STS Site Planning Atlas

Internal — STS team use. Current service locations, stated expansion interest, the Lexington drive-time bubble, and the county data layers for weighing candidate sites: dentists per resident, Medicaid dental providers, health center sites with dental NPI matches, and oral surgeon practice addresses. Prepared October 12, 2026; every source re-pulled September except the drive-time routing (July 2026).
Current sites: Bowling Green, Louisville, Somerset, Cynthiana, Richmond, Dry Ridge. Expansion interest: Corbin, Monticello, Somerset, Beattyville, Maysville. 60 health center sites have dental NPI address matches in NPPES (40 with multiple NPIs, 20 with a single NPI); additional sites remain unverified. No matching oral surgeon practice address was identified in this NPPES extract for 86 of Kentucky's 120 counties. Every number carries its source, its method, and its limits; see Sources & Method.

current STS service locations (Bowling Green, Louisville, Somerset, Dry Ridge, Cynthiana, Richmond — always shown) · ★ Lexington hub · drive times run from Lexington to each county seat · expansion interest (Corbin, Monticello, Somerset, Beattyville, Maysville; Somerset carries both)
★

Questions & answers — reading the map

What are the blue pins and the gold rings?

Blue pins are the six current STS service locations: Bowling Green, Louisville, Somerset, Cynthiana, Richmond, Dry Ridge. Gold rings are communities where expansion interest has been stated: Corbin, Monticello, Somerset, Beattyville, Maysville. Somerset is both. Pins and rings are always shown; they are not affected by the slider.

What does the bubble rule mean?

A county is inside the bubble when the routed drive from Lexington to its county seat, rounded to the minute, is at or under the slider value. At 3 hours that is 95 counties. Hancock County, at 180.1 minutes, rounds to 180 and counts as inside — the same rule every STS exhibit has used since July.

How do I read a candidate county?

Start with the three signs of unmet need: no Medicaid dental provider listed in the federal locator, no oral surgeon practice address in NPPES, and a seat inside the 3-hour bubble. 21 counties meet all three today. Then hover the county for its nearest current STS site (straight-line miles from the seat) and switch on the health center layer to see where a host practice with dental NPI matches already exists.

How was this map made?

A script reads public data files and writes this single page. County shapes come from the US Census boundary file; every county, dot and triangle is drawn from its latitude and longitude with the same projection, so points fall inside the right county. Nothing is live: the slider, buttons and hover boxes re-read numbers already stored in the page. No mapping service is involved.

What do the colors mean in the Medicaid view?

Each county's Medicaid provider practice locations are divided by its 2024 population to give a rate per 10,000 residents. The 90 counties with at least one listing are split into five equal groups, green (most) to red (fewest); the cut-offs are 0.69, 1.02, 1.7 and 2.37 per 10,000. The 30 counties with no provider listed in the federal locator are dark red.

What is a “provider practice location”?

One dentist at one address. A dentist listed by several Medicaid plans at the same address counts once; the same dentist at two addresses counts twice; two dentists in one office count as two. Statewide that is 811 provider practice locations at 445 distinct addresses. Hover a county to see both.

Does dark red in the oral surgeon view mean no oral surgeon works there?

No. It means no oral and maxillofacial surgeon has registered a practice address in that county in the NPPES registry (86 counties). A surgeon who visits from elsewhere, or whose registration lists a different address, would not appear. The registry also marks a surgeon's address, not a facility permitted for IV sedation.

Do the gold dots show every dental clinic?

No. They show the 60 health center sites where at least one dental provider has registered that street address in NPPES (40 with two or more, 20 with exactly one). It is a registry match, not proof that a dental program is operating, and the other 585 health center sites are not drawn. Private dental offices are not shown as dots at all; they are counted in the county figures.

Why does drive time start in Lexington, and what does it measure?

Lexington, the STS hub is the fixed starting point used for the estimates. Each county has one figure: the routed drive from Lexington to that county's seat. It is not the drive to any clinic in the county. 25 counties are more than 3 hours away and 14 more than 4.

Why do the numbers change when I move the slider?

The cards count only the counties currently in view. With the drive-time limit on, counties whose seat is farther than the slider value turn grey and drop out of every card and of the yellow box. Minutes are rounded first, so a county at 180.1 minutes counts as within 3 hours. With the limit off, everything is statewide.

How current is it?

Dentists: 2024 data, downloaded September 17, 2026. Medicaid locator: queried September 17, 2026 (records carry a 2026/7/24 update date). Health center sites: downloaded September 17, 2026. NPPES registry: retrieved September 17, 2026. UDS: reporting years 2021–2025. Drive times: computed July 2026. The registry updates weekly and the site file daily, so the page drifts until it is rebuilt.

Questions & answers — the directory

Where does this list come from?

HRSA's Health Center Program file of service delivery sites, downloaded September 17, 2026: 645 Kentucky sites from 36 organizations, after removing administrative-only offices. Names, addresses, phone numbers and websites are exactly as HRSA publishes them.

Why does it open on 60 sites instead of all 645?

HRSA's file does not say which sites offer dental, so the default view lists only sites where a dental provider has registered that address in NPPES. “Show all sites” adds every other record in the file: schools, medical clinics, administrative and service sites, and mobile units.

What do the four match labels mean?

Multiple dental NPIs matched (40): two or more dental providers registered at the address. Single dental NPI matched (20): exactly one. No dental NPI matched, unverified (530): none registered there, which is absence of evidence only. No dental program reported in UDS 2021–2025 (55): no match, and the parent organization reported zero dental patients to HRSA in those years.

Does a match mean the site offers dental care today?

No. Providers report their own addresses and may list a headquarters or billing office. A match is a reason to look closer, not confirmation of an operating program, and it says nothing about hours, Medicaid acceptance or surgical capability.

What is the figure on each organization's header?

The organization's own report to HRSA's Uniform Data System: dental patients in 2025. It describes the whole organization, never an individual site, so it is shown on the header and not in the site rows.

Is the drive time the drive to this clinic?

No. It is the drive from Lexington to the seat of the county the site is in. A clinic elsewhere in the county may be closer or farther.

Have the phone numbers and websites been checked?

No. They are passed through from HRSA unchanged and nothing was looked up or filled in. HRSA regenerates the file daily, so confirm before relying on them.

Sources & method — every number traces to a public dataset

Dentists per county: HRSA Area Health Resources File (AHRF) 2024-2025 release, county file, downloaded September 17, 2026 — field dent_npi_24, "Dentists w/NPI", data year 2024 (underlying source: CMS NPI Downloadable File). Population: Census county estimate for 2024 (popn_est_24, same file). Residents per dentist is computed here from those two figures. Kentucky total: 3,112 dentists, 4,588,372 residents. This is the series County Health Rankings publishes as its Dentists measure; CHR's newest downloadable release still carries data year 2022 (3,005 dentists), so the figure is taken from AHRF directly. A dentist with an NPI is a registered provider, not necessarily one in active clinical practice.
Medicaid dental providers: federal InsureKidsNow.gov Medicaid/CHIP dental locator, queried September 17, 2026 — all 120 counties × all 6 KY Medicaid/KCHIP dental plans; 1,722 plan listings de-duplicated to 811 provider practice locations (one dentist at one address: a dentist listed by several plans counts once, and two dentists in one office count as two) at 445 distinct addresses. Update date carried by the records: 2026/7/24 (1,722 listings). An access indicator drawn from what each MCO submitted to the locator, not a census of enrolled or practicing dentists; 30 counties have no provider listed.
Drive times: OSRM road-network routing (OpenStreetMap) from a fixed point in Lexington to each county seat (Census 2023 Places Gazetteer coordinates), computed July 2026. One estimate per county: it is the drive to the county seat, not to any individual clinic or practice shown in that county. Where a county has two seats, Alexandria (Campbell) and Independence (Kenton) were used. OSRM durations run roughly 5–15% longer than typical-traffic estimates, so the true bubble is, if anything, slightly larger.
Health center (FQHC) sites: HRSA Health Center Program — Service Delivery and Look-Alike Sites file (data.hrsa.gov), downloaded September 17, 2026. 682 active Kentucky records, less 34 administrative-only offices, less 3 sites listed twice while Monticello Medical Associates, Inc. moves from Look-Alike to grantee status = 645 sites from 36 organizations, including 26 FQHC Look-Alike sites. Contact details are exactly as published by HRSA — none are inferred; HRSA regenerates the file daily, so confirm before relying on them. The file lists sites of ALL service types and carries no service-line data.
Health center dental programs (organization level): HRSA Uniform Data System (UDS) awardee profiles (data.hrsa.gov Program Data), reporting years 2021–2025, retrieved September 17, 2026 — "Dental Patients" per organization. ⚠ Organization-level only, used here to show whether an organization reported dental patients and how many. It is never attributed to an individual site: an organization with a dental program delivers it at a subset of its sites, and HRSA publishes no per-site service data. "No dental program reported" means zero dental patients in the UDS years cited; current absence has not been verified. UDS dental is largely preventive and general dentistry — it is not evidence of surgical capacity (extractions under sedation), the gap STS fills.
Health center dental NPI matches (site level): NPPES NPI Registry read API v2.1, retrieved September 17, 2026 — 138 distinct dental-taxonomy NPIs whose registered practice-location address matches an HRSA FQHC site address, across 19 organizations. 40 sites with multiple dental NPIs matched (2+ at the address) · 20 with a single dental NPI matched · 530 with no dental NPI matched (unverified) · 55 with no dental NPI matched whose parent organization reported zero dental patients in UDS 2021–2025. A registry match supports further investigation; it does not establish that a dental program is currently operating. A site with no match stays unverified — absence of an NPI is absence of evidence. ⚠ NPPES addresses are self-reported: checked 2026-07-27 against HealthPoint Family Care's own dental-locations page, its three published dental sites returned 10, 6 and 6 NPIs while a fourth address returned 1 and is not on that page — hence the two tiers. A dental NPI indicates a dentist registered at the address, not an operating program, and says nothing about hours, Medicaid acceptance, or surgical capability.
Oral & maxillofacial surgery: NPPES NPI Registry, taxonomy 1223S0112X, statewide, retrieved September 17, 2026. The extract holds 231 NPIs with a Kentucky practice-location address at 134 distinct addresses (NPIs matching Kentucky on a mailing address only are excluded). 225 NPIs at 130 addresses are mapped, in 34 of Kentucky's 120 counties; 4 addresses (6 NPIs) at Fort Campbell could not be assigned to a county and are omitted — a military dental activity whose ZIP-code centroid falls in Tennessee. No matching oral surgeon practice address was identified in this NPPES extract for 86 counties. That describes the registry, not the ground: it does not establish that no visiting or otherwise unrecorded surgeon serves those counties. Locations geocoded via the US Census Geocoder; 14 placed by ZIP centroid where the address matcher had no record (marked "approx." in the tooltip). ⚠ PROVISIONAL proxy for surgical capacity: an OMS registration marks a surgeon's registered address, not a facility permitted for IV sedation. Kentucky requires a Sedation Permit Location Notification, so the Board of Dentistry holds the authoritative list of sedation-authorized locations; it is not published and requires an open-records request.
Boundaries: US Census county cartographic boundaries (via Plotly county GeoJSON). Blue location pins: current STS service locations (Bowling Green, Louisville, Somerset, Cynthiana, Richmond, Dry Ridge). Gold rings: stated expansion-interest communities (Corbin, Monticello, Somerset, Beattyville, Maysville). ★ Lexington hub. Nearest-site distances in county tooltips are straight-line miles from the county seat, not drive times.

Known limits of this exhibit. Stated plainly, because a reviewer who sees us name our own limits can trust the rest.

Questions & answers — sources and method

Can I reproduce a number?

Yes. Every figure comes from a public dataset named above with its retrieval date. Hover any county or dot to see the underlying values; the stat cards are plain counts of those values over the counties in view.

Why registries instead of a survey?

No public file says which health center sites deliver dental or where oral surgery is available. The NPPES registry is the closest public, statewide, address-level source. Its limits are that addresses are self-reported and registration is not the same as practicing, which is why matches are described as matches and nothing more.

What does “unverified” mean?

That no dental provider is registered at the site's address. It does not mean the site has no dental service. 530 of 645 sites are in this group, so the 60 matched sites are not an upper limit.

Why are some oral surgeons missing from the map?

The registry extract holds 231 surgeons at 134 addresses; 225 at 130 are mapped. The rest are at Fort Campbell, a military dental activity whose ZIP code center falls outside Kentucky, so no county could be assigned. Surgeons whose only Kentucky address is a mailing address are excluded as practicing elsewhere.

Why did the dentist numbers change from earlier versions?

Earlier versions used County Health Rankings 2025, which carries 2022 data (3,005 dentists statewide). This version takes the same series from its source, HRSA's Area Health Resources File, for 2024 (3,112), with 2024 population. Robertson and Wolfe have no dentist with an NPI.

How often should this be rebuilt?

Whenever it will be relied on for a decision. NPPES changes weekly, HRSA's site file daily, the Medicaid locator when plans resubmit, and UDS and AHRF once a year.

What if something here is wrong?

Most errors trace back to the source: a provider's registered address, a plan's locator submission, or HRSA's site record. Corrections made at the source appear here at the next rebuild. Please report anything that looks like a mistake in how this page handles the data to whoever shared it with you.