Providers in Morgan Hill billed a total of $114,205 for Medicaid services in the Dental Services category during 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure reflects a 91.9% increase compared to 2023, when $59,500 in claims were submitted for the same service category.
Medicaid is a jointly funded public health insurance program administered by the states and the federal government. It provides coverage to low-income people and families, seniors, children, and individuals with disabilities, making it among the largest components of the U.S. health care system.
Because Medicaid draws from taxpayer resources, shifts in local billing activity reflect how public health dollars are allocated within a locality.
The “Dental Services” category encompasses a set of Medicaid-billed services organized by the nature of care, defined through uniform HCPCS and CPT code groupings. Each service code was categorized for this analysis using a set code prefix and numeric span, ensuring unified comparison and preventing duplicate counts while maintaining ranking accuracy over time.
Spending under Medicaid rose throughout several service categories, but in Morgan Hill, Dental Services had the second-highest expenditure total in 2024.
Across California, the Dental Services category ranked 11th in terms of total Medicaid payments for 2024.
Between 2019 and 2024, Medicaid Dental Services claims grew by $30,944 in Morgan Hill—a total increase of 21.3%. Some years, including 2022 and 2023, saw pronounced spending increases.
Services from the Dental Services category were billed across the city, but the majority of Medicaid payments were tied to just a few ZIP codes. In 2024, all payments were attributed to ZIP code 95037, totaling $114,204. The top ZIP code accounted for 100% of Morgan Hill Medicaid outlays in this category.
Within the broader Dental Services classification, a small concentration of individual billing codes accounted for most Medicaid payments.
To compare, Dental Services Medicaid payments rose 91.9% from 2023 to 2024, while total payments across all Medicaid categories in Morgan Hill increased 36.7% in the same time frame.
Centers for Medicare & Medicaid Services data show total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, representing about 18% of national health expenses. That is a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
The increase represents about 40% growth over several years, driven largely by higher enrollment and rising utilization before, during and after the pandemic.
Recent federal budget laws passed under the Trump administration included large-scale initiatives to reduce federal Medicaid funding and alter its structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to decrease federal Medicaid outlays by over $1 trillion in the next decade, adds work requirements, and boosts cost-sharing for some recipients. These policies could limit both federal funding growth and coverage, shifting additional responsibility to individual states even as Medicaid continues to serve tens of millions nationwide.
| 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.
