Fialkov, Adam

Health Insurance

• 2026 ID Card
• Summary of Benefits
• Evidence of Coverage
• Covered Formulary Drugs
• Copay savings cards: Rinvoq | Movantik

Docs & Meds

• Medical Team
• Active Meds
• Emergency Contacts

Dental

• Banner Oral Surgery: Dr. Karel DeLeeuw
• Dental Team
• General: Douglas Family Dentistry
• Endo: Endodontic Specialists
• Benefits
• Centene (Ambetter by AZ Complete Healthw/medical
• Cigna Preferred Network Access (discount plan)
• Treatment Plans
• 9/21/2026 - AZ Perio Treatment Plan
• 9/16/2026 - Douglas Family --> AZ Perio Referral
• 12/17/2025 - Banner OMFS Clinical Notes
• 09/08/2025 Douglas Treatment Plan
• 09/08/2025 Douglas Treatment Plan
• 09/08/2025 iGo Treatment Plan
• 05/06/2025 - AZ Sleep & TMJ Solutions
• Dental Imaging
• 2/11/2026 - Cone beam CT (both jaws) (report)
• 2/11/2026 - 3D Panoramic (image)
• 9/6/2025 - 3D Panoramic (image)
• 09/06/2025 Pano X-rays

Vision

• Prescriptions
• 5/12/2025 - Computer Glasses
• 5/12/2025 - Reading
• 5/12/2025 - distance
• 10/04/2024 Rx
• Benefits
• Centene/Envolve Vision

Misc. Records

• Primary Care
• Immunizations (2023-2025)
• Immunizations (1976-1990)
• Bone Density DEXA Scans (latest exam 1/2/26 result comparison)

Other ID Cards

• Driver's License
• Blood Donor Card