Tiptonville Medicaid dental services payments climb to $1,464 in 2024 with sharp increase

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, providers in Tiptonville billed $1,464 to Medicaid for services under the Dental Services category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 248.6% increase over 2023, when $420 was claimed for the same services.

Medicaid, the joint federal and state public health insurance program, covers low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system. Program funding is shared by federal and state governments.

Because Medicaid spending is funded by taxpayers, shifts in local billing reflect how community health care resources are distributed.

The “Dental Services” category includes Medicaid-billed procedures grouped by care type and based on consistent HCPCS and CPT code allocations. For this analysis, each billing code was classified into a single category according to set code ranges, enabling collective examination of related services while preventing double counting and preserving accurate time-based rankings.

Although Medicaid outlays increased for a number of service types, Dental Services registered as the fifth-largest Medicaid payment category in Tiptonville for 2024.

Statewide in Tennessee, Dental Services placed 12th among Medicaid payment categories for 2024.

Between 2019 and 2024, Medicaid payments linked to the Dental Services category in Tiptonville rose by $1,464, or 0%. Certain periods during these years saw accelerated spending, with notable annual jumps occurring in both 2022 and 2023.

Spending for Dental Services in Tiptonville, though distributed throughout the city, was highly concentrated in a small set of ZIP codes. In 2024, Medicaid billing for Dental Services was highest in ZIP code 38079, which accounted for all $1,464 in payments. This single ZIP made up 100% of Tiptonville Medicaid outlays for Dental Services that year.

Medicaid expenditures for Dental Services were similarly focused among a small group of individual billing codes.

For additional context, Medicaid payments for Dental Services in Tiptonville grew by 248.6% from 2023 to 2024, far outpacing the 9.2% change observed across all Medicaid payment categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023, accounting for roughly 18% of national health spending. This represents a sharp rise from about $613.5 billion in 2019, just before the COVID-19 pandemic.

The approximate 40% growth over a few years was fueled mostly by expanded enrollment and higher utilization both during and after the pandemic period.

Recent federal budget measures during the Trump administration have featured broad proposals to scale back federal Medicaid contributions and change its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years, and initiates policies such as work requirements and higher cost-sharing, which may lower coverage and funding for certain beneficiaries. The changes are expected to place greater responsibility on states for funding and restrain future federal Medicaid growth, even as the program continues serving tens of millions nationwide.

Medicaid Payments Tied to Dental Services in Tiptonville, Tennessee Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $420 59.1%
2024 $1,464 248.6%
Top Categories by Medicaid Payments in Tiptonville, Tennessee, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $154,096 53%
2 Ambulance and Other Transport Services and Supplies $103,554 35.6%
3 Pathology and Laboratory Procedures $24,618 8.5%
4 Medicine Services and Procedures $6,300 2.2%
5 Dental Services $1,464 0.5%
6 Surgery $793 0.3%
Top 20 HCPCS Codes Within the Dental Services Category in Tiptonville, Tennessee, 2024

HCPCS Code Description Medicaid Payments Claims
D0190 Screening of a patient $1,464 8

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.



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