Table 4.

Pediatricians’ reported moderate to significant barriers to providing oral health activities, over time

	2008 (%)	2012 (%)
Lack of ability to bill for oral health assessments	33.5	33.7
Lack of professional training	40.9	35.4
Inadequate time during health supervision visits	35	28.8*
Lack of ability to bill for fluoride varnish	46.7	33.1*
Patients’ lack of dental insurance/inability to pay for care	76.3	76.4
Parents not perceiving dental visits as necessary	51.7	49.9
Other Barriers
Too few dentists to see publicly insured children ≤3 years	a	73.1
Too few dentists to see publicly insured children >3 years	a	61.5

Indicates p-value on chi-squared test statistic used to examine changes since 2008 is significant at level of:

^*p<0.05,

^**p<0.01, or

^***p<0.001.

^aquestion not asked in 2008.