Scottdale Medicaid spending on dental services jumps 17336.8% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, providers in Scottdale billed Medicaid $149,433 for dental services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 17336.8% rise compared to 2023, when claims in the same category totaled $857.

Medicaid is a state-administered health insurance initiative supported jointly by federal and state entities. It insures low-income people, older adults, children and those with disabilities, making up a major part of the U.S. health care system.

Since taxpayer funds support Medicaid disbursements, shifts in local billing provide insight into how public health funds are spent in various communities.

The Dental Services category covers medical billing attributed to a particular range of dental care, outlined by standardized HCPCS and CPT codes. For this report, service codes were assigned strictly to one category using standard prefixes and numerical parameters. This ensures closely related services are analyzed together without double counting and maintains precise rankings year over year.

Scottdale saw increased Medicaid spending in more than one service group, but dental services posted the highest total payment for 2024 among them.

Throughout Pennsylvania, dental services held the 14th spot in total Medicaid payouts for 2024.

Between 2019 and 2024, Scottdale’s Medicaid dental payments climbed $132,999, up 809.3%. Notably, periods of accelerated spending were seen, particularly evident in 2021 and 2020.

Although dental Medicaid expenditures in Scottdale appeared citywide, the majority came from just a few ZIP codes. Notably, in 2024, ZIP code 15683 accounted for $149,432 in these payments, and the top ZIP code made up all Medicaid dental claims in the city for the year.

Within this category, a small share of billing codes were associated with most Medicaid payments.

Comparisons reveal that Medicaid dental service payments in Scottdale increased 17336.8% from 2023 to 2024, versus a 1693.1% growth across all Medicaid claim categories in the area over the same timeframe.

According to the Centers for Medicare & Medicaid Services, Medicaid spending by federal and state governments was about $871.7 billion in fiscal year 2023. That amounted to roughly 18% of total national health-related expenditures, up significantly from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This reflects an increase of approximately 40% in just a few years, with main causes being broadening program enrollment and greater use during and after the pandemic time frame.

Major federal budget policy under the Trump administration included several provisions aimed at scaling back Medicaid outlays and altering its structure. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid support by more than $1 trillion over the next 10 years and brings forward measures such as work requirements and higher cost-sharing, which could lower both coverage and available funding for certain groups. This is expected to gradually shift additional costs onto the states and moderate the pace of federal Medicaid spending growth, even as the program continues to serve millions of Americans.

Medicaid Payments Tied to Dental Services in Scottdale, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $16,433 333.4%
2021 $71,533 335.3%
2023 $856 -98.8%
2024 $149,432 17346.3%
Top Categories by Medicaid Payments in Scottdale, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $149,432 87.5%
2 Vision Services $13,682 8%
3 Temporary National Codes (Non-Medicare) $7,126 4.2%
4 Medicine Services and Procedures $477 0.3%
Top 20 HCPCS Codes Within the Dental Services Category in Scottdale, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
D0330 Panoramic image $40,784 32
D0120 Periodic oral evaluation $28,718 35
D0150 Comprehensve oral evaluation $19,763 33
D0274 Bitewings four images $18,553 24
D0230 Intraoral periapical ea add $13,691 30
D0220 Intraoral periapical first $11,743 32
D0140 Limit oral eval problm focus $8,497 11
D0210 Intraor comprehensive series $7,046 11
D0272 Dental bitewings two images $634 3

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.



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