Document:

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                                                                    EXHIBIT 10.3

                      ORTHODONTIC CENTERS OF AMERICA, INC.

                     ORTHALLIANCE STOCKHOLDER BONUS PROGRAM

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                      ORTHODONTIC CENTERS OF AMERICA, INC.
                     ORTHALLIANCE STOCKHOLDER BONUS PROGRAM

                                    PREAMBLE

         WHEREAS, Orthodontic Centers of America, Inc., a Delaware corporation
("OCA"), OCA Acquisition Corporation, a Delaware corporation and wholly-owned
subsidiary of OCA ("OCA Merger Sub"), and OrthAlliance, Inc., a Delaware
corporation ("OrthAlliance"), are parties to that certain Agreement and Plan of
Merger, dated as of May 16, 2001 (the "Merger Agreement"), among such parties,
pursuant to which OCA Merger Sub is to merge with and into OrthAlliance, with
OrthAlliance thereby becoming a wholly-owned subsidiary of OCA (the "Merger"),
subject to various conditions; and

         WHEREAS, OCA desires to establish a program through which OCA may grant
shares of its common stock, $.01 par value per share ("OCA Common Stock"), to
certain eligible individuals (each such eligible individual, a "Participant")
who are OrthAlliance Affiliated Practitioners and who timely execute and deliver
an Amendment to OrthAlliance Service/Consulting Agreement and Amendment to
Employment Agreement and/or OCA Business Services Agreement (each as defined
below), subject to the terms described herein and completion of the Merger;

         NOW, THEREFORE, OCA hereby establishes the Orthodontic Centers of
America, Inc. OrthAlliance Stockholder Bonus Program (the "Program").

                             ARTICLE I. ELIGIBILITY

         In order for any person to be eligible to be a Participant in the
Program, or to be granted shares of OCA Common Stock under the Program or any
Participation Agreement (as defined below), he or she must meet or comply with
each of the following:

1.1 Must Be An OrthAlliance Affiliated Practitioner. In order to be a
Participant in the Program and to be issued any shares of OCA Common Stock under
or pursuant to the Program or any Participation Agreement (as defined below), a
person must be a licensed orthodontist or pediatric dentist who both (i) owns,
beneficially and of record, shares of capital stock of, or partnership,
membership or other equity interests in, a professional corporation or other
professional entity (each, an "OrthAlliance Affiliated PC") that is a party to a
written long-term service, management service, consulting or similar long-term
agreement with OrthAlliance and/or a subsidiary thereof pursuant to which
OrthAlliance and/or its subsidiary is providing business management or
consulting services for such Participant's orthodontic or pediatric dental
practice in exchange for a consulting or service fee (each an "OrthAlliance
Service/Consulting Agreement"), and (ii) i s a full-time employee as an
orthodontist or pediatric dentist, as applicable, of such OrthAlliance
Affiliated PC (each such person, an "OrthAlliance Affiliated Practitioner").
Each Participant must also be a party to a written employment agreement (each,
an "Employment Agreement") with his or her respective OrthAlliance Affiliated
PC, pursuant to which such Participant provides orthodontic or pediatric dental
services as a full-time employee of such OrthAlliance Affiliated PC.

1.2 Must Amend Employment and Service/Consulting Agreement or Enter Into New OCA
Business Services Agreement. In order to be a Participant in the Program and to
be issued any shares of OCA Common Stock under or pursuant to the Program or any
Participation Agreement, an OrthAlliance Affiliated Practitioner must also,
along with his or her respective OrthAlliance Affiliated PC, execute and deliver
their respective (i) Amendments (as defined below) and/or (ii) OCA Business
Services Agreement (as defined below) no later than the earlier to occur of
September 30, 2001 or the effective time of the Merger. In addition, if such
OrthAlliance Affiliated PC is partially

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owned by one or more other OrthAlliance Affiliated Practitioners, then each of
such other OrthAlliance Affiliated Practitioners must also execute and deliver
their respective Amendments and/or OCA Business Services Agreement no later than
the earlier to occur of September 30, 2001 or the effective time of the Merger.

         For purposes of the Program:

         "Amendments" means an Amendment to Employment Agreement (as defined
below) and an Amendment to OrthAlliance Service/Consulting Agreement (as defined
below).

         "Amendment to Employment Agreement" shall mean a written amendment to
the OrthAlliance Affiliated Practitioner's respective Employment Agreement, in
form and substance satisfactory to OCA and its counsel, which amendment shall be
in full force and effect upon and following the effective time of the Merger,
include OrthAlliance as a third party beneficiary and provide for an agreement
by such OrthAlliance Affiliated Practitioner and the applicable OrthAlliance
Affiliated PC to continue the employment of such OrthAlliance Affiliated
Practitioner by such OrthAlliance Affiliated PC as an orthodontist or pediatric
dentist, as applicable, for a period of at least three years following the
closing date of the Merger.

         "Amendment to OrthAlliance Service/Consulting Agreement" means a
written amendment to the respective OrthAlliance Service/Consulting Agreement
relating to the OrthAlliance Affiliated Practitioner's OrthAlliance Affiliated
Practice and the applicable OrthAlliance Affiliated PC employing the
OrthAlliance Affiliated Practitioner, in form and substance satisfactory to OCA
and its counsel, which amendments shall be in full force and effect upon and
following the effective time of the Merger, and provide for (A) an agreement by
such OrthAlliance Affiliated Practitioner and OrthAlliance Affiliated PC to
continue the employment of such OrthAlliance Affiliated Practitioner by such
OrthAlliance Affiliated PC as an orthodontist or pediatric dentist, as
applicable, for a period of at least three years following the closing date of
the Merger, (B) an agreement by such OrthAlliance Affiliated Practitioner to
guarantee, during the term of his or her employment by such OrthAlliance
Affiliated PC, the payment of service, consulting and other fees and amounts,
reimbursement of center expenses and other performance by such OrthAlliance
Affiliated PC under such OrthAlliance Service/Consulting Agreement, and (C) an
agreement by such OrthAlliance Affiliated Practitioner and OrthAlliance
Affiliated PC to utilize only OCA's and its subsidiaries' proprietary computer
software and operating systems in connection with patient accounting and
scheduling, payroll, supplies ordering and other business functions of such
OrthAlliance Affiliated Practice, and to maintain the current status of such
OrthAlliance Affiliated Practice's advertising or non-advertising, as the case
may be, to the general public, unless otherwise mutually agreed in writing
between OCA or its subsidiary and such OrthAlliance Affiliated PC.

         "OCA Business Services Agreement" means a written long-term business
services agreement among the OrthAlliance Affiliated Practitioner, his or her
respective OrthAlliance Affiliated PC and OrthAlliance (or a subsidiary of OCA),
in form and substance satisfactory to OCA and its counsel and based on OCA's
form of such agreement (including, without limitation, the service fee,
restrictive covenant and termination provisions thereof), which agreement shall
be in full force and effect upon and following the effective time of the Merger,
and pursuant to which OCA and/or its subsidiary will provide business management
or consulting services for such OrthAlliance Affiliated Practitioner's
orthodontic or pediatric dental practice in exchange for a consulting or service
fee.

         "OrthAlliance Affiliated Practice" means an orthodontic or pediatric
dental practice that is owned by the OrthAlliance Affiliated Practitioner or his
or her respective OrthAlliance Affiliated PC, and is the subject of an
OrthAlliance Service/Consulting Agreement.

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1.3 No Litigation, Notice of Termination or Non-Compliance. An OrthAlliance
Affiliated Practitioner may not be a Participant in the Program, and will not be
issued any shares of OCA Common Stock under or pursuant to the Program or any
Participation Agreement, if:

         (a) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC is a party to any pending or threatened litigation or
other legal proceedings against or involving OrthAlliance, OCA or their
subsidiaries. If any such litigation or legal proceedings has been commenced or
threatened, such OrthAlliance Affiliated Practitioner may become a Participant
only if the same has been dismissed with prejudice or fully withdrawn in a
manner acceptable to OCA;

         (b) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC has threatened or given notice of termination or
intention to terminate their respective OrthAlliance Service/Consulting
Agreement. If any such notice has been threatened or given, such OrthAlliance
Affiliated Practitioner may become a Participant only if the same has been fully
withdrawn in a manner acceptable to OCA;

         (c) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC is in default or breach of, or is not in compliance
with, their obligation to pay service or consulting fees under the applicable
OrthAlliance Service/Consulting Agreement; and/or

         (d) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC is a party with OrthAlliance or a subsidiary thereof
to any practice improvement performance guarantee agreement or comparable
agreement, pursuant to which service or consulting fees payable under an
OrthAlliance Service/Consulting Agreement may be abated or deferred based upon
profitability of the applicable OrthAlliance Affiliated Practice and the value
of consideration paid to such OrthAlliance Affiliated Professional and/or his or
her OrthAlliance Affiliated PC upon OrthAlliance's or its subsidiary' s
acquisition of stock or assets therefrom, or entering into of an OrthAlliance
Service/Consulting Agreement therewith.

1.4 Must Execute Participation Agreement. In order to be a Participant in the
Program and to be issued shares of OCA Common Stock under or pursuant to the
Program or any Participation Agreement, an OrthAlliance Affiliated Practitioner
must execute and deliver to OCA, and OCA must have executed and delivered to
such OrthAlliance Affiliated Practitioner, a written participation agreement
with OCA (each, a "Participation Agreement"), which Participation Agreement
shall be in form and substance satisfactory to OCA and its counsel and in full
force and effect upon and following the effective time of the Merger, and shall
provide for such OrthAlliance Affiliated Practitioner's participation in the
Program subject to each of the terms and conditions set forth herein and in such
Participation Agreement.

1.5 At least 50% of Affiliation Consideration In OrthAlliance Stock. In order to
be a Participant in the Program and to be issued by any shares of OCA Common
Stock under or pursuant to the Program or any Participation Agreement, the
OrthAlliance Affiliated Practitioner must have been issued shares of
OrthAlliance common stock by OrthAlliance or its subsidiary as all or a portion
of such person's OrthAlliance Affiliation Consideration (as defined below), and
such shares of OrthAlliance common stock must have totaled at least 50% of the
total amount of OrthAlliance Affiliation Consideration paid to such person by
OrthAlliance or its subsidiary, based upon an assumed price of $5.30 per share
of OrthAlliance common stock (each, an "OrthAlliance Stock Recipient").

         For purposes of the Program, "OrthAlliance Affiliation Consideration"
means the amount of cash, OrthAlliance common stock and principal amount of
promissory notes paid to the particular OrthAlliance Affiliated Practitioner as
consideration for originally entering into their respective OrthAlliance
Service/Consulting Agreement or in respect of a related sale of assets or
capital stock to

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OrthAlliance or its subsidiary in connection with the entering into of such
OrthAlliance Service/Consulting Agreement (excluding any consideration or other
payments in respect of any amendment, extension or supplement to such
OrthAlliance Service/Consulting Agreement).

1.6 Minimum Number of Participants. Participation in the Program, and the
issuance of any shares of OCA Common Stock pursuant to the Program or any
Participation Agreement, is expressly conditioned upon the execution and
delivery of respective Amendments and/or OCA Business Services Agreement no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger by (i) at least 120 OrthAlliance Affiliated Practitioners and their
respective OrthAlliance Affiliated PCs, and (ii) OrthAlliance Affiliated
Practitioners to whom is attributable at least 65% of OrthAlliance Service Fees
(as defined below) with respect to the 12 month period ended March 31, 2001
(with certain adjustments and annualization as described in Section 2.4 of the
Merger Agreement), and their respective OrthAlliance Affiliated PCs.

         For purposes of the Program, "OrthAlliance Service Fees" means the
amount of service or consulting fees (excluding any amounts reimbursed, paid,
earned or accrued with respect to center expenses, operating and non-operating
expenses incurred in the operation of the applicable OrthAlliance Affiliated
Practice or other expenses) paid to OrthAlliance or its subsidiary by the
applicable OrthAlliance Affiliated Practitioner or his or her OrthAlliance
Affiliated PC under the applicable OrthAlliance Service/Consulting Agreement
during and with respect to the applicable period.

1.7 Conditioned on Completion of the Merger. Participation in the Program, and
the issuance of any shares of OCA Common Stock or other awards under or pursuant
to the Program or any Participation Agreement, is expressly conditioned upon
completion of the Merger pursuant to the Merger Agreement. If the Merger
Agreement is voided or terminated (other than upon completion of the Merger),
OCA will thereupon and thereafter have no further obligations under the Program
or any Participation Agreement or otherwise with respect to the Program, any
Participation Agreement and any participation or awards thereunder, and any and
all awards under and participation in the Program shall thereupon automatically
terminate without any obligation or liability on the part of OCA or Affiliate
(as defined below) thereof.

                            ARTICLE II. STOCK AWARDS

         Participants in the Program are eligible to receive shares of OCA
Common Stock under the Program under either Section 2.2(a), (b) or (c) (but not
under more than one of such subsections), as applicable, and Section 2.3,
subject to the terms and conditions of the Program, as follows:

2.1 Total Number of Shares Available For Grant Under the Program. The total
number of shares of OCA Common Stock available for grant, award or issuance
under the Program (the "Total Available Shares") is as follows (provided, that
such amounts are not cumulative, and only the highest amount achieved shall be
applicable):

         (a) 65% Participation. 200,000 total shares, if (and the provisions of
subsections (b) and (c) do not apply): (i) at least 120 to 128 OrthAlliance
Affiliated Practitioners and their respective OrthAlliance Affiliated PCs
execute and deliver their respective Amendments and/or OCA Business Service
Agreements no later than the earlier to occur of September 30, 2001 or the
effective time of the Merger, and (ii) OrthAlliance Affiliated Practitioners to
whom is attributable at least 65% to 69.99% of OrthAlliance Service Fees with
respect to the 12 month period ended March 31, 2001 (with certain adjustments
and annualization as described in Section 2.4 of the Merger Agreement), and
their respective OrthAlliance Affiliated PCs, execute and deliver their
respective Amendments and/or OCA Business Service Agreement no later than the
earlier to occur of September 30, 2001 or the effective time of the Merger; or

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         (b) 70% Participation. 300,000 total shares, if (and the provisions of
subsection (c) does not apply): (i) at least 129 to 137 OrthAlliance Affiliated
Practitioners and their respective OrthAlliance Affiliated PCs execute and
deliver their respective Amendments and/or OCA Business Service Agreements no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger, and (ii) OrthAlliance Affiliated Practitioners to whom is
attributable at least 70% to 74.99% of OrthAlliance Service Fees with respect to
the 12 month period ended March 31, 2001 (with certain adjustments and
annualization as described in Section 2.4 of the Merger Agreement), and their
respective OrthAlliance Affiliated PCs, execute and deliver their respective
Amendments and/or OCA Business Service Agreement no later than the earlier to
occur of September 30, 2001 or the effective time of the Merger; or

         (c) 75% Participation. 400,000 total shares, if: (i) at least 138
OrthAlliance Affiliated Practitioners and their respective OrthAlliance
Affiliated PCs execute and deliver their respective Amendments and/or OCA
Business Service Agreements no later than the earlier to occur of September 30,
2001 or the effective time of the Merger, and (ii) OrthAlliance Affiliated
Practitioners to whom is attributable at least 75% of OrthAlliance Service Fees
with respect to the 12 month period ended March 31, 2001 (with certain
adjustments and annualization as described in Section 2.4 of the Merger
Agreement), and their respective OrthAlliance Affiliated PCs, execute and
deliver their respective Amendments and/or OCA Business Service Agreement no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger.

2.2 Base Number of Shares Per Participant. Each eligible Participant will be
awarded the following base number of shares of OCA Common Stock (provided, that
such amounts are not cumulative, and only the highest amount achieved shall be
applicable), subject to the terms and conditions of the Program:

         (a) 65% Participation. 1,000 shares, if (and the provisions of
subsections (b) and (c) do not apply): (i) at least 120 to 128 OrthAlliance
Affiliated Practitioners and their respective OrthAlliance Affiliated PCs
execute and deliver their respective Amendments and/or OCA Business Service
Agreements no later than the earlier to occur of September 30, 2001 or the
effective time of the Merger, and (ii) OrthAlliance Affiliated Practitioners to
whom is attributable at least 65% to 69.99% of OrthAlliance Service Fees with
respect to the 12 month period ended March 31, 2001 (with certain adjustments
and annualization as described in Section 2.4 of the Merger Agreement), and
their respective OrthAlliance Affiliated PCs, execute and deliver their
respective Amendments and/or OCA Business Service Agreement no later than the
earlier to occur of September 30, 2001 or the effective time of the Merger; or

         (b) 70% Participation. 1,500 shares, if (and the provisions of
subsection (c) does not apply): (i) at least 129 to 137 OrthAlliance Affiliated
Practitioners and their respective OrthAlliance Affiliated PCs execute and
deliver their respective Amendments and/or OCA Business Service Agreements no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger, and (ii) OrthAlliance Affiliated Practitioners to whom is
attributable at least 70% to 74.99% of OrthAlliance Service Fees with respect to
the 12 month period ended March 31, 2001 (with certain adjustments and
annualization as described in Section 2.4 of the Merger Agreement), and their
respective OrthAlliance Affiliated PCs, execute and deliver their respective
Amendments and/or OCA Business Service Agreement no later than the earlier to
occur of September 30, 2001 or the effective time of the Merger; or

         (c) 75% Participation. 2,000 shares, if: (i) at least 138 OrthAlliance
Affiliated Practitioners and their respective OrthAlliance Affiliated PCs
execute and deliver their respective Amendments and/or OCA Business Service
Agreements no later than the earlier to occur of September 30, 2001 or the
effective time of the Merger, and (ii) OrthAlliance Affiliated Practitioners to
whom is attributable at least 75% of OrthAlliance Service Fees with respect to
the 12 month

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period ended March 31, 2001 (with certain adjustments and annualization as
described in Section 2.4 of the Merger Agreement), and their respective
OrthAlliance Affiliated PCs, execute and deliver their respective Amendments
and/or OCA Business Service Agreement no later than the earlier to occur of
September 30, 2001 or the effective time of the Merger.

2.3 Pro Rata Amount of Remaining Shares. In addition to the award of shares of
OCA Common Stock under either Section 2.2(a), (b) or (c), as applicable,
eligible Participants shall be granted a pro rata amount of the Remaining Shares
(as defined below), subject to the terms and conditions of the Program, equal to
a fraction, the number of which is such Participant's Potential Loss of Stock
Consideration (as defined below), and the denominator of which is the total
aggregate sum of the Potential Loss of Stock Consideration for each and all of
the Participants.

For purposes of the Program:

"Remaining Shares" means the difference of (i) the Total Available Shares, minus
(ii) the total number of shares of OCA Common Stock awarded to Participants
pursuant to Section 2.2 hereof.

"Potential Loss of Stock Consideration" means the result of:

                  (i)      the product of

                           (A)      The number of shares of OrthAlliance common
                                    stock originally issued to the applicable
                                    Participant as OrthAlliance Affiliation
                                    Consideration,

                                    TIMES

                           (B)      $5.30,

                  PLUS

                  (ii)     The dollar amount of cash and principal amount of
                           promissory notes paid to such Participant as
                           OrthAlliance Affiliation Consideration,

                  MINUS

                  (iii)    the product of

                           (C)      The Applicable Multiple (as defined below),

                                    TIMES

                           (D)      The amount of OrthAlliance Service Fees paid
                                    by the Participant or his or her
                                    OrthAlliance Affiliated PC to OrthAlliance
                                    or its subsidiary with respect to the 12
                                    months ended March 31, 2001, (with certain
                                    adjustments and annualization as described
                                    in Section 2.4 of the Merger Agreement),
                                    excluding any OrthAlliance Service fees paid
                                    with respect to any OrthAlliance Affiliated
                                    Practice acquired under OrthAlliance's "buy
                                    a practice" or similar program or otherwise
                                    without payment of significant
                                    consideration.

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"Applicable Multiple" means:

         (a) 2.75, if (and the provisions of subsections (b) and (c) do not
apply): (i) at least 120 to 128 OrthAlliance Affiliated Practitioners and their
respective OrthAlliance Affiliated PCs execute and deliver their respective
Amendments and/or OCA Business Service Agreements no later than the earlier to
occur of September 30, 2001 or the effective time of the Merger, and (ii)
OrthAlliance Affiliated Practitioners to whom is attributable at least 65% to
69.99% of OrthAlliance Service Fees with respect to the 12 month period ended
March 31, 2001 (with certain adjustments and annualization as described in
Section 2.4 of the Merger Agreement), and their respective OrthAlliance
Affiliated PCs, execute and deliver their respective Amendments and/or OCA
Business Service Agreement no later than the earlier to occur of September 30,
2001 or the effective time of the Merger; or

         (b) 3.35, if (and the provisions of subsection (c) does not apply): (i)
at least 129 to 137 OrthAlliance Affiliated Practitioners and their respective
OrthAlliance Affiliated PCs execute and deliver their respective Amendments
and/or OCA Business Service Agreements no later than the earlier to occur of
September 30, 2001 or the effective time of the Merger, and (ii) OrthAlliance
Affiliated Practitioners to whom is attributable at least 70% to 74.99% of
OrthAlliance Service Fees with respect to the 12 month period ended March 31,
2001 (with certain adjustments and annualization as described in Section 2.4 of
the Merger Agreement), and their respective OrthAlliance Affiliated PCs, execute
and deliver their respective Amendments and/or OCA Business Service Agreement no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger; or

         (c) 4.5, if: (i) at least 138 OrthAlliance Affiliated Practitioners and
their respective OrthAlliance Affiliated PCs execute and deliver their
respective Amendments and/or OCA Business Service Agreements no later than the
earlier to occur of September 30, 2001 or the effective time of the Merger, and
(ii) OrthAlliance Affiliated Practitioners to whom is attributable at least 75%
of OrthAlliance Service Fees with respect to the 12 month period ended March 31,
2001 (with certain adjustments and annualization as described in Section 2.4 of
the Merger Agreement), and their respective OrthAlliance Affiliated PCs, execute
and deliver their respective Amendments and/or OCA Business Service Agreement no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger.

2.4 Timing and Conditions of Grants. Shares of OCA Common Stock awarded under
the Program shall be issuable to Participants in four annual installments, as
follows:

         (a) For each Participant, one-fourth of the total number of shares of
OCA Common Stock (rounded to the nearest whole number) to be issued to such
Participant under the Program will be issued to such Participant following each
of the second, third, fourth and fifth anniversaries of the effective date of
the Merger if the amount of service or consulting fees (excluding any amounts
reimbursed, paid, earned or accrued with respect to center expenses, operating
and non-operating expenses incurred in the operation of the applicable
OrthAlliance Affiliated Practice or other expenses) paid to OCA or its
subsidiary by the Participant and/or his or her OrthAlliance Affiliated PC
during and with respect to the 12 calendar months immediately preceding that
particular anniversary pursuant to the applicable OCA Business Services
Agreement or OrthAlliance Service/Consulting Agreement ("Service Fees") is at
least 90% (the "90% Minimum Target") of the amount of Service Fees such
Participant and/or OrthAlliance Affiliated PC paid to OrthAlliance or its
subsidiary during and with respect to the 12 calendar months immediately
preceding the Merger.

         (b) However, if the 90% Minimum Target is not achieved in the 12
calendar month period immediately preceding the second, third or fourth
anniversary of the effective date of the Merger (each, an "Earlier Period), but
is achieved during the 12 calendar month period immediately

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preceding the third, fourth or fifth, as applicable, anniversary of the
effective date of the Merger (each, a "Later Period"), then the installment of
shares of OCA Common Stock issuable with respect to such Earlier Period will be
issued following such Later Period.

2.5 Only Whole Shares. Only whole shares of OCA Common Stock will be issued or
awarded under the Program; no fractional shares shall be issued.

             ARTICLE III. ADJUSTMENT UPON CERTAIN CORPORATE CHANGES

3.1 Adjustments to Shares. The number of shares of OCA Common Stock subject to
an outstanding award of shares of OCA Common Stock granted to a Participant
under and pursuant to the Program shall be adjusted as the Committee (as defined
below) determines (in its sole discretion) to be appropriate, in the event that:

         (a) OCA or an Affiliate (as defined below) effects one or more stock
dividends, stock splits, reverse stock splits, subdivisions, consolidations or
other similar events;

         (b) OCA or an Affiliate engages in a transaction to which section 424
of the Code (as defined below) applies; or

         (c) there occurs any other event which in the judgment of the Committee
necessitates such action.

For purposes of the Program:

                  (i) "Affiliate" means a "parent corporation, " as defined in
         section 424(e) of the Code, or "subsidiary corporation," as defined in
         section 424(f) of the Code, of OCA.

                  (ii) "Code" means the U.S. Internal Revenue Code of 1986, as
         amended.

3.2 No Adjustment upon Certain Transactions. The issuance by OCA of shares of
stock of any class, or securities convertible into shares of stock of any class,
for cash or property, or for labor or services rendered, either upon direct sale
or upon the exercise of rights or warrants to subscribe therefor, or upon
conversion of shares or obligations of OCA convertible into such shares or other
securities, shall not affect, and no adjustment by reason thereof shall be made
with respect to, outstanding Awards.

                     ARTICLE IV. LEGAL COMPLIANCE CONDITIONS

4.1 General. No OCA Common Stock shall be issued under the Program except in
compliance with all federal or state laws and regulations (including, without
limitation, withholding tax requirements), federal and state securities laws and
regulations and the rules of all securities exchanges or self-regulatory
organizations on which OCA's shares may be listed. OCA shall have the right to
rely on an opinion of its counsel as to such compliance. Any certificate issued
to evidence shares of OCA Common Stock granted under the Program may bear such
legends and statements as the Committee upon advice of counsel may deem
advisable to assure compliance with federal or state laws and regulations. No
OCA Common Stock shall be issued and no certificate for shares shall be
delivered until OCA has obtained such consent or approval as the Committee may
deem advisable from any regulatory bodies having jurisdiction over such matters.

4.2 Representations by Participants. As a condition to the grant of an Award or
the issuance of OCA Common Stock, OCA may require a Participant to represent and
warrant at the time of grant that the Participant does not have a present
intention to sell or distribute such shares. At the option

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of OCA, a stop transfer order against any shares of stock may be placed on the
official stock books and records of OCA, and a legend indicating that the stock
may not be pledged, sold or otherwise transferred unless an opinion of counsel
was provided (concurred in by counsel for OCA) and stating that such transfer is
not in violation of any applicable law or regulation may be stamped on the stock
certificate in order to assure exemption from registration. The Committee may
also require such other action or agreement by the Participants as may from time
to time be necessary to comply with federal or state securities laws. This
provision shall not obligate OCA or any Affiliate to undertake registration of
stock hereunder.

                     ARTICLE V. ADMINISTRATION AND AMENDMENT

5.1 Administrative Committee. The Program shall be administered by a committee
composed of the chief executive officer and chief financial officer of OCA and
any other officer of OCA appointed to such committee by the chief executive
officer of OCA (the "Committee" ). The express grant in the Program of any
specific power to the Committee shall not be construed as limiting any power or
authority of the Committee. Any decision made or action taken by the Committee
to administer the Program shall be final and conclusive. No member of the
Committee shall be liable for any act done in good faith with respect to the
Program or any Participation Agreement. In addition to all other authority
vested with the Committee under the Program, the Committee shall have complete
authority to:

         (a) Interpret all provisions of the Program;

         (b) Prescribe the form of any Participation Agreement;

         (c) Make amendments to all Participation Agreements;

         (d) Adopt, amend, and rescind rules for Program administration; and

         (e) Make all determinations it deems advisable for the administration
of the Program.

5.2 Determination of Financial Performance. The authorities of the Committee
described in Section 5.1 include the full discretionary authority to make all
determinations regarding financial performance and related matters referenced in
the Program. Such matters include, but are not limited to, whether or not
Participants have achieved the standards of financial performance required to
receive awards of OCA Common Stock. The Committee shall make such determinations
by reference to any data and information that it deems appropriate and, to the
extent that such information that is provided by a Participant is not otherwise
subject to disclosure, shall employ reasonable measures that are designed to
keep such information confidential.

5.3 Amendment. OCA may amend or terminate the Program at any time; provided,
however, an amendment that would have a material adverse effect on the rights of
a Participant under an outstanding award is not valid with respect to such award
without the Participant's consent.

                         ARTICLE VI. GENERAL PROVISIONS

6.1 Unfunded Program. The Program shall be unfunded, and OCA shall not be
required to segregate any assets that may at any time be represented by grants
under the Program. Any liability of OCA to any person with respect to any grant
under the Program shall be based solely upon contractual obligations that may be
created hereunder. No such obligation of OCA shall be deemed to be secured by
any pledge of, or other encumbrance on, any property of OCA.

                                       9
<PAGE>   11
6.2 Rules of Construction. Headings are given to the articles and sections of
the Program solely as a convenience to facilitate reference. The masculine
gender when used herein refers to both masculine and feminine. The reference to
any statute, regulation or other provision of law shall be construed to refer to
any amendment to or successor of such provision of law.

6.3 Governing Law. The internal laws of the State of Louisiana (without regard
to the choice of law provisions of Louisiana) shall apply to all matters arising
under the Program, to the extent that federal law does not apply.

6.4 Federal Withholding Tax Requirements. To the extent that withholding is
required by law, at the time that any Award is granted or OCA Common Stock is
issued, the Participant shall, upon notification of the amount due, pay to OCA
amounts necessary to satisfy applicable federal, state and local withholding tax
requirements or shall otherwise make arrangements satisfactory to OCA for such
requirements.

                                       10
<PAGE>   12
         IN WITNESS WHEREOF, the undersigned officer has executed this document
effective as of August 6, 2001.

                                    ORTHODONTIC CENTERS OF AMERICA, INC.

                                    By:  /s/ Bartholomew F. Palmisano, Sr.
                                       -----------------------------------------
                                         Bartholomew F. Palmisano, Sr.
                                         Chairman of the Board, President
                                            and Chief Executive Officer

                                       11<PAGE>   1
                                                                    EXHIBIT 10.4

                      ORTHODONTIC CENTERS OF AMERICA, INC.

                        HIGH PARTICIPATION BONUS PROGRAM

<PAGE>   2
                      ORTHODONTIC CENTERS OF AMERICA, INC.
                        HIGH PARTICIPATION BONUS PROGRAM

                                    PREAMBLE

         WHEREAS, Orthodontic Centers of America, Inc., a Delaware corporation
("OCA"), OCA Acquisition Corporation, a Delaware corporation and wholly-owned
subsidiary of OCA ("OCA Merger Sub"), and OrthAlliance, Inc., a Delaware
corporation ("OrthAlliance"), are parties to that certain Agreement and Plan of
Merger, dated as of May 16, 2001 (the "Merger Agreement"), among such parties,
pursuant to which OCA Merger Sub is to merge with and into OrthAlliance, with
OrthAlliance thereby becoming a wholly-owned subsidiary of OCA (the "Merger"),
subject to various conditions; and

         WHEREAS, OCA desires to establish a program through which OCA may grant
shares of its common stock, $.01 par value per share ("OCA Common Stock"), to
certain eligible individuals (each such eligible individual, a "Participant")
who are OrthAlliance Affiliated Practitioners and who timely execute and deliver
an Amendment to OrthAlliance Service/Consulting Agreement and Amendment to
Employment Agreement and/or OCA Business Services Agreement (each as defined
below), subject to the terms described herein and completion of the Merger;

         NOW, THEREFORE, OCA hereby establishes the Orthodontic Centers of
America, Inc. High Participation Bonus Program (the "Program").

                             ARTICLE I. ELIGIBILITY

         In order for any person to be eligible to be a Participant in the
Program, or to be granted shares of OCA Common Stock under the Program or any
Participation Agreement (as defined below), he or she must meet or comply with
each of the following:

1.1 Must Be An OrthAlliance Affiliated Practitioner. In order to be a
Participant in the Program and to be issued any shares of OCA Common Stock under
or pursuant to the Program or any Participation Agreement (as defined below), a
person must be a licensed orthodontist or pediatric dentist who both (i) owns,
beneficially and of record, shares of capital stock of, or partnership,
membership or other equity interests in, a professional corporation or other
professional entity (each, an "OrthAlliance Affiliated PC") that is a party to a
written long-term service, management service, consulting or similar long-term
agreement with OrthAlliance and/or a subsidiary thereof pursuant to which
OrthAlliance and/or its subsidiary is providing business management or
consulting services for such Participant's orthodontic or pediatric dental
practice in exchange for a consulting or service fee (each an "OrthAlliance
Service/Consulting Agreement"), and (ii) is a full-time employee as an
orthodontist or pediatric dentist, as applicable, of such OrthAlliance
Affiliated PC (each such person, an "OrthAlliance Affiliated Practitioner").
Each Participant must also be a party to a written employment agreement (each,
an "Employment Agreement") with his or her respective OrthAlliance Affiliated
PC, pursuant to which such Participant provides orthodontic or pediatric dental
services as a full-time employee of such OrthAlliance Affiliated PC.

1.2 Must Amend Employment and Service/Consulting Agreement or Enter Into New OCA
Business Services Agreement. In order to be a Participant in the Program and to
be issued any shares of OCA Common Stock under or pursuant to the Program or any
Participation Agreement, an OrthAlliance Affiliated Practitioner must also,
along with his or her respective OrthAlliance Affiliated PC, execute and deliver
their respective (i) Amendments (as defined below) and/or (ii) OCA Business
Services Agreement (as defined below) no later than the earlier to occur of
September 30, 2001 or the effective time of the Merger. In addition, if such
OrthAlliance Affiliated PC is partially

<PAGE>   3

owned by one or more other OrthAlliance Affiliated Practitioners, then each of
such other OrthAlliance Affiliated Practitioners must also execute and deliver
their respective Amendments and/or OCA Business Services Agreement no later than
the earlier to occur of September 30, 2001 or the effective time of the Merger.

         For purposes of the Program:

         "Amendments" means an Amendment to Employment Agreement (as defined
below) and an Amendment to OrthAlliance Service/Consulting Agreement (as defined
below).

         "Amendment to Employment Agreement" shall mean a written amendment to
the OrthAlliance Affiliated Practitioner's respective Employment Agreement, in
form and substance satisfactory to OCA and its counsel, which amendment shall be
in full force and effect upon and following the effective time of the Merger,
include OrthAlliance as a third party beneficiary and provide for an agreement
by such OrthAlliance Affiliated Practitioner and the applicable OrthAlliance
Affiliated PC to continue the employment of such OrthAlliance Affiliated
Practitioner by such OrthAlliance Affiliated PC as an orthodontist or pediatric
dentist, as applicable, for a period of at least three years following the
closing date of the Merger.

         "Amendment to OrthAlliance Service/Consulting Agreement" means a
written amendment to the respective OrthAlliance Service/Consulting Agreement
relating to the OrthAlliance Affiliated Practitioner's OrthAlliance Affiliated
Practice and the applicable OrthAlliance Affiliated PC employing the
OrthAlliance Affiliated Practitioner, in form and substance satisfactory to OCA
and its counsel, which amendments shall be in full force and effect upon and
following the effective time of the Merger, and provide for (A) an agreement by
such OrthAlliance Affiliated Practitioner and OrthAlliance Affiliated PC to
continue the employment of such OrthAlliance Affiliated Practitioner by such
OrthAlliance Affiliated PC as an orthodontist or pediatric dentist, as
applicable, for a period of at least three years following the closing date of
the Merger, (B) an agreement by such OrthAlliance Affiliated Practitioner to
guarantee, during the term of his or her employment by such OrthAlliance
Affiliated PC, the payment of service, consulting and other fees and amounts,
reimbursement of center expenses and other performance by such OrthAlliance
Affiliated PC under such OrthAlliance Service/Consulting Agreement, and (C) an
agreement by such OrthAlliance Affiliated Practitioner and OrthAlliance
Affiliated PC to utilize only OCA's and its subsidiaries' proprietary computer
software and operating systems in connection with patient accounting and
scheduling, payroll, supplies ordering and other business functions of such
OrthAlliance Affiliated Practice, and to maintain the current status of such
OrthAlliance Affiliated Practice's advertising or non-advertising, as the case
may be, to the general public, unless otherwise mutually agreed in writing
between OCA or its subsidiary and such OrthAlliance Affiliated PC.

         "OCA Business Services Agreement" means a written long-term business
services agreement among the OrthAlliance Affiliated Practitioner, his or her
respective OrthAlliance Affiliated PC and OrthAlliance (or a subsidiary of OCA),
in form and substance satisfactory to OCA and its counsel and based on OCA's
form of such agreement (including, without limitation, the service fee,
restrictive covenant and termination provisions thereof), which agreement shall
be in full force and effect upon and following the effective time of the Merger,
and pursuant to which OCA and/or its subsidiary will provide business management
or consulting services for such OrthAlliance Affiliated Practitioner's
orthodontic or pediatric dental practice in exchange for a consulting or service
fee.

         "OrthAlliance Affiliated Practice" means an orthodontic or pediatric
dental practice that is owned by the OrthAlliance Affiliated Practitioner or his
or her respective OrthAlliance Affiliated PC, and is the subject of an
OrthAlliance Service/Consulting Agreement.

                                       2
<PAGE>   4

1.3 No Litigation, Notice of Termination or Non-Compliance. An OrthAlliance
Affiliated Practitioner may not be a Participant in the Program, and will not be
issued any shares of OCA Common Stock under or pursuant to the Program or any
Participation Agreement, if:

         (a) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC is a party to any pending or threatened litigation or
other legal proceedings against or involving OrthAlliance, OCA or their
subsidiaries. If any such litigation or legal proceedings has been commenced or
threatened, such OrthAlliance Affiliated Practitioner may become a Participant
only if the same has been dismissed with prejudice or fully withdrawn in a
manner acceptable to OCA;

         (b) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC has threatened or given notice of termination or
intention to terminate their respective OrthAlliance Service/Consulting
Agreement. If any such notice has been threatened or given, such OrthAlliance
Affiliated Practitioner may become a Participant only if the same has been fully
withdrawn in a manner acceptable to OCA;

         (c) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC is in default or breach of, or is not in compliance
with, their obligation to pay service or consulting fees under the applicable
OrthAlliance Service/Consulting Agreement; and/or

         (d) Such OrthAlliance Affiliated Practitioner and/or his or her
OrthAlliance Affiliated PC is a party with OrthAlliance or a subsidiary thereof
to any practice improvement performance guarantee agreement or comparable
agreement, pursuant to which service or consulting fees payable under an
OrthAlliance Service/Consulting Agreement may be abated or deferred based upon
profitability of the applicable OrthAlliance Affiliated Practice and the value
of consideration paid to such OrthAlliance Affiliated Professional and/or his or
her OrthAlliance Affiliated PC upon OrthAlliance's or its subsidiary' s
acquisition of stock or assets therefrom, or entering into of an OrthAlliance
Service/Consulting Agreement therewith.

1.4 Must Execute Participation Agreement. In order to be a Participant in the
Program and to be issued shares of OCA Common Stock under or pursuant to the
Program or any Participation Agreement, an OrthAlliance Affiliated Practitioner
must execute and deliver to OCA, and OCA must have executed and delivered to
such OrthAlliance Affiliated Practitioner, a written participation agreement
with OCA (each, a "Participation Agreement"), which Participation Agreement
shall be in form and substance satisfactory to OCA and its counsel and in full
force and effect upon and following the effective time of the Merger, and shall
provide for such OrthAlliance Affiliated Practitioner's participation in the
Program subject to each of the terms and conditions set forth herein and in such
Participation Agreement.

1.5 Conditioned on Completion of the Merger. Participation in the Program, and
the issuance of any shares of OCA Common Stock pursuant to the Program or any
Participation Agreement, is expressly conditioned upon completion of the Merger
pursuant to the Merger Agreement. If the Merger Agreement is voided or
terminated (other than upon completion of the Merger), OCA will thereupon and
thereafter have no further obligations under the Program or any Participation
Agreement or otherwise with respect to the Program, any Participation Agreement
and any participation or awards thereunder, and any and all awards under and
participation in the Program shall thereupon automatically terminate without any
obligation or liability on the part of OCA or Affiliate (as defined below)
thereof.

1.6 Minimum Number of Participants. Participation in the Program, and the
issuance of any shares of OCA Common Stock pursuant to the Program or any
Participation Agreement, is expressly conditioned upon the execution and
delivery of respective Amendments and/or OCA Business Services Agreements no
later than the earlier to occur of September 30, 2001 or the effective time of

                                       3
<PAGE>   5

the Merger, by (i) at least 148 OrthAlliance Affiliated Practitioners and their
respective OrthAlliance Affiliated PCs, and (ii) OrthAlliance Affiliated
Practitioners to whom is attributable at least 80% of OrthAlliance Service Fees
(as defined below) during the 12 month period ended March 31, 2001 (with certain
adjustments and annualization as described in Section 2.4 of the Merger
Agreement), and their respective OrthAlliance Affiliated PCs.

         For purposes of the Program, "OrthAlliance Service Fees" means the
amount of service or consulting fees (excluding any amounts reimbursed, paid,
earned or accrued with respect to center expenses, operating and non-operating
expenses incurred in the operation of the applicable OrthAlliance Affiliated
Practice or other expenses) paid to OrthAlliance or its subsidiary by the
applicable OrthAlliance Affiliated Practitioner or his or her OrthAlliance
Affiliated PC under the applicable OrthAlliance Service/Consulting Agreement
during and with respect to the applicable period.

                            ARTICLE II. STOCK AWARDS

         Participants in the Program are eligible to receive shares of OCA
Common Stock under the Program under either Section 2.1(a) or (b) (but not under
both subsections), as applicable, as follows:

2.1 Number of Shares Per Participant. Each eligible Participant will be awarded
the following number of shares of OCA Common Stock (provided, that such amounts
are not cumulative, and only the highest amount achieved shall be applicable),
subject to the terms and conditions of the Program:

         (a) 80% Participation. 500 shares, if (and the provisions of subsection
(b) does not apply): (i) at least 148 to 156 OrthAlliance Affiliated
Practitioners and their respective OrthAlliance Affiliated PCs execute and
deliver their respective Amendments and/or OCA Business Service Agreements no
later than the earlier to occur of September 30, 2001 or the effective time of
the Merger, and (ii) OrthAlliance Affiliated Practitioners to whom is
attributable at least 80% to 84.99% of OrthAlliance Service Fees with respect to
the 12 month period ended March 31, 2001 (with certain adjustments and
annualization as described in Section 2.4 of the Merger Agreement), and their
respective OrthAlliance Affiliated PCs, execute and deliver their respective
Amendments and/or OCA Business Service Agreement no later than the earlier to
occur of September 30, 2001 or the effective time of the Merger; or

         (b) 85% Participation. 1,000 shares, if: (i) at least 157 OrthAlliance
Affiliated Practitioners and their respective OrthAlliance Affiliated PCs
execute and deliver their respective Amendments and/or OCA Business Service
Agreements no later than the earlier to occur of September 30, 2001 or the
effective time of the Merger, and (ii) OrthAlliance Affiliated Practitioners to
whom is attributable at least 85% of OrthAlliance Service Fees with respect to
the 12 month period ended March 31, 2001 (with certain adjustments and
annualization as described in Section 2.4 of the Merger Agreement), and their
respective OrthAlliance Affiliated PCs, execute and deliver their respective
Amendments and/or OCA Business Service Agreement no later than the earlier to
occur of September 30, 2001 or the effective time of the Merger; or

2.2 Timing and Conditions of Grants. Shares of OCA Common Stock awarded under
the Program shall be issuable to Participants in four annual installments, as
follows:

         (a) For each Participant, one-fourth of the total number of shares of
OCA Common Stock (rounded to the nearest whole number) to be issued to such
Participant under the Program will be issued to such Participant following each
of the second, third, fourth and fifth anniversaries of the effective date of
the Merger if the amount of service or consulting fees (excluding any amounts
reimbursed, paid, earned or accrued with respect to center expenses, operating
and non-operating expenses incurred in the operation of the applicable
OrthAlliance Affiliated Practice or other

                                       4
<PAGE>   6

expenses) paid to OCA or its subsidiary by the Participant and/or his or her
OrthAlliance Affiliated PC during and with respect to the 12 calendar months
immediately preceding that particular anniversary pursuant to the applicable OCA
Business Services Agreement or OrthAlliance Service/Consulting Agreement
("Service Fees") is at least 90% (the "90% Minimum Target") of the amount of
Service Fees such Participant and/or OrthAlliance Affiliated PC paid to
OrthAlliance or its subsidiary during and with respect to the 12 calendar months
immediately preceding the Merger.

         (b) However, if the 90% Minimum Target is not achieved in the 12
calendar month period immediately preceding the second, third or fourth
anniversary of the effective date of the Merger (each, an "Earlier Period), but
is achieved during the 12 calendar month period immediately preceding the third,
fourth or fifth, as applicable, anniversary of the Merger (each, a "Later
Period"), then the installment of shares of OCA Common Stock issuable with
respect to such Earlier Period will be issued following such Later Period.

2.3 Only Whole Shares. Only whole shares of OCA Common Stock will be issued or
awarded under the Program; no fractional shares shall be issued.

             ARTICLE III. ADJUSTMENT UPON CERTAIN CORPORATE CHANGES

3.1 Adjustments to Shares. The number of shares of OCA Common Stock subject to
an outstanding award of shares of OCA Common Stock granted to a Participant
under and pursuant to the Program shall be adjusted as the Committee (as defined
below) determines (in its sole discretion) to be appropriate, in the event that:

         (a) OCA or an Affiliate (as defined below) effects one or more stock
dividends, stock splits, reverse stock splits, subdivisions, consolidations or
other similar events;

         (b) OCA or an Affiliate engages in a transaction to which section 424
of the Code (as defined below) applies; or

         (c) there occurs any other event which in the judgment of the Committee
necessitates such action.

For purposes of the Program:

                  (i) "Affiliate" means a "parent corporation, " as defined in
         section 424(e) of the Code, or "subsidiary corporation," as defined in
         section 424(f) of the Code, of OCA.

                  (ii) "Code" means the U.S. Internal Revenue Code of 1986, as
         amended.

3.2 No Adjustment upon Certain Transactions. The issuance by OCA of shares of
stock of any class, or securities convertible into shares of stock of any class,
for cash or property, or for labor or services rendered, either upon direct sale
or upon the exercise of rights or warrants to subscribe therefor, or upon
conversion of shares or obligations of OCA convertible into such shares or other
securities, shall not affect, and no adjustment by reason thereof shall be made
with respect to, outstanding awards.

                     ARTICLE IV. LEGAL COMPLIANCE CONDITIONS

4.1 General. No OCA Common Stock shall be issued under the Program except in
compliance with all federal or state laws and regulations (including, without
limitation, withholding tax requirements), federal and state securities laws and
regulations and the rules of all securities exchanges or self-regulatory
organizations on which OCA's shares may be listed. OCA shall have the

                                       5
<PAGE>   7

right to rely on an opinion of its counsel as to such compliance. Any
certificate issued to evidence shares of OCA Common Stock granted under the
Program may bear such legends and statements as the Committee upon advice of
counsel may deem advisable to assure compliance with federal or state laws and
regulations. No OCA Common Stock shall be issued and no certificate for shares
shall be delivered until OCA has obtained such consent or approval as the
Committee may deem advisable from any regulatory bodies having jurisdiction over
such matters.

4.2 Representations by Participants. As a condition to the grant of an award for
the issuance of OCA Common Stock, OCA may require a Participant to represent and
warrant at the time of grant that the Participant does not have a present
intention to sell or distribute such shares. At the option of OCA, a stop
transfer order against any shares of stock may be placed on the official stock
books and records of OCA, and a legend indicating that the stock may not be
pledged, sold or otherwise transferred unless an opinion of counsel was provided
(concurred in by counsel for OCA) and stating that such transfer is not in
violation of any applicable law or regulation may be stamped on the stock
certificate in order to assure exemption from registration. The Committee may
also require such other action or agreement by the Participants as may from time
to time be necessary to comply with federal or state securities laws. This
provision shall not obligate OCA or any Affiliate to undertake registration of
stock hereunder.

                     ARTICLE V. ADMINISTRATION AND AMENDMENT

5.1 Administrative Committee. The Program shall be administered by a committee
composed of the chief executive officer and chief financial officer of OCA and
any other officer of OCA appointed to such committee by the chief executive
officer of OCA (the " Committee"). The express grant in the Program of any
specific power to the Committee shall not be construed as limiting any power or
authority of the Committee. Any decision made or action taken by the Committee
to administer the Program shall be final and conclusive. No member of the
Committee shall be liable for any act done in good faith with respect to the
Program or any Participation Agreement. In addition to all other authority
vested with the Committee under the Program, the Committee shall have complete
authority to:

         (a) Interpret all provisions of the Program;

         (b) Prescribe the form of any Participation Agreement;

         (c) Make amendments to all Participation Agreements;

         (d) Adopt, amend, and rescind rules for Program administration; and

         (e) Make all determinations it deems advisable for the administration
of the Program.

5.2 Determination of Financial Performance. The authorities of the Committee
described in Section 5.1 include the full discretionary authority to make all
determinations regarding financial performance and related matters referenced in
the Program. Such matters include, but are not limited to, whether or not
Participants have achieved the standards of financial performance required to
receive awards of OCA Common Stock. The Committee shall make such determinations
by reference to any data and information that it deems appropriate and, to the
extent that such information that is provided by a Participant is not otherwise
subject to disclosure, shall employ reasonable measures that are designed to
keep such information confidential.

5.3 Amendment. OCA may amend or terminate the Program at any time; provided,
however, an amendment that would have a material adverse effect on the rights of
a Participant under an outstanding award is not valid with respect to such award
without the Participant's consent.

                                       6
<PAGE>   8

                         ARTICLE VI. GENERAL PROVISIONS

6.1 Unfunded Program. The Program shall be unfunded, and OCA shall not be
required to segregate any assets that may at any time be represented by grants
under the Program. Any liability of OCA to any person with respect to any grant
under the Program shall be based solely upon contractual obligations that may be
created hereunder. No such obligation of OCA shall be deemed to be secured by
any pledge of, or other encumbrance on, any property of OCA.

6.2 Rules of Construction. Headings are given to the articles and sections of
the Program solely as a convenience to facilitate reference. The masculine
gender when used herein refers to both masculine and feminine. The reference to
any statute, regulation or other provision of law shall be construed to refer to
any amendment to or successor of such provision of law.

6.3 Governing Law. The internal laws of the State of Louisiana (without regard
to the choice of law provisions of Louisiana) shall apply to all matters arising
under the Program, to the extent that federal law does not apply.

6.4 Federal Withholding Tax Requirements. To the extent that withholding is
required by law, at the time that OCA Common Stock is issued, the Participant
shall, upon notification of the amount due, pay to OCA amounts necessary to
satisfy applicable federal, state and local withholding tax requirements or
shall otherwise make arrangements satisfactory to OCA for such requirements.

                                       7
<PAGE>   9
         IN WITNESS WHEREOF, the undersigned officer has executed this document
effective as of August 6, 2001.

                                    ORTHODONTIC CENTERS OF AMERICA, INC.

                                    By:  /s/ Bartholomew F. Palmisano, Sr.
                                       -----------------------------------------
                                         Bartholomew F. Palmisano, Sr.
                                         Chairman of the Board, President
                                            and Chief Executive Officer

                                       8

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