259794 Dentists, demographics, and data: Variations in dental services by age and gender

Sunday, October 28, 2012

Stephen D. Hooper, MBA , Health Economics Group, Inc., Rochester, NY
Nathalie E. Marchand, MS , Human Nutrition, Columbia University, New York, NY
This study examined utilization and expenditure patterns of 9,504 individuals covered by an employer-sponsored dental plan throughout 2010. During the period 6,972 (73.3%) had at least one dental visit. The population was divided into eight cohorts: Male and Female; ages 20<35, 35<50, 50<65, 65 and older. The smallest cohort size was 594; the largest was 1,891. The number of services provided to patients ranged from 5.38 for Males and Females ages 20<35 to 6.84 for Males 65 and older. D&P procedures accounted for 76-78% of services for patients 20<50, and Other services accounted for 22-24%. For Males and Females 65 and older, D&P procedures were 69% and 71% respectively. In terms of dollars billed, D&P procedures ranged between $206.96 and $225.60 for all of the eight cohorts. D&P expenditure differences between older and younger patients were less than ten percent. Annual amounts billed for Other services varied considerably by patient age. The low was $$271.84 for Females 20<35; highs were $665.90 for Males 65 and older, and $665.72 for Females 65 and older. Frequencies of five types of dental procedures provided to patients were analyzed. Examinations ranged from 143 per 100 for Male patients 20<35 to 168 per 100 for Female patients 65 and older. Crowns ranged from 4 per 100 for Males 20<35 to 23 per 100 for Females 65 and older. Also analyzed were Fillings, Root Canals, and Extractions. Those responsible for staffing dental practices should be aware of the demographic composition of the population to be served.

Learning Areas:
Administration, management, leadership
Biostatistics, economics
Provision of health care to the public

Learning Objectives:
Discuss variations in dental utilization by patient age. Discuss variations in dental utilization by patient gender. Identify demographic factors that may impact budgets/plans for dental service delivery.

Keywords: Health Care Utilization, Business Plans

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am president of a firm that designs and manages dental benefit plans. For more than thirty years my interests have included epidemiology and economics as related to dental, medical, and prescription drug programs. My company maintains more than two decades of data relating to tens of thousands of individuals covered by the dental plans we manage. These data are useful in projecting plan costs and resources required to provide dental services.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Health Economics Group, Inc. Economics, Epidemiology Employment (includes retainer) and Stock Ownership

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.