Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Creek Capital Vine Street LLC

Creek Capital Vine Street LLC was paid $574K by Medicaid between Jan 2018 and Jun 2021, across 19 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.

33Billing provider infoCREEK CAPITAL VINE STREET LLC
MURRAY, UT 84107
33aNPI1154849081assigned 08/30/2017
33bProvider typeDentist
28Total paid$574K
24GClaims20,468
24DCodes billed19
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other Dentist providers in Utah

Rank by total paid#9 of 136
Median peer was paid$35K
This provider vs. median16×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20188,217$197K
20194,478$117K
20204,929$163K
20212,844$97K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 46% 2,879 2,872 $266K
D1351 Sealant - per tooth 9.7% 2,259 474 $56K
D0220 Intraoral - periapical first radiographic image 9.1% 2,239 2,215 $52K
D1120 Dental cleaning, childProphylaxis - child 8.7% 2,953 2,947 $50K
D0150 Comprehensive oral evaluation - new or established patient 5.1% 268 266 $29K
D2150 Silver amalgam - two surfaces, primary or permanent 4.6% 698 357 $26K
D2140 3.8% 644 357 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.3% 301 152 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.6% 276 144 $15K
D0230 Intraoral - periapical each additional radiographic image 1.6% 2,166 2,062 $9K
D0272 Bitewings - two radiographic images 1.2% 1,614 1,609 $7K
D1206 Topical application of fluoride varnish <1% 3,204 3,196 $6K
7 more codes
D7140 Extraction, erupted tooth or exposed root <1% 57 $5K
D0330 Panoramic radiographic image <1% 145 $4K
D2930 Prefabricated stainless steel crown - primary tooth <1% 91 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 224 $3K
D0274 Bitewings - four radiographic images <1% 388 $1K
D0140 Limited oral evaluation - problem focused <1% 15 $481.35
D1110 Prophylaxis - adult <1% 47 $264.10

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialNICOL, MARCI (COO)
Same official

Other billing entities under NICOL, MARCI

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.