Annual Dental Visit:
Healthcare Effectiveness Data & Information Set
Characteristics
Measures Not Included in PCDH Framework
Measure Concept
Utilization: Use of any dental or oral health service
Descriptions
Percentage of members 2-21 years of age who had at least one dental visit during the measurement year
Numerator: Patients who had one or more dental visits with a dental practitioner during the measurement year
Denominator: Patients 2 through 21 years of age as of the end of the measurement year (e.g., December 31). Report 6 age stratifications and a total rate:
• 2-3 years
• 4-6 years
• 7-10 years
• 11-14 years
• 15-18 years
• 19-21 years
Measure or Standard
Measure
Level of Measure
Program/Plan
Data Source
Administrative enrollment and claims data
Measure Identification
NQF Quality Positioning System; DQA Starter Set Measures Environmental Scan (2012); NQF Environmental Scan (2012)
Developer/Steward
National Committee for Quality Assurance (NCQA)
Stage of Development/Use
Specified, tested, and in use by:
-State Medicaid programs
-State Exchange/ Marketplace plans
Measure Endorsement
Previously NQF Endorsed