NPI: 1417475344 · SLC, UT 84124 · 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 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,753 | $222K |
| 2019 | 5,143 | $139K |
| 2020 | 4,387 | $126K |
| 2021 | 2,746 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,984 | 2,969 | $306K |
| D1351 | Sealant - per tooth | 2,559 | 569 | $83K |
| D0220 | Intraoral - periapical first radiographic image | 2,354 | 2,316 | $39K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 774 | 369 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | 308 | 307 | $29K |
| D2140 | 293 | 169 | $13K | |
| D1120 | Prophylaxis - child | 3,106 | 3,098 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 168 | 79 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 117 | 38 | $8K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 305 | 291 | $7K |
| D0272 | Bitewings - two radiographic images | 1,661 | 1,650 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 92 | 68 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,161 | 2,123 | $4K |
| D0330 | Panoramic radiographic image | 301 | 300 | $4K |
| D1206 | Topical application of fluoride varnish | 3,348 | 3,338 | $4K |
| D0274 | Bitewings - four radiographic images | 358 | 353 | $1K |
| D0140 | Limited oral evaluation - problem focused | 44 | 44 | $787.39 |
| D9248 | 72 | 62 | $552.66 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 24 | 12 | $339.18 |