NPI: 1952829897 · WEST JORDAN, UT 84084 · 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 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 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 | 8,371 | $211K |
| 2019 | 4,938 | $133K |
| 2020 | 2,730 | $81K |
| 2021 | 1,091 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,387 | 2,364 | $193K |
| D1351 | Sealant - per tooth | 2,541 | 599 | $99K |
| D1120 | Prophylaxis - child | 2,435 | 2,404 | $39K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 623 | 298 | $32K |
| D0220 | Intraoral - periapical first radiographic image | 1,997 | 1,963 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 256 | 247 | $24K |
| D2140 | 242 | 151 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | 90 | 57 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 239 | 204 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 73 | 31 | $5K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 51 | 12 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 52 | 12 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,836 | 1,782 | $3K |
| D0272 | Bitewings - two radiographic images | 1,234 | 1,220 | $3K |
| D1206 | Topical application of fluoride varnish | 2,669 | 2,637 | $2K |
| D0274 | Bitewings - four radiographic images | 274 | 269 | $66.40 |
| D9420 | 12 | 12 | $65.43 | |
| D0330 | Panoramic radiographic image | 76 | 73 | $54.89 |
| D0240 | 17 | 15 | $0.00 | |
| D1110 | Prophylaxis - adult | 26 | 26 | $0.00 |