Cambridge Medicaid providers billed $117,280 for services in the Dental Services category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents an increase of 20.9% from 2023, when providers submitted $97,028 in dental-related claims.
Medicaid is a state-run public insurance program financed through federal and state funds. The program serves low-income families and individuals, children, seniors, and people with disabilities, making it a major element of the U.S. health care system.
Because taxpayer funds support Medicaid, shifts in local billing illustrate how community health care resources are distributed.
The “Dental Services” category encompasses Medicaid-billed treatments defined by service type under standardized HCPCS and CPT code groupings. Analysts assigned billing codes to a single service category using unified code prefixes and number ranges, grouping similar services, avoiding duplicates, and keeping rankings consistent across multiple years.
Despite increased Medicaid spending in several areas, Dental Services ranked 11th among Medicaid payment categories in Cambridge in 2024.
Statewide in Ohio, Dental Services placed 13th for Medicaid payments during 2024.
From 2019 to 2024, payments for Cambridge Dental Services billed to Medicaid went up by $80,030, an increase of 214.8%. Certain years, such as 2021 and 2022, saw particularly sharp growth.
While Dental Services spending was reported citywide, most payments came from a small number of ZIP codes. In 2024, ZIP code 43725 accounted for $117,280 in Dental Services payments. In fact, the top ZIP code contributed 100% of the year’s Dental Services Medicaid payments in Cambridge.
Within this category, Medicaid expenditures were mainly concentrated in a few specific billing codes.
Cambridge Medicaid payments for Dental Services increased 20.9% from 2023 to 2024. In comparison, overall Medicaid claim payments in the city rose 26.9% across all categories during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled roughly $871.7 billion in fiscal year 2023. This accounted for nearly 18% of all U.S. health expenditures, a significant jump from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
That growth equates to about 40% in a few years, as increased enrollment and greater service utilization during and after the pandemic propelled spending higher.
Recent federal budget measures enacted under the Trump administration have included major proposals to scale back federal Medicaid contributions and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid outlays by over $1 trillion over the next 10 years and bring new requirements, such as employment conditions and higher cost-sharing, potentially restricting access and lowering support for some recipients. Such policy changes are likely to push more Medicaid costs to states and slow the pace of federal funding, though the program continues to aid millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $37,249 | -11.2% |
| 2021 | $81,219 | 118% |
| 2022 | $100,209 | 23.4% |
| 2023 | $97,028 | -3.2% |
| 2024 | $117,280 | 20.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $8,512,423 | 44.6% |
| 2 | Medicine Services and Procedures | $3,152,378 | 16.5% |
| 3 | Evaluation and Management | $2,670,052 | 14% |
| 4 | National Codes Established for State Medicaid Agencies | $1,760,900 | 9.2% |
| 5 | Radiology Procedures | $847,042 | 4.4% |
| 6 | Procedures / Professional Services | $639,854 | 3.4% |
| 7 | Pathology and Laboratory Procedures | $532,821 | 2.8% |
| 8 | Durable Medical Equipment | $347,925 | 1.8% |
| 9 | Ambulance and Other Transport Services and Supplies | $222,644 | 1.2% |
| 10 | Surgery | $193,961 | 1% |
| 11 | Dental Services | $117,280 | 0.6% |
| 12 | Medical And Surgical Supplies | $31,254 | 0.2% |
| 13 | Drugs Administered Other than Oral Method | $25,121 | 0.1% |
| 14 | Temporary National Codes (Non-Medicare) | $6,857 | <0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $5,880 | <0.1% |
| 16 | Temporary Codes | $26 | <0.1% |
| 17 | Vision Services | $17 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 18 | Anesthesia | $0 | <0.1% |
| 18 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $47,527 | 35 |
| D0150 | Comprehensve oral evaluation | $23,561 | 20 |
| D0274 | Bitewings four images | $16,040 | 22 |
| D0330 | Panoramic image | $15,455 | 10 |
| D0272 | Dental bitewings two images | $6,654 | 17 |
| D0140 | Limit oral eval problm focus | $3,486 | 8 |
| D0220 | Intraoral periapical first | $2,659 | 13 |
| D0230 | Intraoral periapical ea add | $1,895 | 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.
