In 2024, providers in El Monte submitted $3,348,919 in Medicaid claims under the Dental Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 1.1% rise from 2023, when $3,312,618 was billed for these services.
Medicaid, a public insurance program managed by states and paid for by both federal and state governments, provides coverage for low-income people, families, seniors, children and individuals with disabilities, making it one of the largest components of the U.S. health care system.
Because taxpayer funds pay for Medicaid, shifts in local billing volumes give insight into how public health care funds are used in the area.
The “Dental Services” classification includes Medicaid-billed services grouped by type of care, structured according to standardized HCPCS and CPT codes. This analysis assigned each billing code to a single service category using consistent code prefixes and number ranges to keep related services together, prevent double counting, and maintain accuracy in ranking changes over time.
Spending rose in several Medicaid service categories, with Dental Services ranking third in El Monte for total payments in 2024.
Statewide, Dental Services was the 11th-largest Medicaid payment category in California in 2024.
During the five years before 2024, Medicaid payments associated with Dental Services in El Monte grew by $1,759,994, or 110.8%. Increases were especially prominent in 2022 and 2021.
Although dental care spending spanned across the city, most payments were concentrated in certain ZIP codes. For 2024, ZIP code 91732 received $1,718,711, 91731 saw $1,083,356, and 91733 collected $546,851 for Dental Services. Altogether, these 3 ZIP codes accounted for all Medicaid dental payments in El Monte for the year.
A small number of billing codes accounted for most payments within the Dental Services category.
For context, payments for Dental Services in El Monte were up 1.1% from 2023 to 2024, compared to a broader 26.7% increase across all Medicaid categories in the city during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, accounting for roughly 18% of U.S. health spending, up sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This represents around 40% growth in a few years, largely due to expanded enrollment and greater usage during and after the pandemic years.
Recent federal budget laws passed during the Trump administration included notable proposals to reduce federal Medicaid funding and modify the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is projected to cut over $1 trillion from federal Medicaid spending during the next decade. It also introduces requirements such as work mandates and increased cost-sharing, which could lower coverage and funding for some enrollees. These changes are expected to increase state responsibility for Medicaid costs and slow federal funding growth, even as millions of Americans continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,588,924 | -20.8% |
| 2021 | $2,178,512 | 37.1% |
| 2022 | $3,092,310 | 41.9% |
| 2023 | $3,312,617 | 7.1% |
| 2024 | $3,348,919 | 1.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,611,847 | 48.6% |
| 2 | Temporary National Codes (Non-Medicare) | $5,850,351 | 22.5% |
| 3 | Dental Services | $3,348,919 | 12.9% |
| 4 | Pathology and Laboratory Procedures | $1,231,793 | 4.7% |
| 5 | Evaluation and Management | $952,288 | 3.7% |
| 6 | Procedures / Professional Services | $873,238 | 3.4% |
| 7 | Medicine Services and Procedures | $797,094 | 3.1% |
| 8 | Ambulance and Other Transport Services and Supplies | $161,295 | 0.6% |
| 9 | Drugs Administered Other than Oral Method | $41,590 | 0.2% |
| 10 | Vision Services | $29,887 | 0.1% |
| 11 | Alcohol and Drug Abuse Treatment | $27,365 | 0.1% |
| 12 | Surgery | $13,793 | 0.1% |
| 13 | Medical And Surgical Supplies | $5,835 | <0.1% |
| 14 | Radiology Procedures | $3,665 | <0.1% |
| 15 | Pathology and Laboratory Services | $1,598 | <0.1% |
| 16 | Temporary Codes | $1,288 | <0.1% |
| 17 | Anesthesia | $707 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $1,354,287 | 307 |
| D0150 | Comprehensve oral evaluation | $592,238 | 272 |
| D0230 | Intraoral periapical ea add | $533,211 | 370 |
| D0210 | Intraor comprehensive series | $181,905 | 161 |
| D0274 | Bitewings four images | $135,480 | 210 |
| D0145 | Oral evaluation, pt < 3yrs | $107,050 | 59 |
| D0272 | Dental bitewings two images | $105,666 | 154 |
| D0220 | Intraoral periapical first | $103,161 | 196 |
| D0350 | Oral/facial photo images | $84,388 | 114 |
| D0603 | Caries risk assess high risk | $72,152 | 111 |
| D0330 | Panoramic image | $36,982 | 43 |
| D0602 | Caries risk assess mod risk | $19,500 | 45 |
| D0140 | Limit oral eval problm focus | $13,156 | 11 |
| D0601 | Caries risk assess low risk | $4,845 | 18 |
| D0270 | Dental bitewing single image | $2,770 | 17 |
| D0470 | Diagnostic casts | $1,125 | 1 |
| D0340 | 2d cephalometric image | $1,000 | 1 |
Note: HCPCS codes are provided for context within the category. The totals and rankings shown in this article are based on standardized service groupings, not on individual bill codes.
Data in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.