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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Dr. Ricardo Zambito (NPI 1760650758)

Field	Value
Entity Type	Organization
Organization	Dr. Ricardo Zambito
Address	1201 Mount De Chantal Rd
City	Wheeling
State	WV
ZIP	26003
Taxonomy	General Practice Dentistry
NPI Enumerated	February 13, 2008

Payer Source	Total Paid
Medicaid	$1.3M
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
D2392	Post 2 surface resin‑based composite	3,130	$110	$350.9K
D1120	Prophylaxis–child	5,650	$40	$214.5K
D0120	Periodic oral evaluation - established patient	6,850	$30	$171.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,470	$20	$156.9K
D2391	Resin‑based composite – one surface, posterior	1,450	$90	$129.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,450	$50	$120K
D0274	N/A	1,380	$40	$49.8K
D0272	N/A	1,810	$30	$45.3K
D0150	Comprehensive oral evaluation – new or established patient	560	$30	$18.9K
D0140	Limited oral evaluation – problem focused	420	$40	$15.2K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Dr. Ricardo Zambito — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	11	130	170	$100	$93.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	108	110	330	$60	$90.5K
D2391	Resin‑based composite – one surface, posterior	21	120	220	$80	$70.7K
D1120	Prophylaxis–child	18	270	290	$30	$49.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	25	260	300	$50	$38.5K
D0330	N/A	163	230	210	$50	$37.7K
D0120	Periodic oral evaluation - established patient	13	310	430	$20	$35.8K
D0140	Limited oral evaluation – problem focused	94	220	270	$30	$34.5K
D2393	Resin-based composite, three surfaces, posterior	41	40	80	$120	$31.9K
D0272	N/A	23	150	180	$20	$20.8K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Dr. Ricardo Zambito, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwood Health Systems Inc	WV	Developmentally Disabled Services Day Training Agency	$0	$67.6M
Northwood Health Systems Inc	WV	Community/Behavioral Health Agency	$0	$52.5M
Wheeling Hospital Inc	WV	General Acute Care Hospital	$0	$40.1M
Lorraine Surgical Supply Of West Virginia Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$34.6M
Russell Nesbitt Services Inc	WV	Respite Care	$0	$29.5M
Florence Crittenton Programs, Inc.	WV	Mental Health Counselor	$0	$14.4M
Wheeling Hospital Inc	WV	Family Medicine Physician	$0	$8.5M
Lifeline Addiction Specialists, PLLC	WV	Multi-Specialty Clinic/Center	$0	$7M
Radiology Associates, Inc	WV	Diagnostic Radiology Physician	$0	$6.7M
Serenity Hills Life Center	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.1M

Dr. Ricardo Zambito — Billing Profile & Reimbursement Data

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Dr. Ricardo Zambito — 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