| Nomor | Nama Rumah Sakit | Nama Dokter |
|---|---|---|
| 001 | RS Mitra Keluarga Kelapa Gading | |
| 002 | RS Mitra Keluarga Kemayoran | |
| 003 | RS Mitra Keluarga Kalideres | |
| 004 | RS Mitra Keluarga Cibubur | |
| 005 | RS Mitra Keluarga Depok | |
| 006 | RS Mitra Keluarga Bekasi | |
| 007 | RS Mitra Keluarga Bekasi Timur | drg Kurnia Natalia Kusumo , SpBM |
| 008 | RS Mitra Keluarga Bekasi Timur | |
| 009 | RS Mitra Keluarga Cikarang | |
| 010 | Siloam Hospital Semanggi (MRCCC) | |
| 011 | Siloam Hospital Lippo Village | |
| 012 | Siloam Hospital Lippo Village | |
| 013 | Siloam Hospital Lippo Village | |
| 014 | Siloam Hospital Lippo Village | |
| 015 | Siloam Hospital Lippo Village | |
| 016 | Siloam Hospital Kebon Jeruk | |
| 017 | Siloam Hospital Kebon Jeruk | drg Raimud Dainir Hasyim, SpBM |
| 018 | Siloam Hospital Kebon Jeruk | drg Deliana Perangin-Angin, SpBM |
| 019 | RS Asri (Siloam Hospital) | |
| 020 | RS Hermina Jatinegara | drg Evy Eida SpBM |
| 021 | RS Hermina Kemayoran | drg Etty Soenarti SpBM |
| 022 | RS Hermina Daan Mogot | drg Irman F. Azwar SpBM |
| 023 | RS Hermina Daan Mogot | drg Inda Pribadi SpBM |
| 024 | RS Hermina Bekasi | drg Denny Sidik.SpBM |
| 025 | RS Hermina Bekasi | DR. drg Ronny Corputti. SpBM |
| 026 | RS Hermina Bekasi | drg Raimud Dainir H. SpBM |
| 027 | RS Hermina Gran Wisata | drg Ayi Gana SpBM |
| 028 | RS Hermina Bogor | drg Kresna Adam SpBM |
| 029 | RS Hermina Bogor | drg Sutarto SpBM |
| 030 | RS Hermina Depok | drg Dwiyanto S.K SpBM |
| 031 | RS Hermina Depok | drg Nila Utama SpBM |
| 032 | RS Hermina Depok | drg Imam F.Azwar SpBM |
| 033 | RS Hermina Tangerang | drg Indira Inunu SpBM |
| 034 | RS Hermina Galaxi | drg Ayi Gana SpBM |
| 035 | RS Hermina Mekarsari | drg Hetty Simorangkir SpBM |
| 036 | RS Omni Alam Sutera | drg Chairunnisa SpBM |
| 037 | RS Omni Alam Sutera | drg Wiwiek Poedjiastoeti SpBM |
| 038 | RS Omni Pulomas | drg Richard Horsan SpBM |
| 039 | RS Omni Pulomas | drg Luckyanto SpBM |
| 040 | RS Omni Pulomas | DR. drg C. Rini Suhartoyo SpBM |
| 041 | RSU Bunda | drg Rachmitha Anne, SpBM |
| 042 | RS Bunda Margonda | drg Vera Julia, SpBM |
| 043 | RS Bunda Margonda | drg Novianto Agung Cahyono, SpBM |
| 044 | RS Mayapada Tangerang | drg Retnowati, SpBM |
| 045 | RS Mayapada Jakarta Selatan | drg A. Bachtiar SpBM |
| 046 | RS Mayapada Jakarta Selatan | drg Abdul Latief SpBM |
| 047 | RS Mayapada Jakarta Selatan | drg Arfan Badegas SpBM |
| 048 | RS Pondok Indah Jakarta Selatan | DR drg Abdul Latief, SpBM(K) |
| 049 | RS Pondok Indah Jakarta Selatan | Prof. DR. drg Benny S. Latief, SpBM(K) |
| 050 | RS Pondok Indah Jakarta Selatan | DR. drg Chusnul Chotimah, SpBM |
| 051 | RS Pondok Indah Jakarta Selatan | drg Djoko Micni, SpBM |
| 052 | RS Pondok Indah Jakarta Selatan | drg Doni A. Danardono, SpBM |
| 053 | RS Pondok Indah Jakarta Selatan | drg Tavip Budi Setiawan, SpBM |
| 054 | RS Abdi Waluyo | drg Anastasia Niniek, SpBM |
| 055 | RS Pertamina Jaya | drg Abdul Latief N., SpBM |
| 056 | RS Pertamina Jaya | drg Abdul Latief N., SpBM |
| 057 | RS Pusat Pertamina | drg Azrial Azwar, SpBM |
| 058 | RS Pusat Pertamina | drg Achmad Zulkifly, SpBM |
| 059 | RS Islam Jakarta Pusat | drg Tavip Budi Setawan, SpBM |
| 060 | RS Islam Jakarta Pusat | drg Budi Marsetio, SpBM |
| 061 | RS Islam Pondok Kopi | drg Danny Kurniawan SpBM |
| 062 | RS Islam Pondok Kopi | Drg H. Hardiono, SpBM |
| 063 | RS Islam Sukapura | dr. Wenny, SpBM |
| 064 | RS Islam Bogor | drg Jojo Suharjo SpBM |
| 065 | RS Carolus Summarecon | drg Johanes Hendri, M.Kes, SpBM |
| 066 | RS Satyanegara | drg Etty Soenartini, SpBM |
| 067 | RS Satyanegara | drg Thomas HW, SpBM |
| 068 | RS Royal Progres | |
| 069 | RS Harum Sisma Medika | drg Etty Soenartini SpBM |
| 070 | RS Harum Sisma Medika | drg Indra Kurnia SpBM |
| 071 | RS Jakarta | |
| 072 | RS Jakarta | Prof drg Benny Latief, SpBM (K) |
| 073 | RS Jakarta | |
| 074 | RS Jakarta | |
| 075 | RS Jakarta | |
| 076 | RS Siaga Raya | drg Rizal Rivandi, SpBM |
| 077 | RS Yadika Kebayoran Lama | drg Soendoro, SpBM |
| 078 | RSUD Pasar Minggu | drg Semi Riawan, SpBM |
| 079 | RS Tria Dipa | drg Nirwan Husni Lubis, SpBM |
| 080 | RS Royal Taruma | drg Budi Pranoto SpBM |
| 081 | RSUD Cengkareng | drg Budi Marsetio, SpBM |
| 082 | RSUD Cengkareng | drg Retnowati Gondo Sudiro, SpBM |
| 083 | RS Sumber Waras | drg Nicolaus, Walean, SpBM |
| 084 | RS Bogor Medical Center | drg Evy Indriani Vyati, SpBM |
| 085 | RS Bina Husada Bogor | drg Aris Teguh, SpBM |
| 086 | RS Tri Mitra Bogor | |
| 087 | RS Citra Harapan Bekasi | drg Jenny Gustasiana, SpBM, M.Kes |
| 088 | RS Anissa Cikarang | drg Agoes SpBM |
| 089 | RS Simpangan Depok | drg Lala Ruslita SpBM |
| 090 | RS Puri Cinere Depok | drg Dicky Firmansyah, SpBM |
| 091 | RS Puri Cinere Depok | drg Rizal Rivandi, SpBM, MM |
| 092 | RSUD Kab Tangerang | drg Retnowati G, SpBM |
| 093 | RSUD Kab Tangerang | drg Metawati Tarmidi, SpPM |
| 094 | RSUD Balaraja Tangerang | drg Palupi Kumala Sari SpBM |
| 095 | RS Eka Hospital BSD | drg Hans Gunawan, SpBM |
| 096 | RS Qadr Tangerang | drg Nurhaida SpBM |
| 097 | RS Qadr Tangerang | drg Iin Indrawati SpBM |
| 098 | RS Qadr Tangerang | drg Bambang Irawan SpBM |
| 099 | RS Qadr Tangerang | drg Marhaeni SpBM |
| 100 | RS Pertamedika Sentul City | drg. Indira Inunu, SpBM* |
| 101 | RS Pertamedika Sentul City | drg. Evy Indriani Vyati, SpBM* |
| 102 | RS Cipto Mangunkusumo | drg R Tjipto Agus S SpPM |
| 103 | RS Cipto Mangunkusumo | drg Wenny Yulvie SpBM |
| 104 | RS Persahabatan | drg. Arfan Badeges, MARS, Sp.BM |
| 105 | RS Persahabatan | drg. Etty Soenartini, Sp.BM |
| 106 | RS Columbia Asia Pulomas | drg Juliani Kusumaputra Isbandiono SpBM |
| 107 | RS Gandaria | drg. R.H. Soendoro Alwi, SpBM |
| 108 | RS Permata | drg. Lolita Dian Evayani, SpBM |
| 109 | RS Medistra | Drg. Anna Pasaribu, Sdrg Anna Pasaribu SpBMp.BM |
| 110 | RS Medistra | Drg. Ahmad Zulkifli, Sp. BM |
| 111 | RS Graha Permata Ibu | drg Ika Ratna SpBM |
| 112 | RS Pondok Indah Bintaro Jaya | Drg. Muhammad Aditya Latief, SpBM |
| 113 | RS Pondok Indah Bintaro Jaya | Drg. Pruput Dwi Mutiari, SpBM |
Data di atas sewaktu-waktu dapat berubah tanpa pemberitahuan terlebih dahulu.