NPI: 1316465255 · SALT LAKE CITY, UT 84121 · 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 PARK CITY LLC | PARK CITY | UT | $398K |
| 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 | 2,801 | $60K |
| 2019 | 1,658 | $43K |
| 2020 | 1,395 | $44K |
| 2021 | 845 | $26K |
| 2022 | 1,595 | $44K |
| 2023 | 1,610 | $41K |
| 2024 | 1,701 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,213 | 2,189 | $166K |
| D1120 | Prophylaxis - child | 2,304 | 2,278 | $63K |
| D1351 | Sealant - per tooth | 729 | 158 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1,440 | 1,417 | $19K |
| D1206 | Topical application of fluoride varnish | 2,300 | 2,275 | $13K |
| D0272 | Bitewings - two radiographic images | 953 | 938 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,310 | 1,256 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 108 | 44 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 52 | 52 | $4K |
| D0274 | Bitewings - four radiographic images | 55 | 52 | $2K |
| D0330 | Panoramic radiographic image | 79 | 79 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 62 | 55 | $657.84 |