Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Creek Capital Jordan Ridge LLC

Creek Capital Jordan Ridge LLC was paid $59K by Medicaid between Jan 2018 and May 2021, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 78% of everything it billed.

33Billing provider infoCREEK CAPITAL JORDAN RIDGE LLC
WEST JORDAN, UT 84088
33aNPI1851819791assigned 08/30/2017
33bProvider typePediatric Dentist
28Total paid$59K
24GClaims2,401
24DCodes billed7
24AFirst – last monthJan 2018 – May 2021
Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#121 of 152
Median peer was paid$311K
This provider vs. median0.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018516$8K
2019591$12K
2020751$19K
2021543$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 78% 414 412 $46K
D0220 Intraoral - periapical first radiographic image 8.2% 284 277 $5K
D1120 Dental cleaning, childProphylaxis - child 8.0% 634 629 $5K
D0150 Comprehensive oral evaluation - new or established patient 3.8% 25 25 $2K
D1206 Topical application of fluoride varnish 1.2% 641 638 $729.02
D0272 Bitewings - two radiographic images <1% 145 145 $463.45
D0230 Intraoral - periapical each additional radiographic image 0% 258 253 $0.00

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)
Same official

Other billing entities under NICOL, MARCI

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.