Hales Corners Medicaid payments for Dental Services hit $32,829 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid service providers in Hales Corners billed a total of $32,829 for Dental Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 71.8% rise from 2023, when providers filed $19,111 in claims within this service category.

Medicaid, a public health insurance program managed by states and financed through both federal and state governments, delivers coverage for low-income people and families, seniors, children, and those with disabilities. As such, it constitutes a significant part of health care in the United States.

Because taxpayer funds support Medicaid, varying levels of local billing reflect how a community allocates its public health care spending.

The “Dental Services” category encompasses Medicaid-billed services grouped by type of care, identified using standardized HCPCS and CPT code groupings. Throughout this analysis, each billing code was assigned to one service category using set code prefixes and ranges, ensuring related care appears together, preventing duplication, and maintaining consistent ranking.

Dental Services ranked as the largest Medicaid payment category in Hales Corners in 2024, following increased spending in multiple service areas.

Statewide in Wisconsin, Dental Services ranked 10th by total Medicaid payments for 2024.

Over the five years ending in 2024, Medicaid payments for Dental Services in Hales Corners increased by $32,829, or 0%. Spending growth was higher in certain periods, with substantial annual increases recorded in 2023 and 2022.

Although Dental Services spending was distributed throughout Hales Corners, Medicaid payments were concentrated in only a few ZIP codes. In 2024, the 53130 ZIP code accounted for the entire $32,829 tied to Dental Services, making up 100% of category payments in the city that year.

Within this category, only a small number of billing codes represented the majority of Medicaid payments.

Medicaid payments linked to Dental Services in Hales Corners increased 71.8% between 2024 and 2023, while across all Medicaid claim types the city saw an 84% change during that time.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health care spending. This is a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This expansion marks approximately 40% growth in just a few years, largely fueled by increased enrollment and utilization throughout and after the pandemic.

Recent federal budget laws under the Trump administration have included major proposals to reduce federal Medicaid funding and adjust the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to cut over $1 trillion in federal Medicaid funding over the coming decade and enacts measures such as work requirements and greater cost-sharing. These changes could lower coverage and funding for some, potentially shifting costs to states and slowing federal Medicaid growth even as enrollment remains high among Americans.

Medicaid Payments Tied to Dental Services in Hales Corners, Wisconsin Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $525
2023 $19,111 3534.7%
2024 $32,829 71.8%
Top Categories by Medicaid Payments in Hales Corners, Wisconsin, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $32,829 52.8%
2 Medicine Services and Procedures $16,084 25.9%
3 Vision Services $13,226 21.3%
Top 20 HCPCS Codes Within the Dental Services Category in Hales Corners, Wisconsin, 2024

HCPCS Code Description Medicaid Payments Claims
D0330 Panoramic image $13,949 11
D0340 2d cephalometric image $10,701 11
D0350 Oral/facial photo images $8,178 11

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.



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