Document:

<PAGE>
                                                                   Exhibit 4.7.1

                                 AMENDMENT NO. 1

         This Amendment No. 1 dated as of January __, 2002 (this "AMENDMENT NO.
1"), among Paxson Communications Corporation, a Delaware corporation (the
"BORROWER"), the Lenders (as defined below) party hereto and the Administrative
Agent (as defined below) amends certain provisions of the Credit Agreement,
dated as of July 12, 2001 (the "CREDIT AGREEMENT"), among the Borrower, the
Lenders (as defined in the Credit Agreement), Citicorp USA, Inc., as
administrative agent for the Lenders and as collateral agent for the Secured
Parties under the Collateral Documents (in each such capacity, the
"ADMINISTRATIVE AGENT"), Union Bank of California, N.A., as syndication agent
for the Lenders, and CIBC, Inc. and General Electric Capital Corporation each as
co-documentation agents for the Lenders.

                              W I T N E S S E T H:

         WHEREAS, the Borrower, the Lenders, the Issuers and the Administrative
Agent are parties to the Credit Agreement and, as of the date hereof, the
Lenders consenting to this Amendment No. 1 constitute the Requisite Lenders;

         WHEREAS, the Borrower, the Lenders party hereto and the Administrative
Agent have agreed to make certain amendments to the Credit Agreement as set
forth herein; and

         WHEREAS, pursuant to Section 11.1 (Amendments, Waiver, Etc.) of the
Credit Agreement, the consent of the Requisite Lenders is required to amend the
provisions of the Credit Agreement as set forth herein;

         NOW, THEREFORE, in consideration of the foregoing, the mutual covenants
and obligations herein set forth and other good and valuable consideration, the
adequacy and receipt of which is hereby acknowledged, and in reliance upon the
representations, warranties and covenants herein contained, the parties hereto,
intending to be legally bound, hereby agree as follows:

         SECTION 1. DEFINITIONS. Unless otherwise defined herein, capitalized
terms used herein shall have the meanings ascribed to such terms in the Credit
Agreement.

         SECTION 2. AMENDMENTS TO CREDIT AGREEMENT. Effective as of the Closing
Date and subject to the terms and conditions set forth herein, the Credit
Agreement is hereby amended as follows:

                  (a) By amending Section 1.1 (Defined Terms) as follows:

                           (i) The definition of "CHANGE OF CONTROL" shall be
                  amended in its entirety to read as follows:

                                    "CHANGE OF CONTROL" means any event,
                           transaction or occurrence as a result of which (i)
                           neither (A) the Permitted Holders nor (B) NBC and its
                           Affiliates owns and controls, beneficially, Stock of
                           the Borrower possessing the voting power under normal
                           circumstances to cast 51% or more of the Borrower's
                           Voting Stock or (ii) neither (A) the Permitted
                           Holders nor (B) NBC and its Affiliates has the voting
                           power or the contractual right to elect a majority of
                           the Borrower's board of directors.

                           (ii) The following definition shall be added in
                  alphabetical order:

<PAGE>

                                    "PERMITTED HOLDERS" means, collectively,
                           Lowell W. Paxson, his spouse, his children or other
                           lineal descendants (whether adoptive or biological),
                           and any revocable or irrevocable inter vivos or
                           testamentary trust or the probate estate of any such
                           individual, so long as one or more of the foregoing
                           individuals is the principal beneficiary of such
                           trust or probate estate.

                  (b) By amending clause (e) of Section 8.1 (Indebtedness) in
         its entirety to read as follows:

                           (e) Subordinated Debt incurred by the exchange or
                  conversion of any existing exchangeable or convertible
                  Preferred Stock into Indebtedness; PROVIDED, HOWEVER, that no
                  such exchange or conversion shall be permitted (A) unless (x)
                  such Indebtedness shall be refinanced pursuant to CLAUSE (F)
                  below substantially concurrently therewith or (either prior to
                  or at the time of such exchange or conversion) the terms of
                  such Indebtedness shall be amended to provide that (i) no cash
                  interest payments shall be made in respect of such
                  Subordinated Debt prior to the Final Maturity Date (although
                  the non-cash interest rate in respect thereof may be increased
                  by up to two per cent. per annum) and (ii) (to the extent
                  deemed necessary by the Administrative Agent) no payment on
                  any guaranty in respect of such Subordinated Debt given by the
                  Restricted License Subsidiary shall be made prior to the
                  repayment in full of the Loan Sub-Portion and (y) the exchange
                  or conversion is otherwise made in accordance with the terms
                  of the relevant Preferred Stock Documents and (B) if a Default
                  or Event of Default has occurred which is continuing or would
                  result therefrom;

                  (c) By amending clause (f) of Section 8.1 (Indebtedness) in
         its entirety to read as follows:

                           (f) Subordinated Debt which refinances the Preferred
                  Stock or the Subordinated Debt referred to in SECTION 8.1(E)
                  which provides that (i) no cash interest payments shall be
                  made in respect of such Subordinated Debt prior to the Final
                  Maturity Date and (ii) (to the extent deemed necessary by the
                  Administrative Agent) no payment on any guaranty in respect
                  thereof by the Restricted License Subsidiary shall be made
                  prior to the repayment in full of the Loan Sub-Portion and
                  which shall otherwise be on terms (including in respect of
                  principal amount, amortization, maturity and subordination)
                  which are no less favorable to the Borrower and the Lenders
                  than the terms of the Preferred Stock or related Subordinated
                  Debt being refinanced; PROVIDED, HOWEVER, that no such
                  Subordinated Debt shall be permitted to be incurred, issued or
                  assumed if a Default or Event of Default has occurred which is
                  continuing or would result therefrom.

                  (d) By amending Section 8.5 (Restricted Payments) by adding
         the following new clause (c) thereto immediately prior to the proviso
         at the end thereof:

                           (c) any Restricted Payment made as a result of any
                  refinancing of Indebtedness or any exchange or conversion of
                  Preferred Stock into Indebtedness permitted pursuant to
                  CLAUSES (E), (F) or (G) of SECTION 8.1;

                  (e) By amending Section 8.14 (Modification of Subordinated
         Debt Documents and Preferred Stock Documents) by amending clause (iv)
         of paragraph (a) thereof in its entirety to read as follows:

                                       2
<PAGE>

                  (iv) change the redemption or prepayment provisions of such
         Subordinated Debt or Preferred Stock other than to extend the dates
         therefor or to reduce the premiums payable in connection therewith or
         to change the notice requirements therein;

         SECTION 3. CONDITIONS PRECEDENT TO THE EFFECTIVENESS OF THIS AMENDMENT
NO. 1. This Amendment No. 1 shall become effective as of the Closing Date on the
date the following conditions precedent have been satisfied (the "EFFECTIVE
DATE"):

                  (a) CERTAIN DOCUMENTS. The Administrative Agent shall have
         received on or before the Effective Date all of the following, all of
         which shall be in form and substance satisfactory to the Administrative
         Agent, in sufficient executed copies for each of the Lenders:

                           (i) this Amendment No. 1 executed by the Borrower and
                  the Consent, Agreement and Affirmation of Guaranty executed by
                  the Subsidiary Guarantors;

                           (ii) an executed Acknowledgment and Consent, in the
                  form attached hereto as ANNEX B, from Lenders constituting the
                  Required Lenders; and

                           (iii) such additional documentation as the
                  Administrative Agent or the Requisite Lenders may reasonably
                  require.

                  (b) REPRESENTATIONS AND WARRANTIES. Except as, and to the
         extent, affected, if at all, by the matters disclosed in the Borrower's
         Form 8-K filed with the Securities and Exchange Commission on December
         5, 2001 disclosing the recent arbitration and FCC actions brought by
         the Borrower against NBC, each of the representations and warranties
         made by the Borrower or any Guarantor in or pursuant to the Credit
         Agreement and the other Loan Documents to which the Borrower or any
         Guarantor is a party or by which the Borrower, or any Guarantor is
         bound, shall be true and correct in all material respects, after giving
         effect to the terms of this Amendment No. 1, on and as of the Effective
         Date (other than representations and warranties in any such Loan
         Document which expressly speak as of a different date).

                  (c) NO EVENTS OF DEFAULT. No Event of Default or Default shall
         have occurred and be continuing on the Effective Date after giving
         effect to the terms of this Amendment No. 1.

         SECTION 4. REPRESENTATIONS AND WARRANTIES. The Borrower hereby
represents and warrants to the Administrative Agent and the Lenders that as of
the date hereof, (x) no Event of Default or Default under the Credit Agreement
shall have occurred and be continuing and (y) except as, and to the extent,
affected, if at all, by the matters disclosed in the Borrower's Form 8-K filed
with the Securities and Exchange Commission on December 5, 2001 disclosing the
recent arbitration and FCC actions brought by the Borrower against NBC, all of
the representations and warranties of the Loan Parties contained in Article IV
of the Credit Agreement and in any other Loan Document continue to be true and
correct in all material respects, as though made on and as of such date (other
than representations and warranties in any such Loan Document which expressly
speak as of a different date).

         SECTION 5. COSTS AND EXPENSES. The Borrower agrees to pay on demand in
accordance with the terms of Section 13.3 of the Credit Agreement all costs and
expenses of the Administrative Agent in connection with the preparation,
reproduction, execution and delivery of this Amendment No. 1 and all other Loan
Documents entered into in connection herewith,

                                       3
<PAGE>

including the reasonable fees, expenses and disbursements of Weil, Gotshal &
Manges LLP, counsel for the Administrative Agent with respect thereto.

         SECTION 6. REFERENCE TO AND EFFECT ON THE LOAN DOCUMENTS.

                  (a) Upon the effectiveness of this Amendment No. 1, on and
         after the date hereof, each reference in the Credit Agreement to "THIS
         AGREEMENT", "HEREUNDER", "HEREOF" or words of like import, and each
         reference in each other Loan Document, shall mean and be a reference to
         the Credit Agreement as amended hereby.

                  (b) Except as specifically amended hereby, all of the terms of
         the Credit Agreement and all other Loan Documents shall remain
         unchanged and in full force and effect.

                  (c) The execution, delivery and effectiveness of this
         Amendment No. 1 shall not, except as expressly provided herein, operate
         as a amendment or waiver of any right, power or remedy of any Lender,
         any Issuer or the Administrative Agent under the Credit Agreement or
         any of the Loan Documents, nor constitute an amendment or waiver of any
         provision of the Credit Agreement or any of the Loan Documents.

                  (d) This Amendment No. 1 is a Loan Document.

         SECTION 7. TITLES. The Section titles contained in this Amendment No. 1
are and shall be without substantive meaning or content of any kind whatsoever
and are not a part of the agreement between the parties hereto.

         SECTION 8. EXECUTION IN COUNTERPARTS. This Amendment No. 1 may be
executed and delivered in any number of counterparts and by different parties
hereto in separate counterparts, each of which when so executed and delivered
shall be deemed an original and all of which taken together shall constitute one
and the same original agreement.

         SECTION 9. NOTICES. All communications and notices to the
Administrative Agent hereunder shall be given as provided in the Credit
Agreement.

         SECTION 10. SEVERABILITY. If any term or provision set forth in this
Amendment No. 1 shall be invalid or unenforceable, the remainder of this
Amendment No. 1, or the application of such terms or provisions to persons or
circumstances, other than those to which it is held unenforceable, shall not in
any way be affected or impaired thereby.

         SECTION 11. SUCCESSORS. The terms of this Amendment No. 1 shall be
binding upon, and shall inure to the benefit of, the parties hereto and their
respective successors or assigns.

         SECTION 12. GOVERNING LAW. This Amendment No. 1 shall be interpreted,
and the rights and liabilities of the parties determined, in accordance with the
internal law of the State of New York.

                            [SIGNATURE PAGE FOLLOWS]

                                       4
<PAGE>

                  IN WITNESS WHEREOF, the parties hereto have caused this
Amendment No. 1 to be executed by their respective officers thereunto duly
authorized, as of the date first above written.

                                       PAXSON COMMUNICATIONS CORPORATION,
                                         as Borrower

                                       By: /s/ Thomas Severson, Jr.
                                           -------------------------------------
                                           Name:  Thomas Severson, Jr.
                                           Title: Senior Vice President,
                                                  Chief Financial Officer
                                                  and Treasurer

                                       CITICORP USA, INC.,
                                         as Administrative Agent

                                       By:
                                           -------------------------------------
                                           Name:
                                           Title:

<PAGE>

                 CONSENT, AGREEMENT AND AFFIRMATION OF GUARANTY

         Each of the undersigned Subsidiary Guarantors hereby consents to the
terms of the foregoing Amendment No. 1 in its capacity as a guarantor under the
Guaranty and agrees that the terms of this Amendment No. 1 shall not affect in
any way its obligations and liabilities under its guaranty, all of which
obligations and liabilities shall remain in full force and effect and each of
which is hereby reaffirmed.

                                        On behalf of each of the Subsidiary
                                        Guarantors under the Loan Documents

                                        By:
                                            ------------------------------------
                                            Name:  Thomas Severson, Jr.
                                            Title: Vice President and Treasurer
                                            and, with respect to America 51,
                                            L.P., Vice President and Treasurer
                                            of its General and Limited Partners

                                       5
<PAGE>
                                                                         ANNEX A
                           ACKNOWLEDGEMENT AND CONSENT

Paxson Communications Corporation
601 Clearwater Park Road
West Palm Beach, FL  33401
Attention: Thomas E. Severson, Jr., Chief Financial Officer,
with a copy to Anthony L. Morrison, Esq. General Counsel
Telecopy no:561-659-4754

390 Greenwich Street, First Floor
New York, NY  10013
Attention: Mark Floyd
Telecopy no: (212) 723 8547

         RE: PAXSON COMMUNICATIONS CORPORATION

Ladies and Gentlemen:

         Reference is made to Credit Agreement, dated as of July 12, 2001 (the
"CREDIT AGREEMENT"), among Paxson Communications Corporation, a Delaware
corporation (the "BORROWER"), the Lenders (as defined in the Credit Agreement),
Citicorp USA, Inc., as administrative agent for the Lenders and as collateral
agent for the Secured Parties under the Collateral Documents (in each such
capacity, the "ADMINISTRATIVE AGENT"), Union Bank of California, N.A., as
syndication agent for the Lenders and CIBC, Inc. and General Electric Capital
Corporation each as co-documentation agents for the Lenders. Unless otherwise
defined herein, capitalized terms used herein and defined in the Credit
Agreement are used herein as therein defined.

         The Borrower has requested that the Lenders consent to an amendment to
the Credit Agreement on the terms described in Amendment No. 1 to Credit
Agreement ("AMENDMENT NO. 1"), a form of which is attached as EXHIBIT A hereto.

         Pursuant to Section 11.1 of the Credit Agreement, the undersigned
Lender hereby consents to the amendments of, and modifications to, the Credit
Agreement contained in Amendment No. 1 and authorizes the Administrative Agent
to execute Amendment No. 1 on its behalf.

                                       Very truly yours,

                                       -----------------------------------------
                                       (NAME OF LENDER)

                                       By:
                                           -------------------------------------
                                           Name:
                                           Title:

Dated as of January __, 2002<PAGE>
                                                                   Exhibit 10.26

                               FIFTH AMENDMENT TO
                         SERVICES AND SUPPORT AGREEMENT

         This Fifth Amendment to Service and Support Agreement (the "FIFTH
AMENDMENT") effective as of June 1, 2002 (the "EFFECTIVE DATE") is by and
between Coast Dental Services, Inc., a Delaware corporation ("CDS") and Coast
Florida, P.A., a Florida professional corporation (the "DENTAL PRACTICE ENTITY"
or the "P.A.").

                                 R E C I T A L S

         WHEREAS, CDS and Dental Practice Entity are parties to that certain
Services and Support Agreement dated as of October 1, 1996, amended on June 1,
1997, further amended on October 1, 1998, further amended on February 1, 1999,
and further amended on January 1, 2000 (the "SERVICES AND SUPPORT AGREEMENT");

         WHEREAS, CDS and Dental Practice Entity desire to amend the Services
and Support Agreement to change the methodology for determining the monthly
services and support fee (the "S&S FEE") earned by CDS for its services and
support to Dental Practice Entity;

         WHEREAS, CDS and Dental Practice Entity further desire to amend the
Services and Support Agreement to provide for the transfer of Dental Practice
Entity's accounts receivable arising from the provision of dental services
during each month to CDS for payment of the S&S Fee;

         WHEREAS, these changes were precipitated by the favorable impact on the
financial performance of Dental Centers converted to the recently implemented
Dental Equity Model, which model provides the equity dentist and the Dental
Practice Entity an incentive for improving financial performance. This amendment
will incorporate the financial performance of each Dental Center in the
determination of the S&S Fee earned by CDS.

         NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged by the parties, the parties agree
to modify, supplement and amend the Services and Support Agreement as follows:

         1.       Recitals. The statements contained in the Recitals of facts
set forth above are true and correct and are by this reference made a part of
this Fifth Amendment.

         2.       Article III entitled "Financial Arrangements" is hereby
deleted in its entirety and the following is substituted therefor:

<PAGE>

                           III. FINANCIAL ARRANGEMENTS

                  3.1      Service and Support Fee: CDS shall receive a service
         and support fee (the "S&S FEE") calculated in accordance with Exhibit
         "A" attached hereto. Except as otherwise provided, the amounts to be
         paid to CDS under this Section 3.1 shall be payable monthly. The
         amounts shall be estimated based upon the previous month's operating
         results of the Dental Center. Adjustments to the estimated payments
         shall be made to reconcile actual amounts due under this Section 3.1,
         by the end of the following month. Upon preparation of quarterly
         financial statements, final adjustments to the service fee for the
         quarter shall be made and any additional payments owing to CDS or the
         Dental Practice Entity shall then be made. Any audit adjustments shall
         be reflected in the calculations for the fourth quarter.

                  3.2      Accounts Receivable. To assure that the Dental
         Practice Entity receives the entire amount of professional fees for its
         dental services and to assist in maintaining reasonable cash flow for
         the payment of Dental Center expenses, the Dental Practice Entity will
         sell to CDS, during the term of the Agreement, the Dental Practice
         Entity's patient and insurance accounts receivable (the "ACCOUNTS
         RECEIVABLE") arising before the Effective Date and thereafter during
         the previous month. The consideration for the purchase of the Accounts
         Receivable shall be a reduction in the S&S Fees payable to CDS in an
         amount equal to the accumulated accounts receivable recorded by the
         Dental Practice Entity each month (according to GAAP without adjustment
         for any bad debt reserve). CDS shall be entitled to offset the S&S Fee
         due to CDS in accordance with Exhibit A to this Agreement against the
         amount payable for the Accounts Receivable. The sale of the Accounts
         Receivable to CDS shall be with full recourse to the Dental Practice
         Entity. If any of such Accounts Receivable are not collected within
         ninety (90) days after such accounts receivable are purchased by CDS,
         the Dental Practice Entity will indemnify CDS for any such
         uncollectible Accounts Receivable. Although it is the intention of the
         parties that CDS purchase and thereby become the owner of the Accounts
         Receivable of the Dental Practice Entity, in the event such purchase
         shall be ineffective for any reason, the Dental Practice Entity is
         concurrently herewith granting to CDS a security interest in the
         Accounts Receivable so purchased, and the Dental Practice Entity shall
         cooperate with CDS and execute all documents in connection with the
         pledge of such purchased Accounts Receivable to CDS. All collections in
         respect to such Accounts Receivable purchased by CDS shall be received
         by CDS as the agent of the Dental Practice Entity and shall be endorsed
         to CDS and deposited in a bank account at a bank designated by CDS. To
         the extent the Dental Practice Entity comes into possession of any
         payments in respect of such Accounts Receivable, the Dental Practice
         Entity shall direct such payments to CDS for deposit in bank accounts
         designated by CDS; provided, however, that nothing contained herein
         shall be construed as the Dental Practice Entity relinquishing control
         over credit extended by the Dental Practice Entity.

                                       2
<PAGE>

                  3.3      Dental Center Expenses. So long as the Dental
         Practice Entity is in full compliance with the terms hereof, CDS shall
         be responsible for the payment of all Dental Center Expenses, as
         defined in Exhibit "A" attached hereto, during the term of this
         Agreement by the Dental Practice Entity, unless otherwise agreed to by
         the parties hereto.

         3.       Exhibit A. Exhibit "A" to the Services and Support Agreement
is hereby deleted in its entirety and the Exhibit "A" attached hereto is
substituted therefor.

         4.       Other Provisions. All of the term and provisions contained in
the Services and Support Agreement shall remain in full force and effect unless
specifically modified, supplemented or amended by this Fifth Amendment. Defined
terms used but not otherwise defined herein shall have the meanings given to
them in the Services and Support Agreement.

         IN WITNESS WHEREOF, the parties have hereunto set their hands and seals
on the day and year first above written.

                           "DENTAL PRACTICE ENTITY"

                           COAST FLORIDA, P.A.

                           By:  /s/ Adam Diasti
                              --------------------------------------------
                              Adam Diasti, D.D.S., President

                           "CDS"

                           COAST DENTAL SERVICES, INC.

                           By:  /s/ Terek Diasti
                              --------------------------------------------
                                Terek Diasti, Chief Executive Officer

                                       3
<PAGE>
                               FIFTH AMENDMENT TO
                         SERVICES AND SUPPORT AGREEMENT

                                   EXHIBIT "A"

                            SERVICES AND SUPPORT FEE

         1.       CDS will earn an S&S Fee calculated as follows:

                  a.   CDS will receive a fee based on the actual Dental
                       Center Expenses; and
                  b.   CDS will receive a variable, performance-based, fee
                       set at 90% of the excess of net dental services
                       revenue over Dental Center Expenses.

                  As used herein, "Dental Center Expenses" shall mean all actual
                  direct and indirect operating and non-operating expenses
                  incurred by CDS in providing services and support to the
                  Dental Center, including, without limitation:

                           (i)      Salaries, benefits, and other direct costs
                  of all employees of CDS at the Dental Center, including dental
                  assistants (but excluding all Dentists and dental hygienists);

                           (ii)     Direct costs of all employees or consultants
                  of CDS who provide services at or in connection with the
                  Dental Center required for improved clinic performance, such
                  as work management, materials management, purchasing, charge
                  and coding analysis, and business office consultation;

                           (iii)    Other direct and indirect expenses incurred
                  by CDS or an affiliate of CDS in providing services and
                  support to the Dental Centers including dental supplies and
                  lab fees, advertising and promotional costs, rent and
                  occupancy costs, depreciation on assets used at the Dental
                  Center, and Dental Center general and administrative expenses;
                  other than the kind of expenses listed in items (i) and (ii)
                  above;

                           (iv)     Personal property and intangible taxes
                  assessed against CDS's assets used in connection with the
                  operation of the Dental Center, commencing on the date of this
                  Agreement;

                           (v)      Interest expense on indebtedness incurred by
                  CDS to finance any of its obligations hereunder or services
                  provided hereunder;

                           (vi)     Malpractice insurance expenses and dentist
                  recruitment expenses; and

                           (vii)    Other expenses incurred by CDS in carrying
                  out its obligations under this Agreement.

                                       4
<PAGE>

                    "Dental Center Expenses" shall not include:

                           (i)      Any federal or state income taxes;

                    (ii)   Any bad debt and related expense; and

                           (iii)    Any expenses which are expressly designated
                    herein as expenses or responsibilities of the Dental
                    Practice Entity.

2.       If the Dental Center Expenses are in excess of net dental services
         revenues, then the S&S Fee earned by CDS is limited solely to the fee
         based on the actual costs of providing services and support and CDS
         will not earn a variable, performance-based, fee.

3.       The S&S Fee earned by CDS will be calculated on a stand-alone basis for
         and using the stand-alone financial performance of each Dental Center.

                                      5
<PAGE>

                               ACCOUNTS RECEIVABLE
                           PURCHASE AND SALE AGREEMENT

         This Accounts Receivable Purchase and Sale Agreement (this "AGREEMENT")
effective as of June 1, 2002 ("EFFECTIVE DATE") is by and between Coast Florida,
P.A., a Florida professional corporation (hereinafter called "SELLER"), and
Coast Dental Services, Inc., a Delaware corporation (hereinafter called
"PURCHASER").

                                 R E C I T A L S

         WHEREAS, Seller and Purchaser are parties to that certain Services and
Support Agreement dated October 1, 1996, as amended (the "SERVICES AND SUPPORT
AGREEMENT");

         WHEREAS, Purchaser desires to acquire from Seller and Seller desires to
sell to Purchaser the Accounts Receivable (as hereinafter defined) of Seller
upon the terms and conditions set forth herein.

         NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged by the parties, the parties hereto
hereby agree as follows:

         1. SALE OF ACCOUNTS RECEIVABLE. Subject to the terms of this Agreement,
Seller hereby sells, conveys, assigns and transfers to Purchaser, and Purchaser
hereby purchases, all right, title and interest of Seller in and to all of
Seller's patient and insurance accounts receivable (the "ACCOUNTS RECEIVABLE")
(i) arising before the Effective Date and (ii) arising each month after the
Effective Date during the term of the Services and Support Agreement.

         2. CONSIDERATION. The consideration for the purchase of the Accounts
Receivable shall be a reduction in the fees payable by Seller to Purchaser
pursuant to the Services and Support Agreement (the "FEES") in an amount equal
to the accumulated accounts receivable recorded by Seller each month (according
to GAAP without adjustment for any bad debt reserve). Purchaser shall be
entitled to offset the Fees due to Purchaser from Seller against the amount
payable for the Accounts Receivable.

         3. SELLER'S WARRANTIES. Seller warrants that it is the lawful owner in
every respect of the Accounts Receivable and that the Accounts Receivable are
free and clear of any and all liens, security interests, mortgages,
encumbrances, pledges, claims, demands and charges of every kind and character
whatsoever.

         4.  SELLER'S COVENANTS.  Seller hereby covenants to Purchaser as
follows:

         (A) The sale of the Accounts Receivable to Purchaser shall be with full
recourse to Seller. If any of such Accounts Receivable are not collected within
ninety (90) days after such accounts receivable are purchased by Purchaser,
Seller will indemnify Purchaser for any such uncollectible Accounts Receivable.
<PAGE>

         (B) Although it is the intention of the parties that Purchaser hereby
purchase and thereby become the owner of the Accounts Receivable of Seller, in
the event such purchase shall be ineffective for any reason, Seller is
concurrently herewith granting to Purchaser a security interest in the Accounts
Receivable so purchased, and Seller shall cooperate with Purchaser and execute
all documents in connection with the pledge of such purchased Accounts
Receivable to Purchaser. All collections in respect to such Accounts Receivable
purchased by Purchaser shall be received by Purchaser as the agent of Seller and
shall be endorsed to Purchaser and deposited in a bank account at a bank
designated by Purchaser. To the extent Seller comes into possession of any
payments in respect of such Accounts Receivable, Seller shall direct such
payments to Purchaser for deposit in bank accounts designated by Purchaser;
provided, however, that nothing contained herein shall be construed as Seller
relinquishing control over credit extended by Seller.

         (C) Seller covenants that Seller and its successors and assigns shall
warrant and defend the title to all the herein described Accounts Receivable
unto the Purchaser, its successors and assigns, forever against the claims and
demands of all persons whomsoever.

         (D) Seller shall execute and deliver such other documents and do such
other acts as Purchaser shall deem necessary to carry out the intent of this
Agreement, including, but not limited to, any financing statements as is
necessary to give notice of Purchaser's purchase of the Accounts Receivable
under the applicable Uniform Commercial Code then in effect.

         5. EFFECTIVE DATE. This Agreement shall be effective as to the transfer
of the Accounts Receivable as of the Effective Date hereinabove set forth.

         IN WITNESS WHEREOF, this Agreement is executed on the date set forth
above.

Witnesses as to Seller:                 COAST FLORIDA, P.A.,
/s/ Julie Camper                        a Florida professional corporation
--------------------------

/s/ Tim Merrick
--------------------------              By:  /s/ Adam Diasti
                                           -------------------------------------
                                            Adam Diasti, D.D.S., President

Witnesses as to Purchaser:              COAST DENTAL SERVICES, INC.,
                                        a Delaware corporation
/s/ Julie Camper
--------------------------              By:  /s/ Terek Diasti
                                           -------------------------------------
/s/ Tim Merrick                            Terek Diasti, Chief Executive Officer
---------------------------

                                      -2-

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