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NOTE: It is the responsibility of the patient to verify their dentist’s participation in the Delta Dental PPO & Premier Network before treatment. Please visit our website for current out-of-state and local listings. DeltaDentalOK.org DIRECTORY OF PARTICIPATING DENTISTS DELTA DENTAL PPO & PREMIER NETWORK DELTA DENTAL OF OKLAHOMA

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NOTE: It is the responsibility of the patient to verify their dentist’s participation in the Delta Dental PPO & Premier Network before treatment.

Please visit our website for current out-of-state and local listings. DeltaDentalOK.org

DIRECTORY OF PARTICIPATING DENTISTS

DELTA DENTAL PPO & PREMIER NETWORK

DELTA DENTAL OF OKLAHOMA

This list does not imply professional superiority of the participating dentists or clinics over any other licensed dentist, nor does it imply

that the dental fees of other licensed dentists differ from the Participants’ dental fees.

SPECIALTY CODES

10 Oral Surgeon

15 Endodontist

20 Orthodontist

30 Pediatric

40 Periodontist

50 Prosthodontist

60 Oral Pathologist

ANY QUESTIONS?Please contact Customer Service:405-607-2100 (OKC Metro)800-522-0188 (Toll Free)

Please mail claims to:Delta Dental of Oklahoma P.O. Box 548809Oklahoma City, OK 73154-8809

Providers may have the ability to provide secondary

language support and special accommodations for patients.

For more information, please visit our website at

DeltaDentalOK.org

ADAAHREND, MELINDA

PPO, Premier

BOONE, R T - 10PPO, Premier

BRATTON, BRYAN PPO, Premier

COERVER, BRIAN DPremier

CRAIG, LENA PPO, Premier

DEVAUGHAN, TYLER - 20PPO, Premier

EDWARDS III, BENJAMIN FPremier

EDWARDS, B FPremier

FITZGERALD, JAY - 20PPO, Premier

HALL, BRUCE Premier

HAYNES, JOE PPO, Premier

OSBORN, VASHTI PPO, Premier

TERRAL, WILLIAM PPO, Premier

VANBUSKIRK, PAULA E - 30PPO, Premier

WALKUP, RON Premier

WEEMS, MARK WPremier

ALTUSAMBROSE, JAMES K

Premier

GOODMAN, MARK Premier

HENRY, RICHARD GPremier

LAMB, WHITNEY PPO, Premier

TALLEY, NATHANIEL WPremier

TIMS, KARA CPPO, Premier

ALVALOTT, GARY G

Premier

PIERCE, JEFFREY PPO, Premier

SMITH, L GPPO, Premier

TUCKER, CHARLES RPremier

ANADARKOGRIFFITH, JAMES C

Premier

ANADARKOTHOMAS, JONATHON V

PPO, Premier

ANTLERSDUNCAN, TWANA

Premier

LAWLESS, CHANCE Premier

STEWART, TRENA KPremier

ARDMOREAJALA, JOACHIM

PPO, Premier

BELKNAP, JAMIE PPO, Premier

BULARD, RONALD APremier

CASTILLO, ERIC Premier

CROSS, GERALD VPremier

EDMONDS, R Premier

EL HENNAWEY, REHAM - 15PPO, Premier

GERKEN, C A - 20PPO, Premier

GRAVES, RON - 10PPO, Premier

GUTHRIE, CHARLES PPO, Premier

GUTHRIE, JAMIE LPremier

HAYNES, JOE PPO, Premier

HUGHES, ROBERT VPremier

JOHNSON, EDWINA VPPO, Premier

JOHNSON, ROBERT CPPO, Premier

KAHN, EDWARD PPO, Premier

KANAGARLA, SREEKANTH PPO, Premier

LAYMON, AMY RPPO, Premier

LEDBETTER, LES Premier

LITTEKEN, EUGENE - 30PPO, Premier

LORDS, JONATHAN C - 30PPO, Premier

MONTEMAYOR, FRANCIS MPremier

RYAN, WILLIAM RPPO, Premier

ARDMORESJULIN, JOHN L

PPO, Premier

SOUTHERLAND, AARON C - 10PPO, Premier

STORTS, JESSE DPremier

STORTS, LAUREN Premier

STORTS, TRAVIS MPremier

STREIGHT, JOHN APPO, Premier

STRETESKY, TONY - 20PPO, Premier

SUDBERRY, THOMAS BPremier

TERRAL, WILLIAM PPO, Premier

TREANOR, JOSEPH Premier

TURNER, HEATHER PPO, Premier

WALLACE, PATRICK - 10PPO, Premier

WARREN, ROBERT LPPO, Premier

WASHINGTON, PHILLIP Premier

WILLIAMS, ALEXANDER DPPO, Premier

WORTHEN, TAMARA B - 30PPO, Premier

ATOKADIAL, MICHAEL L

PPO, Premier

HOOKOM, MATHEW DPremier

BARTLESVILLEANDREWS, ROGER S

PPO, Premier

ARMSTRONG, STEVEN PPO, Premier

BEARD, STEPHEN PPO, Premier

BOREN, KEITH PPO, Premier

BRECHEISEN, SCOTT KPPO, Premier

BULLEIGH, AARON PPO, Premier

BUTLER, J R - 40PPO, Premier

CARDON, CREED PPO, Premier

CLEMENT, RICHARD APPO, Premier

BARTLESVILLECLENDENEN, LLON H - 20

PPO, Premier

COCHRAN, CRAIG S - 10PPO, Premier

CRONIN, PHILLIP PPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

FARR, RILEY PPO, Premier

HART, RON Premier

HERMAN, ROBERT J - 20PPO, Premier

KAHN, EDWARD PPO, Premier

KY, FELIX PPO, Premier

LARD, JOHN BPPO, Premier

LE, SALLY PPO, Premier

LINDBLOM, JON M - 30PPO, Premier

LUMPKIN, LUCAS PPO, Premier

LYLE JR, R RPremier

MILES, STEVEN PPO, Premier

NIELSEN, ERIC PPO, Premier

OWENS, TYLER - 30PPO, Premier

POTTER, HEATH MPremier

SHUTE, GEORGE APPO, Premier

STAPLETON, DAVID - 40PPO, Premier

STREET, SCOTT PPO, Premier

SWISHER, BRENDON MPremier

THOMPSON, WESLEY PPO, Premier

TURNER, HEATHER PPO, Premier

UNRUH, MARK - 20PPO, Premier

VIVIAN, THOMAS PPO, Premier

WEST, SCOTT SPPO, Premier

WILLARDSON, DAVID PPO, Premier

WILLIAMS, ALEXANDER DPPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 1 of 22

BARTLESVILLEWILLIS, JOSEPH

PPO, Premier

BEAVERBECKER, TIMOTHY J

PPO, Premier

BETHANYALGEO, CLAY

Premier

BALENSEIFEN, MARK - 50PPO, Premier

BRASHER, JOSHUA PPO, Premier

CLIFFORD, CAMERON PPO, Premier

DAVIS, FRANCIS APremier

HARDMAN, GREG Premier

MAY-JONES, AUDREY LPPO, Premier

MCKAMIE, J Premier

OLSON, LARRY PPO, Premier

WALLACE, JASON PPO, Premier

BIXBYANDERSON, GERALD

PPO, Premier

CHURCH, SHERRY PPO, Premier

HANUS, JAKE PPO, Premier

HENRY, BLAKE - 20PPO, Premier

HINE, CRAIG PPO, Premier

KNAPP, JASON PPO, Premier

LAD, BEENA PPO, Premier

LAD, TEJ PPO, Premier

MADDOX, ROY GPremier

NOWLIN, RYAN V - 20PPO, Premier

NOWLIN, VAN L - 20PPO, Premier

REAVIS, TERRY PPO, Premier

RIDDEL, ROSS PPO, Premier

TROCKEL, MARTIN FPPO, Premier

BLACKWELLBURKETT, TRAVIS D

PPO, Premier

FRANCIS, BRETT PPO, Premier

MAUNE, MATTHEW PPO, Premier

MAY-JONES, AUDREY LPPO, Premier

NEALE, AARON MPremier

BLANCHARDAYERS, NEIL

PPO, Premier

MAYHUE, TOMMY LPremier

TURNEY, TRAVIS PPO, Premier

BRISTOWCORWIN, DEBORAH

PPO, Premier

CORWIN, JAMES PPO, Premier

HENDRICKSON, AMANDA PPO, Premier

PETTIT, JAY WPPO, Premier

BROKEN ARROWAL SALAYTA, MUHANNAD

PPO, Premier

ANDREWS, ROGER SPPO, Premier

ASHMORE, GLENN APPO, Premier

BAIRD, MICHAEL PPO, Premier

BARNES, ADAM TPPO, Premier

BEDDOE, RAY - 40PPO, Premier

BEVINS, MICAH JPPO, Premier

BUSO, HANNAH PPO, Premier

CANNON, PATRICIA DPPO, Premier

CARDON, CREED Premier

CARLILE, DENNIS JPremier

CLARKE, TRISCHA PPO, Premier

CLOTHIER, EVAN PPO, Premier

CULLENS, ROCKY - 10PPO, Premier

DANG, BAO-HANH TPPO, Premier

BROKEN ARROWDAVIDSON, GARY C

Premier

DEEM, STEVE PPO, Premier

DILLARD, KATHERINE PPO, Premier

DO, DAVIS PPO, Premier

DO, STEVEN PPO, Premier

DOMONEY, KALI Premier

DOMONEY, MYRNA Premier

EL HENNAWEY, REHAM - 15PPO, Premier

EMERSON, CLINTON W - 20PPO, Premier

ENDICOTT, DREW Premier

EVANS, HEATH - 10PPO, Premier

FAGAN, RANDY PPO, Premier

GARRETT, JOHN APPO, Premier

GENTLING, TODD Premier

GOLBEK, ERIC PPO, Premier

GRIFFIN, THOMAS - 20PPO, Premier

HAMMOND, LINDSEY PPO, Premier

HELMERICH, LINDSEY PPO, Premier

HIATT, WILLIAM GPPO, Premier

HODGE, W MPremier

HOGG, STEVEN WPremier

HOLLEMAN, VALERIE PPO, Premier

HOOPES, MITCHELL JPremier

HUGHES, TIMOTHY Premier

JACKSON, MELISSA PPO, Premier

JOHNSON, D - 10PPO, Premier

KAHN, EDWARD PPO, Premier

KENNEDY, THOMAS JPPO, Premier

KINCAID, MATTHEW MPPO, Premier

BROKEN ARROWKNAPP, JASON

Premier

KNOX, STEPHEN FPPO, Premier

KY, FELIX PPO, Premier

LANDER, LARRY D - 10PPO, Premier

LE, SALLY Premier

MONGRAIN, ROBERT BPremier

NAAMAN, MAZEN PPO, Premier

NGUYEN, KALVIN PPO, Premier

NIELSEN, ERIC Premier

OVERTON, BRADFORD PPO, Premier

OWENS, JAMES F - 30PPO, Premier

OWENS, SAMUEL APPO, Premier

PARKS, BENNETT PPO, Premier

PARRISH, KYLIE RPPO, Premier

PRINCE, LARRY OPPO, Premier

RHODES, ANGELA PPO, Premier

RIDDEL, ROSS PPO, Premier

ROGERS, JOHN MPPO, Premier

ROGOZHKINA, KRISTINA PPO, Premier

RYAN, WILLIAM RPPO, Premier

SEGRAVES, GREGORY D - 10PPO, Premier

SHOOP, JOSEPH PPO, Premier

SMITH, JORDON Premier

SPRAGUE, TAYLOR Premier

STARKEY, JOHNNY B - 30PPO, Premier

STOS, DANNY PPO, Premier

STRAND, MIKE - 15PPO, Premier

STREET, SCOTT PPO, Premier

TA, SERENA PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 2 of 22

BROKEN ARROWTAT, ANTHONY

PPO, Premier

TEWIS, SHANE PPO, Premier

THEOBALD, GARY EPPO, Premier

THOMAS, REGGIE DPPO, Premier

TRAMMELL JR, VIC HPremier

TRAMMELL, VIC H - 10PPO, Premier

TURNER, HEATHER PPO, Premier

WILLIAMS, ALEXANDER DPPO, Premier

WOODARD, DAVID - 15PPO, Premier

ZHAO, XUEMEI PPO, Premier

BROKEN BOWHEARNE, O B

Premier

ZIEGLER, MARK WPPO, Premier

CANTONNGUYEN, LUKE-HIEU

PPO, Premier

CARNEGIECAMERON, JAMIE

Premier

CATOOSABREWER, MICHAEL L

PPO, Premier

FRANKLIN, RICHARD PPO, Premier

HUYNH, DAVID PPO, Premier

KENNEDY, THOMAS JPPO, Premier

MAHDY, ALI PPO, Premier

MICHAELSEN, SOREN PPO, Premier

SIMS, GEOFFREY PPO, Premier

TEWIS, SHANE PPO, Premier

CHANDLERDICKSON, JERRY

PPO, Premier

SCHAFER, NICKI LPPO, Premier

TEMPLETON, C K - 10PPO, Premier

CHECOTAHBARNES, ADAM T

PPO, Premier

CHANCELLOR, DOUG PPO, Premier

COLEMAN, HEATH PPO, Premier

MEADOR, JOSEPH MPPO, Premier

REGAN, TIMOTHY DPPO, Premier

SUMMERLIN, ALLEN PPO, Premier

CHELSEAWESTFALL, BRAD G

PPO, Premier

CHEROKEENGUYEN, LUKE-HIEU

PPO, Premier

OISTER, JANA Premier

CHEYENNESHRADER, STEVEN E

Premier

CHICKASHABHAKTA, RASILA

PPO, Premier

BURRILL, CARAH PPO, Premier

DILLON, RICHARD SPremier

EATON, DEBRA APremier

HAN, SARAH PPO, Premier

JOHNSON, RICHARD L - 10PPO, Premier

MAI, AN PPO, Premier

METTRY, MARK EPremier

PERRYMAN, REED Premier

PHILLIPS, JOHN Premier

REVELS, STACY LPremier

THOMAS, JONATHON VPPO, Premier

TORBERT, CLARK PPO, Premier

WILLIAMS, GEORGE WPremier

CHOCTAWCLARKE, JONATHAN

PPO, Premier

CHOCTAWGASBARRA, TRACY

Premier

MAY, JUDSON PPO, Premier

PORTER, ALLISON Premier

RENFROW, SCOTT - 40PPO, Premier

RIDPATH, DAREK PPO, Premier

CLAREMOREBATTLE, JOHN

PPO, Premier

BATTLE, JUSTIN CPPO, Premier

BOREN, KEITH PPO, Premier

CANNON, DANIEL - 10PPO, Premier

CARDON, CREED PPO, Premier

DAVIDSON, GARY CPPO, Premier

DILLARD, KATHERINE PPO, Premier

FLINT, CHARLES M - 20PPO, Premier

GRUENBERG, ROBERT APremier

HAMMOND, LINDSEY PPO, Premier

HARE, L PPO, Premier

HASKINS, RANDALL Premier

JIN, LINFAN PPO, Premier

KIM, JOHN DPPO, Premier

MAILOT, KEVIN Premier

MURRAY, WARREN LPPO, Premier

PAHLEVANYAN, TYGRAN PPO, Premier

PATEL, ANAND N - 20PPO, Premier

REED, DARRYL DPPO, Premier

REEDER, BILLIE TPPO, Premier

ROSS, ROBIN MPPO, Premier

SCOTT, STEVEN RPPO, Premier

TORABI, ALI PPO, Premier

CLAREMOREVANDIVER, JONAH R

PPO, Premier

WILLHOITE, LAURA L - 20PPO, Premier

WILLHOITE, M KPremier

YOUNG, ABBY RPPO, Premier

CLAYTONWOMACK, BOB

PPO, Premier

CLEVELANDOLIVER, STEVEN D

Premier

TURNER, DWIGHT LPPO, Premier

CLINTONBAKER, JAMES - 10

PPO, Premier

BOONE, DAVID LPremier

CARLSON, PETER L - 10PPO, Premier

MCGARRY, ANDREW - 10PPO, Premier

MIYAKE, ALAN A - 10PPO, Premier

OHALLORAN, KEVIN FPremier

SCHOONMAKER, DEVIN PPremier

SERFOSS, KYLE LPremier

SIMON, FLOYD Premier

COALGATECRAIG, LENA

Premier

COLLINSVILLEBOWLER, MELISSA

PPO, Premier

HEREFORD, JAMES PPO, Premier

COWETABRAUMILLER, ALLEN S

PPO, Premier

HARWOOD, MARK PPO, Premier

JACKSON, MELISSA PPO, Premier

REID, CHAD PPO, Premier

WALLIS, DENNIS LPPO, Premier

WALLS, MATTHEW JPPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 3 of 22

COWETAWARLICK, KATIE L

PPO, Premier

WARLICK, MATTHEW EPPO, Premier

CRESCENTFRAZIER, NATALIE M

PPO, Premier

KELLY, MARK PPO, Premier

CUSHINGBROWN, NATHAN

Premier

CARDON, CREED PPO, Premier

DAVIS, REBECCA Premier

FIELDS, LONDELL Premier

JOHNSON, KATELYN Premier

NAIL, CARSON LPremier

WILLARDSON, DAVID PPO, Premier

WILLIAMS, BRUCE MPPO, Premier

DEL CITYGOODWIN, CHARLES

Premier

KRUG, MICHAEL Premier

MICHELS, CLAY CPPO, Premier

NAGHDI, GOLNAZ Premier

SCOTT, CHARLES PPO, Premier

SIGMON, SAMUEL CPPO, Premier

UNTRAUER, STEVEN RPremier

DEWEYBULLEIGH, NATHAN

PPO, Premier

DRUMRIGHTBURKETT, TRAVIS D

PPO, Premier

MCNAIR, DANIEL SPPO, Premier

MERRITT, KIMBERLY PPO, Premier

ROULSTON, TYSON PPO, Premier

SPOTTSWOOD, TRISTANNE MPPO, Premier

DRUMRIGHTVENK, AMANDA

PPO, Premier

DUNCANATKINS, CHRISTOPHER - 10

PPO, Premier

BEESON, WILLIAM EPremier

BEHRMANN, MICHAEL C - 20PPO, Premier

BRIDGES, MATTHEW Premier

DAVIS, GERALD DPremier

DAVIS, GERRAD Premier

ELLIOTT, MICHAEL RPPO, Premier

GLIDDON, MICHAEL J - 10PPO, Premier

GREGG, STEVEN WPremier

HALL, KENT C - 20Premier

MILLER, DAVID L - 10PPO, Premier

NELSON, MICHAEL EPremier

NELSON, RODNEY Premier

NUGENT, TJ PPO, Premier

SCHICK, ROBERT DREW Premier

SHORES, COTY Premier

WHITE, JAY LYNN PPO, Premier

WOOD, PAUL S - 10PPO, Premier

DURANTBEAVER, BRANDON

Premier

BULLARD, BLAKE MPPO, Premier

CARPER, CHASITY Premier

CARPER, JASON DPremier

CRAIGE, D DPPO, Premier

EVANS, MICHAEL PPO, Premier

GRAVES, RON - 10PPO, Premier

HAYNES, JOE PPO, Premier

DURANTHUTCHENS, C T

Premier

LEE, DAVID PPO, Premier

MAHDY, ALI PPO, Premier

MARCUM, TAYLOR Premier

ROBERTS, CASEY PPO, Premier

SOUTHERLAND, AARON C - 10PPO, Premier

WALLACE, PATRICK - 10PPO, Premier

EDMONDALLEN, DAVID L

Premier

ALLEN, MARK JPremier

ALSPAUGH, MICHAEL Premier

ARLEDGE, MARC Premier

ASHBURN, DONALD GPPO, Premier

BALL, VICTORIA - 15PPO, Premier

BARTON, TAYLOR Premier

BENBAJJA, ABDESSAMAD Premier

BENDER, KARI EPremier

BLOSSFELD, CAROL Premier

BOWERS, BLAIRE - 40Premier

BRASHER, GREGORY Premier

BRASHER, JOSHUA Premier

BREWER, ADAM PPO, Premier

BROCK, JOSHUA Premier

BROOKS, TIM JPremier

BROWN, NATHAN Premier

BROWN, THOMAS KPPO, Premier

BUCHANAN, JAMES MPremier

CARSON, STEVE RPPO, Premier

CASH, STEPHEN RPremier

EDMONDCHANDLER, MICHAEL

PPO, Premier

CHEATHAM, DON - 30PPO, Premier

CHENG, MICHAEL PPO, Premier

CLARK, R LYNN PPO, Premier

CLIFFORD, CAMERON Premier

COWDEN, SETH PPO, Premier

EATON, ERIKA LPPO, Premier

ECKROAT, DIRK B - 30PPO, Premier

EDWARDS, JEREMY - 10PPO, Premier

ELIOT, LEE APremier

FARLEY, JAMES EPremier

GARZON, MARTHA - 30PPO, Premier

GRAY, PHILIP Premier

GRIFFIN, SHANNON LPremier

HANSEN, MICHAEL Premier

HARRAMAN, PRESTON Premier

HARRIS, JOE MPremier

HARROD, K CULLEN Premier

HAYS, TANNER HPremier

HETRICK, CHARLES WPremier

HIEGER, CONNOR Premier

HOLLOMAN, MATTHEW Premier

HOOPER, C BPPO, Premier

HOOPER, JAMES DPremier

JARJOURA, ELI Premier

JOHNSON, DAMON RPremier

JONES, SAM P - 10PPO, Premier

KIERL, PETER - 20PPO, Premier

KIERL, T PHILIP - 20PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 4 of 22

EDMONDKLAUS, LAUREN - 40

Premier

KOOP, GENE MPPO, Premier

KRAMER, MITCHELL WPremier

KUTLESA, BRENT PPO, Premier

LAMB, ROBERT - 10PPO, Premier

LANGFORD, LETA PPO, Premier

LEWIS, SHANNON M - 20PPO, Premier

MADAMBA, JORGE PPO, Premier

MARLEY-HARROD, SAMANTHA LPremier

MARTIN, MARY PPO, Premier

MCINTIRE, TRACY - 10PPO, Premier

MCKINNEY, MICHAEL - 10PPO, Premier

MERIDETH, MARK PPO, Premier

MILLER, LINDSEY PPO, Premier

MONTGOMERY, RONALD KPPO, Premier

NANDA, RUCHI - 20PPO, Premier

NOSRATI, MIRIAM PPO, Premier

PECK, JAMES CPremier

PITT, GRANT Premier

POLKINGHORNE, JOHN GPremier

PORTER, BEAU PPremier

RADFAR, LIDA PPO, Premier

REED, KAREN GPremier

RIOS, ANDREA O - 20PPO, Premier

RUDD, MACK Premier

SAFI, RICHARD Premier

SEARCEY, SCOTT - 10PPO, Premier

SIGLER, STEFFAN PPO, Premier

SMITH, MICHAEL KPremier

EDMONDSTEELE, ROBERT C - 30

PPO, Premier

STRANGE, STEVEN Premier

SULLIVAN, JACKSON L - 15PPO, Premier

TALLEY, JAMIE Premier

TEMPLETON, C K - 10PPO, Premier

THOMAS, BLAIR - 10PPO, Premier

TUCKER, JOSEPH PPO, Premier

VASQUEZ, ZENEIDA G - 10PPO, Premier

WALLACE, MICHAEL Premier

WARD, WILLIAM SPPO, Premier

WAUGH, W SCOTT Premier

WEAVER, ZANE MPremier

WEDEL, COURTNEY PPO, Premier

WHITFIELD, HEATH A - 30PPO, Premier

WILGUESS, DANIEL JPremier

WILLCOX, RALPH Premier

WILLCOX, VINCE Premier

WILLOUGHBY, JACK EPremier

EL RENOBRASHER, JOSHUA

Premier

COHLMIA, ADAM Premier

FAULCONER, CHRISTOPHER WPremier

GUENTHER, WESLEY PPO, Premier

HIGGINSON, JAKE Premier

JOERN, JAMES PPO, Premier

KARIYA, BRYAN PPO, Premier

KIERL, M J - 20PPO, Premier

KIRK, MICHAEL KPremier

MARRIOTT, JUSTIN Premier

EL RENOSHAFER, BRIAN

Premier

TATE, RAY PPO, Premier

WHITE, ROBIN Premier

ELGINMCKINNIS, JACK L

PPO, Premier

ELK CITYGLADD, BILL

Premier

HIGGINS, DARIN Premier

MORRISON, JACK TPremier

NOWLIN, LISA APremier

NOWLIN, ROBERT FPremier

ENIDAJMANI ELERA, PARUL

PPO, Premier

BLUBAUGH, W CPremier

BOWMAN, CURTIS J - 10PPO, Premier

BREECE, GARY L - 20PPO, Premier

BRORSEN, RUSSELL Premier

BROWN, DAVID Premier

BURRILL, CARAH PPO, Premier

CHALOUPEK, ELIZABETH APPO, Premier

CHASTAIN, CARRIE LPPO, Premier

DARROW, MEGAN PPO, Premier

DICKINSON, SCOTT PPO, Premier

DURR, STEVE CPremier

FAGAN, CHRIS PPO, Premier

FAGAN, TIM R - 30PPO, Premier

GEUNES, ROB PPO, Premier

GRIESHOBER, KURT SPremier

GRIMES, LISA RPPO, Premier

HEALY, STEPHANIE PPO, Premier

ENIDHERBST, STEPHANIE

Premier

HILL, TODD PPO, Premier

JONES, ARONDA PPO, Premier

KINER, LARRY EPremier

LACK, JARROD DPremier

MABRY, JAMES PPO, Premier

MILLER, GARY W - 10Premier

MOORE, BOBBY Premier

MOREHART, DENNIS Premier

NGUYEN, LUKE-HIEU PPO, Premier

POTTER, BENNY PPO, Premier

ROBERTS, DAULTON Premier

ROBERTS, ERIN KPremier

RYAN, WILLIAM RPPO, Premier

TAYLOR, BILL EPremier

THOMAS, JOHN Premier

THOMAS, PAUL PPO, Premier

VINCENT, DIANE PPO, Premier

WEDEL, COURTNEY PPO, Premier

WILLIAMS, RYAN P - 20PPO, Premier

YUSEF, SANA PPO, Premier

EUFAULADEW, ROBERT M

Premier

MCINTOSH, ROLEY DPPO, Premier

MCINTOSH, S PPPO, Premier

FAIRFAXBEN, MICHAEL S

PPO, Premier

FOX, MICHAEL JPPO, Premier

PHILIP, JUDY PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 5 of 22

FAIRVIEWHIEBERT, JUNE J

PPO, Premier

FORT GIBSONEVANS, FRANK J

PPO, Premier

NELSON, MICHAEL PPO, Premier

WALKER, ANDREW Premier

WALKER, JESSICA Premier

FREDERICKANDERSON, CLAY

Premier

GLENPOOLBONNET, BRYAN E

PPO, Premier

FISCHER, GERHARD Premier

GEORGY, DALIA PPO, Premier

MOHANNA, PARNAM PPO, Premier

NOAH, RYAN PPO, Premier

POTTORFF, ADAM LPPO, Premier

WHITE, WILLIAM SCOTT Premier

GOREMCGEE, ARNIE D

PPO, Premier

GROVEACKER, BRADLEY G

PPO, Premier

BEAVER, ALLEN PPO, Premier

CRAWFORD, AUDREY Premier

CRAWFORD, STANLEY Premier

GLENN, STEPHEN OPremier

HACKER, STEFAN SPremier

HOOVER, JOHN Premier

JOBST, KARL RPPO, Premier

KENNEDY, THOMAS JPPO, Premier

MARAVICH, JOHN KPPO, Premier

MILLER, RICHARD Premier

GROVENAAMAN, MAZEN

PPO, Premier

PHILLIPS, CRYSTAL LPremier

ROBINSON, KIRBY JOE PPO, Premier

SHERWOOD, STUART PPO, Premier

STRAHM, ELGIN RPremier

VAUGHAN, RAEGAN Premier

GUTHRIEBROWN, NATHAN

Premier

BUMPAS, BRYAN CPremier

HOLDEN, LORI Premier

PROUD, NATHAN NPPO, Premier

SMITH, TERRY Premier

TURNEY, LEWIS FPremier

GUYMONBOHLANDER, R A

Premier

COCONU, MARIANA Premier

PHIPPS, GARRETT Premier

HARRAHBOWMAN, BENJAMIN

PPO, Premier

BROWN, DAVID PPO, Premier

CHINN, JACK MPremier

CLARKE, JONATHAN PPO, Premier

KYRK, ERIC DPremier

HEALDTONBREWER, CALEB J

Premier

BREWER, GARY TPremier

HEAVENERMEAD, ERIC J

Premier

HENNESSEYCOX, KAREN A

PPO, Premier

FERRELL, ANNA PPO, Premier

HENRYETTAEVANS, BEAU B

PPO, Premier

HERMAN, ROBERT J - 20PPO, Premier

JOHNSON, JEREMY SPPO, Premier

NELSON, E MPPO, Premier

HINTONKOCH, HEATHER R

Premier

HOBARTKRUSKA, J L

Premier

TALLEY, NATHANIEL WPremier

HOLDENVILLELAVALLEY, JOE

Premier

HOLLISLIVELY, DUSTIN

PPO, Premier

HOMINYFOX, MICHAEL J

PPO, Premier

PHILIP, JUDY PPO, Premier

HUGODEATON, STEVEN M

Premier

ROWLAND, WADE PPO, Premier

IDABELDENNINGTON, GARY

Premier

PATRICK, MARC Premier

INOLALASTER, S SCOTT

PPO, Premier

JAYWILCOX, CHRISTOPHER

Premier

JENKSBEAVER, ALLEN

PPO, Premier

COATNEY, RUSSELL EPPO, Premier

LAD, BEENA PPO, Premier

RAY, KEVIN CPremier

SESSOM, CARRIE Premier

JENKSSIMER, NEWTON

PPO, Premier

KINGFISHERBARNETT, CHRISTOPHER

Premier

BOWMAN, BENJAMIN Premier

DANNER, JEFFREY CPremier

HENDRIX, DREW Premier

KINGSTONNELSON, JEFFREY

PPO, Premier

KONAWAMEEKS, STEPHANIE A

PPO, Premier

KREBSLUCKETT, ANGELO

PPO, Premier

LANGLEYBIRD, GEORGE M

PPO, Premier

GLENN, STEPHEN OPremier

HACKER, STEFAN SPremier

HOOVER, JOHN Premier

LANGSTONDIGUMARTHI, VENKATA

PPO, Premier

GRANT, VANISIA PPO, Premier

SMITH, CURTIS LPPO, Premier

LAVERNEDAVIS, SUSAN R

Premier

LAWTONADAY, PHILLIP L

Premier

ALFORD, JACQUELINE - 30PPO, Premier

ATKINS, CHRISTOPHER - 10PPO, Premier

BRASHER, JOSHUA Premier

BRIDGES, C TODD Premier

BRIDGES, G PPO, Premier

BROOKS, PERRY - 10PPO, Premier

BUCKNER, NATHAN Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 6 of 22

LAWTONBURTON, BONNIE

PPO, Premier

CARA, WUSE HPPO, Premier

CARBONE, KEEFE Premier

CARTER, WILLIAM PPO, Premier

CHELENZA, NICHOLAS - 30PPO, Premier

CHRISTIAN, JAYANTH PPO, Premier

COOLEY, REGGIE PPO, Premier

CRAIG, ANITRA PPO, Premier

DAVIS, GERRAD PPO, Premier

DEARING, MASON - 20PPO, Premier

DIXON, STEPHEN PPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

FENG, JOSEPH J - 40PPO, Premier

GLIDDON, MICHAEL J - 10PPO, Premier

HARRELL, DAVID JPPO, Premier

JACKSON, MICHAEL DPremier

JENSEN, DAYNE - 10PPO, Premier

JONES, ARONDA PPO, Premier

JONES, MATHEW - 20PPO, Premier

KAHN, EDWARD PPO, Premier

LANGFORD, CARREN PPO, Premier

LARROW, CHRISTOPHER - 30PPO, Premier

LAYMON, AMY RPPO, Premier

LOPEZ, JUAN Premier

LUNDAY, LAUREN - 10PPO, Premier

LUTZ, JAMES PPO, Premier

MCKINNIS, JACK LPPO, Premier

MILLER, DAVID L - 10PPO, Premier

MIRACLE, ROBERT LPremier

LAWTONMONTGOMERY, ANDREA

PPO, Premier

MONTGOMERY, PATRICK PPO, Premier

MORIN, CHARLES K - 30PPO, Premier

MULLER, ROBERT KPPO, Premier

NESIBA, JOHN - 10PPO, Premier

POTTER, BENNY PPO, Premier

REEDER, BRUCE K - 20PPO, Premier

RYAN, WILLIAM RPPO, Premier

SHEPPARD, CINDY MPPO, Premier

SHEPPARD, ERNEST EPPO, Premier

SHEPPARD, SCOTT PPO, Premier

STANLEY, ADAM - 10PPO, Premier

STARCK, WILLIAM - 10PPO, Premier

SULLINS, JAY S - 15PPO, Premier

WARN, BRETT RPPO, Premier

WELLS, WAVEL - 30PPO, Premier

WOMACK, BOB PPO, Premier

WOOD, PAUL S - 10PPO, Premier

YUSEF, SANA PPO, Premier

LINDSAYPRACHT, STEVE D

Premier

SHELTON, MATT Premier

LOCUST GROVEGEASLAND, JOHN A

PPO, Premier

HENRY, DAVID PPO, Premier

LONE GROVEWEAVER, M D

Premier

WEAVER, ZANE MPremier

MADILLCRAIG, LENA

Premier

MADILLGUTHRIE, CHARLES

Premier

STORTS, JESSE DPremier

STORTS, LAUREN Premier

STORTS, TRAVIS MPremier

MANGUMAMBROSE, JAMES K

Premier

LIVELY, DUSTIN Premier

MANNFORDGLASS, RONALD G

Premier

MARIETTASTORTS, JESSE D

Premier

STORTS, LAUREN Premier

STORTS, TRAVIS MPremier

MARLOWSCOTT, RYAN

Premier

SCOTT, SHAWN Premier

MCALESTERABER, SUE B

PPO, Premier

ANDRUS, CHRISTIAN JPPO, Premier

AULD, DOUGLAS APremier

AULD, MICHAEL JPremier

BOONE, R T - 10PPO, Premier

CARTER, SPENCER PPO, Premier

CHOWINS, ROMAN Premier

DONATHAN, G DPremier

GRILLIOT, CLARK WPremier

HARRISON, BAILEY WPremier

HUNTER, JENNIFER BPPO, Premier

JULIAN, JANET RPPO, Premier

KIM, JOHN DPPO, Premier

MCALESTERKY, FELIX

PPO, Premier

LAWLESS, CHANCE PPO, Premier

MAJIDI, ARMAN PPO, Premier

MCINTOSH, JANNA C - 30PPO, Premier

MILLER, BRENT PPO, Premier

NGUYEN, LONG PPO, Premier

PARRISH, KYLIE RPPO, Premier

RAGAN, DUSTIN SPremier

SHARRAK, NOOR PPO, Premier

SHEETS, JACK Premier

SOMJEE, ALI PPO, Premier

SUGG, STEPHANIE PPO, Premier

TERRAL, WILLIAM PPO, Premier

WYNN, WILLIAM BPremier

MCLOUDCHOI, JAE W

PPO, Premier

FRANCIS, BRETT PPO, Premier

MEHNER, KEITH PPO, Premier

MIAMIBRANHAM-WILLIAMS, JAMIE

Premier

BRECHEISEN, SCOTT KPremier

CHIEN, TZU-MIN Premier

DOWNUM, KYLE Premier

FOLKS, MARK Premier

JOURDAN, THOMAS BPremier

KEIM, MATTHEW Premier

ROBINSON, CHRISTOPHER TPremier

MIDWEST CITYABDULHADI, ALIA

PPO, Premier

AL-ZUBI, KHALID PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 7 of 22

MIDWEST CITYAMAYA, BRENT T

PPO, Premier

ARIAS, TABITHA PPO, Premier

ASHMORE, GLENN APPO, Premier

BEHRMANN, MICHAEL C - 20PPO, Premier

BELKNAP, JAMIE PPO, Premier

BOHLE III, GEORGE C - 50PPO, Premier

BOZALIS, WILLIAM G - 30PPO, Premier

BREWER, ADAM PPO, Premier

BYRNE, MATTHEW PPO, Premier

CASE, JAY CPPO, Premier

CHASER, MISTY PPO, Premier

CHEEK-COVEY, TENNILLE LPremier

CHUNG, NICOLE - 15PPO, Premier

COTTERELL, TERRY L - 20PPO, Premier

DAUPHIN, JEROMY WPPO, Premier

DO, DAVIS PPO, Premier

DO, STEVEN PPO, Premier

DUGAN, D CPPO, Premier

EARLE, DIANE MPPO, Premier

EMERSON, MELANIE DPPO, Premier

FAULK, STEVE RPPO, Premier

FERGUSON, JOHN CLIFFORD PPO, Premier

FEROZ, SHAKIR Premier

FRANCIS, BRETT PPO, Premier

GARTIN, FRANKLIN PPPO, Premier

GRAY, DAVID PPO, Premier

GREENLEE, KELLY Premier

HAMBURG, MARY - 40PPO, Premier

HAMPTON, MICHAEL Premier

MIDWEST CITYHARROZ III, EDWARD

Premier

HARROZ JR, EDWARD HPremier

HENRY, JANICE Premier

HENSLEE, EDWIN E - 10PPO, Premier

HERREN, STEPHEN WPPO, Premier

HINSON, ANGEL PPO, Premier

HOANG, DAVID PPO, Premier

HOANG, MARIA TPPO, Premier

HOANG, QUAN PPO, Premier

HUFFAKER, LAUREN Premier

JEFFERY, JONATHON PPO, Premier

JOHNSON, KATELYN Premier

JONES, CHARLES DPPO, Premier

KALRA, ROSHAN PPO, Premier

KANAGARLA, MANJU PPO, Premier

KEASTER, LANDON PPO, Premier

KENDRICK, STEVEN Premier

KOUZBARI, MHD ZPPO, Premier

KRATZER, DANIEL - 20PPO, Premier

KRUG, MICHAEL PPO, Premier

KULKARNI, PRIYANKA PPO, Premier

LEE, ANDY PPO, Premier

LONDON, DANIELLE - 20PPO, Premier

MADAMBA, JORGE PPO, Premier

MAI, AN PPO, Premier

MARS, ROBERT DPremier

MAYFIELD, DALE GPPO, Premier

MAYS, TY PPO, Premier

MCLAREN, MARK PPO, Premier

MIDWEST CITYMENSER, SHERMAN S

PPO, Premier

MILLER, LINDSEY PPO, Premier

MONTGOMERY, RONALD KPPO, Premier

NAFFAH, ROBERT PPO, Premier

NARITA, LUMINITA PPO, Premier

NELS, LEAHA PPO, Premier

NGUYEN, ANTHONY TPPO, Premier

NGUYEN, KALVIN PPO, Premier

NGUYEN, TUNG NPPO, Premier

OPHUS, KELLIE PPO, Premier

PATEL, AMIT PPO, Premier

PHILLIPS, JOSHUA PPO, Premier

POITEVIEN, JEMIMA - 30PPO, Premier

POLK, KAITLIN PPO, Premier

RASHEED, OMAR PPO, Premier

RIOS, ANDREA O - 20PPO, Premier

RUIZ, WALLY - 20Premier

SALOUS, YOUSEF PPO, Premier

SANKU, SHALINA PPO, Premier

SAUMUR, MICHAEL - 10PPO, Premier

SCHMITZ, TROY PPO, Premier

SEBOURN, JOSEPH PPPO, Premier

SIMPSON, JAYMI DPremier

SPENCER, LAURAN RPPO, Premier

SPIELMANN, GREGORY APPO, Premier

STARK, JOHNNIE LPremier

STORM, JULIE JPremier

TA, SERENA PPO, Premier

TAT, ANTHONY PPO, Premier

MIDWEST CITYTHARP, BRUCE

PPO, Premier

THEOBALD, JOHN PPremier

THOMAS, BLAIR - 10PPO, Premier

TUCKER, JOSEPH PPO, Premier

VU, VAN PPPO, Premier

WALLACE, JASON PPO, Premier

WENDELKEN, JAMES A - 10PPO, Premier

WERT, PETER Premier

WILLIAMS, NOEL PPO, Premier

WINDSOR, SANDRA Premier

XU, ANDREW - 15PPO, Premier

MINCOATKINSON, RANDY W

Premier

MOOREAL-ZUBI, KHALID

PPO, Premier

ARIAS, TABITHA PPO, Premier

ASHMORE, GLENN APPO, Premier

BELKNAP, JAMIE PPO, Premier

BLAKE, CLINTON LPPO, Premier

BOHLE III, GEORGE C - 50PPO, Premier

BREWER, ADAM PPO, Premier

BROADBENT, COLBY PPO, Premier

BYRNE, MATTHEW PPO, Premier

CASE, JAY CPPO, Premier

DAUPHIN, JEROMY WPPO, Premier

DO, DAVIS PPO, Premier

DO, STEVEN PPO, Premier

FREEMAN, RICHARD MPPO, Premier

HARPER, CHELSEA PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 8 of 22

MOOREHENRY, JANICE

Premier

HERREN, STEPHEN WPPO, Premier

HIEGER, CONNOR Premier

HILL, TODD PPO, Premier

HINSON, ANGEL PPO, Premier

HOANG, DAVID PPO, Premier

HOANG, DAVID TPPO, Premier

HOANG, QUAN PPO, Premier

HOMSEY III, RICHARD SPPO, Premier

HOMSEY, RICHARD SPPO, Premier

HONG, YONG Premier

KEASTER, LANDON PPO, Premier

KHADIV, MEHRNAZ PPO, Premier

KOUZBARI, MHD ZPPO, Premier

KRUG, MICHAEL PPO, Premier

KULKARNI, PRIYANKA PPO, Premier

LARSON, PRISCILLA - 20PPO, Premier

LEEMASTER, LARRY DPPO, Premier

MADAMBA, JORGE PPO, Premier

MAYS, TY PPO, Premier

MCDANIEL, STEVEN PPO, Premier

MILLER, LINDSEY PPO, Premier

MONTGOMERY, RONALD KPPO, Premier

NGUYEN, KALVIN PPO, Premier

NGUYEN, TUNG NPPO, Premier

OPHUS, KELLIE PPO, Premier

PATEL, AMIT PPO, Premier

PHILLIPS, JOSHUA PPO, Premier

POITEVIEN, JEMIMA - 30PPO, Premier

MOOREPOLK, KAITLIN

PPO, Premier

PRESCOTT, JAMES PPO, Premier

RASHEED, OMAR PPO, Premier

RICHARDSON, JIMMY JPPO, Premier

RICHTER III, ROGER PPO, Premier

RIOS, ANDREA O - 20PPO, Premier

ROCHELLE, WHITNEY J - 10PPO, Premier

SALOUS, YOUSEF PPO, Premier

SEBOURN, JOSEPH PPPO, Premier

SMITH, KEVIN - 10PPO, Premier

SPIVA, CHAD DPPO, Premier

SULLIVAN, STEVEN - 10PPO, Premier

SYLVESTER II, DAVID - 10PPO, Premier

TA, SERENA PPO, Premier

TAT, ANTHONY PPO, Premier

THOMAS, BLAIR - 10PPO, Premier

TIWANA, G PAUL - 10PPO, Premier

TRENT, BRADLEY PPO, Premier

TUCKER, JOSEPH PPO, Premier

VU, VAN PPPO, Premier

WALLACE, JASON PPO, Premier

WENDT, STEPHANIE KPremier

WILLIAMS, NOEL PPO, Premier

YEARY, WILLIAM PPO, Premier

MULDROWMORTON, DON R

PPO, Premier

MUSKOGEEBIRD, MAX

PPO, Premier

BURKE, CHRISTOPHER PPO, Premier

MUSKOGEECARDON, CREED

PPO, Premier

CLARK, DAVID PPO, Premier

COHLMIA, JEFF T - 20Premier

DAVIS, W EPPO, Premier

DIGUMARTHI, VENKATA PPO, Premier

DUNN, SUSAN PPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

FARMER, BARRY J - 30Premier

FISHBURN, CASEY GPPO, Premier

HACKLER, JAMES - 10PPO, Premier

HALL, JASON RPPO, Premier

HODGSON, MATTHEW PPO, Premier

HOOPES, BRADFORD BPPO, Premier

HOOPES, MITCHELL JPPO, Premier

HORANI, MOIZ PPO, Premier

JOLIFF, LUKE PPO, Premier

LIVINGSTON, ROBERT J - 10PPO, Premier

MAJIDI, ARMAN PPO, Premier

MASSAD, ERIC PPO, Premier

MCCALL, JONAS CPPO, Premier

NICHOLSON, JAMES SPremier

NIELSEN, ERIC PPO, Premier

ROGOZHKINA, KRISTINA PPO, Premier

SHANKLE, KENNETH PPO, Premier

SHARRAK, NOOR PPO, Premier

STEPHENS, MICHAEL RPremier

STIPE, DANIEL PPO, Premier

STREET, SCOTT PPO, Premier

SUSMAN, MARC LPremier

MUSKOGEETURNER, HEATHER

PPO, Premier

WEIBEL, DENNIS EPPO, Premier

WILLIAMS, ALEXANDER DPPO, Premier

MUSTANGAINSWORTH, JOHN

Premier

BOUZIDEN, CALLIE DPPO, Premier

CAREL, MONTE JPPO, Premier

COBB, KRISTI PPO, Premier

CRAIG, ROBI L - 20PPO, Premier

DON, ANTHONY PPO, Premier

GUENTHER, WESLEY PPO, Premier

HEINZE, CHRISTY PPO, Premier

JOERN, JAMES PPO, Premier

MCCAN, JERRY DPPO, Premier

SAFO-KWAKYE, YVONNE PPO, Premier

STREIGHT, RYAN - 20PPO, Premier

VINCENT, S PPO, Premier

WILBOURN, JENNIFER Premier

NEWCASTLEBRASHER, GREGORY

Premier

BRASHER, JOSHUA Premier

COX, JIM EPremier

EVETTS, SETH PPO, Premier

JENSEN, DAYNE - 10Premier

JOHNSON, SIDNEY PPO, Premier

JONES, BRANDON Premier

MAY-JONES, AUDREY LPremier

MILLS, MALORI PPO, Premier

WALLACE, JASON Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 9 of 22

NEWKIRKBARTLETT, ERIN

PPO, Premier

BURKETT, TRAVIS DPPO, Premier

DAVIS, TERESA KPPO, Premier

FOX, MICHAEL JPPO, Premier

FRANCIS, BRETT PPO, Premier

PHILIP, JUDY PPO, Premier

ROULSTON, TYSON PPO, Premier

NOBLEGILLIAM, JAMES D

Premier

NABORS, GARY PPO, Premier

SMITH, JARED RPPO, Premier

NORMANABOU-NASSAR, ELIE

PPO, Premier

AL-ZUBI, KHALID PPO, Premier

ARIAS, TABITHA PPO, Premier

ASHMORE, GLENN APPO, Premier

AUSTIN, JEFFREY PPPO, Premier

BASEY, THOMAS APPO, Premier

BEEBE, RACHELLE PPO, Premier

BEHRMANN, MICHAEL C - 20PPO, Premier

BEYER, PHILIP Premier

BIRD, GABRIEL APPO, Premier

BLANCHARD, KATELYN - 20Premier

BLUM, WILLIAM JPremier

BOHLE III, GEORGE C - 50PPO, Premier

BOLEN, PERCY - 15PPO, Premier

BOLES, RYAN PPO, Premier

BRADLEY, STEPHEN EPPO, Premier

BRALY, M - 10PPO, Premier

NORMANBRAMMER JR, JEFFREY

PPO, Premier

BROADBENT, COLBY PPO, Premier

BROOKS, PERRY - 10PPO, Premier

BROWN, J RANDALL PPO, Premier

BURRILL, CARAH PPO, Premier

CAMPBELL, KRISTEN RPremier

CARDON, CREED PPO, Premier

CARMEN, BOBBY Premier

CASE, JAY CPPO, Premier

CHANG, JASON WPPO, Premier

CHRISTIAN, JAYANTH PPO, Premier

CLIFFORD, NICKLAUS Premier

CODY DUNNINGTON, KATHARINE Premier

COPELIN, REBECCA LPPO, Premier

COTTERELL, TERRY L - 20PPO, Premier

CRAIG, ROBI L - 20PPO, Premier

CUMMINGS, BRAD PPO, Premier

DAUPHIN, JEROMY WPPO, Premier

DO, DAVIS PPO, Premier

DO, STEVEN PPO, Premier

DOWELL, STACIA Premier

EL HENNAWEY, REHAM - 15PPO, Premier

ERICKSON, KOLTON - 20Premier

FENG, JOSEPH J - 40PPO, Premier

FERRARI, KELLIE PPO, Premier

FITZGERALD, JAY - 20PPO, Premier

FLEMING, JOSEPH PPO, Premier

GALIER, DONNA APPO, Premier

GOELZ, CHRISTOPHER PPO, Premier

NORMANGRIFFIN, MEGAN N

Premier

GRIFFITH, JAMES CPremier

GUTHRIE, CHARLES PPO, Premier

HALL, BARRETT RPremier

HAMMOND, LINDSEY PPO, Premier

HARRAMAN, PRESTON PPO, Premier

HENRY, JANICE Premier

HERREN, STEPHEN WPPO, Premier

HILL, JEFFREY CPremier

HINCKLEY, SPENCER P - 15PPO, Premier

HINSON, ANGEL PPO, Premier

HOANG, DAVID PPO, Premier

HOANG, QUAN PPO, Premier

HUMPHREY, BENJAMIN RPremier

JENKINS, JENNIFER MPremier

JONES, ARONDA PPO, Premier

JUN, HYUNG PPPO, Premier

KAHN, EDWARD PPO, Premier

KANAGARLA, SREEKANTH PPO, Premier

KARAMI, MOE Premier

KEASTER, LANDON PPO, Premier

KIRKPATRICK, DENAE PPO, Premier

KOUZBARI, MHD ZPPO, Premier

KRATZER, DANIEL - 20PPO, Premier

KULKARNI, PRIYANKA PPO, Premier

LAVELETT, LARRY JPPO, Premier

LAWHON, GARY SPPO, Premier

LAYMON, AMY RPPO, Premier

LEEMASTER, BRETT Premier

NORMANLONDON, DANIELLE - 20

PPO, Premier

LUNDAY, JEFF APPO, Premier

LUNDAY, LAUREN - 10PPO, Premier

MASK, DEREK RPremier

MATTA, ARTHI PPO, Premier

MAY-JONES, AUDREY LPPO, Premier

MAYS, TY PPO, Premier

MCCASKILL, JIM DPremier

MCCOLLOUGH, DAVID - 20Premier

MILLER, DAVID L - 10PPO, Premier

MILLER, STEVEN BROCK - 15PPO, Premier

MOFFITT, ZACHARY DPremier

MOLLOY, R BRIAN - 30PPO, Premier

MONTGOMERY, VINCENT - 10PPO, Premier

MORRIS, DANIEL EPremier

MURTAUGH, JAMES N - 30PPO, Premier

NGUYEN, KALVIN PPO, Premier

NGUYEN, TUNG NPPO, Premier

OPHUS, KELLIE PPO, Premier

PARKER, PHILLIP - 30PPO, Premier

PATEL, AMIT PPO, Premier

PHILLIPS, JOSHUA PPO, Premier

POITEVIEN, JEMIMA - 30PPO, Premier

POLK, KAITLIN PPO, Premier

POTTER, BENNY PPO, Premier

POTTS, GEOFF Premier

POWELL, STEVEN - 15PPO, Premier

RASHEED, OMAR PPO, Premier

REID, JANET MPremier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 10 of 22

NORMANRENFROW, SCOTT - 40

PPO, Premier

RESTUCCIA, GABRIELA - 20PPO, Premier

REVELS, MARK J - 20PPO, Premier

ROBERTS, MITZI PPO, Premier

ROMERO-DELMASTRO, ALEJANDRO A - 20

Premier

RYAN, WILLIAM RPPO, Premier

SALOUS, YOUSEF PPO, Premier

SAUMUR, MICHAEL - 10PPO, Premier

SEBOURN, JOSEPH PPPO, Premier

SEXSON, ERIN MPPO, Premier

SHANNON, TIMOTHY M - 20PPO, Premier

SHARPE, BRUCE RPPO, Premier

SPARKS, DONNA Premier

SPURGEON, JIM Premier

SPURLOCK, SARA KPremier

STOLTENBERG, BRADEN HPremier

STREIGHT, RYAN - 20PPO, Premier

TA, SERENA PPO, Premier

TAT, ANTHONY PPO, Premier

TINSLEY, MICHAEL Premier

TUCKER, JOSEPH PPO, Premier

VENK, AMANDA Premier

VENK, RANDALL EPremier

VU, VAN PPPO, Premier

WALLACE, JASON PPO, Premier

WANG, CHAO-HSIANG PPO, Premier

WARD, AMANDA N - 30PPO, Premier

WELLS, ROBERT CPPO, Premier

NORMANWHISLER, SEAN

PPO, Premier

WILLIAMS, NOEL PPO, Premier

WOMACK, BOB PPO, Premier

YARLAGADDA, VIDYAGHARI PPO, Premier

YEARY, JAMES RPremier

YEARY, WILLIAM Premier

YUSEF, SANA PPO, Premier

NOWATAMCDOUGALL, HUGH

PPO, Premier

RICKARDS, ROBERT BPremier

SCHEUERMAN, DAVID PPO, Premier

WILLIAMS, THOMAS GPPO, Premier

OKARCHESUTTLE, GARY M

Premier

OKEENEWINTERS, FRED G

Premier

OKLAHOMA CITYABER, SUE B

PPO, Premier

ADAMS, MICHAEL Premier

AJMANI ELERA, PARUL PPO, Premier

AL SAKKA, YACOUB - 50PPO, Premier

AL SALAYTA, MUHANNAD PPO, Premier

AL-ZUBI, KHALID PPO, Premier

ALLEN, DAVID LPremier

ALLEN, MARK JPremier

ALLEN, ROSS PPO, Premier

ALLEN, TOBY Premier

AMOS, BARRY Premier

ANDERSON, LORI SPPO, Premier

ARIAS, TABITHA PPO, Premier

OKLAHOMA CITYARNOLD, RYAN T

PPO, Premier

ASHMORE, GLENN APPO, Premier

ASHMORE, WINN PPO, Premier

ATKINSON, RANDY WPremier

AULD, DOUGLAS APPO, Premier

BAIRD, MICHAEL PPO, Premier

BAISDEN, JENNIFER PPO, Premier

BAKER, JAMES - 10PPO, Premier

BARNES, ADAM TPPO, Premier

BARNES, LILLIAN PPO, Premier

BASS, TERRY LPremier

BAUMANN, BRYCE Premier

BAUMANN, ROBERT Premier

BEASLEY, JUSTIN LPremier

BEAVER, AARON PPO, Premier

BEAVERS, CHARLES PPO, Premier

BEAVERS, KAY SPPO, Premier

BEDDOE, RAY - 40PPO, Premier

BEEBE, RACHELLE PPO, Premier

BELKNAP, JAMIE PPO, Premier

BELZ, EDWARD KPremier

BERRY, DEANNA SPPO, Premier

BHATNAGAR, ABHINAV Premier

BIGGS, JUSTIN PPO, Premier

BIRD, DAVID C - 15PPO, Premier

BIRDWELL, DAVID J - 20PPO, Premier

BLANCHARD, KATELYN - 20Premier

BLANKENSHIP, BRYAN Premier

BOCKUS, MARIE DPremier

OKLAHOMA CITYBOHANON, ELIZABETH

Premier

BOHLE III, GEORGE C - 50PPO, Premier

BOLES, RYAN PPO, Premier

BOSTICK, GINA CPPO, Premier

BOWEN, NATHAN DPPO, Premier

BOWERS, DOMINIQUE PPO, Premier

BOZALIS, WILLIAM G - 30PPO, Premier

BRALY, M - 10PPO, Premier

BREWER, ADAM PPO, Premier

BROADBENT, COLBY PPO, Premier

BRUCE, JOSHUA D - 20PPO, Premier

BRYAN, ROB - 10PPO, Premier

BUCHANAN, STEPHEN MPPO, Premier

BUTLER, J R - 40PPO, Premier

BYRNE, MATTHEW PPO, Premier

CAPLIN, COURTNEY - 10PPO, Premier

CARDON, CREED PPO, Premier

CAREL, SCOTT MPremier

CARLSON, PETER L - 10PPO, Premier

CARSON, ROBERT - 40Premier

CARSON, STEVE RPPO, Premier

CASE, JAY CPPO, Premier

CASEY, MARY KPremier

CHAMBERS, CORY PPO, Premier

CHAMBERS, JENNIFER PPO, Premier

CHANCELLOR, DOUG PPO, Premier

CHANG, EUNA KPPO, Premier

CHANG, JASON WPPO, Premier

CHASTAIN, STEPHEN APremier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 11 of 22

OKLAHOMA CITYCHO, KYUNG

PPO, Premier

CHRZ, BRYAN PPO, Premier

CLARK, WILLIAM APPO, Premier

CLAYTON, JOHN C - 20PPO, Premier

CLEAVER, FRED PPO, Premier

CLEMENT, DAVID - 15PPO, Premier

CLEVES, PATTI PPO, Premier

CLIFFORD, TRACI PPO, Premier

CODY DUNNINGTON, KATHARINE Premier

COHENOUR, AARON TPPO, Premier

COHENOUR, PATRICK TPPO, Premier

COHLMIA, DEREK Premier

COHLMIA, JEFF T - 20PPO, Premier

COHLMIA, MATTHEW EPremier

COHLMIA, RAYMOND APPO, Premier

COLE, MATTHEW DPremier

COLEMAN, BAILEY Premier

CORBIN, CHRISTOPHER NPremier

CORLEY, PHILLIP WPremier

CORWIN, RICHARD NPPO, Premier

COTHRAN, PAULA CPPO, Premier

COWDEN III, LESTER L - 10PPO, Premier

COX, HEATHER Premier

CRAIG, ROBI L - 20PPO, Premier

CROWLEY, PATRICK PPO, Premier

CUMBY, DUNN HPPO, Premier

CUMMINGS, BRAD PPO, Premier

CURRIER, G - 20PPO, Premier

DACUS, ZACHARY LPPO, Premier

OKLAHOMA CITYDAIS, CARL

PPO, Premier

DANG, BAO-HANH TPPO, Premier

DANNER, RUSSELL Premier

DAO-VANDENBERG, THANH PPO, Premier

DARROW, JOSEPH PPO, Premier

DAUPHIN, JEROMY WPPO, Premier

DAVIDSON, MYLES PPO, Premier

DEHART, KATHY Premier

DEMPSEY, GARY BPremier

DIGUMARTHI, VENKATA PPO, Premier

DMYTRYK, JOHN - 40PPO, Premier

DO, DAVIS PPO, Premier

DO, STEVEN PPO, Premier

DOAN, CALVIN Premier

DOAN, THAI-AN - 30PPO, Premier

DREW, RICHARD APPO, Premier

DUBBERSTEIN, NEILL WPPO, Premier

DUBBERSTEIN, ZANE PPO, Premier

DUFFY, MICHAEL - 10PPO, Premier

DUGAN, MIKE JPPO, Premier

DUKE, DAYNA S - 15PPO, Premier

DUNHAM, LYNNE APremier

DUONG, NHA TRUNG PPO, Premier

EAKERS, ERIC NPPO, Premier

EATON, ERIKA LPPO, Premier

EDWARDS, COLLETTE PPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

ELASSAL, GEORGE - 20PPO, Premier

ELASSAL, PHILLIP Premier

OKLAHOMA CITYERICKSON, KOLTON - 20

PPO, Premier

EVANS, DAVID T - 30PPO, Premier

FAGAN, TIM R - 30PPO, Premier

FARHA, E MPPO, Premier

FARMER, WILLIAM - 30PPO, Premier

FAULCONER, CHRISTOPHER WPPO, Premier

FICK, STEVE Premier

FITZGERALD, MICHAEL CPPO, Premier

FLESHER, DEREN Premier

FLING, MICHAEL CPPO, Premier

FLINT, CHARLES M - 20PPO, Premier

FORTENBERRY, ALAN GPPO, Premier

FOSKIN, RAYMOND Premier

FRANCIS, BRETT Premier

FRAZIER, NATALIE MPPO, Premier

FRENCH, MELISSA PPO, Premier

FRITCH, C Premier

FRUITS, TERRY PPO, Premier

FRYE, EMILY M - 10PPO, Premier

FULLER, MARNI PPO, Premier

GARETSON, PAUL KPPO, Premier

GARZON, MARTHA - 30PPO, Premier

GIBSON, KEITH Premier

GIFFHORN, W APremier

GILLILAND, JARED PPO, Premier

GLASS, NEIL M - 10PPO, Premier

GOELZ, CHRISTOPHER PPO, Premier

GOLDBECK, ANDREW P - 15PPO, Premier

GOLDSMITH, FREDERIC CPPO, Premier

OKLAHOMA CITYGOODSON, JEREMY - 10

PPO, Premier

GOODWIN, CHARLES Premier

GRACE, SANDY Premier

GRANT, VANISIA PPO, Premier

GRAY, DAVID PPO, Premier

GRAY, RONISHA PPO, Premier

GRAY, STEPHEN - 30PPO, Premier

GREENLEE, KIMBERLY Premier

GREENLEY, BARRY PPO, Premier

GRIFFIN, SHANNON LPPO, Premier

GUFFEY, MATTHEW PPO, Premier

GUILFORD, NATHAN PPO, Premier

GUTHRIE, ANDREW - 30PPO, Premier

GUTTERY, DARRELL Premier

HAFFNER, CHRISTOPHER PPO, Premier

HALLER, KRISTIE BPremier

HAMBURG, MARY - 40PPO, Premier

HAMMOND, LINDSEY PPO, Premier

HANCOCK, J APremier

HANEY, KEVIN PPO, Premier

HANSEN, MICHAEL Premier

HANSTEIN, MARK TPPO, Premier

HARDMAN, GREG PPO, Premier

HARDY, LESLIE B - 15PPO, Premier

HARLAN, JAY A - 10PPO, Premier

HARPER, CHELSEA PPO, Premier

HARRIS, DENNIS WPPO, Premier

HARRIS, DON PPO, Premier

HARROZ III, EDWARD Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 12 of 22

OKLAHOMA CITYHARROZ JR, EDWARD H

PPO, Premier

HASEBE, JOY PPO, Premier

HASKETT, WALLACE GPPO, Premier

HASKINS, DON W - 30PPO, Premier

HEATH, PAUL Premier

HEATHCOCK, ERIN BPPO, Premier

HEIM, SOMER R - 30PPO, Premier

HEIM, V M - 20PPO, Premier

HENDERSON, ROBIN D - 40PPO, Premier

HENDRICK, JANET YPremier

HENDRIX, DREW PPO, Premier

HENRY, JANICE Premier

HERMEN, JEFFREY Premier

HERNANDEZ, ALEXANDRIA PPO, Premier

HERREN, STEPHEN WPPO, Premier

HERWIG, CRAIG APPO, Premier

HIEGER, CONNOR Premier

HILTON, MYRON S - 15PPO, Premier

HINSON, ANGEL PPO, Premier

HOANG, DAVID PPO, Premier

HOANG, DAVID TPPO, Premier

HOANG, MARIA TPPO, Premier

HOANG, QUAN PPO, Premier

HOLCOMB, ED Premier

HOLDEN, LORI PPO, Premier

HOLDER, WENDY RPPO, Premier

HOLLOMAN, ASHLEY PPO, Premier

HOLMAN, COLIN Premier

HOLMAN, JON GPremier

OKLAHOMA CITYHONG, YONG

Premier

HUNTER, CRAIG PPO, Premier

ISAACSON, JOE BPremier

ISHANI AFOUSI, PAYAM - 20PPO, Premier

JACOBSEN, J NATHAN PPO, Premier

JACOBSEN, NANCY LPPO, Premier

JAMBI, SUHAIR - 15PPO, Premier

JAMES, R DON - 20Premier

JAN, MEHWISH NPPO, Premier

JEFFERY, JONATHON PPO, Premier

JOERN, JAMES PPO, Premier

JOHNSON, ANN PPO, Premier

JOHNSON, DAMON LPPO, Premier

JOHNSON, EDWINA VPPO, Premier

JOHNSON, KATELYN Premier

JOHNSON, KATHERINE LPremier

JOHNSON, RICHARD L - 10PPO, Premier

JONES, ARONDA PPO, Premier

JONES, SAM P - 10PPO, Premier

JONES, SHELBY PPO, Premier

JUN, HYUNG PPPO, Premier

JUN, IN-HYE GRACE Premier

KADIOGLU, ONUR - 20Premier

KAHN, EDWARD PPO, Premier

KANAGARLA, SREEKANTH PPO, Premier

KARIM, ARIF PPO, Premier

KEASTER, LANDON PPO, Premier

KELLNER, ELIZABETH - 30PPO, Premier

KELLY, MARK PPO, Premier

OKLAHOMA CITYKHADIV, MEHRNAZ

PPO, Premier

KIERL, M J - 20PPO, Premier

KIERL, PETER - 20PPO, Premier

KIERL, T PHILIP - 20PPO, Premier

KIM, CHRISTINA PPPO, Premier

KIM, JOE JPremier

KING RACKLEY, REBECCA JPPO, Premier

KINNARD, TIMOTHY PPO, Premier

KIRBY, TIM PPO, Premier

KIRK, MICHAEL KPremier

KIRKPATRICK, DENAE PPO, Premier

KLONTZ, H - 20Premier

KLONTZ, KELLY J - 20PPO, Premier

KNIGHT, MELINDA PPO, Premier

KOHS, WILLIAM MPremier

KONERU, ANUSHA PPO, Premier

KOONTZ, NATALIE SPPO, Premier

KOTHA, NIPUN PPO, Premier

KOTICHA, TAPAN - 40PPO, Premier

KOUZBARI, MHD ZPPO, Premier

KRATZER, KRISTIN PPO, Premier

KRUG, MICHAEL Premier

KUKER, AMY PPO, Premier

KULKARNI, PRIYANKA PPO, Premier

LANMAN, ASHLEY Premier

LANMAN, RYAN J - 40PPO, Premier

LAU, SALLIE PPO, Premier

LAWRENCE, DAVID Premier

LAYTON, KEVIN LPremier

OKLAHOMA CITYLEE, JEAN

Premier

LESEBERG, DENNIS - 15PPO, Premier

LEWIS, DAVID M - 60PPO, Premier

LEWIS, TIFFANY PPO, Premier

LOPER, ERIC MPremier

LORENTS, EDWARD KPPO, Premier

LOVETTE, LORI MPPO, Premier

LOWE, JAMES BPremier

LU, DARYN PPO, Premier

LUCE, KAREN - 40PPO, Premier

LUEZAS, GERMAN - 15PPO, Premier

LUTZ, FREDRICK KPPO, Premier

MADAMBA, JORGE PPO, Premier

MADDOX, SHANNON RPPO, Premier

MAGUIRE, PHILIP GPremier

MARTIN, STEPHEN ROSS - 10PPO, Premier

MARTINEZ, MARICRUZ PPO, Premier

MASOOD, FARAH PPO, Premier

MATTA, ARTHI PPO, Premier

MATTU, AMRITPAL PPO, Premier

MAY, JUDSON PPO, Premier

MAYS, TY PPO, Premier

MCANEAR, GARRICK Premier

MCCARTHY, JOHN PPO, Premier

MCCOLLOUGH, DAVID - 20Premier

MCCONNELL, KESA PPO, Premier

MCGARRY, ANDREW - 10PPO, Premier

MCINTIRE, TRACY - 10PPO, Premier

MCINTOSH, JANNA C - 30PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 13 of 22

OKLAHOMA CITYMCKINNEY, MICHAEL - 10

PPO, Premier

MCLEOD, MICHAEL PPPO, Premier

MCNAIR, DANIEL SPremier

MCREYNOLDS, MATTHEW Premier

MEAD, GLENN APPO, Premier

MENDENHALL, JACOB W - 10PPO, Premier

MIER, DAVID CPPO, Premier

MILLER, EARL WPremier

MILLER, JOHN WPremier

MILLER, ROBERT PPO, Premier

MIRABAL, CHRISTIAN SPPO, Premier

MITCHELL, BRADLEY Premier

MITCHELL, D LPPO, Premier

MIYAKE, ALAN A - 10PPO, Premier

MOLLOY, R BRIAN - 30PPO, Premier

MONTGOMERY, CARLTON LPPO, Premier

MONTGOMERY, RONALD KPPO, Premier

MOODY, BRENT W - 30PPO, Premier

MOREHART, TINA Premier

MORRISON, JULIA PPO, Premier

MUELLER, STEVEN TPPO, Premier

MULLASSERIL, PAUL PPO, Premier

MURRAY, KEVIN Premier

MURTAUGH, JAMES N - 30PPO, Premier

NAIFEH, GEORGE JPremier

NAIL, CARSON LPremier

NGUYEN, ANTHONY TPPO, Premier

NGUYEN, BAO-LOAN PPO, Premier

NGUYEN, HA Premier

OKLAHOMA CITYNGUYEN, KALVIN

PPO, Premier

NGUYEN, LYNN PPO, Premier

NGUYEN, THAO PPO, Premier

NGUYEN, TUNG NPPO, Premier

NOBLE, L KPremier

ONAN, ABBEY PPO, Premier

OPHUS, KELLIE PPO, Premier

ORJUELA, WILMER PPO, Premier

OUSLEY, LAURA Premier

OWEN, ALAN RPremier

OWENS, TYLER - 30PPO, Premier

PAKZAD, AMIN PPO, Premier

PARKER, STEPHEN PPO, Premier

PATEL, AMIT PPO, Premier

PATEL, CHANDANI PPO, Premier

PATEL, SNEHA PPO, Premier

PECK, JAMES CPremier

PHAN, MARK TPPO, Premier

PHILLIPS, JOSHUA PPO, Premier

PHILLIPS, ROBERT LPremier

PILGRIM, CHRISTIAN Premier

PINKSTON, BENJAMIN PPO, Premier

PITT, CLINT EPPO, Premier

PLANT, RAY RPremier

POITEVIEN, JEMIMA - 30PPO, Premier

POLK, KAITLIN PPO, Premier

POORE, CHRIS - 40PPO, Premier

POTTER, BENNY PPO, Premier

PRICE, DANA BPremier

OKLAHOMA CITYPRINCE, BRIAN

Premier

PROUD, NATHAN NPPO, Premier

RADFAR, LIDA PPO, Premier

RAHILL, RANDALL OPremier

RAMADAN, SALAM TPPO, Premier

RANEY, STEVEN M - 20PPO, Premier

RAPINI, JENNIFER PPO, Premier

RASHEED, OMAR PPO, Premier

RATTAN, KAREN BPPO, Premier

REEVES, WILLIAM G - 40PPO, Premier

RENEAU, J ROBERT - 50Premier

RESASCO, MARILINA PPO, Premier

RESTUCCIA, GABRIELA - 20PPO, Premier

REVELS, MARK J - 20PPO, Premier

REVILLE, WILLIAM PPremier

RHODES, CORBYN Premier

RHODES, TOBY MPPO, Premier

RHONE, BERNARD PPO, Premier

RIGGINS, KEITRA PPO, Premier

RING, PHILIP Premier

RIOS, ANDREA O - 20PPO, Premier

ROCKWOOD, DOUGLAS PPO, Premier

ROMERO-DELMASTRO, ALEJANDRO A - 20

Premier

ROTHWELL, TIMOTHY Premier

ROUBIK, GEOFFREY Premier

RYAN, WILLIAM RPPO, Premier

RYKARD, KEVIN Premier

SAFO-KWAKYE, YVONNE PPO, Premier

OKLAHOMA CITYSALOUS, YOUSEF

PPO, Premier

SANDBURG II, RODNEY APPO, Premier

SANOR, MICHELLE Premier

SAXON, CHRISTOPHER Premier

SCHELLENBERG, JARED - 15PPO, Premier

SCHMIDT, LANCE RPremier

SCHULTZ, BRANDON - 15PPO, Premier

SCHWARTZ, DAVID - 10PPO, Premier

SCOGGIN, T KPPO, Premier

SCOTT, CHARLES PPO, Premier

SEARCEY, SCOTT - 10PPO, Premier

SEBOURN, JOSEPH PPPO, Premier

SETTLE, SUSAN PPO, Premier

SEXSON, ERIN MPPO, Premier

SHADID JR, PAUL APremier

SHADID, DAVID - 15PPO, Premier

SHADID, JEFF Premier

SHADID, NANAY LPPO, Premier

SHADID, PAUL APPO, Premier

SHADID, SCOT RPPO, Premier

SHANBOUR, GREG S - 40PPO, Premier

SHANBOUR, GREGORY F - 40PPO, Premier

SHANNON, TIMOTHY M - 20PPO, Premier

SHAPARD, NATHAN PPO, Premier

SHARPE, BRUCE RPPO, Premier

SHIRLEY, MARK DPremier

SHIRLEY, ROBERT LPremier

SHIVERS, RODNEY Premier

SILER, JOHNNY PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 14 of 22

OKLAHOMA CITYSIMON, DAVID A

Premier

SIMPSON, ROBERT PPO, Premier

SLOAT, GEOFFREY CPPO, Premier

SMITH, CURTIS LPPO, Premier

SMITH, KEVIN - 10PPO, Premier

SNOWDEN, BROOKE Premier

SORGEN, BRYAN EPremier

SPARKS, JAMES PPO, Premier

SPIELMANN, GREGORY APPO, Premier

STEELE, ROBERT C - 30PPO, Premier

STEPNIEWSKI, ADAM Premier

STEVENS, ROY LPremier

STEWART, TRENA KPPO, Premier

STREIGHT, RYAN - 20PPO, Premier

SULLINS, RUSTY Premier

SULLIVAN, STEVEN - 10PPO, Premier

SUTHERLAND II, EDWIN - 40PPO, Premier

SUTTON, JEANNE PPO, Premier

SWAN, JIMMY DPremier

SWEARINGEN, DON WPPO, Premier

TA, SERENA PPO, Premier

TARIQ, SARAH PPO, Premier

TARTER, MARCIA PPO, Premier

TAT, ANTHONY PPO, Premier

TAYLOR, JIM OPremier

TAYLOR, STEPHEN MPremier

TEMPLETON, C K - 10PPO, Premier

TEWIS, SHANE PPO, Premier

THARP, BRUCE PPO, Premier

OKLAHOMA CITYTHEOBALD, RYAN

PPO, Premier

THOMAS, BLAIR - 10PPO, Premier

TIWANA, G PAUL - 10PPO, Premier

TOFT, TERENCE CPremier

TORBECK, CHARLES Premier

TORBERT, CLARK PPO, Premier

TOWE, CHARLES EPremier

TRAN, CLAIRE Premier

TRUONG, LISA PPO, Premier

TRUONG, STEVE HPPO, Premier

TUCKER, JOSEPH PPO, Premier

TULL, GREGORY - 10PPO, Premier

TURNER, ERNEST VPPO, Premier

UNDERWOOD, JAMES PPO, Premier

VANDENBERG, MARK PPO, Premier

VANHORN, JAYCEE Premier

VASQUEZ, ZENEIDA G - 10PPO, Premier

VAUGHAN, PHOEBE PPO, Premier

VINCENT, SHYLER DPremier

VIRTUE, STEPHEN LPPO, Premier

VU, VAN PPPO, Premier

VU, VINH KPremier

WALLACE, JASON PPO, Premier

WAUGH, W SCOTT PPO, Premier

WEDEL, COURTNEY PPO, Premier

WENDELKEN, JAMES A - 10PPO, Premier

WHEATLEY, ANDREW Premier

WHITE, THERESA M - 30Premier

WHITENECK, SUSAN EPPO, Premier

OKLAHOMA CITYWHITLEY, TRACEY - 40

PPO, Premier

WILKES, PAUL W - 50PPO, Premier

WILKINSON, KIM L - 15PPO, Premier

WILLARDSON, DAVID PPO, Premier

WILLBANKS, JAMES MPPO, Premier

WILLIAMS, NOEL PPO, Premier

WILLIAMS, RYAN P - 20PPO, Premier

WILSON, JEFFREY Premier

WINDER, RONALD L - 30PPO, Premier

WINDSOR, ANGELA Premier

WITHERS, LARRY DPremier

WOMBLE, ROBERT Premier

WOOD III, CHALMERS PPO, Premier

WOODS, PATRICK APPO, Premier

WOODSON, DOUGLAS GPremier

WOODWARD, JOSHUA DPPO, Premier

WOOTEN, C A - 10PPO, Premier

YARLAGADDA, VIDYAGHARI PPO, Premier

YEATES, CARLA PPO, Premier

YOUNGKER, MARK L - 20PPO, Premier

YUSEF, SANA PPO, Premier

OKMULGEEBOWEN, NATHAN D

PPO, Premier

CALLISTER, BRADEN PPO, Premier

CARDON, CREED PPO, Premier

CHRISTY, TYSON PPO, Premier

NICK, JERRY BPremier

NIELSEN, ERIC PPO, Premier

RULEFORD, MIRANDA Premier

OKMULGEETEMPLETON, C K - 10

Premier

VINSON, CHRISTOPHER CPPO, Premier

VINSON, KRISTIE LPPO, Premier

YAERGER, JEROD Premier

OOLOGAHALLEN-STEED, ADELAIDE

PPO, Premier

GARRISON, CHAD MPPO, Premier

OWASSOAHLERT, JEFF - 30

PPO, Premier

ANDREWS, ROGER SPPO, Premier

ARGO, MARK LPremier

BAIRD, MICHAEL PPO, Premier

BOYD, KARLA JPremier

BRATTON, BOBBY JPremier

BUTLER, J R - 40PPO, Premier

BYBEE, KEVIN Premier

CAMPBELL, RONALD APremier

CURTIS, MARK APremier

DELONG, CHRISTOPHER - 15PPO, Premier

DOBSON, BRENT S - 20PPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

EVANS, HEATH - 10PPO, Premier

FRANKLIN, M APremier

GRAY, MATTHEW PPPO, Premier

HIATT, WILLIAM GPPO, Premier

HOPKINS, JEREMY PPO, Premier

HOUSLEY, JEFFREY A - 20PPO, Premier

JOHNSON, D - 10PPO, Premier

JOHNSON, ROBERT CPPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 15 of 22

OWASSOJOLIFF, LUKE

PPO, Premier

KAHN, EDWARD PPO, Premier

LALWANI, RUCHIRA PPO, Premier

LANDER, LARRY D - 10PPO, Premier

LIM, HENG Premier

NICHOLS, HANNAH PPO, Premier

NIGG, KIMBERLY - 30PPO, Premier

PARKER, STEPHEN PPO, Premier

PRATHER, JILLIAN Premier

ROGOZHKINA, KRISTINA PPO, Premier

RYAN, WILLIAM RPPO, Premier

SANCHEZ, MICHAEL Premier

SEGRAVES, GREGORY D - 10PPO, Premier

SHARPE, BRUCE RPPO, Premier

SOMJEE, ALI PPO, Premier

STAPLETON, DAVID - 40PPO, Premier

STIPE, DANIEL PPO, Premier

STREET, SCOTT PPO, Premier

THOMAS, DIRK SPremier

TRAMMELL, VIC H - 10PPO, Premier

TURNER, HEATHER PPO, Premier

VOTO, JAYSON Premier

WARD, CHRIS Premier

WILLIAMS, ALEXANDER DPPO, Premier

PARK HILLSNELL, JERRY

PPO, Premier

PAULS VALLEYFLEMING, JOSEPH

PPO, Premier

KIERL, M J - 20PPO, Premier

PAULS VALLEYMEANS, JAMIE L

Premier

WARD, JAMES RPremier

WINTERS, TEVI Premier

WINTERS, TYLER CPremier

PAWHUSKABULLEIGH, ADAM

PPO, Premier

PAWNEEKAEHLER, HENRY

PPO, Premier

PERKINSBRASHER, JOSHUA

PPO, Premier

CLIFFORD, CAMERON PPO, Premier

HALLEY, JESSICA MPPO, Premier

MARRIOTT, JUSTIN PPO, Premier

MAY-JONES, AUDREY LPPO, Premier

RAZOOK, GEORGE PPO, Premier

THOMPSEN, JOHN PPO, Premier

WILLIAMS, SHANNON PPO, Premier

PERRYCHRZ, BRYAN

Premier

DEWHURST, JAMES Premier

JAMES, WHITNEY PPO, Premier

PIEDMONTCLIFFORD, GREGORY M

Premier

DURST, DOUGLAS PPO, Premier

RICKEY, ROBERT KPPO, Premier

PONCA CITYBEAVER, AARON

PPO, Premier

BROWN, HAL WPremier

BUCHANAN, AARON Premier

BUGG, CHRIS PPO, Premier

COURTNEY, GARY PPO, Premier

PONCA CITYFIELDS, BRYAN

Premier

JOHNSON, RYAN Premier

NIPPER, WESLEY EPremier

OTTO, JOSEPH BPPO, Premier

STREIGHT, JOHN APremier

TYNDALL, PHILLIP Premier

WEBER, W RPremier

WHITEFIELD, QUINT Premier

PORTERGLASS, RONALD G

PPO, Premier

POTEAUHESSER, RONALD N

PPO, Premier

HORN, JOHN DPremier

KONDOS, THEODORE NPPO, Premier

LAWSON, AYAN Premier

OSTERHOUT, CASEY Premier

UDOUJ III, HENRY J - 20PPO, Premier

YANDELL, KENDRA HPremier

PRAGUEHALL, BARRETT R

Premier

HIEGER, CONNOR Premier

HUTCHENS, JAY LPPO, Premier

MORRIS, DANIEL EPremier

PRYORBOREN, KEITH

PPO, Premier

CANNON, DANIEL - 10PPO, Premier

CARDON, CREED PPO, Premier

DAVIDSON, GARY CPPO, Premier

DOHERTY, MARK RPremier

GORE, JAMES PPO, Premier

PRYORHERMAN, ROBERT J - 20

PPO, Premier

HOLMAN, SARAH PPO, Premier

NIELSEN, ERIC PPO, Premier

RAINS, GEORGE PPO, Premier

RAINS, RHETT PPO, Premier

SLACK, BRYCE PPO, Premier

SMITH, LORI Premier

PURCELLGRIFFIN, MEGAN N

PPO, Premier

HERNDON, JAMES NPPO, Premier

MEAD, GLENN APremier

SCHMIDT, STEPHANIE Premier

TIMS, DARWIN JPPO, Premier

TURPIN, RYAN LPremier

ROLANDSPARKMAN, BEAU

PPO, Premier

STEININGER, EMILY PPO, Premier

SALLISAWDOTSON, ANA M

PPO, Premier

GIRLINGHOUSE, RONALD KPremier

GRAY, RANDI KENNEDY PPO, Premier

HENSHAW, AUBREY JPPO, Premier

HUBLER, PARLEY PPO, Premier

MCCREIGHT, DANA JPPO, Premier

MCCREIGHT, TOMMY LPPO, Premier

WELLS, BOB PPO, Premier

SAND SPRINGSBOWEN, NATHAN D

PPO, Premier

CARDON, CREED PPO, Premier

CARTER, SPENCER PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 16 of 22

SAND SPRINGSCRONIN, PHILLIP

PPO, Premier

EMAMI, JUSTIN PPO, Premier

EMAMI, MEHRDAD PPO, Premier

FARR, RILEY PPO, Premier

FLINT, CHARLES M - 20PPO, Premier

FOOSHEE, STEVEN WPPO, Premier

GENOFF, LESLIE LPPO, Premier

HAMMOND, RONALD LPPO, Premier

LE, SALLY PPO, Premier

MACLEOD, BRITTANY PPO, Premier

MILLER, MICHAEL PPO, Premier

NIELSEN, ERIC PPO, Premier

PATTEN, BRIAN DPPO, Premier

PIERCE, JEFFREY PPO, Premier

ROSS, DANA PPO, Premier

SLACK, BRYCE PPO, Premier

WHITNEY, JACOB Premier

WILLARDSON, DAVID PPO, Premier

WYATT, WAYNE - 20PPO, Premier

SAPULPABRELAND, MICHAEL

PPO, Premier

BURKE, CHRISTOPHER PPO, Premier

CARLETTI, JOHN APPO, Premier

CRAIG, CAMERON PPO, Premier

DOYLE, BRIDGET JPPO, Premier

FIELDS, LONDELL Premier

HAMMOND, LINDSEY PPO, Premier

HASTY, NEIL PPO, Premier

MAXWELL, LESLEY PPO, Premier

SAPULPAMOON III, YOUNG

PPO, Premier

NGUYEN, PAULINE PPO, Premier

PITTS, RICHARD SPremier

SOMJEE, ALI PPO, Premier

SAYRETHORNBROUGH, ROY L

Premier

SEILINGSWEARINGEN, DON W

PPO, Premier

SEMINOLEHALL, BARRETT R

Premier

HARRIS, DENNIS WPPO, Premier

HIEGER, CONNOR Premier

JETT, WILLIAM DPremier

KECK, DAVID WPPO, Premier

MORRIS, DANIEL EPremier

SHATTUCKMUELLER, STEVEN T

PPO, Premier

SHAWNEEALVERSON, GARY D

Premier

BAKER, JAMES - 10PPO, Premier

BEHRMANN, MICHAEL C - 20PPO, Premier

BOLES, RYAN PPO, Premier

BOWERS, BLAIRE - 40Premier

CARLSON, PETER L - 10PPO, Premier

CHEN, SCOTT PPO, Premier

CONKLING, LEON APremier

COOK, ASHLEY Premier

COTTERELL, TERRY L - 20PPO, Premier

DAVIS, RICHARD GPPO, Premier

DREW, BRIAN EPPO, Premier

SHAWNEEEL HENNAWEY, REHAM - 15

PPO, Premier

ELLIS, RENALLA PPO, Premier

FRAZIER, NATALIE MPPO, Premier

HENRY, CHRISTINA PPO, Premier

HOPKINS, ERIC Premier

HUDSON, JAMES PPO, Premier

JONES, ARONDA PPO, Premier

KADIOGLU, ONUR - 20PPO, Premier

KAHN, EDWARD PPO, Premier

KELLY, MARK PPO, Premier

KLAUS, LAUREN - 40Premier

KOONCE, JENNIFER Premier

KRATZER, DANIEL - 20PPO, Premier

LARSON, PRISCILLA - 20PPO, Premier

LAYMON, AMY RPPO, Premier

LOESER, BRANDON Premier

LONDON, DANIELLE - 20PPO, Premier

MCGARRY, ANDREW - 10PPO, Premier

MENDENHALL, JACOB W - 10PPO, Premier

MINNIGH, CHRISTOPHER APPO, Premier

MULLASSERIL, ANAITA N - 20PPO, Premier

NGUYEN, THAO PPO, Premier

POTTER, BENNY PPO, Premier

SEHORN, MICKEY PPO, Premier

SHARPE, BRUCE RPPO, Premier

SIMPSON, ROBERT PPO, Premier

STOBBE, JOHN CPPO, Premier

TEMPLETON, C K - 10PPO, Premier

YUSEF, SANA PPO, Premier

SKIATOOKDILLARD, KATHERINE

PPO, Premier

FOWLER, MICHAEL DPremier

SELLMEYER, DRAKE PPO, Premier

SELLMEYER, G MPPO, Premier

VANDIVER, JONAH RPPO, Premier

WILLIAMS II, BRADFORD RPPO, Premier

WILLIAMS, BRADFORD RPPO, Premier

SPENCERBOSTICK, GINA C

PPO, Premier

DIGUMARTHI, VENKATA PPO, Premier

GRANT, VANISIA PPO, Premier

SMITH, CURTIS LPPO, Premier

SPERRYSMITH, JUSTEN B

Premier

SPIROFISHER, KEIFER L

Premier

STIGLERHOANG, ANTON

PPO, Premier

SWINK, JOE FPremier

TRAN, PATRICK PPO, Premier

STILLWATERANDRUS, CHRISTIAN J

PPO, Premier

BASSETT, SARA Premier

BRORSEN, RUSSELL PPO, Premier

COFFEY, J WPPO, Premier

CUMMINGS, BRAD PPO, Premier

DAUGHERTY, DARRELL W - 15PPO, Premier

DIGUMARTHI, VENKATA PPO, Premier

DOMAGALA, ALEXANDRIA PPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 17 of 22

STILLWATERHALLEY, JESSICA M

PPO, Premier

HALLEY, VINCEN JPPO, Premier

HAYNES, JOE PPO, Premier

HETRICK, C NPremier

JOHNSON, ROBERT CPPO, Premier

JONES, ARONDA PPO, Premier

KENDRICK, STEPHANIE Premier

KENNEMER, CHANDA - 30PPO, Premier

KIERL, PETER - 20PPO, Premier

KIERL, T PHILIP - 20PPO, Premier

KONERU, ANUSHA PPO, Premier

LAUVETZ-ENMEIER, JENNIFER LPPO, Premier

LEE, JERRY PPO, Premier

LESLIE, CHRISTOPHER MPremier

MCNICKLE, ZACH PPO, Premier

METCALF, CLINT Premier

MILLER, RICHARD - 10PPO, Premier

MILLER, STEPHEN HPPO, Premier

MOORE, ROBERT LPremier

POTTER, BENNY PPO, Premier

ROGOZHKINA, KRISTINA PPO, Premier

SETHMAN, ROSS E - 10PPO, Premier

SIMMONS, JAMES PPO, Premier

SPAULDING, CRAIG Premier

STREET, SCOTT PPO, Premier

VINCENT, DIANE PPO, Premier

WALKER, JASON DPPO, Premier

WALKER, JENNIFER Premier

WILLIAMS, ALEXANDER DPPO, Premier

STILLWATERWILLIAMS, SHANNON

PPO, Premier

YUSEF, SANA PPO, Premier

STILWELLCATRON, CHAD A

Premier

CRITTENDEN, ROBERT PPO, Premier

STROUDFRANCIS, BRETT

PPO, Premier

MCNAIR, DANIEL SPPO, Premier

SULPHURAHLBORN, MICHAEL

Premier

BOWMAN, BENJAMIN Premier

COKER, MARGARET APremier

HOBBS, RANDI MPremier

NABORS, GARY Premier

PETTIGREW, JANNA LPremier

SMITH, JARED RPremier

TAHLEQUAHALLISON, ERROL

PPO, Premier

GEASLAND, JOHN APremier

HODGSON, MATTHEW PPO, Premier

MCCONNELL, THOMASON PPO, Premier

RADER, PAUL EPPO, Premier

ROUSE, BRANT Premier

SMITH, MARK DPPO, Premier

WALKER, JOHN PPPO, Premier

WALKER, MATTHEW EPPO, Premier

WEBB, ROBERT PPPO, Premier

TALIHINAMCNATT, KYLE

PPO, Premier

TECUMSEHHALL, BARRETT R

Premier

TECUMSEHHIEGER, CONNOR

Premier

MORRIS, DANIEL EPremier

SIMS, CHARLES APPO, Premier

TISHOMINGOAUSTIN, RON E

Premier

BEARD, OLLIE PPO, Premier

COLLIER, SHANETHA PPO, Premier

HAYNES, BRENT PPO, Premier

PARKS, JUSTIN Premier

RAND, JENNIFER LPremier

TONKAWACAMPBELL, SARAH

Premier

TULSAAKBERALI, ALIAKBER F

PPO, Premier

AL SALAYTA, MUHANNAD PPO, Premier

ALDRICH, TIM PPO, Premier

AMILIAN, RICHARD SPremier

ANDERSON, GERALD PPO, Premier

ANDREGG, MARK - 20PPO, Premier

ANDRUS, CHRISTIAN JPPO, Premier

ARCHER, BRYAN DPPO, Premier

ARIANA, JAMIE PPO, Premier

ARMSTRONG, STEVEN PPO, Premier

ARNOULD, BONNIE PPO, Premier

ARNOULD, FORREST LPPO, Premier

ASHMORE, GLENN APPO, Premier

AVERY, LAUREN KPPO, Premier

BAIRD, ROBERT PPO, Premier

BATY, BENSON Premier

BEATTY, CALYSTA PPO, Premier

TULSABELLER, KATHRYN

PPO, Premier

BENNETT, JILL APremier

BERKLACY, STEVEN PPO, Premier

BINGHAM, SETH BPremier

BLACK, WESLEY NPPO, Premier

BLYTHE, FRED BPPO, Premier

BOWEN, NATHAN DPPO, Premier

BROERMANN, JEFFREY PPO, Premier

BROWN JR, RICHARD LPremier

BUBERT, JOHN RPremier

BULLEIGH, AARON PPO, Premier

BUNTEMEYER, CRAIG EPPO, Premier

BURKE, CHRISTOPHER PPO, Premier

BURKITT, JENNIFER PPO, Premier

BUSO, HANNAH PPO, Premier

BUSSMAN, CHRIS PPO, Premier

CALHOUN, CHARLES Premier

CANNON, CHANGA PPO, Premier

CANNON, DANIEL - 10PPO, Premier

CARLETTI, JOHN APPO, Premier

CARSON, THOMAS PPO, Premier

CARTER, EMILY - 20PPO, Premier

CARTER, SPENCER PPO, Premier

CASLER, CONRAD CPremier

CAUDLE, CAROLYN Premier

CHA, JEROME YPremier

CHALKIN, MARC PPO, Premier

CHIEN, TZU-MIN PPO, Premier

CLENDENEN, LLON H - 20PPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 18 of 22

TULSACOBBLE, JAN L

Premier

COLOMBIN, JACK BPremier

COOPER, JONATHAN S - 20PPO, Premier

CORNELL, NEIL RPremier

COSTELLO, SEAN PPO, Premier

COURSEY, RYAN MPPO, Premier

CRAIG, CAMERON PPO, Premier

CRONIN, PHILLIP PPO, Premier

CROOK, RANDALL JPPO, Premier

CUZALINA, LAWRENCE ANGELO - 10

PPO, Premier

DAVIES III, WALTER MPPO, Premier

DAVIS, MARK MPPO, Premier

DIETERLEN, BRETT BPPO, Premier

DIGUMARTHI, VENKATA PPO, Premier

DO, DAVIS PPO, Premier

DO, HUGH TPPO, Premier

DO, STEVEN PPO, Premier

DUDLEY, CRAIG SPPO, Premier

EL HENNAWEY, REHAM - 15PPO, Premier

EMAMI, JUSTIN PPO, Premier

EMAMI, MEHRDAD PPO, Premier

EMERSON, CLINTON W - 20PPO, Premier

ENGELBRECHT, MICHAEL Premier

EVANS, BEAU BPPO, Premier

EVANS, WILLIAM RPPO, Premier

FAULKNER, MARK CPremier

FINNELL, JERRY BPremier

FIREY, KIMBERLEY APremier

TULSAFISHER, GARY - 30

PPO, Premier

FLINCHUM, STEPHANIE PPO, Premier

FLINT, CHARLES M - 20PPO, Premier

FLINT, ROBERT Premier

FONDER, JOHN JPremier

FOX, SARAH M - 30PPO, Premier

FREET, DAVID PPO, Premier

FRENCH, MELISSA PPO, Premier

FRENCH, RONALD DPPO, Premier

GACHES, MARK Premier

GAMBLE, THOMAS LPremier

GARNER, KENNETH PPO, Premier

GERETY, GRANT - 30PPO, Premier

GERKIN, BENJAMIN JPPO, Premier

GILL, DEBORIA FPPO, Premier

GLENN, STEPHEN OPremier

GOLBEK, ERIC PPO, Premier

GOOD, WARREN Premier

GRAY, RONISHA PPO, Premier

GREER, JERRY - 10PPO, Premier

GRIFFITHS, DANIEL JPPO, Premier

GROVES, JOHN EPPO, Premier

HACKLER, JAMES - 10PPO, Premier

HALL, JASON RPPO, Premier

HAMMOND, LINDSEY PPO, Premier

HANNA, MARIAM PPO, Premier

HARE, L PPO, Premier

HARGETT, NESLIHAN EPPO, Premier

HASTY, NEIL PPO, Premier

TULSAHENRICH, FRANKLIN J

PPO, Premier

HENRY, BLAKE - 20PPO, Premier

HERMAN, ROBERT J - 20PPO, Premier

HINKLE, C MIKE Premier

HOANG, ANTON PPO, Premier

HODGES, MEGHAN PPO, Premier

HOLLEMAN, ARTHUR LPPO, Premier

HOLMAN, SARAH PPO, Premier

HOPPER, AMELIA PPO, Premier

HORN, BRUCE DPremier

HOSIER, M J - 20PPO, Premier

HOWARTH, KEVIN JPremier

HOWL, MIKE SPPO, Premier

HUDSON, LLOYD - 10PPO, Premier

HUGHES, REBECCA Premier

HUNTER, NICK SPremier

HUYNH, DAVID PPO, Premier

JACKSON, MELISSA PPO, Premier

JAMES, LARRY FPPO, Premier

JANITZ, ROGER E - 10PPO, Premier

JELSING, PRISCILA JPremier

JOHNSON, COURTNEY PPO, Premier

JOHNSON, EUGENIA M - 15PPO, Premier

JOHNSON, J BERT PPO, Premier

JONES, ARONDA PPO, Premier

JORISHIE, JACOB WPPO, Premier

JUMP, DAVID PPO, Premier

KEITHLINE, CHARLES R - 30PPO, Premier

KIRKPATRICK, DOUGLAS A - 20PPO, Premier

TULSAKIRKPATRICK, THOMAS B - 20

PPO, Premier

KITTERMAN, KERRY - 30PPO, Premier

KLONTZ, KELLY J - 20PPO, Premier

KNOWLES, TREVOR PPO, Premier

KNOX, STEPHEN FPPO, Premier

KUBELKA, MICHAEL J - 15PPO, Premier

KUENNING, GARY LPPO, Premier

KY, FELIX PPO, Premier

LAI, APRIL - 30PPO, Premier

LAI, JOSEPH - 20PPO, Premier

LANDERS, JOHN APPO, Premier

LARD, JOHN BPPO, Premier

LE, SALLY PPO, Premier

LEBEDOFF, TYSON PPO, Premier

LEVINSON, MARTI Premier

LI, FEIYA - 30PPO, Premier

LOONEY, JOSHUA CPPO, Premier

LOSCUITO, LINDA Premier

LOWE, PHILLIP PPO, Premier

LUSK, STEVEN Premier

MARSHALL HAYS, MOLLY MPPO, Premier

MARSHALL, TED PPO, Premier

MASSARO, MARK EPremier

MASTERS, DANIEL Premier

MASTIN, CHRISTOPHER R - 10PPO, Premier

MATHIS, DALE RPremier

MAXEY, JIM PPO, Premier

MAXWELL, LESLEY PPO, Premier

MCCORMICK, GENE WPremier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 19 of 22

TULSAMCDOUGALL, HUGH

PPO, Premier

MCGINNITY, THOMAS PPO, Premier

MCMILLON, HANNAH RPPO, Premier

MERRILL, PEGGY PPO, Premier

MILES, JEFF APremier

MILES, STEVEN PPO, Premier

MIRABAL, CHRISTIAN SPremier

MISNER, KENNER - 20PPO, Premier

MOOSAVI, MOHSEN PPO, Premier

MORROW, MARK E - 30PPO, Premier

MOSE III, JOHN DPremier

NAUMAN, ANGIE PPO, Premier

NELLIS, NICOLE PPO, Premier

NGUYEN, KALVIN PPO, Premier

NGUYEN, TRUYEN DPPO, Premier

NICHOLS, LAUREN Premier

NOAH, RYAN PPO, Premier

NOWLIN, RYAN V - 20PPO, Premier

NOWLIN, VAN L - 20PPO, Premier

OLIVER, STEVEN DPremier

ORYNICH, CATHERINE - 30PPO, Premier

OWENS, TYLER - 30PPO, Premier

PARKER, JEFF KPremier

PARKS, BENNETT PPO, Premier

PARRISH, JAIME A - 40PPO, Premier

PATE, KAREN PPO, Premier

PATEL, ANAND N - 20PPO, Premier

PATEL, RAJ PPO, Premier

PATTEN, BRIAN DPPO, Premier

TULSAPETTIT, JAY W

PPO, Premier

PHUNG, LONG PPO, Premier

PIERCE, JEFFREY PPO, Premier

PITTMAN, DOUGLAS SPPO, Premier

POOR, CHRISTINA LPremier

POTTER, BENNY PPO, Premier

POTTORFF, ADAM LPPO, Premier

POWELL, NATHAN PPO, Premier

PRINCE, LARRY OPPO, Premier

RAY, KENNETH - 40PPO, Premier

REEDER, BILLIE TPPO, Premier

RHYNE JR, CRAIG - 10PPO, Premier

RIDDEL, ROSS PPO, Premier

RIGDON, TERRY FPremier

RIGGS, MICHAEL LPPO, Premier

RISNER, RON DPremier

RITTER, ZACK - 15PPO, Premier

ROBERTS, RYAN S - 30PPO, Premier

ROGERS, THOMAS - 10PPO, Premier

ROGERS, WILLIAM BPPO, Premier

ROGOZHKINA, KRISTINA PPO, Premier

RORABAUGH, DAVID PPO, Premier

ROSS, ROBIN MPPO, Premier

ROULSTON, JOANNA PPO, Premier

ROULSTON, TYSON PPO, Premier

SCHEUERMAN, DAVID PPO, Premier

SCHOEFFLER, JERRY SPremier

SCHULTZ, JOHN FPPO, Premier

SEGNAR, RANDY PPO, Premier

TULSASESSOM, JEFFERY WADE

PPO, Premier

SHANNON, KYLE - 20PPO, Premier

SHARPE, BRUCE RPPO, Premier

SHARRAK, NOOR PPO, Premier

SHEPHERD, MICHAEL PPPO, Premier

SHUTE, GEORGE APPO, Premier

SIKES, KYLE Premier

SMITH II, EDDIE PPO, Premier

SMITH, BRICE LPremier

SMITH, GARY HPPO, Premier

SMITH, GREGG APPO, Premier

SMITH, LINDSAY Premier

SORENSON, JOSHUA PPO, Premier

SOUTHARD, LAURIE L - 15PPO, Premier

SOUTHARD, WRANY RPPO, Premier

STALLINGS, BRETT PPO, Premier

STANDLEE, RACHEL LPPO, Premier

STEFFEN, MICHAEL RPremier

STEPHENS, MATTHEW CPPO, Premier

STEPHENS, RICHARD PPO, Premier

STEVENS, CLINTON DPPO, Premier

STEWART, TOM R - 20PPO, Premier

STEYER, JAMES G - 30PPO, Premier

STIPE, DANIEL PPO, Premier

STOKES, KIMBERLY PPO, Premier

STOLZ, GINA LPPO, Premier

STONE, AMY E - 15PPO, Premier

STOS, DANNY PPO, Premier

STREET, SCOTT PPO, Premier

TULSASULLIVAN, CARLA

Premier

SUSMAN, MARC LPremier

SUTHAR, PRAGNA PPO, Premier

SWISHER, BRENDON MPPO, Premier

TA, SERENA PPO, Premier

TALIAFERRO, CHELSEA - 30PPO, Premier

TARR, DANIEL EPPO, Premier

TAT, ANTHONY PPO, Premier

TEMPLETON, C K - 10PPO, Premier

TEWIS, SHANE Premier

THOMAS, DAVID LPPO, Premier

THOMPSON, BRANDI BPPO, Premier

THOMPSON, WESLEY PPO, Premier

TINKER, TERRY PPO, Premier

TODD, DEAN OPremier

TOLER, SHANNON Premier

TOOLE, MICHAEL PPO, Premier

TRAN, TRUNG T - 40PPO, Premier

TRICINELLA, CHRISTOPHER PPO, Premier

TRICINELLA, KENNETH DPPO, Premier

TROCKEL, CHRIS - 20PPO, Premier

TROCKEL, MARTIN FPPO, Premier

TUCKER, BYRON N - 15PPO, Premier

TURNER, HEATHER PPO, Premier

UMMER, ROHIT PPO, Premier

VAN BRUNT, CORBYN LPremier

VANDIVER, JONAH RPPO, Premier

VINSON, CHRISTOPHER CPPO, Premier

VINSON, KRISTIE LPPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 20 of 22

TULSAVROOME, KYLE M - 20

PPO, Premier

WAGNER, SCOTT Premier

WANN, S LPremier

WARLICK, DANIEL PPO, Premier

WARLICK, KATIE LPremier

WARLICK, MATTHEW EPremier

WEBSTER, CHAD PPO, Premier

WEILACHER, JASON Premier

WENDELKEN, AMANDA PPO, Premier

WHENRY, LAUREN MPPO, Premier

WHITE, STEVEN VPPO, Premier

WHITNEY, MARK EPPO, Premier

WILLARDSON, DAVID PPO, Premier

WILLIAMS, ALEXANDER DPPO, Premier

WILLIAMS, RYAN P - 20PPO, Premier

WILLIAMS, THOMAS GPPO, Premier

WINDER, RONALD L - 30PPO, Premier

WOOD III, CHALMERS Premier

WOOD, GARY PPO, Premier

WOODWARD, DONAL R - 10PPO, Premier

WYATT, ERIC WPPO, Premier

WYATT, KENT H - 15PPO, Premier

WYATT, REBECCA APPO, Premier

WYATT, WAYNE - 20PPO, Premier

WYNN, MICHAEL Premier

YUSEF, SANA PPO, Premier

TUTTLECHASTAIN, BRIAN G

Premier

MCCAN, JERRY DPremier

TUTTLEMORGAN, JOHN

Premier

TYRONEKEYES, CAROLYN

Premier

VIANCOFFEE, LOGAN

PPO, Premier

VINITABRECHEISEN, SCOTT K

Premier

HERMAN, ROBERT J - 20PPO, Premier

JOURDAN, THOMAS BPremier

KORB, JANDRA Premier

MAYER, STEPHEN Premier

WAGONERCRAIG, MICHAEL

PPO, Premier

HARMAN, AARON PPO, Premier

WARR ACRESCLARK, FRANKLIN

PPO, Premier

FALLIN, JOSEPH Premier

GRIFFIN, JENNIFER PPO, Premier

JONES, ARONDA PPO, Premier

LIU, QIONG AMY PPO, Premier

POTTER, BENNY PPO, Premier

YUSEF, SANA PPO, Premier

WATONGAEDSALL, ROBERT D

Premier

PROUD, NATHAN NPremier

SCOVILLE, ANDREA MPremier

TURPIN, ASHLEA Premier

WEATHERFORDBURRILL, CARAH

PPO, Premier

CARLSON, PETER L - 10PPO, Premier

DIXON, STEPHEN PPO, Premier

WEATHERFORDMEOLI, NICOLE

PPO, Premier

MIYAKE, ALAN A - 10PPO, Premier

STEPHENS, BRIAN LPPO, Premier

TATE, RAY PPO, Premier

URANECK, WILL WPremier

VILLINES, NATHAN PPO, Premier

WILLIAMS, RYAN P - 20PPO, Premier

WOOD, JOHN CPremier

WOOLFORD, PATRICIA PPO, Premier

WETUMKACHOWINS, ROMAN

PPO, Premier

NELSON, E MPPO, Premier

WEWOKABROWNING, CHRISTOPHER

PPO, Premier

WILBURTONLAWSON, AYAN

Premier

OSTERHOUT, CASEY Premier

WOODWARDAITSON, MICHAEL E

Premier

HUNTER, W RPremier

OLIVE, GARRETT Premier

TEVEBAUGH, LESLIE APremier

WHITE, MORI KPremier

WHITE, TERI DPremier

YADON, W TPremier

WYNNEWOODLEDBETTER, LES

Premier

YUKONAL-ZUBI, KHALID

PPO, Premier

ARIAS, TABITHA PPO, Premier

ASHMORE, GLENN APPO, Premier

YUKONBEEBE, RACHELLE

PPO, Premier

BELKNAP, JAMIE PPO, Premier

BERG, TAMARA Premier

BLANCHARD, KATELYN - 20Premier

BOHLE III, GEORGE C - 50PPO, Premier

BRACKETT, RYAN - 30PPO, Premier

BROADBENT, COLBY PPO, Premier

BURRILL, CARAH PPO, Premier

BYRNE, MATTHEW PPO, Premier

CARDON, CREED PPO, Premier

CARLSON, PETER L - 10PPO, Premier

CASE, JAY CPPO, Premier

CLIFFORD, GREGORY MPPO, Premier

CODY DUNNINGTON, KATHARINE Premier

COHENOUR, AARON TPPO, Premier

COHENOUR, PATRICK TPPO, Premier

COLE, MATTHEW DPremier

DAUPHIN, JEROMY WPPO, Premier

DEASON, DAVID EPremier

DO, DAVIS PPO, Premier

DO, STEVEN PPO, Premier

DUFFEL, WESLEY APPO, Premier

DUKES, PATRICK JASON Premier

ERICKSON, KOLTON - 20Premier

GOELZ, CHRISTOPHER PPO, Premier

GUFFEY, MATTHEW PPO, Premier

HAYNES, JOE PPO, Premier

HENRY, JANICE Premier

HERREN, STEPHEN WPPO, Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 21 of 22

YUKONHINSON, ANGEL

PPO, Premier

HOANG, DAVID PPO, Premier

HOANG, DAVID TPPO, Premier

HOANG, QUAN PPO, Premier

HOUSLEY, COURTNEY PPO, Premier

JOHNSON, DAMON LPPO, Premier

JOHNSON, RICHARD L - 10PPO, Premier

KEASTER, LANDON PPO, Premier

KOUZBARI, MHD ZPPO, Premier

KRATZER, KRISTIN PPO, Premier

KULKARNI, PRIYANKA PPO, Premier

LANGFORD, LETA Premier

MAULDIN, ALAN Premier

MAYS, TY PPO, Premier

MCCAN, JERRY DPPO, Premier

MCCOLLOUGH, DAVID - 20Premier

MCCULLOUGH, S - 20Premier

MESIKEP, MARK PPO, Premier

MILLER, MARLO - 20PPO, Premier

MIYAKE, ALAN A - 10PPO, Premier

NGUYEN, KALVIN PPO, Premier

NGUYEN, TUNG NPPO, Premier

ONLEY, BRANDON Premier

OPHUS, KELLIE PPO, Premier

PATEL, AMIT PPO, Premier

PATEL, SNEHA PPO, Premier

PERRY, BENTON - 30PPO, Premier

PHILLIPS, JOSHUA PPO, Premier

POITEVIEN, JEMIMA - 30PPO, Premier

YUKONPOLK, KAITLIN

PPO, Premier

RASHEED, OMAR PPO, Premier

RECKNAGEL, CHRIS Premier

REED, WILLIAM Premier

REITER, DAVID RPremier

RIGGS, L DOUGLAS Premier

ROMERO-DELMASTRO, ALEJANDRO A - 20

Premier

SALOUS, YOUSEF PPO, Premier

SCOTT, CHARLES PPO, Premier

SEBOURN, JOSEPH PPPO, Premier

SPIELMANN, GREGORY APPO, Premier

STEPNIEWSKI, ADAM PPO, Premier

TA, SERENA PPO, Premier

TAT, ANTHONY PPO, Premier

TAYLOR, BRYAN RPremier

TRAN, ROSANNA PPO, Premier

TUCKER, JOSEPH PPO, Premier

VU, VAN PPPO, Premier

WALLACE, JASON PPO, Premier

WEAVER, ZANE MPremier

WILLIAMS, NOEL PPO, Premier

WILLINGHAM, RICK LPremier

WYATT, SCOTT Premier

Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 22 of 22