Lodi Medicaid providers billed $4,017,916 for Dental Services in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 2.8% increase over 2023, when claims for this service category totaled $3,910,173.
Medicaid is a public insurance program operated by states and funded by both federal and state governments. It serves low-income families and individuals, children, seniors, and people with disabilities, ranking among the largest sectors of the U.S. health care system.
Because Medicaid is funded by taxpayers, changes in local billing offer a view into how public health care resources are allocated in each community.
The “Dental Services” category includes a range of Medicaid-billed services grouped by the type of care, using standardized HCPCS and CPT codes. For analysis, each code is assigned to only one service category using established prefixes and numeric ranges, which helps to aggregate related care while maintaining accurate rankings year-to-year.
Medicaid spending on Dental Services was among multiple categories that saw increases, ranking third in Lodi for total Medicaid payments in 2024.
Statewide, the Dental Services category placed 11th in California for total Medicaid payments in 2024.
Between 2020 and 2024, Medicaid payments for Dental Services in Lodi rose $2,251,511, a 127.5% increase. Some periods saw faster growth, including significant year-over-year jumps in 2022 and 2021.
While these expenditures appeared across Lodi, payments were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 95240 accounted for $3,599,918 and 95242 for $417,996 in Dental Services Medicaid payments. These two areas made up the entirety of Medicaid spending for this category in Lodi that year.
A small subset of billing codes accounted for most Medicaid Dental Services payments in Lodi in 2024.
Medicaid spending on Dental Services in Lodi rose 2.8% from 2023 to 2024. In contrast, all Medicaid claim categories in the city combined saw a 1.7% change over the same time period.
Data from the Centers for Medicare & Medicaid Services shows that total federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, accounting for approximately 18% of national health expenditures. That figure increased from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth of roughly 40% in a few years reflects expanded enrollment and higher utilization during and after the pandemic period.
Recent federal budget actions during the Trump administration have included significant moves to reduce federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut more than $1 trillion from federal Medicaid spending over 10 years. The legislation introduces work requirements and more cost-sharing, changes that may reduce coverage and funding for some Medicaid recipients. As a result, the costs to states are expected to rise and federal funding growth may be curtailed, despite the program serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,766,404 | -12.5% |
| 2021 | $2,385,841 | 35.1% |
| 2022 | $3,365,369 | 41.1% |
| 2023 | $3,910,173 | 16.2% |
| 2024 | $4,017,915 | 2.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,152,548 | 24.5% |
| 2 | Medicine Services and Procedures | $5,283,754 | 21.1% |
| 3 | Dental Services | $4,017,915 | 16% |
| 4 | Evaluation and Management | $2,408,414 | 9.6% |
| 5 | Pathology and Laboratory Procedures | $2,078,282 | 8.3% |
| 6 | Radiology Procedures | $1,751,025 | 7% |
| 7 | Anesthesia | $1,489,514 | 5.9% |
| 8 | Drugs Administered Other than Oral Method | $866,126 | 3.5% |
| 9 | Procedures / Professional Services | $496,691 | 2% |
| 10 | Surgery | $371,681 | 1.5% |
| 11 | Alcohol and Drug Abuse Treatment | $140,632 | 0.6% |
| 12 | Temporary Codes | $23,771 | 0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $12,732 | 0.1% |
| 14 | Temporary National Codes (Non-Medicare) | $4,778 | <0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0120 | Periodic oral evaluation | $1,924,088 | 143 |
| D0230 | Intraoral periapical ea add | $565,883 | 151 |
| D0150 | Comprehensve oral evaluation | $455,167 | 119 |
| D0274 | Bitewings four images | $210,565 | 118 |
| D0210 | Intraor comprehensive series | $184,168 | 76 |
| D0220 | Intraoral periapical first | $179,177 | 108 |
| D0145 | Oral evaluation, pt < 3yrs | $162,457 | 48 |
| D0603 | Caries risk assess high risk | $93,191 | 68 |
| D0350 | Oral/facial photo images | $78,415 | 99 |
| D0272 | Dental bitewings two images | $60,549 | 87 |
| D0601 | Caries risk assess low risk | $57,026 | 54 |
| D0330 | Panoramic image | $39,457 | 35 |
| D0602 | Caries risk assess mod risk | $7,766 | 13 |
Note: HCPCS codes are included for context within the category. Category totals and rankings in this article are based on groups of standardized services, not on individual billing codes.
Information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The data used is available here.
