ArticleJournal of public health dentistry2026
Examining Associations Between Medicaid Policy and Silver Diamine Fluoride Utilization.
Article in Journal of public health dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
Funding
Abstract
objectiveThis retrospective cohort study determined associations between Medicaid reimbursement policies for silver diamine fluoride treatment (SDF) and utilization.
methodsData included publicly available Medicaid provider manuals and fee schedules as well as aggregated claims from CareQuest Institute for Oral Health. The main outcome was SDF utilization rate calculated as a percentage of claims per enrollees. Summary statistics and linear mixed models with random intercepts were applied.
resultsFourteen states were included in the analysis. The median SDF utilization rate across states increased from 1.80% (IQR: 1.37%, 2.59%) in 2018 to 3.35% (IQR: 1.94%, 5.54%) in 2022. Of seven potential policy dimensions, only reimbursement amount was significantly associated with SDF utilization rate, and only when accounting for time (β = 0.15; 95% CI: 0.12, 0.18).
conclusionPolicy factors, particularly reimbursement amount, likely play a role in SDF utilization; however, additional research is needed to understand how dentists adopt SDF in ways that translate into improved outcomes.
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