Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Windermere billed $172,146 for dental services in 2024. This amount represented a 94.5% rise from 2023, when dental service claims totaled $88,525.
Medicaid is a state-administered, federally and state-funded public health insurance program. It offers coverage for low-income individuals and families, children, seniors, and people with disabilities, making up a major portion of the U.S. health care system.
As Medicaid funding is sourced from taxpayers, changes in community billing trends provide insight into public health care expenditures.
The “Dental Services” category represents a group of Medicaid-billed procedures, defined by the specific care provided according to standardized HCPCS and CPT code groupings. For this analysis, each claim code was placed into a single service category by using consistent code prefixes and numeric ranges, ensuring related procedures are reviewed together and double counting is avoided, maintaining accurate rankings over time.
While Medicaid expenditures rose across various service groups, dental services ranked highest in Windermere for total Medicaid payments in 2024.
Statewide in Florida, dental services ranked 15th for overall Medicaid payments in 2024.
Over the five-year stretch ending in 2024, Medicaid spending on dental services in Windermere rose by $144,175, or 515.5%. Growth accelerated at certain points, with significant year-over-year gains observed in 2023 and 2022.
Though dental services spending occurred across the city, most payments were concentrated within a few ZIP codes. In 2024, ZIP code 34786 accounted for $172,145, with the top single ZIP code representing 100% of all Windermere Medicaid payments tied to dental services that year.
Dental services Medicaid payments were also concentrated among a relatively small number of billing codes.
To contextualize this trend, Medicaid dental payments in Windermere increased 94.5% between 2024 and 2023. By comparison, all Medicaid claim categories in the city combined rose just 0.7% over the same period.
According to the Centers for Medicare & Medicaid Services, Medicaid spending from both federal and state sources totaled about $871.7 billion for fiscal 2023, which was approximately 18% of national health expenses—rising sharply from around $613.5 billion in 2019, before the COVID-19 pandemic.
This increase amounts to about 40% growth over several years, primarily driven by expanded program enrollment and higher usage during and after the pandemic.
Recent federal budget measures under the Trump administration included substantial proposals to reduce federal Medicaid funding and modify the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to cut more than $1 trillion in federal Medicaid spending throughout the next decade and establishes requirements such as work and increased cost-sharing that may reduce beneficiaries’ coverage and funding. Such changes are expected to shift more costs to state governments and may constrain the rate of future federal growth, while Medicaid continues to serve tens of millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $27,970 | – |
| 2022 | $17,449 | -37.6% |
| 2023 | $88,525 | 407.3% |
| 2024 | $172,145 | 94.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $172,145 | 64.1% |
| 2 | Evaluation and Management | $82,796 | 30.9% |
| 3 | Medicine Services and Procedures | $12,501 | 4.7% |
| 4 | Pathology and Laboratory Procedures | $861 | 0.3% |
| 5 | Procedures / Professional Services | $66 | <0.1% |
| 6 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $43,430 | 24 |
| D0230 | Intraoral periapical ea add | $23,492 | 25 |
| D0150 | Comprehensve oral evaluation | $19,918 | 20 |
| D0272 | Dental bitewings two images | $19,240 | 24 |
| D0220 | Intraoral periapical first | $19,165 | 25 |
| D0330 | Panoramic image | $17,897 | 10 |
| D0140 | Limit oral eval problm focus | $8,664 | 17 |
| D0274 | Bitewings four images | $8,219 | 9 |
| D0145 | Oral evaluation, pt < 3yrs | $5,386 | 13 |
| D0240 | Intraoral occlusal film | $5,358 | 12 |
| D0602 | Caries risk assess mod risk | $1,023 | 21 |
| D0603 | Caries risk assess high risk | $349 | 13 |
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.
