13-Appendix F Dental Technical Workbook 8-12-25 Updated.xlsx

This document is a detailed technical workbook (Appendix F) for a dental provider disruption exhibit for the City of Albuquerque's dental insurance program. The exhibit contains comprehensive information on dental providers across New Mexico, listing 812 individual dental providers and practices with their Tax Identification Numbers (TINs), National Provider Identifiers (NPIs), practice names, addresses, and detailed claims and claimant data. The document is part of a solicitation for fully insured and self-funded group dental insurance services for city employees and participating entities, with providers spanning various specialties including general dentistry, orthodontics, and pediatric dentistry.

The technical workbook provides granular data on provider network status, including the number of claims, claimants, and procedures for each dental practice. The document indicates a comprehensive review of dental providers across zip code regions 870, 871, and 873, with detailed breakdowns of network participation, provider types, and location counts. The dental plan appears to offer a Preferred Provider Organization (PPO) model with in-network and out-of-network coverage, featuring an annual maximum of $1,500, a $50/$150 deductible, and 50% coverage for major services and orthodontics. The current benefit design allows for routine preventive services, basic restorative procedures, and major services with specific limitations on frequency and replacement periods, suggesting a structured approach to dental coverage for city employees and participating entities.