Dental treatment service use among Medicaid eligible children 

Dental treatment service use among Medicaid eligible children by:

Children enrolled in Medicaid and other Minnesota Health Care Programs can receive dental treatment services 

Child and Teen Checkups (C&TC) is Minnesota’s Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program—a federal program required in every state to provide children enrolled in a Medicaid or public health insurance program with yearly well-child care health and dental visits.

Children eligible for Minnesota’s C&TC services include all children under the age of 21 enrolled in a Medicaid or Children Health Insurance (CHIP) expansion program (Medical Assistance) or MinnesotaCare (collectively called Minnesota Health Care Programs).

The following is based on data from the CMS-416 Report, which reports on children oral health measures such as dental treatment service use among children: 

  • Aged 1 to 20 years. 

  • Enrolled in a Minnesota Health Care Program (MHCP) for at least 90 continuous days. 

  • By federal fiscal year (October 1 through September 30). 

Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data come from paid, unpaid and denied fee-for-service claims and encounter data reported to the Minnesota Department of Human Services. MHCP pays for any medically necessary dental treatment services for children, such as dental filings, root canals and tooth removal (Minnesota Statutes 2018, chapter 256B.0625, subd. 9). For more information: About the Child and Teen Checkups Program (CMS-416) Report.  

Two in 10 Medicaid eligible children receive at least one yearly dental treatment service

During federal fiscal year 2018, almost 2 out of 10 Minnesota C&TC eligible children aged 1 to 20 years (18%) had at least one dental treatment service.

2 out of every 10
C&TC eligible children (1 to 20 years)

 

(17.7%, 95% CI = 17.6 to 17.8; n = 103,993 of 587,190)

Have at least one dental treatment service
FFY 2018


 

Dental treatment service use among Child and Teen Checkups (C&TC) eligible children by age, federal fiscal year 2018

 
Source: Minnesota Department of Human Services. Early and Periodic Screening, Diagnosis, and Treatment (CMS-416) Report.
Age group (years) Number of C&TC eligible children Number of C&TC eligible children
with at least one
dental treatment service
Percent C&TC
eligible children
with at least one
dental treatment service use within age groups (row percent)
95% Confidence Interval
Less than 1 26,080 9 0.0% 0.0 to 0.1
1 to 2 74,172 1,118 1.5% 1.4 to 1.6
3 to 5 100,214 14,162 14.1% 13.9 to 14.3
6 to 9 124,896 30,836 24.7% 24.5 to 24.9
10 to 14 147,338 31,350 21.3% 21.1 to 21.5
15 to 18 99,437 20,152 20.3% 20.0 to 20.5
19 to 20 41,800 6,375 15.3% 14.9 to 15.6

Data include Child and Teen Checkups/Early Periodic Screening, Diagnosis, and Treatment (C&TC) eligible children enrolled in a Minnesota Health Care Program for at least 90-continuous days during the Federal Fiscal Year (FFY) (October 1 through September 30). Total eligible children enrolled during FFY 2018 = 587,857. 

Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data is based on all unduplicated counts of paid, unpaid, and denied claims submitted for reimbursement from fee-for-service providers, managed care plans, Indian Health Services, and Federally Qualified Health Centers that contract with the Minnesota Department of Human Services. This chart represents percent dental treatment service use within age groups (row percentages). See About the Child and Teen Checkups Program (CMS-416) Report data for more information.

During federal fiscal year 2018, 6 to 14 year-olds eligible for C&TC were 1.5 times more likely to receive a dental treatment than 15 to 20 year-olds.  


 

Dental treatment service use among Child and Teen Checkups (C&TC) eligible children by race and ethnicity, federal fiscal year 2018

 
Source: Minnesota Department of Human Services. Early and Periodic Screening, Diagnosis, and Treatment (CMS-416) Report.
Race and ethnicity Number of C&TC eligible children
(1 to 20 years)
Number of C&TC eligible children
(1 to 20 years) with
at least one dental treatment service
Percent of C&TC eligible children
(1 to 20 years) with at least one dental treatment service within race and ethnicity groups (row percent)
95% Confidence Interval
Asian or Pacific Islander 29,693 6,014 20.3% 19.8 to 20.7
Hispanic/Latino 34,777 6,399 18.4% 18.0 to 18.8
American Indian/Alaska Native 15,637 3,060 19.6% 18.9 to 20.2
White 193,059 34,775 18.0% 17.8 to 18.2
Two or more races 27,024 4,584 17.0% 16.5 to 17.4
African American or Black 80,630 14,139 17.5% 17.3 to 17.8

Data include Child and Teen Checkups/Early Periodic Screening, Diagnosis, and Treatment (C&TC) eligible children enrolled in a Minnesota Health Care Program for at least 90-continuous days during the Federal Fiscal Year (FFY) (October 1 through September 30). Total eligible children (1 to 20 years) enrolled during FFY 2018 with a known single race and ethnicity or mixed race = 380,820. Unknown or missing race and ethnicity (not shown in this chart) = 35,022 with at least one dental treatment service of 207,037 eligible. Two or more races = any combination of two or more single race and ethnicity.      

 

Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data is based on all unduplicated counts of paid, unpaid, and denied claims submitted for reimbursement from fee-for-service providers, managed care plans, Indian Health Services, and Federally Qualified Health Centers that contract with the Minnesota Department of Human Services.  This chart represents percent dental treatment service use within age groups (row percentages). See About the Child and Teen Checkups Program (CMS-416) Report data for more information.

In federal fiscal year 2018, non-White children were 2% more likely to have a dental treatment service than White children. 


 

Child & Teen Checkups Eligible Children (1 to 20 years) Dental Treatment Service Use, federal fiscal year 2018

   

Child and Teen Checkups eligible children include all children enrolled in a Minnesota Health Care Program (Medical Assistance or Medicaid, MNCare) for at least 90-continuous days during the federal fiscal year (FFY) (Oct. 1 through Sept. 30). Total eligible children (1 to 20 years) enrolled during FFY 2018 = 587,857. Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist.  Data is based on all unduplicated counts of paid, unpaid, and denied claims submitted for reimbursement from select fee-for-service providers, managed care plans, Indian Health Services, and Federally Qualified Health Centers that contract with the Minnesota Department of Human Services. See About the Child and Teen Checkups Program (CMS-416) Report data for more information.

During federal fiscal year 2018, C&TC eligible children in Lake County (30%) had the highest dental treatment service use and C&TC eligible children in Pipestone County (11%) had the lowest dental treatment service use. Some counties were statistically different from the statewide rate.