Bonham Medicaid Dental Services billing totals $130,243 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Bonham billed a total of $130,243 for services within the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total reflects a 3% increase over 2023, when $126,494 was billed for the same services.

Medicaid is a government health insurance program operated by each state and funded jointly by state and federal governments. The program covers low-income groups including families, seniors, children and people with disabilities, making it one of the largest components of the U.S. health care system.

Since Medicaid is paid using tax dollars, changes in local billing levels indicate how public health care resources are distributed within a community.

The “Dental Services” classification groups Medicaid-billed care by service type using standardized HCPCS and CPT code sets. For this report, each billing code corresponds to a single service grouping based on uniform code prefixes and numbering, letting trends be analyzed while avoiding double counts and preserving accurate year-over-year ranks.

Dental Services was the third-highest Medicaid payment category in Bonham in 2024, although multiple service types saw increases in the same period.

Statewide, Dental Services was seventh in total Medicaid payments in Texas for 2024.

From 2019 through 2024, Medicaid payments associated with Dental Services in Bonham rose by $105,025, or 416.5%, with some of the most significant increases occurring in 2021 and 2022.

Although Dental Services billing was recorded across Bonham, most Medicaid payments were concentrated in select ZIP codes. In 2024, ZIP code 75418 accounted for the full $130,243 billed, representing 100% of Medicaid payments for Dental Services in the city that year.

Spending within the Dental Services category was focused on only a few distinct individual billing codes.

For context, the 3% rise in Dental Services Medicaid billing in Bonham between 2024 and 2023 compares with a 45.4% change across all Medicaid claim categories for the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of all national health expenditures, a significant increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth amounts to nearly 40% over several years, mainly due to expanded enrollment and greater utilization during and after the pandemic.

Recent federal budget laws enacted during the Trump administration have proposed major reductions to federal Medicaid support and changes to the program. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to cut more than $1 trillion in federal Medicaid spending in the coming decade, with policies such as work requirements and higher cost-sharing that could narrow coverage and reduce funding for certain recipients. The expectation is that states will carry more financial responsibility while federal funding growth slows, even as Medicaid continues to provide coverage to millions of Americans.

Medicaid Payments Tied to Dental Services in Bonham, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $25,218
2021 $140,539 457.3%
2022 $145,187 3.3%
2023 $126,494 -12.9%
2024 $130,243 3%
Top Categories by Medicaid Payments in Bonham, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $527,985 58.5%
2 National Codes Established for State Medicaid Agencies $168,315 18.6%
3 Dental Services $130,243 14.4%
4 Ambulance and Other Transport Services and Supplies $65,048 7.2%
5 Pathology and Laboratory Procedures $7,886 0.9%
6 Medicine Services and Procedures $1,837 0.2%
7 Temporary National Codes (Non-Medicare) $743 0.1%
8 Vision Services $344 <0.1%
9 Radiology Procedures $190 <0.1%
10 Procedures / Professional Services $0 <0.1%
10 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Bonham, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
D0145 Oral evaluation, pt < 3yrs $40,252 16
D0120 Periodic oral evaluation $26,736 22
D0230 Intraoral periapical ea add $25,863 22
D0274 Bitewings four images $15,896 17
D0220 Intraoral periapical first $12,845 22
D0272 Dental bitewings two images $5,156 14
D0150 Comprehensve oral evaluation $3,420 8
D0603 Caries risk assess high risk $72 24
D0601 Caries risk assess low risk $0 11

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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