Dental
Creek Capital Stansbury Park LLC
Creek Capital Stansbury Park LLC was paid $986K by Medicaid between Jan 2018 and Jun 2021, across 22 billing codes. Its largest line is D0120, dental checkup, returning patient — 55% of everything it billed.
33Billing provider infoCREEK CAPITAL STANSBURY PARK LLC
STANSBURY PARK, UT 84074
STANSBURY PARK, UT 84074
33aNPI1407374341assigned 08/30/2017
33bProvider typePediatric Dentist
28Total paid$986K
24GClaims33,983
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatric Dentist providers in Utah
Rank by total paid#32 of 152
Median peer was paid$311K
This provider vs. median3.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,242 | $463K | |
| 2019 | 7,845 | $221K | |
| 2020 | 6,898 | $205K | |
| 2021 | 2,998 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 55% | 4,768 | 4,701 | $538K |
| D1351 | Sealant - per tooth | 13% | 4,656 | 934 | $128K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 7.9% | 1,523 | 724 | $77K |
| D0220 | Intraoral - periapical first radiographic image | 5.6% | 3,510 | 3,412 | $56K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.1% | 423 | 410 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.0% | 451 | 213 | $30K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 287 | 152 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 4,976 | 4,901 | $20K |
| D2140 | 1.7% | 322 | 209 | $16K | |
| D0272 | Bitewings - two radiographic images | 1.1% | 2,072 | 2,030 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 230 | 71 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 46 | 18 | $5K |
10 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 682 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 5,148 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,097 | $4K |
| D2160 | <1% | 52 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 118 | $3K |
| D0330 | Panoramic radiographic image | <1% | 672 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 840 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 16 | $1K |
| D1110 | Prophylaxis - adult | <1% | 54 | $152.40 |
| D9248 | <1% | 40 | $135.00 |
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)
| Provider | Location | Paid |
|---|---|---|
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.