Cedar Park Medicaid dental spending totals $209,937 in 2024, up 0.3% from prior year

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Cedar Park submitted $209,937 in claims for services in the Dental Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 0.3% increase over 2023, when providers recorded $209,334 in claims for the same category.

Medicaid is operated by state governments and funded through a partnership between federal and state sources. The program insures people with low incomes, seniors, children and those with disabilities, making up a significant component of the U.S. health care system.

As Medicaid funding comes from taxpayer dollars, shifts in local billing signal how public health spending is distributed within communities.

The “Dental Services” label refers to a range of Medicaid-reimbursed services categorized by care type, based on standard HCPCS and CPT code groupings. For this report, each billing code was mapped to a single service category using consistent code prefixes and numbering, helping group similar services while preventing code overlap and maintaining accurate rankings across years.

Although multiple service categories saw higher Medicaid spending, Dental Services ranked fourth in Cedar Park for total Medicaid payments during 2024.

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

Between 2019 and 2024, Medicaid payments associated with Dental Services in Cedar Park grew by $183,320, a 688.7% rise. The largest year-over-year gains were seen in 2021 and 2022, during periods of accelerated growth.

Though Dental Services payments occurred across Cedar Park, a few ZIP codes represented the largest share. In 2024, ZIP code 78613 accounted for $209,937 in Medicaid payments categorized as Dental Services. This ZIP code represented 100% of all Dental Services Medicaid payments in Cedar Park for the year.

Within the Dental Services group, a select set of billing codes made up the majority of Medicaid payments.

Comparatively, Medicaid payments linked to Dental Services in Cedar Park rose by 0.3% between 2024 and 2023, while all Medicaid claim categories in the city together changed by 30.3% in the same span.

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

This surge signifies around 40% growth over several years, driven mainly by expanded enrollment and increased health care usage during and after the pandemic.

Recent federal budget measures enacted under the Trump administration have proposed major cuts in federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces work requirements and higher cost-sharing. These changes could limit coverage and funding for some Medicaid beneficiaries, shift costs to states and slow federal Medicaid growth, even as the program continues to cover tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $26,616
2021 $328,865 1135.6%
2022 $267,252 -18.7%
2023 $209,333 -21.7%
2024 $209,937 0.3%
Top Categories by Medicaid Payments in Cedar Park, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,648,255 59.1%
2 Evaluation and Management $639,322 22.9%
3 Medicine Services and Procedures $244,766 8.8%
4 Dental Services $209,937 7.5%
5 Pathology and Laboratory Procedures $24,910 0.9%
6 Surgery $12,881 0.5%
7 Vision Services $5,496 0.2%
8 Alcohol and Drug Abuse Treatment $2,164 0.1%
9 Drugs Administered Other than Oral Method $72 <0.1%
10 Procedures / Professional Services $2 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Cedar Park, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $53,326 48
D0145 Oral evaluation, pt < 3yrs $49,471 15
D0230 Intraoral periapical ea add $30,462 55
D0272 Dental bitewings two images $28,033 51
D0150 Comprehensve oral evaluation $19,505 27
D0220 Intraoral periapical first $18,953 59
D0274 Bitewings four images $9,736 19
D0140 Limit oral eval problm focus $319 1
D0350 Oral/facial photo images $128 1
D0601 Caries risk assess low risk $0 22
D0602 Caries risk assess mod risk $0 39
D0603 Caries risk assess high risk $0 48

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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