Medicaid dental services spending rises to $170,714 in Winchester, California in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Winchester billed $170,714 for services within the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This total was up 64.6% compared with 2023, when $103,687 was billed for the same services.

Medicaid is a public health insurance initiative overseen by state governments with joint federal and state funding, as described by the Commonwealth Fund. The program serves low-income individuals and families, older adults, children, and people with disabilities, making up a substantial segment of the national health care system.

Because taxpayer funds support Medicaid, shifts in local billing reflect how a community’s public health care resources are directed.

The “Dental Services” category covers a range of Medicaid-billed services defined by the nature of care provided, using established HCPCS and CPT code groupings. This analysis assigned each billing code to a single service group by code prefixes and number ranges, helping group related services for review while preventing double counting and supporting accurate rankings over time.

Although Medicaid outlays climbed across several service areas, Dental Services stood as the top category by total Medicaid payments in Winchester for 2024.

Statewide, Dental Services placed 11th among all Medicaid payment categories in California in 2024.

Over the five-year span through 2024, Medicaid payments for Dental Services in Winchester rose by $167,515, or 5235.6%. Some years, such as 2023 and 2021, saw significant annual increases.

Dental Services spending was allocated throughout Winchester but was highly concentrated within a few ZIP codes. In 2024, ZIP code 92596 recorded the highest payments at $170,713. Together, the leading ZIP code accounted for 100% of Medicaid payments for Dental Services in Winchester during the year.

Within Dental Services, Medicaid payments were also limited to a small selection of billing codes.

Comparatively, Dental Services Medicaid payments in Winchester grew 64.6% between 2024 and 2023, while total Medicaid payments across all categories in the city went up by 60.4% over the same period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, accounting for about 18% of total national health costs. This is a considerable increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents an increase of about 40% in a few years, largely attributed to expanded enrollment and greater utilization during and after the pandemic.

Federal budget laws under the Trump administration included proposals to cut Medicaid funds and alter the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next decade and establish policies like work requirements and higher cost-sharing. These changes are expected to shift a larger share of costs to states and slow the increase of federal Medicaid funding, even as the program continues to assist tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $3,199
2021 $15,936 398.1%
2022 $12,301 -22.8%
2023 $103,687 742.9%
2024 $170,713 64.6%
Top Categories by Medicaid Payments in Winchester, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $170,713 10<0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Winchester, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0150 Comprehensve oral evaluation $51,202 31
D0120 Periodic oral evaluation $36,138 18
D0350 Oral/facial photo images $30,489 29
D0210 Intraor comprehensive series $20,672 18
D0230 Intraoral periapical ea add $13,213 26
D0274 Bitewings four images $5,788 16
D0603 Caries risk assess high risk $5,685 11
D0145 Oral evaluation, pt < 3yrs $4,015 4
D0272 Dental bitewings two images $2,928 10
D0140 Limit oral eval problm focus $490 1
D0330 Panoramic image $90 1

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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