Provider Profile
Kevin 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.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
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.
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
Most searched procedures
Periodontal
Preventive
Restorative
Tooth replacement
Cosmetic
Endodontic and urgent
Occlusion and appliances
Oral surgery
Orthodontics
Pain & complications
Pediatric
1,359 services · 1,314 patients · 8 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Ct scan of face without contrast | Imaging | 70486 |
238 |
| Imaging of jaws and skull | Imaging | 70350 |
238 |
| X-ray of lower jaws, upper jaws and teeth | Imaging | 70355 |
234 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
313 |
| New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | Office visit | 99202 |
119 |
| 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 |
| 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 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
31 |
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. Guide.md cannot book appointments or pass on messages — please call the office directly.
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
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.