Medicaid providers in Rialto billed $3,180,654 for services within the Dental Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 11.5% increase from 2023, when claims for this category reached $2,853,169.
Medicaid operates as a public health insurance initiative managed by states and funded in partnership by federal and state governments. It serves low-income people and families, the elderly, children, and individuals with disabilities, making it a major component of the U.S. health care system.
Because Medicaid payments are sourced from public funds, shifts in billing at the local level highlight how health care resources are distributed within the community.
The “Dental Services” category encompasses a group of Medicaid-billed procedures defined by the type of care given, categorized using standardized HCPCS and CPT code groupings. For this report, each billing code was placed in a single service category through consistent code prefixes and numeric ranges, helping group similar services, avoid double counting and keep accurate rankings across years.
Though Medicaid expenditures grew in several service categories, Dental Services was the top category for Medicaid payments in Rialto for 2024.
Statewide, Dental Services held the 11th spot by total Medicaid payments in California in 2024.
Between 2019 and 2024, Medicaid payments for the Dental Services category in Rialto rose $2,190,044, equating to 221.1%. The pace of growth increased in particular periods, with substantial year-over-year gains noted in 2021 and 2022.
Dental Services billing was spread citywide, but a small number of ZIP codes recorded most of the payments. In 2024, ZIP code 92376 made up $3,157,028 and 92377 accounted for $23,625 in Medicaid Dental Services payments, together representing 100% of the category’s local total for the year.
Within the Dental Services category, a small number of billing codes were responsible for most Medicaid payments.
Rialto’s 11.5% year-over-year increase in Dental Services Medicaid payments compares to a 4.9% overall rise across all Medicaid claim categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays totaled roughly $871.7 billion in fiscal 2023, or about 18% of total national health spending, up from approximately $613.5 billion in 2019 before the COVID-19 pandemic.
This increase reflects growth of about 40% in several years, driven by higher enrollment and rising utilization during and after the pandemic.
Recent federal budget acts under the Trump administration have introduced major proposals aimed at reducing federal Medicaid contributions and shifting the program’s structure. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid payments over the next decade, including measures such as work requirements and higher cost-sharing that could affect coverage and funding for some recipients. These policy shifts are anticipated to transfer greater financial responsibility to states and restrict federal support, even as Medicaid continues serving millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $990,609 | -25.7% |
| 2021 | $1,854,541 | 87.2% |
| 2022 | $2,446,300 | 31.9% |
| 2023 | $2,853,169 | 16.6% |
| 2024 | $3,180,654 | 11.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $3,180,654 | 32.4% |
| 2 | Medicine Services and Procedures | $1,716,186 | 17.5% |
| 3 | National Codes Established for State Medicaid Agencies | $1,708,272 | 17.4% |
| 4 | Surgery | $1,178,653 | 12% |
| 5 | Evaluation and Management | $962,199 | 9.8% |
| 6 | Ambulance and Other Transport Services and Supplies | $605,328 | 6.2% |
| 7 | Vision Services | $225,968 | 2.3% |
| 8 | Pathology and Laboratory Procedures | $111,226 | 1.1% |
| 9 | Procedures / Professional Services | $74,394 | 0.8% |
| 10 | Alcohol and Drug Abuse Treatment | $38,516 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $5,694 | 0.1% |
| 12 | Radiology Procedures | $1,548 | <0.1% |
| 13 | Temporary National Codes (Non-Medicare) | $747 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $1,048,594 | 241 |
| D0150 | Comprehensve oral evaluation | $693,931 | 272 |
| D0230 | Intraoral periapical ea add | $374,690 | 300 |
| D0210 | Intraor comprehensive series | $284,997 | 202 |
| D0350 | Oral/facial photo images | $240,030 | 177 |
| D0274 | Bitewings four images | $173,689 | 230 |
| D0145 | Oral evaluation, pt < 3yrs | $115,445 | 40 |
| D0603 | Caries risk assess high risk | $85,928 | 60 |
| D0272 | Dental bitewings two images | $57,730 | 97 |
| D0220 | Intraoral periapical first | $51,295 | 77 |
| D0330 | Panoramic image | $25,560 | 52 |
| D0140 | Limit oral eval problm focus | $17,447 | 19 |
| D0601 | Caries risk assess low risk | $10,895 | 15 |
| D0270 | Dental bitewing single image | $420 | 6 |
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.
