Dandridge Medicaid claims for dental services reached $449,987 in 2024, up 45.3%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Dandridge Medicaid providers collected $449,987 in claims for dental services during 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 45.3% rise from 2023, when providers billed $309,740 for the same category of care.

Medicaid serves as a public health insurance program operated separately by the states and funded in partnership by federal and state governments. The program supports low-income individuals and families, seniors, children, and those with disabilities, making it a significant component of the U.S. health care system.

Since Medicaid payment funding is sourced from taxpayers, fluctuations in local provider billings illustrate how public health care resources are distributed within a specific community.

The “Dental Services” category is defined by groupings of Medicaid-billed care associated with specific treatment types, using standardized HCPCS and CPT code segments. In this review, each billing code was mapped to a single service group by referencing code prefixes and numerical ranges, supporting longitudinal analysis without overlapping services and preserving ranking integrity.

Though Medicaid expenditures rose in several service areas, the Dental Services classification led all categories in Dandridge by total Medicaid-funded payments during 2024.

Across Tennessee, Dental Services ranked as the 12th largest service category by payment volume for Medicaid in 2024.

For the five-year span ending in 2024, local Medicaid payment totals for Dental Services in Dandridge increased by $326,246, or 263.7%. The pace of spending growth rose during particular years, with notable one-year gains in both 2020 and 2021.

Dental Services spending within Dandridge was distributed across the municipality, but billing was notably concentrated within few ZIP codes. In 2024, ZIP code 37725 accounted for $449,987, and the city’s top ZIP code comprised 100% of all Medicaid outlays tied to Dental Services throughout the year.

Within the Dental Services group, a small set of billing codes accounted for most Medicaid payments.

Looking at local comparisons, dental service-related Medicaid payments in Dandridge jumped by 45.3% from 2023 to 2024. By contrast, overall Medicaid claims across all service categories in the city grew by 16.7% during the same interval.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were approximately $871.7 billion in the fiscal year 2023—making up around 18% of all U.S. health care spending. This reflects a marked increase since 2019 before the onset of the COVID-19 pandemic, when spending was $613.5 billion.

The shift represents growth of about 40% in just a few years, mainly because of higher enrollment and use of services during and after the pandemic period.

Recent federal budget packages enacted under the Trump administration have featured prominent measures aimed at trimming Medicaid funding and revamping the program structure. The “One Big Beautiful Bill Act,”, signed in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, adding policies like work requirements and greater cost-sharing. These may reduce both coverage and funding for some enrollees, moving more financial responsibility to states and likely moderating future federal Medicaid growth, though the program remains vital to millions nationwide.

Medicaid Payments Tied to Dental Services in Dandridge, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $123,741 5826.3%
2021 $322,077 160.3%
2022 $355,880 10.5%
2023 $309,740 -13%
2024 $449,987 45.3%
Top Categories by Medicaid Payments in Dandridge, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $449,987 52.3%
2 Ambulance and Other Transport Services and Supplies $244,653 28.4%
3 Evaluation and Management $99,327 11.5%
4 Medicine Services and Procedures $66,030 7.7%
5 Surgery $810 0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Dandridge, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
D0150 Comprehensve oral evaluation $96,393 46
D0120 Periodic oral evaluation $92,827 34
D0330 Panoramic image $91,800 45
D0230 Intraoral periapical ea add $52,682 42
D0272 Dental bitewings two images $45,804 37
D0220 Intraoral periapical first $41,576 46
D0145 Oral evaluation, pt < 3yrs $12,701 22
D0140 Limit oral eval problm focus $8,051 21
D0274 Bitewings four images $7,992 10
D0190 Screening of a patient $156 1
D0603 Caries risk assess high risk $0 1

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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