Participating Dentist Program

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Participating Dentist Program PARTICIPATING DENTIST PROGRAM September 2020 DIRECTORY OF PARTICIPATING DENTISTS Administered by FOR AN UPDATED LIST, LOG ON: www.uftdental.com Contents GENERAL INFORMATION GENERAL PRACTITIONERS NEW YORK Bronx.............................................................. 1 Brooklyn......................................................... 2 Dutchess........................................................ 4 Manhattan ...................................................... 5 Nassau........................................................... 6 Orange........................................................... 8 Queens .......................................................... 8 Rensselaer..................................................... 13 Rockland........................................................ 13 Staten Island .................................................. 13 Suffolk ............................................................ 14 Ulster.............................................................. 15 Westchester ................................................... 15 NEW JERSEY Bergen ........................................................... 16 Essex ............................................................. 16 Hudson........................................................... 16 Mercer............................................................ 17 Middlesex....................................................... 17 Monmouth...................................................... 17 Ocean ............................................................ 17 Passaic .......................................................... 17 Union.............................................................. 17 ARIZONA Maricopa ........................................................ 18 CONNECTICUT Fairfield .......................................................... 18 New Haven .................................................... 18 FLORIDA Broward.......................................................... 19 Collier............................................................. 19 Dade .............................................................. 19 Palm Beach ................................................... 19 MARYLAND Baltimore City ................................................ 20 NEBRASKA Douglas ......................................................... 20 NEVADA Clark .............................................................. 21 TEXAS Fort Bend ...................................................... 21 Harris ............................................................ 21 SPECIALISTS............................................................... 22-32 Endodontists Oral Surgeons Orthodontists Pediatric Dentists Periodontists Prosthodontists SATISFACTION QUESTIONNAIRE .............................. 33 GENERAL INFORMATION The UFT Welfare Fund Participating Dentist Program is designed to provide you with comprehensive dental services while reducing or eliminating your out-of-pocket expenses. If you or a member of your family who is covered for dental benefits wish to use a Participating Dentist, select one from this Director of Participating Dentists and call for an appointment. Updated listings are also available at www.uftdental.com. Be sure to identify yourself as an eligible member of the United Federation of Teachers Welfare Fund. Be aware that although several dentists may practice at the same location, only the dentist whose name appears in this Director is a UFT Participating Dentist. When you obtain your services from a Participating Dentist it does not in any way change the nature of your dental plan. Plan allowances are the same for services provided by a participating or non-participating dentist. However, if you use a Participating Dentist, the Fund will pay your dentist directly. If you use a non-participating dentist, the Fund will pay up to the maximum allowance set forth in the dental schedule and you will be responsible for the difference between that allowance and your dentist’s charge. This program was developed in cooperation with SIDS Consultants, who will monitor the performance of participating providers to ensure that appointments are freely given and honored and that charges for services do not exceed Maximum Charges listed in the UFT Welfare Fund Dental Schedule. You will not be required to pay the dentist any money except in the following few instances. For a covered, but non-reimbursable service. There are services listed in the dental schedule which, at times, are not payable by the plan. For example: restorations for cosmetic improvement; services for which the Alternate Benefit Provision is applied; where frequency limitations and/or plan maximums have been met. In these instances the Participating Dentist may not charge more than the Dental Schedule would have paid for those services, plus any applicable co-payments. For a specified co-payment. You are responsible to pay the dentist the patient co-payment amount for services listed in red in the Dental Schedule for certain high- cost services (crowns, bridges, dentures, root therapy, orthodontic treatment, intravenous anesthesia and treatment appliances). For a non-covered service. The Participating Dentist may not charge you more than his/her usual and customary charge for procedures that are not covered by the Dental Plan. Dental Implants: The surgical placement of an implant is not a covered expense. However, participating dentists have agreed to limit their charge for placement of an implant to $1,200. Refer to the UFT Welfare Fund Dental Schedule Item 14; UFT DISCOUNT ON NON-COVERED SERVICE (LISTED IN GREEN). Although the restoration or prosthesis placed on an implant is not covered, the plan will provide a Special Reimbursement to offset part of the cost for that service. Refer to the Dental Schedule Item 15; SPECIAL REIMBURSEMENT (LISTED IN BLUE). Your dental plan applies certain payment limitations based on frequency. For example, the plan will not pay for more than one oral examination in a six-month period, or more than one prophylaxis in a three-month period. Since it is not possible to determine in advance whether benefits will be available for these services, the dentist is entitled to request payment from you pending submission and adjudication of claim. If benefits are available, that money will be refunded. If you are eligible for dental benefits under another group dental plan in addition to the UFT Welfare Fund Dental Plan, the dentist is entitled to the benefits available from both plans. The combined payment for any procedure may not exceed the dentist’s usual and customary fee, and payment from the second plan will be applied first to reduce or eliminate any co-payments. It is important to understand that neither SIDS nor the UFT Welfare Fund recommends any particular dentist. You are responsible to select the dentist of your choice, and should exercise the same care and apply the same criteria in selecting a Participating Dentist that you would in selecting a non-participating dentist. Maintaining high standards of care and patient satisfaction is fundamental to the success of this program. To help in this regard, please complete the Member Satisfaction Questionnaire you can access at www.uftdental.com. If you need any help or have questions, concerns or sugges- tions regarding the program, please contact: SIDS P.O. Box 9005 Lynbrook, NY 11563-9005 516-394-9408 1-866-679-SIDS (7437) www.uftdental.com GENERAL PRACTITIONERS DR. DAVID FRAENKEL NEW YORK 2374 Grand Concourse Bronx, NY 10458 BRONX 718-365-6402 DR. DAVID BARNETT 1645 Grand Concourse #1J DR. GREGORY GANG Bronx, NY 10452 140-1 Casals Pl Co-op City 718-299-7012 Bronx, NY 10475 718-671-6000 DR. ROBERT BOGAN 5606 Broadway DR. MOSHE GLICK Bronx, NY 10463 3534 Riverdale Ave 718-549-5544 Bronx, NY 10463 718-601-0100 DR. PEPPINO BONELLI DR. PHILIP D`ARRIGO DR. JEFFREY GOLDEN 1475 Astor Ave 2505 Williamsbridge Rd Bronx, NY 10469 Bronx, NY 10469 718-653-2411 718-654-2320 DR. TONY CHEN DR. ERIC GOLDFARB 100 Elgar Place 466 E Fordham Rd Bronx, NY 10475 Bronx, NY 10458 718-671-6650 718-365-4300 DR. CHRISTOPHER CHOE DR. JASON GORDON 2426 Eastchester Rd #207 724 Pelham Pkwy S Bronx, NY 10469 Bronx, NY 10462 718-325-3250 347-281-9444 DR. OFER COHEN DR. PETER GROSS 2169 White Plains Rd 2967 Morgan Ave Bronx, NY 10462 Bronx, NY 10469 718-597-6314 718-655-1972 DR. OFER COHEN DR. NANDOR HALPERT 1 East Fordham Rd #4 7 Hugh J. Grant Circle Bronx, NY 10468 Bronx, NY 10462 718-365-0990 718-792-0137 DR. OFER COHEN DR. JAE JIN HONG 183 W 231st St 47 Westchester Sq Bronx, NY 10463 Bronx, NY 10461 718-543-1123 718-239-4300 DR. CHRISTOPHER DILLON DR. BORIS KATAYEV 64 Metropolitan Oval #9 417 E 138th St Bronx, NY 10462 Bronx, NY 10454 718-892-5095 718-292-6311 DR. VINCENT D`APPOLONIA DR. WALI KHAN 860 Grand Concourse #1M 1268 White Plains Rd Bronx, NY 10451 Bronx, NY 10472 718-993-4343 718-792-6991 DR. FARZIN FAROKHZADEH DR. VICTORIA KUSHENSKY 505 Claremont Pkwy 1200 Waters Pl #M-107 Bronx, NY 10457 Bronx, NY 10461 718-299-3600 718-822-8787 DR. RONALD FENER DR. KERN HO LEE 1049 E 163rd St 3600 Fieldston Rd #2C Bronx, NY 10459 Bronx, NY 10463 718-842-5020 718-884-2600 DR. RONALD FENER DR. TAMARA MARSH-VEIRA 3050 White Plains Rd 563 E Tremont Ave Bronx, NY 10467 Bronx, NY 10457 718-842-5020 718-466-4500 DR. JAY FENSTERSTOCK DR. ALEXANDER MIKHAILOV 55 E Mosholu Pkwy N 961 E 174th St #B150 Bronx, NY 10467 Bronx, NY 10460 718-652-7370 718-861-8060 1 GENERAL PRACTITIONERS DR. SHAHRIAR MOINAMINI
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