i smile the iowa dental home proposal 3 2 06 executive summary background house file 841 states by july 1 2008 every medicaid recipient who is a child 12 years of age or less must have designated rationale than 45 percent all children enrolled in visit during year low income are most at risk for severe and untreated decay treatment ages birth to three often requires hospitalization costs can range from 000 5 tooth be prevented prevention begin an early access preventive services has shown significant cost savings compared delayed later american academy pediatric dentistry s definition conceptual framework this consists dentist supported network non public private healthcare providers providing care coordination these include screenings therapies education referrals current obstacles there insufficient number practicing dentists