Salisbury Medicaid dental services billing reaches $15,658 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Salisbury Medicaid providers reported $15,658 in billing for services under the Dental Services category in 2024, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 40% rise compared to 2023, when providers filed $11,186 in claims for similar services.

Medicaid, a state-run public health insurance program funded in partnership by federal and state governments, serves low-income people and families, seniors, children, and individuals with disabilities, making it one of the central components of health care nationwide.

Because taxpayers fund Medicaid, shifts in local billing reflect how public health funding is distributed within a community.

The “Dental Services” group includes specific Medicaid-billed services, which are organized by the type of care based on standard HCPCS and CPT coding. Each billing code was categorized into a single service category for analysis, using standardized code prefixes and numeric ranges. This approach supports grouping related services and ensures no duplication in the rankings.

Dentists and related providers saw the Dental Services category place third among all Medicaid payment categories in Salisbury for 2024, following increases seen in several other service types.

For Missouri overall, Dental Services ranked as the 17th highest Medicaid payment category for 2024.

Between 2019 and 2024, Medicaid payments for Dental Services in Salisbury rose by $205, translating to a 1.3% increase. The growth rate accelerated at points, with especially marked increases in 2021 and 2023.

Spending in the Dental Services category was spread citywide, but payments were notably concentrated in a small number of ZIP codes. In 2024, ZIP code 65281 accounted for $15,657 in Medicaid payments for Dental Services, making up 100% of such payments in Salisbury for the year.

Within the Dental Services group, a limited number of specific billing codes made up most of the Medicaid payments.

For context, Medicaid payments for Dental Services in Salisbury climbed 40% from 2023 to 2024—a sharper local increase than the 13.8% rise seen across all Medicaid claims categories for the city during the same span.

Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, representing around 18% of total U.S. health care expenditures. That figure is up significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic began.

The overall change represents close to 40% growth in just a few years, driven mainly by increased enrollment and greater use of health services during and after the pandemic.

Federal budget legislation approved under the Trump administration has featured significant proposals to reduce federal Medicaid contributions and update the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is projected to cut over $1 trillion from federal Medicaid outlays over the next decade and adds requirements such as work conditions and higher cost-sharing. These policies may reduce coverage and funding for some recipients, increasing the financial burden on states and slowing the expansion of federal Medicaid aid, despite ongoing service to millions of Americans.

Medicaid Payments Tied to Dental Services in Salisbury, Missouri Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $15,452 -65.8%
2021 $46,245 199.3%
2022 $5,225 -88.7%
2023 $11,185 114.1%
2024 $15,657 40%
Top Categories by Medicaid Payments in Salisbury, Missouri, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $66,901 47.2%
2 Medicine Services and Procedures $54,223 38.3%
3 Dental Services $15,657 11.1%
4 Evaluation and Management $4,829 3.4%
Top 20 HCPCS Codes Within the Dental Services Category in Salisbury, Missouri, 2024

HCPCS Code Description Medicaid Payments Claims
D0220 Intraoral periapical first $4,841 10
D0330 Panoramic image $4,062 2
D0230 Intraoral periapical ea add $2,805 3
D0150 Comprehensve oral evaluation $2,375 2
D0274 Bitewings four images $910 1
D0120 Periodic oral evaluation $661 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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