Dental
Wallace, Leslie
Wallace, Leslie was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoWALLACE, LESLIE
LEBANON, TN 37090
LEBANON, TN 37090
33aNPI1629301833assigned 09/08/2009
33bProvider typePediatric Dentist
28Total paid$1.48M
24GClaims51,556
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Tennessee
Rank by total paid#46 of 112
Median peer was paid$1.03M
This provider vs. median1.4×
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 | 6,927 | $206K | |
| 2019 | 7,298 | $246K | |
| 2020 | 5,762 | $155K | |
| 2021 | 6,274 | $170K | |
| 2022 | 5,705 | $141K | |
| 2023 | 7,950 | $210K | |
| 2024incomplete | 11,640 | $347K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 11,004 | 10,934 | $358K |
| D1206 | Topical application of fluoride varnish | 15% | 11,088 | 11,026 | $226K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 9,036 | 8,990 | $215K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 13% | 1,774 | 649 | $191K |
| D0272 | Bitewings - two radiographic images | 6.8% | 6,192 | 6,147 | $100K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 969 | 479 | $69K |
| D1110 | Prophylaxis - adult | 3.1% | 1,063 | 1,058 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 693 | 408 | $41K |
| D0220 | Intraoral - periapical first radiographic image | 2.5% | 3,057 | 3,019 | $37K |
| D9248 | 2.5% | 417 | 400 | $37K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 1,124 | 1,110 | $32K |
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 1,339 | 1,336 | $32K |
9 more codes
| D7140 | Extraction, erupted tooth or exposed root | 2.0% | 476 | $30K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.4% | 731 | $21K |
| D1351 | Sealant - per tooth | <1% | 530 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,136 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 405 | $9K |
| D1354 | <1% | 323 | $2K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 19 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 76 | $1K |
| D1999 | 0% | 104 | $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.