BELLACK, ADAM
NPI: 1427431154
· PHOENIX, AZ 85037
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/30/2015
$0.00
Total Medicaid Paid
2,553
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
601 |
$0.00 |
| 2023 |
1,101 |
$0.00 |
| 2024 |
1,080 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9612 |
|
40 |
40 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
1,186 |
1,181 |
$0.00 |
| D9222 |
|
80 |
71 |
$0.00 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
84 |
83 |
$0.00 |
| D7240 |
Removal of impacted tooth - completely bony |
75 |
29 |
$0.00 |
| D0330 |
Panoramic radiographic image |
991 |
983 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
326 |
166 |
$0.00 |