TY 2021 Form 990

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST

Employer identification number

81-6916597

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	264,471
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1	11,725,016
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e	0
3	Subtract line 2e from line 1..................		3	11,725,016
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5	11,725,016

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	11,716,426
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	-3,035
e	Add lines 2a through 2d....................			2e	-3,035
3	Subtract line 2e from line 1...................			3	11,719,461
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	11,719,461

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE TRUST MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CHANGE ATTRIBUTABLE TO INSURANCE PREMIUMS PAYABLE -3,035.

Return Reference

Explanation

PART X, LINE 2:

ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE TRUST MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

CHANGE ATTRIBUTABLE TO INSURANCE PREMIUMS PAYABLE -3,035.

Schedule D (Form 990) 2021

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST

Employer identification number

81-6916597

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN P LATHAM EXECUTIVE DIRECTOR	(i) (ii)	0 ------------- 147,900	0 ------------- 0	0 ------------- 0	0 ------------- 22,961	0 ------------- 2,056	0 ------------- 172,917	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	ALL OF THE COMPENSATION REPORTED ON THE FORM 990 AND SCHEDULE J IS FROM A RELATED PARTY TO THEIR EMPLOYEE, FOR SERVICES RENDERED TO THE RELATED PARTY. NONE OF THE COMPENSATION IS FROM OR FOR SERVICES RENDERED TO THE FILING ORGANIZATION.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST

Employer identification number

81-6916597

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, THEN THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990, AND THEN PROVIDES A COPY OF THE FORM 990 TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19	ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST

Employer identification number

81-6916597

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SOUTH CAROLINA DENTAL ASSOCIATION 120 STONEMARK LANE COLUMBIA,SC29210 57-0399460	ADVANCING THE ART AND SCIENCE OF DENTISTRY	SC	501(C)(6)		N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) A BRIGHTER SMILE LLC 1410 COLONIAL LIFE BLVD 160 COLUMBIA,SC29210 57-1130508									No
(2) AARON CARNER DMD LLC 110 VENTURE CT GREENWOOD,SC29649 20-3255381									No
(3) AARON ELLETT DMD PA 460 SAINT ANDREWS ST SPARTANBURG,SC29306 57-1088167									No
(4) ADVANCED DENTAL CENTER OF SUMMERVILLE PA 89 OLD TROLLEY RD STE A SUMMERVILLE,SC29485 57-0663669									No
(5) ADVANCED DENTAL CENTER PA 2214 W PALMETTO ST FLORENCE,SC29501 20-2077879									No
(6) AIKEN DENTAL ASSOCIATES 117 TRAFALGAR ST AIKEN,SC29801 57-1036858									No
(7) AIKEN FAMILY DENTISTRY 341 NEWBERRY ST NW AIKEN,SC29801 46-1594640									No
(8) AISHA O MOORE DDS PC 636 CROWN PT LN STE 105 ROCK HILL,SC29730 27-2150775									No
(9) AMANDA KOMISAROW DMD LLC DBA PLEASANT SMILES 924 TALL PINE ROAD MOUNT PLEASANT,SC29464 86-3535685									No
(10) AMANDA S CRUMPTON DMD PA 36 ROPER CORNERS CR GREENVILE,SC29615 57-1104138									No
(11) ANDREW FLOYD JR DMD PO BOX 365 MOORE,SC29369 57-1008736									No
(12) ANNA T FULLER DMD PA 6420 GARNERS FERRY RD STE X COLUMBIA,SC29209 81-3990089									No
(13) ARNOLD L BATCHELOR JR DMD 117 A SPRATT ST FORT MILL,SC29715 20-2030892									No
(14) ASSEY DENTAL ASSOCIATES 1041 JOHNNIE DODDS BLVD 1 MT PLEASANT,SC29464 57-1036490									No
(15) ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY PA 112 SALUDA RIDGE COURT SUITE 400 WEST COLUMBIA,SC29169 58-2358068									No
(16) B CLARK DALTON DMD MS 1203 MAIN ST HILTON HEAD ISLAND,SC29926 56-2027163									No
(17) BLYTHEWOOD DENTISTRY PO BOX 934 BLYTHEWOOD,SC29016 60-0001036									No
(18) BLYTHEWOOD VILLAGE DENTAL PO BOX 969 BLYTHEWOOD,SC29016 20-3697005									No
(19) BOILING SPRINGS DENTISTRY PO BOX 161329 BOILING SPRINGS,SC29316 20-8687780									No
(20) BONNIE J ROTHWELL DMD PA 11 HOSPITAL CENTER CMNS STE 200 HILTON HEAD,SC29926 57-1121662									No
(21) BRENT R HUMPHREY 103 SPRING HALL DR GOOSE CREEK,SC29445 20-1932570									No
(22) BRIAN L BIEHL LLC 105 BEN CASEY DR STE 139 FORT MILL,SC29708 20-4660016									No
(23) BRIAN R CHERRY LLC DBA CHERRY ORCHARD ORAL 225 HALTON ROAD SUITE B GREENVILE,SC29607 47-1682392									No
(24) C MICHAEL MESSIER DMD 320 S MCQUEEN ST FLORENCE,SC29501 58-2320895									No
(25) CALHOUN CLEMSON DENTAL ASSOCIATES 602-1 COLLEGE AVE CLEMSON,SC29631 82-1317528									No
(26) CAPITOL DENTAL GROUP 1106 ANTHONY AVE COLUMBIA,SC29201 57-0690680									No
(27) CARING FAMILY DENTISTRY 16 MILLS AVE 4 GREENVILE,SC29065 56-2422863									No
(28) CAROLINA CENTER FOR RESTORATIVE DENTISTRY 682 JOHNNIE DODDS BLVD SUITE 102 MOUNT PLEASANT,SC29464 57-1013611									No
(29) CAROLINA COMPLETE DENTAL LLC PO BOX 1120 GOOSE CREEK,SC29445 45-0830865									No
(30) CAROLINA DENTAL CENTER PO BOX 602 MURRELLS INLET,SC29576 57-1067810									No
(31) CAROLINA FAMILY DENTAL PA 3702 SEA MOUNTAIN HWY LITTLE RIVER,SC29566 56-2354305									No
(32) CAROLINA ORAL AND MAXILLOFACIAL SURGERY 105 BEN CASEY DR STE 115 FORT MILL,SC29708 20-3105832									No
(33) CAROLINA PERIODONTICS AND ENDODONTICS 1033 BAYSHORE DR ROCK HILL,SC29732 27-2866377									No
(34) CENTRAL CAROLINA ENDODONTICS 888 COOK ROAD ORANGEBURG,SC29118 26-0458441									No
(35) CHAPIN DENTAL ASSOCIATES LLC 425 A LEXINGTON AVE CHAPIN,SC29036 20-0520785									No
(36) CHAPIN ORAL AND MAXILLOFACIAL SURGERY 112 ST PETERS CHURCH ROAD CHAPIN,SC29036 47-1696437									No
(37) CHARLES BUIST DMD PA PO BOX 239 BALLENTINE,SC29002 26-0143113									No
(38) CHARLES S BEBKO DMD PA 1111 W O EZELL BLVD SPARTANBURG,SC29301 57-0720271									No
(39) CHARLESTON FAMILY DENTISTRY OF WEST ASHLEY 2170 SAVANNAH HWY CHARLESTON,SC29414 85-2409034									No
(40) CHARLESTON SMILES LLC 946 ORLEANS ROAD CHARLESTON,SC29407 26-3059853									No
(41) CHERAW FAMILY DENTISTRY 3137 HIGHWAY 9 POBOX 1688 CHERAW,SC29520 27-5097875									No
(42) CHEROKEE GENERAL DENTISTRY POBOX 8010 GAFFNEY,SC29340 57-0560737									No
(43) CHERRY ORCHID PEDIATRIC DENTISTRY 101 HALTON ROAD SUITE B GREENVILE,SC29607 86-2270829									No
(44) CHESTER FAMILY DENTAL CARE LLC 726 WILSON ST CHESTER,SC29706 47-5229485									No
(45) CHOUGULE DENTAL CARE LLC 1741 GOLD HILL RD STE 2010 FORT MILL,SC29708 83-1566945									No
(46) CHRISTOPHER C NEWMAN DMD PA 115 PROFESSIONAL AVE W COLUMBIA,SC29169 26-2878359									No
(47) CHRISTOPHER S NOEL DMD PA 2092 A WOODRUFF ROD GREENVILE,SC29607 58-2502644									No
(48) CLEMENTS FERRY DENTISTRY 1951 CLEMENTS FERRY ROAD CHARLESTON,SC29492 81-5051484									No
(49) CLEMSON FAMILY DENTISTRY PO BOX 349 CLEMSON,SC29631 57-1112003									No
(50) CLINTON DENTAL CARE PO BOX 837 CLINTON,SC29325 26-0255057									No
(51) CLOVER FAMILY DENTISTRY LLC CATHERINE J MYRICK DMD 790 GRASMERE LN CLOVER,SC29710 20-4025662									No
(52) COASTAL CAROLINA FAMILY DENTISTRY 8471 RESOLUTE WAY STE 104 N CHARLESTON,SC29420 43-3633092									No
(53) COASTAL COSMETIC DENTAL ASSOCIATES PO BOX 635 LITTLE RIVER,SC29566 57-0979854									No
(54) COASTAL ENDODONTICS LLC R SCOTT EDDY DMD PO BOX 4776 PAWLEYS ISLAND,SC29585 20-3581644									No
(55) CORNERSTONE FAMILY DENTISTRY 190 MUTUAL DRIVE ANDERSON,SC29621 47-2763159									No
(56) COULTER ORTHODONTICS 2590 LIN-DO CT SUMMERVILLE,SC29483 57-1113189									No
(57) CRAIG S KARRIKER DMD PA 400 SOUTH GRANARD ST GAFFNEY,SC29341 13-4245022									No
(58) CRESCENT MOON ORTHODONTICS 5070 AUGUSTA RD LEXINGTON,SC29072 20-0938803									No
(59) CRESCENT PROSTHODONTICS 1821 GADSDEN ST COLUMBIA,SC29201 45-3559579									No
(60) CULP DENTAL PA 1334 EBENEZER RD ROCK HILL,SC29732 27-3765626									No
(61) D T FULMER DMD PA 105-D E BUTLER RD MAULDIN,SC29662 57-1089547									No
(62) DANIEL A NICKLES DMD 100 COVEY HILL COURT GREENVILLE,SC29615 57-0936411									No
(63) DANIEL R PENNELLA DMD INC 502 N LAKE DRIVE LEXINGTON,SC29072 58-2322060									No
(64) DARCIE L LEE DMD LLC 3320 WHISKEY RD AIKEN,SC29803 57-0734255									No
(65) DAVID P BABB DMD 109 SEA ISLAND PKWY BEAUFORT,SC29907 30-0549154									No
(66) DEAN G MCKINNEY DDS PA 1463 E MAIN ST SPARTANBURG,SC29307 57-0757027									No
(67) DENTAL ASSOCIATES OF EASLEY 415 S PENDLETON ST EASLEY,SC29640 14-1863434									No
(68) DENTISTRY AT THE COMMONS PC DBA LAKE DENTAL 11 PROFESSIONALS CIR SENECA,SC29678 84-3219863									No
(69) DONALD W HUNT JR DMD 2409 WADE HAMPTON BLVD GREENVILLE,SC29615 51-0529570									No
(70) DOUGLAS L KIROL DDS 219 OAKLAND AVE ROCK HILL,SC29730 57-0523839									No
(71) DR CHRISTOPHER L ANDREWS 6100 GARNERS FERRY RD COLUMBIA,SC29209 57-1013963									No
(72) DR D G TAYLOR PC PO BOX 277 RIDGE SPRING,SC29129 57-0947814									No
(73) DR FRANK C SPARACINO DDS 8800 NORTHPARK BLVD N CHARLESTON,SC29406 20-1407119									No
(74) DR GORDON D DANNELLY PO BOX 1668 EASLEY,SC29641 56-2004149									No
(75) DR J BRADFORD SMITH DDS 454 CLEMSON RD COLUMBIA,SC29229 30-0453375									No
(76) DR JAMES M DONAHUE 18 OFFICE PARK CT COLUMBIA,SC29223 57-0758543									No
(77) DR JASON A STACK DMD PA 40 CREEKVIEW CT GREENVILLE,SC29615 20-3521535									No
(78) DR JOHN C BILDER DMD PA 410 S MAIN ST MULLINS,SC29574 56-2121920									No
(79) DR JOSEPH L BROWN DMD PO BOX 266 PAMPLICO,SC29583 57-0671741									No
(80) DR KAREN F MEEKS DMD PC PO BOX 1129 HARDEEVILLE,SC29927 20-5884740									No
(81) DR MARY G METROPOL 1700 HENDERSON ST COLUMBIA,SC29201 57-0939116									No
(82) DR P SPENCER WITKIN DMD LLC 415-A ROBERTSON BLVD WALTERBORO,SC29488 57-1123818									No
(83) DR RICHARD E BOYD BOYD ORTHODONTICS 5 OFFICE PARK COURT COLUMBIA,SC29223 57-0834222									No
(84) DR S DANIEL GARDNER DMD LLC 849 HARBORVIEW RD CHARLESTON,SC29412 20-4543833									No
(85) DR VANCE MORGAN CHARISMATIC SMILES INC 175 MEDICAL CIRCLE W COLUMBIA,SC29169 57-1030579									No
(86) DR WILLIAM L PERDUE DMD PO BOX 231 CHESTERFIELD,SC29709 57-0826364									No
(87) DRS FRICK AND JONES PA 111 POWELL MILL RD SPARTANBURG,SC29301 57-0777832									No
(88) DRS KUNKLE AND POWELL PA 119 LIBRARY ST MONCKS CORNER,SC29461 57-0545789									No
(89) DRS MOSS AND OWEN INC PO BOX 1647 CAMDEN,SC29021 45-4194277									No
(90) DRS PAUL AND SAVARESE 21 NEW ORLEANS ROAD STE A HILTON HEAD ISLAND,SC29928 57-0812725									No
(91) DUNES DENTAL SERVICES INC 100 SUTTER DR SUITE 106 SURFSIDE BEACH,SC29575 26-2210603									No
(92) EDWARD C DAVIS DMD DAVIS ORTHODONTICS 143 MEDICAL CIRCLE WEST COLUMBIA,SC29169 57-1114024									No
(93) ELISE A HOWELL DMD PA 609 OLD CHAPIN ROAD LEXINGTON,SC29072 26-0162373									No
(94) ELIZABETH GALLOWAY DDS 57 PLANTERS WOOD DRIVE HILTON HEAD,SC29928 56-2005534									No
(95) ENDOCAROLINA 58 POINTE CIRCLE GREENVILLE,SC29615 57-0694695									No
(96) ERNEST J HOWARD JR DMD 18 PELHAM RD GREENVILLE,SC29615 57-0817005									No
(97) EXEMPLAR ORAL SURGERY CENTER 4986 CALVIN STREET N CHARLESTON,SC29418 85-3768814									No
(98) FALLS PARK DENTISTRY 104 N MAIN ST GREENVILLE,SC29601 26-0421517									No
(99) FIVE TOWERS DENTAL LLC 124 HARBISON BLVD COLUMBIA,SC29212 84-4390676									No
(100) FLORENCE FAMILY DENTAL CARE 519 W PALMETTO ST FLORENCE,SC29501 55-0842427									No
(101) FLORENCE PEDIATRIC DENTISTRY 680 SENIOR WAY FLORENCE,SC29505 27-2309970									No
(102) FOOT BRIDGE FAMILY DENTAL PO BOX 218 PIEDMONT,SC29673 20-1170108									No
(103) FOREST ACRES DENTISTRY 5211 N TRENHOLM RD COLUMBIA,SC29206 46-4157592									No
(104) GAMECOCK DENTRISTRY 4032-2 RIVEROAKS DRIVE MYRTLE BEACH,SC29579 82-3412184									No
(105) GENTLE DENTAL CARE INC 111 WESTVIEW BLVD SPARTANBURG,SC29306 58-2314510									No
(106) GLENN R EDENS DMD PA 104 FRANKLIN SQURE WAY EASLEY,SC29642 58-2338033									No
(107) GLENNS BAY DENTAL ASSOCIATES 1625 GLENNS BAY ROAD MYRTLE BEACH,SC29575 27-0104541									No
(108) GRACE STREET DENTAL 228 GRACE ST GREENWOOD,SC29649 20-0366569									No
(109) GRAND STRAND DENTRISTRY 1571 HWY 544 CONWAY,SC29526 56-2038352									No
(110) GRAND STRAND FAMILY AND ESTHETIC DENTISTRY 3409 N KINGS HWY MYRTLE BEACH,SC29577 27-0021175									No
(111) GRAND STRAND PEDIATRIC 3112 DICK POND RD MYRTLE BEACH,SC29588 30-0497411									No
(112) GREAT WHITE SMILES 1032 C KINLEY ROAD IRMO,SC29063 57-1084145									No
(113) GREENVILLE FAMILY DENTISTRY 920 S BATESVILLE RD GREER,SC29650 57-1107348									No
(114) GREENVILLE PEDIATRIC DENTISTRY 1376 CLEVELAND ST GREENVILLE,SC29607 57-0959258									No
(115) GRIFFIN DENTAL PA 512 N PINE ST SUMMERVILLE,SC29483 81-5415141									No
(116) H NELSON EDDY DDS PA 1144 INDIA HOOK RD STE D ROCK HILL,SC29732 26-2280121									No
(117) HAMPTON DENTRISTY 649 W CAROLINA AVENUE VARNVILLE,SC29444 81-4298839									No
(118) HARE AND MARTIN DDS PA PO BOX 815 SENECA,SC29679 57-0607395									No
(119) HARTSVILLE FAMILY DENTISTRY ASSOCIATES INC PO BOX 969 HARTSVILLE,SC29550 10-0551224									No
(120) HIGH POINT FAMILY DENTRISTRY 10911 N JACOB SMART BLVD SUITE C RIDGELAND,SC29936 30-1179836									No
(121) HOLLIDAY DENTAL PA 7 LEGARCY PARK GREENVILLE,SC29607 20-0351639									No
(122) HOOD FAMILY DENTISTRY 16 COMMONS BLVD SENECA,SC29678 84-3419230									No
(123) HUTCHINSON FAMILY DENTISTRY 209 WEST MAIN ST LEXINGTON,SC29072 20-7671949									No
(124) ISSAQUEENA PEDIATRIC DENTISTRY 314 UNION STATION DR SENECA,SC29678 27-3163250									No
(125) J GREGG CAPUTO DMD PA 40 POINTE CIR GREENVILLE,SC29615 27-4257197									No
(126) J TERRELL LEWIS DMD PO BOX 916 HEMINGWAY,SC29554 57-0642329									No
(127) JAMES CANDON DDS LLC 16748 KRISHNA LANE CHAROLETTE,NC28277 83-4342504									No
(128) JAMES D WHITEHEAD III DMD MS PA 203 MALLARD LAKES DR LEXINGTON,SC29072 58-2447109									No
(129) JAMES M CARROLL DMD PA 941 N LOGAN STREET GAFFNEY,SC29341 57-0639160									No
(130) JAMES M GROEBER DDS PA 108 MICHELIN BLVD ANDERSON,SC29625 57-0799309									No
(131) JASON H COHEN DMD LLC ENDODONTICS LTD 198 RUTLEDGE AVE STE 3 CHARLESTON,SC29403 57-1096100									No
(132) JASON S ANNAN DDS LLC 1401 STUART ENGALS BLVD MT PLEASANT,SC29464 26-2615124									No
(133) JERNIGAN ORTHODONTICS 306 CHANNEL DRIVE COLUMBIA,SC29229 26-1608760									No
(134) JIMMY A DUENSING DMD 8012 GARNERS FERRY RD COLUMBIA,SC29209 57-0858003									No
(135) JOHN A MILLER DMD LLC 4539 HIGHWAY 17 MURRELLS INLETS,SC29576 57-0869849									No
(136) JOHN L EDWARDS DDS PO BOX 2147 IRMO,SC29063 27-1964173									No
(137) JOHN L MCMURRAY III DMD 1 LAURENSVILLE LANE LAURENS,SC29360 20-1370756									No
(138) JOHN NORRIS LONG DMD INC 2550 KINARD ST NEWBERRY,SC29108 57-1133718									No
(139) JOSEPH DENTAL ASSOCIATES PA 1301 MONUMENT SQ CAMDEN,SC29020 57-0522506									No
(140) K DARGAN FLOWERS JR DMD PC PO BOX 759 HARTSVILLE,SC29551 43-1963658									No
(141) KAREN PARK FAMILY DENTISTRY 125 MEDICAL CIRCLE WEST COLUMBIA,SC29169 56-2098883									No
(142) KARL S KLINAR DMD 6320 ST ANDREWS RD COLUMBIA,SC29212 61-1481254									No
(143) KEENAN W SMITH DMD PA 463 WOODRUFF ROAD GREENVILLE,SC29607 26-4766737									No
(144) KEITH A BERRY DMD 350 HILTON RD STE 201 MYRTLE BEACH,SC29572 56-2036031									No
(145) KEITH W STRASBAUGH DMD PA 1525 CLEVELAND STREET GREENVILE,SC29607 57-0955060									No
(146) KEOWEE FAMILY DENTISTRY PA 15680 WELLS HIGHWAY SENECA,SC29678 30-0454463									No
(147) KEVIN R RIKER DDS CHARLESTON ORAL 1112 SAVANNAH HWY CHARLESTON,SC29407 57-1048319									No
(148) KRISTINA L HAPNEY FIVE FORKS DENTAL CARE INC 2833 WOODRUFF ROAD SIMPSONVILLE,SC29681 20-2881105									No
(149) LAFOND AND TAMBINI DMD PA 455 OLD TROLLEY RD SUITE E SUMMERVILLE,SC29485 57-1072817									No
(150) LAKE MURRAY PEDIATRIC DENTISTRY PA 740 OLD LEXINGTON HWY CHAPIN,SC29036 26-2192258									No
(151) LAKE WILEY PEDIATRIC 534 NAUCTICAL DRIVE LAKE WYLIE,SC29710 47-3962014									No
(152) LIFE SMILES DENTISTRY 3070 HWY 17N STE 101 MT PLEASANT,SC29466 20-2918217									No
(153) LOW COUNTRY FAMILY AND COSMETIC 868 SAVANNAH HWY CHARLESTON,SC29407 57-1036459									No
(154) LOW COUNTRY ORTHODONTICS DR ROLAND K FULCHER 1708 B OLD TROLLEY ROAD SUMMERVILLE,SC29485 82-0538188									No
(155) LOW COUNTRY PERIDONTICS AND DENTAL IMPLANTS LLC 23 SHELTER COVE LAND BUILDING B SUI HILTON HEAD ISLAND,SC29928 85-4281974									No
(156) LOWCOUNTRY ENDODONTICS 409 CARTERET ST BEAUFORT,SC29902 45-4598657									No
(157) MARCUS A WILSON DMD 515 W BUTLER RD STE B GREENVILLE,SC29607 36-4523261									No
(158) MARK J HAUSER DDS PA 1065 B JOHNNIE DODDS BLVD MT PLEASANT,SC29464 56-2072113									No
(159) MARLBORO FAMILY DENTISTRY 307 E MAIN ST BENNETTSVILLE,SC29512 20-8758082									No
(160) MARSHALL LYNN WALLACE DMD 3 PROFESSIONAL COURT SUMTER,SC29150 57-0828010									No
(161) MATTHEW MASTROROCCO DMD PA 4101 MAIN ST STE D HILTON HEAD ISLAND,SC29926 82-0562632									No
(162) MAULDIN DENTAL 116 E BUTLER RD MAULDIN,SC29662 38-3818437									No
(163) MCDONALD ORAL AND MAXILLOFACIAL SURGERY LLC 1509 HERITAGE LANE FLORENCE,SC29505 47-3157457									No
(164) MEADOW CREEK FAMILY DENTISTRY 40 NORTH HOWARD STREET INMAN,SC29349 81-4371207									No
(165) MICHAEL A ZIMMERMAN DMD PA 127 SOUTHPORT ROAD SPARTANBURG,SC29306 20-2318770									No
(166) MICHAEL E HENDERSON DMD PA 128 W CHEROKEE ST CHESNEE,SC29323 57-1096372									No
(167) MICHAEL F GROSSO DMD 421 BARONY ST SUITE 6 MONCKS CORNER,SC29461 57-0854829									No
(168) MICHAEL W STURKIE JR DMD 3901 C EDMOND HWY W COLUMBIA,SC29170 20-2078898									No
(169) MIDLANDS DENTAL LLC 9 SURREY CT COLUMBIA,SC29212 27-1506018									No
(170) MIDLANDS ENDODONTICS PA MATTHEW D EVANS DMD 108 PALMETTO PARK BLVD STE F LEXINGTON,SC29072 57-1123752									No
(171) MOORE FAMILY DENTISTRY 1626 HARBORVIEW ROAD CHARLESTON,SC29412 46-1616709									No
(172) MOWLAJKO FAMILY AND COSMETIC DENTISTRY LLC 205 EAST HIGHLAND AVE ANDERSON,SC29621 27-0222988									No
(173) NEW RIVER DENTAL PA 247 B MEAD ROAD HARDEEVILLE,SC29927 20-8050762									No
(174) NEWSOME HEALTH DENTISTRY 2120 NORTH BELTLINE BLVD SUITE A COLUMBIA,SC29204 56-2173175									No
(175) NORTHEAST ORAL AND MAXILLOFACIAL SURGERY CENTER 9310 TWO NOTCH RD COLUMBIA,SC29223 57-1053533									No
(176) NOW OR NEVER 2011 LLC 2270 ASHLEY CROSSING DR SUITE 175 CHARLESTON,SC29414 27-4895076									No
(177) OAK PARK FAMILY DENTISTRY 2565 LINDO CT SUMTER,SC29150 35-2169690									No
(178) OAK POINT PEDIATRIC DENTISTRY LLC 1721 OAK POINT RD CHARLESTON,SC29412 57-1087484									No
(179) OFF ISLAND DENTAL 1 SHERINGTON DR STE H BLUFTON,SC29910 20-8472971									No
(180) ONEILL FAMILY DENTISTRY 3224 MILLWOOD AVENUE COLUMBIA,SC29205 57-1098213									No
(181) PALMETTO DENTAL ASSOCIATES 216 PALMETTO PARK BLVD LEXINGTON,SC29072 57-1049955									No
(182) PALMETTO DENTISTRY LLC PO BOX 846 BARNWELL,SC29812 57-1080271									No
(183) PALMETTO ENDODONTICS PA 4023 FOREST DR COLUMBIA,SC29204 27-4395242									No
(184) PALMETTO SMILE CENTER 1108 CALHOUN ST NEWBERRY,SC29108 20-3135819									No
(185) PAWLEYS ISLAND DENTRISTRY 471 WOODY POINT DR MURRELLS INLET,SC29576 86-3952944									No
(186) PEDIATRIC DENTISTRY PA 420 SUITE B THE PARKWAY GEER,SC29650 57-0537213									No
(187) PERIODONTAL ASSOCIATES LLC 33 GAMECOCK AVENUE CHARLESTON,SC29407 45-2276702									No
(188) PHILLIP C WILKINS DMD PC 124 N CONGRESS STREET WINNSBORO,SC29180 31-1816046									No
(189) PITNER ORTHODONTICS 5953 WESCOT RD COLUMBIA,SC29212 26-4776500									No
(190) PLEASANT FAMILY DENTISTRY 1204 TWO ISLAND CT MT PLEASANT,SC29466 57-0893174									No
(191) POWDERSVILLE DENTAL ASSOC 100 COMMONS BLVD PIEDMONT,SC29673 57-0739516									No
(192) PREMIER ENDODONTICS 7024 BROOKFIELD ROAD COLUMBIA,SC29223 20-8170983									No
(193) PROVIDENCE DENTAL GROUP LLC 220 BRIDGES RD SIMPSONVILLE,SC29681 20-2588390									No
(194) PURNELL ORTHODONTICS PC 4574 SUNSET BLVD SUITE B LEXINGTON,SC29072 46-5490789									No
(195) R BOYD HENDRIX DMD PA PO BOX 4855 W COLUMBIA,SC29171 57-0859261									No
(196) R ROGER BRYANT JR DMD PA 3115 G BRUSHY CREEK RD GREER,SC29650 20-4615183									No
(197) R T PROVINE DMD PA 1111 W O EZELL BLVD SPARTANBURG,SC29301 25-9781899									No
(198) RADIANT DENTISTRY PO BOX 1027 DRAYTON,SC29333 26-2961951									No
(199) REYNOLDS FAMILY DENTISTRY PO BOX 265 LAURENS,SC29360 57-1124575									No
(200) RICHARD H YOUNG DMD 701 17TH AVE SOUTH N MYRTLE BEACH,SC29582 57-0939131									No
(201) RICHARD S MARKS DMD PA 5 PROFESSIONAL CT SUMTER,SC29150 57-0760489									No
(202) ROBINSON DENTAL PA 509 E MAIN ST LEXINGTON,SC29072 57-0720597									No
(203) SAM F WHEELER DMD PA PO BOX 567 SALUDA,SC29138 57-0705526									No
(204) SAM H ARAZIE DMD MSD PA 1385 SECOND LOOP RD FLORENCE,SC29505 57-0924094									No
(205) SANDHILLS PERIODONITCS 456 CLEMSON ROAD COLUMBIA,SC29229 20-1750499									No
(206) SEWEE DENTAL CARE 2928 HWY 17 N MT PLEASANT,SC29466 58-2353722									No
(207) SHELBOURNE AND ASSOCIATES 198 RUTLEDGE AVENUE STE 4 CHARLESTON,SC29403 20-0575160									No
(208) SHERRY R POWELL DMD PA 120 MIDLANDS CT W COLUMBIA,SC29169 57-1117318									No
(209) SMILE LIFE DENTISTRY PA 332 OLD CHAPIN RD LEXINGTON,SC29072 20-0204878									No
(210) SMILE WORKS 882 WHIPPLE RD MT PLEASANT,SC29464 26-2342111									No
(211) SMILING OAK DENTISTRY 1077 JOHNNIE DODDS BLVD MT PLEASANT,SC29464 57-1045903									No
(212) SOUTH CAROLINA DENTAL ASSOCIATION 120 STONEMARK LANE COLUMBIA,SC29210 57-0399460									No
(213) SOUTHEAST ENDODONTICS PC 10 FARMFIELD AVE STE E CHARLESTON,SC29407 43-2029689									No
(214) SOUTHERN SHORES DENTAL LLC 110 CHARTER OAK ROAD LEXINGTON,SC29072 65-0770231									No
(215) SOUTHERN SMILES DENTAL LLC 298 OLD TROLLEY RD SUMMERVILLE,SC29485 47-4751846									No
(216) SPARTANBURG FAMILY DENTISTRY 271 S PINE ST SPARTANBURG,SC29302 47-1290872									No
(217) SPRING VALLEY DENTAL ASSOCIATES LLC 9165 TWO NOTCH RD COLUMBIA,SC29223 20-3452433									No
(218) SS DENTAL LLC 1116 ATLAS ROAD COLUMBIA,SC29209 36-4681579									No
(219) ST STEPHEN FAMILY DENTISTRY PO BOX 1710 ST STEPHENS,SC29479 26-0292389									No
(220) STEPHEN J BAKER DMD PA BAKER FAMILY DENTISTRY PO BOX 5309 AIKEN,SC29804 61-1609228									No
(221) STONE FAMILY DENTISTRY 1051 GARDNER RD STE C CHARLESTON,SC29407 56-2033864									No
(222) STRAUP AND MITCHELL LLC 2713 N MAIN STREET ANDERSON,SC29621 20-0421959									No
(223) SUMMERS ORTHODONTICS 4501 OLD SPARTANBURG RD 2 TAYLORS,SC29687 71-0926310									No
(224) SUMTER FAMILY DENTAL CARE 852 W LIBERTY ST SUMTER,SC29150 57-0845053									No
(225) THOMAS M DIXON DMD PA PO BOX 183 HONEA PATH,SC29654 52-2325519									No
(226) THREE FOUNTAINS FAMILY DENTAL 2248 PINE STW COLUMBIA,SC29170 81-0555461									No
(227) TINY TEETH 1719 ROSLYN DRIVE COLUMBIA,SC29206 86-1616356									No
(228) TRIDENT DENTAL PARTNERS LLC 6335 DORCHESTER RD NORTH CHARLESTON,SC29418 45-4185837									No
(229) TUCKER ORTHODONTICS PA 1050 SEVEN OAKS DR AIKEN,SC29803 61-1665381									No
(230) TYGER RIVER PEDIATRIC DENTRITRY LLC 312 S SPARTANBURG HWY LYMAN,SC29365 90-0912502									No
(231) UPSTATE ENDODONTICS INC 263 CALIFORNIA AVE SPARTANBURG,SC29303 45-3444188									No
(232) UPSTATE PEDIATRIC DENTISTRY PA 545 VERDAE BLVD SUITE A GREENVILLE,SC29607 26-2550998									No
(233) VALUE DENTAL CAROLINAS 2611 CATESBY DRIVE WAXHAW,SC28173 83-3324320									No
(234) VILLAGE FAMILY DENTAL PA 3012 NEWCASTLE LP MYRTLE BEACH,SC29588 57-1110372									No
(235) WACCAMAW ORAL AND MAXILLOFACIAL SURGERY 637 BELLAMY AVENUE UNIT A MURRELLS INLET,SC29576 46-2454776									No
(236) WALKER DENTAL CARE 225 LONGTOWN ROAD COLUMBIA,SC29229 20-4624931									No
(237) WATERS FAMILY DENTISTRY 512 REED ROAD ANDERSON,SC29621 45-3616605									No
(238) WATERS ORTHODONTICS 101-A FRANKLIN SQUARE WAY EASLEY,SC29642 20-8174085									No
(239) WESTMINSTER SMILES DR TRENTON M SMITH 101 WESTMINSTER HWY WESTMINSTER,SC29693 57-0536537									No
(240) WILDEWOOD DENTAL CARE 230 GRACES WAY COLUMBIA,SC29229 10-0700743									No
(241) WILLIAM A COFER DMD PA 215 W POINSETT ST GREER,SC29650 57-0690977									No
(242) WILLIAM D CRANFORD JR DMD 1721 EBENZER RD STE 135 ROCK HILL,SC29732 57-1016163									No
(243) WILLIAM F ADAIR JR DMD PA 811 E MAIN STREET SPARTANBURG,SC29302 27-3058975									No
(244) WILLIAM N GREEN DMD MS 3741 LANDMARK DR COLUMBIA,SC29204 57-1066352									No
(245) WILLIAM S BURNS DMD 264 ROCKMONT DR FORT MILL,SC29708 10-0612743									No
(246) WINNING ORTHODONTIC SMILES 102 BUCKWALTER PARKWAY BLUFFTON,SC29910 46-1573442									No
(247) WOOD CREEK DENTAL OF LANDRUM 1730 HWY 19 E LANDRUM,SC29356 26-0419919									No
(248) WOOSTER DENTAL CARE 591 BROWNS COVE RD STE A RIDGELAND,SC29936 80-0932109									No
(249) ZAHN MANAGEMENT LLC 425 A LEXINGTON AVE CHAPIN,SC29036 82-3743429									No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	4
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	12,132,004	11,725,016
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	12,132,004	11,725,016
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	12,134,117	11,692,922
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	27,049	26,539
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	12,161,166	11,719,461
19	Revenue less expenses. Subtract line 18 from line 12.......	-29,162	5,555
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	152,556	362,059
21	Total liabilities (Part X, line 26).............	126,795	330,743
22	Net assets or fund balances. Subtract line 21 from line 20.....	25,761	31,316

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	BEGINNING MARCH 1, 2017, SCDA BEGAN PROVIDING GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS TO THE MEMBERS AND EMPLOYEES OF SCDA, AS WELL AS QUALIFYING DEPENDENTS OF SCDA, BY ISSUANCE OF ONE OR MORE FULLY INSURED INSURANCE POLICIES. THE TRUST PROGRAM IS OVERSEEN BY AN ELECTED BOARD OF TRUSTEES (TRUSTEES). THE TRUSTEES TOGETHER WITH THE SCDA PERFORM ALL OF THE ACTIVITIES REQUIRED TO ADMINISTER THE TRUST AND MAKE DECISIONS ON THE ON-GOING OPERATIONS OF THE TRUST IN THE BEST INTEREST OF THE PARTICIPANTS.THE PROGRAM ACTIVITIES INCLUDE THE FOLLOWING:-- THE SELECTION OF INSURANCE CARRIERS, BENEFIT PLANS AND BENEFIT LEVELS IN SOME SITUATIONS;-- THE SELECTION AND APPOINTMENT OF VENDORS INCLUDING BANKING SERVICES, CONTRACT ADMINISTRATOR, INVESTMENT MANAGER IF NEEDED, AUDITOR, AND ATTORNEY;-- THE SALES, AND MARKETING OF THE PROGRAM INCLUDING THE DEVELOPMENT OF COMMUNICATION MATERIALS, AND THE USE OF OUTSIDE SALES AGENTS IF NEEDED; AND-- THE GENERAL MANAGEMENT OF TRUST FUNDS AND ASSETS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) DR CRAIG LITTLE...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(2) DR PETE HOFFMANN...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(3) DR PETER STOLTZ...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(4) DR LYNN WALLACE...................................................................... TRUSTEE	1.00 ................. 0.00	X		0	0	0
(5) JOHN P LATHAM...................................................................... EXECUTIVE DIRECTOR	1.00 ................. 40.00		X	0	147,900	25,017

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	147,900	25,017

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	EMPLOYER CONTRIBUTIONS	525100	11,639,328	11,639,328
b	COBRA CONTRIBUTIONS	525100	85,688	85,688
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		11,725,016

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			11,725,016	11,725,016	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	11,692,922
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	12,180
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......	8,057
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	FIDUCIARY LIABILITY	6,302
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	11,719,461
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		107,173	1	329,216
2	Savings and temporary cash investments .........			2
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		35,449	4	32,788
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......		9,934	9	55
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		152,556	16	362,059

17	Accounts payable and accrued expenses .....	63,200	17	66,272
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	63,595	25	264,471
26	Total liabilities. Add lines 17 through 25..	126,795	26	330,743

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	25,761	31	31,316
32	Total net assets or fund balances ...........	25,761	32	31,316
33	Total liabilities and net assets/fund balances ........	152,556	33	362,059