Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › SOLOMONS › TIDEWATER LLC

TIDEWATER LLC

NPI: 1407369143 · SOLOMONS, MD 20688 · Dentist · NPI assigned 11/15/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COOPER, DAVID controls 13+ related entities in our dataset. Read more

$82K
Total Medicaid Paid
2,587
Total Claims
2,548
Beneficiaries
10
Codes Billed
2018-10
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCOOPER, DAVID (OWNER)
Parent OrganizationTIDEWATER LLC
NPI Enumeration Date11/15/2017

Related Entities

Other providers sharing the same authorized official: COOPER, DAVID

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 113 $3K
2019 688 $22K
2021 333 $11K
2022 590 $18K
2023 681 $22K
2024 182 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,142 1,124 $28K
D1120 Prophylaxis - child 458 450 $20K
D0120 Periodic oral evaluation - established patient 497 489 $15K
D1110 Prophylaxis - adult 221 218 $13K
D0274 Bitewings - four radiographic images 112 111 $2K
D0150 Comprehensive oral evaluation - new or established patient 31 31 $2K
D0330 Panoramic radiographic image 17 17 $691.00
D0220 Intraoral - periapical first radiographic image 56 55 $521.12
D0140 Limited oral evaluation - problem focused 12 12 $518.40
D0230 Intraoral - periapical each additional radiographic image 41 41 $246.32