NPI: 1194346049 · MIDVALE, UT 84047 · Dental Clinic/Center · NPI assigned 05/01/2020
Authorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more
| Authorized Official | NICOL, MARCI (VP) |
| NPI Enumeration Date | 05/01/2020 |
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 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 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 |
|---|---|---|
| 2020 | 478 | $10K |
| 2021 | 1,514 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 229 | 223 | $25K |
| D0140 | Limited oral evaluation - problem focused | 175 | 154 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 510 | 467 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 33 | 27 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 26 | 13 | $819.58 |
| D0230 | Intraoral - periapical each additional radiographic image | 362 | 328 | $505.30 |
| D1120 | Prophylaxis - child | 203 | 201 | $447.97 |
| D1206 | Topical application of fluoride varnish | 204 | 202 | $374.20 |
| D0330 | Panoramic radiographic image | 44 | 35 | $154.48 |
| D0274 | Bitewings - four radiographic images | 123 | 111 | $71.42 |
| D0272 | Bitewings - two radiographic images | 63 | 61 | $0.00 |
| D1110 | Prophylaxis - adult | 20 | 13 | $0.00 |