PEEBLES, MARCELLA
NPI: 1346940368
· MUSKEGON, MI 49444
· Student in an Organized Health Care Education/Training Program
· NPI assigned 03/08/2023
$133.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
39 |
$133.25 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$85.25 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$48.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |