In 2024, Park River Medicaid providers billed a total of $15,394 for Dental Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 16.6% rise from 2023, when claims for these services amounted to $13,206.
Medicaid operates as a public health insurance initiative administered at the state level and funded by both federal and state governments. The program covers people and families with low incomes, seniors, children and those with disabilities, representing one of the most significant components of the U.S. health care system.
Since Medicaid funds are taxpayer-based, fluctuations in local billing volumes indicate how health care resources are utilized within a community.
The Dental Services category encompasses a set of Medicaid-billed items grouped by the nature of care delivered, based on standardized HCPCS and CPT code clusters. This analysis assigned each billing code uniquely to one service group using regular code prefixes and numeric boundaries, which allowed for an aggregated look at like services while preventing duplication and preserving precise historical ranking.
Dental Services was the second-highest paid Medicaid category in Park River for 2024, though spending increased in several categories overall.
Across North Dakota, Dental Services was the 10th leading category for Medicaid payments in 2024.
Between the five years preceding 2024, Park River saw Medicaid payments connected to Dental Services rise by $10,144, or 193.2%. This growth was more pronounced during some periods, especially in 2021 and 2023, when notable year-over-year gains occurred.
While Dental Services spending was distributed throughout Park River, most payments were tied to a small selection of ZIP codes. In 2024, ZIP code 58270 accounted for $15,393, representing the entirety—100%—of Medicaid Dental Services payments for the city that year.
Within Dental Services, payments were heavily centered on specific billing codes.
To compare, Medicaid spending related to Dental Services in Park River rose 16.6% from 2023 to 2024, whereas all Medicaid claims across the city grew by 25.9% during the same timeframe.
The Centers for Medicare & Medicaid Services report that total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total national health expenditures. This is a notable increase from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This rise equals a 40% growth over several years, primarily resulting from increased program enrollment and service use during and after the pandemic era.
Recent federal budgets under the Trump administration have proposed substantial reductions in Medicaid funding and restructuring of the system. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to decrease federal Medicaid funding by more than $1 trillion over the next decade and establish changes including work requirements and higher cost-sharing, potentially limiting support to some enrollees. These legislative adjustments are projected to transfer more costs to states and curtail the expansion of federal Medicaid dollars, while the program continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,250 | -5.4% |
| 2021 | $9,880 | 88.2% |
| 2022 | $8,609 | -12.9% |
| 2023 | $13,205 | 53.4% |
| 2024 | $15,393 | 16.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $145,968 | 85.7% |
| 2 | Dental Services | $15,393 | 9% |
| 3 | Pathology and Laboratory Procedures | $6,293 | 3.7% |
| 4 | Surgery | $1,863 | 1.1% |
| 5 | Medicine Services and Procedures | $746 | 0.4% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $6,401 | 13 |
| D0150 | Comprehensve oral evaluation | $4,989 | 7 |
| D0274 | Bitewings four images | $3,540 | 6 |
| D0272 | Dental bitewings two images | $461 | 1 |
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.



