NPI: 1306359054 · PRINCE FREDERICK, MD 20678 · Dentist · NPI assigned 11/15/2017
Authorized official COOPER, DAVID controls 13+ related entities in our dataset. Read more
| Authorized Official | COOPER, DAVID (OWNER) |
| Parent Organization | TIDEWATER LLC |
| NPI Enumeration Date | 11/15/2017 |
Other providers sharing the same authorized official: COOPER, DAVID
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 53 | $2K |
| 2019 | 514 | $15K |
| 2020 | 353 | $8K |
| 2021 | 290 | $9K |
| 2022 | 574 | $16K |
| 2023 | 239 | $7K |
| 2024 | 506 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 1,069 | 1,049 | $26K |
| D1120 | Prophylaxis - child | 413 | 411 | $18K |
| D0120 | Periodic oral evaluation - established patient | 584 | 572 | $17K |
| D1110 | Prophylaxis - adult | 72 | 72 | $5K |
| D0274 | Bitewings - four radiographic images | 110 | 103 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 36 | 35 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 155 | 144 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 16 | 16 | $912.00 |
| D0140 | Limited oral evaluation - problem focused | 17 | 17 | $803.42 |
| D0330 | Panoramic radiographic image | 13 | 13 | $546.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12 | 12 | $216.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 32 | 25 | $145.28 |