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Objectives To determine how income-based disparities in a yearly dental visit (the Healthy People 2020 Leading Health Indicator for Oral Health) changed since legislation to expand dental coverage and to compare disparity trends in children and adults. Methods We analyzed Medical Expenditure Panel Survey (MEPS) 1997-2016 to determine yearly dental visit rates for US children and adults by family income. We determined measures of income disparity, including the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) and