NPI: 1386135747 · WEST VALLEY, UT 84120 · Dentist · NPI assigned 05/22/2018
Authorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more
| Authorized Official | NICOL, MARCI (COO) |
| NPI Enumeration Date | 05/22/2018 |
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 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 |
|---|---|---|
| 2019 | 2,635 | $62K |
| 2020 | 2,378 | $74K |
| 2021 | 1,757 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,038 | 1,033 | $116K |
| D1351 | Sealant - per tooth | 1,159 | 181 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 762 | 739 | $19K |
| D1120 | Prophylaxis - child | 1,115 | 1,109 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 69 | 66 | $10K |
| D1206 | Topical application of fluoride varnish | 1,215 | 1,207 | $2K |
| D0272 | Bitewings - two radiographic images | 467 | 459 | $2K |
| D0274 | Bitewings - four radiographic images | 131 | 128 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 28 | 12 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 706 | 663 | $1K |
| D0330 | Panoramic radiographic image | 52 | 52 | $967.86 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 28 | 12 | $0.00 |