In 2024, Medicaid providers in Conroe billed $1,832,352 for Dental Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 0.3% rise from 2023, when claims for this service category totaled $1,826,635.
Medicaid is a state-administered public insurance program that is funded collaboratively by federal and state governments. It offers coverage to low-income individuals and families, children, older adults, and those with disabilities, playing a major role in the U.S. health care landscape.
Since Medicaid dollars come from taxpayers, fluctuations in local billing amounts demonstrate how community health care funds are allocated.
The Dental Services category groups together a range of Medicaid-billed procedures, identified by specific HCPCS and CPT coding standards. For analysis purposes, each billing code was assigned to a single service group using uniform code limits and prefixes, allowing comparisons within a category while preventing overlap and ensuring accurate trend data.
In 2024, Dental Services ranked fifth among Medicaid service categories by total payments in Conroe, reflecting increases seen in several categories.
Statewide in Texas, Dental Services was the seventh highest service category by Medicaid payment volume during 2024.
Between 2019 and 2024, Medicaid-provided payments for Dental Services in Conroe climbed by $1,571,360, representing a 602.1% increase. Notable year-over-year gains were observed in 2021 and 2023, contributing to this acceleration.
While these payments were recorded across many parts of Conroe, dollars spent on Dental Services were notably concentrated in a handful of ZIP codes in 2024. The ZIP code 77304 accounted for $1,380,063, followed by 77301 with $152,889, and 77303 at $122,570. Combined, these 3 ZIP codes represented 90.3% of Medicaid dollars connected to Dental Services in Conroe for the year.
A limited selection of billing codes accounted for most Medicaid payments in this category.
Compared to a 14.4% increase across all Medicaid claim categories in Conroe from 2023 to 2024, spending linked specifically to Dental Services rose 0.3% over the same timeframe.
According to the Centers for Medicare & Medicaid Services, nationwide Medicaid spending by federal and state providers reached approximately $871.7 billion for fiscal 2023, making up nearly 18% of all U.S. health care expenditures. This was up from roughly $613.5 billion in 2019, prior to the COVID-19 emergency.
This marks a growth of around 40% in several years, much of which stemmed from higher enrollment and increased health service usage during and after the pandemic period.
Federal budget changes introduced during the Trump administration included measures intended to reduce Medicaid funding at the federal level and alter the program’s structure. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to trim more than $1 trillion in federal Medicaid outlays over a decade; the act also brings work requirements and higher cost-sharing, potentially leading to reduced coverage and funding for certain groups of beneficiaries. As a result, states are likely to bear more costs, with federal Medicaid funding projected to grow at a slower pace, even as enrollment remains sizable.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $260,991 | – |
| 2021 | $1,802,858 | 590.8% |
| 2022 | $1,722,722 | -4.4% |
| 2023 | $1,826,635 | 6% |
| 2024 | $1,832,352 | 0.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $14,057,509 | 32.7% |
| 2 | Temporary National Codes (Non-Medicare) | $13,000,277 | 30.2% |
| 3 | Alcohol and Drug Abuse Treatment | $4,658,704 | 10.8% |
| 4 | Evaluation and Management | $4,460,173 | 10.4% |
| 5 | Dental Services | $1,832,352 | 4.3% |
| 6 | Medicine Services and Procedures | $1,807,612 | 4.2% |
| 7 | Ambulance and Other Transport Services and Supplies | $1,421,339 | 3.3% |
| 8 | Procedures / Professional Services | $817,083 | 1.9% |
| 9 | Surgery | $232,461 | 0.5% |
| 10 | Pathology and Laboratory Procedures | $188,714 | 0.4% |
| 11 | Durable Medical Equipment | $136,928 | 0.3% |
| 12 | Vision Services | $131,625 | 0.3% |
| 13 | Medical And Surgical Supplies | $88,559 | 0.2% |
| 14 | Orthotic Procedures and services | $59,283 | 0.1% |
| 15 | Enteral and Parenteral Therapy | $57,572 | 0.1% |
| 16 | Radiology Procedures | $23,915 | 0.1% |
| 17 | Drugs Administered Other than Oral Method | $20,713 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,060 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0999 | Unspecified diagnostic proce | $699,642 | 36 |
| D0145 | Oral evaluation, pt < 3yrs | $307,139 | 123 |
| D0120 | Periodic oral evaluation | $249,222 | 220 |
| D0230 | Intraoral periapical ea add | $184,960 | 223 |
| D0220 | Intraoral periapical first | $118,369 | 230 |
| D0272 | Dental bitewings two images | $104,655 | 136 |
| D0274 | Bitewings four images | $93,132 | 147 |
| D0150 | Comprehensve oral evaluation | $40,130 | 76 |
| D0210 | Intraor comprehensive series | $11,783 | 12 |
| D0330 | Panoramic image | $9,036 | 30 |
| D0350 | Oral/facial photo images | $8,165 | 22 |
| D0140 | Limit oral eval problm focus | $5,791 | 20 |
| D0160 | Extensv oral eval prob focus | $194 | 1 |
| D0603 | Caries risk assess high risk | $117 | 206 |
| D0602 | Caries risk assess mod risk | $9 | 44 |
| D0601 | Caries risk assess low risk | $0 | 41 |
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.
