Dental
The Wallace Medical Concern
The Wallace Medical Concern was paid $2.94M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoTHE WALLACE MEDICAL CONCERN
PORTLAND, OR 97233
PORTLAND, OR 97233
33aNPI1841592110assigned 11/18/2010
33bProvider typeDentist
28Total paid$2.94M
24GClaims54,561
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#3 of 233
Median peer was paid$19K
This provider vs. median158×
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 | 5,804 | $304K | |
| 2019 | 6,165 | $283K | |
| 2020 | 7,552 | $459K | |
| 2021 | 6,448 | $405K | |
| 2022 | 7,712 | $444K | |
| 2023 | 10,303 | $519K | |
| 2024incomplete | 10,577 | $525K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 11,119 | 9,645 | $1.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 15,531 | 13,156 | $993K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.6% | 1,493 | 1,358 | $193K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,620 | 1,459 | $86K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 520 | 440 | $61K |
| 99442 | 1.9% | 791 | 752 | $57K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 2,884 | 2,762 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 477 | 438 | $43K |
| 98968 | 1.4% | 1,334 | 982 | $41K | |
| 99443 | 1.3% | 461 | 427 | $39K | |
| 90746 | 1.0% | 588 | 562 | $31K | |
| 90686 | <1% | 1,403 | 1,347 | $26K |
51 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 261 | $24K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 732 | $20K |
| 90651 | <1% | 120 | $18K | |
| 90715 | <1% | 562 | $18K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,979 | $16K |
| 80061 | Lipid panel | <1% | 2,218 | $16K |
| 96158 | <1% | 439 | $15K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 220 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 86 | $13K |
| 96152 | <1% | 726 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 667 | $10K |
| 90480 | <1% | 325 | $10K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 85 | $8K |
| 82948 | <1% | 2,577 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 66 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 50 | $6K |
| 91320 | <1% | 111 | $6K | |
| 96156 | <1% | 193 | $6K | |
| 99408 | <1% | 236 | $5K | |
| 99441 | <1% | 109 | $5K | |
| 91322 | <1% | 109 | $5K | |
| 96150 | <1% | 270 | $5K | |
| 90716 | <1% | 40 | $5K | |
| 90656 | <1% | 214 | $4K | |
| 98967 | <1% | 251 | $4K | |
| 99384 | <1% | 38 | $3K | |
| 90674 | <1% | 114 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 99382 | <1% | 22 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $2K |
| 92551 | <1% | 133 | $1K | |
| 11721 | <1% | 52 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 41 | $1K |
| 96127 | <1% | 466 | $1K | |
| 92250 | <1% | 43 | $1K | |
| 99383 | <1% | 12 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 136 | $1K |
| 96160 | <1% | 764 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 71 | $702.40 |
| D1110 | Prophylaxis - adult | <1% | 67 | $674.74 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 58 | $623.12 |
| 98966 | <1% | 41 | $338.47 | |
| 90658 | <1% | 20 | $312.02 | |
| 99173 | <1% | 139 | $308.41 | |
| G0467 | Community health center visit, returning patient | <1% | 125 | $204.92 |
| 99188 | <1% | 15 | $94.56 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 40 | $0.00 |
| D1330 | 0% | 156 | $0.00 | |
| D0603 | 0% | 13 | $0.00 | |
| D1310 | 0% | 86 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 13 | $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 officialCLINE, LISA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Oxnard Elementary School District | Oxnard, CA | $4.51M |
| Ventura County Office of Education | Camarillo, CA | $418K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.