Dental
Tidewater Dental Center, PLLC
Tidewater Dental Center, PLLC was paid $273K by Medicaid between Jan 2018 and Dec 2023, across 21 billing codes. Its largest line is D1110, Prophylaxis - adult — 17% of everything it billed.
33Billing provider infoTIDEWATER DENTAL CENTER, PLLC
NORFOLK, VA 23517
NORFOLK, VA 23517
33aNPI1275789950assigned 08/13/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$273K
24GClaims15,100
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other General Practice Dentistry providers in Virginia
Rank by total paid#128 of 549
Median peer was paid$29K
This provider vs. median9.3×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 846 | $15K | |
| 2019 | 3,045 | $49K | |
| 2020 | 3,423 | $36K | |
| 2021 | 2,186 | $39K | |
| 2022 | 1,785 | $57K | |
| 2023 | 3,815 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17% | 1,128 | 1,088 | $45K |
| D0140 | Limited oral evaluation - problem focused | 15% | 2,559 | 1,959 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 2,082 | 1,402 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.1% | 1,126 | 1,089 | $19K |
| D0274 | Bitewings - four radiographic images | 6.8% | 815 | 796 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 6.1% | 733 | 571 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.4% | 2,413 | 487 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 5.2% | 2,034 | 1,330 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 4.9% | 80 | 12 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.4% | 115 | 76 | $12K |
| D4910 | 3.7% | 197 | 195 | $10K | |
| D7880 | 2.4% | 14 | 13 | $7K |
9 more codes
| D0330 | Panoramic radiographic image | 2.3% | 244 | $6K |
| D1354 | 1.6% | 486 | $4K | |
| D9994 | 1.6% | 653 | $4K | |
| D9920 | 1.5% | 91 | $4K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 54 | $792.64 |
| D1120 | Dental cleaning, child | <1% | 13 | $402.24 |
| D1206 | Topical application of fluoride varnish | <1% | 14 | $258.00 |
| D9630 | 0% | 160 | $0.00 | |
| D9995 | 0% | 89 | $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 officialFORD, AMY (VICE PRESIDENT OF OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Van Ness Orthopedics & Sports Medicine INC | Farmington, MO | $18K |
| Berkbigler Orthopaedics and Sports Specialists LLC | Farmington, MO | $917.11 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.