<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2005-04-06</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0000948072</issuerCik>
        <issuerName>BIRNER DENTAL MANAGEMENT SERVICES INC</issuerName>
        <issuerTradingSymbol>BDMS</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001056537</rptOwnerCik>
            <rptOwnerName>BIRNER FREDERIC W J</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>BIRNER DENTAL MANGEMENT SERVICES INC</rptOwnerStreet1>
            <rptOwnerStreet2>3801 EAST FLORIDA AVE SUITE 508</rptOwnerStreet2>
            <rptOwnerCity>DENVER</rptOwnerCity>
            <rptOwnerState>CO</rptOwnerState>
            <rptOwnerZipCode>80210</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>Chairman of the Board, CEO</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
                <footnoteId id="F1"/>
                <footnoteId id="F2"/>
                <footnoteId id="F3"/>
            </securityTitle>
            <transactionDate>
                <value>2005-04-06</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>S</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>4000</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>24.90</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>97432</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Stock Options (Right to Buy), $11.68, Date Exercisable 01-02-2003, Expiration Date 01-02-2008, Title of
Security-Common Stock, Amount of Shares-16,667, Direct Ownership, Number of Derivative Securities Owned 16,667</footnote>
        <footnote id="F2">Stock Options (Right to Buy), $19.50, Date Exercisable03-31-2005, Expiration Date 01-24-2010, Title of
Security-Common Stock, Amount of Shares-30,000, Direct Ownership, Number of Derivative Securities Owned 30,000</footnote>
        <footnote id="F3">Warrants (Right to Buy), $5.06, Expiration Date 02-11-2007, Title of
Common Stock, Amount of Shares-5,000, Direct Ownership, Number of Derivative Securities Owned 5,000</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>Frederic WJ Birner</signatureName>
        <signatureDate>2005-04-06</signatureDate>
    </ownerSignature>
</ownershipDocument>
