Medicaid dental services payments in Thompson Falls climb 32.6% in 2024

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

Medicaid billing for Dental Services in Thompson Falls totaled $4,415 in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 32.6% increase from 2023, when claims amounted to $3,330 for the same category.

Medicaid is a public insurance initiative administered by states in partnership with the federal government, as noted by the Commonwealth Fund. Serving low-income people, seniors, children, and those with disabilities, Medicaid is among the largest components of nationwide health care.

Shifts in local Medicaid billing reflect how taxpayer dollars are used in community health care as the program relies on public funding.

The “Dental Services” category encompasses Medicaid-billed care tied specifically to standardized HCPCS and CPT coding groups. For this reporting, each code appeared under a single service area through systematic code prefixes and numeric classification, helping to group related services, avoid duplication, and ensure reliable comparisons across periods.

Alongside other service group increases, Dental Services held the third position in Thompson Falls for total Medicaid payments in 2024.

On a statewide basis in Montana, the Dental Services group ranked sixth by total Medicaid reimbursements that year.

From 2019 through 2024, Dental Services Medicaid spending in Thompson Falls increased by $4,415, representing 0% growth. Spending trends showed acceleration at specific points, with the most notable year-over-year jumps recorded in 2023 and 2022.

Dental service Medicaid payments in the city were mainly focused in a small set of ZIP codes. The most significant, 59873, saw $4,414 in billed payments in 2024, accounting for all Medicaid dental service spending in Thompson Falls for that year.

This pattern continued with payments concentrated within a limited number of billing codes throughout the Dental Services category.

For context, the 32.6% year-over-year gain in Thompson Falls’ dental Medicaid payments compared to a broader 38.9% change for all Medicaid service categories in the same area and period.

According to the Centers for Medicare & Medicaid Services, collective federal and state spending on Medicaid reached around $871.7 billion for fiscal 2023, accounting for 18% of the total national health care expenditures. That figure has climbed significantly from around $613.5 billion in 2019, prior to the COVID-19 public health emergency.

This increase marks about 40% growth over several years, largely due to enrollment expansion and heightened service use related to and following pandemic conditions.

Legislation passed during the Trump administration introduced substantial potential changes to federal Medicaid funding and program design. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and bring in new policies—such as increased work requirements and higher cost-sharing—that could impact coverage extent and financial responsibility for some enrollees. These adjustments may lead to a greater share of costs borne by states, slowing federal funding growth while the program continues to support millions across the U.S.

Medicaid Payments Tied to Dental Services in Thompson Falls, Montana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $4,229
2022 $1,674 -60.4%
2023 $3,330 98.9%
2024 $4,414 32.6%
Top Categories by Medicaid Payments in Thompson Falls, Montana, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $174,890 83.7%
2 Medicine Services and Procedures $29,571 14.2%
3 Dental Services $4,414 2.1%
4 Evaluation and Management $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Thompson Falls, Montana, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $3,300 8
D0274 Bitewings four images $1,114 2

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.



Related

Brent Teske, Commissioner District 1 / Chairperson at Lincoln County

Lincoln County seeks bids for gasoline and diesel fuel contracts for 2026-2027

Lincoln County is seeking bids for supplying gasoline and diesel fuel between July 2026 and June 2027. The call includes requirements for delivery or secure access at multiple locations across Libby, Troy, and Eureka. Bids are due by June 5 with results announced publicly.

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

How many companies in cities in Flathead County received FDA inspections in 2025?

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

Dr. Mehmet Oz CMS Administrator

Medicaid payments for Procedures / Professional Services in Kalispell surge to $103,334 in 2024

Medicaid payments linked to the Procedures / Professional Services category rose 167% in Kalispell during 2024, signaling shifts in usage and reimbursement trends.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Northwest Montana News.