Heath Medicaid Dental Services payments jump to $52,009 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Heath billed $52,009 for Dental Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represent a 27.3% rise from 2023, when claims for this category reached $40,846.

Medicaid, a public health insurance program administered by each state and funded through both federal and state governments, provides coverage for low-income residents, seniors, children and individuals with disabilities. This makes it one of the largest components of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, fluctuations in local billing highlight how community health care dollars are distributed.

The “Dental Services” category includes a range of Medicaid-reimbursed dental care services, classified according to standardized HCPCS and CPT coding. In this analysis, billing codes were grouped into service categories by shared code prefixes and number ranges, which ensures distinct totals, prevents double counting, and maintains consistency over time.

Among various service categories, Dental Services topped Medicaid spending in Heath during 2024.

On a statewide level, Dental Services ranked seventh by total Medicaid payments in Texas for 2024.

Over the course of five years leading up to 2024, Medicaid payments for Dental Services in Heath saw a net change of $52,009, or 0%. There were periods within those years, such as 2022 and 2023, when spending grew at a faster pace with significant annual increases.

Though Medicaid spending for Dental Services was distributed throughout Heath, the majority of payments originated from a few ZIP codes. For 2024, ZIP code 75032 reported payments of $52,008, accounting for the entire amount billed to Medicaid for Dental Services in the city that year.

Spending within the Dental Services category was largely concentrated in a small range of billing codes.

Comparatively, Medicaid payments for Dental Services in Heath rose by 27.3% between 2024 and 2023, outpacing the 25.2% growth across all Medicaid claim categories in the city in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023. That amounted to nearly 18% of all U.S. health expenditures and reflected a steep increase from the $613.5 billion reported in 2019 before the COVID-19 pandemic.

This nearly 40% rise over a few years was mainly driven by increased enrollment and a higher use of services during and after the pandemic.

Federal budget bills signed during the Trump administration have proposed major reductions in federal Medicaid spending and a revamp of the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to cut federal Medicaid funding by over $1 trillion over the coming decade. The law adds elements such as work requirements and higher cost-sharing, which could limit coverage and funding for some groups while shifting added financial responsibility to individual states, even as Medicaid continues to provide health care to tens of millions of Americans.

Medicaid Payments Tied to Dental Services in Heath, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $0
2021 $6,684
2022 $24,140 261.1%
2023 $40,846 69.2%
2024 $52,008 27.3%
Top Categories by Medicaid Payments in Heath, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $52,008 10<0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Heath, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
D0145 Oral evaluation, pt < 3yrs $24,774 11
D0120 Periodic oral evaluation $8,693 12
D0230 Intraoral periapical ea add $6,285 12
D0272 Dental bitewings two images $5,290 12
D0220 Intraoral periapical first $3,848 12
D0150 Comprehensve oral evaluation $2,542 5
D0330 Panoramic image $574 1
D0603 Caries risk assess high risk $0 12

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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