Medicaid providers billed a total of $313,161 for services listed under the Dental Services category in Pell City in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 6.1% increase versus 2023, when $295,137 in claims were submitted for Dental Services.
Medicaid, a public health insurance program, is administered by states and financed in partnership by federal and state governments. Medicaid covers low-income groups, the elderly, children, and individuals with disabilities, and is among the largest U.S. health care programs.
As Medicaid payments are funded by taxpayers, shifts in local billing patterns highlight changes in public health spending for the community.
The “Dental Services” classification groups Medicaid-billed care by standardized HCPCS and CPT billing code ranges. Billing codes in this analysis were each placed in a single service category according to consistent numeric prefixes and ranges to examine grouped trends, prevent duplication, and maintain accurate rankings over time.
Dental Services saw Medicaid spending gains along with other categories, ranking fourth in Pell City for total Medicaid payments in 2024.
At the state level, the Dental Services category held the ninth position for total Medicaid payments in Alabama for 2024.
From five years prior to 2024, Medicaid spending for Dental Services in Pell City increased by $108,532, a growth of 53%. Certain years saw especially rapid increases, notably in 2020 and 2021.
Though Dental Services were billed throughout the city, a small set of ZIP codes saw higher Medicaid payments. In 2024, ZIP code 35125 represented all Medicaid spending for Dental Services in Pell City at $313,161. The leading ZIP code made up 100% of these payments within the city that year.
Most Medicaid payments within the Dental Services category went to a limited set of billing codes.
For another perspective, Dental Services-related Medicaid payments in Pell City increased by 6.1% between 2024 and 2023, compared with an overall 3.9% change across all Medicaid categories in the city during that same time.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023. That amount made up around 18% of total national health expenditures, up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks an estimated 40% growth within a few years, largely fueled by greater enrollment and service use during and after the pandemic period.
Major federal budget measures under the Trump administration have brought proposals to decrease federal Medicaid financing and revise aspects of the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid outlays by more than $1 trillion over the next decade and brings changes such as work mandates and higher cost-sharing, which could lead to less coverage and reduced funding for some recipients. These policy changes are set to increase states’ share of costs and restrain growth in federal Medicaid aid, though the program still covers tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $204,628 | 24.5% |
| 2021 | $238,298 | 16.5% |
| 2022 | $267,580 | 12.3% |
| 2023 | $295,137 | 10.3% |
| 2024 | $313,161 | 6.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,465,156 | 41.5% |
| 2 | Evaluation and Management | $981,358 | 27.8% |
| 3 | Medicine Services and Procedures | $547,255 | 15.5% |
| 4 | Dental Services | $313,161 | 8.9% |
| 5 | Pathology and Laboratory Procedures | $197,086 | 5.6% |
| 6 | Durable Medical Equipment | $11,602 | 0.3% |
| 7 | Temporary National Codes (Non-Medicare) | $4,577 | 0.1% |
| 8 | Anesthesia | $4,372 | 0.1% |
| 9 | Radiology Procedures | $2,996 | 0.1% |
| 10 | Coronavirus Diagnostic Panel | $616 | <0.1% |
| 11 | Surgery | $421 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $310 | <0.1% |
| 13 | Temporary Codes | $179 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $109,871 | 40 |
| D0330 | Panoramic image | $57,693 | 32 |
| D0272 | Dental bitewings two images | $49,551 | 36 |
| D0150 | Comprehensve oral evaluation | $25,076 | 21 |
| D0274 | Bitewings four images | $23,063 | 25 |
| D0140 | Limit oral eval problm focus | $12,880 | 16 |
| D0220 | Intraoral periapical first | $12,450 | 25 |
| D0230 | Intraoral periapical ea add | $10,825 | 13 |
| D0240 | Intraoral occlusal film | $6,917 | 12 |
| D0145 | Oral evaluation, pt < 3yrs | $4,831 | 11 |
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.
