Farmington Medicaid dental service payments rise to $78,014 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Farmington billed a total of $78,014 for Dental Services in 2024, according to data published in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 1.1% increase from the prior year, when $77,172 was billed for the same services.

Medicaid, operated by states and funded through both federal and state governments, provides coverage to low-income people and families, seniors, children, and individuals with disabilities. It is a core sector within the U.S. health care system.

As Medicaid’s expenses are funded by taxpayers, trends in local billing help illustrate the allocation of public health resources in a given area.

The “Dental Services” category comprises several Medicaid-billed services grouped by type of dental care, using consistent HCPCS and CPT code classifications. Each code used in this analysis was attributed to a single service category based on standardized code prefixes and ranges, ensuring that related services could be assessed together without overlap and maintaining accurate year-over-year rankings.

Despite increased Medicaid payments across multiple service groups, Dental Services placed fifth by total Medicaid payments in Farmington during 2024.

At the state level, Dental Services ranked 11th by total Medicaid spending across Michigan in 2024.

Looking at the five-year period leading up to 2024, Medicaid payments for Dental Services in Farmington grew by $72,757, representing a 1384% increase. Periods of more rapid growth included substantial annual gains in both 2023 and 2021.

While Dental Services billing was citywide, most payments originated from just a few ZIP codes. In 2024, ZIP code 48336 accounted for $76,353, and ZIP code 48335 made up $1,660, with these two areas together covering all Medicaid payments for Dental Services in Farmington that year.

Within this category, payments centered around a small set of billing codes.

Comparatively, Medicaid spending in Farmington tied to Dental Services increased by 1.1% from 2023 to 2024, while the growth rate for all Medicaid claim categories locally was 4.3% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023. This represented roughly 18% of the nation’s health expenditures, up from $613.5 billion in 2019 before the COVID-19 pandemic.

This translates to roughly 40% growth over several years, a rise that has been largely attributed to both expanded Medicaid enrollment and greater service utilization during and after the pandemic.

Major federal budget actions during the Trump administration featured major plans for a reduction of federal Medicaid roles and a program overhaul. Among these, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid expenditures by over $1 trillion over 10 years, while adding measures such as work mandates and higher cost-sharing. These policy shifts are anticipated to increase financial responsibility for states and cap the expansion of federal Medicaid assistance, though the program continues to cover tens of millions nationwide.

Medicaid Payments Tied to Dental Services in Farmington, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,256 99.5%
2021 $15,377 192.5%
2022 $15,507 0.9%
2023 $77,171 397.6%
2024 $78,014 1.1%
Top Categories by Medicaid Payments in Farmington, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $9,456,775 80.6%
2 National Codes Established for State Medicaid Agencies $936,866 8%
3 Evaluation and Management $934,868 8%
4 Medicine Services and Procedures $283,486 2.4%
5 Dental Services $78,014 0.7%
6 Surgery $29,449 0.3%
7 Pathology and Laboratory Procedures $14,850 0.1%
8 Procedures / Professional Services $222 <0.1%
9 Drugs Administered Other than Oral Method $23 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Farmington, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
D0140 Limit oral eval problm focus $18,419 22
D0120 Periodic oral evaluation $16,516 24
D0220 Intraoral periapical first $16,158 28
D0150 Comprehensve oral evaluation $7,273 10
D0274 Bitewings four images $7,212 15
D0210 Intraor comprehensive series $6,559 7
D0230 Intraoral periapical ea add $5,626 23
D0190 Screening of a patient $248 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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