Dental
Cherry Street Services, INC.
Cherry Street Services, INC. was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is G0467, community health center visit, returning patient — 50% of everything it billed.
33Billing provider infoCHERRY STREET SERVICES, INC.
GRAND RAPIDS, MI 49507
GRAND RAPIDS, MI 49507
33aNPI1770656605assigned 11/16/2006
33bProvider typeDentist
28Total paid$1.27M
24GClaims49,973
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#57 of 1,033
Median peer was paid$15K
This provider vs. median84×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
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 | 7,966 | $210K | |
| 2019 | 8,145 | $204K | |
| 2020 | 4,810 | $92K | |
| 2021 | 7,971 | $168K | |
| 2022 | 7,264 | $193K | |
| 2023 | 8,911 | $254K | |
| 2024incomplete | 4,906 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 50% | 9,405 | 8,486 | $629K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 9.4% | 1,875 | 989 | $120K |
| D1351 | Sealant - per tooth | 8.0% | 3,505 | 862 | $102K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.7% | 1,900 | 1,899 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.5% | 1,962 | 1,962 | $58K |
| D1206 | Topical application of fluoride varnish | 3.5% | 1,894 | 1,894 | $45K |
| D1110 | Prophylaxis - adult | 3.0% | 673 | 673 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 4,455 | 4,076 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,602 | 1,526 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 182 | 129 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 288 | 264 | $17K |
| D0272 | Bitewings - two radiographic images | 1.2% | 714 | 714 | $15K |
46 more codes
| G0466 | Community health center visit, new patient | 1.1% | 155 | $14K |
| D0274 | Bitewings - four radiographic images | 1.0% | 387 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 831 | $11K |
| D2140 | <1% | 115 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 168 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,814 | $6K |
| 90651 | <1% | 445 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,531 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 44 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 32 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 232 | $4K |
| 0054A | <1% | 117 | $3K | |
| 0001A | <1% | 90 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 415 | $3K |
| 0002A | <1% | 62 | $2K | |
| 96127 | <1% | 4,180 | $2K | |
| D0240 | <1% | 85 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 111 | $1K |
| 0072A | <1% | 33 | $1K | |
| 90686 | <1% | 2,023 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 188 | $949.23 |
| 90620 | <1% | 381 | $901.00 | |
| 0124A | <1% | 28 | $719.69 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 106 | $660.26 |
| 82962 | <1% | 1,374 | $626.01 | |
| 0071A | <1% | 14 | $528.62 | |
| 85018 | <1% | 1,599 | $509.60 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 277 | $442.08 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 54 | $425.26 |
| 90473 | <1% | 264 | $380.20 | |
| 90656 | <1% | 77 | $177.36 | |
| 90746 | <1% | 12 | $140.76 | |
| 90734 | <1% | 344 | $128.85 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 247 | $128.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $118.08 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 63 | $77.02 |
| 87428 | <1% | 17 | $76.86 | |
| 90715 | <1% | 143 | $76.59 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 162 | $44.74 |
| 86703 | <1% | 35 | $34.05 | |
| 90672 | <1% | 274 | $26.88 | |
| 91300 | 0% | 208 | $0.00 | |
| 91312 | 0% | 14 | $0.00 | |
| 91307 | 0% | 80 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 452 | $0.00 |
| 91305 | 0% | 175 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialBLACKMON, TASHA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cherry Street Services, INC. | Grand Rapids, MI | $50.78M |
| Cherry Street Services, INC. | Grand Rapids, MI | $24.52M |
| Cherry Street Services, INC. | Grand Rapids, MI | $7.78M |
| Cherry Street Services INC | Muskegon, MI | $6.01M |
| Cherry Street Services INC | Wyoming, MI | $5.76M |
| Cherry Street Services INC | Greenville, MI | $5.41M |
| Cherry Street Services, INC. | Grand Rapids, MI | $4.29M |
| Cherry Street Services INC | Grand Rapids, MI | $3.60M |
| Cherry Street Services, INC. | Grand Rapids, MI | $2.34M |
| Cherry Street Services, INC | Hastings, MI | $2.20M |
| Cherry Street Services INC | Grand Rapids, MI | $1.12M |
| Cherry Street Services INC | Grand Rapids, MI | $799K |
| Cherry Street Services INC | Grand Rapids, MI | $636K |
| Cherry Street Services, INC. | Grand Rapids, MI | $233K |
| Cherry Street Services INC | Grand Rapids, MI | $227K |
| Cherry Street Services INC | Cedar Springs, MI | $213K |
| Cherry Street Services, INC. | Grand Rapids, MI | $151K |
| Cherry Street Services INC | Grand Rapids, MI | $148K |
| Cherry Street Services INC | Wyoming, MI | $118K |
| Cherry Street Services INC | Wyoming, MI | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.