Providers in Marysville billed $161,750 to Medicaid for services under the Dental Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a substantial increase of 520.9% compared to the $26,050 billed in 2023 for the same services.
Medicaid, a joint state and federal public health insurance program, covers low-income families and individuals, seniors, children, and people with disabilities. It is one of the major components of the U.S. health care system, funded by both levels of government.
Since Medicaid payments are taxpayer-funded, fluctuations in local billing help show how communities allocate health care funding.
The Dental Services category consists of Medicaid-billed care types defined through specific HCPCS and CPT codes. For this report, codes were grouped into service categories using the same code prefixes and numeric boundaries to assess related care, reduce overlapping counts, and maintain accurate rankings.
Dental Services ranked sixth by overall Medicaid payments received among service categories in Marysville for 2024, even as multiple categories saw spending increases.
Statewide in Ohio, Dental Services was the thirteenth highest service category by Medicaid payment total in 2024.
Looking at the prior five-year period, Medicaid payments connected to the Dental Services category in Marysville grew by $90,886, or 128.3%. The upward trend was especially sharp during certain years, particularly between 2021 and 2022.
While these dental payments were spread through Marysville, much of the total was concentrated in specific ZIP codes. For 2024, payments for the Dental Services category in ZIP code 43040 made up $161,749, accounting for all Medicaid billings tied to the category in the city for that year.
Just a few individual billing codes represented most Medicaid payments within Dental Services.
For contrast, the citywide increase for Dental Services—520.9% between 2024 and 2023—far outpaced the 2.4% overall rise across all Medicaid categories in Marysville during the same period.
The Centers for Medicare & Medicaid Services report that total federal and state Medicaid spending hit $871.7 billion in fiscal year 2023, representing about 18% of nation-wide health care expenditures. This is an increase from roughly $613.5 billion spent in 2019, before the COVID-19 pandemic began.
This jump marks around 40% growth over just a few years, attributed mainly to increasing enrollment and higher service usage during and after the COVID-19 period.
Legislation passed under the Trump administration has introduced major proposals to restrict federal Medicaid funding and restructure the program. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid spending by over $1 trillion in 10 years and implement changes such as new work requirements and higher cost-sharing for some enrollees. These policies could leave states shouldering more Medicaid expenses and slow federal spending growth while the program continues enrolling tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $70,863 | -20.4% |
| 2021 | $105,030 | 48.2% |
| 2022 | $67,309 | -35.9% |
| 2023 | $26,049 | -61.3% |
| 2024 | $161,749 | 520.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,494,556 | 31.6% |
| 2 | Medicine Services and Procedures | $1,167,090 | 24.7% |
| 3 | National Codes Established for State Medicaid Agencies | $838,021 | 17.7% |
| 4 | Radiology Procedures | $394,038 | 8.3% |
| 5 | Pathology and Laboratory Procedures | $244,266 | 5.2% |
| 6 | Dental Services | $161,749 | 3.4% |
| 7 | Surgery | $129,387 | 2.7% |
| 8 | Durable Medical Equipment | $78,369 | 1.7% |
| 9 | Ambulance and Other Transport Services and Supplies | $74,932 | 1.6% |
| 10 | Procedures / Professional Services | $65,180 | 1.4% |
| 11 | Alcohol and Drug Abuse Treatment | $53,755 | 1.1% |
| 12 | Vision Services | $14,474 | 0.3% |
| 13 | Medical And Surgical Supplies | $6,193 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $5,031 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $4,294 | 0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| 16 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $44,354 | 37 |
| D0210 | Intraor comprehensive series | $33,673 | 16 |
| D0150 | Comprehensve oral evaluation | $21,819 | 18 |
| D0274 | Bitewings four images | $18,810 | 22 |
| D0230 | Intraoral periapical ea add | $13,076 | 21 |
| D0220 | Intraoral periapical first | $8,789 | 25 |
| D0140 | Limit oral eval problm focus | $7,879 | 8 |
| D0330 | Panoramic image | $5,908 | 4 |
| D0350 | Oral/facial photo images | $4,092 | 7 |
| D0250 | Extraoral 2d project image | $1,851 | 7 |
| D0272 | Dental bitewings two images | $1,493 | 5 |
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.
