In 2024, providers in Madison billed $177,610 to Medicaid for Dental Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total was 5.6% higher than in 2023, when $168,154 in Medicaid claims were recorded for this group of services.
Medicaid is a state-administered public health insurance program that receives funding from both federal and state governments. It provides coverage for people with low incomes, as well as seniors, children, and individuals with disabilities, making it one of the nation’s largest health care programs.
Since Medicaid payments are sourced from taxpayers, variations in billing levels locally illustrate how health care spending is allocated within a community.
The “Dental Services” category encompasses a specific set of Medicaid-billed procedures, determined by the type of care through standardized HCPCS and CPT codes. For this report, each code was assigned exclusively to one service category using consistent prefixes and numeric ranges to ensure accuracy and limit duplication when comparing data over time.
While spending increased in multiple categories, Dental Services represented the second-largest Medicaid payment category in Madison for 2024.
Statewide in Florida, Dental Services placed 15th by total Medicaid spending in 2024.
Looking at the five years prior to 2024, Medicaid funding for Dental Services in Madison rose by $3,093, or 1.7%. Growth rates varied year to year, with particularly notable increases documented in 2020 and 2022.
Although payments for dental services were distributed throughout Madison, most were concentrated in only a few ZIP codes. One ZIP code, 32340, reported $177,609 in Medicaid dental payments in 2024, meaning 100% of local Medicaid spending in this category was tied to that code during the year.
A small number of specific billing codes made up most Medicaid spending within the Dental Services category.
Between 2024 and 2023, Madison’s Medicaid payments in Dental Services rose by 5.6%, while overall Medicaid claims across all service categories in Madison changed by 41.6% for the same timeframe.
Centers for Medicare & Medicaid Services figures show that combined federal and state Medicaid payments totaled around $871.7 billion in fiscal 2023, which accounted for about 18% of all national health spending and was up significantly from the roughly $613.5 billion seen in 2019, before the onset of the COVID-19 pandemic.
This growth of nearly 40% in just a few years has been primarily attributed to both more people enrolling in Medicaid and greater use of health care services during and after the pandemic.
Recent federal budget legislation during the Trump administration has featured significant proposals to curb federal Medicaid funding and alter program structures. The “One Big Beautiful Bill Act,”, enacted in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over 10 years, adding work requirements and higher cost-sharing that could limit coverage and funds for some enrollees. These changes may transfer costs to states and restrict federal Medicaid support growth, though the program continues to insure tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $180,702 | 8890.2% |
| 2021 | $25,747 | -85.8% |
| 2022 | $224,560 | 772.2% |
| 2023 | $168,154 | -25.1% |
| 2024 | $177,609 | 5.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $362,711 | 47.1% |
| 2 | Dental Services | $177,609 | 23.1% |
| 3 | Medicine Services and Procedures | $117,999 | 15.3% |
| 4 | Ambulance and Other Transport Services and Supplies | $91,464 | 11.9% |
| 5 | Alcohol and Drug Abuse Treatment | $17,849 | 2.3% |
| 6 | Pathology and Laboratory Procedures | $1,485 | 0.2% |
| 7 | Radiology Procedures | $516 | 0.1% |
| 8 | Procedures / Professional Services | $156 | <0.1% |
| 9 | Drugs Administered Other than Oral Method | $94 | <0.1% |
| 10 | Surgery | $8 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $53,677 | 12 |
| D0330 | Panoramic image | $50,322 | 12 |
| D0150 | Comprehensve oral evaluation | $32,616 | 12 |
| D0274 | Bitewings four images | $18,216 | 12 |
| D0272 | Dental bitewings two images | $15,450 | 12 |
| D0140 | Limit oral eval problm focus | $4,940 | 12 |
| D0220 | Intraoral periapical first | $2,265 | 12 |
| D0230 | Intraoral periapical ea add | $120 | 5 |
Note: HCPCS codes are provided for reference within this category. Group and ranking totals in this story reflect service groupings rather than just individual billing codes.
Details used in this story were obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.
