NPI: 1780102616 · SANDY, UT 84094 · 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 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 | 4,282 | $89K |
| 2019 | 2,424 | $52K |
| 2020 | 2,136 | $66K |
| 2021 | 938 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,503 | 1,500 | $160K |
| D1351 | Sealant - per tooth | 1,084 | 243 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 1,301 | 1,278 | $19K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 157 | 136 | $6K |
| D1120 | Prophylaxis - child | 1,530 | 1,521 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 158 | 76 | $5K |
| D1206 | Topical application of fluoride varnish | 1,651 | 1,643 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 33 | 33 | $3K |
| D0272 | Bitewings - two radiographic images | 865 | 854 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,369 | 1,143 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 27 | 13 | $1K |
| D2140 | 53 | 29 | $1K | |
| D0330 | Panoramic radiographic image | 13 | 13 | $0.00 |
| D0274 | Bitewings - four radiographic images | 36 | 36 | $0.00 |