Suffern Medicaid providers reported $322,881 in claims for Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 16.9% increase compared with 2023, when $276,307 in claims were filed for Dental Services.
Medicaid, a state-administered public health insurance program funded through both federal and state sources, provides coverage for low-income residents, seniors, children, and people with disabilities, and is one of the main segments of the nation’s health care system.
Since Medicaid is financed by taxpayers, fluctuations in local Medicaid billing indicate where community health care funds are allocated.
The “Dental Services” category comprises a collection of Medicaid-billed care based on standardized HCPCS and CPT code bands that define types of services. For this analysis, each billing code fell into a single category, ensuring comparable services were grouped and double counting was avoided, maintaining accurate rankings over time.
While total spending climbed across numerous Medicaid service categories, Dental Services placed seventh in Suffern’s 2024 Medicaid payment rankings.
Statewide in New York, Dental Services ranked 11th in overall Medicaid payments for 2024.
From 2019 to 2024, Medicaid outlays in Suffern connected to Dental Services climbed by $141,769, a 78.3% increase. Higher year-over-year growth occurred during certain time frames, including notably in 2021 and 2022.
Although Dental Services expenditures were recorded across Suffern, payments mainly originated from a small number of ZIP codes. In 2024, ZIP code 10901 saw the highest payments, totaling $322,881, and accounted for 100% of all Medicaid spending for Dental Services in the area that year.
Only a select group of billing codes garnered most Dental Services Medicaid payments in 2024.
Comparatively, the 16.9% rise in Dental Services Medicaid payments in Suffern from 2023 to 2024 was below the 18.8% growth seen across all Medicaid claim categories locally for the same period.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing nearly 18% of all U.S. health expenditures. That amount has risen sharply from approximately $613.5 billion in 2019, before COVID-19.
This growth represents about a 40% increase within several years, fueled by increases in enrollment and utilization since the pandemic.
Republican-backed federal budget measures enacted during the Trump administration included major efforts to cut Medicaid. For example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion in the next decade, adding new cost-sharing rules and work requirements that could impact coverage for certain groups. These shifts are likely to push greater costs onto states and slow federal Medicaid funding growth, though the program will continue serving many millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $181,111 | 0.9% |
| 2021 | $295,690 | 63.3% |
| 2022 | $353,250 | 19.5% |
| 2023 | $276,307 | -21.8% |
| 2024 | $322,881 | 16.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,313,590 | 33% |
| 2 | Medicine Services and Procedures | $1,404,087 | 2<0.1% |
| 3 | Pathology and Laboratory Procedures | $929,982 | 13.3% |
| 4 | Surgery | $734,509 | 10.5% |
| 5 | Anesthesia | $525,523 | 7.5% |
| 6 | Radiology Procedures | $398,544 | 5.7% |
| 7 | Dental Services | $322,881 | 4.6% |
| 8 | National Codes Established for State Medicaid Agencies | $318,008 | 4.5% |
| 9 | Drugs Administered Other than Oral Method | $36,376 | 0.5% |
| 10 | Orthotic Procedures and services | $17,096 | 0.2% |
| 11 | Temporary Codes | $2,731 | <0.1% |
| 12 | Procedures / Professional Services | $1,428 | <0.1% |
| 13 | Other Services | $0 | <0.1% |
| 13 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $132,766 | 58 |
| D0220 | Intraoral periapical first | $59,853 | 59 |
| D0272 | Dental bitewings two images | $55,698 | 52 |
| D0274 | Bitewings four images | $31,246 | 43 |
| D0230 | Intraoral periapical ea add | $31,172 | 52 |
| D0150 | Comprehensve oral evaluation | $10,421 | 17 |
| D0145 | Oral evaluation, pt < 3yrs | $1,129 | 3 |
| D0140 | Limit oral eval problm focus | $591 | 4 |
| D0601 | Caries risk assess low risk | $0 | 24 |
| D0602 | Caries risk assess mod risk | $0 | 3 |
| D0603 | Caries risk assess high risk | $0 | 18 |
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.
