If you remember the heyday of HHSC/TMHP/Xerox program spending on orthodontia back in 2011 that begat allegations of Medicaid fraud, it was at a sky-high $249 million.
In 2015, it was $13.6 million.
So it is little wonder that the number of orthodontists in Texas in the Medicaid program has dropped over the last few years.
| Texas Medicaid Orthodontia Expenditures, FY 2014-2015 | |||
| Amount Paid for Services by Medicaid | Amount Paid for Services by Health Plans | Total Amount Paid for Services | |
| FY 2014 | $2,799,056.20 | $22,960,923.37 | $25,759,979.57 |
| FY 2015 | $1,029,175.92 | $12,640,240.70 | $13,669,416.62 |
Code by code breakdown of Medicaid orthodontic program spending
We also have the code by code breakdown for Medicaid orthodontia. You can download it here.
Would be interesting to know spending for third molar extractions over the same time period.