Pine Bush Medicaid dental services payments rise to $200,710 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Pine Bush billed a total of $200,710 for services in the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects an 11.4% rise from 2023, when claims for the same services totaled $180,241.

Medicaid, a government health insurance program administered by states and funded in partnership between federal and state governments, provides coverage to low-income families, elderly individuals, children, and people living with disabilities. As one of the nation’s largest health care programs, it plays a significant role in the U.S. health system.

Because Medicaid is taxpayer-funded, shifts in local billing demonstrate how public health care resources are distributed within a community.

The “Dental Services” category includes Medicaid-claimed services grouped by care type using standardized HCPCS and CPT coding systems. For this analysis, each code was allocated to a single category, ensuring services are assessed collectively without duplicating counts and maintaining accurate comparisons over time.

Dental Services saw the highest total Medicaid payments in Pine Bush across all categories in 2024, as overall Medicaid spending grew in several areas.

Statewide in New York, Dental Services placed 11th among Medicaid service categories for total payments during 2024.

Between 2019 and 2024, Medicaid payments linked to Dental Services in Pine Bush jumped by $194,036, a 2907.1% increase. Some of the sharpest annual increases were observed in 2021 and 2022.

Although spending for Dental Services was spread throughout the city, the majority of payments were linked to just a few ZIP codes. In 2024, ZIP code 12566 accounted for $200,709 in Dental Services Medicaid payments, representing all of the city’s dental Medicaid claims for the year.

Within this category, Medicaid payments were concentrated within a small number of billing codes.

For context, the 11.4% increase in Dental Services Medicaid payments in Pine Bush between 2024 and 2023 outpaced the 2.5% overall increase for all Medicaid claim categories in the city for the same time frame.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending climbed to about $871.7 billion in the 2023 fiscal year, or nearly 18% of America’s total health spending—an increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents about 40% growth over several years, largely due to increased enrollment and greater use of services during and after the pandemic.

Recent federal budget initiatives during the Trump administration have included major efforts to trim federal Medicaid outlays and reshape the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, aims to reduce federal Medicaid funding by over $1 trillion in the next decade. The law also brings new policies such as work requirements and added cost-sharing, which could impact coverage and funding levels for some beneficiaries. These measures are anticipated to increase state financial responsibility while limiting future federal Medicaid growth, although the program still covers tens of millions nationwide.

Medicaid Payments Tied to Dental Services in Pine Bush, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $6,674
2021 $35,110 426%
2022 $88,217 151.3%
2023 $180,241 104.3%
2024 $200,709 11.4%
Top Categories by Medicaid Payments in Pine Bush, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $200,709 63.8%
2 Medicine Services and Procedures $69,651 22.1%
3 Ambulance and Other Transport Services and Supplies $44,099 14%
Top 20 HCPCS Codes Within the Dental Services Category in Pine Bush, New York, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $57,593 41
D0220 Intraoral periapical first $36,398 49
D0150 Comprehensve oral evaluation $36,060 33
D0272 Dental bitewings two images $17,850 17
D0210 Intraor comprehensive series $14,465 23
D0230 Intraoral periapical ea add $13,263 36
D0274 Bitewings four images $10,445 22
D0140 Limit oral eval problm focus $6,860 23
D0350 Oral/facial photo images $3,446 16
D0270 Dental bitewing single image $2,279 10
D0145 Oral evaluation, pt < 3yrs $1,440 3
D0330 Panoramic image $606 1

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.



Related

Torrance Harvey, Mayor at City of Newburgh

City of Newburgh launches 2026 Love Your Block mini-grants program

The City of Newburgh has opened applications for its 2026 Love Your Block mini-grants program. The initiative supports local groups in organizing cleanup events and beautification projects across city neighborhoods.

Newburgh

Washington Street to close and Lake Street reduced to one lane for repairs May 1

Washington Street in Newburgh will close between Robinson Avenue and Little Britain Road on May 1 for pothole repairs. Lake Street (Route 32) will also be reduced to one lane from 7:00 a.m. until 3:00 p.m., with motorists urged to follow posted directions.

Middletown

Low Avenue to have single lane open during business hours for four weeks

The City of Middletown reports that Low Avenue will have only one lane open during business hours over the next four weeks. Flaggers will direct traffic, while full access resumes at night and on weekends.