I have some dentist and dental assistant friends...They have been telling me for a couple of years now that business is way way down. We are in a recession.  Also, there is a glut of dentists.  Here in the Valley, there are some dentists who are only open a couple of days a week.  Dentists have high overhead but of course, that is no excuse to rip off Medicaid. We really need to crack down on fraud - by providers and by those getting the free dental work.  I know a guy who works for a car dealership and did the financial paperwork for a man buying a 90K vehicle.  And guess what?  His kids were on Denali Kidcare. The buyer has a cash business and put his house in his mother's name. So many people cheat the system.  This is why I was against expanded medicaid.