Providers in Hemet billed $2,884,243 to Medicaid for services under the Dental Services category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.5% rise compared with 2023, when $2,785,824 was billed for the same services.
Medicaid operates as a public health insurance program, administered by states and funded through both federal and state dollars. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a key component of the U.S. health care system.
Because Medicaid dollars originate from taxpayers, shifts in billing levels locally help indicate how public health care resources are distributed in a given community.
The “Dental Services” category groups Medicaid-billed services according to the care delivered, organized by standardized HCPCS and CPT code ranges. For the purposes of this analysis, each billing code was matched to a single service category using code prefixes and ranges to ensure accurate ranking and prevent double counting over time.
Though Medicaid payments grew across several categories, Dental Services was the fifth largest Medicaid payment category in Hemet in 2024.
On a statewide level in California, Dental Services ranked 11th by total Medicaid payments this year.
From 2019 through 2024, Medicaid payments for Dental Services in Hemet increased by $1,575,765, equating to a 120.4% rise. Periods of faster growth were observed, with considerable year-over-year increases seen in 2021 and 2022.
Although payments spanned the city, the distribution of Medicaid spending for Dental Services was highly concentrated within a few ZIP codes. In 2024, ZIP code 92543 accounted for $1,598,302, while 92545 received $1,103,900, and 92544 recorded $182,040. Altogether, these three ZIP codes represented the full sum of Medicaid payments in the Dental Services category in Hemet during the year.
Within this service group, Medicaid payments were clustered among a small set of individual billing codes.
Comparatively, Dental Services Medicaid payments in Hemet grew 3.5% from 2023 to 2024, versus a 7.7% increase across all Medicaid claim categories in the city over the same time.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which made up approximately 18% of total U.S. health expenditures. That figure has increased sharply from about $613.5 billion in 2019, before the COVID-19 pandemic.
This rise amounts to growth of nearly 40% in several years, largely driven by expanded enrollment and greater utilization during and after the pandemic.
Recent federal budget measures during the Trump administration have included notable proposals to scale back federal Medicaid funding and change how the program operates. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut more than $1 trillion in federal Medicaid expenditures over the next decade. The law introduces elements such as work requirements and increased cost-sharing, potentially reducing coverage for some beneficiaries and shifting financial responsibility to states, even as Medicaid continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,308,477 | -14% |
| 2021 | $1,934,146 | 47.8% |
| 2022 | $2,431,108 | 25.7% |
| 2023 | $2,785,823 | 14.6% |
| 2024 | $2,884,243 | 3.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $47,999,692 | 55.8% |
| 2 | Evaluation and Management | $13,392,917 | 15.6% |
| 3 | Medicine Services and Procedures | $7,130,914 | 8.3% |
| 4 | Surgery | $3,242,364 | 3.8% |
| 5 | Dental Services | $2,884,243 | 3.4% |
| 6 | Ambulance and Other Transport Services and Supplies | $2,710,134 | 3.1% |
| 7 | Pathology and Laboratory Procedures | $2,678,563 | 3.1% |
| 8 | Radiology Procedures | $1,501,112 | 1.7% |
| 9 | Temporary National Codes (Non-Medicare) | $1,263,369 | 1.5% |
| 10 | Procedures / Professional Services | $1,209,490 | 1.4% |
| 11 | Alcohol and Drug Abuse Treatment | $720,411 | 0.8% |
| 12 | Temporary Codes | $414,673 | 0.5% |
| 13 | Hearing Services | $344,798 | 0.4% |
| 14 | Drugs Administered Other than Oral Method | $243,778 | 0.3% |
| 15 | Anesthesia | $216,878 | 0.3% |
| 16 | Vision Services | $52,048 | 0.1% |
| 17 | Chemotherapy Drugs | $40,531 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $10,395 | <0.1% |
| 19 | Medical And Surgical Supplies | $4,003 | <0.1% |
| 20 | Pathology and Laboratory Services | $3,545 | <0.1% |
| 21 | Coronavirus Diagnostic Panel | $2,245 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $906,280 | 266 |
| D0150 | Comprehensve oral evaluation | $692,846 | 276 |
| D0230 | Intraoral periapical ea add | $371,316 | 314 |
| D0210 | Intraor comprehensive series | $262,016 | 196 |
| D0350 | Oral/facial photo images | $215,860 | 179 |
| D0274 | Bitewings four images | $201,702 | 221 |
| D0330 | Panoramic image | $91,710 | 78 |
| D0272 | Dental bitewings two images | $43,161 | 87 |
| D0220 | Intraoral periapical first | $31,259 | 71 |
| D0145 | Oral evaluation, pt < 3yrs | $30,642 | 18 |
| D0603 | Caries risk assess high risk | $17,812 | 36 |
| D0140 | Limit oral eval problm focus | $11,620 | 20 |
| D0602 | Caries risk assess mod risk | $5,910 | 15 |
| D0270 | Dental bitewing single image | $1,115 | 11 |
| D0601 | Caries risk assess low risk | $990 | 5 |
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.