Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Freeport submitted $222,702 in billings for Dental Services in 2024. This figure represents a 2.1% uptick over 2023, when $218,221 in claims were reported for the same service category.
Medicaid, a jointly funded state and federal health insurance program, provides coverage to low-income individuals, families, seniors, children, and persons with disabilities. This makes it one of the nation’s largest health care programs. More details on its funding are available from the Commonwealth Fund.
Because taxpayer funding underpins Medicaid payments, local changes in billing levels indicate how public health dollars are deployed in specific communities.
The “Dental Services” grouping includes Medicaid-billed care defined by service type, based on standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a specific category using established code prefixes and ranges to keep related services together, prevent double counting, and maintain accurate trends and rankings.
Dental Services accounted for the second-highest Medicaid payment total among all service categories in Freeport for 2024, as Medicaid spending rose across several categories.
Across Texas, Dental Services ranked seventh by total Medicaid payments during 2024.
Between 2019 and 2024, Freeport’s Medicaid payments for Dental Services climbed $195,964, or 732.9%. Some years, such as 2021 and 2022, saw particularly strong year-over-year growth rates.
The majority of spending on Dental Services in Freeport was concentrated in just a few ZIP codes. In 2024, ZIP code 77541 accounted for all $222,702 in Medicaid payments in this category. This means that the top ZIP code contributed 100% of the city’s Dental Services-related Medicaid payments for the year.
Medicaid payments within Dental Services were also focused among a small set of individual codes.
For reference, the 2.1% increase in Dental Services-related Medicaid payments between 2024 and 2023 was much lower than the 41.9% year-over-year rise across all Medicaid claim categories in Freeport in the same period.
According to the Centers for Medicare & Medicaid Services, federal and state combined Medicaid expenditures totaled about $871.7 billion for fiscal year 2023, accounting for approximately 18% of total U.S. health spending, and marking a steep rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase represents roughly 40% growth in just several years, primarily due to higher enrollment and greater service utilization during and following the pandemic.
Federal budget changes enacted under the Trump administration have included notable steps to decrease federal Medicaid dollars and modify the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is estimated to cut more than $1 trillion in federal Medicaid spending over 10 years. The law introduces measures like work requirements and increased cost sharing, which could reduce both funding and coverage for certain recipients. As a result, more costs are expected to shift to states, capping the scale of federal Medicaid contributions even as coverage continues for tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $26,738 | – |
| 2021 | $237,458 | 788.1% |
| 2022 | $294,742 | 24.1% |
| 2023 | $218,221 | -26% |
| 2024 | $222,702 | 2.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $299,036 | 54.2% |
| 2 | Dental Services | $222,702 | 40.4% |
| 3 | Evaluation and Management | $17,578 | 3.2% |
| 4 | Ambulance and Other Transport Services and Supplies | $11,941 | 2.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0999 | Unspecified diagnostic proce | $91,991 | 11 |
| D0145 | Oral evaluation, pt < 3yrs | $48,845 | 12 |
| D0120 | Periodic oral evaluation | $26,759 | 13 |
| D0272 | Dental bitewings two images | $14,839 | 12 |
| D0220 | Intraoral periapical first | $13,291 | 18 |
| D0230 | Intraoral periapical ea add | $12,050 | 16 |
| D0274 | Bitewings four images | $11,224 | 13 |
| D0150 | Comprehensve oral evaluation | $3,699 | 7 |
| D0603 | Caries risk assess high risk | $0 | 18 |
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.





