Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Mount Pleasant submitted $231,487 in claims categorized as Dental Services in 2024. This amount reflects an increase of 11,247.4% from 2023, when $2,040 was billed for similar services.
Medicaid is a state-managed, federally and state-funded public health insurance program that covers low-income people, children, seniors, and those with disabilities, and represents a significant portion of the U.S. health care system.
Because taxpayer dollars are used to fund Medicaid payments, fluctuations in local billing reveal how health care resources are distributed within a community.
The Dental Services category refers to a set of Medicaid-reimbursed services defined by the nature of the dental care provided, based on specific HCPCS and CPT code groupings. Each billing code was assigned to a single service group for this analysis, using consistent code prefixes and ranges to compile comparable services, ensuring accuracy in ranking and preventing double counting.
Dental Services accounted for the largest share of Medicaid payments in Mount Pleasant in 2024 among all service categories.
At the state level, Dental Services was the 14th biggest category for Medicaid payments in Pennsylvania during 2024.
From the five years before 2024, Mount Pleasant saw Medicaid spending in the Dental Services category rise by $231,487, or 0%. Noteworthy increases occurred in specific years, especially in 2021 and 2023, when year-over-year growth accelerated.
Although Dental Services payment totals were reported throughout Mount Pleasant, most payments were concentrated in certain ZIP codes. In 2024, ZIP code 15666 saw $231,486 in Medicaid payments linked to Dental Services, representing 100% of the category’s payment total in the city for the year.
A small number of unique billing codes accounted for the majority of Medicaid reimbursements within Mount Pleasant’s Dental Services category.
To compare, spending on Dental Services in Mount Pleasant grew by 11,247.4% between 2024 and 2023, while all Medicaid claim categories had a growth rate of 915.5% during the same period.
According to the Centers for Medicare & Medicaid Services, overall federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, accounting for nearly 18% of total U.S. health expenses, up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This represents approximate growth of 40% in just a few years, fueled mainly by increased enrollment and greater demand for services during and following the pandemic.
Recent federal budget actions during the Trump administration featured notable proposals for reducing federal Medicaid contributions and revising the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is projected to decrease federal Medicaid spending by over $1 trillion over the next decade, introducing work requirements and higher cost sharing that could reduce coverage for some participants. These policy changes are expected to transfer more cost burden to states and limit federal Medicaid growth, affecting millions of beneficiaries.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $86,304 | 30980.4% |
| 2022 | $1,809 | -97.9% |
| 2023 | $2,040 | 12.7% |
| 2024 | $231,486 | 11245.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $231,486 | 90.2% |
| 2 | Evaluation and Management | $25,161 | 9.8% |
| 3 | Procedures / Professional Services | $111 | <0.1% |
| 4 | Medicine Services and Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $63,426 | 24 |
| D0140 | Limit oral eval problm focus | $57,073 | 16 |
| D0330 | Panoramic image | $41,092 | 23 |
| D0274 | Bitewings four images | $22,008 | 12 |
| D0251 | Extraoral posterior image | $21,485 | 12 |
| D0150 | Comprehensve oral evaluation | $15,366 | 18 |
| D0220 | Intraoral periapical first | $4,505 | 23 |
| D0230 | Intraoral periapical ea add | $3,795 | 16 |
| D0240 | Intraoral occlusal film | $2,475 | 7 |
| D0340 | 2d cephalometric image | $256 | 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.
