Dental
Bellack, Adam
Bellack, Adam was paid $0.00 by Medicaid between Sep 2022 and Nov 2024, across 7 billing codes. Its largest line is D9612, — 0% of everything it billed.
33Billing provider infoBELLACK, ADAM
PHOENIX, AZ 85037
PHOENIX, AZ 85037
33aNPI1427431154assigned 06/30/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$0.00
24GClaims2,782
24DCodes billed7
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Arizona
Rank by total paid#20 of 30
Median peer was paid$1K
This provider vs. median0.0×
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.
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 | |
|---|---|---|---|
| 2022 | 601 | $0.00 | |
| 2023 | 1,101 | $0.00 | |
| 2024incomplete | 1,080 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9612 | 0% | 40 | 40 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,186 | 1,181 | $0.00 |
| D9222 | 0% | 80 | 71 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 84 | 83 | $0.00 |
| D7240 | Removal of impacted tooth - completely bony | 0% | 75 | 29 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 991 | 983 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 326 | 166 | $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.