Splendora Medicaid dental services spending hits $79,285 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Splendora billed $79,285 for services grouped under the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That figure represents a 20.8% rise from the $65,618 billed for the same category in 2023.

Medicaid is a publicly funded health insurance initiative led by states and supported by both federal and state governments. The program insures low-income people, seniors, children, and individuals with disabilities, making it a significant element of the U.S. health care landscape.

Since Medicaid funding is sourced from taxpayers, local billing fluctuations illustrate how health care funding is distributed within a community.

The “Dental Services” category covers a specific group of Medicaid-billed services, defined by the type of dental care rendered and organized through standard HCPCS and CPT code groupings. Each billing code was placed in a single service category for this reporting, using consistent code prefixes and numeric sequences, ensuring related services are analyzed together while preventing double counting and maintaining ranking accuracy over time.

Medicaid outlays rose across various service types, but Dental Services received the highest total Medicaid payments in Splendora for 2024.

Statewide, in Texas, Dental Services placed seventh in Medicaid payment totals for 2024.

Over the five years before 2024, Medicaid payments for Dental Services in Splendora rose by $74,435, or 1534.6%. Growth in spending was faster during certain intervals, with notable year-over-year surges seen in 2021 and 2022.

Although dental-related spending spread across the city, most payments were focused in only a few ZIP codes. For 2024, ZIP code 77372 accounted for the full $79,285 in Medicaid Dental Services payments, representing 100% of the city’s total for this category during the year.

Within the Dental Services segment, a small number of billing codes represented the bulk of Medicaid payments.

In comparison, Medicaid Dental Services payments in Splendora rose 20.8% between 2024 and 2023, whereas overall Medicaid claim categories in the city saw a 34.5% change in the same timeframe.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid expenditures were about $871.7 billion in the 2023 fiscal year, comprising roughly 18% of national health spending, compared to about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This shift amounts to nearly 40% growth over several years, largely tied to a jump in enrollment and service use throughout and after the pandemic.

Recent federal budget legislation during the Trump administration has brought forward substantial proposals for reducing federal Medicaid contributions and reshaping the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid spending by over $1 trillion over the coming decade. The measure adds policies such as work mandates and greater cost-sharing, which may limit coverage and funding for some recipients. This is projected to shift additional costs to states and curb the rate of federal Medicaid funding growth, even while the program continues to cover tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $4,850
2021 $60,398 1145.2%
2022 $80,512 33.3%
2023 $65,617 -18.5%
2024 $79,285 20.8%
Top Categories by Medicaid Payments in Splendora, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $79,285 53.7%
2 National Codes Established for State Medicaid Agencies $67,739 45.9%
3 Medicine Services and Procedures $591 0.4%
Top 20 HCPCS Codes Within the Dental Services Category in Splendora, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
D0210 Intraor comprehensive series $20,450 11
D0145 Oral evaluation, pt < 3yrs $18,739 8
D0150 Comprehensve oral evaluation $13,666 11
D0120 Periodic oral evaluation $7,910 11
D0230 Intraoral periapical ea add $7,057 11
D0220 Intraoral periapical first $4,288 11
D0272 Dental bitewings two images $3,616 8
D0274 Bitewings four images $3,542 6
D0601 Caries risk assess low risk $12 10
D0602 Caries risk assess mod risk $0 10
D0603 Caries risk assess high risk $0 9

Note: HCPCS codes are provided for context within this category. In this article, category totals and rankings are derived from standardized groupings of services rather than individual billing codes.

The data in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Full source data is available here.



Related

Dr. Mehmet Oz CMS Administrator

Spring Medicaid spending on medicine services and procedures rises 3.6% in 2024

Spring saw a 3.6% increase in Medicaid payments for Medicine Services and Procedures in 2024, as recent data reveals changes in usage and reimbursement trends.

Dr. Mehmet Oz CMS Administrator

Houston Medicaid spending on Alcohol and Drug Abuse Treatment rises to $216 million in 2024

Houston saw Medicaid payments for Alcohol and Drug Abuse Treatment grow by 6.2% in 2024, highlighting shifts in service usage and payment structures.

Michael Peck, Assistant Special Agent in Charge of the Secret Service Criminal Investigative Division

U.S. Secret Service operation in Houston removes 14 skimming devices, prevents $14.5 million in losses

The U.S. Secret Service removed 14 illegal card-skimming devices during an outreach operation across Harris County businesses this week. The action prevented an estimated $14.5 million loss ahead of major international events like the World Cup.