Dental Services Medicaid reimbursements in Cerritos jump 32.6% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Cerritos submitted $256,809 in claims for services under the Dental Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total represents a 32.6% rise from 2023, when claims for the same service category totaled $193,608.

Medicaid is supported by both federal and state governments and is operated by individual states as a public health insurance program. It serves low-income individuals and families, seniors, children, and people with disabilities, establishing itself as a major component of the U.S. health care system. More details are available in the Commonwealth Fund Medicaid financing explainer.

Since Medicaid payments rely on public funds, fluctuations in local billing data illustrate how community health care dollars are distributed.

The “Dental Services” category includes groups of Medicaid-billed procedures, defined by the nature of care provided in various standardized HCPCS and CPT code groups. For this review, billing codes were systematically grouped within service categories based on consistent prefixes and number ranges, ensuring services were analyzed collectively without overlapping counts or inaccurate rankings over time.

While Cerritos experienced spending growth in several Medicaid service categories, Dental Services held the seventh spot by total Medicaid payments in 2024.

Throughout California, Dental Services ranked as the 11th highest category by total Medicaid payments in 2024.

Between 2019 and 2024, the dollar amount of Medicaid payments for Dental Services in Cerritos grew by $250,290, or 3839.4%. Some years, including 2022 and 2023, showed particularly robust year-over-year gains in spending.

Spending for Dental Services was evident throughout different areas of Cerritos, yet the largest share was rooted in just a small number of ZIP codes. In 2024, the 90703 ZIP code alone accounted for $256,808, representing the full 100% of Medicaid payments for Dental Services in Cerritos for that year.

Medicaid reimbursement within the Dental Services category also remained concentrated within a select set of billing codes.

Looking at category trends, Medicaid payments for Dental Services in Cerritos rose 32.6% from 2023 to 2024, surpassing the 30.5% increase seen across all Medicaid categories in the city during the same timeframe.

Centers for Medicare & Medicaid Services reports indicate combined federal and state Medicaid outlays reached about $871.7 billion in 2023, making up nearly 18% of all national health care spending, a substantial jump from $613.5 billion in 2019 prior to the COVID-19 pandemic.

This change amounts to nearly 40% growth over just a few years, spurred primarily by greater enrollment and increased use of services during and after the pandemic.

Recent federal budget actions during the Trump administration included broad proposals to revise Medicaid’s federal funding. Notably, the “One Big Beautiful Bill Act,” which became law in 2025, anticipates over $1 trillion in federal Medicaid spending cuts during the next decade and establishes measures such as work requirements and higher cost-sharing. These could reduce benefits for some enrollees and shift costs to states, restricting growth in federal Medicaid outlays while the program continues to serve tens of millions nationwide.

Medicaid Payments Tied to Dental Services in Cerritos, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $6,519 -52.3%
2021 $10,246 57.2%
2022 $46,813 356.9%
2023 $193,608 313.6%
2024 $256,808 32.6%
Top Categories by Medicaid Payments in Cerritos, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $16,486,973 58.6%
2 Medicine Services and Procedures $3,720,067 13.2%
3 Alcohol and Drug Abuse Treatment $3,581,093 12.7%
4 Evaluation and Management $2,788,682 9.9%
5 Procedures / Professional Services $688,716 2.4%
6 National Codes Established for State Medicaid Agencies $496,844 1.8%
7 Dental Services $256,808 0.9%
8 Durable Medical Equipment $65,479 0.2%
9 Temporary National Codes (Non-Medicare) $30,520 0.1%
10 Surgery $23,130 0.1%
11 Radiology Procedures $4,651 <0.1%
12 Drugs Administered Other than Oral Method $3,661 <0.1%
13 Vision Services $3,492 <0.1%
14 Anesthesia $2,582 <0.1%
15 Medical And Surgical Supplies $987 <0.1%
16 Pathology and Laboratory Procedures $107 <0.1%
17 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Cerritos, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $98,254 21
D0150 Comprehensve oral evaluation $44,106 18
D0230 Intraoral periapical ea add $36,950 30
D0145 Oral evaluation, pt < 3yrs $24,259 11
D0220 Intraoral periapical first $21,148 24
D0603 Caries risk assess high risk $10,191 13
D0350 Oral/facial photo images $8,470 16
D0602 Caries risk assess mod risk $7,080 11
D0272 Dental bitewings two images $3,360 11
D0210 Intraor comprehensive series $2,448 4
D0274 Bitewings four images $540 2

Note: HCPCS codes are provided for context within the category. Summaries and rankings use standardized service groupings instead of individual billing codes.

This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.



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