Oral Health

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Non-dentist oral health service use (children)

Non-dentist oral health service use among Medicaid eligible children by:


Primary care doctors and oral health professionals can provide critical oral health assessment, preventive services, and dentist referrals to children

All children enrolled in a Minnesota Health Care Program can receive oral health services from non-dentist providers, i.e. primary care doctors and oral health professionals. Examples of covered oral health services include an oral health screening composed of an oral health history review, a physical examination of the child’s mouth, and referrals for preventive dental care or assessment and treatment, nutrition and tobacco counseling, oral hygiene instruction, fluoride application, and fluoride varnish.

"Better integration of primary medical care with dental care can help identify children at risk for tooth decay at the youngest age possible, offer evidence-based preventive care such as fluoride varnish and oral health education, and refer children to a dental professional for a complete check-up and any needed treatment. Three oral health risk assessment CDT billing codes can support this approach, potentially preventing the need for costly treatment, such as that provided in an operating room."

—EPSDT-A Guide for States: Coverage for Medicaid Benefit for Children and Adolescents. U.S. Department of Health and Human Services. Centers for Medicare and Medicaid Services. June 2014. Pages 14-15.


Child and Teen Checkups (C&TC) Program offers oral screenings, dental disease prevention, and referrals for yearly well-child care health and dental visits to children enrolled in Medicaid and other Minnesota Health Care Programs

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 records non-dentist oral health service use among children ages 1 to 20 years enrolled in Medicaid and other state health insurance programs. This data includes paid, unpaid, and denied fee-for-service claims and encounter data for at least one non-dentist oral health service among children enrolled in a Minnesota Health Care Program for at least 90 continuous days during the federal fiscal year (October 1 through September 30).

A non-dentist oral health service is any diagnostic, preventive, or treatment service provided by a non-dentist such as a primary care doctor or oral health professional not under the supervision of a dentist. For more information visit: About the Data: Child and Teen Checkups Program (CMS-416) Report.


1 in 20 C&TC eligible children receive at least one yearly non-dentist oral health service

During federal fiscal year 2015, only 4.7 percent or about 1 in 20 C&TC eligible children had at least one non-dentist oral health service.

1 out of every 20
C&TC eligible children (1 to 20 years) (4.7%)

Have at least one non-dentist oral health service
FFY 2015


Children 1 to 5 years are more likely to use non-dentist oral health services

Non-dentist oral health service use among Child and Teen Checkup (C&TC) eligible children by age, federal fiscal year 2015

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 non-dentist oral health service Percent C&TC eligible children with at least one non-dentist oral health service use within age groups (row percent) 95% Confidence Interval
1 to 2 68,009 12,660 18.6% 18.3 to 18.9
3 to 5 91,808 9,525 10.4% 10.2 to 10.6
6 to 9 121,817 1,908 1.6% 1.5 to 1.6
10 to 14 128,779 975 0.8% 0.7 to 0.8
15 to 18 89,130 326 0.4% 0.3 to 0.4
19 to 20 39,170 64 0.2% 0.1 to 0.2

Data include Child and Teen Checkup (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 2015 = 538,713.

A non-dentist oral health service is any diagnostic, preventive, or treatment service provided by a non-dentist such as a primary care doctor or oral health professional not 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 non-dentist oral health service use within age groups (row percentages). See About the Data: Child and Teen Checkups Program (CMS-416) Report for more information.

Among C&TC eligible children who received a non-dentist oral health service during federal fiscal year 2015, the majority were 1 to 5 years of age (87 percent). Children ages 1 to 5 years were 15.4 times more likely to have received a non-dentist oral health service compared to children ages 6 to 20 years.


African American or Black children are more likely to use non-dentist oral health services

Non-dentist oral health service use among Child and Teen Checkup (C&TC) eligible children by race and ethnicity, federal fiscal year 2015

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
non-dentist oral health service
Percent C&TC
eligible children
(1 to 20 years)
with at least one
non-dentist oral health service within race and ethnicity groups (row percent)
95% Confidence Interval
White 233,773 7,001 3.0% 2.9 to 3.1
African American or Black 99,735 7,829 7.9% 7.7 to 8.0
American Indian/
Alaska Native
16,202 315 1.9% 1.7 to 2.2
Asian or Pacific Islander 36,448 1,962 5.4% 5.2 to 5.6
Hispanic/Latino 60,420 1,962 5.1% 3.1 to 3.4
Mixed Race 25,838 1,368 5.4% 5.0 to 5.6

Data include Child and Teen Checkup 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 2015 with a known single race and ethnicity or mixed race = 472,416 Unknown or missing race and ethnicity (not shown in this chart) = 3,881 with at least one non-dentist oral health service out of 66,297 eligible.

A non-dentist oral health service is any diagnostic, preventive, or treatment service provided by a non-dentist such as a primary care doctor or oral health professional not 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 non-dentist oral health service use within race and ethnicity groups (row percentages). See About the Data: Child and Teen Checkups Program (CMS-416) Report for more information.

During federal fiscal year 2015, African American or Black children were 1.0 times more likely to have received a non-dentist oral health service compared to other race and ethnicity groups.


Non-dentist oral health service use by county

Child & Teen Checkup Eligible Children (1 to 20 years) Non-Dentist Oral Health Service Use, federal fiscal year 2015

County map image Child & Teen Checkup Eligible Children (1 to 20 years) Non-Dentist Oral Health Service Use and link to PDF of the same

Data include Child and Teen Checkup 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 2015 with a known single race and ethnicity or mixed race = 472,416 Unknown or missing race and ethnicity (not shown in this chart) = 3,881 with at least one non-dentist oral health service out of 66,297 eligible.

A non-dentist oral health service is any diagnostic, preventive, or treatment service provided by a non-dentist such as a primary care doctor or oral health professional not 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 non-dentist oral health service use within race and ethnicity groups (row percentages). See About the Data: Child and Teen Checkups Program (CMS-416) Report for more information.

During federal fiscal year 2015, C&TC eligible children in Pipestone County (13 percent) had the highest non-dentist oral health service use and C&TC eligible children in Pennington County (0 percent) had the lowest non-dentist oral health service use.