NPI: 1396165601 · GRAND RAPIDS, MI 49503 · Obstetrics & Gynecology Physician · NPI assigned 04/25/2014
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| NPI Enumeration Date | 04/25/2014 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,758 | $262K |
| 2019 | 5,871 | $321K |
| 2020 | 5,748 | $144K |
| 2021 | 7,284 | $145K |
| 2022 | 6,721 | $132K |
| 2023 | 4,562 | $73K |
| 2024 | 4,224 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 1,779 | 328 | $357K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18,536 | 18,496 | $326K |
| V2020 | Frames, purchases | 4,519 | 4,511 | $112K |
| 92341 | 4,551 | 4,543 | $95K | |
| D2390 | 350 | 94 | $73K | |
| D9420 | 363 | 363 | $44K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2,860 | 2,442 | $26K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 151 | 68 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | 222 | 74 | $19K |
| D1120 | Prophylaxis - child | 234 | 234 | $10K |
| 90832 | Psychotherapy, 30 minutes with patient | 219 | 162 | $8K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 748 | 712 | $8K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 670 | 460 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 502 | 460 | $4K |
| 90834 | Psychotherapy, 45 minutes with patient | 62 | 52 | $3K |
| 92342 | 112 | 112 | $2K | |
| D0272 | Bitewings - two radiographic images | 70 | 69 | $2K |
| D1206 | Topical application of fluoride varnish | 53 | 53 | $1K |
| 90837 | Psychotherapy, 53 minutes with patient | 30 | 14 | $1K |
| 90791 | Psychiatric diagnostic evaluation | 14 | 14 | $1K |
| D1351 | Sealant - per tooth | 102 | 38 | $272.00 |
| D3120 | 21 | 12 | $0.00 |