Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Tidewater LLC

Tidewater LLC was paid $82K by Medicaid between Oct 2018 and Jun 2024, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 34% of everything it billed.

33Billing provider infoTIDEWATER LLC
SOLOMONS, MD 20688
33aNPI1407369143assigned 11/15/2017
33bProvider typeDentist
28Total paid$82K
24GClaims2,587
24DCodes billed10
24AFirst – last monthOct 2018 – Jun 2024
Compared with peers

Next to other Dentist providers in Maryland

Rank by total paid#173 of 415
Median peer was paid$47K
This provider vs. median1.7×

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.

Entity ProliferationAuthorized official COOPER, DAVID controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018113$3K
2019688$22K
2021333$11K
2022590$18K
2023681$22K
2024incomplete182$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1206 Topical application of fluoride varnish 34% 1,142 1,124 $28K
D1120 Dental cleaning, childProphylaxis - child 24% 458 450 $20K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 18% 497 489 $15K
D1110 Prophylaxis - adult 16% 221 218 $13K
D0274 Bitewings - four radiographic images 3.0% 112 111 $2K
D0150 Comprehensive oral evaluation - new or established patient 2.0% 31 31 $2K
D0330 Panoramic radiographic image <1% 17 17 $691.00
D0220 Intraoral - periapical first radiographic image <1% 56 55 $521.12
D0140 Limited oral evaluation - problem focused <1% 12 12 $518.40
D0230 Intraoral - periapical each additional radiographic image <1% 41 41 $246.32

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 officialCOOPER, DAVID (OWNER)
Parent organizationTIDEWATER LLC
Same official

Other billing entities under COOPER, DAVID

Full network →
ProviderLocationPaid
Prohealth Care Associates LLPLake Success, NY$69.52M
C H L EMS INCVisalia, CA$10.59M
Chester County PediatricsDownington, PA$4.85M
Stoddard County Ambulance DistrictDexter, MO$4.67M
Tidewater LLCLexington Park, MD$735K
DRS. Cooper & Banninger, LLC.Salina, KS$587K
No Limit Life LLCPennsauken, NJ$366K
Tidewater LLCLexington Park, MD$192K
Tidewater LLCPrince Frederick, MD$74K
Tidewater LLCDunkirk, MD$21K
Tidewater LLCLanham, MD$21K
Mobile Medical Services P.C.New Hyde Park, NY$3K
Chester County Pediatrics PCAvondale, PA$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.