Indicators are listed below and in this handout. Follow the links to view a one-page summary of each indicator and view details about indicator sources. Consult the user guide for comprehensive information including technical specifications for each indicator.

Quality Indicators for Women of Child-Bearing Age and Pregnant Women

Indicators Based on Survey Data

W.1. Percentage of pregnant women reporting difficulty getting dental care during pregnancy (Data source: Pregnancy Risk Assessment Monitoring System [PRAMS])

W.2. Percentage of pregnant women who had insurance to cover dental care during pregnancy (Data source: PRAMS)

W.3. Percentage of pregnant women who reported having their teeth cleaned by a dentist or dental hygienist during pregnancy (Data source: PRAMS)

W.4. Percentage of women of child-bearing age (ages 18–44) who report having a visit to a dentist or dental clinic in the past year (Data source: Behavioral Risk Factor Surveillance System)

W.5. Percentage of pregnant women reporting that they needed to see a dentist for a problem during pregnancy (Data source: PRAMS)

Indicators Based on Claims and Enrollment Data

W.6. Percentage of enrolled persons with live-birth deliveries in the reporting year who received a comprehensive or periodic oral evaluation during pregnancy (Data source: enrollment and claims)*

W.7. Percentage of enrolled persons with live-birth deliveries in the reporting year who received at least one dental service during pregnancy (Data source: enrollment and claims)*

Quality Indicators for Children

Indicators Based on Claims and Enrollment Data

C.1. Dentists who actively participate in Medicaid per 1,000 EPSDT-eligible enrolled children (Data source: Medicaid enrollment and claims)

C.2. Percentage of children who had a dental visit in the last 12 months (Data source: Medicaid enrollment and claims)*

C.3. Percentage of children at elevated risk receiving preventive dental services (Data source: Medicaid enrollment and claims)*

C.4/C5. Percentage of children receiving at least 2 topical fluoride applications as a dental or oral health service (Data source: Medicaid enrollment and claims)*

In 2021, C4. and C5. were combined into one indicator by the developer and steward, the Dental Quality Alliance (DQA).

C.6. Percentage of children who have ever received sealants on permanent first molar teeth by the 10th birthdate (Data source: Medicaid enrollment and claims)*

C.7. Percentage of children who have ever received sealants on permanent second molar teeth by the 15th birthdate (Data source: Medicaid enrollment and claims)*

Indicators Based on Survey Data

C.8. Percentage of kindergarten children with dental caries experience (treated or untreated tooth decay) (Data source: Basic Screening Survey [BSS])

C.9. Percentage of third-grade children with dental caries experience (treated or untreated tooth decay) (Data source: BSS)

C.10. Percentage of kindergarten children with urgent dental treatment needs (Data source: BSS)

C.11. Percentage of third-grade children with urgent dental treatment needs (Data source: BSS)

*Developer and steward: DQA