Dental
Wallace, Cayce
Wallace, Cayce was paid $157K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 54% of everything it billed.
33Billing provider infoWALLACE, CAYCE
SCOTTSDALE, AZ 85251
SCOTTSDALE, AZ 85251
33aNPI1477860526assigned 09/10/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$157K
24GClaims13,525
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in Arizona
Rank by total paid#67 of 530
Median peer was paid$920.17
This provider vs. median170×
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 | 4,821 | $123K | |
| 2019 | 1,770 | $14K | |
| 2020 | 2,000 | $56.02 | |
| 2021 | 1,651 | $3K | |
| 2022 | 617 | $2K | |
| 2023 | 1,355 | $6K | |
| 2024incomplete | 1,311 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 54% | 1,131 | 225 | $85K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 11% | 243 | 85 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.0% | 334 | 156 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.1% | 1,934 | 1,924 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 3.6% | 145 | 56 | $6K |
| D2934 | 3.4% | 37 | 12 | $5K | |
| D1206 | Topical application of fluoride varnish | 3.0% | 2,201 | 2,190 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 502 | 499 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 1,958 | 953 | $4K |
| D0272 | Bitewings - two radiographic images | 2.4% | 1,052 | 1,034 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 1,281 | 1,262 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 1,003 | 1,001 | $2K |
13 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 67 | $768.51 |
| D0274 | Bitewings - four radiographic images | <1% | 290 | $580.86 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 115 | $560.24 |
| D1351 | Sealant - per tooth | <1% | 169 | $443.46 |
| D0350 | <1% | 48 | $312.00 | |
| D1354 | <1% | 69 | $307.84 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 51 | $258.78 |
| D1110 | Prophylaxis - adult | <1% | 69 | $233.21 |
| D0330 | Panoramic radiographic image | <1% | 55 | $183.58 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 50 | $132.64 |
| D0601 | 0% | 93 | $0.00 | |
| D0603 | 0% | 592 | $0.00 | |
| D0602 | 0% | 36 | $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.