CREEK CAPITOL LINDON
NPI: 1104317569
· LINDON, UT 84042
· Dentist
· NPI assigned 05/22/2018
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | NICOL, MARCI (COO) |
| NPI Enumeration Date | 05/22/2018 |
Related Entities
Other providers sharing the same authorized official: NICOL, MARCI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
559 |
$10K |
| 2019 |
1,945 |
$42K |
| 2020 |
1,400 |
$42K |
| 2021 |
719 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
844 |
833 |
$92K |
| D0220 |
Intraoral - periapical first radiographic image |
861 |
833 |
$12K |
| D1120 |
Prophylaxis - child |
898 |
888 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
336 |
329 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
826 |
776 |
$1K |
| D1206 |
Topical application of fluoride varnish |
846 |
838 |
$1K |