Medicaid dental payments in Greenville reach $1.8 million in 2024, rising 9.8%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Greenville Medicaid providers received $1,790,297 for services listed under the Dental Services category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 9.8% rise compared with 2023, when $1,630,091 was billed for the same services.

Medicaid, a public health insurance program operated by states with both state and federal funding, serves low-income individuals and families, seniors, children and people with disabilities. It is among the largest components of the U.S. health care system.

Because Medicaid payments rely on taxpayer funding, variations in local billing highlight how public health care dollars are spent in a given area.

The “Dental Services” category lists a set of Medicaid-billed services defined by care type, following standardized HCPCS and CPT code groupings. Each billing code for this data was mapped to a single service category using set code prefixes and numeric ranges, ensuring accurate tracking of related services, preventing double counting, and maintaining correct rankings over time.

While Medicaid spending was up across several categories, Dental Services ranked 10th in Greenville for total Medicaid payments in 2024.

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

Over the five years before 2024, Greenville’s Medicaid payments for Dental Services increased by $131,094, or 7.9%. Spending grew at a faster pace during select periods, with significant year-over-year increases noted in 2021 and 2022.

Spending for Dental Services was spread throughout the city but mainly concentrated in a few ZIP codes. In 2024, ZIP codes with the highest Medicaid payments in this category included 29615, totaling $713,917; 29607, which reached $624,210; and 29609, which saw $240,233. Together, these top 3 ZIP codes represented 88.2% of all Medicaid payments for Dental Services in Greenville that year.

Within Dental Services, most Medicaid payments were directed toward a small set of individual billing codes.

Comparing trends, Medicaid payments for Dental Services in Greenville rose 9.8% between 2024 and 2023, close to the 10% increase across all Medicaid claim categories in the city during this period.

The Centers for Medicare & Medicaid Services reported that total federal and state Medicaid spending hit approximately $871.7 billion in fiscal year 2023, representing about 18% of all U.S. health expenditures. This amount soared from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This change denotes an increase of almost 40% in just a few years, largely spurred by expanded enrollment and greater utilization during and following the pandemic.

Recent federal budget measures enacted under the Trump administration have put forward major reductions in federal Medicaid funding and restructured the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut more than $1 trillion in federal Medicaid spending over the next decade and includes changes such as work requirements and higher cost-sharing, potentially reducing coverage and funding for some beneficiaries. These adjustments are likely to increase state costs and restrict federal Medicaid growth, even as the program continues to cover tens of millions of Americans.

Medicaid Payments Tied to Dental Services in Greenville, South Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,659,203 -30.8%
2021 $1,673,140 0.8%
2022 $1,635,437 -2.3%
2023 $1,630,091 -0.3%
2024 $1,790,297 9.8%
Top Categories by Medicaid Payments in Greenville, South Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $54,632,839 33.7%
2 Evaluation and Management $34,593,299 21.4%
3 Medicine Services and Procedures $32,237,224 19.9%
4 Pathology and Laboratory Procedures $8,223,207 5.1%
5 Radiology Procedures $6,413,792 4%
6 Surgery $5,666,600 3.5%
7 Alcohol and Drug Abuse Treatment $5,464,391 3.4%
8 Temporary National Codes (Non-Medicare) $3,478,909 2.1%
9 Procedures / Professional Services $1,920,239 1.2%
10 Dental Services $1,790,297 1.1%
11 Ambulance and Other Transport Services and Supplies $1,787,553 1.1%
12 Durable Medical Equipment $1,634,052 1%
13 Medical And Surgical Supplies $1,023,224 0.6%
14 Orthotic Procedures and services $777,384 0.5%
15 Drugs Administered Other than Oral Method $712,706 0.4%
16 Chemotherapy Drugs $553,496 0.3%
17 Anesthesia $407,182 0.3%
18 Administrative, Miscellaneous and Investigational $361,714 0.2%
19 Temporary Codes $74,816 <0.1%
20 Vision Services $62,157 <0.1%
21 Durable medical equipment (DME) Medicare administrative contractors (MACs) $51,160 <0.1%
22 Outpatient PPS $25,526 <0.1%
23 Hearing Services $3,561 <0.1%
24 Pathology and Laboratory Services $2,458 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Greenville, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $487,596 235
D0330 Panoramic image $246,706 151
D0274 Bitewings four images $224,577 192
D0150 Comprehensve oral evaluation $184,370 156
D0140 Limit oral eval problm focus $167,429 157
D0220 Intraoral periapical first $159,042 225
D0272 Dental bitewings two images $146,241 135
D0230 Intraoral periapical ea add $115,066 156
D0145 Oral evaluation, pt < 3yrs $49,567 39
D0210 Intraor comprehensive series $8,312 8
D0240 Intraoral occlusal film $1,386 4

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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