Facility Name: Enter the name of each dental facility expanded as a result of the grant during the current reporting period in a dental HPSA or underserved area. Click on “Add Record.” Repeat the process as necessary to add each expanded site.

Select the Type of Facility: Describe the type of expanded facility by clicking in the drop-down menu in Column 2 (Block 2a) and selecting one of the following options:
Select Type(s) of Oral Health Services Provided: Choose the types of oral health services that are provided at the expanded dental facility by clicking in the drop-down menu in Column 3 (Block 2c) and selecting all that apply from the following options:
Enter Average # of Patient Encounters Prior to Expansion: Enter the average number of patient encounters prior to expansion at the facility that would occur in the same length of time as the current reporting period in the textbox in Column 4 (Block 2d).
Enter Actual # of Patient Encounters Post Expansion: Enter the number of actual patient encounters at the expanded facility that have occurred since the expansion during the current reporting period in the textbox in Column 5 (Block 2e). 
Enter Average # of Patient Encounters Facility can Accommodate: Enter the number of average number of patient encounters that the expanded facility can accommodate in the same length of time as the current reporting period in the textbox in Column 6 (Block 2f).
Select whether this is a Mobile/Portable Facility: Select whether the expanded site is a mobile/portable site by clicking in the drop-down menu in Column 7 (Block 2g) and choosing one of the following options: