Riverbank Medicaid dental service payments reach $346,376 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Riverbank Medicaid providers collected $346,376 for services in the Dental Services category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure reflects a 48.2% rise over 2023, when the total was $233,798 for the same category.

Medicaid is a public health insurance program administered by states and funded by federal and state governments together. The program covers low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Because taxpayer dollars support Medicaid payments, shifts in local billing show how public health funds are spent within a community.

The “Dental Services” category refers to a set of Medicaid-billed services identified by the care type, using standardized HCPCS and CPT code groupings. In conducting this analysis, each billing code was assigned to a single service category based on consistent code prefixes and ranges, which enabled grouping related services, avoided duplicating claims, and maintained accurate rankings over time.

While spending grew in multiple Medicaid categories, Dental Services stood as the second largest by total payments in Riverbank for 2024.

Statewide in California, Dental Services was the 11th category by total Medicaid payments in 2024.

Between 2020 and 2024, Medicaid spending on Dental Services in Riverbank saw an increase of $208,030, or 150.4%. Growth in spending accelerated at certain points, with significant annual increases in 2021 and 2020.

Dental Services payments in Riverbank were distributed throughout the city, yet were concentrated in a small number of ZIP codes. In 2024, ZIP code 95367 accounted for $346,375 in Medicaid payments related to Dental Services. This ZIP code represented 100% of the city’s Dental Services Medicaid payments for that year.

Within this category, the majority of Medicaid payments were associated with a limited number of specific billing codes.

When comparing the rate of growth, Medicaid payments for Dental Services in Riverbank climbed 48.2% from 2023 to 2024, compared to a 17.8% increase across all Medicaid claim categories locally over the same period.

Centers for Medicare & Medicaid Services data reports that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which was nearly 18% of total national health expenditures. This was up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge represents approximately 40% growth in just a few years, mainly stemming from increased enrollment and greater utilization during and following the pandemic period.

Recent federal budget legislation under the Trump administration included major proposals to decrease federal Medicaid funding and modify the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. The law also introduces measures such as work requirements and higher cost-sharing, potentially lowering coverage and funding for some recipients. These changes will likely shift more financial responsibility to states and slow federal funding growth for Medicaid, even as it continues to cover tens of millions across the country.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $138,346 23.5%
2021 $274,212 98.2%
2022 $282,638 3.1%
2023 $233,797 -17.3%
2024 $346,375 48.2%
Top Categories by Medicaid Payments in Riverbank, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $9,371,013 95.8%
2 Dental Services $346,375 3.5%
3 Medicine Services and Procedures $52,587 0.5%
4 Evaluation and Management $7,704 0.1%
5 Pathology and Laboratory Procedures $0 <0.1%
5 Procedures / Professional Services $0 <0.1%
5 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Riverbank, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0150 Comprehensve oral evaluation $184,823 29
D0210 Intraor comprehensive series $55,968 21
D0350 Oral/facial photo images $45,561 12
D0120 Periodic oral evaluation $35,193 16
D0230 Intraoral periapical ea add $13,490 18
D0274 Bitewings four images $8,920 15
D0330 Panoramic image $1,170 3
D0220 Intraoral periapical first $636 3
D0272 Dental bitewings two images $612 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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