Evidence map›Paper›PMID 29194610›Full record

ArticleHealth services research2018

Estimating the Cost Savings of Preventive Dental Services Delivered to Medicaid-Enrolled Children in Six Southeastern States.

Ilbin Lee, Sean Monahan, Nicoleta Serban, Paul M Griffin, Scott L Tomar

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Dental care access for children in the United States.Journal of public health dentistry · 2024
    Article
  7. Article
  8. Article
  9. Acculturation and dental sealant use among US children.Community dentistry and oral epidemiology · 2022
    Article
  10. Article
  11. Evaluating access to pediatric oral health care in the southeastern states.Journal of the American Dental Association (1939) · 2022
    Article
  12. Article
  13. An Investigation of the Association between Health Screening and Dental Scaling in Korea.International journal of environmental research and public health · 2021
    Article
  14. Article
  15. Does the Registered Dentists' Program Alleviate the Socioeconomic Gap in the Use of Dental Sealants?International journal of environmental research and public health · 2020
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Ilbin LeeSchool of Business, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-1323-0393
Sean MonahanFraud Strategy and Analysis, Capital One Financial Corporation, Arlington, VA.
Nicoleta SerbanSchool of Industrial and Systems Engineering, Georgia Institute of Technology, Atlanta, GA.
Paul M GriffinRegenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN.
Scott L TomarCollege of Dentistry, University of Florida, Gainesville, FL.
Capital One (United States) · USGeorgia Institute of Technology · USRegenstrief Institute · USUniversity of Alberta · CAUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify the impact of multiyear utilization of preventive dental services on downstream dental care utilization and expenditures for children. DATA SOURCES/STUDY

settingWe followed 0.93 million Medicaid-enrolled children who were 3-6 years old in 2005 from 2005 to 2011. We used Medicaid claims data of Alabama, Georgia, Mississippi, North Carolina, South Carolina, and Texas. STUDY

designWe clustered each state's study population into four groups based on utilization of topical fluoride and dental sealants before caries-related treatment using machine learning algorithms. We evaluated utilization rates and expenditures across the four groups and quantified cost savings of preventive care for different levels of penetration. DATA EXTRACTION

methodWe extracted all dental-related claims using CDT codes. PRINCIPAL

findingsIn all states, Medicaid expenditures were much lower for children who received topical fluoride and dental sealants before caries development than for all other children, with a per-member per-year difference ranging from $88 for Alabama to $156 for Mississippi.

conclusionsThe cost savings from topical fluoride and sealants across the six states ranged from $1.1M/year in Mississippi to $12.9M/year in Texas at a 10 percent penetration level. Preventive dental care for children not only improves oral health outcomes but is also cost saving.

Indexed as

Cost SavingsChildChild, PreschoolDental Care for ChildrenDental CariesFemaleFluorides, TopicalFocus GroupsHumansMachine LearningMaleMedicaidPit and Fissure SealantsPreventive DentistryUnited StatesFluorides, TopicalPit and Fissure Sealantscost savingsDental careMedicaidpediatricsprevention policy

Identifiers

PMID29194610
PMCPMC6153169
OpenAlexW2772592523

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.