Gloversville Medicaid dental payments reach $193,238 in 2024, marking 24.3% increase

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Gloversville Medicaid providers submitted $193,238 in claims for Dental Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 24.3% increase compared to 2023, when the total for this service category was $155,428.

Medicaid, a public health insurance program administered by the states and funded in partnership by federal and state governments, provides health care for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Shifts in local billing for Medicaid, which is funded by taxpayers, demonstrate how public health care spending is allocated in specific communities.

The “Dental Services” category groups Medicaid-billed services by type, relying on standardized HCPCS and CPT codes. For this report, service billing codes were assigned to categories using established code prefixes and numerical ranges, enabling analysis across related services while ensuring accurate rankings and avoiding double counting.

Though Medicaid spending increased among several service categories, Dental Services placed sixth by total Medicaid payments in Gloversville in 2024.

Statewide in New York, Dental Services held the 11th spot for total Medicaid payments in 2024.

Medicaid payments for Dental Services in Gloversville grew by $184,933, or 2,226.7%, over the five years leading to 2024. Periods of accelerated spending growth were especially notable in 2021 and 2022.

Spending on Dental Services was not evenly distributed across the city; payments were focused in a small number of ZIP codes. In 2024, ZIP code 12078 accounted for $193,238 in Medicaid payments, with the top ZIP code making up 100% of all Medicaid dental payments in Gloversville that year.

Within this category, most Medicaid payments in Gloversville were associated with a limited number of billing codes.

Comparing categories, Medicaid dental payments in Gloversville rose 24.3% between 2024 and 2023, while the overall Medicaid claim categories in the city experienced a 41.7% change during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending was about $871.7 billion in fiscal year 2023, representing around 18% of national health expenditures, up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth amounts to roughly 40% in just a few years, mainly due to higher enrollment and increased utilization during and after the pandemic.

Recent Trump administration federal budget measures have included substantial proposals to decrease federal Medicaid funding and change the program structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the next 10 years, introducing provisions like work requirements and higher cost-sharing that could limit coverage and funding for certain beneficiaries. These changes are likely to transfer more financial responsibility to states and slow federal Medicaid growth, while the program continues to serve tens of millions of Americans.

Medicaid Payments Tied to Dental Services in Gloversville, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $8,305 -14%
2021 $52,039 526.6%
2022 $120,065 130.7%
2023 $155,427 29.5%
2024 $193,238 24.3%
Top Categories by Medicaid Payments in Gloversville, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $2,894,139 53.2%
2 Medicine Services and Procedures $776,101 14.3%
3 Pathology and Laboratory Procedures $521,833 9.6%
4 Surgery $426,314 7.8%
5 Radiology Procedures $415,581 7.6%
6 Dental Services $193,238 3.6%
7 Durable Medical Equipment $75,642 1.4%
8 Alcohol and Drug Abuse Treatment $49,124 0.9%
9 Medical And Surgical Supplies $35,724 0.7%
10 Procedures / Professional Services $27,707 0.5%
11 Anesthesia $23,778 0.4%
12 Drugs Administered Other than Oral Method $719 <0.1%
13 Temporary National Codes (Non-Medicare) $400 <0.1%
14 Administrative, Miscellaneous and Investigational $102 <0.1%
15 Temporary Codes $49 <0.1%
16 Other Services $0 <0.1%
16 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Gloversville, New York, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $92,576 12
D0150 Comprehensve oral evaluation $26,077 12
D0274 Bitewings four images $20,191 12
D0272 Dental bitewings two images $18,305 12
D0330 Panoramic image $11,702 12
D0220 Intraoral periapical first $7,047 12
D0145 Oral evaluation, pt < 3yrs $6,416 11
D0240 Intraoral occlusal film $5,690 10
D0140 Limit oral eval problm focus $2,723 9
D0230 Intraoral periapical ea add $2,507 11

Note: HCPCS codes are provided for context. Category totals and ranks referenced in this story are based on standardized groupings, not individual codes.

Data in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data can be accessed here.



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