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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Wilson Dental P.C. (NPI 1972781375)

Field	Value
Entity Type	Organization
Organization	Wilson Dental P.C.
Address	295 Chenango St
City	Binghamton
State	NY
ZIP	13901
Taxonomy	Dentist
NPI Enumerated	February 7, 2008

Payer Source	Total Paid
Medicaid	$51.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2751	N/A	7,420	$840	$6.2M
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…	31,020	$180	$5.5M
D7240	N/A	6,770	$590	$4M
D8670	N/A	14,840	$230	$3.4M
D2392	Post 2 surface resin‑based composite	22,830	$120	$2.7M
D9243	N/A	9,770	$260	$2.5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	37,570	$70	$2.5M
D3330	N/A	4,270	$490	$2.1M
D2954	N/A	9,650	$200	$1.9M
D0274	N/A	42,660	$30	$1.5M

Showing 1–10 of 65

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Wilson Dental P.C. — 24 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	13	430	1,210	$170	$513.1K
D2740	N/A	67	70	180	$560	$341.9K
D7240	N/A	2	140	220	$350	$267.7K
D8080	N/A	12	130	90	$920	$224K
D2930	N/A	13	380	320	$150	$186.1K
D9243	N/A	2	140	270	$120	$181.3K
D2751	N/A	1	190	100	$510	$164.4K
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	600	240	$100	$154.2K
D9223	N/A	55	170	250	$160	$138.9K
D9239	N/A	2	130	280	$60	$108.2K

Showing 1–10 of 65

Nearby Providers

Other providers in the same ZIP code as Wilson Dental P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Home Of Wyoming Conference	NY	Voluntary or Charitable Agency	$0	$31.2M
Nys Office Of Mental Health	NY	Adult Mental Health Clinic/Center	$0	$19.3M
Angela Freeman	NY	Podiatrist	$128.8K	$0

Wilson Dental P.C. — Billing Profile & Reimbursement Data

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Wilson Dental P.C. — 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