Derby Medicaid providers billed $57,347 for Dental Services in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This is a 7.2% rise compared to 2023, when $53,481 was billed for similar services.
Medicaid is a public health insurance program managed by states and funded in partnership by federal and state governments. The program covers low-income residents, including families, seniors, children, and individuals with disabilities, making it a significant part of the U.S. health care framework.
Because Medicaid is funded through taxpayer dollars, fluctuations in local billing reflect shifts in how public health care funds are distributed within communities.
The “Dental Services” grouping contains Medicaid-billed procedures classified by care type, using uniform HCPCS and CPT code groupings. Each billing code in this review was placed into only one service group, applying established code prefixes and ranges to keep related services together and avoid replicating counts, supporting consistent annual comparisons.
Medicaid spending grew across multiple categories, and in 2024, Dental Services were the second-highest category for Derby by Medicaid payment totals.
Statewide in Vermont, Dental Services ranked seventh overall among Medicaid payment categories in 2024.
From five years prior to 2024, Derby Medicaid payments related to Dental Services rose by $23,401, or 68.9%. The rate of increase was particularly notable in select years, such as 2021 and 2023, with higher annual changes observed.
Although dental care services funding was distributed citywide, most payments were concentrated within select ZIP codes. ZIP code 05829 accounted for $57,346 of Medicaid Dental Services payments—making up 100% of the city’s spending in this category in 2024.
Dentists and providers mostly submitted claims for a small set of individual billing codes within the Dental Services category.
Comparing categories, Medicaid Dental Services payments in Derby increased by 7.2% between 2024 and 2023, while all Medicaid claim categories together posted a 11.3% annual increase in the city.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023. That represented around 18% of total national health spending, up sharply from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This increase represents an approximate 40% rise over several years, largely due to expanded enrollment and greater use of medical services linked to and following the pandemic period.
Major federal budget measures under the Trump administration have put forward significant plans to lower federal Medicaid contributions and overhaul elements of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid outlays by over $1 trillion over 10 years and imposes work requirements and raised cost-sharing policies, potentially resulting in decreased support for some Medicaid recipients. These changes could mean more costs shifted to states and a limitation on federal Medicaid growth, even as the program supports millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $33,946 | -1.1% |
| 2021 | $40,689 | 19.9% |
| 2022 | $44,947 | 10.5% |
| 2023 | $53,481 | 19% |
| 2024 | $57,346 | 7.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $63,791 | 52.7% |
| 2 | Dental Services | $57,346 | 47.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $33,867 | 12 |
| D0274 | Bitewings four images | $12,603 | 11 |
| D0140 | Limit oral eval problm focus | $7,470 | 7 |
| D0272 | Dental bitewings two images | $3,405 | 6 |
Note: HCPCS codes are provided for context within the Dental Services category. Totals and rankings discussed are based on standardized grouping rather than on specific codes.
Information included in this report is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data can be accessed here.
