Medicaid spending for dental services in Galesburg reaches $12,958 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Galesburg Medicaid providers billed $12,958 in 2024 for services grouped under Dental Services, the U.S. Department of Health and Human Services Medicaid Provider Spending database reports. The amount represents a 16.3% increase from the prior year, when $11,140 was submitted for the same category of claims.

Medicaid is a public health insurance program administered by states and financed collectively by federal and state governments. It supports low-income individuals and families, seniors, children, and people with disabilities and is one of the country’s largest health care programs.

With Medicaid funded through tax dollars, shifts in local billing levels reveal how communities allocate public health care resources.

The “Dental Services” grouping includes a range of Medicaid-billed services identified by the type of treatment, following standard HCPCS and CPT code conventions. For this report, billing codes were matched to individual service categories using consistent digit prefixes and number ranges. This approach enabled comparability over time, avoided duplications, and helped maintain data accuracy.

Medicaid spending rose in several service areas, but Dental Services received the greatest Medicaid payment total in Galesburg for 2024.

Statewide in Michigan, Dental Services ranked 11th in 2024 among all Medicaid categories by total dollars paid.

From 2020 through 2024, Medicaid payments attributed to Dental Services in Galesburg grew by $6,800, or 110.4%. The pace of spending picked up at points in the period, with prominent jumps reported in both 2023 and 2021.

The distribution of Medicaid payments for Dental Services spread across multiple areas in Galesburg, yet the funds were mostly concentrated within few ZIP codes. In 2024, ZIP code 49053 led with $12,957. In total, the highest-billing ZIP code accounted for 100% of Medicaid payments tied to the Dental Services category in the city through the year.

Within Dental Services, most Medicaid funding clustered around a select group of billing codes.

To compare, Medicaid spending tied to the Dental Services category climbed by 16.3% in Galesburg from 2023 to 2024, keeping pace with the 16.3% overall change across all Medicaid claim categories for the city over the same period.

The Centers for Medicare & Medicaid Services report that federal and state Medicaid expenses reached approximately $871.7 billion in the 2023 fiscal year, representing about 18% of the nation’s total health expenditures. This was up significantly from the $613.5 billion total in 2019 before the COVID-19 pandemic began.

This increase marks about 40% growth over just a few years, largely spurred by higher enrollment and increased care use during and after the pandemic.

Recent federal budget bills from the Trump administration have included major plans to decrease federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut over $1 trillion from federal Medicaid spending in the next decade, imposing new work requirements and greater cost-sharing. These measures would likely reduce coverage for some recipients, shifting more costs onto the states, and are expected to slow future federal support even as Medicaid continues to serve millions.

Medicaid Payments Tied to Dental Services in Galesburg, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $6,157 -52.8%
2021 $9,042 46.8%
2022 $7,394 -18.2%
2023 $11,139 50.7%
2024 $12,957 16.3%
Top Categories by Medicaid Payments in Galesburg, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $12,957 10<0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Galesburg, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
D0274 Bitewings four images $6,940 12
D0120 Periodic oral evaluation $6,017 12

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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