| State SSP Sample Cost Report: 2017-2018 |
| ITEM |
UNITS |
AVERAGE COST PER UNIT |
TOTAL COST PER UNIT |
| Sealant Stations |
|
|
|
| Dentlworks |
8 |
$664.96 |
$5,319.68 |
| Aseptico |
0 |
$664.97 |
$0.00 |
| Other Manufacturers |
0 |
$664.98 |
$0.00 |
| TOTAL SEALANT STATIONS |
|
$664.99 |
$0.00 |
| Reusable Instruments |
|
$664.10 |
$0.00 |
| Instrument sets |
180 |
$664.10 |
$119,538.18 |
| Sterilization |
|
|
|
| Autoclave |
1 |
$107.18 |
$107.18 |
| Per year (ultrasonic cleaner, tray, utility gloves) |
1 |
$99.86 |
$99.86 |
| Per school event (spore testing kit) |
307 |
$6.73 |
$2,066.11 |
| Per day (sterilizer cleaner/ultrasonic cleaner solution) |
900 |
$0.34 |
$306.00 |
| Per child (instrument bag) |
14523 |
$0.06 |
$871.38 |
| TOTAL REUSABLE INSTRUMENTS |
|
|
$122,988.71 |
| Infection Control and Supplies |
|
|
|
| Per year (eyewash station, Sharps container, kits*) |
1 |
$151.37 |
$151.37 |
| Per station (waterline testing, protective eyewear and bib clip) |
1 |
$57.75 |
$57.75 |
| Per operator (protective eyewear) |
1 |
$4.78 |
$4.78 |
| Per day (trash liners, hand-sanitizer and hand soap) |
900 |
$1.54 |
$472.78 |
| Per day per station (waterline treatment, evacuation system treatment) |
900 |
$5.10 |
$4,590.00 |
| Per day per operator (protective clothing) |
900 |
$2.78 |
$2,502.00 |
| Supplies for screening |
14523 |
$1.15 |
$16,701.45 |
| Supplies for sealants (in addition to screening costs) |
7858 |
$0.48 |
$3,771.84 |
| Disposable instruments |
0 |
$0.00 |
$0.00 |
| Sealant material |
35561 |
$0.00 |
$0.00 |
| TOTAL INFECTION CONTROL & SUPPLIES |
|
|
$28,251.97 |
| Labor |
|
|
|
| Dentist |
|
|
|
| Travel |
65.00 |
$109.94 |
$7,146.09 |
| At school |
722.30 |
$109.94 |
$79,409.66 |
| Dental Hygienist |
|
|
|
| Travel |
1052.20 |
$52.07 |
$54,788.40 |
| At school |
4926.40 |
$52.07 |
$256,517.83 |
| Dental Assistant |
|
|
|
| Travel |
681.20 |
$25.90 |
$17,643.08 |
| At school |
3306.90 |
$25.90 |
$85,648.71 |
| Non-dental |
|
|
|
| Travel |
526.30 |
$26.05 |
$13,710.13 |
| At school |
102.50 |
$26.05 |
$2,670.20 |
| TOTAL LABOR |
|
|
$517,534.10 |
| TOTAL MILEAGE |
78371 |
$0.54 |
$42,320.55 |
| TOTAL ADMINISTRATIVE |
|
|
$4,000 |
| TOTAL PROGRAM COSTS |
|
|
$715,095.33 |
|
|
|
|
| Cost per child sealed |
|
|
$91.00 |
| Cost per tooth sealed |
|
|
$20.11 |
| Clinical labor time (hours) per child sealed |
|
|
1.14 |
| Clinical labor cost per child sealed |
|
|
$53.65 |
|
|
|
|
| Summary of services delivered |
|
|
|
| Number of children screened |
|
|
14523 |
| Number of children sealed |
|
|
7858 |
| Number of teeth sealed |
|
|
35561 |
| Number of fluoride varnish applications |
|
|
14036 |
| Number of prophylaxes |
|
|
36 |
|
|
|
|
| Summary of schools served |
|
|
|
| Number of high need schools |
|
|
160 |
| Number of rural schools |
|
|
239 |
|
|
|
|
| *Kits include blood borne pathogen spill, first aid, and chemical hazard |
|
|
|
| Number of schools served by SSP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| High need, urban |
6 |
|
|
|
|
|
|
|
|
| High need, rural |
2 |
|
|
|
|
|
|
|
|
| Rural |
2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Effectiveness in targeting high-risk children that lack access to dental care |
|
Response rate |
|
|
|
|
|
|
|
| Value |
|
|
|
|
|
|
|
| % with untreated decay (baseline) |
35.4 |
99.8 |
|
|
|
|
|
|
|
| % with treated or untreated decay (baseline) |
54.0 |
99.8 |
|
|
|
|
|
|
|
| % with sealants present (baseline) |
25.0 |
99.8 |
|
|
|
|
|
|
|
| % needing "Restorative Care" (baseline) |
22.0 |
100.0 |
|
|
|
|
|
|
|
| % needing "Urgent Care" (baseline) |
15.0 |
99.8 |
|
|
|
|
|
|
|
| One-year 1M attack rate without program/ based on # children |
15.77% |
784 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Number of services delivered |
|
|
|
|
|
|
|
|
|
| Children screened |
1052 |
|
|
|
|
|
|
|
|
| Children sealed |
740 |
|
|
|
|
|
|
|
|
| By age in years |
|
|
|
|
|
|
|
|
|
| 5 |
0 |
|
|
|
|
|
|
|
|
| 6 |
3 |
|
|
|
|
|
|
|
|
| 7 |
298 |
|
|
|
|
|
|
|
|
| 8 |
198 |
|
|
|
|
|
|
|
|
| 9 |
50 |
|
|
|
|
|
|
|
|
| 10 |
116 |
|
|
|
|
|
|
|
|
| 11 |
62 |
|
|
|
|
|
|
|
|
| 12 |
11 |
|
|
|
|
|
|
|
|
| 13 |
2 |
|
|
|
|
|
|
|
|
| 14 |
0 |
|
|
|
|
|
|
|
|
| 15 |
0 |
|
|
|
|
|
|
|
|
| 16 |
0 |
|
|
|
|
|
|
|
|
| 17 |
0 |
|
|
|
|
|
|
|
|
| 18 |
0 |
|
|
|
|
|
|
|
|
| Other/unknown |
0 |
|
|
|
|
|
|
|
|
| By grade |
|
|
|
|
|
|
|
|
|
| 1st |
1 |
|
|
|
|
|
|
|
|
| 2nd |
509 |
|
|
|
|
|
|
|
|
| 3rd |
29 |
|
|
|
|
|
|
|
|
| 4th |
24 |
|
|
|
|
|
|
|
|
| 5th |
176 |
|
|
|
|
|
|
|
|
| 6th |
0 |
|
|
|
|
|
|
|
|
| 7th |
0 |
|
|
|
|
|
|
|
|
| Other/unknown |
1 |
|
|
|
|
|
|
|
|
| 1st molars / 2nd molars / other teeth sealed |
2332 |
179 |
50 |
|
|
|
|
|
|
| Children referred for dental care |
388 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Quality of services delivered and program impact |
|
|
|
|
|
|
|
|
|
| Sealant retention rate / based on # children |
0.873 |
333 |
|
|
|
|
|
|
|
| Percentage screened children with sealant after event |
82.9 |
|
|
|
|
|
|
|
|
| Percentage of targeted children subsequently screened |
0.5 |
|
|
|
|
|
|
|
|
| Percentage screened children subsequently sealed |
70.3 |
|
|
|
|
|
| Estimated cavaties averted over 9 years undiscounted / discounted |
1225.99 |
1120.56 |
|
|
|
|
|
|
|
| Estimated averted 9-year Medicaid treatment costs undiscounted / discounted |
$79,689.23 |
$72,836.58 |
|
|
|
|
|
|
|
| SSP output description |
Value |
Description |
SAS output description |
Value |
Description |
|
|
|
|
|
| Number of children screened |
1052 |
Number of children screemed |
Number SSP, urban>50% FRL |
6 |
urbanFRL |
|
|
|
|
|
| PosUntreat SUM |
372 |
Number of children with untreated decay |
Number of SSP, rural>50%FRL |
2 |
ruralFRL |
|
|
|
|
|
| UntreatReport SUM |
1050 |
Number of children for whom Untreated Caries was answered validly |
Number of SSP, rural |
2 |
rural |
|
|
|
|
|
| PosUrgent SUM |
157 |
Number of children with Treatment Urgency = "Urgent Treatment" |
|
|
|
|
|
|
|
|
| PosRestCare SUM |
231 |
Number of children with Treatment Urgency = "Restorative Care" |
|
|
|
|
|
|
|
|
| ReportUrgency SUM |
1050 |
Number of children for whom Treatment Urgency was answered validly |
|
|
|
|
|
|
|
|
| PosTreated SUM |
|
Number of children with treated decay |
|
|
|
|
|
|
|
|
| RepostTreated SUM |
|
Number of children for whom Treated Caries was answered validly |
|
|
|
|
|
|
|
|
| PosCariesExp SUM |
568 |
Number of children with treated or untreated caries |
|
|
|
|
|
|
|
|
| ReportCariesExp SUM |
1052 |
Number of children for whom Caries Experience was answered validly |
|
|
|
|
|
|
|
|
| PosSeal SUM |
263 |
Number of children with sealants present at baseline |
|
|
|
|
|
|
|
|
| ReportSeal SUM |
1050 |
Number of children for whom Sealants Present was answered validly |
|
|
|
|
|
|
|
|
| ARDummy7 SUM |
324 |
Number of children 7 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| ARDummy8 SUM |
226 |
Number of children 8 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| ARDummy9 SUM |
54 |
Number of children 9 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| ARDummy10 SUM |
105 |
Number of children 10 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| ARDummy11 SUM |
61 |
Number of children 11 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| ARDummy12 SUM |
13 |
Number of children 12 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| ARDummy13 SUM |
1 |
Number of children 13 years old with valid amount of 1M decay reported |
|
|
|
|
|
|
|
|
| NewDecay1M7 SUM |
261 |
Decayed or filled 1M among 7 year olds |
|
|
|
|
|
|
|
|
| NewDecay1M8 SUM |
225 |
Decayed or filled 1M among 8 year olds |
|
|
|
|
|
|
|
|
| NewDecay1M9 SUM |
73 |
Decayed or filled 1M among 9 year olds |
|
|
|
|
|
|
|
|
| NewDecay1M10 SUM |
176 |
Decayed or filled 1M among 10 year olds |
|
|
|
|
|
|
|
|
| NewDecay1M11 SUM |
107 |
Decayed or filled 1M among 11 year olds |
|
|
|
|
|
|
|
|
| NewDecay1M12 SUM |
24 |
Decayed or filled 1M among 12 year olds |
|
|
|
|
|
|
|
|
| NewDecay1M13 SUM |
0 |
Decayed or filled 1M among 13 year olds |
|
|
|
|
|
|
|
|
| WereSealed SUM |
740 |
Number of children sealed |
|
|
|
|
|
|
|
|
| SealPost SUM |
872 |
Number of children with at least one sealant after the event |
|
|
|
|
|
|
|
|
| FirstSealed SUM |
2332 |
Number of first molars sealed |
|
|
|
|
|
|
|
|
| SecondSealed SUM |
179 |
Number of second molars sealed |
|
|
|
|
|
|
|
|
| OSealed SUM |
50 |
Number of other teeth sealed |
|
|
|
|
|
|
|
|
| CheckRetained SUM |
1600 |
Sealants retained among children with valid retention check |
|
|
|
|
|
|
|
|
| CheckSealed SUM |
1833 |
Sealants placed among children with a valid retention check |
|
|
|
|
|
|
|
|
| ChildChecked SUM |
533 |
Number of children checked for retention regardless of how long after placement |
|
|
|
|
|
|
|
|
| Consnts |
2000 |
|
|
|
|
|
|
|
|
|
| 5-year olds sealed |
0 |
|
|
|
|
|
|
|
|
|
| 6-year olds sealed |
3 |
|
|
|
|
|
|
|
|
|
| 7-year olds sealed |
298 |
|
|
|
|
|
|
|
|
|
| 8-year olds sealed |
198 |
|
|
|
|
|
|
|
|
|
| 9-year olds sealed |
50 |
|
|
|
|
|
|
|
|
|
| 10-year olds sealed |
116 |
|
|
|
|
|
|
|
|
|
| 11-year olds sealed |
62 |
|
|
|
|
|
|
|
|
|
| 12-year olds sealed |
11 |
|
|
|
|
|
|
|
|
|
| 13-year olds sealed |
2 |
|
|
|
|
|
|
|
|
|
| 14-year olds sealed |
0 |
|
|
|
|
|
|
|
|
|
| 15-year olds sealed |
0 |
|
|
|
|
|
|
|
|
|
| 16-year olds sealed |
0 |
|
|
|
|
|
|
|
|
|
| 17-year olds sealed |
0 |
|
|
|
|
|
|
|
|
|
| 18-year olds sealed |
0 |
|
|
|
|
|
|
|
|
|
| age unknown sealed |
0 |
|
|
|
|
|
|
|
|
|
| Grade 1 sealed |
1 |
|
|
|
|
|
|
|
|
|
| Grade 2 sealed |
509 |
|
|
|
|
|
|
|
|
|
| Grade 3 sealed |
29 |
|
|
|
|
|
|
|
|
|
| Grade 4 sealed |
24 |
|
|
|
|
|
|
|
|
|
| Grade 5 sealed |
176 |
|
|
|
|
|
|
|
|
|
| Grade 6 sealed |
0 |
|
|
|
|
|
|
|
|
|
| Grade 7 sealed |
0 |
|
|
|
|
|
|
|
|
|
| Other Grade sealed |
1 |
|
|
|
|
|
|
|
|
|
| Medicaid reimbursement for 1 surface posterior filling |
$65.00 |
|
|
|
|
|
|
|
|
|