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.

Drs Wilson And Martino Of Fairmont, PLLC (NPI 1831380443)

Field	Value
Entity Type	Organization
Organization	Drs Wilson And Martino Of Fairmont, PLLC
Address	403 Virginia Ave
City	Fairmont
State	WV
ZIP	26554
Taxonomy	Dentist
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	17,290	$30	$501.4K
D2392	Post 2 surface resin‑based composite	2,940	$120	$337.5K
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…	2,160	$120	$264K
D2391	Resin‑based composite – one surface, posterior	2,380	$100	$226.4K
D1120	Prophylaxis–child	5,730	$40	$217.9K
D0330	N/A	3,420	$60	$201.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,680	$50	$198.5K
D1208	Topical application of fluoride - excluding varnish	8,740	$20	$183.5K
D0120	Periodic oral evaluation - established patient	7,210	$30	$180.3K
D2740	N/A	220	$610	$135.5K

Showing 1–10 of 30

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

Drs Wilson And Martino Of Fairmont, PLLC — 6 of 25 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	13	40	470	$110	$188.1K
D2740	N/A	3	10	190	$600	$112.8K
D2392	Post 2 surface resin‑based composite	12	130	170	$100	$93.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21	110	330	$60	$90.5K
D1351	Sealant - per tooth	4	100	490	$30	$89.6K
D2391	Resin‑based composite – one surface, posterior	12	120	220	$80	$70.7K
D1354	N/A	13	30	260	$50	$62.3K
D9230	N/A	18	80	280	$40	$52.6K
D1120	Prophylaxis–child	16	270	290	$30	$49.1K
D2950	N/A	5	10	350	$130	$44.2K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Drs Wilson And Martino Of Fairmont, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monongahela Valley Association Of Health Centers, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$16.6M
Alecto Healthcare Services Fairmont LLC	WV	General Acute Care Hospital	$0	$11.7M
Radiological Physician Associates Inc	WV	Diagnostic Radiology Physician	$0	$11.1M
Bbc Rehab, Pc,inc	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.5M
Bioscrip Infusion Services, LLC	WV	Home Infusion Therapy Pharmacy	$0	$8.8M
Marion County Rescue Squad Inc	WV	Land Ambulance	$833K	$7.6M
Family Service Of Marion & Harrison Counties Inc	WV	Community/Behavioral Health Agency	$0	$5.5M
Essential Needs Homecare	WV	In Home Supportive Care Agency	$0	$4.7M
Yale Academy LLC	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.8M
Youth Academy, LLC	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.8M

Drs Wilson And Martino Of Fairmont, PLLC — Billing Profile & Reimbursement Data

Sign up for Drs Wilson And Martino Of Fairmont, PLLC — Billing Profile & Reimbursement Data policy alerts

Drs Wilson And Martino Of Fairmont, PLLC — Billing Profile & Reimbursement Data

Sign up for Drs Wilson And Martino Of Fairmont, PLLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References