Dental Services Medicaid payments in Apple Valley climb 1.9% to nearly $2 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Apple Valley Medicaid providers reported $1,980,830 in 2024 billings for services in the Dental Services category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 1.9% uptick from the $1,944,591 submitted for the same category in 2023.

Medicaid operates as a public health insurance program funded jointly by state and federal governments and administered by the states. The program provides coverage for low-income families and individuals, senior citizens, children, and people with disabilities, making it among the nation’s largest health care payers.

Since taxpayer dollars fund Medicaid payments, changes in the amount billed locally help illustrate where public health care resources flow within a community.

The “Dental Services” category is defined by types of Medicaid-billed care that fall within standardized HCPCS and CPT code groupings. In this analysis, each billing code was assigned to a single category following set prefixes and numeric ranges, helping enable accurate comparisons over time while preventing double counting.

While Medicaid spending went up across several categories, Dental Services ranked sixth in Apple Valley for total Medicaid payments in 2024.

For California as a whole, Dental Services was the 11th highest category based on total Medicaid payments in 2024.

Looking at the five years ending in 2024, Medicaid billing for Dental Services in Apple Valley grew by $814,055, or 69.8%. Spending growth accelerated during select periods, showing significant year-over-year rises in both 2022 and 2021.

Though Dental Services spending was distributed citywide, the majority was concentrated in a few ZIP codes. The highest Medicaid payments in 2024 were recorded in ZIP codes 92308, at $1,017,509, and 92307, with $963,320. Together, these 2 ZIP codes made up all Medicaid payments in the Dental Services category in Apple Valley for the year.

Within the category, a small number of individual billing codes accounted for most Medicaid payments.

In comparison, Apple Valley observed a 1.9% year-over-year increase in Medicaid payments for Dental Services between 2024 and 2023, contrasted with a 3.3% rise across all Medicaid claim categories in the city over the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid payments reached around $871.7 billion for fiscal year 2023, about 18% of overall U.S. health expenditures—a sharp increase from approximately $613.5 billion in 2019, the year before the COVID-19 pandemic.

This reflects an increase of about 40% over a few years, influenced primarily by higher enrollment and utilization in the pandemic and post-pandemic period.

Recent federal budget laws passed under the Trump administration contain major proposals to reduce federal Medicaid contributions and modify the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is slated to cut over $1 trillion from federal Medicaid support during the coming decade. The law establishes new work requirements and cost-sharing measures expected to impact coverage and funding for some recipients, with costs shifting more to states and restricting the expansion of federal assistance, even as the program covers tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $1,166,774 -16%
2021 $1,445,331 23.9%
2022 $1,813,374 25.5%
2023 $1,944,590 7.2%
2024 $1,980,829 1.9%
Top Categories by Medicaid Payments in Apple Valley, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary Codes $10,943,346 26%
2 Evaluation and Management $9,252,883 22%
3 Medicine Services and Procedures $5,950,173 14.1%
4 Radiology Procedures $2,693,404 6.4%
5 Surgery $2,651,412 6.3%
6 Dental Services $1,980,829 4.7%
7 Durable Medical Equipment $1,867,771 4.4%
8 Drugs Administered Other than Oral Method $1,661,928 4%
9 Pathology and Laboratory Procedures $1,568,922 3.7%
10 Hearing Services $1,559,745 3.7%
11 Alcohol and Drug Abuse Treatment $995,473 2.4%
12 Medical And Surgical Supplies $319,542 0.8%
13 Procedures / Professional Services $295,295 0.7%
14 Anesthesia $159,209 0.4%
15 Administrative, Miscellaneous and Investigational $44,308 0.1%
16 Orthotic Procedures and services $37,975 0.1%
17 Pathology and Laboratory Services $36,301 0.1%
18 Temporary National Codes (Non-Medicare) $28,691 0.1%
19 Durable medical equipment (DME) Medicare administrative contractors (MACs) $11,340 <0.1%
20 Outpatient PPS $2,390 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Apple Valley, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $715,747 127
D0150 Comprehensve oral evaluation $417,017 125
D0210 Intraor comprehensive series $224,964 93
D0230 Intraoral periapical ea add $217,923 142
D0274 Bitewings four images $122,423 92
D0330 Panoramic image $69,660 61
D0350 Oral/facial photo images $51,274 60
D0145 Oral evaluation, pt < 3yrs $46,261 26
D0220 Intraoral periapical first $38,940 76
D0272 Dental bitewings two images $35,764 80
D0603 Caries risk assess high risk $22,858 35
D0602 Caries risk assess mod risk $9,285 22
D0601 Caries risk assess low risk $4,371 19
D0140 Limit oral eval problm focus $3,605 6
D0270 Dental bitewing single image $733 8

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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