Dental
The Wallace Medical Concern
The Wallace Medical Concern was paid $675K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is D0120, dental checkup, returning patient — 17% of everything it billed.
33Billing provider infoTHE WALLACE MEDICAL CONCERN
PORTLAND, OR 97230
PORTLAND, OR 97230
33aNPI1215390091assigned 03/30/2016
33bProvider typeDentist
28Total paid$675K
24GClaims25,500
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#13 of 233
Median peer was paid$19K
This provider vs. median36×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,229 | $87K | |
| 2019 | 5,117 | $128K | |
| 2020 | 3,977 | $111K | |
| 2021 | 5,589 | $153K | |
| 2022 | 2,668 | $68K | |
| 2023 | 2,700 | $77K | |
| 2024incomplete | 2,220 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,242 | 3,141 | $113K |
| D1110 | Prophylaxis - adult | 16% | 1,959 | 1,887 | $107K |
| D1206 | Topical application of fluoride varnish | 13% | 4,434 | 4,255 | $86K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 1,822 | 1,750 | $76K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.3% | 1,295 | 1,198 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 7.0% | 362 | 162 | $47K |
| D0274 | Bitewings - four radiographic images | 6.8% | 2,312 | 2,241 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 679 | 482 | $44K |
| D0210 | Intraoral - complete series of radiographic images | 2.9% | 488 | 451 | $20K |
| D4341 | 2.1% | 170 | 132 | $14K | |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 283 | 250 | $13K |
| D0272 | Bitewings - two radiographic images | 1.6% | 659 | 624 | $11K |
15 more codes
| D4346 | 1.5% | 168 | $10K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 115 | $6K |
| D1351 | Sealant - per tooth | <1% | 229 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 412 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 515 | $4K |
| D0330 | Panoramic radiographic image | <1% | 58 | $1K |
| D4910 | <1% | 23 | $1K | |
| D9995 | <1% | 44 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 68 | $942.00 |
| D0240 | <1% | 52 | $436.80 | |
| D0603 | <1% | 1,005 | $434.70 | |
| D0601 | <1% | 80 | $5.00 | |
| D0602 | <1% | 30 | $2.00 | |
| D1330 | 0% | 2,765 | $0.00 | |
| D1310 | 0% | 2,231 | $0.00 |
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 officialCURRIE, STUART (CMO)