Carver Medicaid spending on dental services climbs 3.7% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Carver Medicaid providers billed $148,396 in 2024 for Dental Services, up 3.7% from 2023, when claims for this category totaled $143,116.

Medicaid serves as a public health insurance program managed by states with joint federal and state funding, as described by the Commonwealth Fund. Its coverage extends to low-income groups, seniors, children, and people with disabilities, standing as one of the main components of the U.S. health care system.

Since taxpayer funds support Medicaid payments, variations in local billing reflect how health care funds are distributed within a community.

The “Dental Services” category includes a set of Medicaid-billed services defined by the type of care provided, based on standard HCPCS and CPT code groupings. For this report, each billing code was allocated to a single service category using uniform code prefixes and numerical ranges, which helps group related services, prevent double counting, and maintain consistent rankings over time.

In 2024, Dental Services ranked first for total Medicaid payments among all service categories in Carver.

Statewide, the Dental Services category was the 11th largest by total Medicaid payments in Massachusetts in 2024.

Between 2019 and 2024, Medicaid payments for the Dental Services category in Carver grew by $67,003, or 82.3%. Certain years, including 2022 and 2021, saw especially strong year-over-year growth.

Dental Services Medicaid spending was spread throughout Carver but was mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 02330 accounted for $148,396 in Dental Services Medicaid payments, making up 100% of such spending in the city that year.

A small number of individual billing codes received the majority of Medicaid payments within the Dental Services category.

Medicaid payments linked to Dental Services in Carver rose 3.7% from 2023 to 2024, while all Medicaid claim categories in the city experienced an overall change of 46.4% during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health spending. This is up significantly from $613.5 billion recorded in 2019, prior to the COVID-19 pandemic.

The rise amounts to an increase of nearly 40% over several years, mainly attributed to expanded enrollment and higher utilization during and after the pandemic.

Recent federal budget measures during the Trump administration have brought notable changes to federal Medicaid funding, including reductions and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and introduce policies such as work requirements and increased cost-sharing. These changes will likely shift more responsibility to states and restrict the pace of federal Medicaid funding growth, even as the program continues to support tens of millions of Americans.

Medicaid Payments Tied to Dental Services in Carver, Massachusetts Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $81,392 -11.1%
2021 $101,356 24.5%
2022 $137,809 36%
2023 $143,116 3.9%
2024 $148,396 3.7%
Top Categories by Medicaid Payments in Carver, Massachusetts, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $148,396 41.3%
2 Medicine Services and Procedures $94,962 26.4%
3 Ambulance and Other Transport Services and Supplies $80,515 22.4%
4 Evaluation and Management $26,871 7.5%
5 Alcohol and Drug Abuse Treatment $8,850 2.5%
6 Drugs Administered Other than Oral Method $21 <0.1%
7 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Carver, Massachusetts, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $40,735 36
D0274 Bitewings four images $38,908 35
D0140 Limit oral eval problm focus $22,017 29
D0150 Comprehensve oral evaluation $17,475 21
D0220 Intraoral periapical first $13,024 34
D0210 Intraor comprehensive series $12,012 11
D0230 Intraoral periapical ea add $2,313 9
D0330 Panoramic image $1,912 2

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.



Related

Jonathan Selig, Chairperson at Town of Halifax

Halifax announces annual Town Meeting warrant for May 11, 2026

Halifax has released details about its upcoming annual Town Meeting set for May 11, 2026. Residents will receive mailed warrants and can access supporting documents online or in person at the event.

Sean R. Keveney J.D., Chief Counsel of FDA

FDA completes April 1 inspection at Arthrosurface, Inc. facility in West Bridgewater

FDA officials conducted a device compliance and post-market assurance inspection at Arthrosurface, Inc. in West Bridgewater on April 1, as listed on the FDA’s website.

Steven P. Solbo, Jr., Town Administrator

Water Department announces hydrant flushing to begin April 15 in several areas

The Water Department will start hydrant flushing in several neighborhoods beginning April 15. Residents are advised about possible temporary discoloration but assured it remains safe for use. Contact information and updates are available through official channels.