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Unreimbursed oral health care by dentists in the US: Evidence from Medical Expenditure Panel Survey, 1996

Amit Chattopadhyay, PhD, MPH, MDS, Department of Epidemiology, University of Kentucky, Room # 209-C, College of Public Health, 121 Washington Avenue, Lexington, KY 40536, 859-257-5648 Ext 82226, achat4@email.uky.edu

Objectives: This cross-sectional study examined charges not reimbursed to dentists. Methods: Results from this analysis in SUDAAN, using the 1996 MEPS data from 12,931 adults can be generalized to the US population. Results: Among people incurring dental care charges, 13.6% had more than $50 of unreimbursed charge (UC) - percapita UC was $53.30. Total UC was higher for highest income group [HIG - 45.4% of total vs. 26.0% for lowest income group - LIG]. The percapita UC of $76.70 for LIG was significantly greater than for HIG ($47.80, P<0.01). More Medicaid recipients (52%) incurred at least $50 in UC (Medicaid non-recipients: 12.2%, P<0.01). Adjusted odds of incurring at least $50 in UC were greater for those employed (OR=1.3, 95%CI: 1.0-1.7), and with private insurance (OR: 1.5, CI: 1.3-1.9). Number of procedures modified the association between Medicaid recipient and UC (OR=13.6 for Medicaid recipients undergoing multiple procedures; OR: 2.3 for Medicaid non-recipients with multiple procedures; OR: 1.9 for Medicaid recipients receiving single dental procedure. Conclusions: Having private insurance, being unemployed and being Medicaid insured undergoing multiple procedure were strongest predictors of UC.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Key words: MEPS, dental charges, dental expenditure, unreimbursed charges, socio-demographic

Not Answered

Oral Poster Session II

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA