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Variation in opioid prescribing rates among geographic regions is well known and, to the authors' knowledge, there have been no studies of variation from 1 dental clinic to another, and such variation might suggest an excess of opioid prescriptions. The authors used a retrospective cohort design study of all dental encounter records for 819,453 soldiers in the dental clinics (n= 25 of the US Military Health System during the period from 2008 through2017. There were 743,459 dental surgical encounters. Opioid prescriptions were filled fo