Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

State University of Iowa

State University of Iowa was paid $5.64M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 45% of everything it billed.

33Billing provider infoSTATE UNIVERSITY OF IOWA
IOWA CITY, IA 52242
33aNPI1114905387assigned 01/06/2006
33bProvider typeProsthodontist
28Total paid$5.64M
24GClaims90,674
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201815,272$759K
201912,525$535K
202011,352$547K
202113,955$663K
202215,935$970K
202312,743$1.16M
2024incomplete8,892$1.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 45% 43,349 10,082 $2.53M
D7240 Removal of impacted tooth - completely bony 16% 3,676 1,611 $907K
D9222 10% 5,971 5,863 $586K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 7.0% 4,768 2,656 $393K
D0140 Limited oral evaluation - problem focused 5.0% 11,290 11,013 $284K
D7230 4.8% 1,482 763 $273K
D9310 4.0% 6,185 6,106 $224K
D0330 Panoramic radiographic image 2.0% 3,090 3,036 $112K
D1110 Prophylaxis - adult 1.7% 2,430 2,384 $96K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1.3% 727 409 $71K
D0210 Intraoral - complete series of radiographic images 1.1% 1,473 1,427 $59K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 1,931 1,904 $37K
13 more codes
D0220 Intraoral - periapical first radiographic image <1% 2,446 $25K
D7310 <1% 167 $16K
D0150 Comprehensive oral evaluation - new or established patient <1% 425 $9K
D1206 Topical application of fluoride varnish <1% 497 $7K
D0274 Bitewings - four radiographic images <1% 248 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 33 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 344 $2K
70486 <1% 40 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 23 $1K
D9420 <1% 25 $747.39
70355 <1% 12 $298.93
D0602 <1% 27 $130.00
D0270 <1% 15 $117.42

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialJANCZUK, PAULINA (ASSISTANT DEAN FINANCIAL AFFAIRS)
Parent organizationSTATE UNIVERSITY OF IOWA
Same official

Other billing entities under JANCZUK, PAULINA

Full network →
ProviderLocationPaid
State University of IowaIowa City, IA$25.80M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.