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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549



                                  SCHEDULE 13G

                    UNDER THE SECURITIES EXCHANGE ACT OF 1934

                               (AMENDMENT NO. 4)*

                      Orthodontic Centers of America, Inc.
--------------------------------------------------------------------------------
                                (Name of Issuer)


                                  Common Stock
--------------------------------------------------------------------------------
                           (Title of Class Securities)

                                    68750P103
                     ---------------------------------------
                                 (CUSIP Number)


                                 September 4, 2002
--------------------------------------------------------------------------------
             (Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:

       [ ]   Rule 13d-1(b)

       [ ]   Rule 13d-1(c)

       [X]   Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).









   POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION
   CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A
   CURRENTLY VALID OMB CONTROL NUMBER.


                                  1 of 4 pages



CUSIP No....................................68750P103

--------------------------------------------------------------------------------

   1.      Names of Reporting Persons.
           I.R.S. Identification Nos. of above persons (entities only).

           Bartholomew F. Palmisano, Sr.
--------------------------------------------------------------------------------

   2.      Check the Appropriate Box if a Member of a Group (See Instructions)

           (a)       ...........................................................

           (b)       ...........................................................
--------------------------------------------------------------------------------

   3.      SEC Use Only        .................................................
--------------------------------------------------------------------------------

   4.      Citizenship or Place of Organization  ..................United States
--------------------------------------------------------------------------------

Number of               5.     Sole Voting Power  .....................2,981,907
Shares Bene-        ------------------------------------------------------------
ficially                6.     Shared Voting Power  .....................707,016
Owned by Each       ------------------------------------------------------------
Reporting               7.     Sole Dispositive Power  ................2,981,907
Person With:        ------------------------------------------------------------
                        8.     Shared Dispositive Power  ................707,016
--------------------------------------------------------------------------------
   9.      Aggregate Amount Beneficially Owned by Each Reporting Person
           ...........................................................3,688,923*

           * Includes options currently exercisable to purchase 812,469 shares
           of common stock. Also includes 707,016 shares of common stock held in
           trusts by a third party for the benefit of the children of the
           reporting person. The filing of this statement shall not be construed
           as an admission that the reporting person is, for the purpose of
           Section 13(d) or 13(g) of the Securities Exchange Act of 1934, as
           amended, the beneficial owner of any securities covered by this
           statement.

   10.     Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See
           Instructions) ....................................................N/A

   11.     Percent of Class Represented by Amount in Row (9) ........... 5.8%
--------------------------------------------------------------------------------

   12.     Type of Reporting Person (See Instructions)          IN
--------------------------------------------------------------------------------
                ................................................................

                ................................................................

                ................................................................

                ................................................................

                ................................................................

                ................................................................




                                  2 of 4 pages



ITEM 1.

      (a)  Name of Issuer:  Orthodontic Centers of America, Inc.
      (b)  Address of Issuer's Principal Executive Offices:

                  3850 N. Causeway Blvd., Suite 800
                  Metairie, LA  70002

ITEM 2.

      (a)  Name of Person Filing:  Bartholomew F. Palmisano, Sr.
      (b)  Address of Principal Business Office or, if none, Residence:

                  3850 N. Causeway Blvd., Suite 800
                  Metairie, LA  70002

      (c)  Citizenship:  United States
      (d)  Title of Class of Securities:  Common Stock
      (e)  CUSIP Number:  68750P103

ITEM 3.   IF THIS STATEMENT IS FILED PURSUANT TO SECTIONS 240.13D-1(b), OR
          240.13D-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A:

      (a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C.
              78o).
      (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
      (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15
              U.S.C. 78c).
      (d) [ ] Investment company registered under section 8 of the Investment
              Company Act of 1940 (15 U.S.C. 80a-8).
      (e) [ ] An investment adviser in accordance with Section
              240.13d-1(b)(1)(ii)(E);
      (f) [ ] An employee benefit plan or endowment fund in accordance with
              Section 240.13d-1(b)(1)(ii)(F);
      (g) [ ] A parent holding company or control person in accordance with
              Section 240.13d-1(b)(1)(ii)(G);
      (h) [ ] A savings association as defined in Section 3(b) of the Federal
              Deposit Insurance Act (12 U.S.C. 1813);
      (i) [ ] A church plan that is excluded from the definition of an
              investment company under section 3(c)(14) of the Investment
              Company Act of 1940 (15 U.S.C. 80a-3);
      (j) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(J).
      N/A

ITEM 4.       OWNERSHIP

         Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.

      (a)  Amount beneficially owned:  3,688,923*

      (b)  Percent of class: 5.8%

      (c)  Number of shares as to which the person has:


                                                         
           (i)   Sole power to vote or to direct the vote:  2,981,907

           (ii)  Shared power to vote or to direct the vote: 707,016

           (iii) Sole power to dispose or to direct the disposition of:  2,981,907

           (iv)  Shared power to dispose or to direct the disposition of:  707,016

           *Includes options currently exercisable to purchase 812,469 shares of
           common stock. Also includes 707,016 shares of common stock held in
           trusts by a third party for the benefit of the children of the
           reporting person. The filing of this statement shall not be construed
           as an admission that the reporting person is, for the purpose of
           Section 13(d) or 13(g) of the Securities Exchange Act of 1934, as
           amended, the beneficial owner of any securities covered by this
           statement.




                                  3 of 4 pages



ITEM 5.       OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS

         If this statement is being filed to report the fact that as of the date
hereof the reporting person has ceased to be the beneficial owner of more than
five percent of the class of securities, check the following .

Instruction:  Dissolution of a group requires a response to this item.

ITEM 6.       OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.

         N/A

ITEM 7.       IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED
              THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR
              CONTROL PERSON

         N/A

ITEM 8.       IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP

         N/A

ITEM 9.       NOTICE OF DISSOLUTION OF GROUP

         N/A

ITEM 10.      CERTIFICATION

         N/A

                                    SIGNATURE

         After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.


                                           February 13, 2003
                           -----------------------------------------------------
                                                 Date

                            /s/  Bartholomew F. Palmisano, Sr.
                           -----------------------------------------------------
                                               Signature

                                     Bartholomew F. Palmisano, Sr.
                           -----------------------------------------------------
                                              Name/Title



                                  4 of 4 pages