Dental Services Medicaid payments in Blandon rise to $3,303 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Blandon submitted $3,303 in claims for services under the Dental Services category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 309.8% rise from 2023, when $806 was billed for these services.

Medicaid, a major public health insurance program operated at the state level and jointly funded by state and federal sources, covers eligible low-income individuals and families as well as seniors, children, and people with disabilities. It forms a substantial portion of America’s health care system.

Since taxpayer dollars cover Medicaid expenses, changes in how much is billed locally highlight shifts in the community’s public health care spending.

The “Dental Services” category consists of Medicaid-billed procedures grouped by care type according to standardized HCPCS and CPT code classifications. This analysis placed each billing code in a single category based on systematic prefix and number groupings, supporting both comparability and ranking accuracy while avoiding duplicate counts.

Dental Services was the second-largest category for Medicaid spending in Blandon in 2024, though spending grew in several categories overall.

At the state level, Dental Services ranked 14th among all Medicaid service categories in Pennsylvania in 2024 by payments.

From five years prior to 2024, Medicaid payments associated with Dental Services in Blandon grew by $3,303, or 0%. Growth periods with substantial year-over-year spending increases were also recorded, including 2023 and 2022.

Dental Services-related Medicaid payments were distributed throughout Blandon, but were largely focused in a select group of ZIP codes. In 2024, ZIP code 19510 accounted for $3,302, making up 100% of the total Dental Services-related Medicaid payments in Blandon during that year.

A small share of distinct billing codes within Dental Services represented the majority of Medicaid payment volume.

By comparison, Dental Services Medicaid payments in Blandon rose by 309.8% between 2024 and 2023, outpacing the 28.1% overall increase across all local Medicaid claim categories for the same span.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending came to around $871.7 billion in fiscal 2023, accounting for 18% of total U.S. health expenditures. That amount rose sharply compared with $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This marks a roughly 40% increase over a few years, driven largely by greater program enrollment and increased utilization during and after the pandemic.

Federal budget measures during the Trump administration introduced major proposals to limit federal Medicaid funding and alter program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funding more than $1 trillion over 10 years and incorporates provisions like work requirements and expanded cost-sharing, which could restrict coverage and lower funding for certain enrollees. These policy changes are projected to shift increased costs to the states and slow federal Medicaid funding growth even as program enrollment remains high.

Medicaid Payments Tied to Dental Services in Blandon, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $809
2023 $806 -0.4%
2024 $3,302 309.6%
Top Categories by Medicaid Payments in Blandon, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $24,518 85.1%
2 Dental Services $3,302 11.5%
3 Vision Services $987 3.4%
Top 20 HCPCS Codes Within the Dental Services Category in Blandon, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $2,268 4
D0274 Bitewings four images $770 1
D0220 Intraoral periapical first $132 1
D0230 Intraoral periapical ea add $132 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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