Medicaid Dental Services in Endicott reached $1.9 million in 2024, showing 1.9% gain

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Endicott Medicaid providers reported $1,900,108 in payments for services grouped under the Dental Services category in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was up 1.9% from 2023, when providers submitted $1,864,172 in claims for the same category.

Medicaid is a public health insurance program operated by states with joint funding from federal and state governments. It supports low-income families and individuals, seniors, children, and people with disabilities. The program is one of the main components of the U.S. health care system.

Since Medicaid funding is sourced from tax dollars, shifts in local billing trends indicate how community public health funding is spent.

The “Dental Services” category spans a range of Medicaid-billed services defined by care type, relying on standard HCPCS and CPT code groupings. Each billing code in the analysis was allocated to one service category with consistent prefixes and number ranges, which enables comparison without double-counting or affecting rankings through time.

Dental Services led all Medicaid service categories in Endicott by total payments for 2024, despite spending increases in other categories.

For New York as a whole, Dental Services held the 11th spot for total Medicaid payments statewide during 2024.

Over the five years before 2024, Medicaid payments linked to Dental Services in Endicott grew by $1,260,120, or 196.9%. There were particularly sharp increases recorded year over year in 2021 and 2020.

Spending for Dental Services occurred throughout the city, but payments were concentrated to a few ZIP codes. In 2024, ZIP code 13760 accounted for $1,900,108 in Medicaid Dental Services payments. The top 1 ZIP codes represented 100% of total payments tied to Dental Services in Endicott that year.

Most of the Medicaid spending within Dental Services was channeled through a limited set of billing codes.

By comparison, the 1.9% Medicaid payment increase for Dental Services from 2023 to 2024 was just above the 1.8% rise across all claim categories during the period in Endicott.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023, contributing approximately 18% to total national health costs. This figure is up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump is an increase of roughly 40% in a few years, with most of the growth caused by increased enrollment and utilization during and after the pandemic.

Recent federal budget laws under the Trump administration included notable plans to curb federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by over $1 trillion over 10 years, with policies like work requirements and increased cost sharing that could lessen coverage and funding for some recipients. This is expected to pass more costs to states and restrict the growth of federal Medicaid support even as the program remains critical to tens of millions in the U.S.

Medicaid Payments Tied to Dental Services in Endicott, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $639,987 32.7%
2021 $1,212,046 89.4%
2022 $1,587,576 31%
2023 $1,864,171 17.4%
2024 $1,900,108 1.9%
Top Categories by Medicaid Payments in Endicott, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $1,900,108 92.5%
2 Medicine Services and Procedures $147,367 7.2%
3 Vision Services $5,746 0.3%
Top 20 HCPCS Codes Within the Dental Services Category in Endicott, New York, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $603,679 129
D0230 Intraoral periapical ea add $285,382 114
D0220 Intraoral periapical first $208,995 116
D0330 Panoramic image $180,928 133
D0274 Bitewings four images $177,510 122
D0272 Dental bitewings two images $153,275 112
D0150 Comprehensve oral evaluation $110,784 109
D0145 Oral evaluation, pt < 3yrs $59,235 81
D0340 2d cephalometric image $53,180 24
D0210 Intraor comprehensive series $31,829 102
D0140 Limit oral eval problm focus $18,646 63
D0350 Oral/facial photo images $16,660 25

Note: HCPCS codes are included for context within the category. Article category totals and rankings are derived from standardized service groupings, not from individual billing codes.

Data in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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