Providers in Prospect submitted $2,812 in Medicaid claims for Dental Services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 154.5% jump from 2023, when providers reported $1,105 in claims for Dental Services.
Medicaid, a public program managed by states and financed together by federal and state governments, serves low-income families and individuals, seniors, children, and people with disabilities. As one of the largest components of the U.S. health care system, its impact is significant nationwide.
Because taxpayer funds support Medicaid, local fluctuations in billing offer insight into how health care resources are distributed across the community.
The “Dental Services” category consists of multiple Medicaid service types grouped by similar standardized HCPCS and CPT codes. For this analysis, each billing code related to dentistry was assigned to only one service category based on consistent code prefixes and number ranges. This allowed accurate grouping, prevented double counting, and ensured valid comparisons across years.
Medicaid expenditures grew across many categories; however, Dental Services topped all service categories in Prospect for total Medicaid payments in 2024.
For all of Kentucky, Dental Services placed 14th among service categories for total Medicaid payments during 2024.
Between 2020 and 2024, payments for Dental Services in Prospect rose by $2,812, representing a 0% overall change. Certain periods saw faster spending growth, particularly with significant annual increases in both 2023 and 2022.
Though Dental Services Medicaid spending was recorded across Prospect, the majority of claims came from a select few ZIP codes. In 2024, ZIP code 40059 contributed $2,811, making up 100% of Medicaid payments for Dental Services in Prospect.
Within this category, most Medicaid payments concentrated around a few specific billing codes.
Comparatively, the 154.5% rise in Medicaid Dental Services payments from 2023 to 2024 in Prospect far exceeded the citywide increase of 3.2% across all Medicaid categories during the same timeframe.
The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid funding totaled about $871.7 billion in fiscal year 2023, roughly 18% of all U.S. health care expenditures, marking a steep increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This shift reflects about 40% growth in just a few years, with factors like enrollment increases and greater service use driving much of the rise during and after the pandemic.
Recent federal budget plans from the Trump administration have included key proposals to cut national Medicaid funding and reshape the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim federal Medicaid spending by more than $1 trillion over ten years and would incorporate work requirements and higher cost-sharing, possibly reducing benefits and funding for some recipients. Such legislative changes are expected to increase fiscal responsibility at the state level and limit future federal Medicaid growth, even as the program continues to serve large populations.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $1,104 | – |
| 2024 | $2,811 | 154.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $2,811 | 70.5% |
| 2 | Evaluation and Management | $1,121 | 28.1% |
| 3 | Pathology and Laboratory Procedures | $56 | 1.4% |
| 4 | Medicine Services and Procedures | $0 | <0.1% |
| 4 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $2,811 | 5 |
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.
