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Syndromes/Craniofacial Anomalies

276 - Out-of-pocket costs for the dental treatment of children with cleft lip and palate

Friday, May 24, 2024
2:15 PM – 2:25 PM EST
Location: Exhibit Hall (back left corner of the hall, space 137)

    Presenting Author(s)

  • Alexis Lundin, DMD (she/her/hers)

    Pediatric Dental Resident
    University of Rochester, Rochester, NY
    Eastman Institute for Oral Health
    Rochester, New York, United States

    • Research Mentor(s)

  • Erin Shope, DMD

    Assistant Professor of Clinical Dentistry
    University of Rochester
    University of Rochester/Eastman Institute for Oral Health
    Rochester, New York, United States

    • Program Director(s)

  • Cynthia Wong, DMD, MS

    Chair
    University of Rochester, Eastman Institute for Oral Health
    Rochester, New York, United States

Purpose: The aim of this retrospective cohort study is to investigate the out-of-pocket cost for dental and orthodontic procedures of patients with cleft lip and palate (CLP) at Eastman Institute for Oral Health (EIOH). This study compares the out-of-pocket costs of patients with Medicaid insurance to those with private insurance.

Methods: The chart review included patients at EIOH with CLP who were seen January 1, 2007 – December 31, 2022. The subjects were identified using a custom axiUm report, designed by axiUm, to meet study’s criteria. Three hundred and twenty charts were identified, and 235 charts met the criteria for the study. The Shapiro-Wilk test was used to test the normality of the distribution of cost in two groups. For normally distributed data, two-sample t-test was used to compare the mean values of two groups. The linear regression analysis was used to study the correlation between the cost and insurance type, adjusting for the effects of age, gender, race, ethnicity, and number and type of visit.

Results: Patients with private insurance had significantly (p-value <0.0001) higher out-of-pocket cost compared to those with Medicaid. Patients with more appointments have significantly (p-value <0.0001) higher out-of-pocket cost. The average out-of-pocket cost for patients with Medicaid insurance was $149.16 and the maximum was $5975. The average out-of-pocket cost for patients with private insurance was $1621.57 and the maximum was $12,260.50.

Conclusion: Patients with private insurance have significantly higher out-of-pocket cost.