In 2024, providers in Pomona billed $737,706 to Medicaid for services grouped under Dental Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 1.8% increase compared with the prior year, when claims for Dental Services totaled $724,701.
Medicaid is a state-administered public health insurance program funded by both federal and state governments. It provides coverage to low-income residents, children, seniors, and people with disabilities, making it a core component of the U.S. health care structure.
Since Medicaid is funded by taxpayers, shifts in local billing volumes show how health care resources are distributed within a community.
The “Dental Services” group includes Medicaid-billed procedures categorized by specific care provided, using standardized HCPCS and CPT codes. Each billing code is mapped to a single service category with consistent numeric ranges and prefixes, enabling related services to be tracked over time, avoid double-counting, and maintain the accuracy of category rankings.
While Medicaid spending increased in multiple categories, Dental Services ranked fourth among all Medicaid payments in Pomona for 2024.
Across New York, the Dental Services category stood as the 11th largest by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Dental Services in Pomona grew by $398,105, amounting to an increase of 117.2%. The rate of spending growth was higher in some years, particularly in 2021 and 2022.
Dental Services spending in Pomona was not evenly distributed, with most payments concentrated in a handful of ZIP codes. In 2024, ZIP code 10970 accounted for $737,705 in Medicaid Dental Services payments, making up 100% of such payments locally for that year.
Within this category, most payments were linked to a concentrated set of billing codes.
Comparatively, Dental Services Medicaid payments rose 1.8% locally from 2023 to 2024, whereas overall Medicaid payments in Pomona rose by 12.7% across all categories during the same period.
Centers for Medicare & Medicaid Services data indicate combined federal and state Medicaid costs totaled approximately $871.7 billion in fiscal 2023, making up about 18% of total U.S. health expenditures. That is a substantial increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This jump equates to roughly 40% growth in several years, propelled by greater enrollment and higher demand for services during and following the pandemic.
Recent federal budget actions under the Trump administration included proposals to scale back federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years. Among its changes are work requirements and increased cost-sharing, which could affect coverage and shift financial responsibility to states, limiting growth in federal support while the program continues to cover tens of millions across the nation.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $339,601 | 18.5% |
| 2021 | $470,159 | 38.4% |
| 2022 | $636,591 | 35.4% |
| 2023 | $724,700 | 13.8% |
| 2024 | $737,705 | 1.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,132,203 | 47.9% |
| 2 | Medicine Services and Procedures | $1,260,102 | 19.3% |
| 3 | Pathology and Laboratory Procedures | $756,613 | 11.6% |
| 4 | Dental Services | $737,705 | 11.3% |
| 5 | Temporary National Codes (Non-Medicare) | $450,947 | 6.9% |
| 6 | Surgery | $113,566 | 1.7% |
| 7 | National Codes Established for State Medicaid Agencies | $28,587 | 0.4% |
| 8 | Radiology Procedures | $27,642 | 0.4% |
| 9 | Vision Services | $15,957 | 0.2% |
| 10 | Procedures / Professional Services | $13,882 | 0.2% |
| 11 | Ambulance and Other Transport Services and Supplies | $80 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $261,195 | 46 |
| D0274 | Bitewings four images | $94,285 | 25 |
| D0220 | Intraoral periapical first | $91,079 | 35 |
| D0272 | Dental bitewings two images | $81,531 | 24 |
| D0150 | Comprehensve oral evaluation | $50,964 | 38 |
| D0230 | Intraoral periapical ea add | $46,472 | 29 |
| D0330 | Panoramic image | $45,987 | 22 |
| D0145 | Oral evaluation, pt < 3yrs | $30,976 | 18 |
| D0210 | Intraor comprehensive series | $27,858 | 36 |
| D0140 | Limit oral eval problm focus | $7,354 | 13 |
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.
