Romeo sees $62,143 in Medicaid dental payments in 2024, marking 32.1% rise

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

In 2024, Medicaid providers in Romeo billed $62,143 for services under the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amounts to a 32.1% increase from 2023, when claims for the same category totaled $47,044.

Medicaid is a public health insurance program overseen by the states and financed through both federal and state governments. It provides health coverage for low-income people, seniors, children and individuals with disabilities, and is among the largest programs in the U.S. health system.

Since Medicaid funding is sourced from taxpayers, shifts in local claim activity reflect how public medical funds are spent in the community.

The “Dental Services” category includes a range of Medicaid-billed care, defined by standardized HCPCS and CPT code sets. For this report, each code was assigned to a single category based on established prefixes and numerical groupings, which allowed related care to be grouped while preventing double counting and enabling consistent comparisons over time.

Medicaid expenditures climbed across multiple categories, with Dental Services ranking first by total payments in Romeo for 2024.

Statewide in Michigan, Dental Services held the 11th spot by overall Medicaid payments recorded in 2024.

From 2019 through 2024, Medicaid payments for Dental Services in Romeo rose by $54,514, a 714.5% increase. Spending growth was especially pronounced during selected years, most notably in 2021 and 2023.

While payments in Dental Services were allocated across Romeo, spending was focused within a small number of ZIP codes. ZIP code 48065 made up $62,143 in Medicaid spending for Dental Services in 2024. Collectively, the top 1 ZIP codes represented all Medicaid Dental Services payments in Romeo for the year.

Within this category, a small selection of billing codes accounted for the majority of Medicaid dollars.

When compared to other Medicaid service categories in Romeo, Dental Services rose by 32.1% from 2023 to 2024, while all categories combined reflected a 29.6% increase for the same period.

The Centers for Medicare & Medicaid Services report combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, which is about 18% of overall U.S. health expenses. This is up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects roughly 40% growth over several years, mostly due to increases in enrollment and utilization during and following the pandemic.

Recent federal budget bills passed under the Trump administration introduced major changes to Medicaid funding at the national level. Provisions in the “One Big Beautiful Bill Act,” enacted in 2025, are projected to decrease federal Medicaid outlays by more than $1 trillion over 10 years and to add measures like work requirements and cost-sharing, which could reduce coverage or benefits for some recipients. These shifts are expected to assign greater financial responsibility to states and place constraints on future federal Medicaid growth, even while the program remains a safety net for millions.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $7,629
2021 $15,683 105.6%
2022 $26,481 68.9%
2023 $47,043 77.6%
2024 $62,143 32.1%
Top Categories by Medicaid Payments in Romeo, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $62,143 33.3%
2 Medicine Services and Procedures $46,959 25.1%
3 Evaluation and Management $39,990 21.4%
4 Procedures / Professional Services $37,253 19.9%
5 Surgery $413 0.2%
Top 20 HCPCS Codes Within the Dental Services Category in Romeo, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $16,621 12
D0274 Bitewings four images $14,382 12
D0220 Intraoral periapical first $9,464 12
D0230 Intraoral periapical ea add $9,133 12
D0150 Comprehensve oral evaluation $5,389 7
D0330 Panoramic image $3,894 4
D0140 Limit oral eval problm focus $3,258 5

Note: HCPCS codes are provided for context. Totals and category rankings in this piece are determined based on standardized groupings by type of service, not by individual billing codes.

Details in this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database and can be accessed here.



Related

Sterling Heights

Sterling Heights announces summer recreation programs and events for June

Sterling Heights has announced its lineup of summer recreation programs beginning in June. Residents can participate in free or low-cost activities across parks and community centers. Events range from outdoor adventures and educational workshops to family-friendly gatherings.

Martin A. Makary, M.D. Commissioner of Food and Drugs of FDA

Cities located in St. Clair County saw FDA inspections of 2 companies in 2025

There were two companies in cities associated with St. Clair County that received two FDA inspections in 2025, according to the U.S. Food and Drug Administration.

Mayor Michael Taylor, City of Sterling Heights

Sterling Heights to hold Memorial Day parade and ceremony on May 25

Sterling Heights will mark Memorial Day with its annual parade and ceremony on May 25. The event features historical tributes including WWII aircraft flyovers, musical performances, presentations honoring veterans—and encourages community participation.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Macomb Today.