NPI: 1336399047 · GRAND RAPIDS, MI 49503 · Dentist · NPI assigned 09/30/2008
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| Parent Organization | CHERRY STREET SERVICES, INC. |
| NPI Enumeration Date | 09/30/2008 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 411 | $23K |
| 2019 | 3,190 | $91K |
| 2020 | 2,500 | $73K |
| 2021 | 12,008 | $349K |
| 2022 | 19,034 | $566K |
| 2023 | 20,081 | $647K |
| 2024 | 17,423 | $590K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 23,065 | 7,301 | $682K |
| D1120 | Prophylaxis - child | 10,698 | 10,687 | $434K |
| D1206 | Topical application of fluoride varnish | 13,125 | 13,115 | $314K |
| D0120 | Periodic oral evaluation - established patient | 8,802 | 8,800 | $252K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4,622 | 4,621 | $203K |
| D0272 | Bitewings - two radiographic images | 7,255 | 7,252 | $168K |
| D0274 | Bitewings - four radiographic images | 4,574 | 4,574 | $156K |
| D1110 | Prophylaxis - adult | 2,323 | 2,321 | $124K |
| D7140 | Extraction, erupted tooth or exposed root | 50 | 27 | $4K |
| D0140 | Limited oral evaluation - problem focused | 58 | 57 | $2K |
| D4910 | 14 | 14 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 61 | 59 | $855.25 |