QA Consultants

Certified Quality Assurance Consultants

                                               P = Procedural Quality Assurance Consultant                                                     C= Certified Quality Assurance Consultant

It is suggested that Primary source verification be made through the Company or the Board of Dental Examiners.

 last updated 2/19/18

  Last Name First Name Designation Title Company Phone Exp
P Aguirre Ray   Professional Service Manager Dental Health Services of America (562) 276-1252 2/1/2020
C Amberg Jonathan DMD Consultant Cigna (770) 261-7473 6/1/2020
C Amendola Louis DDS     (714) 222-9897 10/1/2018
P Anderson Melinda   Network Manager, Provider Relations LIBERTY Dental Plan (916) 233-5311 2/1/2019
C Anderson Robert DDS Dental Director Dental Health Services (562) 276-1184 2/1/2020
C Arzu Rosa     Altamed   3/1/2019
C Avakoff Edward DDS Orthodontist   (650) 346-8103 6/1/2019
P Axt Julie     The Dentists Service Company (916) 554-7320 6/1/2018
C Ayers Stanley DDS   Dental Health Services of America (562) 508-2595 10/1/2018
C Baban Salar       (760) 241-6663 10/1/2018
P Baker Laila DDS       6/1/2019
C Balikov Stewart DDS State Dental Director, UM Dept. Anthem, Inc. (805) 713-7610 6/1/2020
C Baltazar Wilfred DDS Consultant   (858) 693-8448 2/1/2019
C BARTHOLD BILL         2/1/2019
C Bath Sarwandeep   Associate dentist Access Dental Services   2/1/2020
P Battle Stephanie   Network Development Specialist II MCNA Dental (713) 805-9468 2/1/2018
C Beguin Linda DDS QI Manager Arizona Department of Insurance (602) 692-0005 6/1/2019
P Bender Cole     Western Dental Services (714) 571-3661 10/1/2018
C Benyamini Dan DDS     (310) 666-5778 2/1/2020
C Berger Ivan     Western Dental Services (714) 571-3661 10/1/2018
C Bollinger Susan DDS Consultant   (949) 759-7007 2/1/2019
P Bonaobra Rosalinda   QA & Review Analyst United Concordia Dental Plans of California (818) 936-1353 10/1/2018
C Brody Alan DDS     (818) 762-2682 10/1/2020
C Brumand Sasson     Aesthetic Dental Practice (858) 922-2669 6/1/2018
P Butler Kathy     The Guardian / Avesis (562) 547-5064 10/1/2018
C Cage Mark   Dentist   (888) 703-6999 (294) 2/1/2020
P Campbell Carrie     The Guardian / Avesis   2/1/2019
P Canas Joseph   Provider Relations Rep Guardian Life Insurance Company of America (661) 208-2625 10/1/2018
P Canciller Aliza   Plan Staff Delta Dental of CA, NY, PA & Affiliates (562) 467-6705 2/1/2020
P Carlos Cynthia   Provider Relations Rep Delta Dental of CA, NY, PA & Affiliates (310) 748-5829 2/1/2018
P Carlson Shayne   Provider Relations Rep LIBERTY Dental Plan (408) 779-1545 2/1/2019
C Chapokas Monica       (760) 439-6425 2/1/2019
C Chin Kelvin DDS Consultant   (408) 892-3312 6/1/2018
C Christensen Heidi         3/1/2018
C Clark Alma       (510) 690-7686 2/1/2020
C Clarke Donald DDS Dental Director of Access Dental Plan The Guardian / Avesis (916) 563-6095 2/1/2019
P Corrales Jennifer     Delta Dental of CA, NY, PA & Affiliates (916) 861-2432 2/1/2020
P Cotton Whitney         2/1/2018
P Cuevas Maria   Provider Relations Rep Delta Dental of CA, NY, PA & Affiliates (702) 655-4130 2/1/2020
C Cupples John     John S. Cupples, DDS 14082648515 6/1/2019
P David Helene   Quality Analyst United Concordia Dental Plans of California (818) 936-1335 10/1/2018
C Der Ovanessian Eric         6/1/2019
C Dill Douglas DDS   Aetna Dental (805) 857-0723 2/1/2020
C DiMarino Dr. James     Starmount Life Insurance Company (856) 981-3727 1/1/2018
P Djame Kamelia   Plan Staff Delta Dental of CA, NY, PA & Affiliates (510) 757-8799 2/1/2020
C Don Greg DDS     (818) 784-5414 2/1/2018
P Eatchel Leslie     Delta Dental of California (801) 281-3308 2/1/2020
C Eghtedar Brendan  DDS Dental Director Venture Health Group (858) 336-6451 2/1/2020
P Ehlers Patti     Delta Dental of CA, NY, PA & Affiliates (951) 738-9285 10/1/2020
C Espinda Len DDS Periodontist   (951) 255-6475 6/1/2019
C Exler Michael   Vice President, National Dental Director Avesis Third Party Admin. Inc. (410) 413-9155 2/1/2019
P Fallon Christina     Dental Health Services   2/1/2020
C Feldman Karen DDS Chief Dental Officer Absolute Dental Management, LLC 702) 291-2031 Ext 138 10/1/2018
C Ferguson Bertell DDS Consultant California Dental Network, Inc. (714) 776-1477 2/1/2018
C French Quinder DDS   UnitedHealthcare Dental/Dental Benefits Providers of California (510) 585-8183 6/1/2020
C Fuentes Lilia     AltaMed (323) 889-7300 3/1/2018
P Galela Alan   Dental Operations Manager Health Net (714) 934-3339 2/1/2019
P Garcia Anita   Network Manager, Provider Relations LIBERTY Dental Plan (949) 310-5301 2/1/2019
C Glick Melvin DDS Consultant   (760) 772-7700 6/1/2018
P Goebel Angela     Delta Dental of CA, NY, PA & Affiliates (951) 216-5595 2/1/2020
C Gonzales Martha     Ace (281) 442-4044 8/1/2026
P Gonzalez Saskia RDH   United Concordia Dental Plans of California (818) 710-5178 6/1/2019
C Goren Richard DDS Vice President & Chief Dental Officer LIBERTY Dental Plan (888) 273-2997 (156) 6/1/2019
C Gross Edwin DDS   Aetna Dental (818) 645-7131 2/1/2020
C Haley Eleanor DDS     (510) 686-9337 2/1/2018
C Han Timothy DDS     (510) 839-2045 2/1/2019
C Hann Frank       (925) 240-2070 2/1/2020
C Haque Naz DDS Consultant Marketplace Dental (714) 505-0123 10/1/2018
C Harris Donald     WattsHealthcare Corp (323) 564-4331 2/1/2020
C Hart Rita DDS   Dental Insurance Institute LLC (510) 919-2458 4/1/2018
P Hartwell Cindy RDA   California Dental Association   2/1/2020
C Hawes Gary DDS     (760) 271-8194 2/1/2020
C Hayden William DDS MPH   Dental Delivery System Consultants, Inc. (816) 795-1199 2/1/2018
C Henderson Elizabeth DDS Dental Director California Dental Network, Inc. (949) 830-1600 (1200) 6/1/2018
C Henken Edmond     Henken Orthodontics   2/1/2019
C Henry Marsha DDS   Smile Creations CA (916) 393-1363 2/1/2019
P Highcove Lisa   Provider Relations Rep United Concordia Companies Inc (818) 515-4157 2/1/2019
C Hollander Gary DDS Dental Consultant California Dental Network, Inc. (310) 553-2305 2/1/2020
P Hooker Dana   Professional Services Specialist Dental Health Services (562) 400-3257 6/1/2019
C Hoppe Howard     Delta Dental of California (916) 861-1992 6/1/2018
P Hotchkiss David     Delta Dental of CA, NY, PA & Affiliates (562) 403-4041 2/1/2018
P Huber Yvonne RDA Infection Control Trainer Western Dental Services (714) 571-3661 2/1/2019
P Iyotte Guadalupe RDA   Western Dental Services (714) 292-1318 2/1/2019
C Jacobson Jeffrey DMD       10/1/2018
P James Jackie     Guardian Life Insurance (818) 596-5849 6/1/2018
C Jolliffe Michael DDS     (707) 964-4704 6/1/2018
P Joyce Wendy     Delta Dental of CA, NY, PA & Affiliates (916) 861-1987 2/1/2018
C Kahn Mark DDS Dental Director Anthem Blue Cross Blue Shield (805) 713-3902 6/1/2018
C Karateew Daniel DDS     (860) 787-6789 6/1/2018
C Kelk Pichak     Pichak Kelk DDS Inc (949) 310-8191 2/1/2018
C Kerecz Richard DDS QA Consultant Western Dental Services (562) 697-7905 10/1/2018
P Khojaste Roshanak   Office Manager   (310) 626-2093 2/1/2019
C Kothari Ramesh DDS Peer Review Committee   (714) 771-7474 7/1/2018
C Krueger DDS David     Crossroads Dental (831) 761-9500 2/1/2019
C Kumasaki Edward       (916) 395-3660 12/1/2018
C Lee Ken DDS     (530) 885-7931 6/1/2018
P Leon JoAnn       (559) 799-0129 2/1/2019
C Leung Wilson         6/1/2021
C Levine Leonard     Delta Dental of California (408) 761-6866 6/1/2018
C Lewis Jacqueline DDS, MHA   Delta Dental of CA, NY, PA & Affiliates (949) 248-8852 6/1/2021
C Locker Howard     MDC/Guardian (760) 420-6056 6/1/2018
P Longworth Doretta     Western Dental Services (714) 571-3661 2/1/2019
C Loos James DDS   Western Dental Services (562) 494-7322 6/1/2019
P Lotz Susan   Vice President, Quality Management Western Dental Services (949) 633-5502 10/1/2018
P Lynch Cristal     Brooklyn Family Dental (718) 596-5537 1/1/2019
C MacLean Matt DMD Orthodontist California Orthodontic Auditors Association (818) 341-5150 10/1/2019
C MacLean Robert DDS Orthodontist California Orthodontic Auditors Association (818) 882-7569 10/1/2019
C Manos Paul DDS Dental Director United Concordia Dental Plans of California (818) 936-1349 6/1/2020
P Mariona Miguel     The Guardian / Avesis   2/1/2019
C Martin George       (760) 469-3011 10/1/2018
P Martinez Denise   Sr. Dental Benefits Analyst California Dental Association (916) 554-4994 2/1/2020
P Matuzima Patricia   Plan Staff Western Dental Services (714) 720-7797 10/1/2018
C Maxwell Mark DDS     (949) 500-3184 2/1/2020
P Mayen Leonardo     Delta Dental of CA, NY, PA & Affiliates (714) 278-0511 2/1/2018
C Mehta Roshani DDS Consultant   (949) 510-2402 2/1/2019
P Mejia Gerardo RDA QA Staff Western Dental Services (714) 944-6376 2/1/2018
C Merrifield Jeff DDS     (408) 489-5333 2/1/2020
C Minsky Jerry     SmileCare (562) 860-8330 2/1/2019
C Mirai Arman DDS QA Consultant   (714) 944-8249 10/1/2018
P Monroe Patricia     Delta Dental of CA, NY, PA & Affiliates   2/1/2020
C Montague Greg         2/1/2020
C Moore Reginald DDS Dental Director Community Health Systems, Inc. (951) 836-9181 2/1/2019
P Morgan Amanda   Plan Staff The Guardian / Avesis (714) 215-6757 2/1/2018
C Moser Charles     South Texas Dental   6/1/2019
C Nagata Donna DDS Dental Director UnitedHealthcare Dental (714) 513-6620 2/1/2020
P Navarro Blanca   Provider Relations rep Delta Dental of CA, NY, PA & Affiliates (626) 278-6354 2/1/2018
C Naziri Amanollah     Dr. Naziri's Dental Clinic (323) 569-7131 2/1/2018
P Negrete Therese   Director, Dental Care Management LIBERTY Dental Plan (888) 273-2997 EXT 297 6/1/2019
C Ngo Nicole   Dental Consultant LIBERTY Dental 888-273-2997 x5137 2/1/2020
C Nguyen Chi DMD   LIBERTY Dental Plan of California (888) 273-6999 10/1/2018
P Oglesby Samantha     Dental Health Services (562) 522-0525 2/1/2019
C Okamoto Vance     Western Dental Services (714) 571-3661 6/1/2018
C Okuji Michael     Delta Dental of CA, NY, PA & Affiliates   2/1/2019
P ONeal Deborah   Network Manager Delta Dental of CA, NY, PA & Affiliates (562) 805-0090 2/1/2018
P Orme Camera     Delta Dental of CA, NY, PA & Affiliates (916) 987-1162 2/1/2020
P Ouillette Kathleen   Provider Relations LIBERTY Dental Plan (888) 273-2997 2/1/2019
C Pegel Terence         6/1/2019
P Phan Yen Bich DDS Provider   (714) 249-0558 6/1/2019
C Pink Michael DDS Dental Director Sun Life (510) 333-4506 (507) 6/1/2018
C Pitzak Larry DDS Consultant Cigna (714) 396-4025 10/1/2018
P Pleitez Omar   Peer Review Committee Dental Health Services (503) 277-8623 6/1/2018
P Power Yvonne     Delta Dental of CA, NY, PA & Affiliates   2/1/2020
C Preston Michael DDS Consultant   (510) 581-4124 6/1/2018
P Protzel Susan DDS Consultant Cigna (415) 706-5424 6/1/2020
P Pryor Shaun RDA   The Dentists Service Company (916) 554-4979 6/1/2018
C Purrington Gregory DDS Deputy Clinical Director Reach Out Health Care America (949) 337-5288 6/1/2018
C Ranen Richard DDS Deputy Chief Clinical Officer (TX)     2/1/2020
C Raouf Rafidain     Rafidain Raouf, DDS (951) 768-6099 10/1/2018
C Rasekhi Reza DDS   MetLife (949) 437-2743 2/1/2018
C Reggiardo Paul     American Academy of Pediatric Dentistry   8/1/2018
P Rice Jennifer RDA   Western Dental Services (714) 571-3661 2/1/2019
P Roberts Donna RDA Professional Relations Represetative   (877) 460-6767 2/1/2018
P Robinson Paula   Network Manager Delta Dental of CA, NY, PA & Affiliates (541) 412-0433 2/1/2018
C Romeo Daniel DDS Consultant   (650) 208-2841 2/1/2020
P Roque Linda RDA   Guardian Life Insurance (818) 596-5849 6/1/2018
C Rose John     Access Dental Services (205) 923-3172 1/1/2018
C Rotblatt Sholi DDS Dental Program Manager Delta Dental of CA, NY, PA & Affiliates (916) 861-2524 2/1/2020
C Salazar Jessica     California Dental Network/DentaQuest (949) 232-2505 2/1/2019
C Salem Donald DDS Orthodontist   (310) 477-0333 6/1/2018
C Sales Michael         2/1/2020
C Samuel Roger DDS Dental Consultant Managed Dental Care (310) 387-9689 6/1/2019
C Sanchez-Figueras Angel DDS Dental Director, Dental ManagedGuard, Inc. The Guardian / Avesis (818) 596-5828 6/1/2020
C Sarkari Cherag DDS Chief Clinical Officer Access Dental Services (916) 563-6011 6/1/2019
C Saye Sharon DDS       6/1/2021
C Schultz David   Consultant   (310) 963-3390 10/1/2018
C Scortia Adriane DDS Dental consultant/auditor Premier Access (916) 388-3347 2/1/2019
C Shechet Robby DDS Sr.  Dental Director Health Net of CA (619) 655-0166 6/1/2019
C Sherman Alan DDS Orthodontist California Orthodontic Auditors Association (949) 481-4603 6/1/2019
C Sheu Kevin DDS Director Delta Dental of CA, NY,PA & Affiliates (415) 972-8300 2/1/2019
P Simington Gisel   Provider Relations - Network Manager Liberty Dental Plan 888-273-2997-X 5125 2/1/2020
C Singer Jack DDS Clinical Director of Quality Assurance & Patient Advocacy Coast Dental Services, LLC (813) 288-6280 1/1/2018
C Singer Julian DDS Orthodontist California Orthodontic Auditors Association (310) 398-8058 6/1/2019
C Slavin William DDS Consultant   (954) 294-0848 2/1/2020
C Smit Romy DDS Consultant   (559) 287-7483 6/1/2020
P Smith Sharon   Senior Provider Relations Representative The Guardian / Avesis (801) 641-6250 6/1/2019
C Steiner Patricia   Dental Director Nevada Dental Benefits (702) 478-2014 (1020) 6/1/2018
C Stephens Roy DDS Consultant   (619) 497-0122 6/1/2019
C Stewart Charles DMD President & CEO, Aetna Dental of CA/National Director, Dental Networks, Aetna Dental Aetna Dental of CA (818) 932-6159 6/1/2021
C Stirewalt Charles DDS VP of Clinical Optimization Support Smile Brands Inc. (714) 824-5194 10/1/2020
C Strand Peter DDS Orthodontist Western Dental Services (714) 421-1305 6/1/2019
P Suito Tammy     Delta Dental of CA, NY, PA & Affiliates (408) 947-7460 2/1/2018
C Sulitzer Jeff DMD Chief Clinical Officer   (310) 449-5726 2/1/2020
C Sun Cary DDS Dental Director Cigna (949) 255-1456 6/1/2020
C Tabibi Natali       (310) 210-9702 2/1/2020
C Takaki Kazu   Dental Director Western Dental Services (800) 992-3366 10/1/2018
C Tanious Mariz DDS Provider Western Dental Services (714) 571-3661 10/1/2018
C Tanita Daniel   Dr. Daniel S Tanita DDS Inc (510) 236-1661 6/1/2019
C Thomas Madeline DDS Dental Director MetLife (972) 291-4436 2/1/2020
C Tran Mai DDS   Smilewide (714) 357-9329 9/1/2018
P Tresler Candy   Director, Government Programs and Patient Relations Pacific Dental Services (714) 845-8625 2/1/2019
P Velasquez Martha   Professional Relations Representative Delta Dental of California (213) 703-0448 2/1/2020
P Vincent Robin     United Concordia Dental Plans of California (717) 260-7669 2/1/2019
C Vlahos Yiannis DDS       2/1/2020
C Walker Bruce         5/1/2018
C Walker Bruce         6/1/2019
C Wassef Nardine     Western Dental Services (714) 571-3661 10/1/2018
C Watanabe Lynda DDS Managing Dentist   (951) 204-2704 2/1/2019
C Watkins Douglas DDS     (818) 591-6858 2/1/2020
C Weintraub Denis       (818) 342-9797 2/1/2020
C Westerhout Patricia         2/1/2019
C White Thomas DDS Orthodontist   (310) 809-6281 6/1/2019
C Whitley John DDS Ca. Dental Director MetLife MetLife (714) 932-3750 10/1/2020
P Wickersheim Shannon   Liaison – Provider Relations Delta Dental of CA, NY, PA & Affiliates (714) 692-4085 2/1/2020
C Willis Richard DDS Consultant   (310) 396-9613 6/1/2020
C Yeung Helen       (310) 922-7270 11/1/2018
P Young Rachelle   Plan Staff Western Dental Services (714) 248-1254 10/1/2018

 

Requirements in place for the CADP Quality Assurance Consultant Certification Course and the certificates issued. 

There are two (2) categories of consultants certified by CADP 

The Procedural Quality Assurance Consultant is a non-dentist. This classification requires a minimum of three (3) years in the dental field, i.e. auxiliary, dental assistant, registered dental assistant, registered dental hygienist, dental office staff, or insurance industry experience.

The Certified Quality Assurance Consultant is a dentist. This classification requires: 

  • Current valid license to practice dentistry in the United States without encumbrances. 
  • Minimum three (3) years’ experience in the dental field after graduation from dental school with a statement of clinical practice experience. 
  • Minimum of one (1) year in the insurance industry; i.e. auditor, consultant or plan staff. 

A certificate of course completion only is awarded to those attendees who attend and successfully complete the course but do not meet the requirements for certification outlined above. The course completion certificate acknowledges the ability to perform a quality assurance review. However, the licensure, clinical or insurance requirements for certification has not been satisfied. Person holding a course completion certificate are encouraged to pursue positions which allow these deficiencies to be corrected. 

CADP requires all reviews intended for use in the shared warehouse be performed by CADP Certified Consultants. This requirement validates the principle of the shared review by assuring that all consultants have met minimum requirements.