In 2024, Medicaid providers in Duncan submitted $99,604 in claims for services falling under the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented a rise of 0.9% compared with the $98,720 billed in 2023 for the same category of care.
Medicaid, a joint federal-state public health insurance program, covers low-income groups, including individuals, families, older adults, children, and those with disabilities, making it a key part of the U.S. health care landscape. Funding is shared by federal and state governments.
Since taxpayer dollars fund Medicaid expenditures, local payment changes indicate how public health care funds are distributed within a community.
The “Dental Services” category consists of Medicaid claims grouped by type of care, following standard HCPCS and CPT code assignments. For this analysis, billing codes were sorted into one service category each based on code prefixes and numerical ranges to ensure accurate trend analysis and avoid double counting.
Although a number of Medicaid categories saw increased spending, Dental Services was the eighth largest by payments in Duncan in 2024.
Statewide in Oklahoma, Dental Services ranked ninth among all Medicaid payment categories in 2024.
Looking over the five years before 2024, Medicaid payments for Dental Services in Duncan grew by $66,344, up 199.5%. Growth was particularly strong in some years, most notably in 2022 and 2021, when year-over-year increases were substantial.
While dental care spending was distributed across Duncan, most payments were concentrated within a few ZIP codes. In 2024, ZIP code 73533 saw the highest Medicaid dental payments, totaling $99,603, with that ZIP code accounting for 100% of the city’s Medicaid dental category spending.
Dental Services Medicaid payments were also highly concentrated in a small group of individual billing codes.
For additional context, the 0.9% rise in Medicaid dental payments in Duncan from 2023 to 2024 contrasts with a 37.2% change across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. This represented about 18% of overall national health spending, a substantial increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth—about 40% over a few years—was driven mainly by expanded enrollment and greater utilization during and after the pandemic.
Recent budget legislation enacted under the Trump administration carried major initiatives to reduce federal Medicaid dollars and reshape the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut federal Medicaid spending by over $1 trillion in the coming decade. It introduces measures such as work requirements and higher cost-sharing, which could result in less coverage and reduced funding for some participants. These changes are projected to shift a greater share of costs to states and may restrain federal Medicaid growth, even as the program remains vital for tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $33,259 | -37.9% |
| 2021 | $59,388 | 78.6% |
| 2022 | $109,524 | 84.4% |
| 2023 | $98,720 | -9.9% |
| 2024 | $99,603 | 0.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $6,585,532 | 65.9% |
| 2 | National Codes Established for State Medicaid Agencies | $1,674,190 | 16.7% |
| 3 | Medicine Services and Procedures | $582,578 | 5.8% |
| 4 | Pathology and Laboratory Procedures | $321,323 | 3.2% |
| 5 | Radiology Procedures | $194,059 | 1.9% |
| 6 | Diagnostic Radiology Services | $193,549 | 1.9% |
| 7 | Alcohol and Drug Abuse Treatment | $150,719 | 1.5% |
| 8 | Dental Services | $99,603 | 1% |
| 9 | Surgery | $97,759 | 1% |
| 10 | Temporary Codes | $47,596 | 0.5% |
| 11 | Vision Services | $35,220 | 0.4% |
| 12 | Durable Medical Equipment | $13,272 | 0.1% |
| 13 | Pathology and Laboratory Services | $1,528 | <0.1% |
| 14 | Procedures / Professional Services | $1,324 | <0.1% |
| 15 | Medical And Surgical Supplies | $1,061 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $763 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $273 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0350 | Oral/facial photo images | $20,652 | 16 |
| D0150 | Comprehensve oral evaluation | $13,179 | 14 |
| D0220 | Intraoral periapical first | $13,076 | 21 |
| D0120 | Periodic oral evaluation | $12,452 | 19 |
| D0330 | Panoramic image | $12,223 | 11 |
| D0274 | Bitewings four images | $11,564 | 14 |
| D0230 | Intraoral periapical ea add | $8,636 | 19 |
| D0210 | Intraor comprehensive series | $5,639 | 4 |
| D0602 | Caries risk assess mod risk | $1,313 | 5 |
| D0140 | Limit oral eval problm focus | $408 | 1 |
| D0240 | Intraoral occlusal film | $237 | 1 |
| D0272 | Dental bitewings two images | $219 | 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.
