Medicaid dental payments in Pico Rivera rose to $842,101 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, providers in Pico Rivera submitted Medicaid claims totaling $842,101 for services within the Dental Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 2.2% gain from 2023, when claims for these services amounted to $824,048.

Medicaid is a government-funded health insurance program operated by the states and supported by both the federal and state governments. The program serves a broad population—including low-income individuals, families, children, seniors, and people with disabilities—making it a major segment of the national health care system.

Because taxpayer dollars fund Medicaid payments, variations in local billing help illustrate the allocation of public health care funding throughout the community.

The “Dental Services” category encompasses a defined set of Medicaid-paid care types, designated based on established HCPCS and CPT code ranges. For this report, each billing code was assigned a single service category through consistent code prefix groupings, which allowed similar procedures to be tracked together while preventing redundancy and ensuring accurate ranking.

Of all service categories, Dental Services placed second for total Medicaid payments in Pico Rivera in 2024 as multiple categories saw higher spending.

Across California, Dental Services ranked as the 11th-largest category for Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments in Pico Rivera linked to Dental Services rose by $447,928, or 113.6%. The rate of spending accelerated in some years, with particularly significant annual increases observed in 2021 and 2022.

Though Dental Services payments were made for care provided across the city, funding was concentrated within a small number of ZIP codes. Specifically, the 90660 ZIP code received $842,100 in Medicaid Dental Services payments in 2024. The highest-billed ZIP code represented 100% of Pico Rivera’s payments for this category during the year.

Dentistry-related Medicaid dollars in this category were concentrated around a few top individual billing codes.

Between 2024 and 2023, Medicaid disbursements for Pico Rivera Dental Services increased 2.2%, compared to a 6.1% rise for all Medicaid claim categories citywide during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures were about $871.7 billion in fiscal year 2023, or roughly 18% of national health spending, a jump from $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This increase amounts to a growth of around 40% over several years, primarily driven by higher enrollment and use following the pandemic’s onset.

Major budget proposals passed during the Trump administration have aimed to significantly reduce federal funding and redesign Medicaid’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to eliminate more than $1 trillion in federal Medicaid funding over a decade, introducing provisions like work requirements and higher cost-sharing that could affect beneficiary benefits and spending. These measures are expected to transfer more Medicaid costs to states and curb the expansion of federal contributions, maintaining federal support as the program covers millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $394,173 8%
2021 $542,760 37.7%
2022 $699,262 28.8%
2023 $824,048 17.8%
2024 $842,100 2.2%
Top Categories by Medicaid Payments in Pico Rivera, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $22,204,819 93.2%
2 Dental Services $842,100 3.5%
3 Evaluation and Management $488,187 2%
4 Medicine Services and Procedures $240,063 1%
5 Procedures / Professional Services $36,449 0.2%
6 Vision Services $10,021 <0.1%
7 Pathology and Laboratory Procedures $6,337 <0.1%
8 Surgery $4,475 <0.1%
9 Alcohol and Drug Abuse Treatment $80 <0.1%
10 Temporary National Codes (Non-Medicare) $12 <0.1%
11 Drugs Administered Other than Oral Method $0 <0.1%
12 Radiology Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Pico Rivera, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $238,454 155
D0150 Comprehensve oral evaluation $180,383 139
D0230 Intraoral periapical ea add $108,867 199
D0350 Oral/facial photo images $100,888 96
D0210 Intraor comprehensive series $73,877 77
D0274 Bitewings four images $43,555 101
D0340 2d cephalometric image $40,850 31
D0330 Panoramic image $29,092 63
D0220 Intraoral periapical first $11,154 48
D0140 Limit oral eval problm focus $5,635 13
D0272 Dental bitewings two images $5,517 31
D0603 Caries risk assess high risk $3,825 16

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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