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Edit this profileKevin R. Wallace, DMD is a general practice dentistry practicing in Chicago, IL. Kevin is also listed as specializing in dentist. Medicare claims data shows Kevin provided 1,359 services to 1,314 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, ct scan of face without contrast, and imaging of jaws and skull. This provider record is associated with NPI 1053423285.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
150 E HURON ST STE 1103
Chicago, IL 60611
Within General Dentistry generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Screening and specialist referral
Most searched conditions
Dental injury and emergencies
Gum and supporting tissue
Missing teeth and bite
Oral soft tissue
Pain and infection
Tooth decay and structural
Cancer
Cosmetic
General oral health
Infections
Jaw & bite
Oral lesions
Teeth & bite
Tooth damage
Cosmetic
Occlusion and appliances
Oral surgery
Pediatric
Periodontal
Preventive
Restorative
Specialty-dependent
Tooth replacement
Most searched procedures
Endodontic and urgent
Orthodontics
Pain & complications
1,359 services · 1,314 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Ct scan of face without contrast | Imaging | 70486 |
238 | Too few peers to compare |
| Imaging of jaws and skull | Imaging | 70350 |
238 | Too few peers to compare |
| X-ray of lower jaws, upper jaws and teeth | Imaging | 70355 |
234 | More than most peers in General dentistry |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
313 | More often than most peers in General dentistry |
| New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | Office visit | 99202 |
119 | Too few peers to compare |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
113 | More than most peers in General dentistry |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | Office visit | 99211 |
73 | Too few peers to compare |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
31 | As often as other peers in General dentistry |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Wallace is a dentist in Chicago, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.
NPI registry
Dr. Wallace is listed at 150 E Huron St Ste 1103, Chicago, IL 60611. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (312) 676-9893. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Wallace's National Provider Identifier is 1053423285. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Wallace attended Other, graduating in 1990. This comes from the CMS National Downloadable File.
CMS public data
Dr. Wallace has 36 years experience. Calculated from a graduation year of 1990, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Wallace performs imaging including ct scan of face without contrast and imaging of jaws and skull, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.
Guide.md
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