Active NPI 1053423285 Individual Practitioner Male Practitioner

Dr. Kevin R Wallace , DMD

Dentist - General Practice • Chicago, IL

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Wallace, DMD is a certified Dentist - General Practice practicing in Chicago, IL. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Wallace delivers high-quality medical care to the local community at 150 E HURON ST.

Dr. Wallace is affiliated with Dental Sleep Center Richard A Craig Dds Ltd and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, ct scan of face, imaging of jaws and skull for orthodontic purposes. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 E Huron St
Ste 1103

Chicago, IL 60611

Telephone 3126769893

Fax 8157447059

Associated Practice Facility / Clinic

🏢 Cardiology Consultants Of Northwestern, Pc Facility NPI 1518932714

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +18.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate

0.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

35.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (36 Years) 36 Yrs

Chicago Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	313	279	$113.00	$89.09
70486 CT scan of face	238	238	$295.00	$126.27
70350 Imaging of jaws and skull for orthodontic purposes	238	238	$26.79	$16.28
70355 X-ray of lower jaws, upper jaws and teeth	234	234	$28.08	$17.85
99202 New patient office or other outpatient visit, typically 20 minutes	119	119	$92.00	$66.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$145.80	$110.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	73	62	$30.00	$22.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$158.00	$123.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	261	$113.00	$89.54
70350 Imaging of jaws and skull for orthodontic purposes	142	142	$24.88	$16.46
70486 CT scan of face	142	142	$295.00	$131.61
70355 X-ray of lower jaws, upper jaws and teeth	140	140	$27.00	$18.08
99202 New patient office or other outpatient visit, typically 20 minutes	118	118	$92.00	$69.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$145.00	$112.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$158.00	$126.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	220	$120.20	$90.67
70355 X-ray of lower jaws, upper jaws and teeth	162	162	$82.85	$18.10
70350 Imaging of jaws and skull for orthodontic purposes	161	161	$81.55	$16.45
70486 CT scan of face	161	161	$349.16	$134.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$224.04	$114.61
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$119.36	$73.13
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	35	$55.00	$23.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$160.19	$128.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	145	$125.00	$93.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$235.62	$113.91
76102 Complex motion imaging procedure on both sides of body	148	147	$375.00	$139.24
70350 Imaging of jaws and skull for orthodontic purposes	148	147	$109.00	$16.77
70355 X-ray of lower jaws, upper jaws and teeth	148	147	$110.00	$18.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	68	$55.00	$23.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$162.18	$128.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	138	$125.00	$80.21
70355 X-ray of lower jaws, upper jaws and teeth	89	89	$110.00	$20.34
70350 Imaging of jaws and skull for orthodontic purposes	89	89	$109.00	$18.52
76102 Complex motion imaging procedure on both sides of body	88	88	$375.00	$150.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$235.62	$115.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$55.00	$23.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$162.18	$115.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	225	161	$125.00	$77.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$235.62	$114.86
70355 X-ray of lower jaws, upper jaws and teeth	103	103	$110.00	$21.26
70350 Imaging of jaws and skull for orthodontic purposes	103	103	$109.00	$20.19
76102 Complex motion imaging procedure on both sides of body	102	102	$375.00	$152.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$162.18	$114.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	174	$125.00	$74.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$235.62	$110.45
70355 X-ray of lower jaws, upper jaws and teeth	91	91	$110.00	$20.86
70350 Imaging of jaws and skull for orthodontic purposes	90	90	$109.00	$19.49
76102 Complex motion imaging procedure on both sides of body	68	68	$375.00	$146.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$162.18	$110.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	225	161	$125.00	$75.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$235.62	$112.93
70355 X-ray of lower jaws, upper jaws and teeth	99	99	$110.00	$21.87
70350 Imaging of jaws and skull for orthodontic purposes	95	95	$109.00	$20.81
70320 X-ray of teeth, full mouth	37	37	$100.00	$54.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$162.18	$111.72

Medical Specialties & State Licenses

CMS Verified: 2021-01-19

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019022339

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019022339

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019-022339