The referral that never got logged
Your dentist says it was sent. The plan says it has nothing. Nothing is authorized, nothing is denied, and the clock never starts.
Independent watchdog project. Not affiliated with the State of California, DHCS or Medi-Cal Dental.
Welcome to the first annual i can't smile, CALIFORNIA Dental Awards, honoring the Medi-Cal dental plans that do a truly remarkable amount with a truly remarkable number of specialists.
Programming note
The Los Angeles County ceremony has been postponed until further notice. Tonight's awards cover Sacramento County only, home of the State Capitol and the county where Medi-Cal members must join one of three dental plans, with few exceptions. In Los Angeles County, joining is optional. Los Angeles nominees are asked to keep their acceptance speeches on file.
Tonight's category
Before the envelope, a short lesson: what a prosthodontist is, why it matters, and how to read a directory listing. Then the show. Click, tap, swipe or use the arrow keys, with the sound on or off.
The scoreboard
Three Sacramento directories, searched for a prosthodontist on 14 September 2026, and checked against the federal provider registry the way the lesson describes.
0
Verified prosthodontists across all three Sacramento directories
551,922
Sacramento County members who must belong to one of the three plans
10
Endodontists Health Net offered when asked for dental prosthetics
3
Names in Liberty's prosthodontist results, each labeled General Dentist first
2,556
Sacramento-area listings in the California Dental Network (DentaQuest) directory file, none of them a prosthodontist
30
Business days a plan has to get an adult member a specialist appointment once the referral is authorized
| Plan | Where and how we searched | What came back |
|---|---|---|
| Health Net | Health Net Medi-Cal dental, adult directory, dentists by specialty, near Sacramento, CA. Prosthodontics is not offered as a specialty, so we chose the closest option, Dental Prosthetics. | 11 dentists: 10 listed as endodontics and 1 as periodontics. Prosthodontists: none. |
| California Dental Network (DentaQuest) | DentaQuest Find a Dentist, Medi-Cal DMC adult plan, within 50 miles of ZIP 95819, looking for a prosthodontics specialty filter. Then its downloadable directory file for the California Medi-Cal DMC adult plan, counted by ZIP code and specialty. | The specialty filter for that plan and area offers nine choices: dental anesthesiology, dental hygienist, denturist, endodontics, general dentistry, oral and maxillofacial surgery, orthodontics, pediatric dentistry and periodontics. Prosthodontics is not one of them. The downloadable file, dated 1 July 2026, has 2,556 listings in ZIP codes beginning 956, 957 or 958, and none is a prosthodontist. All 71 prosthodontist listings in the file are in Southern California. Prosthodontists: none. |
| Liberty Dental Plan | Liberty Medi-Cal dentist search, Medi-Cal GMC/PHP network, specialty prosthodontist, under 50 miles of Sacramento. | 8 listings, 3 names: one dentist at 6 offices, two more at 1 office each, the farthest in Stockton. Every listing says “General Dentist, Prosthodontics” and leaves the board certification field blank. The federal registry lists the dentist at the 6 offices as a general dentist; the other two names, as the directory spells them, returned no dentist in the registry. Verified prosthodontists: none. |
Where this comes from, and who answers for it. Every count above comes from the plans' own public provider directories, which state law and federal Medicaid rules require them to publish (HSC 1367.27; 42 CFR 438.10(h)), checked against the public NPI Registry. The plans publish these directories and answer for what is in them. We are not suggesting any dentist listed has done anything wrong; a general dentist may lawfully make dentures, and the label is the plan's. If you are one of those dentists and your listing is wrong, tell us and we will report it to the plan. Directories change weekly, so run the searches yourself and send us anything different.
The part where we get real
The rest of this site is polished. This part is not. It is written for the people this actually happens to, and it says what we actually think. Where we state a rule, we quote it. Where we cannot prove something yet, we say so.
If you are a low-income resident of Sacramento County, you were placed in a Medi-Cal dental plan you did not pick, run by companies owned by insurance giants and a private equity firm, and as of tonight none of the three lists a verified prosthodontist. If you ever need one, the honest odds are that you will not see one through your plan. Not without a fight.
A referral to a specialist the plan does not have puts the plan in an awkward spot, because the rules say it must send you outside its network and pay for it. That is the moment things tend to get strange. The plan may not want to sign a one-time agreement with an outside prosthodontist. It may point you to a community clinic that has no prosthodontist either, then to another. The referral may never make it into the system. You may be treated like a case number and told, warmly, that nothing went wrong. You may have to fight harder for a set of teeth than you have fought for anything in your life.
Here is the part almost nobody tells you. Complaining to the State is your right, and we show you how elsewhere on this site. But the State does not book your appointment. The plan does. The rule that gets you into a chair is this one, from the contract every Medi-Cal dental plan signs with DHCS:
“If Contractor's provider network is unable to provide necessary services, covered under the contract, to a particular Member, Contractor must adequately and timely cover these services out-of-network for the Member, for as long as Contractor's provider network is unable to provide them.”
The next line says the plan must make sure the cost to you is “no greater than it would be if the services were furnished within the network.” The same words sit in federal Medicaid rules, 42 CFR 438.206(b)(4) and (5).
The contract even spells out the mechanics. Where the State has excused a plan from its distance standard for a type of specialist, the plan must help you get an appointment with an out-of-network specialist and “make its best effort to establish a Member-specific case agreement with an Out-Of-Network core Specialist at the Medi-Cal Fee-For-Service rate or a mutually agreed upon rate.” That outside specialist must be able to see you within the same time and distance standards, or the plan must arrange your ride. And once a specialist referral is authorized, an adult member must be offered the appointment within 30 business days.
In plain words: no prosthodontist in the network is the plan's problem to solve, on the plan's clock, at the plan's expense. The State pays each plan a flat amount per member per month whether you get care or not, so every outside referral comes out of that. Draw your own conclusions about the incentive.
DHCS DMC boilerplate contract, 2025: Exhibit A8, sections 5 and 9; Exhibit A11, sections 1, 3.2, 3.4 and 10. How the plans are paid.
Patterns to watch for, described in general terms. They are warnings, not findings about any one plan or person.
Your dentist says it was sent. The plan says it has nothing. Nothing is authorized, nothing is denied, and the clock never starts.
You are sent to a community clinic that has no prosthodontist, then to another that does not have one either. Round and round.
A friendly voice opens a ticket. Nobody calls back. Call again and the ticket cannot be found.
You describe what happened, with dates. The plan says it has no record of your calls. Federal rules say it must keep one.
Some general dentists know exactly what these plans are like. They know you cannot afford to go anywhere else and they know nobody else is coming, so they treat you themselves, as well as they can. Be grateful for those. Others may see something different: three things that could be done in one visit, spread across three visits weeks apart, because every visit bills. If your treatment plan looks like a calendar with no end, ask why.
If you were referred to a prosthodontist while in one of these plans, ask your dentist to help you fight. Ask them to put the referral in writing, into the plan's own system, and to send a copy to the plan's dental director, the one person California law makes answerable for dental decisions being made by qualified people. Keep copies of everything. If nothing comes back in writing, here is what to do.
You know these networks better than your patients ever will. When a patient needs a specialist the plan does not have, put the referral in writing, demand the authorization, and keep demanding it. If a plan answers with pressure, a threat to hold payments, to end your contract, anything, write that down too. The Department of Managed Health Care and DHCS both take documentation from providers, and a dentist's paper trail is much harder to wave away than a patient's word. Enough of those trails, side by side, is what a real enforcement case is built from.
The answers will come. Keep the trail. Stay the course. Be patient with everyone except the deadline.
Before you act on anything here, talk to a professional advisor, the Health Consumer Alliance, or the State departments. This is what we think and how we would fight. It is not legal advice.
Category one
A periodontist is a dentist who specializes in the gums and the tissue that holds your teeth in place. The American Dental Association's specialty commission defines periodontics as the specialty covering “the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth.”
290,306
Liberty Dental Plan members in Sacramento County
192,121
Health Net members in Sacramento County
69,495
California Dental Network (DentaQuest) members in Sacramento County
The arithmetic
551,922 Sacramento County members across the three plans, by the State's count for August 2026. Two periodontists listed, as of 14 September 2026. That is one periodontist for every 275,961 members. Plan by plan: Liberty, one for every 145,153. Health Net, one for all 192,121. California Dental Network (DentaQuest), one for all 69,495. The State's own standard for dentists of every kind, general and specialist together, is one for every 1,200 members.
Check these numbers yourself: open the three rows in the State's Medi-Cal Managed Care Enrollment Report, already filtered to County: Sacramento, Plan Type: Dental, Enrollment Month: 2026-08. The report names the plans Liberty Dental Plan of CA/Sacramento, Health Net Community Solutions/Sacramento, one of Health Net's licensed companies, and California Dental Network/Sacramento. If that link ever stops working, open the report on the State's open data portal, choose Data Table, and set the same three filters.
The Centers for Disease Control and Prevention puts it plainly. About 4 in 10 U.S. adults 30 or older had a mild, moderate or severe level of periodontitis in 2009 to 2014. Among adults living below the federal poverty level, the figure was 60%. Medi-Cal is California's health program for people with low incomes. Periodontitis cannot be reversed, the CDC says, but it can be slowed down and managed with professional treatment, and periodontitis and cavities are the two leading causes of tooth loss.
Who provides that treatment matters. The CDC says more severe gum disease “may include referral to a specialist called a periodontist.” The American Academy of Periodontology, the specialists' own association, says periodontists complete three additional years of education beyond dental school, and that while some general dentists treat less serious cases, “many will refer their patients to periodontists for the more challenging periodontal cases.”
In Sacramento the plans' own numbers say the need is there. California Dental Network (DentaQuest) told its Sacramento advisory committee in March 2026 that 86% of its adult members had no dental visit in the past six months and 90% had no preventive care. So for the 551,922 Sacramento County members of these three plans, a referral to a periodontist had, as of 14 September 2026, two possible destinations.
CDC, About Periodontal (Gum) Disease, reviewed 15 May 2024, drawing on Eke and others, Periodontitis in US Adults, 2018. American Academy of Periodontology, What is a Periodontist. California Dental Network (DentaQuest) Sacramento committee minutes, 12 March 2026.
This is not an optional extra. The State tells every Medi-Cal dental managed care plan, in writing, that periodontists are part of the deal.
“DMC plans must contract with the following provider types or facilities based on contractual, State, or federal requirements”
The list that follows in the methodology: primary care dentists, endodontics, oral and maxillofacial surgery, orthodontics, pedodontics, periodontics and prosthodontics. DHCS said the same to the federal government in its 2021 network adequacy certification, where each plan's specialist network “is comprised of: endodontists, oral surgeons, orthodontists, pedodontists, periodontists, and prosthodontists.” So the nominations were easy. On 14 September 2026 we searched each Sacramento plan's own provider directory for periodontists, and wrote down exactly what it said.
And the award goes to
Three plans serve Medi-Cal dental managed care members in Sacramento County. Between them, their directories list two periodontists. Not two each. Two. Please hold your applause until all the offices have been read.
Health Net
1 periodontist
Liberty Dental Plan
2 periodontists
With a commanding lead of one periodontist.
California Dental Network (DentaQuest)
1 periodontist
A tie, with a twist
Health Net and California Dental Network (DentaQuest) share silver with one periodontist each. It is the same periodontist. Liberty lists that one too, plus one more that neither of the other plans lists in its Sacramento area search. Bronze was not awarded. There were only three plans.
How we ranked: the number of different periodontists each plan's directory lists at an office inside Sacramento County, where their Sacramento members live. Offices in other counties are counted separately below and do not change the order. This ranks periodontists listed, which is not the same thing as periodontists you can book.
Special achievement awards
The Road Trip Award
California Dental Network (DentaQuest)
For listing its only periodontist at 15 offices in 12 cities across 5 counties, as far out as Stockton and Fairfield, about 40 miles from Sacramento by its own count. All 15 accepting new patients. All 15 open every weekday. One periodontist, for a Sacramento County member base its own committee minutes put at over 70,000.
The Long Distance Award
Health Net
For a Medi-Cal dental directory that, searched in San Joaquin County, also listed the same periodontist at an office in Rialto, San Bernardino County, 340.4 miles away. San Bernardino County has no Medi-Cal dental managed care at all. Every listing welcomes new patients up to 110 years old.
The Wrong Number Award
Health Net and California Dental Network (DentaQuest)
For listing the Auburn office's phone number, in both directories, as (915) 964-4224. Area code 915 is in Texas. Liberty lists the same office at (916) 265-0270.
In their own words
Each plan's directory already had something to say. We have not changed a word.
“we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, or availability of the information contained on the find-a-dentist search tool.”
The disclaimer printed with Liberty's search results.
“How accurate is the information shown above? Our information is based on data from your health insurance company and selected real world claims from 34 million customers.”
Printed beneath Health Net's search results.
“Data last Updated 09/14/26”
Printed at the foot of every page of the directory. Short, and to the point.
The scoreboard
2
Periodontists across all three Sacramento directories
15
Sacramento area offices those two are listed at
39
Sacramento area listings for one periodontist, across three directories
18 or 1
Languages listed for that same periodontist, depending on the directory
340.4
Miles to the farthest office one directory lists for that periodontist
0
DHCS ratio or distance standards written just for periodontists
Counts from the Health Net, California Dental Network (DentaQuest) and Liberty Dental Plan provider directories, searched on 14 September 2026. The State lets a directory list languages offered by a provider's office staff, not only by the dentist, which may explain the 18.
Named because the plans name them
Where this comes from. Every name, office and detail on this page comes from the plans' own public provider directories, which state law and federal Medicaid rules require them to publish (HSC 1367.27; 42 CFR 438.10(h)). The awards go to the plans, because the plans publish these directories and answer for what is in them. We are not suggesting either dentist has done anything wrong. If you are one of these dentists and a listing is wrong, tell us and we will report it to the plan's directory team.
Listed as a periodontist by all three plans, 39 times in the Sacramento area:
Listed as a periodontist by one plan, 13 times:
Not listed by Health Net or California Dental Network (DentaQuest) in their Sacramento area periodontics searches.
Medi-Cal dental managed care runs in only two of California's 58 counties, Sacramento and Los Angeles. Everywhere else, including Placer, El Dorado, San Joaquin, Solano and San Bernardino counties, Medi-Cal dental works through fee-for-service, so nobody who lives in those counties is a member of these plans. The directories list offices there anyway.
What the State actually measures is distance from the member's home: a dentist within 10 miles or 30 minutes of where the member lives. That standard counts general dentists and specialists together, so it says nothing about how far a member may have to travel to reach a periodontist. By the directories' own mileage, Stockton and Fairfield are about 40 miles from Sacramento.
| Office | County | Health Net | California Dental Network (DentaQuest) | Liberty Dental Plan |
|---|---|---|---|---|
| 3433 Arden Way, Sacramento | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 4010 Truxel Rd, Sacramento | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 7227 29th St, Sacramento | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 6406 Sunrise Blvd, Citrus Heights | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 7803 Madison Ave, Citrus Heights | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 9184 E Stockton Blvd, Elk Grove | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill |
| 2260 E Bidwell St, Folsom | Sacramento | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 3840 El Dorado Hills Blvd, El Dorado Hills | El Dorado | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 4363 Golden Center Dr, Placerville | El Dorado | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 500 Auburn Folsom Rd, Auburn | Placer | Dr Kohnen | Dr Kohnen | Dr Gill |
| 4060 Douglas Blvd, Granite Bay | Placer | Dr Kohnen | Dr Kohnen | Dr Gill |
| 731 Sterling Pkwy, Lincoln | Placer | Dr Kohnen | Dr Kohnen | Dr Gill |
| 2241 Sunset Blvd, Rocklin | Placer | Dr Kohnen | Dr Kohnen | Not listed |
| 5756 Pacific Ave, Stockton | San Joaquin | Dr Kohnen | Dr Kohnen | Dr Gill, Dr Kohnen |
| 1955 W Texas St, Fairfield | Solano | Dr Kohnen | Dr Kohnen | Not listed |
Street addresses as the directories print them, without suite numbers. DentaQuest's search covered 50 miles from ZIP 95819 and Liberty's covered 45 miles from Sacramento. Health Net's directory was searched for periodontics near Sacramento, CA, then for Dr Kohnen by name in El Dorado, Placer, San Joaquin and Solano counties. The Rialto office is left out of this table because it is nowhere near Sacramento.
The fine print on the trophy
Periodontics is on the State's list of provider types every Medi-Cal dental managed care plan must contract with, alongside six others.
DHCS DMC Methodology Overview, 29 August 2025; DHCS 2021 network adequacy certification.
One dentist for every 1,200 members, and a dentist within 10 miles or 30 minutes of each member's home. Both standards count general dentists and specialists together, so neither says how many periodontists a plan needs.
DHCS DMC Methodology Overview, Tables 1 and 2; Welfare and Institutions Code 14197.
Urgent dental appointments within 72 hours, other appointments within 36 business days, and preventive care within 40 business days. The plan must have “sufficient numbers of network providers” to keep meeting those standards.
California Code of Regulations, title 28, section 1300.67.2.2(c)(6) and (c)(7).
Publish a directory that shows which providers accept new patients, update the online version at least weekly when told something has changed, and give the public a way to report listings that look wrong. Federal rules add each provider's languages and whether the provider will take new members.
DHCS says it surveys every dental managed care plan at least quarterly, contacting plan offices to ask about provider availability and how long it takes to get an appointment.
DHCS DMC Methodology Overview, Secret Shopper Surveys.
Recount the votes
Directories change, sometimes weekly. Here is exactly what we searched on 14 September 2026, so you can check whether the winners have been busy recruiting.
| Plan | Where to search | Settings we used |
|---|---|---|
| Health Net | Health Net Medi-Cal dental | Medi-Cal adult directory, dentists by specialty, periodontics, near Sacramento, CA. Then Dr Kohnen by name in El Dorado, Placer, San Joaquin and Solano counties. |
| California Dental Network (DentaQuest) | DentaQuest Find a Dentist | Medi-Cal DMC adult, periodontics, within 50 miles of ZIP 95819 |
| Liberty Dental Plan | Liberty Medi-Cal dentist search | Medi-Cal GMC/PHP network, periodontist, within 45 miles of Sacramento |
Got a different result? Or called one of these offices and could not get in to see a periodontist? Tell us. For how provider directories go wrong more generally, NoSuchProvider.org tracks ghost networks.
Show your work
Everything stated as fact on this page traces to one of these. If you find an error, tell us and we will correct it.
If you were referred to a specialist your plan could not provide, or a directory sent you to an office that could not see you, we want to hear about it.