Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHERRY STREET SERVICES, INC.

NPI: 1154495901 · GRAND RAPIDS, MI 49503 · Internal Medicine Physician · NPI assigned 11/20/2006

$74K
Total Medicaid Paid
1,193
Total Claims
1,157
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHEA, CHRIS (CEO)
NPI Enumeration Date11/20/2006

Related Entities

Other providers sharing the same authorized official: SHEA, CHRIS

ProviderCityStateTotal Paid
CHERRY STREET SERVICES INC CHARLOTTE MI $531K
CHERRY STREET SERVICES INC GRAND RAPIDS MI $153K
CHERRY STREET HEALTH SERVICES GRAND RAPIDS MI $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 442 $31K
2019 290 $21K
2024 461 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 218 218 $22K
D0120 Periodic oral evaluation - established patient 260 260 $16K
D0140 Limited oral evaluation - problem focused 223 216 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 52 44 $8K
D7140 Extraction, erupted tooth or exposed root 70 55 $6K
D0220 Intraoral - periapical first radiographic image 168 162 $2K
D0150 Comprehensive oral evaluation - new or established patient 24 24 $2K
D1206 Topical application of fluoride varnish 82 82 $2K
D1120 Prophylaxis - child 30 30 $1K
D0274 Bitewings - four radiographic images 66 66 $1K