Dental
Cherry Street Services, INC.
Cherry Street Services, INC. was paid $4.29M by Medicaid between Jan 2018 and Oct 2023, across 30 billing codes. Its largest line is D0120, dental checkup, returning patient — 14% of everything it billed.
33Billing provider infoCHERRY STREET SERVICES, INC.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1841449105assigned 09/11/2008
33bProvider typeDentist
28Total paid$4.29M
24GClaims97,409
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#22 of 1,033
Median peer was paid$15K
This provider vs. median285×
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 | 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 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 13,561 | 13,553 | $603K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 13,135 | 13,134 | $491K |
| D0140 | Limited oral evaluation - problem focused | 10% | 4,007 | 3,930 | $442K |
| D1351 | Sealant - per tooth | 9.1% | 14,848 | 5,202 | $389K |
| D7140 | Extraction, erupted tooth or exposed root | 8.6% | 4,253 | 2,530 | $370K |
| D1110 | Prophylaxis - adult | 8.2% | 4,362 | 4,360 | $353K |
| D1206 | Topical application of fluoride varnish | 7.8% | 14,948 | 14,946 | $334K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 4,431 | 4,425 | $286K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 1,850 | 1,532 | $277K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 1,483 | 1,147 | $173K |
| D0272 | Bitewings - two radiographic images | 3.7% | 7,306 | 7,304 | $159K |
| D0274 | Bitewings - four radiographic images | 3.3% | 5,328 | 5,324 | $140K |
18 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.3% | 319 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 1,438 | $51K |
| D2331 | <1% | 287 | $39K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,210 | $29K |
| D2330 | <1% | 165 | $22K | |
| D4355 | <1% | 151 | $21K | |
| D5110 | <1% | 12 | $13K | |
| D0330 | Panoramic radiographic image | <1% | 514 | $11K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 80 | $10K |
| D2335 | <1% | 40 | $8K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 43 | $5K |
| D2140 | <1% | 32 | $4K | |
| D4910 | <1% | 42 | $4K | |
| D2160 | <1% | 12 | $1K | |
| D0240 | <1% | 46 | $966.00 | |
| D0270 | <1% | 72 | $568.80 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 412 | $530.03 |
| D1354 | <1% | 22 | $231.80 |
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 | $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 | $1.27M |
| 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.