In 2024, Medicaid providers in Prineville billed $162,210 for services in the Dental Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 2.2% rise from 2023, when claims for the same services totaled $158,782.
Medicaid, a public insurance program funded by federal and state governments together, provides coverage for children, seniors, low-income individuals and families, and people with disabilities. It is a major component of the national health care system.
Because Medicaid is taxpayer-funded, adjustments in local claim levels reflect how a community allocates public health care funds.
The Dental Services classification groups Medicaid-billed procedures according to care type, using standardized HCPCS and CPT code groupings. Each code in this analysis was sorted into a single category based on consistent code prefixes and numbers, ensuring that related procedures are analyzed together while avoiding duplicate counts and maintaining accurate standings over time.
While spending increased across several Medicaid service types, Dental Services ranked third by total payments in Prineville in 2024.
Statewide in Oregon, Dental Services held the 14th position for total Medicaid payments in 2024.
Comparing the five years prior to 2024, Medicaid Dental Services payments in Prineville rose by $68,056, up 72.3%. Stronger year-to-year increases were noted during certain periods, especially in 2021 and 2022.
Medicaid spending for Dental Services was present citywide but was focused in a few ZIP codes. In 2024, ZIP code 97754 accounted for the entire $162,210 in Medicaid Dental Services payments, making up 100% of the category’s total in Prineville.
Within this category, most Medicaid dental spending was attributed to a limited number of specific billing codes.
Dental Services payments in Prineville increased 2.2% between 2024 and 2023, while overall Medicaid spending across all claim categories in the city rose 15.4% in the same span.
The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year. This represented about 18% of all U.S. health care spending and was a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.
That growth of about 40% over several years has been primarily driven by expanded program enrollment and higher use rates during and after the pandemic.
Major changes to federal Medicaid funding and program structure were put in place under recent Trump administration legislation. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion in the coming decade, introducing new work requirements and increased cost-sharing that may affect coverage and funding for some recipients. As a result, states are expected to shoulder a greater share of costs, potentially slowing the overall expansion of federal Medicaid support, while the program continues to provide services for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $94,154 | -27.4% |
| 2021 | $116,725 | 24% |
| 2022 | $224,484 | 92.3% |
| 2023 | $158,782 | -29.3% |
| 2024 | $162,210 | 2.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,416,543 | 56.5% |
| 2 | Evaluation and Management | $661,725 | 26.4% |
| 3 | Dental Services | $162,210 | 6.5% |
| 4 | Ambulance and Other Transport Services and Supplies | $111,180 | 4.4% |
| 5 | Durable Medical Equipment | $55,216 | 2.2% |
| 6 | Procedures / Professional Services | $40,696 | 1.6% |
| 7 | National Codes Established for State Medicaid Agencies | $38,747 | 1.5% |
| 8 | Medical And Surgical Supplies | $10,310 | 0.4% |
| 9 | Pathology and Laboratory Procedures | $4,004 | 0.2% |
| 10 | Surgery | $3,452 | 0.1% |
| 11 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,697 | 0.1% |
| 12 | Alcohol and Drug Abuse Treatment | $1,556 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $17 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0140 | Limit oral eval problm focus | $42,204 | 53 |
| D0150 | Comprehensve oral evaluation | $27,029 | 35 |
| D0120 | Periodic oral evaluation | $26,886 | 45 |
| D0330 | Panoramic image | $16,246 | 33 |
| D0274 | Bitewings four images | $14,849 | 34 |
| D0220 | Intraoral periapical first | $14,283 | 56 |
| D0210 | Intraor comprehensive series | $8,217 | 14 |
| D0603 | Caries risk assess high risk | $6,757 | 29 |
| D0602 | Caries risk assess mod risk | $1,870 | 10 |
| D0230 | Intraoral periapical ea add | $1,548 | 10 |
| D0601 | Caries risk assess low risk | $1,382 | 8 |
| D0270 | Dental bitewing single image | $934 | 8 |
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.
