Medicaid dental service payments in Kihei reach $108,856 in 2024, up 8.6%

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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Kihei Medicaid providers billed $108,856 for Dental Services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure represented an 8.6% rise from 2023, when claims for the same services totaled $100,249.

Medicaid is a public insurance program operated by states and financed through a partnership between federal and state governments. The program serves low-income families and individuals, older adults, children, and people with disabilities, making it a major component of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifts in local billing provide insight into how public health care resources are distributed within a community.

The Dental Services category includes a range of services identified by both the care type and standardized HCPCS and CPT code groupings. For this analysis, each billing code was consistently assigned to one service category by code prefix and numeric range, enabling the grouping of related services for accurate trend analysis and ranking.

Alongside gains seen in other categories, Dental Services stood as the third-highest Medicaid payment category in Kihei for 2024.

Statewide, Hawaii ranked Dental Services 11th among Medicaid payment categories in 2024.

Looking at the five years before 2024, Medicaid payments for Dental Services in Kihei grew by $13,147, equal to a 10.8% increase. Some of the most notable annual increases occurred in 2021 and 2023.

Dental Services spending in Kihei was distributed among city ZIP codes, but primarily concentrated in a small selection. For 2024, ZIP code 96753 accounted for $108,855, representing 100% of Dental Services Medicaid payments reported for Kihei during the year.

Within the Dental Services group, a handful of billing codes accounted for most of the Medicaid payments.

Between 2024 and 2023, Dental Services Medicaid payments in Kihei rose by 8.6%. For all Medicaid claim categories combined in the city, the increase was 58.4% for the same timeframe.

The Centers for Medicare & Medicaid Services reported that federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, which was approximately 18% of all U.S. health expenditures. This marked a significant jump from the $613.5 billion spent in 2019, ahead of the COVID-19 pandemic.

This increase reflects growth of around 40% over a few years, prompted by expanded enrollment and higher service usage during and after the pandemic.

Recent federal budgets enacted under the Trump administration have introduced proposals to lower federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over a decade. It brings added requirements such as work mandates and greater cost-sharing, changes that could limit coverage and shift expenses to beneficiaries and states even as Medicaid continues to provide for tens of millions of Americans.

Medicaid Payments Tied to Dental Services in Kihei, Hawaii Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $122,002 -18.5%
2021 $141,108 15.7%
2022 $98,776 -30%
2023 $100,248 1.5%
2024 $108,855 8.6%
Top Categories by Medicaid Payments in Kihei, Hawaii, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $406,797 46.4%
2 Medicine Services and Procedures $242,109 27.6%
3 Dental Services $108,855 12.4%
4 Evaluation and Management $95,060 10.9%
5 Pathology and Laboratory Procedures $19,880 2.3%
6 Surgery $3,389 0.4%
7 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Kihei, Hawaii, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $59,689 27
D0272 Dental bitewings two images $24,128 26
D0150 Comprehensve oral evaluation $5,941 6
D0330 Panoramic image $4,551 4
D0274 Bitewings four images $4,536 6
D0220 Intraoral periapical first $3,577 12
D0210 Intraor comprehensive series $3,416 3
D0145 Oral evaluation, pt < 3yrs $1,214 2
D0140 Limit oral eval problm focus $972 2
D0230 Intraoral periapical ea add $828 4

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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