Hesperia Medicaid providers submitted $1,533,715 in bills for dental services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 21.8% rise over 2023, when $1,259,447 in claims for the same category were filed.
Medicaid, the public health insurance program funded by both federal and state governments, covers low-income residents, seniors, children and people with disabilities, making it a substantial part of American health care.
Fluctuations in local Medicaid billing levels—as the payments are publicly funded—indicate how health care resources are distributed within a community.
The Dental Services category is determined based on groups of care divided by standardized HCPCS and CPT code ranges. In this report, each billing code is matched to a single service category by code prefix and number, helping to ensure total accuracy and avoid counting overlaps for examined services over time.
The data reveals that dental services ranked as the third-largest Medicaid payment category in Hesperia in 2024, though overall Medicaid spending climbed in several service groups.
Across California, dental services held the No. 11 spot by total Medicaid payments in 2024.
Over the five-year period leading to 2024, Medicaid dental service payments in Hesperia increased by $888,440, or 137.7%. The pace of spending climbed more rapidly in select periods, especially in 2021 and 2023 with significant year-over-year increases.
Spending for dental care through Medicaid spanned the city, but most payments concentrated within a small number of ZIP codes. In 2024, the ZIP code with the highest payment for these services was 92345, totaling $1,533,714. The top ZIP code accounted for 100% of total Medicaid dental spending in the city for the year.
Medicaid dental payments were also limited to a small range of billing codes within the broader category.
For additional context, Medicaid dental service payments climbed 21.8% in Hesperia from 2023 to 2024, compared to a broader 56.6% rise across all Medicaid categories in the city for that timeframe.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, or roughly 18% of total U.S. health expenses, up from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The shift marks growth nearing 40% over a few years, largely tied to broader enrollment and increased service use during and after the pandemic.
Recently enacted federal budget measures during the Trump administration include significant proposals for reduced federal Medicaid funding and shifts in program structure. For example, the “One Big Beautiful Bill Act,” signed in 2025, is anticipated to reduce federal Medicaid outlays by more than $1 trillion in the coming decade and add work requirements and higher cost-sharing to eligibility, paths that could limit both funding and coverage for some groups. These changes are projected to pass more responsibility to states and slow federal Medicaid growth as millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $645,275 | -12.3% |
| 2021 | $913,506 | 41.6% |
| 2022 | $1,041,617 | 14% |
| 2023 | $1,259,447 | 20.9% |
| 2024 | $1,533,714 | 21.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,913,530 | 33.3% |
| 2 | Medicine Services and Procedures | $3,162,440 | 26.9% |
| 3 | Dental Services | $1,533,714 | 13.1% |
| 4 | Temporary National Codes (Non-Medicare) | $1,206,480 | 10.3% |
| 5 | Alcohol and Drug Abuse Treatment | $816,167 | 7% |
| 6 | Evaluation and Management | $423,959 | 3.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $408,082 | 3.5% |
| 8 | Vision Services | $132,259 | 1.1% |
| 9 | Procedures / Professional Services | $111,088 | 0.9% |
| 10 | Drugs Administered Other than Oral Method | $19,388 | 0.2% |
| 11 | Surgery | $6,834 | 0.1% |
| 12 | Temporary Codes | $3,922 | <0.1% |
| 13 | Pathology and Laboratory Procedures | $2,530 | <0.1% |
| 14 | Anesthesia | $2,379 | <0.1% |
| 15 | Medical And Surgical Supplies | $8 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $469,500 | 138 |
| D0150 | Comprehensve oral evaluation | $409,752 | 179 |
| D0230 | Intraoral periapical ea add | $179,811 | 167 |
| D0210 | Intraor comprehensive series | $172,924 | 125 |
| D0274 | Bitewings four images | $85,454 | 121 |
| D0350 | Oral/facial photo images | $77,288 | 78 |
| D0145 | Oral evaluation, pt < 3yrs | $41,282 | 24 |
| D0272 | Dental bitewings two images | $32,728 | 57 |
| D0603 | Caries risk assess high risk | $21,738 | 32 |
| D0220 | Intraoral periapical first | $19,566 | 53 |
| D0330 | Panoramic image | $12,750 | 29 |
| D0602 | Caries risk assess mod risk | $5,850 | 16 |
| D0140 | Limit oral eval problm focus | $3,438 | 7 |
| D0601 | Caries risk assess low risk | $990 | 3 |
| D0270 | Dental bitewing single image | $640 | 10 |
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.