Tidewater LLC
Tidewater LLC was paid $74K by Medicaid between Oct 2018 and Nov 2024, across 12 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 36% of everything it billed.
PRINCE FREDERICK, MD 20678
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 | 53 | $2K | |
| 2019 | 514 | $15K | |
| 2020 | 353 | $8K | |
| 2021 | 290 | $9K | |
| 2022 | 574 | $16K | |
| 2023 | 239 | $7K | |
| 2024incomplete | 506 | $18K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 36% | 1,069 | 1,049 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 413 | 411 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 584 | 572 | $17K |
| D1110 | Prophylaxis - adult | 6.1% | 72 | 72 | $5K |
| D0274 | Bitewings - four radiographic images | 3.1% | 110 | 103 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 36 | 35 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 155 | 144 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 16 | 16 | $912.00 |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 17 | 17 | $803.42 |
| D0330 | Panoramic radiographic image | <1% | 13 | 13 | $546.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 12 | 12 | $216.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 32 | 25 | $145.28 |
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 |
| Tidewater LLC | Lexington Park, MD | $735K |
| 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 | 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.