Holbrook Medicaid payments for dental services increase 4.2% to nearly $121K in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Holbrook’s Medicaid providers submitted $120,983 in claims for Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The figure represents a 4.2% increase over 2023, when $116,113 in claims were reported for the same service area.

Medicaid, operated by individual states and funded with both federal and state contributions, covers low-income residents, the elderly, children and those with disabilities, making it a major segment of the national health care landscape.

Because Medicaid funds are sourced from taxpayers, changes in localized billing indicate how public health funding is spent in specific communities.

The “Dental Services” category is defined by Medicaid-billed care types, organized using standard HCPCS and CPT code ranges and prefixes. Each billing code for this analysis was placed into one category only, to avoid duplicate counts and maintain accurate longitudinal rankings.

Dental Services placed as the second highest Medicaid payment category in Holbrook by total dollar amount for 2024, although spending also grew in numerous other categories.

Statewide, the Dental Services category stood 11th in New York by total Medicaid payments in 2024.

Looking back over five years leading up to 2024, Medicaid payments for Dental Services in Holbrook grew by $64,212—or 113.1%. There were significant year-over-year increases during certain years, especially notable in 2020 and 2021.

While these expenditures were reported throughout Holbrook, fewer ZIP codes accounted for the vast majority of funds. In 2024, the highest Medicaid-paid ZIP code for Dental Services was 11741, recording $120,982. Collectively, the top 1 ZIP codes made up all Medicaid Dental Services payments in Holbrook for the year.

Most Medicaid spending within the Dental Services category in Holbrook was distributed among a small number of specified billing codes.

Dentally related Medicaid payments in Holbrook rose 4.2% from 2023 to 2024, in contrast with a 15.6% increase observed across all Medicaid claim categories for the city over the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, approximately 18% of the nation’s health expenses, up significantly from close to $613.5 billion in 2019, ahead of the COVID-19 pandemic.

The jump represents roughly 40% growth within just a few years—mainly attributed to increased enrollment and usage during and after the pandemic.

Recent federal financial legislation under the Trump administration introduced considerable changes to Medicaid funding, aiming to curb growth and adjust the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion in federal support for Medicaid across 10 years, introducing work requirements and greater cost-sharing. These policies are anticipated to shift additional responsibility to states and may limit the expansion of federal funding, even while Medicaid continues to provide for tens of millions of individuals.

Medicaid Payments Tied to Dental Services in Holbrook, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $56,770 100.5%
2021 $85,914 51.3%
2022 $105,610 22.9%
2023 $116,113 9.9%
2024 $120,982 4.2%
Top Categories by Medicaid Payments in Holbrook, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $128,667 37.4%
2 Dental Services $120,982 35.2%
3 Ambulance and Other Transport Services and Supplies $48,027 14%
4 Diagnostic Radiology Services $28,456 8.3%
5 Evaluation and Management $7,799 2.3%
6 Temporary Codes $6,660 1.9%
7 Radiology Procedures $2,826 0.8%
8 Medicine Services and Procedures $473 0.1%
9 Pathology and Laboratory Procedures $28 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Holbrook, New York, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $69,233 26
D0272 Dental bitewings two images $22,210 23
D0240 Intraoral occlusal film $6,538 11
D0150 Comprehensve oral evaluation $5,867 9
D0220 Intraoral periapical first $5,259 12
D0330 Panoramic image $4,022 6
D0274 Bitewings four images $3,237 6
D0230 Intraoral periapical ea add $1,741 8
D0140 Limit oral eval problm focus $1,485 7
D0145 Oral evaluation, pt < 3yrs $1,259 2
D0210 Intraor comprehensive series $125 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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