FA1 Attachment T-5: DHMO Dental Providers Representations made by the Offeror in this proposal become contractual obligations that must be met during the contract term. For the counties shown below, list the total number of participating in-network providers by Instructions: specialty. Also indicate the number of providers accepting new patients, by specialty. General/ County/ Total Dental Category Family Orthodontist Pedodontist Periodontist Oral Surgeon Endodontist Metro Area Providers Dentist Central Maryland # of providers Anne Arundel # accepting new County patients # of providers Baltimore City # accepting new patients # of providers Baltimore # accepting new County patients # of providers Carroll # accepting new County patients # of providers Harford # accepting new County patients # of providers Howard # accepting new County patients Eastern Shore # of providers Caroline # accepting new County patients # of providers Cecil County # accepting new patients # of providers Dorchester # accepting new County patients # of providers Kent County # accepting new patients # of providers Queen Anne's # accepting new County patients # of providers Somerset # accepting new County patients # of providers Talbot County # accepting new patients # of providers Wicomico # accepting new County patients # of providers Worcester # accepting new County patients Southern Maryland # of providers Calvert # accepting new County patients # of providers Charles # accepting new County patients # of providers
FA1 Attachment T-5: DHMO Dental Providers Representations made by the Offeror in this proposal become contractual obligations that must be met during the contract term. Instructions: For the counties shown below, list the total number of participating in-network providers by specialty. Also indicate the number of providers accepting new patients, by specialty. County/ Metro Area Category General/ Family Dentist Orthodontist Pedodontist Periodontist Oral Surgeon Endodontist Total Dental Providers Central Maryland Anne Arundel County # of providers # accepting new patients Baltimore City # of providers # accepting new patients Baltimore County # of providers # accepting new patients Carroll County # of providers # accepting new patients Harford County # of providers # accepting new patients Howard County # of providers # accepting new patients Eastern Shore Caroline County # of providers # accepting new patients Cecil County # of providers # accepting new patients Dorchester County # of providers # accepting new patients Kent County # of providers # accepting new patients Queen Anne's County # of providers # accepting new patients Somerset County # of providers # accepting new patients Talbot County # of providers # accepting new patients Wicomico County # of providers # accepting new patients Worcester County # of providers # accepting new patients Southern Maryland Calvert County # of providers # accepting new patients Charles County # of providers # accepting new patients # of providers
DentalPlanAttachmentT-DHMOform.docx