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

Creek Capital Oquirrh Park LLC

Creek Capital Oquirrh Park LLC was paid $459K by Medicaid between Jan 2018 and May 2021, across 20 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.

33Billing provider infoCREEK CAPITAL OQUIRRH PARK LLC
WEST JORDAN, UT 84084
33aNPI1952829897assigned 08/30/2017
33bProvider typePediatric Dentist
28Total paid$459K
24GClaims17,130
24DCodes billed20
24AFirst – last monthJan 2018 – May 2021
Compared with peers

Next to other Pediatric Dentist providers in Utah

Rank by total paid#61 of 152
Median peer was paid$311K
This provider vs. median1.5×

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$10K$20K$30K2018201920202021202220232024
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
20188,371$211K
20194,938$133K
20202,730$81K
20211,091$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 42% 2,387 2,364 $193K
D1351 Sealant - per tooth 22% 2,541 599 $99K
D1120 Dental cleaning, childProphylaxis - child 8.4% 2,435 2,404 $39K
D2150 Silver amalgam - two surfaces, primary or permanent 6.9% 623 298 $32K
D0220 Intraoral - periapical first radiographic image 6.3% 1,997 1,963 $29K
D0150 Comprehensive oral evaluation - new or established patient 5.3% 256 247 $24K
D2140 2.3% 242 151 $11K
D7140 Extraction, erupted tooth or exposed root 1.4% 90 57 $6K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1.2% 239 204 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.1% 73 31 $5K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 51 12 $4K
D2930 Prefabricated stainless steel crown - primary tooth <1% 52 12 $3K
8 more codes
D0230 Intraoral - periapical each additional radiographic image <1% 1,836 $3K
D0272 Bitewings - two radiographic images <1% 1,234 $3K
D1206 Topical application of fluoride varnish <1% 2,669 $2K
D0274 Bitewings - four radiographic images <1% 274 $66.40
D9420 <1% 12 $65.43
D0330 Panoramic radiographic image <1% 76 $54.89
D0240 0% 17 $0.00
D1110 Prophylaxis - adult 0% 26 $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

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