In Olney, Medicaid providers billed $16,564 for dental services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 74.6% increase from 2023, when providers filed $9,488 in claims for similar services.
Medicaid is a government-funded health insurance program operated by the states with financial support from both federal and state sources. The program covers low-income families and individuals, the elderly, children and people with disabilities, making it a major component of the health care system in the United States.
Because taxpayer funds are the source of Medicaid payments, shifts in local billing provide a view into how public health care resources are distributed across communities.
The Dental Services category groups services billed to Medicaid, determined by the type of care given using standardized HCPCS and CPT code classifications. Each billing code was matched to only one service grouping for this analysis. This consistent method allows associated services to be analyzed collectively, avoids duplicating counts, and maintains the accuracy of long-term trends.
While multiple spending categories under Medicaid showed growth, Dental Services accounted for the second largest total payment amount in Olney in 2024.
Statewide in Texas, Dental Services ranked as the seventh largest Medicaid payment category in 2024.
Between 2019 and 2024, Medicaid spending on Dental Services in Olney increased by $4,715, or 39.8%. Accelerated growth rates appeared in some years, with notable annual increases in both 2021 and 2022.
Dentists in the Dental Services category provided care citywide, but a small number of ZIP codes saw the highest levels of Medicaid payments. ZIP code 76374 accounted for $16,563 in claims in 2024, representing 100% of total Medicaid payments for Dental Services in Olney during the year.
Most Medicaid payments for Dental Services were linked to just a few specific billing codes.
Comparing 2024 to 2023, Olney saw Medicaid payments for Dental Services rise 74.6%, while all Medicaid payments across categories jumped 37.8% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled around $871.7 billion in fiscal year 2023—about 18% of all national health care expenditures—rising sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase amounts to roughly 40% growth over a few years, primarily attributed to greater enrollment and increased service utilization during and following the pandemic period.
Federal budget measures passed under the Trump administration have brought forward major proposals to curtail federal Medicaid funding and make structural changes to the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is anticipated to trim federal Medicaid spending by more than $1 trillion over the next decade, instituting requirements like work mandates and higher cost-sharing which could ultimately limit some beneficiaries’ access and shift costs to the states. The result may be a slower rate of federal growth for Medicaid, although the program remains a key source of coverage for large segments of the U.S. population.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $11,848 | – |
| 2021 | $65,848 | 455.7% |
| 2022 | $75,495 | 14.7% |
| 2023 | $9,487 | -87.4% |
| 2024 | $16,563 | 74.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $192,965 | 90.3% |
| 2 | Dental Services | $16,563 | 7.7% |
| 3 | Evaluation and Management | $1,755 | 0.8% |
| 4 | Medicine Services and Procedures | $1,560 | 0.7% |
| 5 | Pathology and Laboratory Procedures | $601 | 0.3% |
| 6 | Surgery | $281 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $9,751 | 12 |
| D0145 | Oral evaluation, pt < 3yrs | $2,670 | 1 |
| D0274 | Bitewings four images | $1,903 | 3 |
| D0330 | Panoramic image | $1,817 | 3 |
| D0272 | Dental bitewings two images | $420 | 1 |
| D0603 | Caries risk assess high risk | $0 | 12 |
Note: HCPCS codes are given for reference within the category. Rankings and category totals in this article are based on consistent service groupings, not on individual billing codes.
Details in this piece were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.








