Medicaid Calculator

Making the decision to serve Medicaid patients is important for your practice and for the Medicaid recipients of Colorado. The "Medicaid Calculator" is provided to help you project how Medicaid reimbursements will affect your practice income. Medicaid does reimburse at a lower rate than some commercial insurance plans but the program accepts electronic submission of claims and transfers funds directly to your account within 5 days. Many experienced Medicaid dentists have told us that they are very pleased with the administrative ease of the Program.

Working efficiently is the key. This fits well with the Medicaid mission of serving children. It is best to keep appointments with children short. You should schedule two to three preventive appointments per hour per chair. This also helps your practice income because it provides a reasonable amount of revenue per hour. Restorative appointments may take longer but they should typically still be relatively short – never longer than an hour. With these thoughts as background please test out the "Calculator".

 

Directions: (click to open)

  1. Enter the expenses for your office for one month. This is used to calculate the cost per hour of each chair.
  2. Enter the total number of chairs (treatment rooms) in your office.
  3. Enter the number of chairs you will utilize to serve Medicaid patients in your office.
  4. Enter the percentage of time chairs are underutilized in your office. For example, if the chairs are unused 10% of the time, on average, enter 10.
  5. Enter the number of hours you operate on average per day
  6. Enter the number of days your office is open on average per month
  7. How many preventive visits per hour would you provide in each chair?
  8. Check the codes you would include in a typical preventive visit
  9. How many restorative visits would you provide in each chair per hour. This is related to the preventive codes you select. If you are doing one or more stainless steel crowns, then one per hour makes sense. If you are doing one or two surface restorations, perhaps 2 patients per hour could be served.
  10. What percentage of the time do you anticipate will be used to provide restorative treatment. This number should typically range from 0 to 50%.

Enter Values

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Calculated Values

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