In 2024, Medicaid providers in West Brattleboro billed $23,825 for services under the Dental Services category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This is a 588.2% rise over 2023, when providers billed $3,462 for the same services.
Medicaid, a state-run public health insurance program funded by both federal and state governments, covers low-income families and individuals, seniors, children, and those with disabilities, making it one of the largest components of the U.S. health care system.
Because Medicaid is funded by taxpayers, shifts in local billing levels indicate how public health care funds are distributed in each community.
The “Dental Services” category includes a range of Medicaid-billed procedures, grouped by service type and standardized with HCPCS and CPT code sets. For this review, each billing code was assigned to one service category based on specific code prefixes and numbers, which made it possible to group related services, avoid double counting, and keep the ranking accurate over time.
Among service categories, Dental Services recorded the highest total Medicaid payments in West Brattleboro in 2024.
Statewide in Vermont, Dental Services placed seventh in total Medicaid payments during 2024.
Between 2019 and 2024, Medicaid payments for Dental Services in West Brattleboro grew by $23,475, an increase of 6707.1%. Periods of rapid growth occurred, with significant annual gains observed in 2021 and 2022.
Dental Services spending was present across West Brattleboro, but Medicaid payments were mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 05301 accounted for $23,825 in dental Medicaid payments. The top single ZIP code represented 100% of all Medicaid Dental Services payments in the city that year.
Within Dental Services, Medicaid payments were dominated by a few specific billing codes.
Comparing years, Medicaid payments for Dental Services in West Brattleboro increased by 588.2% from 2023 to 2024, matching the rate for all Medicaid claim categories in the city over the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, making up approximately 18% of all national health care costs, a sharp increase from around $613.5 billion in 2019, before the COVID-19 pandemic.
This represents roughly 40% growth in a few years, mainly due to expanded coverage and higher use during and after the pandemic.
Recent federal budget laws during the Trump administration have proposed major reductions to federal Medicaid funding and restructured the program. For instance, the “One Big Beautiful Bill Act,” approved in 2025, is set to reduce federal Medicaid spending by over $1 trillion in the next 10 years and brings policies like work requirements and greater cost-sharing, which may decrease coverage and funding for some individuals. These measures are expected to shift more costs to states and could slow the expansion of federal Medicaid support, even as the program remains central to health coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $350 | -82.4% |
| 2021 | $2,600 | 642.9% |
| 2022 | $3,500 | 34.6% |
| 2023 | $3,461 | -1.1% |
| 2024 | $23,825 | 588.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $23,825 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0150 | Comprehensve oral evaluation | $12,421 | 7 |
| D0210 | Intraor comprehensive series | $5,783 | 4 |
| D0120 | Periodic oral evaluation | $4,213 | 9 |
| D0140 | Limit oral eval problm focus | $747 | 1 |
| D0274 | Bitewings four images | $660 | 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.
