Independence, Mo. – A pioneering dental surgery center is set to open next month at 19921 E. Jackson Drive, becoming the first facility in Missouri dedicated exclusively to Medicaid patients. The for‑profit, privately owned Independence Surgery Center will provide general anesthesia and oral surgery for children, adults and individuals with intellectual disabilities.
Local reforms made the center possible
Dr. Aaron Bumann, a pediatric dentist and co‑founder of the center, said the project would not have been feasible five years ago. Missouri’s overhaul of its Medicaid dental program, MO HealthNet, expanded limited adult coverage and raised reimbursement rates to be more comparable with private insurers. While the state still does not cover crowns, root canals or dentures for adults, the reforms have already increased access.
According to the Missouri Coalition for Oral Health, an additional 81,000 MO HealthNet participants received dental care between 2022 and 2025, and 195 new dentists signed up for Medicaid in fiscal year 2025. These gains encouraged Bumann and his partners to move forward with the new surgery center, which will complement existing dental homes rather than replace them.
Federal budget cuts threaten progress
President Donald Trump’s 2025 budget proposal, dubbed the “One Big Beautiful Bill,” calls for a reduction in federal Medicaid funding beginning next year. The Congressional Budget Office estimates Missouri could lose between $11 billion and $18 billion in federal Medicaid dollars over the next decade. State officials have not yet detailed how they will offset the shortfall, and many observers expect optional adult dental coverage could be the first casualty.
Bob Theis, CEO of the Samuel U. Rodgers Health Center, warned that cutting adult dental benefits is “totally on the table.” Missouri Department of Health and Senior Services chief dental consultant Dr. Megan Krohn echoed the concern, noting the need for intentional budgeting to preserve resources for all Missourians.
Why oral health matters
Dental experts stress that untreated oral disease can lead to heart disease, high blood pressure, and complications for pregnant women, diabetics and joint‑replacement patients. Dr. Raquia Denson of KC Care described the mouth as “the gateway to everything else,” emphasizing the broader health and economic impacts of dental neglect.
U.S. Rep. Emanuel Cleaver, whose district includes 167,000 Medicaid enrollees, praised the new center as “God’s work” and urged Congress to restore Medicaid funding in the upcoming budget cycle.
Challenges remain
Even with expanded Medicaid participation, Missouri still faces a shortage of dental providers, especially in rural areas. At least 14 counties have no dentist at all, and the state needs roughly 350 additional dentists to meet demand. Many providers cap the number of Medicaid patients they see, limiting access for those who rely on the program.
Despite these hurdles, the Independence Surgery Center represents a tangible step forward for oral health equity in the Kansas City region, offering a critical service for Medicaid families while the state navigates uncertain federal funding.
Original reporting: The Beacon (Kansas City) — read the source article.