Dr. Kevin R Wallace , DMD
Dentist - General Practice โข Chicago, IL
150 E Huron St, Ste 1103
Chicago, IL 60611
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Kevin Wallace is listed in NPPES under Dentist - General Practice.
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NPI assigned on September 1, 2006; this date does not establish years in practice.
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Published CMS data list 1,359 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 313 service units.
- 70350 โ Imaging of jaws and skull: 238 service units.
- 70486 โ Ct scan of face without contrast: 238 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021. Published rows only; this is not a quality measure.
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Published Part D records, 2021:
- Prevident 5000 Dry Mouth (Fluoride (Sodium)) โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 580 in 2020 to 1,359 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
150 E Huron St
Ste 1103
Chicago, IL 60611
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Dental Sleep Center Richard A Craig Dds Ltd. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1990
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
516 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $91,874 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $68,271 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
13 standardized 30-day fills in 2021
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$195 in 2021
The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
36 years (graduated 1990)
CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Wallace as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Not enough clinicians listed under Dentist - General Practice in Illinois have Medicare Part B data for 2024 to make a comparison.
Medicare-allowed amount
Not enough clinicians listed under Dentist - General Practice in Illinois have Medicare Part B data for 2024 to make a comparison.
Paid by Medicare
Not enough clinicians listed under Dentist - General Practice in Illinois have Medicare Part B data for 2024 to make a comparison.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Wallace are from 2021.
1,148 active clinicians are listed under Dentist - General Practice with a practice address in Chicago, IL (5,281 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
0.1% of these 1,148 clinicians have the CMS telehealth indicator.
0% of these 1,148 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 134% from 580 in 2020 to 1,359 in 2024.
- 2020: 580
- 2021: 881
- 2022: 991
- 2023: 929
- 2024: 1,359
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Medicare-allowed amount
Medicare-allowed amount increased 110% from $43,729 in 2020 to $91,874 in 2024.
- 2020: $43,729
- 2021: $66,049
- 2022: $73,819
- 2023: $68,102
- 2024: $91,874
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Paid by Medicare
Paid by Medicare increased 110% from $32,495 in 2020 to $68,271 in 2024.
- 2020: $32,495
- 2021: $50,373
- 2022: $54,548
- 2023: $49,424
- 2024: $68,271
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 11 in 2016 to 12 in 2021.
- 2016: 11
- 2017: 29
- 2018: 17
- 2020: 22
- 2021: 12
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30-day fills
30-day fills went from 11 in 2016 to 13 in 2021.
- 2016: 11
- 2017: 29
- 2018: 33
- 2020: 32
- 2021: 13
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Part D drug cost
Part D drug cost went from $42 in 2016 to $195 in 2021.
- 2016: $42
- 2017: $387
- 2018: $300
- 2020: $377
- 2021: $195
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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313 | 279 | $113.00 | $89.09 |
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70350
Imaging of jaws and skull
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238 | 238 | $26.79 | $16.28 |
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70486
Ct scan of face without contrast
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238 | 238 | $295.00 | $126.27 |
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70355
X-ray of lower jaws, upper jaws and teeth
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234 | 234 | $28.08 | $17.85 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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119 | 119 | $92.00 | $66.79 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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113 | 113 | $145.80 | $110.32 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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73 | 62 | $30.00 | $22.51 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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31 | 31 | $158.00 | $123.48 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prevident 5000 Dry Mouth | Fluoride (Sodium) | 12 | 346 | $194.75 | โ |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-01-19NUCC Taxonomy Code: 1223G0001X
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.
NUCC Taxonomy Code: 122300000X
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.
NUCC Taxonomy Code: 122300000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORAL SURGERY
I20160620000860
IL
1951691237
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Dental Sleep Center Richard A Craig Dds Ltd
150 E Huron St, Chicago, IL 606112973
Phone: 3126769893
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 14831 W 159TH ST STE 1, LOCKPORT, IL 604919008 (Tel: 6303245369)
Registered at 150 E HURON ST, STE 1103, CHICAGO, IL 60611 (Tel: 3126769893)
Dentist (license number reported to NPPES: IL 019-022339)
NPI status registered as active in NPPES database
Registered at 150 E HURON ST, STE 1103, CHICAGO, IL 606112999 (Tel: 3126769893)
Registered at 7501 LEMONT RD, STE 300, WOODRIDGE, IL 605172653 (Tel: 6303245370)
Recorded as KEVIN WALLACE, DMD
Dentist (license number reported to NPPES: IL 019022339)
NPI status registered as active in NPPES database
Registered at 7501 LEMONT RD, STE 300, WOODRIDGE, IL 605172653 (Tel: 6303245370)
Registered at 7501 LEMONT RD, STE 300, WOODRIDGE, IL 605172653 (Tel: 6303245370)
Recorded as KEVIN WALLACE, DMD
Dentist (license number reported to NPPES: IL 019022339)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentist - General Practices in Chicago
- Dr. Peter Contos, DDS
- Dr. Mary Vivit, DDS
- Dr. Joshua Kim, DMD
- Dr. Yana Lyushkova, DDS
- Dr. Earl Brownlee, DDS
- Dr. Mary Merlo-Murison, DDS
More public profiles in Illinois
Directory navigation, in NPI number order.
- Erica Cirrintano, FNP-BC Nurse Practitioner - Family ยท Romeoville
- Keith Buza, CNP Nurse Practitioner ยท Urbana
- Zachary Axelrod, PA-C Physician Assistant - Surgical ยท Hoffman Estates
- Timothy Song, DPT Physical Therapist ยท Evanston
- Mikolaj Gozdalski, DC Chiropractor ยท Skokie
- Ellen Wojciak, PMHNP-BC Nurse Practitioner - Psychiatric/Mental Health ยท Wheaton
- Brandon Regan, DPT Physical Therapist ยท Crystal Lake
- Shravya Bommaveddi, DO Student in an Organized Health Care Education/Training Program ยท Hinsdale
- Madyson Carruthers, OD Optometrist ยท Marion
- Clayton Roland, DO Family Medicine ยท Springfield
- Jack Morkin Dentist ยท Bloomington
- Kajal Kadam, MD Family Medicine ยท Springfield
Mailing Address
14831 W 159th St Ste 1
Lockport, IL 604919008
Phone: 6303245369