NPI: 1770001612 · BOUNTIFUL, UT 84010 · 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 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 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 | 2,716 | $58K |
| 2019 | 1,483 | $31K |
| 2020 | 1,752 | $53K |
| 2021 | 1,012 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,169 | 1,166 | $119K |
| D0220 | Intraoral - periapical first radiographic image | 916 | 905 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 71 | 71 | $10K |
| D1351 | Sealant - per tooth | 431 | 80 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 131 | 73 | $5K |
| D1120 | Prophylaxis - child | 1,305 | 1,302 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 51 | 28 | $5K |
| D2140 | 16 | 12 | $2K | |
| D0272 | Bitewings - two radiographic images | 596 | 594 | $1K |
| D1206 | Topical application of fluoride varnish | 1,320 | 1,318 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 77 | 70 | $891.40 |
| D0330 | Panoramic radiographic image | 49 | 49 | $654.41 |
| D0230 | Intraoral - periapical each additional radiographic image | 819 | 802 | $324.31 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $101.07 |