Potomac Medicaid dental service billings increase to $22,435 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Potomac Medicaid providers reported $22,435 in charges for Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 33.4% gain compared to 2023, when claims for the category reached $16,824.

Medicaid, a state-administered program jointly funded by federal and state governments, provides health insurance for low-income individuals and families, older adults, children, and people with disabilities, making it a significant component of the U.S. health system. More details are available here.

Local trends in Medicaid provider billing illustrate how taxpayer-funded health care resources are distributed within communities.

The “Dental Services” category aggregates Medicaid charges based on care type using consistent HCPCS and CPT billing code groupings. For this data summary, billing codes were mapped to single service categories by utilizing standard code prefixes and number ranges, ensuring each service is counted once and rankings remain clear over time.

Dental Services ranked sixth among all Medicaid payment categories in Potomac in 2024, as spending levels increased in several categories during the year.

In a statewide comparison, Dental Services held the seventh position for Medicaid spending across Maryland in 2024.

From five years prior to 2024, Medicaid-related Dental Services disbursements in Potomac rose by $17,204, up 328.9%. Some of the sharpest annual increases occurred in 2021 and 2022, according to records from the same period.

Spending for Dental Services, while allocated throughout Potomac, remained focused within a small set of ZIP codes. In 2024, payments in ZIP code 20854 represented $22,435, accounting for 100% of total Medicaid dental expenditures reported in Potomac that year.

Medicaid outlays for Dental Services in Potomac were also concentrated among a select few billing codes in this category.

Comparing the change year over year between 2024 and 2023 in Potomac, Dental Services Medicaid payments grew 33.4%. Meanwhile, Medicaid payments spanning all service types in the city changed by 19.4% during that timeframe.

The Centers for Medicare & Medicaid Services reported that combined Medicaid federal and state expenditures were nearly $871.7 billion in fiscal year 2023. That represented about 18% of all national health spending, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase reflects close to 40% growth in just a few years, with increased enrollment and service utilization cited as major causes following and during the pandemic period.

Recent federal budget actions from the Trump administration featured proposals to decrease federal contributions and modify the structure of Medicaid. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut over $1 trillion from Medicaid funding over 10 years. The law introduces new work requirements and increased cost-sharing, which analysts say could limit coverage and support for some recipients. As a result, states are anticipated to bear more costs as federal Medicaid funding slows, though the program continues for tens of millions of Americans.

Medicaid Payments Tied to Dental Services in Potomac, Maryland Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,231 -1.8%
2021 $10,200 95%
2022 $13,297 30.4%
2023 $16,824 26.5%
2024 $22,435 33.3%
Top Categories by Medicaid Payments in Potomac, Maryland, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $289,195 31.8%
2 Procedures / Professional Services $228,300 25.1%
3 Medicine Services and Procedures $173,090 19%
4 Radiology Procedures $104,460 11.5%
5 Administrative, Miscellaneous and Investigational $72,242 7.9%
6 Dental Services $22,435 2.5%
7 Surgery $19,530 2.1%
8 Drugs Administered Other than Oral Method $1,040 0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Potomac, Maryland, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $15,714 13
D0330 Panoramic image $2,894 5
D0272 Dental bitewings two images $2,379 9
D0150 Comprehensve oral evaluation $845 1
D0274 Bitewings four images $601 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.



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