Medicaid Dental Services payments in Rocklin jumped 73.3% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Rocklin billed $396,262 for services under the Dental Services category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an increase of 73.3% compared with 2023, when $228,665 in claims were submitted for the same services.

Medicaid is a public health insurance program administered by states and funded in partnership by federal and state governments. The program covers low-income residents, families, seniors, children, and individuals with disabilities, and represents one of the largest sectors of the U.S. health care system.

Since Medicaid funding originates from taxpayers, fluctuations in local billing totals reveal shifts in how public health funds are distributed within a community.

The “Dental Services” category denotes a group of Medicaid services identified by type of care and standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category using uniform code prefixes and range groupings, ensuring related services were grouped while excluding duplicates and maintaining accurate longitudinal rankings.

Although Medicaid spending went up in various service categories, Dental Services was the fifth highest category for total Medicaid payments in Rocklin during 2024.

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

Looking back over five years up to 2024, payments for Dental Services in Rocklin rose by $370,439, or 1434.5%. The rate of spending growth quickened in some periods, highlighted by marked annual jumps in 2021 and 2022.

Though dental care spending was distributed citywide, the majority of Medicaid payments were concentrated in select ZIP codes. In 2024, ZIP code 95765 alone accounted for $396,261, representing 100% of all Medicaid payments for Dental Services in Rocklin that year.

Within the Dental Services group, Medicaid payments were concentrated across a small subset of billing codes.

Comparatively, Medicaid Dental Services payments in Rocklin increased 73.3% from 2023 to 2024, while total Medicaid claim categories citywide rose 17.5% during the same timeframe.

Data from the Centers for Medicare & Medicaid Services indicate combined federal and state Medicaid spending totaled about $871.7 billion during fiscal year 2023, which comprised roughly 18% of overall national health expenditures. This was a sharp increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth reflects nearly a 40% rise in several years, primarily attributed to increased enrollment and service usage during and after the pandemic.

Recent federal budget legislation under the Trump administration has included sizable proposals aimed at reducing federal support and revising the Medicaid program. For instance, the “One Big Beautiful Bill Act,” became law in 2025 and is projected to reduce federal Medicaid funding by more than $1 trillion over the next decade. The law enacts measures such as work requirements and more cost-sharing, which may decrease benefits and funding for some. The anticipated result is a greater financial burden on states and restrained growth in federal spending, even as Medicaid serves tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $25,823 110.7%
2021 $57,281 121.8%
2022 $123,627 115.8%
2023 $228,665 85%
2024 $396,261 73.3%
Top Categories by Medicaid Payments in Rocklin, California, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,592,567 32.7%
2 Enteral and Parenteral Therapy $687,266 14.1%
3 Procedures / Professional Services $678,517 13.9%
4 Medicine Services and Procedures $571,314 11.7%
5 Dental Services $396,261 8.1%
6 Alcohol and Drug Abuse Treatment $347,472 7.1%
7 Medical And Surgical Supplies $327,587 6.7%
8 Evaluation and Management $256,642 5.3%
9 Orthotic Procedures and services $10,526 0.2%
10 Radiology Procedures $2,988 0.1%
11 Ambulance and Other Transport Services and Supplies $1,797 <0.1%
12 Surgery $536 <0.1%
Top 20 HCPCS Codes Within the Dental Services Category in Rocklin, California, 2024

HCPCS Code Description Medicaid Payments Claims
D0120 Periodic oral evaluation $108,512 50
D0150 Comprehensve oral evaluation $89,754 42
D0350 Oral/facial photo images $65,927 39
D0230 Intraoral periapical ea add $44,083 64
D0210 Intraor comprehensive series $36,552 28
D0274 Bitewings four images $18,241 45
D0330 Panoramic image $13,304 15
D0272 Dental bitewings two images $11,529 31
D0220 Intraoral periapical first $4,200 18
D0140 Limit oral eval problm focus $1,470 3
D0145 Oral evaluation, pt < 3yrs $1,317 1
D0601 Caries risk assess low risk $600 3
D0603 Caries risk assess high risk $435 2
D0602 Caries risk assess mod risk $270 1
D0270 Dental bitewing single image $65 1
D0470 Diagnostic casts $0 2

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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