A Bit About Us

What's different about dentistry for people with special needs? These populations are most susceptible to rampant decay and gum problems secondary to general health problems, long-term medication use, and the inability to clean their own mouths. Daily oral care and preventive care are typically overlooked and the result is often emergency care as a last resort.

Access Dental Care is a non-profit, mobile, onsite provider committed to serving residents in retirement communities, those with intellectual and developmental disabilities in nursing home facilities and group homes, PACE (Programs for All- Inclusive Care for the Elderly) participants, those in the Central North Carolina Health Network HIV/AIDS program, and residents living in the community at-large. Our comprehensive dental services include:  x-rays cleanings, extractions, fillings, dentures & bridges, oral cancer exams, and treatment for gum disease.

Access Dental Care serves all of the greater special care community. Seventy-five percent of our patients’ care is Medicaid funded. We do not target patients or facilities based on their funding source.


Access Dental Care, a North Carolina Dental Society sponsored program, was established as a non-profit organization and is a replication project of Apple Tree Dental, a Minnesota non-profit.  The North Carolina Dental Society recognized that the State needed a model program to provide quality special care services and community dentists needed a referral source for their ever changing practice population.  Their foresight has resulted in North Carolina being a national leader in special care dentistry.

Dr. Bill Milner transferred his private practice serving six nursing home facilities in Asheboro and Greensboro to the newly formed, non-profit Access Dental Care in 2000. The program has the support of numerous North Carolina foundations and special care interest organizations. The Cone Foundation, the North Carolina Dental Society and Piedmont Triad Area Agency on Aging grants helped launch an organization that has never stopped opening dentistry’s doors to the medically, intellectually and physically disabled.

While carefully expanding our programming efforts, we started manufacturing much of our own equipment. Loading and unloading a complete dental office five days a week requires special equipment. We have also created, with our partners at SoftDent, software specifically for the special care mobile practice. A complete system has produced the following service numbers.

Geographic Coverage
Service to 21 Counties from Shelby to Raleigh with requests for service statewide.

Past Clinical Services
• 14,429 Patients Served, 80% of whom are Medicaid
• 99,232 Patient Visits

Special Patient Populations
• 84 Active Facilities
• 1,070 Patients with Intellectual/Developmental Disabilities cared for through group home day centers
• 740 Patients care for with I/DD living in the community
• 502 Patients care for in PACE programs
• 545 Patients care for at Central Carolina Health Network (all HIV+). There are approximately 150 individuals on the waiting list.
• 11,571 Patients in long term care
• 567 Operating Room Patients Completed Financial
• $14.8 Million in Gross Production
• $4.58 Million in Uncompensated Care
• $1.66 million of Foundation/Grant funding for capital expenses

Education, Advocacy and Research numbers are not included.

Financial Support

Many thanks to our foundation and individual donors who have donated over $1.6 million the past 17 years! Access Dental Care would not exist without their support because each expansion was funded by major gifts. While we provide care every day, our reimbursement doesn’t come close to funding new programs and replacing worn out equipment. Being a non-profit allows us receive these generous gifts, expanding the scope of special care dentistry.


We’re Well Connected

North Carolina Dental Society  •  North Carolina Foundations  •  UNC School of Dentistry  •  Eastern North Carolina School of Dentistry  •  NC Oral Health Section  •  NC Medicaid  •  NC Oral Health Collaborative  •  NC Area Health Education Centers  •  NC Programs for All Inclusive Care of the Elderly  •  American Association of Retired Persons  •  NC Coalition on Aging  •  Moses Cone and Randolph Hospitals  •  Central Carolina Health Network


Proud Participants in Special Care Dentistry’s Professional Organizations