Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Grants Pass submitted $430,506 in claims for Dental Services in 2024. This represented an 11.5% rise from 2023, when claims for the same service totaled $385,967.
Medicaid, operated by individual states and jointly funded by federal and state governments, provides coverage for low-income groups, seniors, children, and people with disabilities. It remains one of the largest segments of the U.S. health care system.
Because Medicaid dollars come from taxpayers, variations in local billing reflect how a community utilizes its public health care funding.
The “Dental Services” label applies to a set of Medicaid services defined by specific care types and organized by standardized HCPCS and CPT code groups. For this report, each billing code was mapped to a single service group using consistent prefixes and numeric ranges, which allowed for accurate tracking and comparison across services, preventing double counting and securing correct rankings year to year.
Dental Services was the eighth-highest category for Medicaid payments in Grants Pass in 2024, amid growth across multiple service categories.
Statewide, Dental Services placed 14th by total Medicaid payments in Oregon for 2024.
From the five years before 2024, Medicaid payments connected with Dental Services in Grants Pass rose by $227,434, or 112%. Some years, including 2021 and 2023, experienced more pronounced increases during that period.
Distribution of payments for Dental Services was citywide, but the majority was concentrated in specific ZIP codes. In 2024, the ZIP code 97526 saw $293,288 in Medicaid Dental Services payments, while 97527 accounted for $137,216. These two ZIP codes together made up 100% of all Medicaid Dental Services payments in Grants Pass for the year.
Within Dental Services, a limited selection of billing codes accounted for the majority of Medicaid payments.
When comparing spending, Dental Services Medicaid payments increased by 11.5% in Grants Pass between 2024 and 2023, while overall Medicaid claim payments for all categories grew by 14.5% over the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of national health expenditures. This was a sharp jump from $613.5 billion in 2019, before the COVID-19 pandemic.
This marks an approximate 40% increase within a few years, attributed primarily to expanded enrollment and increased usage of services during and following the pandemic.
Under recent federal budget legislation during the Trump administration, significant changes to Medicaid were introduced, including efforts to decrease federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion through the next decade and brings in policies such as work requirements and heightened cost-sharing. These changes may restrict federal Medicaid support growth and shift additional responsibility to states, even as Medicaid continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $203,071 | 14.4% |
| 2021 | $298,683 | 47.1% |
| 2022 | $277,466 | -7.1% |
| 2023 | $385,967 | 39.1% |
| 2024 | $430,505 | 11.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,882,790 | 34.6% |
| 2 | Medicine Services and Procedures | $4,389,094 | 25.8% |
| 3 | National Codes Established for State Medicaid Agencies | $1,835,117 | 10.8% |
| 4 | Procedures / Professional Services | $988,202 | 5.8% |
| 5 | Ambulance and Other Transport Services and Supplies | $913,594 | 5.4% |
| 6 | Alcohol and Drug Abuse Treatment | $788,830 | 4.6% |
| 7 | Radiology Procedures | $546,680 | 3.2% |
| 8 | Dental Services | $430,505 | 2.5% |
| 9 | Administrative, Miscellaneous and Investigational | $254,187 | 1.5% |
| 10 | Temporary National Codes (Non-Medicare) | $180,795 | 1.1% |
| 11 | Pathology and Laboratory Procedures | $180,775 | 1.1% |
| 12 | Temporary Codes | $178,424 | 1.1% |
| 13 | Surgery | $163,794 | 1% |
| 14 | Orthotic Procedures and services | $120,243 | 0.7% |
| 15 | Hearing Services | $71,601 | 0.4% |
| 16 | Vision Services | $49,028 | 0.3% |
| 17 | Durable Medical Equipment | $7,957 | <0.1% |
| 18 | Medical And Surgical Supplies | $6,241 | <0.1% |
| 19 | Outpatient PPS | $30 | <0.1% |
| 20 | Drugs Administered Other than Oral Method | $4 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0140 | Limit oral eval problm focus | $159,389 | 124 |
| D0220 | Intraoral periapical first | $62,927 | 128 |
| D0150 | Comprehensve oral evaluation | $49,285 | 83 |
| D0230 | Intraoral periapical ea add | $33,904 | 124 |
| D0120 | Periodic oral evaluation | $31,785 | 83 |
| D0210 | Intraor comprehensive series | $31,710 | 64 |
| D0274 | Bitewings four images | $28,038 | 90 |
| D0191 | Assessment of a patient | $21,285 | 86 |
| D0270 | Dental bitewing single image | $10,978 | 80 |
| D0602 | Caries risk assess mod risk | $477 | 25 |
| D0330 | Panoramic image | $452 | 1 |
| D0603 | Caries risk assess high risk | $246 | 98 |
| D0601 | Caries risk assess low risk | $25 | 21 |
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.
