In 2024, Medicaid providers in Glens Falls submitted $1,473,673 in claims for dental services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 2.8% rise compared with 2023, when the total for these services was $1,433,037.
Medicaid, a public health insurance initiative operated by states and funded by both federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities. It is one of the largest components of the U.S. health care system.
Since Medicaid is funded by taxpayers, fluctuations in claims locally illustrate how public health care funds are distributed within a community.
The “Dental Services” category includes a set of services billed to Medicaid, defined by service type and grouped using standardized HCPCS and CPT codes. For this analysis, each code was assigned to a single service category based on consistent prefixes and numeric intervals, enabling assessment of similar services without double counting and while maintaining correct rankings over time.
Although Medicaid expenditures increased in various service categories, dental services held the third-highest ranking in Glens Falls for total Medicaid payments in 2024.
Dental services ranked 11th statewide among Medicaid payment categories in New York for 2024.
Between 2019 and 2024, Medicaid payments tied to dental services in Glens Falls rose by $457,578, or 45%. Growth accelerated at certain points, with especially large annual increases seen in 2021 and 2020.
While dental service Medicaid claims were submitted from across Glens Falls, payments were mainly focused in a few ZIP codes. In 2024, ZIP code 12801 accounted for $1,473,673 in Medicaid payments for dental services, representing 100% of such payments in the city during the year.
Within the dental services category, a handful of billing codes concentrated most Medicaid payments.
Comparatively, dental service payments under Medicaid in Glens Falls grew by 2.8% from 2023 to 2024, while total payments for all Medicaid claim categories in the city increased by 17.1% in the same timeframe.
Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid spending amounted to about $871.7 billion in fiscal year 2023, about 18% of the nation’s total health expenditures. This is up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase marks nearly 40% growth in only a few years, mainly due to expanded enrollment and greater use during and after COVID-19.
Recent federal budget laws signed under the Trump administration have included major proposals to scale back federal Medicaid funding and modify the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by over $1 trillion in the next decade and introduces work requirements and higher cost-sharing, potentially affecting coverage and costs for some individuals. These changes are expected to increase the burden on states and cap further federal Medicaid spending, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,016,094 | 38.4% |
| 2021 | $1,469,423 | 44.6% |
| 2022 | $1,424,162 | -3.1% |
| 2023 | $1,433,036 | 0.6% |
| 2024 | $1,473,673 | 2.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,808,376 | 36.4% |
| 2 | Medicine Services and Procedures | $3,874,314 | 24.3% |
| 3 | Dental Services | $1,473,673 | 9.2% |
| 4 | Chemotherapy Drugs | $1,234,328 | 7.7% |
| 5 | Pathology and Laboratory Procedures | $1,134,692 | 7.1% |
| 6 | Surgery | $989,909 | 6.2% |
| 7 | Radiology Procedures | $712,130 | 4.5% |
| 8 | Ambulance and Other Transport Services and Supplies | $220,698 | 1.4% |
| 9 | Procedures / Professional Services | $184,028 | 1.2% |
| 10 | Durable Medical Equipment | $154,781 | 1% |
| 11 | Alcohol and Drug Abuse Treatment | $63,296 | 0.4% |
| 12 | Temporary Codes | $52,050 | 0.3% |
| 13 | Vision Services | $45,385 | 0.3% |
| 14 | Drugs Administered Other than Oral Method | $16,734 | 0.1% |
| 15 | National Codes Established for State Medicaid Agencies | $10,785 | 0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $876 | <0.1% |
| 17 | Medical And Surgical Supplies | $338 | <0.1% |
| 18 | Hearing Services | $6 | <0.1% |
| 19 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $887,800 | 243 |
| D0330 | Panoramic image | $209,402 | 123 |
| D0272 | Dental bitewings two images | $180,352 | 186 |
| D0274 | Bitewings four images | $144,544 | 138 |
| D0150 | Comprehensve oral evaluation | $22,726 | 34 |
| D0240 | Intraoral occlusal film | $15,870 | 21 |
| D0220 | Intraoral periapical first | $7,290 | 24 |
| D0210 | Intraor comprehensive series | $5,088 | 15 |
| D0145 | Oral evaluation, pt < 3yrs | $367 | 1 |
| D0230 | Intraoral periapical ea add | $230 | 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.
