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NPI 1528371507 · Cherry Hill, NJ · Oral and Maxillofacial Surgery (Dentist)
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Jeffrey Wallis is a oral and maxillofacial surgery (dentist) provider located in Cherry Hill, New Jersey. This profile covers 6 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jeffrey Wallis |
| Address | 17 W Ormond Ave |
| City | Cherry Hill |
| State | NJ |
| ZIP | 08002 |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| NPI Enumerated | July 20, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $158K |
| Medicare | $12.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 50 | $80 | $4.5K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 60 | $50 | $2.5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of… | 10 | $170 | $2.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 30 | $40 | $1.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 10 | $70 | $970 |
| 70355 | The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw. | 80 | $10 | $570 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D9223 | N/A | 200 | $340 | $67.3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of… | 820 | $50 | $43.6K |
| D9222 | N/A | 190 | $120 | $22.5K |
| D7240 | N/A | 80 | $150 | $12.3K |
| D0120 | Periodic oral evaluation - established patient | 310 | $20 | $6.6K |
| D0330 | N/A | 110 | $40 | $4.3K |
| D0140 | Limited oral evaluation – problem focused | 50 | $20 | $1K |
| D0150 | Comprehensive oral evaluation – new or established patient | 30 | $20 | $730 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D7240 | N/A | 55 | 70 | 240 | $290 | $365.6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of… | 106 | 310 | 320 | $90 | $153.5K |
| D9223 | N/A | 49 | 80 | 280 | $80 | $141.9K |
| D9222 | N/A | 45 | 80 | 230 | $70 | $72.8K |
| D0120 | Periodic oral evaluation - established patient | 1,043 | 1,690 | 610 | $20 | $60.7K |
| D0330 | N/A | 463 | 790 | 190 | $30 | $23.9K |
| D0140 | Limited oral evaluation – problem focused | 869 | 1,160 | 200 | $20 | $23.7K |
| D0150 | Comprehensive oral evaluation – new or established patient | 1,092 | 1,360 | 210 | $20 | $19.2K |
Other providers in the same ZIP code as Jeffrey Wallis, ranked by combined Medicare and Medicaid revenue.
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