Brighton Medicaid providers billed $242,282 for services categorized as Dental Services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 6.5% rise over 2023, when $227,558 was claimed for the same category.
Medicaid, a public health insurance program operated by states and jointly funded by federal and state governments, covers individuals and families with low incomes, seniors, children, and people with disabilities. It remains one of the nation’s largest health care programs.
Since Medicaid funding is sourced from taxpayers, fluctuations in local billing levels highlight how public health care funding is distributed in a given community.
The “Dental Services” classification includes a set of Medicaid-billed procedures organized by service type, utilizing standardized HCPCS and CPT code categories. Each billing code in this analysis was assigned solely to one category, using systematic code prefixes and numeric groupings, to enable combined analysis without double counting and to maintain accurate year-over-year rankings.
Dental Services placed fourth among all Medicaid service categories in Brighton by total payments for 2024, even as expenses increased across other categories as well.
Statewide in Michigan, Dental Services was ranked 11th for total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments for Dental Services in Brighton climbed by $101,711, a 72.4% increase. Several periods saw accelerated growth, particularly in 2020 and 2021.
Dental Services payments were distributed throughout Brighton, but most were concentrated in a few ZIP codes. In 2024, ZIP code 48114 accounted for $169,084 and 48116 for $73,197. These two ZIP codes combined represented 100% of Medicaid payments for Dental Services across the city that year.
A small subset of individual billing codes made up most Medicaid payments within the Dental Services category.
Dental Services Medicaid payments in Brighton grew by 6.5% from 2023 to 2024, compared to a 9.5% increase across all Medicaid claim categories in the city over the same time span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached about $871.7 billion in fiscal 2023, making up about 18% of total national health expenditures. This was a sharp increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change represents growth of around 40% in just a few years, largely attributed to expanded enrollment and greater utilization during and after the pandemic period.
Recent federal budget laws enacted during the Trump administration have included major proposals aimed at reducing federal Medicaid funding and altering program administration. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over 10 years. The legislation introduces policies such as work requirements and higher cost-sharing that may reduce funding and access for certain beneficiaries. These changes are likely to shift additional costs to states and may slow the growth of federal contributions to the Medicaid program, even as it continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $140,571 | 71.3% |
| 2021 | $182,064 | 29.5% |
| 2022 | $192,894 | 5.9% |
| 2023 | $227,558 | 18% |
| 2024 | $242,282 | 6.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,681,012 | 43.7% |
| 2 | Medicine Services and Procedures | $864,976 | 22.5% |
| 3 | Alcohol and Drug Abuse Treatment | $859,006 | 22.3% |
| 4 | Dental Services | $242,282 | 6.3% |
| 5 | Anesthesia | $170,771 | 4.4% |
| 6 | Durable Medical Equipment | $11,420 | 0.3% |
| 7 | Vision Services | $5,757 | 0.1% |
| 8 | Pathology and Laboratory Procedures | $3,790 | 0.1% |
| 9 | Surgery | $3,652 | 0.1% |
| 10 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,623 | 0.1% |
| 11 | Temporary National Codes (Non-Medicare) | $1,027 | <0.1% |
| 12 | Procedures / Professional Services | $230 | <0.1% |
| 13 | Temporary Codes | $230 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $61,180 | 26 |
| D0140 | Limit oral eval problm focus | $55,587 | 24 |
| D0220 | Intraoral periapical first | $26,835 | 35 |
| D0330 | Panoramic image | $24,333 | 19 |
| D0274 | Bitewings four images | $20,009 | 20 |
| D0210 | Intraor comprehensive series | $19,095 | 12 |
| D0150 | Comprehensve oral evaluation | $14,732 | 12 |
| D0272 | Dental bitewings two images | $11,040 | 12 |
| D0230 | Intraoral periapical ea add | $9,466 | 14 |
| D0364 | Cone beam ct capt & interp | $0 | 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.
