Total Cost of Care
Characteristics
Measures Not Included in PCDH Framework
Measure Concept
Financing
Descriptions
Average per patient (1) charges i.e. billed amounts (2) net revenue after adjustments i.e. paid amounts for the practice
Numerator 1: Sum of charges i.e. billed amounts [numerators are summed only across those individuals identified within the denominator]
Numerator 2:
Sum of net revenue after adjustments [numerators are summed only across those individuals identified within the denominator]
Denominator 1: All active patients
Denominator 2: Patients who received a visit, any Dxxx (treatment performed) during the measurement period
The denominators are subsets of the Initial Patient Population defined as patients with D0120 OR D0145 OR D0150 OR D0180 (treatment performed) within the 3 years prior to the start date of the measurement period and including the measurement period.
Measure or Standard
Measure
Populations
Children and Adults
Level of Measure
Practice/Health Center
Data Source
Patient Records/EDR/EMR
Measure Identification
American Dental Association Dental Experience and Research Exchange data registry
Developer/Steward
American Dental Association/
Dental Quality Alliance
Stage of Development/Use
Specified and in use for ADA DERE registry reporting