In California where hundreds of millions of dollars are being spent to begin water fluoridation:
"Currently, about 4,000 of California's 34,000 active dentists provide 97% of all services to Denti-Cal (gov't insurance for low-come residents) beneficiaries, according to the Dental Health Foundation.
That number is dropping, but nobody is sure how fast."
"Rosenstein said documentation requirements were reduced in response to lawsuits. As a result, 'the dental program became a very high fraud area. We had common situations in which providers -- sometimes not even dentists -- would pay children and parents to come in for dental treatment. They'd provide a large number of unnecessary dental procedures -- pinprick fillings in kids' teeth -- and bill for them.
'We took aggressive action and, unfortunately because of fraud and abuse, we increased documentation standards,' Rosenstein said.