Document:

Exhibit 10.2

 

VOTING AND SUPPORT AGREEMENT

 

This VOTING AND SUPPORT AGREEMENT (this “Agreement”),
dated as of October 3, 2018, is entered into by and among Mid-Atlantic Dental Services Holdings, LLC, a Delaware limited liability
company (“Parent”), Bronco Acquisition, Inc., a Delaware corporation, and Frederic Birner (“Shareholder”),
a shareholder of Birner Dental Management Services, Inc., a Colorado corporation (the “Company”). All terms
used but not otherwise defined in this Agreement shall have the respective meanings ascribed to such terms in the Merger Agreement
(as defined below).

 

WITNESSETH:

 

WHEREAS, concurrently with the execution of
this Agreement, Parent, Merger Sub and the Company, are entering into an Agreement and Plan of Merger, dated as of the date hereof
(as may be amended from time to time, the “Merger Agreement”), pursuant to which, among other things and subject
to the terms and conditions of the Merger Agreement, (i) Merger Sub will merge with and into the Company (the
 “Merger”), and (ii) all outstanding shares of Company Common Stock will be cancelled and converted into the
right to receive the Merger Consideration described in the Merger Agreement;

 

WHEREAS, as of the date hereof, Shareholder
is the record and beneficial owner (as defined in Rule 13d-3 under the Exchange Act) of the Subject Securities (as defined below);
and

 

WHEREAS, as a condition to their willingness
to enter into the Merger Agreement, Parent and Merger Sub have required that Shareholder enter into this Agreement, and Shareholder
has agreed and is willing to enter into this Agreement.

 

NOW, THEREFORE, in consideration of the foregoing
premises and the representations, warranties, covenants and agreements contained herein, and intending to be legally bound hereby,
the parties hereto hereby agree as follows:

 

     

     

    

  

Article
I

COVENANTS OF SHAREHOLDER REGARDING THE VOTING SECURITIES

 

1.1       Agreement
to Vote. Shareholder hereby irrevocably and unconditionally covenants and agrees that, until the termination of this Agreement,
at any annual or special meeting of the shareholders of the Company, however called, including any adjournment or postponement
thereof, and in connection with any action proposed to be taken by written consent of the shareholders of the Company, Shareholder
shall, in each case to the fullest extent that the Voting Securities (as defined below) are entitled to vote thereon, be present
(in person or by proxy) and vote (or cause to be voted), or deliver (or cause to be delivered) a written consent with respect to,
all of the Voting Securities (i) against any action or agreement that would reasonably be expected to (A) result in a breach of
any covenant, representation or warranty or any other obligation or agreement of the Company contained in the Merger Agreement,
or of Shareholder contained in this Agreement or (B) result in any of the conditions set forth in Article VII of the Merger Agreement
not being satisfied on or before the End Date; (ii) against any change in the Company Board of Directors; and (iii) against any
Company Takeover Proposal and against any other action, agreement or transaction involving the Company that is intended, or would
reasonably be expected, to impede, interfere with, delay, postpone, adversely affect or prevent the consummation of the Merger
or the other transactions contemplated by the Merger Agreement, including (x) any extraordinary corporate transaction, such as
a merger, consolidation or other business combination involving the Company, any of its Subsidiaries or any of the Professional
Corporations (other than the Merger); (y) a sale, lease, license or transfer of a material amount of assets (including, for the
avoidance of doubt, management or intellectual property rights) of the Company, any of its Subsidiaries or any of the Professional
Corporations, or any reorganization, recapitalization or liquidation of the Company, any of its Subsidiaries or any of the Professional
Corporations, or (z) any change not required by the Merger Agreement in the present capitalization of the Company, any of its Subsidiaries
or any of the Professional Corporations or any amendment or other change not required by the Merger Agreement to the Organizational
Documents of the Company, any of its Subsidiaries or any of the Professional Corporations. Shareholder shall retain at all times
the right to vote the Voting Securities in Shareholder’s sole discretion, and without any other limitation, on any matters
other than those set forth in this Section 1.1 that are at any time or from time to time presented for consideration to
the Company’s shareholders generally. Shareholder agrees that the obligations specified in this Section 1.1 shall
not be affected by any Company Adverse Recommendation Change except to the extent the Merger Agreement is terminated as a result
thereof. For purposes of this Agreement, the term “Voting Securities” shall mean, collectively, those of the
Subject Securities set forth on Exhibit A attached hereto that are eligible to vote on the applicable matter, and any other
securities of the Company that hereafter are issued to or otherwise directly or indirectly acquired by Shareholder prior to the
termination of this Agreement upon the conversion of any of the securities set forth on Exhibit A attached hereto that are
eligible to vote on the applicable matter.

 

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Article
II

COVENANTS OF SHAREHOLDER REGARDING SUBJECT SECURITIES

 

Shareholder hereby covenants and agrees that
until the termination of this Agreement:

 

2.1       Meetings
and Written Consents. At any annual or special meeting of the shareholders of the Company, however called, including any
adjournment or postponement thereof, and in connection with any action proposed to be taken by written consent of the shareholders
of the Company, Shareholder shall appear at each such meeting or otherwise cause all of the Subject Securities eligible to be counted
as present thereat for purposes of determining a quorum to be so counted as present thereat for purposes of determining a quorum.
Shareholder agrees that the obligations specified in this Section 2.1 shall not be affected by any Company Adverse
Recommendation Change except to the extent the Merger Agreement is terminated as a result thereof. For purposes of this Agreement,
the term “Subject Securities” shall mean, collectively, the shares of Company Common Stock, the shares of Series
A Preferred Stock, the shares of Series B Preferred Stock, the shares of Company Common Stock underlying Company Options and the
convertible instruments of the Company set forth on Exhibit B attached hereto, and any other securities of the Company that
hereafter are issued to or otherwise directly or indirectly acquired (including upon the conversion of any of the securities set
forth on Exhibit B attached hereto) by Shareholder prior to the termination of this Agreement.

 

2.2       No
Transfer; No Inconsistent Arrangements. Except as expressly provided hereunder or pursuant to the Merger Agreement,
from and after the date hereof and until this Agreement is terminated in accordance with Section 6.2, Shareholder shall
not, directly or indirectly, (i) grant or create any Encumbrance, other than Permitted Encumbrances (as defined below), on
any or all of the Subject Securities, (ii) transfer, sell, assign, tender, gift, hedge, pledge or otherwise dispose (whether
by sale, liquidation, dissolution, dividend or distribution) of, or enter into any derivative arrangement with respect to (collectively,
 “Transfer”), any of the Subject Securities, or any right, title or interest therein (including any right or
power to vote to which Shareholder may be entitled) or agree to do or consent to any of the foregoing, (iii) enter into (or
caused to be entered into) any Contract with respect to any Transfer of any of the Subject Securities, (iv) grant or permit
the grant of any proxy, power-of-attorney or other authorization or consent in or with respect to any of the Subject Securities
(other than, if desirable to Shareholder, to cause the Subject Securities that are not Voting Securities to be voted and to consent
in the manner Voting Securities are required to be voted or to consent in accordance with Section 1.1), (v) deposit
or permit the deposit of any of the Subject Securities into a voting trust or enter into a voting agreement or similar arrangement,
commitment or understanding with respect to any of the Subject Securities, or (vi) take or permit any other action that would
reasonably be expected to prevent or materially restrict, disable or delay the consummation by Shareholder of the transactions
contemplated by this Agreement or otherwise adversely impact Shareholder’s ability to perform its obligations hereunder in
any material respect. Notwithstanding the foregoing, Shareholder may make Transfers of any of the Subject Securities as Parent
may, in its sole discretion, agree in writing. If any involuntary Transfer of any of the Subject Securities shall occur (including,
but not limited to, a sale by Shareholder’s trustee in any bankruptcy, or a sale to a purchaser at any creditor’s or
court sale), the transferee (which term, as used herein, shall include any and all transferees and subsequent transferees of the
initial transferee) shall take and hold such Subject Securities subject to all of the restrictions, liabilities and rights under
this Agreement, which shall continue in full force and effect until is terminated in accordance with Section 6.2.

 

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2.3       No
Exercise of Appraisal Rights; No Participation in Proceedings.

 

(a)       No
Appraisal Rights. To the extent Shareholder is found to have a right to demand appraisal of any of the Subject Securities or
a right to dissent from the transactions contemplated by the Merger Agreement (collectively, “Appraisal Rights”),
Shareholder (i) waives and agrees not to exercise any such Appraisal Rights (including, without limitation, under Article
113 of the Colorado Business Corporation Act, as amended); and (ii) agrees not to commence, participate in or voluntarily
aid in any way any claim or proceeding to seek (or file any petition related to) Appraisal Rights in connection with the transactions
contemplated by the Merger Agreement.

 

(b)       No
Participation in Proceedings. Shareholder (A) agrees not to directly or indirectly participate in, commence or join, as
a plaintiff or as a member of a class, whether on Shareholder’s own behalf or derivatively on behalf of the Company, in any
Proceeding (including any class action), with respect to any claim, derivative or otherwise and whether relating to Appraisal Rights
or otherwise, against Parent, Merger Sub, the Company, any of the Company’s Subsidiaries, any of the Professional Corporations
or any of the successors, Affiliates or Representatives of any of the foregoing, (x) challenging the validity of, or seeking
to enjoin the operation of, any provision of this Agreement or (y) alleging breach of any fiduciary or other duty by any Person
or violation of any Law in connection with the Merger Agreement or the transactions contemplated thereby; (B) agrees to take all
actions necessary to opt out of any Proceeding (including any class action) described in subclause (A) of this Section 2.3(b);
and (C) agrees to promptly pay to Parent via wire transfer of immediately available funds any amounts received by Shareholder,
in its capacity as a member of a class or otherwise, with respect to any such claim described in subclause (A) of this Section
2.3(b).  Notwithstanding the foregoing, nothing in this Section 2.3(b) shall constitute, or be deemed to constitute,
a waiver or release by Shareholder of any claim or cause of action against Parent or Merger Sub or their respective Representatives
to the extent arising out of a breach of the Merge Agreement by Parent or Merger Sub subject to Section 8.4(f)(i) of the Merger
Agreement.

 

2.4       Adjustments.
In the event of any stock split (including a reverse stock split), stock dividend, merger, reorganization, recapitalization, reclassification,
combination, exchange of shares or similar transaction with respect to the capital stock of the Company that affects the Subject
Securities, including, without limitation, the Voting Securities, the terms of this Agreement shall apply to all additional or
resulting securities such that such additional and resulting securities shall constitute Subject Securities and, to the extent
that such additional or resulting securities are in respect of Voting Securities, also shall constitute Voting Securities for purposes
of this Agreement.

 

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Article
III

ADDITIONAL COVENANTS

 

3.1       Documentation
and Information. Except as required by applicable Law, Shareholder shall not make any public announcement regarding this
Agreement, the Merger Agreement or the transactions contemplated hereby or thereby without the prior written consent of Parent
(which consent may be withheld in Parent’s sole discretion); provided that Shareholder may disclose the terms of this Agreement
and file a copy hereof in a Schedule 13D filed with the SEC. Shareholder consents to and hereby authorizes Parent, the Company
and the Surviving Corporation to publish and disclose in all documents and schedules filed with the SEC, and any press release
or other disclosure document that Parent, the Company or the Surviving Corporation reasonably determines to be necessary in connection
with the Merger Agreement and any transactions contemplated by the Merger Agreement, Shareholder’s identity and ownership
of the Subject Securities, the existence of this Agreement and the nature of Shareholder’s commitments and obligations under
this Agreement, and Shareholder acknowledges that Parent, the Company and the Surviving Corporation may, in their sole discretion,
file this Agreement or a form hereof with the SEC or any other Governmental Entity. Shareholder agrees to promptly give Parent,
the Company and the Surviving Corporation any information that is in its possession that Parent, the Company or the Surviving Corporation
may reasonably request for the preparation of any such disclosure documents, and Shareholder agrees to promptly notify Parent,
the Company and the Surviving Corporation of any required corrections with respect to any written information supplied by it specifically
for use in any such disclosure document, if and to the extent that Shareholder shall become aware that any such information shall
have become false or misleading in any material respect.

 

3.2       No
Solicitation. Subject to Section 6.17, Shareholder shall not, and shall cause its directors and officers in
their capacities as such not to, and shall direct its other Representatives not to directly or indirectly, (i) solicit, initiate,
encourage or facilitate, including by the making of a public announcement, the submission by any Person(s) to the Company of any
Company Takeover Proposal or any inquiries or proposals that would reasonably be expected to lead to any Company Takeover Proposal;
(ii) initiate or participate or continue to participate in any discussions and negotiations with any Person(s) regarding any Company
Takeover Proposal or any inquiries or proposals that would reasonably be expected to lead to any Company Takeover Proposal; (iii)
furnish to any Person(s) information (including non-public Company information) in connection with any Company Takeover Proposal
or any inquiries or proposals that would reasonably be expected to lead to a Company Takeover Proposal; (iv) approve, recommend,
declare advisable or enter into a Company Acquisition Agreement; (v) otherwise cooperate with, assist, participate in and facilitate
any such inquiries, proposals, discussions or negotiations or any effort or attempt to make any Company Takeover Proposal; or (vi) agree
to or propose publicly to do any of the foregoing. Shareholder shall, and shall cause each of its Subsidiaries to, and shall direct
the Representatives of Shareholder and its Subsidiaries to (A) immediately cease and cause to be terminated all existing discussions
and negotiations with any Person and its Representatives (other than Parent, Merger Sub or any of their respective Representatives)
conducted heretofore with respect to any Company Takeover Proposal, and (B) not terminate, amend, release or modify any provision
of any standstill agreement (including any standstill provisions contained in any confidentiality or other agreement) to which
it or any of its Affiliates or Representatives is a party. Shareholder makes no agreement or understanding in this Agreement with
respect to any action or omission by himself in his role as a director of the Company in the discharge of his fiduciary duties
to the Company or its shareholders, and nothing in this Agreement: (a) will limit or affect any action or omission taken by Shareholder
in his role as a director of the Company in such discharge, including in exercising rights of the Company under the Merger Agreement,
and no such action or omission shall be deemed a breach of this Agreement so long as such action or omission occurred strictly
in the discharge by him of his director’s fiduciary duties to the Company or its shareholders; or (b) will be construed to
prohibit, limit or restrict Shareholder in his role as a director of the Company from exercising his fiduciary duties as a director
of the Company.

 

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3.3       Ownership
of Subject Securities. Shareholder hereby agrees that as of the date hereof the number of Subject Securities owned of record
and beneficially (as defined in Rule 13d-3 under the Exchange Act) by Shareholder is as set forth on Exhibit B hereto.

 

3.4       No
Conversion of Company Options. Shareholder shall not exercise any Company Options held directly or indirectly by Shareholder
prior to the Effective Time.

 

3.5       Further
Assurances.

 

(a)       Each
of the parties hereto shall execute and deliver any additional certificate, instruments and other documents, and take any additional
actions as may be reasonably necessary or appropriate to carry out and effectuate the purpose and intent of this Agreement.

 

(b)       Shareholder
agrees, while this Agreement is in effect, to notify Parent promptly in writing of the number and description of any Subject Securities
acquired by Shareholder after the date hereof which are not set forth on Exhibit B hereto.

 

Article
IV

REPRESENTATIONS AND WARRANTIES OF SHAREHOLDER

 

Shareholder represents and warrants to Parent
and Merger Sub that:

 

4.1       Organization,
Authority; Execution and Delivery; Enforceability. Shareholder is a natural person and is not married. Shareholder has
all requisite power and authority to execute and deliver this Agreement (and each Person executing this Agreement on behalf of
Shareholder has full power, authority and capacity to execute and deliver this Agreement on behalf of Shareholder and to thereby
bind Shareholder), to consummate the transactions contemplated by this Agreement and to comply with the terms of this Agreement.
This Agreement has been duly executed and delivered by Shareholder and, assuming due authorization, execution and delivery by Parent
and Merger Sub, constitutes a valid and binding obligation of Shareholder, enforceable against Shareholder in accordance with its
terms, except as such enforceability may be limited by bankruptcy, insolvency, reorganization, moratorium or other laws affecting
creditors’ rights and by general principles of equity (whether applied in a proceeding at law or in equity).

 

4.2       Non-Contravention.
The execution and delivery of this Agreement, the consummation of the transactions contemplated by this Agreement and the compliance
by Shareholder with the terms of this Agreement do not and will not conflict with, or result in any violation or breach of, or
default (with or without notice or lapse of time, or both) under, or give rise to a right of, or result in termination, amendment,
cancelation or acceleration of any obligation or to loss of a material benefit under, or result in the creation of any Encumbrance
in or upon any of the properties or assets of Shareholder under, or give rise to any increased, additional, accelerated or guaranteed
rights or entitlements under, (i) if Shareholder is not a natural person, any provision of any of the Organizational Documents
of Shareholder, (ii) any Contract to or by which Shareholder is a party or bound or to or by which any of the properties or
assets of Shareholder (including the Subject Securities) is bound or subject or (iii) subject to the governmental filings
and other matters referred to in the last sentence of this Section 4.2, any Law, in each case, applicable to Shareholder
or to Shareholder’s properties or assets (including the Subject Securities). No consent, approval, order or authorization
of, or registration, declaration or filing with, any Governmental Entity or other Person (including with respect to natural persons,
any spouse, and with respect to trusts, any co-trustee or beneficiary) is required by or with respect to Shareholder in connection
with the execution and delivery of this Agreement by Shareholder, the consummation by Shareholder of the transactions contemplated
by this Agreement or the compliance by Shareholder with the terms of this Agreement, except for filings with the SEC of such reports
under the Exchange Act as may be required in connection with this Agreement and the transactions contemplated hereby.

 

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4.3       Ownership
of Subject Securities; Total Shares. Shareholder is the record and beneficial owner (as defined in Rule 13d-3 under the
Exchange Act) of all of the Subject Securities and has good and marketable title to all of the Subject Securities free and clear
of any Encumbrances, except for any such Encumbrance that may be imposed pursuant to (i) this Agreement and (ii) any applicable
restrictions on transfer under the Securities Act or any state securities Law (collectively, “Permitted Encumbrances”).
The Subject Securities set forth on Exhibit B attached hereto constitute all of the securities of the Company owned of record
and beneficially owned (as defined in Rule 13d-3 under the Exchange Act) or owned of record by Shareholder as of the date hereof.

 

4.4       Voting
and Dispositive Power. Shareholder has full voting power with respect to all of the Subject Securities, and full power
of disposition, full power to issue instructions with respect to the matters set forth herein and full power to agree to all of
the matters set forth in this Agreement, in each case with respect to of the Subject Securities. None of the Subject Securities
are subject to any shareholders’ agreement, proxy, voting trust or other agreement or arrangement with respect to the voting
or disposing of the Subject Securities, except as provided hereunder.

 

4.5       Reliance.
Shareholder understands and acknowledges that Parent and Merger Sub are entering into the Merger Agreement in reliance upon Shareholder’s
execution, delivery and performance of this Agreement.

 

4.6       Absence
of Litigation. As of the date hereof, there is no Proceeding pending against, or, to the actual knowledge of Shareholder,
threatened in writing against Shareholder or any of Shareholder’s properties or assets (including any shares of the Subject
Securities) before or by any Governmental Entity that could reasonably be expected to prevent or materially delay or impair the
consummation by Shareholder of the transactions contemplated by this Agreement or otherwise materially impair Shareholder’s
ability to perform its obligations hereunder.

 

4.7       Brokers.
No broker, finder, financial advisor, investment banker or other Person is entitled to any brokerage, finder’s, financial
advisor’s or other similar fee or commission from the Company in connection with the transactions contemplated hereby based
upon arrangements made by or on behalf of Shareholder.

 

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Article
V

REPRESENTATIONS AND WARRANTIES OF PARENT AND MERGER SUB

 

Parent and Merger Sub represent and warrant
to Shareholder that:

 

5.1       Organization
and Qualification. Each of Parent and Merger Sub is a duly organized and validly existing corporation in good standing
under the Laws of the jurisdiction of its organization. All of the issued and outstanding capital stock of Merger Sub is owned
directly or indirectly by Parent.

 

5.2       Authority
for this Agreement. Each of Parent and Merger Sub has full power and authority to execute, deliver and perform this Agreement
and to consummate the transactions contemplated hereby. This Agreement has been duly executed and delivered by each of Parent and
Merger Sub and, assuming due authorization, execution and delivery by Shareholder, constitutes a valid and binding obligation of
Shareholder, enforceable against Shareholder in accordance with its terms, except as such enforceability may be limited by bankruptcy,
insolvency, reorganization, moratorium or other laws affecting creditors’ rights and by general principles of equity (whether
applied in a proceeding at law or in equity).

 

Article
VI

MISCELLANEOUS

 

6.1       Notices.
All notices and other communications hereunder shall be in writing and shall be deemed to have been duly given or made on the date
of receipt by the recipient thereof if received prior to 5:00 p.m. in the place of receipt and such day is a Business Day (or otherwise
on the next succeeding Business Day) if (a) served by personal delivery to the party to be notified, (b) delivered by email or
facsimile; provided, however, that notice given by email or facsimile shall not be effective unless either (i) a duplicate copy
of such email or fax notice is promptly given by one of the other methods described in this Section 6.1, or (ii) the receiving
party delivers a written confirmation of receipt for such notice either by email or fax or any other method described in this Section
6.1, or (c) delivered by a courier (with confirmation of delivery); in each case to the party to be notified at the following
address:

 

	If to Parent:
	 	 
	Mid-Atlantic Dental Services Holdings, LLC
	630 West Germantown Pike, Suite 120
	Plymouth Meeting, Pennsylvania 19642
	Email:	cmgoldman@mid-atlanticdental.com
	Attention:	C. Mitchell Goldman, Chief Executive Officer
	 	 
	with a copy (which shall not constitute notice) to:
	 	 
	Duane Morris LLP
	30 South 17th Street
	Philadelphia, Pennsylvania 19103
	Attention:	Richard A. Silfen
	Facsimile:	(215) 827-5548
	Email:	rasilfen@duanemorris.com
	Attention:	Barry Steinman
	Email:	bsteinman@duanemorris.com
	Facsimile:	(215) 754-4840

 

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	If to Shareholder:
	 	 
	Fred Birner
	1777 South Harrison Street, Suite 1400
	Denver, Colorado 80210
	Email:	fbirner@birnerdental.com
	Facsimile:	(303) 691-1874
	 	 
	with a copy (which shall not constitute notice) to:
	 	 
	Sherman & Howard, LLC
	633 17th Street, Suite 3000
	Denver, CO  80202
	Attention:	Garth B. Jensen
	Email:	gjensen@shermanhoward.com
	Facsimile:	303.298.0940

 

or to such other address as any party shall specify by written notice
so given, and such notice shall be deemed to have been delivered as of the date so telecommunicated or personally delivered. Any
party to this Agreement may notify any other party of any changes to the address or any of the other details specified in this
Section 6.1. Rejection or other refusal to accept or the inability to deliver because of changed address of which no notice
was given shall be deemed to be receipt of the notice as of the date of such rejection, refusal or inability to deliver.

 

6.2       Termination.
Subject to Section 6.3, this Agreement shall terminate automatically without any notice or other action by any Person, upon
the first to occur of (i) the valid termination of the Merger Agreement in accordance with its terms, (ii) the Effective
Time, (iii) the mutual written consent of Parent and Shareholder, and (iv) the date on which the parties to the Merger Agreement
enter into a material amendment thereto without the prior written consent of Shareholder.

 

6.3       Survival.
The provisions of Section 2.3, Article IV, Article V and this Article VI shall survive any termination
of this Agreement, and the termination of this Agreement shall not relieve any party from liability for any willful and material
breach of this Agreement prior to termination hereof.

 

6.4       Amendments
and Waivers. Any provision of this Agreement may be amended or waived if such amendment or waiver is in writing and is
signed, in the case of an amendment, by each party to this Agreement or, in the case of a waiver, by each party against whom the
waiver is to be effective. No failure or delay by any party in exercising any right, power or privilege hereunder shall operate
as a waiver thereof nor shall any single or partial exercise thereof preclude any other or further exercise thereof or the exercise
of any other right, power or privilege.

 

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6.5       Expenses.
All fees and expenses incurred in connection herewith and the transactions contemplated hereby shall be paid by the party incurring
such expenses, whether or not the transactions contemplated by the Merger Agreement are consummated.

 

6.6       Successors
and Assigns; No Third-Party Beneficiaries. The stipulations, terms, covenants and agreements contained in this Agreement
shall inure to the benefit of, and shall be binding upon, the parties hereto and their respective permitted successors and assigns
(including any successor entity after a public offering of stock, merger, consolidation, purchase or other similar transaction
involving a party hereto) and nothing herein expressed or implied shall give or be construed to give to any Person, other than
the parties hereto and such assigns, any legal or equitable rights hereunder.

 

6.7       Assignment.
Neither this Agreement nor any of the rights, interests or obligations hereunder shall be assigned, in whole or in part, by any
of the parties (whether by operation of law or otherwise) without the prior written consent of the other party hereto, except to
the extent that such rights, interests or obligations are assigned pursuant to a Transfer expressly permitted under Section 2.2;
provided, however, that Parent may assign its rights, interests or obligations hereunder to a Subsidiary or Affiliate of Parent
without the prior written consent of the other party hereto.

 

6.8       Governing
Law. This Agreement shall be governed by, interpreted under, and construed and enforced in accordance with, the laws of
the State of Delaware.

 

6.9       Waiver
of Jury Trial. Each party hereto hereby irrevocably waives trial by jury in any action, proceeding or counterclaim brought
by one party against another party on any matter arising out of or in any way connected with this Agreement.

 

6.10     Counterparts.
This Agreement may be executed in two (2) or more counterparts and by facsimile signatures, which taken together still constitute
collectively one agreement. In making proof of this Agreement it shall not be necessary to produce or account for more than one
such counterpart with each party’s counterpart or facsimile signature.

 

6.11     Entire
Agreement. This Agreement and the Merger Agreement contain all of the terms agreed upon between the parties hereto with
respect to the subject matter of this Agreement and the Merger Agreement and supersede all prior agreements and understandings,
both written and oral, among the parties hereto with respect to the subject matter hereof. This Agreement and the Merger Agreement
fully and completely express the agreement of the parties hereto.

 

6.12     Severability.
If any term or provision of this Agreement or the application thereof to any person or circumstances shall, to any extent, be invalid
or unenforceable, the remainder of this Agreement or the application of such term or provision to persons or circumstances other
than those as to which it is held invalid or unenforceable shall not be affected thereby, and each term and provision of this Agreement
shall be valid and enforceable to the fullest extent permitted by Applicable Law

 

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6.13     Specific
Performance. The parties agree that irreparable damage may occur to Parent and Merger Sub if any provision of this Agreement
were not performed in accordance with the terms hereof, and, accordingly, that Parent and Merger Sub shall each be entitled to
seek an injunction or injunctions to prevent breaches of this Agreement or to enforce specifically the performance of the terms
and provisions hereof, in addition to any other remedy to which Parent or Merger Sub is entitled at law or in equity. In any proceeding
for specific performance, Shareholder shall waive any requirement for the securing or posting of any bond in connection with the
remedies referred to in this Section 6.13.

 

6.14     Section
Headings. The headings of the various Sections of this Agreement have been inserted only for purposes of convenience, are
not part of this Agreement and shall not be deemed in any manner to modify, explain, expand or restrict any of the provisions of
this Agreement.

 

6.15     Construction.
The parties acknowledge that the parties and their counsel have reviewed and revised this Agreement and that the normal rule of
construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation
of this Agreement or any amendments hereto.

 

6.16     Interpretation.
The definitions of terms herein shall apply equally to the singular and plural forms of the terms defined. Whenever the context
may require, any pronoun shall include the corresponding masculine, feminine and neuter forms. The word “shall” shall
be construed to have the same meaning as the word “will.” The words “include,” “includes” and
 “including” shall be deemed to be followed by the phrase “without limitation.” The word “extent”
in the phrase “to the extent” shall mean the degree to which a subject or other thing extends, and such phrase shall
not mean simply “if.” Unless the context requires otherwise (i) any definition of or reference to any contract,
instrument or other document or any law herein shall be construed as referring to such contract, instrument or other document or
law as from time to time amended, supplemented or otherwise modified, (ii) any reference herein to any Person shall be construed
to include such Person’s successors and assigns, (iii) the words “herein,” “hereof” and “hereunder,”
and words of similar import, shall be construed to refer to this Agreement in its entirety and not to any particular provision
hereof and (iv) all references herein to Articles and Sections shall be construed to refer to Articles and Sections of this
Agreement.

 

6.17     No
Ownership Interest. Except as otherwise provided herein, nothing contained in this Agreement shall be deemed to vest in
Parent or Merger Sub any direct or indirect ownership or incidence of ownership of or with respect to the Subject Securities. All
rights, ownership and economic benefits of and relating to the Subject Securities shall remain vested in and belong to Shareholder,
and neither Parent nor Merger Sub shall have any authority to manage, direct, restrict, regulate, govern or administer any of the
policies or operations of Shareholder or exercise any power or authority to direct Shareholder in the voting of any of the Subject
Securities, except as otherwise provided herein.

 

[Signature Page Follows]

 

    	 	11	 

     

    

  

The parties are executing this Agreement on
the date set forth in the introductory clause.

 

	 	PARENT:
	 	 	 
	 	Mid-Atlantic Dental Services Holdings, LLC 
	 	 	 
	 	By:	/s/
    C. Mitchell Goldman      
	 	Name:	C. Mitchell Goldman
	 	Title:	Chief Executive Officer
	 	 	 
	 	SHAREHOLDER:
	 	 	 
	 	/s/ Frederic Birner
	 	Frederic Birner

 

[Signature Page to Voting and Support Agreement]

 

     

     

    

 

EXHIBIT A

VOTING SECURITIES

 

Voting Security Owned of Record and Beneficially:

 

		·	920,299 shares
                                         of Company Common Stock

 

     

     

    

  

EXHIBIT B

SUBJECT SECURITIES

 

Subject Security Owned of Record and Beneficially:

 

		·	264,155 shares
                                         of Company Common Stock

		·	Options to acquire 137,500 shares of Company Common StockExhibit 10.3

 

VOTING AND SUPPORT AGREEMENT

 

This VOTING AND SUPPORT AGREEMENT (this
 “Agreement”), dated as of October 3, 2018, is entered into by and among Mid-Atlantic Dental Services Holdings,
LLC, a Delaware limited liability company (“Parent”), Bronco Acquisition, Inc., a Delaware corporation, and
each of the shareholders of Birner Dental Management Services, Inc., a Colorado corporation (the “Company”)
set forth on Schedule A attached hereto (each, a “Shareholder”). All terms used but not otherwise defined
in this Agreement shall have the respective meanings ascribed to such terms in the Merger Agreement (as defined below).

 

WITNESSETH:

 

WHEREAS, concurrently
with the execution of this Agreement, Parent, Merger Sub and the Company, are entering into an Agreement and Plan of Merger, dated
as of the date hereof (as may be amended from time to time, the “Merger Agreement”), pursuant to which, among
other things and subject to the terms and conditions of the Merger Agreement, (i) Merger Sub will merge with
and into the Company (the “Merger”), and (ii) all outstanding shares of Company Common Stock will be cancelled
and converted into the right to receive the Merger Consideration described in the Merger Agreement;

 

WHEREAS, as of the date
hereof, Shareholder is the beneficial owner (as defined in Rule 13d-3 under the Exchange Act) of the Subject Securities (as defined
below); and

 

WHEREAS, as a condition to their willingness
to enter into the Merger Agreement, Parent and Merger Sub have required that Shareholder enter into this Agreement, and Shareholder
has agreed and is willing to enter into this Agreement.

 

NOW, THEREFORE, in consideration of the
foregoing premises and the representations, warranties, covenants and agreements contained herein, and intending to be legally
bound hereby, the parties hereto hereby agree as follows:

 

Article
I

COVENANTS OF SHAREHOLDER REGARDING THE VOTING SECURITIES

 

1.1         
Agreement to Vote. Shareholder hereby irrevocably and unconditionally covenants and agrees that,
until the termination of this Agreement, at any annual or special meeting of the shareholders of the Company, however called, including
any adjournment or postponement thereof, and in connection with any action proposed to be taken by written consent of the shareholders
of the Company, Shareholder shall, in each case to the fullest extent that the Voting Securities (as defined below) are entitled
to vote thereon, be present (in person or by proxy) and vote (or cause to be voted), or deliver (or cause to be delivered) a written
consent with respect to, all of the Voting Securities (i) against any action or agreement that would reasonably be expected to
(A) result in a breach of any covenant, representation or warranty or any other obligation or agreement of the Company contained
in the Merger Agreement, or of Shareholder contained in this Agreement or (B) result in any of the conditions set forth in Article
VII of the Merger Agreement not being satisfied on or before the End Date; (ii) against any change in the Company Board of Directors;
and (iii) against any Company Takeover Proposal and against any other action, agreement or transaction involving the Company that
is intended, or would reasonably be expected, to impede, interfere with, delay, postpone, adversely affect or prevent the consummation
of the Merger or the other transactions contemplated by the Merger Agreement, including (x) any extraordinary corporate transaction,
such as a merger, consolidation or other business combination involving the Company, any of its Subsidiaries or any of the Professional
Corporations (other than the Merger); (y) a sale, lease, license or transfer of a material amount of assets (including, for the
avoidance of doubt, management or intellectual property rights) of the Company, any of its Subsidiaries or any of the Professional
Corporations, or any reorganization, recapitalization or liquidation of the Company, any of its Subsidiaries or any of the Professional
Corporations, or (z) any change not required by the Merger Agreement in the present capitalization of the Company, any of its Subsidiaries
or any of the Professional Corporations or any amendment or other change not required by the Merger Agreement to the Organizational
Documents of the Company, any of its Subsidiaries or any of the Professional Corporations. Shareholder shall retain at all times
the right to vote the Voting Securities in Shareholder’s sole discretion, and without any other limitation, on any matters
other than those set forth in this Section 1.1 that are at any time or from time to time presented for consideration to
the Company’s shareholders generally. Shareholder agrees that the obligations specified in this Section 1.1 shall
not be affected by any Company Adverse Recommendation Change except to the extent the Merger Agreement is terminated as a result
thereof. For purposes of this Agreement, the term “Voting Securities” shall mean, collectively, those of the
Subject Securities set forth on Exhibit A attached hereto that are eligible to vote on the applicable matter, and any other
securities of the Company that hereafter are issued to or otherwise directly or indirectly acquired by Shareholder prior to the
termination of this Agreement upon the conversion of any of the securities set forth on Exhibit A attached hereto (to the
extent not prohibited hereby) that are eligible to vote on the applicable matter. Shareholder shall not take any action with respect
to the conversion of any of the Subject Securities that may adversely affect or otherwise impair Shareholder’s ability to
perform its obligations hereunder, including under this Section 1.1.

 

     

     

    

 

Article
II

COVENANTS OF SHAREHOLDER REGARDING SUBJECT SECURITIES

 

Shareholder hereby covenants and agrees
that until the termination of this Agreement:

 

2.1         
Meetings and Written Consents. At any annual or special meeting of the shareholders of the Company,
however called, including any adjournment or postponement thereof, and in connection with any action proposed to be taken by written
consent of the shareholders of the Company, Shareholder shall appear at each such meeting or otherwise cause all of the Subject
Securities eligible to be counted as present thereat for purposes of determining a quorum to be so counted as present thereat for
purposes of determining a quorum. Shareholder agrees that the obligations specified in this Section 2.1 shall not be
affected by any Company Adverse Recommendation Change except to the extent the Merger Agreement is terminated as a result thereof.
For purposes of this Agreement, the term “Subject Securities” shall mean, collectively, the shares of Company
Common Stock, the shares of Series A Preferred Stock, the shares of Series B Preferred Stock, the shares of Company Common Stock
underlying Company Options and the convertible instruments of the Company set forth on Exhibit B attached hereto, and any
other securities of the Company that hereafter are issued to or otherwise directly or indirectly acquired (including upon the conversion
of any of the securities set forth on Exhibit B attached hereto) by Shareholder prior to the termination of this Agreement.

 

    	 	2	 

     

    

 

2.2         
No Transfer; No Inconsistent Arrangements. Except as expressly provided hereunder or pursuant
to the Merger Agreement, from and after the date hereof and until this Agreement is terminated in accordance with Section 6.3,
Shareholder shall not, directly or indirectly, (i) grant or create any Encumbrance, other than Permitted Encumbrances (as
defined below), on any or all of the Subject Securities, (ii) transfer, sell, assign, tender, gift, hedge, pledge or otherwise
dispose (whether by sale, liquidation, dissolution, dividend or distribution) of, or enter into any derivative arrangement with
respect to (collectively, “Transfer”), any of the Subject Securities, or any right, title or interest therein
(including any right or power to vote to which Shareholder may be entitled) or agree to do or consent to any of the foregoing,
(iii) enter into (or caused to be entered into) any Contract with respect to any Transfer of any of the Subject Securities,
(iv) grant or permit the grant of any proxy, power-of-attorney or other authorization or consent in or with respect to any
of the Subject Securities (other than, if desirable to Shareholder, to cause the Subject Securities that are not Voting Securities
to be voted and to consent in the manner Voting Securities are required to be voted or to consent in accordance with Section
1.1), (v) deposit or permit the deposit of any of the Subject Securities into a voting trust or enter into a voting agreement
or similar arrangement, commitment or understanding with respect to any of the Subject Securities, or (vi) take or permit
any other action that would reasonably be expected to prevent or materially restrict, disable or delay the consummation by Shareholder
of the transactions contemplated by this Agreement or otherwise adversely impact Shareholder’s ability to perform its obligations
hereunder in any material respect. Notwithstanding the foregoing, Shareholder may make Transfers of any of the Subject Securities
as Parent may, in its sole discretion, agree in writing. If any involuntary Transfer of any of the Subject Securities shall occur
(including, but not limited to, a sale by Shareholder’s trustee in any bankruptcy, or a sale to a purchaser at any creditor’s
or court sale), the transferee (which term, as used herein, shall include any and all transferees and subsequent transferees of
the initial transferee) shall take and hold such Subject Securities subject to all of the restrictions, liabilities and rights
under this Agreement, which shall continue in full force and effect until is terminated in accordance with Section 6.3.

 

2.3         
No Exercise of Appraisal Rights; No Participation in Proceedings.

 

(a)          
No Appraisal Rights. To the extent Shareholder is found to have a right to demand appraisal of any of the
Subject Securities or a right to dissent from the transactions contemplated by the Merger Agreement (collectively, “Appraisal
Rights”), Shareholder (i) waives and agrees not to exercise any such Appraisal Rights (including, without limitation,
under Article 113 of the Colorado Business Corporation Act, as amended); and (ii) agrees not to commence, participate
in or voluntarily aid in any way any claim or proceeding to seek (or file any petition related to) Appraisal Rights in connection
with the transactions contemplated by the Merger Agreement.

 

(b)          
No Participation in Proceedings. Shareholder (A) agrees not to directly or indirectly participate in,
commence or join, as a plaintiff or as a member of a class, whether on Shareholder’s own behalf or derivatively on behalf
of the Company, in any Proceeding (including any class action), with respect to any claim, derivative or otherwise and whether
relating to Appraisal Rights or otherwise, against Parent, Merger Sub, the Company, any of the Company’s Subsidiaries, any
of the Professional Corporations or any of the successors, Affiliates or Representatives of any of the foregoing, (x) challenging
the validity of, or seeking to enjoin the operation of, any provision of this Agreement or (y) alleging breach of any fiduciary
or other duty by any Person or violation of any Law in connection with the Merger Agreement or the transactions contemplated thereby;
(B) agrees to take all actions necessary to opt out of any Proceeding (including any class action) described in subclause (A) of
this Section 2.3(b); and (C) agrees to promptly pay to Parent via wire transfer of immediately available funds any amounts
received by Shareholder, in its capacity as a member of a class or otherwise, with respect to any such claim described in subclause
(A) of this Section 2.3(b).  Notwithstanding the foregoing, nothing in this Section 2.3(b) shall constitute,
or be deemed to constitute, a waiver or release by Shareholder of any claim or cause of action against Parent or Merger Sub or
their respective Representatives to the extent arising out of a breach of the Merger Agreement by Parent or Merger Sub subject
to Section 8.4(f)(i) of the Merger Agreement.

 

    	 	3	 

     

    

 

2.4         
Adjustments. In the event of any stock split (including a reverse stock split), stock dividend,
merger, reorganization, recapitalization, reclassification, combination, exchange of shares or similar transaction with respect
to the capital stock of the Company that affects the Subject Securities, including, without limitation, the Voting Securities,
the terms of this Agreement shall apply to all additional or resulting securities such that such additional and resulting securities
shall constitute Subject Securities and, to the extent that such additional or resulting securities are in respect of Voting Securities,
also shall constitute Voting Securities for purposes of this Agreement.

 

Article
III

ADDITIONAL COVENANTS

 

3.1         
Documentation and Information. Except as required by applicable Law, Shareholder shall not make
any public announcement regarding this Agreement, the Merger Agreement or the transactions contemplated hereby or thereby without
the prior written consent of Parent (which consent may be withheld in Parent’s sole discretion); provided that Shareholder
may disclose the terms of this Agreement and file a copy hereof in a Schedule 13D filed with the SEC. Shareholder consents to
and hereby authorizes Parent, the Company and the Surviving Corporation to publish and disclose in all documents and schedules
filed with the SEC, and any press release or other disclosure document that Parent, the Company or the Surviving Corporation reasonably
determines to be necessary in connection with the Merger Agreement and any transactions contemplated by the Merger Agreement,
Shareholder’s identity and ownership of the Subject Securities, the existence of this Agreement and the nature of Shareholder’s
commitments and obligations under this Agreement, and Shareholder acknowledges that Parent, the Company and the Surviving Corporation
may, in their sole discretion, file this Agreement or a form hereof with the SEC or any other Governmental Entity. Shareholder
agrees to promptly give Parent, the Company and the Surviving Corporation any information that is in its possession that Parent,
the Company or the Surviving Corporation may reasonably request for the preparation of any such disclosure documents, and Shareholder
agrees to promptly notify Parent, the Company and the Surviving Corporation of any required corrections with respect to any written
information supplied by it specifically for use in any such disclosure document, if and to the extent that Shareholder shall become
aware that any such information shall have become false or misleading in any material respect.

 

    	 	4	 

     

    

 

3.2         
No Solicitation. Subject to Section 6.18, Shareholder shall not, and shall cause its
directors and officers in their capacities as such not to, and shall direct its other Representatives not to directly or indirectly,
(i) solicit, initiate, encourage or facilitate, including by the making of a public announcement, the submission by any Person(s)
to the Company of any Company Takeover Proposal or any inquiries or proposals that would reasonably be expected to lead to any
Company Takeover Proposal; (ii) initiate or participate or continue to participate in any discussions and negotiations with any
Person(s) regarding any Company Takeover Proposal or any inquiries or proposals that would reasonably be expected to lead to any
Company Takeover Proposal; (iii) furnish to any Person(s) information (including non-public Company information) in connection
with any Company Takeover Proposal or any inquiries or proposals that would reasonably be expected to lead to a Company Takeover
Proposal; (iv) approve, recommend, declare advisable or enter into a Company Acquisition Agreement; (v) otherwise cooperate
with, assist, participate in and facilitate any such inquiries, proposals, discussions or negotiations or any effort or attempt
to make any Company Takeover Proposal; or (vi) agree to or propose publicly to do any of the foregoing. Shareholder shall,
and shall cause each of its Subsidiaries to, and shall direct the Representatives of Shareholder and its Subsidiaries to (A) immediately
cease and cause to be terminated all existing discussions and negotiations with any Person and its Representatives (other than
Parent, Merger Sub or any of their respective Representatives) conducted heretofore with respect to any Company Takeover Proposal,
and (B) not terminate, amend, release or modify any provision of any standstill agreement (including any standstill provisions
contained in any confidentiality or other agreement) to which it or any of its Affiliates or Representatives is a party. Shareholder
makes no agreement or understanding in this Agreement with respect to any action or omission by any director of the Company, designated
or appointed by Shareholder or that is an Affiliate of Shareholder, in the discharge of such director’s fiduciary duties
to the Company or its shareholders, and nothing in this Agreement: (a) will limit or affect any action or omission taken by any
such director in such discharge, including in exercising rights of the Company under the Merger Agreement, and no such action or
omission shall be deemed a breach of this Agreement so long as such action or omission occurred strictly in the discharge by such
director of such director’s fiduciary duties to the Company or its shareholders; or (b) will be construed to prohibit, limit
or restrict any such director from exercising such director’s fiduciary duties as a director of the Company.

 

3.3         
Ownership of Subject Securities. Shareholder hereby agrees that as of the date hereof the number
of Subject Securities beneficially owned (as defined in Rule 13d-3 under the Exchange Act) by Shareholder is as set forth on Exhibit
B hereto.

 

3.4         
Further Assurances.

 

(a)          
Each of the parties hereto shall execute and deliver any additional certificate, instruments and other documents,
and take any additional actions, including with respect to any record owner of the Subject Securities beneficially owned (as defined
in Rule 13d-3 under the Exchange Act) by Shareholder, as may be reasonably necessary or appropriate to carry out and effectuate
the purpose and intent of this Agreement.

 

    	 	5	 

     

    

 

(b)          
Shareholder agrees, while this Agreement is in effect, to notify Parent promptly in writing of the number and description
of any Subject Securities acquired by Shareholder after the date hereof which are not set forth on Exhibit B hereto.

 

Article
IV

REPRESENTATIONS AND WARRANTIES OF SHAREHOLDER

 

Shareholder represents and warrants to Parent
and Merger Sub that:

 

4.1         
Organization, Authority; Execution and Delivery; Enforceability. If Shareholder is not a natural
person, (i)  Shareholder is duly organized, validly existing and in good standing under the laws of its jurisdiction of organization,
(ii) the execution and delivery of this Agreement by Shareholder, the consummation by Shareholder of the transactions contemplated
by this Agreement and the compliance by Shareholder with the terms of this Agreement have been duly authorized by all necessary
action on the part of Shareholder and its board of directors or applicable governing body, and (iii) no other proceedings
on the part of Shareholder (or Shareholder’s board of directors or applicable governing body) are necessary to authorize
this Agreement, to consummate the transactions contemplated by this Agreement or to comply with the terms of this Agreement. Shareholder
has all requisite corporate, limited liability company, limited partnership or other applicable entity power and authority to
execute and deliver this Agreement (and each Person executing this Agreement on behalf of Shareholder has full power, authority
and capacity to execute and deliver this Agreement on behalf of Shareholder and to thereby bind Shareholder), to consummate the
transactions contemplated by this Agreement and to comply with the terms of this Agreement. This Agreement has been duly executed
and delivered by Shareholder and, assuming due authorization, execution and delivery by Parent and Merger Sub, constitutes a valid
and binding obligation of Shareholder, enforceable against Shareholder in accordance with its terms, except as such enforceability
may be limited by bankruptcy, insolvency, reorganization, moratorium or other laws affecting creditors’ rights and by general
principles of equity (whether applied in a proceeding at law or in equity).

 

4.2         
Non-Contravention. The execution and delivery of this Agreement, the consummation of the transactions
contemplated by this Agreement and the compliance by Shareholder with the terms of this Agreement do not and will not conflict
with, or result in any violation or breach of, or default (with or without notice or lapse of time, or both) under, or give rise
to a right of, or result in termination, amendment, cancelation or acceleration of any obligation or to loss of a material benefit
under, or result in the creation of any Encumbrance in or upon any of the properties or assets of Shareholder under, or give rise
to any increased, additional, accelerated or guaranteed rights or entitlements under, (i) if Shareholder is not a natural
person, any provision of any of the Organizational Documents of Shareholder, (ii) any Contract to or by which Shareholder
is a party or bound or to or by which any of the properties or assets of Shareholder (including the Subject Securities) is bound
or subject or (iii) subject to the governmental filings and other matters referred to in the last sentence of this Section
4.2, any Law, in each case, applicable to Shareholder or to Shareholder’s properties or assets (including the Subject
Securities). No consent, approval, order or authorization of, or registration, declaration or filing with, any Governmental Entity
or other Person (including with respect to natural persons, any spouse, and with respect to trusts, any co-trustee or beneficiary)
is required by or with respect to Shareholder in connection with the execution and delivery of this Agreement by Shareholder,
the consummation by Shareholder of the transactions contemplated by this Agreement or the compliance by Shareholder with the terms
of this Agreement, except for filings with the SEC of such reports under the Exchange Act as may be required in connection with
this Agreement and the transactions contemplated hereby.

 

    	 	6	 

     

    

 

4.3         
Ownership of Subject Securities; Total Shares. Shareholder is the beneficial owner (as defined
in Rule 13d-3 under the Exchange Act) of all of the Subject Securities and has good and marketable title to all of the Subject
Securities free and clear of any Encumbrances, except for any such Encumbrance that may be imposed pursuant to (i) this Agreement
and (ii) any applicable restrictions on transfer under the Securities Act or any state securities Law (collectively, “Permitted
Encumbrances”). The Subject Securities set forth on Exhibit B attached hereto constitute all of the securities
of the Company beneficially owned (as defined in Rule 13d-3 under the Exchange Act) or owned of record by Shareholder as of the
date hereof.

 

4.4         
Voting and Dispositive Power. Shareholder has full voting power with respect to all of the Subject
Securities, and full power of disposition, full power to issue instructions with respect to the matters set forth herein and full
power to agree to all of the matters set forth in this Agreement, in each case with respect to of the Subject Securities. None
of the Subject Securities are subject to any shareholders’ agreement, proxy, voting trust or other agreement or arrangement
with respect to the voting or disposing of the Subject Securities, except as provided hereunder.

 

4.5         
Reliance. Shareholder understands and acknowledges that Parent and Merger Sub are entering into
the Merger Agreement in reliance upon Shareholder’s execution, delivery and performance of this Agreement.

 

4.6         
Absence of Litigation. As of the date hereof, there is no Proceeding pending against, or, to the
actual knowledge of Shareholder, threatened in writing against Shareholder or any of Shareholder’s properties or assets
(including any shares of the Subject Securities) before or by any Governmental Entity that could reasonably be expected to prevent
or materially delay or impair the consummation by Shareholder of the transactions contemplated by this Agreement or otherwise
materially impair Shareholder’s ability to perform its obligations hereunder.

 

4.7         
Brokers. No broker, finder, financial advisor, investment banker or other Person is entitled to
any brokerage, finder’s, financial advisor’s or other similar fee or commission from the Company in connection with
the transactions contemplated hereby based upon arrangements made by or on behalf of Shareholder.

 

Article
V

REPRESENTATIONS AND WARRANTIES OF PARENT AND MERGER SUB

 

Parent and Merger Sub represent and warrant
to Shareholder that:

 

5.1         
Organization and Qualification. Each of Parent and Merger Sub is a duly organized and validly
existing corporation in good standing under the Laws of the jurisdiction of its organization. All of the issued and outstanding
capital stock of Merger Sub is owned directly or indirectly by Parent.

 

    	 	7	 

     

    

 

5.2         
Authority for this Agreement. Each of Parent and Merger Sub has full power and authority to execute,
deliver and perform this Agreement and to consummate the transactions contemplated hereby. This Agreement has been duly executed
and delivered by each of Parent and Merger Sub and, assuming due authorization, execution and delivery by Shareholder, constitutes
a valid and binding obligation of Shareholder, enforceable against Shareholder in accordance with its terms, except as such enforceability
may be limited by bankruptcy, insolvency, reorganization, moratorium or other laws affecting creditors’ rights and by general
principles of equity (whether applied in a proceeding at law or in equity).

 

Article
VI

MISCELLANEOUS

 

6.1         
Joint and Several Obligations and Representations and Warranties of Shareholders. Each Shareholder is
jointly and severally liable for the obligations of each other Shareholder that is a party to this Agreement. The representations
and warranties of Shareholder set forth in this Agreement are the joint and several representations and warranties of all Shareholders.

 

6.2         
Notices. All notices and other communications hereunder shall be in writing and shall be deemed to have
been duly given or made on the date of receipt by the recipient thereof if received prior to 5:00 p.m. in the place of receipt
and such day is a Business Day (or otherwise on the next succeeding Business Day) if (a) served by personal delivery to the party
to be notified, (b) delivered by email or facsimile; provided, however, that notice given by email or facsimile shall not be effective
unless either (i) a duplicate copy of such email or fax notice is promptly given by one of the other methods described in this
Section 6.1, or (ii) the receiving party delivers a written confirmation of receipt for such notice either by email or
fax or any other method described in this Section 6.1, or (c) delivered by a courier (with confirmation of delivery); in
each case to the party to be notified at the following address:

 

	 	If to Parent or Merger Sub:
	 	 
	 	Mid-Atlantic Dental Services Holdings, LLC
	 	630 West Germantown Pike, Suite 120
	 	Plymouth Meeting, Pennsylvania 19642
	 	Email:	cmgoldman@mid-atlanticdental.com
	 	Attention:	C. Mitchell Goldman, Chief Executive Officer
	 	 
	 	with a copy (which shall not constitute notice) to:
	 	 
	 	Duane Morris LLP
	 	30 South 17th Street
	 	Philadelphia, Pennsylvania 19103
	 	Attention:Richard A. Silfen
	 	Facsimile:	(215) 827-5548
	 	Email:	rasilfen@duanemorris.com
	 	Attention:	Barry Steinman
	 	Email:	bsteinman@duanemorris.com
	 	Facsimile:	(215) 754-4840

 

    	 	8	 

     

    

 

	 	If to Shareholder (which shall constitute notice to all Shareholders):
	 	 
	 	Palm Management (US) LLC
	 	19 West Elm Street
	 	Greenwich, Connecticut 06830
	 	Attention:	Joshua S. Horowitz
	 	 
	 	with a copy (which shall not constitute notice) to:
	 	 
	 	Thompson Hine LLP
	 	3900 Key Center
	 	127 Public Square
	 	Cleveland, Ohio 44114
	 	Attention:	Derek D. Bork
	 	Email:	Derek.Bork@thompsonhine.com
	 	Facsimile:	(216) 566-5800 

 

or to such other address as any party shall specify by written
notice so given, and such notice shall be deemed to have been delivered as of the date so telecommunicated or personally delivered.
Any party to this Agreement may notify any other party of any changes to the address or any of the other details specified in this
Section 6.1. Rejection or other refusal to accept or the inability to deliver because of changed address of which no notice
was given shall be deemed to be receipt of the notice as of the date of such rejection, refusal or inability to deliver.

 

6.3         
Termination. Subject to Section 6.4, this Agreement shall terminate automatically without
any notice or other action by any Person, upon the first to occur of (i) the valid termination of the Merger Agreement in
accordance with its terms, (ii) the Effective Time, and (iii) the mutual written consent of Parent and Shareholder.

 

6.4         
Survival. The provisions of Section 2.3, Article IV, Article V and this Article
VI shall survive any termination of this Agreement, and the termination of this Agreement shall not relieve any party from
liability for any willful and material breach of this Agreement prior to termination hereof.

 

6.5         
Amendments and Waivers. Any provision of this Agreement may be amended or waived if such amendment
or waiver is in writing and is signed, in the case of an amendment, by each party to this Agreement or, in the case of a waiver,
by each party against whom the waiver is to be effective. No failure or delay by any party in exercising any right, power or privilege
hereunder shall operate as a waiver thereof nor shall any single or partial exercise thereof preclude any other or further exercise
thereof or the exercise of any other right, power or privilege.

 

6.6         
Expenses. All fees and expenses incurred in connection herewith and the transactions contemplated
hereby shall be paid by the party incurring such expenses, whether or not the transactions contemplated by the Merger Agreement
are consummated.

 

    	 	9	 

     

    

 

6.7         
Successors and Assigns; No Third-Party Beneficiaries. The stipulations, terms, covenants
and agreements contained in this Agreement shall inure to the benefit of, and shall be binding upon, the parties hereto and their
respective permitted successors and assigns (including any successor entity after a public offering of stock, merger, consolidation,
purchase or other similar transaction involving a party hereto) and nothing herein expressed or implied shall give or be construed
to give to any Person, other than the parties hereto and such assigns, any legal or equitable rights hereunder.

 

6.8         
Assignment. Neither this Agreement nor any of the rights, interests or obligations hereunder shall
be assigned, in whole or in part, by any of the parties (whether by operation of law or otherwise) without the prior written consent
of the other party hereto, except to the extent that such rights, interests or obligations are assigned pursuant to a Transfer
expressly permitted under Section 2.2; provided, however, that Parent may assign its rights, interests or obligations
hereunder to a Subsidiary or Affiliate of Parent without the prior written consent of the other party hereto.

 

6.9         
Governing Law. This Agreement shall be governed by, interpreted under, and construed and enforced
in accordance with, the laws of the State of Delaware.

 

6.10       
Waiver of Jury Trial. Each party hereto hereby irrevocably waives trial by jury in any action,
proceeding or counterclaim brought by one party against another party on any matter arising out of or in any way connected with
this Agreement.

 

6.11       
Counterparts. This Agreement may be executed in two (2) or more counterparts and by facsimile
signatures, which taken together still constitute collectively one agreement. In making proof of this Agreement it shall not be
necessary to produce or account for more than one such counterpart with each party’s counterpart or facsimile signature.

 

6.12       
Entire Agreement. This Agreement and the Merger Agreement contain all of the terms agreed upon
between the parties hereto with respect to the subject matter of this Agreement and the Merger Agreement and supersede all prior
agreements and understandings, both written and oral, among the parties hereto with respect to the subject matter hereof. This
Agreement and the Merger Agreement fully and completely express the agreement of the parties hereto.

 

6.13       
Severability. If any term or provision of this Agreement or the application thereof to any person
or circumstances shall, to any extent, be invalid or unenforceable, the remainder of this Agreement or the application of such
term or provision to persons or circumstances other than those as to which it is held invalid or unenforceable shall not be affected
thereby, and each term and provision of this Agreement shall be valid and enforceable to the fullest extent permitted by Applicable
Law

 

6.14       
Specific Performance. The parties agree that irreparable damage may occur to Parent and Merger
Sub if any provision of this Agreement were not performed in accordance with the terms hereof, and, accordingly, that Parent and
Merger Sub shall each be entitled to seek an injunction or injunctions to prevent breaches of this Agreement or to enforce specifically
the performance of the terms and provisions hereof, in addition to any other remedy to which Parent or Merger Sub is entitled
at law or in equity. In any proceeding for specific performance, Shareholder shall waive any requirement for the securing or posting
of any bond in connection with the remedies referred to in this Section 6.14.

 

    	 	10	 

     

    

 

6.15       
Section Headings. The headings of the various Sections of this Agreement have been inserted only
for purposes of convenience, are not part of this Agreement and shall not be deemed in any manner to modify, explain, expand or
restrict any of the provisions of this Agreement.

 

6.16       
Construction. The parties acknowledge that the parties and their counsel have reviewed and revised
this Agreement and that the normal rule of construction to the effect that any ambiguities are to be resolved against the drafting
party shall not be employed in the interpretation of this Agreement or any amendments hereto.

 

6.17       
Interpretation. The definitions of terms herein shall apply equally to the singular and plural
forms of the terms defined. Whenever the context may require, any pronoun shall include the corresponding masculine, feminine
and neuter forms. The word “shall” shall be construed to have the same meaning as the word “will.” The
words “include,” “includes” and “including” shall be deemed to be followed by the phrase “without
limitation.” The word “extent” in the phrase “to the extent” shall mean the degree to which a subject
or other thing extends, and such phrase shall not mean simply “if.” Unless the context requires otherwise (i) any
definition of or reference to any contract, instrument or other document or any law herein shall be construed as referring to
such contract, instrument or other document or law as from time to time amended, supplemented or otherwise modified, (ii) any
reference herein to any Person shall be construed to include such Person’s successors and assigns, (iii) the words
 “herein,” “hereof” and “hereunder,” and words of similar import, shall be construed to refer
to this Agreement in its entirety and not to any particular provision hereof and (iv) all references herein to Articles and
Sections shall be construed to refer to Articles and Sections of this Agreement.

 

6.18       
No Ownership Interest. Except as otherwise provided herein, nothing contained in this Agreement
shall be deemed to vest in Parent or Merger Sub any direct or indirect ownership or incidence of ownership of or with respect
to the Subject Securities. All rights, ownership and economic benefits of and relating to the Subject Securities shall remain
vested in and belong to Shareholder, and neither Parent nor Merger Sub shall have any authority to manage, direct, restrict, regulate,
govern or administer any of the policies or operations of Shareholder or exercise any power or authority to direct Shareholder
in the voting of any of the Subject Securities, except as otherwise provided herein.

 

[Signature Page Follows]

 

    	 	11	 

     

    

 

The parties are executing this Agreement
on the date set forth in the introductory clause.

 

	 	PARENT:	 
	 	 	 
	 	Mid-Atlantic Dental Services Holdings, LLC 	 
	 	 	 
	 	 	 
	 	By:	/s/ C. Mitchell Goldman	 
	 	Name:	C. Mitchell Goldman	 
	 	Title:	Chief Executive Officer	 
	 	 	 
	 	SHAREHOLDER:	 
	 	 	 
	 	PALM GLOBAL SMALL CAP MASTER FUND LP	 
	 	By Palm Global Small Cap Fund GP Ltd.,	 
	 	its general partner	 
	 	 	 
	 	 	 
	 	By:	/s/ Joshua S. Horowitz	 
	 	Name:	Joshua S. Horowitz	 
	 	Title:	Director	 
	 	 	 
	 	 	 
	 	PALM ACTIVE DENTAL, LLC	 
	 	 	 
	 	 	 
	 	By:	/s/ Jason Woody	 
	 	Name:	Jason Woody	 
	 	Title:	Secretary	 
	 	 	 
	 	 	 
	 	PALM ACTIVE DENTAL II, LP	 
	 	By: Palm Active Partners, LLC,	 
	 	its general partner	 
	 	 	 
	 	 	 
	 	By:	/s/ Joshua S. Horowitz	 
	 	Name:	Joshua S. Horowitz	 
	 	Title:	Director	 

 

 

 

 

[Signature Page to Voting and Support
Agreement]

     

     

    

 

	 	PALM MANAGEMENT (US) LLC	 
	 	 	 
	 	 	 
	 	By:	/s/ Joshua S. Horowitz	 
	 	Name:	Joshua S. Horowitz	 
	 	Title:	Managing Director	 
	 	 	 
	 	 	 
	 	PALM ACTIVE PARTNERS MANAGEMENT, LLC	 
	 	 	 
	 	 	 
	 	By:	/s/ Joshua S. Horowitz	 
	 	Name:	Joshua S. Horowitz	 
	 	Title:	Director	 

 

 

 

 

[Signature Page to Voting and Support
Agreement]

     

     

    

 

SCHEDULE A

SHAREHOLDERS

 

		1.	Palm Global Small Cap Master Fund LP

		2.	Palm Active Dental, LLC

		3.	Palm Active Dental II, LP

		4.	Palm Management (US) LLC

		5.	Palm Active Partners Management, LLC

 

 

     

     

    

 

EXHIBIT A

VOTING SECURITIES

 

Voting Securities:

 

		·	Such number of the Subject Securities entitled to cast 920,299 votes (or, for the avoidance of doubt, the number of votes that
may be cast and the consent that may be delivered by a record holder of 920,299 shares of Company Common Stock) in connection with
the matters set forth in Section 1.1 hereof.

 

 

     

     

    

 

 

EXHIBIT B

SUBJECT SECURITIES

 

Subject Security Beneficially Owned:

 

		·	0 shares of Company Common Stock

		·	11 shares of Series A Preferred Stock

		·	0 shares of Series B Preferred Stock

		·	2017 Notes

		·	2018 Notes

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