Montebello Medicaid dental payments climb to $61,035 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Montebello billed a total of $61,035 for dental services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure is a 7.3% increase from $56,885 in claims submitted for similar services in 2023.

Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It serves low-income individuals, families, seniors, children and people with disabilities, forming a major part of the U.S. health care network.

Because Medicaid funds are sourced from taxpayers, local billing trends help illustrate how public health care spending is distributed in each community.

The “Dental Services” label comprises a collection of Medicaid-billed services grouped by specific care types, identified using standardized HCPCS and CPT bill grouping. This evaluation classified each code into one service group using set numerical ranges and code prefixes, which ensures related services are not double-counted and allows for accurate ranking over time.

Though various service categories in Montebello saw higher Medicaid spending, dental services were the second-highest by total payment amount in 2024.

Statewide, dental services ranked 11th among all service categories for Medicaid payments in New York in 2024.

From the five years preceding 2024, Medicaid payments within the dental category in Montebello rose by $43,694, an increase of 252%. Larger yearly gains were seen in some years, particularly 2020 and 2022.

Spending for dental services spanned across Montebello, but most payments occurred within a limited number of ZIP codes. In 2024, ZIP code 10901 accounted for $61,035 in Medicaid payments for dental care, making up 100% of dental service payment totals in Montebello for the year.

Within the dental services classification, Medicaid funding was also highly concentrated among a small set of procedure codes.

For further context, Medicaid spending on dental services in Montebello jumped 7.3% between 2023 and 2024, while all Medicaid claim categories in the city combined rose 83.2% during the same window.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up nearly 18% of the nation’s total health outlays—well up from $613.5 billion in 2019 before the COVID-19 pandemic hit.

This means a roughly 40% surge over several years, attributable primarily to expanded beneficiary rolls and increased program utilization during and after the pandemic.

Recent federal budget measures introduced under the Trump administration included major changes aimed at shrinking overall Medicaid support and redesigning the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid payments by more than $1 trillion over 10 years, with new provisions like work requirements and added cost-sharing, potentially leading to reduced coverage and financing for some participants. These policy shifts are forecast to place more fiscal obligations on states while slowing federal Medicaid growth, despite the program continuing to aid millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $17,340 145.4%
2021 $26,334 51.9%
2022 $44,867 70.4%
2023 $56,884 26.8%
2024 $61,035 7.3%
Top Categories by Medicaid Payments in Montebello, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $91,828 42.4%
2 Dental Services $61,035 28.2%
3 Medicine Services and Procedures $49,410 22.8%
4 Medical And Surgical Supplies $14,212 6.6%
5 Drugs Administered Other than Oral Method $66 <0.1%
6 Pathology and Laboratory Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Montebello, New York, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $16,658 15
D0274 Bitewings four images $12,449 15
D0210 Intraor comprehensive series $10,532 12
D0150 Comprehensve oral evaluation $9,434 13
D0220 Intraoral periapical first $7,559 15
D0230 Intraoral periapical ea add $4,230 15
D0140 Limit oral eval problm focus $171 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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