Medicaid providers in Rialto billed $3,180,654 for Dental Services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected an 11.5% rise from 2023, when $2,853,169 in claims for Dental Services were submitted.
Medicaid, a state-administered public health insurance program funded by both federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It is among the largest components of the U.S. health care system.
Because taxpayers finance Medicaid, variations in local billing reflect shifts in how public health care dollars are allocated within a community.
The “Dental Services” classification represents a set of Medicaid services grouped by care type, using standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category with consistent code prefixes and numerical ranges, allowing for group analysis without double counting and maintaining accuracy in rankings over time.
Dental Services led all Medicaid categories in Rialto for total payments in 2024, outpacing other service groups.
Statewide, Dental Services ranked 11th for total Medicaid payments in California in 2024.
Over the five years prior to 2024, Rialto saw an increase of $2,190,044—or 221.1%—in Medicaid spending for Dental Services. The rate of spending growth accelerated in select periods, with significant gains seen in 2021 and 2022.
Dental Services spending was distributed across Rialto, but most payments were concentrated in a few ZIP codes. In 2024, ZIP codes 92376 and 92377 accounted for all Dental Services Medicaid payments in the city, totaling $3,157,028 and $23,625, respectively.
Medicaid dollars for Dental Services in Rialto were focused on a small number of individual billing codes.
For context, Medicaid payments for Dental Services in Rialto increased by 11.5% between 2024 and 2023, while overall Medicaid claims in the city rose by 4.9% in the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, representing around 18% of all national health spending. This is an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents approximately 40% growth over a few years, mainly due to increased enrollment and higher utilization rates during and after the pandemic.
Federal budget measures under the Trump administration introduced major changes to the Medicaid program and funding. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid funding by over $1 trillion over the next 10 years and enacts policies such as work requirements and higher cost-sharing. These changes may limit coverage and funding for some beneficiaries and shift more costs onto states, even as Medicaid continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $990,609 | -25.7% |
| 2021 | $1,854,541 | 87.2% |
| 2022 | $2,446,300 | 31.9% |
| 2023 | $2,853,169 | 16.6% |
| 2024 | $3,180,654 | 11.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $3,180,654 | 32.4% |
| 2 | Medicine Services and Procedures | $1,716,186 | 17.5% |
| 3 | National Codes Established for State Medicaid Agencies | $1,708,272 | 17.4% |
| 4 | Surgery | $1,178,653 | 12% |
| 5 | Evaluation and Management | $962,199 | 9.8% |
| 6 | Ambulance and Other Transport Services and Supplies | $605,328 | 6.2% |
| 7 | Vision Services | $225,968 | 2.3% |
| 8 | Pathology and Laboratory Procedures | $111,226 | 1.1% |
| 9 | Procedures / Professional Services | $74,394 | 0.8% |
| 10 | Alcohol and Drug Abuse Treatment | $38,516 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $5,694 | 0.1% |
| 12 | Radiology Procedures | $1,548 | <0.1% |
| 13 | Temporary National Codes (Non-Medicare) | $747 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $1,048,594 | 241 |
| D0150 | Comprehensve oral evaluation | $693,931 | 272 |
| D0230 | Intraoral periapical ea add | $374,690 | 300 |
| D0210 | Intraor comprehensive series | $284,997 | 202 |
| D0350 | Oral/facial photo images | $240,030 | 177 |
| D0274 | Bitewings four images | $173,689 | 230 |
| D0145 | Oral evaluation, pt < 3yrs | $115,445 | 40 |
| D0603 | Caries risk assess high risk | $85,928 | 60 |
| D0272 | Dental bitewings two images | $57,730 | 97 |
| D0220 | Intraoral periapical first | $51,295 | 77 |
| D0330 | Panoramic image | $25,560 | 52 |
| D0140 | Limit oral eval problm focus | $17,447 | 19 |
| D0601 | Caries risk assess low risk | $10,895 | 15 |
| D0270 | Dental bitewing single image | $420 | 6 |
Note: HCPCS codes are provided for context within the category. Rankings and totals in this article are based on standardized groupings, not individual codes.
Source: U.S. Department of Health and Human Services Medicaid Provider Spending database. Data are available here.
