In 2024, Medicaid providers in New Boston billed $267,337 for dental services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents an 11.8% rise compared to 2023, when providers recorded $239,086 in claims for the same category.
Medicaid, a public health insurance program managed by the states and funded jointly by federal and state governments, covers low-income residents, seniors, children, and individuals with disabilities. It remains a critical segment of the U.S. health care system.
Since Medicaid payments are financed by public funds, changes in local billing reflect community-level trends in health care spending.
The Dental Services classification includes a group of Medicaid-billed procedures defined by care type, standardized with HCPCS and CPT code groupings. For this analysis, each billing code was grouped according to consistent code prefixes and numeric ranges, which allowed for comprehensive evaluation while preventing double counting and ensuring consistent rankings over time.
Dental Services ranked first among all Medicaid payment categories in New Boston in 2024, as spending rose in several service areas.
Statewide in Texas, Dental Services placed seventh for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Dental Services in New Boston increased by $260,832, or 4009.7%. Growth accelerated in particular years, with significant annual increases noted in 2021 and 2022.
Although Dental Services spending covered providers throughout the city, payments were concentrated in few ZIP codes. In 2024, ZIP code 75570 alone accounted for $267,337, representing 100% of all city Medicaid payments for Dental Services that year.
Within the Dental Services group, spending was further focused on a small range of individual billing codes.
For additional context, Medicaid payments for Dental Services in New Boston climbed 11.8% from 2023 to 2024, compared with an overall 50.5% increase across all local Medicaid claim categories in the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in the 2023 fiscal year, representing roughly 18% of national health care expenditures—up from around $613.5 billion in 2019 prior to the COVID-19 pandemic.
This increase reflects about 40% overall growth in recent years, largely driven by expanded program enrollment and increased usage during and following the pandemic.
Major federal budget legislation enacted during the Trump administration included substantial proposals to cut federal Medicaid funding and restructure the program. One example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. The law introduces measures such as work requirements and higher cost-sharing, which could reduce both coverage and funding for certain beneficiaries. These changes are projected to shift additional costs to states and limit growth in federal Medicaid support, even as the program continues to aid tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,504 | – |
| 2021 | $203,361 | 3026.2% |
| 2022 | $266,643 | 31.1% |
| 2023 | $239,085 | -10.3% |
| 2024 | $267,337 | 11.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $267,337 | 80.4% |
| 2 | National Codes Established for State Medicaid Agencies | $45,551 | 13.7% |
| 3 | Medicine Services and Procedures | $18,524 | 5.6% |
| 4 | Durable Medical Equipment | $1,299 | 0.4% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0145 | Oral evaluation, pt < 3yrs | $57,875 | 20 |
| D0120 | Periodic oral evaluation | $54,874 | 24 |
| D0230 | Intraoral periapical ea add | $39,632 | 24 |
| D0272 | Dental bitewings two images | $37,277 | 24 |
| D0220 | Intraoral periapical first | $33,537 | 24 |
| D0140 | Limit oral eval problm focus | $23,224 | 24 |
| D0274 | Bitewings four images | $10,624 | 19 |
| D0150 | Comprehensve oral evaluation | $7,720 | 13 |
| D0603 | Caries risk assess high risk | $2,569 | 24 |
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.
