NPI: 1043738974 · PARK CITY, UT 84060 · Pediatric Dentist · NPI assigned 08/30/2017
Authorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more
| Authorized Official | NICOL, MARCI (COO) |
| NPI Enumeration Date | 08/30/2017 |
Other providers sharing the same authorized official: NICOL, MARCI
| Provider | City | State | Total Paid |
|---|---|---|---|
| CREEK CAPITAL STANSBURY PARK LLC | STANSBURY PARK | UT | $986K |
| CREEK CAPITAL VINE STREET LLC | MURRAY | UT | $574K |
| CREEK CAPITAL EAST GATE LLC | SLC | UT | $569K |
| CREEK CAPITAL OQUIRRH PARK LLC | WEST JORDAN | UT | $459K |
| CREEK CAPITAL COTTONWOOD LLC | SALT LAKE CITY | UT | $306K |
| CREEK CAPITAL ANESTHESIA LLC | MIDVALE | UT | $279K |
| CREEK CAPITAL LONE PEAK LLC | SANDY | UT | $237K |
| CREEK CAPITOL HUNTER PARK | WEST VALLEY | UT | $193K |
| CREEK CAPITAL ORCHARD DRIVE LLC | BOUNTIFUL | UT | $177K |
| CREEK CAPITAL IVORY RIDGE LLC | LEHI | UT | $128K |
| CREEK CAPITOL LINDON | LINDON | UT | $115K |
| CREEK CAPITAL JORDAN RIDGE LLC | WEST JORDAN | UT | $59K |
| CREEK CAPITAL TROLLEY PLACE LLC | MIDVALE | UT | $42K |
| CREEK CAPITAL MILLCREEK LLC | MIDVALE | UT | $14K |
| CREEK CAPITAL BURG GENERAL LLC | MURRAY | UT | $8K |
| CREEK CAPITAL DAYBREAK LLC | SOUTH JORDAN | UT | $5K |
| CREEK CAPITAL ORTHODONTICS LLC | MURRAY | UT | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,911 | $236K |
| 2019 | 2,423 | $59K |
| 2020 | 2,104 | $66K |
| 2021 | 1,091 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,246 | 2,225 | $255K |
| D1351 | Sealant - per tooth | 1,120 | 294 | $48K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 404 | 218 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 1,673 | 1,618 | $24K |
| D2140 | 177 | 117 | $13K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 45 | 43 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 315 | 281 | $5K |
| D1120 | Prophylaxis - child | 2,271 | 2,243 | $4K |
| D0272 | Bitewings - two radiographic images | 936 | 919 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 23 | 15 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,522 | 1,452 | $1K |
| D1206 | Topical application of fluoride varnish | 2,391 | 2,360 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 28 | 14 | $1K |
| D0274 | Bitewings - four radiographic images | 265 | 259 | $967.55 |
| D0330 | Panoramic radiographic image | 113 | 113 | $556.19 |