High Point Medicaid dental services reach $2,182,612 in 2024, marking 32.1% increase

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in High Point submitted $2,182,612 in claims for services within the Dental Services category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 32.1% increase from 2023, when claims for similar dental services totaled $1,651,950.

Medicaid, a publicly funded health insurance program administered by the states and backed by both federal and state governments, provides health coverage to low-income individuals, families, seniors, children, and people with disabilities. The program constitutes a significant portion of the U.S. health care system.

Because Medicaid relies on taxpayer dollars, fluctuations in local billing indicate how public health care spending is distributed in different areas.

The “Dental Services” grouping covers a range of Medicaid-billed procedures as defined by service type, using standardized HCPCS and CPT code groupings. To conduct this analysis, each billing code was aligned to a single category through code prefixes and numerical ranges. This approach assisted in grouping related services and avoiding duplicate counts, ensuring accurate comparisons over time.

Medicaid outlays rose for several service groups, but Dental Services ranked sixth in High Point by overall Medicaid payments in 2024.

Statewide, Dental Services held the ninth spot for total Medicaid payments in North Carolina in 2024.

Between 2019 and 2024, Medicaid payments for Dental Services in High Point climbed by $761,967, an increase of 53.6%. Growth accelerated in selected years, with especially notable upticks in 2021 and 2023.

Spending for Dental Services was not uniform throughout the city; instead, most payments were concentrated within a select group of ZIP codes. For 2024, ZIP codes 27262, 27265, and 27268 tallied Medicaid dental payments of $1,014,839, $992,770, and $175,001, respectively. Collectively, these 3 ZIP codes represented 100% of Medicaid Dental Services payments in High Point for the year.

Within this category, Medicaid expenditures were centered on a handful of individual billing codes.

In High Point, Medicaid spending on Dental Services grew 32.1% from 2023 to 2024, outpacing the 7.2% change across all Medicaid claims categories in the city during that time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, accounting for approximately 18% of national health spending. This was a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This upturn reflects nearly 40% growth over a few years, primarily fueled by greater enrollment and increased utilization both during and after the pandemic period.

Recent federal budget laws under the Trump administration have introduced major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid expenditures by over $1 trillion over the next decade, and puts forward policies like work requirements and higher cost-sharing, possibly decreasing coverage and funding for certain beneficiaries. As a result, states are expected to bear greater costs and see constraints in federal Medicaid funding growth, although the program will continue supporting tens of millions nationwide.

Medicaid Payments Tied to Dental Services in High Point, North Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,420,644 -16.8%
2021 $1,671,766 17.7%
2022 $1,636,202 -2.1%
2023 $1,651,949 1%
2024 $2,182,612 32.1%
Top Categories by Medicaid Payments in High Point, North Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $16,406,456 39%
2 Medicine Services and Procedures $7,681,859 18.3%
3 Alcohol and Drug Abuse Treatment $7,558,972 18%
4 National Codes Established for State Medicaid Agencies $3,350,982 8%
5 Pathology and Laboratory Procedures $2,263,697 5.4%
6 Dental Services $2,182,612 5.2%
7 Durable Medical Equipment $627,784 1.5%
8 Surgery $483,272 1.2%
9 Procedures / Professional Services $400,357 1%
10 Radiology Procedures $339,588 0.8%
11 Temporary National Codes (Non-Medicare) $167,014 0.4%
12 Enteral and Parenteral Therapy $139,272 0.3%
13 Ambulance and Other Transport Services and Supplies $127,884 0.3%
14 Medical And Surgical Supplies $102,176 0.2%
15 Anesthesia $67,363 0.2%
16 Durable medical equipment (DME) Medicare administrative contractors (MACs) $59,501 0.1%
17 Temporary Codes $26,588 0.1%
18 Drugs Administered Other than Oral Method $19,858 <0.1%
19 Orthotic Procedures and services $8,090 <0.1%
20 Administrative, Miscellaneous and Investigational $709 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in High Point, North Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $549,642 168
D0150 Comprehensve oral evaluation $433,744 149
D0330 Panoramic image $340,831 117
D0274 Bitewings four images $167,741 82
D0220 Intraoral periapical first $131,248 132
D0240 Intraoral occlusal film $127,118 34
D0272 Dental bitewings two images $121,207 62
D0140 Limit oral eval problm focus $120,652 102
D0230 Intraoral periapical ea add $88,310 98
D0210 Intraor comprehensive series $56,228 14
D0340 2d cephalometric image $18,354 11
D0470 Diagnostic casts $14,850 11
D0145 Oral evaluation, pt < 3yrs $8,946 16
D0270 Dental bitewing single image $3,735 18
D0350 Oral/facial photo images $0 12
D0367 Cone beam ct interp both jaw $0 2
D0431 Diag tst detect mucos abnorm $0 12
D0801 3d intraoral scan direct $0 14

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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