Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CREEK CAPITAL VINE STREET LLC

NPI: 1154849081 · MURRAY, UT 84107 · Dentist · NPI assigned 08/30/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more

$574K
Total Medicaid Paid
20,468
Total Claims
17,507
Beneficiaries
19
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialNICOL, MARCI (COO)
NPI Enumeration Date08/30/2017

Related Entities

Other providers sharing the same authorized official: NICOL, MARCI

ProviderCityStateTotal Paid
CREEK CAPITAL STANSBURY PARK LLC STANSBURY PARK UT $986K
CREEK CAPITAL EAST GATE LLC SLC UT $569K
CREEK CAPITAL OQUIRRH PARK LLC WEST JORDAN UT $459K
CREEK CAPITAL PARK CITY LLC PARK CITY UT $398K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,217 $197K
2019 4,478 $117K
2020 4,929 $163K
2021 2,844 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 2,879 2,872 $266K
D1351 Sealant - per tooth 2,259 474 $56K
D0220 Intraoral - periapical first radiographic image 2,239 2,215 $52K
D1120 Prophylaxis - child 2,953 2,947 $50K
D0150 Comprehensive oral evaluation - new or established patient 268 266 $29K
D2150 Silver amalgam - two surfaces, primary or permanent 698 357 $26K
D2140 644 357 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 301 152 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 276 144 $15K
D0230 Intraoral - periapical each additional radiographic image 2,166 2,062 $9K
D0272 Bitewings - two radiographic images 1,614 1,609 $7K
D1206 Topical application of fluoride varnish 3,204 3,196 $6K
D7140 Extraction, erupted tooth or exposed root 57 30 $5K
D0330 Panoramic radiographic image 145 145 $4K
D2930 Prefabricated stainless steel crown - primary tooth 91 26 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 224 210 $3K
D0274 Bitewings - four radiographic images 388 386 $1K
D0140 Limited oral evaluation - problem focused 15 14 $481.35
D1110 Prophylaxis - adult 47 45 $264.10