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The Oral Health Care System:A State-by-State Analysis
The Oral Health Care System: A State-By-State Analysis
2
Table of ContentsCOMMENTARY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3KEY FINDINGS .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5DATA & METHODS .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
STATE FACT SHEETSALABAMA.. . . . . . . . . . . . . . . . . . . . . . . . . . . 14ALASKA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17ARIZONA. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20ARKANSAS. . . . . . . . . . . . . . . . . . . . . . . . . . 23CALIFORNIA.. . . . . . . . . . . . . . . . . . . . . . . . 26COLORADO. . . . . . . . . . . . . . . . . . . . . . . . . 29CONNECTICUT.. . . . . . . . . . . . . . . . . . . . . . 32DELAWARE.. . . . . . . . . . . . . . . . . . . . . . . . . 35DISTRICT OF COLUMBIA.. . . . . . . . . . . 38FLORIDA.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41GEORGIA.. . . . . . . . . . . . . . . . . . . . . . . . . . . 44HAWAII.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47IDAHO.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50ILLINOIS.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 53INDIANA.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 56IOWA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59KANSAS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62KENTUCKY. . . . . . . . . . . . . . . . . . . . . . . . . . 65LOUISIANA.. . . . . . . . . . . . . . . . . . . . . . . . . 68MAINE.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71MARYLAND.. . . . . . . . . . . . . . . . . . . . . . . . . . 74MASSACHUSETTS.. . . . . . . . . . . . . . . . . . 77MICHIGAN.. . . . . . . . . . . . . . . . . . . . . . . . . . 80MINNESOTA.. . . . . . . . . . . . . . . . . . . . . . . . 83MISSISSIPPI. . . . . . . . . . . . . . . . . . . . . . . . . 86MISSOURI. . . . . . . . . . . . . . . . . . . . . . . . . . . 89
MONTANA.. . . . . . . . . . . . . . . . . . . . . . . . . . . 92NEBRASKA. . . . . . . . . . . . . . . . . . . . . . . . . . 95NEVADA.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 98NEW HAMPSHIRE. . . . . . . . . . . . . . . . . . 101NEW JERSEY.. . . . . . . . . . . . . . . . . . . . . . . 104NEW MEXICO.. . . . . . . . . . . . . . . . . . . . . . 107NEW YORK.. . . . . . . . . . . . . . . . . . . . . . . . . 110NORTH CAROLINA.. . . . . . . . . . . . . . . . 113NORTH DAKOTA.. . . . . . . . . . . . . . . . . . . 116OHIO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119OKLAHOMA.. . . . . . . . . . . . . . . . . . . . . . . 122OREGON.. . . . . . . . . . . . . . . . . . . . . . . . . . . 125PENNSYLVANIA.. . . . . . . . . . . . . . . . . . . . 128RHODE ISLAND.. . . . . . . . . . . . . . . . . . . . 131SOUTH CAROLINA. . . . . . . . . . . . . . . . . 134SOUTH DAKOTA.. . . . . . . . . . . . . . . . . . . 137TENNESSEE.. . . . . . . . . . . . . . . . . . . . . . . . 140TEXAS.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143UTAH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146VERMONT.. . . . . . . . . . . . . . . . . . . . . . . . . 149VIRGINIA. . . . . . . . . . . . . . . . . . . . . . . . . . . 152WASHINGTON.. . . . . . . . . . . . . . . . . . . . . 155WEST VIRGINIA.. . . . . . . . . . . . . . . . . . . . 158WISCONSIN.. . . . . . . . . . . . . . . . . . . . . . . . 161WYOMING.. . . . . . . . . . . . . . . . . . . . . . . . . 164
The Oral Health Care System: A State-By-State Analysis
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Commentary “HEADLINES ARE IMPORTANT, BUT TREND LINES ARE MORE IMPORTANT.” This is how President Bill Clinton began his keynote address at the 154th Annual Meeting of the American Dental Association in 2013. It is not every day that you hear a politician, let alone a former president, emphasize the need to temper rhetoric with facts and to let evidence guide policy.
The American Dental Association’s Health Policy Institute (HPI) has compiled a first-of-its-kind comprehensive analysis of key aspects of the oral health care system in all 50 states and the District of Columbia. This multi-year effort brings together data and analysis in a way that helps inform policy decisions. And when it comes to oral health in America, indeed, many trend lines are important.
Three Major TakeawaysOne major takeaway from this new analysis is that adults view oral health as very important. For example, 95 percent of adults say they value keeping their mouth healthy. Furthermore, routine dental care is seen as a key part of overall wellness, with 93 percent of adults agreeing that regular visits to the dentist “help keep me healthy.”
A second major takeaway is that there have been substantial gains in access to dental care among Medicaid children in recent years. Between 2000 and 2013, all but one state saw an increase in the percentage of Medicaid children who had at least one dental visit within the past year. Nationally, the rate increased from 29 percent to 48 percent, and in states such as Maryland, it increased fivefold. As a result, the gap in dental care use between Medicaid children and children with private dental benefits narrowed significantly over this same timeframe in the vast majority of states. In fact, in Texas, Medicaid children are actually more likely to visit a dentist than their privately insured counterparts.
A third major takeaway is that dental care use trends for adults are very different than the trends for children. Among adults with private dental benefits, dental care use is declining in most states. Additionally, other HPI analysis shows that the gap in dental care use between Medicaid and privately insured adults is much wider than it is for children.
Additional troubling statistics emerge when it comes to oral health among adults. More than one out of three low-income adults say they avoid smiling and 17 percent report difficulty doing usual activities because of the condition of their mouth and teeth. Nearly one out of four low-income adults and 14 percent of all adults report that their oral health issues have led them to reduce participation in social activities.
95% OF ADULTS SAY THEY VALUE KEEPING THEIR MOUTH HEALTHY
BETWEEN 2000 AND 2013, THE PERCENTAGE OF MEDICAID CHILDREN WITH A DENTAL VISIT INCREASED FROM 29% TO 48%
THE GAP IN DENTAL CARE USE BETWEEN MEDICAID AND PRIVATELY INSURED ADULTS IS MUCH WIDER THAN IT IS FOR CHILDREN
≠
ORAL HEALTH IS REALLY IMPORTANT
MORE MEDICAID CHILDREN ACCESSING DENTAL CARE
ADULT TRENDS ARE DIFFERENT
The Oral Health Care System: A State-By-State Analysis
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CommentaryThe facts are the facts. But what should policymakers think about doing to address some of these oral health challenges?
First, policymakers need to continue implementing evidence-based reforms in Medicaid. The states with the largest gains in access to dental care among Medicaid children are those that implemented comprehensive, multi-pronged reforms that work. For example, the experiences in Connecticut, Maryland and Texas have been well documented. The Medicaid programs in these states focused on provider and Medicaid beneficiary outreach, provider reimbursement increases, and streamlining administrative procedures. It is important to note that the remarkable gains in access to dental care in these three states, as well as others, did not involve any major increase in the number of dental care providers. In fact, there is strong evidence that there is significant excess capacity in the dental care system today. According to new HPI research, one out of three dentists in the U.S., and as high as one out of two in states like Florida, report they are not busy enough and can treat more patients. This further suggests that policymakers ought to focus on policies that leverage existing unused capacity rather than increasing the number of dental care providers.
Second, policymakers, and the oral health community more broadly, need to consider reinventing how oral health is defined and measured. The current focus of many government agency data collection efforts is to measure the presence and severity of dental disease and the frequency and type of dental care services people use. There is very little emphasis, in contrast, on measuring the contribution of oral health to physical, social and emotional wellbeing. These are the ultimate outcomes of interest that the oral health care system ought to be designed around. The new measures of oral health status developed by HPI are a significant advancement in this area but are meant to be a starting point for others, including the Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality, to build upon. A robust oral health measurement system would also enable a shift toward outcomes-based delivery and reimbursement models, a critical aim of the Affordable Care Act.
Third, policymakers need to rethink how dental care for adults is handled in state and federal health care policy. Research shows that adults, particularly low-income adults, report cost as the number one reason for not visiting the dentist. Current policies are not helping. Under the Affordable Care Act, dental care for adults is not considered “essential” and thus, dental coverage is not part of the individual mandate. Within Medicaid, adult dental benefits are optional and most states provide only basic coverage. Implementing a comprehensive dental benefit for Medicaid adults in states that currently lack one is estimated to cost $1.4 billion to $1.6 billion per year. The estimated state portion of this bill translates to about 1 percent of total Medicaid spending. At the same time, an estimated $1.6 billion is spent each year on hospital emergency room visits for dental conditions, one-third of which is paid for by Medicaid. Additionally, while more and more private medical insurance plans in the health insurance marketplaces established by the Affordable Care Act are covering dental benefits for children, there are far fewer options for adults. This is despite the fact that dental care is a high priority among young adults who are shopping for health insurance.
As stated by a former U.S. surgeon general: “You can’t be healthy without good oral health.” There is emerging evidence that oral health is related to conditions outside of the mouth, like diabetes, pregnancy and even mental health. Health care policy in the United States clearly emphasizes oral health for children. It might be time to reconnect mouth and body for adults. Now there’s a headline.
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Key Findings Oral health is an integral component of whole body health. The American Dental Association’s Health Policy Institute (HPI) analyzed key aspects of the oral health care system in all 50 states and the District of Columbia. Topics include dental care utilization, self-reported oral health status, knowledge and attitude toward oral health, community water fluoridation, provider reimbursement rates and the supply of dentists.
The data sources, methodology, state-level fact sheets, as well as all of the underlying data used in the analysis are available for download at ADA.org/statefacts.
Key findings from the analysis are summarized below.
Dental Care UtilizationNationally, the percentage of Medicaid children who visited a dentist within the past year increased from 29 percent in 2000 to 48 percent in 2013. All but one state saw an increase in dental care utilization among Medicaid children. Dental care utilization among children with private dental benefits increased, as well, from 60 percent in 2005 to 64 percent in 2013. In contrast, utilization among adults with private dental benefits decreased slightly over the same timeframe, with the majority of states experiencing a decline.
In 2013, dental care utilization among children with Medicaid dental benefits was highest in Connecticut, while Massachusetts had the highest utilization rate among children with private dental benefits. Among adults with private dental benefits, dental care utilization was highest in Oregon.
Sealants and Community Water FluoridationIn 2013, 14 percent of Medicaid children ages 6 through 14 in the United States received a dental sealant on a permanent molar. This ranges from 6 percent in Ohio to 24 percent in Massachusetts.
In 2012, approximately 75 percent of Americans on a community water system received fluoridated drinking water. This ranges from 11 percent in Hawaii to 100 percent in the District of Columbia and Kentucky.
Oral Health Status, Knowledge and AttitudeHPI developed a new, innovative composite measure of oral health status based on various self-reported measures. On an index of zero (frequent oral health problems) to ten (no oral health problems), the average oral health status rating for U.S. adults was 7.9 in 2015. This ranges from 7.2 in Alaska to 8.6 in Illinois. High-income adults had an average score of 8.2 compared to 7.2 for low-income adults. The widest gap between high- and low-income adults was in Arizona, while the narrowest gap was in California.
HPI also developed a new, simplified measure of oral health knowledge. Nationally, 50 percent of adults were able to respond correctly to each of the eight general knowledge questions regarding oral health facts. This ranges from 42 percent in
The Oral Health Care System: A State-By-State Analysis
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Key Findings New Jersey to 60 percent in Colorado and from 44 percent among low-income adults to 52 percent among high-income adults nationwide.
HPI developed a new index measuring attitude toward oral health, and U.S. adults have a positive attitude overall toward oral health. On a scale of -10 to +10, with zero being neutral, the average score was 5.1 nationally. This ranges from 4.3 in Montana to 5.7 in Arizona.
Reimbursement, Supply of Dentists and Medicaid Participation From 2003 to 2013, Medicaid fee-for-service reimbursement rates for child dental services decreased by 14 percent nationally. This ranges from a decrease of 41 percent in Minnesota to an increase of 82 percent in the District of Columbia. Over the same time period, private dental benefit plan charges increased, on average, by 1.2 percent nationally for child dental services. This ranges from a decrease of 13 percent in Hawaii to an increase of 14 percent in North Dakota. For adult dental services, private dental benefit plan charges decreased by 0.6 percent between 2003 and 2013, ranging from a decrease of 14 percent in Nevada to an increase of 12 percent in North Dakota.
The supply of dentists in the United States increased from 57.3 dentists per 100,000 population in 2001 to 60.5 in 2013. Nationally, 42 percent of dentists participate in Medicaid, with significant variation across states.
The Oral Health Care System: A State-By-State Analysis
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Data & MethodsPercentage with a Dental Visit in the Past 12 MonthsTo measure dental care utilization among adults and children with private dental benefits, we analyzed data from the Truven MarketScan® Research Database (Truven). Truven is based on a very large sample of enrollees with employer-sponsored health insurance and dental benefits and included 3.8 million individuals with private dental benefits in 2005 and 10.7 million in 2013. Based on the latest data from the 2012 Medical Expenditure Panel Survey (MEPS),1 we estimate that Truven captures about 7.6 percent of individuals with private dental benefits in the U.S.2
In our utilization analysis, we focused on adults and children with at least 90 days of continuous enrollment in a private dental benefit plan. The 2005 Truven database included 2,497,278 adults ages 21 through 64 and 1,086,098 children ages 0 through 20 who were continuously enrolled in a private dental benefit plan for 90 days. The 2013 Truven database included 7,253,702 adults ages 21 through 64 and 2,923,720 children ages 0 through 20 who were continuously enrolled in a private dental benefit plan for 90 days. We substituted 2011 data for Montana as the sample sizes in 2012 and 2013 were not sufficient.
We measured dental care utilization as the proportion of enrolled individuals who have at least one dental claim in a year.
The ADA Health Policy Institute (HPI) has Truven data from 2005 through 2013 and this is the period we chose to study.
To measure dental care utilization among children with Medicaid dental benefits, we analyzed data from the Centers for Medicare and Medicaid Services (CMS) Form 416 (CMS-416). The CMS-416 is a form that each state Medicaid program submits to CMS on an annual basis, and it includes children under age 21 eligible for Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services.3 Beginning in 2010, the dental care utilization rate is based on children ages 1 through 20 who had at least 90 days of continuous Medicaid enrollment during the fiscal year. Prior to 2010, the dental care utilization rate was based on children ages 0 through 20 who were enrolled in Medicaid at any time during the fiscal year.4
We measured dental care utilization as the total number of children receiving any dental service (Line 12a) divided by the total number of children enrolled in Medicaid (Line 1b). It is important to note that because CMS changed its reporting methods beginning in 2010, we are not able to construct a consistent time series of dental care utilization. In other words, some component of the change in dental care utilization between 2000 and 2013 in the CMS-416 data will be due to the changes in how Medicaid enrollment is reported. There is no way to adjust for this in our analysis.
HPI has CMS data from 2000 through 2013 and this is the period we chose to study.
Officials from Ohio’s Medicaid office indicated that 2013 CMS-416 data were not reliable. We substituted 2012 data for the 2013 Ohio utilization rate for children with Medicaid dental benefits. Maine’s Medicaid program did not submit CMS-416 data for 2005, so we do not have a utilization rate for children with Medicaid dental benefits for that year.
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Data & MethodsPercentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013CMS began collecting data through the CMS-416 on the total number of children ages 6 through 14 receiving a sealant on a permanent molar in 2010. We define the sealant rate as the ratio of the total number of children ages 6 through 14 receiving a dental sealant (Line 12d) to the total number of children ages 6 through 14 enrolled in Medicaid (Line 1b). A dental sealant is an evidence-based service that prevents the onset of caries on healthy tooth surfaces.5
Data are available from 2010 through 2014. We analyze the data for 2013 because it is the most complete year of data available.
Oral Health Status, Knowledge and Attitude Index Among Adults in 2015The HPI team developed a comprehensive index measure for oral health status, oral health knowledge and attitude toward oral health based on various self-reported items among adults. Data were collected through an online survey conducted by Harris Poll on behalf of HPI from June 23, 2015 through August 7, 2015. Harris Poll collected data from a nationally representative sample of 14,962 adults ages 18 and older across all 50 states and the District of Columbia. We analyzed responses to these survey questions by state and household income using appropriate survey weights.
We reported each index for both high-income and low-income adults. We defined high-income as adults with household incomes above 400 percent of the federal poverty level. We defined low-income as adults with household incomes at or below 138 percent of the federal poverty level.
The HPI oral health status index is reported using a 10-point scale where a score of 10 corresponds to excellent oral health (i.e. no oral health problems) and a score of 0 corresponds to poor oral health (i.e. frequent oral health problems). We report this index measure nationally and by state for both high-income and low-income adults.
The HPI oral health knowledge index is reported as the percentage of respondents who were able to answer each of eight general oral health knowledge questions correctly. We report this percentage nationally and by state for both high-income and low-income adults.
The HPI oral health attitude index is reported on a scale of –10 to +10, with negative values indicating negative attitudes toward oral health, zero indicating a neutral attitude, and positive values indicating positive attitudes toward oral health. We report these scores nationally and by state for both high-income and low-income adults.
For more information on these three measures, please see our detailed methodological description.6
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Data & MethodsPercentage of Population on Community Water Systems Receiving Fluoridated Water in 2012Data on water fluoridation rates are from the Centers for Disease Control and Prevention (CDC).7 Estimates are based on data reported by each state to the CDC Water Fluoridation Reporting System as of December 31, 2012. The CDC utilized population estimates for 2012 from the U.S. Census Bureau.
Change in Private Dental Benefit Plan Charges Between 2003 and 2013We drew on previous research to summarize changes in private dental benefit plan charges for adult and child dental services.8 We constructed separate price indices for 2003 and 2013 for each state and the District of Columbia using private dental benefits charges data from the FAIR Health Dental Benchmark Module.9 The full methodology on the construction of these indices is available in an earlier publication.10 In summary, we constructed a weighted average charge rate for a group of common dental procedures and used the Dental Services Consumer Price Index (CPI)11 to convert 2003 levels to 2013 dollars.
Our data source, FAIR Health, contains fees charged by providers before network discounts are applied. It does not contain data on actual reimbursement to providers. Based on anecdotal information, we feel that providers often submit fees they expect to be paid rather than their true non-discounted fees. However, we have no basis to evaluate this data limitation empirically.
HPI has FAIR Health data from 2003 through 2013 and this is the period we chose to study.
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services We drew on previous research to summarize changes in Medicaid dental reimbursement rates for child dental services.10 We constructed separate fee indices for each state and the District of Columbia based on fee-for-service (FFS) Medicaid reimbursement schedules for child dental services. These fee schedules were collected from each state’s Medicaid program webpage. We constructed an index that measures FFS reimbursement rates in Medicaid relative to commercial dental benefits charges. We feel this is a useful measure as it takes into account Medicaid reimbursement relative to “market” conditions. The full methodology on the construction of this index is available in an earlier publication.10 We tracked changes over time in inflation-adjusted Medicaid reimbursement using the Dental Services Consumer Price Index (CPI).11
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Data & MethodsOur analysis of reimbursement has important limitations that are outlined in previous work.10 A main limitation is that our Medicaid reimbursement data are based on FFS rates taken from state Medicaid fee schedules while a significant segment of the Medicaid population in many states may receive dental care through a managed care program. Managed care providers are not necessarily subject to established Medicaid FFS schedules and, as a result, our data may not necessarily capture typical fees paid to dental care providers.
Additionally, we were not able to obtain Medicaid reimbursement data for 2003 for six states: Maine, New Jersey, North Dakota, South Dakota, Vermont and Wyoming. For these states, therefore, we were unable to calculate the change in Medicaid reimbursement rates for child dental services between 2003 and 2013.
HPI has Medicaid reimbursement data from 2003 through 2013 and this is the period we chose to study.
Number of Dentists per 100,000 PopulationTo measure the supply of dentists, we analyzed the ADA Masterfile.12 The ADA Masterfile contains the most up-to-date information on dentists in the United States. The Masterfile is a database of all dentists, practicing and non-practicing, ADA members and non-members, and is updated through a variety of methods including reconciliation with state licensure databases, detailed records, various surveys and censuses of dentists carried out by the ADA. We only included professionally active dentists in our calculation (e.g. retirees are not included) and we used U.S. Census Bureau data for population counts.13, 14
HPI has comparable dentist supply data from 2001 through 2013 and this is the period we chose to study.
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014To calculate the percentage of dentists participating in Medicaid for child dental services, we analyzed data from Insure Kids Now.15 Insure Kids Now is a website containing information about Medicaid and the Children’s Health Insurance Program (CHIP), including covered dental services for children and a dentist locator tool. The dentist locator tool is supported by a database of dental providers that are enrolled in the Medicaid program. It is overseen by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. One of the objectives of Insure Kids Now is to help families locate a dentist that accepts Medicaid and CHIP insurance. Additionally, Insure Kids Now is meant to connect interested organizations with the Connecting Kids to Coverage National Campaign.16
The Health Resources and Services Administration (HRSA) and CMS jointly provided HPI with Insure Kids Now provider rosters for the months of August, October and
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Data & MethodsNovember 2014. We combined these data, removed duplicate observations and then matched the Insure Kids Now data with the ADA’s roster of dentists who were professionally active as of October 30, 2014 based on the ADA Masterfile. Insure Kids Now providers who could not be matched were excluded. In situations where the Insure Kids Now database included an address only but no dentist information, we count all dentists practicing at that address as participating in the state’s Medicaid program. We recognize this could lead to an over-count of participating providers, depending on the extent of large group practices within a particular state. We cross-referenced practice addresses with a cotemporaneous list of Federally Qualified Health Centers (FQHCs) and included all dentists practicing at FQHCs as Medicaid participants irrespective of whether they are listed in the Insure Kids Now database. We count all dentists listed in Insure Kids Now as participating in Medicaid even if they indicated they were not accepting new patients. We divide the number of dentists who are Medicaid providers by the total number of professionally active dentists in each state, yielding our measure of the percentage of dentists participating in Medicaid in each state.
It is important to note that Insure Kids Now is limited to those dentists that treat children and may not accurately capture dentists that treat Medicaid adults.
HPI collaborated with HRSA and CMS to explore the accuracy and the validity of the Insure Kids Now data. HPI undertook two separate analyses in 2014. First, HPI selected a random sample of 398 dental offices included in the Insure Kids Now database and called each office to ascertain whether the dentist listed did in fact practice at that location and whether he or she did in fact accept Medicaid. Second, a random sample of 287 dental offices not included in the Insure Kids Now database were called to ascertain the same information – whether the dentist listed practiced at the location and whether he or she accepted Medicaid. These non-Insure Kids Now dentists were drawn from the ADA Masterfile.
HPI staff obtained responses from 156 of the 398 dental offices contacted (39 percent). Among respondents, the target dentist was reported to work at the office in only 52 percent of cases (81 of 156). During an initial round of calling these offices, when front office staff were asked whether the dentist accepted “Medicaid,” only 44 percent responded affirmatively. HPI staff subsequently re-contacted the offices which responded negatively and asked if the dentist accepted the specific Medicaid plan name listed in the Insure Kids Now database (e.g. Florida Healthy Kids Argus; Delta Dental; or Medicaid and CHIP United Healthcare). The vast majority of those re-surveyed indicated that the dentist did in fact accept the specified Medicaid plan, and the two groups – those initially responding affirmatively and those initially responding negatively but then responding affirmatively at the second call – were combined to yield an overall Medicaid acceptance rate of 95 percent. In other words, 95 percent of dentists who were practicing at the location listed in the Insure Kids Now database actually accepted Medicaid. In our view, this is a very high accuracy rate.
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Data & MethodsHowever, as noted, the Insure Kids Now database is less accurate in placing individual dentists in specific office locations. This could be for many reasons. For example, some large group practices list all dentists at all office locations in the Insure Kids Now database, even though it is unlikely that each dentist actually practices at multiple locations. This may be one reason why only 52 percent of dentists HPI contacted actually practiced at the office location listed in the Insure Kids Now database. We had no way of identifying if other dentists at the specific location we contacted accepted Medicaid. This was not part of our surveying protocol.
HPI also contacted a random sample of 287 dentists not listed in the Insure Kids Now database. We found that 11 percent of these dentists actually accepted Medicaid. Thus, there are dentists who are not listed on the Insure Kids Now roster who accept Medicaid.
Our vetting of the Insure Kids Now data indicated that dentists listed in the roster are often not actually present at the office they are listed under, but if they are, it is extremely likely that they do accept Medicaid patients. We also found, however, that there are dentists who are not included in Insure Kids Now who accept Medicaid patients. We also recognize that other research in this area has found that lists of Medicaid dental care providers often contain inaccuracies.17, 18
In 2015, HPI also worked directly with Medicaid officials in several states to further validate the Insure Kids Now data. Based on discussions with CMS, states administering their Medicaid dental program through managed care automatically include all participating dentists on the Insure Kids Now roster. However, CMS indicated that 18 state Medicaid programs administer the dental program directly. These states have some additional flexibility and may allow dentists to opt-out of being listed on Insure Kids Now, even though they participate in the Medicaid program. HPI contacted Medicaid officials in each of these 18 states to inquire about their opt-out procedures and to further validate the data. We found that four states allow providers to opt-out of being on publicly available lists, including Insure Kids Now: Alabama, New Hampshire, North Carolina and Oklahoma. At HPI’s request, Medicaid officials in these states provided data that included dentists who opted out of being listed in Insure Kids Now but participate in Medicaid and we used these data in our calculations. Medicaid officials in one other state, Maine, approached HPI and indicated the data submitted to CMS in 2014 were inaccurate and they were able to provide supplemental data that corrected inaccuracies. Due to inconsistencies in how data from Maine, New Hampshire and Oklahoma are handled in our data set, these three states are not included in our calculation of the national average.
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Data & Methods1 MedicalExpenditurePanelSurvey(MEPS).MEPSHC-155:2012FullYearConsolidatedDataFile.AgencyforHealthcareResearchandQuality.
September2014.Availablefrom:http://meps.ahrq.gov/mepsweb/data_stats/download_data_files_detail.jsp?cboPufNumber=HC-155.AccessedAugust10,2015.
2 VujicicM,Nasseh,K.GapindentalcareutilizationbetweenMedicaidandprivatelyinsuredchildrennarrows,remainslargeforadults.HealthPolicyInstituteResearchBrief.AmericanDentalAssociation.November2015(Revised).Availablefrom:ADA.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_0915_1.ashx.AccessedNovember18,2015.
3 CentersforMedicare&MedicaidServices.InstructionsforcompletingformCMS-416:annualearlyandperiodicscreening,diagnostic,andtreatment(EPSDT)participationreport.November17,2014.Availablefrom:www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/downloads/cms-416-instructions.pdf.AccessedAugust27,2015.
4 In2010theCMSForm416instructionsforline12awerechangedasfollows:Entertheunduplicatednumberofindividualsundertheageof21withatleast90continuousdaysofenrollmentduringthefederalfiscalyearfromLine1bwhoreceivedatleastonedentalservicebyorunderthesupervisionofadentist.
5 CentersforMedicare&Medicaid.Dentalsealants:aneffectivestatestrategytopreventdentalcariesinchildren.September19,2013.Availablefrom:www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/downloads/learning-lab-slides-5.pdf.AccessedAugust27,2015.
6 YarbroughC,StarkelR,VujicicM,AravamudhanK,MeyerD.MethodologyfordevelopingtheHealthPolicyInstituteindexmeasuresoforalhealthstatus,oralhealthknowledge,andattitudestowardsoralhealth.HealthPolicyInstituteResearchBrief.AmericanDentalAssociation.October2015.Availablefrom:ADA.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPI-Index-Methods.ashx.
7 CentersforDiseaseControlandPrevention.Waterfluoridation.December31,2012.Availablefrom:www.cdc.gov/fluoridation/statistics/2012stats.htm.AccessedAugust27,2015.
8 NassehK,VujicicM.AreMedicaidandprivatedentalinsurancepaymentratesforpediatricdentalserviceskeepingupwithinflation?HealthPolicyInstituteResearchBrief.AmericanDentalAssociation.December2014.Availablefrom:ADA.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_1214_2.ashx.AccessedAugust27,2015.
9 FAIRHealth,Inc.StandardProducts.DentalModule.Undated.Availableat:www.fairhealth.org/DataSolution.AccessedSeptember18,2014.
10NassehK,VujicicM,YarbroughC.Aten-year,state-by-state,analysisofMedicaidfee-for-servicereimbursementratesfordentalcareservices.HealthPolicyInstituteResearchBrief.AmericanDentalAssociation.October2014.Availablefrom:ADA.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_1014_3.ashx.AccessedNovember17,2014.
11BureauofLaborStatistics,DentalServicesConsumerPriceIndex.November2014.Availablefrom:http://data.bls.gov/cgi-bin/dsrv?cu.AccessedNovember17,2014.
12MunsonB,VujicicM.SupplyofdentistsintheUnitedStatesislikelytogrow.HealthPolicyInstituteResearchBrief.AmericanDentalAssociation.October2014.Availablefrom:ADA.org/~/media/ADA/Science%20and%20Research/HPI/Files/HPIBrief_1014_1.ashx.AccessedSeptember9,2015.
13U.S.CensusBureau.NationalIntercensalEstimates(2000-2010).Availablefrom:www.census.gov/popest/data/intercensal/national/nat2010.html.AccessedSeptember9,2015.
14U.S.CensusBureau.NationalTotals:Vintage2014.Availablefrom:www.census.gov/popest/data/national/totals/2014/index.html.AccessedSeptember9,2015.
15U.S.DepartmentofHealthandHumanServices.InsureKidsNow.Availablefrom:www.insurekidsnow.gov/.AccessedSeptember28,2015.
16U.S.DepartmentofHealthandHumanServices.AboutUs.InsureKidsNow.Availablefrom:www.insurekidsnow.gov/About%20Us/index.html.AccessedSeptember28,2015.
17KarlamanglaS.Medi-Calpatientsmaynothaveadequateaccesstodoctors,auditfinds.LosAngelesTimes.June16,2015.Availablefrom:www.latimes.com/local/lanow/la-me-ln-medi-cal-audit-20150615-story.html.AccessedOctober5,2015.
18BisgaierJ,CuttsD,EdelsteinB,RhodesK.Disparitiesinchildaccesstoemergencycareforacuteoralinjury.Pediatrics.June2011;127(6):1428-35.Availablefrom:http://pediatrics.aappublications.org/content/127/6/e1428.full.AccessedOctober5,2015.
Oral Health Care System:
Alabama
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF ALABAMA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
10%
Alabama Alabama AlabamaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Alabama 10%
14% U.S.
5% 10% 15% 20% 25%
23%
39%
54%
29%35%
48%
56%59% 60%
64%60%
53%50%
59%
2000 2005 2013
14
64%
32%
36%
74%
52%
58%
53%
77%
80%
11%
70%
76%
67%
92%
99%
89%90%
90%
95%92%
55%
96%
88%
91%
100%
94%
96%
78%
58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Alabama
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
OF ALABAMA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
78%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
50%OF HIGH-INCOME ALABAMA ADULTS
45%OF LOW-INCOME
ALABAMA ADULTS
4.0
-5
0
5
10
-10
3.2
High-Income AdultsLow-Income Adults Low-Income Adults
5.95.4
Oral Health Care System:
Alabama
U.S.Alabama
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.1HIGH-INCOME
ADULTS 6.3LOW-INCOME
ADULTS
7.2LOW-INCOME
ADULTS
78%
15
Number of Dentists per 100,000 Population
40
50
60
70
80
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
74%
U.S.
Alabama
2013
42.1 44.0
Alabama U.S.
49%54% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 35.2%in Alabama
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
ALABAMA -4.9% -5.1%U.S. 1.2% -0.6%
57.3 60.5
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
2001 2013
Alabama
U.S.
Oral Health Care System:
Alabama
Alabama
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
16
Oral Health Care System:
Alaska
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF ALASKA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
22%
Alaska Alaska AlaskaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Alaska 22%
U.S.
5% 10% 15% 20% 25%
36%42%
48%
29%35%
48%
55% 56%60%
64%60%
52% 53%59%
14%
2000 2005 2013
17
High-Income Adults
U.S.Alaska
Oral Health Attitude Index Among Adults in 2015
OF ALASKA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
53%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
67%OF HIGH-INCOME ALASKA ADULTS
42%OF LOW-INCOME ALASKA ADULTS
4.0
-5
0
5
10
-10
4.1
High-Income AdultsLow-Income Adults Low-Income Adults
5.96.2
Oral Health Care System:
Alaska
U.S.Alaska
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
7.8HIGH-INCOME
ADULTS
7.2LOW-INCOME
ADULTS
7.2LOW-INCOME
ADULTS
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
58% 77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
53%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
18
40
50
60
70
80
57.3 60.5
2001 2013
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Oral Health Care System:
AlaskaChange in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Alaska2013
Alaska U.S.
49%62% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 3.3%in Alaska
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
ALASKA -0.5% -2.8%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
AlaskaU.S.
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
43%Alaska
72.178.3
42%U.S.
19
Oral Health Care System:
Arizona
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF ARIZONA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
12%
Arizona Arizona ArizonaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Arizona 12%
U.S.
5% 10% 15% 20% 25%
23%
31%
50%
29%35%
48% 49%
63%60%
64%60%
50%
56% 59%
14%
2000 2005 2013
20
64%
32%
36%
74%52%
53%
77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Arizona
Oral Health Attitude Index Among Adults in 2015
OF ARIZONA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
58%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
59%OF HIGH-INCOME ARIZONA ADULTS
48%OF LOW-INCOME ARIZONA ADULTS
4.0
-5
0
5
10
-10
5.0
High-Income AdultsLow-Income Adults Low-Income Adults
5.97.1
Oral Health Care System:
Arizona
U.S.Arizona
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.8HIGH-INCOME
ADULTS 7.2LOW-INCOME
ADULTS
6.3LOW-INCOME
ADULTS
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
58%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
21
40%
60%
80%
100%
0%
20%
Oral Health Care System:
ArizonaChange in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Arizona2013
49%55% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 29.6%in Arizona
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
ARIZONA -6.1% -8.4%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Arizona
Number of Dentists per 100,000 Population
Arizona U.S.
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
32%Arizona
40
50
60
70
80
45.0
54.557.3 60.5
2001 2013
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
22
Oral Health Care System:
Arkansas
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF ARKANSAS MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
12%
Arkansas Arkansas ArkansasU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Arkansas 12%
U.S.
5% 10% 15% 20% 25%
22%30%
54%
29%35%
48% 46%
57%60%
64%60%
51% 49%
59%
14%
2000 2005 2013
23
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
53%
77%
80%
11%
70%
76%
58%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Arkansas
Oral Health Attitude Index Among Adults in 2015
OF ARKANSAS’ POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
67%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
45%OF HIGH-INCOME
ARKANSAS ADULTS
40%OF LOW-INCOME
ARKANSAS ADULTS
4.03.9
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.2
Oral Health Care System:
Arkansas
U.S.Arkansas
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.1HIGH-INCOME
ADULTS 7.2LOW-INCOME
ADULTS5.8
LOW-INCOMEADULTS
67%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
24
40%
60%
80%
100%
0%
20%
Oral Health Care System:
ArkansasChange in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Arkansas2013
49%67% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 4.0%in Arkansas
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
ARKANSAS -4.5% -6.3%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Arkansas
Number of Dentists per 100,000 Population
30
40
50
60
70
Arkansas U.S.
2001 2013
38.9 40.9
57.360.5
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
61%Arkansas
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
25
Oral Health Care System:
California
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF CALIFORNIA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
15%
California California CaliforniaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
California 15%
U.S.
5% 10% 15% 20% 25%
32% 33%
45%
29%35%
48%
61%67%
60%64%
60%63% 62%
59%
14%
2000 2005 2013
26
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%
44%94%
71%
97%23%
High-Income Adults
U.S.California
Oral Health Attitude Index Among Adults in 2015
OF CALIFORNIA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
64%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
44%OF HIGH-INCOME
CALIFORNIA ADULTS
45%OF LOW-INCOME
CALIFORNIA ADULTS
4.03.6
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.9
Oral Health Care System:
California
U.S.California
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS6.8HIGH-INCOME
ADULTS
7.2LOW-INCOME
ADULTS
7.7LOW-INCOME
ADULTS
64%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
27
California
40%
60%
80%
100%
0%
20%
Oral Health Care System:
CaliforniaChange in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
49%29%
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 31.6%in California
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
CALIFORNIA -4.7% -7.7%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
California
Number of Dentists per 100,000 Population
40
50
60
70
80
California U.S.
2001 2013
76.6
57.360.5
65.9
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
29%California
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
28
Oral Health Care System:
Colorado
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF COLORADO MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
17%
Colorado Colorado ColoradoU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Colorado 17%
U.S.
5% 10% 15% 20% 25%
38%
46%
54%
29%35%
48%
71% 68%
60%64%
60%
67%62%
59%
14%
2000 2005 2013
29
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
53%
58% 77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
64%64%
44% 94%
71%
97%23%
High-Income Adults
U.S.Colorado
OF COLORADO’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
72%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
61%OF HIGH-INCOME
COLORADO ADULTS
47%OF LOW-INCOME
COLORADO ADULTS
4.0
-5
0
5
10
-10
3.4
High-Income AdultsLow-Income Adults Low-Income Adults
5.95.7
Oral Health Care System:
Colorado
U.S.Colorado
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.5HIGH-INCOME
ADULTS7.1
LOW-INCOMEADULTS
7.2LOW-INCOME
ADULTS
72%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
30
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Colorado2013
Colorado U.S.
49%45%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 17.7%in Colorado
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
COLORADO -7.1% -8.3%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Colorado
U.S.
Oral Health Care System:
Colorado
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
53%Colorado
40
50
60
70
80
57.3 60.5
2001 2013
68.764.3
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
31
Oral Health Care System:
Connecticut
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF CONNECTICUT MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
20%
Connecticut Connecticut ConnecticutU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Connecticut 20%
U.S.
5% 10% 15% 20% 25%
33% 32%
64%
29%35%
48%
67%73%
60%64%
60%
67% 68%
59%
14%
2000 2005 2013
32
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
53%
58% 77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
15%86%97%
100%
46%
99%
64%64%
44%94%
71%
72%
97%23%
High-Income Adults
U.S.Connecticut
OF CONNECTICUT’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
90%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
54%OF HIGH-INCOME
CONNECTICUT ADULTS
48%OF LOW-INCOME
CONNECTICUT ADULTS
4.0
-5
0
5
10
-10
3.4
High-Income AdultsLow-Income Adults Low-Income Adults
5.95.8
U.S.Connecticut
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
9.1HIGH-INCOME
ADULTS 7.1LOW-INCOME
ADULTS
7.2LOW-INCOME
ADULTS
Oral Health Care System:
ConnecticutOral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
90%
33
40
50
60
70
80
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Connecticut2013
75.4 76.2
Connecticut U.S.
49%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 68.6%in Connecticut
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
CONNECTICUT -2.2% -2.6%U.S. 1.2% -0.6%
57.3 60.5
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
2001 2013
ConnecticutU.S.
Oral Health Care System:
Connecticut
67%
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
46%Connecticut
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
34
Oral Health Care System:
Delaware
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF DELAWARE MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
20%
Delaware Delaware DelawareU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Delaware
U.S.
5% 10% 15% 20% 25%
22%30%
49%
29%35%
48%53%
63% 60%64%
60%57%
61%59%
2000 2005 2013
20%
14%
35
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%90%
95% 92%55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Delaware
OF DELAWARE’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
86%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
45%OF HIGH-INCOME
DELAWARE ADULTS
36%OF LOW-INCOME
DELAWARE ADULTS
4.03.8
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.3
Oral Health Care System:
Delaware
U.S.Delaware
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
6.5LOW-INCOME
ADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
86%
36
40
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Delaware2013
49%81% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 4.3%in Delaware
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
DELAWARE 0.3% -0.6%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Delaware
Number of Dentists per 100,000 Population
50
60
70
80
Delaware U.S.
2001 2013
44.2 45.4
57.360.5
Oral Health Care System:
Delaware
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
55%Delaware
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
42%U.S.
37
Oral Health Care System:
District of Columbia
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF DISTRICT OF COLUMBIA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
18%
District of Columbia
District of Columbia
District of Columbia
U.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
District of Columbia
18%
U.S.
5% 10% 15% 20% 25%
25%31%
54%
29%35%
48%
36%
55%60%
64%60%
47%
56% 59%
14%
2000 2005 2013
38
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%90%
95% 92%55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.District of Columbia
OF DISTRICT OF COLUMBIA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
100%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
49%OF HIGH-INCOME
DISTRICT OF COLUMBIA ADULTS
23%OF LOW-INCOME
DISTRICT OF COLUMBIA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.93.7
6.3
Oral Health Care System:
District of Columbia
U.S.District of Columbia
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
7.9HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.1LOW-INCOME
ADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
100%
39
2001 2013
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.District of Columbia2013
49%58% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 82.4%in District of Columbia
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
DISTRICT OF COLUMBIA 4.4% 3.8%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
D.C.
Number of Dentists per 100,000 Population
District of Columbia U.S.
Oral Health Care System:
District of Columbia
U.S.
50
60
70
80
90
100
110105.0
89.2
57.360.5
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
27% 42%U.S.District of Columbia
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
40
Oral Health Care System:
Florida
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF FLORIDA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
10%
Florida Florida FloridaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Florida 10%
U.S.
5% 10% 15% 20% 25%
26% 22%
30% 29%35%
48%
57%61% 60%
64%60%58% 56% 59%
14%
2000 2005 2013
41
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
58%
53%
77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Florida
OF FLORIDA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
78%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
51%OF HIGH-INCOME FLORIDA ADULTS
43%OF LOW-INCOME FLORIDA ADULTS
4.0
-5
0
5
10
-10
4.4
High-Income AdultsLow-Income Adults Low-Income Adults
5.96.3
Oral Health Care System:
Florida
U.S.Florida
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.5HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
6.6LOW-INCOME
ADULTS
78%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
42
40
50
60
70
80
2001 2013
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Florida2013
49%37%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 0.7%in Florida
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
FLORIDA 1.0% -2.4%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Florida
Number of Dentists per 100,000 Population
Florida U.S.
49.9 50.7
Oral Health Care System:
Florida
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
30%Florida
57.3 60.5
42%U.S.
43
Oral Health Care System:
Georgia
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF GEORGIA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
11%
Georgia Georgia GeorgiaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Georgia 11%
U.S.
5% 10% 15% 20% 25%
24%
40%
53%
29%35%
48%
58%63%
60%64%
60%58%55%
59%
14%
2000 2005 2013
44
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
58%
53%
77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%100%
90%94%
78%
78%
58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Georgia
OF GEORGIA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
96%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
58%OF HIGH-INCOME GEORGIA ADULTS
47%OF LOW-INCOME GEORGIA ADULTS
4.0
-5
0
5
10
-10
3.6
High-Income AdultsLow-Income Adults Low-Income Adults
5.95.8
U.S.Georgia
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.5HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.5LOW-INCOME
ADULTS
Oral Health Care System:
Georgia
96%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
45
40
50
60
70
80
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Georgia2013
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 32.0%in Georgia
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
GEORGIA -3.3% -4.0%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Georgia
Number of Dentists per 100,000 Population
Georgia U.S.
2001 2013
43.147.0
Oral Health Care System:
Georgia
54%
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
28%Georgia
57.360.5
42%U.S.
46
Oral Health Care System:
Hawaii
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF HAWAII MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
10%
Hawaii Hawaii HawaiiU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Hawaii
U.S.
5% 10% 15% 20% 25%
29%
42%
57%
29%35%
48%50% 48%
60%64%
60%
46%41%
59%
10%
14%
2000 2005 2013
47
64%
32%
36%
74%52%
58%
53%
77%
80%
70%
76%
67%
92%
99%
89%90%
95% 92%55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Hawaii
OF HAWAII’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
11%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
47%OF HIGH-INCOME HAWAII ADULTS
35%OF LOW-INCOME HAWAII ADULTS
4.0
-5
0
5
10
-10
3.6
High-Income AdultsLow-Income Adults Low-Income Adults
5.96.0
Oral Health Care System:
Hawaii
U.S.Hawaii
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.3HIGH-INCOME
ADULTS 6.6LOW-INCOME
ADULTS
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
11%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
48
Hawaii
Number of Dentists per 100,000 Population
50
60
70
80
90
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
83.475.2
Hawaii U.S.
49%47%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 29.1%in Hawaii
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
HAWAII -13.2% -14.0%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
57.3 60.5
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
2001 2013
Hawaii
U.S.
Oral Health Care System:
Hawaii
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
36%Hawaii
42%U.S.
49
Oral Health Care System:
Idaho
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF IDAHO MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
20%
Idaho Idaho IdahoU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Idaho
U.S.
5% 10% 15% 20% 25%
29%
42%
60%
29%35%
48%
64%
71%
60%64%
60%60%65%
59%
20%
14%
2000 2005 2013
50
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
74%52%
58%
53%
77%
80%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Idaho
OF IDAHO’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
36%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
55%OF HIGH-INCOME
IDAHO ADULTS
54%OF LOW-INCOME
IDAHO ADULTS
4.0
-5
0
5
10
-10
4.4
High-Income AdultsLow-Income Adults Low-Income Adults
5.96.1
Oral Health Care System:
Idaho
U.S.Idaho
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.6HIGH-INCOME
ADULTS6.5
LOW-INCOMEADULTS
11%
36%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
51
40
50
60
70
80
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Idaho2013
Idaho U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 25.3%in Idaho
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
IDAHO -1.9% -5.3%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Idaho
U.S.
Oral Health Care System:
Idaho
45%
Number of Dentists per 100,000 Population
2001 2013
52.3
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
48%Idaho
57.3 57.860.5
42%U.S.
52
Oral Health Care System:
Illinois
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF ILLINOIS MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
20%
Illinois Illinois IllinoisU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Illinois
U.S.
5% 10% 15% 20% 25%
34%
55%
29%28%
35%
48%
61%66%
60%64%
60%63% 61%
59%
20%
14%
2000 2005 2013
53
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
64%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%89%
90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
72%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Illinois
OF ILLINOIS’ POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
99%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
50%OF HIGH-INCOME ILLINOIS ADULTS
39%OF LOW-INCOME ILLINOIS ADULTS
4.04.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Illinois
U.S.Illinois
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
9.1HIGH-INCOME
ADULTS 7.2LOW-INCOME
ADULTS
7.2LOW-INCOME
ADULTS
5.2
99%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
54
Illinois
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
49%33%
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 16.8%in Illinois
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
ILLINOIS 4.0% 1.8%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Illinois
Number of Dentists per 100,000 Population
40
50
60
70
80
Illinois U.S.
2001 2013
57.360.5
Oral Health Care System:
Illinois
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
30%Illinois
66.765.3
42%U.S.
55
Oral Health Care System:
Indiana
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF INDIANA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
21%
Indiana Indiana IndianaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Indiana
U.S.
5% 10% 15% 20% 25%
40%44%
29%32%
35%
48%
63% 64%60%
64%60%61%
58% 59%
21%
14%
2000 2005 2013
56
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
64%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%
99%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
90% 70%84%
90%15%
86%97%
100%
46%
72%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Indiana
OF INDIANA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
95%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
48%OF HIGH-INCOME INDIANA ADULTS
48%OF LOW-INCOME INDIANA ADULTS
4.04.1
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Indiana
U.S.Indiana
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.6HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
6.7LOW-INCOME
ADULTS
5.8
95%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
57
Indiana
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
49%56% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 30.6%in Indiana
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
INDIANA 2.9% 1.9%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Indiana
Number of Dentists per 100,000 Population
40
50
60
70
80
Indiana U.S.
2001 2013
46.8 47.4
Oral Health Care System:
Indiana
57.360.5
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
50%Indiana
42%U.S.
58
Oral Health Care System:
Iowa
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF IOWA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
14%
Iowa Iowa IowaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Iowa 14%
U.S.
5% 10% 15% 20% 25%
35%
44%
54%
29%35%
48%
69%64%
60%64%
60%62%
55%59%
14%
2000 2005 2013
59
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%72%
53%
58% 77%
80%
11%
70%
76%
67%
99%
89%90%
95% 92%55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Iowa
OF IOWA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
92%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
53%OF HIGH-INCOME
IOWA ADULTS
47%OF LOW-INCOME
IOWA ADULTS
4.0
-5
0
5
10
-10
3.8
High-Income AdultsLow-Income Adults Low-Income Adults
5.96.4
Oral Health Care System:
Iowa
U.S.Iowa
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.0HIGH-INCOME
ADULTS7.3
LOW-INCOMEADULTS
7.2LOW-INCOME
ADULTS
92%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
60
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Iowa2013
Iowa U.S.
49%42%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 29.2%in Iowa
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
IOWA 8.7% 6.6%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
2001 2013
Iowa
U.S.
Oral Health Care System:
Iowa
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
86%Iowa
40
50
60
70
80
51.7 51.957.3
60.5
42%U.S.
61
Oral Health Care System:
Kansas
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF KANSAS MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
23%
Kansas Kansas KansasU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Kansas
U.S.
5% 10% 15% 20% 25%
22%
37%
49%
29%35%
48%
63%66% 66%
60%62% 64%59%
23%
60%64%
14%
2000 2005 2013
62
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Kansas
OF KANSAS’ POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
64%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
52%OF HIGH-INCOME KANSAS ADULTS
40%OF LOW-INCOME KANSAS ADULTS
4.03.1
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.4
U.S.Kansas
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Care System:
Kansas
7.1LOW-INCOME
ADULTS
64%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
63
40
50
60
70
80
2001 2013
57.360.5
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
2013
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 30.7%in Kansas
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
KANSAS 0.2% -0.4%U.S. 1.2% -0.6%
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Kansas
Number of Dentists per 100,000 Population
Kansas U.S.
48.6 50.5
Oral Health Care System:
Kansas
Kansas
40%
60%
80%
100%
0%
20%
U.S.
49%47%
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
26%Kansas
42%U.S.
64
Oral Health Care System:
Kentucky
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF KENTUCKY MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
11%
Kentucky Kentucky KentuckyU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Kentucky 11%
U.S.
5% 10% 15% 20% 25%
35%
9%
48%
29%35%
48%
64% 62%60%
64%60%61%
53%59%
14%
2000 2005 2013
65
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%72%
53%
58% 77%
80%
11%
70%
76%
67%
99%
92%
89%90%
95%
55%
96%
88%
91%
90%
94%96%
78%
78%58%
43%
72%
79%
92%70%84%
90%15%
86%97%
100%
46%
99%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Kentucky
OF KENTUCKY’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
100%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
44%OF HIGH-INCOME
KENTUCKY ADULTS
64%OF LOW-INCOME
KENTUCKY ADULTS
4.0
-5
0
5
10
-10
3.7
High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Kentucky
U.S.Kentucky
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.8HIGH-INCOME
ADULTS6.4
LOW-INCOMEADULTS
6.2
100%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
56%
66
40
50
60
70
80
2001 2013
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Kentucky2013
Kentucky U.S.
49%44%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 1.1%in Kentucky
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
KENTUCKY 5.3% 2.6%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
55.5 56.6
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Kentucky
U.S.
Oral Health Care System:
Kentucky
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
39%Kentucky
57.360.5
42%U.S.
67
Oral Health Care System:
Louisiana
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF LOUISIANA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
10%
Louisiana Louisiana LouisianaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Louisiana
U.S.
5% 10% 15% 20% 25%
33%
51%
29%28%
35%
48%54% 55%
60%64%
60%
52%47%
59%
10%
14%
2000 2005 2013
68
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
64%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%90%
95%99%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
72%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Louisiana
OF LOUISIANA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
43%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
47%OF HIGH-INCOME
LOUISIANA ADULTS
29%OF LOW-INCOME
LOUISIANA ADULTS
4.04.2
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Louisiana
U.S.Louisiana
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
5.1
7.7HIGH-INCOME
ADULTS6.4
LOW-INCOMEADULTS
43%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
69
Louisiana
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
49%61% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 21.3%in Louisiana
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
LOUISIANA 2.1% 0.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Louisiana
Number of Dentists per 100,000 Population
Louisiana U.S.
Oral Health Care System:
Louisiana
40
50
60
70
80
2001 2013
46.0 48.057.3
60.5
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
43%Louisiana
42%U.S.
70
Oral Health Care System:
Maine
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MAINE MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
20%
Maine Maine MaineU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Maine
U.S.
5% 10% 15% 20% 25%
37%43%
29%35%
48%
69% 69%
60%64%
60%64% 63%
59%
20%
14%
2000 2005 2013
71
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%52%
72%
53%
58% 77%
80%
11%
70%
76%
67%
99%
89%
92%
90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
56%
70%84%
90%15%
86%97%
100%
46%
99%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Maine
OF MAINE’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
79%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
48%OF HIGH-INCOME
MAINE ADULTS
42%OF LOW-INCOME
MAINE ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.6
Oral Health Care System:
Maine
U.S.Maine
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.4HIGH-INCOME
ADULTS6.8
LOW-INCOMEADULTS
3.8
79%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
72
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Maine2013
Maine U.S.
49% IN 2013, MEDICAID REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES WERE 44% OF PRIVATE DENTAL BENEFIT PLAN RATES IN MAINE COMPARED TO 49% IN THE U.S.
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MAINE 2.3% 1.3%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Maine
U.S.
Oral Health Care System:
Maine
44%
40
50
60
70
80
2001 2013
46.552.2
57.360.5
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
42%Maine
42%U.S.
73
Oral Health Care System:
Maryland
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MARYLAND MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
21%
Maryland Maryland MarylandU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Maryland
U.S.
5% 10% 15% 20% 25%
12%
33%
58%
29%35%
48%
62%67%
60%64%
60%58% 58% 59%
21%
14%
2000 2005 2013
74
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
64%52%
53%
77%
80%
11%
70%
76%
67%58%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%79%56%
70%84%
90%15%
86%
100%
46%
99%72%
64%
44%94%
71%
97%23%
High-Income Adults
U.S.Maryland
OF MARYLAND’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
97%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
47%OF HIGH-INCOME
MARYLAND ADULTS
29%OF LOW-INCOME
MARYLAND ADULTS
4.04.7
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.9
Oral Health Care System:
Maryland
U.S.Maryland
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
6.5LOW-INCOME
ADULTS
8.7HIGH-INCOME
ADULTS
97%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
75
Maryland
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
49%48%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 8.0%in Maryland
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MARYLAND 3.4% 1.5%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Maryland
Number of Dentists per 100,000 Population
40
50
60
70
80
Maryland U.S.
2001 2013
57.360.5
73.6
Oral Health Care System:
Maryland
71.9
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
25%Maryland
42%U.S.
76
Oral Health Care System:
Massachusetts
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MASSACHUSETTS MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
24%
Massachusetts Massachusetts MassachusettsU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Massachusetts 24%
U.S.
5% 10% 15% 20% 25%
33%39%
58%
29%35%
48%
71%76%
60%64%
60%
67% 68%
59%
14%
2000 2005 2013
77
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
53%
58% 77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
84%
15%86%97%
100%
46%
99%
64%64%
44%94%
71%
72%
97%23%
High-Income Adults
U.S.Massachusetts
OF MASSACHUSETTS’ POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
70%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
56%OF HIGH-INCOME
MASSACHUSETTS ADULTS
35%OF LOW-INCOME
MASSACHUSETTS ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.95.8
U.S.Massachusetts
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.4
LOW-INCOMEADULTS
7.2LOW-INCOME
ADULTS
Oral Health Care System:
Massachusetts
8.8HIGH-INCOME
ADULTS
5.2
90%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
70%
78
40
50
60
70
80
2001 2013
57.360.5
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Massachusetts2013
76.6 78.0
Massachusetts U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 2.9%in Massachusetts
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MASSACHUSETTS 2.4% 0.2%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Massachusetts
Oral Health Care System:
Massachusetts
U.S.
58%
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
39%Massachusetts
42%U.S.
79
Oral Health Care System:
Michigan
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MICHIGAN MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
10%
Michigan Michigan MichiganU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Michigan
U.S.
5% 10% 15% 20% 25%
29%35%
48%
69% 68%
60%64%
60%
71%68%
59%
22%
32%
41%
10%
14%
2000 2005 2013
80
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%72%
53%
58% 77%
80%
11%
70%
76%
67%
99%
89%
92%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
56%
70%84%
90%15%
86%97%
100%
46%
79%
99%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Michigan
OF MICHIGAN’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
90%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
59%OF HIGH-INCOME
MICHIGAN ADULTS
40%OF LOW-INCOME
MICHIGAN ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.96.8
Oral Health Care System:
Michigan
U.S.Michigan
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.9HIGH-INCOME
ADULTS 7.0LOW-INCOME
ADULTS
4.8
90%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
81
33%
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Michigan2013
Michigan U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MICHIGAN -3.1% -5.0%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Michigan
40
50
60
70
80
2001 2013
Oral Health Care System:
Michigan
U.S.
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 32.6%in Michigan
60.561.457.3
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
92%Michigan
57.9
42%U.S.
82
Oral Health Care System:
Minnesota
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MINNESOTA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
13%
Minnesota Minnesota MinnesotaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Minnesota 13%
U.S.
5% 10% 15% 20% 25%
34%37%
43%
29%35%
48%
66%71%
60%64%
60%65% 65%
59%
14%
2000 2005 2013
83
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
58%
53%
77%
80%
11%
70%
76%
67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.Minnesota
OF MINNESOTA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
99%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
62%OF HIGH-INCOME
MINNESOTA ADULTS
52%OF LOW-INCOME
MINNESOTA ADULTS
4.0
-5
0
5
10
-10
3.5
High-Income AdultsLow-Income Adults Low-Income Adults
5.96.6
Oral Health Care System:
Minnesota
U.S.Minnesota
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.8HIGH-INCOME
ADULTS 7.0LOW-INCOME
ADULTS
99%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
84
60.5
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Minnesota2013
Minnesota U.S.
49%27%
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 41.3%in Minnesota
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MINNESOTA 3.8% 1.2%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
Minnesota
U.S.
Oral Health Care System:
Minnesota
40
50
60
70
80
2001 2013
60.657.3
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
69%Minnesota
57.8
42%U.S.
85
Oral Health Care System:
Mississippi
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MISSISSIPPI MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
17%
Mississippi Mississippi MississippiU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Mississippi
U.S.
5% 10% 15% 20% 25%
28%
67%
52%
29%35%
48%50%
53%
60%64%
60%
52%
45%
59%
17%
14%
2000 2005 2013
86
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
58%
53%
77%
80%
11%
70%
76%
67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%
94%
96%
78%
78%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
99%
72%64%
64%
44%94%
71%
97%23%
High-Income Adults
U.S.Mississippi
OF MISSISSIPPI’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
58%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
45%OF HIGH-INCOME
MISSISSIPPI ADULTS
44%OF LOW-INCOME
MISSISSIPPI ADULTS
4.0
-5
0
5
10
-10
3.6
High-Income AdultsLow-Income Adults Low-Income Adults
5.93.8
Oral Health Care System:
Mississippi
U.S.Mississippi
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.0HIGH-INCOME
ADULTS6.7
LOW-INCOMEADULTS
58%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
87
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.Mississippi2013
Mississippi U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 10.5%in Mississippi
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MISSISSIPPI 2.6% 0.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Mississippi
Oral Health Care System:
Mississippi
48%
30
40
50
60
70
57.3 60.5
2001 2013
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
55%Mississippi
39.242.6
42%U.S.
88
Oral Health Care System:
Missouri
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MISSOURI MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
12%
Missouri Missouri MissouriU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Missouri
U.S.
5% 10% 15% 20% 25%
20%23%
39%
29%35%
48%
56%62%
60%64%
60%57% 58% 59%
12%
14%
2000 2005 2013
89
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
58%
53%
77%
80%
11%
70%67%
92%
89%90%
95% 92%55%
96%
88%
91%
100%
90%
94%96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
99%
72%64%
64%
44%94%
71%
97%23%
High-Income Adults
U.S.Missouri
OF MISSOURI’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
76%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
56%OF HIGH-INCOME MISSOURI ADULTS
49%OF LOW-INCOME
MISSOURI ADULTS
4.0
-5
0
5
10
-10
4.0
High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Missouri
U.S.Missouri
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.6HIGH-INCOME
ADULTS7.4
LOW-INCOMEADULTS
6.0
76%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
90
Missouri
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Missouri U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 16.6%in Missouri
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MISSOURI 5.0% 2.5%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Missouri
40%
40
50
60
70
80
46.7 48.0
57.3 60.5
2001 2013
Oral Health Care System:
Missouri
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
23%Missouri
42%U.S.
91
Oral Health Care System:
Montana
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF MONTANA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
16%
Montana Montana MontanaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Montana
U.S.
5% 10% 15% 20% 25%
26% 25%
53%
29%35%
48%
32%
59% 60%64%
60%
49%
56%59%
16%
14%
2000 2005 2011 2013
92
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
74%
52%
58%
53%
77%
80%
11%
70%67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
99%
72%64%
64%
44%94%
71%
76%
97%23%
High-Income Adults
U.S.Montana
OF MONTANA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
32%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
42%OF HIGH-INCOME
MONTANA ADULTS
47%OF LOW-INCOME
MONTANA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Montana
U.S.Montana
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.0HIGH-INCOME
ADULTS
6.8LOW-INCOME
ADULTS
3.94.6
32%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
93
Montana
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Montana U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 14.7%in Montana
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
MONTANA 2.3% -0.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Montana
53%
40
50
60
70
80
56.3 58.957.3 60.5
2001 2013
Oral Health Care System:
Montana
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
72%Montana
42%U.S.
94
Oral Health Care System:
Nebraska
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NEBRASKA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
21%
Nebraska Nebraska NebraskaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Nebraska
U.S.
5% 10% 15% 20% 25%
41%47%
56%
29%35%
48%
58%
67%
60%64%
60%55%
59% 59%
21%
14%
2000 2005 2013
95
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
74%
52%
58%
53%
77%
80%
11%
70%67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
99%
72%64%64%
44%
94%
76%
97%23%
High-Income Adults
U.S.Nebraska
OF NEBRASKA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
71%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
61%OF HIGH-INCOME
NEBRASKA ADULTS
44%OF LOW-INCOME
NEBRASKA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Nebraska
U.S.Nebraska
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.5HIGH-INCOME
ADULTS 7.1LOW-INCOME
ADULTS
5.93.9
71%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
96
Nebraska
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Nebraska U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 24.1%in Nebraska
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NEBRASKA 6.3% 4.0%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Nebraska
43%
40
50
60
70
80
57.3 60.5
2001 2013
Oral Health Care System:
Nebraska
64.464.1
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
61%Nebraska
42%U.S.
97
Oral Health Care System:
Nevada
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NEVADA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
20%
Nevada Nevada NevadaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Nevada
U.S.
5% 10% 15% 20% 25%
20% 19%
46%
29%35%
48%44%
56%60%
64%60%
49%53%
59%
20%
14%
2000 2005 2013
98
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
70%67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%
99%
72%64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.Nevada
OF NEVADA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
74%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
56%OF HIGH-INCOME NEVADA ADULTS
41%OF LOW-INCOME NEVADA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
Nevada
U.S.Nevada
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.9HIGH-INCOME
ADULTS
7.6LOW-INCOME
ADULTS
3.05.8
74%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
99
Nevada
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Nevada U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 26.7%in Nevada
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NEVADA -11.1% -14.3%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Nevada
Oral Health Care System:
Nevada
40
50
60
70
80
40.3
51.957.3 60.5
2001 2013
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
42%Nevada
48%
42%U.S.
100
Oral Health Care System:
New Hampshire
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NEW HAMPSHIRE MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
18%
New Hampshire New Hampshire New HampshireU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
New Hampshire
U.S.
5% 10% 15% 20% 25%
33%
42%
60%
29%35%
48%
71%75%
60%64%
60%
67%67%
59%
14%
18%
2000 2005 2013
101
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
74%
80%
11%
70%67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%
56%
70%84%
90%15%
86%97%
100%
99%
99%
72%64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.New Hampshire
OF NEW HAMPSHIRE’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
46%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
42%OF HIGH-INCOME
NEW HAMPSHIRE ADULTS
46%OF LOW-INCOME
NEW HAMPSHIRE ADULTS
4.04.6
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
New Hampshire
U.S.New Hampshire
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.3HIGH-INCOME
ADULTS7.5
LOW-INCOMEADULTS
5.6
46%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
102
New Hampshire
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
New Hampshire U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 24.5%in New Hampshire
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NEW HAMPSHIRE 4.4% 2.9%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
New Hampshire
40
50
60
70
80
2001 2013
Oral Health Care System:
New Hampshire
40%
58.564.0
60.557.3
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
45%New Hampshire
42%U.S.
103
Oral Health Care System:
New Jersey
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NEW JERSEY MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
13%
New Jersey New Jersey New JerseyU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
New Jersey
U.S.
5% 10% 15% 20% 25%
18%
25%
50%
29%35%
48%
64%70%
60%64%
60%63%62%
59%
14%
13%
2000 2005 2013
104
64%
36%
32%
52%
58%
53%
77%
74%
80%
11%
70%67%
92%
89%90%
95% 92%55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%
56%
70%46%
84%90%
86%97%
100%
99%
99%
72%64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.New Jersey
OF NEW JERSEY’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
15%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
46%OF HIGH-INCOME
NEW JERSEY ADULTS
35%OF LOW-INCOME
NEW JERSEY ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
New Jersey
U.S.New Jersey
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.8HIGH-INCOME
ADULTS 6.7LOW-INCOME
ADULTS
6.33.6
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
15%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
105
New Jersey
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
New Jersey U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NEW JERSEY -0.8% -3.4%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
New Jersey
40
50
60
70
80
2001 2013
69%
71.3
81.2
60.557.3
Oral Health Care System:
New Jersey
U.S.
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
24%New Jersey
IN 2013, MEDICAID REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES WERE 69% OF PRIVATE DENTAL BENEFIT PLAN RATES IN NEW JERSEY COMPARED TO 49% IN THE U.S.
42%U.S.
106
Oral Health Care System:
New Mexico
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NEW MEXICO MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
15%
New Mexico New Mexico New MexicoU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
New Mexico
U.S.
5% 10% 15% 20% 25%
24%
32%
55%
29%35%
48%51%
64%60%
64%60%
57%53%
59%
14%
15%
2000 2005 2013
107
64%
36%
32%
52%
58%
53%
74%
80%
11%
70%67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%46%
84%90%
86%15%
97%
100%
99%
99%
72%64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.New Mexico
OF NEW MEXICO’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
77%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
59%OF HIGH-INCOME
NEW MEXICO ADULTS
52%OF LOW-INCOME
NEW MEXICO ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
New Mexico
U.S.New Mexico
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
77%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
5.44.1
108
New Mexico
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
New Mexico U.S.
49%49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NEW MEXICO 1.7% 0.6%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
New Mexico
U.S.
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 24.9%in New Mexico
Oral Health Care System:
New Mexico
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
53%New Mexico
40
50
60
70
80
2001 2013
44.450.9
60.557.3
42%U.S.
109
Oral Health Care System:
New York
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NEW YORK MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
11%
New York New York New YorkU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
New York
U.S.
5% 10% 15% 20% 25%
27%32%
43%
29%35%
48%
65%62% 60%
64%60%61%
58% 59%
14%
11%
2000 2005 2013
110
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
32%
36%
74%
52%
58%
53%
77%
80%
11%
70%
76%
67%
92%
99%
89%90%
95%92%
55%
96%
88%
91%
100%
90%94%
96%78%
78%
58%
43%
79%56%
70%84%
90%15%
86%97%
100%
46%
99%72%
64%64%
44%94%
71%
97%23%
High-Income Adults
U.S.New York
OF NEW YORK’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
72%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
50%OF HIGH-INCOME
NEW YORK ADULTS
43%OF LOW-INCOME
NEW YORK ADULTS
4.0
-5
0
5
10
-10
4.1
High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
New York
U.S.New York
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
72%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
7.9HIGH-INCOME
ADULTS
7.6LOW-INCOME
ADULTS
5.8
111
40
50
60
70
80
2001 2013
60.557.3
75.0
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.New York2013
49%37%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 33.9%in New York
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NEW YORK 5.4% 3.8%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
New York
Number of Dentists per 100,000 Population
New York U.S.
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
38%New York
Oral Health Care System:
New York
73.5
42%U.S.
112
Oral Health Care System:
North Carolina
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NORTH CAROLINA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
16%
North Carolina North Carolina North CarolinaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
North Carolina
U.S.
5% 10% 15% 20% 25%
24%
40%
52%
29%35%
48%
56%
65%60%
64%60%59%58% 59%
14%
16%
2000 2005 2013
113
64%
36%
32%
52%
58%
53%
74%
80%
11%
70%67%
92%
89%90%
95%92%
55%
91%
100%
90%
94%
96%
78%
78%58%
43%
72%
79%56%
70%46%
84%90%
86%15%
97%
96%100%
99%
99%
72%
77%
64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.North Carolina
OF NORTH CAROLINA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
88%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
55%OF HIGH-INCOME
NORTH CAROLINA ADULTS
31%OF LOW-INCOME
NORTH CAROLINA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
North Carolina
U.S.North Carolina
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
88%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
8.5HIGH-INCOME
ADULTS7.3
LOW-INCOMEADULTS
3.76.2
114
40
50
60
70
80
2001 2013
27%
North Carolina
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
North Carolina U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NORTH CAROLINA 1.9% 0.5%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
North Carolina
U.S.
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 22.1%in North Carolina
42.347.9
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
North Carolina
Oral Health Care System:
North Carolina
48%
60.557.3
42%U.S.
115
Oral Health Care System:
North Dakota
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF NORTH DAKOTA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
11%
North Dakota North Dakota North DakotaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
North Dakota
U.S.
5% 10% 15% 20% 25%
13%
27%33%
29%35%
48% 50% 51%
60%64%
60%
50%49%
59%
14%
11%
2000 2005 2013
116
64%
36%
32%
52%
58%
53%
77%
74%
80%
11%
70%67%
92%
89%90%
95%92%
55%
96%
88%
91%
100%
90%
94%96%
78%
78%58%
43%
72%
79%56%
70%46%
84%90%
15%86%97%
100%
99%
99%
72%64%
71%
64%
44%94%
76%
23%
High-Income Adults
U.S.North Dakota
OF NORTH DAKOTA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
97%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
51%OF HIGH-INCOME
NORTH DAKOTA ADULTS
40%OF LOW-INCOME
NORTH DAKOTA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
Oral Health Care System:
North Dakota
U.S.North Dakota
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
97%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
8.4HIGH-INCOME
ADULTS7.5
LOW-INCOMEADULTS
5.43.8
117
40
50
60
70
80
2001 2013
North Dakota
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.
North Dakota U.S.
2013
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
NORTH DAKOTA 13.6% 11.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
North Dakota
63%
U.S.
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
83%North Dakota
47.754.457.3 60.5
Oral Health Care System:
North Dakota
IN 2013, MEDICAID REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES WERE 63% OF PRIVATE DENTAL BENEFIT PLAN RATES IN NORTH DAKOTA COMPARED TO 49% IN THE U.S.
42%U.S.
118
Oral Health Care System:
Ohio
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF OHIO MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
6%
Ohio Ohio OhioU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Ohio
U.S.
5% 10% 15% 20% 25%
42%36%
42%
29%35%
48%
62% 62% 60%64%
60%61%57% 59%
2000 2005 2012 2013
6%
14%
119
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
70%67%
92%
89%
95%
55%
96%
88%
91%
100%
90%94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%
90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.Ohio
OF OHIO’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
92%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
55%OF HIGH-INCOME
OHIO ADULTS
43%OF LOW-INCOME
OHIO ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Ohio
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
8.0LOW-INCOME
ADULTS
6.5
92%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Ohio
8.6HIGH-INCOME
ADULTS
4.3
120
Ohio
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Ohio U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 32.3%in Ohio
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
OHIO -0.9% -1.2%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Ohio
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
20%Ohio
41%
Oral Health Care System:
Ohio
40
50
60
70
80
52.1 51.957.3 60.5
2001 2013
42%U.S.
121
Oral Health Care System:
Oklahoma
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF OKLAHOMA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
9%
Oklahoma Oklahoma OklahomaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Oklahoma
U.S.
5% 10% 15% 20% 25%
18%
36%
51%
29%35%
48%
55% 57%60%
64%60%
56%51%
59%
9%
14%
2000 2005 2013
122
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%
55%
96%
88%
91%92%
100%
90%
94%96%
78%
78%58%
43%
72%
79%56%
70%84%
90%90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.Oklahoma
OF OKLAHOMA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
70%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
44%OF HIGH-INCOME
OKLAHOMA ADULTS
48%OF LOW-INCOME
OKLAHOMA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Oklahoma
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
70%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Oklahoma
8.4HIGH-INCOME
ADULTS7.1
LOW-INCOMEADULTS
3.15.7
123
Oklahoma
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Oklahoma U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 18.2%in Oklahoma
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
OKLAHOMA 5.1% 2.8%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Oklahoma
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Oklahoma
40
50
60
70
80
48.0 50.457.3 60.5
2001 2013
Oral Health Care System:
Oklahoma
55%
52% 42%U.S.
124
Oral Health Care System:
Oregon
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF OREGON MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
13%
Oregon Oregon OregonU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Oregon
U.S.
5% 10% 15% 20% 25%
28%32%
45%
29%35%
48%
60%
71%
60%64%
60%61%
69%
59%
2000 2005 2013
14%
13%
125
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%
55%
96%
88%
91%
92%
100%
90%
94%
96%
78%
78%58%
43%
72%
79%56%
70%84%
90%90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.Oregon
OF OREGON’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
23%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
56%OF HIGH-INCOME OREGON ADULTS
52%OF LOW-INCOME OREGON ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Oregon
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
23%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Oregon
4.25.3
8.8HIGH-INCOME
ADULTS 6.8LOW-INCOME
ADULTS
126
Oregon
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Oregon U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 27.8%in Oregon
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
OREGON -0.4% -3.3%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.Oregon
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Oregon
40
50
60
70
80
57.3 60.5
2001 2013
39%
Oral Health Care System:
Oregon
33%
68.963.4
42%U.S.
127
Oral Health Care System:
Pennsylvania
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF PENNSYLVANIA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
13%
Pennsylvania Pennsylvania PennsylvaniaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Pennsylvania
U.S.
5% 10% 15% 20% 25%
22%
29%
45%
29%35%
48%
71%71%
60%64%
60%66%
62%59%
14%
13%
2000 2005 2013
128
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%
96%
88%
91%92%
100%
90%94%
96%
78%
78%58%
43%
79%56%72%
70%84%
90%90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.Pennsylvania
OF PENNSYLVANIA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
55%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
58%OF HIGH-INCOME
PENNSYLVANIA ADULTS
50%OF LOW-INCOME
PENNSYLVANIA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Pennsylvania
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
55%
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Pennsylvania
8.9HIGH-INCOME
ADULTS7.5
LOW-INCOMEADULTS
6.53.8
129
43%
Pennsylvania
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Pennsylvania U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 19.3%in Pennsylvania
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
PENNSYLVANIA 1.6% 0.4%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Pennsylvania
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Pennsylvania
40
50
60
70
80
57.3 60.5
2001 2013
68%60.261.8
Oral Health Care System:
Pennsylvania
42%U.S.
130
Oral Health Care System:
Rhode Island
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF RHODE ISLAND MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
10%
Rhode Island Rhode Island Rhode IslandU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Rhode Island
U.S.
5% 10% 15% 20% 25%
36% 38%
47%
29%35%
48%
72%
62% 60%64%
60%58%
67%
59%
14%
10%
2000 2005 2013
131
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%
96%
88%
91%
92%
100%
90%94%
96%
78%
78%58%
43%
79%
56%
72%
55%
70%
90%90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.Rhode Island
OF RHODE ISLAND’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
84%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
45%OF HIGH-INCOME
RHODE ISLAND ADULTS
52%OF LOW-INCOME
RHODE ISLAND ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Rhode Island
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Rhode Island
7.7LOW-INCOME
ADULTS
8.4HIGH-INCOME
ADULTS
5.5 4.4
84%
132
28%
Rhode Island
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Rhode Island U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 32.3%in Rhode Island
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
RHODE ISLAND -6.4% -5.9%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Rhode Island
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Rhode Island
40
50
60
70
80
2001 2013
53.755.6
Oral Health Care System:
Rhode Island
60.557.3
45% 42%U.S.
133
Oral Health Care System:
South Carolina
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF SOUTH CAROLINA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
14%
South Carolina South Carolina South CarolinaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
South Carolina
U.S.
5% 10% 15% 20% 25%
30%
46%
53%
29%35%
48%
61%
54%60%
64%60%
55% 53%59%
14%
14%
2000 2005 2013
134
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%96%
88%
91%92%
100%
90%
96%
78%
78%58%
43%
79%56%
72%
55%
70%
90%90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%94%
76%
97%23%
High-Income Adults
U.S.South Carolina
OF SOUTH CAROLINA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
94%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
70%OF HIGH-INCOME
SOUTH CAROLINA ADULTS
35%OF LOW-INCOME
SOUTH CAROLINA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.South Carolina
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.2LOW-INCOME
ADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
South Carolina
8.6HIGH-INCOME
ADULTS
3.66.7
84%
94%
135
South Carolina
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
South Carolina U.S.
49% BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 27.6%in South Carolina
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
SOUTH CAROLINA 2.2% 1.5%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
South Carolina
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
South Carolina
40
50
60
70
80
2001 2013
48%
Oral Health Care System:
South Carolina
53%
45.2 47.9
60.557.3
42%U.S.
136
Oral Health Care System:
South Dakota
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF SOUTH DAKOTA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
11%
South Dakota South Dakota South DakotaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
South Dakota
U.S.
5% 10% 15% 20% 25%
26%
36%
45%
29%35%
48%
60%59% 60%64%
60%54% 53%
59%
14%
11%
2000 2005 2013
137
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%
96%
88%
91%
92%
100%
90%
96%
78%
78%58%
43%
79%56%
72%
55%
70%
90%90%
15%86%97%
100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%
94%
76%
97%
23%
High-Income Adults
U.S.South Dakota
OF SOUTH DAKOTA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
94%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
61%OF HIGH-INCOME
SOUTH DAKOTA ADULTS
46%OF LOW-INCOME
SOUTH DAKOTA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.South Dakota
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
South Dakota
4.4
84%
94%
7.3LOW-INCOME
ADULTS
7.7HIGH-INCOME
ADULTS
4.1
138
South Dakota
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
South Dakota U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
SOUTH DAKOTA 10.7% 7.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
South Dakota
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
South Dakota
40
50
60
70
80
2001 2013
57.3
65%
51%
45.954.1
Oral Health Care System:
South Dakota
60.5
IN 2013, MEDICAID REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES WERE 51% OF PRIVATE DENTAL BENEFIT PLAN RATES IN SOUTH DAKOTA COMPARED TO 49% IN THE U.S.
42%U.S.
139
Oral Health Care System:
Tennessee
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF TENNESSEE MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
15%
Tennessee Tennessee TennesseeU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
29%
40%
53%
29%35%
48%
58%55%
60%64%
60%57%
53%59%
Tennessee 15%
U.S.
5% 10% 15% 20% 25%
14%
2000 2005 2013
140
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
52%
58%
53%
77%
80%
11%
67%
92%
89%
95%
96%
88%
91%
92%
96%
78%
78%58%
43%
79%56%
72%
55%
70%
90%90%
15%86%97%
100%
100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Tennessee
OF TENNESSEE’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
90%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
42%OF HIGH-INCOME
TENNESSEE ADULTS
50%OF LOW-INCOME
TENNESSEE ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Tennessee
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Tennessee
84%
90%
4.8
7.9HIGH-INCOME
ADULTS
7.5LOW-INCOME
ADULTS
6.2
141
54%
Tennessee
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Tennessee U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
TENNESSEE 2.0% 0.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Tennessee
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Tennessee
40
50
60
70
80
2001 2013
35%50.6 50.0
60.5
Oral Health Care System:
Tennessee
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 37.5%in Tennessee
57.3
42%U.S.
142
Oral Health Care System:
Texas
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF TEXAS MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
19%
Texas Texas TexasU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Texas
U.S.
5% 10% 15% 20% 25%
42%47%
64%
29%35%
48%
61%
54%60%
64%60%
54% 53%59%
14%
19%
2000 2005 2013
143
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
58%
53%
77%
11%
67%
92%
89%
95%
96%
88%
91%
92%
96%
78%
78%58%
43%
79%56%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
99%
99%
72%52%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Texas
OF TEXAS’ POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
80%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
53%OF HIGH-INCOME
TEXAS ADULTS
50%OF LOW-INCOME
TEXAS ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Texas
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.2LOW-INCOME
ADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Texas
84%
80%
7.3HIGH-INCOME
ADULTS
4.24.9
144
48%
60%
Texas
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Texas U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
TEXAS -1.1% -3.2%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Texas
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Texas
40
50
60
70
80
2001 2013
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
increased 33.8%in Texas
Oral Health Care System:
Texas
50.545.2
60.557.3
42%U.S.
145
Oral Health Care System:
Utah
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF UTAH MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
18%
Utah Utah UtahU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
Utah
U.S.
5% 10% 15% 20% 25%
33%38%
53%
29%35%
48%
66%65%60%
64%60%61% 60% 59%
14%
2000 2005 2013
18%
146
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
58%
53%
77%
80%
11%
67%
92%
89%
95%
96%
88%
91%
92%
96%
78%
78%58%
43%
79%56%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
99%
99%
72%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Utah
OF UTAH’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
52%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
48%OF HIGH-INCOME
UTAH ADULTS
55%OF LOW-INCOME
UTAH ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Utah
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Utah
84%52%
8.0HIGH-INCOME
ADULTS7.0
LOW-INCOMEADULTS
4.75.4
147
43%
Utah
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Utah U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
UTAH -4.1% -6.3%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Utah
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Utah
40
50
60
70
80
2001 2013
60%60.5
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 4.8%in Utah
57.3
Oral Health Care System:
Utah
65.261.7
42%U.S.
148
Oral Health Care System:
Vermont
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF VERMONT MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
15%
Vermont Vermont VermontU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
48%52%
60%
29%35%
48%
72%70%
60%64%
60%63%
66%
59%
Vermont 15%
U.S.
5% 10% 15% 20% 25%
14%
2000 2005 2013
149
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
58%
53%
77%
11%
67%
80%
92%
89%
95%
96%
88%
91%
92%
96%
78%
78%58%
43%
79%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
99%
99%
72%52%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Vermont
OF VERMONT’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
56%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
53%OF HIGH-INCOME VERMONT ADULTS
50%OF LOW-INCOME
VERMONT ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Vermont
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Vermont
84%
56%
8.5HIGH-INCOME
ADULTS 6.8LOW-INCOME
ADULTS
6.04.5
150
50%
Vermont
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Vermont U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
VERMONT 5.9% 4.8%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Vermont
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Vermont
40
50
60
70
80
2001 2013
57.3
Oral Health Care System:
Vermont
58.2 60.557.8
IN 2013, MEDICAID REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES WERE 50% OF PRIVATE DENTAL BENEFIT PLAN RATES IN VERMONT COMPARED TO 49% IN THE U.S.
42%76%U.S.
151
Oral Health Care System:
Virginia
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF VIRGINIA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
14%
Virginia Virginia VirginiaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
21%26%
52%
29%35%
48%
68%62% 60%
64%60%62% 62%
59%
Virginia
U.S.
5% 10% 15% 20% 25%
14%
14%
2000 2005 2013
152
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
64%
36%
32%
58%
53%
77%
11%
67%
80%
92%
89%
95%
88%
91%
92%
96%
78%
78%58%
43%
79%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
56%
99%
99%
72%52%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Virginia
OF VIRGINIA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
96%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
52%OF HIGH-INCOME VIRGINIA ADULTS
40%OF LOW-INCOME VIRGINIA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Virginia
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
7.2LOW-INCOME
ADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Virginia
84%
96%
8.8HIGH-INCOME
ADULTS
4.06.4
153
Virginia
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
U.S.2013
Virginia U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
VIRGINIA 8.6% 6.8%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Virginia
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Virginia
40
50
60
70
80
2001 2013
57.3 60.5
Oral Health Care System:
Virginia
47%BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 5.7%in Virginia
31%58.2
62.8
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
42%U.S.
154
Oral Health Care System:
Washington
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF WASHINGTON MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
18%
Washington Washington WashingtonU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
46%44%
59%
29%35%
48%
71%
63%60%
64%60%62%
67%
59%
Washington
U.S.
5% 10% 15% 20% 25%
14%
18%
2000 2005 2013
155
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
36%
32%
58%
53%
77%
11%
67%
80%
92%
89%
95%
88%
96%91%
92%
96%
78%
78%58%
43%
79%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
56%
99%
99%
72%52%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Washington
OF WASHINGTON’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
64%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
60%OF HIGH-INCOME
WASHINGTON ADULTS
44%OF LOW-INCOME
WASHINGTON ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Washington
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Washington
84%
64%
6.3
6.8LOW-INCOME
ADULTS
8.6HIGH-INCOME
ADULTS
4.5
156
41%
Washington
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
U.S.2013
Washington U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
WASHINGTON -8.1% -10.3%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Washington
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Washington
40
50
60
70
80
2001 2013
57.3 60.5
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 23.7%in Washington
Oral Health Care System:
Washington
66.171.0
29%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
42%U.S.
157
Oral Health Care System:
West Virginia
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF WEST VIRGINIA MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
15%
West Virginia West Virginia West VirginiaU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
34%
44%
52%
29%35%
48%
57%59% 60%64%
60%
51% 51%
59%
West Virginia
U.S.
5% 10% 15% 20% 25%
14%
15%
2000 2005 2013
158
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
36%
64%
32%
58%
53%
77%
11%
67%
80%
92%
89%
95%
88%
96%
92%
96%
78%
78%58%
43%
79%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
56%
99%
99%
72%52%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.West Virginia
OF WEST VIRGINIA’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
91%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
53%OF HIGH-INCOME
WEST VIRGINIA ADULTS
50%OF LOW-INCOME
WEST VIRGINIA ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.West Virginia
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
West Virginia
84%91%
6.3
3.1
7.9HIGH-INCOME
ADULTS6.4
LOW-INCOMEADULTS
159
70%
West Virginia
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
West Virginia U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
WEST VIRGINIA 5.7% 4.1%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
West Virginia
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
West Virginia
40
50
60
70
80
2001 2013
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 0.4%in West Virginia
47.9 48.0
71%
Oral Health Care System:
West Virginia
57.3 60.5
42%U.S.
160
Oral Health Care System:
Wisconsin
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF WISCONSIN MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
11%
Wisconsin Wisconsin WisconsinU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
22% 22%28% 29%
35%
48%
67%68%
60%64%
60%
68%63%
59%
Wisconsin
U.S.
5% 10% 15% 20% 25%
14%
11%
2000 2005 2013
161
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
36%
64%
32%
58%
53%
77%
11%
67%
80%
92%
91%95%
88%
96%
92%
96%
78%
78%58%
43%
79%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
56%
99%
99%
72%52%
74%
64%
70%
71%
64%
44%
94%
94%
76%
97%23%
High-Income Adults
U.S.Wisconsin
OF WISCONSIN’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
89%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
53%OF HIGH-INCOME
WISCONSIN ADULTS
52%OF LOW-INCOME
WISCONSIN ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Wisconsin
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Wisconsin
84%
89%
8.6HIGH-INCOME
ADULTS7.1
LOW-INCOMEADULTS
5.93.6
162
32%
Wisconsin
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Wisconsin U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
WISCONSIN 10.0% 7.7%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Wisconsin
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
40
50
60
70
80
2001 2013
BETWEEN
2003 AND 2013 REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES IN MEDICAID
decreased 31.7%in Wisconsin
56.8 56.057.3 60.5
Oral Health Care System:
Wisconsin
42%U.S.
36%Wisconsin
163
Oral Health Care System:
Wyoming
This fact sheet summarizes select data on the oral health care system as of 2015. Topics include dental care utilization; oral health status; attitudes and knowledge of oral health; fluoridation rates; reimbursement rates to providers and the supply of dentists.
For methods and data sources, please visit ADA.org/statefacts.
For more information on the ADA Health Policy Institute, please visit ADA.org/HPI.
Percentage with a Dental Visit in the Past 12 Months
Percentage of Medicaid Children Who Received a Sealant on a Permanent Molar in 2013
OF WYOMING MEDICAID CHILDREN 6 THROUGH 14 YEARS OLD RECEIVED A SEALANT ON A PERMANENT MOLAR IN 2013, COMPARED TO 14% NATIONALLY
14%
Wyoming Wyoming WyomingU.S.
Children with Medicaid Coverage Children with Private Dental Benefits Coverage
Adults with Private Dental Benefits Coverage
U.S. U.S.
20%
40%
60%
80%
100%
0%
33% 35%
45%
29%35%
48%54%52%
60%64%
60%
50% 51%
59%
2000 2005 2013
Wyoming
U.S.
5% 10% 15% 20% 25%
14%
14%
164
Percentage of Population on Community Water Systems Receiving Fluoridated Water in 2012
36%
64%
32%
58%
53%
77%
11%
67%
80%
92%
89%
95%
88%
96%
92%
91%
96%
78%
78%58%
43%
79%
72%
55%
70%
90%90%
90%
15%86%97%
100%100%
46%
56%
99%
99%
72%52%
74%
64%
70%
71%
64%
94%
94%
76%
97%23%
High-Income Adults
U.S.Wyoming
OF WYOMING’S POPULATION ON COMMUNITY WATER SYSTEMS RECEIVE FLUORIDATED WATER
44%
Positive
Negative
Neutral
0-25%
26-50%
51-75%
76-100%
ANSWERED ALL OF HPI’S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
56%OF HIGH-INCOME
WYOMING ADULTS
44%OF LOW-INCOME
WYOMING ADULTS
4.0
-5
0
5
10
-10High-Income AdultsLow-Income Adults Low-Income Adults
5.9
U.S.Wyoming
Exce
llent
O
ral H
ealth
Poor
O
ral H
ealth
2
10
4
6
8
0
8.2HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
Oral Health Status Index Among Adults in 2015
Oral Health Knowledge Index Among Adults in 2015
Oral Health Attitude Index Among Adults in 2015
Oral Health Care System:
Wyoming
84%
44%
3.5
7.9HIGH-INCOME
ADULTS7.2
LOW-INCOMEADULTS
5.4
165
Wyoming
61%
Number of Dentists per 100,000 Population
40%
60%
80%
100%
0%
20%
Change in Private Dental Benefit Plan Charges Between 2003 and 2013
U.S.2013
Wyoming U.S.
49%
CHANGE IN PRIVATE DENTAL BENEFIT PLAN CHARGES BETWEEN 2003 AND 2013
CHILD ADULT
WYOMING 12.5% 7.9%U.S. 1.2% -0.6%
Medicaid Fee-for-Service Reimbursement as a Percentage of Private Dental Benefit Plan Charges for Child Dental Services
-5%
0%
Child Dental Services
Adul
t Den
tal S
ervi
ces
5% 10% 15%-10%-15% -5%
0%
5%
10%
15%
-15%
-10%
U.S.
Wyoming
Percentage of Dentists Participating in Medicaid for Child Dental Services in 2014
Wyoming
40
50
60
70
80
2001 2013
53.8 53.0
73%57.3 60.5
Oral Health Care System:
Wyoming
IN 2013, MEDICAID REIMBURSEMENT RATES FOR CHILD DENTAL SERVICES WERE 61% OF PRIVATE DENTAL BENEFIT PLAN RATES IN WYOMING COMPARED TO 49% IN THE U.S.
42%U.S.
166