Providers in Morgan Hill billed $114,205 to Medicaid under the Dental Services category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 91.9% increase compared with 2023, when the total was $59,500 for the same category.
Medicaid is a government health insurance program operated by the states in partnership with the federal government and jointly financed by both levels. It serves low-income people, seniors, children, and those with disabilities, making it a major component of the nation’s health system.
Because Medicaid is funded by taxpayers, variations in local billing show how community public health resources are used.
The “Dental Services” category covers Medicaid-billed services grouped by type, as defined by HCPCS and CPT code guidelines. For this report, each billing code was consistently placed in one category based on prefix and numeric rules, ensuring grouped services could be accurately assessed, avoiding duplicated counting and preserving historical comparisons.
Medicaid spending rose across several service types, but Dental Services placed second in Morgan Hill for total Medicaid outlays in 2024.
Statewide in California, Dental Services were the 11th largest category for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid spending connected to the Dental Services category in Morgan Hill grew by $30,944, an increase of 21.3%. This growth was more pronounced during certain spans, with especially sharp year-on-year gains in 2023 and 2022.
Although Dental Services were delivered throughout Morgan Hill, most of the Medicaid spending centered in a handful of ZIP codes. For 2024, ZIP code 95037 accounted for $114,204, representing 100% of the city’s Medicaid payments for dental care that year.
Within the Dental Services classification, payments were focused on a small set of individual billing codes.
Comparatively, while Dental Services Medicaid claims in Morgan Hill rose by 91.9% from 2023 to 2024, claims across all categories in the city saw a 36.7% change over the same timeline.
Centers for Medicare & Medicaid Services reported that combined state and federal Medicaid expenses reached approximately $871.7 billion in fiscal year 2023, about 18% of national health spending—up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This surge is a nearly 40% rise in a few years, largely due to more people enrolling and greater use of health services during and following the pandemic era.
Recent changes to federal budget policy under the Trump administration brought significant proposals to shrink federal Medicaid expenditures and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion in the coming decade, introducing stricter work mandates and higher out-of-pocket costs that may limit some beneficiaries’ access to care and funds. These updates are expected to increase fiscal responsibility for states while capping future growth in federal support as Medicaid continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $145,149 | -3.7% |
| 2021 | $80,068 | -44.8% |
| 2022 | $37,660 | -53% |
| 2023 | $59,500 | 58% |
| 2024 | $114,204 | 91.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $166,789 | 50.4% |
| 2 | Dental Services | $114,204 | 34.5% |
| 3 | Evaluation and Management | $43,441 | 13.1% |
| 4 | National Codes Established for State Medicaid Agencies | $2,166 | 0.7% |
| 5 | Procedures / Professional Services | $1,746 | 0.5% |
| 6 | Surgery | $1,203 | 0.4% |
| 7 | Temporary Codes | $465 | 0.1% |
| 8 | Pathology and Laboratory Procedures | $326 | 0.1% |
| 9 | Radiology Procedures | $261 | 0.1% |
| 10 | Vision Services | $76 | <0.1% |
| 11 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| D0150 | Comprehensve oral evaluation | $44,588 | 20 |
| D0120 | Periodic oral evaluation | $34,765 | 17 |
| D0210 | Intraor comprehensive series | $17,904 | 12 |
| D0230 | Intraoral periapical ea add | $4,930 | 22 |
| D0274 | Bitewings four images | $4,147 | 10 |
| D0220 | Intraoral periapical first | $4,008 | 13 |
| D0272 | Dental bitewings two images | $1,776 | 8 |
| D0603 | Caries risk assess high risk | $1,500 | 11 |
| D0330 | Panoramic image | $420 | 1 |
| D0602 | Caries risk assess mod risk | $165 | 1 |
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.