Medicaid providers in Grundy Center submitted $4,595 in claims for services under the Dental Services category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 57% rise from 2023, when providers billed $2,927 for the same services.
Medicaid is a government health insurance program managed at the state level and funded by both state and federal governments. It offers coverage to low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the nation’s health care system.
Since Medicaid funds are sourced from taxpayers, shifts in local billing provide insight into how health care spending is distributed in a given area.
The “Dental Services” category includes a range of Medicaid-billed services, defined by care type using standardized HCPCS and CPT billing codes. For this report, each code was assigned to a single service group based on code prefixes and numerical ranges to group related care, while avoiding double counts and ensuring consistency in rankings over time.
While overall Medicaid expenditures increased across several service categories, Dental Services ranked fifth by total Medicaid payments in Grundy Center for 2024.
Statewide in Iowa, Dental Services ranked ninth by total Medicaid payments in 2024.
Over the five years preceding 2024, Medicaid payments linked to Dental Services in Grundy Center rose by $4,595, or 0%. Spending growth was especially strong at certain points, including significant year-over-year increases in 2022 and 2021.
Dental Services payments in Grundy Center for 2024 were primarily concentrated in a few ZIP codes. The ZIP code 50638 alone accounted for $4,594, making up 100% of all payments tied to Dental Services in the city that year.
Within Dental Services, a small number of billing codes made up most of the Medicaid payments in Grundy Center.
Comparatively, Medicaid payments for Dental Services in Grundy Center increased by 57% between 2024 and 2023, while all other Medicaid categories in the city experienced a 3.7% change during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up around 18% of total national health spending. This was a sharp increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise amounts to about 40% growth over several years, driven in large part by greater enrollment and increased use of services during and after the pandemic.
Recent federal budget legislation during the Trump administration introduced major proposals to decrease federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds policies including work requirements and higher cost-sharing, which could impact coverage and funding for certain beneficiaries. As a result, more costs may shift to states and the expansion of federal Medicaid assistance could be limited, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $590 | 24.4% |
| 2022 | $2,427 | 311.1% |
| 2023 | $2,926 | 20.6% |
| 2024 | $4,594 | 57% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,212,631 | 42.6% |
| 2 | Medicine Services and Procedures | $955,941 | 33.6% |
| 3 | National Codes Established for State Medicaid Agencies | $573,357 | 20.1% |
| 4 | Evaluation and Management | $93,511 | 3.3% |
| 5 | Dental Services | $4,594 | 0.2% |
| 6 | Ambulance and Other Transport Services and Supplies | $2,510 | 0.1% |
| 7 | Pathology and Laboratory Procedures | $2,207 | 0.1% |
| 8 | Surgery | $2,066 | 0.1% |
| 9 | Procedures / Professional Services | $89 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $4,146 | 11 |
| D0274 | Bitewings four images | $448 | 1 |
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.