Dental Services leads Pleasant View Medicaid spending with $145,937 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Pleasant View submitted $145,937 in claims for Dental Services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflected a 4.9% rise from $139,108 billed in 2023 for the same services.

Medicaid is a government health insurance program operated by states and funded in partnership with federal and state governments. It serves individuals and families with low incomes, seniors, children and people with disabilities, making up a significant portion of the U.S. health care landscape.

Because public funds support Medicaid payments, local billing trends shed light on how health care resources are dispensed within communities.

The “Dental Services” classification encompasses a set of Medicaid-billed services as defined by standardized HCPCS and CPT code groups. In compiling this analysis, each code was assigned exclusively to a single service category based on code prefixes and numerics, which ensured no duplicative counting and more reliable service rankings over time.

Dental Services accounted for the highest total Medicaid payments in Pleasant View among all service categories in 2024, outpacing other categories during the year.

Statewide in Utah, Dental Services ranked ninth by total Medicaid payments in 2024.

Over the span of five years leading up to 2024, Medicaid payments linked to Dental Services in Pleasant View grew by $145,937, representing stable growth when comparing the first and last years. Certain years, notably 2022, saw heightened annual increases, contributing to variation over the period.

Although care in the Dental Services category was available throughout Pleasant View, the majority of Medicaid payments were focused within a small number of ZIP codes. In 2024, ZIP code 84404 represented $145,936 of these payments, with that single ZIP code accounting for 100% of Dental Services Medicaid claims for the year.

Medicaid payments for Dental Services were also concentrated across a small group of specific billing codes within the overall category.

To compare, Medicaid claims for Dental Services in Pleasant View increased 4.9% from 2023 to 2024, which mirrored the 4.9% change across all Medicaid categories citywide over the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled about $871.7 billion in fiscal year 2023, or around 18% of all national health expenditures, up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth amounts to nearly 40% in just a few years, attributed primarily to increased enrollment and utilization following the pandemic.

Federal budget legislation during the Trump administration brought forward sizable proposals to curtail federal Medicaid funding and modify the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next 10 years and includes new policies such as work requirements and expanded cost-sharing. These changes may result in reduced coverage and funding for certain beneficiaries, shifting more cost responsibility to states while Medicaid continues to support millions across the country.

Medicaid Payments Tied to Dental Services in Pleasant View, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $2,824
2022 $158,218 5502.5%
2023 $139,108 -12.1%
2024 $145,936 4.9%
Top Categories by Medicaid Payments in Pleasant View, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $145,936 10<0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Pleasant View, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $42,156 12
D0272 Dental bitewings two images $28,266 12
D0274 Bitewings four images $20,168 12
D0330 Panoramic image $18,160 11
D0220 Intraoral periapical first $16,160 12
D0230 Intraoral periapical ea add $10,659 12
D0150 Comprehensve oral evaluation $6,591 8
D0140 Limit oral eval problm focus $3,563 7
D0240 Intraoral occlusal film $209 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.



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