Tidewater LLC
Tidewater LLC was paid $735K by Medicaid between Oct 2018 and Dec 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 20% of everything it billed.
LEXINGTON PARK, MD 20653
Next to other Dentist providers in Maryland
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 343 | $10K | |
| 2019 | 3,648 | $122K | |
| 2020 | 2,418 | $82K | |
| 2021 | 4,003 | $162K | |
| 2022 | 4,025 | $171K | |
| 2023 | 2,622 | $110K | |
| 2024incomplete | 1,545 | $78K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20% | 1,166 | 637 | $143K |
| D1206 | Topical application of fluoride varnish | 19% | 5,811 | 5,704 | $143K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 2,809 | 2,772 | $120K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,689 | 3,624 | $106K |
| D1110 | Prophylaxis - adult | 14% | 1,772 | 1,745 | $106K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 386 | 241 | $35K |
| D0274 | Bitewings - four radiographic images | 4.1% | 1,373 | 1,348 | $30K |
| D0330 | Panoramic radiographic image | 2.4% | 423 | 421 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 306 | 303 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 465 | 458 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 123 | 117 | $5K |
| D1351 | Sealant - per tooth | <1% | 107 | 26 | $4K |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Prohealth Care Associates LLP | Lake Success, NY | $69.52M |
| C H L EMS INC | Visalia, CA | $10.59M |
| Chester County Pediatrics | Downington, PA | $4.85M |
| Stoddard County Ambulance District | Dexter, MO | $4.67M |
| DRS. Cooper & Banninger, LLC. | Salina, KS | $587K |
| No Limit Life LLC | Pennsauken, NJ | $366K |
| Tidewater LLC | Lexington Park, MD | $192K |
| Tidewater LLC | Solomons, MD | $82K |
| Tidewater LLC | Prince Frederick, MD | $74K |
| Tidewater LLC | Dunkirk, MD | $21K |
| Tidewater LLC | Lanham, MD | $21K |
| Mobile Medical Services P.C. | New Hyde Park, NY | $3K |
| Chester County Pediatrics PC | Avondale, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.