Northfield’s Medicaid dental payments reach $18,500 in 2024, up 14.8%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Northfield billed $18,500 for Dental Services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 14.8% increase compared with 2023, when they billed $16,109 for the same services.

Medicaid, a joint federal and state health insurance program, covers low-income individuals, families, seniors, children, and people with disabilities, and is one of the largest parts of the U.S. health care system. Funding comes from both federal and state governments, as noted by the Commonwealth Fund.

Since Medicaid is funded by taxpayers, shifts in local billing patterns highlight how public dollars for health care are distributed within communities.

The “Dental Services” category includes services billed to Medicaid defined by HCPCS and CPT codes, grouped by type of care. Each billing code for this analysis was assigned to a single service category, using standard code prefixes and numeric ranges to group related services, prevent double counting, and maintain consistent rankings over time.

Medicaid spending rose in multiple service categories, and Dental Services ranked seventh in Northfield for total Medicaid payments in 2024.

Statewide in New Jersey, Dental Services placed 13th for total Medicaid payments in 2024.

Over five years through 2024, Medicaid payments for Dental Services in Northfield increased by $9,572, or 107.2%. Spending growth rose sharply in specific periods, with significant year-over-year growth reported in 2022 and 2021.

While dental service spending was distributed throughout Northfield, payments largely concentrated in just a few ZIP codes. In 2024, ZIP code 08225 accounted for $18,500. The top ZIP code represented 100% of Dental Services Medicaid payments in Northfield for the year.

Within this category, a small number of billing codes made up most Medicaid payments.

For context, Medicaid payments for Dental Services in Northfield increased 14.8% from 2023 to 2024, while all Medicaid claim categories in the city grew by 19.8% during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023—about 18% of all U.S. health spending—up from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This marks a roughly 40% increase over several years, mainly due to expanded enrollment and greater utilization during and after the pandemic.

Budget legislation under the Trump administration introduced several measures to reduce federal Medicaid funding and change the program. The “One Big Beautiful Bill Act,” passed in 2025, is projected to cut federal Medicaid spending by over $1 trillion through the next decade, adding requirements such as work mandates and higher cost-sharing that could reduce coverage for some. These changes may increase state costs and slow federal Medicaid funding growth, even as millions remain enrolled in the program.

Medicaid Payments Tied to Dental Services in Northfield, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $8,928 -47.8%
2021 $8,956 0.3%
2022 $23,073 157.6%
2023 $16,109 -30.2%
2024 $18,500 14.8%
Top Categories by Medicaid Payments in Northfield, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,610,396 37.3%
2 Temporary National Codes (Non-Medicare) $1,581,680 36.7%
3 Medicine Services and Procedures $920,677 21.4%
4 National Codes Established for State Medicaid Agencies $94,271 2.2%
5 Alcohol and Drug Abuse Treatment $38,316 0.9%
6 Radiology Procedures $19,270 0.4%
7 Dental Services $18,500 0.4%
8 Pathology and Laboratory Procedures $10,646 0.2%
9 Surgery $9,559 0.2%
10 Drugs Administered Other than Oral Method $5,260 0.1%
11 Procedures / Professional Services $1,645 <0.1%
12 Anesthesia $744 <0.1%
13 Medical And Surgical Supplies $681 <0.1%
14 Temporary Codes $35 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Northfield, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $13,554 11
D0150 Comprehensve oral evaluation $3,731 6
D0274 Bitewings four images $1,055 3
D0220 Intraoral periapical first $159 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.



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