In 2024, Medicaid providers in Lake Elsinore submitted $1,039,565 in claims for services under the Dental Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 2.3% increase from 2023, when providers billed $1,015,993 for these services.
Medicaid is a state-administered public health insurance program, jointly funded by state and federal governments. Covering low-income populations, the elderly, children and people with disabilities, it represents one of the largest components of the U.S. health care system. For more on Medicaid finances, see this explainer.
Because Medicaid funds are taxpayer-sourced, variations in local billing reveal how public health care dollars are utilized in the area.
The “Dental Services” group encompasses Medicaid-billed procedures defined by service type, organized under standardized HCPCS and CPT code groupings. Billing codes were assigned to a single service group for analysis, using consistent code prefixes and numbers, ensuring related procedures could be reviewed together while avoiding duplicated totals and maintaining accurate rankings across years.
Medicaid spending climbed in several service classifications in 2024, with Dental Services placing second among all Medicaid payment categories in Lake Elsinore.
Across California, Dental Services ranked 11th among service categories for total Medicaid payments in 2024.
Over the five years prior to 2024, Medicaid payments related to Dental Services in Lake Elsinore increased by $575,060, a 123.8% climb. Growth in spending accelerated during particular periods, notably in 2021 and 2022, when larger annual increases were observed.
While Dental Services claims came from throughout Lake Elsinore, payments were highly concentrated in just a few ZIP codes. In 2024, the 92532 ZIP code led with $580,810 in Medicaid dental payments, followed by 92530 with $458,754. Collectively, these 2 ZIP codes comprised 100% of all Medicaid payments for Dental Services in the city for the year.
Within Dental Services, most Medicaid payments were tied to a select group of billing codes.
For context, Medicaid Dental Services payments in Lake Elsinore rose 2.3% from 2023 to 2024, while citywide Medicaid claim categories overall grew by 11% in the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, representing roughly 18% of all national health spending—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth reflects about a 40% gain over several years, driven mainly by higher enrollment and increased use of services during and after the pandemic.
Federal budget measures under the Trump administration recently featured major proposals to reduce federal contributions to Medicaid and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the next decade and introduces changes such as work requirements and higher cost-sharing, which could lead to reduced coverage and funding for some enrollees. These changes are projected to shift additional costs to states and may slow the increase in federal Medicaid support, while the program continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $464,505 | -11.2% |
| 2021 | $904,114 | 94.6% |
| 2022 | $992,130 | 9.7% |
| 2023 | $1,015,993 | 2.4% |
| 2024 | $1,039,565 | 2.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,778,270 | 62.4% |
| 2 | Dental Services | $1,039,565 | 13.6% |
| 3 | Medicine Services and Procedures | $871,538 | 11.4% |
| 4 | Alcohol and Drug Abuse Treatment | $554,165 | 7.2% |
| 5 | Evaluation and Management | $363,157 | 4.7% |
| 6 | Vision Services | $26,879 | 0.4% |
| 7 | Procedures / Professional Services | $15,757 | 0.2% |
| 8 | Durable Medical Equipment | $8,986 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $1,681 | <0.1% |
| 10 | Medical And Surgical Supplies | $548 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $99 | <0.1% |
| 12 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $307,807 | 122 |
| D0150 | Comprehensve oral evaluation | $254,253 | 130 |
| D0210 | Intraor comprehensive series | $140,885 | 115 |
| D0230 | Intraoral periapical ea add | $127,728 | 152 |
| D0350 | Oral/facial photo images | $101,587 | 90 |
| D0274 | Bitewings four images | $68,874 | 111 |
| D0220 | Intraoral periapical first | $12,612 | 47 |
| D0272 | Dental bitewings two images | $11,196 | 50 |
| D0330 | Panoramic image | $9,540 | 19 |
| D0340 | 2d cephalometric image | $4,250 | 4 |
| D0140 | Limit oral eval problm focus | $446 | 1 |
| D0603 | Caries risk assess high risk | $195 | 1 |
| D0270 | Dental bitewing single image | $190 | 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.