 $ 800 400 "
PASSENGER SAFETY SEATS
OFFICE SUPPLIES $ 2,025 $ 5 200 $ '' 2,600 2 600 $ 5 160 2 600
MEDICAL SUPPLIES $ 30,704 $ 61 408 $ 30 704 35 704 $ 45 614 30 7U4 '
BLOODBRNE PATH SUPPS $ 11,960 $ 23 920 $ " 11 960 15 960 $ 15 960 11 960 ' "
PHARMACY SUPPLIES
OTHER SUPPLIES SMALL EOUIP & INSTR $ 25 652
CONTRACT SERVICES $ 116,411 $ 83,688 $ 12d,di 1 89 411 $ 76 688 336 411 "$ ` 462 000
MEDICAUDENTAL SRVS
X-RAY
LAB SERVICES $ 999 $ 1 220 $ 610 610 $ 610 $ 610
BONDS & INSURANCE $ 6,101 $ 1 860 $ 1 360 1 360 $ 1 860 $ 1 360
UNIFORMS $ 7,885 $ 17,400 $ 8,700 8 7D0- $ 9 300 8 700
COMMUNITY PROJECT SUPPORT
CAPITAL UNDER $250
$ 261,786 S 299,661 $" 201 682 3 175 T82 f 211 338 $ 413 657 462 000
START-UP COSTS FOR VAN $ 10 000 '
EQUIPMENT $ 41 581 $ 41,581 $ 41 581' $ 41 581 41 581 u=
IT EQUIPMENT $ - $ -
FURNISHINGS $ - $ - $
VEHICLES $ - $ ` $ 399 210 $ . ',~ `
S - Z 41,581 $ `41581 $ 41,581 $ 450791 S 41581 ''
TOTAL EXPENSES $ 890,772 $ "1,368,780 i {T72<2aS?3 $ ~ s "~ =~3t 5 1 5~1G Li66 ~: L(1,~1,~2a $ 462 000
TOTAL REVENUES $ (365,692) $ (626,000) $ 368,425 $ (658,915 S (478,000) $ 313,000
TOTAL EXPENSES $ 890,772 $ 1,36$,7$0 S 87F•2~I9 `*r 7,1 ;3 ;26- 3 1;546,1J66 $ 1,{1f34,2.''.4 'S 462,000
NET COUNTY COSTS $ 525,080 $ 742,780 $ 503,824. `$ 454,41,1 S 1,068,666 $...771,224 S `462,DDD
I
Patient visit Increase tram 4200 to 7448
Contract for service visits ere for 0~0% visits only. 1,000 patient vIsIU for 500 unduplicated patients
w .. -..
- _ - r _.
1 for avlcp,ylolb aro for 0-80 visits onty 2i~Q(f I111~iai)k ylolLl Tat,~~~?(1~J u ~ ~~ _
Unfunded ca Ital needs for FY 10-11 totals 5113,192 (total Includes equipment from riot ears that was not funded).
Annual ca Itat re lacement allocation is $41581 for aten- ear CIP.
parr Mill Dental Health Patient Address Locations
7/ 1 /08 -6/30/Og
(Map Reflects 586 of the Total 783 Unduplicated Patient Visits}
end
Mill Dental Patients
aency
1-2
3-9
10 - 29
30- 116
is
A I I A[:HMFN I h __ I _S
Hillsborough Dental Health Patients Address Locations
7/1 /08 -6/30/09
(Map Reflects 859 of the Total 1090 Unduplicated Patient Visits)
• •. • .
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Legend
~ Hillsborough Dental Patierrts
~ Frequency
• • • 1-2
~ 3-9
10 - 29
30- 116
/vl~~I~r~~~ ~~~[ P~~P~ - ~~,~g~~~~
COUNTY NAME
SPECIALTY
DESCRIPTION
PROVIDER NAME
ADDRE55
CITY
STATE
ZIP CODE
PHONE
NUMBER, ACCEPTING
NEW
PATIENTS
NEW HANOVER GENERAL DENTIST MILLIGAN,LARIS,W 2250 SHIPYARD BLVD WILMINGTON NC 28403-8070 910 799-5000 Y
NEW HANOVER GENERAL DENTIST MORGAN FRAZELLE & LEE DDS DBA 1301 PHYSICIANS DRIVE WILMINGTON NC 28401-7352 910 761-0958
NEW HANOVER GENERAL DENTIST MORRIS & MORRIS DDS PA 2252 YAUPON DRIVE WILMINGTON NC 26401-7328 910 762-0786
NEW HANOVER GENERAL DENTIST NAIK-AZIZI;SAFIA, 215 RACINE DRIVE # 102 WILMINGTON NC 26403-8638 910 332-0687
NEW HANOVER GENERAL DENTIST PARKHURST,JOREY,E 5503 OLEANDER DRIVE WILMINGTON NC 28403-5813 810 392-1905
NEW HANOVER GENERAL DENTIST PIERCE, JR,KARL,O 1802 GLEN MEAD ROAD WILMINGTON NC 28403-6025 910 762-0991
NEW HANOVER GENERAL DENTIST ROBINSON,RONALD,E 2520 DELANEY AVE WILMINGTON NC 26403-6002 810 452-1860 Y
NEW HANOVER
NEW HANOVER
NEW HANOVER GENERAL DENTIST
GENERAL DENTIST
GENERAL DENTIST TREMAN MICHAEL C
WHITE R,HALLEY
WIRICK 8 ASSOCIATES DDS PA 1801 SOUTH 16TH ST
8115 MARKET ST
1611 GREENFIELD STREET WILMINGTON
WILMINGTON
WILMINGTON NC
NC
NC 28401-6608
28411-9387
28401-6455 910 762-4867
910 686-1869
910 342-9210
Y
Y
NEW HANOVER GENERAL DENTIST WULF,WALTER,J 2253 CAROLINA BEACH ROAD WILMINGTON NC 28401-7237 910 343-0630 Y
NEW HANOVER
NEW HANOVER
NEW HANOVER HEALTH DEPARTMENT
ORAL SURGEON
ORAL SURGEON NEW HANOVER COUNTY HEALTH DEPT
GAITROS,RONALD,D
HASSON,MICHAEL,L 2029 S 17TH STREET
1122 MEDICAL CENTER DRIVE
1221 FLORAL PARKWAY WILMINGTON
WILMINGTON
WILMINGTON NC
NC
NC 28401-6600
28401-7305
28403-6235 810 788-6680
910 763-5173
810 783-0440 Y
Y
Y
NEW HANOVER
NEW HANOVER
NEW HANOVER ORAL SURGEON
ORAL SURGEON
ORTHODONTIST KINNEBREW,MICHAEL C
SEMMEL,BRADY,J
RICHARDSON,GREGORY,L 1122 MEDICAL CENTER DRIVE
1122 MEDICAL CENTER DRIVE
2606 IRON GATE DRIVE WILMINGTON
WILMINGTON
WILMINGTON NC
NC
NC 26401-7305
28401-7305
28412-2494 810 763-5173
910 762-2618
910 452-7988 Y
Y
NEW HANOVER PEDIATRIC DENTIST FRY,DOUGLAS,S 2203 DELANEY AVENUE WILMINGTON NC 28403-6010 910 762-7736 Y
NEW HANOVER PEDIATRIC DENTIST KELLY,ROBERT,T 1635 DOCTORS CIRCLE WILMINGTON NC 28401-7405 910 343-1735 Y
NEW HANOVER PEDIATRIC DENTIST 5 TYSON&S HEANEY DDS PA 2606 IRON GATE DRIVE WILMINGTON NC 28412-2494 810 791-7380
NORTHAMPTON FOHC ROANOKE AMARANTH - RHG 9400 NC HWY 305 JACKSON NC 27645-3594 252 539-5920 Y
ONSLOW GENERAL DENTIST ANDERSON & SLACK PA 718A WEST CORBETT AVE SWANSBORO NC 28564-6452 910 326-3611
ONSLOW GENERAL DENTIST CONLEY,TERESA,G 1306 WEST CORBETT AVENUE SWANSBORO NC 28584-8464 910 326-2030 Y
ONSLOW GENERAL DENTIST COVERT,SHANIE,S 2024 HIGHWAY 172 SUITE A SNEADS FERRY NC 26460-0000 910 327-2273 Y
ONSLOW GENERAL DENTIST FUTRELL,STEPHEN,C 32 OFFICE PARK DRIVE JACKSONVILLE NC 28546-3217 910 353-8200
ONSLOW GENERAL DENTIST GILLIAM &GILLIAM PLLC 2 OFFICE PARK DRIVE JACKSONVILLE NC 28546-7325 910) 577-5077 Y
ONSLOW GENERAL DENTIST GILLIAM,MAXWELL,L 2 OFFICE PARK DRIVE JACKSONVILLE NC 28546-7325 910 577-5077
ONSLOW GENERAL DENTIST JAMES A HARROLD DDS 202 W 8 MCLEAN BLVD SWANSBORO NC 28584-7020 252 393-8168 Y
ONSLOW GENERAL DENTIST KAREN J ARMSTRONG 3160 HENDERSON DRIVE JACKSONVILLE NC 28546-0000 910 346-5600 Y
ONSLOW GENERAL DENTIST KRIEBEL,CARL R 1899-400 N. MARINE BLVD. JACKSONVILLE NC 28546-0000 910 219-4400
ONSLOW GENERAL DENTIST LESAN,JON,D 123 COBIA COURT JACKSONVILLE NC 28546-0000 810 247-1211
ONSLOW GENERAL DENTIST OBERRY,WALTER,S 200 PRESTON ROAD #B JACKSONVILLE NC 28540-5616 910 346-8066
ONSLOW GENERAL DENTIST O'HARA,MARTHA,J 922 HENDERSON DRIVE JACKSONVILLE NC 28540-7420 910 346-1133 Y
ONSLOW GENERAL DENTIST TAYLOR,VERONICA,L 47 OFFICE PARK DRIVE JACKSONVILLE NC 28546-7327 910 355-0300 Y
ONSLOW GENERAL DENTIST THOMAS E MORGAN& KIMBERLY 3445 HENDERSON DRIVE EXT JACKSONVILLE NC 28546-5233 810 347-1283
ONSLOW GENERAL DENTIST THOMAS W BELL, JR, DDS AND EDWAR 200 DOCTORS PARK JACKSONVILLE NC 28546-6308 810 353-5171
ONSLOW GENERAL DENTIST WARD,WADE,T 200-D PRESTON ROAD JACKSONVILLE NC 28540-5689 910 455-3686 Y
ONSLOW ORAL SURGEON MEADOWS SCHABERG LUTCAVAGE 46 OFFICE PARK DR JACKSONVILLE NC 28546-3217 910 353-3535 Y
ONSLOW PEDIATRIC DENTIST GILLIAM,CONNIE,B 2 OFFICE PARK DRIVE JACKSONVILLE NC 28546-7325 910 577-5077 Y
ORANGE FOHC CARRBORO COMMUNITY HEALTH CENTER 301 LLOYD STREET CARRBORO NC 27510-1823 919 842-8741 Y
ORANGE GENERAL DENTIST BERRY,GLORIA,L 305 MEADOWLAND DRIVE HILLSBOROUGH NC 27276-8502 919 732-8584 Y
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" FOHC -Federally Qualified Health Center
"" Out-of--State < = 40 miles
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Revision Date: September 3, 2010
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GOUNTY NAME
SPECIALTY ,
bESCRiPT10N
PROVIDER NAME
ADDRESS
CITY '
STATE
ZIP CODE
PHONE
NUMBER ACCEPTING;'.
NEW
PATIENTS
ORANGE GENERAL DENTIST DENTAL FACULTY PRACTICE 117 BRAVER HALL CB# 7450 CHAPEL HILL NC 27589-0000 819 966-3440 Y
ORANGE GENERAL DENTIST ELLIS,ANGELA,G 120 CONNER DR #201 CHAPEL HILL NC 27514-7092 919 960-0155
ORANGE GENERAL DENTIST ERIC DAVIS DDS, PLLC 603 HAMPTON POINTE BLVD HILLSBOROUGH NC 27278-0000 919 644-1800 Y
ORANGE GENERAL DENTIST HARDIN,ANNELISE,C 410 MARKET STREET CHAPEL HILL NC 27516-4061 918 967-2773 Y
ORANGE GENERAL DENTIST STUDENT DENTAL CLINIC CB# 7450 CHAPEL HILL NC 27599-7450 (918 966-3440 Y
ORANGE GENERAL DENTIST UNC HOSPITALS DENTAL CL 101 MANNING DRIVE CHAPEL HILL NC 27514-4220 (919 966-1487 Y
ORANGE GENERAL DENTIST UNIVERSITY OF NORTH CAROLINA CB #7450, 002 BRAVER HALL CHAPEL HILL NC 27599-7450 919 968-2275 Y
ORANGE GENERAL DENTIST WOODS,ELLA,J 1726 FORDHAM BOULEVARD CHAPEL HILL NC 27514-2332 819 842-6313 Y
ORANGE HEALTH DEPARTMENT ORANGE COUNTY HEALTH DEPT 300 WEST TRYON STREET HILLSBOROUGH NC 27278-2438 919 245-2435 Y
ORANGE ORAL SURGEON BLAKEY III,GEORGE,H 115 BRAVER HALL C6 7450 CHAPEL HILL NC 27599-7450 919 966-1126
ORANGE ORAL SURGEON FAULK-EGGLESTON,JAN, 149 BRAVER HALL CHAPEL HILL NC 27599-0000 819 966-2780 Y
ORANGE ORAL SURGEON RESIDE,GLENN,J CAMPUS BOX 7450 CHAPEL HILL NC 27599-7450 (819 966-1126 Y
ORANGE ORAL SURGEON TURVEY,TIMOTHY,A 117 BRAVER HALL CB # 7450 CHAPEL HILL NC 27599-0000 919 966-2241 Y
ORANGE ORAL SURGEON UNC AT CHAPEL HILL 115 BRAVER HALL CB# 7450 CHAPEL HILL NC 27599-7450 919 966-1126
ORANGE ORTHODONTIST LARRY J MORAY 8 ASSOCIATES 121 SOUTH ESTES DRIVE CHAPEL HILL NC 27514-2866 919 928-0105 Y
ORANGE ORTHODONTIST LARRY J MORAY DDS PA 121 S ESTES DRIVE CHAPEL HILL NC 27514-2666 919 933-3310 Y
ORANGE PEDIATRIC DENTIST CHAPEL HILL PEDIATRIC DENTISTRY 205 SAGE RD CHAPEL HILL NC 27514-6995 919) 929-0489 Y
ORANGE PEDIATRIC DENTIST THERESA CLIFTON DDS PLLC 223 TIMBER HILL PLACE CHAPEL HILL NC 27514-1597 919 933-1007
PAMLICO GENERAL DENTIST CORDES,ELIZABETH,H 403 HODGES STREET ORIENTAL NC 28571-9605 252 249-1551
PASOUOTANK GENERAL DENTIST DANDAR REGIS,A 217 SOUTH POINDEXTER ST ELIZABETH CITY NC 27908-4834 252 335-4421
PASQUOTANK GENERAL DENTIST JONES,CLIFFORD,B 407 SOUTH ROAD STREET ELIZABETH CITY NC 27909-4919 252) 335-0548 Y
PASQUOTANK GENERAL DENTIST JONES,CLIFFORD,B PO BOX 1287 ELIZABETH CITY NC 27909-4918 252 335-2106 Y
PASOUOTANK GENERAL DENTIST PEARSON,PAMELA,Z 1141 N ROAD STREET ELIZABETH CITY NC 27909-3354 252 335-5302 Y
PENDER GENERAL DENTIST MCALLISTER JR,MICHAEL,T 303 SOUTH MCNEIL STREET BURGAW NC 28425-5015 910 259-2548 Y
PENDER GENERAL DENTIST VALERIE COBLE DDS PA 302 S BENNETT STREET BURGAW NC 28425-5048 910) 259-2053 Y
PENDER GENERAL DENTIST YEPKO,HUBERT,J 162 BIG EAGLE ROAD ATKINSON NC 28421-9382 910 263-0449 Y
PENDER HEALTH DEPARTMENT PENDER COUNTY HEALTH DEPT 603 SOUTH WALKER STREET BURGAW NC 28425-5001 910 259-1230 Y
PENDER ORTHODONTIST CHERUBINI,MICHAEL,L 17550 US HIGHWAY 17 N HAMPSTEAD NC 28443-3316 910 270-0123 Y
PENDER ORTHODONTIST MANCINI,KEVIN,J 16406 US HWY 17N HAMPSTEAD NC 28443-0000 910 270-3334 Y
PERQUIMANS GENERAL DENTIST BOONE,JACK,L 212 AINSLEY DRIVE HERTFORD NC 27944-7800 252 426-5585 Y
PERSON FOHC PERSON FAMILY MEDICAL CENTER 702 NORTH MAIN STREET ROXBORO NC 27573-0350 336 589-9271 Y
PERSON GENERAL DENTIST PERKINS,CHARLES,E P 0 BOX 3520 ROXBORO NC 27573-3520 (336 599-9126
PERSON GENERAL DENTIST ROXBORO FAMILY DENTISTRY 347 S. MADISON BLVD. ROXBORO NC 27573-5464 919 528-4004 Y
PITT FOHC JAMES D BERNSTEIN COMMUNITY 261 BELVOIR HIGHWAY GREENVILLE NC 27634-8193 252 695-6352 Y
PITT GENERAL DENTIST ABDUL KARIM,HAKEEM,M 124 B BEACON DRIVE WINTERVILLE NC 26590-7864 252) 758-8500 Y
PITT GENERAL DENTIST DIXON,MICHAEL,B 3380 EAST WILSON STREET FARMVILLE NC 27828-0774 252 753-2216
PITT GENERAL DENTIST ECU FAMILY PRACTICE ECU SCHOOL OF MEDICINE GREENVILLE NC 27835-0000 252 744-4618 Y
PITT GENERAL DENTIST ECU PEDIATRIC DENTAL CLINIC 2150 HERBERT COURT GREENVILLE NC 27834-3736 252 744-3520 Y
PITT GENERAL DENTIST H J BROWN & ASSOCIATES DDS PA 410 W 14TH STREET GREENVILLE NC 27834-4074 252 758-8110 Y
PITT GENERAL DENTIST HARROLD HIGGINS MANI WATSON DDS 2140 WEST ARLINGTON BLVD GREENVILLE NC 27634-5709 252 355-5252 Y
PITT GENERAL DENTIST JASPER L LEWIS JR DDS PA 1025 JOHN HOPKINS DR GREENVILLE NC 27834-7227 252 752-6188 Y
• FOHC -Federally Qualified Health Center
"• Out-of-State < = 40 miles
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COUNTY NAME ' SPECIALTY
DESCRIPTION
PROVIDER NAME `
ADDRESS
CITY
STATE
" Z!P PHONE
`NUMBER NEW
`PATIENTS
NEW HANOVER GENERAL DENTIST BUTLER, DDS RICHARD S. 4837 CAROLINA BEACH RD SUITE 202 WILMINGTON NC 28412 910 799-9916 N
NEW HANOVER GENERAL DENTIST CAPARELLI & MELLIS DDS 910 S COLLEGE ROAD WILMINGTON NC 28403 (910) 392-2920 N
NEW HANOVER GENERAL DENTIST FORD, DMD BRIAN P. 3416 SOUTH COLLEGE ROAD WILMINGTON NC 28412 (910) 791-8770 N
NEW HANOVER GENERAL DENTIST FOWLER DDS PLLC DOUGLAS L 2520 N COLLEGE ROAD WILMINGTON NC 28405 (910) 790-3836 Y
NEW HANOVER GENERAL DENTIST GAUSE, DDS ROGER L. 417 N 7TH STREET WILMINGTON NC 26401 (910) 762-5961 N
NEW HANOVER GENERAL DENTIST KING, DDS MARY LYNN 3317 MASONBORO LOOP RD SUITE 140 WILMINGTON NC 28409 (910 791-7911 N
NEW HANOVER GENERAL DENTIST MARSHALL DENTAL EXCELLENCE 7643 MARKET STREET WILMINGTON NC 28411 910) 686.9802 N
NEW HANOVER GENERAL DENTIST MILLIGAN, DMD LARIS W. 2250 SHIPYARD BLVD SUITE 14 WILMINGTON NC 28403 (910) 799-5000 N
NEW HANOVER GENERAL DENTIST PARKHURST 8 BELISLE DDS PLLC 5503 OLEANDER DRIVE WILMINGTON NC 28403 (910) 392-1905 N
NEW HANOVER GENERAL DENTIST PRINGLE,PA, DDS WILLIAM W. 521 S FRANKLIN STREET WHITEVILLE NC 28412 (910) 640-3070 Y
NEW HANOVER GENERAL DENTIST ROBINSON, DDS RONALD E. 2520 DELANEY AVENUE WILMINGTON NC 28403 (910) 762-1772 Y
NEW HANOVER GENERAL DENTIST ROMUIUS, DDS JOHN M. 3725 WRIGHTSVILLE AVENUE SUITE A WILMINGTON NC 28403 (910) 799-9699 N
NEW HANOVER GENERAL DENTIST SCHIFFEL 8 CARTER DDS PA 4316 HENSON DRIVE WILMINGTON NC 28405 (910 395-1585 N
NEW HANOVER GENERAL DENTIST SMITH III, MD CLAYTON B. 1606 DOCTORS CIRCLE WILMINGTON NC 28401 910) 762-5235 N
NEW HANOVER GENERAL DENTIST SMITH, VINCENT R. 1300 BRIDGE BARRIER ROAD CAROLINA BEACH NC 28428 910 456-9401 Y
NEW HANOVER GENERAL DENTIST WALKER IIIDDS C CLAYTON 4405 JUNCTION PARK DRIVE WILMINGTON NC 28412 (910 350-6944 N
NEW HANOVER GENERAL DENTIST WIRICK 8 ASSOCIATES DDS PA 1611 GREENFIELD STREET WILMINGTON NC 28401 (910) 342-9210 Y
NEW HANOVER HEALTH DEPARTMENT NEW HANOVER CNTY HLTH DEPT 2029 SOUTH 17TH STREET WILMINGTON NC 28401 910) 798-6500 Y
NEW HANOVER PEDIATRIC DENTIST DIMOCK & WEINBERG DDS PA 3505 CONVERSE DRIVE SUITE 175 WILMINGTON NC 28403 (910) 784-2266 Y
NEW HANOVER PEDIATRIC DENTIST FRY, DDS DOUGLAS S. 2203 DELANEY AVENUE WILMINGTON NC 28403 (910) 762-7736 N
NEW HANOVER PEDIATRIC DENTIST KELLY, DDS ROBERT T. 1635 DOCTORS CIRCLE WILMINGTON NC 28401 (910) 343-1735 N
NEW HANOVER PEDIATRIC DENTIST SKIP TYSON DDS & STEPHANIE HEANEY 26061RON GATE DRIVE SUITE 200 WILMINGTON NC 28412 (910 791-7380 N
NORTHAMPTON GENERAL DENTIST RURAL HEALTH GROUP AT JACKSO 9409 NC HWY 305 JACKSON NC 27645 (252 536.5920 Y
ONSLOW GENERAL DENTIST BISHOP, DDS LLOYD T. 27 OFFICE PARK DRIVE JACKSONVILLE NC 26546 (910 577-7775 N
ONSLOW GENERAL DENTIST COVERT, DDS SHANIE S. 2024 HWY 172 SUITE A SNEADS FERRY NC 28460 (910 327-2273 Y
ONSLOW GENERAL DENTIST DEIGERT, DDS CHARLES A. 2681 RICHLANDS HWY JACKSONVILLE NC 28540 (910) 346-6696 N
ONSLOW GENERAL DENTIST DENTALWORKS 50 OFFICE PARK DRIVE JACKSONVILLE NC 28546 910 347-5151 N
ONSLOW GENERAL DENTIST FUGATE, DMD DEANA R. 13500 HWY 50 SUITE 104 SURF CITY NC 28445 (910) 329-0298 N
ONSLOW GENERAL DENTIST GILLIAM &GILLIAM PLLC 2 OFFICE PARK DRIVE JACKSONVILLE NC 28546 910 577-5077 N
ONSLOW GENERAL DENTIST HARROLD 8 SHOLAR 202 W B MCLEAN DRIVE CAPE CARTERET NC 28564 (252) 393-8168 Y
ONSLOW GENERAL DENTIST KRIEBEL, DMD CARL R. 1899 NORTH MARINE BLVD SUITE 400 JACKSONVILLE NC 28546 (910) 936-0790 N
ONSLOW GENERAL DENTIST LESAN, DDS JON D. 123 COBIA COURT JACKSONVILLE NC 28546 (910) 347-1211 N
ONSLOW GENERAL DENTIST O'HARA, DDS MARTHA J. 922 HENDERSON DRIVE JACKSONVILLE NC 28540 910) 346-1133 Y
ONSLOW GENERAL DENTIST TAYLOR-WILLIAMS, DDS VERONICA 47 OFFICE PARK DRIVE JACKSONVILLE NC 28546 910 355-0300 N
ONSLOW GENERAL DENTIST THOMAS E MORGAN & KIMBERLY M MORGAN 3445 HENDERSON DRIVE EXT JACKSONVILLE NC 28546 (910) 347-1283 N
ONSLOW GENERAL DENTIST THOMAS W BELL JR DDS & EDWARD G COV 200 DOCTORS DRIVE SUITE A JACKSONVILLE NC 28546 910 353-5171 N
ONSLOW GENERAL DENTIST WOHLGEMUTH, DDS GREGORY M. 1100 GUMBRANCH ROAD JACKSONVILLE NC 28540 (910) 347-2051 N
ONSLOW ORAL SURGEON DRS MEADOWS & SMITH 46 OFFICE PARK DRIVE JACKSONVILLE NC 28546 (910) 353-3535 N
ORANGE GENERAL DENTIST BERRY-HOLLY, DDS GLORIA L. 305 MEADOWLAND DRIVE HILLSBOROUGH NC 27278 (919) 732-8564 N
ORANGE GENERAL DENTIST DENTAL FACULTY PRACTICE UNC SCH OF DENT TARRSON HALL CB 7450 CHAPEL HILL NC 27599 (919) 966-2115 Y
ORANGE GENERAL DENTIST HARDIN, DDS ANNELISE C. 410 MARKET STREET SUITE 430 CHAPEL HILL NC 27516 919 967-2773 Y
ORANGE GENERAL DENTIST ORANGE COUNTY HEALTH DEPT 200 N GREENSBORO STREET CARRBORO NC 27510 (919) 968-2025 N
ORANGE GENERAL DENTIST PIEDMONT HEALTH SERVICES 121 KINGSTON DRIVE CHAPEL HILL NC 27516 919 933-8494 Y
ORANGE GENERAL DENTIST UNC SCHOOL OF DENTISTRY STUDENT CLINIC UNC DENTAL SCHOOL CALLER BOX 7450 CHAPEL HILL NC 27514 (919) 966-2115 Y
Revision Date: September 3, 2010
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Revision Date: September 3, 2010
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