Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCreek Capital Park City LLC
    Ask Trek AI about this page

    Creek Capital Park City LLC — Billing Profile & Reimbursement Data

    NPI 1043738974 · Park City, UT · Pediatric Dentistry

    Customize your policy alerts

    Sign up for Creek Capital Park City LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Creek Capital Park City LLC is a pediatric dentistry provider located in Park City, Utah. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCreek Capital Park City LLC
    Address1901 Prospector Ave Ste 26
    CityPark City
    StateUT
    ZIP84060
    TaxonomyPediatric Dentistry
    NPI EnumeratedAugust 30, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$395.7K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0120Periodic oral evaluation - established patient2,250$110$253.8K
    D1351Sealant - per tooth1,120$40$48.2K
    D2150Amalgam - two surfaces, primary or permanent400$80$32.3K
    D0220Intraoral - periapical first radiographic image1,670$10$23.4K
    D2140Amalgam - one surface, primary or permanent180$70$12.7K
    D0150Comprehensive oral evaluation – new or established patient50$110$4.7K
    D9230N/A320$20$4.7K
    D1120Prophylaxis–child2,270$1$4.5K
    D0272N/A940$1$3.7K
    D2391Resin‑based composite – one surface, posterior20$150$3.4K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0120Periodic oral evaluation - established patient111470460$80$149.8K
    D1351Sealant - per tooth65190620$30$60.7K
    D2150Amalgam - two surfaces, primary or permanent97220290$60$45K
    D2392Post 2 surface resin‑based composite148170170$80$39.4K
    D0220Intraoral - periapical first radiographic image107440470$20$32.8K
    D0150Comprehensive oral evaluation – new or established patient281420110$100$30.8K
    D1120Prophylaxis–child107420440$20$30.7K
    D2391Resin‑based composite – one surface, posterior90110170$70$25.2K
    D2140Amalgam - one surface, primary or permanent90170200$50$25.2K
    D0272N/A119310550$20$24.7K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Creek Capital Park City LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Bcdo Specialty Dental Services, PLLCUTPediatric Dentistry$0$14M
    Terry SorensonUTGeneral Practice Dentistry$0$1.6M
    Stuart SeguraUTPediatric Dentistry$0$1.5M
    Kurt ChristensenUTPediatric Dentistry$0$1M
    Jeffrey WelchUTGeneral Practice Dentistry$0$856.8K
    Darin KnudsonUTDentist$0$777.7K
    Don BorenUTGeneral Practice Dentistry$0$679.4K
    Jason MandelarisUTPediatric Dentistry$0$670.6K
    Stuart ThomasUTPediatric Dentistry$0$642.4K
    Creek Capital Vine Street LLCUTDentist$0$573.1K

    Nearby Providers

    Other providers in the same ZIP code as Creek Capital Park City LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$2.5M
    Precision Dentures, LLCUTDentist$0$1.2M
    Park City Dental Associates LLCUTDental Clinic/Center$0$866.4K
    Joshua GruhlUTRadiation Oncology Physician$521.5K$0
    Daniel WightmanUTInternal Medicine Physician$254K$0
    Michael MetcalfUTSports Medicine (Orthopaedic Surgery) Physician$213.5K$0
    Charles LindUTOrthopaedic Surgery Physician$153.9K$0
    William PidwellUTFamily Medicine Physician$139.6K$0
    Mark HatchUTOrthopaedic Surgery Physician$89.5K$0
    County Of SummitUTPublic Health or Welfare Agency$71K$12.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Creek Capital Park City LLC — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah