6-Appendix F Dental Technical Workbook 7-7-25.xlsx

This document is a technical workbook (Appendix F) for a Dental Provider Disruption exhibit related to the City of Albuquerque's dental insurance procurement. The exhibit contains a comprehensive list of 812 unique dental providers across various locations in New Mexico, primarily concentrated in Albuquerque, Rio Rancho, and Santa Fe. The document appears to be part of a solicitation for a fully insured dental benefit program for city employees and participating entities, with providers categorized by network status, specialty, and geographic location.

The technical workbook includes detailed provider information such as Tax Identification Numbers (TINs), National Provider Identifiers (NPIs), provider names, facility addresses, and contact information. The document outlines a request for vendors to complete specific exhibits in an Excel format, with instructions to maintain the original structure and not alter pre-labeled text. The dental plan appears to have a current benefit design with an annual maximum of $1,500, covering preventive, basic, and major services at varying reimbursement rates, and includes orthodontic coverage with a $1,200 lifetime maximum. The plan covers services for both children and adults, with specific limitations on frequency of treatments and waiting periods for certain procedures.