View Charts
Preventive dental service use (children)

Preventive dental service use among Medicaid eligible children by:


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

The American Academy of Pediatric Dentistry and the American Academy of Pediatrics recommend at least one preventive dental visit each year, starting by the child’s first birthday or when the first tooth appears. Preventive visits are important to maintain healthy gums and teeth, prevent dental disease, and identify any treatment needs.

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 preventive dental 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 preventive dental 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 preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction provided by or under the supervision of a dentist. For more information visit: About the Data: Child and Teen Checkups Program (CMS-416) Report.


Many children are not receiving at least one yearly preventive dental service

During federal fiscal year 2015, 2 out of 5 Minnesota C&TC eligible children (37 percent) had at least one preventive dental service.

2 out of every 5
C&TC eligible children (1 to 20 years) (36.9%)

Have at least one preventive dental service
FFY 2015


Less than half of all age groups receive a yearly preventive dental service

Preventive dental 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 (1 to 20 years) Number of C&TC eligible children (1 to 20 years) with at least one preventive dental service Percent C&TC eligible children with at least one preventive dental service use within age groups (row percent) 95% Confidence Interval
1 to 2 68,009 6,511 9.6% 9.4 to 9.8
3 to 5 91,808 35,195 38.3% 38.0 to 38.6
6 to 9 121,817 58,493 48.0% 47.7 to 48.3
10 to 14 128,779 58,437 45.4% 45.1 to 45.6
15 to 18 89,130 31,570 35.4% 35.1 to 35.7
19 to 20 39,170 8,378 21.4% 21.0 to 31.8

Data include Child and Teen Checkups (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 preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction 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 preventive dental 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 preventive dental service during federal fiscal year 2015, the majority were between the ages of 6 to 14 years. However, less than half of each age group received the recommended yearly preventive dental visit.


There is no major difference in preventive dental service use by race and ethnicity

Preventive dental 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 preventive dental service
Percent C&TC eligible children
(1 to 20 years) with at least one preventive dental service within race and ethnicity groups (row percent)
95% Confidence Interval
White 233,773 83,557 35.7% 35.2 to 35.9
African American or Black 99,735 36,718 36.8% 36.5 to 37.1
American Indian/
Alaska Native
16,202 5,951 36.7% 36.0 to 37.5
Asian or Pacific Islander 36,448 14,568 40.0% 39.5 to 40.5
Hispanic/Latino 60,420 26,651 44.1% 43.7 to 44.5
Mixed Race 25,838 9,101 35.2% 34.6 to 35.8

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 (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) = 22,038 with at least one preventive dental service out of 66,297 eligible.

A preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction 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 preventive dental service use within race and ethnicity groups (row percentages). See About the Data: Child and Teen Checkups Program (CMS-416) Report for more information.

Regardless of race and ethnicity, preventive dental service use among C&TC eligible children remained low in federal fiscal year 2015.


Preventive dental service use by county

Child & Teen Checkup Eligible Children (1 to 20 years) Preventive Dental 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

Child and Teen Checkup 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 2015 = 538,713. A preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction 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. 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 Cook County (51 percent) had the highest dental service use and C&TC eligible children in Rock County (17 percent) had the lowest dental service use.