Scarbro Medicaid dental services see $114,504 in payments for 2024

Scarbro Medicaid providers billed $114,504 for Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum reflects an 8.9% rise from 2023, when providers submitted $105,155 for the same services.

Medicaid is a public health insurance program managed by states with funding from both federal and state governments. It covers low-income people, seniors, children, and individuals with disabilities, making it one of the largest segments of the health care system in the United States. More details on Medicaid funding are available at the Commonwealth Fund.

Because Medicaid draws from taxpayer resources, fluctuations in local billing provide insight into how community health funding is used.

The Dental Services category groups together Medicaid-billed services according to the type of care, defined by standardized HCPCS and CPT codes. For this analysis, each billing code was categorized by service using standard prefixes and ranges, ensuring group-level consistency and accurate time comparisons without overlap.

In 2024, Dental Services saw the highest Medicaid payment total among all categories in Scarbro.

Statewide, Dental Services held the 13th spot for Medicaid payment totals in West Virginia for 2024.

From 2019 to 2024, Medicaid dental service payments in Scarbro grew by $87,973, or 331.6%, with increased growth reported during 2020 and 2021, according to payment records.

Dental service Medicaid spending was distributed citywide, but largely concentrated within a few ZIP codes. In 2024, ZIP code 25917 led with $114,503 in Dental Services payments, accounting for the entire category’s total payments in Scarbro for the year.

For Dental Services, the bulk of Medicaid payments went to a select group of billing codes.

Between 2024 and 2023, Medicaid payments for Dental Services in Scarbro rose by 8.9%, compared with a 7.1% increase across all Medicaid categories in the city in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023. This made up roughly 18% of all national health expenditures, up significantly from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents an increase of nearly 40% over just a few years, largely attributed to increased enrollment and utilization during and after the pandemic.

Recent fiscal legislation during the Trump administration brought major proposals to cut federal Medicaid funding and reshape aspects of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over the next decade and implements new policies such as work requirements and additional cost-sharing. These changes are likely to push more Medicaid costs to the states and may limit federal funding growth, even as the program continues to cover tens of millions nationwide.

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.