Medicaid Dental Services billing in Corcoran climbs to $105,120 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Corcoran Medicaid providers charged $105,120 for services under the Dental Services category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This represented an 8.5% increase from 2023, when providers filed $96,886 in claims for the same category.

Medicaid is a state-run health insurance program funded jointly by federal and state governments. The program provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Because Medicaid spending comes from taxpayers, shifts in local billing indicate how a community’s public health care funds are utilized.

The “Dental Services” classification comprises groups of Medicaid-billed services defined by the type of care delivered, according to standardized HCPCS and CPT codes. For this analysis, each billing code was mapped to a single service group using consistent code ranges and prefixes, allowing related services to be analyzed together while preventing double counting and ensuring accurate rankings over time.

Even as overall Medicaid spending increased across several categories, Dental Services came in second among Medicaid service categories by total payments in Corcoran during 2024.

Statewide, the Dental Services category was ranked 11th in California in total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments for Dental Services in Corcoran grew by $77,065, a rise of 274.7%. Notable surges in annual spending were recorded in 2021 and 2023.

Dental Services payments were distributed across the city but highly concentrated in a few ZIP codes. In 2024, ZIP code 93212 accounted for $105,120 in such payments, representing 100% of the Dental Services Medicaid payments in Corcoran that year.

Within Dental Services, Medicaid expenditures were focused among a relatively small set of billing codes.

Comparing year-over-year trends, Corcoran’s Medicaid payments for Dental Services rose 8.5% from 2023 to 2024, while the city as a whole saw a 9.2% rise in all Medicaid claim categories over the same period.

The Centers for Medicare & Medicaid Services reported that combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023, comprising around 18% of national health expenditures and jumping from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase marks nearly 40% growth in just a few years, largely driven by higher enrollment and service utilization during and following the pandemic.

Federal budget changes under the Trump administration introduced major proposals to decrease Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and includes policies like expanded work requirements and increased cost-sharing for beneficiaries, which may decrease coverage and funding for some. These provisions are poised to shift more costs to the states and reduce the pace of federal Medicaid funding growth as the program continues covering tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $28,054 -32.6%
2021 $46,490 65.7%
2022 $61,995 33.4%
2023 $96,886 56.3%
2024 $105,120 8.5%
Top Categories by Medicaid Payments in Corcoran, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $3,532,773 95.5%
2 Dental Services $105,120 2.8%
3 Medicine Services and Procedures $42,026 1.1%
4 Evaluation and Management $17,429 0.5%
5 Pathology and Laboratory Procedures $80 <0.1%
6 Medical And Surgical Supplies $8 <0.1%
7 Drugs Administered Other than Oral Method $0 <0.1%
7 Procedures / Professional Services $0 <0.1%
7 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Corcoran, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $34,930 29
D0150 Comprehensve oral evaluation $28,841 15
D0210 Intraor comprehensive series $16,128 13
D0230 Intraoral periapical ea add $11,121 42
D0350 Oral/facial photo images $7,161 12
D0274 Bitewings four images $5,486 29
D0220 Intraoral periapical first $792 17
D0272 Dental bitewings two images $660 6
D0270 Dental bitewing single image $0 3
D0603 Caries risk assess high risk $0 3

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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