La Jara Medicaid dental payments total $1.3 million in 2024, up 47% from prior year

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers in La Jara submitted $1,340,088 in Medicaid claims for services in the Dental Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 47% jump over 2023, when claims for the same services reached $911,884.

Medicaid is a public insurance program jointly financed by the federal government and the states, serving low-income people, seniors, children, and those with disabilities. It remains among the largest U.S. health care system components.

Since Medicaid funding is sourced from taxpayers, fluctuations in local billing signal how public health care resources are distributed in the area.

The “Dental Services” category covers a set of services billed to Medicaid, classified by care type using standard HCPCS and CPT code groupings. Each billing code in this analysis was assigned to one service category through uniform code prefixes and ranges, ensuring related services were tracked together and that double counting was avoided while maintaining accurate ranks over time.

While Medicaid outlays climbed for several service categories, Dental Services generated the highest total Medicaid payments in La Jara for 2024.

Statewide, Dental Services ranked seventh among all service categories by total Medicaid payments in Colorado for 2024.

From 2019 to 2024, Medicaid claims for Dental Services in La Jara increased by $1,049,821, or 361.7%. Certain years saw strong growth, with notable annual increases in 2023 and 2021.

Spending for Dental Services was distributed throughout La Jara, but the majority of payments concentrated in a small number of ZIP codes. In 2024, ZIP code 81140 accounted for $1,340,087 in Medicaid Dental Services payments. This top ZIP code represented 100% of Medicaid expenditures in this category within the city for that year.

Payment distribution within the Dental Services category was focused across just a few billing codes.

Medicaid payments tied to Dental Services in La Jara rose 47% between 2024 and 2023, compared to a 19.4% rise for all Medicaid claim categories in the city during that same timeframe.

Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid expenditures were approximately $871.7 billion in fiscal year 2023, amounting to about 18% of total U.S. health care outlays—a rise from around $613.5 billion in 2019, before the COVID-19 pandemic.

This growth equates to about a 40% increase in just a few years, driven mainly by rising enrollment and greater utilization during and after the pandemic.

Recently enacted federal budget laws under the Trump administration include proposals to significantly decrease federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” passed in 2025, is projected to cut federal Medicaid outlays by more than $1 trillion over 10 years and add policies such as work requirements and higher cost-sharing. These measures could suppress funding and reduce coverage for some groups, shifting additional expenses onto states and slowing federal Medicaid funding growth, even as the program serves millions in the country.

Medicaid Payments Tied to Dental Services in La Jara, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $290,266 -48.3%
2021 $578,806 99.4%
2022 $385,582 -33.4%
2023 $911,884 136.5%
2024 $1,340,087 47%
Top Categories by Medicaid Payments in La Jara, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $1,340,087 69.6%
2 Evaluation and Management $512,236 26.6%
3 Durable Medical Equipment $26,163 1.4%
4 Ambulance and Other Transport Services and Supplies $17,854 0.9%
5 Pathology and Laboratory Procedures $13,753 0.7%
6 Medicine Services and Procedures $12,094 0.6%
7 Medical And Surgical Supplies $2,361 0.1%
8 Surgery $859 <0.1%
9 Drugs Administered Other than Oral Method $32 <0.1%
10 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in La Jara, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
D0999 Unspecified diagnostic proce $1,339,905 46
D0140 Limit oral eval problm focus $151 11
D0220 Intraoral periapical first $30 14
D0270 Dental bitewing single image $0 1

Note: HCPCS codes are provided for context within each category. Category totals and rankings in this story rely on standardized groupings rather than individual billing codes.

Details included in this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the original data here.



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