La Verne Medicaid dental payments rise 49.7% in 2024, hitting $85,889

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in La Verne billed $85,889 for Dental Services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 49.7% rise from 2023, when claims for the same service type totaled $57,359.

Medicaid is a state-administered, federally and state-funded public health insurance program. It serves low-income residents, seniors, children, and individuals with disabilities, making it one of the largest components of the United States health care system. Learn more about Medicaid funding here.

Since Medicaid costs are paid by taxpayers, local changes in billing show how public funds for health care are distributed in a particular community.

The “Dental Services” category encompasses services billed through Medicaid that are defined by care type and grouped using standardized HCPCS and CPT code ranges and prefixes. This analysis assigned each billing code to a single service category, avoiding overlap and double counting, to provide more accurate comparisons and trend data over time.

Dental Services was the fourth-largest Medicaid service category in La Verne by total payments in 2024, even as spending rose in several other categories.

Across California, Dental Services ranked 11th in total Medicaid payments for 2024.

From 2019 through 2024, Dental Services payments in La Verne under Medicaid increased by $64,648, or 304.4%. Larger year-over-year gains were recorded in both 2022 and 2023.

Although Dental Services spending was reported throughout La Verne, most payments were concentrated in a few ZIP codes. In 2024, ZIP code 91750 accounted for $85,888 of Dental Services Medicaid payments, making up 100% of spending for this care category in the city that year.

Payment distribution within Dental Services was further concentrated among a narrow set of billing codes.

Medicaid payments for Dental Services in La Verne climbed 49.7% between 2023 and 2024, while overall Medicaid claims citywide rose 50.6% during the same span.

Data from the Centers for Medicare & Medicaid Services shows that nationwide Medicaid spending—federally and state funded—reached about $871.7 billion in fiscal 2023, representing approximately 18% of total national health expenditures, up sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase amounts to a growth of about 40% over a few years, with rising enrollment and increased service usage during and after the pandemic period as major factors.

Recent federal budget acts under the Trump administration have put forward substantial plans to reduce federal Medicaid contributions and reconfigure the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, includes projections of over $1 trillion in federal Medicaid cuts over the next 10 years and brings in measures like stricter work requirements and greater cost-sharing, potentially reducing coverage and shifting costs from the federal government to state programs as Medicaid remains a crucial safety net for millions.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $21,240 -26.5%
2021 $22,502 5.9%
2022 $46,727 107.7%
2023 $57,359 22.8%
2024 $85,888 49.7%
Top Categories by Medicaid Payments in La Verne, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $379,533 27.8%
2 Enteral and Parenteral Therapy $370,512 27.1%
3 Pathology and Laboratory Procedures $317,689 23.3%
4 Dental Services $85,888 6.3%
5 Ambulance and Other Transport Services and Supplies $77,162 5.6%
6 Temporary National Codes (Non-Medicare) $65,940 4.8%
7 Medicine Services and Procedures $50,981 3.7%
8 Vision Services $9,289 0.7%
9 Durable Medical Equipment $4,233 0.3%
10 Diagnostic Radiology Services $2,716 0.2%
11 Procedures / Professional Services $1,337 0.1%
12 Temporary Codes $339 <0.1%
13 Pathology and Laboratory Services $297 <0.1%
14 Radiology Procedures $239 <0.1%
15 Surgery $147 <0.1%
16 Drugs Administered Other than Oral Method $10 <0.1%
17 Administrative, Miscellaneous and Investigational $4 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in La Verne, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0150 Comprehensve oral evaluation $25,899 20
D0120 Periodic oral evaluation $22,160 13
D0210 Intraor comprehensive series $14,136 16
D0350 Oral/facial photo images $12,912 13
D0274 Bitewings four images $5,551 12
D0230 Intraoral periapical ea add $4,714 17
D0220 Intraoral periapical first $516 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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