[2][3] Following the passage of the Affordable Care Act and the subsequent expansion of Medicaid, the DSO model has become increasingly popular for dental practices.
Dentistry innovations have meant that DSOs have become a common dental care solution to many low-income families in the United States.
[5] New Mexico Health Resources produced a report in 2008, showing the impact and drawbacks of general dental care in the United States.
[9] Growing demand among low-income populations increases the needs for DSOs to curb the poor dental care issue in the United States.
[11] Similar research shows that poor dental hygiene directly affects educational abilities and school attendance.
The dental company Kool Smiles operates as a DSO and was found to have per-patient Medicaid expenditures that were 33 percent lower than non-DSO patients.
It is defined as a DSO which owns all or part of multiple practices, usually built through acquisitions, which retain the doctor's original branding.