Medicaid providers in Monson billed $32,010 for Dental Services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents an 8.3% rise compared with 2023, when providers billed $29,562 for the same services.
Medicaid is a public health insurance program administered by states and funded jointly by state and federal governments. The program provides coverage for low-income individuals and families, seniors, children and people with disabilities, making it a significant part of the U.S. health care system.
Since Medicaid payments are funded by taxpayers, fluctuations in local billings reflect how public health care funding is distributed within a community.
The “Dental Services” category encompasses Medicaid-billed services grouped by type of care, based on established HCPCS and CPT coding structures. For this analysis, each billing code was assigned to a specific category using standardized code prefixes and numeric sequences, enabling grouped analysis of related services while maintaining clear rankings across years.
Medicaid spending rose in multiple categories in Monson, with Dental Services accounting for the largest share of total Medicaid payments in 2024.
Statewide in Maine, Dental Services placed 13th by total Medicaid payments for 2024.
Over the five years prior to 2024, Medicaid payments for Dental Services in Monson increased by $32,010, or 0%. Some periods saw faster growth, including year-over-year increases tracked in both 2022 and 2023.
Although Dental Services spending was distributed across Monson, the majority was concentrated in a small number of ZIP codes. In 2024, ZIP code 04464 accounted for $32,009 of Dental Services Medicaid payments. These top ZIP codes contributed 100% of all Medicaid payments in this category in Monson for the year.
Within the Dental Services category, Medicaid reimbursements were also focused on select billing codes.
Comparatively, Medicaid payments in Monson for Dental Services rose 8.3% from 2023 to 2024, matching the overall 8.3% change across all Medicaid claim categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, representing about 18% of total national health spending, up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This growth amounts to about 40% in several years, largely attributed to expanded enrollment and increased utilization during and after the pandemic.
Recent budget legislation under the Trump administration featured significant proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid funding over the next decade and introduces measures like work requirements and higher cost-sharing, which may limit coverage and funding for some participants. These changes are projected to place more financial responsibility on states and restrict the growth of federal support, even as the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $0 | – |
| 2021 | $7,933 | – |
| 2022 | $19,803 | 149.6% |
| 2023 | $29,562 | 49.3% |
| 2024 | $32,009 | 8.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $32,009 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0190 | Screening of a patient | $32,009 | 10 |
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.
