Medicaid dental payments in Oneida climb 14.2% to $217,891 in 2024

Oneida Medicaid providers billed $217,891 for services classified under the Dental Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 14.2% rise over 2023, when providers submitted $190,790 in claims for these services.

Medicaid, a public health insurance program administered by the states and funded through a partnership between federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities. It is one of the nation’s largest health care programs.

Because Medicaid spending is derived from taxpayer funds, changes in local billing patterns provide insight into how a community’s public health dollars are distributed.

The “Dental Services” category comprises Medicaid-billed services grouped by specific care types, as defined by standardized HCPCS and CPT code ranges. This analysis assigns each billing code to a single service category using consistent prefixes and numerical groupings, allowing analysts to track related services collectively, prevent double counting, and maintain comparability in rankings over time.

Among all service categories, Dental Services was the eighth largest in Oneida by total Medicaid payments in 2024.

Statewide in New York, Dental Services ranked 11th for total Medicaid payments in 2024.

During the five years before 2024, Medicaid payments for the Dental Services category in Oneida rose by $216,864, or 21,118.7%. Some periods saw particularly rapid growth, including substantial annual increases in 2022 and 2021.

Medicaid spending on Dental Services in the city was focused in a small number of ZIP codes. In 2024, ZIP code 13421 recorded $217,890 in Medicaid payments for Dental Services—the top ZIP code for this category. This single ZIP code accounted for 100% of Dental Services Medicaid payments in Oneida for the year.

Within the Dental Services category, a small set of billing codes accounted for the majority of Medicaid payments.

For context, Medicaid payments tied to Dental Services in Oneida increased by 14.2% from 2023 to 2024, compared with a 28.2% change across all Medicaid claim categories in the same timeframe for the city.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, representing around 18% of the nation’s total health spending—an increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects growth of roughly 40% over several years, largely attributable to expanded enrollment and greater service use during and following the pandemic period.

Recent federal budget measures during the Trump administration proposed notable reductions in federal Medicaid funding and structural changes to the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over 10 years, with new policies such as work requirements and higher cost-sharing that could decrease coverage and federal support for some recipients. These adjustments are expected to shift more Medicaid costs to states and limit federal funding growth, even as the program remains a critical resource for tens of millions across the country.

Note: HCPCS codes are included for context within the service category. Category spending totals and rankings reflect standardized service groupings, not individual billing codes.

This article’s information was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source material is available here.