Madisonville Medicaid providers billed $159,979 for services falling under the Dental Services category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 145.2% rise compared to 2023, when $65,236 in claims were submitted for similar dental care.
Medicaid, a public health insurance program administered by the states and co-funded by federal and state governments, serves low-income individuals and families, children, seniors, and people with disabilities. It represents one of the largest aspects of the American health system.
Since Medicaid is funded by taxpayers, changes in local billing patterns illustrate how public health care funds are distributed at the community level.
The “Dental Services” category encompasses Medicaid-billed care grouped according to service type, derived from standard HCPCS and CPT codes. In this analysis, each billing code was associated with a specific service category based on established code ranges, streamlining analysis of similar services and aiding in accurate year-over-year comparisons by eliminating duplicates.
Medicaid expenditures increased in several service categories, with Dental Services placing third by total Medicaid payments in Madisonville during 2024.
Throughout Tennessee, Dental Services held the No. 12 spot by total Medicaid payments for 2024.
From 2019 through 2024, payments to Madisonville’s Dental Services category grew by $133,183, an increase of 497%. Periods of accelerated growth, especially in 2023 and 2021, contributed significantly to this overall trend.
Spending for Dental Services was spread throughout Madisonville but focused heavily in selected ZIP codes. In 2024, Medicaid dental payments in ZIP code 37354 totaled $159,978. This single ZIP code accounted for 100% of the dental-related Medicaid funds in Madisonville in that year.
Within this service group, the majority of Medicaid spending was concentrated among only a handful of billing codes.
Dental Services-linked Medicaid payments soared by 145.2% in Madisonville from 2023 to 2024. In contrast, payments across all Medicaid categories only increased by 13.9% over the same period in the city.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached roughly $871.7 billion during 2023, constituting about 18% of national health expenditures. This is a significant jump from close to $613.5 billion in 2019, before the onset of COVID-19.
The nearly 40% uptick over these years was mainly fueled by coverage expansion and greater usage during and after the pandemic.
Recent federal budget actions during the Trump administration have featured major proposals to reduce federal spending on Medicaid and reform its structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to slash more than $1 trillion in federal Medicaid funding over 10 years. The law introduces new provisions such as work requirements and greater cost-sharing, potentially limiting coverage for certain recipients. These shifts may result in states assuming more costs for Medicaid, constraining the future growth of federal contributions while the program continues supporting millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $26,795 | -37.8% |
| 2021 | $31,108 | 16.1% |
| 2022 | $24,483 | -21.3% |
| 2023 | $65,235 | 166.4% |
| 2024 | $159,978 | 145.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $316,766 | 38.5% |
| 2 | Evaluation and Management | $190,279 | 23.1% |
| 3 | Dental Services | $159,978 | 19.5% |
| 4 | Medicine Services and Procedures | $81,610 | 9.9% |
| 5 | Alcohol and Drug Abuse Treatment | $41,720 | 5.1% |
| 6 | Vision Services | $17,673 | 2.1% |
| 7 | Pathology and Laboratory Procedures | $12,033 | 1.5% |
| 8 | Surgery | $1,292 | 0.2% |
| 9 | Radiology Procedures | $661 | 0.1% |
| 10 | Drugs Administered Other than Oral Method | $146 | <0.1% |
| 11 | Procedures / Professional Services | $119 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $69,484 | 43 |
| D0272 | Dental bitewings two images | $21,744 | 28 |
| D0150 | Comprehensve oral evaluation | $19,459 | 27 |
| D0330 | Panoramic image | $18,428 | 20 |
| D0220 | Intraoral periapical first | $8,727 | 31 |
| D0274 | Bitewings four images | $8,618 | 21 |
| D0210 | Intraor comprehensive series | $6,970 | 7 |
| D0140 | Limit oral eval problm focus | $2,283 | 8 |
| D0145 | Oral evaluation, pt < 3yrs | $2,162 | 6 |
| D0230 | Intraoral periapical ea add | $2,100 | 8 |
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.
