Sammamish Medicaid providers billed $2,129 for services classified under Dental Services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 79.4% jump from 2023, when claims in the same category totaled $1,187.
Medicaid, a public health insurance program managed by states and funded jointly by federal and state governments, provides coverage for low-income people, seniors, children, and individuals with disabilities. It is among the largest programs in the U.S. health care system.
As Medicaid funding comes from taxpayers, changes in local billing provide insight into how community health care resources are distributed.
The “Dental Services” category includes a set of Medicaid-billed services organized by care type, based on standardized HCPCS and CPT code groupings. This analysis assigned each billing code to one service category using uniform code prefixes and ranges, allowing related services to be tracked together while preventing duplication and preserving ranking consistency over time.
Among all service categories, Dental Services led in Sammamish by total Medicaid payments in 2024.
Statewide in Washington, Dental Services ranked ninth for total payments that year.
From five years before 2024, Medicaid payments for Dental Services in Sammamish rose by $1,986, or 1390.9%. Spending grew faster in some periods, with notable year-over-year increases in 2022 and 2023.
Though dental services spending was distributed throughout Sammamish, the majority of payments were concentrated in specific ZIP codes. In 2024, ZIP code 98075 saw the highest Medicaid dental payments at $2,128, and the top 1 ZIP code accounted for 100% of Sammamish’s Medicaid dental expenditures that year.
Medicaid payments in the Dental Services category were primarily distributed among a small set of billing codes.
Between 2024 and 2023, Medicaid dental service payments in Sammamish increased 79.4%. This was similar to the 79.3% rise seen across all Medicaid claim categories citywide in the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023—roughly 18% of overall national health care spending. This is up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth represents an increase of around 40% in several years, mainly driven by greater enrollment and increased use of health services during and after the pandemic.
Federal budget legislation during the Trump administration included major proposals to reduce federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years. It adds measures such as work requirements and higher cost-sharing, both of which could curtail coverage and funding for certain recipients. These provisions are expected to shift costs to states and slow the growth of federal support even as Medicaid continues to cover millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $142 | -99.5% |
| 2022 | $415 | 191.2% |
| 2023 | $1,187 | 185.5% |
| 2024 | $2,128 | 79.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $2,128 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $1,446 | 3 |
| D0150 | Comprehensve oral evaluation | $682 | 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.
