Galena Park Medicaid dental payments climb 126% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Galena Park Medicaid providers submitted $13,676 in claims for Dental Services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 125.9% increase over the amount billed in 2023, when providers reported $6,054 for the same services.

Medicaid, operated by the states and funded through a joint effort between federal and state governments, offers health coverage to low-income families and individuals, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.

Since Medicaid funding is derived from taxpayers, shifts in local claim amounts illustrate how a community’s public health care resources are used.

The “Dental Services” classification encompasses a set of services identified by the nature of care delivered, grouped by standard HCPCS and CPT billing codes. For this report, each billing code was allocated to a specific service group through uniform code prefixes and number ranges, enabling related procedures to be analyzed together, preventing duplicate counting, and ensuring trends and rankings remain accurate over time.

Dental Services topped all Medicaid service categories by total billed payments in Galena Park in 2024, with several other categories also seeing Medicaid growth.

Statewide, Dental Services placed seventh in total Medicaid payments in Texas for 2024.

Medicaid claims for Dental Services in Galena Park rose by $6,089, or 80.3%, in the five years leading to 2024. The most pronounced annual increases occurred during 2021 and 2022, as spending growth accelerated in select years.

Though Dental Services billing was spread throughout the city, the bulk of payments in 2024 was concentrated within limited ZIP codes. In that year, ZIP code 77547 had the highest overall Medicaid payments for Dental Services, totaling $13,676. This accounted for 100% of the city’s total Medicaid spending in this category for 2024.

Within Dental Services, a small group of individual billing codes received most of the Medicaid payments.

Compared to the 125.9% growth for Dental Services in Galena Park from 2023 to 2024, all Medicaid payment categories in the city saw the same rate of change during that timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023. This represented about 18% of total national health expenditures, up from around $613.5 billion in 2019, the year before the onset of the COVID-19 pandemic.

This change reflects an overall rise of nearly 40% in just a few years, much of it attributable to increased enrollment and service utilization during and after the pandemic.

Recent federal budget legislation approved under the Trump administration incorporated major proposals to reduce Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” signed in 2025, is slated to lower federal Medicaid funding by more than $1 trillion over the next 10 years and brings in policies such as expanded work requirements and higher cost-sharing, which could impact coverage and funding for some participants. These adjustments are expected to transfer more financial responsibility to states and restrict future federal Medicaid growth, even while it remains essential to the health care of tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $7,586
2021 $67,609 791.2%
2022 $33,316 -50.7%
2023 $6,053 -81.8%
2024 $13,676 125.9%
Top Categories by Medicaid Payments in Galena Park, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $13,676 10<0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Galena Park, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
D0145 Oral evaluation, pt < 3yrs $5,540 3
D0120 Periodic oral evaluation $3,382 7
D0240 Intraoral occlusal film $2,959 10
D0274 Bitewings four images $726 2
D0272 Dental bitewings two images $678 2
D0150 Comprehensve oral evaluation $388 1
D0601 Caries risk assess low risk $0 10
D0603 Caries risk assess high risk $0 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.



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