2011-11-10T07:16:56-05:00 2010-12-31 CBIZ MHM LLC 3625 Cumberland Blvd SE Suite 800 Atlanta GA 30339 990 2010-01-01 941461312 DELTA DENTAL OF CALIFORNIA DELT 4159728300 100 FIRST STREET SAN FRANCISCO CA 94105 Michael J Castro 2011-11-03 7708584500 2010 2016-02-24 21:20:13Z 4575522870 false X WWW.DELTADENTALINS.COM X 1954 CA TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT. 15 8 2507 0 -65146 0 0 4577590809 4481901775 15603803 13859327 2554375 6575319 4595748987 4502336421 1062012 1179341 4121994263 4004753026 278726101 265943167 0 0 0 180229056 195198644 4582011432 4467074178 13737555 35262243 1115561915 1223119899 738722802 804629785 376839113 418490114 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT. false false 4397357300 4481901775 The organization provided dental benefit coverage for 17,583,000 beneficiaries in 2010, primarily through contracts with independent dentists. Included were 8,029,000 enrollees in Medicaid, SCHIP and other publicly-sponsored dental benefit programs administered by the organization, as well as 1,258,000 persons voluntary enrolled in the TRDP program for retired military service personnel and their families that the organization underwrites pursuant to a contract with the Department of Defense. The organization paid more than $4,004,753,000 for dental care during 2010. 1179341 1179341 The organization made grants during 2010 to foster improved access to dental health care treatment, to support professional dental education and to provide oral health instruction for patient 4398536641 false false false false false false false false false true false false false true true false true false false false false false false false false false true true true false false false false false true false true false false false false true true true false false true 89822 0 true 2507 true true true false false false false false X 15 8 false false false false true true true true true false false false true true true true false true true false X MICHAEL J CASTRO CFO 4159728300 100 FIRST STREET SAN FRANCISCO CA 94105 X TERRY A O'TOOLE 1.0 X 104667 0 GEORGE J STRATIGOPOULOS DDS 1.0 X 113277 DAVID WALKER 1.0 X 121667 R KENT FARNSWORTH DDS 1.0 X 107167 GLEN F BERGERT 1.0 X 97333 WAYNE DOUGLAS DEL CARLO DDS 1.0 X 31833 PATRICIA A FUKAMI 1.0 X 15333 GREGORY D KAPLAN DDS 1.0 X 54333 BECKY A PATEL 1.0 X 109333 JO BONITA RAINS 1.0 X 55833 CORAGENE I SAVIO DDS 1.0 X 67333 STEVEN W VOSS 1.0 X 63443 JOHN DOUGLASS WILLIAMS 1.0 X 28833 STEVEN F MCCANN 1.0 X 61833 Andrew J Reid 1.0 X 48110 Douglas D Cassat DDS 1.0 X 27000 Devang M Gandhi DDS 1.0 X 29610 Thomas A Zimmerman 1.0 X 29000 GARY D RADINE 51.0 X 2551699 1224420 ANTHONY S BARTH 42.0 X 1135404 826283 MICHAEL J CASTRO 42.0 X 803300 533238 PATRICK S STEELE 44.0 X 818209 1582585 CHARLES LAMONT 42.0 X 653956 1513529 BELINDA MARTINEZ 50.0 X 533563 25587 KEVIN JACKSON 50.0 X 362464 32907 NILESH PATEL 50.0 X 467020 21794 ALICIA WEBER 43.0 X 480957 61373 TERRI ANDERSON 50.0 X 314255 59625 KENNETH F BERNARDI 50.0 X 689461 15234 DANIEL CROLEY 50.0 X 266283 26931 RICK R DOERING 50.0 X 409458 62825 PATRICK HENRY 50.0 X 301393 34392 EVA HOFFMAN 50.0 X 273510 33499 KATHY JONZZON 50.0 X 267542 51414 J DOUGLAS KONOVALOFF 50.0 X 246414 30836 GARRET LEAF 50.0 X 344429 34907 JAMAL NASR 50.0 X 316785 39608 MOHAMMADREZA NAVID 50.0 X 353594 21633 DUANE PROFEIT 50.0 X 288968 70885 KATHERINE WATTS 50.0 X 272923 36821 TOM WONG 50.0 X 339382 37041 JEFFREY M ALBUM 50.0 X 282875 40331 HARI MAKKALA 50.0 X 339189 18111 Jeffrey Seybold 50.0 X 223901 59348 John Yamamoto 50.0 X 230085 39135 Stephen Adamson 50.0 X 255030 20387 KEVIN O'TOOLE 40.0 X 292953 37432 CARLA ANGULO 40.0 X 270203 39769 VALERIE LAYNE 40.0 X 251769 63076 ESTHER MARCIAL 40.0 X 311482 43998 Sciona Williamson 40.0 X 369311 35850 THOMAS W BURDEN 50.0 X 175894 31699 16404569 255030 6806503 456 true true false HP Enterprise Services LLC PO Box 848433 DALLAS TX 752848433 CONSULTING SERVICES 33946470 Catalyst360 LLC 4 Walnut Grove Drive HORSHAM PA 19044 CONSULTING SERVICES 3746287 Expedien 12750 Briar Forest Dr Ste 1401 HOUSTON TX 77077 Consulting Services 6003657 IBM PO Box 676623 DALLAS TX 752676673 Software Maint Svcs 3705736 Oracle Corporation PO Box 1450 MINNEAPOLIS MN 554858178 Software Maint Svcs 3027937 85 0 PROFESSIONAL SERVICES 3367404030 3367404030 FEES & CONTRACTS FROM GOVERNMENT AGENCY 1114497745 1114497745 4481901775 15900901 15900901 0 0 71144875 73186449 -2041574 -2041574 -2041574 0 0 0 MISCELLANEOUS REVENUE 6575319 6575319 6575319 4502336421 4502336421 776591 776591 402750 402750 0 4004753026 4004753026 23466093 23466093 0 182989752 151940768 31048984 10406992 10406992 36712423 35186862 1525561 12367907 11418128 949779 0 5540406 5540406 1498386 514114 984272 0 0 329067 329067 0 3554831 3526845 27986 25914852 25687081 227771 38401997 38400105 1892 7012438 6968409 44029 25555290 23823622 1731668 4741230 3641317 1099913 0 425452 313744 111708 3551325 3551325 14223643 14179946 43697 19266904 19017146 249758 1072299 1895 1070404 BROKER FEES 31596995 31596995 CONSULTANT FEES 52613249 51227469 1385780 OUTSIDE SERVICES 8510071 8294490 215581 CAPITALIZE SYSTEM PROJECT COST -62347242 -61879859 -467383 OTHER EXPENSES 13737451 14457813 -720362 4467074178 4398536641 68537537 0 61943031 140331176 20902617 67289125 263823700 254433372 38750000 35750000 22195070 16265129 570805518 248553137 270061942 322252381 337665883 288081339 49983166 50906757 6295206 6295206 43941300 41515414 1115561915 1223119899 434892535 488264915 19040990 36536308 100000000 53333333 184789277 226495229 738722802 804629785 X 376839113 418490114 376839113 418490114 1115561915 1223119899 X 35262243 6388758 X false true true X false 27539904 22160036 5379868 507236536 196308086 310928450 36029078 30085015 5944063 322252381 0 ACCRUED RETIREMENT BENEFITS 88796178 DEFERRED COMPENSATION PLANS 37414388 GROUP PREFUNDING DEPOSITS 7578490 REFUNDABLE GROUP BALANCES 92706173 226495229 4502336421 4467074178 35262243 10351437 -3962679 6388758 41651001 2728715421 2728715421 1773621000 1773621000 4502336421 2693453178 2693453178 1773621000 1773621000 4467074178 Other Revenue PART XII, LINE 4B ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE. Other Expense PART XIII, LINE 4b CLAIMS INCURRED FOR ADMINISTRATIVE SERVICE CONTRACTS. FIN 48 Footnote Part X, Line 2 The Company is a tax-exempt organization organized under Section 501(c)(4) of the Internal Revenue Code and, as such, no provision for income taxes has been made in the financial statements. Current accounting guidance clarifies accounting for uncertainties in tax positions recognized in an entity's financial statements. The guidance prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. These tax positions include those where the Company is exempt from income taxes or not subject to income taxes or unrelated business income. The Company evaluated the impact of implementing the new accounting pronouncement and determined that it had no impact on the Company's financial statements. Other Changes in Net Assets Part XI, Line 8 Pension liability and post-retirement adjustments. true MARCH OF DIMES 1275 Mamaroneck Ave White Plains NY 10605 131846366 10667 MARCH FOR BABIES CORPORATE DONATION NATIONAL GUARD YOUTH FOUNDATION 1001 N Fairfax St Ste 205 Alexandria VA 22314 541940978 10000 CHALLENGE PROGRAM DONATION NMFA - NATIONAL MILITARY FAMILY ASSOC 2500 N Van Dorn St Ste 102 Alexandria VA 22302 520899384 25000 2010 CONGRESSIONAL RECEPTION SPONSORSHIP SANTA BARBARA NEIGHBORHOOD CLINICS 1900 State Street Ste G Santa Barbara CA 93101 770496382 25000 ADULT DENTAL CARE PROJECT UC REGENTS 1 Shields Ave Tax Accounting Davis CA 95616 952226406 25000 CONTINUING EDUCATION GRANT UNITED WAY CALIFORNIA CAPITAL REGION 10389 Old Placerville Rd Sacramento CA 95826 237079003 43254 MATCHING DONATIONS UNITED WAY OF GREATER LOS ANGELES 523 WEST 6TH STREET LOS ANGELES CA 90014 952274801 6123 MATCHING DONATIONS UNITED WAY OF THE BAY AREA 221 MAIN STREET SUITE 300 SAN FRANCISCO CA 94105 941312348 31953 MATCHING DONATIONS UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET PHILADELPHIA PA 19104 231352685 25000 CONTINUING EDUCATION SPONSORSHIP CALIFORNIA ACADEMY OF GENERAL DENTISTRY 73 Castlewood Drive Pleasanton CA 94566 942557207 25000 CONTINUING EDUCATION GRANT NOVA SOUTHEASTERN UNIVERSITY 3301 College Ave Davie FL 33314 591083502 25000 CONTINUING EDUCATION SPONSORSHIP ORAL HEALTH AMERICA 410 N MICHIGAN AVE STE 352 CHICAGO IL 60611 362382334 10000 HEALTH & EDUCATION GRANT SAN DIEGO COUNTY OFFICE OF EDUCATION 6401 Linda Vista Rd San Diego CA 92111 956000935 17000 SAN DIEGO SMILES PROGRAM UCSF - SCHOOL OF DENTISTRY PO BOX 0884 SAN FRANCISCO CA 94143 946036493 25000 CONTINUING EDUCATION GRANT AMERICAN RED CROSS PO Box 37243 Washington DC 200137243 530196605 30000 HAITIAN RELIEF FUND CARECEN 1460 Columbia Rd NW Suite C-1 Washington DC 20009 943036508 10000 HEALTH & EDUCATION GRANT CDA FOUNDATION 222 South Riverside Plaza Suite 2100 Chicago IL 60606 680411536 25000 2010 CAMBRA SYMPOSIUM COLUMBIA UNIVERSITY 622 West 113th Street Mail Code 4524 New York NY 10025 135598093 27500 CONTINUING EDUCATION GRANT INTERAGENCY INSTITUTE FOR FEDERAL HEALTH CARE EXEC 077421512 14600 ALUMNI DINNER SPONSORSHIP LA CLINICA DE LA RAZA PO Box 22210 Oakland CA 94623 941744108 12500 COMMUNITY HEALTH EDUCATION PROGRAM NAT'L FOUND OF DENTISTRY FOR THE HANDICAPPED 1800 15th Street Suite 100 Denver CO 80202 846129064 50000 ANNUAL GRANT SAN FRANCISCO CHAMBER OF COMMERCE 235 Montgomery Street San Francisco CA 94104 940834950 8200 CITYBEAT SUPPORTER SPONSORSHIP SAN MATEO MEDICAL CENTER 222 W 39th Ave San Mateo CA 94403 946000532 10000 ELECTRONIC DENTAL RECORD PROJECT SANTA CLARA FAMILY HEALTH FOUNDATION 210 E Hacienda Ave Campbell CA 95008 272580630 10300 MEASURE A DONATION SOCIETY OF AMERICAN INDIAN DENTISTS PO Box 9230 Surprize AZ 85374 205966903 30000 GRANT FOR EXPANSION PROJECT UCLA SCHOOL OF DENTISTRY 10833 Le Conte Ave Los Angeles CA 90095 943191637 39146 REDUCING MICROBIAL LEVELS IN HIGH RISK ADULTS UNIVERSITY OF ALABAMA PO Box 870142 Tuscaloosa AL 35487 636001138 25000 CONTINUING EDUCATION SPONSORSHIP UNIV OF TX HEALTH SCIENCE CTR OF SAN ANTONIO 7703 Floyd Curl Dr San Antonio TX 78284 741586031 25000 CONTINUING EDUCATION SPONSORSHIP UNIV OF TX DENTAL BRANCH Alumni Assoc PO Box 56667 Houston TX 77256 741761309 10000 PEDIATRIC DENTISTRY CLINIC SPONSORSHIP UNLV SCHOOL OF DENTAL MEDICINE Mail Stop 122 Reno NV 89557 886000024 25000 CONTINUING EDUCATION SPONSORSHIP WATTS HEALTHCARE CORP 10300 Compton Ave Los Angeles CA 900023628 753046480 20000 HEALTH & RESEARCH GRANT MISCELLANEOUS ITEMS LESS THAN 5000 100348 83 STUDENT LEADERSHIP AWARDS 202750 HISPANIC SCHOLARSHIP 200000 Grant Approval PART I, Line 2 The organization awards grants for programs that foster dental health and education. Through these grants we help finance health, educational and research projects in dentistry, health and human services and civic and community affairs. The two grants are: (1)the Dental Health and Education Contribution, which supports dental health and awareness programs; and (2) the Standard Dental Research Grant, which supports professional research related to dental health. Grants are awarded to groups who: (1) provide dentistry for indigents; (2) provide dentistry for groups that are dentally underserved; (3) provide education to advance the awareness or the science of dentistry; (4) promote public dental health; and (5) are involved with community activities related to dental care. Grant Guidelines: Priority will go to projects that focus on issues related to the delivery of oral health care, including those with significant potential for improving oral health and reducing treatment costs. Priority consideration will go to researchers from the dental schools in the enterprise, but will not be limited to these institutions. Priority will go to two types of studies: (1) Pilot or feasibility studies likely to enhance the investigator's chance for long-term funding from other sources; and (2) complete projects considered to be of interest to the health, education and research fund, for which other sources of funds are traditionally not available or sufficient. Priority will go to studies that evaluate the outcome of preventative and treatment procedures. Retrospective studies or those involving analysis of existing data should be considered, rather than long-term follow-up studies, in order to reduce the years required to obtain data. Overhead charges within each eligible grant will be limited to eight percent. The fund will normally make one to two standard research grants per year. Individual grants will generally not exceed $40,000. Grants will be limited to one-year projects, subject to renewal. Except in special cases, an organization/entity will not be eligible for more than one grant during any year. A screening committee reviews all applications, with final grant decisions made by the fund's administrative committee. X X X true true X X X X X false true false false false false false true false GARY D RADINE 1200000 960000 391699 1207332 17088 3776119 ANTHONY S BARTH 750192 350000 35212 802636 23647 1961687 MICHAEL J CASTRO 500096 250000 53204 509591 23647 1336538 PATRICK S STEELE 500096 275000 43113 1565497 17088 2400794 CHARLES LAMONT 389404 220000 44552 1496441 17088 2167485 BELINDA MARTINEZ 375069 100000 58494 8799 16788 559150 KEVIN JACKSON 270039 67500 24925 9710 23197 395371 NILESH PATEL 360218 90000 16802 13317 8477 488814 ALICIA WEBER 357903 100000 23054 40781 20592 542330 TERRI ANDERSON 246031 54000 14224 41854 17771 373880 KENNETH F BERNARDI 225334 50000 414127 680 14554 704695 DANIEL CROLEY 222516 35000 8767 3734 23197 293214 RICK R DOERING 317276 79965 12217 39628 23197 472283 PATRICK HENRY 232644 50000 18749 17627 16765 335785 EVA HOFFMAN 221206 45000 7304 9848 23651 307009 KATHY JONZZON 233519 25865 8158 28217 23197 318956 J DOUGLAS KONOVALOFF 188447 25000 32967 7185 23651 277250 GARRET LEAF 265658 70000 8771 10845 24062 379336 JAMAL NASR 242927 59700 14158 16411 23197 356393 MOHAMMADREZA NAVID 228992 103100 21502 13202 8431 375227 DUANE PROFEIT 228500 45600 14868 50420 20465 359853 KATHERINE WATTS 214575 50627 7721 20183 16638 309744 TOM WONG 270046 60000 9336 13844 23197 376423 KEVIN O'TOOLE 169969 114283 8701 14325 23107 330385 THOMAS W BURDEN 154649 10000 11245 15618 16081 207593 JEFFREY M ALBUM 220064 53223 9588 17134 23197 323206 HARI MAKKALA 279035 51000 9154 9680 8431 357300 CARLA ANGULO 86280 174664 9259 31254 8515 309972 VALERIE LAYNE 206384 23301 22084 39969 23107 314845 ESTHER MARCIAL 77852 225072 8558 20402 23596 355480 Jeffrey Seybold 185000 22500 16401 35704 23644 283249 John Yamamoto 200115 25000 4970 15945 23190 269220 Stephen Adamson 175385 79645 11009 9378 275417 Sciona Williamson 82875 273435 13001 29210 6640 405161 Expense Reimbursement PART I, LINE 1a First-Class travel--First class business travel is reimbursed to the Executive Vice Presidents. First class business travel for Senior Vice Presidents and Group Vice Presidents is reimbursed only when approval is received from their Executive Vice President. First class business travel is not treated as taxable compensation. Health or social club dues--The President and Executive Vice Presidents may be reimbursed for one health or social club upon approval by the President. Two senior executives received this benefit in 2010. The cost of this benefit is included in taxable compensation. Personal Services--Financial and tax planning expenses are reimbursed to employees who are at the Director or above level of management. There is a company policy outlining the maximum reimbursement allowed for each management level. These reimbursements are included in taxable compensation of the reimbursed employees. Non-Fixed Compensation Payments PART I, LINE 7 The President of the organization, with Board of Directors approval, may grant an annual bonus to all management employees. Any bonus amounts granted are included in the taxable compensation reported herein. Supplemental Non-Qualified Retirement Plan PART I, LINE 4b The organization provides a supplemental non-qualified retirement plan to certain of its senior executives as selected by the Board of Directors. The supplemental retirement benefit is based on each executive's compensation and years of service to the enterprise. The benefit is subject to risk of forfeiture if required years of service are not met. Annual deferred compensation related to this plan is reported in Schedule J, Part II, Column C for each participant and reflects the current year increase or decrease in the organization's pension benefit obligation (PBO), calculated pursuant to generally accepted accounting principles. The PBO increase or decrease includes changes in actuarial assumptions (e.g., applicable discount rate), as well as changes in compensation and years of service. In 2010, eight executives participated in the plan - Anthony Barth, Michael Castro, Kathy Jonzzon, Douglas Konovaloff, Charles Lamont, Belinda Martinez, Gary Radine, and Patrick Steele. Allied Administrators David Walker 3809939 Broker Administration false R Kent Farnsworth DDS Participating Provider 439208 Dental Claim Payments false Gregory D Kaplan DDS Participating Provider 283977 Dental Claim Payments false Coragene I Savio DDS Participating Provider 226416 Dental Claim Payments false Douglas D Cassat DDS Participating Provider 228332 Dental Claim Payments false Governing Body and Management Part VI, SECTION A Lines 6-7: The organization has two classes of members, Corporate Members and Dentist Members. The Corporate Members vote on persons nominated as directors and Corporate Members for endorsement to the organization's parent holding company, Dentegra Group, Inc., which elects the directors and Corporate Members. The Corporate Members also must approve any proposed merger or dissolution of the organization and any changes to specified Bylaws provisions. The Dentist Members have a right to vote only upon proposed changes to the Bylaws provisions that specify the proportion of dentists and lay persons serving as directors and Corporate Members. Policies Part VI, SECTION B Line 11: The organization's CFO and legal counsel oversee the completion of the Form 990, and review it with the President/CEO and with the Board of Directors' Audit and Finance Committees prior to filing. Line 12c: Each director is required to complete a Conflict of Interest Disclosure Statement annually, and between annual statements is required to disclose any new position or relationship formed that potentially raises a conflict of interest. Legal counsel reviews these disclosures and reports the information to the full board of directors. Line 14: A draft document retention and destruction policy is under consideration pending the testing of associated software being installed for management of electronic records. Lines 15a and b: Compensation paid to the CEO, executive vice presidents and senior vice presidents is approved by the Executive Committee of the organization's Board of Directors. The committee approves compensation for the ensuing year after reviewing comparability data presented by an independent outside compensation consultant, an assessment of each officer's performance over the preceding year and the organization's program accomplishments for the year. This process was followed for 2010 compensation. Line 19: The organization annually includes major portions of its financial statement in a published annual report that is made available to persons or entities known to have an interest in the organization, and is available to the larger public upon request. The organization does not make its governing documents or conflict of interest policy available to the public. Transactions with Interested Persons Schedule L, Part IV During the report year, organization director David Walker was President of Allied Administrators. Delta Dental Enterprise Form 990, Part VII; Schedule J; Schedule R The organization, regulated by the California Department of Managed Health Care, is a member of the Delta Dental of California enterprise companies, which include Delta Dental of California, Delta Dental of Pennsylvania and affiliated companies operating in 15 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands. The enterprise companies comprise one of the nation's largest dental benefits delivery systems covering 24.2 million enrollees and handling 36 million claims. Total revenue for the enterprise exceeded $6.3 billion in 2010. The organization represents approximately 75% of total enterprise revenues. Other Changes in Net Assets Part XI, Line 5 Pension liability and post-retirement adjustments $( 3,962,679) Net unrealized gains (losses) on investments 10,351,437 ------------ Total other changes in Net Assets $ 6,388,758 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY D. RADINE TITLE:PRESIDENT/CEO HOURS:9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY S. BARTH TITLE:EVP/COO HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL J. CASTRO TITLE:EVP/CFO HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICK S. STEELE TITLE:EVP/CIO HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES LAMONT TITLE:EVP/CLO HOURS:8 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALICIA WEBER TITLE:SVP/Controller HOURS:7 CELEBRATION DENTAL SERVICES LLC 100 First Street San Francisco CA 94105 593410497 DENTAL SVCS FL Delta Dental DENTEGRA INSURANCE HOLDINGS LLC 100 First Street San Francisco CA 94105 943386049 HLDNG CMPNY DE DENTEGRA INS F Gene Dixon Foundation 100 First Street San Francisco CA 94105 371570764 Charitable CA 501(c)(3) PF Dentegra Gro Delta Dental of Pennsylvania One Delta Drive Mechanicsburg PA 17055 231667011 Dental Ins PA 501(c)(4) Dentegra Gro Delta Dental of Delaware One Delta Drive Mechanicsburg PA 17055 510228088 Dental Ins DE 501(c)(4) Dentegra Gro Delta Dental of West Virginia One Delta Drive Mechanicsburg PA 17055 550523124 Dental Ins WV 501(c)(4) Dentegra Gro Delta Dental of the District of Columbia One Delta Drive Mechanicsburg PA 17055 521479587 Dental Ins DC 501(c)(4) Dentegra Gro PACA Management LLC One Delta Drive Mechanicsburg PA 17055 943277375 Ins. Mgmt. 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