Englishtown Medicaid providers billed $32,437 for Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 166.5% increase from 2023, when providers submitted $12,170 in claims for dental services.
Medicaid is a public health insurance program managed at the state level and funded by both federal and state governments. The program serves low-income people and families, seniors, children, and individuals with disabilities, and makes up a significant portion of the U.S. health care system.
Since Medicaid is funded by taxpayers, shifts in local billing reflect how public health care funds are spent within a community.
The “Dental Services” category represents a range of Medicaid-billed dental care types, organized by standardized HCPCS and CPT code groupings. For this analysis, each code was included in just one service category using consistent code prefixes and number ranges, grouping related services together while ensuring accurate tracking and eliminating duplicate counting.
While Medicaid spending rose across several categories, Dental Services was the fourth-largest category by total payments in Englishtown for 2024.
Statewide in New Jersey, Dental Services ranked 13th by total Medicaid payments in 2024.
In the five years preceding 2024, Medicaid payments for Dental Services in Englishtown rose by $32,437, or 0%. There were periods of faster growth, including notable increases on a year-over-year basis in 2023 and 2022.
Medicaid spending for Dental Services was allocated throughout the city, but a small number of ZIP codes saw the majority of payments. In 2024, ZIP code 07726 accounted for $32,437—the full sum—in this category in Englishtown. The top 1 ZIP code represented 100% of Dental Services Medicaid payments in the city for the year.
Within Dental Services, Medicaid spending was highly concentrated across a handful of billing codes.
Comparatively, Medicaid payments for Dental Services in Englishtown rose by 166.5% between 2024 and 2023, while overall Medicaid claim categories in the city grew 46.5% during the same span.
The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health spending—a steep increase from $613.5 billion in 2019 ahead of the COVID-19 pandemic.
This change reflects growth of about 40% in just a few years, mainly attributed to rising enrollment and greater usage during and after the pandemic period.
Recent federal budget laws under the Trump administration have included proposed reductions to federal Medicaid funding and changes to the program’s structure. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid funding by over $1 trillion in the next decade and introduces requirements like work obligations and higher cost-sharing, potentially reducing benefits and funding for some users. These changes are anticipated to shift costs to states and restrict federal Medicaid funding growth, though the program will continue to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $12,170 | – |
| 2024 | $32,437 | 166.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $373,126 | 47.1% |
| 2 | Evaluation and Management | $213,740 | 27% |
| 3 | Medicine Services and Procedures | $166,111 | 21% |
| 4 | Dental Services | $32,437 | 4.1% |
| 5 | Procedures / Professional Services | $6,860 | 0.9% |
| 6 | Surgery | $185 | <0.1% |
| 7 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0150 | Comprehensve oral evaluation | $15,795 | 21 |
| D0120 | Periodic oral evaluation | $10,640 | 16 |
| D0272 | Dental bitewings two images | $2,124 | 16 |
| D0603 | Caries risk assess high risk | $1,670 | 11 |
| D0601 | Caries risk assess low risk | $1,450 | 12 |
| D0602 | Caries risk assess mod risk | $410 | 5 |
| D0274 | Bitewings four images | $306 | 2 |
| D0230 | Intraoral periapical ea add | $42 | 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.
