A multi-year, multi-state study by Dobson DaVanzo & Associates examined Medicaid dental utilization trends and expenditures in seven states, using publicly available Medicaid dental claims. The study found that providers from Kool Smiles performed more conservative, cost-effective care when compared to other Medicaid dental providers in Texas, Indiana, Virginia, Georgia, Mississippi, Louisiana, and South Carolina.
Using publicly available Medicaid data from 2011 to 2015, the study found:
- Kool Smiles dental providers performed 15 percent fewer services overall, including 40 percent fewer extractions and 39 percent fewer pulpotomies.
- As a result of lower utilization rates, Kool Smiles patients had an overall average monthly Medicaid expenditure that was 33 percent lower than non-Kool Smiles patients across all states and years analyzed.
- If all Medicaid dental providers in these seven states adopted the same care protocol and utilization rates as Kool Smiles providers, the total savings to state Medicaid programs would be more than $550 million annually.
- The annual Medicaid savings could fund the provision of dental care for up to 9 million more Medicaid children who currently do not receive care.