NPI: 1841449105 · GRAND RAPIDS, MI 49503 · Dentist · NPI assigned 09/11/2008
Authorized official BLACKMON, TASHA controls 20+ related entities in our dataset. Read more
| Authorized Official | BLACKMON, TASHA (CEO) |
| NPI Enumeration Date | 09/11/2008 |
Other providers sharing the same authorized official: BLACKMON, TASHA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37,682 | $1.41M |
| 2019 | 31,492 | $1.20M |
| 2020 | 11,966 | $526K |
| 2021 | 6,932 | $518K |
| 2022 | 5,908 | $450K |
| 2023 | 3,429 | $197K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13,561 | 13,553 | $603K |
| D1120 | Prophylaxis - child | 13,135 | 13,134 | $491K |
| D0140 | Limited oral evaluation - problem focused | 4,007 | 3,930 | $442K |
| D1351 | Sealant - per tooth | 14,848 | 5,202 | $389K |
| D7140 | Extraction, erupted tooth or exposed root | 4,253 | 2,530 | $370K |
| D1110 | Prophylaxis - adult | 4,362 | 4,360 | $353K |
| D1206 | Topical application of fluoride varnish | 14,948 | 14,946 | $334K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4,431 | 4,425 | $286K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,850 | 1,532 | $277K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,483 | 1,147 | $173K |
| D0272 | Bitewings - two radiographic images | 7,306 | 7,304 | $159K |
| D0274 | Bitewings - four radiographic images | 5,328 | 5,324 | $140K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 319 | 296 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 1,438 | 1,407 | $51K |
| D2331 | 287 | 239 | $39K | |
| D0220 | Intraoral - periapical first radiographic image | 4,210 | 4,118 | $29K |
| D2330 | 165 | 133 | $22K | |
| D4355 | 151 | 151 | $21K | |
| D5110 | 12 | 12 | $13K | |
| D0330 | Panoramic radiographic image | 514 | 513 | $11K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 80 | 70 | $10K |
| D2335 | 40 | 37 | $8K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 43 | 38 | $5K |
| D2140 | 32 | 27 | $4K | |
| D4910 | 42 | 42 | $4K | |
| D2160 | 12 | 12 | $1K | |
| D0240 | 46 | 24 | $966.00 | |
| D0270 | 72 | 72 | $568.80 | |
| D0230 | Intraoral - periapical each additional radiographic image | 412 | 182 | $530.03 |
| D1354 | 22 | 12 | $231.80 |