Chacko, Ashley

Chacko, Ashley was paid $221K by Medicaid between Aug 2018 and Oct 2019, across 9 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 66% of everything it billed.

33Billing provider infoCHACKO, ASHLEY
GROSSE POINTE WOODS, MI 48236

33aNPI1366893166assigned 06/23/2016

33bProvider typePediatric Dentist

28Total paid$221K

24GClaims2,914

24DCodes billed9

24AFirst – last monthAug 2018 – Oct 2019

Compared with peers

Next to other Pediatric Dentist providers in Michigan

Rank by total paid#96 of 153

Median peer was paid$464K

This provider vs. median0.5×

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	994	$74K
2019	1,920	$147K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9999	Unspecified adjunctive procedure, by report	66%	725	723	$145K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	634	633	$27K
D1206	Topical application of fluoride varnish	9.0%	682	681	$20K
D1120	Dental cleaning, childProphylaxis - child	8.2%	623	623	$18K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.0%	34	25	$4K
D0272	Bitewings - two radiographic images	1.8%	159	159	$4K
D9920		<1%	15	15	$1K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	30	28	$630.00
D0140	Limited oral evaluation - problem focused	<1%	12	12	$588.00

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.