CREEK CAPITAL DAYBREAK LLC

NPI: 1750853438 · SOUTH JORDAN, UT 84009 · Dental Clinic/Center · NPI assigned 12/19/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official NICOL, MARCI controls 17+ related entities in our dataset. Read more

$5K

Total Medicaid Paid

207

Total Claims

199

Beneficiaries

Codes Billed

2019-03

First Month

2020-12

Last Month

Provider Details

Authorized Official	NICOL, MARCI (COO)
NPI Enumeration Date	12/19/2018

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 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 ORTHODONTICS LLC	MURRAY	UT	$2K

Year	Claims	Total Paid
2019	81	$2K
2020	126	$3K

Code	Description	Claims	Beneficiaries	Total Paid
D0120	Periodic oral evaluation - established patient	33	33	$4K
D1120	Prophylaxis - child	30	30	$229.61
D1206	Topical application of fluoride varnish	76	76	$0.00
D0230	Intraoral - periapical each additional radiographic image	26	18	$0.00
D0272	Bitewings - two radiographic images	12	12	$0.00
D0220	Intraoral - periapical first radiographic image	30	30	$0.00