Smyrna Medicaid providers billed $603,967 for Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 17.5% rise from 2023, when claims for Dental Services in Smyrna reached $513,893.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. The program covers low-income individuals and families, seniors, children, and those with disabilities, making it one of the nation’s largest health care initiatives.
Because funding for Medicaid derives from taxpayers, trends in local billing reflect the distribution of public health dollars in each community.
The “Dental Services” group includes Medicaid-billed service areas categorized by the type of care delivered, as defined by HCPCS and CPT code groupings. Each billing code in this review was allotted to a single service group, using code prefixes and numerical blocks for proper categorization. This ensured only related services were compared and prevented duplicate counts or ranking inaccuracies.
Although spending increased throughout multiple service types, in Smyrna Dental Services took third place in terms of total Medicaid payments in 2024.
Across Delaware, Dental Services placed seventh statewide for Medicaid payment volume in 2024.
Over the five years before 2024, Medicaid spending for Dental Services in Smyrna rose by $330,392, or 120.8%. Certain periods, like 2023 and 2021, saw particularly sizable jumps year over year.
Dental Services Medicaid spending in Smyrna was recorded across the area but remained highly concentrated in just a handful of ZIP codes. In 2024, 19977 accounted for $603,966. Altogether, the highest-billed ZIP code made up 100% of Medicaid payments for Dental Services in the city that year.
Funding in the Dental Services group centered on a small set of specific billing codes.
Comparing categories, Smyrna’s Dental Services Medicaid payments went up 17.5% from 2023 to 2024, versus an overall 49.8% increase across all Medicaid categories citywide during that window.
Data from the Centers for Medicare & Medicaid Services show joint federal and state Medicaid expenditures totaled about $871.7 billion for fiscal 2023, representing roughly 18% of the nation’s health spending—a steep jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change marks an increase of approximately 40% in several years, driven largely by greater enrollment and increased use of benefits during and after the pandemic.
Federal budget legislation from the Trump administration has brought major proposals to decrease federal Medicaid contributions and restructure the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to take more than $1 trillion from federal Medicaid over the next decade. The law brings policies like work requirements and higher cost-sharing, potentially decreasing access and funding for certain beneficiaries. As a result, more Medicaid costs may fall to states, which could slow federal spending growth—even as more Americans remain served by the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $273,574 | -26% |
| 2021 | $335,197 | 22.5% |
| 2022 | $390,234 | 16.4% |
| 2023 | $513,893 | 31.7% |
| 2024 | $603,966 | 17.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $2,351,793 | 51.1% |
| 2 | National Codes Established for State Medicaid Agencies | $1,308,013 | 28.4% |
| 3 | Dental Services | $603,966 | 13.1% |
| 4 | Evaluation and Management | $136,423 | 3% |
| 5 | Medicine Services and Procedures | $92,372 | 2% |
| 6 | Temporary National Codes (Non-Medicare) | $82,905 | 1.8% |
| 7 | Vision Services | $20,611 | 0.4% |
| 8 | Hearing Services | $10,320 | 0.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $162,472 | 58 |
| D0220 | Intraoral periapical first | $72,827 | 32 |
| D0230 | Intraoral periapical ea add | $71,950 | 31 |
| D0150 | Comprehensve oral evaluation | $65,640 | 24 |
| D0274 | Bitewings four images | $62,361 | 20 |
| D0272 | Dental bitewings two images | $60,548 | 24 |
| D0240 | Intraoral occlusal film | $51,887 | 24 |
| D0160 | Extensv oral eval prob focus | $20,187 | 12 |
| D0330 | Panoramic image | $17,732 | 11 |
| D0140 | Limit oral eval problm focus | $16,056 | 15 |
| D0210 | Intraor comprehensive series | $1,554 | 1 |
| D0145 | Oral evaluation, pt < 3yrs | $746 | 1 |
| D0601 | Caries risk assess low risk | $0 | 6 |
| D0602 | Caries risk assess mod risk | $0 | 20 |
| D0603 | Caries risk assess high risk | $0 | 36 |
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.
