Rupert’s Medicaid providers billed $266,335 for services in the Dental Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 27.4% rise from 2023, when $209,101 in claims were filed in this category.
Medicaid, a public health insurance program, is administered by states and funded cooperatively by federal and state governments. It serves low-income individuals and families, children, seniors, and people with disabilities, making it a major segment of the U.S. health care system.
Since Medicaid is taxpayer-funded, fluctuations in local billing reveal how public health care dollars are distributed within a community.
The “Dental Services” category includes a range of Medicaid-billed services grouped by care type, following standardized HCPCS and CPT code guidelines. This analysis assigned each billing code to one group by matching code prefixes and number ranges, ensuring related services are counted together without duplication and rankings remain accurate over time.
Medicaid spending saw increases across various service categories, with Dental Services ranking fourth in Rupert by payment totals in 2024.
Statewide, Dental Services placed seventh in Idaho Medicaid payments for 2024.
From 2019 through 2024, Medicaid payments for Dental Services in Rupert rose by $161,715, representing growth of 154.6%. Periods of faster growth included notable year-over-year gains in both 2020 and 2021.
Spending related to Dental Services was distributed citywide but was centered in select ZIP codes. In 2024, ZIP code 83350 was responsible for $266,335 in claims, accounting for all Medicaid payments in this category in Rupert for the year.
Dentals Services Medicaid payments were concentrated in a small number of billing codes within the category.
Medicaid payments for Dental Services in Rupert grew by 27.4% from 2023 to 2024, in contrast with an overall 3.4% increase for all Medicaid claim categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, making up roughly 18% of all health spending nationwide. That was up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects an increase of around 40% over several years, primarily due to expanded enrollment and heightened utilization during and following the pandemic.
Federal budget changes introduced under the Trump administration brought major proposals to scale back federal Medicaid funding and change the program’s structure. For example, the “One Big Beautiful Bill Act,”, enacted in 2025, is forecast to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and adopts new policies such as work requirements and greater cost-sharing. These changes could reduce coverage and funding for some recipients, shift more costs to states, and limit the future growth of federal Medicaid support, despite the program serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $104,619 | 284.4% |
| 2021 | $158,638 | 51.6% |
| 2022 | $191,436 | 20.7% |
| 2023 | $209,100 | 9.2% |
| 2024 | $266,335 | 27.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $16,799,941 | 91.2% |
| 2 | National Codes Established for State Medicaid Agencies | $907,355 | 4.9% |
| 3 | Medicine Services and Procedures | $439,895 | 2.4% |
| 4 | Dental Services | $266,335 | 1.4% |
| 5 | Evaluation and Management | $8,923 | <0.1% |
| 6 | Pathology and Laboratory Procedures | $5,823 | <0.1% |
| 7 | Drugs Administered Other than Oral Method | $39 | <0.1% |
| 8 | Administrative, Miscellaneous and Investigational | $7 | <0.1% |
| 9 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0999 | Unspecified diagnostic proce | $266,181 | 12 |
| D0120 | Periodic oral evaluation | $84 | 18 |
| D0274 | Bitewings four images | $69 | 14 |
| D0140 | Limit oral eval problm focus | $0 | 3 |
| D0150 | Comprehensve oral evaluation | $0 | 2 |
| D0220 | Intraoral periapical first | $0 | 11 |
| D0230 | Intraoral periapical ea add | $0 | 10 |
| D0330 | Panoramic image | $0 | 4 |
Note: HCPCS codes are included for context within the category. Article category counts and rankings are derived from standardized groupings instead of individual billing codes.
Information for this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.
