Blackmon, Lisa

Blackmon, Lisa was paid $5K by Medicaid between Feb 2018 and Feb 2018, across 1 billing code. Its largest line is D8030, — 100% of everything it billed.

33Billing provider infoBLACKMON, LISA
SHAKER HEIGHTS, OH 44120

33aNPI1235205527assigned 11/28/2006

33bProvider typeDentist

28Total paid$5K

24GClaims66

24DCodes billed1

24AFirst – last monthFeb 2018 – Feb 2018

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#561 of 745

Median peer was paid$38K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	66	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D8030		100%	66	66	$5K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.