The U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Commack billed $228,651 for Dental Services in 2024. This represented a 3.6% gain from 2023, when $220,630 was billed for the same service category.
Medicaid is a state-run health insurance program funded jointly by federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the health care system in the U.S.
Because Medicaid is taxpayer-funded, shifts in local billing levels reflect how public health care spending is distributed in a community.
The “Dental Services” category refers to a range of Medicaid-billed procedures identified by the type of care delivered, based on specific HCPCS and CPT code groupings. For this analysis, each billing code was matched to one service category using standardized code prefixes and numeric ranges. This grouping helps examine related services together, while preventing double counting and ensuring accurate rankings over time.
Dental Services ranked fourth among Medicaid service categories by total payments in Commack for 2024, despite growth in multiple categories.
Statewide in New York, Dental Services held the 11th spot among Medicaid payment categories in 2024.
From 2019 through 2024, Medicaid payments associated with Dental Services in Commack increased by $128,577, or 128.5%. Spending growth was faster in certain intervals, with significant annual increases occurring in 2020 and 2021.
While payments for Dental Services were spread throughout the city, the majority came from a small number of ZIP codes. In 2024, ZIP code 11725 accounted for $228,651 in Medicaid Dental Services payments. Overall, the top 1 ZIP code made up 100% of such Medicaid payments in Commack during the year.
Medicaid payments within the Dental Services category were concentrated among a small set of individual billing codes.
Comparatively, Dental Services payments in Commack increased by 3.6% from 2023 to 2024, while overall Medicaid claim categories in the city saw a 12.9% increase for the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, representing approximately 18% of all national health expenditures. This was up considerably from an estimated $613.5 billion in 2019, prior to the COVID-19 pandemic.
The increase equals nearly 40% growth over a few years, fueled in large part by expanded enrollment and increased use of services during and after the pandemic.
Recent federal budget measures under the Trump administration have included major proposals to trim federal Medicaid funding and alter the program. As an example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade. The law also brings in policies like work requirements and greater cost-sharing, potentially narrowing coverage and funding for some enrollees. As a result, more financial responsibility could shift to states, constraining the growth of federal Medicaid funding even as the program continues to assist tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $100,073 | 96% |
| 2021 | $154,132 | 54% |
| 2022 | $202,525 | 31.4% |
| 2023 | $220,630 | 8.9% |
| 2024 | $228,651 | 3.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,128,531 | 53% |
| 2 | Medicine Services and Procedures | $1,874,186 | 31.8% |
| 3 | Pathology and Laboratory Procedures | $255,073 | 4.3% |
| 4 | Dental Services | $228,651 | 3.9% |
| 5 | Procedures / Professional Services | $176,947 | 3% |
| 6 | Ambulance and Other Transport Services and Supplies | $148,722 | 2.5% |
| 7 | Coronavirus Diagnostic Panel | $58,262 | 1% |
| 8 | National Codes Established for State Medicaid Agencies | $12,673 | 0.2% |
| 9 | Surgery | $8,745 | 0.1% |
| 10 | Vision Services | $7,322 | 0.1% |
| 11 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $108,962 | 76 |
| D0220 | Intraoral periapical first | $38,092 | 74 |
| D0272 | Dental bitewings two images | $26,490 | 55 |
| D0230 | Intraoral periapical ea add | $19,738 | 71 |
| D0274 | Bitewings four images | $15,392 | 37 |
| D0150 | Comprehensve oral evaluation | $10,387 | 22 |
| D0330 | Panoramic image | $3,912 | 9 |
| D0240 | Intraoral occlusal film | $2,013 | 8 |
| D0210 | Intraor comprehensive series | $1,864 | 5 |
| D0140 | Limit oral eval problm focus | $1,374 | 8 |
| D0160 | Extensv oral eval prob focus | $289 | 1 |
| D0270 | Dental bitewing single image | $132 | 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.
