Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Robert Wilcox (NPI 1205029824)

Field	Value
Entity Type	Individual
Organization	Robert Wilcox
Address	2823 Lexington Ave
City	Butte
State	MT
ZIP	59701
Taxonomy	General Practice Dentistry
NPI Enumerated	August 27, 2007

Payer Source	Total Paid
Medicaid	$241K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,900	$40	$83.6K
D0120	Periodic oral evaluation - established patient	2,260	$20	$47.4K
D0274	N/A	1,110	$30	$32.1K
D2392	Post 2 surface resin‑based composite	160	$120	$19.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	950	$20	$17K
D0220	Intraoral - periapical first radiographic image	770	$20	$11.6K
D0140	Limited oral evaluation – problem focused	350	$30	$10.3K
D2751	N/A	10	$480	$6.7K
D0330	N/A	90	$50	$4.6K
D0150	Comprehensive oral evaluation – new or established patient	90	$30	$2.8K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Montana Distribution

Robert Wilcox — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	80	130	310	$120	$173.4K
D1120	Prophylaxis–child	126	180	200	$30	$88.4K
D2751	N/A	15	20	90	$480	$67.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	89	260	340	$20	$54.4K
D2391	Resin‑based composite – one surface, posterior	101	110	170	$60	$50.7K
D0120	Periodic oral evaluation - established patient	49	300	410	$20	$50.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	36	270	310	$40	$44K
D0330	N/A	97	150	210	$50	$35.7K
D0274	N/A	46	210	200	$30	$23.2K
D0140	Limited oral evaluation – problem focused	88	190	330	$20	$20.7K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Robert Wilcox, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bsw, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$20.4M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$14.6M
State Of Montana	MT	Substance Abuse Rehabilitation Facility	$0	$12.7M
Scl Health Medical Group-butte LLC	MT	Family Medicine Physician	$0	$9.9M
Butte Public Schools	MT	Local Education Agency (LEA)	$0	$6.9M
Community, Counseling & Correctional Services, Inc.	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.8M
Butte School District #1	MT	Mental Health Counselor	$0	$3.8M
Ryan Todorovich	MT	General Practice Dentistry	$0	$3.1M
Lindsey Todorovich	MT	General Practice Dentistry	$0	$2.9M
Silver Bow County Developmental Disabilities Council, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$2.2M

Robert Wilcox — Billing Profile & Reimbursement Data

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Robert Wilcox — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References