Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › WEST JORDAN › CREEK CAPITAL JORDAN RIDGE LLC

CREEK CAPITAL JORDAN RIDGE LLC

NPI: 1851819791 · WEST JORDAN, UT 84088 · Pediatric Dentist · NPI assigned 08/30/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$59K
Total Medicaid Paid
2,401
Total Claims
2,379
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialNICOL, MARCI (COO)
NPI Enumeration Date08/30/2017

Related Entities

Other providers sharing the same authorized official: NICOL, MARCI

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 516 $8K
2019 591 $12K
2020 751 $19K
2021 543 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 414 412 $46K
D0220 Intraoral - periapical first radiographic image 284 277 $5K
D1120 Prophylaxis - child 634 629 $5K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $2K
D1206 Topical application of fluoride varnish 641 638 $729.02
D0272 Bitewings - two radiographic images 145 145 $463.45
D0230 Intraoral - periapical each additional radiographic image 258 253 $0.00